HomeMy WebLinkAboutAGMT - Golden State Constructors (2010 Concrete Repair ST1007) •
RECORDING REQUESTED BY Recorded in Official Records, Orange County
Tom Daly, Clerk-Recorder
AND WHEN RECORDED MAIL TO 111111 1011111111111 11111IIII1110111111111111IIIIIIIIIIIIII NO FEE
2010000687216 8:25 am 12/21/10
CITY OF SEAL BEACH 47 412 N12 1
Attn: City Clerk 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
211 -8th Street
Seal Beach, CA 90740
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: 211 -8th Street, Seal Beach, CA 90740.
4. The nature of the interest or estate of the owner is: In Fee. The City of Seal Beach.
5. A-work-of improvement-on-the-property-hereinafter-is-described-as-substantially-completed-on —
November 8, 2010. The work was 2010 Annual Concrete Repair Program Project No.
ST1007.
6. The name of the contractor, if any, for such improvement was: Golden State Constructors,
Inc. The date of the Contract Award was June 14, 2010.
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: Various locations in Seal
Beach.
Date: 121 r /►O /■
,,CL, /7, 10"-1,00.
Signature of owner or corporate officer o rwner
named in paragraph 2 or agent.
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 12.E 15//0 , 2010, at Seal Beach, California.
(Date of Signature)
• •
Director of Public ds
AN AGREEMENT FOR
2010 ANNUAL CONCRETE REPAIR
PROGRAM
CIP NO. ST 1007
between
SE/ti
' )
. 4 ..�. e
"- ..
City of Seal Beach
211 - 8th Street
Seal Beach, CA 90740
Golden State Constructors, Inc.
6162 Galipean Dr.
Huntington Beach, CA 92647
(714) 625-8758
THIS AGREEMENT is made and entered into this June day of 14, 2010, by and between the
City of Seal Beach, a California charter city ("City"), and Golden State Constructors, Inc., a
("Contractor").
Page D-3 I
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RECITALS
A. WHEREAS, the City Council has approved the plans and specifications for the
2010 Annual Concrete Repair Program, CIP No. ST1007 ("Project") with respect to design
criteria;and
B. WHEREAS,Contractor has submitted a bid to City for the Project dated May 27,
2010 in the amount of 119,945.00("Accepted Proposal"hereinafter). The Accepted Proposal is
attached hereto as Exhibit G and contains, among other things, provisions defining the Project
scope.
NOW, THEREFORE, in consideration of performance by the parties of the mutual
promises,covenants,and conditions herein contained,the parties hereto agree as follows:
AGREEMENT
•
1.0 Contractor's Services.
1.1 Scope and Level of Services. For and in consideration of the mutual promises set
forth herein,and subject to the terms and conditions set forth in this Agreement,Contractor shall perform
and complete in good and workmanlike manner all work ("Work") required by this Agreement and the
documents listed in Subsection 1.2 for the Project.
1.2 Contract Documents. The "Contract Documents" that comprise the agreement
between the City and the Contractor are the: Notice Inviting Bids, Instructions to Bidders, Accepted
Proposal, Non-Collusion Affidavit, Bid Schedule(s), List of Subcontractors, Contractor's Industrial
Safety Record, Contractor's Qualification Statement, Bid Security Forms for Check or Bond,
Specifications,General and Special Provisions and documents referenced therein,all addenda as prepared
prior to the date of bid opening setting forth any modifications or interpretations of any of said
documents, this Agreement, Exhibits attached to this Agreement; including but not limited to the
Performance Bond(Exhibit A),Payment Bond(Exhibit B),Worker's Compensation Insurance Certificate
(Exhibit C), Insurance Endorsements (Exhibit D), Acknowledgment of Penal and Civil Penalties
Concerning Contractor Licensing Laws (Exhibit E), Labor Law Requirements (Exhibit F), Accepted
Proposal(Exhibit 0)and any and all supplemental agreements executed amending'or extending the work
contemplated and that may be required to complete the work in a substantial and acceptable manner.
These Contract Documents are hereby incorporated into this Agreement.
I.3 - The Work shall be performed in accordance with the Plans, Specifications and
other Contract Documents. Contractor shall furnish at its own expense all labor,materials,equipment and
services necessary therefore, except such labor,materials, equipment and services as are specified in the
Contract Documents to be furnished by City.
1.4 In the event of any material discrepancy between the express provisions of this
Agreement and the provisions of the other Contract Documents, the provisions of this Agreement shall
prevail.
2.0 Effective Date. This Agreement is effective as of June 14, 2010(the"Effective Date"),
and shall remain in full force and effect until Contractor has rendered the services required by this
Agreement.
3.0 Payment. For performing and completing the work in accordance with the Contract
Documents,City shall pay Contractor, in full compensation therefor,the amount of$119,945.00,subject
Page D-32
• •
to any additions and deletions pursuant to the terms of the Contract Documents. Said sum shall constitute
payment in full for all work performed hereunder, including, without limitation, all labor, materials,
equipment, tools and services used or incorporated in the work, supervision, administration, overhead,
expenses and any and all other things required, furnished,or incurred for completion of the work as
specified in the Contract Documents. City shall make payments to Contractor on account of the contract
sum at the time,in the manner,and upon the conditions specified in the Contract Documents.
4.0 Contractor's Personnel.
4.1 All Work shall be performed by Contractor or under Contractor's direct
supervision,and all personnel shall possess the qualifications,permits,and licenses required by State and
local law and by the Notice Inviting Bids/Instructions to Bidders to perform such Services, including,
without limitation,a City of Seal Beach business license as required by theSeal'Beach Municipal Code.
4.2 Contractor shall be responsible for payment of all employees' wages and
benefits, and shall comply with all requirements pertaining to employer's liability, workers'
compensation, unemployment insurance, and Social Security. Contractor shall fully comply with the
workers'compensation law regarding Contractor and Contractor's employees.
4.3 Contractor shall indemnify and hold harmless City and its elected officials,
officers and employees,servants,designated volunteers,and agents serving as independent contractors in
the role of city officials,from any and all liabilities,damages,claims;costs and expenses of any nature to
the extent arising from Contractor's alleged violations of personnel practices.
4.4 Contractor is,and shall at all times remain as to City,a wholly independent
contractor. Contractor shall have no power to incur any debt,obligation,or liability on behalf of City or
otherwise act as an agent of City. Neither City nor any of its agents shall have control over the conduct of
Contractor or any of Contractor's employees,except as set forth in this Agreement. Contractor shall not,
at any time,or in any manner,represent that it or any of its officers,agents,or employees are in any
manner employees of City. Contractor shall pay all required taxes on amounts paid to Contractor under
this Agreement,and indemnify and hold City harmless from any and all taxes,assessments,penalties,and
interest asserted against City by reason of the work performed pursuant to this Agreement.
4:5 .City shall have the right to offset against the amount of any fees due to
Contractor under this Agreement any amount due to City from Contractor as a result of Contractor's
failure to promptly pay to City any reimbursement or indemnification arising under this Section 4.
5.0 Indemnification.
5.1 Contractor's Duty. Contractor shall indemnify and hold the City,its elected
officials,officers,employees,volunteers,agents,and those City agents serving as independent contractors
in the role of City officials(collectively"Indemnitees")free and harmless from and against any and all
claims(including,without limitation,claims for bodily injury,death or damage to property),demands,
obligations,damages,actions,causes of action,suits,losses,bid protests,stop notices,judgments,fines,
penalties,liabilities,costs and expenses(including,without limitation,attorney's fees,disbursements and
court costs)of every kind and nature whatsoever(individually,a"Claim;"collectively,"Claims"),in any
manner arising out of or incident to the performance of the Agreement,including without limitation the
payment of all consequential damages and attorneys fees and other related costs and expenses. Further,
Contractor shall appoint competent defense counsel,at Contractor's own cost,expense and risk,to defend
any and all such suits,actions or other legal proceedings of every kind arising out of or incident to the
performance of the Agreement that may be brought or instituted against Indemnitees. Contractor shall
pay and satisfy any judgment,award or decree that may be rendered against City or the other Indemnitees
in any such suit,action,or other legal proceeding arising out of or incident to the performance of the
Page D-33
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Agreement. Contractor shall reimburse the City and the other Indemnitees,for any and all legal expenses
and costs incurred by each of them in connection therewith or in enforcing the indemnity herein provided.
Contractor's obligation to indemnify shall not be restricted to insurance proceeds,if any,received by
Contractor or Indemnitees. This indemnity shall apply to all Claims and liability regardless of whether
any insurance policies are applicable.
5.2 Bid Protests. In addition to its obligations pursuant to Section 5.1,Contractor
shall reimburse the City for all attorney fees and costs incurred by City in connection with,arising out of
or incident to any bid protest.
. 5.3 _ City's Sole Negligence. Nothing in Section 5.1 shall be construed to require
Contractor to indemnify Indemnities for that portion of any Claim to the extent arising from the sole
negligence or willful misconduct of the Indemnities.
5.4 Nonwaiver of Rights. Indemnitees do not,and shall not,waive any rights that
they may possess against Contractor because of the acceptance by City,or the deposit with City,of any
insurance policy or certificate required pursuant to this Agreement.
5.5 Waiver of Right of Subrogation. Contractor,on behalf of itself and all parties
claiming under or through it,hereby waives all rights of subrogation 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.
5.6 Survival. The provisions of this Section 5 shall survive the termination of the
Agreement and are in addition to any other rights or remedies that 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 Contractor shall be conclusive in favor of the Indemnitee's
right to recover under this indemnity provision.
6.0 Insurance.
6.1 Liability Insurance. Contractor shall procure and maintain in full force and effect
for the duration of this Agreement insurance against claims for injuries to persons or damages to property
and professional negligence which may arise from or in connection with the performance of the services
hereunder by Contractor,and its agents,representatives,employees and subconsultants. The policy limits
set forth below do not act as a limitation upon the amount of indemnification to be provided by
Contractor. Contractor shall complete and execute the following documents attached as Exhibits hereto
and incorporated herein by this reference:
•
6.1.1 Exhibit D-1: Additional Insured Endorsement-Commercial General
Liability
6.1.2 Exhibit D-2: Additional Insured Endorsement-Automobile Liability
6.1.3 Exhibit D-3: Additional Insured Endorsement
6.2 Minimum Scope of Insurance. Unless otherwise approved by City,coverage
shall be at least as broad as:
6.2.1 Insurance Services Office Commercial General Liability coverage
(occurrence form CO 0001).
Page D-34
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6.2.2 Insurance Services Office form number CA 0001 (Ed. 1/87)covering
Automobile Liability,code] (any auto).
6.2.3 Insurance Services Office form number CO 20 10 1 185(Ed. 11/85)
covering Additional Insured—Owners,Lessees or Contactors(Form B).
6.2.4 Worker's Compensation insurance as required by the State of California
and Employer's Liability Insurance.
6.3 Minimum Limits of Insurance. Contractor shall maintain limits no less than:
6.3.1 General Liability:$2,000,000 per occurrence and.in the aggregate for
bodily injury,personal injury and property damage. Commercial General Liability Insurance or other
form with a general aggregate limit shall apply separately to this Agreement or the general limit shall be
twice the required occurrence limit.
- - 6.3.2 Automobile Liability:$2,000,000 per occurrence for bodily injury and
property damage.
6.3.3 Employer's Liability:$1,000,000 per occurrence and in the aggregate for
bodily injury or disease and Workers'Compensation Insurance in the amount required by law.
6.4 Deductibles and Self-Insured Retentions. Contractor shall inform City of any
deductibles or self-insured retentions except with respect to any professional liability insurance.
6.5 Other Insurance Provisions. The general liability and automobile liability
policies are to contain,or be endorsed to contain,the following provisions:,
6.5.1 City,its officers,officials,employees,designated volunteers and agents
serving as independent contractors in the role of city or agency officials,are to be covered as additional
insureds as respects: liability arising out of activities performed by or on behalf of Contractor;products
and completed operations of Contractor;premises owned,occupied or used by Contractor,or automobiles
owned,leased,hired or borrowed by Contractor. The coverage shall contain no limitations on the scope
of protection afforded to City,its officers,officials,employees,designated volunteers or agents serving as
independent contractors in the role of city or agency officials which are not also limitations applicable to
the named insured.
6.5.2 For any claims related to this Agreement,Contractor's insurance
coverage shall be primary insurance as respects City,its officers,officials,employees,designated
volunteers and agents serving as independent contractors in the role of city or agency officials. Any
insurance or self-insurance maintained by City,their officers,officials,employees,designated volunteers
or agents serving as independent contractors in the role of city or agency officials shall be excess of
Contractor's insurance and shall not contribute with it.
6.5.3 Contractor's insurance shall apply separately to each insured against
whom claim is made or suit is brought,except with respect to the limits of the insurer's liability.
6.5.4 Each insurance policy required by this clause shall be endorsed to state
that coverage shall not be canceled or materially modified except after 30 days prior written notice by
first class mail has been given to City.
Page D-35
• •
6.5.5 Each insurance policy,except for any professional liability policy,
required by this clause shall expressly waive the insurer's right of subrogation against City and its elected
officials,officers,employees,servants,attorneys,designated volunteers,and agents serving as
independent contractors in the role of city or agency officials.
6.6 Acceptability of Insurers. Insurance is to be placed with insurers with a current
A.M.Best's rating of no less than A:VII unless waived in writing by City's Risk Manager.
6.7 Verification of Coverage. All insurance coverages shall be confirmed by
execution of endorsements on forms approved by the City. The endorsements are to be signed by a
person authorized by that insurer to bind coverage on its behalf. All endorsements are to be received and
approved by City before services commence. As an alternative to City forms,Contractor's insurer may
provide complete,certified copies of all required insurance policies,including endorsements effecting the
coverage required by these specifications.
7.0 Liquidated Damages. Should the Contractor fail to complete the project,or any part
thereof;in the time agreed upon in the Contract,the Contractor shall reimburse the City for the additional
expense and damage for each calendar day that the Contract remains uncompleted after the Contract
completion date. It is agreed that the amount of such additional expense and damage incurred by reason
of failure to complete the Contract isthe.per diem rate$_750.00_per calendar day. Such amount is
hereby agreed upon as liquidated damages for the loss to the City resulting from the failure of the
Contractor to complete the project within the allotted time and to the value of the operation of the works
dependent thereon. It is expressly understood and agreed that this amount is a reasonable amount and is
established in lieu of damages that are incapable of calculation at the inception hereof;and this amount is
not to be considered in the nature of a penalty. The City shall have the right to deduct such damages from
any amount due,or that may become due to the Contractor,or the amount of such damages shall be due
and collectible from the Contractor or the Contractor's Surety. Progress payments made after the
scheduled.completion'date shall not'constitutb a waiver of liquidated damages.
8.0 Suspension. City may,in writing,order Contractor to suspend all or any part of the
Contractor's Services for the convenience of City or for work stoppages beyond the control of City or
Contractor. A suspension of the Services does not void this Agreement.
9.0 Notices. Any notices,bills,invoices,or reports authorized or required by this Agreement
shall be in writing and shall be deemed received on(a)the day of delivery if delivered by hand or
overnight courier service during Contractor's and City's regular business hours or by facsimile before or
during Contractor's regular business hours;or(b)on the third business day following deposit in the
United States mail,postage prepaid,to the addresses heretofore set forth in the Agreement,or to such
other addresses as the parties may, from time to time,designate in writing pursuant to the provisions of
this Section. All notices shall be addressed as follows:
If to City: City of Seal Beach-City Clerk
211 8th Street
Seal Beach,California 90740
Telephone: (562)431-2527
Fax: (562)493-9857
With a copy to: Public Works Director
City of Seal Beach
211 8th Street
Seal Beach,California 90740
Page D-36
If to Contractor: Golden State Constructors
6162 Galipean Dr.
Huntington Beach,CA 92647
Telephone: (714)625-8758
Fax: (714)625-8295
10.0 Non-Assignability;Subcontracting. Contractor shall not assign,transfer,or subcontract
any interest in this Agreement or the performance of any of Contractor's obligations hereunder. Any
attempt by Contractor to so assign,transfer,or subcontract any rights,duties,or obligations arising
hereunder shall be null,void and of no effect.
11.0 Compliance with Laws. Contractor shall comply with all applicable'fedeial,state and
local laws,ordinances,codes and regulations in force at the time Contractor performs the Services.
12.0 Non-Waiver of Terms.Rights and Remedies. Waiver by either party of any one or
more of the conditions of performance under this Agreement shall not be a waiver of any other condition
of perfonnance.under this Agreement._In no event shall the making by City of any payment to Contractor
constitute or be construed as a waiver by City of any breach of covenant,or any default which may then
exist on the part of Contractor,and the making of any such payment by City shall in no way impair or
prejudice any right or remedy available to City with regard to such:breach•or default...
13.0 Attorneys'Fees. In the event that either party to this Agreement shall commence any
Iegal action or proceeding to enforce or interpret the provisions of this Agreement,the prevailing party in
such action or proceeding shall be entitled to recover its costs of suit,including all attorneys'fees
incurred in connection therewith.
14.0 Construction. The validity,interpretation,and performance of this Agreement shall be
controlled by and construed under the laws of the State of California:-In.the•event,of any asserted—
ambiguity •.
in,or dispute regarding the interpretation of any matter herein,the interpretation of this
Agreement shall not be resolved by any rules of interpretation providing for interpretation against the
party who causes the uncertainty to exist or against the party who drafted the Agreement or who drafted
that portion of the Agreement.
15.0 Entire Agreement. This Agreement,including any other documents incorporated herein
by specific reference,represents the entire and integrated agreement between Contractor and City. This
Agreement supersedes all prior oral or written negotiations,representations,or agreements. This
Agreement may not be amended,nor any provision or breach hereof waived,except in a writing signed
by the parties which expressly refers to this Agreement.
(Intentionally Left Blank)
•
Page D-37
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IN WITNESS WHEREOF,the parties,through their respective authorized representatives,have
executed this Agreement as of the date first written above.
CITY OF SEAL BEACH CONTRAC R:
By: By:
David N.Carman Y, ity Mana g er Name:
f,i a[�' c. C.ocJ-c a4-.D
Title: /-Q✓LL 19 ca ,--
Attest:
�'S
By: F`(.91414;1-1 By:
mda evine,City Clerk Name:
Title:
Approved to Form:
By: C Vii)
uinn M.Barrow, Attorney
Page D-38
ACORD CERTIFICAT!OF LIABILITY INSURANC! OP ID
IC1 DATE(MMIDDIYYYY)
GOLDENS 06/03/10
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Huntington Pacific Ins. Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
7901 Professional Circle ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Huntington Beach CA 92648
Phone: 714-841-6283 Fax:714-842-2538 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A Scottsdale Insurance Company
INSURER B Mercury Casualty Company 11908
Golden State Constructors, Inc INSURERC Everest National Ins Co. 10120
6162 Galipean Drive INSURER D
Huntington Beach CA 92647
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
MK
LTR INSRC DATE(MMIDDIYY)E POLICY(MNUDDAY )
LTR AIJIJL TYPE OF INSURANCE POLICY NUMBER LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
A X X COMMERCIAL GENERAL LIABILITY BCS0021352 01/31/10 01/31/11 PREMSES(Eaoccurence) $ 100,000
CLAIMS MADE X OCCUR MED EXP(Any one person) $5,000
PERSONAL&ADV INJURY $ 1,000,000
GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $1,000,000
POLICY Ti JEC 17 LR
AUTOMOBILE LIABILITY
000 COMBINED SINGLE LIMIT $1
B X X ANY AUTO CCA0006989 02/06/10 02/06/11 000.
(Ea accident) i �
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
—I OCCUR CLAIMS MADE AGGREGATE $
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND
X TORY SLIMITS O ER
C
EMPLOYERS'LIABILITY 7600004867101 02/06/10 02/06/11 EL 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/SPECIAL PROVISIONS
City of Seal Beach,its officers,officials,employees,designated volunteers
and agents are named as Additional Insured in respects to the General & Auto
Liability per attached endorsements.
CERTIFICATE HOLDER CANCELLATION
SEALO01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
City of Seal Beach IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
211 8th Street
Seal Beach CA 90740 REPRESENTATIVES
AUTHQR7ED REPRE NTATIVE
ACORD 25(2001/08) C:)ACORD CORPORATION 1988
0 •
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(2001/08)
• •
POLICY NUMBER #BCS0021 352 COMMERCIAL GENERAL LIABILITY
CG 24 04 10 93
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY •
AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
ANY PERSON OR ORGANIZATION WITH WHOM THE INSURED HAS AGREED
TO WAIVE RIGHTS OF RECOVERY, PROVIDED SUCH AGREEMENT IS
MADE IN WRITING AND PRIOR TO THE LOSS
•
•
•
•
•
•
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV—COMMERCIAL
GENERAL LIABILITY CONDITIONS)is amended by the addition of the following:
We waive any right of recovery we may have against the person or organization shown in the Schedule above i
because of payments we make for injury or damage arising out of your ongoing operations or"your work"done •
under a contract with that person or organization and included in the"products-completed operations hazard". '
-is waiver applies only-fo the
of
CG
---- ---=-
CG 24 0410 93 Copyright,Insurance Services Office,Inc., 1992 Page 1 of 1 D
/Oeenrs Copy •
• •
Policy#BCS0021352
COMMERCIAL GENERAL LIABILITY
CG 20 33 07 04 .
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS -AUTOMATIC STATUS WHEN
REQUIRED IN CONSTRUCTION AGREEM ENT WITH YOU
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these
include as an additional insured any person or or- additional insureds, the following additional exclu-
ganization for whom you are performing opera- sions apply: •
tions when you and such person or organization This insurance does not apply to:
have agreed in writing in a contract or agreement •
that such person or organization be added as an 1. "Bodily injury", "property damage"or"personal
additional insured on your policy.Such person or and advertising injury" arising out of the
organization is an additional insured only with re- rendering of, or the failure to render, any
spect to liability for'bodily injury", 'property dam- professional architectural, engineering or
age"or"personal and advertising injury"caused,in surveying services,including:
whole or in part,by: a. The preparing, approving, or failing to pre-
1. Your acts or omissions;or pare or approve, maps, shop drawings,
on opinions, reports, surveys, field orders,
2. The acts or omissions of those acting your change orders or drawings and specitica-
behalf; tions;or
in the performance of your ongoing operations for b. Supervisory, inspection, architectural or
the additional insured. engineering activities.
A person's or organization's status as an addi- 2. "Bodily injury"or 'property damage" occurring
tional insured under this endorsement ends when after:
your operations for that additional insured are
completed. a. All work, including materials, parts or
equipment furnished in connection with
such work, on the project (other than ser-
vice, maintenance or repairs) to be per-
formed by or on behalf of the additional in-
sureds) at the location of the covered
operations has been completed;or
b. That portion of"your work"out of which the
injury or damage arises has been put to its
intended use by any person or organization
other than another contractor or subcon-
tractor engaged in performing operations
for a principal as a part of the same project.
CG20330704
®ISO Properties, Inc.,2004 Page 1 of 1 0
Agents Copy
V
• I
POLICY NUMBER #BCS0021352 COMMERCIAL GENERAL LIABILITY
CO 20370704
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s): Location And Description Of Completed Operations ,
ANY PERSON OR ORGANIZATION ALL LOCATIONS
WHEN YOU AND SUCH PERSON OR
ORGANIZATION HAVE AGREED IN
WRITING IN A CONTRACT OR
AGREEMENT, EXECUTED PRIOR TO
THE "OCCURENCE" TO WHICH THIS
INSURANCE APPLIES, THAT SUCH
PERSON OR ORGANIZATION BE
ADDED AS AN ADDITIONAL
INSURED ON YOUR POLICY
Information required to complete this Schedule,if not shown above,will be shown in the Declarations. '
Section II —Who Is An Insured is amended to in-
clude as an additional insured the person(s) or or-
ganization(s) shown in the Schedule, but only with
respect to liability for 'bodily injury" or "property
damage"caused, in whole or in part,by'your work"
at the location designated and described in the
schedule of this endorsement performed for that
additional insured and included In the "products- _
completed operations hazard':
CG 20 37 07 04 ®lSO Properties, Inc.,2004. Page 1 of 1 0
/pears Copy
COR� DATE(MMIDDIYYYY)
4 LLL CERTIFICE OF LIABILITY INSURA E OP RC
06/23/10
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
•CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING•INSURER(S),AUTHORIZED -- -
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. iv-- _ •--
IMPORTANT: If the'certificate holder is an;ADDITIONAL INSURED,the policy(ies)must be endorsed. 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 riot Confer-rights-to the
I certificate,holder in lieu of such endorsement(s). )
PRODUCER oQNIAC_I _
' l - -- - - _
}. _-• _. t.:_ PHONE - , - - - :L1:FAX,• ,t, • • --
United Captive_ _Ins. Brokers . (ac No,Ext): ''k••' (Plc,No): ----
E-MAIL
• I "17151 Newhope St:', Ste 211 ADDRESS: ` •-
PRODUCER ...
Fountain Valley CA 92708 CUSTOMER ID N: RBFCO-1 - • • ' '" •
•
Phone:714-708-4370 Fax:714-708-2300 INSURER(S)AFFORDING COVERAGE NAIC#
INSURED INSURERA: U.S. Fidelity and Guaranty Co. 25887
RBF Consulting INSURER B:
14725 Alton Parkway
Irvine CA 92 618 INSURER C:
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
t TniS IS TO CERTIFY THAT 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR TYPE OF INSURANCE ADM.SUER; POLICY EFF POLICY EXP
INSR WVD POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
DAMAGE TO i ED
COMMERCIAL GENERAL LIABILITY PREMISES(Ea Eoccurrence) $50,000
CLAIMS-MADE OCCUR MED EXP(Any one person) $5,000
PERSONAL&ADV INJURY $1,000,000-
GENERAL AGGREGATE $2,000,000- •-
. GEN'L AGGREGATE LIMIT APPLIES PER --• - PRODUCTS-COMP/OP AGG $2,0.00,000 -
—I POLICY JET • LOC '• - •- - $ •,. -
, AUTOMOBILE LABILITY - -_. - -- COMBINED SINGLE LIMIT
- _ - '- (Ea accident) • i, ,t •
- ANY AUTO :r,, ;�: .,'''•° r• BODILY INJURY(Per person) ,•S` - •' -- -
ALL OWNED AUTOS, • J - -• BODILY INJURY(Per accident) $•
•SCHEDULED AUTOS- ' PROPERTY DAMAGE $
HIRED AUTOS (Per accident)• ,
NON-OWNED AUTOS - • $
•
$
UMBRELLA UAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DEDUCTIBLE $
RETENTION $ $WORKERS A , EN D123W000200 07/01/10 07/01/11xIOYSIAT OTtAND EMPLOYERS' Y/N _ TRI .j
ANY PROPRIETOR/PARTNER/EXECUTIVE L EACH ACCIDENT $1,000,000
(Mandatory In NH) EXCLUDED NIA E L DISEASE-EA EMPLOYEE $1,000,000
(Mandatory In NH)
If yes,descnbe under
DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 107,Additional Remarks Schedule,if more space Is required)
Re: San Gabriel River Bikeway & Tiver's End Staging Area Improvement, JN
10-105896
CERTIFICATE HOLDER CANCELLATION
r
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
CITYSEA THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Seal Beach AUTHORIZED REPRESENTATIVE
Office of the City Clerk
211 8th Street n
Seal Beach CA 90740 '
^^^'���'�t 1 CO RPORATION. All rights reserved.
ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD