PTM General Engineering/Village Ped Crossing 10SECTION 1300
CONTRACT
THIS CONTRACT, by and between the CITY OF LA QUINTA, a municipal
corporation, herein referred to as "City," and PTM General Engineering Services, 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 City Project No. 2008-04B, Phase 2 — Village Enhanced Pedestrian Crossings
and Traffic Calming Devices in the City of La Quinta, California pursuant to the Invitation to
Bid, dated May 2010 the project Specifications, and Contractor's Bid, dated June 24,
2010, all of which documents shall be considered a part hereof as though fully set herein.
Should any provisions of Contractor's Bid be in conflict with the Notice Inviting
Bids, Specifications, or this Contract, then the provisions of said Contract, Specifications,
and Invitation to Bid shall be controlling, in that order of precedence. The time frame for
construction work shall be in accordance with that specified in the Invitation to Bid.
2. Contractor will comply with all Federal, State, County, and La Quinta Municipal
Code, which are, as amended from time to time, incorporated herein by reference.
3. All work shall be done in a manner satisfactory to the City Engineer.
4. Contractor shall commence work after the issuance of a written Notice to Proceed
and agrees to have all work completed within 40 working days from the date of
Notification to Proceed.
5. 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 base consideration Five Hundred and Twenty Seven Thousand and Twenty Seven
Dollars and Zero Cents ($527,027.00). 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 Specifications.
6. The Contractor shall not knowingly 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 the
sum of Twenty -Five Dollars ($25.00) for each calendar day, or fraction thereof, for such
workman paid by him or by any subcontractor under him in violation of this provision
(Sections 1770-1777, Labor Code of California).
Contract 1300-1
7. Concurrently with the execution of this Contract, Contractor shall furnish bonds of
a surety satisfactory to City, as provided in said Specifications or Invitation to Bid, the cost
of which shall be paid by Contractor.
8. Contractor shall defend, indemnify and hold harmless the City, its officers,
employees, representatives and agents ("Indemnified Parties"), from and against those
actions, suits, proceedings, claims, demands, losses, costs, and expenses, including legal
costs and attorneys' fees, for injury to or death of person(s), for damage to property
(including property owned by City) and for errors and omissions committed by Contractor,
its officers, employees and agents, which arise out of Contractor's negligent performance
under this Contract, except to the extent of such loss as may be caused by City's own
negligence or that of its officers or employees. In the event the Indemnified Parties are
made a party to any action, lawsuit, or other adversarial proceeding in any way involving
such claims, Contractor shall provide a defense to the Indemnified Parties, or at the City's
option, reimburse the Indemnified Parties their costs of defense, including reasonable
attorney's fees, incurred in defense of such claim. In addition, Contractor shall be
obligated to promptly pay any final judgment or portion thereof rendered against the
Indemnified Parties.
9. Contractor shall hold the County of Riverside, its officers, agents and employees
free and harmless from any liability whatsoever, including wrongful death, based or
asserted upon any act or omission of principal, its officers, agents, employees or sub-
contractors relating to or in any way connected with or arising from the accomplishment of
the work, whether or not such acts or omissions were in furtherance of the work requires
by the Contract Documents and agrees to defend at his expense, including attorney fees,
City of La Quinta, County of Riverside, its officers, agents, employees and Independent
Architect in any legal action based on any such alleged acts or omissions.
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 said Specifications. 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.
Contract 1300-2
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
handicap, medical condition, marital status, sex or age 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 $1,607.00 liquidated
damages for each such breach committed under this contract.
13. Contractor also agrees that for contracts in excess of $30,000 and more than 20
calendar days duration, 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. Contractor and Owner do hereby acknowledge that this Contract will be partially or
fully funded with Community Development Block Grant (CDBG) funds [24 CFR 5701 and is
therefore subject to applicable Federal procurement, labor, environmental, equal
opportunity, and other regulations.
15. Contractor shall maintain and keep books and records on a current basis, recording
all transactions pertaining to this contract in a form in accordance with generally
acceptable accounting principles. Said books and records shall be made available to the
County, the State of California, the Federal government, and to any authorized
representative thereof for the purposes of audit at all reasonable times and places. All
such books and records shall be retained for such periods of time as required by law,
provided, however, notwithstanding any shorter periods of retention, all books, records,
and supporting detail shall be retained for a period of at least four (4) years after the
expiration of the term of this Contract.
16. Contractor shall comply with the Davis -Bacon fair Labor Standards Act (40 USC a-
276, a-5) and the implementation regulations thereof. Contractor shall comply with the
U.S. Department of Housing and Urban Development's Federal Labor Standards Provisions
(HUD 4010). Contractor acknowledges that the applicable Wage Determination for this
project is:
General Decision Number CA20100036
Modification Number: 3
Date:04/16/2010
17. Section 3 Compliance: The Contractor hereby acknowledges that this federally -
funded project is subject to Section 3 of the Housing and Urban Development Act
of 1968 [12 U.S.C. 1701u and 24 CFR Part 1351 and agrees to the following:
A. The work to be performed under this contract is subject to the requirements
of Section 3 of the Housing and Urban Development Act of 1968, as
Contract 1300-3
amended, 12 U.S.C. 1701u (Section 3)• The purpose of Section 3 is to
ensure that employment and other economic opportunities generated by HUD
assistance or HUD -assisted projects covered by Section 3, shall, to the
greatest extent feasible, be directed to low- and very low-income persons,
particularly persons who are recipients of HUD assistance for housing.
B. The parties to this contract agree to comply with HUD's regulations in 24
CFR Part 135, which implement Section 3. As evidenced by their execution
of this contract, the parties to this contract certify that they are under no
contractual or other impediment that would prevent them from complying
with the Part 135 regulations.
C. The contractor agrees to send to each labor organization or representative of
workers with which the contractor has a collective bargaining agreement or
other understanding, if any, a notice advising the labor organization or
workers' representative of the contractor's commitments under this Section
3 clause, and will post copies of the notice in conspicuous places at the
work site where both employees and applicants for training and employment
positions can see the notice. The notice shall describe the Section 3
preference, shall set forth minimum number and job titles subject to hire,
availability of apprenticeship and training positions, the qualifications for
each; and the name and location of the person(s) taking applications for each
of the positions; and the anticipated date the work shall begin.
D. The contractor agrees to include this Section 3 clause in every subcontract
subject to compliance with regulations in 24 CFR Part 135, and agrees to
take appropriate action, as provided in an applicable provision of the
subcontract or in this Section 3 clause, upon a finding that the subcontractor
is in violation of the regulations in 24 CFR Part 135. The contractor will not
subcontract with any subcontractor where the contractor has notice or
knowledge that the subcontractor has been found in violation of the
regulations in 24 CFR Part 135.
E. The contractor will certify that any vacant employment positions, including
training positions, that are filled (1) after the contractor is selected but
before the contract is executed, and (2) with persons other than those to
whom the regulations of 24 CFR Part 135 require employment opportunities
to be directed, were not filled to circumvent the contractor's obligations
under 24 CFR Part 135.
F. Noncompliance with HUD's regulations in 24 CFR Part 135 may result in
sanctions, termination of this contract for default, and debarment or
suspension from future HUD assisted contracts.
G. With respect to work performed in connection with Section 3 covered Indian
housing assistance, Section 7(b) of the Indian Self -Determination and
Education Assistance Act (25 U.S.C. 450e) also applies to the work to be
performed under this contract. Section 7(b) requires that to the greatest
extent feasible (i) preference and opportunities for training and employment
Contract 1300-4
shall be given to Indians, and (ii) preference in the award of contracts and
subcontracts shall be given to Indian organizations and Indian -owned
Economic Enterprises. Parties to this contract that are subject to the
provisions of Section 3 and Section 7(b) agree to comply with Section 3 to
the maximum extent feasible, but not in derogation of compliance with
Section7(b)•
18. This Contract shall not be assignable by Contractor without the written consent of
City.
19. Contractor shall notify the City Engineer (in writing) forthwith when the Contract is
deemed completed.
20. 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.
21. Contractor certifies that it is the holder of any necessary California State
Contractor's License and authorized to undertake the above work.
22. 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.
23. The Contractof shall maintain and preserve all such records for a period of at least
three years after termination of the contract.
24. The Contractor shall maintain all such records in the City of La Quinta. If not, the
Contractor 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.
25. The further terms, conditions, and covenants of the Contract are set forth in the
Contract Documents, each of which is by this reference made a part hereof.
Contract 1300-5
IN WITNESS WHEREOF, the parties have executed this Contract as of the dates
stated below.
"CITY"
CITY OF LA QUINTA,
a California municipal corporation
Dated:
Thomas P. Genovese, City Manager
ATTEST -
Veronica J. tecino, CIVIC, City Clerk
APPROVED AS TO FORM:
4 tk
ity A omey
Dated:
Dated: llv^,,j10
"CONTRACTOR"
(if corporation, affix al)
PTM General Engineering SE Inc.
Dated: July 20, 2010 13
,
ignature
Elizabeth H. Mendoza de McRae President/CFO
Name: Title:
print name
Address: 595 So. Los Coyotes Dr. Anaheim Hills, Ca 92807
street address city state zip code
Dated: July 20, 2010 - B
signature
Name:
Brian Mendoza Title: Vice President/Secretary
print name
Address: 11080 Kay Jay St. Riverside, Ca 92504
street address city state zip code
Contract 1300.E
EXECUTED IN 2 ORIGINAL COUNTERPARTS
BOND NUMBER: 0150158
SECTION 1310
FAITHFUL PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS:
THAT the City of La Quinta, a municipal corporation, hereinafter designated the
City, has, on July 5, 2010, awarded to PTM General Engineering Services, Inc., hereinafter
designated as the Principal, a Contract for City Project No. 2008-0413, Phase 2 Village
Enhanced Pedestrian Crossings:
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 BERKLEY REGIONAL INSURANCE COMPANY as
Surety, are held and firmly bound unto the City in the just and full amount of Five Hundred
and Twenty Seven Thousand and Twenty Seven Dollars and Zero Cents ($527,027.00)
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.
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 theprovisions of Sections 2819
and 2845 of the Civil Code of the State of California.
Faithful Performance Bond 1310-1
IN WITNESS WHEREOF, the Principal and Surety have executed this instrument
under their seals this 13TH
day of JULY 2010, 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.
PTM GENERAL ENGINEERING SERVICES, INC.
Principal
(Seal)
Signature for Principal
01e,
10
Title of Signatory'
BERKLEY REGIONAL INSURANCE COMPANY
Surety
(Seal)
Signature for Surety FRANK MORONES
ATTORNEY -in -FACT
Title of Signatory
505 N. BRAND BLVD. #1040 GLENDALE, CA 91203
Address of Surety
818-550-1403
Phone # of Surety
PHIL VEGA
Contact Person for Surety
Faithful Performance Bond 1310.2
No. 7916a
POWER OF ATTORNEY
BERKLEY REGIONAL INSURANCE COMPANY
WILMINGTON, DELAWARE
NOTICE: The warning found elsewhere in this Power of Attorney affects the validity thereof. Please review carefully.
KNOW ALL MEN BY THESE PRESENTS, that BERKLEY REGIONAL INSURANCE COMPANY (the "Company"), a
corporation duly organized and existing under the laws of the State of Delaware, having its principal office in Urbandale, Iowa,
s has made, constituted and appointed, and does by these presents make, constitute and appoint: Philip Vega, Frank Morones or
Jadon IL Smith of C & D Bonding & Insurance Services, Inc. of Covina, CA its true and lawful Attorney -in -Fact, to sign its
name as surety only as delineated below and to execute, seal, acknowledge and deliver any and all bonds and undertakings, with
the exception of Financial Guaranty Insurance, providing that no single obligation shall exceed Fifty Million and 00/100 Dollars
($50,000,000.00), to the same extent as if such bonds had been duly executed and acknowledged by the regularly elected officers
r c of the Company at its principal office in their own proper persons.
U
7
This Power of Attorney shall be construed and enforced in accordance with, and governed by, the laws of the State of Delaware,
a without giving effect to the principles of conflicts of laws thereof. This Power of Attorney is granted pursuant to the following
resolutions which were duly and validly adopted at a meeting of the Board of Directors of the Company held on August 21, 2000:
"RESOLVED, that the proper officers of the Company are hereby authorized to execute powers of attorney authorizing and
qualifying the attomey-in-fact named therein to execute bonds, undertakings, recognizances, or other suretyship obligations
o on behalf of the Company, and to affix the corporate seal of the Company to powers of attorney executed pursuant hereto;
and further
RESOLVED, that such power of attorney limits the acts of those named therein to the bonds, undertakings, recognizances,
or other suretyship obligations specifically named therein, and they have no authority to bind the Company except in the
manner and to the extent therein stated; and further
F- -.`- RESOLVED, that such power of attorney revokes all previous powers issued on behalf of the attorney -in -fact named; and
further
c RESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any
power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or
other suretyship obligation of the Company; and such signature and seal when so used shall have the same force and effect as
though manually affixed. The Company may continue to use for the purposes herein stated the facsimile signature of any
v person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have
c ceased to be such at the time when such instruments shall be issued."
-o E IN WITNESS WHEREOF, the Company has caused these presents to be signed and attested by its appropriate officers and its
s ? corporate seal hereunto affixed this day of Y��--L--C•� , 2010.
Attest: ; - Berkley Insurance ns�urpance Company
. (Seal) By By P
°3 Ira S. Lederman Robert P. Cole
oF Senior Vice President & Secretary Senior Vice President
N WARNING: THIS POWER INVALID IF NOT PRINTED ON BLUE "BERKLEY" SECURITY PAPER.
STATE OF CONNECTICUT )
c u
- ) ss:
COUNTY OF FAIRFIELD )
0 0
o Sworn to before me, a Notary Public in the State of Connecticut, this day of YVU -4� fi , 2010, by Robert P. Cole and Ira
.° S. Lederman who are sworn to me to be the Senior Vice President, and the Senior Vice President and Secretary, respectively, of
5 Berkley Regional Insurance Company. EILIEEl*"
Nov
1YL0°6PDI35P: $p,7�1_ Notary Public, State -of Connecticut tj
.0 CERTIFICATE
U 1, the undersigned, Assistant Secretary of BERKLEY REGIONAL INSURANCE COMPANY, DO HEREBY CERTIFY that the
Iforegoing is a true, correct and complete copy of the original Power of Attorney; that said Power of Attorney has not been revoked
< or rescinded and that the authority of the Attorney -in -Fact set forth therein, who executed the bond or undertaking to which this
Power of Attorney is attached, is in full force and effect as of this date.
Given under my hand and seal of the Company, this 1 3 thday of July 2010
(Seal) n _ e^VOL�
Steven/n Coward
ACKNOWLEDGMENT
State of California
County of Riverside
O ! beforeme, Elizabeth H.M. McRae, Notary Public
(insert name and title of the officer)
personallyappeared Brian Mendoza
who proved to me on the basis of satisfactory evidence to be the person(x) whose name(O ishm
subscribed to the within instrument and acknowledged to me that he/WWAKey executed the same in
his/kad(tok authorized capacityt!4% and that by his/hvd0 * signature(x) on the instrument the
person(Q, 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.
WITNESS my han and official seal. ul6ET4 H.rd. rrcftAE
VY P,'LL9 CALI'ORNIA
A /V R EYSDF COUNTTY 20H �
Signature (Seal) """^
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of LOS ANGELES
On 7 / 1 3 / 1 0 before me, Philip Vega, Notary -public
Oele Hate Insert Name and Tllu of era OmOer
personally appeared Frank Morones
who proved to me on the basis of satisfactory evidence to
be the person) whose nam*) is/gre subscribed to the
within Instrument and acknowI dg to me that
hA66htty executed the same in hj�/h�f/41%ir authorized
capacity( 8), and that by his/ttre//their signatA(s) on the
PHILIP VEGA instrument the person(4), or the entity upon behalf of
Commission # 1799866 which the person(g) acted, executed the instrument.
,:m 4 ; Notary Public -California
' Los Angeles County p My Comm. Expires May 31, 20121 certify under PENALTY OF PERJURY under the laws
Ib
of the State of California that the foregoing paragraph is
true and correct.
WITNESS my hand and official
Placo Notary Seal AOOve - - _ elgnamn
OPTIONAL
Though the information below is nor required by law, It may prove valuable to persons relying
and could prevent fraudulent removal and reattachment or this form to another doc
Description of Attached Document
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's
❑ Individual
❑ Corporate Officer—Title(s):
❑ Partner — ❑Limited ❑General
❑ Attorney in Fact
7 Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Nvmbar of Pages:
Signer's Nat
❑ Individual
❑ Corporate Officer — Title(s): _
❑ Partner -- ❑ Limited ❑ General
❑ Attorney in Fact
71 Trustee
* Guardian or Conservator
❑ Other:
Signer Is Representing:
document
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OF SIGNER
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EXECUTED IN 2 ORIGINAL COUNTERPARTS BOND NUMBER:0150158
SECTION 1320
PAYMENT BOND
KNOW ALL MEN BY THESE PRESENTS:
THAT the City of La Quinta, a municipal corporation, hereinafter designated the
City, has on July 6, 2010, awarded to PTM General Engineering Services, hereinafter
designated as the Principal, a Contract for City Project No. 2008-04B, Phase 2. Village
Enhanced Pedestrian Crossings:
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 BERKLEY REGIONAL INSURANCE COMPANY as
Surety, are held and firmly bound unto the City in the just and full amount of Five Hundred
and Twenty Seven Thousand and Twenty Seven Dollars and Zero Cents ($527,027.00)
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.
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.
Payment Band 1320.1
IN WITNESS WHEREOF, the Principal and Surety have executed this instrument
under their seals this 13TH
day of JULY 2010, 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.
PTM GENERAL ENGINEERING SERVICES, INC.
Principal
(Seal)
for
Title of Signatory
BERKLEY REGIONAL INSURANCE COMPANY
Surety
(Seal)
Signature for Surety FRANK MORONES
ATTORNEY -in -FACT
Title of Signatory
505 N. BRAND BLVD. #1040 GLENDALE, CA 91203
Address of Surety
818-550-1403
Phone # of Surety
PHIL VEGA
Contact Person for Surety
Payment Bond 1320.2
No.7916a
POWER OF ATTORNEY
BERKLEY REGIONAL INSURANCE COMPANY
WILMINGTON, DELAWARE
NOTICE: The warning found elsewhere in this Power of Attorney affects the validity thereof. Please review carefully.
o KNOW ALL MEN BY THESE PRESENTS, that BERKLEY REGIONAL INSURANCE COMPANY (the "Company"), a
corporation duly organized and existing under the laws of the State of Delaware, having its principal office in Urbandale, Iowa,
r has made, constituted and appointed, and does by these presents make, constitute and appoint: Philip Vega, Frank Morones or
Jadon M. Smith of C & D Bonding & Insurance Services, Inc. of Covina, CA its true and lawful Attomey-in-Fact, to sign its
name as surety only as delineated below and to execute, seal, acknowledge and deliver any and all bonds and undertakings, with
the exception of Financial Guaranty Insurance, providing that no single obligation shall exceed Fifty Million and 00/100 Dollars
r ($50,000,000.00), to the same extent as if such bonds had been duly executed and acknowledged by the regularly elected officers
r e of the Company at its principal office in their own proper persons.
This Power of Attorney shall be construed and enforced in accordance with, and governed by, the laws of the State of Delaware,
'? without giving effect to the principles of conflicts of laws thereof. This Power of Attorney is granted pursuant to the following
r resolutions which were duly and validly adopted at a meeting of the Board of Directors of the Company held on August 21, 2000:
u "RESOLVED, that the proper officers of the Company are hereby authorized to execute powers of attorney authorizing and
qualifying the attorney -in -fact named therein to execute bonds, undertakings, recognizances, or other suretyship obligations
P on behalf of the Company, and to affix the corporate seal of the Company to powers of attorney executed pursuant hereto;
and further
RESOLVED, that such power of attorney limits the acts of those named therein to the bonds, undertakings, recognizances,
° or other suretyship obligations specifically named therein, and they have no authority to bind the Company except in the
manner and to the extent therein stated; and further
F- RESOLVED, that such power of attorney revokes all previous powers issued on behalf of the attorney -in -fact named; and
v 5 further
c
RESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any
0 on power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or
other suretyship obligation of the Company; and such signature and seal when so used shall have the same force and effect as
- though manually affixed. The Company may continue to use for the purposes herein stated the facsimile signature of any
3 person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have
ceased to be such at the time when such instruments shall be issued."
IN WITNESS WHEREOF, the Company has caused these presents to be signed and attested by its appropriate officers and its
corporate seal hereunto affixed this day of N''�-^--t� , 2010.
Attest: Berkley nal Insurance Company
c (Seal) By ' 4' By
hfrra�S. Lederman Robert P. Cole
`o Senior Vice President & Secretary Senior Vice President
a
c v
r WARNING: THIS POWER INVALID IF NOT PRINTED ON BLUE "BERKLEY" SECURITY PAPER.
o c STATE OF CONNECTICUT )
ss:
COUNTY OF FAIRFIELD )
Sworn to before me, a Notary Public in the State of Connecticut, this ) day of �F I �✓ c.�i , 2010, by Robert P. Cole and Ira
o S. Lederman who are sworn to me to be the Senior Vice President, and the Senior Vice President and Secretary, respectively, of
Berkley Regional Insurance Company. EILEE� '
v Notary Public, State of Connecticut
CERTIFICATE
1, the undersigned, Assistant Secretary of BERKLEY REGIONAL INSURANCE COMPANY, DO HEREBY CERTIFY that the
z.L foregoing is a true, correct and complete copy of the original Power of Attorney; that said Power of Attorney has not been revoked
or rescinded and that the authority of the Attomey-in-Fact set forth therein, who executed the bond or undertaking to which this
2 s Power of Attorney is attached, is in full force and effect as of this date.
Given under my hand and seal of the Company, this 1 3 tWay of July //�� 2010
(Seal) �— e! O✓ oL�
Steven Coward
ACKNOWLEDGMENT
State of California
County of Riverside )
n
UU 20, 2jYD before me, Elizabeth H.M. McRae, Notary Public
(insert name and title of the officer)
personally appeared Brian Mendoza
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/aw
subscribed to the within instrument and acknowledged to me that he/stvIthey executed the same In
his/kerAinetr authorized capacity@t&% and that by his/ ter signature(k) on the instrument the
person(;�, or the entity upon behalf of which the person(x) acted, executed the instrument.
1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS nd and official seal El-,n ra HA +.MCRAp
19 �- Rc � our ceu=oariia
> �l� R ER5 DE COUVY
J^ ' rt11'r9,1 b All7,20i0
Signatu `� ` (Seal) sV .o e . 1
CALIFORNIA'F" .>u. ntG.�anCc3il5v4'6 oL' iC'Cv^,c:�..c"` qp: £GK.C�'
State of California
County of LOS ANGELES
On 7/1 3/1 0 before me, Philip Vega, Notarypublic
Data Here Insert Nam& are line el the oeloof
personally appeared Frank Morones
who proved to me on the basis of satisfactory evidence to
be the person�g) whose namo) is/gre subscribed to the
within Instrument and acknowledgg to me that
heAdt,6 E�i yY executed the same it hid/fi� /44eir authorized
by hid/F/e//tf/ieir
PHILIP VEGA
capacity(( and that signatA(s) on the
Commission # 1799866 L
instrument the person(g), or the entity upon behalf of
d Notary Public • California
which the personO acted, executed the instrument.
Los Angeles County
My Cemm. Expires May 31. 2012
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is
true and correct.
I.
WITNESS my hand and offifrr
Signature
Place Notary Seat Move
6lgnery Puelk
OPTIONAL
Though the information below is not required by law, It may prove valuable to persons relyidocument
and could prevent fraudulent removal and reattachment of this form to another dice,
Description of Attached Document
Title or Type of Document:
Document Data:
Number of Pages:
Signers) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Individual
❑ Corporate Officer—Title(s): _
❑ Partner —lJ Limited ❑General
❑ Attorney in Fact
F7 Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Signer's Name:
❑ Individual
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Attorney in Fact
q Trustee
Q Guardian or Conservator
❑ Other:
Signer Is Representing:
®2007 National Notary Aeeeciellm-9350 Dt sale Ave„ne,Bea 24026ChateWOftl, CA 91313-2402•w lNulonalN0t6rycrg Ilemli%07 Ro0rdor:CATo0-Fm91-800.878-ea27
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."
PTM General Engineering Services, Inc.
Signature
Brian Mendoza
Vice President/Secretary
Title
07/20/2010
Date
Workers Compensation Insurance Cerdrmate 1330-1
SECTION 1340
LIABILITY AND INSURANCE REQUIREMENTS
1.0 INDEMNIFICATION
Except for the gross negligence or willful misconduct of an Indemnified Party (as
hereinafter defined), the Contractor hereby assumes liability for and agrees to defend
(at Indemnified Parties' option), indemnify, protect and hold harmless the City of La
Quinta (City), its officers, agents, and employees, the County of Riverside (County), its
officers, agents, and employees, and the Project Consultants and
engineers("Indemnified Parties") from and against any and all claims, charges, damages,
demands, actions, proceedings, losses, stop notices, costs, expenses (including counsel
fees), judgments, civil fines and penalties, liabilities of any kind or nature whatsoever,
which may be sustained or suffered by or secured against the Indemnified Parties
arising out of or encountered in connection with this Contract or the performance of the
Work including, but not limited to, death of or bodily or personal injury to persons or
damage to property, including property owned by or under the care and custody of
City, and for civil fines and penalties, that may arise from or be caused, in whole or in
part, by any negligent or other act or omission of Contractor, its officers, agents,
employees or Subcontractors including, but not limited to, liability arising from:
1. Any dangerous, hazardous, unsafe or defective condition of, in or on the
premises, of any nature whatsoever, which may exist by reason of any act,
omission, neglect, or any use or occupation of the premises by Contractor, its
officers, agents, employees, or subcontractors;
2. Any operation conducted upon or any use or occupation of the premises by
Contractor, its officers, agents, employees, or subcontractors under or pursuant
to the provisions of this contract or otherwise;
3. Any act, omission or negligence of Contractor, its officers, agents, employees,
or Subcontractors;
4. Any failure of Contractor, its officers, agents or employees to comply with any
of the terms or conditions of this Contract or any applicable federal, state,
regional, or municipal law, ordinance, rule or regulation; and
5. The conditions, operations, uses, occupations, acts, omissions or negligence
referred to in Sub -subsections (1), (2), (3), and (4), existing or conducted upon
or arising from the use or occupation by Contractor on any other premises in the
care, custody and control of City.
The Contractor also agrees to indemnify City and pay for all damages or loss suffered
by City including but not limited to damage to or loss of City property, to the extent not
insured by City and loss of City revenue from any source, caused by or arising out of
the conditions, operations, uses, occupations, acts, omissions or negligence referred to
in Sub -subsections (1), (2), (3), (4) and (5).
Contractor's obligations under this Section apply regardless of whether or not such
claim, charge, damage, demand, action, proceeding, loss, stop notice, cost expense,
judgment, civil fine or penalty, or liability was caused in part or contributed to by an
Indemnified Party. However, without affecting the rights of City under any provision of
this agreement, Contractor shall not be required to indemnify and hold harmless City for
Liability and Insurance Requirements 1340-1
liability attributable to the active negligence of City, provided such active negligence is
determined by agreement between the parties or by the findings of a court of
competent jurisdiction. In instances where City is shown to have been actively
negligent and where City's active negligence accounts for only a percentage of the
liability involved, the obligation of Contractor will be for that entire portion or
percentage of liability not attributable to the active negligence of City.
Contractor agrees to obtain executed indemnity agreements with provisions identical to
those set forth here in this section from each and every subcontractor or any other
person or entity involved by, for, with or on behalf of Contractor in the performance of
this agreement. In the event Contractor fails to obtain such indemnity obligations from
others as required here, Contractor agrees to be fully responsible according to the terms
of this section.
Failure of City to monitor compliance with these requirements imposes no additional
obligations on. City and will in no way act as a waiver of any rights hereunder. This
obligation to indemnify and defend City as set forth here is binding on the successors,
assigns or heirs of Contractor and shall survive the termination of this agreement or this
section.
This indemnity shall survive termination of the Agreement or Final Payment hereunder.
This Indemnity is in addition to any other rights or remedies that the Indemnified Parties
may have under the law or under any other Contract Documents or Agreements. In the
event of any claim or demand made against any party which is entitled to be
indemnified hereunder, City may, in its sole discretion, reserve, retain or apply any
monies to the Contractor under this Agreement for the purpose of resolving such
claims; provided, however, City may release such funds if the Contractor provides City
with reasonable assurance of protection of the Indemnified Parties' interests. City shall,
in its sole discretion, determine whether such assurances are reasonable.
Approval of any insurance contracts by the City does not relieve the Contractor or
subcontractors from liability under Section 1340-1.0, Indemnification. The City will not
be liable for any accident, loss, or damage to the work prior to its completion and
acceptance.
2.0 INSURANCE REQUIREMENTS
2.1 General
Prior to the beginning of and throughout the duration of the Work, Contractor will
maintain insurance in conformance with the requirements set forth below. Contractor
will use existing coverage to comply with these requirements. If that existing coverage
does not meet the requirements set forth here, it will be amended to do so. Contractor
acknowledges that the insurance coverage and policy limits set forth in this section
constitute the minimum amount of coverage required. Any insurance proceeds
available to City in excess of the limits and coverage required in this agreement and
which is applicable to a given loss, will be available to City.
Contractor shall submit coverage verification for review and approval by the City upon
execution of the Contract.
Liabifity and Insurance Requirements 1340-2
The Notice to Proceed with the Work under this Contract will not be issued, and the
Contractor shall not commence work, until such insurance has been approved by the
City. The Contractor shall not allow any subcontractors to commence work on its
subcontract until all similar insurance required of the subcontractor has been obtained
and verified by Contractor. Such insurance shall remain in full force and effect at all
times during the prosecution of the Work and until the final completion and acceptance
thereof.
The Notice to Proceed does not relieve the Contractor of the duty to obtain such
insurance as required by Paragraph 1340-2.0 INSURANCE REQUIREMENTS.
Contractor shall provide the following types and amounts of insurance:
2.2 Commercial General Liability Policy
Commercial General Liability Insurance using Insurance Services Office "Commercial
General Liability" policy form CG 00 01 or the exact equivalent. Defense costs must be
paid in addition to limits. There shall be no cross liability exclusion for claims or suits
by one insured against another. Limits shall be no less than Two Million Dollars
($2,000,000) per occurrence for all covered losses and no less than Four Million Dollars
($4,000,000) general aggregate.
Contractor's policy shall contain no endorsements limiting coverage beyond the
basic policy coverage grant for any of the following:
a. Explosion, Collapse or Underground Hazard(X CU).
b. Products and Completed Operations.
C. Pollution liability.
d. Contractual liability.
Coverage shall be applicable to City for injury to employees of: contractors,
subcontractors or others involved in the project. Policy shall be endorsed to provide a
separate limit applicable to this project.
2.3 Workers' Compensation Insurance
Workers' Compensation on a state -approved policy form providing statutory benefits as
required by law with employer's liability limits no less than $1,000,000 per accident for
all covered losses.
2.4 Business Auto Policy
Business Auto Coverage on ISO Business Auto Coverage form CA 00 01 06 92
including symbol 1 (Any Auto) or the exact equivalent. Limits shall be no less than
$1,000,000 per accident, combined single limit. If Contractor owns no vehicles,
this requirement may be satisfied by a non -owned auto endorsement to the general
liability policy described above.
Liability and Insurance Requirements 1340-3
2.5 Excess or Umbrella Liability Insurance
Excess or Umbrella Liability Insurance (Over Primary) if used to meet limit requirements,
shall provide coverage at least as broad as specified for the underlying coverage. Any
such coverage provided under an umbrella liability policy shall include a drop down
provisions providing primary coverage above a maximum $25,000 self -insured retention
for liability not covered by primary but covered by the umbrella. Coverage shall be
provided on a "pay on behalf" basis, with defense costs payable in addition to policy
limits. There shall be no cross liability exclusion precluding coverage for claims or suits
by one insured against another. Coverage shall be applicable to City for injury to
employees of Contractor, subcontractors or others involved in the Work. The scope of
coverage provided is subject to approval of City following receipt of proof of insurance
as required herein. Limits are subject to review but in no event less than $1,O00,0OO
per occurrence and aggregate.
2.6 Course of Construction
Course of Construction insurance shall provide "all risk" coverage for the completed
value of the project. Policies shall contain the following provisions: (1) City shall be
named as loss payee; and (2) the insurer shall waive all rights of recovery against the
City.
Insurance procured pursuant to these requirements shall be written by insurers that are
admitted carriers in the state of California and with an A.M. Best rating of A- or better and a
minimum financial size of VII.
Contractor and City agree as follows:
1. Contractor agrees to endorse the third party general liability coverage required herein to
include as additional insureds both City, its officials, employees and agents, and County, its
officials, employees and agents, using standard ISO endorsement No. CG 2010 with an
edition date of 1985. Contractor also agrees to require all contractors, subcontractors, and
anyone else involved in any way with the project contemplated by this agreement to do
likewise.
2. Any waiver of subrogation express or implied on the part of City to any party involved in
this agreement or related documents applies only to the extent of insurance proceeds
actually paid. City, having required that it be named as an additional insured to all
insurance coverage required herein, expressly retains the right to subrogate against any
party for sums not paid by insurance. For its part, Contractor agrees to waive subrogation
rights against City regardless of the applicability of any insurance proceeds, and to require
all contractors, subcontractors or others involved in any way with the project(s)
contemplated by this agreement, to do likewise.
3. All insurance coverage maintained or procured by Contractor or required of others by
Contractor pursuant to this agreement shall be endorsed to delete the subrogation condition
as to City, or to specifically allow Contractors or others providing insurance herein to waive
subrogation prior to a loss. This endorsement shall be obtained regardless of existing policy
wording that may appear to allow such waivers.
Liability and Insurance Requirements 1340-4
4. It is agreed by Contractor and City that insurance provided pursuant to these requirements
is not intended by any party to be limited to providing coverage for the vicarious liability of
City, or to the supervisory role, if any, of City. All insurance coverage provided pursuant to
this or any other agreement (express or implied) in any way relating to City is intended to
apply to the full extent of the policies involved. Nothing referred to here or contained in
any agreement involving City in relation to the project(s) contemplated by this agreement is
intended to be construed to limit the application of insurance coverage in any way.
5. None of the coverages required herein will be in compliance with these requirements if they
include any limiting endorsement of any kind that has not been first submitted to City and
approved of in writing.
6. All coverage types and limits required are subject to approval, modification and additional
requirements by the City, as the need arises. Contractor shall not make
any reductions in scope of coverage (e.g. elimination of contractual liability or reduction of
discovery period) that may affect City's protection without City's prior written consent.
7. Proof of compliance with these insurance requirements, consisting of binders of coverage,
or endorsements, or certificates of insurance, at the option of City, shall be delivered to
City at or prior to the execution of this Agreement. In the event such proof of any
insurance is not delivered as required, or in the event such insurance is canceled at any
time and no replacement coverage is provided, City has the right, but not the duty, to
obtain any insurance it deems necessary to protect its interests under this or any other
agreement and to pay the premium. Any premium so paid by City shall be charged to and
promptly paid by Contractor or deducted from sums due Contractor, at City option.
8. Contractor agrees to endorse, and to require others to endorse, the insurance provided
pursuant to these requirements, to require thirty (30) days notice to City and the
appropriate tender prior to cancellation of such liability coverage and notice of any material
alteration of non -renewal of any such coverage, and to require contractors, subcontractors,
and any other party in any way involved with the project contemplated by this agreement
to do likewise.
9. It is acknowledged by the parties of this agreement that all insurance coverage required to
be provided by Contractor or any subcontractor, is intended to apply first and on a primary
non-contributing basis in relation to any other insurance or self insurance available to the
City.
10. Contractor agrees to ensure that subcontractors, and any other party involved with the
project that is brought onto or involved in the project by contractor, provide the same
minimum insurance coverage required of Contractor. Contractor agrees to monitor and
review all such coverage and assumes all responsibility for ensuring that such coverage is
provided in conformity with the requirements of this section. Contractor agrees that upon
request, all agreements with subcontractors and others engaged in the project will be
submitted to City for review.
1 1. Contractor agrees not to self -insure or to use any self -insured retentions or deductibles on
any portion of the insurance required herein and further agrees that it will not allow any
contractor, subcontractor, Architect, Engineer or other entity or person in any way involved
in the performance of work on the project contemplated by this agreement to self -insure its
Liability and Insurance Requirements 1340-5
obligations to City. If contractor's existing coverage includes a deductible or self -insured
retention, the deductible or self -insured retention must be declared to the City. At that
time the City shall review options with the contractor, which may include reduction or
elimination of the deductible or self -insured retention, substitution of other coverage, or
other solutions.
12. The City reserves the right at any time during the term of the contract to change the
amounts and types of insurance required by giving the Contractor ninety (90) days advance
written notice of such change. If such change results in substantial additional cost to the
Contractor, the City will negotiate additional compensation proportional to the increased
benefit to City.
13. For purposes of applying insurance coverage only, all contracts pertaining to the project will
be deemed to be executed when finalized and any activity commences in furtherance of
performance under this agreement.
14. Contractor acknowledges and agrees that any actual or alleged failure on the part of City to
inform Contractor of non-compliance with any insurance requirement in no way imposes
any additional obligations on City nor does it waive any rights hereunder in this or any other
regard.
15. Contractor will renew the required coverage annually as long as City, or its employees or
agents face an exposure from operations of any type pursuant to this agreement. This
obligation applies whether or not the agreement is canceled or terminated for any reason.
The insurance shall include but not be limited to products and completed operations and
discontinued operations, where applicable. Termination of this obligation is not effective
until City executes a written statement to that effect.
16. Contractor agrees to waive its statutory immunity under any workers' compensation
statute or similar statute, in relation to the city, and to require all subcontractors and any
other person or entity involved in the project contemplated by this agreement to do
likewise.
17. Requirements of specific coverage features are not intended as limitations on other
requirements or as a waiver of any coverage normally provided by any given policy.
Specific reference to a given coverage feature is for purposes of clarification only as it
pertains to a given issue, and is not intended by any party or insured to be all-inclusive.
18. Any provision in any of the construction documents dealing with the insurance coverage
provided pursuant to these requirements is subordinate to and superseded by the
requirements contained herein. These insurance requirements are intended to be separate
and distinct from any other provision in this agreement and are intended by the parties here
to be interpreted as such.
19. All liability coverage provided according to these requirements must be endorsed to provide
a separate aggregate limit for the project that is the subject of this agreement and
evidencing products and completed operations coverage for not less than two years after
issuance of a final certificate of occupancy by all appropriate government agencies or
acceptance of the completed work by City.
Liability and Insurance Requirements 1340-6
20. Contractor agrees to be responsible for ensuring that no contract used by any party
involved in any way with the project reserves the right to charge City or Contractor for the
cost of additional insurance coverage required by this agreement. Any such provisions are
to be deleted with reference to City. It is not the intent of City to reimburse any third party
for the cost of complying with these requirements. There shall be no recourse against City
for payment of premiums or other amounts with respect thereto.
21. Contractor agrees to obtain and provide to City a copy of Professional Liability coverage for
Architects or Engineers working on this project through Contractor. City shall determine
the liability limit.
2.7 Change in Terms
The Contractor shall provide immediate written notice to the City of any change in terms and
conditions and/or reduction in the coverage of any nature to the insurance policies. The notice
shall be sent to:
Thomas P. Genovese, City Manager
City of La Quinta
P.O. Box 1504
La Quinta, CA 92247
Liability and Insurance Requirements 1340-7
UK, ' Do to
CERTIFICATE OF LIABILITY INSURANCE 07/29/20 0
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(les) 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 LICENSE NO. 0637431
PATRICK MCRAE INSURANCE SERVICES
1290 N. HANCOCK ST., SUITE 210
ANAHEIM HILLS, CA 92807
N%ME" T PATRICK MCRAE
PHC N 1 (714) 779-6999 F No,: (714) 779-6903
nooRESS: P.MCRAE SBCGLOBAL.NET
C PRODUCER
STOM 112 N FWY/PTM 2010
INSURE S AFFORDING COVERAGE
NAICN
INSURED
PTM GENERAL ENGINEERING SERVICES, INC.
PO BOX 7745
RIVERSIDE CA 92503
INSURER A: SCOTTSDALE INSURANCE COMPANY
41297
INSURERS: REDWOOD FIRE & CASUALTY INSURANCE
11673
INSURERC: SCOTTSDALE INSURANCE COMPANY
41297
INSURER D: FIRST NATIONAL INSURANCE COMPANY
24724
INSURERE: BARRET BUSINESS SERVICES (BBSI)
2246 (SIP)
INSURER F:
COVERAGES CERTIFICATE NUMBER: 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
TR
TYPE OF INSURANCE
ADDL
SU R
POLICY NUMBER
MMQDrYTfPOLICY
MMIUYEXP
LIMITS
A
GENERALLIABIUTY
BCS0022114
05/11/201005/11/2011
EACHOCCURRENCE
$ 1,000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS.MADE OCCUR
X
X
DEDUCTIBLE:$5,000/
OCCURRENCE
PREMISES (Ea occurrence
$ 50,000
MEDEXP(Any oneperson)
$ 5,000
PERSONAL It ADV INJURY
S 1,000,000
X XCU/OCP
X
EBL: $1,000,000 -
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE
LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
S 2,000,000
$
POLICY
X PRO- LOC
JFCT
B
AUTOMOBILE
X
LIABILITY
ANY AUTO
ALL OWNED AUTO$
X
X
CAA100637
COMPREHENSIVEDED:
$1,000
COLLISION DIED:
02/09/201002/09/2011
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
BODILY INJURY (Per person)
S
BODILY INJURY (Per accidaM)
$
X
X
SCHEOULEDAUTOS
HIREDAUTOS
$1 000
PROPERTY DAMAGE
(Per accidenl)
$
$
X
NON-0WNED AUTO$
X
$
HIRED PHY. DAMAGE
C
UMBRELLA UAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
-
-
XLS0067022
UNDERLYING POLICIES
GL & AL
05/11/2010
05/11/2011
EACH OCCURRENCE
$ 10,000,000
X
AGGREGATE
$ 10,000,000
X
DEDUCTIBLE
RETENTION s 0
PROD> COMP /OPS
$ 10,000,000
CRISIS RESPONSE
$ 250,000
E
WORKERS COMPENSATION
2246
11/19/200911/18/2010
X I WCSTATU- OTH-
AND EMPLOYERS' UABIDTY
ANY PROPRIETORMARTNERIEXECUTIVE YIN
OFFICERIMEMBER EXCLUDED? �Y
(Mandatory In NH)
NIA
X
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYE
S 1,000,000
E.L. DISEASE -POLICY LIMIT
$ 1,
If Yes, descdbe under
DESCRIPTION OF OPERATIONS below
PROPERTY & INLAND MARINE
25CC23092810
07/13/2010
07/13/2011
$1,650,000 TOTAL INSURED VALUES
D
$1,000 DEDUTIBLE PER OCCURRENCE
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAaach ACORD 101 Additional Remarks Schedule N more apace is required)
CITY OF IA QUINTA, AG WITH THEIR OFFICERS, OFFICIAL. AGENTS, REPRESENTATIVES, EMPLOYEES AND 4OLUNTE IRS ARE NAMED AS ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT.
AL
-MG
INSURANCE AFFORDED BY THE COMMERCIAL GENERAL LIABILITY POLICY FOR THE BENEFIT OF THE ADDITIONAL INSURED IS PRIMARY INSURANCE AS RESPECTS ANY CLAIM, LOSS OR LIABILITY CAUSED IN
WHOLE OR IN PART BY THE NAMED INSURED(S) OPERATIONS, AND ANY OTHER INSURANCE MAINTAINED BY THE ADDITIONAL INSURED EXCESS AND NON-CONTRIBUTORY. -SHOULD ANY OF THE ABOVE
DESCRIBED POLICIES BE CACELED BEFORE THE EXPIRATION DATE THEREOF, 30 DAYS WRITTEN NOTICE WILL BE ISSUED.
RE: PTM JOB NO. P161Q PHASE b VILLAGE ENHANCED PEDESTRIAN CROSSINGS AND TRAFFIC CALMING DEVICES, CITY PROJECT NO, 200BOIB
CERTIFICATE! HOLDER CANCFI I ATION
CITY OF LA QUINTA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
78-495 CALLE TAMPICO
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
LA QUINTA, CA 92253
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
9)1988-2009 ACORO CORPORA I ION. All rtgnts reserved.
ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD
wl-k-D _7134 0
�°► o°` CERTIFICATE OF LIABILITY INSURANCE
°07/292010
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(les) 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 endorsements .
PRODUCER
PATRICK MCRAE INSURANCE SERVICES / #0637431
1290 N. HANCOCK ST., SUITE 210
ANAHEIM HILLS, CA 92807
TA
CONNAME:CT PATRICK MCRAE
Mn N o Ext: (714) 779'6999 ac No: (714) 779-6903
ADORess: p.mcrae@sbeglobal.net
PRODCUSTOMER ID1; FWY- 2010
INSURE S AFFORDING COVERAGE
NAICN
INSURED
FREEWAY ELECTRIC
PTM GENERAL ENGINEERING SERVICES, INC.
PO BOX 7745
RIVERSIDE CA 92503
INSURER A: GREAT AMERICAN INSURANCE
16691
INSURER IS
INSURER C:
INSURER D:
INSURER E:
INSURER F :
COVERAGES CERTIFICATE NUMBER' 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. NOTLMTHSTANDING 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.
SR
LTR
TYPE OF INSURANCE
DOLIN
iNsR
SUER
POLICY NUMBER
EFF
IDDFOUY/YYVY
MM
MMIDDY/YVYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
E
PREMISES JEa cmuffence
E
COMMERCIAL GENERAL LIABILITY
MEDEXP(Anycne neon)
E
CLAIMS -MACE F—IOCCUR
PERSONAL S ADV INJURY
E
GENERAL AGGREGATE
S
GEN'L AGGREGATE UMIT APPLIES PER'.
PRODUCTS. COMP,OP AGG
$
S
1-1 POLICY PRO LOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
(Ea accident)
S
BODILY INJURV (Per person)
$
ANY AUTO
BODILY INJURV (Per accitleM)
E
ALL OVMED AUTOS
SCHEDULEDAUTOS
HIRED AUTOS
PROPERTY DAMAGE
(Per auitlenU
E
E
NON-0WNED AUTOS
E
UMBRELLA UAB
OCCUR
EACH OCCURRENCE
E
AGGREGATE
$
EXCESS LIAR
CLAIMS -MADE
DEDUCTIBLE
$
E
RETENTION S
WORKERS COMPENSATION
sts MlU- OTH-
ANDEMPLOYERS'LIABILITY YIN
ANY PROPRIETORRARTNERIEXECUTIVE❑
E. L. EACH ACCIDENT
E
E.L. DISEASE -EA EMPLOYE
b
OFFICERNEMBER EXCLUDED'!
(Mandatory In NH)
NIA
E.L. DISEASE -POLICY LIMIT E
g25,000 WHILE IN TRANSR UCTIONJOBSITELOCATION
A
MIf yes,d svibe under
DESCRIPTION OF OPERATIONS below
BUILDERS RISK
X
I
I
BL201333
08/01/201003/01/2011
$320,000 IN ANV p4E RO55'
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101 AWftlonal Remarks Schedule M more appace is.&Imd)
CITYOFlAQUIWA,ALONGWMHTHEIROFFICERS,OFFICV S.AGENTS,REPRESENTATIVES,EMPLOYEESANDZOLUNTEERSARE NAMED AS ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT.
INSURANCE AFFORDED BY THE COMMERCIAL GENERAL LIABILITY POLICY FOR THE BENEFIT OF THE ADDITIONAL INSURED IS PRIMARY INSURANCE AS RESPECTS ANY CLAIM, LOSS OR LIABILITY CAUSED IN
WHOLE OR IN PART BY THE NAMED INSURED(S) OPERATIONS, AND ANY OTHER INSURANCE MAINTAINED BY THE ADDITIONAL INSURED EXCESS AND NCH-CONTRIBUTORV.'SHOULD ANY OF THE ABOVE
DESCRIBED POLICIES BE CACELED BEFORE THE EXPIRATION DATE THEREOF, 30 DAYS WRITTEN NOTICE WILL BE ISSUED,
RE: PTM JOB NO. P1614/PHASE 2. VILLAGE ENHANCED PEDESTRIAN CROSSINGS AND TRAFFIC CALMING DEVICES, CITY PROJECT NO.200 B
c.O neo CANCFI I ATIr)N
V CR 111"IVMIL IIVIV V,�
�•" "'
CITY OF LA QUINTA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
78-495 CALLE TAMPICO
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
LA QU INTA, CA 92253
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATNE
V TBaa-ZGUIi ACORD IiVRr VRMI1VR. Mu IIBIr Ga
ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD
COMMERCIAL. GENERAL LIABILITY
CO 20 33 0704
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
MIK01911=11019=11 Iwo
s oil 10 ffooli
This endorsement modi[ir, insurance provided finder the following:
COMMERCIAL GENERAL LIABILITY COWRAGE.PART
A. Scotian tt — who Is An Insured is amended to a. Win respect to tho insurances afforded to these
incduda as an additional insured any person or or-
additional insureds, Inv following additional exclu-
ganization for whom you are performing opera-
aims apply:
tions when you and such person or organization
This insurance does not apply to:
have agreed in writing in a contract or agreement
that such person or organization be added as an
1 "Bodily injury' 'property damepe" or "personal
additional insured on your policy. Such person or
and advertising injury" arisinq out of tho
organization is an additional insured only with re-
rendering Of. or the failure to render, any
coact to liability for 'bodily injury", 'proporty dam-
professional architectural, engineering or
ago" ar'pr sanat and advertising injury" caused,. in
surveying services, including:
whole or in part, by.
a. The preparing, approving, or failing to pre.
1. Your acts or oftasions; or
pare or approve, maps, shop drawings,
2. Toacts -or omissions of these acting onyour
opinions, reports, survoys,. field orders,
change orders or drawings and specifica-
behalf:
tions; or
in the performance or your ongoing operations for
b,. Sup€",isury, Inspection, architectural or
the additional insured,
engineering activities.
A person's or organization's status as an addl-
2. "Bodily injury" or'proparty damage" occurring
tional insured under this endorsement ends when
after,
your operations for that additional insured are
completed.
a. Ala work, including matcriata, parts or
equipment furnished inconnection with
such work, on the project Jollier than ser-
vice, maintenance or repairs) to be per-
formed by or on behalf of the additional m-
surad(s) of the location of the co�erad
operations has been completed; or
6. That portion of 'your work" outof which the
injury or damage arises has been put to its
intended use by any person or organization
other than another contractor or subcon-
tractor engaged in performing operations
for a principal as a part of the same project..
CG 20 33 07 04 0 ISO; Properties., [Inc., 2004 Page 1 off 13
P M cvo
POLICY NUMBER HC S 0 02 211,}
COMMERCIAL GENERAL. LIABILITY
CO 20 37 07 04
THIS ENDORSEMENT CHANGE: THE POLICY. PLEASE READ IT CAREFULLY.
s i O t:iqlo,41.11qlLojo
This endorsement modifies insurance provided under ire following;
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Personts)
Or Or anbmtion s ;
Location And ..Description .Of C a feted Cp2rations
ANY PERSON OR. ORGANIZATION
ALL LOCATTON`b
WHEN YOU AND SUCH PERSON OR
OR= ANZ26ATION HAVE AGREED TN
WRITING IN A. CONTRACT OR
AGREEMENT, EXECUTED PRIOR TO
THE "OCCURRENCE" TO WHTCh
THIS TNSURAN'2E APPLIES, THAT
SUCH PERSON OR. OROAII.TZATION
BE ADDED AS AN ADDITIONAL
INSURED ON Y,.)UR POLICY
Information required to.complete this Schedule, if not shover obovo will. be shown in the Declarations.
Section It —Nrho Is An Insured is :amended to in-
clude as an additional insured the person(s) or or-
ganization(s) shown in the Scheduler but only with
respect to linbiiity for "bodily injury" or "property
damage" caused, in whole or In part, by `your work"
M the location designated and described in the
schedule of this endorsement performed for that
additional insured and included In the products -
completed operations hazard:
CG 20 37 07 04 0ISO Properties, lnc., 2004. Page t of i a
A., ft ran,
POLICY NUMBER BC200221 �I
COMMERCIAL GENERAL LIABILITY
CG 24 04 05 09
AGAINST OTHERS TO US
This endorsement modifia5 insurance provided under -the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS! COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Ot Person Or Organ trallon;
2�NY PERSON OR ORGAN I ZATIT 014 WITH IfFOM TTIF,,-. INSURED if?-,$ A(,-,P.FEr) TC WAT1,77
TRIGHTS OF RECOVERY, PROVIDED SUCH AGREZ14ENT IS MADE IN WRITING A-Ii)
PRIOR TO THE LOSS
The following Naddre! to Paragraph S. TransferOf
Rights Of Recovery Against Others To Us of Section
W—Conditions:
We waive any right of wovery 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 operakris or
'your work" done under er a contract with that person
nr organization and inrltidod in the 'lirodUnt.q-
camp leteli operations hazard. This waiver applies
only to hw person or organization shown in the
Srhexlule above.
CG 24 04 05 09 0 Insurance Services Office, Inc., 200B
.%,f. C�y
Page I of I IT
COMMERCIAL AL70
C A NI 6 12' 1066
TEIISENDORSEfvlENTCIIANGES*riiu�i,oi,j('y. PLEASCItCAI)I'UCAf4l,,F'C]L,I,N'.
BLANKET ADDITIONAL INSURED ENDORSEMENT -
PRIMARY
This endorsement modifies uisurance provided under the following
mo,rOR CARRIER COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
0ARAGF. COVERAGE FORM
TRUCKERS COVERAGE FORIM
With respect to SECTION 11 — LIABILITY COVERAGE only, Who is Ali Ingured is aniend:d to jn4lude
us all additional insured any person(s) or organization(s) whom. van are required to add to this polic.v as an
ndtlitional �
insurcil anderawrilton agreement in effect or becoming effective drying the policy period.
This insuraticeippliesonly ie "bodily injury"and subsea cm kiexecutinn
of'the written awni
' -cecrit and SGIbsequenz to the issuance of cottifleale of insurance indicating such
PffsDII(S) Or Organization(s) as additional insurod(s).
The insurance provided hereby to the Additional Insured(s) is limited as foljows•
The coverageafforcled hemby to such additional insured is limited to imputed liability
5pedfically resudlilig 'rom tile conduct of the Named lnsured for which the additional in!;ured
was held liable.
2. The limits oft insurance applicable to the in5ti afforded hereby are those 3peejfied in the
limits elf insurance applicable to the, rrsuranae afforded hereby are net inclu5ive and nut in
addition to the limits of insurnnceih..)Nun the Declarations or Schedules tit this fulic,
Any coverage In ovided under dds cadorspirwin for any additional insured will never bi:
broader than coverage, provided to tiny names insured.
Any other poll icy terms, conditions, I im itat ions, exclusion_ and defri i it i ors apply to this L ad (;rsen tei it,
CAM 6122 10 06
COMM 144C [A L AUTO
CAM 6120 419 06
TIUS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAltEF'UIJ,Y,
BLANKETWAIVER OF SUBROGATION
'Phis cindon.wincrit modifies insurance provided under the Collowling:
MOTOR CA1tRll:-R COV—T--RAOE FORM
BUSINESS AUTO COVERAGE FORM
6ARA(jF COVF',RA('rF, FORM
TRUCKERS COVERAGE FORM
We agree to waive any and all subrogation claims or rights of recovery againsn any pemm(s) or
iftherc is an executcd written agreement with that person(s) or organ azatiains(s ' i,
which requires alVaiver of8utrogation Clause firom 4J)c Named Insured, mcpt for losses,
which are due in whole or pan to the negligence or errors and omissions of stela person(s) ca
orgarlization(s).
CAM 61110 09 06
July 12, 2010
All. Roman Alanag~ G.9.y
PTM GENERAL ENGINEERING SERVICES
5942 ACORN ST
RIVERSIDE, CA 92504-1040
Re: Barrett Business Services, Inc. ("BBSI")
Letter of Self -Insurance for Workers' Compensation Coverage
As the named addressee of this Letter, your company's required workers' compensation coverage is provided
through BBSI's state approved Self -Insured Workers' Compensation Plan by way of your co -employment
contract with BBSI. BBSI's California customers can also verify BBSI's state certification at
http://www.dir.ca.gov./SIP/sip.html, next, click on "Rosters" then click on Private self insured employers; then
scroll down to Barrett (the list is numeric by license number). Additional information is as follows:
Self Insurance Certification Number
California:
2246
O reg on:
1068 1
Washington:
706, 116 1
Delaware:
152
Maryland:
11365
Colorado:
463
Other Comments (place an "X' if applicable):
�X Waiver of Subrogation: BBSI and PTM GENERAL ENGINEERING SERVICES agree to waive their right of
subrogation for the benefit of:
City of La Quinta its officers, employees, agents and volunteers at Phase 2-Village Enhancement Pedestrian
Crossings and Traffic Calming Devices #2008-04B (PTM P10--14)
XM Named "Letter Holder": City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253
❑X Other: Coverage Effective Dates: 11/19/09 through 11/18/10; Barrett Business Services will notify City of La Quinta
30 days in advance of a cancellation of coverage for PTM.
Additionally, BBSI's self -insured program is further supported by an excess workers' compensation insurance policy with
American International Group (AIG), see accompanying certificate of insurance.
For additional information, please contact your local BBSI office at: (909) 890-3633 .
Very truly yours,
Michael L. Elich BBSI Office: SAN BERNARDINO
Vice President and Chief Operating Officer
doc: LOSI-2
8100 NE Parkway Drive, Suite 200 Vancouver, Washington 98662 800.494.5669 360.828.0700 Fox 360.828.0701 www.barratibusiness.com
PARTNERS IN PROrITASILITY
CERTIFICATE OF INSURANCE
Issue Date:
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Ron Graybeal
NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT
Beecher Canson Insurance Agency
AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
220 N W 2nd Avenue, Suite 800
COMPANIES AFFORDING COVERAGE
Portland. OR 97209-3951
COMPANY
LETTER A National Union Fire Insurance Company of Pittsburg PA
INSURED
Barrett Business Services, Inc
8100 NE Parkway, Suite 200
Vancouver WA 98662
COMPANY
LETTER B
COMPANY
LETTER C
COMPANY
LETTER ❑
COMPANY
ETTER E
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAd1ED 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 CONDITION OF SUCH
POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO POLICY EFFECTIVE EXPIRATION
LTR TYPE OF INSURANCE NUMBER DATE DATE
GENERAL LIABILITY GENERAL AGGREGATE
= COMMERCIAL GENERAL LIABILITY Policy EBectLve Exptralian PRODUCTS-COMP/OPS AGGREGATE
=CLAIMS MADE =OCCUR Number Date Date-- PERSONAL& ADVERTISING IN JURY
= OWNER'S & CONTRACTORS PROT. EACH OCCURRENCE
$XXX,XXX
$XXX,XXX
$XXX.XXX
$XXX.XXX
FIRE DAMAGE (Any one fire)
$XXX,XXX
MEDICAL EXPENSE (Any one person)
$XXX,XXX
AUTOMOBILE
LIABILITY
ANY AUTO COMBINED SINGLE LIMIT
$XXXXXX
$XXX,XX%
ALL OWNED AUTOS BODILY INIURY(Per person)
SCHEDULE AUTOS BODILY INJURY (Per accident)
$XXX,XXX
$XXX,XXX
HIRED AUTOS PROPERTY DAMAGE
$XXX,XXX
NON -OWNED AUTOS COLLISION DEDUCTIBLE
GARAGE LIABILITY COMPREHENSIVE DEDUCTIBLE
$XXX.XXX
EXCESS LIABILITY
= UMBRELLA FORM AGGREGATE
$%XX XXX
= OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION 1$15,000,000 LIMIT
A AND $1,000,000 EACH ACCIDEN
EMPLOYERS'LIABILITY 4880390 1/1/2010 1112011 $1000,000 DISEASE -POLICY LIMIT
$1 p00,000 pISEASE-EACH EMPLOYEE)
OTHER
Covered states - CA DE OR WA
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESI RESTRICTIONS/SPECIAL ITEMS
Limits shown are above a $5 000,000 self -insured retention
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE
Ibis section intentionally left blank
THEREOF THE ISSUING COMPANY WILL MAIL Pg DAYS WRITTEN NOTICE TO THE
HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION
OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS, OR REPRESENTATIVES.
Auth=ccl Representative p
R Graybeal, CPCU, ARM lov.0i wl —'
doc'. 20I-1
Tjht 4 4 aaba
Sheet I of 4
CONTRACT: Phase 2- Village Enhanced Pedestrian Crossings and Traffic Calming Devices
PROJECT NO. 2008-04B CDBG Project No. 4.LQ.04-08 & 4.LQ.06-09 & 4. LQ.09-10
CONTRACTOR: PTM General Engineering Services, Inc.
5942 Acorn St.
Riverside, Ca. 92504
CONTRACT CHANGE ORDER NO. 1
Pursuant to the terms of the original Contract Agreement, you are hereby directed to make the herein described changes or do the following
described work not included in the plans and specifications for this Contract. Unless otherwise stated all work shall conform to the terms,
general conditions, and special provisions of the original Contract.
DESCRIPTION OF CHANGE
This Contract Change Order allows for the upgrade to Unidecor pavers to match existing Village Area Total $ 15,260.00
This Contract Change Order allows the removal and replacement of sidewalk due to water leak Total $ 2,760.00
This Contract Change Order allows the installation of Pedestrian Push buttons and signal pole modifications Total $ 23,827.28
This Contract Change Order allows the installation of additional asphalt due to grade conflicts and thickness Total $ 6,427.69
This Contract Change Order allows the installation of traffic signal video cable for video upgrade Total $ 8,375.56
This Contract Change Order allows for a Quantity Adjustment between Bid Quantities and Actual Quantities Total $ (76 391.201
This Contract Change Order allows for a credit for the City Supplied Street Light Total $ (1,821.611
This Contract Change Order allows for a credit for substandard construction of 6 catch basins Total $ (6,066.84)
This Contract Change Order allows for the Liquidated Damages of $1,500/ working day for 10 days Total $ (15,000.00)
Original Contract Amount
$ 527,027.00
Add This Change Order No. 1
$ (42,629.12)
Revised Contract Total
$ 484,397.88
By reason of this contract change order the time of completion is adjusted as follows: -22 working- days added to contract time.
The revised contract completion date shall be: 11/19/10
Submitted
Approved
We, the undersigned Contractor, havegiven careful consideration to the changeproposed and hereby agree, if this proposal is approved, that we will
provide all equipment, furnish all materials, perform all labor, except as may be noted above, and perform all services necessary to complete the above
specified work, and hereby
)accept ass fdl.paaym'e/nt the amount shown above, which includes all direct and indirect overhead expenses for any delays.
Accepted By: (�'A/,/� Cll/�G11tA� UG/ANA Title: V / p q
Contractor: 7Jtij (7G/1 -61y, Date: Y1J otplf
F \
PLEASE COMPLETE THIS INFORMATION
RECORDING REQUESTED BY:
VERONICA J. MONTECINO, City Clerk
AND WHEN RECORDED MAIL TO:
CITY OF LA QUINTA
Attn: Veronica J. Montecino
P 0 Box 1 504
La Quinta, CA 92247
DOC # 2011-0091143
02/28/2011 03:44P Fee:NC
Page 1 of 2
Recorded in Official Records
County of Riverside
Larry W. Ward
Assessor, County Clerk & Recorder
IIIIII 11111111111111111111111111111111111111111111 IIII
S
R
U
PAGE
SIZE
DA
I MISC
I LONG RFD
I COPY
M
A
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465
426
PCOR
NCOR
SMF NCH
y}exnm
/�
eel-
T:
CTY UNI
SPACE ABOVE FOR RECORDER'S USE ONLY
NOTICE OF COMPLETION
Phase II Village Enhanced Pedestrian Crossing and Traffic Calming Devices, Project 2008-046 Fm
Contractor: PTM GENERAL ENGINEERING SERVICES, INC.
Title of Document
THIS AREA FOR
RECORDERS
USE ONLY
THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION
Exempt Recording Fees per Government Code Sections 6103 and 27383
PLEASE. COMPLETE THIS INFORMATION
RECORDING REQUESTED BY:
VERONICA J. MONTECINO, CMC, City Clerk
AND WHEN RECORDED MAIL TO:
CITY OF LA QUINTA
Attn: Veronica J. Montecino
P. O. Box 1504
La Quanta, CA 9224 7-1504
NOTICE IS HEREBY GIVEN:
SPACE ABOVE FOR RECORDER'S USE ONLY
NOTICE OF COMPLETION
1. That the interest or estate stated in paragraph 3 herein in the real property herein described is
owned by: The City of La Quinta, California, a Municipal Corporation, organized and incorporated
pursuant to the laws of the State of California.
2. - The -City -Clerk of the "City of -La Quinta is autho`riied and directed to execute, on behalf of said
City, any and all Notices of Completion.
3. That the nature of the life of the stated owner, or if more than one owner, then of the stated
owner and co -owners is: In Fee.
4. That on the 15th day of February 2011, a work of improvement on the real property herein
described was completed.
5. The public work improvement is described as follows: Phase II Village Enhanced Pedestrian
Crossing and Traffic Calming Devices, Project No. 2008-0413.
6. The name of the contractor for said work of improvement was: PTM General Engineering
Services, Inc.
7. The property on which said public work of improvement was completed is in the City of
La Quinta, County of Riverside, State of California, and is described as follows: Avenida
Bermudas/Calle Tampico intersection, Desert Club Drive/Calle Tampico intersection and Desert
Club Drive immediately south of Calle Tampico.
DATED: February 16, 2011
CITY OF L/K QUINTA, CALIFORNIA
T
Clerk
STATE OF CALIFORNIA ) /�
COUNTY OF RIVERSIDE 1
I hereby certify that I am the City Clerk of the governing board of the City Council of the City of
La Quinta, the political subdivision which executed the foregoing notice and on whose behalf I make this
verification: that I have read said notice, know its contents, and that the same is true. I certify under
penalty of perjury that the foregoing is true and correct.
Executed at La Quinta, California.
VERONICA J.�TI"CINO, City Clerk
City of La Qu ta, California