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Home My WebLink AboutAGMT - All American Asphalt (Westminster Pavement) FY 97-98.~ -' PI„EASE COMPLETE THIS INFORMIi ," , RECORDING REQUESTED BY: ANO WHEN RECORDED MAIL T0: ~- -- _ -- Recorded in the County of Orange, California Gary L. Granville, Clerk/Recorder ~~~~~~~~~~~~~~~~~~~~~~~~u~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Na Fee 19910622119 3:21pnt 12/@3/91 005 23011225 23 14 R28 5 6.00 12.00 0.00 0.00 0.00 15.00 TITLE OF DOCUMENT: ~~ 5~ Lu T~~N ~/~8~ l ~1 ~' ~~ I~ THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECOROIN6 INFORAAATION (Additional ncordieN Me applies "0 059-TITLE PAGE (87/95) b S • ~ , WHII~1 RECORDID RE'T'URN TO: CITY OF SEAL BEACH 2118TH-STREET SEAL BEACH, CALIFORNIA 90740 RECORDING REQUESTED PURSUANT TO GOVERNMF~VT CODE SECTION 6103 RESOLUTION NUMBER A RESOLUTION OF THE CITY COUNCII. OF TSE CITY OF SEAL BEACH DECLARING WORK TO BE COMPLETED AS TO PLANS AND SPECIFICATIONS FOR PROJECT Af675 WEST'MINSTER PAVEIVIENr REHABILITATION PROJECT, FY 1997/98, CONTRACT ENTERED IlV1'O BETWI?El1T ALL AA~3tICAN"~SPIIALT AND T1HE ~i,T Y I~I+ S, SAL BEPICH. THE CITY COUNCII. OF THE CITY OF SEAL BEACH DOES HEREBY RESOLVE: on September 8, 1997, the City of Seal Beach .entered into a contract with All American Asphalt Inc. to slurry seal various stn~ets; WHI~tEAS, the City Engineer has submitted the approval of the. final quantities and costs figures. NOW, THEREFORE BE 1T RESOLVED by the City Council of the City of Seal Beach as follows: Section 1. That the work required to be performed by said Contractor has been completed. Section 2• That the total cost of said work is in the amount of $349,521.59, and the Final Contract Report is attached hereto as Exhibit "B". Section ~,, That the work is hereby acx:epted and approved. It is further ordered that a "Notice of Acceptance", Exhibit "A", be filed on behalf of the City is in the Office of the County of Orange within 1Q days of the date of this resolution. PASSED, APPROVID ANDLN~~~OPTED by R~ City Co ncil of the City of Seal Beach at a meeting thereof held on the II~~ day of _ , 1997, by the following vote: AYES: NOES: ABSENT: ATTEST: r L ~~!~ i « STATE OF CALIFORNIA) COUNTY OF ORANGE ) SS CITY OF SEAL BEACH ) I, Joanne M. Yeo, City Clerk of Seal Beach, California d hereby certify that the foregoing resolution is the original Dopy of Resolution Number ~1on file in the office of the City Clerk, passed, approved, and by the City the Ci _ f Seal Beach, at a regular meeting thereof held on the ~ day of , 1997. ity erk CITY OF SEAL BEACH ERiHTBI'T "A" OFFICE OF THE CITY CLERK CITY HALL 2118TH STREET SEAL BEACH, CA 9074(1 NOTICE IS I~EBY GIVEN that s~~Coun ' o the Ci f Seal Beach, California, at a eetir-g thereof held on the day of Eby Resolution Number has accepted and approved the work pert on the following Proj~• REHABILITATION OF WF.S1'MINSTER AVENUE also known as: WESTMINSTER PAVEMENT REHABILITATION Project Af665 under the contract heretofore awarded by the City Council of the City of Seal Beach, California, to All American Asphalt, Inc.oonsisting of the following work: Rehabilitation of Westminster Avenue Contract Final Report is attached and marked Exhibit B. The interest of the City of Seal Beach in the above real property is that of owner of public rights-of-way. Dated at Seal Beach, California, this ~ day of - ~, 1997. ,~ Ci irk and.ex-officio C,Ierk of a pity Council ~! City of Seal Beach, California 90740 STATE OF CALIFORNIA) COUNTY OF ORANGE )SS CITY OF SEAL BEACH ) I, Joanne M. Yeo, the duly elected, qualified and acting City Clerk and ex~fficio Clerk of City Council of the City of Seal Beach, California, do hereby certify under penalty of perjury that the foregoing NOTICE OF ACCEPTANCE was duly and regularly ordered by said City council to be recorded in the office of the County Recorder of Orange County within 10 days after day of said resolution. ~J v~ Dated of Seai Beach, California, this oS `" day of , 1997. City of Seal Beach E~QF~IT ~ 1v1o1s7 CONTRACT PROGRESS REPORT N0. FINAL Account No.: NIA Contract No.: NIA Project No.: 665 Original Contract Price: $ 396,106.80 Description: FY 97-98 WESTMINSTER PAVEMENT REHABILITATION Contractor: All American Asphalt Date Started: 9122197 From: To: 118197 11!10197 Bid Item No. Description Unit Estimated Quantity -Unit. Price Estimated Extension Quantity This Estimate Previous Estimate Quantity Ta Date Percent Completed Total Cost to Date 1 6" PAVEMENT REHABILITATION (R&R) S.F. 114,000.00 $1.05 $119,700.00 109,905.00 109,905.00 96.4% $115,400.25 2 6"OVEREXCAVATIONw/AC REPLACEMENT S.F. 34,200.00 $1.25 $42,750.00 1,800.00 1,800.00 5.3% $2,250.00 3 .2' AC OVERLAY TONS 7,250.00 $26.00 $188,500.00 7,438.15 7,438.15 102.6% $193,391,90 4 ADJUST WATER BOXES EA. 4.00 $200.00 $800.00 4.00 4.00 100.0% $800,00 5 ADJUST MANHOLE FRAMES & COVERS TO GRADE EA. 5.00 $250.00 $1,250.00 4.00 4.00 80.0% $1,000.00 6 STRIPING L.S. 1.00 $14,000.00 $14,000.00 1.00 1.00 100.0% $14,000.00 7 LOOPS EA 2.00 $500.00 $1,000.00 2.00 2.00 100.0% $1,000.00 8 COLD PLANE S.F. 173,000.00 $0.08 $13,840.00 173,908.00 173,908.00 100.5% $13,912.64 9 CRACK SEAL L.S. 1.00 $6,500.00 $6,500.00 MOBILIZATION L.S. 1.00 $7,766.80 $7,766.80 1.00 1.00 100.0% $7,766.80 Total Contract $396,106.80 ~'~ Total Construc c tion Cost $349,521.59 ~''- ~-... Date: I !a 47 Less 10% Retention repared By: Todd W. Niemann Sub-total $349,521.59 ~ , /J Date: //~/ y~~) Previous Payments hecked By: f ,~ = $314,569.43 - . --r Balance Due $34,952.16 Approved By: Approved By: Approved By: PPFINALS ~c.cou~n~' C«ae5 (zsTx ah~b - ~ 9 6~ ~ '(~~~' ~3~,~ 52,00 JN 33066 . a,,,.,.. r, ~ ... N,,, ., ~„~ _.~.. .~ . ,. ~~ ~, pu te06, oVolirlaat t Public Works Contract FY 97 -98 WESTMINSTER PAVEMENT REHABILITATION For FY 97 -98 WESTMINSTER PAVEMENT REHABILITATION, ' the City of Seal Beach. . THIS AGREEMENT, made and entered into this (1 da by by and between the City of Seal Beach, California, hereinafter referred to as the "CITY,' Party of the First Part, and hereinafter designated as the "CONTRACTOR," Party of the Second Part. ' WITNESSETH: That the Parties do hereto mutually agree as follows: ARTICLE I. For arid in consideration of the payments and agreements hereinafter mentioned to be made ' and performed by said CITY, the CONTRACTOR agrees with said CITY to FY 97 -98 WESTMINSTER PAVEMENT REHABILITATION, and 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 fumish at his own proper cost and expense all tools, equipment, labor and materials necessary ' therefore (except those materials expressly noted as to be fumished by the CITY), and to do everything required by this Agreement and the said Specifications, Drawings, and Contract Documents. ARTICLE I1. For furnishing all said materials and labor, fumishing and removing all plant, temporary works or U 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 U 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 CONTRACTOR 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. L 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. L ' 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 L 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. G 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 workmen's compensation or to undertake self - insurance in accordance with the provisions of that code, and I will comply 9 with such provisions before commencing the performance of the work of this contract. CONTRACTOR TO SUBMIT UPON AWARD: D-2 '. FY 97.98 WESTMINSTER PAVEMENT REHABILITATION 1 1 . I 0' IN WITNESS WHEREOF: The Parties hereto have caused this contract to be executed the day and year ' first above written. CITY OF SEAL BEACH, CALIFORNIA ' Party of the First 'art D BY it/ A) _— City Manager ' 4 ST: . , .. ,,• Or Clerk BY / �a'�A oft h e" CONTRACTOR -Party of the Seco Part 1 Ufa Pe�td er • Title P.O. b.)u aaaa 1 • Address . . i CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT - i' .ii - State of CALIFORNIA MIMI OPTIONAL SECTION ■ 1 CAPACITY CLAIMED BY SIGNER Thou h County of RIVERSIDE 9 statute does not require the Notary to fill in the data below, doing so may prove - invaluable to persons relying on the document. ' /),4 14 l91 before me Y PATRICIA M. CORONADO NOTARY PUBLIC INDIVIDUAL ff ty OnC DA TE me, NAME, TITLE OF OFFICER - E.G.. 'JANE DOE. NOTARY PUBLIC' ❑ f CORPORATE OFFICER(S) personally appeared ROBERT BRADLEY VICE PRESIDENT I NAMES) OF SIGNER(S) TITLE(S) .� A] personally known to me o C = _ _ 0 PARTNER(S) ❑LIMITED f to be the persona[) whose name(` isle ❑ GENERAL l subscribed to the within instrument and ac- ❑ATTORNEY -IN -FACT r, e/? knowledged to me that h /(beyexecuted ❑ TRUSTEE(S) the same in his iatair authorized ❑ GUARDIAN/CONSERVATOR I r capacityti j, and that by his /a:eyTha OTHER: signature on the instrument the personate, ❑ e r or the entity upon behalf of which the — 9At10CJAm. persortf acted, executed the instrument. p ` Catar J ., 11C2B6t SIGNER IS REPRESENTING: • - s r NAME OF PERSON(S) OR ENTITY(IES) , c,4„... 4 .4 . 4. t _ Cbur WITN m y hand and offi seal. O Jun 21SD) ' ALL AMERICAN ASPHALT SIGNATURE OF NOTARY OPTIONAL SECTION p 1 THIS CERTIFICATE MUST BE ATTACHED TO TITLE OR TYPE OF DOCUMENT e rr, Ike "k" 1 en ' l r . �% %THE DOCUMENT DESCRIBED AT RIGHT: UUU i. . NUMBER OF PAGES DATE OF DOCUMENT Though the data requested here is not required by law, is' it could prevent fraudulent reattachment of this form. SIGNER(S) OTHER THAN NAMED ABOVE . \t \ 11 t� 1111- � \ \'�t�1\ X11\\\'\1\\' �\ 1- �\\ �\' ��\ l-` t\- �11 i\\\\\\\ Zti' t\\\- �\\ \ \ \ \ \ \ \ \�'� \ \ \ \\ \l \ \\ \ \\'\ \�1 \1 - 01992 NATIONAL NOTARY ASSOCIATION • 8238 Remmet Ave., P.O. Box 7184 • Canoga Park, CA 91309 -7184 1 1 . • qb INDEMNIFICATION AND HOLD HARMLESS AGREEMENT AND WAIVER OF SUBROGATION AND CONTRIBUTION FY 97 -98 WESTMINSTER PAVEMENT REHABILITATION 1 Indemnitor(s) (list all names): 1 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, attomeys, 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 1 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 1 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. Indemnitor shall pay Indemnitees for any attorneys 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 coverages which may have been required under the Agreement or any additional insured endorsements which may extend to Indemniteesindemnitor, 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 1 Agreement as an Indemnitor, then all obligations, Iiablilities, covenants and conditions under this instrument shall be joint and several. "Indemnitor" 1 Name Name: 1 By: By: Its Its CONTRACTOR TO SUBMIT UPON AWARD: D-8 FY 97 -98 STMINSTER PAVEMENT REHABIUTATION AGREEMENT TO COMPLY WITH CALIFORNIA LABOR LAW REQUIREMENTS [Labor Code §§ 1720, 1773.8, 1775, 1776, 1777.5, 1813, 1860, 1861, 3700] 1 The undersigned Contractor certifies that it is aware of and hereby agrees to fully comply with the following provisions of California law: 1 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 Califomia 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 Califomia 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 Califomia 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. Califomia 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: 1 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 1 will comply with such provisions before commencing the performance of the work of this contract.' Date / 7 Signature A 1 CONTRACTOR TO SUBMIT UPON AWARD: 0-9 FY 97 -98 WESTMINSTER PAVEMENT REHABIUTATION • r^ 1 CC o ; 1 M 6 Z 5 n E r f co ° ' J CC " E-1 r U r z z 0< O Z ^ 1 r 0 y m E In w W 1- w 4 J m t H Q r w r t I'''' m m WE 2 w M w w : f m 1 W Q o rn LLQ N J c. 7 3 fn W Z 4 g CC m r y w m 1 , W U W r Z a m i ro J F- } Z cc z r 1 r 03 !/ V �° j �W W Z W Q Co, v H •• . r o. m a_ o O Z cc F- o w ' w ( m i O N m 2 > - H rr O D Q S LLI u- r O m �' r 1 V w = ❑ ❑ ❑ ❑ ❑ ❑ y z ' z ( a r rE • r a) 0 • 'mm gY - . O , N ° 1 u • 7 c .-7 r� tAU U'� 0 c �► LL v (d X L l o c 0 �� ° 2 L m " Q w g () E L L 1 O. C Z m 1 U j Z a) w - a) jd -c U A0, a o ( � / ) Q fA c F 1.- -- W Z L c L v LL W W ¢ a E„ 1 r �a -C� 10 c c 0 c0 w cc Z Z a• . 3 - c a) 0 x z � = r J t� ¢ . c a) 0 L (a Y n. CD m Q ° N z Z/ Z w z ( 1 ) - c � v , ? F= " W c� p � r P°4� w o o.c p- v E � r �� o. O i r a Liii ®r o a ■ , cn 4A w ti z z `� W m W 1 F- 1, _0 .0 0 a) C' Q) L J Z �tt f (( //I F V • 0� HZ a c�n� U in p n Z ET) l i C z � • 1 V r • {... _. _, i. a o r 41 ° ' w 11 I a } • J w = � N r m a if r 4 8 1 e. r o a h �- N ° T �r H H p i 0 t e r ■ r O c D O a r � r 3 � w m a) r a� H N C ! � Imill wo � a ! / ) J • 4 F- v f a �� • , W w� T O �'� W ~ ▪ r if) To ®f c O 4) m - r ro O c 12 e �Y,. 2 Z r o 4 co � O a o �� ti • Bond No. 589 58 87 PREMIUM: $1,981.00 PERFORMANCE BOND EXECUTED IN THREE (3) PARTS KNOW ALL PERSONS BY THESE PRESENTS that: WHEREAS the L� AS warded T — PO BOX 229 CORONA, CA. 91718 -2229 _ (Name and address of Contractor) • (•Principal'), a contract (the 'Contract') for the work described as follows: • --• ; •INS • PAV S'i NT R :IL _ WHEREAS, Principal is required under the terms of the Contract to furnish a bond for the faithful performance of the Contract, NOW, THEREFORE, we, the undersigned Principal, and SAFECO INSURANCE COMPANY OF AMERICA 4 HUTTON CENTRE, SUITE 250 —B SANTe 4 4 9274 (Name and address of Surety) ('Surety') a duly admitted surety insurer under the laws of the State of California, as Surety, are held and firmly bound unto the Public Agency in the penal sum of THREE HUNDRED NINETY SIX THOUSAND, ONE HUNDRED SIX AND 80/100ths _ Dollars ($ 396,106.80 ), this amount being not less than 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, administrators, successors, and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS nRl IC;ATIQN IS SUCH THAT, if the hereby bounded Principal, his, her or its heirs, executors, administrators, successors or assigns, shall in all things stand to and abide by, and well and truly keep and perform all the undertakings, terms, covenants, conditions and agreements in the Contract and any alteration thereof made as therein provided, on the Principal's part to be kept and performed, an within the licrir dud ill tlib manner therein apeolfiod, and in all respects according to their tn 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; otherwise, it shall be and remain in full force and effed. In case suit is brought upon this bond, Surety further agrees to pay all court costs and reasonable attorneys' fees in an amount fixed by the court. FURTHER, the Surety, for value received, hereby stipulates and agrees that no change, extension of time';' alteration, addition or modification to the terms -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 this bond, and it does hereby waive notice of any such change, extension of time, atteration, addition, or modification to the terms of the Contract or to the work or to the specifications thereunder. Surety hereby waives 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 counterparts of this instrument, each of which shall for all purposes be deemed an original hereof, have been duly executed by Principal and Surety, on the date set . aa CONTRACTOR TO SUBMIT UPON AWARD: D-4 FY 97.98 WESTMINSTER PAVEMENT REHA81UTATION li forth below, the name of each corporate party being hereto affixed and these presents duly signed by its undersigned representative(s) pursuant to authority of its governing body. Dated: SEPTEMBER 18th, 1997 'Principal' 'Surety' ALL AMERICAN ASPHALT SAFECO IN CE Cs ■•!•ANY 0 AMERICA / BY:� By: �� y: OWEN M. BROWN Its Its ATTORNEY —IN —FACT By: _. 1" By: Its Its • (Seal) (Seal) Note: This bond must be dated, all signatures must be notarized, and evidence of the authority of any person signing as attorney-in -fact must be attached. CONTRACTOR TO SOW UPON AWARD: as FY 97.98 WESTMINSTER PAVEMENT REHABIUTATION CALIFORNIA ALL - PURPOSE ACSIOWLEDGMENT -. No. 5193 r'`�1�ti\1111ti"�1tit`'\ti1ti' X11'` titti111\' �titit• `1ti \'�titi'�1ti11ti'`11ti \titititi111'�ti Lti�t11tit11'�1`�tit111-`1ti1'`ti j CALIFORNIA ® OPTIONAL SECTION 4 j State of CAPACITY CLAIMED BY SIGNER ( j A County of RT\/FRSTf F Though statute does not require the Notary to fill in the data below, doing so may prove j invaluable to persons relying on the document. f 2 on �R�1`t9 before me, PATRICIA M. CORONADO, NOTARY PUBLIC ❑ INDIVIDUAL f //I��,, DATE NAME, TITLE OF OFFICER - E.G., "JANE DOE, NOTARY PUBLIC' CORPORATE OFFICER(S) j ROBERT BRADLEY & MARK LUER VICE -PRES. j personally appeared , 4 j ±4 NAME($) OF SIGNER(S) TITLE(S) f j : 1.x': ?<11_1 ?��!�,t�!! H�sAn�,.�A�nAAn� ❑ PARTNER(S ❑ LIMITED ! f j [�perSOnally known t0 me - � '/� *14;•{� ° ❑GENERAL j I) to be the person(s) whose name(s) Ware j j j subscribed to the within instrument and ac- 0 ATTORNEY -IN -FACT f l knowledged to me that jRr1'/they executed ❑ T RUSTEE(S) 1 the same in rftheir authorized ❑ GUARDIAN /CONSERVATOR 6 c apacity(ies), and that by /their ❑ OTHER j 1 s ignature(s) on the instrument thel person(s), j or the entity upon behalf of which the j ___ • person(s) acted, executed the instrument. SIGNER IS REPRESENTING: 6 6 1r ; t♦ 111I♦4 N AME OF PEiiSON(S) OR ENTITY(IES) j f ;;4 WITNESS my hand and official seal. j , � r , ALL AMERICAN ASPHALT f , Oaf C Sfi. Ettp om 20, n w J t .•`ate ' • '1 + � 1 -'4 SIGNATURE OF NOTARY r j OP TIONAL SECT j f THIS CERTIFICATE MUST BE ATTACHED TO TITLE OR TYPE OF DOCUMENT � ✓_ --' Ural a,.u.Lc- 2 ` �S SSs� - _ 1 f f THE DOCUMENT DESCRIBED AT RIGHT: 4 j DATE OF DOCUMENT c (.-\$ `l 1 Though h the data're uested here is not required by law, S GNER S O THE�A j 9 q NAMED AB'OVG — : c. C_.o 7,hQSi - :_ f j , ' it could prevent fraudulent reattachmerai of form.: .., .: (. OTHER TFN , , 11-��1ti�ti �ti� "1-t.`ti � `_�ti�.� \ - � �.�^�ti�titi��c�.=� ALL.PUSPOSE ACICNOWLED4iiitnE!1T No. 5179 State of CALIFORNIA CAPACITY CLAIMED BY SIGNER t t j O RANGE ❑ INDIVIDUAL County Of 4 ❑ CORPORATE 9 - - OFFICER(S) O n before me, BARBARA J. BENDER, NOTARY PUBLIC OFFICE j DATE NAME, TITLE OF OFFICER • E.G., 'JANE DOE, NOTARY PUBLIC T ITLE(S) ❑ PARTNER(S) ❑ LIMITED / personally appeared OWEN M. BRO ❑ GENERAL Pe '7 pp NAME(S) OF SIGNER(S) "'T til ATTORNEY•IN•FACT personally known to me • • I� f•,G ; • ', L• •: .i.:1- o lift. A - Y : •. ; A i .A • . I t o be the person(d9 whose name( is /br ❑ TRUSTEE(S) j subscribed to the within instrument and ❑ GUARDIAN/CONSERVATOR s r ` - "+ - `: - Is'� � to me that hehrturgicolv ❑ OTHER: J executed the same in his /k -, B41L- ARA J. BENDER authorized capacity(o , and that by (0t,. �l r . . ti'tAC,0 `Ji l`A. # 109713 8 - h i s / �iir signature(15) on the instrument , v, g nature (� v) 4r:: )')NUfAWWY PUBLIC- CALIFORNIA cI) the person(irj, or the entity upon behalf of SIGNER IS REPRESENTING: i ORANGE COUNTY NAME OFPERSON(S)ORENTITY(IES) - MY MIL EXP, JUL. 13, 2000 whit e personet) acted, executed the j in ;nt. i SAFBCO INSURANCE COMPANY +cr . arc' a t: :b° ,f ::mot a OF AMERICA j :�` 0,a" :ndo+' d :al, / SIGNATURE • •1•' �TARY ; 4 TT N TION NOTARY: Although the information requested below is OPTIONAL, 11 Could prevent fraudulent attachment of this certificate to an unauthorized document j PERFORMANCE BOND NO 589 58 87 THIS CERTIFICATE Title or Type of Document 1 MUST BE ATTACHED Number of Pages 2 Date of Document 9 - 18 - 97 j TO DE THE DOCUMENT ALL AMERICAN ASPHALT j DESCRIBED AT RIGHT: Signer(s) Other than Named Above 01992 NATIONAL NOTARY ASSOCIATION • 8238 Remmet Ave., PD. Box 7184 • Canoga Pork, CA 91304• BOND N0. 589 58 87 PREMIUM CHARGE FOR THIS BOND 1 1 INCLUDED IN CHARGE FOR PERFORMANCE BOND. EXECUTED IN THREE (3) PARTS PAYMENT BOND 1 (LABOR AND MATERIALS) 1 KNOW ALL PERSONS BY THESE PRESENTS that: WHEREAS the City of Seal Beach, has awarded to AT Jo. AMEBT(`AN ASPN,AT,T -� PC) ROX 227A rnPnnTA , CA 91718 222.8. (Name and address of Contractor) ('Principal'), a contract (the 'Contract') for the work described as follows: ' • ^ INSTER PAVEMENT REHABILITATION WHEREAS, Principal EREAS, P cipal is required under the terms of the Contract and the California Civil Code to secure the payment of claims of laborers, mechanics, materialmen, and other persons as provided by law. 1 NOW, THEREFORE, we, the undersigned Principal, and SAFE • ► It; : ► S uI d ►I • _ u1 4 MIT TON rFAITBF., STTTTF 7S(l — SANTA A, CA. 9 705 _� (Name and address of Surety) ('Surety') a duly admitted surety insurer under the laws of the State of Califomia, as Surety, are held and firmly bound unto the Public Agency in the penal sum of ONE HUNDRED SIX AND 80 /100ths THREE HUNDRED NINETY SIX THOUSAND, Dollars ($ 396,106.80 ), 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, administrators, successors, and assigns, jointly and severally, firmly by these presents. 1 THE CONDITION OF THIS OBLIGATION IS SUCH THAT, if the hereby bounded 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 under the Unemployment Insurance Code with respect to worts or labor performed under the Contract, or for any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of the Principal and subcontractors pursuant to Section 13020 of the Unemployment Insurance Code, with respect to worts or labor performed under the Contract, the Surety will pay for the same in an 1 amount not exceeding the penal sum specified in this bond: otherwise, this obligation shall become null and void. This bond shall inure to the benefit of any of the persons named in Section 3181 of the California Civil Code so as to give a right of adion to such persons or their assigns in any suit brought upon the bond. In case., suit is brought upon this bond, Surety further agrees to pay all court costs and reasonable attorneys' fees in an amount fixed by the court. 1 FURTHER, the Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration, addition or modification to the terms 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 this bond, and it does hereby waive notice of any such change, extension of time, alteration, addition, or modification to the terms of the Contrail or to the work or to the specifications thereunder. Surety hereby waives the provisions of California Civil Code §§ 2845 and 2849. CONTRACTOR TO SUBMIT UPON AWARD: 04 FY 47.95 WESTMINSTER PAVEMENT REHABILITATION • 41).-) IN WITNESS WHEREOF, two (2) identical counterparts of this instrument, each of which shall for all purposes be deemed an original hereof, have been duly executed by Principal and Surety, on the date set forth below, the name of each corporate party being hereto affixed and these presents duly signed by its undersigned representative(s) pursuant 10 authority of its governing body. Dated: SEPTEMBER 18th, 1997 'Principal' 'Surety' ALL AMERICAN ASPHALT SAFECO INS :.:.:.CE!;_;;;► .1; AMERICA B By: - B . OWEN M. BROWN Its Its ATTORNEY —IN —FACT 8y: By: 1 Its (Seal) (Seal) Note: This bond must be dated, all signatures must be notarized, and evidence of the authonty of any person signing as attome•in•tact must be attached. • CONTRACTOR TO SUBMIT UPON AWARD: Dl FY 97.9S WESTMINSTER PAVEMENT REHABIUTATION t CALIFORNIA ALL- PURPOSE A I. 1 OWLiEDG ., ENT No. 5193 1tNNNN:Ntti'Ntititi :1:N:N:N t1• `1N:N. N:\ 11 >L7∎7N titi ' 1tit\\11�.'`1111'`�1 .1t.. OPTIONAL SECTION giros 1 / S of CALIFORNIA / CAPACITY CLAIMED BY SIGNER � County of R TVFRSTT�F. Though statute does not require the Notary to / / f fill in the data below, doing so may prove I/ 3/ invaluable to persons relying on the document. / On 4'\°Ll_efi�) before me, P ATRICIA M. CORONADO, NOTARY PUBLIC ❑ INDIVIDUAL f / DATE NAME, TITLE OF OFFICER - E.G.. "JANE DOE, NOTARY PUBLIC" CORPORATE OFFICERS) personally appeared ROBERT BRADLEY & MARK LUER El CORPORATE n E( s ) f / NAME(S) OF SIGNER(S) / / • [personally known to me - .0. "iti 1!1�`' *°1�I:4^,"1 " -�,�A'' "1. f : stt"t "t.t..1. � ❑ PARTNER(S) ❑LIMITED f / to be the person(s) whose name(s)`,i� /are ❑ GENERAL / / ATTORNEY - IN - FACT / subscribed to the within instrument and ac- / knowledged to me thate /they executed ❑ TRUSTEE(S) / / the same in / the authorized ❑ GUARDIAN /CONSERVATOR / / capacity(ies), and that b y-r /their ❑ OTHER: / / signature(s) on the instrument the person(s), / or the entity upon behalf of which the / person(s) acted, executed the instrument. / _ . wag* m. coaoNAOO SIGNER IS REPRESENTING: / / ; r -. . 11 64 NAME OF PERSON(S) OR ENTITY(IES) , WITNESS my hand and official seal. �: . ^ q� ALL AMERICAN ASPHALT / / SIGNATURE OF NOTARY / / OPTIONAL SECT 1 /, / THIS CERTIFICATE MUST BE ATTACHED TO TITLE OR TYPE OF DOCUMENT , , .4 _ -- • - Yaw - • -g / / THE DOCUMENT DESCRIBED AT RIGHT: / / NUMBER OF PAGES .Z DATE OF DOCUMENT Ct. $ - 1 / / Though the data requested here is not required by law, L--1/4.5% 6 it could prevent fraudulent reattachment of this form. SIGNER(S) OTHER THAN NAMED ABOVE gv P r n . -��titi��ti �1��1��N>4:> �titititi.. ›.:: ��1�ti�^ = : — 7-::11' 1��ti:N: ‹'�titi-��11�.. ��titi�ti-� � ti112ti- -- - - - - - - - - - - - -- -• • = :rim., - oou aemmat Ave.. P.O. Box 7184 • Canoga Park, CA 91309 -7184 _ ALIL•PURPOSE ACICNOWLEDti4ivIENT No 5179 V State of CALIFORNIA CAPACITY CLAIMED BY SIGNER / County of ORANGE ❑ INDIVIDUAL / ❑ CORPORATE On 9 -18 -97 before me, BARBARA J. BENDER, NOTARY PUBLI / DATE NAME, TITLE OF OFFICER • E.G., 'JANE 00E, NOTARY PUBLIC' OFFICER(S) ❑ PARTNER(S) ❑ LIMITED ; OWEN personally appeare OWEN M. BROWN ❑GENERAL / NAME(S) OF SIGNER(S) / ATTORNEY-IN-FACT im p ersonally known to me • • '. Kg �..(.. : , .., . :'. t. ., , +. , ,. .,e. It11. — : T. . 4 :' : f ❑ TRUSTEE(S) / to be the person( w name(g) is /Er subscribed to the within instrument and ❑ GUARDIAN/CONSERVATOR / t o' ' 'h.•= } - 1 141 `�"�'• Cknowledged to me that hehCkeg:tam El OTHER: / executed the same In his/boxvitibcaiw / 1A»> :*'� B� R ARA J. BENDER .., authorized capacity(,, and that by 1 En r�l <ti�r.) C0.`./∎M. # 1097138 L this / ( -k signature(N) on the instrument �' ; " . . t / a t'�-:, l 1101 Y PUBu_IC- CALIFORNIA rn the person(>�, or the entity upon behalf of SIGNER IS REPRESENTING: 1 ' I r CCkF,tt EXP. JU 1 whi a persons!;) acted, executed the NAMEOFPERSON(S)ORENTITY(IES) in : nt. SAFECO INSURANCE COMPANY +r tgr . 7Fommx 'ov.rz..y.y.t:: ;451n" a OF AMERICA lV : ' • � ill flv:l seal, 1 ........w SIGNATURE '+F OTARY ATTENTION NOTARY: Although the information requested below is OPTIONAL, It could prevent fraudulent attachment of this ceniffcale to an unauthorized document , 1 THIS CERTIFICATE Title or Type of Document PAYMENT BOND NO. 589 58 87 MUST BE ATTACHED Number of Pages 2 Date of Document 9 - 18 - 97 TO THE DOCUMENT DESCRIBED AT RIGHT: Signer(s) Other than Named Ab ove . ALL AMERICAN ASPHALT . 1 �� - ` " ��titi�NC . C%LNtNti�•�ti��ti��ti��ZC.s. titititi�ZZZCZ. ��rti��titi1��111�ti�a�� .. 0 1992 NATIONAL NOTARY ASSOCIATION *8238 Remmet Ave., P,O. Box 7184 • Canoga Pork, CA 91304• 1 POWER OF ATTORNEY SAFECO INSURANCE COMPANY OF AMERICA HOME OFFICE: SAFECO PLAZA SEATTLE. WASHINGTON 98185 SAFECO No. 9164 KNOW ALL BY THESE PRESENTS: That SAFECO INSURANCE COMPANY OF AMERICA, a Washington corporation. does hereby appoint OWEN M. BROWN, Anaheim, California its true and lawful attorney(s) -in -fact, with full authority to execute on behalf of the company fidelity and surety bonds or undertakings and other documents of a similar character issued by the company in the course of its business. and to bind SAFECO INSURANCE COMPANY OF AMERICA thereby as fully as if such instruments had been duly executed by its regularly elected officers at its home office. IN WITNESS WHEREOF, SAFECO INSURANCE COMPANY OF AMERICA has executed and attested these presents this 4th day of January , 1993 . Cr u A DAN D McLFAN PRESIDENT CERTIFICATE Extract from the By -Laws of SAFECO INSURANCE COMPANY OF AMERICA: "Article V. Section 13. - FIDELITY AND SURETY BONDS ... the President. any Vice President. the Secretary. and any Assistant Vice President appointed for that purpose by the officer in charge of surety operations. shall each have authority to appoint individuals as attorneys -in -fact or under other appropriate titles with authority to execute on behalf of the company fidelity and surety bonds and other docvnents of similar character issued by the company in the course of its business ... On any instrument making or evidencing such appointment. the signatures may be affixed by facsimile. On any instrument conferring such authority or on any bond or undertaking of the company. the seal. or a facsimile thereof, may be impressed or affixed or in any other manner reproduced: provided. however. that the seal shall not be necessary to the validity of any such instrument or undertaking." Extract from a Resolution of the Board of Directors of SAFECO INSURANCE COMPANY OF AMERICA adopted July 28. 1970. "On any certificate executed by the Secretary or an assistant secretary of the Company setting out. (1) The provisions of Article V, Section 13 of the By -Laws. and (ii) A copy of the power -of- attorney appointment, executed pursuant thereto. and (iii) Certifying that said power -of- attorney appointment is in full force and effect. the signature of the certifying officer may be by facsimile. and the seal of the Company may be a facsimile thereof." I, R. A. Pierson, Secretary of SAFECO INSURANCE COMPANY OF AMERICA, do hereby certify that the foregoing extracts of the By -Laws and of a Resolution of the Board of Directors of this corporation. and of a Power of Attorney issued pursuant thereto. are true and correct, and that both the By -Laws. the Resolution and the Power of Attorney are still in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the facsimile seal of said corporation this 18th day of SEPTEMBER 19 97 Ct3f7P/0 ANC; CON/,, FLPORA F CORPORATE \ �9� i N S u Ali_ � p f c a � R A PERSON 3: CRETARY sr 1953 � a� X92 r f V Po p S- 1300 /EP 1/93 � F ;gASO of ifias'o n O Registered trademark of SAFECO Corporation. 1 INDEMNIFICATION AND HOLD HARMLESS AGREEMENT AND WAIVER OF SUBROGATION AND CONTRIBUTION 1 FY 97 -98 WESTMINSTER PAVEMENT REHABIUTATION 1 Indemnitor(s) gist all names): CW � ,� � r .a R pho k+ ?oV j2A- E acL - u . P. 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, attomeys, 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, attomeys, 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 lndemnitor 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 lndemnitees and shall operate to fully indemnify lndemnitees 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 lndemnitees 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 lndemnitee's right to recover under this indemnity provision. lndemnitor shall pay lndemnitees 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 I indemnity is effective without reference to the existence or applicability of any insurance coverages which may have been required under the Agreement or any additional insured endorsements which may extend to Indemnitees.lndemnitor, 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 lndemnitor 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 lndemnitor, then all obligations, liablilities, covenants and conditions under this instrument shall be joint and several. 'Indemnitor !! rr 1 Name 9t2 G Name: By: _do' f By: Its V(') Its 1 CONTRACTOR TO SUBMIT UPON AWARD: D-8 I FY 97.98 WESTMINSTER PAVEMENT REHABIUTATION • M 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: 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 furnish 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 CONTRACTOR TO SUBMIT UPON AWARD:D-10 FY 97.98 WESTMINSTER PAVEMENT REHABILITATION I I . I ' /0 • license status of any person or contractor and the board failed to respond to the inquiry within three business I 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 I 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 first 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 Iindicate 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 I statement to that effect in the standard form of prequalification 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. I License no.:a9 1015 Class: A Expiration date: -al-_Ot S I Date ./�/9.7 Signature 69:��. a4i I CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT r\\\'X11•\l'�1�111�"\ti1'�111'�til'\1∎"`tit�11�-..1\-`t1111•",11'`\11\1111't'\ 1L\111\1111\ 1'\\\11'��ti1 OPTIONAL SECTION 111•NIE State of CALIFORNIA . CAPACITY CLAIMED BY SIGNER Though statute does not require the Notary to ,f County of RIVERSIDE fill in the data below, doing so may prove 1 invaluable to persons relying on the document f �-Vgtli7 before me, PATRICIA M. CORONADO, NOTARY PUBLIC 0 INDIVIDUAL 1 On DATE NAME,TITLE OF OFFICER-E.G.,-JANE DOE,NOTARY PUBLIC' CORPORATE OFF'ICER(S) personally appeared ROBERT BRADLEY VICE PRESIDENT p y pp ` NAME(S)OF SIGNER(S) �E('') AZ]personally known to me - - •:: • - -= - • - - •- ' • - � •- - '- _ PARTNERS) LIMITED • 0 to be the persons) whose name is/!}� GENERAL r subscribed to the within instrument and ac- ❑ATTORNEY-IN-FACT ' knowledged to me that he/zAcitmor executed 0 TRUSTEE(S) the same in his/be:1 t f authorized ID GUARDIAN/CONSERVATOR capacity et, and that by his/ 0 OTHER: signature on the instrument the person(f), or the entity upon behalf of which the person$) acted, executed the instrument. ij': ..f...14-4......=. 4:wtol: SIGNER IS REPRESENTING: 'i'o C 11 NAME OF PERSON(S)OR El■RITY(IES) , •g� • o =wt) WITNESS my hand and official seal. ALL AMERICAN ASPHALT / -• 4p--o a - C-cN;ZA-.4i:4...e. VII._ Q:91nACIL4.5- SIGNATURE OF NOTARY OPTIONAL SECTI l , �� :+ THIS CERTIFICATE MUST BE ATTACHED TO TITLE OR TYPE OF DOCUMENT .�n, 'k-C�: e -2 v.), •QS 7' THE DOCUMENT DESCRIBED AT RIGHT: NUMBER OF PAGES DATE OF DOCUMENT R-\Sr-9 1 ' Though the data requested here is not required by law, OTHER THAN NAMED ABOVE ∎t' it could prevent fraudulent reattachment of this form. SIGNER(S) 1`L'\11Z lt_`�\'\_ -tti L , 1 Z ^.1 "ttt'`tttt'..„-,- `t \\ \ 1\ ©1992 NATIONAL NOTARY ASSOCIATION•9236 Remmet Ave.,P.O.Box 7184•Canoga Park,CA 91309-7184 t ` DATE � ,o.,- ti ilii:::i::nii:•i:ii:::�'•::?^i++iii:•i:4:•i::Ji:•i:•i /18/97 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Ca I c o Ins Brokers & Agents HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR • 600 City Parkway West ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.0. Box 5995 COMPANIES AFFORDING COVERAGE Orange , CA 92863-5995 COMPANY 714-937-1824 A Clarendon National Insurance INSURED COMPANY All American Asphalt B Federal Insurance Company P.0. Box 2229 COMPANY Corona , CA 91718-2229 C Calif Casualty Indemnity Exch COMPANY D Insurance Co. of the West THISIS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDINGANYREQUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWITHRESPECTTO WHICHTHIS 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE(MMIDD/YY) DATE(MMIDD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 2000000 A X COMMERCIAL GENERAL LIABILITY TNC0698970188 8/01/97 8/01/98 PRODUCTS-COMP/OP AGG $ 1000000 CLAIMS MADE X OCCUR CERTHOLDER NAMED ADDL PERSONAL & ADV INJURY $ 1000000 OWNER'S&CONTRACTOR'S PROT INS.PER BLANKET ADDL EACH OCCURRENCE $ 1000000 INS. CG2010 ATTCH. FIRE DAMAGE(Any one fire) $ 50000 MED EXP (Any one person) $ 5000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ D X ANY AUTO XH0140948802 8/01/97 8/01/98 1000000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) X $10 ,000 SIR PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY .EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: ' EACH ACCIDENT S AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE S 10000000 B X UMBRELLA FORM (98)79736784 8/01/97 8/01/98 AGGREGATE S 10000000 OTHER THAN UMBRELLA FORM S WORKERS COMPENSATION AND X STATUTORY LIMITS EMPLOYERS'LIABILITY C WC6801199703 8/01/97 8/01/98 EACH ACCIDENT $ 2000000 THE PROPRIETOR/ INCL DISEASE.POLICY LIMIT $ PARTNERS/EXECUTIVE 2000000 OFFICERS ARE: EXCL DISEASE•EACH EMPLOYEE $ 2000000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS RE: Project #FY97-98 Westminster . Certificateholder is Additional Insured for G.Liab. per CG2010 attached and Auto Add' I Ins , endorse , to follow. 30 days notice of cancellation except 10 days for non—payment of premium. ItT1FI CATE:`H:L >::. AN•ELLA7 N::<:::;;`>:>::>:'.>'.>:»:::::<:::; :«;:`:::::»:::::?<::>::<:'::: >:>::.:;:::>:::>:<»::>:>;;::::>:>:;;.:::>::.;;:>;:;::: .............................. . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILLX I/W R9CRP MAIL City of Seal Beach 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Department of Public Works B Tc T u, .1568ypRggg ►} Il01MIR MAINAA.mr 211 8th Street :: �. 4: :.: .:: --s:,ic 7�,s 9kTxx' API V• Seal Beach , CA 90740 AUTHORIZEDREPRESEN TIVE I 053011000 ,::::.:::::.. ::..:::..:::..:...:: :;>IiGOR17;.00.PORATIO:•:1'453:; I CL 246 POLICY NUMBER: TNC06900188 EFFECTIVE: 8/01/97 (11-85) INSURED: ALL AMERICAN ASPHALT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. • CG 20 10 11 85 ADDITIONAL INSURED--OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Maine of Person or Organization: Any Person, Orvaniz rion, Paraership or Joint Venture. only if you have previously entered into a_contra= with such parry in which it states that such par: shall be an Additional Insured. (If no entry appears above, information required to complete this endorsement will be shown .n the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Sec:ion II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or fcr you. This insurance shall apply as primary insurance as respects any Person, Organisation, Parmership or Joint Venture named above, and any other insurance available to such Person, Organization, Parmershio or Joint Venture shall be excess and not contributory with the insurance afforded by this policy. City'of Seal Beach It is hereby understood and agreed that the City of Seal Beach, its City Council and each member thereof, and every officer, official, agent, employee or volunteer of City shall be named as jointly and severally insured as respects claims arising out of the following project. Project FY 97-98 Westminster Pavement Rehabilitation UTIIEHTIC �"'•'�'• Copyright. Insurance ServIcss Office. Inc.. 1984 - • - Sep-1121-97 09:57A al 1 amer i can asphalt"'• l d . 909 736 7600 - - P. 11 • ADDITIONAL INSURED ENDORSEMENT EXCESS LIABILITY All American Asphalt Name aid address of named Insured('Named Insured'): Federal Insurance Company Name and address of insurance Company(-Company"): FY 97-98 WESTMINSTER PAVEMENT REHABILITATION Notwithstanding any inconsistent statement in the policy to which this endorsement is attached(the'Policy') or in any endorsement now or hereafter attached thereto,it is agreed as follows: 1. The City of Seat Beach, its elected officials.officers,erbrneys,agents, employees, and volunteers are additional insureds(the above named additional insureds are hereafter referred to as the'Additional Insureds') under the Policy in relation to those activities described generally above with regard to operations performed by or on behalf of the Named Insured. The Additional Insureds have no liability for the payment of any premiums or 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 called upon to contribute with the insurance coverages provided by the Policy. 3. Each Insurance coverage under the Policy shall apply separately to each Additional Insured against whom claim is made or suit is brought except with respect to the limits of the Company's liability. 4. Nothing in this contract of insurance shall be construed to preclude coverage of a claim by one insured under the policy against another insured under the policy. All such claims shall covered as third-party deims, i.e., in the same mariner 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 provided under the policy. 5. The insurance afforded by the Policy for contractual liability insurance(subject to the terms, conditions and exclusions applicable to such insurance)includes liability assumed by the Named Insured under the indemnification antler hold harmless provision(s)contained in or executed in conjunction with the written agreement(s)or permits)designated above,between the Named Insured and the Additional Insureds. 6. The policy to which this endorsement is attached shall not be subject to cancellation,change in coverage,reduction of limits(except as the result of the payment of claims),or non-renewal except after written notice to Public Agency,by certified mail,return receipt requested, not less than thirty(30)days prior to the effective date thereto. In the event of Company's failure to comply with this notice provision,the policy as initially drafted will • continue in full force and effect until compliance with this notice requirement 7. 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 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 Insureds. 8. It is hereby agreed that the laws of the State of California shalt apply 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 Public Agency at: Director of Public Works City of Seal Beach 211 8m Street Seal Beach CA 90740 9. Except as stated above and not in conflict with this endorsement,nothing contained herein shall be held to waive,alter or extend any of the limits, agreements,or exclusions of the policy to which this endorsement is attached. CONTRACTOR TO SUBMIT UPON AWARD:1120 A'97411 WESTMINSTER PAVEMENT REIiABItITATIOtf Sep-J13-:97 09:58A all american asphalt"' ld 909 736 7600 P. 12 • • TYPE C COVERAGES TO WHICH POUCY PERIOD LIMITS OF THIS .DORSEMFNT ATTACHES FROMFTO _IASILITY 0 Following Form (98) 79736784 8/01/97 to 8/01/98 aUmbrella Liability 10. Applicable underlying coverages. INSURANCE COMPANY POLICY NO. MA OUNT Federal Insurance Company (98) 79736784 11. The following inclusions, exclusions, extensions or specific provisions relate to the above " Coverages: 12. A Ig deductible or 0 self-insured retention(check one)of S 10,000 applies to all coverages)except: (it none, so state). The deductible is applicable 0 per claim or is••er occurrence(check one). 13. This is an 12 pccurrence or❑claims made policy(check one). 14. This endorsement is effective on ail/9 7 at 12:01 AM. and forms a part of Policy Number Terry Decker (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 the Company. Executed September 22, , f9 97 S gnature of A r fr epresontative Casco Ins. ' oicers (Original signature only:no facsimile signature or inatleied signature accepted) Phone No.: (_1.14_,.) 937-4323 1 1 CONTRACTOR TO SUBMIT UPON AWARD:D-21 >:Y 97-98 WESTMINSTER PAVEMENT REHABILITATION Sep-18-97 09:55A all american asphalt+"' id 909 736 7600 - 0:07 ADDITIONAL INSURED ENDORSEMENT COMPREHENSIVE GENERAL LIABILITY All American Asphalt Name and address al named insured rNamed Insured'): Glarendon National Insurance Name and address of 6wrance Company(•companyr): FY 97-98 WESTMINSTER PAVEMENT REHABILITATION Notwithstanding any inconsistent statement in the policy to which this endorsement is attached(the'Pclicy') or in any endorsement now or hereafter attached thereto,it is agreed as totlows: 1. The City of Seat Beach, its elected officials, officers, attorneys, agents, employees, and volunteers are additional insureds(the above named additional insureds are hereafter referred to as the'Additional Insureds')under the Policy in relation to those activities described generally above with regard to operations performed by or on behalf of the Named Insured. The Additional Insureds have no liability far the payment of any premiums or assessments under the Policy. El 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 called upon to contribute with the insurance coverages provided by the Policy. 3. Each insurance coverage under the Policy shall apply separately to each Additional Insured against whom claim is made or suit is brought except with respect to the limits of the Company's liability. 4. Nothing in this contract of insurance shall be construed to preclude coverage of a claim by one insured under the policy against anther insured under the policy. Al such claims 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 pravideo underthe policy. 5. The insurance afforded by the Policy for contractual liability insurance(subject to the terms, conditions and exclusions applicable to such insurance)includes liability assumed by the Named insured under the indemnification and/or hold harrntess provision(s)contained in or executed in conjunction with the written agreement(s) or penmit(s) designated above,between the Named Insured and the Additional Insureds. 6. The policy to which this endorsement is attached shall not be subject to cancellation, change in coverage, reduction of limes(except as the result of the payment of claims),or non renewal except alter written notice to Public Agency, by certified mail,return receipt requested, not less than thirty(30)days prior to the effective date thereof. In the event of Company's failure to comply with this notice provision,the policy as initially drafted will continue in full force and effect until compliance with this notice requirement. T. Company hereby waives all rights of subrogation and contribution against the Additional Insureds, while acting within the scope of their duties, from alt claims, losses and liabilities arising out of or incident to the perils insured against in rotation to those activities described 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 Insureds. 8. It is hereby agreed that the laws of the State of California shall apply 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 Public Agency at Director of Public Works City of Seal Beach 211 tin'Street 666��99f Seat Beach CA 90740 10. Except as stated above and not in conflict with this endorsement, nothing contained herein shall be held to waive, alter or extend any of the limits,agreements,or exclusions of the policy to which this endorsement is attached. CONTRACTOR TO SUBMIT UPON AWARD:111S FY 9TA6 tl1ESTMINSTER PAVEMENT REHABILITATION -Sep:18-97 09:56A all arnerican asphalt"'e id 909 736 7600 P.08 g . • TYPE OF COVERAGES TO WHICH POLICY PERIOD LIMITS OF . THIS ENDORSEMENT ATTACH, FR0MTT0 IA I ITY 0 #TNC0698970188 8/1/97 to 8/1/98 $2,000,000 g11. Scheduled items or locations are to be identified on an attached sheet. The following inclusions relate to the above coverages Includes: c Contractual Liability C Explosion Hazard QmrerslLandlordslTertarrts SS Collapse Hazard Ck Manufacturers/Contractors 0 Underground Property Damage la Products/Completed Operations 13 Pollution Liability id 0 Broad Form Property Damage Liability C1 Extended Bodily injury 0 4 Broad Form Comprehensive 0 CI General Liability Endorsement 0 12. A di deductible or O self-insured retention(check one)of$ 10,000 applies to all coverage(s)except: (if none. so state). The deductible is applicable Cl per claim or o per occurrence(check one). 13, This is an gg occurrence or 0 darns made policy(check one). 14. This endorsement is effective on 8/01/97 _at 12:01 AM. and forms a part of Policy gNumber TNC0698970188 1. Terry Decker (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 the Company. Executed September 22, , 1997 il . Signature of Authorized='apresentative Calco Ins. Brokers (Original signature only:no facsimile signature or initialed signature accepted) 0 PhoneNo.: tr 714) 937-4323 1 1] 1 6 1 CONTRACTOR TO SUBMIT tPON AWARD:D.17 0 . FY lT-98 WESTMINSTER PAYBiENT REHABILITATION • • CL 333 POLICY NUMBER: TNC0698970188 EFFECTIVE: 8/01/97 • (11-85) INSURED: ALL AMERICAN ASPHALT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 24 04 11 85 WAIVER OF TRANSFER RIGHTS OF RECOVERY AGAINST OTHERS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any Person, Organization, Partnership or Joint Venture, only if you have previously entered into a contract with such party in which it states that you have waived your rights of recovery against such party. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) We waive any right of recovery we may have against the person or organization shown in the Schedule because of payments we make for injury or damage arising out of your work"done under a contract with that person or organization. The waiver applies only to the person or organization shown in the Schedule. f MITTEN I ""� • Copyright. Insurance Services Office. Inc.. 1984 Sep-18-97 09:56A all amerrican asphalt* 3.d 909 736 7600 _ P_-09 . . • • ADDITIONAL INSURED ENDORSEMENT AUTOMOBILE LIABILITY All American As•halt Name and address of named insured('Named lnsured7= Insurance Company of the West Name and address of insurance Company{'Company"): B FY 97-98 WESTMINSTER PAVEMENT REHABILITATION t�l] Notwithstanding any inconsistent statement in the policy to which this endorsement is attached(the'Policy') or in any endorsement now or hereafter attached thereto,it is agreed as follows: 1. The City of Seal Beach,its elected Officials,officers.attorneys,agents,employees, and volunteers are additional Insureds(the above named additional Insureds are hereafter referred to as the'Additional Insureds') under the Policy in rotation to those activities described generally above with regard to operations performed by or on behalf of the Named Insured. The Additional Insureds have no liability for the payment of any premiums or 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 called upon to contribute with the insurance coverages provided by the Policy. 3. Each insurance coverage under the Policy shall apply separately to each Additional Insured against whom claim is made or suit is brought except with respect to the limits of the Company's liability. 4. Nothing in this contrail of insurance shall be construed to preclude coverage of a claim by one insured under the policy against another insured under the policy. All such claims 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 provided under the policy 5. The insurance afforded by the Policy for contractual liability insurance(subject to the terms. conditions and exclusions applicable to such insurance)includes liability assumed by the Named Insured under the indemnification and/or hold harmless provisions)contained or executed in conjunction with the written agreement(s) or permits)designated above, between the Named insured and the Additional Insureds. 6. The policy to which this endorsement is attached shall not be subject to cancellation.change in coverage, reduction of limas(except as the result of the payment of claims),or non-renewal except after written notice to Public Agency, by certified mail,return receipt requested, not less than thirty(30)days prior to the effective date thereto. In the event of Company's failure to comply with this notice provision,the policy as initially drafted will continue in lull fume and effect until compliance with this notice requirement 7. 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 regard to operations performed by or an behalf of the Named Insured regardless of any prior,concurrent, or subsequent active or passive negligence by the Additional Insureds. B. It is hereby agreed that the laws of the State of California shall apply to and govern the validity. construction,interpretation, and enforcement of this contract of insurance. S. This endorsement and all notices given hereunder shall be sent to Public Agency at Director of Public Works City of Seal Beach 211 Bs'Street Seal Beach CA 90740 9. Except as stated above and not in conflict with This endorsement nothing contained herein shall be held to waive,after or extend any of the limits,agreements,or exclusions of the policy to which this endorsement is attached. CONTRACTOR TO SUBMIT UPON AWARD:D.18 t'Y 1048 WESTMINSTER PAVEMENT REHABILITATION Sep-18-97 O9:57A all amer- ican -asphalt"" id 909 736 7600 P. 1O ,w • TYPE OF COVERAGES TO WHICH POLICY PERIOD LIMITS OF THIS ENDORSEMENT ATTACHE. FRS}M/TO EiLIABILITY XH0140948802 8/1/97 to 8/1/98 10. Scheduled items or locations are to be identified on an attached sheet The fallowing inclusions relate to the above coverages, Includes: CK Any Automobiles C Truckers Coverage O All Owned Automobiles Motor Carrier Act Er Non-owned Automobiles C Bus Regulatory Reform Act DC Hired Automobiles C Public Livery Coverage O Scheduled Automobiles O O Garage Coverage 0 11. A p deductible orself-insured retention(check one)of S 10,000 SIR applies . to all coverage(s)except: (if none, so stare). The deductible is applicable Q per claim of fl{per occurrence(check one). 12. This is and occurrence or ID clams made policy(check one). 13. This endorsement is effective on 8/01/97 at 12:01 A.M. and forms a at of Policy Number .X1101 40948802 1. Sherry Barbot (print name), hereby declare under penalty of per}ury 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 the Company. Executed September 22, 19 97 / g Signature of Au •riled-Representative Sherry Barbot/ Underwriting Manager, Insurance Co. of the West (Original signature only no facahn/Je signature or initialed signature accepted) Phone No..: 6f 19 1 350-2640 { CONTRACTOR TO SUBMIT UPON AWARD:1119 FY 97411 WESTMINSTER PAVEMENT REHABIUTATIOI!t • Seps-18-97 09:55A al american asphalt"'f id 904736 7600 _ P_.05 _ • WORKER'S COMPENSATION CERTIFICATE OF INSURANCE WHERRLAS,the CITY OF SEAL BEACH has required certain insurance to be provided by California Casualty Ind. Exch. NOW THEREFORE,the undersigned insurance company does hereby certify that 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 EIGHTH STREET. SEAL BEACH,CA 90740-6379. 2. The insureds under such policy or policies are: All American Asphalt 3. Worker's Compensation Policy or Policies in a form approved by the Insurance Commissioner of Califomia covering all operations of the named Insureds, as follows: POLICY NUMBER EFFECTIVE DATA EXPIRATION DATE WC6801199703 8/01/97 8/01/98 4. Said policy or policies shall not be canceled, voided or reduced in coverage or limits of liability, unless and until thirty days' advance written notice thereof has been served upon the City Cleric of the CITY OF SEAL BEACH. By: \ Its Authorized Reprtative Calco Ins. Brokers CONTRACTOR TO SMUT UPON AWARD:015 FY 97-98 WESTMINSTER PAVEMENT REHABILITATION Client#:4475 ALLAMERI2 ACORDTM CERTIFICAlt OF LIABILITY INSURINCE 07/26/06D/YYYY) 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 (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 DD L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSRD DATE(MM/DDIYY) DATE(MM/DD/YY) A GENERAL LIABILITY GPP000872901 08/01/06 08/01/07 EACH OCCURRENCE I$1,000,000 X COMMERCIAL GENERAL LIABILITY Cert. Holder is PREMISES(Ea occu encel $100,000 ICLAIMS MADE X OCCUR named Additional MED EXP(Any one person) $ _ Insured if PERSONAL 8 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 —I POLICY ril JECT n LOC 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 —I OCCUR CLAIMS MADE AGGREGATE $10,000,000 $ DEDUCTIBLE _ $ X RETENTION $10000 $ C WORKERS COMPENSATION AND BB1060243 08/01/06 08/01/07 X TOR ATUS- 711 - EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 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 *10 days notice of cancellation for nonpayment of premium DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Project#FY97-98 Westminster.30 days notice of cancellation except 10 days for non-payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Seal Beach DATE THEREOF,THE ISSUING INSURER WIL11/:XI XXIXXO MAIL _30_ DAYS WRITTEN Department of Public Works NOTICE TO THE CERTIFICATE HOLDER NAME.TO THE LEFX) XKLNKEXTXXMI KAYL 211 8th Street WINICK (X0104Mited8C0 G14)01VX11E -' .• O X XXX IOXIR Seal Beach, CA 90740-c NtreiNME> s. / AUTHORIZED REPRESENTATIVE/ tr--"'------ ACORD 25(2001/08)1 of 2 #M8675 /K s 1 O ACORD CORPORATION 1988 Client#:4475 ALLAMERI2 ACORDT, CERTIFICW. OF LIABILITY INSUSNCE DATE(M/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 LiC#0B29370 (714)937-1824 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 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(MM/DD/YY) DATE(MM/DD/YY) A GENERAL LIABILITY GPP002265800 08/01/07 08/01/09 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY Cert.Holder is PREMISES(Ea occurrence) $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 PROD UC TS-COMP/OP AGG $2,000,000 —I POLICY n JECT LOC D AUTOMOBILE LIABILITY 72UENGK5491 K2 08/01/07 08/01/08 COMBINED SINGLE LIMIT X ANY AUTO Cert. Holder is (Ea accident) $1,000,000 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 Ii CLAIMS MADE AGGREGATE $10,000,000 $ DEDUCTIBLE $ X RETENTION $10000 $ C WORKERS COMPENSATION AND BB 1070243 08/01/07 08/01/08 X OR STATU- Tr 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 I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: Project#FY97-98 Westminster.30 days notice of cancellation except 10 days for non-payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Seal Beach DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL nn DAYS WRITTEN Department of Public Works NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 211 8th Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Seal Beach,CA 90740-c REPRESENTATIVES. A HD REPRESENTATIVE 1 ACORD 25(2001/08)1 of 2 #M20809 SCOT 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 #M20809 THIS ENDORSEMENToANGES THE POLICY. PLEASE RESIT 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 ENDORSEME.HANGES 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