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International Pavement Soutions Inc 2007-23 AGREEMENT WORK ORDER NO. 12.662 PROJECT (BID#) 07-03 Grand Terrace Pocket Park i This AGREEMENT, made and entered into this 28 h day of August 2007 by and between the CITY OF\ GRAND TERRACE hereinafter called"CITY",and International Pavement Solutions,Inc.,hereinafter called "CONTRACTOR". WITNESSETH, that the parties hereto do mutually agree as follows: ARTICLE I For and in consideration of the payments and agreements hereinafter mentioned to be made and performed by said City, said Contractor agrees with said City to perform and complete in a workmanlike manner all work required under the Bidding Schedule of said City's Specifications,in accordance with the Specifications and Drawings therefore,to furnish at his own expense all labor,materials,equipment,tools,and services necessary therefore, except such materials, equipment, and services as may be stipulated in said Specifications to be furnished by said City, and to do everything required by this Agreement and the said Specifications and Drawings. ARTICLE II For furnishing all said labor, materials, equipment, tools, and services, furnishing and removing all plant, temporary structures, tools, and equipment, and doing everything required by this Agreement and the said Specifications and Drawings; also for all loss and damage arising out of the nature of the work aforesaid, or from the action of the elements,or from any unforeseen difficulties which may arise during the prosecution of the work until its acceptance by said City,and for all risks of every description connected with the work;also for all expenses resulting from the suspension or discontinuance of work; except as in the said Specifications are expressly stipulated to be borne by said City; and for completing the work in accordance with the requirements of said Specifications and drawings,said City will pay and said Contractor shall receive,in full compensation therefore, the amount of $176,518.00, in accordance with the above-mentioned Bidding Schedule. ARTICLE III The City hereby employs said Contractor to perform the work according to the terms of this Agreement for the above-mentioned amount,and agrees in the said Specifications;and the said parties for themselves,their heirs, executors, administrators, successors, and assigns, do hereby agree to the full performance of the covenants herein contained. ARTICLE IV The Notice Inviting Bids,Instructions to Bidders,Proposal,Information,Required of Bidder,Specifications, Drawings, and all addenda issued by the City with respect to the foregoing prior to the opening of bids, are hereby incorporated in an made part of this Agreement. F-1 i �J 7� w ARTICLE V In entering into a Public Works Contract for a subcontract to supply goods,services or matenals pursuant to a Public Works Contract,the Contractor or subcontractor offers and agrees to assign to the City!all rights,title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act(15 U.S.C.Sec. 15)or under the Cartwright Act(Chapter 2 commencing with Section 16700)of Part 2 of Division 7 of the Business and Professions Code, arising from purchases of goods, services, or materials pursuant to the Public Works Contract or the subcontract. This assignment shall be made and become effective at the time the City tenders final payment to the Contractor without further acknowledgment by the parties. ARTICLE VI The Contractor agrees to commence work pursuant to this Contract within ten calendar days from the execution hereof,and to diligently prosecute the same to completion within the number of working days from the date of commencement of work, in accordance with Section 3.17 page 3-8. ARTICLE VII The Contractor shall supply the City with a Certificate evidencing liability insurance policy or policies which shall provide the coverage set forth under Division 6 of these Specifications. ARTICLE VIII Securities may be substituted by the Contractor for monies withheld as a retention by the City to insure the performance of the work described herein. At the request and expense of the Contractor,securities equivalent to the amount withheld shall be deposited with the City or with a State or Federally chartered bank as the escrow agent, who shall pay such monies to the Contractor upon satisfactory completion of the Contract. Securities eligible for investment under this section shall include those listed in Section 16430 of the Government Code or bank or savings and loan certificates of deposit. The Contractor shall be the beneficial owner of any securities substituted for money withheld and shall receive any interest thereon. ARTICLE IX Should the City bring any legal or equitable action for the purpose of protecting or enforcing its rights under this Agreement, the City shall recover, in addition to all other relief, its reasonable attorney's fees and court costs to be fixed by the Court. ARTICLE X The Contractor hereby agrees that he will not proceed with any Extra Work unless he has been authorized in writing to do so by the Building and Safety Director prior to the commencement of said Extra Work. ARTICLE XI The parties do for themselves,their heirs, executors, administrators,successors, and assigns agree to the full performance of all the provisions herein contained. The Contractor may not,either voluntarily or by action of law, assign any obligation assumed by the Contractor hereunder without prior written consent of the City. ARTICLE XII F-2 I r srr The Contractor shall indemnify and save harmless the City from all losses and all claims,demands,payments, suits,actions,recoveries,and judgments of every nature and description brought or recovered against them by reason of any act or omission of said Contractor and his agents or employees in the execution of the work or in making or failing to make payments therefore, or in guarding the same. IN WITNESS WHEREOF,the parties hereto have caused this Contract to be executed the day and year first above written. ATTEST: "CITY" CITY OF GRAND TERRACE A Municipal Corporation City Clerk ayor Approved as to form: Date: "CONTRACTOR" �IlTE2lU/�T/O,uA-� �quL�iK�tJr SDl,�crtD�J s x�c. City Attorney ~ By 13P6U7-a--P- 7C—G C-2 -V f� . (Title) D9-i/- 0 7 Date: Contractor's License No. = i F-3 1 HONORABLE MAYOR AND CITY COUNCIL DATE: g a`D-D H NAWj�PRJEgT:Grand Terrace Pocket Park CONTRACTOR: •T W.O.No.: SHEET 1 OF 2 BID No.: BIDDING SCHEDULE ITEM ESTIMATED NO. DESCRIPTION QUANTITY UNITS UNIT PRICE IN WORDS UNIT PRICE ITEM PRICE rD } Masonry Retaining Wall 70 LF. I DOLLARS& ~1Lo CENTS o2�,s,01) A 90 Rough Grading and Precise Grading Soil Preparation for planting 100 CY 2 DOLLARS& .a _CENTS Install Water Meter 1 EA 3/4„ 3 LLARS& CENTS Install Irrigation 2362 SF Q r, 4 SCH 40 on all lines DOLLARS& CENTS Install'Planting 11-36"Box 10-15 Gal j- 5 119-5 Gal 8c'_ CENTS 5891-Gal Install Ground Cover Decompose Granite:2140 S.F. --6----- - - - Mulch:-545 /k;AMWLLARS&C CENTS -- — ------- -- - -- -- - - - ----Sod: 1080 - - - C-1 7 Install Concrete Mow Strip 415 415 LF DOLLARS& CENTS 8 Install Sidewalk 312 S.F. DOLLARS -+' CENTS y-Z� . a 9 Install Concrete Pavers in Sand 840 S.F. DOLLARS& CA4D CENTS 67RO-0 10 Install Curb and Gutter 25 LF DOLLARS&--- U�� CENTS O� �Z,S Install Electrical lighting,outlets,security Lump sumi1!* J1r � 11 cameras,electrical meter,control boxes, C.,, T etc. DOLLARS& '��" CENTS r 12 Install 6'Fence,Ornamental Metal Lump Sum - DOLLARS& CENTS -- o a Soon:d a-13 -- Install 4'Fence,Ornamental Lump Sum DOLLARS& Ctb CENTS 7P.pD c27A. A -- - 14 Install Benches 7 EA DOLLARS& CENTS 13 �,O.D� Install Trash Receptacles 15 2 EA. DOLLARS& '� ' CENTS �----- Bidding Schedule,Grand Terrace Pocket Park ' Sheet 2 of 2 .row s 174 ��c?G� C-2 *EXECUTED IN DUPLICATE* *PREMIUM BASED ON FINAL CONTRACT AMOUNT* Bond Number: SU 5024006 Premium:Amount: $3,530.00 EMM OF SERF IANCE a0w_ KNOW ALL MEN BY THESE PRESENTS,that we International Pavement, Solutions, Inc. a California Corporation hereinafter called"Principal"and Arch Insurance Company Of ,State of California,hereinafter called the"Surety",are held and firmlyboundunto City Of Grand Terrace of hereinafter called"City,"in the penal sun of One hundred seventy-six thousand five huylmd eighteen and 00/100 fl �� 176,'518 00 �n lawful money of these ourselves,our heirs,exWWOM administrators,jointty and severally,firmly by these Presorts. THE CONDITION OF THIS OBLIGATION is suchthatwhma%theP&cipal entered idto a certaW Contnrct with the City,dated the llth day of SP pp7, a copy of which is hereunto attached and made a part hereof.for the construction of:Grand Terrace rocket Psiic. NOW, THEREFORE, if the Principal shall well,truly and faithUly perform its duties, all the undertakings,cavena U,t0=,.conditi01ks,and apxments ofsaid by Contract du ft the original term thereat and any extensions thereof which may be granted by the City,with or without notice to the Surety,and if he shall.satisfy all claims and demands incurred under such Cant 2M add shall fully indemnify and save harmless the City#ram all costs and damages which it may suffer by reason of failure to do so,and shall reimburse and repay the City all outlay and expense which the City may incur in making good any default,then this obligation shall be void;otherwise,to remain in full force and effect. G-1 i I 4 PROVIDED FURTHER that 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 to the work to be performed thereunder or the Specifications accompanying the same shall in anyway affect its obligation on this bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the temps of the Contract or to the work or to the Specifications. PROVIDED FURTHER,that no final settlement between the City and the Contractor,shall abridge a the right of any beneficiary hereunder,whose claim may be unsatisfied. IN WITNESS WHEREOF,this instrument is executed in (02) counterparts,each one of which shall be deeaned an original,this the 11 th dsy of September 2007. ATTEST: � International Pavement PRINCIPAL Solutions, Inc. -PRINCIPAL:SEC. ` SEAL BY ADDRESS P.O. Bo LL 0458 WITNESS AS TO PRINCIPAL, San Bernardino, ,CA 92423 ADDRESS SURETY Arch Insurance Company ATTORNEY IN FACT a� Raymond E. Gail ATTy✓STe__, 135 N. Los Robles, .Ste. 825 STI1tET'}IASEC:= ADDRESS Pasadena, CA 91101 , SF AL WITNESS AS TO SURETY ADDRESS NOTE: Date of Bond must not be prior to date of Contract it G2 , I State of California County of Los Angeles On SEP 1 12007 Before me, R. Rangel Notary Public NAME TITLE OF OFFICER personally appeared Raymond E. Gail NAME OF SIGNER ®Personally known to me - OR - F-1 proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/tee subscribed to the within instrument and acknowledged to me that he/she/the executed the same in hisAierAhei authorized capacity(ies), and that by his/her-Ahei signature(s) on the instrument the person(s), or the R.RMGEL entity upon behalf of which the person(s) acted, COMM.#1678564 M Notary Publio-Wfomla LD executed the instrument. COUNTY ANGELECOUNTYOMY Comm.Exp.July 26,2010 Ww" W E y h an official seal. V(SIGN 6tUPE OF NOTARY) 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 F-] CORPORATE OFFICER TITLE OR TYPE OF DOCUMENT TITLE(S) ---------------------------------- ❑ PARTNER(S) ❑ LIMITED I F-] GENERAL NUMBER OF PAGES', ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR El OTHER DATE OF DOCUMENT, SIGNER IS REPRESENTING: NAME OF PERSON(S)OR ENTITY(IES) --------------------------------------- Arch Insurance Company SIGNER OTHER THAN NAMED ABOVE I NOTARY ACKNOWLEDGMENT State of California County of San Bernardino On September 14, 2007 before me, Nancy Escobedo., Notary Public Date Name and Title of officer(e.g."James Doe,Notary Public) personally appeared Brent C. Rieger Name(s)of Signer(r) ® 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, NANCY ESCOBEDO executed the instrument. Commission#1547038 csM Notary Public-California WITNESS my hand and of seal. � Y �, 1 San Bernardino County My Comm.Expires Jan 31,2009 Nancy Escobedo, N tary Public OPTIONAL Though the information below Is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Performance, Labor and Material Bonds Document Date: September 11,2007 Number of Pages: 2 Signer(s) Other Than Named Above: Raymond E. Gail Capacity(ies) Claimed by Signers) Signer's Name: Brent C. Rieger Signer's Name: ❑ Individual ❑ Individual ® Corporate Officer ® Corporate Officer Title(s): President Title(s): ❑ Partner ❑ Limited General ❑ Partner ❑ Limited ❑ General ❑ Attomey-in-Fact ❑ Attomey-in-Fact ❑ Trustee ❑ Trustee ❑ Guardian or Conservator Guardian or Conservator RIGHT THUMBPRINT❑ SIGNER Other: Top of thumb here LiOther: I� Top of thumb here i I i Signer is Representing: Signer is Representing: International Pavement Sol. Inc. i 1 ' 6rnnriren I enolNef Inr I sa .. ;; ,i� iE. „ ... � , .. � 1, - (: A � r �• .. 1 � � *EXECUTED IN DUPLICATE* *PREMIUM INCLUDED IN PERFORMANCE BOND* Bond Number: SU 5024006 i I' FORM OE LABQR AND MAURIAL BOND KNOWN ALL MEN BY THESE PRESENTS,that we International Pavement Solutions, Inc. hereinaftercaned„Principal"and Arch Insurance Company of , State of California,hereinafter called"Surety",are held and firmly bound unto City Of Grand Terrace Of hereinafter called"Owner",in the penal sum of One hundred seventy-six thousand five hundred eighteen and 00/100 dollars --176,518.00 , __ ) in lawful money of these United States,for the payment of which sum well and truly to be made,we bind ourselves,,our heirs, executors,administrators and successors,jointly and severally,1irmly by these per• THE CONDITION OF THIS OBUGATION IS.SUCH THAT WHEREAS,The Principal entered into a certain contract with the Owner,dated l l th day Of September 2007, a copy of which is hereto attached and made a part hereof for the construction of. Grand Terrag+e Pocket Park NOW THEREFORE, if the Principal shall promptly make payment to all persons, horns, subcorrtracWts,and corporations furnishing materials for or performing labor in the prosecution of the work provided for in such contract, and any authorized extension of modification thereof including all amounts due for materials,lubricants,oil,gasoline,repairs on machines,equipment acid tools, consumed or used in connection with the construction of such work, and all;insurance premiums of said work, and for all labor, performed in such work whether by subcontractor or otherwise,then this obligation Shall be void;otherwise to remain in full force and effect. PROVIDED,FURTHER,that if the original contractor or his subcontractor fails to pay any of the H-1 i IN WITNESS WHEREOF,this inst ment is executed in Two 0 o)� x rparts,each one of which shall be deemed an original,this the llth __ day of September 2007, ATTEST: International Pavement (principw) Solutions, Inc. (ptinclpw Sec.) (SEAL) (BY) P.O. Box 104 (Address) San Bernardino, CA 92423 (Witness as to Frincipal?_ (Address) (Surety) Arch Insurance Company ATTEST: (Surety See.) (SEAL) �\ (By 1 Raymond E. Gail, Attorney in Fact (Ads) 135 N. Los Robles, Ste 825 (Address) Pasadena, CA 91101 H-3 i �;�,:11111�14r 1 .. ��, �`„� � r t l , jCALIV6 State of California County of Los Angeles On SEP 11 2007 Before me, R. Rangel Notary Public NAME TITLE OF OFFICER personally appeared Raymond E. Gail NAME OF SIGNER ®Personally known to me - OR - F-1 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/the executed the same in his4ierAheir- authorized capacity(ies), and that by his/herAhei R.RANGEL signature(s) on the instrument the person(s), or the � #1678564 m COMM,&Nctary Publk-Cslftmia entity upon behalf of which the person(s) acted, LOS ANGELES COUNTY My Com.Exp.July 26,200 executed the instrument. official seal. (SIGW64- OF NOTARY) 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 F-] INDIVIDUAL F-] CORPORATE OFFICER TITLE OR TYPE OF DOCUMENT TITLE(S) ----------------------- ---- ❑ PARTNER(S) F-] LIMITED F-] GENERAL NUMBER OF PAGES ❑ ATTORNEY-IN-FACT F-1 TRUSTEE(S) F-] GUARDIAN/CONSERVATOR F-] OTHER DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSON(S)OR ENTITY(IES) ---------------------------------------- Arch Insurance Company SIGNER OTHER THAN NAMED ABOVE i POWER OF ATTORNEY Know All Men By These Presents: That the Arch Insurance Company, a corporation organized and existing under the laws of the State of Missouri, having its principal office in Kansas City, Missouri(hereinafter referred to as the"Company")does hereby appoint Raymond E.Gail and William J.Shupper of Rancho Cucamonga,CA(EACH) 'I its true and lawful Attorneys)-in-Fact, to make, execute, seal, and deliver from the date of issuance of this power for and on its behalf as surety, and as its act and deed: i Any and all bonds and undertakings EXCEPTION: NO AUTHORITY is granted to make, execute, seal and deliver bonds or undertakings that guarantee the payment or collection.of any promissory note,check, draft or letter of credit. This authority does not permit the same obligation to be split into two or more bonds in order to bring each such bond within the dollar limit of authority as set forth•herein. The Company may revoke this appointment at any time. The execution of such bonds and undertakings in pursuance of these presents shall be as binding upon the said 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 in Kansas Cityy.,N!lss ;Eii,.,,; , ,•;., s,'•r'.it 3 'Jd}"'•' .,tdC:4.i�j5 r_.,y ';..l,'.N,In-'J:y j ' This Power of Attorney is executed by authority of resolutions adopted by unanimous consent of the,Board of Directors of the Company on Marbh-3,k 2003, true and accurate copies of which are hereinafter set forth and are hereby certified to by the undersigned Secretary as.being in full force and effect: "VOTED, That the Chairman,of the Board, the President, or any Vice President, or their appointees;designated in writing and filed with the Secretary, or the Secretary shall have the power and authority to appoint agents and attorneys-in-fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings, obligatory in the nature thereof, and any such officers of the Company may.appoint agents for acceptance of process' pa4,, This Power of Attorney is signed, sealed and certified by facsimile under and by authority of the following resolution adopted by the unanimous consent of the Board of Directors of the Company on March 3, 2003: j 'VOTED, That the signature of the Chairman'of the Board, the President, or any Vice President, or their appointees designated in writing and filed with the Secretary, and the signature of the Secretary, the seal of the Company,'and certifications by the Secretary, may be affixed by facsimile on any power of attorney or bond executed pursuant to the resolution adopted by the Board of Directors on March 3, 2003, and any such power so executed,,sealed and certified with respect to any bond or undertaking to which it is attached,shall continue to be valid and bindingi upon the Company. I OOMLOO13 00 03 03 Page 1 of 2 - Printed in U.S.A. I In Testimony Whereof, the Company has caused this instrument to be signed and its corporate seal to be affixed by their authorized officers, this, 30th day of January ,2007 Arch Insurance Company Attested and Certified c o CORPORATE v SEAL 971 Martin J. Nilse ecretary dEdward%.Ti us ice President STATE OF NEW YORK SS COUNTY OF NEW YORK SS I Peter J. Calleo, a Notary Public, do hereby certify that-Edward M. Titus and Martin J. Nilsen personally known to me to be the same persons whose names are respectively as Vice President and Secretary of the Arch Insurance Company, a Corporation organized and existing under the laws of the State of Missouri, subscribed to the foregoing instrument, appeared before me this day in person and severally acknowledged that they being thereunto duly authorized signed, sealed with the corporate seal and delivered the said instrument as the free aAvolunt,ary act said corporation and as their own free and voluntary acts for the uses and purposes therein set forth. PETER J.CALLE0,180. Notary.Public,State of Newyork No.02CA6109336 P. r J. Nota ublic Ot—Afled in New York County Commission Expires May 3,2008 My commiss expires 5-03-2008 CERTIFICATION I, Martin J. Nilsen, Secretary of the Arch Insurance Company, do hereby certify that the attached Power of Attorney dated on behalf of the person(s) as listed above is a true and,correct copy and that the same has been in full force and effect since the date thereof and is in full force and effect on the date of this certificate; and I do further certify that the said Edward M. Titus, who executed the Power of'Attomey as Vice President, was on the date of execution of the attached Power of Attorney the duly elected Vice President of the Arch Insurance Company. IN TESTIMONY WHEREOF, I h P� er unpit cribed my name and affi d the corpora seal of the Arch Insurance Company on this day C� 1��� , 20 � ;0"< Martin J. Nils ,Secretary This Power of Attorney limits the acts of those named therein to the bonds and undertakings specifically named therein and they'have no authority to bind the Company except in the manner and to the extent herein stated. PLEASE SEND ALL CLAIM INQUIRIES RELATING TO THIS BOND TO THE FOLLOWING ADDRESS: Arch Contractors&Developers Group 135 N.Robles Ave.,Ste.825 Pasadena,CA 91101 l m ryvYonce Co COAPORATE '! V SEAL ■ 00ML0013 00 03 03 Page 2 of 2 Printed in U.S.A. NOTARY ACKNOWLEDGMENT State of California County of San Bernardino On September 14, 2007 before me, Nancy Escobedo., Notary Public , Date Name and Title of Officer(e.g.'James Doe,Notary Public) personally appeared Brent C. Rieger 1 Name(s)of Signer(r) ® 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(les), 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, NANCY ESCOBEDO 'executed the instrument. Commission#15417038 Notary Public-California .. San Bernardino county WITNESS my hand and official seal My Comm.Expires Jan 31,2009 Nancy Escobedo, Notary Public OPTIONAL Though the Information below is not required by law,It may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Performance, Labor and Material Bonds Document Date: September 11, 2007 Number of Pages: 2 Signer(s) Other Than Named Above: Raymond E.Gail Capacity(ies) Claimed by Signer(s) Signer's Name: Brent C. Rieger Signer's Name: ❑ Individual Individual ® Corporate Officer ® Corporate Officer ' Title(s): President Title(s): ❑ Partner ❑ Limited ❑ General ❑ Partner ❑ Limited ❑ General ❑ Attorney-in-Fact ❑ Attomey-in-Fact ❑ Trustee ❑ Trustee ❑ RIGHT THUMBPRINT Guardian or conservator OF SIGNER ❑ Guardian or Conservator OF SIGNER ❑ Other: Top of thumb here ❑ Other: Top of thumb here I Signer is Representing: Signer is Representing: International Pavement Sol. Inc. ' Amoriron 1 onolNM Inr ' I ,t Y' !, 'S'e� •t� 1 �f o wry, D:r. ri ' - � • ,M'y� - a .l ' t ACORDDATE(MMIDDIYYYY) M CERTIFICATE OF LIABILITY INSURANCE 09/12ID2007 PRO UCER (9'09)792-2345 FAX (909)792-0159 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Beall Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES,NOT AMEND,EXTEND OR 130 W. Vine Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Redlands, CA 92373 INSURERS AFFORDING COVERAGE NAIC# INSURED INTERNATIONAL PAVEMENT SOLUTIONS, INC. INSURER A: Travelers Prop & Casualty Co of ft 25674 P. 0. BOX 10458 INSURERS: Alaska National Insurance Co 38733 SAN BERNARDINO, CA 92423 INSURERC: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRADD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSR DATE MM/DD/YY DATE MWDD/YY GENERAL LIABILITY DTEC0365K9614TIL07 08/13/2007 08/13/2008 EACH OCCURRENCE $ 1,000,000 ED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $ 100,000 CLAIMS MADE m OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY M PROJECT LOC AUTOMOBILE LIABILITY DT810365K9614TIL07 08/13/2007 08/13/2008 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) A X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY, AGG S EXCESS/UMBRELLA LIABILITY DTSMCUP365K9614TIL07 08/13/2007 08/13/2008 EACH OCCURRENCE S 1,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 A S DEDUCTIBLE $ X RETENTION $ 10,000 $ WORKERS COMPENSATION AND 07HWS40057 08/13/2007 08/13/2008 X TORY LIMITS ER EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1,000,000 It yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS VIDENCE OF COVERAGE. CITY OF GRAND TERRACE AND ENGINEERS AND THEIR OFFICERS, AGENTS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED TO THE GENERAL LIABILITY PER ATTACHED CG D2 46 08 05 SOLELY AS RESPECTS ORK DONE BY AND ON BEHALF OF THE NAMED INSURED FOR THE THE CITY OF GRAND TERRACE. JOB: CONCRETE, SAA JOB LOCATION: POCKET PARK - JOB DESCRIPTION: CONCRETE, FENCING, IRRIGATION, LANDSCAPE EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT OF PREMIUM CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, CITY OF GRAND TERRACE BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 22795 BARTON ROAD OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. GRAND TERRACE, CA 92313 AUTHORIZED REPRESENTATIVE� ` Richard Beall07J 49 ACORD 25(2001/08) ©ACORD CORPORATION 1988 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY.COVERAGE PART 1. WHO IS AN INSURED—(Section II) is amended c) The insurance provided to the additional in- to include any person or organization that you sured does not apply to "bodily injury" or agree in a "written contract requiring insurance" "property damage" caused by; "your work" to include as an additional insured on this Cover- and included in the "products-completed op- age Part,but: erations hazard" unless the "written contract a) Only with respect to liability for"bodily injury", requiring insurance" specifically;requires you "property damage"or"personal injury and to provide such coverage for that additional insured, and then the insurance provided to b) If, and only to the extent that, the injury or the additional insured applies only to such damage is caused by acts or omissions of "bodily injury" or "property damage" that oc- you or your subcontractor in the performance curs before the end of the period of time for of "your work" to which the "written contract which the "written contract requiring insur- requiring insurance" applies. The person or ance" requires you to provide such coverage organization does not qualify as an additional or the end of the policy period, whichever is insured with respect to the independent acts earlier. or omissions of such person or organization. 3. The insurance provided to the additional insured 2. The insurance provided to the additional insured by this endorsement is excess over any valid and by this endorsement is limited as follows: collectible "other insurance", whether primary, a) In the event that the Limits of Insurance of excess, contingent or on any other basis, that is this Coverage Part shown in the Declarations available to the additional insured for a loss we exceed the limits of liability required by the cover under this endorsement. However, if the "written contract requiring insurance", the in- "written.contract requiring insurance" specifically surance provided to the additional insured requires that this insurance apply on a primary shall be limited to the limits of-liability re- basis or a primary and non-contributory basis, quired by that "written contract requiring in- this insurance is primary to "other insurance" surance". This endorsement shall not in- available to the additional insured which covers crease the limits of insurance described in that person or organization as a named insured Section III—Limits Of Insurance. for such loss, and we will not share with that b) The insurance provided to the additional in- "other insurance". But the insurances provided to the additional insured by this endorsement still is sured does not apply to"bodily injury", "prop- "� excess over any valid and collectible other in- erty damage" or "personal injury" arising out 'surance", whether primary, excess, contingent or of the rendering of, or failure to render, any on any other basis, that is available;to the addi- professional architectural, engineering or sur- veying tional insured when that person or organization is services, including: an .additional insured under such "other insur- i. The preparing, approving, or failing to ;ance". prepare or approve, maps, shop draw- 4. As a condition of coverage provided to the ings, opinions, reports, surveys, field or- additional insured by this endorsement: or change orders, or the preparing, approving, or failing to prepare or ap- !a) The,additional insured must give us written prove, drawings and specifications; and notice as soon as practicable of an "occur- rence" or an offense which may result in a ii. Supervisory, inspection, architectural or engineering activities. claim. To the extent possible, such notice should include: I I i CG D2 46 08 05 0 2005 The St. Paul Travelers Companies, Inc. !Page 1 of 2 i i` i I COMMERCIAL GENERAL-LIABILITY I i I L How, when and where the "occurrence" any provider of"other insurance"which would or offense took place; cover the additional insured!for a loss we ii. The names and addresses of any injured cover under this endorsement. However, this condition does not affect whether the insur- ance and witnesses;and provided to the additional insured by III. The nature,and location of any injury or this endorsement is primary to "other insur- damage arising out,of the"occurrence"or ance" available to the additional insured offense. which covers that person or organization as a b) If a claim is made or"suit"is brought against named insured as described in paragraph 3. the additional insured, the additional insured above. must: S. The following definition is added to SECTION V. i. Immediately record the specifics of 'the —DEFINITIONS: i claim or"suit"and the date received; and "Written contract requiring insurance" means ii. Notify us as soon as practicable. that part of any written contract or agreement The additional insured must see to it that we under which you are required to include a receive written notice�of the claim or"suit"as person or organization as an`,additional in- soon as practicable. sured on this Coverage Part,; provided"that the bodily injury and property'damage oc- c) The additional insured must immediately curs and the"personal injury"is caused by an send us copies of all legal papers received in offense committed: connection with the claim or"suit', cooperate a. After the signing and execution of the with us in the investigation or settlement of the claim or defense against the "suit", and contract or agreement by you; otherwise comply with all policy conditions. b. While that part of the contract or d) The.additional insured must tender the de- agreement is in effect;and fense and indemnity of any claim or"suit" to c. Before the end of the policy period. i i 1 Page 2 of 2 ©2005 The St. Paul Travelers Companies, Inc. CG D2 46 08 05