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Contract 1823
SECTION 1300 CONTRACT THIS CONTRACT, by and between the CITY OF CATHEDRAL CITY, a municipal corporation, herein referred to as "City, and Hardy&Harper, Inc. herein referred to as, "Contractor." WITNESSETH: In consideration of their mutual covenants,the parties hereto agree as follows: 1. Contractor shall furnish all necessary labor, material, equipment, transportation and services for Bid No. B17-05E, CIP Project No. 8851; DATE PALM DRIVE SIDEWALK GAP CLOSURE PROJECT in the City of Cathedral City,California. The Work shall be done in strict conformity with this Contract,approved Change Orders, the Invitation to Bid dated 2-28-19, Instructions to Bidders, permits issued by the City or other agencies,the General and Specific Project Requirements, Standard Specifications, Plans, Referenced Specifications, the General Conditions, Supplementary Conditions the Contractor's Bid dated 2-28-19, and any addenda thereto (the "Contract Documents")all of which shall be considered a part hereof as though fully set herein. 2. Scope of Work shall be the Base Bid Items and Alternative #3 (GFD) Bid Items per the Invitation to Bid and Contractor's Bid dated 2-28-19. 3. Contractor will comply with all Federal,State,County,and City of Cathedral City laws,regulations and policies,which are,as amended from time to time, incorporated herein by reference. 4. All work shall be done in a workman like manner and to the satisfaction of the City Engineer. 5. Time is of the essence in Contractor's performance of the Work for this Contract. Contractor agrees to diligently pursue the performance and completion of the Work in every detail to the satisfaction of the City. Contractor shall commence work after the issuance of a written Notice to Proceed and agrees to have all work completed within 60 working days from the date of Notification to Proceed. 6. In consideration of said Work, City agrees to pay Contractor such sums as shall be approved by the City Engineer at lump sums and/or unit prices stated in the Contractor's Bid. The total compensation to Contractor for all Work shall not exceed Five Hundred Forty Thousand Two Hundred Sixty-Eight Dollars ($540,268.00). All payments shall be subject to approval by the City Engineer and shall be in accordance with the terms, conditions, and procedures provided in the Contract Documents. 7. The Contractor, and any subcontractor engaged by Contractor, shall not pay less than the general prevailing rate for per diem wages, as determined by the State of California Department of Industrial Relations and referred to in the Invitation to Bid, to any workman employed for the work to be performed under this contract; and the Contractor shall forfeit as a penalty to the City up to Two Hundred Dollars ($200.00) for each calendar day, or fraction thereof, for every workman paid by Contractor or by any subcontractor engaged by Contractor, in violation of this provision(Sections 1770-1777, Labor Code of California). 8. Concurrently with the execution of this Contract, Contractor shall furnish bonds of a surety satisfactory to City, as provided in the Contract Documents,the cost of which shall be paid by Contractor. 9. Contractor agrees to indemnify,hold harmless,release and defend(even if the allegations are false, fraudulent or groundless), to the maximum extent permitted by law, the City, its City Council and each member thereof, and its officers, employees, commission members and representatives, from any and all liability, loss, suits, claims, damages, costs,judgments and expenses(including attorney's fees and costs of litigation) which in whole or in part are claimed to result from or to arise out of the usage or operation, including the malfunctioning of, or, any injury caused by, any product purchased herein; or any acts, errors or omissions (including, without limitation, professional negligence) of Contractor, its employees, representatives, subcontractors, or agents in connection with the performance of this Contract. This agreement to indemnify includes, but is not limited to, personal injury (including death at any time) and damage to property (including, but without limitation, contract or tort or patent, DATE PALM DRIVE SIDEWALK PROJECT CITY PROJECT NO.8851 DATE: March 28,2019 AGREEMENT 1300-1 r • copyright, trade secret or trademark infringement)sustained by any person or persons(including,but not limited to, companies,or corporations,Contractor and its employees or agents,and members of the general public. 10. Except as otherwise required, Contractor shall concurrently with the execution of this Contract, furnish the City satisfactory evidence of insurance of the kinds and in the amounts provided in the Contract Documents. This insurance shall be kept in full force and effect by Contractor during this entire contract and all premiums thereon shall be promptly paid by it. Each policy shall further state that it cannot be canceled without 30 days unconditional written notice to the City and shall name the City as an additional insured. Contractor shall furnish evidence of having in effect and shall maintain Workers Compensation Insurance coverage of not less than the statutory amount or otherwise show a certificate of self-insurance, in accordance with the Workers Compensation laws of the State of California. Failure to maintain the required amounts and types of coverage throughout the duration of this Contract shall constitute a material breach of this Contract. 11. Contractor shall forfeit as a penalty to City $25.00 for each laborer, workman, or mechanic employed in the execution of this Contract by said Contractor, or any subcontractor under it, upon any of the work herein mentioned,for each calendar day during which such laborer,workman,or mechanic is required or permitted to work at other than a rate of pay provided by law for more than 8 hours in any one calendar day and 40 hours in any one calendar week, in violation of the provisions of Sections 1810-1815 of the Labor Code of the State of California. 12. In accepting this Contract, Contractor certifies that in the conduct of its business it does not deny the right of any individual to seek, obtain and hold employment without discrimination because of race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex, gender, gender identity,gender expression, age, sexual orientation, or military and veteran status as provided in the California Fair Employment Practice Act(Government Code Sections 12900, et seq.) Contractor agrees that a finding by the State Fair Employment Practices Commission that Contractor has engaged during the term of this Contract in any unlawful employment practice shall be deemed a breach of this Contract and Contractor shall pay to City$500.00 liquidated damages for each such breach committed under this Contract. 13. Contractor also agrees that for contracts in excess of$30,000 that apprentices will be employed without discrimination in an approved program in a ratio established in the apprenticeship standards of the craft involved (Sections 1777.5 and 1777.6, Labor Code of California). Contractors who willfully fail to comply will be denied the right to bid on public projects for a period of six months in addition to other penalties provided by law. 14. This Contract shall not be assignable by Contractor without the written consent of City. 15. Contractor shall notify the City Engineer (in writing) forthwith when the Contract is deemed completed. 16. In accepting this Contract,Contractor certifies that no member or officer of the firm or corporation is an officer or employee of the City except to the extent permitted by law. 17. Contractor certifies that it is the holder of any necessary California State Contractor's License and authorized to undertake the Work. Contractor must, at Contractor's sole expense, obtain all necessary permits and licenses required for the Work, and give all necessary notices and pay all fees and taxes required by law, including, without limitation,any business license tax imposed by City. Contractor represents and declares to Agency that it has all licenses, permits, qualifications and approvals of whatever nature which are legally required to practice its profession. 18. The City,or its authorized auditors or representatives,shall have access to and the right to audit and reproduce any of the Contractor records to the extent the City deems necessary to insure it is receiving all money to which it is entitled under the contract and/or is paying only the amounts to which Contractor is properly entitled under the Contract or for other purposes relating to the Contract. 19. The Contractor shall maintain and preserve all such records for a period of at least three years after termination of the Contract. 20. The Contractor shall maintain all such records in the City of Cathedral City. If not,the Contractor DATE PALM DRIVE SIDEWALK PROJECT CITY PROJECT NO. 8851 DATE: March 28, 2019 AGREEMENT 1300-2 • shall, upon request, promptly deliver the records to the City or reimburse the City for all reasonable and extra costs incurred in conducting the audit at a location other than at City offices including, but not limited to, such additional (out of the City)expenses for personnel, salaries,private auditors,travel, lodging, meals and overhead. 21. In entering into this Contract or a contract with a subcontractor to supply goods, services, or materials pursuant to this Contract,Contractor and any or subcontractor is deemed to have offered and agreed to assign to 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 California Business and Professions Code),arising from purchases of goods,services,or materials for the Contract. This assignment will be deemed made and will become effective at the time City tenders final payment to Contractor, without further acknowledgement by the Parties. IN WITNESS WHEREOF,the parties have executed this Contract as of the dates stated below. "CITY" CITY OF CATHEDRAL CITY, a California mynicipal corporation t� // BY (.� Dated: D3-2-7-2(>1 Gj Charles McClendon,City Manager ATTEST: i . / 'A •/ Dated: (] 3 2-1 • 20[9 racey Ma : • ez,City Clerk • APPROVE i AS TO FORM: AL Li Dated: V i b i l iff Eric Vail City Attorney "CONTRACTOR" Hardy& Harper, Inc. Dated: 44(.111? By: Name: Steve Kirschner Title: Vice P ,si•�nt Dated: /67/} By: 1111"e Name: Kristen Paulino Title: Secretary [CONTRACTOR SIGNATURES MUST BE NOTARIZED. IF CONTRACTOR IS A CORPORATION OR LIMITED LIABILITY COMPANY, TWO SIGNATURES MUST BE PROVIDED.] DATE PALM DRIVE SIDEWALK PROJECT CITY PROJECT NO.8851 DATE: March 28,2019 AGREEMENT 1300-3 • 8 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 �.,��r;�.�.,rr,�=rccc c.srV,e�.�,�c.,�;c;�cer��.c�,c�r��,�;c,�,c-�zrc'c,,��.,�r.,�oc�rcare:rc'e•.�-�¢ ,�x-e.��ee�ce�c,ce.;c�e�ce:tac;cc�e.� A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy, or validity of that document. State of California County of Orange On April 5. 2019 before me, Ashlie Blanchard, Notary Public Date Here Insert Name and Title of the Officer personally appeared Steve Kirschner and Kristen S. Paulino Name(s)of Signer(s) who 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 Yte/sKe/they executed the same in his/hoer/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. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph .� ASHLIE BLANCHARD is true and correct. ,�. COMM.#2279550 c1 •'�'�' Notary Public-Califomia § WITNESS my hand and official seal. <I*, ORANGE COUNTY LL .o.•,. My Comm.Expires March 3,2023 / ' Signature t /�Vt�l.t +1-A1/141141/4- Signature 1-A4..Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Contract Document Date: April 5, 2019 Number of Pages: 2 Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Steve Kirschner Signer's Name: Kristen S. Paulino ❑� Corporate Officer — Title(s): vir.P Prpsiripnt ©Corporate Officer — Title(s): Secretary ❑ Partner — ❑ Limited ❑General ❑ Partner — ❑ Limited ❑General ❑Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: Hardy& Harper, Inc. Hardy& Harper. Inc. 9s.1,,G'a''awe,' '4' '�'aib'a'4'a'4' -a'4 '•'4' '•d6'ar6'm..'4'a'Aa'• '-•y-e, ''4'a+'.m. a'6'+/ NS'er..ar.-e�f'b.-ey6'y•e�6•es{'a�..e.•er a.''+ .,•ate:'_ 02014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 ti i,.W1AJN 31.lHV1 .M ivi(Y) '`..1‘ y, Yt {i t31p U31�6:yJ�`t1E1�� t�tOY- .114.+03')NA}K N v,.f* 7 L'S 1S i rt6M83140.tno?ZM 9 . THE FINAL PREMIUM IS This bond was issued in two(2) PREDICATED ON THE original counterparts FINAL CONTRACT AMOUNT SECTION 1310 FAITHFUL PERFORMANCE BOND Bond No. $3,0578 Premium: $3,057.00 KNOW ALL MEN BY THESE PRESENTS: THAT the City of Cathedral City, a municipal corporation, hereinafter designated the City, has,on 3-27-19 awarded to Hardy&Harper,Inc.,hereinafter designated as the Principal,a Contract for Bid No. BI 7-05E,Project No. CIP 8851, DATE PALM DRIVE SIDEWALK GAP CLOSURE PROJECT and WHEREAS, said Principal is required under the terms of said Contract to furnish a bond for the faithful performance of said Contract: NOW, THEREFORE, we, the Principal, and Fidelity and Deposit Company of Maryland, as Surety, are held and firmly bound unto the City in the just and full amount of($540,268.00) lawful money of the 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, firmly by these presents. *Five Hundred Forty Thousand Two Hundred Sixty Eight and 00/100 Dollars THE CONDITION OF THIS OBLIGATION IS SUCH, that if said Principal, his or its heirs, executors, administrators, successors, or assigns, shall in all things stand to and abide by, and well and truly keep and faithfully perform the covenants,conditions, and agreements in the said contract and any alterations made as therein provided, on his or their part to be kept and performed, at the time and in the manner therein specified, and in all respects according to their true intent and meaning,and shall indemnify and save harmless,the City, its officers and agents as therein stipulated, then this obligation shall become null and void; otherwise it shall be and remain in full force and virtue. It is acknowledged that the Contract provides for one-year guarantee period, during which time this bond remains in full force and effort. 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 to the work to be performed thereunder or the specifications accompanying the same shall, in any way, affect its obligations 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. Said Surety hereby waives the provisions of Sections 2819 and 2845 of the Civil Code of the State of California. THE REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK DATE PALM DRIVE SIDEWALK PROJECT CITY PROJECT NO.8851 DATE:March 27,2019 FAITHFUL PERFORMANCE BOND 1310-1 4P • IN WITNESS WHEREOF,the Principal and Surety have executed this instrument under their seals this 1st day of April , 2019, the name and corporate seal of each corporate party being hereto affixed, and these presents duly signed by its undersigned representative, pursuant to authority of its governing body. Hardy & Harper, Inc. Principal (Seal) Signature for Pr'''ipal Steve Kirschner — Vice President Title of Signatory Fidelity and Deposit Company of Maryland Surety (Seal) mac / Signature for Surety Shaunna Rozelle Ostrom Attorney-in-Fact Title of Signatory 777 South Figueroa Street, Suite 3900, Los Angeles, CA 90017 Address of Surety (213) 270-0600 Phone#of Surety David Wei Contact Person for Surety DATE PALM DRIVE SIDEWALK PROJECT CITY PROJECT NO.8851 DATE:March 27,2019 FAITHFUL PERFORMANCE BOND 1310-2 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On 4/1/2019 before me, Melissa Ann Vaccaro, Notary Public (insert name and title of the officer) personally appeared Shaunna Rozelle Ostrom who 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. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. r,;,:::-•,.N_ MELISSA ANN VACCARO WITNESS my hand and official seal. ,. COMM.#2241394 rl < - . ' Notary Public-California 4\ - j o ORANGE COUNTY LL �._ My Comm.Expires May 12,2022j� • • Signature 9Y), `-Vr C—vr� (Seal) --- -- • - .•••-•••-•••-.4. •---- Melissa Ann Vaccaro I • Bond No.7659918 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New York,the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D.Murray,Vice President,in pursuance of authority granted by Article V,Section 8,of the By-Laws of said Companies,which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint, Daniel HUCKABAY, Dwight REILLY, Arturo AYALA, Shaunna ROZELLE OSTROM and Frank MORONES, all of Orange, California, EACH, its true and lawful agent and Attorney-in-Fact, to make, execute, seal and deliver,for,and on its behalf as surety,and as its act and deed: any and all bonds and undertakings,and the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Companies,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York,New York.,the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills,Maryland.,and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland.,in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V,Section 8,of the By-Laws of said Companies,and is now in force. IN WITNESS WHEREOF,the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 6th day of February,A.D.2019. 03,tact ,�'.--�;y1 O L {��T'��. ATTEST: • ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: Robert D.Murray Vice President . By: Dawn E.Brown Secretary State of Maryland County of Baltimore On this 6th day of February, A.D.2019, before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified,Robert D. Murray,Vice President and Dawn E.Brown,Secretary of the Companies,to me personally known to be the individuals and officers described in and who executed the preceding instrument,and acknowledged the execution of same,and being by me duly sworn,deposeth and saith,that he/she is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written. �,t,uu,0, ntt ;:•`„ Constance A.Dunn,Notary Public f',ti; tt; y*3L .`- My Commission Expires:July 9,2019 it,liii qui`' EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V,Section 8,Attorneys-in-Fact. The Chief Executive Officer,the President,or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto;and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY,and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate;and I do further certify that Article V,Section 8,of the By-Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994,and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President,Secretary,or Assistant Secretary of the Company,whether made heretofore or hereafter,wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 1st day of April , 2019 (MAL .,., ,,,» •410,1 ;: Michael C.Fay,Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND,PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND,THE BOND NUMBER,AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg,IL 60196-1056 www.reportsfclaimsmizurichna.com 800-626-4577 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 ;{.,c-c. ., ec-cc;ccrxx-rec>ex--c-,-( s-c r .e.Nc c;rcc.c,,,--cc: c c ,- ,c e.�r �,c c A• A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of Orange ) On April 1. 2019 before me, Ashlie Blanchard, Notary Public , Date Here Insert Name and Title of the Officer personally appeared Steve Kirschner Name'of Signer'( who proved to me on the basis of satisfactory evidence to be the person(s) whose name(x) is/aYe subscribed to the within instrument and acknowledged to me that he/shoe/ttoey executed the same in his/her/their authorized capacity(iafi), and that by his/hRr/their signature(t)on the instrument the person(, or the entity upon behalf of which the person(x) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. fl ASHLIE BLANCHARD COMM.#2279550 M WITNESS my hand and official seal. Notary Public-California ri ORANGE COUNTY a /y Comm.Expires March 3,2023 Signature �..�� / vV' -- Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Faithful Performance Bond Document Date: April 1, 2019 Number of Pages: 2 Signer(s) Other Than Named Above: Shaunna Rozelle Ostrom Capacity(ies) Claimed by Signer(s) Signer's Name: Steve Kirschner Signer's Name: O Corporate Officer — Title(s): vire President ❑Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑General ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: Hardy&Harper, Inc. L•Y-.L} - - `E% - °r6.n,.J<.y.y.iyt.y-.,Ca'gm,..e.6.,v.a-a.y.e, ... F'f 'G "E%th.'C�Cf,W4"W`F ©2014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 • '1 1AHDYAJH 3!.1HeA \ oaaPN'SSik.Mmol i' } I t+nti?t.��`!1L``t Y�E10NyC a 1E OS,E t pt.ha zpt{gx.3.rrmoJ yiN:1 + THE FINAL PREMIUM IS This bond was issued in two(2) PREDICATED ON THE original counterparts FINAL CONTRACT AMOUNT SECTION 1320 Bond No. 7659918 PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS: THAT the City of Cathedral City, a municipal corporation, hereinafter designated the City, has, on 3-27-19,awarded to Hardy& Harper, Inc.,hereinafter designated as the Principal,a Contract for Bid No. B17-05E, Project No.CIP 8851, DATE PALM DRIVE SIDEWALK GAP CLOSURE PROJECT and WHEREAS,said Principal is required to furnish a bond in connection and with said Contract,providing that if said Principal,or any of it or its subcontractors shall fail to pay for any materials,provisions,or other supplies 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,the Surety of this bond will pay the same to the extent hereinafter set forth: NOW,THEREFORE,we,the Principal,and Fidelity and Deposit Company of Maryland ,as Surety,are held and firmly bound unto the City in the just and full amount of(S540,268.00),executors,administrators,and successors, jointly and severally, firmly by these presents. *Five Hundred Forty Thousand Two Hundred Sixty Eight and 00/100 Dollars THE CONDITION OF THIS OBLIGATION IS SUCH, that if said Principal, it or its heirs, executors, administrators, successors, or assigns, shall fail to pay for any materials, provisions, or other supplies used in, upon, for,or about the performance of the work contracted to be done, or for any work or labor thereon of any kind or for amount due under the Unemployment Insurance Act with respect to such work or labor,or for any amounts due,or to be withheld pursuant to Sections 18806 of the Revenue and Taxation Code of the State of California with respect to such work or labor, 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 attorney's fees to the City as shall be fixed by the court. This bond shall insure to the benefit of any and all persons, companies, and corporations named in Section 3181 of the Civil Code of the State of California so as to give a right of action 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 of the terms of the Contract or to the work to be performed thereunder or the specifications accompanying the same shall, in any way, affect its obligations of this bond, and it does hereby waive notice of any change, extension of time, alteration, or addition to the terms of the contract or to the work or to the specifications. Said Surety hereby waives the provisions of Sections 2819 and 2845 of the Civil Code of the State of California. THE REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK DATE PALM DRIVE SIDEWALK PROJECT CITY PROJECT NO.8851 DATE:March 27,2019 PAYMENT BOND 1320-1 V IN WITNESS WHEREOF,the Principal and Surety have executed this instrument under their seals this 1st day of April , 2019, the name and corporate seal of each corporate party being hereto affixed, and these presents duly signed by its undersigned representative, pursuant to authority of its governing body, Hardy & Harper, Inc. Principal (Seal) 4;ie% Signature for Principal Steve Kirschner — Vice President Title of Signatory Fidelity and Deposit Company of Maryland Surety (Seal) , "1.)/ %nature or Surety Shaunna Rozelle Ostrom Attorney-in-Fact Title of Signatory 777 South Figueroa Street, Suite 3900, Los Angeles, CA 90017 Address of Surety (213) 270-0600 Phone#of Surety David Wei Contact Person for Surety DATE PALM DRIVE SIDEWALK PROJECT CITY PROJECT NO.8851 DATE March 27,2019 PAYMENT BOND 1320-2 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On 4/1/2019 before me, Melissa Ann Vaccaro, Notary Public (insert name and title of the officer) personally appeared Shaunna Rozelle Ostrom who 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. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. MELISSA ANN VACCARO WITNESS my hand and official seal. COMM.Pub#?2241394 Notary lic-Califorrlla a ? .1 ORANGE COUNTY My Comm.Exp'ies May 12,2022 - - Signature ' C),,, iV1r�UC Cv\Cj (Seal) - Melissa Ann Vaccaro • Bond No.7659918 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D.Murray,Vice President,in pursuance of authority granted by Article V,Section 8,of the By-Laws of said Companies,which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint, Daniel HUCKABAY, Dwight REILLY, Arturo AYALA, Shaunna ROZELLE OSTROM and Frank MORONES, all of Orange, California, EACH, its true and lawful agent and Attorney-in-Fact, to make, execute, seal and deliver,for,and on its behalf as surety,and as its act and deed: any and all bonds and undertakings,and the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Companies,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York,New York.,the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills,Maryland.,and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland.,in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V,Section 8,of the By-Laws of said Companies,and is now in force. IN WITNESS WHEREOF,the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 6th day of February,A.D.2019. 4L-iek ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: Robert D.Murray Vice President? By: Dawn E.Brown Secretary State of Maryland County of Baltimore On this 6th day of February, A.D.2019, before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified,Robert D. Murray,Vice President and Dawn E.Brown,Secretary of the Companies,to me personally known to be the individuals and officers described in and who executed the preceding instrument,and acknowledged the execution of same,and being by me duly sworn,deposeth and said',that he/she is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written. j—� "?...31-"P1111 • / r r+tt • Constance A.Dunn,Notary Public '�i,?,r My Commission Expires:July 9,2019 • EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V,Section 8,Attorneys-in-Fact. The Chief Executive Officer,the President,or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto;and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY,and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate;and I do further certify that Article V,Section 8,of the By-Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attomey...Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994,and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President,Secretary,or Assistant Secretary of the Company,whether made heretofore or hereafter,wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 1st day of April 2019 . f4.41. ion Michael C.Fay,Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND,PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND,THE BOND NUMBER,AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg,IL 60196-1056 www.reportsfclaimsAzurichna.com 800-626-4577 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness, accuracy,or validity of that document. State of California County of Orange On April 1. 2019 before me, Ashlie Blanchard. Notary Public Date Here Insert Name and Title of the Officer personally appeared Steve Kirschner Name)'of Signer who proved to me on the basis of satisfactory evidence to be the person(x) whose name(g) is/axe subscribed to the within instrument and acknowledged to me that he/sKe/they executed the same in his/her/their authorized capacity(i ), and that by his/hier/their signature(g)on the instrument the person(, or the entity upon behalf of which the person() acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ASHLIE BLANCHARD `„ COMM.#2279550 r) WITNESS my hand and official seal. Notary Public-Califomia !1 / ORANGE COUNTY a `f� 21 w"" 4)--Lat01/11011(d j•' My Comm.Expires March 3,2023 Signature ti Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Payment Bond Document Date: April 1, 2019 Number of Pages: 2 Signer(s) Other Than Named Above: Shaunna Rozelle Ostrom Capacity(ies) Claimed by Signer(s) Signer's Name: Steve Kirschner Signer's Name: III Corporate Officer — Title(s): vir.P PrPsicipnt ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: Hardy& Harper, Inc. L..y..s„•%• '�f'm•�.• •.a f.y4• .d.d..d.•y4 • ••••4.4• •y..,v.yf.�.d..v<.ar<�<'es<'ar<'a<'er.-eq�f.�.er4• •'ei<'erf.e<�y.y..y,<'yS'�y.a, ©2014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 S1AHD1,1A.18 ?i Ft2A +acaf>C<c*.MMO. Y e�nt,,11 s 1-a+i+uh YipfartL _, V i Y;! L IAF0 �R F !° AC J1 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD YYYY) `.►/ 4/8/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Wood Gutmann&Bogart PHONE Shaby Amjad FAX 15901 Red Hill Ave., Suite 100 (AIC.No.Ext:714-505-7000 (A/C,No): Lic#0679263 ADDRESS: samjad@wgbib.com Tustin CA 92780 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:UNITED SPECIALTY INS CO 12537 INSURED HARDY-1 INSURER B:Zurich American Insurance Co. 16535 Hardy&Harper Inc INSURER C:AGCS Marine Insurance Company 22837 Maas Equipment, LLC P y 1312 E.Warner Ave. INSURER D:Evanston Insurance Company 35378 Santa Ana CA 92705 INSURER E:ALLIED WORLD NAIL ASSUR CO 10690 INSURER F: COVERAGES CERTIFICATE NUMBER:1573639507 REVISION NUMBER: 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MMIDDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY ATNSF1813471 12/31/2018 12/31/2019 EACH OCCURRENCE $1,000,000 CLAIMS-MADE I X I OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $50,000 _ MED EXP(My one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X IM LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY BAP373645414 10/1/2018 10/1/2019 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per $ AUTOS AUTOS accident) NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) $ _ $ E UMBRELLA LIAB X OCCUR 03116679 12/31/2018 12/31/2019 EACH OCCURRENCE $10,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED RETENTION$ $ B WORKERS COMPENSATION WC373645314 10/1/2018 10/1/2019 X PER OTH- i AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 •If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D Pollution/Professional Liability MKLV5ENV100621 12/31/2017 12/31/2019 $2.000,000 agg. $1,000,000 occ. C I Rented/Leased Equip SML93020423 12/31/2018 12/31/2019 $300,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) ENDORSEMENTS ATTACHED ONLY APPLY AS REQUIRED BY WRITTEN CONTRACT SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY. GENERAL LIABILITY: Additional insured applies per attached endorsements CG 20 10 04 13 and CG 20 37 04 13 Primary and Non Contributory wording applies per attached endorsement VEN 051 00(01/15) Waiver of Subrogation applies per attached endorsement CG 24 04 10 93 Per Project Aggregate applies per attached endorsement VEN 079 01 (03/18) See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Cathedral City 68-700 Avenida Lalo Guerrero Cathedral City CA 92234 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: HARDY-1 LOC#: ACRD ADDITIONAL REMARKS SCHEDULE Page 1 of AGENCY NAMED INSURED Wood Gutmann&Bogart Hardy&Harper Inc Maas Equipment,LLC POLICY NUMBER 1312 E.Warner Ave. Santa Ana CA 92705 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE AUTOMOBILE LIABILITY: Additional insured applies per attached endorsement U-CA-424-FCW(04-14). Primary wording applies per the attached U-CA-424-FCW(04-14). Waiver of Subrogation applies per attached endorsement U-CA-424-FCW(04-14).. WORKERS COMPENSATION: Waiver of Subrogation applies per attached endorsement WC 04 03 06 04-84. Re:Job Name:Date Palm Drive Sidewalk Project Additional Insured(s): The City of Cathedral City,City employees and officers,the City Engineer,its consultants,elected officials,agents and sub-consultants ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: ATN-SF1813471 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s)Or Organization(s) Location(s)Of Covered Operations As Required By Written Contract, Fully Executed As Required By Written Contract, Fully Prior To The Named Insured's Work Executed Prior To The Named Insured's Work Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional exclusions organization(s) shown in the Schedule, but only with apply: respect to liability for"bodily injury", "property damage" This insurance does not apply to "bodily injury" or or "personal and advertising injury" caused, in whole "property damage" occurring after: or in part, by: 1. All work, including materials, parts or equipment 1. Your acts or omissions; or furnished in connection with such work, on the 2. The acts or omissions of those acting on your behalf; project (other than service, maintenance or repairs) to be performed by or on behalf of the additional in the performance of your ongoing operations for insured(s) at the location of the covered operations the additional insured(s) at the location(s) has been completed; or designated above. 2. That portion of"your work" out of which the injury or damage arises has been put to its However: intended use by any person or organization other 1. The insurance afforded to such additional insured only than another contractor or subcontractor engaged applies to the extent permitted by law; and in performing operations for a principal as a part of 2. If coverage provided to the additional insured is the same project. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 10 04 13© Insurance Services Office, Inc., 2012 Page 1 of 2 } � 1 C. With respect to the insurance afforded to 2. Available under the applicable Limits of these additional insureds, the following is added to Insurance shown in the Declarations; Section III—Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the applicable required by a contract or agreement, the most we Limits of Insurance shown in the Declarations. will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13 6 I Policy Number:ATN-SF1813471 THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ ITCAREFULLY VEN 079 01 (03/18) POLICY LIMITATION - TOTAL AGGREGATE LIMIT FOR ALL CONSTRUCTION PROJECTS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SECTION III-LIMITS OF INSURANCE -2,is amended by the addition of the following: d.The General Aggregate Limit, shown in the Policy Declarations,applies separately to each"construction project". e. Notwithstanding the application of the General Aggregate Limit to each "Project"of the Named Insured, under no circumstances shall we pay more than $10,000,000 for all claims under this policy that are subject to the General Aggregate Limit. The following are added to the DEFINITIONS section of this policy. "Construction project" means any construction project, development, property, or group of properties, including all premises, phases, lots, and areas of such project, development; or property; and any building or group of buildings or other structures contained in any business or housing project, development, subdivision, or business park. If a construction project, or construction activity related thereto, has been abandoned. delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same location or construction project under this endorsement. Mutiple jobs, work orders; purchase orders, change orders or work done at multiple locations under one contract or master contract are not considered separate "construction projects" within the meaning of this policy. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. VEN 079 01 (03118) Pace lof'I • • • I MIMIMMIIMMMMIMMIMMIIIMIMMIMIIMINIMIM11.11.111=1M.1111.11 POLICY NUMBER:ATN-SF1813471 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations As Required By Written Contract, Fully Executed Prior As Required By Written Contract, Fully Executed Prior To The Named Insured's Work To The Named Insured's Work Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III— Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage" caused, in whole or in part, by required by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the "products-completed operations 1. Required by the contract or agreement; or hazard". 2. Available under the applicable Limits of However Insurance shown in the Declarations; 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted This endorsement shall not increase the applicable by law; and Limits of Insurance shown in the Declarations. 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 1 WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06(Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- 1 CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following"attaching clause"need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement, effective on 10/1/2018 at 12:01 A.M. standard time, forms a part of (DATE) Policy No. WC 3736453-14 Endorsement No. 001 of the • (NAME OF INSURANCE COMPANY) issued to HARDY& HARPER, INC. Premium (if any) $ Authorized Representative We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 0% of the California workers' compensation premium F otherwise due on such remuneration. Schedule Person or Organization Job Description All persons and/or organizations that are required by written contract or agreement with the insured,executed prior to the accident or loss,that waiver of subrogation be provided under this policy for work performed by you for that person and/or organization. WC 252(4-84) WC 04 03 06(Ed.4-84) Page 1 of 1 Y1 Coverage Extension Endorsement ZURICH Policy No, i Eft, Geta cr P . Exp, bate of e-);, gfE.o,ito nE Fina P1:5,1a ;r Nn. A,r1'r.Brent Pram- BAP373645414 10-1-2018 10-1-2m9 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage Form Motor Carrier Coverage Form A. Amended Who Is An Insured 1. The following is added to the Who Is Au Insured Provision in Section II—Covered Autos Liability Coverage: The following are also 'insureds": a. Any "employee" of yours is an "insured" while using a covered "auto" you don't ovm, hire or borrow for acts performed within the scope of employment by you. ;Any *employee' of yours is also an "irisurecr t ihik operating art 'auto' hired or rented under a contract or agreement in an ' rnpioyee's" name, with your permission,while performing duties related to the conduct of your business. b. Anyone volunteering services to you is an "insured" while using a covered "auto' you don't own, hire or borrow to transport your clients or other persons in activities necessary to your business. c. Anyone else who furnishes an"auto"referenced in Paragraphs A.1.a. and A.9.b. in this endorseneot. d. Where and to the extent permitted by law, any person(s)car organization(s)where required by written contract or written agreement wvth you executed prior to any "accident", including those person(s) err organization(s) directing your work pursuant to such written contract or written agreement with you, provided the "accident" arises out of operations governed by suctt contract or agreement and only up to the lirrlas required in the written contract or written agreement,or the Limits of insurance shown in the Declarations,whichever is less. 2 The following is added to the Other Insurance Condition in the i usfrtess Auto Coverage Form and the Other Insurance—Primary and Excess Insurance Provisions Condition in the Meier Carrier Coverage Form: Coverage for any person(s) or ornanizattoritsj; where required by written santtsct or written agreement with you executed prior to any"accident",kvill apply on a primary and non-contributory basis and any insurance maintained by the additional"insured"will apply on an excess basis. However, in no event will this coverage extend beyond the(ems and conditions of ttie'Cover'age Vomit B. Amendment—Supplementary Payments Paragraphs. a,(2) and a.(4) of the Coverage Extensions Provision in Section 8 Covered Autos Liability Coverage are replaced by the following: (2) Up to$5,000 for the cost of bait bonds (including bonds for related traffic law violations) required be :se_of an "accident"We cover. We do not have to furnish these bonds. (4) All reasonable cxnenses incurred by the"insured" at our request. including actual loss of earnings up to $500 a day because of time off from work. Ls-CA-424-_6'CW 04-1 4) Pale:of13 rreaudt;E copy.i;7Frtcd rn1*t uai,'insurance a vic> Office,b;c.,10111 plirni5s*,:rt. t 5 • C. Fellow Employee Coverage The Fellow Employee Exclusion contained in Section II Covered Autos Liability Coverage does not apply. D. Driver Safety Program Liability and Physical Damage Coverage 1. The following is added to the Racing Exclusion in Section It Covered Autos Liability Coverage: This exctuoicin doers not apply to covered -autos" participating in a driver safety program event, such as, but not limited in, auto or truck rodeos and other auto or truck agility demonstrations. 2. The following is added to Paragraph 2. in the Exclusions of Section HI — Physical Damage Coverage of the Pusiness Auto Coverage Form and Paragraph 2.b. in the Exclusions of Section IV — Physical Damage Coverage of the Motor Carrier Coverarue Form: This exctusicn does not apply to covered "autos" particlpatiny in a duvet safety program event; Such as, but not limited to,auto or truck rodeos and other auto or truck agility demonstrations. E. Lease or Loan Gap Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Lease Or Loan Gap Coverage In the event of a total"loss"to a covered "auto", we Will pay any unpaid amount due on the lease or loan for a covered "auto", less: a. Any amount paid under the Physical Damage Coverage Section of the Coverage Form:and b. Any. (1) Overdue lease or loan pay'rt eats at the time of the"loss"; (2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (3) Secr.rrity deposits not returned by the lessor; (4) Costs for extended warranties, credit life insurance, health,accident or disability insurance purchased with the loan or lease: and (5) Carry-over balances from previous leases or loans. F. Towing and Labor Paragraph A.2.of the Physical Damage Coverage Section is replaced by toe following: VsiL will pay up to $75 for towing and labor costs incurred each time a covered "auto" of the private passenger type is disabled, However, the labor roust be performed at the piece of disablement. G. Extended Glass Coverage The following is added to Paragraph A,3.a. of the Physical Damage Coverage Section: Iflthe deductibleDeclarations must be replaced, shown in the Declarations will apply. However.. If glass can be repaired and is actually repaired rather- than repiareu, the deductible will he waived. You have the option of having the glass repaired rather than replaced. H, Hired Auto Physical Damage—Increased Loss of Use Expenses The Coverage Extension for Loss Of Use Expenses in the Physical Damage Coverage Section is replaced by the following: Loss Of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes legally responsible to pay for loss of use of a vehicle rented or hired without a driver under a written rental contract Or writtr:n rental agreement, We will pay for loss of use e perices if causedby: U-CA-433-F OW tO4-14j r•'ar.2 of a iiic loth s cop)tigtdsd rriutefial a' rrc.;with al:peanivAon. Y (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered 'auto": (2) Specified Causes Of Loss only if the Der:Aerations indicate that Specified Causes Of Loss Coverage is provided for any covered"auto', or (3) Collision only if the Declarations indicate trial Collision Coverage is provided for any covered"outo". However, the most we yiiill pay for any expenses For loss of use is SiCi0 per day,to a maximum of$30CiO. Perscnni Effects Coverage The following is adde.r.1 to the Coverage Provision of the Physical Damage Coverage Section: Personal effects Coverage a, We will pay up to$75C for loss'to personal effects which are: (1) Personal properly owned by an Insured"; and (2) In or on a covered'auto'. b. Subicol to Paragraph a, above, the amount to be paid far loss's to personal effects gilt be based on the lesser of: (1) The.reasonable cost to replace; or (2) The actual cash value, c. The coverage provided in Paragraphs a, and b. above, only applies in the event of a total theft of a covered "auto". No deductible applies to this coverage. However, we will not pay for"loss"to personal effects of any of the following: (1) Accounts, bills, currency, deeds. evidence or debt, money, notes, securities, or commercial paper or other documents of value. (2) Bullion, gold, silver, platinum, or other,precious alloys or metals; furs or fur -garments; jewelry, watches, precious or semi-precious stones. (3) Paintings, statuary and other works of art (4) Contraband or property in the course of illegal transportation or trade_ (5) Tapes, records,ditcs or other titnilar devices used with audio,visual or data electronic equipment. Any coverage provided by this Provision is excess over any other insurance coverage available for the same"los ". 3. Tapes, Records and Discs.Coverage 1. The Exi;luSfen in Paragraph B.4.a. of Section lit— Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph B.2.c. of Section 1V —Physical Damage Coverage in the Motor Carrier Coverage. Perm does nor apply 2. The fallowing is added to Paragraph La. Comprehensive Coverage under the Coverage Provision of the Physical Damage Coverage Section: We will pay for'loss"to tapes, records, discs or other similar devices used with audio, visual or data electronic equipment, We will pay only if the tapes, records, discs or other similar audio,visual or data electronic devices: (a) Are the property of an"insured" and (b) Are in a covered 'auto"at the time of"loss'. The most We will pay for such loss" to tapes, records, discs or other similar devices is $SOO. The Physical Damage Coverage Deductible Provision does nOt apply to such loss". 3.3-CA-424-F CW0=1-14) Peuti 3 r3 itrzkrthn copytightt:d rnatiia1 o ImAllancc Zkervicet Office,Ittc.,with as pfathipsitaL K. Airbag Coverage The Exclusion in Paragraph 13,3.a.of Section III—Physical Damage Coverage in the BusinessAuto Coverage Perm and the Exelusion in Paragiaoh B.4.a. of Section IV— Physical Damage Coverage in the Motor Cartier Coverage Form does not apply to the accidental discharge of an airbag, L. Two or More Deductibles The following is added to the Deductible Provision of the Physical Damage Coverage Section: If an accident is covered both by this policy or Coverage Form and by another policy or Coverage Form issued to you by us, the following applies for each ocveriA"auto' on a per vehicle basis: 1. If the deductible on this policy or (overage Form is the smaller(or smallest)deductible,it will be waived; or 2. If the deductible on this policy or Coverage Form is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller (or smallest) deductible, M, Physical Damage—Comprehensive Coverage—Deductible *lhe following is added to the Deductible Provision or the Physical Damage Coverage Section: Regardless of the number of covered 'autos"damaged or stolen,the maximum deductible that will be applied to Comprehensive Coverage for all loss"fmin any one cause is $5,000 or the deductible shown in the Declarations; whichever is greater. N. Temporary Substitute Autos—Physical Damage 1. The following is added to Section I— Covered A-WOW. Temporary Substitute Autos—Physical Damage If Physical Damage Coverage is provided by this Coverage Form on your owned covered 'autos", the following types of vehicieS are also covered "alike for Physical Damage Coverage: Any "auto" you do not own when used with the permission of its owner as a temporary substitute for a covered "auto" you do own but is out of service,because of its. 1. Breakdown; 2, Repair; 3. Servicing; 4, "Loss"; or 5. Destruction. 2. The following is added to the Paragraph A. Coverage Provision of the Physical Damage Coverage Section: Temporary Substitute Autos—Physical Damage We will pay the owner for lossto the temporary substitute"auto" unless the less"results from fraudulent acts or omissions on your port. If we make any payment to the owner,we will obtain the owner's rights against any other party, The deductible for the temporary substitute "auto° will be the same as the thaduttible for the covered "auto" it. replaces, 0, Amended Duties In The Event Of Accident, Claim, Suit Or Loss Paragraph: a. of the Duties In The Event Of Accident, Claim, Suit Or Loss Condition is replaced by the following! a. In the event of"accident", or loss", you must give us or our authorized representative prompt notice of the "accident", claim, "suit" or "loss". However, these duties only appy when the "accident", clem, "suit" or loss"is known to you (If you are an individual), a partner(If you ate a partnership), a member(if you are a limited liability company) or an executive officer or insurance manager (if you are a corporation). The failure of any CW Pott 4 a Iriijdi coprighted rnatolal immancc•5e/viccc Office,Inc.,wch . 4 . ' agent. servant or employee of the"nsures["to notify us of any"accident', otaim,'suit"or"loss".shall not invalidate the insurance afforded by this policy. Inelude, as soon as practicable: (1) 'How, when and where the "accident" or "toss" occurred and if a claim is made or'"suit" Is brought, written notice of the claim or"suit"including. but not limited to, 'he date and details of such ciaaim or"suit"; (2) The"insured-a"name and address; and (3) To the extent possible, the names and addresses of any injured per sons and witnesses.. If you report an "accident", claim, "wait" or"bass" to another insurer when you should have reported to us. your failure to report to us Will not be seen as a violation of these amended duties provided you give us notice as soon as practicable after the fact of the deftly becomes known to you. P. Waiver of Transfer Of Rights Of Recovery Against Others To Us The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: This Condition does not apply to the extant required of you by a written contract, executed prior to any "accident" or "loss", provided that the "accident"or"loss" arises out of operations contemplated by such contract. 'Ibis waiver only applies to the person or organization designated in the contrast. Q. Employee Hired Autos—Physical Damage Par3uraph b. of the Other Insurance Condition in the Business Auto Coverage Form and Paragraph f. of the Other Insurance—Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Farre are replaced by Ilie following: For I-tired Auto Physical Damage Coverage, the following are deemed to he covered "autos"you own: (1) Any covered"auto"you lease, hire. rent or borrow; and (2) Any covered"auto"hired or rented under a written contraol or written agreement entered into by an "employee" or elected or appointed official with your permission while being operated within the course and Nxope of that "empto e,e's" employment by you or that elected or appointed official's duties as respect their obligations to you. However,any"auto" that Is leased. hired, rented 01 borrowed with a driver Is riot a covered "auto". R. Unintentional Failure to Disclose Hazards The following is added to the Concealment, Misrepresentation Or Fraud Condition: However, we will not deny coverage under this Coverage Form if you unintentionally: (1) Fail to disclose any hazards existing at the inception date of this Coverage Form:or (2) Make an error,ranmission,improper description of"autos" :or either misstatement of information. You must notify ccs as soon as possible after the discovery of arty hazards or any other information that was not provided to us prior to the acceptance of this policy. S. Hired Auto—World Wide Coverage Paragraph 7a;(5) of the Policy Period,Coverage Territory Condition is ;:eplaced by the following: (5) Anywhere in the world if a covered"auto"is leased, hired, rented or borrowed for a period of 50 days or less, T. Bodily Injury Redefined The definition of"bodily injury"in the Definitions Section is replaced by the following: 1 "Bodily injury means bodily injury, sickness or disease, sustained by a person including death or mental anguish, resulting from any of these at any time. Mental anguish means any type of mental or emofional illness or disease. U-CA-424-F CW(04-14) F-'1-3e 6 a lnci,stes:vpytiyht::3 rnakcriat of In:=urerrce 5_rvic s+office,Iris.;writ:t': eertr_si nr. U. Expected Or Intended injury The Expected Or Intended Injury Exclusion in Par:,iorrrph EL Exclusions under Section II Covered Auto Liability Coverage is replaced by the following: Expected Or Intended Injury "Bodily injury" or"property damage" expected or intended friar, the standpoint of the Insured', This exclusion does not apply to '''bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or properly. V. Physical Damage—Additional Temporary Transportations Expense Coverage Paragraph A.4.a. of Section ill--Physical Damage Coverage is replaced by the following: 4. Coverage Extensions a. Transportation Expenses We,.will pay up to S50 per day to a maximum of$1,000,for temporary transportation expense incurred by you because of the total theft of a covered 'we of the private passenger type. We will pay any for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginrring-48 hours after the theft and ending, regardless of the policy's expiration, when the covered 'auto" is returned to use or we pay for its "lose". W, Replacement of a Private Passenger Auto with a Hybrid or Alternative Fuel Source Auto 't'fre following is added to Paragraph A. Coverage of the Physical Damage Coverage Section: In the event of a total "loss"to a covered 'auto" of the private passenger type that is replaced with a hybrid "auto" or "auto'powered by an alternative fuel source of the private passenger type: we will pay an additional 10% of the cost of the replacement "auto excluding tab,, title, llceflse. other fees and any afterrnarket vehicle tllsglades, tip to a maximum of$2500. The covered "auto" must be replaced by a hybrid "auto"or an "auto" powered by an alternative fuel source within 6(1 calendar days of tha payment of the "loss"and evidenced by a bill of sale or new vehicle lege agreement, To qualify as a hybrid `auto', the "auto' must be powered by a conventional gasoline engine and another source of propulsion power. The other source of propulsion power must be electric, hydrog-.n, propane, solar or natural gas, either compressed or liquefied. To qualify as an "auto" powered by an alternative fuel source, the "auto"roust be powered by a source of propulsion power other than a conventional gasoline engine. An "auto" solely propelled by biofuol, gasoline or diesel fuel or any bland thereof is not an"emir,'powered by an alternative fuel source. X. Return of Stolen Automobile The following is added to the Coverage Extension Provision of the Physical Damage Coverage Section: If a covered 'auto"is stolen and recovered, we will pay the cost,of transport to return the"auto' fo you. We will play only for those covered'autos"for which you carry either Comprehensive{,yr Specified Causes of Loss Coverage. All other terms, conditions, provisions and exclusions of this policy remain the same. #11 (11/11ANb U-CA-4 4-V CW 04-14) rmiudcE eopy:,ghted r iatenal cer'mei once.4;srvi'c O1 lee,lac.,.x;:1r Etas p2rrrt ssbn, • Policy Number:ATN-SF1813471 UNITED SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. VEN 051 00 (01/15) PRIMARY AND NON-CONTRIBUTING INSURANCE ENDORSEMENT This endorsement modifies the Conditions provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Any coverage provided to an Additional Insured shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless: 1) a written contract or written agreement specifically requires that this insurance apply on a primary and non-contributory basis, or 2) prior to a loss, you request in writing and we agree that this insurance shall apply on a primary and non-contributory basis. All other terms, conditions and exclusions under this policy are applicable to this Endorsement and remain unchanged. VEN 051 00(01/15) Page 1 of 1 , , 1 a r POLICY NUMBER: ATN-SF1813471 COMMERCIAL GENERAL LIABILITY CG 24 0410 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Per Written Contract (If no entry appears above,information required to complete this endorsement will be shown in the Declarations as applica-ble to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition(Section IV—COMMERCIAL GENERAL LIABILITY CONDITIONS)is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or"your work"done under a contract with that person or organization and included in the"products-completed operations hazard".This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 10 93 Copyright,Insurance Services Office,Inc., 1992 Page 1 of 1 0 • P. 1 * * * Communication Result Report ( Apr. 8. 2019 9: 33AM ) * * * 1) HARDY & HARPER 2) Date/Time: Apr. 8. 2019 9: 31AM File Page No, Mode Destinat on Pg (s) Result Not Sent 4381 Memory TX 15626953913 P, 2 OK Reason for error E. 1) Hang up or l i ne fail E. 2) Busy E. 3) No answer E. 4) No facsimile connection E. 5) Exceeded max. E—mail size E. 6) Destination does not support IP—Fax PUBLIC WORKS CONTRACT AWARD INFORMATION Carded roue rem..reninee arae In your APPeeeliaa4 Gamier you em approved N Iran r you soli not wowed lo 1r.N toe ,,taI.e,d I,..0,0.4..,(01144$row be eNWine WALL.peke*epperiasrlp('amrmlmea in vev eat OYureF be w W fie the of to pdst Mort Ge Nr 1 .h w.dl.nmtd.r krbeeWMFaneKmror ibmelion about programs in yen.yew end[rode.You.yr .Iso consul row Neel Mae er Appeotceobip Sbed..dr iDaS)dice retro.Itepbow nurrAe mw e.Pone in year Intel drrotay under caisson.5r1.a.IrA4VYl Ra41N u.Olelv(11 or Appenlhatlrp beadarde. Do not send this form to the Division of Apprenticeship Standards. meow raunerwwwf corm PO Hardy&Harper,Inc 215952 114411.1.0111...110.1.rural err moo. 32 Random Circle,Lake Forest,CA 92630 714444-1851 Date Patin Drive Sidewalk Gap Closure Project ar 4/8/19 Various Locations yaM Reefer Cathedral City.CA516/19 ..e.,w..e orWcy1.1i.INGPTI.r.. aaemXps [re City of Cathedral City 150 68700 Avenida Lain Guerrero Cathedral City,CA 92234 Operator TeCRANNONWPRWTO.NNW a.wMeSSoeM.mna.moowapg arsar.arru.ea ma.w.on¢rd.a So Cal Laborers J.AC. 30 1385 W.Sierra Avenue,Azusa,CA 91702 .re.+«ne.s.o.a.drm 5/8/19 Operating Engineers I U_E O.I ncal 12 2190 S.Ped ssler Pl.,Arhlttler,CA 90601 Cement Masons Trust fur Southern CA P.O.Box 968, Monrovia,CA 91017-0968 This is not a request for dispatch of apprentices. Ge,Mcbn m,W mete a.parole repreaf ft'actual WopSth te smor.Mnce oar,Sediar 23o Ifs)Gho4 Coded Rep4000u C/rook One Of The Boxes Below I. x❑ We arc already apparel to train apprenlioes by he Operating Engineers U.SI. 0.Local 12 Apprenticeahb Commitee.We will employ and train ante-their Methane. odernaearle Ow.,We* • 2❑ We.a massy With the.tended,of Apprenlaz.hp Coranilhe for Rue duration of We job onus ..rut r.me x one Commit.. 3.0 Vie wet employ and train apprentices n accordance With the California Apprenticeship Cr.eot regoAdprr vrkhding 4 230.1(c)which requires that apprertca_employed on public p-ojeds can sly be assigned to • peerfonn sore of the craft or trade to which the apprentice is registered arra the Oe appredicaa Dart ie■ tines wadi went or under the deed supervision of Jmmmynymentremn. spnasen f/r/t 9 Typed Nano Steve Kinichner rice Vice President Stale of CMitorrn.-Dep.dn erg of Industrial Rtaaoea DIVISION asuaµr..par OF APPImNnCFSMIp STANDARDS PUBLIC WORKS CONTRACT AWARD INFORMATION Contract award information must be sent to your Apprenticeship Committee if you are approved to train. If you are not approved to train,you must send the information(which may be this form) to ALL applicable Apprenticeship Committees in your craft or trade in the area of the site of the public work. Go to: http://www.dir.ca.gov/das/PublicWorksForms.htm for information about programs in your area and trade. You may also consult your local Division of Apprenticeship Standards (DAS)office whose telephone number may be found in your local directory under California,State of,Industrial Relations,Division of Apprenticeship Standards. Do not send this form to the Division of Apprenticeship Standards. NAME OF YOUR COMPANY CONTRACTORS STATE LICENSE NO Hardy & Harper, Inc. 215952 MAIUNG ADDRESS-NUMBER&STREET,CITY,ZIP CODE AREA CODE 8 TELEPHONE NO. 32 Rancho Circle, Lake Forest, CA 92630 714-444-1851 NAME&ADDRESS OF PUBLIC WORKS PROJECT DATE YOUR CONTRACT EXECUTED Date Palm Drive Sidewalk Gap Closure Project 4/8/19 Various Locations DATE OF EXPECTED OR ACTUAL START OF PROJECT Cathedral City, CA 5/6/19 NAME&ADDRESS OF PUBLIC AGENCY AWARDING CONTRACT ESTIMATED NUMBER OF JOURNEYMEN HOURS City of Cathedral City 150 68700 Avenida Lalo Guerrero OCCUPATION OF APPRENTICE Cathedral City, CA 92234 Operator THIS FORM IS BEING SENT TO:(NAME&ADDRESS OF APPRENTICESHIP PROGRAM(S)) ESTIMATED NUMBER OF APPRENTICE HOURS So Cal Laborers J.A.C. 30 1385 W. Sierra Avenue, Azusa, CA 91702 APPROXIMATE DATES TO BE EMPLOYED 5/6/19 Operating Engineers I.U.E.O. Local 12 2190 S. Pellissier PI., Whittier, CA 90601 Cement Masons Trust for Southern CA P.O. Box 968, Monrovia, CA 91017-0968 This is not a request for dispatch of apprentices. Contractors must make a separate request for actual dispatch,in accordance with Section 230.1(a)California Code of Regulations Check One Of The Boxes Below 1. x We are already approved to train apprentices by the Operating Engineers I.U.E.O. Local 12 Apprenticeship Committee. We will employ and train under their Standards. Enter name of the Committee 2. We will comply with the standards of Apprenticeship Committee for the duration of this job only. Enter name of the Committee 3. We will employ and train apprentices in accordance with the California Apprenticeship Council regulations, including § 230.1 (c) which requires that apprentices employed on public projects can only be assigned to perform work of the craft or trade to which the apprentice is registered and that the apprentices must at all times work with or under the direct supervision of journeyman/men. Signature /t/ Date YI Typed Name Steve Kirschner Title Vice President State of California-Department of Industrial Relations DIVISION DAS 140(REV.1/04) OF APPRENTICESHIP STANDARDS REQUEST FOR DISPATCH OF AN APPRENTICE Do not send this form to DAS You may use this form to request dispatch of an apprentice from the Apprenticeship Committee in the craft or trade in the area of the public work. Go to: http://www.dir.ca.gov/das/PublicWorksForms.htm for information about programs in your area and trade. You may also consult your local Division of Apprenticeship Standards (DAS) office whose telephone number may be found in your local directory under California, State of, Industrial Relations, Division of Apprenticeship Standards. 4/8/2019 To Applicable Apprenticeship Committee: Operating Engineers I.U.E.O. Local 12 Address: 2190 S. Pellissier Pl., Whittier, CA 90601 Telephone: 714-827-4591 Fax: (562) 695-3913 Contractor Requesting Dispatch: Hardy & Harper, Inc. Address: 20 Rancho Circle, Lake Forest, CA 92630 Telephone: 714-444-1851 Fax: 714-444-2801 Person making request: Justin Dooley Number of Apprentice(s) Needed: 1 Craft or Trade: Operating Engineers Date Apprentices) to Report: TBD (48 hours notice required) Name of Person to Report to: Justin Dooley Address to Report to: 1312 E Warner Avenue Santa Ana, Ca 92705 Time to Report: 7:30 AM Office -1312 E. Warner Avenue Santa Ana, CA Project Name: Date Palm Drive Sidewalk Gap Closure You may use this form, or make a verbal or written request, to ask for the dispatch of an apprentice. Please take note of the California Code of Regulations, Title 8, § 230.1 (a) which says in part: if in response to a written request an Apprenticeship Committee does not dispatch any apprentice to a contractor who has agreed to employ and train apprentices in accordance with either the Apprenticeship Committee's Standards or these regulations within 72 hours of such request(excluding Saturdays, Sundays and holidays) the contractor shall not be considered in violation of this section as a result of failure to employ apprentices ... Hardy & Harper, Inc. is a Equal Employment Opportunity (EEO) Company DAS 142(REV.9-03) P. 1 * * * Communication Result Report ( Apr. 8. 2019 9: 34AM ) * * * ') HARDY & HARPER 2) Date/Time : Apr. 8. 2019 9: 31AM File Page No. Mode Destination Pg (s) Result Not Sent 4382 Memory TX 16262584090 P. 2 OK Reason for error E. 1) Hang up or line fail E. 2) Busy E. 3) No answer E. 4) No facsimile connection E. 5) Exceeded max. E—mail size E. 6) Destination does not support IP—Fax PUBLIC WORKS CONTRACT AWARD INFORMATION CabfGawe d Ybmiwl mate sal to es.Apprnvwag Canal.it yo,.ere iseeered to Iran Vow am eg aapaed is wan.you • meal wend be abraean0(*Rh nary be the boat b A.l epple.S.ApprerIo o5p ainirert.es in your croft a baea b lea.ea of lie ane el the pude wade Opp MplVeee.aLce.poNtlaRaaNbhr Hansa Mm far InAarnelion 010..1 pr0eara is year wee rb Pude.You may aleoowW your leo!Dire.of Rapranfivapy Manes.(DA51 01la whose paepbnme Rime,maybe Rustle pee bsa tired,miler CaaaR Stab ef,YiMel Nehaone,ibis=ePARraOeady Stakadr. Do not send this frim to the Division of Apprenticeship Standards en.Ofwaaceae.w ea. ,as wanes° Hardy&Harper,Inc. 215962 .a�aa�r.enc>Pma 32 Rancho Circle,Lake Forest CA 92630 714-4441851 Date Pakn Drive Sidewalk Gap Closure Project 483f19 • Various Locations auvscIMaalwaeaaawer Cathedral Cly,CA 5,6!19 aaeaWIONMvaeeaonarovaspaax na.nmNaapv.aaMwaease • City of Cathedral City 300 68790 Avenida Lab Guerrero Cathedral City,CA 92234 Cement Mason sespowismiceersreasesictrossmadtterserreceseirmorsesiss_ _- nouireoreseeefroseweative So Cal Laborers J.AC. 60 1385 W.Sierra Avenue,Azusa,CA 91702 aeeanro 5/9/19 Operating Engineers I.U.E.O.Local 12 2190 S.Petisser Pl.,Whittier,CA 90601 Cement Masons Trust for Southern CA P.O.Box 968, Monrovia,CA 91017-0968 This is not a request for dispatch of apprentices. Ceiadae ant mak a.epaala.+gone for wt.1(e atM1 nenvtleru 1410 Swam naiad Caritnya Gore of R40odeie. Check One Or The Omen Below 1.O We are already approved In Vain apprentices by tea; Cement Masons T of for Satinet'',CA Apprenticeship Committee.We will employ and trail oder their Standards, enrs,aerma morrst tee 2.L We crit comply with the standards of Apprenlneohp Committee fpr the deaelen of the rob ordy. Einar sone a Iti Caw.* 3.Cl We vdl employ and train apprentice in accordance wits he California Apieorth eshp Council regulations. inducting§230.t(d)which esquires that apprentices employed on public proocls can only be assgned b perfonn work of the ask or trade to which Ire apprentice is registered and that the aW tieebo s must at all tunes work with cr under the direct sepe veiar of pur.errwWmen. . �� TMxd Norm Steve Kirschner rare Vice President State d Calibres.Depareanl a In.aeial Relations DIVISION ae.meer.assQ APPRENncFOMIP RTANn&nos '6 • PUBLIC WORKS CONTRACT AWARD INFORMATION Contract award information must be sent to your Apprenticeship Committee if you are approved to train. If you are not approved to train,you must send the information(which may be this form) to ALL applicable Apprenticeship Committees in your craft or trade in the area of the site of the public work. Go to: http://www.dir.ca.gov/das/PublicWorksForms.htmfor information about programs in your area and trade. You may also consult your local Division of Apprenticeship Standards (DAS)office whose telephone number may be found in your local directory under California,State of,Industrial Relations,Division of Apprenticeship Standards. . Do not send this form to the Division of Apprenticeship Standards. NAME OF YOUR COMPANY CONTRACTOR'S STATE LICENSE NO Hardy & Harper, Inc. 215952 MAIUNG ADDRESS-NUMBER&STREET,CITY,ZIP CODE AREA CODE&TELEPHONE NO. 32 Rancho Circle, Lake Forest, CA 92630 714-444-1851 NAME&ADDRESS OF PUBLIC WORKS PROJECT DATE YOUR CONTRACT EXECUTED Date Palm Drive Sidewalk Gap Closure Project 4/8/19 Various Locations DATE OF EXPECTED OR ACTUAL START OF PROJECT Cathedral City, CA 5/6/19 NAME&ADDRESS OF PUBLIC AGENCY AWARDING CONTRACT ESTIMATED NUMBER OF JOURNEYMEN HOURS City of Cathedral City 300 68700 Avenida Lalo Guerrero OCCUPATION OF APPRENTICE Cathedral City, CA 92234 Cement Mason THIS FORM IS BEING SENT TO.(NAME&ADDRESS OF APPRENTICESHIP PROGRAM(S)) ESTIMATED NUMBER OF APPRENTICE HOURS So Cal Laborers J.A.C. 60 1385 W. Sierra Avenue, Azusa, CA 91702 APPROXIMATE DATES TO BEEMPLOYED 5/6/19 Operating Engineers I.U.E.O. Local 12 2190 S. Pellissier PI., Whittier, CA 90601 Cement Masons Trust for Southern CA P.O. Box 968, Monrovia, CA 91017-0968 This is not a request for dispatch of apprentices. Contractors must make a separate request for actual dispatch,in accordance with Section 230.1(a)California Code of Regulations Check One Of The Boxes Below 1. x We are already approved to train apprentices by the Cement Masons Trust for Southern CA Apprenticeship Committee. We will employ and train under their Standards. Enter name of the committee 2. We will comply with the standards of Apprenticeship Committee for the duration of this job only. Enter name of the Committee 3. We will employ and train apprentices in accordance with the California Apprenticeship Council regulations, including § 230.1 (c)which requires that apprentices employed on public projects can only be assigned to perform work of the craft or trade to which the apprentice is registered and that the apprentices must at all times work with or under the direct supervision of journeyman/men. Signature ./v/., 1. Date ei(b/l s Typed Name Steve Kirschner !!! Title Vice President State of California-Department of Industrial Relations DIVISION DAS 140(REV.1/04) OF APPRENTICESHIP STANDARDS i REQUEST FOR DISPATCH OF AN APPRENTICE Do not send this form to DAS You may use this form to request dispatch of an apprentice from the Apprenticeship Committee in the craft or trade in the area of the public work. Go to: http://www.dir.ca.gov/das/PublicWorksForms.htm for information about programs in your area and t Date: 4/8/2019 To Applicable Apprenticeship Committee: Cement Masons Trust for Southern CA Address: P.O. Box 968, Monrovia, CA 91017-0968 Telephone: 626-444-4600 Fax: 626-258-4090 Contractor Requesting Dispatch: Hardy & Harper, Inc. Address: 20 Rancho Circle, Lake Forest, CA 92630 Telephone: 714-444-1851 Fax: 714-444-2801 Person making request: Justin Dooley Number of Apprentice(s) Needed: 1 Craft or Trade: Cement Masons Date Apprentice(s) to Report: TBD (48 hours notice required) Name of Person to Report to: Justin Dooley Address to Report to: 1312 E. Warner Avenue Time to Report: 7:30 AM Office -1312 E. Warner Avenue Santa Ana, CA Project Name: Date Palm Drive Sidewalk Gap Closure You may use this form, or make a verbal or written request, to ask for the dispatch of an apprentice. Please take note of the California Code of Regulations, Title 8, § 230.1 (a) which says in part: if in response to a written request an Apprenticeship Committee does not dispatch any apprentice to a contractor who has agreed to employ and train apprentices in accordance with either the Apprenticeship Committee's Standards or these regulations within 72 hours of such request(excluding Saturdays, Sundays and holidays) the contractor shall not be considered in violation of this section as a result of failure to employ apprentices ... Hardy& Ilarper, Inc. is a Equal Employment Opportunity (EEO) Company DAS 142(REV.9-03) P. 1 * * * Communication Result Report ( Apr. 8. 2019 9: 35AM ) * * * 1) HARDY & HARPER 2) Date/Time: Apr. 8. 2019 9: 31AM File Page No. Mode Destination Pg (s) Result Not Sent 4383 Memory TX 16266330205 P. 2 OK Reason for error E. 1) Hang up or line fail E. 2) Busy E. 3) No answer E. 4) No facsimile connection E. 5) Exceeded max. E—maiI size E. 6) Destination does not support IP—Fax PUBLIC WORKS CONTRACT AWARD INFORMATION Grist wait Hanwfa,met be art k.yov Apprenticeship Ca.t If rm.are erprowd I.....on yw 0.0d sypewd in If.You rr.l atollsYd*rrhliM(libkb ma be this torn)to ALL mar..Apprenticeship funmlw..In per weft ern.to.so.of ger sl:. al 1.p55 Mak.Go la Allis. ..c..poM1a✓PUH3 soisfa,ns.link..infomulivn about pogroms In your moo of trade You may eYpbrs{yorkical Maim dA entalesship Slasd.01 0051 offs wIrose INrehann nunere ma be found inyew local avMo.y under Qsaoese air of,Indria Rdafan,Division of Apprenticeship Sladnds. Do not send this form to the Division of Apprenticeship Standards. mne.noesstet�aeff,o Ha▪rdy 6 Harper,Inc 215952 a.e.bYe.r..i.a011t, 32 Rancho Circle,lake Fixed,CA 92630 714-444-1851 ▪ rM.s1.1•6wcts.pn..i191101,a Date Patin Drive Sidewalk Gap Closure Project 418119 Various Locatiursaerasw.w. wwa t.n. , Cathriser eaiel a ral C ,CA 5/6119 City of Cathedral City rsrma�� w� 00 68700 Avenida Lab Guerrero 0.111111EdeS.r�.,w Cathedral Cly,CA 92234 Laborer Tn:FORM id MI.eenww.cs,m.ti0newea.Qa.rrq rsenem MUM.o=ra.w.rlrrsxaws 40 So Cal Laborers JAC. 1365 W.Sierra Avenue,Azusa,CA 91702 5/6/19 Operating Engineers I.U.E.O.Local 12 2190 S.Pellissier Pt.,Whittier,CA 90601 Cement Masons Trust for Southern CA P.0 Box 968, Monrovia,CA 91017-0988 This is not a request tor dispatch of apprentices. tndwm.,am.w0:mnr.G rm.arwwrwasprdn.r weaa o.ern soNxm 290.7W ut„r.Code dfxawiaw 1 Check One Of The Boxes Below t. x❑ Ws ars srleady approved n train apprenic.s by the So Cil Laborers JAC. • Apprenticeship Committee.We will employ and Yen older their SWdrda Enke..elu.e.,,wfl5 2.❑ We Mil comply veth the standards of Appnrntrsshp Commune for tie duration of this)Db oety. Eo ler nor of Sea • ❑ we w employ and nm apprentices to accordance vAln the California Apprenticeship Council regulations, lrrmosg§2301(0)Which==.sires dal apprentices employed on public Midrib not only be assigned to • perform work of the Craft or trade to whiff the app.'eYice is registered and Nei ti appreidnes must at ell lines work.dh or order the disci separvisipn of•umepnaaAnen. Signaller Typed Mow Steve Kirschner • Tide Vice President slaw of canter.-D.p.rlm.nt of Industrial Relations DIVISION aewlsw.,y Ur APR..Ii oho STANDARDS PUBLIC WORKS CONTRACT AWARD INFORMATION Contract award information must be sent to your Apprenticeship Committee if you are approved to train. If you are not approved to train,you must send the information(which may be this form) to ALL applicable Apprenticeship Committees in your craft or trade in the area of the site of the public work. Go to: http://www.dir.ca.gov/das/PublicWorksForms.htmfor information about programs in your area and trade. You may also consult your local Division of Apprenticeship Standards (DAS) office whose telephone number may be found in your local directory under California,State of,Industrial Relations,Division of Apprenticeship Standards. Do not send this form to the Division of Apprenticeship Standards. NAME OF YOUR COMPANY CONTRACTOR'S STATE LICENSE NO Hardy & Harper, Inc. 215952 MAIUNG ADDRESS-NUMBER&STREET,CITY,ZIP CODE AREA CODE&TELEPHONE NO. 32 Rancho Circle, Lake Forest, CA 92630 714-444-1851 NAME&ADDRESS OF PUBLIC WORKS PROJECT DATE YOUR CONTRACT EXECUTED Date Palm Drive Sidewalk Gap Closure Project 4/8/19 Various Locations DATE OF EXPECTED OR ACTUAL START OF PROJECT Cathedral City, CA 5/6/19 NAME&ADDRESS OF PUBLIC AGENCY AWARDING CONTRACT ESTIMATED NUMBER OF JOURNEYMEN HOURS City of Cathedral City 200 68700 Avenida Lalo Guerrero OCCUPATION OF APPRENTICE Cathedral City, CA 92234 Laborer THIS FORM IS BEING SENT TO.(NAME&ADDRESS OF APPRENTICESHIP PROGRAM(S)) ESTIMATED NUMBER OF APPRENTICE HOURS So Cal Laborers J.A.C. 40 1385 W. Sierra Avenue, Azusa, CA 91702 APPROXIMATE DATES TO BE EMPLOYED 5/6/19 Operating Engineers I.U.E.O. Local 12 2190 S. Pellissier PI., Whittier, CA 90601 Cement Masons Trust for Southern CA P.O. Box 968, Monrovia, CA 91017-0968 This is not a request for dispatch of apprentices. Contractors must make a separate request for actual dispatch,in accordance with Section 230.1(a)California Code of Regulations Check One Of The Boxes Below 1. x We are already approved to train apprentices by the So Cal Laborers J.A.C. Apprenticeship Committee. We will employ and train under their Standards. Enter name of the Committee 2. We will comply with the standards of Apprenticeship Committee for the duration of this job only. Enter name of the Committee 3. n We will employ and train apprentices in accordance with the California Apprenticeship Council regulations, including § 230.1 (c) which requires that apprentices employed on public projects can only be assigned to perform work of the craft or trade to which the apprentice is registered and that the apprentices must at all times work with or under the direct supervision of journeyman/men. Signature Date LI/Il I1 Typed Name Steve Kirschner Title Vice President State of California-Department of Industrial Relations DIVISION DAS 140(REV.1/04) OF APPRENTICESHIP STANDARDS REQUEST FOR DISPATCH OF AN APPRENTICE Do not send this form to DAS You may use this form to request dispatch of an apprentice from the Apprenticeship Committee in the craft or trade in the area of the public work. Go to: http://www.dir.ca.gov/das/PublicWorksForms.htm for information about programs in your area and trade. You may also consult your local Division of Apprenticeship Standards (DAS) office whose telephone number may be found in your local directory under California, State of, Industrial Relations, Division of Apprenticeship Standards. Date: 4/8/2019 To Applicable Apprenticeship Committee: So Cal Laborers J.A.C. Address: 1385 W. Sierra Madre Ave., Azusa, CA 91702 Telephone: 626-258-9044 Fax: 626-633-0205 Contractor Requesting Dispatch: Hardy & Harper, Inc. Address: 20 Rancho Circle, Lake Forest, CA 92630 Telephone: 714-444-1851 Fax: 714-444-2801 Person making request: Justin Dooley Number of Apprentice(s) Needed: 1 Craft or Trade: Construction Laborers Date Apprentice(s) to Report: TBD (48 hours notice required) Name of Person to Report to: Justin Dooley Address to Report to: 1312 E Warner Avenue Santa Ana, Ca 92705 Time to Report: 7:30 AM Office -1312 E. Warner Avenue Santa Ana, CA Project Name: Date Palm Drive Sidewalk Gap Closure You may use this form, or make a verbal or written request, to ask for the dispatch of an apprentice. Please take note of the California Code of Regulations, Title 8, § 230.1 (a) which says in part: if in response to a written request an Apprenticeship Committee does not dispatch any apprentice to a contractor who has agreed to employ and train apprentices in accordance with either the Apprenticeship Committee's Standards or these regulations within 72 hours of such request(excluding Saturdays, Sundays and holidays)the contractor shall not be considered in violation of this section as a result of failure to employ apprentices ... Hardy& Harper, Inc. is a Equal Employment Opportunity (EEO) Company DAS 142(REV.9-03) L SECTION 1330 WORKERS' COMPENSATION INSURANCE CERTIFICATE In accordance with California Labor Code Section 1861, prior to commencement of work on the Contract, the Contractor shall sign and file with the City the following certification: "I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers'compensation or to undertake self-insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract." Signature Steve Kirschner — Vice President Title 4/5/19 Date DATE PALM DRIVE SIDEWALK PROJECT CITY PROJECT NO.8851 DATE: March 27,2019 WORKER'S COMPENSATION 1330-1 r