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HomeMy WebLinkAboutAGMT - All American Asphalt (AHRP Overlay) #5019811 RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO CITY OF SEAL BEACH Attn: City Clerk 211 8a' Street Seal Beach, CA 90740 Recorded in Official Records, Orange County Tom Daly, Clerk-Recorder IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII NOFEE 200700032728910:58am 05121!07 106 91 N12 1 o.oo o.oo o.oo o.oo o.oo o.oo o.oo o.oo Space of above this line for Recorder's use. * * * No Recording Fee Pursuant to Government Code Section 6103, 27383 NOTICE OF COMPLETION Notice pursuant to Civil Code Section 3093, must be filed within 10 days after completion. Notice is hereby given that: 1. The undersigned is owner or corporate officer of the owner of the interest or estate stated below in the property hereinafter described: 2. The full name of the owner is: City of Seal Beach 3, .The address of the owner is: City of Seal Beach, 211 8~` Street, Seal Beach, CA 90740 4. The natiae a mteres or es ate o e o ---- 5. A work of improvement on the property hereinafter describe as completed on April 13.2007. The work was: Seal Beach Boulevard Pavement Rehabilitation AHRP (Se mg ent 4) and Seal Beach Boulevard Traffic Signal Interconnect Project No. 50187. 6. The name of the contractor, if any, for such of improvement was: All American Ashpalt, Inc. The date of the Contract was: October 23, 2006. 7. The property on which said work of improvement was completed in the City of Seal Beach, County of Orange, State of California, and is described as follows: Seal Beach Boulevard Pavement Rehabilitation AHRP (Se mg ent 4) and Seal Beach Boulevard Traffic SiQr-al Interconnect Project No. 50187. Date: c~ ~ J`_ -© 7 Sean Crumby, P. . Deputy City Engineer VERIFICATION I, the undersigned, say: the Director of Public Works declarant of the foregoing notice of completion; have read said notice of completion and know the contents thereof; the same is true of my own knowledge. I declare under penalty of perjury the foregoing is true and correct. Executed on ~S _, 20 0 7, at Seal Beach, California. --- (Dal a of Signature) Mark V ojevic, P.E. , Director of Public Works 1 I~ 1 ~~ r. J4 7•• L;v r — „e - r CONTRACTOR TO PRINT COMPANY BOOK II O F ”' NAME: A. American Asphtti CONTRACT DOCUMENTS DOCUMENTS TO SUBMIT UPON AWARD: ❑ PUBLIC WORKS CONTRACT ❑ INSURANCE REQUIREMENTS FOR CITY OF SEAL BEACH, PUBLIC WORKS CONTRACT, ❑ PERFORMANCE BOND LIABILITY INSURANCE ❑ PAYMENT BOND ❑ WORKER'S COMPENSATION CERTIFICATE OF ❑ INDEMNIFICATION AND HOLD HARMLESS INSURANCE AGREEMENT AND WAIVER OF SUBROGATION ❑ ADDITIONAL INSURED ENDORSEMENT AND CONTRIBUTION COMPREHENSIVE GENERAL LIABILITY ❑ AGREEMENT TO COMPLY WITH CALIFORNIA ❑ ADDITIONAL INSURED EDORSEMENT LABOR LAW REQUIREMENTS AUTOMOBILE LIABILITY ❑ STATEMENT ACKNOWLEDGING PENAL AND ❑ ADDITIONAL INSURED ENDORSEMENT EXCESS CIVIL PENALTIES CONCERNING THE LIABILITY CONTRACTORS' LICENSING LAWS -Insert other requirements if applicable - FOR: Seal Beach Blvd. AHRP Overlay Project, Segment 4, From St. Cloud Dr. To 1 Bradbury Road FEDERAL PROJECT NUMBER: , ` STPL - 5229(010)' AND �I � . . Seal Beach Blvd. Signal ip t , 9 RI �t Interconnect Between 1-405 and _—� :-� --- $ , * Bradbury Road f CITY PROJECT NUMBER: , -, .. : 7 '. ' -7 ,.c40. - Ag 50196 ___ . . . ,..,..„...„. ,,t.,-,e FEDERAL PROJECT NUMBER: STPL - 5229(010) These Contract Documents are the exclusive property of the Agency and shall not be used in any manner without prior consent of the Agency. Any reuse of these plans and specifications by Others shall be at Other's sole risk and without liability to the Agency. www.sb-publicworks.com CITY OF SEAL BEACH - 211 EIGHTH STREET -SEAL BEACH, CA 90740 -6305 • BOOK II OF III DOCUMENTS TO SUBMIT UPON AWARD 1 PUBLIC WORKS CONTRACT 3 PERFORMANCE BOND 5 INDEMNIFICATION AND HOLD HARMLESS AGREEMENT AND WAIVER OF SUBROGATION AND CONTRIBUTION 9 AGREEMENT TO COMPLY WITH CALIFORNIA LABOR LAW REQUIREMENTS 10 STATEMENT ACKNOWLEDGING PENAL AND CIVIL PENALTIES CONCERNING THE CONTRACTORS' LICENSING LAWS 11 INSURANCE REQUIREMENTS 13 WORKER'S COMPENSATION CERTIFICATE OF INSURANCE 15 ADDITIONAL INSURED ENDORSEMENT COMPREHENSIVE GENERAL LIABILITY 16 ADDITIONAL INSURED ENDORSEMENT AUTOMOBILE LIABILITY 18 ADDITIONAL INSURED ENDORSEMENT EXCESS LIABILITY 20 II -2 • PUBLIC WORKS CONTRACT Seal Beach Blvd. AHRP Overlay Project, Segment 4, From St. Cloud Dr. to Bradbury Road City Project No. 50196 STPL - 5229(010) and Scal Beach Blvd. Signal Interconnect between 1 -405 and Bradbury Road, Project No. 50198 For the following project named in the City of Seal Beach. THIS AGREEMENT, made and entered into this 023 tut day of_gegoi 20 0(g by and between the City of Seal Beach, California, hereinafter referred to as the "CITY," Party of the First Part, and aft hereinafter designated as the "CONTRACTOR," Party of the econd Part. • WITNESSETH: That the Parties do hereto mutually agree as follows: ARTICLE I. For and in consideration of the payments and agreements hereinafter mentioned to be made and performed by said CITY, the CONTRACTOR agrees with said CITY to perform and complete in a good and workmanlike manner all the work pertaining thereto shown on the drawings and described in the Specifications and Contract Documents, therefore, to furnish at his own proper cost and expense all tools, equipment, labor and materials necessary therefore (except those materials expressly noted as to be furnished by the CITY), and to do everything required by this Agreement and the said Specifications, Drawings, and Contract Documents. ARTICLE II. For furnishing all said materials and labor, furnishing and removing all plant, temporary • works or structures, tools and equipment and doing all the work contemplated and embraced in .this • . • . Agreement, also for all loss and damage arising out of the nature of the work aforesaid, or from the action of the elements, or from any unforeseen difficulties which may arise or be encountered in the prosecution of the work until its acceptance by said CITY, and for all risks of every description connected with the • work; also for all expenses incurred by or in consequence of the suspension or discontinuance of work; • except such as in the said Specifications are expressly stipulated to be bome by the said CITY and faithfully completing the work and the whole thereof, in the manner shown and described in the said Drawings, Specifications, and Contract Documents and in accordance with the requirements of the Engineer, said CITY will pay and the CONTRACTOR shall receive in full compensation, therefore, the unit prices and the lump sum prices named in the Schedule of Work Items of the Proposal. ARTICLE III. The CITY hereby promises and agrees with said CONTRACTOR to employ and does hereby employ said CON 1 to provide the materials and to do the work according to the terms and conditions herein contained and referred to for the price aforesaid, and hereby contracts to pay the same, at the time, in the manner and upon the conditions set forth in the Specifications and Contract Documents, and the said parties for themselves, their heirs, executors, administrators, successors and assigns, do hereby agree to the full performance of the covenants herein contained. • ARTICLE IV. The advertisement for Bids, the Proposal, the Specifications, and the Drawings mentioned therein, and all addenda issued by the CITY with respect to the foregoing prior to the opening of bids, are hereby incorporated in and made a part of this Agreement. ARTICLE V. The statement of prevailing wages appearing in the General Prevailing Wage Rates is hereby specifically referred to and by this reference is made a part of this contract. It is further expressly agreed by and between the parties hereto that should there be any conflict between the terms of this instrument and the bid of proposal of said CONTRACTOR, then this instrument shall control and nothing herein shall be considered as an acceptance of the said terms of said proposal conflicting herewith. ARTICLE VI. By my signature hereunder, as CONTRACTOR, I certify that I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for II -3 • • workmen's compensation or to undertake self - insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. IN WITNESS WHEREOF: The Parties hereto have caused this contract to be executed the day and year first above written. CITY OF SEA , CAL A Party of the F # BY City Mana: Al EST: • Ci Clerk BY CO CTOR - Party of the Second Part Rober + 13rueki e 9 ) (pia Prff-1, rifle et erty &ga l Onrorki , CA 4aRfl -aaa9 Address • • II -4 CALIFORNIA ALL - PURPOSE ACIINWLEDGMENT ib ri r rrcf v State of California County of Riverside ss. On November 8, 2006 before me, Debbie A. Matsen, Notary Public, Date Name and Title of Officer Personally appeared Robert Bradley Name() of Signer( X personally known to me -satiefeeteer evidet— to be the person() whose name)) is /ere-subscribed to the within instrument DEBBIE A. MATSEN and acknowledged to me that he /..I ,.,/tl.cy osiia Commission # 1452589 executed the same in his /heW1 eirauthorized a 'm nr+ Notary Public - California capacity(ies), and that by his/herAlseir— i " — Riverside County signature on the instrument the persons .' ' `' Ri - , or, the entity upon behalf of which the personf� My Comm. Expires Nov 22, 22, 2007 acted, executed the instrument. WITNESS my hand and official seal, Q .77I - ty 4/h7 Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document Title or Type of Document: Contract, City of Seal Beach Document Date: November 8, 2006 Number of Pages: 2 Signer(s) Other Than Named Above: None. Signer's Name: Robert Bradley Individual XCorporate Officer Title(S): Vice President _Partner- _Limited General _ Attorney -in -Fact Top of thumb here _Trustee Guardian or Conservator Other: Signer is Representing: All American Asphalt • INDEMNIFICATION AND HOLD HARMLESS AGREEMENTAND WAIVER OF SUBROGATION AND CONTRIBUTION TITLE OF PROJECT OR WORK: Indemnitor(s) (list all names): To the fullest extent permitted by law, Indemnitor hereby agrees, at its sole cost and expense, to defend, protect, indemnify, and hold harmless the City of Seal Beach and its elected officials, officers, attorneys, agents, employees, volunteers, successors, and assigns (collectively "Indemnitees ") from and against any and all damages, costs, expenses, liabilities, claims, demands, causes of action, proceedings, expenses, judgments, penalties, liens, and losses of any nature whatsoever, including fees of accountants, attorneys, or other professionals and all costs associated therewith (collectively "Liabilities "), arising or claimed to arise, directly or indirectly, out of, in connection with, resulting from, or related to any act, failure to act, error, or omission of Indemnitor or any of its officers, agents, servants, employees, subcontractors, materialmen, suppliers or their officers, agents, servants or employees, arising or claimed to arise, directly or indirectly, out of, in connection with, resulting from, or related to the above - referenced contract, agreement, license, or permit (the "Agreement ") or the performance or failure to perform any term, provision, covenant, or condition of the Agreement, including this indemnity provision. This indemnity provision is effective regardless of any prior, concurrent, or subsequent active or passive negligence by Indemnitees and shall operate to fully indemnify Indemnitees against any such negligence. This indemnity • provision shall survive the termination of the Agreement and is in addition to any other rights or remedies which Indemnitees may have under the law. Payment is not required as a condition precedent to an Indemnitee's right to recover under this indemnity provision, and an entry of judgment against an Indemnitee shall be conclusive in favor of the Indemnitee's right to recover under this indemnity provision. Indemmitor shall pay Indemnitees for any attomeys fees and costs incurred in enforcing this indemnification provision. Notwithstanding the foregoing, nothing in this instrument shall be construed to encompass (a) Indemnitees' sole negligence or willful misconduct to the limited extent that the underlying Agreement is subject to Civil Code § 2782(a) or (b) the contracting public agency's active negligence to the limited extent that the underlying Agreement is subject to Civil Code § 2782(b). This indemnity is effective without reference to the existence or applicability of any insurance coverage which may have been required under the Agreement or any additional insured endorsements which may extend to Indemnitees. Indemnitor, on behalf of itself and all parties claiming under or through it, hereby waives all rights of subrogation and contribution against the Indemnitees, while acting within the scope of their duties, from all claims, losses and liabilities arising out of or incident to activities or operations performed by or on behalf of the Indemnitor regardless of any prior, concurrent, or subsequent active or passive negligence by the Indemnitees. In the event there is more than one person or entity named in the Agreement as an Indemnitor, then all obligations, liabilities, covenants and conditions under this instrument shall be joint and several. " Indemnitor" Name at : s • „ te • Name: B //�i_�_ . _, By: Its gotleit- + radle t l Its d ae Pfe&a>el+ II -9 • • AGREEMENT TO COMPLY WITH CALIFORNIA LABOR LAW REQUIREMENTS [Labor Code §§ 1720, 1773.8, 1775, 1776 ,17773,1813,186 The undersigned Contractor certifies that it is aware of and hereby agrees to fully comply with the Following provisions of California law: 1. Contractor acknowledges that this contract is subject to the provisions of Division 2, Part 7, Chapter 1 (commencing with Section 1720) of the California Labor Code relating to public works and the awarding public agency ( "Agency ") and agrees to be bound by all the provisions thereof as though set forth in full herein. 2. Contractor agrees to comply with the provisions of California Labor Code Section 1773.8 which requires the payment of travel and subsistence payments to each worker needed to execute the work to the extent required by law. 3. Contractor agrees to comply with the provisions of California Labor Code Sections 1774 and 1775 concerning the payment of prevailing rates of wages to workers and the penalties for failure to pay prevailing wages. The Contractor shall, as a penalty to the Agency, forfeit not more than fifty dollars ($50) for each calendar day, or portion thereof, for each worker paid less than the prevailing rates as determined by the Director of Industrial Relations for the work or craft in which the worker is employed for any public work done under the contract by Contractor or by any subcontractor. 4. Contractor agrees to comply with the provisions of California Labor Code Section 1776 which require Contractor and each subcontractor to (1) keep accurate payroll records, (2) certify and make such payroll records available for inspection as provided by Section 1776, and (3) inform the Agency of the location of the records. The Contractor is responsible for compliance with Section 1776 by itself and all of its subcontractors. • • 5. Contractor agrees to comply with the provisions of California Labor Code Section 1777.5' concerning the employment of apprentices on public works projects, and further agrees that Contractor is - responsible for compliance with Section 1777.5 by itself and all of its subcontractors. 6. Contractor agrees to comply with the provisions of California Labor Code Section 1813 concerning penalties for workers who work excess hours. The Contractor shall, as a penalty to the Agency, forfeit twenty-five dollars ($25) for each worker employed in the execution of the contract by the Contractor or by any subcontractor for each calendar day during which such worker is required or permitted to work more than 8 hours in any one calendar day and 40 hours in any one calendar week in violation of the provisions of Division 2, Part 7, Chapter 1, Article 3 of the California Labor Code. 7. California Labor Code Sections 1860 and 3700 provide that every contractor will be required to secure the payment of compensation to its employees. In accordance with the provisions of California Labor Code Section 1861, Contractor hereby certifies as follows: "I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self - insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract." Date RGf, y Q,. A.cOto Signatur=e . - ,te •obel+ • • • 'e t,Vtoe 11 -10 STATEMENT ACKNOWLEDGING PENAL AND CIVIL PENALTIES CONCERNING THE CONTRACTORS' LICENSING LAWS [Business & Professions Code § 7028.15] [Public Contract Code § 20103.5] I, the undersigned, certify that I am aware of the following provisions of California law and that I, or the entity on whose behalf this certification is given, hold a currently valid California contractor's license as set forth below (required at time of award) : Business & Professions Code § 7028.15: (a) It is a misdemeanor for any person to submit a bid to a public agency in order to engage in the business or act in the capacity of a contractor within this state without having a license therefor, except in any of the following cases: (1) The person is particularly exempted from this chapter. ' (2) The bid is submitted on a state project governed by Section 10164 of the Public Contract Code or on any local agency project governed by Section 20104 [now § 20103.5] of the Public Contract Code. (b) If a person has been previously convicted of the offense described in this section, the court shall impose a fine of 20 percent of the price of the contract under which the unlicensed person performed contracting work, or four thousand five hundred dollars ($4,500), whichever is greater, or imprisonment in the county jail for not less than 10 days nor more than six months, or both. • • In the event the person performing the 'contracting work has agreed to famish materials and labor on an hourly basis, "the price of the contract' for the purposes of this subdivision means the aggregate sum of the cost of materials and labor furnished and the cost of completing the work to be performed. (c) This section shall not apply to a joint venture license, as required by Section 7029.1. However, at the time of making a bid as a joint venture, each person submitting the bid shall be subject to this section with respect to his or her individual licensure. • (d) This section shall not affect the right or ability of a licensed architect, land surveyor, or registered professional engineer to form joint ventures with licensed contractors to render services within the scope of their respective practices. (e) Unless one of the foregoing exceptions applies, a bid submitted to a public agency by a contractor who is not licensed in accordance with this chapter shall be considered non- responsive and shall be rejected by the public agency. Unless one of the foregoing exceptions applies, a local public agency . shall, before awarding a contract or issuing a purchase order, verify that the contractor was properly licensed when the contractor submitted the bid. Notwithstanding any other provision of law, unless one of the foregoing exceptions applies, the registrar may issue a citation to any public officer or employee of a public entity who knowingly awards a contract or issues a purchase order to a contractor who is not licensed pursuant to this chapter. The amount of civil penalties, appeal, and finality of such'citations shall be subject to Sections 7028.7 to 7028.13, inclusive. Any contract awarded to, or any purchase order issued to, a contractor who is not licensed pursuant to this chapter is void. (f) Any compliance or noncompliance with subdivision (e) of this section, as added by Chapter 863 of the Statutes of 1989, shall not invalidate any contract or bid awarded by a public agency during which time that subdivision was in effect. (g) A public employee or officer shall not be subject to a citation pursuant to this section if the public employee, officer, or employing agency made an inquiry to the board for the purposes of verifying the license status of any person or contractor and the board failed to respond to the inquiry within II -11 • . • three business days. For purposes of this section, a telephone response by the board shall be deemed sufficient. Public Contract Code § 20103.5: In all contracts subject to this part where federal funds are involved, no bid submitted shall be invalidated by the failure of the bidder to be licensed in accordance with the laws of this state. However, at the time the contract is awarded, the contractor shall be properly licensed in accordance with the laws of this state. The fast payment for work or material under any contract shall not be made unless and until the Registrar of Contractors verifies to the agency that the records of the Contractors' State License Board indicate that the contractor was properly licensed at the time the contract was awarded. Any bidder or contractor not so licensed shall be subject to all legal penalties imposed by law, including, but not limited to, any appropriate disciplinary action by the Contractors' State License Board. The agency shall include a statement to that effect in the standard form of pre - qualification questionnaire and financial statement. Failure of the bidder to obtain proper and adequate licensing for an award of a.contract shall constitute a failure to execute the contract and shall result in the forfeiture of the security of the bidder. License non Class: R 0-19, Expiration date: 1 Date klanmhcr 4f &r»1Q Signature _ - 12.•• -r brmdlev,Vice Presides • • • 11 -12 • INSURANCE REQUIREMENTS FOR CITY OF SEAL BEACH PUBLIC WORKS CONTRACT LIABILITY INSURANCE The Contractor shall at all times during the terms of the Contract carry, maintain, and keep in full force and effect a policy or policies of comprehensive general liability insurance in which the City, along with its City Council and each member thereof, and every officer, official, agent, attorney, employee or volunteer of the City, is the named insured or is named as an additional insured with the Contractor in accordance with the General Provisions. The insurance company issuing such policy(ies) must be acceptable to, and approved by, the City Engineer and City Attorney. Contractor shall maintain limits of no less than One Million Dollars ($1,000,000) combined single limit coverage per occurrence for personal injury or death or property loss or damage which may arise from or relate directly or indirectly to the acts, operations or omissions of the performance of the Contractor and/or its subcontractors and/or the employees, agents, officers, officials or volunteers of either, in the performance of this Public Works Contract. Such insurance shall include coverage for all automobiles utilized by Contractor's or any subcontractor's employees or agents in the performance of the Contract. Contractor shall also provide an endorsement in the forms included in Book 1I. • • • II -13 • EXECUTED IN THREE (3) PARTS 088 53 330 }3and Premium $ 3 955.00 Bond No. ' PERFORMANCE BOND KNOW ALL PERSONS BY THESE PRESENTS that; WHEREAS the City of Seal Beach, has awarded ALL AMERICAN ASPHALT 400 EAST SIXTH STREET, CORONA, CA. 92879 (Name and address of Contractor) ("Principal"), a contract (the "Contract ") for the work described as follows: SEAL BEACH BLVD AHRP OVERLAY PROJECT ,SEGM NT 4 FROM ST. CLOUD DR TO • a ST (tNAT. TNT ('. (';NNF.C'T RF — DTI° PR0.I.E T Nn 50196 WHEREAS, Principal is required under the terms of the Contract to furnish a bond for the faithful performance of the Contract. NOW, THEREFORE, we, the undersigned Principal, and FIDELITY AND DEPOSIT COMPANY OF MA'YLAND 1 it is :t_.1 0 . '►1. • (Name and• address of Surety) • ( "Surety ") a duly admitted surety insurer under the laws of the State of Califonil 1, as Surety, are hcldand firmly bound unto the Public Agency in the penal sum of _ NINE HUNDRED THIRTY THOUSAND, SIX HUNDRED FORTY SEVEN & NO /100ths Dollars ($ 930,647.00 ), this amount being not less than the total contract price, in lawful money of the United States of America, for the paymet: t of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, succe:;;ors, and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT, if the hereby b ; unded Principal, his, her or its heirs, executors, administrators, successors or assigns, shall in all things sr and to and abide by, and well and truly keep and perform all the undertakings, terms, covenants, conditio;s and agreements in the Contract and any alteration thereof made as therein provided, on the Princip al's part to be kept and performed, all within the time and in the manner therein specified, and in all respe.:ts according to their true intent and meaning, and shall indemnify and hold harmless the Public Agency, its officers, agents, and others as therein provided, then this obligation shall become null and void; otherw: se, it shall be and remain in full force and effect. In case suit is brought upon this bond, Surety further agrees to pay all court costs <i id reasonable attorneys' fees in an amount fixed by the court. FURTHER, the Surety, for value received, hereby stipulates and agrees that no c;ange, extension of time, alteration, addition or modification to the tetras of the Contract, or of the work to ,e performed thereunder, or the specifications for the same, shall in any way affect its obligations under this bond, and it does hereby waive notice of any such change, extension of time, alteration, addition, or modifi ration to the terms of the Contract or to the work or to the specifications thereunder. Surety hereby , ,'gives the provisions of California Civil Code .§§ 2845 and 2849. The City is the principal beneficiary of this bond and has all rights of a party hereto. IN WITNESS WHEREOF, two (2) identical counterpart! of this instrument, each of which shall for all purposes be deemed an original hereof, have been duly e: .ecuted by Principal and 1I -5 • • . Surety, an the date set forth below, the name of each corporate party being b :reto muted and these presents duly signed by its undersigned representative(s) pursuant to authority of its governing body. Dated: NOVEMBER 7th , 2006 'Principal" `Surety' ALL AMERICAN ASPHALT _ FIDELITY A s ' • S 3 j "MARYLAND By s o 'PP- ATTORNEY -IN -FACT ItsROb�°ra"'�xad►t'�/,�/iCe (�i • ' By: OWEN M. BROWN B By: / „, � - Its Itrkofr6- %orxas, �e� rrreaswt✓ev (Seal) (Seal) Note: This bond must be dated, all signatures must 1: e notarized, and evidence of the authority of any person signing as attorne y -in -fact must be attached. • • II -6 • CALIFORNIA ALL - PURPOSE ACKKWLEDGMENT . + • State of California County of Riverside 1 ss. On November 8, 2006 before me, Debbie A. Matsen, Notary Public, Date Name and Title of Officer Personally appeared Robert Bradley and Thomas Toscas Name(s) of Signer(s) X personally known to me seatiefaetertevitience— to be the person(s) whose name(s) *are subscribed to the within instrument .. .w. .., .m. m .84. s !> — " and acknowledged to me that taefs#re /they DEBBIE A. MATSEN executed the same in hiskIter /their authorized Commission # 1452589 capacity(ies), and that by krisPrer /their i% a ' �✓ Notary Public - California t signature(s) on the instrument the person(s) z - 4i' ^Z ‘rir Riverside County or, the entity upon behalf of which the person(s) ,r My Comm. Expires Nov 22, 2007 ' acted, executed the instrument. WITNESS my hand and official seal, .fin O' 0- 4.004. Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document Title or Type of Document: Performance Bond, City of Seal Beach Document Date: November 7, 2006 Number of Pages: 2 Signer) Other Than Named Above: Owen M. Brown Signer's Name: Robert Bradley and Thomas Toscas _Individual XCorporate Officer Title(s): Vice President and Sec./Treasurer _Partner- Limited _General _Attorney -in -Fact Top of thumb here _Trustee _Guardian or Conservator Other: Signer is Representing: All American Asphalt • • . s- • • cauFtwona Mt.-PURPOSE. ANAMMAIEN081017 • _ . . . ...- State of Callionda - ., - •:.. ;:„ County of ORANGE J) ss. -. - . - .11-7,06 b e f ore me , BARBARA J. BENDER ,7 :.: . °n Maw martlita aS Mbar 036. Daa, Hatay Pistee) DM . : OWEN H. BROWN Para n a IlY • . .- '. - . - '.'. - - la-personEdly known to me .,-•• • 3111 ' . . . . . _ - ‘• : • to be the person(s) whose name(c isienc - subscrebed to the within instrument and ,.•:. -., acknowledged to me that heIghtgateoexeraded - , the sante in hisiliggagli authorized • 4 - Ff.": BARBARAJ. 8941701 • memorises), and that • by . hlaikezeolim : _ ,:cifektiii, Commission # 1494946 ,--., -1_,: , , 0) on the instrwiterd the person(o), or i Nakey pubsic .. cant -. ger EIT upon behalf of which the person(o) ' - -%.-.,•• Cmintlf__J . ..,:,. .. -=> .,"' ,... the leShlieteet. At COMM. ExpkesJul13. 213011)' • • ' - N› :-.--, „...._ zi ...: - , 0 , ,*,. • ,,, . c 1- -. it0. iU 44; - / . .. i.4( .. 9......,,;_....1';' . . ..: OMOPLAIL •-• Though eio intannetton beim Fix ant ansdred by 1214 1 t :stay Imo salnabia to penis relying on Use document and amid prevent i , baildilklin amoral and mattadnnent of this form to another &anneal. .' . DescrIpton of Attached Document ille or Type ot Document TTAFQVIA"Cl BAND NQ ' -. - 088. . 53 330_ . • 11,-7,06 TWO (2) =,.: Document Date: Number of Pages: , , . Signer(s) Other Named Above: ALL AMERICAN ASPHALT . . . . . • Capacray(te) Claimed by Signee • • . : signers Name: OWEN M • BROWN . - 0 Individual Tap of ibuntb hem 0 Corporate Officer —1111e(s): • • 0 Partner-0 Unshed 0 General .-, XXXAttomey-ia-Fact. 0 Trushre .. 0 Guanfran or Conservator ,- 0 Other: - . • . - signer is Repreeengng; FIDELITY AND DEPOSIT COMPANY. • • • - • OF . MARYLAND . • - . . . .. - • 0 les3uagamil4klea • MD Oa Soto Pse., p.a eas a= • as2soare. CA 91313441D2 • *wsargdionahugarporg Pad. No. tiSIA Rent= CaraGAge 141104184827 • EXECUTED IN THREE (.3) PARTS Bond No. 088 53 330 Bond Premium Charge included in charge for Performance Bond, PAYMENT BOND (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESENTS that: WHEREAS the City of Seal Beach, has awarded to &T T. AMF.RTCAN ASPNAT.T - 1 ; QQ EAST S TIi SZI T, CORONA, CA. 92879 (Name and address of Contractor) ( "Principal"), a contract (the "Contract") for the work described as follows: SEAL BEACH BLVD AHRP OVERLAY PROJECT SEGMENT 4, FROM ST. CLOUD DR, TO BRADBURY ROAD, FEDERAL PROJECT NO. STPL- 5229(010 and SEAL BEACH BLVD SIGNAL INTERCONNECT BETWEEN 1,405 & BRADBURY ROAD, CITY PROJECT NO. 50196 WHEREAS, Principal is required under the terms of the Contract and the Calif(' iva Civil Code to secure the payment of claims of laborers, mechanics, matcrialmen, and other persons as I: rovided by law. NOW, THEREFORE, we, the undersigned Principal, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND 801 NO. BRAND BLVD, GLENDALE, CA. 91203 (Name and address of Surety) ( "Surety") a duly admitted surety insurer under the laws of the State of California, as Surety, are held and . firmly bound unto the Public Agcy+ in the penal stun of NINE HUNDRED THIRTY THOUSAND SIX HUNDRED FORTY' SEVEN & NU /IUUths Dollars ($ 930, 647, Oil this amount being not less than fifty percent • (50 %) of the total contract price, in lawful money of the United States of America for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, adze inistrators, successors, and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT, if the hereby 1: sunded Principal, his, her or its heirs, executors, administrators, successors or assigns, or subcontractors shall fail to pay any of the persons named in Section 3181 of the California Civil Code, or any amounts due inder the Unemployment Insurance Code with respect to work or labor performed under the Contract, or fc' any amounts required to be deducted, withheld, and paid over to the Employment Development Depari ment from the wages of employees of the Principal and subcontractors pursuant to Section 13020 of the • Jnernployment Insurance Code, with respect to work or labor performed under the Contract, the Surety w 11 pay for the same in an amount not exceeding the penal sura specified in this bond; otherwise, this obligal ,on shall become null and void. This bond shall insure to the benefit of any of the persons named in Section 31,:1 of the California Civil Code so as to give a right of action to such persons or their assigns in any suit b: ought upon the bond. In case suit is brought upon this bond, Surety further agrees to pay all court costa and reasonable attorneys' fees in an amount fixed by the court_ FURTHER, the Surety, for value received, hereby stipulates and agrees that no': hange, extension of time, alteration, addition or modification to the terns of the Contract, or of the work to be performed thereunder, or the specifications for the same, shall in any way affect its obligations under thi! bond, and it does hereby waive notice of any such change, extension of time, alteration, addition, or modif cation to the terms of the n -7 • • specifications thereunder. Surety hereby w,: fives the provisions of Contract or to the work or �a 29. California Civil Code §§ th (3) l rN WITNESS WIIEREOF, DM ftidentical counterparts of this instrument, ear: a of whi ch s ha hall da al l purposes be deemed an original hereof, have been duly executed by Principal and Surety, being hereto affixed and these pre:,ents duly signed by its forth below, the name of each corporate party of its overning body. undersigned representative(s) pursuant to authority g Dated: NQVEjBER 7th., 2Q06 "Surety" "Principal" -- AND ALL AMERICAN ASPHALT FIDELITY' AND DEPeSIT CO` Y QF -'• By: % / / % % By /, s R i`� /t! ;ATo , .. E - N A T _ , By: OWE 2i , BROWN BY Its Cha ias-cascas1 - . Tv iev Its (Seal) (Seal) Note: This bond must be dated, all signatures must be nota: ized, and evidence of the authority of any person signing as attorney •in -fact must be attached. . . . II -8 CALIFORNIA ALL - PURPOSE ACK ' • WLEDGMENT • State of California County of Riverside ss. On November 8, 2006 before me, Debbie A. Matsen, Notary Public, Date Name and Title of Officer Personally appeared Robert Bradley and Thomas Toscas Name(s) of Signer(s) X personally known to me to be the person(s) whose name(s) $ /are subscribed to the within instrument -� — . •. 4. �. 46, ..- s P and acknowledged to me that he/she /they DEBBIE A. MATSEN executed the same in.isfher/their authorized Commission # 1452589 capacity(ies), and that by IPic /hcr /their �. tY> z t . p Notary Public - California t signature(s) on the instrument the person(s) ri "'�'6► Riverside County or, the entity upon behalf of which the person(s) TJ': acted, executed the instrument. • My Comm. Expires Nov 22, 2007 WITNESS my hand and official seal, t_2z-ZiP,_ 0 rin4A50 avJ Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document Title or Type of Document: Payment Bond, City of Seal Beach Document Date: November 7, 2006 Number of Pages: 2 Signer(%) Other Than Named Above: Owen M. Brown Signer's Name: Robert Bradley and Thomas Toscas _Individual XCorporate Officer Title(s): Vice President and Sec./Treasurer _Partner- Limited _General Attorney -in -Fact Top of thumb here Trustee + _Guardian or Conservator Other: Signer is Representing: All American Asphalt . • 111- • . . • • CiN1,111F01:2141a al151,41VIZPOSE NiNEEMILSOMERWE' . • . ..- State of Cali:arta .. ss. • ounty of } ORANGE .., .... ,; ,... C . , . . , . On 11-7-06 b e f on3 me , BARBARA J.' BENDER . .: Ogg Moo =Ma 0 05Soestag.".1Eno Das. Iskaasy Pat5e) - -'.- '.."' . OWEN N. BROWN ,,, personally appeared . , . s _ 041051) Cd 504055 . - - 3112rpersonally known to me • NTANNIENCNialtitlEIMNITIMMNEW j ' : xelditiumitc -,. to be the person(s) whose name(a is/efac -: - subscrbed to the within instrument and ".. ,..,, acknowledged to me that hetithanastexetrided , the same hi hiss authorized BARBARA J. BENDER caper:Was), and that . by . his" :-- - 24 ,,,:,, Conmussion #11494946 : • - c -1' t !,, (0) on the instrmirent the person(0), or i..: I if:: itolcuY Public - Co the ? - 3 :.- ,, , upon behalf of which the person(c) - -.• . , 1 : W! r?, Cranes County • ..',.:- . the biSbrUTIMM. s 4I Comm binkea.Ad 13. WW1' 4 .. i __-"iii.A.-.0. 1 A ,.' ..4..7 -.-. ... OPTIONAL 1 though the Woman= below ts not mulled by kng It may prow valuable to moons red)ring on Oa document nod cotdd parent , fraudulent nantecel and realtaohnont Odds fonn to notherdoctenent. . • Descdpebn of Attached DOCUIrnagili . . . , PAYMENT BOND NO. Q88,'53 330 .. lidle or Type of Document ' . -.., D ocumen t D . 11- Tr 0 6 Nupriber of pages: TWO (.2) • .-,--: • - signa(s) merman Named Above: ALL AMERICAN- ASPHALT • .' GapacttsKtes) Claimed by Signer . . . • Signer's Nona OWEN M. BROWN • . „. artIR • 0 frufwkfunl Tap id 5=0 here 0 Corporate Officer— Tille(s): . • ' 0 Partner —0 Limited 0 General , . • WAttoniey-16-1Fact ,, .. . 0 Trustee - , 0 Guarder, or Conservator 0 Other: - - • . • signer Is Repiesengng: FIDELITY AND DEPOSIT COMPANY. " • . . • . OF . MARYLAND . - . • 0 lire Named NtialyAssock0m). 9350 Oe Soto Pae.. P.O. Box 2402 • Chamor0. CA 91313-2402 • svgarigonalastasyxag ADS. #0. 5S4V Recast= 00 Ibli-Fgas 140476489 1 0 Power of Attorney FIDELITY AND DEPOSIT COMPANY OF MARYLAND KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corporation of the State of Maryland, by WILLIAM J. MILLS, Vice President, and ERIC D. BARNES, Assistant Secretary, in pursuance of authority granted by Article VI, Section 2, of the By -Laws of said Company, . ti , are set forth on the reverse side hereof and are hereby certified to he in full force and effect on the date here' ic.s' nominate, constitute and appoint Owen M. BROWN, of Anaheim, California, its true and 1• -. .i`+t i t tlorue act, to make, execute, seal and deliver, for, and on its hehalf as surety, and as its act • . 1 and a ` ItOrtietakings, and the c. execution of such bonds or undertakings in pursuancke u•, e \j,r S' c,• s, s rr f on said Company, as fully and . f , x 1 @.,: tied h the regularly elected officers of amply, to all intents and purposes, as 11 th ��� � e.c�e � t y � y the Company at its office in Balk r . u , heir p,w I 1 y.�r e . This power of attorney revokes that issued on behalf of Owen M. (, t' at)i d ru Y r 3 ( l , p '' The said Assistant 'S .lcte o+. tt �rt hat the extract set forth on the reverse side hereof is a true copy of Article VI, Section 2, of the By- .: .,. j - ° 9 '. pany, and is now in force. IN WITNESS WIER OF, the said Vice- President and Assistant Secretary have hereunto suhscrihed their names and affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 27th day of December, A.D. 2004. ATTEST: FIDELITY AND DEPOSIT COMPANY OF MARYLAND . o 9EPo r o Z •■• a ° . 1896 a. / 1 By: Eric D. Barnes Assistant Secretary William J. Mills Vice President State of Maryland 1 ss: City of Baltimore J On this 27th day of December, A.D. 2004, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, came WILLIAM J. MILLS, Vice President, and ERIC D. BARNES, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to he the individuals and officers described in and who executed the preceding instrument, and they each acknowledged the execution of the same, and being by me duly sworn, severally and each for himself deposeth and saith, that they are the said officers of the Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal and their signatures as such officers were duly affixed and suhscrihed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. .t L .t c ). $c - ;) , r ) , , 'l � ((l ll ( 1 1N . Maria D. Adamski Notary Public My Commission Expires: July 8, 2007 POA -F 012 -4160 • • . EXTRACT FROM BY -LAWS OF FIDELITY AND DEPOSIT COMPANY OF MARYLAND "Article VI, Section 2. The Chairman of the Board, or the President, or any Executive Vice - President, or any of the Senior Vice - Presidents or Vice - Presidents specially authorized so to do by the Board of Directors or by the Executive Committee, shall have power, by and with the concurrence of the Secretary or any one of the Assistant Secretaries, to appoint Resident Vice - Presidents, Assistant Vice- Presidents and Attorneys -in -Fact as the business of the Company may require, or to authorize any person or persons to execute on behalf of the Company any bonds, undertaking, recognizances, stipulations, policies, contracts, agreements, deeds, and releases and assignments of judgements, decrees, mortgages and instruments in the nature of mortgages,...and to affix the seal of the Company thereto." CERTIFICATE I, the undersigned, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and 1 do further certify that the Vice- President who executed the said Power of Attorney was one of the additional Vice - Presidents specially authorized by the Board of Directors to appoint any Attorney -in -Fact as provided in Article VI, Section 2, of the By -Laws of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND. This Power of Attorney and Certificate may he signed by facsimile under and by authority of the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the loth day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice - President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall he valid and binding upon the Company with the same force and effect as though manually affixed." IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the said Company, this 7 day of November , 7006 . (J Assistant Secretary Client#: 4475 ALLAMERI2 ACORDTM CERTIFICA ` OF LIABILITY INSURANCE DATE( M/ DmrYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Calco Ins Brokers&Agents Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 714 937-1824 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Lic#0629370 ( ) ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. One City Blvd W,#700 Orange,CA 92868-2947 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Arch Specialty Insurance Co. All American Asphalt INSURER B: Great American Ins.Co (OH) PO Box 2229 INSURER C: Seabright Insurance Co Corona, CA 92878-2229 INSURER D. Hartford Fire Insurance Co. INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSRD DATE(MM/DD/YYI DATE( M/DD/YY) A GENERAL LIABILITY GPP000872901 08/01/06 08/01/07 EACH OCCURRENCE $1,000,000 COMMFPCIAL GENERAL LIA.BILITy er DAMAGE (RENTED ,$100.000 Cert.Ho!!i_. is PREMISES(_a occurrence, CLAIMS MADE © OCCUR named Additional MED EXP(Any one person) $ Insured if PERSONAL&ADV INJURY $1,000,000 required by GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: written contract PRODUCTS-COMP/OP AGG $2,000,000 7 POLICY n jet I-1 1_0c D AUTOMOBILE LIABILITY 72UENGK5491 K2 08/01/06 08/01/07 COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO Cert. Holder is (Ea accident) ALL OWNED AUTOS named Additional BODILY INJURY SCHEDULED AUTOS Insured if (Per person) $ X HIRED AUTOS required by BODILY INJURY X NON-OWNED AUTOS written contract (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ B EXCESS/UMBRELLA LIABILITY TUE5950076 08/01/06 08/01/07 EACH OCCURRENCE $10,000,000 1 OCCUR n CLAIMS MADE AGGREGATE $10,000,000 $ DEDUCTIBLE $ X RETENTION $10000 $ C WORKERS COMPENSATION AND BB1060243 08/01/06 08/01/07 X OR STATU- Tr TORY LIMITS ER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 It yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 OTHER *10 days notice of cancellation for nonpayment of premium DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Project No.-60088 501,i g *10 days notice for nonpayment of premium 2a*sc CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Seal Beach Public Works DATE THEREOF,THE ISSUING INSURER WILKINPOd NXO MAIL 10_ DAYS WRITTEN Dept. NOTICE TO THE CERTIFICATE HOLDER A D TO THE LEFXX XN QX 0XXQ(' c L 211 Eighth Street ?t ;V@DtIIDN lX9 IMIKI DQR XIMO 444 €IN XXXNKNRR Seal Beach, CA 90740-t .:,.y.a:c: u.i.,..S. . �& AUTHORIZED REPRESENTATIVE/Or ACORD 25(2001/08)1 of 2 #M8675 . :1 O ACORD CORPORATION 1988 Client#:4475 ALLAMERI2 DATE(MMIDD/YYY1r) ACORD,. CERTIFICAA OF LIABILITY INSU NCE DATE PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Casco Ins Brokers&Agents Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 714 937-1824 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Lic#0B29370 (714) ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. One City Blvd W,#700 Orange,CA 92868-2947 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Arch Specialty Insurance Co. All American Asphalt INSURER B: Great American Ins.Co (OH) PO Box 2229 INSURER C: Seabright Insurance Co Corona,CA 92878-2229 INSURER D: Hartford Fire Insurance Co. INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE LTR INSRO DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS A GENERAL LIABILITY GPP000872901 08/01/06 08/01/07 EACH OCCURRENCE $1 000 000 MAE X COMMERCIAL GENERAL LIABILITY Cert.Holder is PR ET EREoNTED n $100 000 CLAIMS MADE © OCCUR named additional MED EXP(Any one person) $ _ insured if PERSONAL&ADV INJURY $1 000 000 required by GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: written contract PRODUCTS-COMP/OP AGG $2 000 000 POLICY I1 JEC fl LOC D AUTOMOBILE LIABILITY 72UENGK5491K2 08/01/06 08/01/07 COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO Cert.Holder is (Ea accident) ALL OWNED AUTOS named additional BODILY INJURY $ SCHEDULED AUTOS insured if (Per person) X HIRED AUTOS required by BODILY INJURY X NON-OWNED AUTOS written contract (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ B EXCESS/UMBRELLA LIABILITY TUE5950076 08/01/06 08/01/07 EACH OCCURRENCE $10 000 000 IOCCUR II CLAIMS MADE AGGREGATE $10 000 000 DEDUCTIBLE $ X RETENTION $10,000 $ C WORKERS COMPENSATION AND BB1060243 08/01/06 08/01/07 X WC Y L L IMIT oER TORIMITS ER EMPLOYERS'LABILITY E.L.EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: Seal Beach Blvd.AHRP Overlay Project,Segment 4,from St.Cloud Dr. to Bradbury Road,Federal Project No.STPL-5229(010)and Seal Beach Blvd. Signal Interconnect between 1-405 and Bradbury Road,City Project No. 50196 *cf* CERTIFICATE HOLDER CANCELLATION Ten Day Notice for Non-Payment of Premium SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Seal Beach DATE THEREOF,THE ISSUING INSURER WILL RlIMialiRRR9i;MAIL _ DAYS WRITTEN Attn: Karen Walton, Public Works Dept. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,100tRic 211 8th Street XIIRIC aRMaxna>NIOIRDCARX1401X DCZUxWxMOURexxxen UMBR Rxxr$R OMIXXx Seal Beach,CA 90740 XRDRE$Rxe(R>vExac A HD REPRESENTATIVE ACORD 25(2001/08)1 of 2 #S15417/M8668 SCO1 o ACORD CORPORATION 1988 • • IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer,and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S(2001/08) 2 of 2 #S15417/M8668 11/0712006 11:07 95137946 FRONT DESK • PAGE 07/13 WORKER'S COMPENSATION CERTIFICATE OF LIS SURANCE WHEREAS,the CITY OF SEAL BEACH has required certain insurance to be pr Aided by Seabright Insurance Co. NOW THEREFORE,the undersigned insurance company does hereby certify U:at it has issued the policy or policies described below to the following named insureds and that the same are;in force at this time. 1. This certificate is issued to: CITY OF SEAL BEACH,City Hall,211 1.IGHTH STREET,SEAL BEACH,CA 90740-6379. 2. The insureds under such policy or policies arc: All American Asphalt 3. Worker's Compensation Policy or Policies in a form approved by the Ti:nuance Co=mmissioner of California covering all operations of the named insm-cds,as follows: POLICY NUMBER BFFECTIVE DATE :I XP11 ATION DATE BB1060423 8/1/06 8/1/07 4. Said policy or policies shall not be canceled,voided or reduced in coy rage or limits of liability, unless and until thirty days' advance written notice thereof has been served u:)on the City Clerk of the . • CITY OF 1 -)0$;r4 SEAL BEACH. By `'v • • Its Authorized Representative 11-15 11/0712006 11:07 9513794 FRONT DESK • PAGE 08/13 • ADDITIONAL INSURED RIVQM R COMPREHENSIVE GENE: .AL LIABILITY All American Asphalt, P.O. Box 2229, Corona, CA 92878 . Name and address of named insured("Named Insured"): Arch Specialty Insurance Company, One Liberty Plaza 51rd Ftnor,.]aj�yy York,NY 10006 Name and address of Insurance Company("Company"): Seal Beach Blvd.AHRP Overlay Project,Segment 4,from St Cloud Dr.to Bradbury OFFICIAL TITLE Op'PROJECT:Road,Federal Project No STPI- Q(010)-a„d Seal Beach Blvd.Signal Interconnect eetween 1-405 and Bradbury Road,City Project No.50196 Notwithstanding any inconsistent statement in the policy to which this end srsernent is attached (the'Policy")or in any endorsement now or hereafter attached thereto,it is agreed is follows: 1. The City of Seal Beach,its elected officials,officers,attorneys,agents,emplc yeas,and volunteers are additional insureds (the above named additional insureds are hereafter reierr:d to as the "Additional Insureds") under the Policy in relation to those activities desertbed general.y above with regard to operations performed by or on behalf of the Named Insured. The Additional insureds have tto liability for the payment of any premiums or assessments under the Policy. 2. The insurance coverages afforded.the Additional Insureds under the Policy sly sll be primary insurance, and no other insurance maintained by the Additional Insureds shall be calla upon to contribute with the insurance coverages provided by the Policy. 3. Each insurance coverage under the Policy shalt apply separately to each A iditional Insured against whom claim is made or suit is brought except with respect to the limits of the rornpany's liability. 4. Nothing in this contract of insurance shall be construed to preclude coverage if a claim by one insured under the policy against another insured under the policy. All such claims s1:all covered as third-party • claims, LC., in the same manner as if separate policies had been issued ti. each insured. Nothing contained in this provision shall operate to increase or replicate the Co mp;ny's limits of liability,.as • . provided under the policy- . 5. The insurance afforded by the Policy for contractual liability insure= (subject to the terms, • conditions and exclusions applicable to such insurance) includes liability assumed by the Named Insured under the indemnification and/or bold harmless up and n(s)above, n ninen the Named executed edrin conjunction with the written agreement(s)or permit(.)designated the Additional Insureds. 6. The policy to which this endorsement is attached shall not be subject t i cancellation, change in coverage, reduction of limits (except as the result of the payment of claim t), or non-renewal except after written notice to Public Agency, by certified mail,return receipt refit ested,not less than thirty (30) days prior to the effective date thereof. In the event of Company's fl ilure to comply with this notice provision,the policy as initially drafted will continue in fill force a:id effect until compliance with this notice requirement 7. Company hereby waives all rights of subrogation and contribution again"': the Additional Insureds, while acting within the scope of their duties, from all claims, losses and I iabilities arising out of or incident to the perils insured against in relation to those activities dcscri red generally above with regard to operations performed by or on behalf of the Named Insured regardless of any prior, concurrent,or subsequent active or passive negligence by the Additional Ins ireds. 8. It is hereby agreed that the laws of the State of California shall apply ti i and govern the validity, construction,interpretation,and enforcement of this contract of insurance. 9, This endorsement and all notices given hereunder shall be sent to Public Ag lacy at Director of Public Works City of Seal Beach • 211 8th Street Seal Beach CA 90740 II-16 11/07/2006 11:07 95137941 FRONT DESK • PAGE 09/13 • 10. Except as stated above end not in conflict with this endorsement, nothing contained herein shall be held to waive, alter or extend any of the limits,agreements,or exclusions c f the policy to which this endorsement is attached. TYPE OP COVERAGES TO WHICH POLICY PERIOD LIMITS OF $1,000,000 occ. THIS ENDORSEMENT ATTACHES FROM/'TO LIABILITY $2,000,000 agg. General Liability 8/1/06—8/1/07 11. Scheduled items or locations are to be identified on an attached sheet. The following inclusions relate to the above coverages. Includes: %E] Contractual 111 Explosion Haig rd ❑ Owners/Landlords/Tenants El Collapse Hazer i ] Menefacturers/Contractors El Underground P•operty Damage 1 Products/Completed Operations ❑ Pollution Liabi:ity Ei Broad Form Property Damage ❑ Liquor Liebilix! ❑ Extended Bodily Injury O Broad Porn Comprehensive *1 General Liability Endorsement 12. A ❑ deductible or self-insured retention (check one) of 5$W0,000 - - applies to all coverage(s)except (if none,so state). The deductible is applicable❑per claim o• 0 per occurrence(cheek one). • 13. This is an C occurrence or❑claims made policy(check one). • 14. .• TI i�.endorsement is effective on 11/08/06/08/06 at 1".;:01 A,M.and fonts a pain r • of Policy.Number GPP000872901 . • Kathy Lopez (print name),hereby: declare under penalty of perjury under the,laws of the State of California,that I have the authority.to bind .' . . the Company to this endorsement and that by my execution hereof,I do so bind ti►e Company. Executed 11\)_ ,20 C b • !!"U ) Signature of Authorized Representative • (Original signature only; no facsimile signature or i aitialed signature • • accepted) • Phone No.: ( 7141937-4270 • • • • I1-17 • 11/07/2006 11:07 95137946 FRONT DESK • PAGE 10/13 ADDITIONAL Iii TSTJR1i;D JIMPINIMMIFIF AUTOMOBILE Y.I.'•BIIr'TV All American Asphalt, P.O. Box 2229, Corona, CA 92878 _ NUN ddjesa of med insured("Named Insured"): era Fire Insurance Co., P.O. Box 13527, Sacramento, CA 95853-4827 Name and address of Insurance Company("Company"): Seal Beach Blvd.AHRP Overlay Project,Segment 4,from St.Cloud Dr.to Bradbury Ql FFICA.L MLE OF PROJECT: Road,Federal Project 5��o(nt n) i Seal Beach Blvd.Signal Interconnect between 1-405 and Bradbury Road,City Project No.50196 Notwithstanding any inconsistent statement in the policy to which this e idorsement is attached (the "Policy")or in any endorsement now or hereafter attached thereto,it is agreed loyeesolio volunteers are additional The City of Seal Beach,its elected officials,officers,attorneys,agents, insureds(the above bated additional insureds are hereafter referred to as the"Addition tl Insureds")under the Policy in relation Ins to d.The Additional Insureds havelnyo above ability for the payment f an:performed emii ox asses meats of th Named Insured. under the Policy. • 1. The insurance coverages afforded the Additional Insureds under the Policy shall ac primary insurance,and no other insurance maintained by the Additional•Insureds shall be called upon to :ontribufe with the insurance coverages provided by the Policy separately to each Addition 1 Insured against wham claim 2, Each insurance is brought under t with m�ect�toatbellimi�ts of the Company's liability. is made or suit is brought exceP respect Nothing in this contract of insurance shall be construed to preclude coverage of a claim by one ds ,In the policy against another insured under the policy. All such claims shall covert.i as third-party claims, the same_manner as if separate policies had been issued to each insured. ded order the policy.this provision , ' :i:• shall operate to increase or replicate the Company's limits of liability asp terms, The insurance afforded by the Policy for contractual liability insurance (subjc I o the ms, co di ons and,. ''•' exclusions applicable to such insurance) includes liability assumed by indemnification and/or hold, harmless provision(s) contained or executed in conjunction with the written.' :.t• • agrecinent(s)or permit(s)designated above,between the Named Insured and the.kdditional Insureds. 5. The policy to which this endorsement is attached shall not•be subject to ;elation,achy written overage, reduction of limits(except as the result of the payment of claims), i except frr to the notice to Public Agency,by certified mail,return receipt requested,not less than thirty 30) days pr policy as effective date thereto. In the event of Company's failure to comply with this notice pi,vision, the p cy y drafted will continue in full force and effect until compliance with this notice reel airement. 6. Company hereby waives all rights of subrogation and contribution against the led ti ral Insureds,incident while to the acting within the scope of their duties, from all claims, performed by insured against in relation to those activities described geneally above with Tee eel subsequent a operations or passive or on behalf of the Named Insured regardless of any prior, negligence by the Additional Insureds. It is hereby agreed that the laws of the State of California shall apply to and gc vein the validity, construction, interpretation,and enforcement of this contract of insurance. This endorsement and all notices given hereunder shall be sent to Public Agency et: Director of Public Works • City of Seal Beach 211 Sth Street • Seal Beach CA 90740 7. Except as stated above and not in conflict with this endorsement, nothing contained herein shall he held to waive,alter or extend any of the limits, agreements, or exclusions of the poll IT to which this endorsement is attached. • II-ill . 11/07/2006 11:07 9513791 FRONT DESK • PAGE 11/13 • TYPE OP COVERAGES TO WHICH POLICY PERIOD LIMTTS OF THIS ENDORSEMENT ATTACHES FROM/TO LIABILITY. Automobile Liability 8/1/06—8/1/07 $1,000,000 CSL Scheduled items or locations are to be identified on an attached sheet. The following inclusions relate to the above coverages. Includes: DXAny Automobiles ❑ Truckers Coverage ❑ All Owned Automobiles ❑ Motor Carrier Act ❑ Non-owoed Automobiles 0 Bus Regulatory Reform Act ❑ Hired Automobiles 0 Public Livery Coverage ❑ Scheduled Automobiles ❑ Garage Coverage 11. A IX deductible or 0 self-insured retention (check one) of $ . 0,000 applies to all coverage(s)except: - (if none,so state). The deductible is applicable 0 per claim or❑per occurrence :check one). • 12. This is anti occurrence or 0 claims made policy(cheek one). !.• 11/08/06" ' • . . • • 13. • This endorsement is effective on. • .• •. .• at 12:01 A. [. and forms a part of Policy' Number 721 TFNG,K 6491 K'2 .' . • • • Kathy Lopez (print name), hereby declare under penalty of'perjury under the laws of the State of California, that I lave the authority to bind the Company to this endorsement and that by my execution hereof,I do so bind the Conn'any. Executed _ _ W 8- ,20 C)J Signature of Authorized Representative (Original signature only; no facsimile signature or initialed signature accepted) 714-937-4270 Phone No.: ( ) _ • II-19 11/0Z/2006 11:07 951379 FRONT DESK PAGE 12/13 ADDITIONAL INSURED EIMMOg EXCESS LIABI LITY All American Asphalt, P.O. Box 2229, Corona, CA 92878 ___ _ Name and address of named insured("Named Insured"): Great American Insur Name and address of Insurance Company("Company") Seal Beach Blvd.AHRP Overlay Project,Se•ment 4,front fit.Cloud Dr.to Bradbury OFFICIAL ITT.LL�'OF PROJECT: ' 110)and Seal Beach Blvd.Signal Interconnect between 1-405 and Bradbury Road,Ci Project 1 s e adorsenperit is atzaClud (the Notwithstanding any inconsistent statement in ete plenty to wince i �i "Policy")or in any endorsement now or hereafter attached thereto,it is agreed as folio';s: 1. The City of Seal Beach,its elected officials,officers,attorneys,eget,is,employees,and volunteers arc additional insureds(the above named additional insureds are hereafter r teferred to o the"Additional Insureds") by")or under the Policy in relation to those activities described generally premiums by or on behalf of the Named Insured. The Additional Insureds have no liability for the ,ayment of any p assessments under the Policy. 2. The insurance coverages afforded the Additional Insureds under the Policy shall be primary insurance,and no other insurance maintained by the Additional Insureds shall be call rd upon to contribute with the insurance coverages provided by the Policy. 3. Each insurance coverage under the Policy shall apply separate:i teeacc Additional Insured against whomclaim is made or suit is brought except with respect to the limits of the I.o s liability. • 4. Nothing in this contract.of insurance ball be construed to preelu'ie coverage of a claim by one insured under the policy against another insured under the policy. All such clams shall covered as third-party claims,i.e.,in the same manner as if separate policies had been issued to each insured. Nothing contained in this provision shall operate to increase or replicate the Company's limits of liability as pro,ided under the policy. 5. The insurance afforded by the Policy for contractual liability it surance (subject to the terms, conditions and exclusions applicable to such insurance)includes liability assumed b r'the Named Insured under the indemnification and/or hold harmless provision(s) contained in or executed in. conjunction with the written agreement(s)or permit(s)designated above,between the Named Insured and the Adr,itional Insureds- b. The policy to which this endorsement is attached shall not be as.to renewal except cancellation, written in coverage,reduction of limits (except as the result of the payment of claims), 30 except prior to,the notice to Public Agency, by certified mail, return receipt requested, not less tha a thirty (30) days P effective date thereto. In the event of Company's failure to comply with this notice ,rovision,the policy as initially drafted will continue in full force and effect until compliance with this notice require,merit. y, Company hereby waives all rights of subrogation and contribution against the Additional Insureds, while acting within the scope of their duties, from all claims,losses and liabilities arising out of or incident to the perils insured against in relation to those activities described generally above with re gard to operations negligence by or on behalf of the Named Insured regardless of any prior,concurrent,or sub sequel]. active or passive g ig the Additional Insureds. 8. it is hereby agreed that the laws of the State of California shall a pply to and govern the validity, construction,interpretation,and enforcement of this contract of insurance. 9. This endorsement and all notices given hereunder shall be sent to 'ublic Agency at • Director of Public Works City of Seal Beach 211 8th Street • II-20 • aaf Vlf/.V VV ii.V1 .JViJI JTVIi 11\VI11 II■JI\ I nI,1 I_ aJI aJ Seal Beach CA 90740 10. Except as stated above and not in conflict with this endorsement,not hang contained herein shall be held to waive,alter or extend any of the limits,agreements,or exc:usions of the policy to which this endorsement is attached. TYPE OF COVERAGES TO WHICH POLICY PER OD . LIMITS OF 8/1/06— 8/1/07 THIS ENDORSEMENT ATTACHES PROMlrO LIABILITY $10,000,000 occ. $10,000,000 agg. X Following Form ❑ Umbrella Liability 10. Applicable underlying coverages: INSURANCE COMPANY POLICY NO.. Arch Specialty Insurance Co. GPP000872901 $1,000,000 occ/$2,000,000 agg. Hartford Fire Insurance Co. 72UENGK5491K2 $1,000,000 CSL Seabright Insurance Co. BPP1060423 $1,000,000 11. The following inclusions, exclusions, extensions or specific pi ovisions relate to the above coverages: 10,000 12. A 0 deductible or k self-insured re e n (check one) of 6 applies to all coverages)except: . . (if none, • so state). The deductible is applicable❑per claim or❑per occurrence(cheek.one).w 13. This is an§t occurrence or fl claims made policy(check one).• 14. This endorsement is effective on • 11/8/06 at 12:01 A.M. and forms a part of Policy Number TUE5950076 . Kathy Lopez • T, (pant rime), hereby declare under penalty of perjury under the laws of the State of California,that I have the authors:y to bind the Company to this endorsement and that by my execution hereof,I do so bind the Company. Executed t ,200 • • Signature of Authorized 'epresentative (Original signature only;. no facsimile signature or initialed signature accepted) 714-937-4270 Phone'No.: ( ) 11-21 Client#: 4475 ALLAMERI2 ACORDT. CERTIFIC4E. OF LIABILITY INSUXNCE DATE( MI D"Y"") PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Calco Ins Brokers&Agents Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 714 937-1824 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Lic#0B29370 (714) ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. One City Blvd W,#700 Orange,CA 92868-2947 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Arch Specialty Insurance Co. All American Asphalt INSURER B: Ins.Co.of the State of PA P.O.Box 2229 INSURER C: Seabright Insurance Co Corona,CA 92878-2229 INSURER D: Hartford Fire Insurance Co. INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSRC DATE IMM/DDIYYI DATE(MM/DD/YY1 A GENERAL LIABILITY GPP002 265800 08/01/07 08/01/09 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY Cert.Holder is PREM PREMISES RENTED(a occurrence) $100,000 ICLAIMS MADE © OCCUR named Additional MED EXP(Any one person) $ _ Insured if PERSONAL&ADV INJURY $1,000,000 required by GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: Written Contract PRODUCTS-COMP/OP AGG $2,000,000 fl—I POLICY EC fl LOC D AUTOMOBILE LIABILITY 72UENGK5491K2 08/01/07 08/01/08 COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO Cert. Holder is (Ea accident) ALL OWNED AUTOS named Additional BODILY INJURY SCHEDULED AUTOS Insured if (Per person) X HIRED AUTOS required by BODILY INJURY X NON-OWNED AUTOS Written Contract (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ B EXCESS/UMBRELLA LIABILITY 5686440 08/01/07 08/01/09 EACH OCCURRENCE $10,000,000 OCCUR n CLAIMS MADE AGGREGATE $10,000,000 DEDUCTIBLE $ X RETENTION $10000 _ $ C WORKERS COMPENSATION AND BB1070243 08/01/07 08/01/08 X WC LIMIT ER _ TORY LIMITS ER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Seal Beach Blvd.AHRP Overlay Project, Segment 4,from St.Cloud Dr. to Bradbury Road, Federal Project No.STPL-5229(010)and Seal Beach Blvd. Signal Interconnect between 1-405 and Bradbury Road, City Project No. 50196 *cf* CERTIFICATE HOLDER CANCELLATION Ten Day Notice for Non-Payment of Premium SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Seal Beach DATE THEREOF,THE ISSUING INSURER WILL ELIXIMMInt MAIL _30_ DAYS WRITTEN Attn: Karen Walton, Public Works Dept. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,$}XXX4l K 211 8th Street MtXaweKRIIII xxIMXxxatxvaxxxaQxoeIaxxnaoaI DU ecrtxx>$xxoe) cx Seal Beach,CA 90740 xxaollxvxxx A THE ORIZED REPRESENT ACORD 25(2001/08)1 of 2 #M20809 SCO1 0 ACORD CORPORATION 1988 • IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S(2001/08) 2 of 2 #M20809 •. THIS ENDORSEMENT,rIANGES THE POLICY. PLEASE RE" IT CAREFULLY. BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY SELF-INSURED RETENTION COVERAGE FORM SECTION II — WHO IS INSURED is amended to include as an additional insured those persons or organizations who are required under a written contract with you to be named as an additional insured, but only with respect to liability for"bodily injury", "property damage", or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of your subcontractors: A. In the performance of your ongoing operations or "your work", including "your work" that has been completed; or B. In connection with premises owned by or rented to you. As used in this endorsement, the words "you" and "your" refer to the Named Insured. All other terms and conditions of this Policy remain unchanged. • Endorsement Number: . This endorsement is effective on the inception date of this policy unless otherwise stated herein (The information below is required only when this endorsement is issued subsequent to the preparation of the policy.) Policy Number: GPP002265800 Named Insured: All American Asphalt Endorsement Effective Date: 8/1/07 00 CGL0006 00 05 07 Page 1 of 1 THIS ENDORSEMEPHANGES THE POLICY. PLEASE IT IT CAREFULLY. OTHER INSURANCE — BROAD FORM, CGL POLICY ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY SELF-INSURED RETENTION COVERAGE FORM Under SECTION IV— COMMERCIAL GENERAL LIABILITY CONDITIONS, the following paragraph is added to Condition 4. Other Insurance: Where the Named Insured is required by a written contract to provide insurance that is primary and non-contributory, and the written contract so requiring is executed by the Named Insured before any "occurrence" or offense, this insurance will be primary, but only if and to the extent required by that written contract. All other terms and conditions of this Policy remain unchanged. • Endorsement Number: This endorsement is effective on the inception date of this policy unless otherwise stated herein (The information below is required only when this endorsement is issued subsequent to the preparation of the policy.) Policy Number: GPP002265800 Named Insured: All American Asphalt Endorsement Effective Date: 8/1/07 00 CGL0130 00 09 06 Page 1 of 1