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HomeMy WebLinkAboutAgr 2013-08-29 (CF Contracting, Inc.)TOWN OF TIBURON TIBURON, CALIFORNIA DOWNTOWN TIBURON GUEST FACILITIES OWNER - CONTRACTOR AGREEMENT �7 p THIS ER- CONTRACTOR AGREEMENT ( "Agreement ") is made and entered into this day of , 2013, by and between the TOWN OF TIBURON, a municipal corporation, 1505 Tib on Boulevard, Tiburon, CA 94920, ( "Owner "), and - ( "Contractor "). In consideration of the mutual covenants and agreements set forth herein, Contractor and Owner hereby agree as follows: ARTICLE I WORK DESCRIPTION The Contractor shall do all the work and furnish all the labor, services and materials necessary to complete the work described in the Contractor's Bid Proposal attached as Exhibit A ( "Work "). The Contractor shall complete the Work in a good, workmanlike and substantial manner, to the satisfaction of Owner and in accordance with the terms of this Agreement and the required Town's permits (e.g. Building and Encroachment permits). ARTICLE II CONTRACT SUM Contractor's compensation under this Agreement shZ be known as the Contract Sum. The Contract Sum shall be a not -to- exceed amount of $ 1'4 311200 as full compensation for the Work. All payments shall be subject to the General Conditions, set forth in Exhibit B. ARTICLE III TIME FOR PERFORMANCE Contractor shall commence performance of the Work on a date to be specified by Owner to Contractor to proceed ( "Notice to Proceed "). Contractor shall diligently proceed with performance of the Work and agrees to achieve Completion of the entire Work within 50 working days after receiving the Notice to Proceed ( "Scheduled Completion Date "). ARTICLE IV EXHIBITS This Contract includes the following Exhibits, which are attached hereto and incorporated herein by reference: Exhibit A The Work (Contractor's Work Proposal not inclusive of terms and conditions) Exhibit B Project Manual (Project Specifications & General Conditions) Exhibit C Construction Drawings (!�F i wM* d - Tiburon Guest Facilities IN WITNESS WHEREOF, the parties to these presents have hereunto set their hands the day and year first herein above written. TOWN OF TIBURON By Ma garet Cu n, Tom�5 Manager CONTRACTOR: By Title C Contractor's License No. qMn Expiration Date: L` 3D 13 1. CtaYulYZp " J'i4 — Tiburon Guest Facilities APPROVED AS TO FORM: By 4 �l/ Ann Danforth, Town Attorney Bond no. 54- 196095 Revised Original Premium: $3,145.00 Based on Total Contract Amount This Bond Supersedes and Replaces All Previous Copies of the Bond. TOWN OF TIBURON PERFORMANCE BONA (To Accompany Contract) Bond No. 54- 196095 WHEREAS, the Town of Tiburon, acting by and through the Department of Public Works, has awarded to Contractor CF Contracting, Inc. hereafter designated as the "Contractor", a contract for the work described as follows: AND WHEREAS, the Contractor is required to furnish a bond in connection with said contract, guaranteeing the faithfulperformance thereof: NOW, TF7FRFFORE, we the undersigned Contractor and Surety are held firmly bound to the Town of Tiburon in the sure of $ One Hundred Forty -Three Thousand**** and 00/100 dollars (� 143.000.00 ), to be paid to said Town or its certain attorney, its successors and assigns: for which payment, well and truly to be ma de, we bind. ourselves, our heirs, executors and administrators, successors or assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, That if the above bound Contractor, its heirs, executors, administrators, successors or assigns, shall in all things stand to and abide by, and well and truly keep and perform the covenants, conditions and agreements in the foregoing contract and any alteration thereof 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 intent and meaning, and shall indemnify and save harmless the Town of Tiburon, its officers and agents, as therein stipulated, then this obligation shall become and be null and void; otherwise it shall be and remain in full force and virtue. IN WITNESS WHEREOF, We have hereunto set our hands and seals on this 14th day of August 2013. Correspondence or claims relating to this bond should be sent to the surety at the following address: 3880 Atherton Road in4 n ial Rocklin, CA 95765 NOTE. Signatures of those executing for the surety must be properly acknowledged. CERTIFICATE OF ACKNOWLEDGEMENT State of California, Town of Tiburon On this day of in the year 20 _ before me in and for the Town of Tiburon, personally appeared person whose / name is subscribed to this acknowledged to me that he/ as attorney -in -fact. trance C of Surety (sue) SEE ATTACHED ALL - PURPOSE ACKNOWLEDGEMENT a notary public to me to be the ❑d known to the to be the attorney -in -fact of and the name of the said company thereto as surety, an d his/her own name (SEAL) Notary Public CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT State of California 1 ) County of Contra Costa on September 5, 2013 before me, L. Byas- Barnett, Notary Public Date Here Insert Name end Title of the Officer personally appeared Kenneth J. Goodwin Name(s) or Signer(s) L. BYAS BARNETT Commission # 2001280 I_ l Notary Public - California z Contra Costa County D hey Comm. Expires Jan 13, 2017 Place Notary Seal Above who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) ism subscribed to the within instrument and acknowledged to me that he /4v-�- executed the same in hisAier/4teir authorized capacity(ies), and that by his/•ker44 ei,- signature(s) on the instrument the person(-+, or the entity upon behalf of which the person4acted, executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. 1 WITNESS my,h jq and official seal. Signature r % r signature of otary Flublic OPT70NAL 7hough ffe information below is not required by law, it mayprovevduableto persons re7ying on the document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document Title or Type of Document Revised Original Bond Number 54- 196095 Document Date: August 14, 2013 Number of Pages: One (01 Slgner(s) Other Than Named Above! NIA Capacity(ies) Claimed by Signer(s) Signers Name: Kenneth J. Goodwin _Individual _Corporate Officer — Title(s): _ Partner _Limited _General X Attorney in Fact Trustee Guardian or Conservator 1 w Signer Is Representing: Financial Pacific Insurance Company RIGHT THUMBPRINT OF SIGNER . Top of Signer's Name: Individual _Corporate Officer Title(s): Partner _Limited _General _Attorney in Fact • Trustee Top of thumb here _Guardian or Conservator Other: Signer Is Representing ©2007 National Notary Association • 9350 be Soto Ave.., P.0.20x 2402 *Chatsworth, cA. 81313.2402 • www,NatlonalNotary,org Item# 5907 Reorder. Call Toll -Free 1- 80x676.6627 LIMITED POWER OF ATTORNEY Financial Pacific Insurance Company KNOW ALL MEN BY THESE PRESENTS, that Financial Pacific Insurance Company, a California corporation (the "Company "), does Hereby make, constitute and appoint: JOHN J. DALEY, OR KENNETH J. GOODWIN, OR L. B. BARNETT, OR TEAGAN CHASTAIN, ALL INDIVIDUALLY, WALNUT CREEK, CA its true and lawful Attorneys -in -Fact, with limited power and authority for and on behalf of the Company as surety, to execute, deliver and affix the seal of the Company thereto if a seal is required on bonds, undertakings, recognizances or other written obligations in the nature thereof as follows: $5,000,000.00 and to bind the Company thereby. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the Board of Directors of Financial Pacific Insurance Company at the meeting duly held July 6, 1995, which are now in full force and effect: RESOLVED, that the President or any Vice President, in conjunction with the .Secretary or any Assistant Secretary, may appoint attorneys -in- fact or agents with authority as defined or limited in the instrument evidencing the appointment in each case, for and on behalf the Company, to execute and deliver and affix the seal of the Company to bonds, undertakings, recognizances, and suretyship obligations of all kinds; and said officers may remove any such attorney -in -fact or agent and revoke any power of attorney previously granted such person. RESOLVED FURTHER, that any bond, undertaking, recognizance, or suretyship obligation shall be valid and binding upon the Company when signed and sealed (if a seal be required) by one or more attorneys -in -fact pursuant to and within the limits of the authority evidenced by the power of attorney issued by the company to such person or persons. RESOLVED FURTHER, 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 obligations of the Company; any such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF, Financial Pacific Insurance Company has caused these presents to be signed by its.proper officers, and its corporate seal to be hereunto affixed this 1st day of January, 2012. `,0.\�\r, INS U�'"4i� \ PPOR "Ayp .0 198fi \Pr.2 %, Y ?ciFOp�?• F,.° Dennis J. Richmann, Vice President David A. Lange, Assistant Secretary STATE OF IOWA, COUNTY OF LINN On 1st day of January, 2012, before me personally came Dennis J. Richmann and David A. Lange who proved to me on the basis of satisfactory evidence to be the persons whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their authorized capacities, and that by their signatures on the instrument the persons, or the entity upon behalf of which the person acted, executed the instrument. 401.1 a Judith A. Davis A i Iowa Notarial Seal UQ ' Commission number 173041 Judith A. Davis, Notary Public (}Wi` My Commissinn EYnires 0AMA0016 CERTIFICATE I certify under the Penalty of Perjury under the taws of the State of California that the foregoing paragraph is true and correct. Signed and sealed, this I day of vo,: 120 i 3 %ss�� nt ` Financial Pacific David A. Lang e, G Assistant Secretary Insurance Company seal must be affixed BPOA 0043 1011 .Revised Original Bond no. 54- 196095 Premium: Included in Performance Bond This Bond Supersedes and Replaces All Previous Copies of the Bond. TOWN OF TIBURON PAYMENT BOND (Section 3247, Civil Code) WHEREAS, The Town of Tiburon , acting by and through the Public Works Department, hereafter referred to as "Obligee", has awarded to Contractor CF Contracting, Inc. , hereafter designated as the "Principal", a contract for the work described as follows: AND WHEREAS, said Principal is required to furnish a bond in connection with said contract, to secure the payment of claims of laborers, mechanics, material, men and other persons as provided by law. NOW, THEREFORE, we the undersigned Principal and Surety are bound unto the Obligee in the sum of One Hundred Forty -Three Thousand * * " * and 00/100 dollars ($ 143.000.00 ), forwhichpayment,. we bind ourselves, jointly and severally. THE CONDITION OF THIS OBLIGATION IS SUCH, That if said Principal or its subcontractors shall fail to pay any of the persons named in Civil Code Section 3181, or amounts due under the Unemployment insurance Code with respect to work or labor performed by such claimant, or any amounts required to be deducted, withheld, and paid over to the Franchise Tax Board for the wages of employees of the Principal and his subcontractors pursuant to Section 16806 of the Revenue and Taxation Code, with respect to such work and labor, that the surety herein will pay for the same in an amount not exceeding the sum specified in this bond, otherwise the above obligation shall be void In case suit is brought upon this bond, the surety will pay a reasonable attomey's fee to fixed by the court. This bond shall inure to the benefit of any of the persons named in Civil Code Section 3181 as to give a right of action to such persons or their assigns in any suit brought upon this bond Dated August 14 , 20 13 Correspondence or claims relating to this bond should be sent to the surety at the following address: 3880 Atherton Road Rocklin, CA 95765 S (SEAL) _ _ ✓�; Kenneth J. Goodwin NOTE: Signatures of those executing for the surety must be properly acknowledged. CERTIFICATE OF ACKNOWLEDGEMENT State of California Town / County of SS SEE ATTACHED ALL- PURPOSE ACKNOWLEDGEMENT On this day of in th 20 _ before me , personally appeared personally known to Attmq -6r fact me (or proved to a basis of satisfactory evidence) to be the person whose name is subscribed to this instrume a attorney -in -fact of and acknowledged to me that lw!ie subscribed the name of the said company thereto as surety, and his/her own name as attorney -in fact. (SEAT.) Notary Public CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT State of California 1 ) County of Contra Costa On September 5, 2013 before me, L. Byas- Barnett, Notary Public Date Here Insert Name end Title of the Officer personally appeared Kenneth J. Goodwin Name(s) or Signer(s) ©2007 National Notary Association - 9350 be Soto Ave.., P.o.20x 2402 *Chatsworth, CA. 81313.2402 - www,NatlonalNotary,org Item# 5907 Reorder. Call Toll-Free 1- 800.676 -6627 who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) ism subscribed to the within instrument and acknowledged to me that he /may executed the same in his/+&r/tiaeir authorized capacity(ies), and that by his/4ter/tl signature(s) on the instrument the person( -s-} or the entity upon behalf of _ j A - L. BYAS BARNE1 which the person4acted, executed the instrument. - Commission # 2001250 �- Notary Public - California z certify under PENALTY OF PERJURY under the 18WS Contra Costa County D My Comm. Expires Jan 13, 2017 of the State of California that the foregoing paragraph is true and correct. WITNESS m ' Fj d and offici seal. Place Notary Seal Above Signature signature of otary Hublic OPTIONAL Though Me information be7ow is not required by law, it mayprovevafuable to persons relying on the document and could prevent fraudu7ent removal and reattachment ofthis form to another document Description of Attached Document Title or Type of Document Revised Original Bond Number 54- 196095 Document Date: August 14, 2013 Number of Pages: One (01) Slgner(s) Other Than Named Above! N/A Capacity(ies) Claimed by Signer(s) Signer's Name: Kenneth J. Goodwin Signer's Name: _Individual Individual _Corporate Officer – Title(s): — Corporate Officer— Title(s): Partner _Limited — General Partner _Limited _General X Attorney in Fact _Attorney in Fact ' Trustee Top of thumb here Trustee Top of thumb here _Guardian or Conservator _Guardian or Conservator Other. Other. Signer Is Representing: Signer Is Representing: Financial Pacific Insurance Company ©2007 National Notary Association - 9350 be Soto Ave.., P.o.20x 2402 *Chatsworth, CA. 81313.2402 - www,NatlonalNotary,org Item# 5907 Reorder. Call Toll-Free 1- 800.676 -6627 LIMITED POWER OF ATTORNEY Financial Pacific Insurance Company KNOW ALL MEN BY THESE PRESENTS, that Financial Pacific Insurance Company, a California corporation (the "Company'), does Hereby make, constitute and appoint: JOHN J. DALEY, OR KENNETH J. GOODWIN, OR L. B. BARNETT, OR TEAGAN CHASTAIN, ALL INDIVIDUALLY, WALNUT CREEK, CA its true and lawful Attorneys -in -Fact, with limited power and authority for and on behalf of the Company as surety, to execute, deliver and affix the seal of the Company thereto if a seal is required on bonds, undertakings, recognizances or other written obligations in the nature thereof as follows: $5,000,000.00 and to bind the Company thereby. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the Board of Directors of Financial Pacific Insurance Company at the meeting duly held July 6, 1995, which are now in full force and effect: RESOLVED, that the President or any Vice President, in conjunction with the Secretary or any Assistant Secretary, may appoint attorneys -in -fact or agents with authority as defined or limited in the instrument evidencing the appointment in each case, for and on behalf the Company, to execute and deliver and affix the seal of the Company to bonds, undertakings, recognizances, and suretyship obligations of all kinds; and said officers may remove any such attorney -in -fact or agent and revoke any power of attorney previously granted such person. RESOLVED FURTHER, that any bond, undertaking, recognizance, or suretyship obligation shall be valid and binding upon the Company when signed and sealed (if a seal be required) by one or more attorneys -in -fact pursuant to and within the limits_ of the authority evidenced by the power of attorney issued by the company to such person or persons. RESOLVED FURTHER, 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 obligations of. the Company; any such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF, Financial Pacific Insurance Company has caused these presents to be signed by its proper officers, and its corporate seal -to be hereunto affixed this 1st day of January, 2012. I NSUfjq /yo n 'i !Y: DULY 27 a:%• 1966 .n P 2c Dennis J. Richmann, Vice President David A. Lange, Assistant Secretary STATE OF IOWA, COUNTY OF LINN On 1 st day of January, 2012, before me personally came Dennis J. Richmann and David A. Lange who proved to me on the basis of satisfactory evidence to be the persons whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their authorized capacities, and that by their signatures on the instrument the persons, or the entity upon behalf of which the person acted, executed the instrument. �ptat a Judith A. Davis. u Iowa Notarial Seal x Commission number 173041 Judith A. Davis, Notary Public My Cnmmissinn EYnires odrxion15 CERTIFICATE I certify under the Penalty of Perjury under the laws of the State of California that the foregoing paragraph is true and correct. Signed and sealed, this tk day of QJ 0 20 Financial Pacific David A. Lange, Assistant Secretary Insurance Company seal must be affixed BPOA 0043 1011 CFCONTR -01 BRISTOWA '`4. ° CERTIFICATE OF LIABILITY INSURANCE �� DATE D/YYYY) 8/19/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ICA Insurance Services -SAC 2180 Harvard Street, Suite 450 Sacramento, CA 95815 CONTACT NAME: PHONE (916) 692 -7000 FAx (916) 473 -1797 (A/C, No Ext : A /C. No ADDRIESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:AIX Specialty Insurance Company 12833 INSURED C F Contracting 96 Forrest Avenue Fairfax, CA 94930 INSURER B: Travelers Casualty Insurance Company of Americ 19046 INSURER C: Topa Insurance Company 18031 INSURER D: State Compensation Insurance Fund of CA 35076 INSURER E: Navigators Insurance Company 42307 INSURER F X COMMERCIAL GENERAL LIABILITY 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 LTR TYPE OF INSURANCE IN R WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM /DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X X IPZCL00200891 1112612012 1112612013 PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 2,000 CLAIMS -MADE a OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 $ POLICY X J'F"- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ B ANY AUTO X X BA1072N394 111/2013 11112014 BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS X AUTOS NON -OWNED X HIRED AUTOS X AUTOS PROPERTY PERACCIDENTAGE $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 X AGGREGATE $ C EXCESS LIAB CLAIMS -MADE XL660336701 11/26/2012 11/26/2013 DED RETENTION$ $ 4,000,000 D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? F---1 (Mandatory in NH) NIA X 8505037652012 412912013 4129/2014 X WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - FA EMPLOYEd $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E Pollution 7, SFI2ECPOA3Q42NC 1219/2012 121912013 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Town of Tiburon are General Liability Additional insured when they fulfill the requirements of forms CG 20 10 07 04 & CG 20 37 07 04 Primary and Non Contributory Wording per form AGL04060611 General Liability Waiver of Subrogation perform CG 24 04 05 09 Auto Liability Additional Insured perform CAT42007 Workers Compensation Waiver of Subrogation per form 10217 UhK I IF'IGA I t HULUtK LANIaLL.A 1 IUN Town of Tiburon 1505 Tiburon Blvd (Tiburon, CA 94920 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �; �_;Pr� ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: IPZCLOO200891 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SCHEDULED ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - •' OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Locations Of Covered Operations Blanket where required by written contract signed by both parties and the insured contract is executed prior to any loss Information required to complete this Schedule, if not shown above will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organizations) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to 'bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment fumished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 13 POLICY NUMBER: IPZCLOO200891 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations Blanket where required by written con- tract signed by both parties and the insured contract is executed prior to any loss Information required to complete this Schedule if not shown above will be shown in the Declarations. Section 11 — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products- completed operations hazard ". CG 20 37 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 11 Policy # IPZCL00200851 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SAMPLE ENDORSEMENT ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS PRIMARY INSURANCE This endorsement modifies insurance provided under the following: ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION — CG 2010 Coverage provided by this policy to the Additional Insured(s) shown in the Schedule Shall be primary insurance and any other insurance maintained by the Additional Insured(s) shall be excess and non- contributory, but only if required of the Named Insured by an "insured contract'. All other terms and conditions under the policy remain unchanged. EFFECTIVE DATE: AGL04060611 Includes copyrighted material of Insurance Services Office, Inc_, Page 1 of 1 with its permission. POLICY NUMBER: IPZCLOO200891 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Blanket where required by written contract signed by both parties and the insured contract is executed prior to any loss I Information required to complete this Schedule, if not shown above, will be shown in the Declarations. J The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV —Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 0 POLICY # BA1072N354 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTO COVERAGE PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorse- ment, the provisions of the Coverage Form apply unless modified by the endorsement. A. PERSONAL EFFECTS COVERAGE SECTION III — PHYSICAL DAMAGE COVER- AGE, A. Coverage, 4. Coverage Extensions is amended by adding the following: C. Personal Effects Coverage We will pay up to S400 for "loss" to wearing ap- parel and other personal effects which are: (1) owned by an "insured "; and (2) in or on your covered "auto "; in the event of a total theft "loss" of your covered "auto ". No deductibles apply to Personal Effects Cover- age. B. AUTO LOAN LEASE GAP COVERAGE SECTION III — PHYSICAL DAMAGE COVER- AGE, A. Coverage, 4. Coverage Extensions is amended by adding the following: Auto Loan Lease Gap Coverage for Private Passenger Type Vehicles In the event of a total "loss" to a covered "auto" of D. the private passenger type shown in the Schedule or Declarations for which Physical Damage Cov- erage is provided, we will pay any unpaid amount due on the lease or loan for such covered "auto" less the following: (1) The amount paid under the Physical Damage Coverage Section of the policy for that "auto "; E and (2) Any: (a) Overdue leaselloan payments at the time of the "loss "; (b) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (c) Security deposits not returned by the les- sor, (d) Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and (e) Carry-over balances from previous loans or leases. COVERAGE EXTENSION — AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT NOT DESIGNED SOLELY FOR THE PRODUCTION OFSOUND SECTION 111 — PHYSICAL DAMAGE COVER- AGE, B. Exclusions, exception paragraph a. to exclusions 4.c & 4.d is deleted and replaced with the following: a. Equipment and accessories used with such equipment, except tapes, records or discs, provided such equipment is permanently in- stalled in the covered "auto" at the time of the "loss" or is removable from a housing unit which is permanently installed in the covered "auto" at the time of the "loss ", and such equipment is designed to be solely operated by use of the power from the "auto's" electri- cal system, in or upon the covered "auto "; or WAIVER OF DEDUCTIBLE — GLASS SECTION III — PHYSICAL DAMAGE COVER- AGE, D. Deductible is amended by adding the following: No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather than replaced. HIRED AUTO PHYSICAL DAMAGE COVER- AGE SECTION Ill — PHYSICAL DAMAGE COVER- AGE, A. Coverage, 4. Coverage Extensions is amended by adding the following: Hired Auto Physical Damage Coverage Exten- sion If hired "autos" are covered "autos" for Liability Coverage and this policy also provides Physical Damage Coverage for an owned "auto ", then the CA T4 20 07 06 Includes the copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 2 includes the copyrighted material of The St. Paul Travelers Companies, Inc. COMMERCIAL AUTO Physical Damage Coverage is extended to "autos" that you hire, rent or borrow subject to the following: (1) The most we will pay for "loss" in any one "accident" to a hired, rented or borrowed "auto" is the lesser of: (a) $50,000; (b) The actual cash value of the dam- aged or stolen property as of the time of the "loss "; or (c) The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality. (2) An adjustment for depreciation and physical condition will be made in deter- mining actual cash value in the event of a total "loss ". (3) If a repair or replacement results in better than like kind or quality, we will not pay for the amount of betterment. (4) A deductible equal to the highest Physical Damage deductible applicable to any owned covered "auto ". (5) This Coverage Extension does not apply to: (a) Any "auto" that is hired, rented or bor- rowed with a driver, or (b) Any "auto" that is hired, rented or bor- rowed from your "employee ", F. BLANKET WAIVER OF SUBROGATION SECTION IV — BUSINESS AUTO CONDITIONS, A. Loss Conditions, 5. Transfer Of Rights Of Recovery Against Others To Us is deleted and replaced by the following: 5. Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization to the ex- tent required of you by a written contract exe- cuted prior to any "accident" or "loss ", pro- vided that the "accident" or "loss" arises out of the operations contemplated by such con- tract. The waiver applies only to the person or organization designated in such contract. G. BLANKET ADDITIONAL INSURED SECTION II — LIABILITY COVERAGE, part A. 1. Who Is An Insured, paragraph c. is amended by adding the following: Any person or organization that you are required to include as an additional insured on this Cover- age Form in a written contract or agreement that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period is an "insured" for Liability Coverage, but only for damages to which this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section 11. H. EMPLOYEE HIRED AUTOS SECTION II — LIABILITY COVERAGE, A. Cov- erage, 1. Who Is An Insured is amended by add- ing the following: An "employee" of yours is an "insured" while op- erating an "auto" hired or rented under a contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business. I. COVERAGE EXTENSION —TRAILERS SECTION I — COVERED AUTOS, C. Certain Trailers, Mobile Equipment and Temporary Substitute Autos, paragraph 1. is deleted and replaced by the following: 1. "Trailers" with a bad capacity of 3,000 pounds or less designed primarily for travel on public roads. Page 2 of 2 Includes the copyrighted material of Insurance Services Once, Inc, with its permission. CA T4 20 07 06 includes the copyrighted material of The St. Paul Travelers Companies, Inc. ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION 850 -12 503765 RENEWAL NF 5- 67 -11 -83 PAGE 1 HOME OFFICE SAN FRANCISCO EFFECTIVE AUGUST 14, 2013 AT 12.01 A.M. ALL EFFECTIVE DATES ARE AND EXPIRING APRIL 29, 2014 AT 12.01 A.M. AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME C F CONTRACTING 96 FORREST AVE FAIRFAX, CA 94930 ANYTHING IN THIS POLICY TO THE CONTRARY NOTWITHSTANDING, IT IS AGREED THAT THE STATE COMPENSATION INSURANCE FUND WAIVES ANY RIGHT OF SUBROGATION AGAINST, TOWN OF TIBURON WHICH MIGHT ARISE BY REASON OF ANY PAYMENT UNDER THIS POLICY IN CONNECTION WITH WORK PERFORMED BY, C F CONTRACTING IT IS FURTHER AGREED THAT THE INSURED SHALL MAINTAIN PAYROLL RECORDS ACCURATELY SEGREGATING THE REMUNERATION OF EMPLOYEES WHILE ENGAGED IN WORK FOR THE ABOVE EMPLOYER. IT IS FURTHER AGREED THAT PREMIUM ON THE EARNINGS OF SUCH EMPLOYEES SHALL BE INCREASED BY 03 %. NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: AUGUST 16, 2013 2570 AUTHORIZED REPRESENTA IVE PRESIDENT AND CEO SCIF FORM 10217 (REV.1 -2012) OLD DP 217