CC 2014-03-11_08.f. Award of Contract_Plumbing Retrofit ProgramMEMORANDUM
TO: CITY COUNCIL
FROM: GEOFF ENGLISH, PUBLIC WORKS DIRECTOR
BY: SHANE TAYLOR, PUBLIC WORKS SUPERVISOR -UTILITIES
SUBJECT: CONSIDERATION OF AWARD OF CONTRACT FOR THE PLUMBING
RETROFIT PROGRAM
DATE: MARCH 11, 2014
RECOMMENDATION:
1. Award the Plumbing Retrofit Contract to Waterboys Plumbing Inc. in the amount of
$86,435.00;
2. Authorize the Mayor to execute the contract;
3. Direct staff to issue the Notice of Award and Notice to Proceed along with other
necessary contract documents.
IMPACT ON FINANCIAL AND PERSONNEL RESOURCES:
A total of $142,500 is allocated in the FY 2013/14 and FY 2014/15 Budget in Water
Neutralization Contractual Services (account 226-4306-5303). As of January 31, 2014, there
is an account balance of $41,662.61 remains in the FY 2013/14 Water Neutralization
Contractual Services.
BACKGROUND: c
The City Council adopted a Water Conservation Program on May 13, 2003. Phase I of the
program began in April of 2004 and was focused on retrofitting existing residential plumbing
with low flow fixtures. Over the last 10 years, a total of 1,858 single family homes, 523
apartment units, 217 mobile homes, 155 motel units, 7 church facilities, and 149 commercial
establishments have been retrofitted with low-flow plumbing fixtures. A total of 4523 toilets,
3,931 faucet aerators, 1,752 showerheads, and 388 pressure regulators were installed. The
total cost to date for Phase I is $1,179,578.93.
In 2005, the City adopted the Mandatory Retrofit Program Upon Change of Ownership of Real
Property. A total of 953 properties have been issued Water Conservation Certificates
indicating that these residences comply with the ordinance. An estimated 160 acre-feet of
water per year has been conserved due to the retrofit program.
Item 8.f. - Page 1
CITY COUNCIL
CONSIDERATION OF AWARD OF CONTRACT FOR THE PLUMBING RETROFIT
PROGRAM
MARCH 11, 2014
PAGE2
On March 8, 2011, Waterboys Plumbing, Inc. was awarded a one-year contract, which
included options for two, one year extensions. During the length of their contract,
Waterboys Plumbing, Inc. has performed to a satisfactory level and the City has
received many favorable comments regarding the quality of workmanship and product.
On January 16, 2014 the City mailed out a Formal Bid Request for the Plumbing Retrofit
Program. The bid period closed on February 13, 2014. After reviewing the submitted
bids, and based on the Contract Documents and Specifications for Plumbing Retrofit
Program -Notice to Contractors -Submission of Bids, paragraph 4, which states "All
bids are to be compared on the basis of the City's estimate of the quantities of work to
be done.
The City has established a policy that provides for a five percent (5%) preference to
local bidders and vendors. This is accomplished by reducing the local vendor's bids by
5% when comparing such bids to those of other bidders." The lowest bid was from
Henry Schmitz Plumbing, in the amount of $85, 750.00. This business is located in
Paso Robles. Waterboys Plumbing, lnc.'s bid was $86,435.00. Reducing this amount
by 5% results in an adjusted bid amount of $82, 113.25. It is staff's recommendation to
award a contract to Waterboys Plumbing, Inc.
ALTERNATIVES:
The following alternatives are provided for the Council's consideration:
Approve staff's recommendation to award the bid to Waterboys Plumbing, Inc;
Do not approve staff's recommendation to award the bid;
Modify as appropriate and approve staff's recommendation; or
Provide direction to staff.
ANALYSIS OF ISSUES:
In 2004, the program targeted 4,357 single family homes and 44 apartment complexes.
After 1 O years, 43% of the homes (of which approximately 2,500 homes may still require
retrofitting) and 90% of the apartment complexes have been retrofitted by the City. In
addition, 213 mobile homes, 149 commercial properties, 7 churches and 2 school
restroom facilities have now been retrofitted. Indoor water conservation using
retrofitting has proven to be very reliable and consistent. The per capita consumption for
·2013 was 164 gallons per day per person. Phase II programs have also helped
conserve water with washing machine rebates, cash for grass, and large landscape
audits.
In response to a recent review and issues raised by the County of San Luis Obispo with
regard to their water conservation plumbing retrofit program, staff reviewed the City's
procedures with the program. City staff perform thorough follow-up and verification of
the work perform by the Contractor. Therefore staff believes the current structure of the
program should be continued.
Item 8.f. - Page 2
CITY COUNCIL
CONSIDERATION OF AWARD OF CONTRACT FOR THE PLUMBING RETROFIT
PROGRAM
MARCH 11, 2014
PAGE3
ADVANTAGES:
Every residential property retrofitted conserves approximately 10,000 gallons of water
per year. Qualified property owners may still take advantage of the program and
receive free retrofitting to comply with the Mandatory Retrofit Upon Change of
Ownership Ordinance. In addition, there are still eligible properties to be retrofitted and
this program continues to be one of the most cost effective options for water savings.
DISADVANTAGES:
Awarding the contract will deplete funds available for Phase II of the Water
Conservation Program by up to $86,435.00.
ENVIRONMENTAL REVIEW:
No environmental review is required for this item.
PUBLIC NOTIFICATION AND COMMENTS:
The Agenda was posted in front of City Hall on Thursday, March 6, 2014. The Agenda
and staff report were posted on the City's website on Friday, March 7, 2014. No public
comments were received.
Attachments:
1 . Bid Opening Log Sheet
2. Contract
Item 8.f. - Page 3
CITY OF ARROYO GRANDE
BID OPENING LOG SHEET
DEADLINE: THURSDAY, FEBRUARY 13, 2014-2:00 PM
PROJECT NAME: PLUMBING RETROFIT PROGRAM
PROJECT NO. NIA
ENGINEER'S ESTIMATE: NIA
SUBMITTED BY:
Waterboys Plumbing
Arroyo Grande, CA
Benjamin Franklin Plumbing
· Atascadero, CA
Henry Schmitz Plumbing
Paso Robles, CA
c: Director of Community Development
Director of Public Works
Assistant City. Engineer
City Manager
TOTAL
$86,:435.00
$108,455.00
$85,750.00
·-
ATTACHMENT 1
Item 8.f. - Page 4
ITEM
NO.
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8
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CITY OF ARROYO GRANDE
STATE OF CALIFORNIA
CONTRACT
FOR:
CITY OF ARROYO GRANDE
PLUMBING RETROFIT PROGRAM
THIS AGREEMENT, made and entered into this 26th day of February, 2013, by and between the
CITY OF ARROYO GRANDE, a municipal corporation of the State of California, hereinafter
designated City, party of the first part, and WATERBOYS PLUMBING. INCORPORATED
hereinafter designated as Contractor, party of the second part,
WITNESSETH: That the parties hereto do mutually agree as follows:
ARTICLE I. For and in consideration of the payments and agreements hereinafter mentioned to be
made and performed by City, Contractor agrees with City to furnish all materials, equipment and
labor and construct facilities for City, and to perform and complete in a good and workmanlike
mariner all the work pertaining thereto shown on the plans and described in the specifications hereto
attached, and to furnish at his own proper cost and expense all tools, equipment, labor, and
materials necessary therefore, except such materials as in the said specifications are stipulated to
be furnished by City, and to do everything required by this Contract and the said specifications and
plans, and the requirements of the Engineer under them, to wit:
CONTRACT SCHEDULE OF COSTS
UNIT
QTY UNIT DESCRIPTION PRICE AMOUNT
250 EA 1.28 gpm Flush Toilet-12" Rough $235.00 $58,750.00
50 EA 1.28 gpm Flush Toilet-10" Rough $290.00 $14,500.00
300 EA Toilet Seat and Cover $15.00 $4,500.00
300 EA 2.2 gpm Faucet Aerator $5.00 $1,500.00
50 EA 2.5 gpm Shower Head $13.00 $650.00
175 EA Water Pressure Determination $10.00 $1,750.00
10 EA Adjust Existing Water Pressure Regulating Valve $5.00 $50.00
15 EA Replace Existing 3/4" Water Pressure Regulating Valve $1.00 $15.00
10 EA Replace Existing 1" Water Pressure Regulating Valve $2.00 $20.00
20 EA Install New 3/4" Water Pressure Regulating Valve $100.00 $2,000.00
20 EA Install New 1" Water Pressure Regulating Valve $135.00 $2,700.00
TOTAL CONTRACT PRICE $86,435.00
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ATTACHMENT 2
Item 8.f. - Page 5
TOTAL CONTRACT AMOUNT IN WORDS:
Eighty Six Thousand Four Hundred Thirty Five Dollars and No Cents
SIGNATURE
CONTRACTORS BUSINESS NAME: WATERBOYS PLUMBING, INC.
CONTRACTORS LICENSE NO.: 928834
LICENSE EXPIRATION DATE: February 28. 2015
DATE
ARTICLE II. For furnishing all said equipment, materials and labor, performing demolition as
required, and doing all the work contemplated and embraced in this Contract; and for all loss and
damage arising out of the nature of the work aforesaid, or from the action of the elements or from
any unforeseen difficulties which may arise or be encountered in the prosecution of the work until its
acceptance by City, and for all risks of every description connected with the work; also for all
expenses incurred by or in consequence of the suspension or discontinuance of work, except such
as in the said specifications are expressly stipulated to be borne by City; and for well and faithfully
completing the work and the whole thereof, in the manner shown and described in the said plans
and specifications and in accordance with the requirements of the Engineer under them, City will
pay and Contractor shall receive as full compensation therefore the amounts for such work as
installed for the unit prices bid therefore in accordance with the proposal of Contractor.
ARTICLE Ill. City hereby promises and agrees with said Contractor to employ, and does hereby
employ, said Contractor to provide the materials and to do the work according to the terms and
conditions herein contained and referred to, for the prices aforesaid, and hereby contracts to pay the
same at the time, in the manner and upon the conditions set forth in the specifications; and the said
parties for themselves, their heirs, executors, administrators, successors, and assigns, do hereby
agree to full performance of the covenants herein contained.
ARTICLE IV. Contract Documents shall consist of The Notice to Contractors, the Statement of
Prevailing Wages, the Contract Bid, the Contract Agreement, the Standard Specifications, the
Technical Specifications, and the Special Provision mentioned therein and titled "CITY OF ARROYO
GRANDE, PLUMBING RETROFIT PROGRAM", all of which are hereto attached are hereby
incorporated in and made a part of this Contract.
ARTICLE V. Should any of the materials or equipment prove defective or should the work prove defective
due to faulty workmanship, material furnished or methods of installation, or should the work or any part
thereof fail to operate properly as originally intended and in accordance with the plans and specifications,
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Item 8.f. - Page 6
due to any of the above causes, all within twelve ( 12) months after date on which the work called for in this
Contract is accepted by City, the undersigned agrees to reimburse City, upon demand, for its expenses
incurred in restoring said work to the condition contemplated in said project, including the cost of any such
equipment or materials replaced and the cost of removing and replacing any work necessary to make such
replacement or repairs, or, upon demand by City, to replace any such materials and to repair said worl<
completely without cost to City so that said work will function successfully as originally contemplated.
City shall have the unqualified option to make any needed replacement or repairs itself or to have such
replacements or repairs done by the undersigned. In the event City elects to have said work performed by
the undersigned, the undersigned agrees that the repairs shall be made and such materials as are
necessary shall be furnished and installed within a reasonable time after the receipt of demand from City.
If the undersigned shall fail or refuse to comply with his obligations under this guaranty, City shall be
entitled to all costs and expenses, including attorney's fees, reasonably incurred by reason of the said
failure or refusal.
ARTICLE VI. If Contractor should be adjudged a bankrupt, or if he makes a general assignment for the
benefit of his creditors, or if a receiver should be appointed on account of his insolvency, or if he or any of
his subcontractors should persistently violate any of the provisions of the Contract, or if he should
disregard laws, ordinances or the instructions of the Engineer, then City may, upon certificate of the
Engineer when sufficient cause exists to justify such action, serve written notice upon Contractor and his
surety of its intention to terminate the Contract, such notice to contain the reasons for such intention to
terminate the Contract, and unless, within five (5) days after the serving of such notice, such violations
shall cease and satisfactory arrangements for correction thereof be made, the Contract shall, upon the
expiration of said five (5) days, cease and terminate.
In the event of any such termination, City shall immediately serve written notice thereof upon the surety
and Contractor, and the surety shall have the right to take over and perform the Contract, provided,
however, that if the surety, within ten (10) days after the serving upon it of notice of termination, does not
give City written notice of its intention to take over and perform the Contract or does not commence
performance thereof within the ten ( 10) days stated above from the date of the serving of such notice, City
may take over the work and prosecute the same to completion by Contract or by any other method it may
deem advisable, for the account and at the expense of Contractor, and Contractor and his surety shall be
liable to City for any excess cost occasioned City thereby, and in such event City may, without liability for
so doing, take possession of and utilize in completing the work such materials, appliances, plans and
. other property belonging to Contractor as may be on the site of the work and necessary therefore. In such
case Contractor shall not be entitled to receive any further payment until the work is finished. If the unpaid
balance of the Contract price shall exceed the expenses of finishing the work, including compensation for
additional managerial and administration services, such excess shall be paid Contractor. If such expense
shall exceed such unpaid balance, Contractor shall pay the difference to City. The expense incurred by
City, as herein provided, and damage incurred through Contractor's default, shall be certified by the
Engineer.
ARTICLE VII. The Contractor shall indemnify, defend, and hold harmless the City, and its officers,
officials, employees and agents, from and against any and all claims asserted, liability,· loss, damage,
expense, costs (including without limitation costs and fee of litigation) of every nature arising of, directly or
indirectly, or in connection with this Contract or the acts or omissions of Contractor, Contractor's
Subcontractors, employees, representatives, agents and invitees including, but not limited to, performance
of the work hereunder or failure to comply with any of the obligations contained herein, except such loss or
damage which was caused by the established active negligence of City or the established sole negligence
or willful misconduct of City, its officers, officials, employees and agents. Said indemnification and hold
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Item 8.f. - Page 7
harmless provisions shall be in full force and effect regardless of whether or not there shall be insurance
policies covering and applicable to such liability, loss, damage, expense or cost.
The Contractor agrees that the use of any and all public streets and improvements which are part of or
subject to this Contract shall be at all times, prior to the final acceptance by the City, the sole and exclusive
risk of the Contractor. The Contractor further specifically agrees that he shall indemnify and hold City free
of any liability for any accident, loss or damage to the work which is the subject of this Contract prior to its
completion and acceptance by the City.
ARTICLE VIII. It is further expressly agreed by and between the parties hereto that should there be any
conflict between the terms of this instrument and the bid or proposal therefore, then this instrument shall
control and nothing herein shall be considered as an acceptance of the said terms of said bid or proposal
conflicting herewith.
ARTICLE IX. Time is of the essence of this contract and failure to comply with this provision shall be a
material breach of this contract.
ARTICLE X. If any part of this contract is held invalid by a court of competent jurisdiction, the balance shall
retain its full force and effect.
ARTICLE XI. Contractor shall procure and maintain, at its own cost and expense, insurance as specified
in the Special Provisions of the Contract Documents, which are incorporated into this Contract pursuant to
Article IV, herein. Maintenance of required insurance coverage is a material element of this contract and
failure to maintain or renew coverage or to provide evidence of renewal shall be a material breach of this
contract.
IN WITNESS WHEREOF: The parties hereto have caused this Contract to be executed the day and year
first above written.
CITY OF ARROYO GRANDE
By: _________________ ~
Mayor
ATTEST:
City Clerk
CONTRACTOR
By: ________________ _
Title: _______________ _
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Item 8.f. - Page 8
POLICY INFORMATION
GENERAL LIABILITY ENDORSEMENT
CITY OF ARROYO GRANDE
300 East Branch Street
Arroyo Grande, CA 93420
1. Insurance Company:
Policy Number:
2. Policy Term -From: To:
Endorsement Effective Date:---------------
3.
4. Name Insured:
5. Address of
Named Insured:
6. Deductible or Self-Insured Retention (Nil unless otherwise specified):$
7. Coverage is equivalent to: ----------------Commercial General
Liability "occurrence" form CG0001.
8. Bodily Injury and Property Damage Coverage is:
POLICY AMENDMENTS
This endorsement is issued in consideration of the policy premium. Notwithstanding any inconsistent statement
in the policy to which this endorsement is attached or any other endorsement attached thereto, it is agreed as
follows:
1) INSURED. The City, its elected or appointed officials, employees, agents and volunteers, are included
as insured with regard to damages and defense of claims arising from: (a) activities performed by or on
behalf of the Named Insured, (b) products and completed operations of the Named Insured, or (c)
premises owned, leased or used by the Named Insured or (d) automobiles owned, leased, hired or
borrowed by the named insured.
2) CONTRIBUTION NOT REQUIRED. As respects: (a) work performed by the Named Insured for or on
behalf of the City; or (b) products sold by the Named Insured to the City; or (c) premises leased by the
Named Insured from the City, the insurance afforded by this policy shall be primary insurance as
respects the City, its elected or appointed officials, employees, or volunteers; or stand in an unbroken
chain of coverage excess of the Named lnsured's scheduled underlying primary coverage. In either
event, any other insurance maintained by: the City, its elected or appointed officials, employees, agents
and volunteers, shall be in excess of this insurance and shall not contribute to it.
SCOPE OF COVERAGE.
The policy, if primary, affords coverage at least as broad as:
1) Insurance Services Office Commercial General Liability Coverage, "occurrence" form CG0001; or
2) If excess, affords coverage, which is at least as broad as the primary insurance forms referenced in the
proceeding sections (1 ).
SEVERABILITY OF INTEREST.
The insurance afforded by this policy applies separately to each insured who is seeking coverage or against
CON-5
Item 8.f. - Page 9
whom a claim is made or a suit is brought, except with respects to the Company's limit of liability. The inclusion
of any person or organization as an insured shall not affect any right which such person or organization would
have as a claimant if not so included.
PROVISIONS REGARDING THE INSURED'S DUTIES AFTER ACCIDENT OR LOSS.
Any failure to complywith reporting provisions of the policy shall not affect coverage provided to the City, its
elected or appointed officials, employees, agents or volunteers.
CANCELLATION NOTICE.
The insurance afforded by this policy shall not be suspended, voided, canceled, reduced in coverage or in limits
except after thirty (30) days' prior written notice by certified mail return receipt requested has been given to the
City. Such notice shall be addressed as shown in the heading of this endorsement.
INCIDENT AND CLAIM REPORTING PROCEDURE
Incidents and claims are to be reported to the insurer at:
ATTN:
Title:
Department:
Company:
Street Address:
Telephone Number:
SIGNATURE OF INSURER OR AUTHORIZED REPRESENTATIVE OF THE INSURER
I, (prinUtype name),
warrant that I have authority to bind the below listed insurance company and by my
signature hereon do so bind this company.
SIGNATURE OF AUTHORIZED REPRESENTATIVE
(original signature required on endorsement furnished to the City)
ORGANIZATION:
ADDRESS:
-END OF GENERAL LIABILITY ENDORSEMENT -
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Item 8.f. - Page 10
AUTOMOBILE LIABILITY ENDORSEMENT
POLICY INFORMATION
1. Insurance Company:
Policy Number:
2. Policy Term -From: To:
Endorsement Effective Date:--------------
3. Name Insured:
4. Address of
Named Insured:
5. Limit Liability Any One Occurrence/Aggregate:$
6. Deductible or Self-Insured Retention (Nil unless otherwise specified):$
POLICY AMENDMENTS
This endorsement is issued in consideration of the policy premium. Notwithstanding any inconsistent statement
in the policy to which this endorsement is attached or any other endorsement attached thereto, it is agreed as
follows:
INSURED. The City, its elected or appointed officials, employees, agents and volunteers, are included as insured
with regard to damages and defense of claims arising from: (a) activities performed by or on behalf of the
Named Insured, (b) products and completed operations of the Named Insured, or (c) premises owned, leased or
used by the Named Insured, or (d) automobiles owned, leased, hired, or borrowed by the Named Insured.
CONTRIBUTION NOT REQUIRED. As respects: (a) work performed by the Named Insured for or on behalf of
the City; or (b) products sold by the Named Insured to the City; or (c) premises leased by the Named Insured
from the City, the insurance afforded by this policy shall be primary insurance as respects the City, its elected or
appointed officials, employees, or volunteers; or stand in an unbroken chain of coverage excess of the Named
lnsured's scheduled underlying primary coverage. In either event, any other insurance maintained by the City, its
elected or appointed officials, employees, agents or volunteers, shall be in excess of this insurance and shall not
contribute t
SCOPE OF COVERAGE. The policy, if primary, affords coverage at least as broad as:
1) Insurance Services Office form number CA 0001 (ed. 1/78), Code 1 (any auto) and endorsement CA
0025.
2) If excess, affords coverage, which is at least as broad as the primary insurance forms referenced in the
preceding section (1 ).
SEVERABILITY OF INTEREST. The insurance afforded by this policy applies separately to each insured who is
seeking coverage or against whom a claim is made or a suit is brought, except with respects to the Company's
limit of liability. The inclusion of any person or organization as an insured shall not affect any right which such
person or organization would have as a claimant if not so included.
PROVISIONS REGARDING THE INSURED'S DUTIES AFTER ACCIDENT OR LOSS. Any failure to comply
with reporting provisions of the policy or breaches or violations of warranties shall not affect coverage provided to
the City, its elected or appointed officials, employees, agents or volunteers.
CANCELLATION NOTICE. The insurance afforded by this policy shall not be suspended, voided, canceled,
reduced in coverage or in limits except after thirty (30) days' prior written notice by certified mail return receipt
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Item 8.f. - Page 11
requested has been given to the City. Such notice shall be addressed as shown in the heading of this
endorsement.
INCIDENT AND CLAIM REPORTING PROCEDURE
Incidents and claims are to be reported to the insurer at:
. ATTN:
Title:
Department:
Company:
Street Address:
Telephone Number:
SIGNATURE OF INSURER OR AUTHORIZED REPRESENTATIVE OF THE INSURER.
I, (prinUtype name),
warrant that I have authority to bind the below listed insurance company and by my
signature hereon do so bind this company .
. SIGNATURE OF AUTHORIZED REPRESENTATIVE
(original signature required on endorsement furnished to the City)
ORGANIZATION:
ADDRESS:
--END OF AUTOMOBILE LIABILITY --
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Item 8.f. - Page 12
WORKER'S COMPENSATION/EMPLOYMENT LIABILITY ENDORSEMENT
ATTN: -~~~~~~~~~~~~~~~~~~~
POLICY INFORMATION
1. Insurance Company:
Policy Number:
2. Policy Term -From: To:
Endorsement Effective Date:--------------
3. Name Insured:
4. Address of
Named Insured:
5. Limit Liability Any One Occurrence/Aggregate:
$
6. Deductible or Self-Insured Retention (Nil unless otherwise
specified): $
POLICY AMENDMENTS
In consideration of the policy premium and notwithstanding any inconsistent statement in the policy to
which this endorsement is attached or any other endorsement attached thereto, it is agreed as follows:
Cancellation Notice. The insurance afforded by this policy shall not be suspended, voided, canceled,
reduced in coverage or in limits except after thirty (30) days' prior written notice by certified mail return
receipt requested has been given to the City. Such notice shall be addressed as shown in the heading of
this endorsement.
Waiver of Subrogation. The Insurance Company agrees to waive all rights of subrogation against the City,
its elected or appointed officials, agents and employees for losses paid under the terms of this policy
which arise from work performed by the Named Insured for the City.
SIGNATURE OF INSURER OR AUTHORIZED REPRESENTATIVE OF THE INSURER
I, (prinUtype name),
warrant that I have authority to bind the below listed insurance company and by my
signature hereon do so bind this company.
SIGNATURE OF AUTHORIZED REPRESENTATIVE
(original signature required on endorsement furnished to the City)
ORGANIZATION:
ADDRESS:
CITY OF ARROYO GRANDE ("the City")
A Municipal Corporation
This certifies to the City that the following described policies have been issued to the Insured named
below and are in force at this time.
Insured:
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Item 8.f. - Page 13
Address:
Description of operations/locations/products insured (show contract name and /or number, if any):
POLICIES LIMITS POLICY EXPIRATION
AND INSURERS BODILY INJURY PROPERTY NUMBER DATE
DAMAGE
Worker's Compensation
Employer's Liability$
(Name of Insurer)
Best's RatinQ
Check Policy Type:
D Comprehensive Claims-made --D General Liability Occurrence __
D Commercial General Each Occurrence Each Occurrence
Liability $ $
(Name of Insurer) or
Best's Rating: Combined Single Limit$
Aaaregate $
Business Auto Policy Each Person Each Accident
Liability Coverage $ $
Symbol
(Name of Insurer) Each Accident
Best's Rating: $
Combined Single
Limit$
Umbrella Liability
Claims-Made --Occurrence __
(Name of Insurer)
Occurrence/Aggregate $
Best's Rating:
Self Insured Retention $
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Item 8.f. - Page 14
The following coverage or conditions are in effect YES NO
The City, its officials, and employees, agents and volunteers, are named on all liability
policies described above as insured as respects: (a) activities performed for the City by
or on behalf of the named insured, (b) products and completed operations on the
Named Insured, and (c) premises owned, leased or used by the Named Insured.
Products and Completed Operations.
The undersigned will mail to the City 30 days' written notice by receipted delivery of
cancellation or deduction of coverage or limits.
Cross Liabilitv Clause (or equivalent wording).
Personal lniurv, Perils A, B, and C.
Broad form Prooertv Damaae
X, C, U hazards included.
Contractual Liability Coverage aoolyina to this Contract.
Liquor Liability.
Coverage afforded the City, its officials, employees, agents and volunteers, as insured
applies as primary and not excess or contributing to any insurance issued in the name
of the City.
Waiver of subroaation from Workers' Comoensation insurer.
This certificate is issued as a matter of information. This certificate is not an insurance policy and does
not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any
requirement, term or condition of any contract or other document with respect to which this certificate of
insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject
to all the terms, exclusions and conditions of such policies.
Agency of Brokerage Insurance Company
Address Home Office
Name of Person to be Contacted Authorized Signature
Telephone Number Date
Note:
Authorized signatures may be the agent's if agent has placed insurance through an agency agreement
with the insurer. If insurance is brokered, authorized signature must be of official of insurer.
This information must include all construction work undertaken in the State of California by the bidder and
any partnership, joint venture or corporation that any principal of the bidder participated in as a principal or
owner for the last five calendar years and the current calendar year prior to the date of bid submittal.
Separate information shall be submitted for each particular partnership, joint venture, corporate or
individual bidder. The bidder may attach any additional information or explanation of data which he would
like taken into consideration in evaluating the safety record. An explanation must be attached of the
circumstances surrounding any and all fatalities.
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Item 8.f. - Page 15
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Item 8.f. - Page 16