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HomeMy WebLinkAboutCC 12 CURB/GUTTER RPR 12-19-88CONSENT CALENDAR ~ NO. 12 DATE': DECEMBER 13, 1988 Inter- ] WILLIAM HUSTON, CITY MANAGER TO: PUBLIC WORKS DEPARTMENT/ENGINEERING DIVISION FROM: FINAL ACCEPTANCE OF PUBLIC IMPROVEMENTS SUBJECT: CURB AND GUTTER REPAIR PROJECT, 1987-88 FY RECOMMENDATION: It is recommended that the City Council, at their meeting of December 19, 1988, adopt the attached resolution accepting said work and authorizing the recordation of the Notice of Completion. Assuming no new claims or stop payment notices are filed, it is further recommended that 30 days after the date of recordation of the Notice of Completion, City Council authorize payment of the final retention amount of $20,683.35. This amount.together with the payment of $184,694.50 and withholding of $1,500.65 per order from State Labor Commissioner represent 100% of the final contract amount. BACKGROUND: This -project encompasses removal and replacement of sidewalks, curb and gutters, root pruning, and installing root barriers at various locations throughout the City. The work has been completed to the satisfaction of the Engineering Division. The final contract amount is $206,833.50. This exceeds the original contract amount of $184,745.50 by $22,088 which represents the cost of approximately 75 new locations added to the subject contract to consume the budgeted funds. Bob Ledendecker Sam Altowaiji ~/ Director of Public Works/City Engineer Assistant Civil Engineer BL: SA: mv Attach. 1 2 5 $ ? 9 10 11 12 13 15 16 17 18 19 20 21 25 26 25 RESOLUTION NO. 88-134 . . . A RESOLUTION OF THE'CITY COUNCIL OF THE CITY OF TUSTIN ACCEPTING WORKS OF IMPROVEMENT AND AUTHORIZING RECORDATION OF NOTICE OF COMPLETION FOR SIDEWALK AND CURB AND GUTTER REPAIR PROJECT, 1987-88 FY .' WHEREAS, General Procurement '& Construction Company, Inc., having a contract with the City of Tustin to construct the hereinafter described public work and improvement; and WHEREAS, the City Engineer has duly certified to the construction and completion of said public improvements herein- after mentioned in a manner satisfactory to the City Council of the City of Tustin; and WHEREAS, the City Council finds that said contractor has completed said public improvement hereinafter more particularly described in. accordance with the provisions of the contract documents and the notice of completion, and acceptance of said public work and improvement should be filed and payment of the balance due said contract authorized in accordance with the contract documents. NOW THEREFORE, BE IT RESOLVED by the City Council of the City of Tustin that said public work and improvement be, and the same is hereby accepted. Said public work and improvement is more particularly described as follows: Sidewalk and Curb and Gutter Repair Project, 1987-88 FY AND BE IT FURTHER RESOLVED that the City Engineer of the City of Tustin be and is hereby authorized to execute and file a notice of completion and acceptance of said public work and improvement described herein as required by law. · PASSED AND ADOPTED at a regular meeting of the City Council of the City of Tustin on the day of of , 1988. ATTEST: City Clerk Mayor SECTION C CONTRACT SIDEWALKK AND CURB AND GUTTER REPAIR PROJECT, 1987-88 FY (PROJECT NO.6235) This,ayreement, made and concluded, in triplicate, this day ofrP_ , 1988, between the City of Tustin, California hereinafter called City, and Ceneral Procurement & Construction Co., Inc., a California Corporation hereinafter called Contractor. ARTICLE I. Witnesseth, that for and in consideration of the payments and agreements hereinafter mentioned, to be made and performed by the City, and under the conditions expressed in the two bonds, bearing date with these presents, and hereunto annexed, the Contractor agrees with City, at his own proper cost and expense, to do all the work and furnish all the materials, except as are mentioned in the Specifications to be furnished by said City, necessary to construct and complete in good workmanlike and substantial manner and to the satisfaction of the City, in accordance with the specifications entitled: Sidewalk and Curb and Gutter Repair Project, 1987-88 FY, Project No. 6235, which said specifications are hereby specifically referred to and by such references made a part hereof. Said specifications are on file in the office of the City Engineer of the City of Tustin, California. ARTICLE II. Contractor agrees to receive and accept the following prices as full compensation for furnishing all materials and for doing all the work contemplated and embraced in the Agreement; and also for all loss or damage arising out of the nature of the work aforesaid, or from the action of the elements, or from any unforeseen difficulties or obstructions which may arise or be encountered in the prosecution of the work until its acceptance by the City of Tustin, 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 and for well and faithfully completing the work, and the whole thereof, in the manner and according to the plans and specifications, and the requirements of the Engineer under them. C-1 CONTRACT SIDEWALK AND CURB -AND GUTTER REPAIR PROJECT, 1987-88 FY (PROJECT NO. 6235) ITEM CONTRACT ITEM APPROXIMATE UNIT TOTAL NO. DESCRIPTION QUANTITY PRICE AMOUNT 1. Remove and replace PCC sidewalk 25,305 SF $ 3.00 $75,915.00 2. Sawcut asphalt or concrete 4,503 LF 0.50 2,251.50 3. Remove and replace PCC drive apron 1,086 SF 3.50 3,801.00 4. Remove and replace Type A-2 C&G 1,655 LF 15.00 24,825.00 5. Remove and replace Type B curb 41 LF 16.00 656.00 6. Remove and replace Type D C&G 1,011 LF 14.00 14,154.00 7. Root pruning/barrier Type A 98 LF 100.00 9,800.00 8. Root pruning/barrier Type B 622 LF 75.00 46,650.00 9. Asphalt concrete pavement 113 TN 55.00 6,215.00 10. New Sidewalk 239 SF 2.00 478.00 TOTAL CONTRACT PRICE $184,745.50 C-2 ARTICLE III. _ty hereby promises and . ees with Contractor to employ and does hereby employ Contractor to provide the materials and tc do the work according to the terms and conditions herein contained and referred to, for the prices aforesaid, and hereby contracts to pay the same at the time, in the manner and upon the conditions above set forth; and the said parties for themselves, their heirs, executors, administrators, successors, and assigns do hereby agree to the full performance of the covenants herein contained. ARTICLE IV. It is further expresssly agreed by and between the parties hereto that should there be any conflict between the terms of this instrument and the bid or proposal of Contractor, then this instrument shall control and nothing herein shall be considered as an acceptance of the said terms of said proposal conflicting herewith. ARTICLE V. 1. The CITY OF TUSTIN has obtained from the Director of Industrial Relations the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this contract and maintains copies thereof in the office of the City Engineer. The Contractor agrees that not less than said prevailing rates shall be paid to workers employed on this public works contract as required by Labor Code Sections 1771 and 1774 of the State of California. 2. The Contractor, shall, as a penalty to the CITY OF TUSTIN, forfeit twenty-five Dollars ($25.00) for each calendar day or portion thereof for each worker paid (either by Contractor or any subcontractor under Contractor) less than the prevailing rate set forth herein on the work provided for in this contract, all in accordance with Sections 1774 and 1775 of the Labor Code of the State of California. 3. Section 1773.8 of the Labor Code of the State of California, regarding the payment of travel and subsistence payments, is applicable to this contract. 4. Section 1777.5 of the Labor Code of the State of California, regarding the employment of apprentices, is applicable to this contract if the prime contract involves Thirty Thousand Dollars ($30,000.00) or more, or twenty (20) working days or more, or if contracts of subcontractors not bidding for work through the general or prime contractor are Two Thousand Dollars ($2,000.00) or more, or five (5) working days or more. 5. In performance of this contract, not more than eight (8) hours shall constitute a day's work. The Contractor shall conform to Article 3, Chapter 1, Part 7 (Sections 1810 et seq.) of the Labor Code of the State of California, and shall forfeit to the City as a penalty, the sum of Twenty-five Dollars ($25.00) for each worker employed in the execution of this contract by Contractor or any subcontractor for each calendar day during which any worker is required or permitted to labor more than eight (8) hours in any one calendar day and forty (40) hours in any one week in violation of said Article. Contractor shall keep an accurate record showing the name and actual hours worked each calendar day and each calendar week by each worker employed by Contractor in connection with the public work. C-3 6. Contractor agrees to keep accurate payroll records showing the name, address, social security number, work classification, straight time and overtime hours worked each day and week and the actual per them wages paid to each journeyman, apprentice or worker employed by him in connection with the public work,and agrees to insist that each of this subcontractors do the same. Contractor further agrees that his payroll records and those of his subcontractors shall be available to the employee or his representative, the Division of Labor Standards Enforcement, and the Division of Apprenticeship Standards, and shall comply with all of the provisions of Labor Code Section 1776, et sea., in general. 7. Contractor is also aware of the provisions of Section 3700 of the Labor Code which requires every employer to be insured against liability for Worker's Compensation or undertake self-insurance in accordance with the provisions of that code and will comply with such provisions before commencing the performance of the work of this contract. ARTICLE VI. The Contractor shall indemnify and save harmless the City of Tustin and all officers and employees thereof from all claims, suits, or actions of every name, kind and description, brought for, or on account of, injuries to or death of any person including but not limited to workmen and the public, or damage to property resulting from the construction of the work or by or in consequence of any negligence regarding the work, neglect or refusal of Contractor to faithfully perform the work and all of Contractor's obligations under the contract, or by or on account of any act or omission by the Contractor or his agents or a subcontractor or his agents or a third party during the progress of the work or at any time before its completion and final acceptance, or which might arise in connection with the agreed work or is caused by or happening in connection with the progress of said work, or on account of any passive or active negligent act or omission by the City of Tustin, its officers, employees and agents, save and except claims arising through the sole and exclusive negligence or sole and exclusive wilful misconduct of the City of Tustin. The defense in indemnification by Contractor shall include all costs and expenditures including attorney's fees incurred by the City of Tustin or its employees, officers or agents with respect to such claim or suit and Contractor will, if requested by City of Tustin, defend any litigation arising out of such claims at the sole cost and expense of Contractor. In addition to any remedy authorized by law, so much of the money due the Contractor under and by virtue of the contract as shall be considered necessary in the sole discretion of the City of Tustin may be retained by the City until disposition has been made of such claims for damages as aforesaid. ARTICLE VII. The Contractor shall take out and maintain during the life of the contract comprehensive automobile and general liability insurance that provides protection from claims which may arise from operations or performance under this contract. The amount of insurance shall not be less than the following: Single limit coverage applying to bodily and personal injury liability and property damage: $1,000,000.00. C-4 1 The following endorsements must be indicated on all certificates of insurance: (1) The City of Tustin, its elective and appointive boards, officers, agents and employees are named as additional insureds in the policy as to the work being performed under the contract; (2) The coverage is primary and no other insurance carried by the City of Tustin will be called upon to contribute to a loss under this coverage; (3) The policy cover blanket contractual liability; (4) The policy limits of liability are provided on an occurrence basis; (5) The policy covers broad form property damage liability; (6) The policy covers personal injury as well as bodily injury liability; (7) The policy covers explosion, collapse and underground hazards; (8) The policy covers products and completed operations; (9) The policy covers use of non -owned automobiles; (10) The coverage shall not be cancelled nor materially altered unless thirty (30) days written notice is first given to the City of Tustin. Contractor shall furnish the City of Tustin with satisfactory proof of insurance coverage as required. C-5 D \\ ^ \ \ CD CD #( , �\ )8 2 }$!«) j 6J\7 [ * **^CD . V) )_ / 33© y rj / 0 �D 0f 7e � !E In Witness Whereof, the parties have hereunto set their hands and seals the year and the date first above written. THE CITY OF TUSTIN BY: (Seal) Mayor of th City of Tustin ATTEST: . Y ) \4 ' ` I I— City Clea of the(City of Tustin CONTT OND PROVED: 'd Date 61-2�k- y Attorney APPROVED AS TO CONTENT: _Date 2 City ng eer CONTRACTOR Firm Name: General Procurement & Construction Co., Inc. (Seal) BY: IRFANUKAI TITLE: Secre ar /Treasurer BY: TITLE: ATTACH NOTARY ACKNOWLEDGEMENT FOR SIGNATURES OF CORPORATE OFFICER(S). C-6 M * ond No. 1157230 Exzcu-rive in Triplicate B _ Amvun't $i84.745.50 P.'C:n;um SA 695.00 � iir a� s'�; •, 9' 1 t���: CITY OF VJSTI?i PUBLIC CONTRACT FILZTRF'L*L PERFOM--rMCM BONrJ M, CW ALL I'XN BY °T'_�r.SF. PRRSZ TS: That General Prccuzenart S Ccns*ruc�i Co- Zr,C_ a ra1ifcrn!.a CDrDaraticn , as and hereinafter referred to collectively as and Amwest Suretv Insurance Comaanv a corporation crcanized and existing under tae laws of the State of California , and duly authori Zed to 4ransact surety business in the State of California, as, and he=ai.narter referred to as, "Surety", are held and fil ly bound unto the C_ty of '►'ustin kerainaf ter re:ffcr;.ed to as the "City", in ti7e sum Cf $184.'45.5D ' for pay:neni of which Principal and surety bind themselves, t;.eir he=rs, a^mi^_st�atcrs, vuacessa s and assigns, joirt-ly and severally as fal_ous: THE CORnITION OF THE : BOVE OB1TGAT10X 15 TILU : WtZREAS, Principal has entered into a contract dated `^- 19f8' , with City to do and perform the followina, generally descried work, which is more particularly describod in said contract for the construction c': Sidewa? amd Curb an C:uttar e of r. ;rviect 188? -Ea Ey, rProject 17c= 235And WF-EF.yAs, all of such improvements are to be constructed and installed in accordance with the plans and specifications described, referred to and incorporated iz said contract; and WHEREAS, Principal shall commence and ,complate the construction and staila`_ion of such improvements as provided in said contract; and Net{', THEREFORE, if Principal shall faithfsl,ly perform all agreements contained in the aforesaid cohtract, than this obligation shall be null i and void. \\ \ � _ \2\/} � �\ \\{�f � CD \ \�� \\/ co w n W 1 0 O PROVIDED, HOW R, i! Principal shall faithfully perfozm all agreements contained in the hereinabove described contract and ail obligations, then this obligation shall remain in ruli forco and effect, PROVIDED FURTHER, HOWEVER, that surety hereby stipulat%s and agrees that no change, extension at time, altaration or modification of the e'sntr&ct documents or of the work to be performed thereunder shall in any bray affect its obligation on then bond and it does hereby waive notice of any such changs, extension of tuna, alteration or :modification of the contract documents or a_' the work to be porformed thereunder) and PROVIDED FURTHER, that in case suit is brought upon this bond by t!,,r City or any other person who may bring an action on t.h_s bond, a reasonable attorney's fae, to be fisted by tho Court, shall he paid by Princinal and Sure A. SURFTY:dmwest Surety Insurance Company (NAME) NO^E: :.teach proper acknowladgements for both Surety & Principa'? BY: J Attorney-in-Iract Maria A. Contino ($Cal) BY: Address of surety: A.�:'ROVE C 1224E. Green St. Suite 102 G.t t ey Pasadena. CA 91106 PRINCIPAL: General Procurement -& Construction pmEj da., itc ,APPROVED A5 TO CONTENT: k . BY • ..__� lir aUKA (Sea!) BY: Address of Principal: 245 Fischer Avenue, Suite A-9 1004City .g eer Costa Mesa,•CA 92626 C -B t Bond No. Executive in Triplicate.] Amount �O,.- CITY OF TUSTIN PUBLIC CONTP-kCT LABOR AND Y—li=RIALS PAYMENT $0370 1157230 $42 372.25 included in KNOW ALL MEN BY THESE PRESENTS: That Gsneral Frccurzmenr & Conctruccio GQ., Inc., a California Corporation , as and hereinafter referred to callectiveiy as "Principal", and Amwest Surety Insurance Company a corporation organized and existing undar t:e Wates cf the State of California , and duly authori2ard to transact surety business in the State of California, as and hereinaftar referred to as, "Surety", are held and firmly hound into t.ha City of Tustin herel.nafter referred -o as the "City", in the sum of $92,372.25 for payment of Which Principal and surety bind themscl.vcs, their heirs, administrators, successors and assigns, jointly and severally ac fc_lsws THE C0NDITION OF THE ABOVE OBLIGATION' XS THAT: WHZRE;AS, PAine-;pal has entered into a c_ntracc dated 196cnc�', with City to do and perform the following, generally described 'work, which is more par;.icularly described in said contract for the construction of: idewa?k and Curb and Gutter Renar F_C�eCt, ?987-$3ry (R-r4j act No. 623" an WHEREAS, Principal shall commence and complete the construction and 3tsta,ilation of such improvements provided in said contract; and ivvri rn .:tjro a r Yrinc,-pai snail pay ;.ne coniracmor, nIs Lbccntractor, and all persons renting equipment or furnishing labor or -:- ,materials to th i for auch improvements, Io= the full cost of such inprovel-lents then this obligation 5rall be null and void. C--9 fl \\ 0 8E 0 oc \) PROVIDED, HowLVER, if Principal shall not pay the subcontractor 8: O all persons renting eo-uipment or furnishing labor or materials to them for such improvements fcr the full cost of cuch improvements, then thif t_Im obligation shall remain in full force and effect and such contractor, subcontractor and persons shall have a direct right of acti against the Principal and Surety under this obligation, subject to Priority of City. PROVIDED FURTHER, HOWEVER, that surety stipulates and agrees that no change, extension of time, alteration cr modification of the contract documents or of the work to he performed therount;er shai2 in any way affect its obligation on this bond and it does hereby waive notice of any such charge, extension of time, elteration or modificatior of the contract documents or of the work to be perfo_^.ned the_eunder; anc PROVIDED FURTHER, that in casa suit is brought Upon this bond by t:`. City or any other person who may bring an action on this bond, a reasonable attorney's fee, = bo fixed by the Court, shall be paid by Principal and surety. IN WITNESS WHEREOF, principal and Suzaty have caused these presants to be duly signed and szoaled this 16th day of June . 1982 t NOTEt Attach proper ack-nowledcjem-ants for both Surety & principal V� (Seal) SURETY: Amwest Surety Insurance Company ( NAME ) $Y; LL,, Attorney -in -Pact Maria A. Contino BY: Address cf Surety: 1224 E. Green St.., Suite 102 Pasadena, CA 91106 C-14 ZM -` OZ }\ -i D � �\ �\/{ § \\\ \\w \ f(» � -E3 \ { }\ (\ .� /\} }co APPROVED AS TO CONTENT: �2, F6YLCity n er PRINCIPAL: General Procurement & Construction (NAME) Co., Inc. (Seal) BY• • IR7 BOUKA -� 13, Address of Principal: 245 Fischer Avenue. Suite A-9 Costa Mesa, CA 92626 C-11 AMWEST SURETY INSURANCE CO. P.O. Box 4500 Woodland Hills, CA 91365 (818) 704-1111 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, That AMWEST SURETY INSURANCE COMPANY, A CALIFORNIA CORPORATION does hereby make, constitute and appoint Maria A. Contino its true and lawful Attorney(s)-in-Fact, with full power and authority for and on behalf of the company as surety, to execute and deliver and affix the seal of the company thereto if a seal is required, bonds, undertakings, recognizances or other written obliga- tions in the nature thereof, as follows: Contract, Court, License, Permit and Miscellaneous Bonds and to bind AMWEST SURETY INSURANCE COMPANY thereby, and all of the acts of said Attorneys -in -Fact, pursuant to these presents, are hereby ratified and confirmed. This appointment is made under and by authority of the following provisions of the By - Laws of the company, which are now In full force and effect: Article III, Section 7 of the By -Laws of AMWEST SURETY INSURANCE COMPANY This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of AMWEST SURETY INSURANCE COMPANY at a meeting duly held on December 15, 1975. RESOLVED that the president or any vice-president, in conjunction with the secretary or any assistant secretary, may appoint attorneys -in -fact or agents with authority as defined or limited in the instrument evidencing the appoint- ment in each case, for and on behalf of the company to execute and deliver and affix the seal of the company to bonds, undertakings, recognizances, and suretyship obligations of all kinds; and said officers may remove any such attorney- in-fact or agent and revoke any power of attorney previously granted to such person. RESOLVED FURTHER that any bond, undertaking, recognizance, or suretyship obligation shall be valid and binding upon the company (1) when signed by the president or any vice-president and attested and sealed (If a seal be required) by any sec- retary or assistant secretary; or (ii) when signed by the president or any vice-president or secretary or assistant secretary, and countersigned and sealed (if a seal be required) by a duly authorized attorney-in-fact or agent; or (iii) when duly executed and sealed (if a seal be required) by one or more attorneys -in -fact or agents pursuant to and within the limits of the authority evidenced by the power of attorney issued by the company to such person or persons. RESOLVED FURTHER that the signature of any authorized officer and the seal of the company may be affixed by facsimile to any power of attorney or certification thereof authorizing the execution and delivery of any bond, under- taking, recognizance, or other suretyship obligations of the company; and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF, AMWEST SURETY INSURANCE COMPANY has caused these presents to be signed by its proper of- ficer, and its corporate seal to be hereunto affixed this _ 'Jpt1v ,MSUR,hCf 1st day of April f9 85 AMWEST SURETY INSURANCE COMPANY _.�CJ�'''Y/3 • /JL�-trio-� T Gary R. Peterson.. President r Karen G. Cohen, Secretary STATE OF CALIFORNIA, COUNTY OF LOS ANGELES — ss On this 1st day of April A.D.,19 85 ,personally came before me Gary R. Peterson and Karen G. Cohen to me known to be the individuals and officers of AMWEST SURETY INSURANCE COM- PANY, CALIFORNIA who executed the above instrument, and they each acknowledged the execution of the same, and being by me duly sworn, did severally depose and say: that they are the said officers of the corporation aforesaid, and that the seal affixed to the above instrument is the seal of the corporation, and that said corporate seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority of the board of directors of said corporation. OFFICIAL SEAL JANICE DRUEZ (SEAL) m NOTARY PUBLIC - CALIFORNIA LOS ANGELES COUNTY Notary Public My comm, expires MAY 1, 1989 STATE OF CALIFORNIA, COUNTY OF LOS ANGELES — ss CERTIFICATE I, the undersigned, secretary of the AMWEST SURETY INSURANCE COMPANY, a California corporation, DO HEREBY CERTIFY that the foregoing and attached Power of Attorney remains in full force and has not been revoked, and further- more, that the provisions of the By -Laws of the company and the Resolutions of the board of directors set forth in the Power of Attorney, are now in force. Signed and sealed at Pasadena e asY� �Hsuc�ti�f .Pop ,ffo this 1601 day of June 19 88 Karen G. Cohen, Secretary a STATE P.O. BOX 807, SAN FRANCISCO, CALIFORNIA 94101-0807 COMPENSATION INSURANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ,' ,y _>•' POLICY NUMBER: CERTIFICATE EXPIRES: A [itS.l l_LJ 1 Rt, _. � -1'r z. (', �1 C. ."'t+�- I • . i� f tit lJr� JU L_ This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. u This policy is not subject to cancellation by the Fund except upon t-n4ays' advance written notice to the employer. We will also give you TEN days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance 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. X. PRESIDENT �.�.. E.. .... ._.:! r�JJ1� ,_�; 1 i l_... it Hi:•.�. t �.U;dli t_ liv `J t: ti.:_�; Sr'i._.cY .. . �_�..�j i Y= rfL,u i sJ rt,atJ at a IN lr i!, rales rit.. ��h=,7° i1�,L ��. i f -I ),i i, rlI ^-�<-y ..i t'�.,i .1 Yr�;lI 4iC I .> ri)L J- Y. EMPLOYER SCIF 10262 (REV. 10.86) COPY FOR INSURED'S FILE OLD 262A CITY OF TUSPIN CEJUIFICATE OF URANCE AND DESIGNATION OF NNADDITIONAL INSURED TO: CITY OF TUSTIN PRW ECT: SIDEWALK AND CURS AND GUTTER 300 Centennial Way REPAIR PROJECT, FY 1987-88 (PROJECT N0. 6235) Tustin, CA 92680 NAME AND ADDRESS OF INSURED CONrRACPOR NAME: AND ADDRESS OF INSURANCE COMPANY(IES) Boukai & Assoc & General Procurement & Constru tion Co. As Their Interest May Appear Farmers Insurance Group of Cos. 245 Fisdzer A9, Costa Mesa CA P.O. Box 799 NAME AND ADDRESS OF INSURANCE AGENCY Merced, CA 95343 Eben Sherwood, Agent Farmers Insurance 'Phis is to certify that the policies of insurance listed L�,, low have teen issued to the insured mane ed above, are in force at this time, that the City of Tustin i!: a 11,11nod additional in_:un'd therooll cis respects claims arising in connection with the hi'I:0inattiwe nankxl i'roj0Ct ;Vld that such Ill-ml- ance shall be primary with respect to any other insurance in force purcha„ed by the City oL 'lUstin Type of Insurance Policy Policy Limits of Liability in '1'hcusands Insurance pi ratiolI 1 t h LI: ite u���:z'wn�c Atgzuy<it G71JERAL, LIABILITY Comprehensive form Truck Insurance Exchange 5/8/89 Premises -operations 5598 53 41 Explosion and collapse hazard Underground Hazard Products/completed operations hazard Contractual insurance Broad form property damage Independent contractors Personal Iniury LIABILITY Same Policy # Comprehensive form Owned Hired ired Combined Umbrella form Other than Umbrella Form njury $ Property Damage $ 1,000,000 Bodily Injury $ $ & property damage combined $1,000,000 PERSONAL INJURY Bodily Injury (each person) Bodily Injury $ $ each Occurrence $1,060,000 CSL Property Damage $ S Bodily injury & Property Damage Combined $ 1,000,000 Bodily Injury & Property Damage $ $ Cail�ined $ $ WVI1fCLRS COMPENS7CION Sta to tory and (each EMPLC7YERS'j $ accident) LIABILITY It is certified that a waiver of subrogation is hereby issued to the City of Tustin as pertains to the terms of all Workers Compensation Insurance. The issuing ca^pany will give thirty (30) days written notice to the City of Tustin prior to modification or cancellation. Date, e: 6/20/88 NO MODIFICATIONS OR ADDITIONS MAY BE MADE �1� TO THIS FORM. Authorize presenta 've of the above- named insurance com ny(ies) R:9/25J82(P-Austin} C-12 TRUCK INSURANCE EXCHANGE AL INTERIM _'TIFICATE AS TO EVIDENCE OF INSI TRANCE THIS IS NOT AN INSURANCE POLICY. THIS IS ONL. VERIFICATION OF INSURANCE. IT DOES NOT IN !AY AMEND, EXTEND OR ALTER THE COVERAGE PROVIDED BY THE POLICIES LISTED BELOW. Named Insured-Boukai & Assoc & General Procurement & Construction 5598 53 41 Address .Co- As Their Interest May AppearPorky a(;en. uao. -245 Fischer Ave #A9 95 46 302 Costa Mesa, CA 92626 Agent PonoyN- Autoi,aD. Policy a CARGO This is to certify that policies for the above named insured are in force as follows: OWNED AUTO- MOBILES, UTO- MOBILES, IF COVERED Policy N - Work Cornp. This Interim Certificate As To Evidence of Insurance shall expire sixty days from 12 PM., 6/13/ , 19--8-$, unless cancelled prior to such date by written notice to the named insured. KI / Please issue a Permanent Certificate w Includes Goods or Products Warranty, Written Lease of Premises, Easement Agreement, Municipal Ordinance Agreement, Sidetrack Agreement, Elevator or Escalator Maintenance Agreement only, unless accompanied by specific endorsement providing additional Contractual Coverage. Desa �tred De ,,Pr , [—belo.. � wa�d YEAR, MAKE, TYPE OF BODY, LOAD CAPACITY I IDENTIFICATION NUMBER POLICY NUMBER Umbrella Liability LAST 3 DIGITS SHOWN 000 retained limit each occurrence aggregate If this Interim Certificate As To Evidence Of Insurance is to be cancelled prior to the expiration date, we shall provide 30 days advance notice in writing to whom this certificate is issued. Certificate issued to: AS ADD t y INSD: Name City Of Tustin And Project: Sidewalk & Address 300 Centennial Way Curb & Gutter Repair Tustin, CA 92680 Project, FY 1987-88 % (Pro'ct No. 6235) Countersign a a Not Appllmble is Texas. Au razed Roi—,entoroe ask In Texas the aggregate also applies fa owners and contractors protective, contractual and/or completed operations. 560514 4 87 11261 W1200 CI1200 PR'NrFD IN U S. A. -H, COVERAGE COMBINED LIMITS OF LIABILITY COVERED NOT AUTO COVERED LIABILITY Owned Bodily Injury $ ,000 each person K] C Hired $ ,000 each occurrence ❑ Non -Owned Employer's NonOwnership Property Damage $ ,000 each occurrence C Contingent liability Single Limit Liability for Coverages checked X above $ 1 , 000 ,000 each occurrence GENERAL LIABILITY M&C - OLT Bodily Injury $ 000 each persona F Owners & Contractors $ ,000 each occurrence ❑ Contractual a $ n al aggregate ,000 Pod "s W„ Elevators Property Damage $ each occurrence Products and/or $ ,000 annual aggregate Completed Operations ,000 products —* Single Limit Liability for Coverages checked X above $ 1,000 ,000 each occurrence $ 1, 0 0 0 ,000 produailt�W W Wga1e C k� CARGO $ 000 each Vehicle $ 000 each occurrence WORKERS' COMPENSATION Statutor Y w Includes Goods or Products Warranty, Written Lease of Premises, Easement Agreement, Municipal Ordinance Agreement, Sidetrack Agreement, Elevator or Escalator Maintenance Agreement only, unless accompanied by specific endorsement providing additional Contractual Coverage. Desa �tred De ,,Pr , [—belo.. � wa�d YEAR, MAKE, TYPE OF BODY, LOAD CAPACITY I IDENTIFICATION NUMBER POLICY NUMBER Umbrella Liability LAST 3 DIGITS SHOWN 000 retained limit each occurrence aggregate If this Interim Certificate As To Evidence Of Insurance is to be cancelled prior to the expiration date, we shall provide 30 days advance notice in writing to whom this certificate is issued. Certificate issued to: AS ADD t y INSD: Name City Of Tustin And Project: Sidewalk & Address 300 Centennial Way Curb & Gutter Repair Tustin, CA 92680 Project, FY 1987-88 % (Pro'ct No. 6235) Countersign a a Not Appllmble is Texas. Au razed Roi—,entoroe ask In Texas the aggregate also applies fa owners and contractors protective, contractual and/or completed operations. 560514 4 87 11261 W1200 CI1200 PR'NrFD IN U S. A. -H,