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Resolution No. 7057 ""'.... .- ) 1 2 RESOLUTION NO. 7057 3 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF VERNON APPROVING AND AUTHORIZING THE EXECUTION OF AN AGREEMENT FOR STREET SWEEPING SERVICES BY AND BETWEEN THE CITY OF VERNON AND CALIFORNIA STREET MAINTENANCE 4 5 6 WHEREAS, The city Council of the City of Vernon 7 previously authorized the advertisement for bids for Contract 8 No. 546 for Street Sweeping Services; and 9 WHEREAS, by adoption of Resolution No. 7056, the City 10 Council rejected the only bid received and ordered that such 11 services be procured by negotiated agreement; and 12 WHEREAS, the existing contract for street sweeping will 13 expire on December 31, 1997; and 14 WHEREAS, California Street Maintenance has agreed to 15 perform street sweeping services at a rate of Five Thousand Eight 16 Hundred Dollars and No Cents ($5,800.00) per month; and 17 WHEREAS, the Director of Community Services recommends 18 that the City contract with California Street Maintenance for 19 street sweeping services on a trial basis for one year, with said 20 contract subject to termination on ten (10) day's notice. 21 NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE 22 CITY OF VERNON AS FOLLOWS: 23 SECTION 1: The City Council of the City of Vernon does 24 hereby find and determine that the recitals contained hereinabove 25 are true and correct. 26 SECTION 2: The City Council of the City of Vernon hereby approves the Agreement for Street Sweeping Services, a copy of which has been presented to the City Council concurrently with 27 28 0... i. J 1 this resolution, and the City Council hereby orders said Agreement to be received and filed by the City Clerk. SECTION 3: The City Council of the City of Vernon hereby authorizes the Mayor and the City Clerk to execute said Agreement 2 3 4 5 for, and on behalf of, the City of Vernon. SECTION 4: The City Clerk of the City of Vernon shall 7 certify to the passage of this resolution, and thereupon and 6 8 thereafter the same shall be in full force and effect. 9 APPROVED AND ADOPTED this 16th day of December, 1997. 10 11 12 ATTE~ /. ~./ // A~ /~~~~ BRUCE V. MALKENHORST, City Clerk 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 -2- . ) I, BRUCE V. MALKENHORST, City Clerk of the city of Vernon, do hereby certify that the foregoing Resolution, being Resolution No. 7057, was duly adopted by the City Council of the City of Vernon at a regular meeting of the City Council duly held 1997, and thereafter was duly signed by Vernon. /~~~ BRUCE' V. MALKENHORST, City Clerk ~'. ,,~ 1 STATE OF CALIFORNIA ) ) ss COUNTY OF LOS ANGELES ) 2 3 4 5 6 7 8 on Tuesday, December 16, 9 the Mayor of the City of 10 11 12 (SEAL) 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 -3- . . .- INTER-OFFICE MEMORANDUM DATE: February 25, 1998 TO: Kevin Wilson Director of Community Services & Water FROM: Gloria J. Orosco, Chief Deputy City Cler SUBJECT: AGREEMENT FOR STREET SWEEPING SERVICES Attached herewith is an original executed Agreement for Street Sweeping Services.. Please forward this Agreement to California Street Maintenance, Inc. for their files. Your help in this matter would be greatly appreciated. GJO/mm Attachment AGREEMENT FOR STREET SWEEPING SERVICES THIS AGREEMENT FOR STREET SWEEPING SERVICES is made, entered into, executed in duplicate and to be performed iri the City of Vernon, California, as of the 16th day of December, 19.97., BY AND BETWEEN CITY OF VERNON, a municipal corporation hereinafter referred to as "City" AND California Street Maintenance. Inc. 1918 W. 169t'' Street Gardena. CA 90247 referred to as "Contractor".- , IN CONSIDERATION OF THE MUTUAL PROMISES, COVENANTS AND CONDITIONS HEREIN SET FORTH, THE PARTIES DO HEREBY AGREE AS FOLLOWS: Article 1. GENERAL Section 1. Scope of Work The Contractor will. furnish all labor, equipment-and materials and will perform all work described in the Special Provisions-and Contractor's Proposal dated December 4, 1997 attached hereto as Exhibits "A" and "B" respectively, and hereby incorporated by this reference. Section 2. Consideration The City shall pay the. Contractor for the performance of the work hereunder in accordance with the bid amounts set forth in Contractor's Proposal. Section 3. Payments (a) Monthly Progress Payments On or about the 25th day of each month, the Contractor shall submit to the City an estimate of the cumulative amount and value of the work performed by the Contractor prior to that. date and subsequent to any prior monthly .estimates. .The City shall pay the Contractor, within fifteen (15) calendar days, 900 of the said estimate reduced by: (l) amounts due to the City for equipment, services or materials furnished by -1- the City;~(2) amounts of any claims or liens, and (3) amounts required to be deducted by Federal, State or local governmental authorities. No monthly payment shall be construed as acceptance of the . work, or any portion thereof, nor shall such payment preclude the City from demanding and recovering from the Contractor such damages as may be sustained by reason of the Contractor's failure to fully perform this Contract. Section 4. Contract Documents The complete Contract includes all of the Contract Documents set forth herein, to wit: (1) this Agreement,. (2) the Special Provisions (Exhibit "A") ; (3) Contractor's Proposal (Exhibit "B") ; and (4) the Forms including the-Labor and Material Bond, the Proof of Insurance and the Workers' Compensation Certificate (Exhibit "C") . Section 5. Compliance with Provisions of Law (a) The City is a municipal corporation, a public agency of the State of California, and is subject to the provisions of its Charter, and when applicable the laws of-the State of California including the Government Code, the .Public Contract Code, and the Labor Code. It is stipulated and agreed that all applicable provisions of law are a part- of this Contract Agreement to the same extent as those set forth fully herein and .will accordingly be complied with by the Contractor. (b) The Contractor shall comply with all other provisions of law whether Federal, State, or local relating to said work. Section 6. Costs and Attorneys' Fees In any action or proceeding brought to enforce the provisions of this Contract Agreement, the court shall award reasonable costs and expenses, including attorneys' fees, to the prevailing .party. Section 7. Notices Any Notice required or permitted hereunder shall be given by personal delivery or by first class mail, postage prepaid, To: Contractor California Street Maintenance, Inc. 1918 W. 169th Street Gardena, CA 90247 -2- 1 To: City Clerk City of Vernon 430.5 Santa Fe Avenue Vernon, CA 90058 Section 8. Conflict with Plans and. Specifications Any conflict between the plans, and specifications and this Contract Agreement shall be brought to the attention of the City, which shall resolve such conflict. Section 9. .Assignment The Contractor shall not assign this Agreement or payments due hereunder. Section 10. Paragraph Headings The paragraph .headings herein are for the convenience of the parties and shall not affect the interpretation of thus Agreement. Section 11. Authority of the City's Representative The City's representative shall .decide all questions which may arise as to the quality or acceptability of materials furnished and work performed, and as to the manner of performance and rate of progress of the work, .all questions as ,to the interpretation of the plans and specifications, and all questions as to acceptable performance hereunder on the part of the Contractor.. Article 2. WAGES, HOURS and WORKING CONDITIONS Section 12. General Prevailing Rate .of Per Diem Wages The .general prevailing rates of per diem wages and. general prevailing wages for holiday and overtime work in the locality in which the work is to be .performed have-been determined. Copies of the prevailing rate of per diem wages are on'fle with-the City. .The-Contractor agrees that he, or any subcontractor under him, will not pay less than the foregoing specified prevailing rates of wages to all workers employed in the execution of this Agreement. The Contractor will post one copy of the aforesaid established prevailing rates of wages at the job site. For each calendar day or portion. thereof, and for each workman paid less than the stipulated day or portion thereof, and for each workman paid less than .the stipulated prevailing rates for such work or craft in which the workman is employed or any public work done hereunder by him, or any .subcontractor under him,-the Contractor -3- shall forfeit as penalty to the City the sum of .$25.00. Section 13. Hours. of Work (a) Eight hours labor shall constitute a legal days.work. The time of service of any worker employed on the work hereunder is limited and restricted to eight hours during any one calendar day and forty hours. during any one calendar week unless said :employee is compensated at a rate of one and one-half .times the basic rate of. pay for all times in excess of the foregoing. hours. (b) The Contractor shall keep and make available until ninety (90) calendar days after completion of this Contract Agreement an accurate record showing the name of.and actual hours worked each calendar day and each calendar week by each worker .employed by him on the work hereunder.. (c) The .Contractor shall, as a penalty to the City, forfeit $25.00 for each worker employed on the work by the Contractor or by any subcontractor for each calendar day during which such. worker is required or permitted to work more than eight hours in any one calendar. day or. forty hours in any one calendar week in violation of the provisions of this section. Section 14. Apprentices The .Contractor is responsible for complying with the .provisions of Labor: Code .Section 1777.5 dealing with the -employment of apprentices on the job site... The responsibility for compliance with said 'section for all apprenticable occupations lies with the prime the Contractor. Section 15. Discrimination The Contractor shall not ref use. to employ or promote any. . person, and shall not discriminate against any person with respect to compensation received or terms and conditions of employment, and shall not discipline or discharge any person .employed by him because of said person's race, religion, creed, color, national origin, .ancestry or sex; nor shall the Contractor refuse to accept otherwise qualified employees as indentured apprentices solely on the grounds of race, religion, creed, color, national origin, ancestry or sex. Section 16. afe .:The Contractor and all:-subcontractors shall comply with the . provisions of the Safety and Health Regulations for Cons ruction; promulgated by the U.S. Secretary of Labor under Section 107 of the "Contract Work Hours-and Safety Standards Act", as set forth in Title 29, C.F.R. and by the State of California, Division of Industrial Safety. -4- Section 17. Character. of Workers Only competent wprkers shall be employed on the work. ~ Any. person employed, who is found to be incompetent, intemperate, troublesome, disorderly or otherwise objectionable, or who .fails or refuses to perform his work properly .and acceptably, sha11 be immediately removed from the work by the Contractor and shalll not be re-employed on the work. Article 3. INSURANCE, INDEMDTIFICATION and BONDS Suction 18. .Insurance Prior to commencing work hereunder, the Contractor-shall provide the City with proof of insurance naming the City and their officers and employees as an additional-named insured on a policy or policies of insurance ,providing and maintaining the. .coverages set forth in the Insurance Schedule attached hereto. Said proof of insurance. shall also provide that said policy or pol-icier shall not be canceled or materially reduced without giving at least 30 days prior written notice to .the City. , Section 19. Indemnification The Contractor shall indemnify and hold harmless the City and its agents. and employees from and against all claims, damages, losses and expenses including attorneys' fees arising out of or resulting from the performance of the work hereunder, .provided that any such-claim., damage loss or ..expense (a) is attributable to bodily injury, sickness, disease or death of any person, inc'ludng_but not limited to persons employed by the Contracto.r.or any subcontractor, or tq injury to or destruction of .tangible property (other than the work itself) including the loss or use resulting therefrom, and- (b) is caused in whole or in part by any negligent act or omission of the Contractor, .any. subcontractor, anyone directly or indirectly employed by any of them or anyone for whose acts they may be liable. Section 20, Workers' Compensation The Contractor shall secure payment of compensation to his. employees, pursuant to Labor Code_Section 3700, and shall obtain. -employers" liability insurance as set foxth in the Tnsurance Schedule. Prior to performing the work hereunder, the Contractor shall submit to the City the Workers' Compensation Certificate set forth herein or an executed certificate of workers' compensation insurance as provided herein.. Section 21. Labor and Material Payment Bond -5- Before entering upon the performance of the work hereunder, -the Contractor shall file an approved Labor and Materiel Payment -Bond with the .City. Said bond shall begin the sum of 100% of the total amount payable by .the terms of this Agreement to the Contractor.. Said payment bond shall be in substantially the form of the payment bond attached hereto. i Article 4. PERFORMANCE Section 22. Term of Agreement The term of this Agreement shall be one (1) year, subject to termination by City at any time without cause upon ten (10) days written notice. Section 23. Force Majeure The ;Contractor shall not. be responsible for the cost of repairing or restoring damage to the work in excess of 5'0 of the Contracted amount, if the damage is determined to have been proximately caused Force Majeure provided, that the work damaged has been built in accordance with accepted and applicable building standards and he'plans and specifications of the Gty. Force Majeure shall include acts of a. public enemy, acts of the State or Federal Government, war, .riot, fires., floods, epidemics,- quarantine restrictions, strikes,. freight embargoes, unusually severe weather, acts. of God (meaning earthquakes of magnitude 3.5 or .greater bn the Richter Scale and tidal waves) and delays of subcontractors due to such causes. Section 24. Clean Up • Upon completion of the work, the Contractor shall remove :all debris and surplus materials from the work site. Section 25, Permi s and Licenses {a) The Contractor ahall apply for and procure all permits. and licenses necessary for the work except: (b) The Contractor shall give all notices necessary and ..incidental to the due and lawful prosecution of the work and shall. duly comply with the-terms and conditions of all permits and licenses. (c) The Contractor shall pay all charges and fees in connection with all .permits and licenses except those required by the following: =6- Section 26. Supervision b t1~e Contractor Before starting the work, the~Contractor shall designate, in writing, a representative who shall have complete authority to act for him. An alternate representative .may be designated. The representative or alternate shall be present at the workste whenever wor}c is niprogress. .Any order or communication given to the representative shall be deemed delivered to the .Contractor. A joint venture shall designate only one representative and-alternate. In the absence of the Contractor or his designated representative, necessary or desirable directions or instructions may be given by the City to the. superintendent or foreman having charge of the specific work to which he order applies.. Such .order shall be complied with. promptly and referred to the Contractor or hs'representatve. Section 27. Inspection of Work (a) The City shall at all 'times have access to the work during construction .and shall be: furnished with every reasonable facility for ascertaining full knowledge respecting the progress, workmanship and character of materials used and employed in the -work (b) Whenever the Contractor varies the period during which work is carried on each day, he shall give due notice to the City so that proper inspection may be provided. Any work done in the absence of the City's representative will be subject to rejection. {c) fihe inspection of the: work shall not relieve the Contractor of any of his obligations to fulfill the contract as prescribed. Defective work shall be made good, notwithstanding the fact that,_such defective work has been previously overlooked by the Agency's representative and accepted. Section 28. Correction of Defective and Unauthorized Work (a) All work which has been rejected shawl be remedied, in an acceptable-manner, and. no compensation will be allowed for such remedation-. Any extra work-done without written authority, will be considered as unauthorized. and will not-be paid... Work so .done maybe ordered removed at the Contractor's expense. (b) Upon failure by the Contractor to comply promptly with any order of the City made under the provisions of this article, .the City shall have authority to cause defective `stork to be corrected by its own forces or by another contractor, and to deduct the costs from any monies due or to become due to the Contractor. -7. Section 29. Equi mp ent The Contractor shall furnish adequate equipment and facilities to perform properly the.work in a workmanlike manner in accordance with the plans and specifications: Such equipment !and facilities must be in a good state of repair and maintained iin such tate during the progress of the work and shall meet all requirements of applicable ordinances and laws. No worn or obsolete equipment shall be used, and in no case shall the manufacturer's rating of capacity for-any equipment be exceeded. Article 5. MISCELLANEOUS Section 30. Standard Specifications The "Standard Specifications for Public Works Construction" (current. year edition), published by Building News, Inc. is hereby incorporated by this reference and made a p-art hereof as though .fully set forth at length, provided, however, in the event that said standard specifications are inconsistent with the teams of this Contract, including the special provisions attached hereto, then this Contract and-the special provisions shall be deemed controlling. - IN WITNESS WHEREOF the parties hereto have executed this Agreement or caused it to be executed as of the day, month and year first above written. CITY OF VERNON Bar r ~izc~ " eonis C. Ma-burg, Mayor ATTEST: 'Bruce V. Nlalkenhorst, City Clerk APPROVED AS TO FORM: . By ~ ~ ~ ~ DAVID B. BREARLEY,.City Attorney CONTRACTOR Name California Street Maintenance,Inc. 1918 W. 169th St., Gardena, CA 90247 By Jere Costello Ttl president NOTE: If the Contractor is a :corporation, the legal name of .the corporation shall be set forth above, together with the signature of the officer or officers authorized to sign contracts on behalf of the corporation; if the Contractor is a partnership, the true name of the firm shall be-set forth above, together with the signature of the partner or partners authorized to sign contracts on behalf of the partnership; if a special partnership, the names' of the general partners and special partners shall be shown; and if the Contractor is an ..individual, his full name shall be typed or printed above his signature. -9- SPECIAL PROVISIONS Work .Schedule All work shall be performed at night or on weekends. The hours which sweeping shall be performed shall be approved by the. Director of Community Services .and shall be those which he determines to be the most convenient and appropriate to provide adequate street sweeping service. The Director of Community Services has the authority to change the schedule from time to time in .order to meet .the needs of the City for an adequate street weeping program. No sweeping shall be allowed after 6:00 a.m. The Contractor shall submit to the Director of Community Services for approval, his proposed sweeping .schedule and submit a report for .each change .from this schedule. For schedule of work see attached map.. Duty. of Contractor During the term of this Contract, Contractor shall sweep all paved public streets, alleys, street medians and islands within the corporate limits of the City of Vernon once a week per approved schedule. This includes all A,C. or concrete rolled curbs and-curb returns (radius). Streets which are not swept because of a holiday, will be swept the next scheduled sweeping day'. Where inclement weather, in the opinion of the Director of Community Services, prevents adherence to the regular sweeping schedule, the Contractor shall not be required to comply with the schedule. However.,- the Contractor shall perform all extra-work caused by such inclement weather without additional :charge. In the event the Contractor s_prevented from completing the sweeping as provided. in the schedule because_of equipment breakdown or reasons other than inclement weather, it shall be required to complete the sweeping service so deferred prior to the.next regular scheduled sweeping date, or give the City credit for each curb mile of work not so performed at the -rate specified in the bid. Disposal of Sweepings Contractor shall dispose of all refuse and debris collected by the sweeping operation at his expense and haul the material to legally established dumps. The Contractor can temporarily store sweepings on the lot at 'the southeast corner of Downey Road and EXHIBIT „A„ .Page 1 of 4 SPECIAL PROVISIONS Band,ni Boulevard. 'The Contractor shall remove said sweepings from the -City after each day's operation. Standards of Service i The standards of performancewhch the-Contractor is obligated to perform hereunder are. the standards which are considered to be good street sweeping practices and shall be subject to the approval of the Director of Community Services.. Equipment and Labor' The Contractor shall furnish at his. expense all labor, equipment and materials necessary for the satisfactory performances of the work. Contractor shall use standard heavy- duty street sweeping equipment as is necessary to clean the streets Qf paper, leaves, dirt, rocks and `other debris. The machinery and equipment used shall not exceed three {3) years of age and shall be properly maintained, both as to condition and appearance, so as to insure a high level of street sweeping services. The-machinery shall meet all South Coast Air Quality Management requirements. Rule 11.86, PM10-efficient street sweeping in paragraph (d)2). The definition of PM10--efficient sweeping is in paragraph (c)13). Paragraph (h)(4) contains certain. exemptions from paragraph (d)'(2) requirements. Additional Work In the event. the City desires to extend the street sweeping program to include new streets constructed after the effective .date of this Contract, then any additional sweeping which is required of the Contractor shall be paid at a rate specified in the bid. Assignment The Contractor shall not assign., sublet or lease any part ox° portion of this Contract without prior approval of the City Council. Term of Contract This contract shall be for a period of two (2) years, starting January 1, 1998. EXHIBIT "A" Page 2 of 4 SPECIAL PROVISIONS Traffic Counters The Contractor is cautioned that,, at various-times and locations, the City will temporarily install portable traffic counters of the type which are activated by vehicles crossing. over a hose placed in the roadway. If the Contractor, while in the performance of his contract duties, damages the traffic counting equipment he shall bear the entire cost for the repair of the damaged equipment. Water The City will provide the .Contractor, free of charge, water • from the City's hydrants.. The water shall be used in connection -with this contract only.. The Contractor shall furnish the City a :report at the end of each month showing the approximate quantty- of water used.. Equivalent Standby Element e The Contractor shall at all times maintain one equivalent street sweeper to be used in the event of a breakdown. Sweeping .Speed ' A special tachometer shall be installed on each sweeper which will record and make as a permanent record the actual.., driving speed of said sweeper from the speed 0 upward, or show the hours swept. The records shall be submitted to: the -City upon request. Bonds Bid bond shall be 100, Performance Bond., ..Labor and Material Bond shall be 1000 of annual contract (twelve months). Contract Extension The Contract may be extended by mutual agreement with the City and Contractor one.-year at a time. EXHIBIT "A" Page 3 of 4 SPECIAL PROVISIONS Compensation , The contractor shall be entitled to a percentage adjustment in .the bid price commencing January 1, 1999 and each year thereafter. The bid prices. will be increased or decreased !in accordance with the Department of Labor's Consumer Price. Index for the Los Angeles.-Long Beach .Metropolitan area, as published on January 1, of each year. The bid price will be adjusted 75% of the Consumers Price Index. sp.s46 EXHIBIT "A" Page 4 of 4 v ~~~pp ~-r~~r ~r _EXHIBLT «B„ Page l of 3 December 4, 1997 Mr. James Persons CITY OF VERNON 4305 Santa fe Aveinue Vernon, CA 90058 Re: PROPOSAL FOR STREET SWEEPING SERVICES Dear Mr. Persons, The following is a proposal for our providing street sweeping services for the -City of Vernon. Scope of Service Approximately 90 curb miles of street sweeping will be performed on a weekly basis. Schedule Street sweeping will be performed prior to Gam on days acceptable to the city: Quali The quality of all street sweeping will be excellent at-all times. Operators will be instructed to make as many passes as are .necessary to clean all streets-thoroughly: We will-operate our equipment at speeds within .sweeper manufacturers recommendations for optimal performance. 1918 W. 169th-Street,. Gardena, California, 9osg7 Phone (310) 538-5888 Fax (310) 538-8015 Toll Free (800) say-7316 ~a~~~a~n ~~u~~~ 11~a~r~x~nce Equipment All sweeping will be pertormed with late model full size .municipal street sweepers. Equipment will be maintairoed in .optimal operating condition at all times. Equipment will comply with, all recent AQMD decisions and regulations pertaining to street sweepers in the Los Angeles basin. Debris Debris -will be hauled to the landfill by California Street Maintenance. CSM will pay all fees and costs associated with debris. .Insurance California Street Maintenance will maintain all necessary Liability and Workers- Compensation :insurance at all.times. Supervision All work will be supervised on a regular basis. Any complaints will be re-swept at no cost immediately. Cost The cost of these services shall be $5,800 per month or $69,600 per year. Additional Services Additional curb miles will be swept at a cost of $15.00 per curb .miles. Street sweeping will be provided when needed at an hourly rate of $65.00 per hour, 3 hour minimum. EXHIBIT "B" Page 2 of 3 ~~rc~r~t Ik~F:~~~i~ecz;~nc~ Terms The term of thin. agreement will be one year, We are :prepared to begin immediately. ; i Termination The city may terminate these services at any time., for any reason -upon 10 days notice. We appreciate. the opportunity to provide this proposal. We are confident of our ability to provide the City of Vernon excellent service. 1 hope we can be of service to you. Please call. if you have any questions concerning this proposal or-our services. ' cerely our re Costello EXHIBIT "B» Page 3 of 3 BOND FORMS AND INSURANCE REQUIREMENTS Contractor shall furnish a Workers' Compensation Certificate in substantially the form shown herein and shall give a Labor and Material Payment Bond on.th~ form enclosed herewith. The Insurance Schedule shall be followed and insurance coverage provided in the types and. amounts shown. Since the , tandard certificate of .insurance by its terms does not constitute proof of insurance, as indicated on the Insurance Schedule either a copy of the policy or a notarized letter from the insurance underwriter or carrier verifying the .coverage. is required. Time is of the essence of this Agreement, and so the insurance schedule must be promptly submitted to an authorized insurance agent, Since an insurance endorsement providing coverage for this contract is required, it is advisable to provide a copy of this contract to the insurance agent. EXHIBIT "C" Page 1 of 7 W~RKERS' COMPENSATION CERTIFICATE The~undersgned is aware of the provisions of Sec. 3700 of i the Labor Code which requires 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 will comply with such provisions before commencing the performance of his Agreement. CONTRACTOR Name Dated By Title _ NOTE: If the Contractor is a corporation., -the legal .name of the corporation shall be set forth above, together with the signature of the officer or officers authorized to sign contracts on behalf of the corporation; if the Contractor is a partnership, "the. true name of the firm shall be set forth above, together with the- signature of the partner or partners authorized to sgn~contracts on behalf of the partnership; if a, special partnership, the names of the general partners and special partners shall be shown; and if the Contractor is an individual, his full name shall be typed or printed above his signature. Workers' Compensation Certificate - EXHIBIT "C" Page 2 of 7 Bond. No. 53149 LABOR AND MATERIAL PAYMENT BOND i KNOW ALL MEN BY THESE PRESENTS: That WHEREAS, the City Council of the CITY OF VERNON, a municipal corporation, by action. on the 16thday of December 1997 , has awarded to California Street Maintenance, .Inc. hereinafter designated as the "Principal," Agreement for Street Sweeping services in Los Angeles County, California; and .WHEREAS said Principal is required to furnish a bond in connection with said Agreement providing that if said Principal or any of his subcontractors shall fail to pay for any materials,. provisions, provender, or other supplies, or teams used in, upon, for or about the performance of the work contracted to be done, or for any work-or labor done thereon of any kind, or for amounts due under the Unemployment Insurance Act,. the .Surety on this bond will pay the same to the extent .hereinafter set forth. -NOW, THEREFORE, we, the Principal and American Contractors Indemnity Company , as surety, are held and firmly bound unto the CITY bF VERNON in the penal sum of Sixty Nine Thousand Six Hundred DOLLARS .69,6.00.00. ) , 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, and successors, jointly and severally, firm y by these presents.. .THE CONDITION OF THiS OBLIGATION IS SUCH that if said Principal, his subcontractors, heirs,. executors, administrators, successors, or assigns, shall fail to pay for any materials, provisions, provender or other supplies or teams used in, upon, for or about the performance of the work contracted to be done, or for work or abar thereon of any kind, or fail to .pay any of the. persons named in California-Civil Code Section 3181, or amounts due under the Unemployment-Insurance Code with respect to work or labor performed by any such claimant, or for any amounts required to be deducted, withheld, and paid over to the Franch~.se Tax Board from the wages of :employees of the Contractor and his subcontractors pursuant to Section 18806 of the Revenue and Taxation Code.wth respect to such work and labor, and all other applicable laws of the State of California and rules and regulations of its agencies, then said Surety will pay the same in or to an amount not exceeding the amount herenabove set forth, and also will pay, in case suit is. brought upon this,bond; .Labor and Material Payment Bond -1 EXHIBIT ~~C~~ Page 3 of ' 7 . _ _ STATE OF CALIFORNIA }SS. Los An } ~ COUNTY OF g e 1 e s On March 6, .1998. ,before me, Richard L. Peterson personally appeared ~ Jere Costello President of California Street Maintenance , .Inc- . ,personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity (ies), and.that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. ,ti WITNESS my hand and official seal. ~ ~ ~'-~~g~~ ` Signature ~ ~~t.: (fie h~~v Title of Document City of Vernon Contract Date of Document No. of Pages Other signatures not acknowledged such reasonable attorneys' fees as shall be fixed by the court,. pursuant to Section 3181 of the California Civil Code. This bond shall inure to the benefit of any of the persons named in Section 3181 of the California Civil Code, sous to give a right. of action to them or their assigns in any suit brougf~t upon this bond, and the said Surety, for value received, hereby stipulates and agrees that no change, extension of .time, alteration, or addition to the terms of the Contract, or the work to be performed thereunder, or the specifications accompanying the same, shall in any way affect its obligation on this bond, -and it does hereby Waive notice of any. such. change., .extension of time, alteration, or addition to the terms of the Contract, or to 'the work or to the specifications.. IN WITNESS WHEREOF, t~ D identical counterparts of this instrument each of-which shall for all purposes be deemed an original thereof, have been duly executed by ~ h Principal and .Surety above named on the day of 199. Name. California Street Maintenance (P cipal (Attach Acknowledgment) By Jere Costello Name American Contractors Indemnity Company (Buret ) By Jody o h 'n (Attorney`'i -f ct APPROVED AS TO FORM: C~ DAVID B. BREARLEY, City A torn'ey 1 Labor and Material Payment Bond - 2 EXHIBIT "C" .Page 4 of 7 ~AL91~RNIA ALL=PURPOSE ACKN®lA/LE®GonAEN7° State of State o'f 1 i fnrni a `l COUnty Of LnG Angel PG / ~ On ~ " r~ ~ before me, 11Phnrah gpPse _ • Date Name and Title of Officer (e.g., "Jana Doe, Notary Public") ~J{ ,~jl personally appeared Jodv Loughl;n~>,, Name(s) of Signer(s) ' I fi ~ personally known to me - OR - ? proved to me on the basis. of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), ~ s•.,,;,: or the entity upon behalf of which the person(s) acted, rl DEBORAH REESE a ~ CgMM. ~ 10485A4 z executed the instrument. Zr ' ~ Notary Public - California D LU~ANGEtESCU1INTY WITNESS my hand and official seal ` ' C`Ay Comm. Expiros JAN 1 b, 1999 ~ ~ Signature of Notary Public OPTIONAL Though the information below is not required bylaw, it may prove valuable to persons relying on the document and could prevent ;S j fraudulent removal and reattachment of this form to another document. Description of Attached Document `~~s Title or Type of Document: _ ~i Document Date: Number of Pages: _ Signer(s) Other Than Named Above: r{' Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: O Individual ? Individual fi ? Corporate Officer ? Corporate Officer Title(s): Title(s): ? Partner - ? Limited ? General ? Partner - ? Limited ? General ~ ~ Attorney-in-Fact ? Attorney-in-Fact ? Trustee _ _ ? Trustee I i ? Guardian or Conservator ? Guardian or Conservator - i ? Other: Top of thumb here ? Other: Top of thumb here I f } Si ner Is Re resentin g p g~ Signer Is Representing: ~ I American Contractors Indemnity Company _ - - ti~~;`C4~i""~:~C ~ ~ ~ :T~.~C.`CC`~<<.'~v~E:'~.~4`t`~3'~--V~?=(i~U'CtS~.`~_-C.`~~_~C.'~C:`~<>~,~t1CC:'CC.`~C:~C.'C.4~<:`CV`GC.'E-E,~:'~C%~.`Z-c.'Z=C:`<=(.~'~' ©1995 National Notary Association • 8236 Remmet Ave., P.O. Box 7184 • Canoga Park, CA 91309-7184 ~ Prod. No. 5907 Reorder: Call Toll-Free 1-800-876-6827 American Contractors Indemnity Company Los Angeles, California POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That AMERICAN CONTRACTORS INDEMNITY COMPANY, a California Corporation (the "Company"), and having its principal office in Los Angeles, California does hereby constitute and appoint: Jody Loughlin as its true and lawful Attorney(s)-in-fact, in amount of $1, 000 , 000.00, to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof, which aze or may be allowed, required or permitted bylaw, statute, rule, regulation, contract or otherwise, and the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said AMERICAN CONTRACTORS INDEMNITY COMPANY, as fully and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by its regulazly elected officers at its principal office. This Power of Attorney is executed, and may be certified to and may be revoked, pursuant to and by authority of resolutions adopted by the Board of Directors of AMERICAN CONTRACTORS INDEMNTIY COMPANY, at a meeting called and held on the 6th day of December,1990. RESOLVED that the Chief Executive Officer, President or any Vice President, Executive Vice President, Secretary or Assistant Secretary, shall have power and authority. 1. To appoint Attorney(s)-in-fact and to authorize them to execute on behalf of the Company, and attachthe Seal of the Company thereto, bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and, 2. To remove, at any time, any such Attorney-in-fact and revoke the authority given. RESOLVED FURTHER, that the signature of such officers and the seal of the Company may be affixed to any such power of attorney or any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. IN WITNESS WHEREOF, AMERICAN CONTRACTORS INDEMNITY COMPANY has caused this instrument to be signed and its corporate seal to be affixed by its authorized officer this 1st day of September ,19 y `o~.~Q,pCTO~~yo AMERICAN CONTRALTO S E MPANY 5 INCORPORATED By: ...~~~SSS SEPT: 26,1990 o Andy Faust, President STATE OF CALIFORNIA ' ~qp' COUNTY OF LOS ANGELES On September 1, 1997 before me, B. Caindec personally appeazed Andy Faust personally known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal. „r, , e. CAINDEC ~ Conxnuslon T 098990 • Notary PubAc - CdtforNo - los Mgeles County • My Comm. E~Irea May 2a, 2000 CERTIFICATION I, the undersigned officer of AMERICAN CONTRACTORS INDEMNTTY COMPANY do hereby certify that I have compared- the foregoing copy of the Power of Attorney and affidavit, and the copy of the resolution adoptedby the Boazd of Directors of said Company as set forth in said Power of Attorney, with the ORIGINALS ON FILE IN THE HOME OFFICE OF SAID COMPANY, and that same are correct transcripts thereof and of the whole of the said originals, and that the said Power of Attorney h not been revoked and is now in full force and effect. jf IN TESTIMONY WHEREOF, I have hereunto set my hand this -__s~°~/' / day of l/~' 1/ ,19 98 Albert Baumgarten, Secretary INSURANCE SCHEDULE (CONTRACTOR) The Contractor shall provide proof of .insurance, including a standard certificate of insurance, in at least the following amounts and coverage (.combined single limit permitted): I• Coverage and Limits .Bodily In~u ~ Pro erty Damage Hazards Each Person Each Accident Each Accident Automobile Liability Owned Automobiles $ 500,000 $1,-000,000 $ 500,0-00 Hired Automobiles $ 5.00,-00:0 $1,000,000 $ 5OD,000 Non-Owned Automobiles $ 500 000 $1 000 000 S 500 000 Workers' Compensation S Statutory Emplovers' Liability Sl 000,000 per employer II. General.-Liability Premises Operations $1,OOO,A00 $2,000,.0-00 $1,000,000 Elevators (if applicable) $1,0.0:0„000 $2,OOO,OOD $1,000,-000 Independent Contractors $1,00.0,000 $2,000,000 $1,000,000 Products - Completed Operations $1,.000,000 $2,000,000 $1,000,000 Contract .Liability $1 000 000 S2 000 000 ~l 000 000 Umbrella Liabili y $1 000 000 $l 000 000 $1 000 0 0 a. The general liability policy shall contain the following special endorsements which shall be noted on or attached to the standard .certificate of insurance: 1. An endorsement naming :the City of Vernon, its officers, and employees as insureds under the policy. 2. An endorsement providing the City of Vernon thirty (30) days notice of cancellation or material reduction of coverage. 3. An endorsement. providing coverage for all operations under City of Vernon Agreement for Street Sweeping ,Services. 4. Such other endorsement as may be required. by addendum hereto. b. In addition to the standard certificate of insurance, proof of general and umbrella liability coverage shall be furnished in the form checked below. Certification of the following proofs bX the insurance agent or broker will not be accepted: X For each policy, a notarized letter from the underwriter or carrier certifying that the coverage and statements in the standard certificate of insurance (attached thereto) are true and correct and that the signator is an officer authorized to so certify. A copy of each policy certified by an officer of-the underwriter or carrier and notarized. EXHIBIT "C" Page 5 of 7 i PROOF OF .INSURANCE APPROVAL AS TO FORM The proofs of the following insurance coverage have been received and approved as to form: Broad Form Contractual Liability Automobile Liability Worker's Compensation Employer's Liability General Liability Umbrella Liability Dated • ~ DAVID B. SRE Y City Attorney EXHIBIT "C" Page 6 of 7. INSURANCE FORM LETTER (To be issued on insurance carrier letterhead) Date: S A City Clerk M City of Vernon p 4305 Santa Fe Avenue I, Vernon, CA 90058 E Re: Insurance for City of Vernon (description of permit or Contract) .Policy Number(s) • Named Insured: City Clerk: I hereby certify that the certificate of .insurance attached. hereto and made_a part hereof by reference truly and accurately represents the above cited insurance policies and the insurance coverage .of each for the named insured issued by (insurance carrier) . The City of Vernon, s officers, and employees are included in said policies as additional insureds and the Gity of Vernon will be provided with thirty (30) days written notice of cancellation or material reduction of coverage. I certify that I am an officer of the insurance carrier named herein and-.that I am authorized to sign this certificate on behalf of sand insurance carrier. Signature Title (Notary) EXHIBIT "C" Page 7 of 7 x~~ ESECUTID IN TRIPLICATE LABOR AND MATERIAL PAYMFsNT BOND BOND 4~ 53149 KNOW ALL MEN BY THESE PRESENTS : That PREMIUM- $1392.00 WHEREAS, the City Council of the CITY OF VERNON, a municipal • corporation, by action on the lstday of January 1998, has awarded to CALIFORNIA STREET MAINTENANCE INC . hereinafter designated as the "Principal," Contract No. 546 for STREET SWEEPING - 1998-1999 in Los Angeles County, California; and . WHEREAS said Principal is required to furnish a bond in connection with said Contract providing that if said Principal or any of his subcontractors shall fail to pay for ~~any materials, provisions, provender, or other supplies, or teams used in, upon, for or about the performance of the work contracted to be done, or for any work or labor done thereon of any kind, or for amounts due under the Unemployment Insurance Act, the Surety on this bond will pay the same to the extent hereinafter set forth. NOW, THEREFORE, we, the Principal and AMERICAN CONTRACTORS INDEMNITY coMPANY as Surety, are held and firmly bound unto the CITY OF VERNON in the penal sum of SIXTY NINE THOUSAND SIX HUNDRED AND NO/100's-=----------------------~Qr,r,nR 69,600.00 ) , 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, and successors, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that if said Principal, his subcontractors, heirs, executors, administrators, successors; or assigns, shall fail to pay for any materials, provisions, provender or other supplies or teams used in, upon, for or about the performance of-the work contracted to be done, or for work or labor thereon of any kind, or fail to pay any of the persona named in California .Civil Code Section 3181, or amounts due under the Unemployment Insurance-Code with respect to work or labor performed by-any such claimant, or for any amounts required to be deducted, withheld, and paid over to the Franchise Tax Board from the wages of employees~of the Contractor and his subcontractors pursuant to Section 18806 of the Revenue and Taxation Code with respect to such work and labor, and all other applicable laws of the State of California and rules and regulations of its agencies, then said Surety will pay the same in or to an amount not exceeding the amount hereinabove set forth, and also will pay, in case suit is brought upon this bond, such reasonable attorneys' fees as shall be fixed by the court, pursuant to Section 3181 of the California Civil Code. Labor and Material Payment Bond - 1 - E-5 - I ~ This bond shall inure to the benefit of any of the persona named in Section 3181. of;the California Civil Code, so aB to give a right of faction to them or their assigns in any suit brought upon this bond, and the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration, or addition to the terms of the Contract, or the work to be performed thereunder, or thelspecifications accompanying the same,-shall in any way affect its obligation on this bond, and it does hereby waive notice of any such change, extension of time, alteration, or addition to the terms of the Contract, or to the work or to the specifications. IN WITNESS WHEREOF, -three (3) identical counterparts of this instrument each of which shall for all purposes be deemed an original thereof., have been duly executed by the Principal and Surety above named on the. ~ 9th day of Tloromhor i 1997.. Name . (Prin p ) (Attach Acknowledgment) By JERE COSTELLO Name AMERICAN CONTRACTORS INDEMNITY COMPANY (Surety) / - By , (Attorney- in- f ac ) D . OVAN GOETZ APPROVED AS TO FORM: DAVID B. BREARLEY, Cit Attorney Labor and Material Bond - 2 - E-6 - STATE OF California SS. COUNTY OF Los Angeles /y~~~ ~ ~ - On _ I~~ ~ _ _ before me, _ J. Alvarado PERSONALLY APPEARED D. Donovan Goetz personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowl- edged to me that he/she/they executed the same in his/ her/their authorized capacity(ies), and .that by his/her/ their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed ~ J. ALV/~1RAp0 the instrument. ~ ~ COMM. #1015152 ~ U , R NOTARY PUl3t.IC -CALIFORNIA ~ WITNESS m hand and officials 1. ,ORANGE COUNTY y Nty Comm. Exp. Jan. 23,1994 i" Signature This wren for Officinl Notnrinl Senl OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ? INDIVIDUAL ? CORPORATE OFFICER TITLE OR TYPE OF DOCUMENT TITLE(S) ? PARTNER(S) ? LIMITED ? GENERAL ® ATTORNEY-IN-FACT NUMBER OF PAGES ? TRUSTEE(S) ? GUARDIAN/CONSERVATOR ? OTHER: DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) American Contractors Indemnity Company SIGNER(S) OTHER THAN NAMED ABOVE 1D-0~' r"' ALL-PURPOSE ACKNOWLELGEMENT ~4merican Contractors Indemnity Company Los Angeles, California POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That AMERICAN CONTRACTORS INDEMNITY COMPANY, a California Corporation (the "Company"), and having its principal office in Los Angeles, California does hereby constitute and appoint: D. DONOVAN GOETZ as its true and lawful Attorney(s)-in-fact, in amount of $1, 000 , 000.00, to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract or otherwise, and the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said AMERICAN CONTRACTORS INDEMNITY COMPANY, as fully and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by its regularly elected officers at its principal office. This Power of Attorney is executed, and may be certified to and may be revoked, pursuant to and by authority of resolutions adopted by the Board of Directors of AMERICAN CONTRACTORS INDEMNITY COMPANY, at a meeting called and held on the 6th day of December,1990. RESOLVED that the C$ief Executive Officer, President or any Vice President, Executive Vice President, Secretary or Assistant Secretary,. shall have power and authority. 1. To appoint Attorney(s)-in-fact and to authorize them to execute on behalf of the Company, and attach the Seal of the Company thereto, bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and, 2. To remove, at any time, any such Attorney-in-fact and revoke the authority given.. RESOLVED FURTHER,.that-.the signature of such officers and the seal of the Company may be affixed to any such power of attorney or any certificate relating: thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shah be valid and binding upon the Company and any such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. \ IN WITNESS WHEREOF, AMERICAN CONTRACTOR8thNDEMNTTY COMPANY has caused this instrument to tie signed and its corporate seal to be affixed by its authorized officer this day of July ~ ~ ~ ~ 9 7` _ ~.~gp,CTO,Qf~yo AMERICAN CONTRACTORS E 'I'Y~~1"~~A;NY ~ - 5 INCORPORATED ? By: SEPT. 26,1990 o Andy Faust, President STATE OF CALIFORNIA ' ~~~~p' COUNTY OF LOS ANGELES On 7 / 2 8 / 9 7 before me, B. Caindec ,personally appeared Andy Faust personally known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and. that by his signature on the instrument the person, or the entity upon behalf of which the person,acted, executed the instrument. WITNESS my hand and official seal . B. CAINDEC ' Commission M 1098990 ~ • - Notary Public - CaRfamia • Los Mpeles County My Comm. Expkes Moy 28, 2000 CERTIFICATION I, the. undersigned officer: of AMERICAN CONTRACTORS INDEMNITY COMPANY do' hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit, and the copy of the resolution adopted. by the Board of Directors of said Company as set forth in said Power of Attorney, with the ORIGINALS ON FILE IN THE HOME OFFICE OF SAID COMPANY, and that same are correct transcripts thereof and of the whole of the said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect. / /1 ~n~ IN TESTIMONY WHEREOF, I have hereunto set my hand this l f ~ r day of ~ ~ ~j~ 19 Albert Baumgarten, Secretary r; i _ _ - E%ECUTED IN TRIPLICATE. LABOR AND I'sATERIAL PAYMENT BOND BOND 4~ 53149 KNOW ALL MEN BY THESE PRESENTS : That PREMIUM- $1392.00 WHEREAS,- the City Council. of the CITY OF 'VERNON, a municipal • corporation, by action on the lstday of January ].998, has awarded to CALIFORNIA STREET MAINTENANCE INC. hereinafter designated as the "Principal," Contract No. 546 for STREET SWEEPING - 1998-1999 in Los Angeles County, California; and WHEREAS said Principal is required to furnish a bond in connection with said Contract providing that if said Principal or any of his subcontractors shall fail to pay for ~~any materials, provisions, provender, or other supplies, or teams used in, upon, for or about the performance of the work contracted to be done, or for any work or labor done thereon of any kind, or for amounts due under the Unemployment Insurance Act, the Surety on this bond will pay the same to the .extent hereinafter set forth. NOW, THEREFORE, we, •t he Principal and AMERICAN CONTRACTORS INDEMNITY coMPANY as Surety, are held and firmly bound unto the CITY OF VERNON in the penal sum of SIXTY NINE THOUSAND SIX HUNDRED AND NO/100's-=----------------------~~LLARS 69,600.00 ) , 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, and successors, jointly and severally, finely by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that if said Principal, his subcontractors, heirs, executors, administrators, successors; or assigns, shall fail to pay for any materials, provisions, provender or other supplies or teams used in, upon, for or about the performance of the work contracted to be done, or for work or labor thereon of any .kind, or fail to pay any of the persons named in California .-Civil Code Section 3181, or amounts due under the Unemployment Insurance Code with respect to work or labor performed by any such claimant, or for any amounts required to be deducted, withheld, and paid over to the Franchise Tax Board from the wages of employees~of the Contractor and his subcontractors pursuant to Section 18806 of the Revenue and Taxation Code with respect to such work and labor, and all other applicable laws of the State of California and rules and regulations of its agencies, then said Surety will pay the same in or to an amount not exceeding the amount hereinabove set forth., and also will pay, in case suit is brought upon this bond, such reasonable attorneys fees as shall be fixed by the court, pursuant to Section 3181 of the California Civil Code. Labor and Material Payment Bond - 1 - E-5 - This bond shall inure to the benefit of any of the persona named in Section 3181. of;the California Civil Code, so as to give a right of faction to them or their assigns in any suit bxought upon this bond, and the said Surety,-for value received, hereby stipulates and agrees that no change, extension of time, alteration, or addition to the terms of the Contract, or the work to be performed thereunder, or thelspecifications accompanying the .same,. shall in any way affect its obligation on thus bond, and it does hereby waive notice of any such change, extension of time, alteration, or addition to the terms of the Contract, or to the work or to the specifications. IN WITNESS WHEREOF, three (3) identical counterparts of thiB instrument each of which shall for all purposes be deemed an original thereof, have been duly executed by the Principal and Surety above named on the. ~ Ath day of ~;omLOr 1997. Name (Princip (Attach Acknowledgment) By JERE COSTELLO Name AMERICAN CONTRACTORS INDEMNITY COMPANY- _ (Surety) . By (Attorney-in-fact) D. VAN GOETZ APPROVED AS TO FORM: DAVID B. BREARLEY, City Attor ey Labor and Material Bond - 2 - E-6 - STATE OF California SS. CO TY OF Los An eles On 1 ~ - , i - _ I~ _ _ before me; _ J. Alvarado. _ _ _ _ PERSONALLY APPEARED D. Donovan Goetz personally known to me (or proved to me on the basis oP satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowl- edged to me that he/she/they executed the same in his/ ' her/their authorized capacity(ies), and that by his/her/ their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed ~~?~ss~s®oo J. ALVARADC? the instrument. COMM. #1018152 ~ NOTARY pUBCIC • CAUt`ORNIA - ORANGE COUNTY WITNESS my hand and offici eal. ~ comm. Exp. Jan. 23,1998 Signature This nren for Officin! Notnrin! Sen[ OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ? INDIVIDUAL ? CORPORATE OFFICER TITLE OR TYPE OF DOCUMENT TITLE(S) ? PARTNER(S) ? LIMITED ? GENERAL ® ATTORNEY-IN-FACT NUMBER OF PAGES ? TRUSTEE(S) ? GUARDIAN/CONSERVATOR ? OTHER: DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) American Contractors Indemnity "Company SIGNER(S) OTHER THAN NAMED ABOVE (o-ost r~`'.;';`'-' ALL-PURPOSE ACKNOWLELGEMENT American Contractors Indemnity Company Los Angeles, California POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That AMERICAN CONTRACTORS INDEMNITY COMPANY, a California Corporation (the "Company"), and having its principal office in Los Angeles, California does hereby constitute and appoint: D. DONOVAN GOETZ as its true and lawful Attorney(s)-in-fact, in amount of $1, 000 , 000.00; to execute, seal and deliver for and on its behalf as surety,. any and all bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof, which aze or may be allowed, required or permitted bylaw, statute, rule, regulation, contract or otherwise, and the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said AMERICAN CONTRACTORS INDEMNITY COMPANY, as fully and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by its regulazly elected officers at its principal office. This Power of Attorney is executed, and may be certified to and may be revoked, pursuant to and by authority of resolutions adopted by the Board of Directors of AMERICAN CONTRACTORS INDEMNITY COMPANY, at a meeting called and held on the 6th day of December, 1990. RESOLVED that the Chief Executive Officer, President or any ice President, Executive ice President, Secretazy or Assistant Secretary, shall have power and authority. 1. To appoint Attorney(s)-in-fact and to authorize them to execute on behalf of the Company, and attach the Seal of the Company thereto, bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and, 2. To remove, at any time, any such Attorney-in-fact and revoke the authority given. RESOLVED FURTHER, that the signature of such officers and the seal of the Company may be affixed to any such power of attorney or any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by facsimile signatures and facsimile seal shall - ~ be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. IN WITNESS WHEREOF, AMERICAN CONTRACTORS INDEMNITY COMPANY has caused this instrument to lie signed and its corporate seal to be affixed by its authorized officer this 28th day of July ~ l~ 7 , _ ~.~gpCTO~~yo AMERICAN CONTRALTO S E 'ITC ~~I~i~P~N~' s iHCO~PO~atEO ? By: SEPT. 26,1990 o Andy. Faust, President STATE OF CALIFORNIA ' ~4lffdR~p • COUNTY OF LOS ANGELES On 7 / 2 8 / 9 7 before me, B.. Caindec ,personally appeazed Andy Faust personally known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal. e. CAINDEC ~ Commisslon N 1098990 . 's Nototry Pubtlc ° CONforhla Los Mpeles County MY Comm. Ekes Mpy 28, 2000 CERTIFICATION I, the undersigned officer. of AMERICAN: CONTRACTORS INDEMNITY COMPANY do .hereby certify that I have compazed the- foregoing copy of the Power of Attorney and affidavit, and the copy of the resolution adopted by the Board of Directors of said Company as set forth in said Power of Attorney, with the ORIGINALS ON FILE IN THE HOME OFFICE OF SAID COMPANY, and that same are correct transcripts thereof and of the. whole of the said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect. /J'/, IN TESTIMONY WHEREOF, I have hereunto set my hand this da of ~ Y ,19 ~t2!~-t-y Albert Baumgarten, Secretazy E%ECUTED III TRIPLICATE ' LABOR Aim MATERIAL PAYMENT BOND BOND 53149 KNOW ALL MEN BY THESE PRESENTS: That. PREMIUM- $1392.00 WHEREAS, the City Council of the CITY OF VERNON, a municipal corporation, by action on the lstday of January 19.98., .has awarded to CALIFORNIA STREET MAINTENANCE INC . hereinafter designated as the "Principal," Contract No. 546 for STREET SWEEPING - 1998-1999 in Los Angeles County, California;-and WHEREAS said Principal is required to furnish a bond in connection with said Contract providing that if said Principal or any of his subcontractors shall fail to pay for ~~any materials, provisions, provender, yr other supplies, or teams used in, upon, for or about the performance of the work contracted to be done, or for any work~or labor done thereon of any kind, or for amounts due under the Unemployment Insurance Act, the Surety on this bond will pay the same to the extent hereinafter set forth. NOW, THEREFORE, we, the Principal and AMERICAN CONTRACTORS INDEMNITY COMPANY , as Surety, are held and firmly bound unto the CITY OF VERNON in the penal sum of SIXTY NINE THOUSAND SIX HUNDRED AND NO/100's------------------------~jQT,T•ARR 69,600.00 ) , lawful money of the United States of America, for the payment of whicYi sum well and- truly to be made, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally, finely by these presents. THE CONDITION OF THIS OBLxGATION IS SUCH that if said Principal, his subcontractors, heirs, executors, administrators, successors; or assigns, shall fail to pay for any materials, provisions, provender or other supplies or teams. used in, upon, for or about the performance of the work contracted to be done, or for work or labor thereon of any kind, or fail to pay any of the persona named in California .Civil Code Section 3181, or amounts due under the Unemployment Insurance Code with respect to work or labor performed by any such claimant, or for any amounts requ~.red to be deducted, withheld,-and paid over to the Franchise Tax Board from the wages of employees~of the Contractor and his subcontractors pursuant to Section 18806 of the Revenue and Taxation Code with respect to such work and labor, and all other applicable laws of the State of California. and rules and regulations of its agencies, then said Surety will pay the same in or to an amount not exceeding the amount hereinabove set forth, and also will pay, in case suit is brought upon this bond, such reasonable attorneys fees as shall be fixed by the court, pursuant to Section 3181 of the California Civil Code. Labor and. Material Payment Bond - 1 - E-5 - This bond aha]~1 inure to the benefit of any of the persona named in Section 3181 of;the California Civil Code, so as to give a right of Faction to them or their assigns in any suit brought upon this bond, and the $ai,d Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration, or addition to the terms of the Contract, or the work to be performed thereunder, or thelspecifications accompanying the same, shall in any way affect its obligation on this bond, and it does. hereby waive notice of any such change, extension of time, alteration, or addition to the terms of the Contract, or to the work or to the specifications. IN WITNESS WHEREOF, three (3) identical counterparts of this instrument each of which shall for all purposes be deemed an original thereof, have been duly executed by the Principal-and Surety above named on the. i 9th day of ne~o,,,ho 1997. Name (Prin ipa ) (Attach Acknowledgment) By JERE COSTELLO Name AMERICAN CONTRACTORS INDEMNITY COMPANY (Surety) By ~ 5 (Attorney-in-fact) NO AN GOETZ APPROVED AS TO FORM• r DAVID B. BREARLEY, City Att ney Labor and Material Bond - 2 - E-6 - CALIFORNIA ALL-PURPOSE AC6CNC)~ILE®GIIRENT No. 5907 ~r .4 State of California County Of . T nc AngP1eS On 12/19/97 before me, B CAINDEC DATE NAME, TITLE OF OFFICER - E.G., "JANE DOE, NOTARY PUDLIG" ~ personally appeared D DONOVAN GOETZ NAME(S) OF SIGNER(S) - ~ ®personally known to me - OR - ? proved to me on the basis of satisfactory evidence to be the person(.) whose name{-s}. is/axe subscribed to the within instrument and ac- knowledged to me that he/.s#e/#~ey executed the same in hisfh-e~fth-e-ir authorized capacity~~ and that by hisfk~erft~re~ signature( on the instrument the persor~{s-) or the entity upon behalf of which the person) acted, executed the instrument. e cnlr~c ~tM1098990 WITNESS and d official seal._ e - ~ Mr c«m,. tk+av as, zoao - SIGNATURE OF NOTARY - OPTtO Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ? INDIVIDUAL ? CORPORATE OFFICER TITLE(s> TITLE OR TYPE OF DOCUMENT ? PARTNER(S) ? LIMITED ? GENERAL ® ATTORNEY-IN-FACT NUMBER OF PAGES ? TRUSTEE(S) ? GUARDIAN/CONSERVATOR ? OTHER: DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) American- Contractors Indemnity Company SIGNER(S) OTHER THAN NAMED ABOVE ®1993 NATIONAL NOTARY ASSOCIATION • 8236 Remmet Ave., P.O. Box 7184 • Canoga Park, CA 91309-7184 American Contractors Indemnity Company .Los Angeles, California POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That AMERICAN CONTRACTORS INDEMNITY COMPANY a California Corporation (the "Company"), and having its principal office in Los Angeles, California does hereby constitute and appoint: D.i~Donovan Goetz as its true and lawful Attorney(s)-in-fact, in amount of $1,500 ,000.00, to execute, seal and deliver for-and on its behalf as surety, any and all bonds. and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof, which aze or may be allowed, required or permitted by law, statute, rule, regulation, contract or otherwise, and the execution of such instrument(s) in pursuance of these. presents, shall be `as binding upon the said AMERICAN CONTRACTORS INDEMNITY COMPANY, as fully and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by its regularly elected officers at its principal office. This Power of Attorney is executed, and may be certified to and may be revoked, pursuant to and by authority of resolutions adopted by the Boazd of Directors of AMERICAN CONTRACTORS INDEMNITY COMPANY, at a meeting called and held on the 6th day of December, 1990. RESOLVED that the Chief Executive Officer, President or any Vice President, Executive Vice President, Secretary or Assistant Secretary, shall have power and authority. 1. To appoint Attorney(s)-in-fact and to authorize them to execute on behalf of the Company, and attach the Seal of the Company thereto, bonds and undertakings, contracts of indemnity and ether writings obligatory in the nature thereof and, 2:.To remove, at any time, any such Attorney-in-fact and revoke the authority given. RESOLVED FURTHER, that the signature of such officers and the seal of the.Company may be affixed to any such power of attorney or any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by facsimile signatures and facsimile seal shall - -s be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. IN WITNESS WHEREOF, AMERICAN CONTRACTORS INDEMNITY COMPANY has caused this instrument to be signed and its corporate seal to be affixed by its authorized officer this 25th day of November 19 97 `o~.~Q,p,CTORf~yo AMERICAN CONTRALTO S E Y MPANY 5 INCORPORATED z By: SEPT.26,1990 o Andy Faust, President STATE OF CALIFORNIA ' ~I~~p° COUNTY OF LOS ANGELES 11-25-97 B. Caindec On before me, ,personally appeazed Andy Faust .personally known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal: B. CAINDEC ~ ' Comrtdsslon ~ 1098990 d ~ Notary Pubdc -~:CaNforNo Los Angeles County AAy Comm. Expkes May 215.2000 CERTIFICATION I, the undersigned officer of AMERICAN CONTRACTORS INDEMNITY COMPANY do hereby certifq-that I have compared the foregoing copy of the Power of Attorney and: affidavit, and the copy. of the resolution adopted by the Board of Directors of said Company as set forth in said Power of Attorney, with the ORIGINALS ON FILE IN THE HOME OFFICE OF SAID COMPANY, and that same are correct transcripts thereof and of the whole of the said originals, and that the said Power ofAttorney has notbeen revoked and is`now in full force and effect. 19th December IN TESTIMONY WHEREOF, I have hereunto set my hand this day of 1 G~c'~/ Albert.Baumgarten, Secretary ~E~ 1 ~ 1999 February 3, 1998 TO: David B. Brearley, City Attorney FROM: Samuel Kevin Wilson~Director of Community Services & Water SUBJECT: STREET SWEEPING AGREEMENT - INSURANCE Attached are the Agreements-with California Street Sweeping. The insurance has been approved by Risk Management. If the documents meet with your approval please sign as to form and forward to the City Clerk .for final execution. SKW:ps Attachment 2/1.7/98 Gloria: Returned herewith is the above-referenced document approved as to form. N. TO: Jim Persons, Project Engineer FROM: -Joan Francone, Risk Manager/Personnel Assistant , DATE:. February 2, 1998 SUBJECT: INSURANCE -AGREEMENT FOR STREET SWEEPING SERVICES Enclosed are the required insurance documents :for California Street Maintenance. If you have any questions please call me. - JF/ca Enclosures Fireman's Fund January 29, 1998 City Clerk City of Vernon 4305 Santa Fe Avenue Vernon, CA 90058 RE: Insurance for city of Vernon Policy Number: XSC 00083320333 Name Insured: California Street Maintenance 1918 W. 169th Street. Gardena, CA 90247 Dear City Clerk, I hereby certify that the certificate of insurance attached hereto and made a part hereof by reference truly and accurately represents the above cited insurance policies and the insurance coverage of each for the named insured issued by Fireman's Fund Insurance Company. The City of Vernon, its officers, and employees are included in said policy as additional insureds and the City of Vernon will be provided with thirty (30) days written notice of cancellation or material reduction of coverage. I certify that I am a representative of the insurance carrier named herein and that I am authorized to sign this certificate on behalf of said insurance carrier. William- .Smith Senior Underwriter Uv ~ a_a 485616-9-89 CALIFORNIA ALL-PURP05E ACKNOWLEDGMENT , State of No. s,ss County of OPTIONAL SECTION ~ CAPACITY CLAIMED BY SIGNER Though statute does not require the Notary to fin/ ~ ~ fill in the data below, doing so ma DATE before me, invaluable to persons relying on the documents N , T E OF OFFICE .G., "JANE DO , NOTARY P uc' ? INDIVIDUAL personally appeared CORPORATE OFFICER(S) personally known to me - OR - NAME(S) OF SIGNER(S) ' TITLE(S) ? proved to me on the basis of satisfactory evidence to be the erson~ ? PARTNER(S) ~ LIMITED p whose name( is/aim ~ GENERAL SUbSCClbed t0 the Wlthln InStrUrrlent and aC- ? ATTORNEY-IN-FACT knowledged to me that he/sf~e/#~y executed TRUSTEE S MAYJ. GIVENS the same in his/ ~ ( ) ' comt7,rsston~ )pB7~ fir authorized zz a NotarypUbl~_~~Qm~ ~ CapaClty(J~T and that by hIS/~rlth' ~ GUARDIAN/CONSERVATOR orange county signature~on the instrument the person(,b~;, ? OTHER: N?vComm.ExplresNlar30,20pp or entity upon behalf of which the erso ' ~ acted, executed the instrument. WITN SIGNER IS REPRESENTING: y hand and offi ' I sal. NAME OF PEF)SON(S) OR ENT,ITY,(IES 6 GNATU OF NOTARY THIS CERTIFICATE MUST BE ATTACHED TO PTIO AL SECTION r THE DOCUMENT DESCRIBED AT RIGHT: TITLE OR TYPE OF DOCUMENT Though the data requested here is not required by law, NUMBER OF PAGES i it could prevent fraudulent reattachment of this form. SIGNERS OTH ~ DATE OF DOCUMENT ~ ER THAN NAMED ABOVE -a~~~ ©1992 NATIONAL NOTARY ASSOCIATION • 8236 Remmet Ave., P.O. Box 7184 • Canoga Park, CA 91309-7184 Fireman's Fund Fireman's Fund ..Insurance Company December 17, 1997 City Clerk City of Vernon 4305 Santa Fe Avenue Vernon„ Ca. 90058 RE: Insurance for City of Vernon Pol. No. MXG80670555 Named Insured: California Street Maintenance 1918 W.169th Street Gardena, Ca. 90247 Dear City Clerk: Ihereby-certify that the certificate of insurance attached hereto and made a paid hereof by referance truly. and accurately represents the above cited insurance policies and the insurance coverage of each for the named insured issued by: FIREMANS FUND INSURANCE COMPANY The City of Vernon, its officers, and employees are included in said policies as additional insureds and the City of Vernon will be provided with thrity (30) days written notice of cancellation or material reduction of coverage. 1 certify that I am an officer of the insurance carrier named herein and that I am autho -ized to sign this certifica e on behalf of said insurance carrier. Signature Title ~ 17542 East 17th Street, '1listin, CA 92680, P.0. Box 1975, Santa Ana, CA 92702 714 669 -0911 • FAX 714 669 7603 ATTACHED TO LETTER OF CERTIFICATE TO THE CITY OF VERNON Certificate of Acknowledgement ' ' STATE OF CALIFORNIA County of ORANGE On DECEMBER 17, 1997 befareme, MARIA LUISA R. AGUINALDO, NOTARY PUBLIC , ,personally appeared S. VIRGINIA CONTRERA ,~1e„°",~;te-(ee proved to me on the basis f satisfactory evidence) whose name is subscribed to the withi instrument and acknowledged to me that 1~ sh th~ executed the same in ~ e I~jr authorized ca ac ty(~s); and that by er l~ir signature on the instrument the person(, or the entity upon behalf of which the person(~,acted, executed the instrument, WITNESS my hand and official seal, ~ , a~ B MARIA LUISA R, AGUINAIDO ~ ~ Signature 4-s g, (Seal) ~ ~ GOhIIM.#10521 ~ ~ NOTARY PUBt1C • CALIFORNIA ~ ORANGE COUNTY oso~72-s-ai ~ ~N• My Comm Exp. March 7,1999 ::::::::>:.:::::::i:::i.;` ::::::::::.i:.;:::: :.::DATE .MM DD a i~i~® ~ 2 9 1 2 97 / / ::PRODUCER;;:~; Isu KIGSR & ASSOCIATES INSURANCE sxoxsRS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 24445 HAWTHORNS aLVD. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR suITE zo1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. TORRANCE, cA 9o5os COMPANIES AFFORDING COVERAGE COMPANY FIREMAN'S FUND INSURANCE COMPANY A INSURED CALIFORNIA. STRSST MAINTENANCE COMPANY 1918 WEST 169TH B GARDSNA, CA 90247 COMPANY C COMPANY D THIS 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. ' CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DD/YY) DATE (MM/DD/VY) A GENERAL LIABILITY GENERAL AGGREGATE $ 2, 000, 000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPAGG $ 2,000,000 CLAIMSMADEOCCUR MXG80670555 4/01/97 4/01/98 PERSONAL&ADVINJURY $ 2,000,000 X OWNER'S &CONTRACTOR'S PROT EACH OCCURRENCE $ 2, 000, 000 X 1,000 PD DED FIRE DAMAGE (Any one fire) $ So,o00 MED EXP (Any one person) $ 5, 000 A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO 2,000,000 ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS MXG80670555 4/01/97 4/01/98 (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ A EXCESS LIABILITY EACH OCCURRENCE $ 1, 000, 000 X X UMBRELLA FORM XSC83320333 12/24/97 4/01/98 AGGREGATE $ 1,000,000 OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND STATUTORY LIMITS EMPLOYERS' LIABILITY EACH ACCIDENT $ THE PROPRIETOR/ INCL DISEASE -POLICY LIMIT $ PARTNERS/EXECUTIVE OFFICERS ARE: EXCL DISEASE -EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER & ITS OFFICERS AND EMPLOYEES ARS NAMED AS ADDITIONAL INSURED. RE: ALL OPERATIONS UNDER CITYOF VSRNON STRSST SWEEPING AGREEMENT **10 DAY NOTICE WILL APPLY FOR NON PAYMENT OF PREMIUM. ~ ~ ~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILLS MAIL CITY OF VERNON 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 4305 SANTA FE AVENUE 77~~YYYYYY~~ VERNON, CA 90058 ~til"'IRRt~ AUTH IZ REPRESENTATIVE 1 ..G....I~..:.'~"..~. ~t'~ .......................::.................................................................................................................................................. ..........O.A.....I~C):.~~~pi31~A'#'t4~J:'~.: BERKSH:IRE- HATHAWAY HOMESTATE. COMPANIES ' CONTINENTAL DIVIDE o CORNHUSKER CASUALTY WORKERS' COMPENSATION INSURANCE CoMP.ANY o • , , SPECIALTY DIVISIdN , _ o HOME OFFICE: oAK.RIVER INSURANCE cYrRESS INSURANCrv 395 OYSTER POINT BLVD.; SUITE 401 , COMPANY . - . SOUTH SAN. FRANCISCQ; CAA 94080 TEL: (650) 635-0444 _ ' REDWOOD FIRE,AND CASUALTY ~ ($QQ) $~4-384H ; FAX: (650) 635-0443 becember 30 :1997.:` , ~ - , City Clerk _ City of Vernon 4305 Santa "Fe" Avenue _ - Vernon, .Cal. 9058, ; Re::.Insured: California Street- Maintenance Policy#W=740205,4 ' Workers' Compensation Covera"ge City~Clerk, I hereby certify that the Workers'' Compensation insurance coverage afforded:to the named insured; Calfornia`Street Maintenance, under policy number W=7402054 was . issued by:Cypress Insurance Company as is portrayed; in the certificate of insurance attached:... I certify that I am an officer_of the insurance carrier: Warned herein"and that I am authorized to verify such coverage. No other warranties are; intended or implied as it' relates to_policy provisions for the insured as shown above. _ Bradle-- Ki y . ristler ' ' President • S.t`ate of California County of San Mateo": S On December~~30,~1997:,b~fore~`me,Ros~alind'~. Garne~y=Laughlin,", Not"ar Public ersoxlall ~ . a `eared Beadle D. Kinstl"er P"resident . per onally.known to me to be'ahe`person- whose name is subscribed, to the, within instrument. _ R°"°a'~'^E eAaNw,u~u~u ~ ~ Comm't~~lon 1113832, Subscribed and s~worri "to me ~ otary Public. ~7~~~c«mt~? - _ ~ ~ ~ ~ ~ _ ~ u. - My Comm ErplresOc117,2000~ Niy commission expires: 10/17./2000 1VIai1: P.O. BOX" 1930 SOUTH. SAN.FRANCISCO, CA 94083-1930 - ~ DATE (MM/DD/YY) AC®RD ' ~~RTI~ICATE OF LIA~?ILITY I'I~I~URA''N+CE esR' Rs CAL400C 12/30/97 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE " Dodge Warren & Peters - ORANGE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 765 The City Drive, Suite #300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Orange CA 92868- COMPANIES AFFORDING COVERAGE James C. Martorano COMPANY PnonaNo. 714-748-0464 Fax No. 714-748-0474 A Cypress Insurance Company INSURED COMPANY B COMPANY California Street Maintenance C 1918 W. 169th Street COMPANY Gardena CA 90247-5254 p COVERAGES THIS 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE S COMMERCIAL GENERAL LIABILITY PRODUCTS -COMP/OP AGG S CLAIMS MADE ? OCCUR PERSONAL & ADV INJURY S OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE S FIRE DAMAGE (Any one fire) S MED EXP (Any one person) S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) S HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) S PROPERTY DAMAGE S GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE S UMBRELLA FORM - AGGREGATE S OTHER THAN UMBRELLA FORM S WORKERS-0OMPENSATION AND WC STATU- OTH- TORY LIMITS ER EMPLOYERS' LIABILITY EL EACH ACCIDENT S1~000~OOO A THE PROPRIETOR/ INCL W7402054 04/01/97 04/01/98 EL DISEASE-POLICY LIMIT S1~000~OOO PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE S ~ OOO ~ OOO OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS *Except 10 Days Notice of Cancellation for Non-Payment of Premium As respects all operations of the Named Insured. xxx ! ;CERTFFICATE HO[,pER ''CAIVCEILATION> CITVERN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL - * 3 O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Clty of Vernon SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 4305 Santa Fe Avenue Vernon CA 90058 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTAT VES. AUTHORIZED REPRESENTATIVE _ James C. Martoran A'CORD 25=S (1/95) ''~ACORD CORPORATION 1988' CALIFORMA STREET MAINTENANCE POLICY # MXG80670555 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED OWNERS, LESSEES OR CONTRACTORS (FORM This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: CITY OF VERNON ITS OFFICERS & EMPLOYEES 4305 SANTA FE AVENUE VERNON, CA 90058 RE: ALL OPERATIONS UNDER CITY OF VERNON STREET SWEEPING AGREEMENT (If no entry appears above, Information required to complete this endorsement will be shown in the Declaration as applicable to this endorsement.) WHO IS AN INSURED (Section 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 for you 2 1 11 ~ `b CG 0 0 85 Copyright, Insurance services Office, Inc. 1984 t Information to be entered when assigning new agreement# to system. CATEGORY (circle one only) : L & P, GAS, NE ,LICENSE AGREEMENTS OR REDE~TELOPMENT AGENCY # 1. Approval date: Iz- ~ ~ - ~ ~ # 1 a. Agreement # ~ ~ #2. Title of Agreement: ' #3. Effective Date: (if different from approval date) #4. Expiration Date: (if applicable) ~ z - t ~ 9 OR #5. Expiration Date: NONE :AgrmntData