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11-098 CRW Industries, Inc. Blackberry Farm Infrastructure Upgrade Re-Bid, Project No. 2010-9135
I - DOCUMENT: 21836006 Fees. Pages:* 3 RECORDING REQUESTED BY 11/11111111111111 Copies City . . No Fees City of Cupertino AMT PAID WHEN RECORDED MAIL TO REGINA ALCOMENDRAS SANTA CLARA COUNTY RECORDER RDE # 025 Recorded at the request of 2: 40/P 012 City Clerk's Office County Agency q 2 40 PMM City of Cupertino 10300 Tone Avenue Cupertino, CA 95014-3255 (SPACE ABOVE THIS LINE FOR RECORDER'S USE) NO FEE IN ACCORDANCE • WITH GOY. CODE 27383 CERTIFICATE OF COMPLETION AND NOTICE OF ACCEPTANCE OF COMPLETION BLACKBERRY FARM INFRASTRUCTURE UPGRADE PROJECT 2011 RE-BID CITY PROJECT NUMBER 2010-9135 JED Original 0 For Fast Endorsement \r,//� City Hall ® 10300 Torre Avenue Cupertino, CA 95014-3255 ��4t "s\ (408) 777-3354 GU P E RT I N O PUBLIC WORKS DEPARTMENT CERTIFICATE OF COMPLETION AND NOTICE OF ACCEPTANCE OF COMPLETION BLACKBERRY FARM INFRASTRUCTURE UPGRADE PROJECT 2011 RE-BID CITY PROJECT NUMBER 2010-9135 NOTICE IS HEREBY GIVEN THAT I, Timm Borden, Director of Public Works and City Engineer of the City of Cupertino, California, do hereby certify that the work and improvements in hereinafter described in the contract which was entered into, by, and between the City of Cupertino and CRW Industries, Inc., September 8, 2011, in accordance with the plans and specifications for said work, have been completed to the City's satisfaction and acceptance of completion was ordered on August 7, 2012. That said work and improvements consisted of furnishing all labor, materials, tools, and equipment required to complete said project, all as more particularly described in the plans and specifications for said project. Director of Public Works and City Engineer of the City of Cupertino Date: August 16, 2012 1 , "NO FEE" VERIFICATION I have reviewed this Certificate of Completion and Notice of Acceptance of Completion. To the best of my knowledge, the information contained herein is true and complete. I verify under penalty of perjury under the laws of the State of California, that the foregoing is true and correct. Executed on the 16th day of August, 2012 at Cupertino, California. Kirsten Squarcia City Clerk's Office City of Cupertino OFFICE OF THE CITY CLERK CITY HALL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 c;t.r9.∎ TELEPHONE: (408) 777-3223• FAX: (408) 777-3366 CUPERTINO WEBSITE:www.cupertino.org August 22, 2012 CRW Industries, Inc. 399 Encinal St., Suite 104 Santa Cruz, CA 95060 Re: Agreement and release of any and all claims for Blackberry Farm Infrastructure Upgrade 2011 Re-Bid, Project Number 2012-9135 A fully executed copy of your agreement with the City of Cupertino is enclosed. If you have any questions or need additional information, please contact the Planning Department at (408) 777- 3308. Sincerely, Kirsten Squarcia City Clerk's Office Enclosure cc: Planning Project No.2010-9135 DOCUMENT 00650 AGREEMENT AND RELEASE OF ANY AND ALL CLAIMS BLACKBERRY FARM INFRASTRUCTURE UPGRADE 2011 RE-BID PROJECT NUMBER 2010-9135 THIS AGREEMENT AND RELEASE OF ANY AND ALL CLAIMS ("Agreement and Release"), made and entered into this 15th day of August, 2012, by and between the City of Cupertino ("City"), and CRW Industries, Inc. ("Contractor"),whose place of business is at 399 Encinal Street,Suite 104, Santa Cruz,Ca 95060. RECITALS A. City and Contractor entered into Contract P.O.number 57478(the"Contract"). B. The Work under the Contract has been completed. Now,therefore,it is mutually agreed between City and Contractor as follows: AGREEMENT 1. Contractor will not be assessed liquidated damages except as detailed below: NONE Original Contract Sum $332,845.00 Modified Contract Sum $361,238.83 Payment to Date $343,176.89 Liquidated Damages $0 Payment Due Contractor $ 18,061.94 2. Subject to the provisions of this Agreement and Release, City will forthwith pay to Contractor the sum of Eighteen Thousand, Sixty One Dollars and Ninety Four Cents ($ 18,061.94) under the Contract, less any amounts withheld under the Contract or represented by any Notice to Withhold Funds on file with City as of the date of such payment. 3. Contractor acknowledges and hereby agrees that there are no unresolved or outstanding claims in dispute against City arising from the Contract, except for the claims described in paragraph 4 of this Document 00650. It is the intention of the parties in executing this Agreement and Release that this Agreement and Release shall be effective as a full, final and general release of all claims, demands, actions, causes of action, obligations, costs, expenses, damages, losses and liabilities of Contractor against City, and all if its agents, employees, consultants (including without limitation Consulting Cupertino), inspectors, representatives, assignees and transferees except for the Disputed Claims set forth in paragraph 4 of this Document 00650. Nothing in this City of Cupertino 00650 • 1 Agreement and Release of Any and All Claims BBF Infrastructure Upgrade 2011 Re-Bid Project No.2010-9135 Agreement and Release shall limit or modify Contractor's continuing obligations described in paragraph 6 of this Document 00650. 4. The following claims are disputed (hereinafter, the "Disputed Claims") and are specifically excluded from the operation of this Agreement and Release: Claim No. Date Submitted Description of Claim Amount of Claim NONE 5. Consistent with California Public Contract Code Section 7100, Contractor hereby agrees that, in consideration of the payment set forth in paragraph 2 of this Document 00650, Contractor hereby releases and forever discharges City,and all of its agents,employees,consultants,inspectors,assignees and transferees from any and all liability,claims,demands,actions or causes of action of whatever kind or nature arising out of or in any way concerned with the Work under the Contract 6. Guarantees and warranties for the Work,and any other continuing obligation of Contractor,shall remain in full force and effect as specified in the Contract Documents. 7. Contractor shall immediately defend, indemnify and hold harmless the City of Cupertino, Santa Clara County, its Architect,any of their Representatives,and all o f their agents,employees,consultants, inspectors, assignees and transferees, from any and all claims, demands, actions, causes of action, obligations, costs, expenses, damages, losses and liabilities that may be asserted against them by any of Contractor's suppliers and/or Subcontractors of any tier and/or any suppliers to them for any and all labor,materials,supplies and equipment used,or contemplated to be used in the performance of the Contract,except for the Disputed Claims set forth in paragraph 4 of this Document 00650. 8. Contractor hereby waives the provisions of California Civil Code Section 1542,which provides as follows: A general release does not extend to claims that the creditor does not know or suspect to exist in his favor at the time o executing the release,which if known by him,must have materially affected his settlement with the debtor. 9. The provisions of this Agreement and Release are contractual in nature and not mere recitals and shall be considered independent and severable, and if any such provision or any part thereof shall be at any time held invalid in whole or in part under any federal, state, county, municipal or other law, ruling, or regulation, then such provision, or part thereof shall remain in force and effect only to the extent permitted by law, and the remaining provisions of this Agreement and Release shall also remain in full force and effect, and shall be enforceable. 10. Contractor represents and warrants that it is the true and lawful owner of all claims and other matters released pursuant to this Agreement and Release,and that it h;As full right,title and authority to enter into this instrument. Each party represents and warrants that it has been represented by counsel of its own choosing in connection with this Agreement and Release. 11. All rights of City shall survive completion of the Work or termination of the Contract, and execution of this Agreement and Release. City of Cupertino 00650-2 Agreement and Release of Any and All Claims BBF Infrastructure Upgrade 2011 Re-Bid Project No.2010-9135 * * *CAUTION: THIS IS A RELEASE-READ BEFORE EXECUTING * * * THE CITY OF CUPERTINO, a Municipal 9erporation of the State of California J J l i"'"I By:y: \./ Its: 14112AL,wk C ' ATTEST: 41 Grace Schmidt,City Clerk [CONTRACTOR] CRW Industries, Inc. By: 5346 Scotts Valley Dr., Ste. E Name: Scotts Valley, CA 95066 Its: 831 426-0743/831 466-9597 fax By: Name: V ILL 50 Vt. Its: Pis __Ibi, RE WED AS TO FORM: j , kk & ' _Q Carol V orade,City Attorney ( el ,20lq END OF DOCUMENT City of Cupertino 00650-3 Agreement and Release of Any and All Claims BBF Infrastructure Upgrade 2011 Re-Bid CITY OF \\ // LS BLACKBERRY FARM INFRASTRUCTURE UPGRADES y/4J9$\ PROJECT NUMBER: 2010-9135 C U P E RT I N O CONTRACT CHANGE ORDER NO. 2 Date: March 13, 2012 Contractor: Y.O. No.:00057478 CRW Industries, Inc. Account No.:427-9135-9300. 399 Encinal Street Santa Cruz, CA 95060 The following changes are hereby approved, notwithstanding language in any attachment to the contrary. Contractor agrees that the amount paid pursuant hereto is full and complete compensation for the work described herein for each and every entity involved in the project who is being compensated hereunder and that each and every claim for any cost or schedule impact such as delay, inefficiency, acceleration, extended overhead, increased supervision, compression and all other factors affecting cost arising from the subject of this Change Order is hereby released and waived by all such Subcontractors and suppliers at all tiers. Field Order Change No. No. Description $ 2A 1 De-brush and off haul approx. 10 yds. of soil south $674.00 side of the retaining wall for review and inspection. 2B Remove two sinks, open wall to install missing trap, $953.00 tie into ex. vents and patch and repair wall to match 3 existing. 2C Repair termite damage, remove ex. wall panels, repair $1,485.00 wall sections and restore to original conditions. 4 Includes dry rot found on pool side of building. 2D Replace existing gate valve for 2"water main to pool $1,135.00 5 house 2E $3,128.00 6 Four new doors, door jams and hinges at pool house. 2F Upgrade flooring to Armstrong Marmorette sheet vinyl $4,319.00 7 flooring at the Retreat Center. Page 1 of 2 Upgrade to Phenolic partitions at the pool house 2G restroom. Also include addition of head rails and toilet $1,993.53 8 accessories not included in FA. 2H Additional hazardous material removal $630.00 2I Install new furred wall to install required new plumbing $1,053.00 for unforeseen condition adjoining fire wall. 2J Install rebar epoxy in slab patches for new plumbing. $630.00 2K CREDIT-revised plan not required to remove shower -$1,084.00 wings in men and women's pool house. 2L $331.00 Replace new D.I.grates with ADA compliant grates, 2M $1,026.00 New door closers for pool house restrooms. 2N $715.30 Install jute mesh on hillside above retaining wall. Total of Change Order No.2 $16,988.83 Total Project: Original Contract $332,845.00 Change Order No. 1 $7,100.00 • Change Order No.2 $16,988.83 Revised Contract $356,933.83 • Schedule Impact: Extension of Substantial Completion date to February 16,2012 Project Final Completion Date: Extension of Final Completion date to March 16, 2012 REVIEWED BY: APPROVED BY: 1 4_..r./ City of Cuperti.� tity of Cupertino Carmen Lynaugh Timm Borden Public Works Project Manager Director of Public Works Date: 3//,5/Z Date: 3 h'�/�Z. Nova Partners CRW Industrie , nc. Ron Barri Bill Burr Project Manager President Date: 3- /9-2oia Date: -J- 1'j Page 2 of 2 200000 ° ■ 00000 § '&,, ci I- X ~ 00 $ o « // 0 tU 2 3« § � a 1-a < I W U) % a 0E \ 2Z o & 0000000 000 0000 Roo n CV in 00 # Jo } % % % ] % \ \ % § o \ % & 3 % % G Leo _ � _ _ _ ® - -®- --- 3 12 E ®- < 00 CO X ® 00I a �w - ƒ ƒ o c E 8 z I ° k § I- 0 A ƒW § F- a \r - / 0z 2< k § m § ] - X000000 \a w / I 2 03 z # C § o a 0 o 0 0 r r. -ok CL CL f '� g 0 0 0 \ \ \L � � 0 k s _- ; t � § 3 % §§ 00 CO / \ ) 2e e c a� [ � § 0 0 kk WZ 2 ) a)k 0 \� 20 Co ) \ m 0 0 co 0 < ) / ±§ / 0 0 » (a / § 0 ® § 7 _1 CO \ 2E ± z < w ci) � a) 0 I 0 co \ *- H } -. \ -r 0 u_ Z e o 0 2 CL 1-- co F- TA® 0_ < ° 0 W / < 0 2 0 Z 0 / c § \ m § § a o I 0 0 / / 4 } -J L W < k \ / \ 0 o E • = a"2 : en < / § £ = o z / � c % H 0 0 H E � � \ 2 \ 2 0 z � =e u ƒ < \) ( f / S ■ H t: CO 2w2F / \ 0 0 0 / E / i § Ge2J 0 a q / k § E / 2a ƒ 2 \ D 2 0 } 0 H i / CITY OF lCITY OF CUPERTINO ws."u DEPARTMENT OF PUBLIC WORKS CUPERTINO FIELD AUTHORIZATION Project Name: Blackberry Farm Infrastructure Upgrade Date: 10/12/11 Location: Blackberry Farm F. A.No: I Contractor: CRW Industries,Inc. Project No:2010-9135 Address: 1157-B Dell Avenue File No: Campbell,CA 95008-6611 P.O.No: Description of Work: I.),Provide labor and equipment to de-brush and off haul approximately 10 yards of soil at the existing South side of the retaining wall for review and inspection. Plan RW-1/Detail 8/RW-2 Method of Payment: ( ) Lump Sum$ ( )Time and Materials (x)Time and Materials not to exceed$ 2,000.00 ( )Quantity Adjustment Contract time will be(increased)by()days Applicable Specifications: CALTRANS ( ) City Standards(x) Other Attachments: Reviewed b : Approved by: Nova 'artners, Project Manager Contractor's Representative C,.yL>,-4,Fy.�,S Ron Bard Reviewed by: Appro. • 1 by: re'vs....c.,,....... ,---)-v c---c-— .L., r) Carmen Lynaugh��,( ty Azahite�c ' m Borden,Director of Public Works 4,..„.:,-.. �S N � RA / ' i . - ,-_-_----- C 0 4,_____.f• i 4_ - & ENGINEERING, INC . 174111." CLIENT: CRW Industries .11 10/16/2011 3066 ATTN: Bill Burr PROJECT:Blackberry Farm DESCRIPTION OF WORK Dig behind wall to inspect and then backfill and compact.Stockpiled 8 yards and of#hauled at a later date. {„ DESCRIPTION I QTX I COST I UNIT I EXTENSION LABOR Foreman Mike 1 $ 55A0 X4"-2- $ .21:80 '1O.9O Operator 0 $ - 0 $ - Laborer Ramolo 1 $ 41.95 .'2 $ 0 8 1 D_ $ 389.40 j1 33% OB $ 128.50 (i Subtotal $ 517.90 2L&. EQUIPMENT ��� Utility truck 1 $ 26.69 /I' 7.- $ y°''6 53. 38 Skip loader 0 $ . 55.00 0 $ - ..— 790 D Excavator 1 $ 79.00 ,4' z- $ 0 /,9 10 Wheeler Dump Truck 0 $ 85.00 0 $ sl� $ 422.76 2:7;6* 9 J h 4,0 MATERIALS $ 150A0 1 $ 150.00 Load trash/dirt . it $ 0 $ - IT If $ */- 0 $ 150.00 344e,3?- nr�� "Ftle-74----- m 0 u a W o .-----------":-‘,1 A 9 > SANTA CLARE 98-1 Ivlemore;c. Drive Santa Clara,kilern re x}Drive L::= CONS IN =" 8= ENGINEERING INC. PHONE 408-279-2027 "'` �:�' , FAX 408-279-2044 'Flom Conception to Cont lotion. F License 08(3395 NOTICE •-F CLAI1 •i FOR EXTRA WORK 3066 CUSTOMER: v1- f',1- 1 N.r. - DATE WORK PERFORMED: ' i a I f --- The below Extra wofk has been approved and authorized by: .tin 1, el E REQUESTED BY: *�'_.� ,/�':•`y _... _ PROJECT: � �:� r `.-i � Se—7-j We have been asked to perform the undersigned work as an"extra".It is understooc that the"extra"work is above and beyond original contract proposal. Description of extra work as follows: 1. (`I 4 ` i yy(( C tJ � } �7.'%�'�:.::� (!{5..:,: �j]- , tQ 1 . � �r'�.:. L'.tiS" .�1. ]p r-v �'r'K s3..n C , ^.9_f t�\ �.�� 0 PA-k .7—l/.� ■ - `C .j1:`v A\tr- !i- phl� -1-1,---4...`f` r' { / Y f t (r cl-c.. . �.� . (o'. '??<<f-r4� L))ti ,..4_,,,A 1-. P F(4- .2.,� la A<i-t u :_.,sue . d�_tz_ .t•c i ti, y t� ` \`� t h� ,-:1- P..).An L.XI.,.N •k EO . :4- i`.Q-F A N Y . t"e tisko fI cA, ='IBg. e LSS .✓, � . 1;B . ... I ' OTAL HOURS SRAi TE Z a." t h ti + ':Qt ,4 Gr a 1j . - t 5 ,zz: T . Exten oth 7 r r . f ? - s OT T S i i LEAD FOREMAN ( 1 C'1? !t/OT` iJ� • OPERATOR(S) ( l ) le/ ` ? M'!- Airs ., r ..,, LABORER(S) ( 1 ) 2A t.,�t., ! FLAGMAN(S) ( ) MASON ( ) GRADE CHECKER ( ) ---�� f.. �- Total Labor>> - `-4 r-44= t ..wr>c f 25*. .,,ro I +yr.1;jt " % r N sn •LSl, CR4701=fie 1 . . r C Y 4: ^'-a ` •� :c^ r H;r® y anb r 1- a t ° .,. "Extets on ". R gq t : 1.7: I `€9s . 3.x" , ,A,:ilfi-S. f -_ °-. r. � ! : DUMP(DIRT/RUBBISH) ( BASEROCK If-ASPHALT /V CONCRE i h BACKFILL(SAND/ROCK) Total Labor>>> C"x Y-r vc.a it a 'Ztl - ..t'ti�r r : ;EQUIPMENT -DESCRIPTION S"` ::- ,,Ou ntity� Ratee't'� t Extension• UTILITY TRUCK I -Z L-r- r DUMP TRUCK SKIP LOADER/TRACK LOADER BACKHOE 1 in- EXCAVATOR COMPRESSOR/GENERATOR CONCRI l t SAW/COMPACTING TOOLS/CONCRETE PUMP SKID STEER SMOOTH DRUM ROLLER/SHEEPS FOOT WATER WAGON Total Equip ;/Other»> _ °t Extra`Work Recgrd Total.,. ., .: 'RINI N• --� ' The above Extra work has been approved and authorized by: r / �yf/1 / o 74 X — :USTONtER J1 .,, / ( DATE, ( AUTHORIZED SIGNATURE nha-100.770-77:3Ahnaden Valley Minting FL1.01 11EJ 09/10 ' ■ ‘.... • ; I.3, e.) , — . P-. .„_ ,_ 'ti TA g..`' •0 u. .1.: . 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RAMMER ( RAM;{I HYDRAULIC CRANES&EXCAVATORS, 1 EICECL l M odel Code Rate CRAWLER MOUNTED S-84 1000 $32.29 DELAY FACTOR= 0.22 OVERTIME FACTOR= 0.80 S-86 1050 $34.78 Includes all attachments and accessories required for lifting or digging. Pavement breaker or compactor attachments are not included. STANLEY I STAN I BANTAM I BANT Model Code Rate M$250 1100 $5.99 Model Code Rate C 266 0680 $73.44 M132900 1120 $24.14 C 366 0690 $85.42 MB4900 1140 $42.87 C 744 1075 $56.80 MB550 1160 $9.47 MB800 1180 $14.12 CASE [CASE J TELEDYNE (TELD ] Model Code Rate Model Code Rate 9030E 0100B $74.73 9040 0110 $86.38 950X 1190 $31.93 90E 0B 0120E $173.95 TB1025 1195 $34.93 40E E-Boom 1600 $67.45 TB 1425X 1200 235.05 40E Y-Boom 1601 $67.86 TB2225X 1220 $65.51 50E 1602 $85.19 TB425 1240 $13.88 125B 160211 $70.63 TB825X 1260 $24.07 170C 1602N $97.19 TRAMAC (TRMC J 22CB 1602R $126.19 Model Code Rate 880B Y-Boom 1609 $47.87 BRH1100 1300 $36.98 980E 1615 $74.43 BRH125 1310 $11.34 1080 1615E $64.54 BRH250 1320 $13.02 1080B 1615J $66.21 BRH400 1330 $12.26 I280 1616 $89.03 BR1620 1340 $24.25 1280B 1616E $82.93 BRH750 1350 $22.45 CATERPILLAR I CAT J BRV950 1360 $23.69 Model Code Rate TUN10ER (TUNK I 312 0300 $45.00 Model Code Rate 312C 0300C $49.47 40.01 1400 $159.00 312CL 0300CL $50.43 40.05 1450 $159.00 315L 0305 $54.70 60.05 1460 $132.33 320 0310 $72.22 VULCAN I VULC I 320BL 0312 $76.62 Model Code Rate 320E 0312E $74.28 320CL 0312CL $83.29 1 1500 $26.82 320L 0315 $73.70 014 1520 $38.29 321C LCR 0320R $103.37 100C 1540 $39.86 3221. 0325 $90.72 2300 1560 $126.00 325 0330 $95.35 80C 1580 $30.69 325 BL 0335 $105.61 325 L 0340 $100.18 330BL 0345 $131.96 330CL 0345CL $144.09 330L 0350 $125.65 345 BL 0355 $177.86 350L 0360 $17935 8 r5i 0365 $288.69 890A 1705 $108.48 205 1617 $31.13 892D LC 1708 $100.92 211 1617E $44.94 990 1720 $128.52 213 161711 $49.56 992D LC 1722 $147.80 215 1618 $51.45 30 215B T.0 1725 $17.41 16198 $57.35 5(C 1730 $27.69 215C 1619F $63.25 7C 1735 $25.75 2150 1619G $70.40 2COLC 1745 $80.10 225 1620 $72.76 DROTT [ 225LC 1621 $73.29 Model ] 2250 LC 1622 $92.34 Code Rate 227 35D E boom 11135 $51.41 1623 $76.41 35D Y boom 1845 $51.83 229 1625 $99.00 231D 40D E boom 1930 $63.69 1630 $113.54 23 l DLC 1635 $115.15 400 Y boom 1965 $68.93 501D 2005 $82.69 235 1640 $117.95 2358 1642 $131.39 FIAT ALLIS [ F-A ] 235 Front Shovel 1645 $127.95 Model Code Rate 2358 Front Shovel 1647 $142.71 FE 18 9000 $47.26 235C 1648 $149.21 FE 20 HD 9010. $60.00 235DLC 1649 $155.22 FE 20 LC 9020 $56.04 245 1650 $198.99 FE 28 9030 $78.47 245B 1650B $219.20 FE 40 L 9040 $136.16 245 Front Shovel 1652 $211.03 GRADALL [GRAD] 245B Front Shovel 1652B $234.97 E 180 1653 $60.81 Model Code Rate EL 180 1654 $61.98 0 660 0150 $64.12 EL 200E 16548 $66.89 G 660E 0160 $80 36 E 240 1655 $78.49 G 660C 0170 $81.12 EL 240 1656 $79.99 G 8308 0210 $8734 E 300 G 8300 0215 884.40 1657 $98.40 E 3008 16578 $109.24 C'11100 0230 $135.37 EL 300 XL5200 0260 $81.82 1658 $100.35 EL 300E 1658B $111.34 X1.5200 0280 $98.35 JOHN DEERE [DEER ] HITACHI [ HIT ] Model Code Rate Model Code Rate 330C LC 1600C $135.16 UFI+)7LC 2630 $61.59 450LC 1645 8171.83 x162 2660 $63.73 490 1660 $37.14 UH 172 2695 $119.70 490E 1660E $48.03 UH f87 2750 $79.65 690A 1685 $49.48 EX 150 2797 $57.27 EX 2.00 LC 2800 $69.74 69013 1695 $63.41 690C 1697 $58.09 EX 270 LC 2806 $104.10 6900 EX 300LC-2 2807 8120.84 1697D $61.30 690E LC 1697ELC $71.81 EX 3001.0-3 2807A $124.44 790 16'8 $73.36 EX 330LC-5 280713 $138.54 7900 16980 $79.00 EX 370-5 2807E $144.39 7` E LC 1698ELC $88.14 EX 400 LC 2808 $160.08 EX 4 50LC-5 2808K 8190 34 792 1699 $87.I0 890 EX 5.50LC 2899 8236.43 1700 $117.16 9 M 485 8580 $40.98 36.3(40) 49.9(55) 40-55 $197.07 M 495 8585 864.73 49.9(55) 60.8(67) 55-67 $221.55 T 300B,T 300A 3718 $21.72 2 ___ _._._ .-_. -. _ ._.. __ _ TRUCKS,DUMP,ON-HIGHWAY [ TRUON I T 400C,T 400B,T 400A 8781 84953 T 600D,C,B,A 8842 571.82 T 650 8843 $122.47 DELAY FACTOR= 0.19 OVERTIME FACTOR= 0.82 Includes all end dump,side dump and belly dump types;including all T 800B,T 800A,T800 8870 $115.63 attachments and accessories. T 800E 8871 $125.93 TRUCK ON-1HGHWAY [TRUN I T 850 8875 $225.00 Model Code Rate V 430 8950 $24.96 V 430A 8951 $28.21 2 axles 2AxL $4138 3 axles 3AXL $54.74 V434/111 434 9000 $24.05 $62.13 V 440 9015 $27.21 4 axles 4A XL V 450 9017 $32.90 5 axles 5AXL $68.95 V 454 r 9020 $28.06 WELDING EQUIPMENT I WELD I V 1550 9025 $13.01 [.... TRUCK,TRUCK TRAILERS,EXCL. [ TRUCK I DELAY FACTOR= 0.22 OVERTIME FACTOR= 0.81 DUMP TRUCKS&EQPT TRAIL ARC WELDING MACHINES I A WM ] DELAY FACTOR= 0.17 OVERTIME FACTOR=0.85 Diesel,gas or electric powered. Includes helmets,holders,cable Includes all attachments and accessories related to hauling,with and without and all attachments and accessories. Rate capacity in amps. trailers as needed. Includes water trucks,freight trucks and passenger vehicles, OVER TO Code Rate including 4wd option. Listed by Mfi's Gross Vehicle Weight in Kilograms(pounds). For tractor-trailer units,the gross vehicle weight of the 0 250 0-250 $4.13 cargo carrying unit or units will control. In the case of water trucks,the tank 250 500 250-500 $7.92 capacity expressed in kilograms(pounds)of water plus 20%,will determine the gross vehicle weight. For attachment allowance,see attachment class. over 500 500 $8.38 TRUCKS [T&TT ] GAS WELDING OUTFIT [ GWO ] OVER TO Code Rate Includes regulator,7.6 meters(25 feet)of hose,torch,goggles, CARS,LIGHT TRUCKS 00-06 $15.86 lighter and attachments and accessories. Gas and rod shall be paid 3 175(7000) 5443(12000)No small 06-12 $19.76 Model Code Rate: ( , 443(12000) 9072(20000) . ._ 11,211 __12:1,1;47-, ALL ALL $0.21 ` 9072(20000) 1270 (28000) 20-28 $26 127 t (28000) 16330(3600 t 28- . 4.48 N 16330(36000) 21773(48000) 36-48 $40.09 I 2 i 773(48000) 27216(60000) 48-60 $48.94 27216(60000)&Over 60 $61.92 TRUCKS,OFF-HIGHWAY [ TRUOF I DELAY FACTOR= 0.24 OVERTIME FACTOR=0.78 Includes all attachments and accessories.Includes end dump,belly dump and earthmover types. Listed in accordance with Mfrs rated capacity in tonnes (tons). In the case of earthmover types,rated by Mfr's volumetric capacity,a factor of 1.4 tonnes per cubic meter(1-1/2 tons per cubic yard) of struck capacity shall be used TRUCK OFF HIGHWAY [ TRU I OVER TO Code Rate 9.1 (10) 13.6(15) 10-15 $3850 16.3(18) 20.0(22) 78-22 $69.11 20.0(22) 24.5(27) 22-27 $86.16 24.5(27) 29.0(32) 27-32 $98.58 29.0(32) 36.3(411) 32-40 $133.56 33 ZS z O O O O O O ° N 0 0 0 0 0 Zoo00o Fta (a � co ea x W n co o —0 o 0 N) U 11— 69 ?) o z > C 7 L P o C 00� 12 Z O E Za C > W O 2 a c a co a s C 0 0a v WZ 1- F... o) O o'o'o o o c2o aoo) o cc. ooco m ° O O cn 0 el <0 C U) ° ° ° ° � cocno NooN d• o v oo rn IC) 0 0 0 0 C) ()0 n 0 o r� () C) C) o 0 cC U M Z CO 69 69 fn ( N EH (C fH GH(0 CD N U) 69 fA V3 W •c W N N V 4 4 69 0) Q O O a) .�1- f» fA 69 ff. fA fA CO 00 � °) a)W 69 a O a) E N Z o U W .'. W 0 H a)CI) 1.... )--'. 3. FJ_- U 3 ,W F- C O Z N m Q U) 0 a) V O in O O O in c rn ~ o Ct* O Z r 0 r O § H O N Z • o O 4) O u) U)* o m o W c + O N E. Fc• co) a)Z lll��� a a C . > J e H A c - v o Q w •C S w o) to C V= J N 0 o n)Z a ai 3 ?)M u) d y r m = v o a o e o o o • 0) ) O O N O w CC a L CO RI ,- CO c) 0) I- -6 Y ' a O x-- N ) o P. C 3� O Q. a N U Na • F-< CO U a o' 1 , <D N = cc a) o a) 0 a j.+. 2 0 o m U 0 ma N 0 J N Q-J D Y d F- 0L) 0 5. N o V a W 0 ,_, ~ m 2 W 0 m Q J a ` U D. ZQ F- 0 0 Q W E a LI 0 < O F_ m ° O U m °- C CD W U Z � 0 O w ~ 2 s r W 0 o a F- m o)a z O O w U U o O z J a) < z F F- < U F- 2 E c > U O a o a W `o 0 0 H E co co LL J Z J F- (� O J J Z _1 CL Z 5 a D U Z t F- a W 3 F- Q 2 < 0 00 c z U m a) a Z ° -8 Em F- w 2 0 Q co QcD m � c2 � a m LU 0 al Fa w � w m o 0 a W ca a D q DW oa DU D w 0 7a 0 a0 U m o a a ! U co J W co LL co a CO CO CO L_ a CO 0 F- a 0 FCC) CO Y OF ✓' CITY C F CUPERTINO ,<`+•° Di. PARTME=NT OF PUBLIC WORKS cupERTIN0 FIELD AUTHORIZATION Project Name: Blackberry Farms Infrastructure Upgrade Date:__-- 10/25/11 Location: Blackberry Dann F. A.No: Contractor: CRW Industries. Inc. Project No:2010-91. Address: 1 157-B Dell Avenue File No: Campbell,CA 95008-6611 P.O. No: Description of Work: I.) Blackberry Farm Infrastructure Upgrade Rebid-2011 /Provide labor and material to remove two each sinks, open plumbing_wall to install trap,and tie into existing vents to meet code requirement: Patch and repair wall to match existine. Men's Restroom at Pool I-louse A 1.2 note 5 / Public Rertrooms A2.3 note 6 Method of Payment: ( )Lump Sum S (x)Time and Materials ( )Time and Materials not to crcecd$ 2,000.00 ( )Quantity Adjustment Contract lime will he(increased)by()days Applicable Specifications: CALTRANS ( ) City Standards(x) Other Attachments: i Reviewed by A pproved by Nova Partners,Project Manager CRW Industries/B ill Bur President Ron Barri Reviewed by: Approved by: 1 Carmen I ynaugh �- B Architect' I-i7nm ide% t 1)ncclor of Public Wu • 07/23/2009 13:06 4083782501 CRW INDUSTRIES INC PAGE PY7 ,-----. ...„, 03_,15.3 CRVII iNDLISTFCISSg INC., 1157-9 DELL AVE. CAMPBELL, CA 95008 CRW STATE LICENSE 41- 402494 • CLASS B. 033. 010 INOUSTRIMS, 16,1C. TEL: (409) 379-2477 Pilx: (408) 379-2501 State Licerne No.404B4 Since 1970 t. . ----,.-=, !- TIME &MAJERIAJ_S LOG 1 Job Name:- Address: 1 RLIge-16t3E-grz ress: b.) 0/4-76-N5 /0 z_ ■ Rea a vIn . I Job#: 1 _ - Date Activity Man Hours ; I ____ 4 (-4 es . 1 /0 -2 r-// Revylookru__ 0 r r• e• F. AN).% V. s H ee---r if texposc-:- Nie-p a . 1-.v•( P ....- IQ EC-7 t tel■I PG fa.. 6%) eV.) ■•00W:..7.---- . 1 I:7re-( ri K.-t rsi Go F-(rt&N3 ( p IV , • - IR -I - II R 6-.. 1 NI 51141 L.1.._ _P t_y\N cs—ot> > _ I . , c--------- — .... I I _ . 1 _ i Total labor cost. __ . Materials Date Vendor Items . Inv.No- Amount itikil F. , . 14aasiLTELe., _ 1?13•f POLL.4. .... 1_9_LAI C., _ itJV:01(X- __ ig II RI 1402° -'-cl----- eti Are 1 Total Materials Cost — Dir _ SWPIT= : 1 Sub-Total ' Contractor's Overhead Total Job Cost _,_ _______ ______ Certified Payroll Report Report Period: IIIIIIIIIIIIIr Payroll#: c? i'`s 7 Company: CRW Industries, Inc. Project: BLACKBERRY FARM REBID P1- 399 Encinal St Suite 104 21979 SAN FERNANDO AVE. Santa Cruz CA 95060 CUPERTINO CA 95014 „M Pe*ffiC11-1 . Med/FICA FedWh State SDI Other if 102.17 204.50 62.56 21.70 258.40 Wages Add Ons Deduct Net 1,650.00 - 158.40 649.33 1,159.07 Heritage: White(not Hispanic/Latino) Gender: Male [--- Wages--------] [-- - - -Benefits- ----- ] Date Trade Type Hours Rate Base Vacation Pension Health Other 11/30/2011 SCL CARP FOR Reg 8.00 41.2500 330.00 19.20 84.40 76.40 19.84 12/01/2011 SCL CARP FOR Reg 8.00 41.2500 330.00 19.20 84.40 76.40 19.84 12/02/2011 SCL CARP FOR Reg 8.00 41.2500 330.00 19.20 84.40 76.40 19.84 12/05/2011 SCL CARP FOR Reg 8.00 41.2500 330.00 19.20 84.40 76.40 19.84 12/06/2011 SCL CARP FOR Reg 8.00 41.2500 330.00 19.20 84.40 76.40 19.84 This Job: 40.00 1,650.00 96.00 422.00 382.00 99.20 Med/FICA FedWh State SDI Other 102.17 211.72 69.26 21.70 158.40 E Wages Add Ons Deduct Net 8 1-,650.00 158.40 563.25 1,245.15 Heritage: Two or more races Gender: Male [ Wages--------] [----------- --Benefits -- -----------] Date Trade Type Hours Rate Base Vacation Pension Health Other 11/30/2011 SCL CARP FOR Reg 8.00 41.2500 330.00 19.20 84.40 76.40 19.84 12/01/2011 SCL CARP FOR Reg 8.00 41.2500 330.00 19.20 84.40 76.40 19.84 12/02/2011 SCL CARP FOR Reg 8.00 41.2500 330.00 19.20 84.40 76.40 19.84 12/05/2011 SCL CARP FOR Reg 8.00 41.2500 330.00 19.20 84.40 76.40 19.84 12/06/2011 SCL CARP FOR Reg 8.00 41.2500 330.00 19.20 84.40 76.40 19.84 This Job: 40.00 1,650.00 96.00 422.00 382.00 99.20 This Job: 80.00 3,300.00 192.00 844.00 764.00 198.40 4 \11,62) / Ak. ......- 40 / ....,.. .i:,..0ewi, oirtl, .. 1- Page 1 rm:rJm staaeicKstaaei4miwsuppiy.com 0i::314(515 0W) 10:0u 1Z1I4r i i I lilill I-u0 rg ui-vi INVOICE West Sacramento CA 916-372-2320 'OOAA ,;f��Ti 4011625 [' 7 ,?"'; San Jose CA 408-993-9710 f a 3 ;r�i',( y, — CALPLY San Jose >Y,r 186323731 i 1: Sparks NV 775-356-8008 #�� e� c 2049 Senter Rd. Fresno CA 559-291-0631 1 '451. ' 0 12/02/11 `; San Jose,CA 95112 Hayward CA 5laazs s677 „ San Francisco CA 415282-0711 PtIttrientrit 1/25/12 1 -. ±€taklt#ltfwlltr':., 989.31 CALPLY PO Box 749361 Los Angeles,CA 90074-9361 SHIP TO: 00003 WILL CALL CRW INDUSTRIES INC ORDERED BY JIM 399 ENCINAL ST STE 104 (408)426-0832 SANTA CRUZ CA 95060-2176 K. • .• ,ma,/ a tt" r tt on r� tYgYI s n ONa RY f ikittlAigfg Xkgtat.Ali r Mail ,..,.,'Itifyg 1„ � .�u.. i JIM 11/20/11 12/02/11 12/02/11 a•�' WILL C>ALL'Y + 401162 5 186072 ik 9 4•;•6' 9 211004 reA: gn' 9v,: r �' �t,..F ,9y xf Kar e � ' i y ,t " 3 C`:"� ✓; fyo'!'-,' c{,,o*l1a'i 3 °. y I✓ > , • � `7, y� ,,� 'tEi > a raLa,.itM..tiLiA1a„eiti. :« , .`.::,_,.Tra,., ,:%':. �lese',r uri% fle✓xtrrr.F r G *6,-F,e; ,:..; .,,411:4,1,,1,0,�Gao�„bG«u ,..e�errieN� .,j ?i.eH�fY.kt,,I, HF.4f «4 Abr X1 S100G4408 5 5 SYMMETRIX 4X4 WHITE 4X8 160.000 SQFT 4.0700 651.20 GJ FREIGHT40 1 1 FREIGHT CHARGE GROUP-40 . EACH 109.5100 109.51 XK FRPDB10WH 15 15 FRP DIVIDER BAR 10WHITE .150 MLF 215.0000 32.25 XK FRPIC1OWH 3 3 FRP I/S CORNER 10'WHITE / .030 MLF 175.0000 5.25 XK FRPOC10WH 2 2 FRP O/S CORNER 10'WHITE / .020 MLF 180.0000 3.60 XD DAPAP10 2 2 DAP ALEX-PLUS 10OZ TB 2.000 TUBE 2.3000 4.60 FA FR4054 2 2 FRP ADHESIVE 4 GALLON 2.000 PAIL 45.0000 90.00 TY 16258 1 1 1/4"X3/16"V-NOTCH TROWL 1.000 EACH 2.9000 2.90 JA UTA46CT 2 2 USG TAPING 46#CTN 2.000 CTN 7.3000 14.60 **INCLUDES$30.00 SKID HARGI=*" VD 6 1 1 S & ‘ —s 0017 Za el ,.1 + 1:1 k \14)1 q° (6,P7 \ 2\ %4 X eteic el) /k iii 0 . . \`6.°, ,cp4 410,010 0'1:„cep/ :X:el‘ 0 40:Z. (odl Pito 4\ -`' OUR REMITTANCE ADDRESS HAS CHANGED!PLEASE SEND PAYMENTS TO: P 0 BOX 749361 LOS ANGELES CA 90074-9361 To accurately apply your payment please include one of the following:a listing of invoices being paid on the check stub or separate document and/or ycur statement stub. Please clearly identify any payment deductions. DISCOUNT AVAILABLE 9.14 SUB-TOTAL 913.91 DISCOUNT DUE DATE 1/10/12 TAX C 43 8.250 75.40 TOTAL INVOICE PAST DUE DATE 1/25/12 TOTAL INVOICE 989.31 Page 1 of 1 '12/14/2011 07:40 8314251151 SANTA CRUZ PLUMBING PAGE 03/03 JOB INVOICE' -- . t Li 2827 Mission St. U' -.; Santo Cruz, CA 95060 :V t LiL,i. ' J INC- Lip:# $71610 0,(2\pick-:01 t,„ 1 831-425-1 1!31 • . MX:831-425-115'1 DATE ORbEtt�) QROER'fAI�N 8Y p; I PHONE N4. CUSTOMER ORDER# ADDRESS: . JOB LOCA11oN r. JOB PHONE • 'I nNG DAIS Arn W11ON: TERMS i - DES au,:Iir 01"1101;!( i.n.. . u 4it )-- ,r , L i /3Wd 0$ 41 t s _ lVvK LuAl S/QJ 'kW ci F?" I 4_,,I1,fr _SA'S iter 1 I t:21 MIIIIIEEIIEIIIIMIIIIIIIIII 1 _,A I . 0 • i - LO©A) c : — . I LAl4il: !HKti. it.',If ,miat:\! - 551a .1-,,,...m.,. 54 —,..... ,40111111"11P I MEI • �� - �/ �. wax�a BY TOTAL LA11O' -- [ TP O1U)St D TOTAL MATERIALS EMEI DATE COMPLETED TOTAL MISCELLANEOUS MI SUBTOTAL CUSTOMER APPROVAL _ / -- TAX SIGNATURE _ ._ ! I. AUTHORIZED SIGNATURE GRAND TOTAL ' , , J013 NVOICE 170/TQ 3 id 3NI S9INISMINI M D 46S69917IE8 60!80 tT08/17I/ZI SNIHMII1d ZfldQ V1J-4' S I ITM,TEB 8Z:LO tIOZ/bti/Zt C[3AI3D3d 12/14/2011 09:50 8314251151 SANTA CRUZ PLUMBING PAGE 01/01 Generals/Santa Clara Report Page 1 of 3 GENERAL PREVAILING WAGE Dh1.RMINATION MAUI;My THE DIRECTOR OF INDUSIRI.AL RELATIONS PURSUANT TO CALIFORNIA.LABOR CODE PART 7,CHAFTER 1,ARTICLE 2,SECTIONS 1770,1773 AND 1773.1 FOR COMMERCIAL BUILDING,HIGHWAY,HEAVY 4ONSTRUCTION AND DREDGING PROJECTS LOCALITY:SANTA CLARA COUNTY DETERMINATION:STC-2011-2 I E!YPLOTER PAYMENTS (STRAIGHT-TINEI OVER7314Z CRAFT (JOURNEY LEVEL) ISSUE *XP/RATION BASIC I HEALTH I VACATTON • I ! IroYAL I DATE DATE HOURLY ! AND PENSION 1 / TRAINING I OTHER (HOUR` INOURLYI DAILY RATE I WELFARE I HOLIDAY ! I 1 RATE I II ERLCALATEK, BLOCKLAYER: I 1 I I 1 1 BRICKLAYER, BLOCKLAYER, I I I I 1 I STONEMASON 08/22/2011 04/30/2012" A 37.1301 9.890 9.43019 2.500 0•60010 0.900)15 8.0160.45010 80.2 POINTER, CLEANER, I I I I I I CAULKER, NATERPROOFER 08/22/2011 06/30/2012* A 37.9809 9.690 9.43010 - 1 1.1001 0.40010 8.0157.6001 76.5 * BRICK TENDER 08/22/2010 06/30/2011* H 31.4901 7.350 6.00010 - 0•3401 - D 3.0145.2101E 60.9 4 CARPET, LINOLEUM, 1 1 I 1 3007 F1.00R LarLR 05/22/2011 12/31/2011** A 44.8201 9.330 7.300)1 - 0.5301 0.340 8.0162.32012 84.7 FLOOR COVERING HANDLER 1 I 1 I I AFTER 3 YEARS 08/22/2011 12/31/2011*" A 22.390; 9-330 3.05011 - 0•050) 0.340 9.0135.76011 48.9 FLOOR COVERING HANDLER 1 1 1 LESS THAN 3 YEARS 08/22/2011 12/31/2011** A 17.900 9.332 2.920 I - 0.0501 0,340 8.0130.540(.7 39.4 FLOOR COVERING HANDLER 1 I I TRAINEE, FIRST 3 MONTHS 08/22/2011 12/31/2011** A 14.310 9.33) 2.24o 1 - 0.0501 0.340 8.0126.370IJ 33.5 FLOOR COVERING HANDLER I I 1 TRAINEE, SECOND 3 MoNTH6 08/22/2011 12/31/2011""A 16-110 9.33) 3.630 I - 0.000; 0.340 8.0)28.4601) 36.5 M ELECTRICIAN: I 1 1 1 04106 6 SYSTEM INSTALLER 02/22/2011 11/20/2011* 29.970 7.85)!6 4.000 - 1.100)L 0.210 8.0144.0801m 59.3 COMM 6 SYSTEM TECH. 02/32/3011 11/20/2011" 34,010 7.852190 4.500 - 1.10011, 0.210 8.0149.2601M 65.8 ISSIDE wIREMAN, I I I 1 TECHNICIAN 08/22/2011!11/30/2011** N 48.570 12.48119 •12.700 - 0.85010 0.380 8,0176.4451P 101.4 CART.9! 380.70E9, 08/22/2011111/30/2011** N 55.860 12.48,1K 12.700 - 0.850 0 0.420 8,0,93.090 P 112.7 NATTRIAL HANDLER Q 08/22/2010107/31/2011• 21.720 7.3501K 2.200 - - . 0.220 8.0)32.140 43.3 MATERIAL HANDLER- I 1 FOURTH SIX NONT9)8 q 08/22/2010107/31/2011* 18.460 7.350110 2.200 - - 0.220 6.0128.780 39.2 0DITBRIAL HANDLER- THIRD I 1 ) I SIR MONTHS Q 08/22/2010107/71/2011" 16,290 7.33016 2.200 - - 0.190 9.0126.520 34.9 MATERIAL HANDLER- 1 I 1 SECOND SIX MONTHS 0 08/22/2010107/31/2011" 14.120 7.35016 2.200 - 0.180 8.0124,2701 31.5 MATERIAL HANDLER- FIRSZ I I 1 I SIX MONTHS 0 08/22/2010107/31/2011* 13.030 - IK - - - 0.080 8.0113.6001 20.3 9 FIELD SURVEYOR: 1 I I I CHIEF OF PARTY R 08/23/2011103/01/2012* 37.190 10.91013 8.280 T 3.47o 0.720 0.160 9.0190.73010 79.3 INST56D6E97706N A 08/22/5011103/01/2012" 34.100 10.91019 8.280 T 5.470 0.720 0.160 9.0157.64010 7405 c.AI54AN/ROawN A 08/22/2011103/01/2012• 31.220 10.910IS 8.280 T 3.470 0.720 0.160 8.0154.76010 70.3 9 GLAZIER 00/22/2011112/31/2011^" A 41.880 9.2001v 10.640 - 0.500 W 0.380 9,0162.6001X 83.0 9 MARBLE FINIBHER Y 08/22/2008107/31/2009* t 28.020 6.7201 2.950 I - 0.450 0.200 '8.0140.24015.A 54.3 S NAA2r,5 MASON Y 09/2212006107/31/2009• 2 39.220 8.7211 9.31011 - 0-550 0.210 8.0)55,010)AA 77.8 4 PATNT810. I. I I I I MUSS AND SPRAY 08/22/2011112/21/2011•• 8 32.660 9.58015 9.22011 - 0.410 0.380 D 9.0152.2501 68.5 INWSTRIAL PAINTER 08/22/2011112/31/201146 H 32.910 9•59015 9.22011 - 0.410 0.380 D 8.0152.5001 86.9 SANDBLASTER, STEAM I 1 I 1 I CLEANER, WATERBLASTER 08/22/2011112/31/3011** H 33.160 9.58015 9.22011 - 0.410 0.380 n 8.0152,7501 68.3 EXU010 MATERIALS 06/22/2011112/31/2011•* H 33.410 9.58010 9.22011 - 0.410 0.390 D 8.0153.0001 69.7 PAPERHANGER/WALLCOVERING 08/22/2011112/31/20116w H 33.660 9.58016 9.22011 - 0•410 0.380 0 8.0153.2501 70.0 TAPER. 08/22/2011109/30/2011* AC 40.320 9.5801 9.5801A5 - 0.360 0.210 8.0160,050 76.7 TAPER CLEAN-UP AE 02/22/2011106/30/2011* AF- 15.700 9.5801 - I - - - 8.0125.280 32.7 0 PLASTERER 08/22/2011106/30/2012** AG 29.370 20.2301 7.290! 3.000 0.900 0.500 0,0101.290 65.2 * PLASTER TENDER 02/22/2010103/31/20104 A 32.240 6.330) 4.300) 2.250 0.100 AI 0.150 6.0145.370 AS 61.1 9 PLUMBER! I 1 1 UNDERGROUND UTILITY 1 1 1 PIPEFITTER 08/22/2011106/30/2012** 26.200 4.6001 2.600 2.000 0.450 0.600 D 9.0136.450 49.5 LANDSCAPE PIPEFITTER 08/22/2011106/30/2012" 26.200 4.00o 2.600 2.000 0.450 0.55010 0.0138.400 49.5 UNDERGROUND/IT/LITT I 1 I ASSISTANT 3000 YIAN AF 08/22/2011106/2o/2012** 15.000 4.600 2.600 2.000 0.450 0.60010 8.0126.250 32.7 LANDSCAPE ASSISTANT 1 I 1 JOURNZTHA)AK 08/22/2011106/30/2012"" 15.000 4.6o0 2.600 2.000 0.450 0.36010 8.0125.200 32.7 UNDERGROUND UTILITY I I I TRADESMAN AL 05/22/2011106/30/2c15'* 10.400 4.600 2.600 2.000 0.450 0.600)0 8.0120.650 25.8 LANDSCAPE TRADESMAN I AM OS/22/2011106/30/2012** 10.200 4.600 - 2.000 0.450 0.500 0 6.0117.800 22,9 LANDSCAPE TRADESMAN II AM 08/22/201.1)08/3o/5013** 10.400 4.600 2.600 2.000 0.420 0.550 D 8.0120.600 25,8 .- PLUMBER, sTEAMFITTER, I ----- REFRIGERATION FITTER 1 •1 6f (Syn0) 08/22/2011112/31/2011•• A 53.660 AN 12.810 AO 11.570 0 - 1.450 AP 0.850 8.0190.340![ 1.,.4 1 CONSTRUCTION TRADESMAN 1 (YEAR 21 08/22/2010106/30/2011* A 07.230 9.700 0.500 F - - AQ 0.250 8.012 .' 36.3 CONSTRUCTION TRADESMAN 1 1 ( %A...V. YEAR 3) 06/22/2010!04/30/2011' A 22.8301 9.700 0.5001E Aq 0•250 8.0133.280 E 44.7 CONSTRUCTION TRADESMAN I I I 1 (0E55 41 00/22/2010106/30/2011^ A 24.2101 9.700 0.5001P - - AP 0.250 6.0134.660 E 46.7 CONSTRUCTION TRADESMAN 1 I I I (YEAR 5) 08/23/2010106/30/2011• A 27.2001 9.7001 2.2301F - - 5.0 0.250 8.0159.400 E 53.0 SERVICE AND REPAIR 08/22/2011112/31/2011+•A 53.6601200 12-8101AO /1.5701r - 1.450 AP 0.850 9.0180.340 108.4 SPRINKLER FITTER (FIRE ( I I I I PROTECXIQN AND FIRE I I I I I CONTROL SYSTEMS) 08/22/2011112/31/2011** A 30.5901 6.200, 13.20010 - I 1.100 1.600 6.0174.690 59.9 M ROOFER I I I I I ROOFER. KETTLEMAN 08/22/2011107/31/2012**IA0 32.4301 7.0001 3.9001 3.150 1.200 0.450; 8.0148.130 A6 63-7 HELPER 08/22/2011107/31/2012**1AF 29.3001 7,0001 2.9001 3.150 1.200 0.450 8.0145.000 AS 59.0 RETTLEMAN 12 KETTLES) 08/22/2011107/31/2012•"IAF 34.4301 7.0001 3.900; 3.150 1.200 0.450 8.0150.130 AS 66.7 BITUMASTIC, ENA$ELER, 1 I I I I I COAL TAR. PITCH AND I I I I I I MASTIC WORKER 08/22/2011107/31/2012""1AF 34.4301 7.0001 3.990) 3.150 1.200 0.450 6.0150.130 AS 66.1 8 SHEET METAL WORKER 06/22/2011)12/31/2011**IH 46.8001 12.6101 17.31013' - 1.2101 0.990 8.0178.900 AU 102.4 TOTAL SHEET METAL 1 I I I I I I CONTRACT OF $200,000 OR I I I I I I I •. http://www.dir.ca.gov/dlsriPWD/Determinations/Subtrades/g_santacla.htm(l 12/14/2011 2.C_., z °O_0 0 0 0 0 0 F) 00000 Z o 0 0 0 0 � soteeototo X W co O Oo Stu' d 9 to N 5 Z = L O C C) U _1 < W 0 a_ a a_ O cc 0 Oa WZ - 0 0 0 0 0 0 Lo woo to00to to N C�) W 00 LL') o to O O O al.:- ti to 0 M O O M N O 0 0 co 2 y h 0 0 0 0 I- N O O O O O p 4 O to O O _ ail- - 0 F- W N- 6C9 69 6 ea t� c° Loo va o ta ea o . 0 � v E9 f9 N F- Z w F- co V-1 69 m QOO rn yX n. 001- yW v c E N ai U W J O > 0)I- H U TI E 2 ' v m ui Ca O Z co m o 5 Lo cc m w+ 000O00U o 0 ai c co CT) 0 Z ,- ci lil °D o O 1-- N Z W 0 c N O co CID 0 0 v~ ,- N- To > E Z>0 o > O (0O v U T- - C Q @ c Y1 N6) O cEvc aZ to N D 0) O N o .0 0 o v iii o m a € - J - C')) to O O 0 to O V N 3 ld Q d 02 OO Q 'o Ha a mw °) < W m U 0 N 0) 0) a LL 20 U an d m O Q 0 la- a O O CO - m jY 0 O V W � m Q J Oy 0) W Q W I c ] rSUN Z to G) E O1 ° O U n O mac W 0 Z c )- O 0 w cc 1- CO I- rnQ O < 0 ZJ u F- U - O <c a H u_ 0 0 m ti J o - OI- U J J W [, cC ZO m 0 0 OW } Q. Z Q a 7 c'2 •� I- W CD to F- CL- (� a O_ Z W O 0 Z N ~ J Qa p y 0) m W C/) N O m CC1 O 0 co O 0 (2 W ~ W m )E`a o O w w `��° � g � i� � m° nom inai a (00 0 a0 UmUrt a. U co I ' CITY OF CUPERTINO f. _ � J DEPARTMENT OF PUBLIC WORKS P E RT 31='.^ FIELD) AUTHORIZATION Project Name: Blackberry Farm infrastructure Upgrade Date: 1 1/2/1 1 Location: Blackberry Farm F. A. No: 4 Contractor: CRW Industries, Inc. Project No: 2010-9135 Address: 1157-8 Dell Avenue File No: Campbell, CA 95008-661 I P.O. No: Description of Work: 1.) To repair damaged termite conditions discovered in two separate areas. A I.2 note 8/A2.2 note 4. . Remove existing wall panels in affected areas, repai wall sections,and then re-install back to its original condition. Men's Restroom at Pool House A1.2 note 8/ Public Restrooms A2.2 note 4 Method of Payment: ( ) Lump Sum$ (x)Time and Materials ( )Time and Materials not to exceed$ 2,000.00 ( ) Quantity Adjustment Contract time will be(increased) by( )clays Applicable Specifications: CALTRANS () City Standards(x) Other Attachments: Reviewed by: Approved by: .. . _ _J Nova Partners, Project Manager CRW Industries1 Bill Bur President Ron Barri Reviewed by: /� Approved by: C) Carmen Lynaugh, C--iffy° -rci,rt t~ Tirhm Borden, Director of Public Works .P(}00 lac ILA)e.,r1 .5 .17r6 .asMatucci e,r S I i 1 07/23/2809 13:UG 4883782501 CRW INDUSTRIES INC piAGI:- 89 , --0,- E;Rvu. riNDUSTRilESy i 1157-S DELL AVE. CAMPBELL. CA 9580E3 CRW STATE LICENSE 4' 4102484 • CLASS B. C33. C10 INDUSTRIES, INC. Tc-L: (408) 37E3-2477 Rax: (408) 378-2501 - ......— ._..... —- State;LIconon No.4C0.4134 einco 1147e i ----....---••.•-•,..-na=====7, .--•• ••••,• —•—•-----• ......•--.-.-.■-.....• TIME & MATERIALS LOG Job Name: 3 L n c.1 /3e-t. Address: 17/2 Y/20 TT (.. &`-.72/9.9/2 /4 7------1 f---. 19 gy)(1 . 6:--3d raiore_ s/ft-w-e)z._ (,Aie Li.._. 1 Job #: _ n---)ew, pk.i onii4ev S (e. o 3 -.c) Date Activity Man Hours- 10-.2 cH ( DC-WI 0 l43 r S/740-1A) E72 wi,i u_ 6 P6 S'el, • D /2 Y 1:2c>Tr U Vi _ i - Tb L-C-19 K.(pv c,• co pcptFrz-- 2/2 V eo-t-TEP PI-V tA) ot. t, onit, _ 7-- 5P.5 el)eXe i:>•674.1 6,E b ----"-- / 1,1/474:2 /./gese,>cs /92/474-x 60#95'i----- 7 ,----- . . C 7-19i1....-eZ0 .A18-1,-, R/Y t 0 cri n / 91:-___z-3,_•• ' IVO 5 7-C'S l/t/ 97'29 .L &..- - /1/ k.,/ J;4 R,,$-, 4-->4.Tt-n,0/2 . - - • : . ._•,/,"-_,/, • /A/ 7-7=-)L/E7 CF. K 1.s 7-7A)4_ ./Tr"-- ......._ •-•,----- _ 77e/ni /q6--.//vLe-/-,.. _ .. • . . Aiae2z<__sp_ E-O,-eAPLe,t:) 4s ..- • -T- - /. • 4-1+4- A7A AC, y 5,l.,I,4.ng-_/ / " m -Ceq?E,e, -Ten/e Y G re EE-Ai " -ot9arr t7u 6 YAM,PG'l-crl I Total labor cost. __....— ------„,,__ • ------ ._ . _.. Materials ... Da c Vendor Items Inv.No. -- *01.17)IL ______ ____ _-.4' _________ ....) _-,.. / - 411 It / 1/- I C-a/ P/yth 0/> "--.Y41 -4- .a, a - .4, , . • 4 ...„ , - , • - .,...I 4 lP ' j i 4W,/...----- , ".•'' TOtal Materia IS COSI. . C.-..,...,..-..---Lraf*—,..-*•---:::—._..-r.`...' --•-•••••••-■,--:',..:,,...,------. -----------• Surf:mazy : I__,....„______ Sub-Total . J Contractor's Overlicad 1_ Total .Tob Cost 7-7...1,..-..-,,...-:,!...=-•=.-..-_---- 1 17/23/2009 7.3:0G 1083782507. CRW INDUSTRIES INC pAGE )7 • . • _00001•0011168or. ii:2;RIPj itINIDUSTRIIES3 tiNtn. ttli".60.1.00......4 I I 37-IB DELL. AVE, CAMPBELL, CA 95008 CRW STATE LICENSE # 402494 • CLASS B. caa, 010 INDUSTRIES, INC, Trq..: (408) 378-2477 Filar: (408) 378-2501 State Licenan No,404a4 Since'Iwo t.. • TIME & M.ATERIALS LOG . — Job Name; L-14C4C--g e r(V e/A c i d r e s s: P e x)1 2- 0 PEN ■t v G rcr- tz--- 14:1 km f\J e.w CT-DR fa (_, ya.(DO rvi rob #; Date Activity .Man Hours I I - 7 k.."4'R MITT" rD PA Kn. 'To e PL.tc■TE diatoo-c- _ ....___. . 1.411 I.. . a. R (-3 ?(JAC6-P C c-'a-r,"C 51-1.A.17 . . - R e p LrAce--9, a c.c.t7E-12- ret:tiv ---- -rie tiq-1- Jr-1-i t rY-re.Yz- t o tz ys --- ' I 131y..1..) 00 I-, R t-: PLP,GE-17 '_____ • _____ ...li "" ------ - ---- , - ... -,--- • --- ------- , --- , . Total labor cost .. - . . . .._ 1\l'ateriais 1 __I ; Date Vendor._ L Items . Inv.No. tint 2_ x — 1 3' - _.--....._ is.....d..t3ro__ - .5-1 a-T Vz - • ----..------..---..— • ...--...— -- ________ _. . , --- H ._____J Total Materials Cost , 1._ ...._ -.• ..,.------------- -,,_„-------,------ _ ---- :4 S 1,Ir211= . IL Sub-Total ------. I Co 1 tr a ctor's 0 v ed iml To al,rob Cost 1 . 07/23/2009 13:06 4083782501 CRW INDUSTRIES INC PAGE 02 .---: • • 1.-\ -_ :. . oRW niNIOLBSTF HES3 QNC. CRW `/[� 1157-S DELL AVE. CAMPE3ELL, CA 95008 C , R STATE LICENSE f` 4024134 • CLASS 9. 033, 010 INDUSTRIES, INC. TEL: C409) 379-2477 Fox: (4081 379-2501 State Licenac No.402484 Since 1976 W . TIME & MATERIALS LOG Job Name.:43L h -tzg y Address: M E 1`!S R - O NI, t o t Job #; I f� Yt.Vv, - Date Activit Man Hours I 1t- to-1 k "-FEW nIrTE Di4hnyaGE RE-PR 1 R 3 H- s A1- URte!iAL wok LA- - 1 r D 14-1,A. A(,E b SIDS ¶PC(L51, t1rsb 2EPL' c.. / G a PPt-1Z G'2V6. "rretn4-ritot-r\Yr- 1 h tom[ Total labor cost. . _ _T ___ _ M __ Materials Date Vendor Items . Inv-No_ L,0 Amount 1- 6 - 1I 1- 8 '-2XG , , Y02- S W b� +/2, Ply •--�___-- 1 tip - ' 1 12• 'P. Total Materials Cost _ 1 Sub-Total - Contract is Overhead Total Job Cost Certified Payroll Report Report Period: Payroll#: C Company: CRW Industries, Inc. Project: BLACKBERRY FARM REBID 399 Encinal St Suite 104 21979 SAN FERNANDO AVE. Santa Cruz CA 95060 CUPERTINO CA 95014 C 41 Pe iC °j4,(1Z. Med/FICA FedWh State SDI Other 102.17 204.50 62.56 21.70 258.40 Wages Add Ons Deduct Net 1.650.00 158.40 649.33 1,159.07 Heritage: White(not Hispanic/Latino) Gender: Male [- -- Wages- -.-] [ --- - -- Benefits--- - ----] Date Trade Type Hours Rate Base Vacation Pension Health Other 11/30/2011 SCL CARP FOR Reg 8.00 41.2500 330.00 19.20 84.40 76.40 19.84 12/01/2011 SCL CARP FOR Reg 8.00 41.2500 330.00 19.20 84.40 76.40 19.84 12/02/2011 SCL CARP FOR Reg 8.00 41.2500 330.00 19.20 84.40 76.40 19.84 12/05/2011 SCL CARP FOR Reg 8.00 41.2500 330.00 19.20 84.40 76.40 19.84 12/06/2011 SCL CARP FOR Reg 8.00 41.2500 330.00 19.20 84.40 76.40 19.84 This Job: 40.00 1,650.00 96.00 422.00 382.00 99.20 Med/FICA FedWh State SDI Other 102.17 211.72 69.26 21.70 158.40 Wages Add Ons Deduct Net 100:00 158.40 563.25 1,245.15 Heritage: Two or more races Gender: Male [ Wages --] [ - ---Benefits--- -] Date Trade Type Hours Rate Base Vacation Pension Health Other 11/30/2011 SCL CARP FOR Reg 8.00 41.2500 330.00 19.20 84.40 76.40 19.84 12/01/2011 SCL CARP FOR Reg 8.00 41.2500 330.00 19.20 84.40 76.40 19.84 12/02/2011 SCL CARP FOR Reg 8.00 41.2500 330.00 19.20 84.40 76.40 19.84 12/05/2011 SCL CARP FOR Reg 8.00 41.2500 330.00 19.20 84.40 76.40 19.84 12/06/2011 SCL CARP FOR Reg 8.00 41.2500 330.00 19.20 84.40 76.40 19.84 This Job: 40.00 1,650.00 96.00 422.00 382.00 99.20 This Job: 80.00 3,300.00 192.00 844.00 764.00 198.40 t[,� � t 40 Vr12t -_..-,k.,.,.=.R.. Page 1 12/14/2011 07:40 8314251151 SANTA CRUZ PLUMBING PAGE 01/03 JOB INVOICE •r 2j'..U . .2827.Mission Sr. . . . '� Santa Cruz, CA 95060 PL - 1 i c:i INC. '1k#871610 ' 831-425-1 13.1 • • FAX:831-425-1151 .. DATE OR M= oBDK rev Etr To- �, 1'ttoN1E Na CUS1oMER ORDER a� Ir. L l V t " ,--- ADDRESS: JO: _ ON A. -"--- 106 ' 1 NE • Mail" A7TENnON: , cm, MAtLRi.\L iLT yZMUL'Ni / 1 &4J w • i. .. `Tsst--.4- .•k. ' • ii6t .0 • aiiiinlnIMIIIIMlli. . n,..‹......___ • -�--� _ _ • . fi- - .A'ov I /reel--gleig,,, fax • • . 3A 4g • tic ORDERED BY . . TOTAL LABOR . 4-DATE ORDEBED TOTAL MATERIALS , �') nAZE COPv TOTAL.M1SCEfJ QIJS • SUBTOTAL CUSTOMER APPROVAL . TAX SIGNATURE _ . Al 1 GRAND TOTAL. , . . AUTHORIZED SIGNATURE. /,+ ..• --- JOB INVOICE b0/b0 39Cd 3NI S3IUSfQNI rn3 L669917IE8 80:80 ITOZ/tiT/ZI 9NISWIfld Zf ].d1Nt7S, TSITSZbIE8 827:L0 TIOZ/b•T/ZT G AI3332i 12/14/2011 09:50 8314251151 SANTA CRUZ PLUMBING PAGE 01/01 Generals/Santa Clara Report Page 1 of 3 GENERAL PREVAILING WAGE At ERMINATION MALIE t1Y 1115 DIRECTOR OF INDUSTRIAL RELATIONS PURSUANT TO CALIFORNIA LABOR CODE PART 7,CH.AA'1'ER 1,ARTICLE 2,SECTIONS 1770,1773 AND 1773.1 FOR COMMERCIAL BUILDING,HIGHWAY,HEA VI(;ONSTRUCTION AND DREDGING PROJECTS LOCALITY:SANTA CLARA COUNTY DETERMINATION:STC-2011-2 I DYPLOYER PAYMENTS ISTRAIGHT-TONEI OVERTIME CRAFT (JOURNEY LEVEL) ISSUE rXPT.RATION BASIC I HEALI'E I VACATION I I I TOTAL 1 DATE DATE HOURLY ! AND PENSION i / TRAINING I OTHER IHOURS IHOURLYI DAILY RATE I WELFARE I HOLIDAY 1 I I RATE I M 3RLUKLAYER, BLOCKLAYER: I 1 I I 1 1 BRICKLAYER. BLOCKLAYER, I I 1 I 1 I STONEMASON 08/22/2011 04/30/2012" A 37.1301 9.090 9.430)3 2.500 0.80010 0.900)0 8.0160.4501E 80.2 POINTER, CLEANER, I I 1 I I I CAULKER, NATERPROOFER 08/22/2011 06/30/2012* A 37.9801 9.690 8.4301F - I 1.1001 0.40010 8.0197.6031 76.5 S BRICk TENDER 08/22/2010 06/30/3011* H 31.4901 7.380 6.0001E - 0.3401 - D 8.0145.210!E 60.9 4 CARPET. LINOLEUM, I I I I 90FT FLOOR LAYER 08/22/2011 12/32/2011"" A 44.8201 9.330 7.30011 - 0.5301 0.340 8.0162.32015 84.7 FLOOR COVERING HANDLER I I I I I AFTER 3 YEARS 08/22/2011 12/31/201144 A 22.390; 0.330 3.11012 - 0.0501 0.340 6.0135.76011 413.9 FLOOR COVERING HANDLER I 1 1 1 LESS THAN 3 YEARS 06/22/2011 12/31/2011*" A 17.900 9.330 2.9201I - 0.0501 0,340 4.0130.9401) 30.4 FLOOR COVERING HANDLER 1 I 1 1 TRAINEE, FIRST 3 MONTHS 08/22/2011 12/31/29118* A 14.310 9.330 2.34011 - 0.0501 0.340 6.0126.37015 33.5 FLOOR COVERING HANDLER 1 I I 1 TRAINEE, SECOND 3 MONTHS 08/22/2011 12/31/2011"* A 16.110 9.330 2.63011 - 0.050; 0.340 8,0128.4601) 36.5 II ELECTRICIAN: 1 I I 1 1 CC101 I SYSTEM INSTALLER 02/22/2011 11/20/2011* 29.870 7.850,K 4.000 - 1.1001L 0.2,0 6.0144.0801m 59.5 CORM 6 SYSTEM TECR. 02/22/2011 11/20/2011" 34.010 7.850 x 4.000 - 1.,001L 0.210 8.0149.550111 65.8 INSIDE RIRE0QIM, 1 I I TECHNICIAN 08/22/2011!11/30/2011*4 N 48.570 12.450 x 12.700 - 0.850)0 0.380 5.0)76.440)9 101.4 CASTER .4PT,10EA 08/22/2011111/30/2011** N 55.860 12.430 K 12.700 - 0.850 0 0.420 8,0,03.990 P 112.7 MATERIAL HANDLER Q 08/22/2010107/91/2011" 21.720 7.35010) 2.200 - - . 0.220 8.0)32.140 43.3 MATERIAL HANDLER- I I FOURTH six MONTHS Q 08/22/2010107/31/2011* 18.460 7.350 k 2.200 - - 0.220 6.0128.780 38.2 MATERIAL HANDLER - THIRD 1 . I 9132 MONTHS Q 08/22/2010107/31/2011• 10.290 7.380 K 2.200 - - 0.190 8.0126.520 34.9 . MATERIAL HANDLER- I 1 SECOND 5IX MONTHS 0 08/22/2010107/31/2011" 14.120 7.350 x 2.200 - 0.180 6.0124.270 31.5 MATERIAL HANDLER- FIRST I 1 SIX MONTHS Q 08/22/2010107/31/2011* 13.030 - k - - - 0.180 8,0113,600 20.3 N FIELD SURVEYOR: I 1 CHIEF OF PARTY R 08/22/2011103/01/2012• 37.190 10.9(0 S 8.280 I 3.47o 0.720 0.160 8.1160.730 U 79,3 INSTRUHE38TMAN A 08/22/2011103/01/2012" 54.100 10.9(0 9 6.280 I 3.470 0.720 0.160 8.0157.640 U 74,6 CBAINMAN/ROUMP14 A 06/22/2011103/01/2012• 31.220 10.9.0 S 8.280 T 3.470 0.720 0.160 6.0154.760 U 70.3 O GLAZIER 08122/2011112/31/2011'" A 41.880 9.200 V 10.640 - 0.300 N 0.580 8.0162.600 X 83.0 S MARBLE FINISHER Y 08/22/2008107/31/2009* 1 28.020 6.720 2.950 I 0.450 0.200 8.0140.340 AA 54.3 S MARBLE MASON Y 06/22/2005107131/2009• 2 39.220 8.720 9.310 I - 0.550 0.210 5.0158.010 AA 77.6 0 PAIN3'Ler,: I I BRUSH AND SPRAY 08/22/2011112/31/2011•• H 32.660 9.500 S 9.220 I - 0.410 0.380 D 6.0152.250 68.5 INDUSTRIAL PAINTER 08/?7/2011112/31/2011** H 32.910 0.500 5 9.220 I - 0.410 0.380 D 8.0152.500 68.9 SANDBLASTER, STEAM I I CLEANER, WATERBLASTER 08/22/2011112/31/2011•* H 33.160 9.500 S 9.220 I - 0.410 0.380 0 5.0152.750 69.3 93C:1'1C MATERIALS 08/22/2011112/31/2011•* H 33.410 9.580 S 9.220 I - 0.410 0.380 D 8.0153.000 69.7 PAPERHANGER/NALLCOVERING 08/22/20;0112/31/201.1"• H 33.660 9.580 6 9.220 1 - 0.410 0.380 D 8.0153.259; 70.0 TAPER. 05/22/2011109/00/2011* AC 40.320 9.590 9.500 P.1' - 0.360 0.210 8.0160.0501 76.7 TAPER CLEAN-UP AE 02/22/2011)06/30/7011* AF 15.700 9.550 - - - - 8.0125.2801 32.7 M PLASTERER 08/22/2011106/30/2012** AG 29.370 10.21,0 7.290! 9.000 0.900 0.500 0.0151.2901 65.2 * PLASTER TENDER 02/22/2010103/31/2010+ A 32.240 6.310 4.300) 2.250 0.100 AI 0.150 8.0145.3701AJ 61.1 0 PLUMBER: I I 1 UNDERGROUND UTILITY K 1 POPEFITTER 08/22/2011104/30/2012** 26.200 4.6(0 2.600 2.000 0.450 0.600 D 8.0136.450 49.5 • LANDSCAPE PIPEFITTER 04/25/2011106/30/2012"" 26.200 4.6(0 2.600 2.000 0.430 0.550 D 0.0136.400 49.5 UNDERGROUND UTILITY I , I ASSISTANT JOU20EYTmN AK 08/22/2011106/30/2012** 15.000 4.6(0 2.800 2.000 0.450 0.600 D 8.0125.250 32.7 LANDSCAPE ASSISTANT 1 I 000RNEIMA114 AK 00/22/2011106/30/2012"" 15.000 4.6(0 2.600 2.000 0.450 0.5So D 8.0125.200 32.7 UNDERGROUND UTILITY I I TRADESMAN AL 08/22/2011106/30/2083'* 10.400 4.600 2.600 2.000 0.450 0.600 D 8.0120.050 25.8 LANDSCAPE TRADESMAN I AM 08/22/2011106/30/2012** 10.200 4.6(0 - 2.000 0.450 0.150 D 8.0)17.800 22.9 LANDSCAPE TRADESMAN II AM 08/22/2011106/30/2012** 10.400 4.600 2.600 2.000 0.450 0.550 D 8.0120.600 PLUMBER, STEAMFITTER, I \ A . .-^ REFRIGERATION FITTER I 'I E∎ j* 3 (HVAC) 08/22/2011112/31/2011** A 53.660 AN 12.810 AO 11.570 r - 1.450 AP 0.850 0.0100.3401E 11;.4 /' CONSTRUCTION TRADESMAN I 1 i I (YEAR 2) 08/22/2010106/30/2011* A 17.230 9.700 0.500 F - - AQ 0.250 8.012 .. • 36.3 �r"i. CONSTRUCTION TRADESMAN I I I 1 (YEAR 3) 08/22/2010!06/30/2051' A 22.8301 9,700 0.500 F - - AQ 0,250 8.0133.2801E 44.7s'y CONSTRUCTION TRADESMAN 1 I I I Jf (FEAR 4) 00/22/2010106/30/2011• rA 24.2101 9.700 0.500 F - - AQ 0.250 8.0134.6601E 46.7 CONSTRUCTION TRADESMAN I I I I (YEAR 5) 08/22/2010106/30/2011* IA 27,2001 9.700 2.250 F - - AO 0.250 8.0159.400 E 53.0 SERVICE AND REPAIR 08/22/2011112/31/2011"IA 53.660 AN 12.810 AO 11.570 F - 1.450 AP 0.850 8.0180.340 108.4 SPRINKLER FITTER (FIRE 1 I r 1 PROTECTION AND FIRE I I I I CONTROL SYSTEMS) 08/22/2011112/31/2011**IA 50.590 8.209 13.200 F - 1 1.100 1.6001 8.0174.690 99.9 4 ROOFER I 1 1 I I ROOFER. KETTLEMAN 08/22/2011107/31/2012**iAF 32.430 7.00) 3.900 3.1501 1.200 0.480; 6.0148.130 A$ 63.7 HELPER 08/22/7011107/31/2012**IAF 29.300 7,00) 3.900 3.150) 1.700 0.4501 8.0145.000 2.5 59.0 KETTLEMAN 12 KETTLES) 08/22/2011107/31/2012•"IAF 34.430 7.00) 2.90o; 3.150 1.200 0.4501 8.0150.130 AS 66.7 BITIMASTIC, ENAMELER, 1 I I I I COAL TAR, PITCH AND I I I I I MASTIC WORMER 108/22/2011107/31/2012"•IA.5 34.430 7.00) 3.9001 3.150 1.200 0.450 9.0150.130 AS 60.1 M SHEET METAL NORNER 108/22/2011112/35/2011**IH 46.850 12.611 17.3201E - 1.210 0,990 8.0176,910 AU 102.4 TOTAL SHEET METAL I I 1 I I CONTRACT OF $200,000 OR I 1 I I I http://www.dir.ca.gov/dlsr/PWD/Determinations/Subtrades/g_santacla.html 12/14/2011 2D z 0 0 0 0 0 F45 0 0 0 0 0 F el Offs CA 0fe Le X W co 0 00 V o o N U~ ) o Z C 7 L g O c NF- fv a U _1 Za w cn 0 a. a n ii w 0 0a wz U ~ 0000 ° 0 0 0 0 0 O O O O '' 0 0 v v a o 0 0 n q O O O O O O O O 0 0 0 0 I,- O 1` 0 0 M LC O 0 0 0 0 0 O O O O O O O O O �f 4 O O r U W 49 b4 fA fA to 63 fR tR 63 EA fA EH 00 0 M fA EA Z N 0000 mW ua a U a) 1 .o E Oo F- c W °3 J H I- 0 .0 P v 0C 0Z OQ m -J o M p x, 000000 F z U Z o H X N Z W CO 0 4t O 0 o a o g D a X L O U e- 000 i O C a J Q N as H 0 > Z mv)N a)D 0 'O o 0 0 0 0 (0 o o N IY a) 0 a O/ J C4) � 0 O o t[) O O O) _ 5 C N2 0 m o wZ a m U a = ix m � � �C7 0 J mU a) a) a�75. J U Q m a (a U E-- = 0 F- 5. 0 015 a W 0 m I- m 3 c. p 0 I--co m Q Q O W 2 _15 U 0 0 Et Q u)co o H U 1 w ° El c U Z OU F- c m Z LL O U 0 O w x I— m 3'a < O F- W I- < U I- O -J rn m C@ T O U O E Cn F- � uJ Z U a' m O - 0 J P Z J _ m U I— U } Cl) LL J z Q a N Q < w < 5 0 H (n m w U a) c `m z 0 0 O aaa OZ w 0 Z u m~ -1 Qa o _Nc cm W In r2 m F- m0 mWcz � a m 0 0 2 W H W w m o O p W 0 < C1 D W o C 3 O 0 W 0 X 0 a 0 Um0a a ►_ U) � gw cnu.. ma cncn cn LL a COO F- aU CITY OF ��,,,,. CITY OF CUPERTINO DEPARTMENT OF PUBLIC WORKS CUPERTINO FIELD AUTHORIZATION Project Name: Blackberry Farm Infrastructure .f_p rade Date: 11/21/1 i Location: Blackberry Farm F.A. No: 5 Contractor: CRW Industries, Inc. Project No:2010-9135 Address: 1157-B Dell Avenue File No: Campbell,CA 95008-6611 P.O.No: Description of Work: I.)Blackberry Farm Infrastructure Upgrade—2011 /Provide Labor&Material to replace existing gate valve for 2"main water line at pool house. Method of Payment: ( )Lump Sum$_ (x)Time and Materials Time and Materials not to exceed $ 1,200.00 ( )Quantity Adjustment Contract time will be(increased)by()days Applicable Specifications: CALTRANS ( ) City Standards(x) Other Attachments: y/ l r Reviewed by: Approved by:/ 4 Nova Partners,Project Manager CRW Industries/Bill Burr President Ron Barri Reviewed by: Ap.rov:, ..: Carmen Ly aug Project M er n Borden, )ircctor of Public Works Public Works 12/14/2011 07:40 8314251151 SANTA CRUZ PLUMBING PAGE 02/03 JOB INVOICE " T' • • 2827 MIssiun St. T>LL1 f 1 141 )E F)>' INC_ Santa.Lt Cruz, CA#871610 � 831-425-1 131 FAX:831-425-1151 DATE ORDERED ozogurAxrr,av TO: - dilitip .,....,-zit ± .t:::. PRONE NO- CUSTOM-ROWER* 110 ) ' 1 etv i, JOB 1410101 S AICTINC DATE AT-rarn0NT Q'll 1tA En1:11_ i)\1' :MOUNT 13ESCiiHfl10\'t;1 11-r)(k 1 /"-. .1 . +Ai t 4 4 I 1D ` - }' !` / EMI _ i-- Eimmismin. 11111111 441! t.-- ...._ Fes. _ . . - .. NM ` LAliOR or; u;IE 7,MOLN1 t cwt I IAA 104,`. ►', • 11111111 f .A„ F i k woR1c oRDER6I1 sr �I I pt.A./ TOTAL LABOR f ID ` 1/ t DATE MERE-6 TOTAL MATERIALS ((1 -ATE COMPTRED 1 TOTAL MISCELLANEOUS j SUBTOTAL CUSTOMER APPROVAL - TAX SIGNATURE GRAND TOT 1. l AUTHORIZED SIGNATURE JOB INVOICE V0/E0 39 d DNI S3IIISfQNI MZI3 4$S699bIE8 80:80 TtOZ/bt/Zt 9NISV1T1d Zf7e1D 1INVS TSTTSZbTE8 8Z L0 ITOZ/bT/Zt QDAtaTIN 2E z_ _ 288888 § k.kkkk X ■ § 8 � k0, 8 ! \z a cQ c P 0 co \ ) zJ o 2 § k z \ / �§ % 8888. 888 8888 000 . 8 8 88 m § § § w E • kkk kkk kkkk 0 k kk 2 < 00 e6 ( / ( _ ( 2 2 0 E co m a)4.� I-Lii 0 2 W e 2 kc - © §z « 0 co 2 §§ m 0 $ cnC•I CV § # zk K \ $ . U a 0 0 { § 2 7 w 7 r4 ¢ 7K a. k 2 "- § oo / 0) $I - 0 K (m & co 00 $ 3 §/K 00 # / 0 ) i a c / n � 0 7 I— 7 � f \ � 0 ka 1- < � � a) (1) U. a §J / G § a 0 u 202 \ < c t ] o k I- ® m « t § 0 @ m K < § o ig k CU § \ 2 § / g f -2 2 $ ) 0 0 ce § co 0£ k CL < o % e ) 0 z -J © d @ [ 2 . I z aI � o 0 0 � g m am c # 0 0 re e 5 w o � z e Q a § z « z 7 § U ® , E § ƒ w > I § - ° o a z CO m m e ct z \ ) » ) I d ° ._ I- i § a o § 0 0 0 q c 0 2 ƒ ƒ ; § E 0 0 W ) q s \ § kb72 § CO b 0 k ƒ I- ƒ R § eocc a Q m :nu_ ma. m Cl) U. a co o e a0 CITY OF CITY OF CUPERTINO DEPARTMENT OF PUBLIC WORKS CUPERTINO FIELD AUTHORIZATION Project Name: Blackberry Farm Infrastructure Upgrade Date: 12/6/11 Location: Blackberry Farm F.A.No: 6 Contractor: CRW Industries,Inc. Project No:2010-9135 Address: 1157-B Dell Avenue File No: Campbell,CA 95008-6611 P.O.No: Description of Work: 1.)BIackberry Farm Infrastructure Upgrade—201 1 /To furnish 4 each new 1 '/a"raised panel solid core doors.door jambs.and hinges at cool house locations. Method of Payment: ( )Lump Sum$ _ ()Time and Materials (x)Time and Materials not to exceed$ 3300.00 ( )Quantity Adjustment Contract time will be(increased)by()days Applicable Specifications: CALTRANS ( ) City Standards(x) Other Attachments: Reviewed by: Approved b : Nova Partners,Project Manager CRW Industries Bill Burr President Ron Bard • -viewed by:/ Approved by: Carmen Lynau:/,Project orger Ti m Borden,Director of Public Works Public Works • DEC. 6. 2011 9:25AM CV HDWE 209 464-1737 NU. 4442 N. 1 „ f, gi: QTE00003654 "" ' Central Valley Hardware Company ;t • 'ii2,i3 12/2/2011 924 E CHURCH STREET ' fsi�i,11�H: 1 STOCKTON CA 95203 Bill To: Ship To: CRW INDUSTRIES INC CRW INDUSTRIES INC 399 ENCINAL ST SUITE 104 399 ENCINAL ST SUITE 104 SANTA CRUZ CA 95060 SANTA CRUZ CA 95060 s b d N u`f rm J , cS i 'd,fft F�tr'u; ���y�1,,�,�! �� ' N'"( IId'd 11 ,4(414461 , , i1t'°1 'V 'I, �r' ��Ut �i•V It v 4 yadati) 1ki a�::001 lam: '1 w,0l ' l,igili;u `;,gi :Lt.1 . l'e c.f„'+S�tt,'! ufg iP3E A 1�11I�I( ik,Aiii', , Aiii tilib `ier �t! . CRW650 HOUSESTKN OUR TRUCK . r 2%15 LAYS NET 30 0/0/0000 75,824 '4Rig '' ,%:d3Vri'o na•r„,tlf (I" M' ' .2'I w 2�rf sa ' G J "° il%11 y f fi Niaiw lOg ,``y'Ncl I} � tn ;FOFi:Y , ' 4:00 XWD 3068 1 3/4 TWO PANEL P/G DOOft” • Each $0.00 $468.40 $1,873.60 4.00 XWD 3068 X 4 9/16 FJ WOOD JAMBS Each $0.00 $143.21 $572.84 6.00 HH0735 BB1279 4.5X4.5 US26D HINGE PAIR $0.00 $12.01 $72.06• • SIM Vi C' ',441:4;::,'!'' $2 518.50 I :1!1.P t NV"j $0.00 A g $201.51 y: y i. .K lam $0.00 7 . .>;tri= ..0.00 ra k,,a 1 h S2 720.01 2 F z oo0 0000 0 0 0 0 0 Z00000 LU us, 64 69 (A 69 I- X W to H O0 o o Co 0 H 69 oz > N C 3 L P O c C loop va ii 0_1 Z O co w co 0 o a dct v U=' O °- 0 o wZ 0 CO_ 0 0 0 0�0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 § 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69 0 O 0 0 0 0 0 0 0 0 0 0 0 0 O o 0 0 ai Lii �. V "- Z 69 69 69 69 69 69 M 69 M 69 69 69 69 69 69 69 CA ILI 0001 C to V S.'W '9 69 a N a to E o z w V W 609 w 0 3(D H 0 CD "re H O 1- e-- as E Q'F (0) m Z Q co C'! CO c .O V 0 0 0 0 0 0 CO_ 0 m co O W 6 c o O H o t o ai K N Z ca M W 4b 8 a� m O o '5 co m 0 o my v~ a a C °- vm a o E = 0 3 .) ,- O O O = N C J CO r I- .f6 F- O °. o oZ a Y .0 N, co N O N N co o 0 o i-c o o N N 01 C O J r to cn t O o u '0 H CL• c H N -5 Q F M O 7 O 1° O U Q W Z �` c N � U d v° wZ a m � 0> 0> 0)� aV ii 2G o mO 0 0 o a co) Q 0 � � a < - tc.c..) O N o s a ii 0 us I- r • N Ill co H m • o_ a z co .n a) E H OH w H w• a c 0 0 0 in a Q F_ m C) Z H O O a c a a Z 0 O 0.-W I-I:) 0 o 0 Z 03 E m m = Z a i> 0 H 0 Q CD cn cii g, 8 0 0 0 o 0 co O Co off N LL J Z J H U J J Z _1 It Z U C < _ 0 7 Z` • - H W H < H �] OU c Z CO a Z U � o N Z 0 0 0 Waa 0 -- w o ° 0 Z w co J Q � o Y E m w m H H O H a g_ U 0 O L O Q a s -m co o 0 a W 0 Q co C7 L.L. ll o - j .= W OU H w 0 0 m 0 a a 1- co 2 g w cn IL m a CO Y CO a 0 0 a CO 0 r CITY OF CUPI RTINO ,:: D=PARTIVI NT OF PUBLIC WORKS :1 br.AT i.tz: FIELD 1.11THOR ZATION Project Name: Blackberry Earns Infrastructure Upgrade Date:__. 12/13/I I —. Location: Blackberry Farm F. A. No: __7 Contractor: CRW Industries, Inc. Project No: 2010-9135 Address: 399 Encinal Street, Suite 10-4 File No: Santa Cruz, CA 95060 P.O. No: Description of Work: 1.) Blackberry Farm Infrastructure Upgrade—2011 /Provide labor and Material to Install new Armstrong Marmorette Sheet Vinyl flooring at the Retreat Center. Install to include floor prep, welded seams,and cove base. Method of Payment: (x) Lump Sum: $4,319.00_ O Time and Materials: O Time and Materials not to exceed )Quality Adjustment Contract time will be(increased) by( )days Applicable Specifications: CALTRANS ( ) City Standards(x) Other Attachments: Reviewed by: Approved by;. .. _ '` -- Nova Partners, Project Manager CRVti Industries/ Dili zurr President Ron Barri Reviewed by: /7") Approved by: City of Cupertino ) Carmen Lynaugh, Project Manager Timm Borden, Director of Public Works Public Works 12/09/2011 11:27 6700813 KIM'S FLOORING PAGE 01 • ciyzy1/44 KIM'S FLOORING, INC. Fce 22376 Thunderbird Plano Hayward,CA 94545 (510)670-0813;(5:10)670-0813 Fax E-Mail:Icimsflooringinc@sbcglobal.net FAX COVER SHEET • FAX NUMBER TRANSMITTED TO: 831-466-9597 , Date:December 9, 2011 To: CRW Industries,Inc. rate...A eigt-.)5 V9° 1 Q.. ,Attention: Bill Burr From: Ken Liang Project: Blackberry Farm Infrastructure Upgrade, Cupertino nocumENT8.. • • . . I • .NUMBER OF PAGES* " 2 Total cost to changed VCT and Rubber to Armstrong Mannorette, Color#LP066 Oak Brown with heat weld seams and self-coved base, and float the entire floor with Ardor"Feather Finish"as follow: • Nova contacted CRW 12/7 and approved the Kim's flooring proposal of the items listed below. ' Total Cost zajaj1 1. Complete Floor prep 2. Armstrong Marorette(color oak brown#066) 3. Cove Base/Welded Seams r,IAL, Ack&A, exL pviktou-kr t,41111. 15,412tAi Cols trlot.. v eit.SeN- ) 11'12111 OtNA, 'F,2; C IcrAg 0114 CutpWri h..1• N.3 0 P trixoe-k C 6070A‘iir-A Pace. t' V VIA46-LtkA, NOT COWING COVER SHEET.IF YOU DO NOT RECEIVE ALL PAS, \--LEASE 1 PHONE US IMMEDIATELY AT(510)670-0815- oco • kji,e,AL3 12/09/2011,_ 11:27 6700813 KIM'S FLOORING PAGE 02 vii 2,, , KIM'S FLOORING-, INC. C 22376 Thunderbird Flaos Hayward,CA 94545 (510)670-0815;(510)670-0813 Fax E-Mail:kimsflooringinc@sbcgb bal.net FAX COVER SHEET FAX NUMBER TRANSM TTED TO: 831-466-9597 Date:December 011 t2iA-5 1Z-9-7-c 1 I To: CRW Industries, Inc: ,iit, 6 D0'x t.. ,1t Attention: Ernest haines gal t4bV/' From: Ken Liang ev,C;r`( cc pry i v Project: Blackberry Farm Infrastructure Upgrade, Cupertino DOCUMENTS . i NUMBER OF PAGES* Re:Materials C • :e . 1111111111111101111.1111111111 A) Cost to Boat the entire subfloor with Ardex Feather Finish as follow: Material:Ardex Compound 8 bags @ 19.50/bag = $156.00 ' Tax 8.75% 13.65 Labor: 8 men hrs @ 82.68/hr 661.44 Sub-Total — 831.09 15%Overhead/Profit — 124,66 Total Cost = $955.7$ B) Cost to changed from VCT Flooring to Armstrong 2.5mm with Heat Weld Seams as follow: 10 anrhortele •i O Cie"ewt4\34 I-P•-066 p Credit: VCT 10 eta @ 42.50/cm = $< 425.00> Adhesive 1 pail @ 39,50/pail — < 39.50> Tax 8.75% = < 7.18> Labor . 16 men hrs @ 82.68/hr — <1,322.88> Add: Linorette 52sy @ 25.74/sy — 1,338.48 Adhesive . 1 pail @ 120.99/pail 120.99 Weld Rod . 1 roll @ 65.95/roll = 65.95 Tax 8.75% — 133.47 Labor 24 men hrs @ 82.68/hr — 1,984.32 Sub-Total = 1,848.65 15%Overhead/Profrt = 277.30 —' Total Cost = $ 2,125.95 NOT COUNTING COVER SHEET.IF YOU DO NOT RECEIVE ALL PAGES,PLEASE TELEPHONE US IMMEDIAMY AT(510)670-0815. 12/09/2011 11:27 6700813 KIM'S FLOORING ip /gyp p�/� PAGE 03 • KIM'S FLOORING, INC. 22376 Thunderbird PL Hayward, CA 94545-1811 C) Alternate cost to change 4"Rubber Base to Self-Cove Linorette Base as follow: Credit: Rubber Base 140' @ 0,75/1f = $< 105.00> Tax 8.75% — < 9.19> Labor 3 men brs @ 82.68/hr = <248.04> Add self-cove: Cove cap 140' ® 1.75/If - 245.00 Tax 8.75% — 21.44 Labor 12 men brs @ 82.68/hr = 992.16 Sub-Total — 896.37 15%Overhead/Profit = 3446 Total Cost • NOT COUNTING COVER SHEET.IF YOU DO NOT RECEIVE ALL PAGES,PLEASE TELEPHONE US IMMEDIATELY AT(510)670-0815. 2 C 0 0 0 0 0 0 ° U) o 0 o R R § # Bk22 X to 08 § 2 uw \ up \ f �a % w o 7 o . 5 o �§ 000000 ooc 0000 R@0 G 88 co ƒo 2 ° R2 \ RRR § 2 $ 2 eee � 0 r ® kd r) eeo � _ k2 _ _ 2aa E-__ � - q _ # CO Rz2 0 -� § 00 2 kw ® ME - a \ E ci O � � I- I- C.) �W p q £rte 0z « \§ m § 60 � 000000 \ j • q I- w / °k a) tli \ /= 000 I / 2§ t § — } <tn xi t .0 -I . ? ■ 2 E � � k ®®/ oo « U) §0 01 2b m / �n � 2 -. % L f _� § 0 2 /< 0- kk k \ � a � k§ 0 G§ a)" CL § /p 0 moo 0 2// § ® 2 / § 2 u = CI • E ® J < o . Ui « / § 0 0 . §/ § k ) )] ] § J -= e Lk z eo R Ch a / m 0 SE a I 2 0 / 0 C G) § k) 0 0 < ( ] §}/) I 0 B § z � � z \ { f {« J = / § v & n. e < < u < e o@ e of w m /[f « z § § 0 IX cc §z 72 - 22 § z 0 m— \ I _ c o - wow o 222 0 o f3 G EL .,UJ . .) 0} / k \ k \§ j § k§ -5 12 \ w 0 /0 k 0-\ CITY OF CITY OF CUPERTINO / T, 9rti DEPARTMENT OF PUBLIC WORKS CUPERTINO FIELD AUTHORIZATION Project Name: Blackberry Farm Infrastructure Upgrade Date: 12/13/11 Location: Blackberry Farm F. A. No: 8 Contractor: CRW Industries, Inc: Project No: 2010-9135 Address: 399 Encinal Street,Suite 104 File No: Santa Crux,CA 95060 P.O. No: Description of Work: 1.)Blackberry Farm Infrastructure Upgrade—2011 /Provide labor and material to install Phenolic Partitions at the Pool house restrooms. Method of Payment: (x) Lump Sum$1,365.00 O Time and Materials ()Time and Materials not to exceed ( ) Quantity Adjustment Contract time will he(increased) by()days Applicable Specifications: CALTRANS ( ) City Standards(x) Other Attachments: Reviewed by: Approve Nova.Partners, Project Manager CRW Industri s/Bill Burr President Ron Barri Rev' ed by: Approved by: City of Cupertino ct Carmen Lynaugh, roject Manager Timm Borden, Director of Public Works Public Works cod ecio 8 6 13 Mid-State Specialties Invoice 7165 Iverson Place Date Invoice# Paso Robles, CA 93446 1/24/2012 303 Bill To Ship To CRW Industries, Inc. Blackberry Farms 399 Encinal Street 21979 San Fernando Ave Suite 104 Cupertino,CA 95014 Santa Cruz, CA 95060 P.O.No. Terms Change Orders Net 30 Description Amount Project: Blackberry Farm 'MATERIALS SUPPLIER ONLY** >>>>CHANGE ORDERS<<<< ADD C/O -Add Accessories to Restroom 102 $1 ! f- F ADD C/O -Add Accessories to Restroom 201 ADD C/O -Add To Change Partitions from Plastic Laminate / 4�� L r to Phenolic $22-6. co,� r-- �— -----� --" j CREDIT C/O - C°redit for 2 Additional Doors (-$7 oo)= :°-`---y Add C/O - 2 Pieces of ead Rail to Stabilize H/C Stall in Restrooms 201 & ..$275.01 TOTAL CHANGE ORD S 49-8Teci. 4 :$=16 it 2 .. If t. _• N\ SEA r { 9 tea, !r^ F Total 498 6t Phone# Fax# E-mail 805.610.4662 805.237.1891 Jennifer @Mid-StateSpecialties.com civ.Ad (0. Mid-State Specialties ;Ts_ r 7165 Iverson Place, Paso Robles, CA 93446 Jennifer Morris 805.610.4662 Direct 805.237.1891 Fax Jennifer @Mid-Statespecialties.corn installation Contractor: Golden State Specialties GENERAL CONTRACTOR: CRW Industries, Inc., California Lic. #955523 DATE: December 14, 2011 Project: Blackberry Farm City: Cupertino We are pleased to submit the following quote to: Quantity Description Total >>>PROPOSED CHANGE ORDER REQUEST(PCOR)<<< CREDIT TO DELETE 5 PLASTIC LAMINATE TOILET STALLS IN WOMEN'S RESTROOM 102 (3,000.00) ADD TO CHANGE THE MATERIALS OF THE RESTROOM PARTITIONS TO PHENOLIC INSTEAD OF PLASTIC LAMINATE 4,300.00 �ltitc z LA.i:i`�S lei' Dfl Wt�LS G`Qr L l2e_c ei eJ T T30 N i v� V A A. t-1 t.A p'vti+@" lC & Price Includes: MATERIALS, TAX Et FREIGHT by Mid-State Specialties $ 1,300.00 Price Includes: INSTALLATION by Golderi'State Specialties $ - Peon ACCEPTED EY: Signature/Printed Name Et Date Materials can NOT be released for fabrication or released for shipping until a signed change order is isssued to Mid-State Specialties upon approved PCOR. Thank youi Mid-Stag Specialties nvoice 7165 Iverson Place Paso Robles, CA 93446 Date Invoice# 1/24/2012 302 Bill To Ship To CRW Industries, Inc Blackberry Farm 399 Encinal Street 21979 San Fernando Ave Suite 104 Santa Cruz, CA Cupertino, CA 95014 95060 P.O. No. Terms 5164-10200 Net 15 Descripiion Blackberry Farm Section 10 2113-Toilet Compartments Section 10 28 00-Toilet Accessories AD Change r er i.8o (Add Accessories to Restroom 102) �° ADD Change Order....$16 0 Add Accessories to Restroom 201) o'° ADD Change Order.... $2,600.00 Change Restroom Partitions from Plastic Laminate to Phenolic) I'4 /RDA.) • IA 2011 e ,-6rAn4., Thank you for your business. Total M Phone# Fax# E-mail 805.610.4662 805.237.1891 Jennifer(?Mid-StateSpecialties.com Mid-State Specialties Proposed Change Order 7165 Iverson Place Paso Robles, CA 93446 Date 2/10/2012 General Contractor/Address Project/Address CRW Industries,Inc. Blackberry Farms 399 EncinaI Street 21979 San Fernando Ave Suite 104 Cupertino,CA 95014 Santa Cruz, CA 95060 Qty Description ADD: 2 Pieces of Head Rail with Brackets&End Caps 85"Long To Stabilize The Handicap Stalls in Restrooms #201 & #202 Materials,Tax&Freight 5275.00 >>>These materials have been ordered and are scheduled to ship Monday 2/13/2012. They will NOT ship if I do not get this PCOR returned signed by Monday 2/13/2012 @ noon.«< Please sign and return to proceed with these changes. Phone# I Fax# E-Mail 805.610.4662 805.237.1891 Jennifer( Mid-StateSpecialties.com Bill Burr From: Ron Barri[ron @novapartners.com] Sent: Wednesday, February 08, 2012 7:02 PM • To: Bill Burr W Cc: Ernest Haines Subject: Bathroom Partitions epip (2,� ® � ID Bill, 0 Following todays walk thru the it r[vvas decided not to change the swing of the Two bathroom partition stalls[n 1Nomens 202. Any additional hardware ordered will be turned over to the COC(Cindy at the Retreat Center). I understand that mid-state specialties was sch ai ed to install the remaining paper dispensers and stiffen the head tracks in rooms 201 &202 this week. You may want to inform them to wait until the official final punch list comes out before they perform the remaining work. I'm hoping to get that out within the next couple of days. Thanks, Ron Barri 1 BLACKBERRY FARM INFRASTRUCTURE UPGRADE - 2011 ' 21979 SAN FERNANDO AVENUE, CUPERTINO, CA 95014 1.i._. .., RESTROOM \ 201 5 15 (N)3 5/" ' LID WALL, FULL HEIGHT gli 1........, I___ __ ____I Ho • 'it k 1 • al Jfi; • ej dill \ I� w 12 J OA- w SURF.MTD S COVER DISPENSER c RADLEY : � � OREQUA ,MOUNT / b A., PER 4/• '.2 7 ' QUIPMENT 1 -'- 6'-10" ( :1 9 4 1 SURF. MTD TOILET PAPER q ( DISPENSER,BRADLEY #505 OR EQUAL, 10 �� MOUNT PER 4/A9.2 \Is/ =. _�1 1A 1 2'-0" ] 'N"--.„,,..,, , 10 2 I PARTIAL PLAN - PUBLIC RESTROOM - NEW FLOOR PLAN SFA JOB NUMBER 10017 e (*LSSIO4i ��Q 9�� DATE:NOV.3.2011 ARCMIIECTUAE wTESlcas y CLARIFICATION RESPONSE S: *� w G. M. SUGIMURA , MZ U oc No. C 007104 T ztsssou7naascor,AVE., '�� ' 6410:1 . SUREZCO CAtdF8E4 CA 5008 t 3 PHONE:408 879 0600 , �+ ® FAX 408377.6060- , REF.SHEET:A2.3 carrRKU,10.7a„ Zf 00 0 0 00 FA 0 0 0 0 § kkkkk X 08 . 7� k @ $z in f/ o lc- /B f \« / < § z§ o E § 0 5 oQ \ E2 - 0 � 0 o000000 000 0000 0oo 0 0 0 00 0 e0 = ° 0000 000 0000 CD 0 0 0 00 J § / o 6- kkkkk kkk kkkk 0 k R kk CC To ? _ $ § § \0 § � 7� - a / { . \m § z 2 � »< / 0 2 z �� e E To o kr - m 2� \ { \k L0 h - � L000000 G 0 \ . z \ ) 7a x UJ ~ \ Ec coop © 0 ± c 0 £ 2 I � 0b a_ ƒ k0 gn , - E 3 - 000 _1 • ) < 77 \L } 2f ■§ E � G ) a $ $ $$ ¥ R $ q ce 2 0- \ � 2A2 00 o G o § m 2f cc� 2 � k . 'ao 0 0 iii a) k <n ) } & ƒ 2 m3 kG 0 e0 /� d / k ) / = 2 « R o fo . • 0 / e >- = 4 7 0 o ® m •7 CO k § / § � m d E i- \ w 2 E r w § Z [ \ 0 J § / k 7 / § 0 [ § \ § 0 z a) CO @ § Gm I Z �_ ƒ 0 < \ o k m % 2 /) 0 q a F- a e _ < \ e S « u z ± z § 10 0 0 0 •- t I y < m < < u 2 o 0 e m 2 & w x � ` m k k 0 o 0 ECI 8 z 0 \ 0 Z / % e < , ƒ/ Ef / S ■ m F- 5 (0 W � P § 0 0 5 E / ± § P" as Q ° q D k5 / i ƒ 3 ƒ 30 / ± 0 \ 0 0 ƒ 0 \2l • CO-3T- A' L` u Coastwide Coastwide Environmental Technologies, Inc. CHANGE ORDER #8413-1 CRW Industries Inc. Contract# 6065 Issue Date: 10/18/2011 To: CRW Industries Inc. Attn: Earnest Haines Fax: 831 466 9597 Job/Project: Blackberry Farm Retreat Center Location: 21979 San Fernando Ave. Cupertino 95014 DESCRIPTION Additional Scope. Remove and properly dispose assumed LCP plaster wall finishes & wall ceramic tile from restroom, pantry and kitchen area, Coastwide to retain waste until further waste analytical results for disposal. P6Aect uonv,(4. SAk 114C5L1 P4\10 1--)AUL P,12_341 Nq u duo 1► ,k Prepared by: Rodrigo Gutierrez, Estimator Total Add: $3,I ! 0.00 Approved By (Signature) Date Please Print Name and Title License#523560 B,ASB,C-21 DOSH Registration#058 SBE# 31 74 Laborers Local 67 201 WALKER ST.WATSONVILLE, CA 95076 (831) 761-5511 FAX (831) 761-5513 . . CRW industries, inc. 399 Encinai St, #104 F14)19)At Santa Cruz, CA 95060 Ph: (831)426-0743 -Far-(831-)466-9597- CCr lo ri- 70t1 lAcrr **EC _ _ _IF Oar_ Ve_21__AC Pcx-- __CAMA.oria,$)Abet. Cwo fo-11_, atA,A.40 41. • 6 CAW') Pet-Ft., bra It) 11, ---worenWorearass. Ar V.t51.4.X. it.7r 0 w Aj re,AAA 'sie46 444. ki KY) goo TMPC'est) _ . CRW industries,: 4fic, roviAA 399 Encinai St. #104 Santa Cruz, CA 95060 Ph: (831)4,66-G74-3 tto-cke.c,I.) Fax: (831)466-9597 Pe,mkt,01.101...3 W.3 ItLAk4.43VA-0.-__KUNICVAX.., -C-A934-tjr -T64-&A- .1E4i14-44-4V(9r1.1 JA.lest)12- 11- gettA&CLL475. 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U)2 (1) w a CO O H a 0 97/23/2009 13:0G 4083782501 CRW INDUSTRIES INC - ' PAGE 09 •,,,,.., • . , _,000000000Ww• q j+4 \O • .r...-- NC Cie 641iii OINDLIISTRIIG.Sy n . :---.-sli ALP 1157-B DELL AVE. CAMPBELL, CA 95Q06 ti ORIN N STATE LICENSE # 402494 • CLASS B, 033, 010 i)INEIUSTRIMS, INC, TEL: (409 378-2477 Fax: (408) 378-2501 U---..... ....._L:3:25L..._As ... Stoop Licenoo No.402484 Sineu 1978 i . my:LE &MATERIALS LOG Job Name: Bt A cie 3E- .tieti Address: vV1 eN15 C-2 o i ) Job #: Date Activity Man Hours — JELL IQ.evil ovE e):•/s-rtna., -rc;(LG.-re t t4 2 Pig MZ. bUbtkl_ MENC ('2-01)1 A r - — atc..kr <(o.e) UP (AWNPIt--) AS 1 pEn. c 6 NVOzSgv-i-raw -r-rt-i- I Rot.) atatza t(pl-v\, _ k t _ 2_1 _ 11 I' . 71-115 WoRlc • wigs Ntor 0 N . . TD-elvl a PI in NJ< lic t.1. ---- . j . . - ,' - --- , Total labor cost. - — . - - . „.. _____ — . •_ _ Materials Date Vendor Items . Inv.No. Amount - __ !,_1 _____-__ NW---- - —J — - _ —, -- J Total 1vIaterials Cost - . _ ... Suthmary : ------------ — , , Sub-Total -- . • 1 --------,1 --- Contractor's Overhead _TotaJ job Cost I , -0"...- a 07/23/2009 13:06 1883782501 UM INDUSTRIES INC p(\ ; a2 ...og 0 . , V \ ' .....000000 • Q‘6) DU , ,0if thiMESTSs n NC. 1157-B CELL AVE. CAMPBELL, CA 9500E1 CRW STATE LICENSE 4 402484 - CLASS B. 033, 010 I musTRies, INC, TEL: (408) 37E3-2477 Fax: (408) 37E3-2501 '.., —....--- .... _ Sento Licemo No.Imam Sinop 197G L • ,-- -- . , . TIME & MATERIALS LOG . . Job Name: (3 L.(4 C-g,(3 Crele Address: c u 1:z g l'Ilek1S CI 04) FIA 12 kir\ . Job #: I Date _ ____AcLivity. _ Mao tiouis F0204C0 5fe!' PtNct cm .-7.7.-6- t_fig 9 c Loa e, A y ;A/e.kk.?.., P L.Lvv, 1- ov G C-LA t23 Nr (DT 0 r P L IF)N.i S i r .... _ .. . ..._._ worzw. .Perz.V0 re.inn.EV> rg 5 P ea. c_e) r.s v erz_ s pl-1-7-i 6 r.) w ti- --1- (iltzoi), 0 LE-t. / e t)1--, C- Pir2-ra I R . I ( •'II-1 I — ..________ ------1 _ . . , . . :H__. -- .._ ._ _ --,--__— -- . .. -^-7---- ---- -------- 1 --------- __. I - ---- _____ LLbt___al labor cost,,___ __ _______________ ..„11 " Mafe __ rials I , Date Vendor Items . I ......__ l _____________ ______ .___________ • -...._ _ . . ...._____ _ 11111111 Fetal Materials Cost,. 1--- --1-1, Su_ an_ agi . : VSub-Total . L ,i Tow)Job_cost --il J! • 07/23/2009 13:06 4083782501 CRW INDUSTRIES INC PAGE 02 t . Ncz.„,'0_.., (0 , ,„:,:t....0.:.. , _ RWIfif fN6 USTROES3 QNC. I 57-El DELL AVE. CAMPBELL. CA 95006 RC 57 � STATE LICENSE 4 40484 • CLASS B. 033, C'{O Il %' I INDUSTRIES, INC. TEL: C40B) 278-2477 Fax: 14083 378-2501 - • State Ucen~r.No.402454 Since 1978 • - -- - .A TIME & M AERIALS LOG Job Name: 13L H c iL i�E12"6` y Address: ''U CZ-p,) W(.1 LL Ki r 1IAt;iv S 1=6112 VIA R ec1-2 ooN C-2.-a23 Job#: _ _.Date Activity Mara Hours t - "1 " ( ( , P 1Z.lgwv' e r' g- j L 'L&ma- W'64_, ..- s-i .5 14r iv 51n1 ?'oL(C-.`t , IR e-R-) p3b!rV6 .P0OL 6200w% %Atf9-w . PUC L Rbo&V l4 A 2.EW -LL hL,E 1N(, T14 L WA L - (A)DuL ViA-P-n. AGE e- F( /2+4 -1 IBS(o, 1 ( -- I & -1 1 F O!2 het E, G.ct 2 r3 Po r2" /V ek1 PIA ME11.11111.1 2. Ha3 l.✓A4t-t 4-S, PeVi- OrAvut??ZS/Q710 h/ A/lY oory i/EC��Ac,c1� ,4o.�t 6�a�: ' Ira —I/ P - .Ce riEC-e a l p' F'R-t7- i . s n L 4, 12 HR. Al 145 Pell. av d)2s r�afJ t4-11772.1 TeRk y dRe r iti, Isla w • F L r. FLPI • 4 7 'i"a RQOP. �� - _ Total labor cost. 4 _ Materials Date Vendor Items Inv.No_ I mount 2.4,'.-2•4 6 -{wn ctfh../e ii/ ) . 5 - 34g x )e g CiPi y) - /0 ' t 3 72.&*c.J9A CCu 4) D' Li Xsl FR. ' .._ ,,---_, ), (00 _ -Tata1 Materials Cost v,--c.-_ —'y Sin mary : Sub-Total Contractor's Overhead ..-----/ Total Job Cost , . 2-S o- o � § 0 © oo oo W U4 ft I- X 0 2 -° 0 = >m V\r o 2 _P $� cc 4i 0 < z� O 2 O k Z\\ X000888 000o m % o « 000 8 m 80 2 0o n @ - g or . h � 0 wk.kk k k xrU' Nakm a N a2 2 Ili » E « . a E ■ §� \§ ooe en - a O E 2 E q 0 0 B 7 $ o -4 e \rm co ) cc I. q E 2< co 2 §a _ m 0 9 c ° ) ° ° ) $ \ F-• e Z N z 2 W O $ U) o � co # 0 a 0 m v w g f • 2 0z \ 3 o .- 000 - o E b§_ \ 2 § �� 0 � ° nZ I & O. $ � 7 K$K oo T / 0 reK • R $ < ten - [ ` \ . 0 - k wz � c 77 � 0 3\ ¥< Cl. § \ « $ & / 2 §o 0 Sb II L E . < f R CO ] / 1 _ 1 >- % k t q 0 m m 2 < 0 0 - = 0 0 z 0( \ \ F 0 k 'k § 0 o_ - 0 0 e ® 0 R m 2 ® f } < § r « I w 3 W w & 0 e . OS % 2 ±z -1 § § E § _I z _j re z t q 0 § 0 E < O. m _ < < w < a 0 2 e co CO z b £ E w e tu e ■ e o z \ ) » CO w § ° ® C 0 § 0 \ 1- 0 § 0 E 0 c 0 < O. ^ k \ § 0 0 § a » § \ E DwoR -9 q w 0 kCC 0 IR omocc Cl.. 0 . m momma / Cl) LL a m0 e 0- o 07/23/2009 13:06 4083782501 CRW INDUSTRIES INC PAGE 02 40 i t e iitf a U SA��IESs !6 tG. t, -II 57-B DELL AVE. CAMPBELL. CA 95008 CRW STATE LICENSE 4' 402494 • CLASS B. C33. CIO mNi]usTRtk=S, INC. TEL [405) 37E-2477 FAX: (40E13378-250i State LIcemr.No.402484 Since 1970 I. Y - - TINIE &lVLU.ARIA LS LOG Job Name: 11ddrPsc: Ca- .c v2-P.--re- • S C Wig' 2it- 1 tz I ''I, 103) 1 oy,_ 2.a()?oz I J o b Date Activity Man Hours 1 E PDX y VOINE-L i NST Al(,071ON, i No-r ON . PU4uS 401--- i 611111111111WIIIIIYA ' _.- ......_ - WOW �_ -- - '` . 1 Total labor cost. - Materials Date Vc c ' Items Inv.No_ Amount .17 5/wP o t7' 22- 6 Po IN 2s X 2_0 / /Q6-aff2 `2 Z 1 12--ok 1} - - - - ,. Total Mateti-als Cost Stir mary : j Sub-Total C II ontractor's Overhead it Total Job Cost , • al CITY OF P\ CUPERTINO CLARIFICATION RESPONSE Project: Blackberry Farm Infrastructure Upgrade CR#: 6 Project No.: 2010 -9135 Date: 11/4/11 Site: Blackberry Farm Retreat Center To: CRW Industries, Inc Subject: Clarifications/Supply detail for proper concrete infill for cut in slab trenching. Hand: 650. 380.8907 Fax: 650 324.5327 E-Mail:ron@novapartners.com Mail: 855 El Camino Real,Suite 307,Palo Alto, CA. 94301 Reference: Response: See attached Sugimura Finney Architects revised drawing. (Concrete Slab Repair) Reference: Sugimura Finney Drawings CC: File Attachment: Sugimura Finney Architects Contractor Submitted By: Mark Finny/Sugimura Finney Arch Ron Barri /Nova Partners e - ��G L BLACKBERRY FARM INFRASTRUCTURE UPGRADE - 2011 21979 SAN FERNANDO AVENUE, CUPERTINO, CA 95014 10 MIL VAPOR BARRIER #3 EPDXY DOWEL x 2'-0"@ 1-6"O.C. #4 CONT. 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SANTA rt.ARA, CA 95050 SANTA CLARA, CA 95050 :,�::.: 1-F•::::::................. - ,:. .. -t :�: :�:::i:}:t'.:................:: :v. :a3':•?}:• :•:•�: •?:>- ;•:{•12:•:•::•127}??:•:•::' '• .>tis,�>,e�.:�ve r.. ��,c7ra:�ra��.hdr.�k�, ,:c�.�st..,�7..q.: :.s:i:�tii::- 6779 Dave Drake :. t ;::jiff:Mii;::+:;:;:;::,.,,. . Oc::.>:;:,... iii:... .. 7. - - Dave Drake WC WILL CAL.t, Net 30 Days 01/20/12 Yes =:::-i77- :ire "' .r -- r;: �:::::::>::::-: =:;::: : �; :: :•.:i „rtr I 6:: *** U21 GRATES lea 3503 U21 H2O TRAFFIC GRATE; WELDED; GALV 223.231 223.23 lea 8322 U21 ADA WELDED 1320 TR.AF'FIC GRATE 324.846 324.85 Subtotal 548.08 TAXES NOT INCLUDED .4 . ,,, ,,L.pli:- ;- i. 121 11 '„ rr.\'- :- Subtotal 548.08 This is a Quotation.. S&H CHGS 0 .00 Price aro lima Cox 30 Jaya, oubloct to cba,uo without ectlrn u[tur 30 duyu. Applicable aaaeu antra. 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Shipping Method" ` Payment Terms 0 Reg Ship Date Master No. CRW650 HOUSE-STKN OUR TRUCK 2%15 DAYS NET 30 0/0/0000 77,273 Quantity Item Number Description 1 UOM Discount Unit Price Ext Price 4 LC4041 RW/PAA REG ARM ADJ CLOSER EA 50.00 S206.50 S826.00 Subtotal $826.00 Misc $0.00 Tax $66.10 Frelaht $0.00 Trade Discount ' $0.00 Total $892.10 , . 2N/ I z 0 Fr; 88 8 8 8 ° : 0 ci 6 ci 00 69 0 61 V) 0 ,- ; § 8 . Al'C 0 Z -0 co z c..) a z co tu 0 2 k a. a_ . g o 5 i cc cc a 0(f) ..i. 2 g g g g g 888 8 8 8 8 of 00 g g o 8 88 di t 0 O 6 ci 6 ' I I.- z.ft 69 69 0 69 69 a S 11.0. <0 0 I g . , 0 E ivd o 0 (0 4 Z.W 8 2 g d 5 a v, z v000000 e o e) z 0 c:7), ■ (sl 0 66.(0 o ! * 0 a 0 i UJ 'ET a. 2 2 z :0 t .-- . -,5 c o o o --1 — 0 ° (n Z 0- -.0“ 0 , x E g e e e -ge•gsz ut - * e I 0 tv)10 00 0 2 g ,- el .- . u) . c 0 , 1 (7) M CC Fl. I N 2 8 Ti LLI 1-. o TA ‹i a. SD 1111) C 0 m a To' - c 0 2 - o ,6 ,r.O. ltt 0 ki u 0 0 to i- i D < 0 2 ii e 0 Tii g.0 in C) . 2 0 Z a) (..:,ti) 4. Z t 0 Ep .- 0 0 . 1 'E -- g I-- ll < 0 o ! Mc E Of Z -C 0 z 0 < . a. ca ticaort a_ - W 6 D mj „, — tuoW zU — co o..co ix co co M ttl D ILI 0 2 tu i 0 7 X ( 1 SANTA CLARA 1 CONSTRUCTION LIC.# 863957 , In r ; & ENGINEERING , INC . 9B4 MEMOREX DRIVE - SANTA CLARA, CALIFORNIA - 95050 TEL. 408.279.2027 FAX 408.279.2044 3/13/2012 CRW Industries Revised 399 Encinal St, Ste 104 Santa Cruz, CA 95060 Attn: Bill Burr Re: Blackberry Farm Install Jutte Mesh Mr. Bill, As requested below is the cost associated with the installation of Jutte Mesh. (Erosion Control Fabric). Please see attached breakdown and backup. Labor $ 613.73 Cost $ 613.73 11% Markup $ 67.51 Subtotal $ 681.24 5% OH $ 34.06 Total: $ 715.30 0.0% Bond: $ - Grand Total: $ 715.30 Please contact our office if you have any questions or if you need additional information regarding this matter. Best r Bards, Jaime S.Guerra General Manager cc: File SANTA CLARA :,.,_ _„_,__=__________J 7- CONSTRUCTION r__,_._=__ ______:__ _. -=- & ENGINEERING , INC. CLIENT: CRW Industries DATE: 1/27/2012 ATTN: Bill Burr PROJECT:Blackberry Farm DESCRIPTION OF WORK Install Jutte Mesh (erosion control fabric) DESCRIPTION I QTY I COST I UNIT I EXTENSION LABOR Laborer 2 $ 41.95 4 $ 335.60 Laborer 1 $ 41.95 3 $ 125.85 $ 461.45 33% OB $ 152.28 Subtotal $ 613.73 EQUIPMENT MATERIALS $ - 0 $ - $ - 0 $ - $ - Project No. 2010 -9135 DOCUMENT 00520 pod' 6'24 ?P V CONTRACT C _....____-- ---- THIS CONTRACT, dated this 0 day of , � ` ' 7 , 20 1 / , by and between CRW Industries, Inc. whose place of business is located at 399 Encinal St., Unite 104, Santa Cruz, CA 95060 ( "Contractor "), and the CITY OF CUPERTINO, a Municipal Corporation of the State of California ( "City") acting under and by virtue of the authority vested in the City by the laws of the State of California. WHEREAS, City, on the 6th day of September, 2011 awarded to Contractor the following Project: PROJECT NUMBER 2010 -9135 BLACKBERRY FARM INFRASTRUCTURE UPGRADE 2011 RE -BID NOW, THEREFORE, in consideration of the mutual covenants hereinafter set forth, Contractor and City agree as follows: Article 1. Work 1.1 Contractor shall complete all Work specified in the Contract Documents, in accordance with the Specifications, Drawings, and all other terms and conditions of the Contract Documents. Article 2. Agency and Notices to City 2.1 City has designated Carmen Lynaugh, Public Works Projects Manager, to act as City's Authorized Representative(s), who will represent City in performing City's duties and responsibilities and exercising City's rights and authorities in Contract Documents. City may change the individual(s) acting as City's Authorized Representative(s), or delegate one or more specific functions to one or more specific City's Representatives, including without limitation engineering, architectural, inspection and general administrative functions, at any time with notice and without liability to Contractor. Each City's Representative is the beneficiary of all Contractor obligations to City, including without limitation., all releases and indemnities. 2.2 City has designated Sugimura Finney Architects to act as Consulting Engineer. City may change the identity of the Consulting Engineer at any time with notice and without liability to Contractor. 2.3 City has designated Nova Partners Inc. to act as Construction Managers. City may change the identity of the Construction Manager at any time with notice and without liability to Contractor. 2.4 All notices or demands to City under the Contract Documents shall be to City's Authorized Representative at: 10300 Torre Avenue, Cupertino, California 95014 or to such other person(s) and address(es) as City shall provide to Contractor. Article 3. Contract Time and Liquidated Damages 3.1 Contract Time. The Contract Time will commence to run on the date indicated in the Notice to Proceed. City may give a Notice to Proceed at any time within 30 Days after the Notice of Award. Contractor shall not do any Work at the Site prior to the date on which the Contract Time commences to run. Contractor shall achieve Substantial Completion by January 31, 2012 , and Final Completion of the entire Work and be ready for Final Payment in accordance with Section 00700 (General Conditions) by February 28, 2012. City of Cupertino 00520 - 1 Contract BBF Infrastructure Upgrade 2011 Re -Bid Project No. 2010 -9135 3.2 Liquidated Damages. City and Contractor recognize that time is of the essence of this Contract and that City will suffer financial loss in the form of contract administration expenses (such as project management and consultant expenses), if all or any part of the Work is not completed within the times specified above, plus any extensions thereof allowed in accordance with the Contract Documents. Consistent with Document 00700 (General Conditions), Contractor and City agree that because of the nature of the Project, it would be impractical or extremely difficult to fix the amount of actual damages incurred by City because of a delay in completion of all or any part of the Work. Accordingly, City and Contractor agree that as liquidated damages for delay Contractor shall pay City: 3.2.1 $2,000 for each Calendar Day that expires after the time specified herein for Contractor to achieve Substantial Completion as specified above. 3.2.2 $2,000for each Calendar Day that expires after the time specified herein for Contractor to achieve Final Completion of the entire Work as specified above. 3.2.3 $5,000 for each occurrence of a violation of Document 00800, Section 1.7 WORK DAYS AND HOURS. 3.2.4 Three Months Salary for each Key Personnel named in Contractor's SOQ pursuant to Article 2.G of Document 00450 (Statement of Qualifications for Construction Work) who leaves the Project and/or Contractor replaces at any point before Final Completion, for any reason whatsoever, that Contractor can demonstrate to City's satisfaction is beyond Contractor's control. Liquidated damages shall apply cumulatively and, except as provided below, shall be presumed to be the damages suffered by City resulting from delay in completion of the Work. Contractor should be aware that California Department of Fish and Game, and other State and Federal agencies, may also levy fines and penalties for the harming, harassing or killing of protected wildlife and endangered species. Contractor hereby agrees to become familiar with and adhere to wildlife and endangered species protection requirements. 3.3 Liquidated damages for delay shall only cover administrative, overhead, interest on bonds, and general loss of public use damages suffered by City as a result of delay. Liquidated damages shall not cover the cost of completion of the Work, damages resulting from defective Work, lost revenues or costs of substitute facilities, or damages suffered by others who then seek to recover their damages from City (for example, delay claims of other contractors, subcontractors, tenants, or other third - parties), and defense costs thereof. Article 4. Contract Sum 4.1 City shall pay Contractor the Contract Sum for completion of Work in accordance with Contract Documents as set forth in Contractor's Bid, attached hereto: See Exhibit "A" attached City of Cupertino 00520 - 2 Contract BBF Infrastructure Upgrade 2011 Re -Bid Project No. 2010 -9135 Article 5. Contractor's Representations In order to induce City to enter into this Contract, Contractor makes the following representations and warranties: 5.1 Contractor has visited the Site and has examined thoroughly and understood the nature and extent of the Contract Documents, Work, Site, locality, actual conditions, as -built conditions, and all local conditions, and federal, state and local laws and regulations that in any manner may affect cost, progress, performance or furnishing of Work or which relate to any aspect of the means, methods, techniques, sequences or procedures of construction to be employed by Contractor and safety precautions and programs incident thereto. 5.2 Contractor has examined thoroughly and understood all reports of exploration and tests of subsurface conditions, as-built drawings, drawings, products specifications or reports, available for Bidding purposes, of physical conditions, including Underground Facilities, which are identified in Document 00320 (Geotechnical Data, Hazardous Materials Surveys and Existing Conditions), or which may appear in the Drawings. Contractor accepts the determination set forth in these Documents and Document 00700 (General Conditions) of the limited extent of the information contained in such materials upon which Contractor may be entitled to rely. Contractor agrees that except for the information so identified, Contractor does not and shall not rely on any other information contained in such reports and drawings. 5.3 Contractor has conducted or obtained and has understood all such examinations, investigations, explorations, tests, reports and studies (in addition to or to supplement those referred to in Section 5.2 of this Document 00520) that pertain to the subsurface conditicns, as -built conditions, underground facilities, and all other physical conditions at or contiguous to the Site or otherwise that may affect the cost, progress, performance or furnishing of Work, as Contractor considers necessary for the performance or furnishing of Work at the Contract Sum, within the Contract Time and in accordance with the other terms and conditions of the Contract Documents, including specifically the provisions of Document 00700 (General Conditions); and no additional examinations, investigations, explorations, tests, reports, studies or similar information or data are or will be required by Contractor for such purposes. 5.4 Contractor has correlated its knowledge and the results of all such observations, examinations, investigations, explorations, tests, reports and studies with the terms and conditions of the Contract Documents. 5.5 Contractor has given City prompt written notice of all conflicts, errors, ambiguities, or discrepancies that it has discovered in or among the Contract Documents and as-built drawings and actual conditions and the written resolution thereof through Addenda issued by City is acceptable to Contractor. 5.6 Contractor is duly organized, existing and in good standing under applicable state law, and is duly qualified to conduct business in the State of California. 5.7 Contractor has duly authorized the execution, delivery and performance of this Contract, the other Contract Documents and the Work to be performed herein. The Contract Documents do not violate or create a default under any instrument, contract, order or decree binding on Contractor. 5.8 Contractor has listed Subcontractors pursuant to the Subcontractor Listing Law, California Public Contracting Code §4100 et seq. in document 00340 (Subcontractors List) Article 6. Contract Documents 6.1 Contract Documents consist of the following documents, including all changes, addenda, and modifications thereto: Document 00400 Bid Form Document 00430 Subcontractors List Document 00450 Statement of Qualifications Document 00481 Non - Collusion Affidavit Document 00482 Bidder Certifications City of Cupertino 00520 - 3 Contract BBF Infrastructure Upgrade 2011 Re -Bid Project No. 2010 -9135 Document 00510 Notice of Award Document 00520 Contract Document 00530 Insurance Forms Document 00550 Notice to Proceed Document 00610 Construction Performance Bond Document 00620 Construction Labor and Material Payment Bond Document 00630 Guaranty Document 00650 Agreement and Release of Any and All Claims Document 00660 Substitution Request Form Document 00680 Escrow Agreement for Security Deposit in Lieu of Retention Document 00700 General Conditions Document 00800 Special Conditions Document 00820 Special Environmental Conditions Document 00821 Insurance Document 00822 Apprenticeship Program Technical Specification/Special Provisions Addenda(s) Drawings/Plans 6.2 There are no Contract Documents other than those listed in this Document 00520, Article 6. Document 00320 (Geotechnical Data, Hazardous Material Surveys and Existing Conditions), and the information supplied therein, are not Contract Documents. The Contract Documents may only be amended, modified or supplemented as provided in Document 00700 (General Conditions). Article 7. Miscellaneous 7.1 Terms used in this Contract are defined in Document 00700 (General Conditions) and will have the meaning indicated therein. 7.2 It is understood and agreed that in no instance are the persons signing this Contract for or on behalf of City or acting as an employee, agent, or representative of City, liable on this Contract or any of the Contract Documents, or upon any warranty of authority, or otherwise, and it is further understood and agreed that liability of the City is limited and confined to such liability as authorized or imposed by the Contract Documents or applicable law. 7.3 Contractor shall not assign any portion of the Contract Documents, and may subcontract portions of the Contract Documents only in compliance with the Subcontractor Listing Law, California Public Contracting Code §4100 et seg. 7.4 The Contract Sum includes all allowances (if any). 7.5 In entering into a public works contract or a subcontract to supply goods, services or materials pursuant to a public works contract, Contractor or Subcontractor offers and agrees to assign to the awarding body all rights, title and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. §15) or under the Cartwright Act (Chapter 2 (commencing with Section 16700) of Part 2 of Division 7 of the Business and Professions Code), arising from purchases of goods, services or materials pursuant to the public works contract or the subcontract. This assignment shall be made and become effective at the time City tenders final payment to Contractor, without further acknowledgment by the parties. 7.6 Copies of the general prevailing rates of per diem wages for each craft, classification, or type of worker needed to execute the Contract, as determined by Director of the State of California Department of Industrial Relations, are deemed included in the Contract Documents and on file at City's office, or may be obtained of the State of California web site http:// www. dir .ca.gov/DLSR/PWD/Northern.html and shall be made available to any interested party on request. Pursuant to Section 1861 of the Labor Code, Contractor represents that it is 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 City of Cupertino 00520 - 4 Contract BBF Infrastructure Upgrade 2011 Re -Bid Project No. 2010 -9135 Contractor shall comply with such provisions before commencing the performance of the Work of the Contract Documents. 7.7 Should any part, term or provision of this Contract or any of the Contract Documents, or any document required herein or therein to be executed or delivered, be declared invalid, void or unenforceable, all remaining parts, terms and provisions shall remain in full force and effect and shall in no way be invalidated, impaired or affected thereby. If the provisions of any law causing such invalidity, illegality or unenforceability may be waived, they are hereby waived to the end that this Contract and the Contract Documents may be deemed valid and binding contracts, enforceable in accordance with their terms to the greatest extent permitted by applicable law. In the event any provision not otherwise included in the Contract Documents is required to be included by any applicable law, that provision is deemed included herein by this reference(or, if such provision is required to be included in any particular portion of the Contract Documents, that provision is deemed included in that portion). 7.8 This Contract and the Contract Documents shall be deemed to have been entered into in the County of Santa Clara, State of California, and governed in all respects by California law (excluding choice of law rules). The exclusive venue for all disputes or litigation hereunder shall be in Santa Clara County. Both parties hereby waive their rights under California Code of Civil .Procedure Section 394 to file a motion to transfer any action or proceeding arising out of the Contract Documents to another venue. Contractor accepts the Claims Procedure in Document 00700, Article 12, established under the California Government Code, Title 1, Division 3.6, Part 3, Chapter 5. City of Cupertino 00520 - 5 Contract BBF Infrastructure Upgrade 2011 Re -Bid Project No. 2010 -9135 IN WITNESS WHEREOF the parties have executed this Contract in quadruplicate the day and year first above written. BLACKBERRY FARM INFRASTRUCTURE UPGRADE 2011 RE -BID CITY: CONTRACTOR: 'v» f7 4 /7j) CITY OF CUPERTINO, a Municipal Corporation of the CRW Industries, Inc. State o alifornia By: �r g a e] • est: • , /Its -% [Please print name here] City Clerk: Kimberly S � , Approved as to form by City Attorney: Title: Pit.„ _ �y [If Corporation: Chairman , President, or Vice President] M City 'rney: Carol Korade By: _ [Signature] I hereby certify, under penalty of perjury, that David W. [Please print name here] Knapp, City Manager of the City of Cupertino was duly authorized to execute this document on behalf of the City of Title: Cupertino. [If Corporation: Secretary, Assistant Secret.1 Chief Financial Officer, or Assistant Treasurer] Dated: /0. S • ( % D T � C ( 0 State Contrac or's License No. Classification 3‘)// 3 David W. Knapp, City ager of the City of Cupertino, a Expiration Date Municipal Corporation of the State of California Designated Representative: Taxpayer ID No. Y 159 Name: Timm Borden Name: J UG 1 /u �~ Title: Director of Public Works Title: l"✓1z 5 , d/n t Address: 10300 Torre Ave., Cupertino, CA 95014 Address:399 Encinal St., Unit 104, Santa Cruz, CA 95060 Phone: 408 - 777 -3354 Phone: 831 - 426 -0743 Facsimile: 408 - 777 -3333 Facsimile: 831- 466 -9597 / NOTARY ACKNOLEDGEMENT IS REQUIRED. IF A AMOUNT: $ 332,845.00 L (, ti / 1 I ( CORPORATION, CORPORATE SEAL AND CORPORATE ACCOUNT NUMBER:427- 9135 -930 111 NOTARY ACKNOWLEDEMENT AND FEDERAL TAX ID ARE REQUIRED. IF NOT A CORPORATION SOCIAL SECURITY FILE NO.: 92,054.15 NO. IS REQUIRED END OF DOCUMENT City of Cupertino 00520 - 6 Contract BBF Infrastructure Upgrade 2011 Re -Bid California All- Purpose Acknowledgement State of California } County of �J2 On i— 29 ,2 j- before me, 37 ; - ∎ , a Notary Public personally appeared �jt \l Bo cmr' who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is /are subscribed to the within instrument and acknowledged to me that he/ she /they executed the same in his/her /their authorized capacity(ies), and that by his /her /their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. �SCOTT J. MARIN? ' COMM. # 1929694 A q; NOTARYPUBIIC CAUFORNIA WIT ' SS m hand and official seal. 0-..•, j SANTA CRUZ COUNTY., +r COMM. EXPIRES MARCH 2 2015 7 4 I 111 ak Notary Public Seal Notary Public S :nature OPTIONAL Description of Attached Document Title or Type of Document: Document Date: -9175/ 1 Number of Pages: Signer(s) Other than Named Above: _ I� Jt/t_Q— Capacity(ies) Claimed by Signer(s) Individual ❑ Individual Thumbprint of Signer 1 Thumbprint of Signer 2 ❑ Corporate Officer: ❑ Corporate Officer: ❑ Partner - ❑ Limited ❑ General ❑ Partner - ❑ Limited ❑ General ❑ Attorney -in -Fact ❑ Attorney -in -Fact ❑ Trustee ❑ Trustee ❑ Guardian or Conservator ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer is Representing: qt Signer is Representing: EXHIBIT A Project No. 2010 -9135 DOCUMENT 00400 BID FORM To be submitted as part of Envelope "A" by the time and date specified in Document 00200 (Instructions to Bidders). • TO THE HONORABLE CITY COUNCIL OF THE CITY OF CUPERTINQ THIS BID IS SUBMITTED BY: � 44445 (Firm/Company Name) Project No. 2010 -9135 BLACKBERRY FARM INFRASTRUCTURE UPGRADE 2011 RE-BID 1. The undersigned Bidder proposes and agrees, if this Bid is accepted, to enter into a contract with the City of Cupertino ( "City ") in the form included in the Contract Documents, Document 00520 (Contract), to perform and famish all Work as specified or indicated in the Contract Documents for the Contract Sum and within the Contract Time indicated in this Bid and in accordance with all other terms and conditions of the Contract Documents. All portions of this Bid Form must be completed and signed before the bid is submitted. Failure to do so will result in the bid being rejected as non - responsive. 2. Bidder accepts all of the terms and conditions of the Contract Documents, Document 00100 (Advertisement for Bids), and Document 00200 (Instructions to Bidders), including, without limitation, those dealing with the disposition of Bid Security. This Bid will remain snbiect to acceptance for 90 Calendar Days after the day of Bid opening. 3. Bidder has visited the Site and performed all tasks, research, investigation, reviews, examinations, and analysis and given notices, regarding the Project and the Site, as set forth in Document 00520 (Contract), Article 5. 4. Bidder has given City prompt written notice of all conflicts, errors, ambiguities, or discrepancies that it has discovered in or among the Contract Documents and as -built drawings and actual conditions and the written resolution thereof through Addenda issued by City is acceptable to Contractor. 5. Subcontractors for work included in all Bid items, in accordance with the criteria in the Public Contract Code, are listed on the attached Document 00430 (Subcontractors List). 6. The undersigned Bidder understands that City reserves the right to reject this Bid. 7. If written notice of the acceptance of this Bid, hereinafter referred to as Notice of Award, is mailed or delivered to the undersigned Bidder within the time described in paragraph 2 of this Document 00400 or at any other time thereafter before it is withdrawn, the undersigned Bidder will execute and deliver the documents required by Document 00200 (Instructions to Bidders) within the times specified therein. These documents include, but are not limited to, Document 00520 (Contract), Document 00610 (Construction Performance Bond), and Document • 00620 (Construction Labor and Material Payment Bond). 8. Notice of Award or request for additional information may be addressed to the undersigned Bidder at the address set forth below on the signature page. 10. The undersigned Bidder herewith encloses cash, a cashier's check, or certified check of or on a responsible bank in the United States, or a corporate surety bond furnished by a surety authorized to do a surety business in the State of California, in form specified in Document 00200 (Instructions to Bidders), in the amount of ten percent (10 %) of the total of Bid and made payable to the "City of Cupertino ". City of Cupertino Bid Form BBF Infrastructure Upgrade 2011 Re -Bid 00400 - 1 1 i EXHIBITA Project No. 2010 -9135 11. The undersigned Bidder agrees to commence Work under the Contract Documents on the date established in Document 00700 (General Conditions) and to complete all work within the time specified in Document 00520 (Contract). The undersigned Bidder acknowledges that City has reserved the right to delay or modify the commencement date. The undersigned Bidder further acknowledges City has reserved the right to perform independent work at the Site, the extent of such work may not be determined until after the opening of the Bids, and that the undersigned Bidder will be required to cooperate with such other work in accordance with the requirements of the Contract Documents. 12. The undersigned Bidder agrees that, in accordance with Document 00700 (General Conditions), liquidated damages for failure to complete all Work in the Contract within the time specified in Document 00520 (Contract) shall be as set forth in Document 00520 (Contract). City of Cupertino Bid Form BBF Infrastructure Upgrade 2011 Re -Bid 00400 - 2 CRW Industries, Inc. EXHIBITA Project No. 2010 -9135 SCHEDULE OF BID PRICES All Bid items, including lump sums and unit prices, must be filled in completely. Allowances and Altemative Bid items are described in Document 00800 (Special Conditions). Quote in figures and words are specifically requested. BASE BID FFEM DE!> QN UNIT TOTAL Ss 1 Complete the Blackberry Farm Infrastructure Upgrade Project LS 1 �rG 17sfr 2 Site Landscaping AL na $10,000 TOTAL BASE BID PRICE o2 6 , 75'/ • Total Base Bid Price: Ti' o / -frt t "--15";), )z. y ( S i=c - , / ; L)r, (Words) LTERNATE Altenia ev , DF TIO Y Y JI�II T 3 rI1�J.r �',. �Y +�1L?1J Construct Retaining Wall LS 1 74 et- Unit Legend LS = Lump Sum AL = Allowance EA = Each SF = Square Feet LF = Linear Feet TON = Ton or 2,000 Pounds CY = Cubic Yards LB = Pounds City of Cupertino Bid Form BBF Infrastructure Upgrade 2011 Re -Bid 00400 - 3 CRW Industries, Inc, EXHIBITA • Project No. 2010 -9135 ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUMS Bidder herby acknowledges receipt and examination of all Contract Documents and the following Addenda: Addendum No. Addendum Date Bidder proposes and agrees to fully perform the Work within the time stated and in strict accordance with the Contract Documents for the sums of money listed in this Bid Form. NAME OF BIDDER G�IV..�Yl C/u-5 r/7 4Ss JC . licensed in accordance wit an act for the registration of Contractors, and with license number: 9 9 LE"Y Expiration Date: It�icy/ :✓ mg. 47A/e, Pic/}^ ( I> Where incorporated, if applicable Principals I certify (or declare) under penalty of perjury under the laws of the State o ' • fo9•- : ' + e foregoing is true and correct. Signature of i i ?f NOTE: If Bidder is corporation, orth the legal name of the corporation, state where incorporated, together with the signature of the offs rs authorized to sign contracts on behalf of the corporation. If Bidder is a partnership, set forth the name of the firm together with the signature of the partner or partners authorized to sign contracts on.behalf of the partnership. Business Address: 3 ` � L /1�G I 5 # /d Y 2. C4- 950 6 G' Officers authorized to sign contracts: ,©i /f G' ,yy 1 Pte' Txped Full Name: ilhi /,k%M Ea.+ at r Telephone Number(s): /8"30 —0 7tf 3 Fax Number(s): i ��l) �� �' � 7 E -Mail Address: J1Ur"l' Ce erW /0044,5 --s END OF DOCUMENT City of Cupertino Bid Form BBF Infrastructure Upgrade 2011 Re -Bid 00400 - 4 CRW industries, inc. EXHIBITA Project No. 2010 -9135 DOCUMENT 00430 REQUIRED SUBCONTRACTORS LIST Bidder must provide the following Listed Subcontractor information in conformance with the California Public Contract Code where the value of the Subcontractor's work is or exceeds Y2 of one percent (.05 %) of the Bid on Document 00400. Failure to do so will render Bid Non Responsive. Bidder is reminded that Listed Subcontractors cannot be substituted by the Apparent Low Bidder after Bid has been submitted and opened, without City's formal approval. Subcontractor Name Address & Phone No. License No. Trade S Value S MPM ki q57 £9 3? 355 a/ :E7 e .5 <,$ y392:2-a ,r7 2 , 4` x. 1I. A 77D °e.(1 )7a1 ) 554`D C e . eayarii ,C4` 5004W 575. rz-5 Attach additional sheets if necessary VOLUNTARY SUBCONTRACTOR LIST Bidder is requested to voluntarily provide Subcontractor infbrmation listed below for subcontract work whose value is less than '' 'A of one percent of the Bid on Document 00400. Failure to do so will have no impact on Bid. Bidder is requested not to substitute Subcontractors after Bid has been submitted and opened, without City's informal approval. Subcontractor Name Address & Phone No. License No. Trade $ Value S ■ - —. Attach additional sheets if necessary END OF DOCUMENT City of Cupertino 00430 - I Subcontractors List BBF Infrastructure Upgrade 2011 Re -Bid CRW Industries, Inc. EXHIBIT A Project No. 2010 -9135 DOCUMENT 00430 REQUIRED SUBCONTRACTORS LIST Bidder must provide the following Listed Subcontractor infonnation in conformance with the California Public Contract Code where the value of the Subcontractor's work is or exceeds 1/: of one percent (.05 %) of the Bid on Document 00400. Failure to do so will render Bid Non Responsive. Bidder is reminded that Listed Subcontractors cannot be substituted by the Apparent Low Bidder after Bid has been submitted and opened, without City's formal approval. l - Subcontractor Name Address It Phone No. License No. Trade S Value S q5 )"'3 „0 1111M1V2111 Attach additional sheets if necessary VOLUNTARY SUBCONTRACTOR LIST Bidder is requested to voluntarily provide Subcontractor information listed below for subcontract work whose value is . less than %s of one percent of the Bid on Document 00400. Failure to do so will have no impact on Bid. Bidder is requested not to substitute Subcontractors after Bid has been submitted and opened, without City's informal approval. Subcontractor Name Address it Phone No. License No. Trade S Value $ Attach additional sheets if necessary END OF DOCUMENT City of Cupertino 00430 - 1 ,Spbe ntractors, List BBF Infrastructure Upgrade 2011 Re -Bid CPW lr , ticmes, „;c. • EXHIBITA Project No. 2010 -9135 DOCUMENT 00481 NON- COLLUSION AFFIDAVIT PUBLIC CONTRACT CODE §7106 NON- COLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID STATE OF CALIFORNIA ) ) ss. COUNTY OF SA Cl-.4 ) A / ,tt/r , being first duly sworn deposes and says that he or she is - - a, a(�. r [Office of Atha nt] of C v i 7h 1 s .Tic . [Name of Bidder], the party making the foregoing Bid, that the Bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the Bid is genuine and not collusive or sham; that. Bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham Bid, and has not directly or indirectly colluded, conspired, connived or agreed with any bidder or anyone else to put in a sham Bid, or that anyone shall refrain from bidding, and that the Bidder has not in any manner, directly or indirectly, sought by contract, communication or conference with anyone to fix the Bid price of Bidder or any other bidder, or to fix any overhead, profit or cost element of the Bid price, or of that of any other bidder, or to secure any advantage against the City of Cupertino, or anyone interested in the proposed contract; that all statements contained in the Bid are true; and further, that Bidder has not, directly or indirectly, submitted its Bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, Bid depository, or to any member or agent thereof to effectuate a collusive or sham Bid. Executed under penalty of perjury under the laws of the State of California: field r--';CAS' ' / -/C- (Name of Bidder) C � (Signature of Prin.. •._,•"( Subscribed and sworn before me _ This \J day of , 20/) Notary Public of the State of VA In and for the County of My Commission expires (Seal) (If Bidder is a partnership or a joint venture, this affidavit must be signed and sworn to by every member of the partnership or venture.) (If Bidder [including any partner or venturer of a partnership or joint venture] is a corporation, this affidavit must be signed by the Chairman, President, or Vice President and by the Secretary, Assistant Secretary, Chief Financial Officer, or Assistant Treasurer.) (If Bidder's affidavit on this form is made outside the State of California, the official position of the person taking such affidavit shall be certified according to ilaw.) END OF DOCUMENT City of Cupertino 00481 - 1 Non- Collusion Affidavit BBF Infrastructure Upgrade 2011 Re -Bid Gni industries, Inc. 1 • EXHIBIT A CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE $ 8202 { -sue ��4. C� -ss. C_s.. s;ca.....r'•!'� •_4�CrC -v. -- .. - ..7s c.... _ _. �. °. s...c. • 0 y , / See Attached Document (Notary to cross out lines 1-6 below) �� ❑ See Statement Below (Lines 1-6 to be completed only by document signer[s], n N ota e LQ s S l Cc k 0 Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) '9 State of Califomia Subscribed and sworn to (or affirmed) before me e ' : :tt ffrr , County o I "`.`1• _ , I Atf on this \ day of 20// , yy � l; Date th Year P . by A.)/ /1/&199 I1//'T , Name of Signer Et C proved t me on the basis of satisfactory evidence to be the person who appeared before me ( -) (,) 5 6 • (::d t Wig r • ' (2) Name of Signer prov :,• o me on the basis of satisfactory evidence P • [C ,. 1 tO 4. = - . ..•r f7:..au. me.) P ( e Si nature A_:_4._ - �.- /f� (0 Place Notary Seal Above g Signature of Notary Pudic 0 /o ? i l` OPTIONAL � lC RIGHTTHUr1BPRINT RIGHT THUMBPRINT ?J OF SIGNER ill OF SIGNER 112 4 r Though the information below is not required by law, it may prove valuable Top of thumb here Top of thumb here to persons relying on the document and could prevent fraudulent removal .l and reattachment of this form to another document. C� r a l (C u7 . Further Description of, Any Attached /. ,�. /� /. , ; o � Document Z /i) � Title or Type of Document � or e k or Document Date: V " 9 V/ Number of Pages/ k 4 D S Signer(s) Other Than Named Above: g `t `�' ` 4'm Kur-A .. :sw-5 4 - m -4 -��i - a •;d4'v . 'r4 ,- r.. - 4- ✓.-c{ --a•. ■ 0 2010 National Notary Association • NationalNotary.org • 1.800 -US NOTARY (1. 800. 878 -6827) Item 115910 CITY OF \ Project No. 2010 -9135 I ' oS LIp� r CUPERTINO CERTIFICATE OF INSURANCE TO THE CITY OF CUPERTINO This certifies to the City of Cupertino that the following described policies have been issued to the insured named below and are in force at this time. Insured: CRW INDUSTRIES INC . Address: 339 ENCINAL STREET, SUITE 104 SANTA CRUZ, CA 95060 Description of operations /locations /products insured (show contract name and/or number, if any): GENERAL CONTRACTOR WORKER'S COMPENSATION * Statutory Min. * Employer's GRANITE STATE INS. CO. Liability (name of insurer) $1,000,000 $1,000,000 $1,000,000 Insurance Company's State License No. 0749 -2 Check Policy Type: Each Occurrence $ 1,000,000 COMPREHENSIVE GENERAL LIABILITY 2 , 000 , 000 [ ] Premises /Operations General Aggregate $ (if applicable) [ ] Owners & Contractors 2,000,000 Protective Aggregate $ [ ] Contractual for Specific Contract Personal Injury 1,000,000 $ [ ] Products Liability [ ] XCU Hazards g ( y ) 50,000 [ ] Broad Form P.D. Fire Dama e an one fire $ [ ] Severability of Interest Clause excluded i l [ ] Personal Injury with Medical Expense $ Employee Exclusion Removed (any one person) or Self- Insured [ X I COMMERCIAL GENERAL LIABILITY Retention $ nil INTERSTATE FIRE & CASUALTY INS.CO. (name of insurer) 4/15/12 Policy No. SGL1002666 Expiration Date City of Cupertino 00530 - 4 Insurance Forms BBF Infrastructure Upgrade 2011Re -Bid Project No. 2010 -9135 AUTOMOTIVE/VEHICLE LIABILITY BODILY INJURY PROPERTY DAMAGE Commercial Form Each Person Each Accident Liability Coverage $ $ Each Accident PEERLESS INSURANCE COMPANY (name of insurer) $ or Combined Single Limit $ 1, 000 ,000 Policy No. BA8644728 Expiration Date 4/15/12 • BUILDER'S RISK "ALL RISK" This is to certify that the following policy has been issued by the below - stated company in conformance with the requirements of the project documents and is in force at this time. N/A (Name of insurer) Policy No. Expiration Date Limits of Liability: Deductible: RM A copy of all Endorsements to the policy(ies) which in any way (agent's initial) limit the above - listed types of coverage are attached to this Certificate of Insurance. This Certificate of Insurance 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 any 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. IT IS HEREBY • Ril1TED that the above policy(ies) provide liability insurance as required by the Agreeme - een e City and the insured. By: I° 1 Dated: September 9 20 11 Attach Certificate of Insurance and Additional Insured Endorsement on company forms. City of Cupertino 00530 - 5 Insurance Forms BBF Infrastructure Upgrade 2011Re -Bid Av ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 08/03/2011 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, EKTEND 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 LIC *0726293 1- 408 - 973 -9500 CONTACT Arthur J. Gallagher & Co. Pio FAX Insurance Brokers of California, Inc. J2� `o. Exfl: INC, No): One Almaden Boulevard A ADDRESS: Suite *960 San Jose, CA 95113 ---- INSURER(S)AFFOROINGCQYERAG NMC# __ -- I INSURERA: INTERSTATE FIRE & CAS CO 22829 INSURED INSURERS: PEERLESS INS CO 24198 CRW Industries Inc. INSURER[: GRANITE STATE INS CO 23809 399 Encinal Street, Suite 104 SSURERO: AGCS MARINE INS CO 22837 Santa Cruz, CA 95060 IN SURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 22606491 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS - INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP - -'— La9TS _____.___— _.___.___.._ LTR INSR WVD POUCY NUMBER (MMIDD/YYYY) (MMIDD/YYYY) A GENERALLIABILITY X X 8GL1002666 04/15/11 04/15/12 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PR SE3 (Ea occurrence) $ 50 000 I CLAIMS -MADE I X I OCCUR MED EXP (Any one person) $ Excluded X Deductible: NIL 1,000, PERSONAL 8ADV INJURY $ ___ GENERAL AGGREGATE $ 2,000,000 . GEHL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 — I POLICY P I F P1 LOC $ B AUTOMOBILE LIABILITY X X BA8644728 04/15/11 04/15/12 COMBINED SINGLE UNIT (Ea acdden0 $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per aocfdent) $ AUTOS _ AUTOS X X NO N - PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) X Ded $500 Cowp Ded $500 Coll $ A UMBRELLALIAB X OCCUR PFX00024068579 04/15/11 04/15/12 EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS -MADE AGGREGATE 8 5,000,000 DED I X I RETENTION $ 0 $ C WORKERS COMPENSATION X WC005564736 10/01/1[ 10/01/11 X I ' STATU- I U IOTH- - AND EMPLOYERS' ABIUTY TORY t IMITS ER Y / N ANY PROPRIETOR/PARTNER/EXECUTNE N / A E.L EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? I Y (Mandatory In NH) E.L DISEASE - EA EMPLOYEE $ 1,000,009 If yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE - POUCY LIMIT $ 1,000,000 D Contractors Equipment MZ193023337 09/12/1C 09/12/11 Scheduled 45,309 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Sch educe, if more space is required) RE: Project *2010 -9135 Blackberry Farm Infrastructure Upgrade 2011, 21979 San Fernando Avenue. Additional Insured (General & Auto Liability) and Waivers of Subrogation (General & Auto Liab & Workers Comp): The City of Cupertino, a Minicipal Corporation of the State o:E California, its City Council, and their employees, representatives, consultants (Excluding Professional Liability) and agents and Engineers (Excluding Professional Liability) with respect to liability arising out of the activities of the named insured. CERTIFICATE HOLDER CANCELLATION Project *2010 -9135 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Cupertino THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Public Works Department ACCORDANCE WITH THE POLICY PROVISIONS. 10300 Torre Avenue AUTHORIZED REPRESENTATIVE �yJ Cupertino, CA 95014 USA ® 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are (registered marks of ACORD janlori 22606491 CITY OF Project No. 2010 -9135 ADDITIONAL INSURED ENDORSEMENT ,.. S 149, , _ and CUPERTINO ENDORSEMENT OF PRIMARY INSURANCE and NOTICE OF POLICY CANCELLATION ENDORSEMENT BLACKBERRY FARM INFRASTRUCTURE UPGRADE 2011 REBID Project Title and Number: PROJECT NO. 2010 -9135 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: The City of Cupertino ("City ") and its directors, officers, engineers, agents and employees, and all public agencies from whom permits will be obtained and their directors, officers, engineers, agents and employees, and the State of California, and its officers, agents and employees, are hereby declared to be additional insureds under the terms of this policy, but only with respect to the operations of the Contractor at or upon any of the premises of the City in connection with the Contract with the City, or acts or omissions of the additional insureds in connection with, but limited to its general supervision or inspection of said operations. The insurance afforded by this policy is primary insurance, and no additional insurance held or owned by the designated additional insured(s) shall be called upon to cover a loss under said additional policy. Cancellation Notice. The insurance afforded by this policy shall not be suspended, voided, I canceled, reduced in coverage or in limits, or materially altered, except after thirty (30) days' prior written notice by certified mail, return receipt requested, has been given to the City of Cupertino ( "City "). Such notice shall be addressed to the City as indicated below. POLICY INFORMATION 1. Insurance Company: INTERSTATE FIRE & CASUALTY INS. CO. 2. Insurance Policy Number: SGL1002666 3. Effective Date of this Endorsement: September 9 20 11 4. Insured: CRW INDUSTRIES INC. All notices herein provided to be given by the Insurance Company to the City in connection with this policy and these Endorsements, shall be mailed to or delivered to the City at 10300 Torre Avenue; Cupertino, California 95014. Rosemary Mi rko (print/type name) warrant that I have authority to bind the below listed Insurance Company and by my signature hereon do so bind this Company. City of Cupertino 00530 - 6 Insurance Forms BBF Infrastructure Upgrade 2011Re -Bid 1 Project No. 2010 -9135 Signature of Authorized Representative: (Original signature required on all Endorsemen 7 rnished to the District) Names of Arthur J. Gallagher & Co. Insurance Agent/Agency: Brokers of Cal i fur nia Inc. Title: A ccount Manager Address: 1 Almaden Blvd., Ste. X60 Telephone: 408 - 973 -9500 San Jose, CA 95113 Facsimile: 408 - 257 -2985 City of Cupertino 00530 - 7 Insurance Forms BBF Infrastructure Upgrade 2011Re -Bid CITY of Project No. 2010 -9135 COMPREHENSIVE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY (4144 , ENDORSEMENT OF AGGREGATE LIMITS OF CUPERTINO INSURANCE PER PROJECT BLACKBERRY FARM INFRASTRUCTURE UPGRADE 2011 REBID Project Title and Number: PROJECT NO. 2010 -9135 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 as follows: This Endorsement modifies the insurance provided under the General Liability Coverage part of the below - referenced policy of insurance. The general aggregate limit under LIMITS OF INSURANCE applies separately to the project described as BLACKBERRY FARM PROJECT NO. 2010 -9135 POLICY INFORMATION 1. Insurance Company: INTERSTATE FIRE & CASUALTY COMPANY 2. Insurance Policy Number: SGL1002666 SEPTEMBER 9 11 3. Effective Date of this Endorsement: 20 CRW INDUSTRIES INC. 4. Insured: 5. Additional Insured: City of Cupertino, its directors, officers, agents and employees. All notices herein provided to be given by the Insurance Company to the City in connection with this policy and this Endorsement, shall be mailed to or delivered to the City at 10300 Torre Avenue; Cupertino, California 95014. I, ROSEMARY MI RKO r (print/type name) warrant that I have authority to bind the below listed Insuran.- qmpany and by my signature hereon do so bind this Company. Signature of Authorized Representative: . OA _r (Original signature required on all Endorsements furnis i ed to the District) Names of ARTHUR J. GALLAGHER & CO. INSURANCE Agent/Agency: BROKFRS OF CAI IFORNTA INC TitleACCOUNT MANAGER Address: 1 Almaden R1 yd. , Ste . 960 Telephone: 408 973 - 9500 San lose, CA 95113 Facsimile: 408 - 257 -2985 City of Cupertino 00530 - 8 Insurance Forms BBF Infrastructure Upgrade 2011Re -Bid CITY OF \ 1/ Project No. 2010 -9135 WAIVER OF SUBROGATION ENDORSEMENT `ys I D`' WORKER'S COMPENSATION INSURANCE CUPERTINO BLACKBERRY FARM INFRASTRUCTURE UPGRADE 2011 REBID Project Title and Number: PROJFCT NO - 7 ll n - ql 35 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 foIlows:. It is agreed that with respect to such insurance as is afforded by the policy, the Insurance Company waives any right of subrogation against the City of Cupertino, and each of its directors, officers, agents, consultants and employees by reason of any payment made on account of injury, including death resulting therefrom, sustained by any employee of the insured, arising out of the performance of the above- referenced Contract. POLICY INFORMATION 1. Insurance Company: GRANITE STATE INSURANCE COMPANY 2. Insurance Policy Number: WC005564736 3. Effective Date of this Endorsement: SEPTEMBER 9 2 4. Insured: CRW INDUSTRIES INC. All notices herein provided to be given by the Insurance Company to the City in connection with • this policy and this Endorsement, shall be mailed to or delivered to the City at 10300 Torre Avenue; Cupertino, California 95014. 1, ROSEMARY MIRKO _ (print/type name) warrant that I have authority to bind the below listed Insuranc- .. pany and by my signature hereon do so bind this Company. Signature of Authorized Representative: 1.1 (Original signature required on all Endorsements furni i to .e ► strict) Names of ARTHUR J. GALLAGHER & CO. Agent/Agency: INSURANCE BROKERS Title: ACCOUNT MANAGER 1 Almaden Blvd. Ste. 960 Address: , t Telephone: 408 - 973 - 9500 San Jose, CA 95113 Facsimile: 408-257-2985 END OF DOCUMENT City of Cupertino 00530 - 9 Insurance Forms BBF Infrastructure Upgrade 201 1Re -Bid Executed In Triplicate Bond Number: GSM28069 Premium: $5,993.00 Project No. 2010 -9I35 DOCUMENT 00610 CONSTRUCTION PERFORMANCE BOND THIS CONSTRUCTION PERFORMANCE BOND ( "Bond" is datedSeptember 28, 2011 is in the penal sum of Three Hundred Thirty Thousand Eight Hundred Forty Dollars and 00/100 $332,845.00 -[which is one hundred percent of the Contract Price], and is entered into by and between the parties listed below to ensure the faithful performance of the Construction Contract listed below. This Bond consists of this page and the Bond Terms and Conditions, paragraphs 1 through 12, attached to this page. Any singular reference to CRW Industries, Inc. ( "Contractor'), The Gray Insurance Company ( "Surety"), the City of Cupertino, a Municipal Corporation of the State of California ( "City") or other party shall be considered plural where applicable. CONTRACTOR: SURETY: CRW Industries, Inc. The Gray Insurance Company Name Name 399 Encinal Street One E. Camelback Road, Suite 550 Address Principal Place of Business Santa Cruz, CA 95060 Phoenix, AZ 85012 City /State/Zip City /State /Zip CONSTRUCTION CONTRACT: BLACKBERRY FARM INFRASTRUCTURE UPGRADE 2011 RE -BID PROJECT NIMBER 2010 -9135 at Cupertino, California. DATED °(;)k 7 C , 20 in the Amourt of S 332,845.00 (the "Pen4. Sun ") CONTRACTOR AS PRINCIPAL SURETY Company: (, Seal Company: (Corp. Seal) Signature : /� Signature Name and Title: 164t.A-EsuQ.t.. P Name an d Title: Danijela Mosunic, Attorney -In -Fact BOND TERMS AND CONDITIONS 1. Contractor and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors and assigns to City for the complete and proper performance of the Construction Contract, which is incorporated herein by reference. 2. If Contractor completely and properly performs all of its obligations under the Construction Contract, Surety and Contractor shall have no obligation under thi: Bond. 3. If there is no City Default, Surety's obligation under this Bond shall arise after: 3.1 City has declared a Contractor Default under the Construction Contract pursuant to the terms of the Construction Contract; and 3.2 City has agreed to pay the Balance of the Contract Sum: 3.2.1 To Surety in accordance with the terms of this Bond and the Construction Contract; or City of Cupertino 00610 - 1 Construction Performance Bond BBF Infrastructure Upgrade 2011 Re -Bid Project No. 2010 -9135 3.2.2 To a contractor selected to perform the Construction Contract in accordance with the terms of this Bond and the Construction Contract. 4. When City has satisfied the conditions of paragraph 3, Surety shall promptly (within 30 days) and at Surety's expense elect to take one of the following actions: 4.1 Arrange for Contractor, with consent of City, to perform and complete the Construction Contract (but City may withhold consent, in which case the Surety must elect an option described in paragraphs 4.2, 4.3 or 4.4, below); or 4.2 Undertake to perform and complete the Construction Contract itself, through its agents or through independent contractors; provided, that Surety may not select Contractor as its agent or independent contractor without City's consent; or 43 Undertake to perform and complete the Construction Contract by obtaining bids from qualified contractors acceptable to City for a contract for performance and completion of the Construction Contract, and, upon determination by City of the lowest responsible bidder, arrange for a contract to be prepared for execution by City and the contractor selected with City's concurrence, to be secured with performance and payment bonds executed by a qualified surety equivalent to the bonds issued on the Construction Contract; and, if Surety's obligations defined in paragraph 6, below, exceed the Balance of the Contract Sum, then Surety shall pay to City the amount of such excess; or 4.4 Waive its right to perform and complete, arrange for completion, or obtain a new contractor and with reasonable promptness under the circumstances, and, after investigation and consultation with City, determine in good faith its monetary obligation to City under paragraph 6, below, for the performance and completion of the Construction Contract and, as soon as practicable after the amount is determined, tender payment therefor to City with full explanation of the payment's calculation. If City accepts Surety's tender under this paragraph 4.4, City may still hold Surety liable for future damages then unknown or unliquidated resulting from the Contractor Default. If City disputes the amount of Surety's tender under this paragraph 4.4, City may exercise all remedies available to it at law to enforce Surety's liability under paragraph 6, below. 5. If Surety does not proceed as provided in paragraph 4, above, then Surety shall be deemed to be in default on this Bond ten days after receipt of an additional written notice from City to Surety demanding that Surety perform its obligations under this Bond. At all times City shall be entitled to enforce any remedy available to City at law or under the Construction Contract including, without (imitation, and by way of example only, rights to perform work, protect work, mitigate damages, advance critical work to mitigate schedule delay, or coordinate work with other consultants or contractors. 6. Surety's monetary obligation under this Bond is limited by the Amount of this Bond identified herein as the Penal Sum. This monetary obligation shall augment the Balance of the Contract Sum. Subject to these limits, Surety's obligations under this Bond are comrnensurate with the obligations of Contractor under the Construction Contract. Surety's obligations shall include, but are not limited to: 6.1 The responsibilities of Contractor under the Construction Contract for completion of the Construction Contract and correction of defective work; 6.2 The responsibilities of Contractor under the Construction Contract to pay liquidated damages, and for damages for which no liquidated damages are specified in the Construction Contract, actual damages caused by non - performance of the Construction Contract including, but not limited to, alI valid and proper backebarges, offsets, payments, indemnities, or other damages; 63 Additional legal, design professional and delay costs resulting from Contractor Default or resulting from the actions or failure to act of the Surety under paragraph 4, above (but excluding attorney's fees incurred to enforce this Bond). 7. No right of action shall accrue on this Bond to any person or entity other than City or its successors or assigns. City of Cupertino 00610 - 2 Construction Performance Bond BBF Infrastructure Upgrade 2011 Re -Bid Project No. 201 0 -9I35 8. Surety hereby waives notice of any change, alteration or addition to the Construction Contract or to related subcontracts, purchase orders and other obligations, including changes of time. Surety consents to all terms of the Construction Contract, including provisions on changes to the Contract. No extension of time, change, alteration, modification, deletion, or addition to the Contract Documents, or of the work required thereunder, shall release or exonerate Surety on this Bond or in any way affect the obligations of Surety on this Bond. 9. Any proceeding, legal or equitable, under this Band shall be instituted in any court of competent jurisdiction where a proceeding is pending between City ar.d Contractor regarding the Construction Contract, or in the courts of the County of Santa Clara, or in a court of competent jurisdiction in the location in which the work is located. Communications from City to Surety under paragraph 3.1 of this Bond shall be deemed to include the necessary contracts under paragraph 3.2 of this Bond unless expressly stated otherwise. I0. All notices to Surety or Contractor shall be mailed or delivered (at the address set forth on the signature page of this Bond), and all notices to City shall be mailed or delivered as provided in Document 00520 (Contract). Actual receipt of notice by Surety, City or Contractor, however accomplished, shall be sufficient compliance as of the date received at the foregoing addresses. 11. Any provision in this Bond conflicting with any statutory or regulatory requirement shall be deemed deleted herefrom and provisions conforming to such statutory requirement shall be deemed incorporated herein. 12. Definitions. 12.1 Balance of the Contract Sum: The total amount payable by City to Contractor pursuant to the terms of the Construction Contract after all proper adjustments have been made under the Construction Contract, for example, deductions for progress payments made, and increases /decreases for approved modifications to the Construction Contract. 12.2 Construction Contract; The contract between City and Contractor identified on the signature page of this Bond, including all Contract Documents and changes thereto, 12.3 Contractor Default Material failure of Contractor, which has neither been remedied nor waived, to perform or otherwise to comply with the terms of the Construction Contract including, but not limited to, "default" or any other condition allowing a termination for cause as provided in Document 00700 (General Conditions). 12,4 City Default: Material failure of City, which has neither been remedied nor waived, to pay Contractor progress payments due under the Constn.ction Contract or to perform other material terms of the Construction Contract, if such failure is the cause of the asserted Contractor Default and is sufficient to justify Contractor termination of the Constn:ction Contract. END OF DOCUMENT City of Cupertino 00610 - 3 Construction Performance Bond BBF Infrastructure Upgrade 2011 Re-Bid CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT �.. ..4,s Mt ae State of California County of Santa Clara O 28, 2011 before me, Sarah M. Lorincz, Notary Public Date Here Insert Name and Title of the Officer personally appeared Danij ela Mosunic Name(s) of Signers) who proved to me on the basis of satisfactory evidence to be the persons whose named is/XrX subscribed to the within instrument and acknowledged to me that )sheaexecuted the same in NtherXhilXauthorized capacity(), and that by]lliQCherlX.signature() on the P , ,,, i , 62 , thfaa ,,,,. instrument the persons , or the entity upon behalf of a r. ;!fir ta M. 1.01'l■V Z which the persons acted, executed the instrument. ¢ + G OMfIliS tc rt ar e0; - ,285 ik Caliiorrt,a r I certify under PENALTY OF PERJURY under the laws S ` i1 t ra '` i ` . rli „ � of the State of California that the foregoing paragraph is f r,' c l i 1 true and correct. WITNESS my hand and official seal. Signature �' !`• //� Place Notary Seal Above Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(les) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General RIGHTTHUMBPRIN7 ❑ Partner — ❑ Limited ❑ General RIGHT THUMBPRINT ❑ Attorney in Fact OF SIGNER ❑ Attorney in Fact OF SIGNER ❑ Trustee Top of thumb here 0 Trustee Top of thumb here ❑ Guardian or Conservator 0 Guardian or Conservator ❑ Other: 111 Other: Signer Is Representing: Signer Is Representing: "n> - L`.<v - • ✓. - v<Cui -ar<_, •°r<'y --e> S ':v - e V ><U > a:<�G' �< "✓ ".�<'e -t - ✓G�4:_� -� h: <'r><�G "e><'arG"- v>•ni= :!>,�✓ .vG�< v 'ei,.. <t><'n>7STSV >. 02007 National Notary Association • 9350 De Soto Ave., P.O. Box 2402 •Chatsworth, CA 9' 313 -2402 • www.NationalNotaryorg Item #5907 Reorder: Call Toll -Free 1- 800 - 876 -6827 Executed In Triplicate Bond Number: GSM28069 Premium Included In Performance Bond Project No. 2010 -9I35 DOCUMENT 00620 CONSTRUCTION LABOR A/\111 MATERIAL PAYMENT BOND THIS CONSTRUCTION LABOR AND MATERIAL PAYMENT BOND ("Bond") is dated September 28, 2011is in the penal sum Three Hundred Thirty-Two Thousand Eight Hundred Forty -Five Dollars and 00/100 ($332,845.00) [one hundred percent of the Contract Price), and is entered into by and between the parties listed below to ensure the payment of claimants under the Construction Contract listed below. This Bond consists of this page and the Bond Terms and Conditions, paragraphs 1 through 14, attached to this page. Any singular reference to CRW Industries, Inc. ( "Cortractor "), The Gray Insurance Company ( "Surety"), the City of Cupertino, a Municipal Corporation of the State of California ( "City ") or other party shall be considered plural where applicable. CONTRACTOR: SURETY: CRW Industries, Inc. The Gray Insurance Company Name 399 Encinal Street One E. Camelback Road, Suite 550 Address Principal Place of Business Santa Cruz, CA 95060 Phoenix, AZ 85012 City/State/Zip City/State/Zip CONSTRUCTION CONTRACT: BLACKBERRY FARM INFRASTRUCTURE UPGRADE 2011 RE -BID PROJECT NUMBER 2010 -9135 at Cupertino, California. DATED . 20 in the Amount of 5332,845.00 (the "Penal Sum ") CONTRACTOR AS PRINCIPAL SURETY Company: /I (Corp. Seal) Company: (Corp. Seal) Signature: ' � It.A.. EX) en, Name and Title: Name and Title: Danijela Mosunic, Attorney - - Fact BOND TERMS AND CONDITIONS 1. Contractor and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors and assigns to City and to Claimants, to pay far labor, materials and equipment furnished for use in the performance of the Construction Contract, which is incorporated herein by reference. 2. With respect to City, this obligation shall be null and void if Contractor: 2.1 Promptly makes payment, directly or indirectly, for all sums due Claimants; and 2.2 Defends, indemnifies and holds harmless City from all claims, demands, liens or suits by any person or entity who furnished labor, materials or equipment for use in the performance of the Construction Contact, provided City has promptly notified Contractor and Surety (at the address set forth on the signature page of this Bond) of any claims, demands, liens or suits and tendered defense of such claims, demands, liens or suits to Contractor and Surety, and provided there is no City Default. 3. With respect to Claimants, this obligation shall be null and void if Contractor promptly makes payment, directly or indirectly through its Subcontractors, for all sums due Claimants. If Contractor or its Subcontractors, however, fail to pay any of the persons named ir.: Section 3181 of the California Civil Code, or amounts due under the Unemployment Insurance Code with respect to Work or Iabor performed under the Contract, or for City of Cupertino 00620 - 1 Construction Labor and Material Payment Bond BBF Infrastructure Upgrade 2011 Re -Bid Project No. 2010 -9135 any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of Contractor or Subcontractors pursuant to Section 13020 of the Unemployment Insurance Code, with respect to such Work and labor, then Surety shall pay for the same, and also, in case suit is brought upon this Bond, a reasonable attorney's fee, to be fixed by the court. 4. Consistent with the California Mechanic's Lien Law, Civil Code §3082, et seq., Surety shall have no obligation to Claimants under this Bond unless the Claimant has satisfied all applicable notice requirements. 5. Surety's total obligation shall not exceed the amount of this Bond, and the amount of this Bond shall be credited for any payments made in good faith by Surety under this Bond. 6. Amounts due Contractor under the Construction Contract shall be applied first to satisfy claims, if any, under any Construction Performance Bond and second, to satisfy obligations of Contractor and Surety under this Bond. 7. City shall not be liable for payment of any costs, expenses, or attomey's fees of any Claimant under this Bond, and shall have under this Bond no obligations to make payments to, give notices on behalf of or otherwise have obligations to Claimants under this Bond. 8. Surety hereby waives notice of any change, including changes of time, to the Construction Contract or to related subcontracts, purchase orders and other obligations. Surety further hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Construction Contract, or to the Work to be performed thereunder, or materials or equipment to be furnished thereunder or the Specifications accompanying the same, shall in any way affect its obligations under this Bond, and it does hereby waive any requirement of notice or any such change, extension of time, alteration or addition to the teens of the Construction Contract or to the Work or to the Specifications or any other changes. 9. Suit against Surety on this Bond may be brought by any Claimant, or its assigns, at any time after the Claimant has furnished the last of the labor or materials, or both, but, per Civil Code §3249, must be commenced before the expiration of six months after the period in which stop notices may be filed as provided in Civil Code §3184. 10. All notices to Surety or Contractor shall be mailed or delivered (at the address set forth on the signature page of this Bond), and all notices to City shall be mailed or delivered as provided in Document 00520 (Contract). Actual receipt of notice by Surety, City or Contractor, however accomplished, shall be sufficient compliance as of the date received at the foregoing addresses. 11. This Bond has been furnished to comply with the California Mechanic's Lien Law including, but not limited to, Civil Code § §3247, 3248, et seq. Any provision in this Bond conflicting with said statutory requirements shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirements shall be deemed incorporated herein. The intent is that this Bond shall be construed as a statutory bond and not as a common law bond. 12. Upon request by any person or entity appearing to be a potential beneficiary of this Bond, Contractor shall promptly furnish a copy of this Bond or shall perm ::t a copy to be made. 13. Contractor shall pay to persons performing labor in and about Work provided for in the Contract Documents an amount equal to or more than the general prevailing rate of per diem wages for (1) work of a similar character in the locality in which the Work is performed and (2) legal holiday and overtime work in said Locality. The per diem wages shall be an amount equal to or more than the stipulated rates contained in a schedule that has been ascertained and determined by the Director of the State Department of Industrial Relations and City to be the general prevailing rate of per diem wages for each craft or type of workman or mechanic needed to execute this Contract. Contractor shall also cause a copy of this determination of the prevailing rate of per diem wages to be posted at each Site. City of Cupertino 00620 - 2 Construction Labor and Material Payment Bond BBF Infrastructure Upgrade 2011 Re -Bid Project No. 2010 -9135 14. Definitions. 14.1 Claimant: An individual or entity having a direct contract with Contractor or with a Subcontractor of Contractor to furnish labor, materials or equipment for use in the performance of the Contract, as further defined in California Civil Code §3181. The intent of this Bond shall be to include without limitation in the terms "labor, materials or equipment" that part of water, gas, power, Light, heat, oil, gasoline, telephone service or rental equipment used in the Construction Contract, architectural and engineering services required for performance of the Work of Contractor and Contractor's Subcontractors, and all other items for which a stop notice might be asserted. The term Claimant shall also include the Unemployment Development Department as referred to in Civil Code §3248(b). 14.2 Construction Contract The contract between City and Contractor identified on the signature page of this Bond, including all Contract Docum nts and changes thereto. I4.3 City Default: Material failure of City, which has neither been remedied nor waived, to pay the Contractor as required by the Construction Contract, provided that failure is the cause of the failure of Contractor to pay the Claimants and is st.fficient to justify termination of the Construction Contract. END OF DOCUMENT City of Cupertino 00620 - 3 Construction Labor and Material Payment Bond BBF Infrastructure Upgrade 2011 Re -Bid CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT • _ - • cam. .. •- w.'L- c?�via,.wagJ;: �tf,e.�R..•.? .s2S.�'+�S„��5..'y. '+�.` ? sa .� a • State of California County of Santa Clara O 28, 2011 before me, Sarah M. Lorincz, Notary Public Date Here Insert Name and Title of the Officer personally appeared Danij ela Mosunic Name(s) of Signer(s) whc proved to me on the basis of satisfactory evidence to be the persons whose named is/XrK subscribed to the within instrument and acknowledged to me that XlisheXtiaexecuted the same in NherXauthorized capacity J, and that byXi 'her Xsignature() on the x -� ;.� . L instrument the person, or the entity upon behalf of r << 5"> All M. 1 - 71',N` which the persons acted, executed the instrument. Co.11,1isSID'1 # 180,5285 ti votary i uilli - Carfl nin = I certify under PENALTY OF PERJURY under the laws .•� Sarlt . C,lara Ccuniy c_ r,m F , es ,il.l . ' 2012 of the State of California that the foregoing paragraph is d. N,•�= true and correct. WITNESS my hand and official seal. Signature ) Place Notary Seal Above Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capaclty(Ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ individual ❑ Individual ❑ Corporate Officer — Title(s): ❑ Corporate Officer —Title(s): ❑ Partner — ❑ Limited ❑ General RIGHTTHUMBPRINT ❑ Partner — ❑ Limited ❑ General RIGHTTHUMBPRINT ❑ Attorney in Fact OF SIGNER ❑ Attorney in Fact OF SIGNER ❑ Trustee Top of thumb here Trustee Top of thumb here ❑ Guardian or Conservator ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: "� •e✓<LGV -•✓ - .v - ems •.e'C ' - erGt%i - +!C C -'C -' e �s ra e - � 4�•vC.y4�G'�<v4 •» . '.�'.� . ': • EG G "+� a'- y ` 44 02007 National Notary Association • 9350 De Soto Ave., P.O. Box 2402 • Chatsworth, CA £ •1313 -2402 • www.NattonaiNotary.org Item 45907 Reorder: Call Toll -Free 1-800-876-6827 • a S 2.Z xs FF..,.. c. ,1 a. } , ;:, ati : tV ss " ?" .., A :y r l., m y UJ , THE GRAY INSURANCE COMPANY U THE GRAY CASUALTY &SURETY COMPANY 155815 m o' GENERAL POWER OF ATTORNEY U) 03 KNOW ALL BY THESE PRESENTS, THAT The Gray Insurance Company and The Gray Casualty & Surety Company, corporations duly m organized and existing under the laws of Louisiana, and having their principal offices in Metairie, Louisiana, do hereby make, constitute, and appoint sn xi • cc Ronald G. Speno, Vincent M. Scolari, Charles M. Griswold, Francis E. Cook, and Danijela Mosunic of San Jose, California jointly or z c severally on behalf of each of the Companies named above its true and lawful Attorney(s) -in -Fact, to make, execute, seal and deliver, for and on its o o behalf and as its deed, bonds, or other writings obligatory in the nature of a bond, as surety, a ty, contracts of suretyship as are or may be required or > m permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract of suretyship executed under this authority shall z z ' exceed the amount of $10,000,000. o o This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of z c Directors of both The Gray Insurance Company and The Gray Casualty & Surety Company at meetings duly called and held on the 26 of June, -i 2 2003 m . 0 a x o o "RESOLVED, that the President, Executive Vice President, any Vice President, or the Secretary be and each or any of them hereby is mm a authorized to execute a power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of The Company 7 0 of cr bonds, undertakings, and all contracts of surety, and that each or any of them is hereby authorized to attest to the execution of such Power of = m ' Attorney, and to attach the seal of the Company; and it is in' it o cu FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or o m to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall m m —> be binding upon the Company now and in the future when so affixed with regard to any bond, undertaking or contract of surety to which it is 1 attached. _ a' m z 2 IN WITNESS WHEREOF, The Gray Insurance Company and The Gray Casualty & Surety Company have caused their official seals to be hereinto W affixed, and these presents to be signed by their authorized officers this September 12, 2011. c w � 0114 4 , � . c BY: Attest: - / E t y " a x D ` _ ~ 'ti 7%. ���I ��W�' ��r�' y OPr . «... , Z cc . � i t o � � v ! � g 4 . SEAL i Michael T. Gray Mark S. Manguno . SEAL i _ . 0% President, The Gray Insurance Company Secretary, °� _ `' m * and The Gray Insurance Company, s .� ".."- m y Vice President, The Gray Casualty & Surety Company * = z The Gray Casualty & Surety Company y State of Louisiana a F-', ss c w Parish of Jefferson m x D On this September 12, 2011, before me, a Notary Public, personally appeared Michael T. Gray, President of The Gray Insurance Company and Vice so a President of The Gray Casualty & Surety Company, and Mark S. Manguno, Secretary of The Gray Insurance Company and The Gray Casualty & m z Surety Company, personally known to me, being duly sworn, acknowledged that they signed the above Power of Attorney and affixed the seals of the y (I) companies as officers of, and acknowledged said instrument to be the voluntary act and deed, of their companies. 1-- s" iu : rig' CO I N i . +0 I \ td:40 0 ilk: `" f * a Lisa S. Millar, Notary Public, Parish of Orleans -n E A.0 j r C % , d r ' .. �w ... � � State of Louisiana m „ oN i:0 My Commi is for Life m I, Mark S. Man uno, Secret of The Gra Insurance Com an and The Gra Casualt & Sure Company, do hereby certify that the above and z w o g Y Company Gray Casualty Surety f3 cc forgoing is a true and correct copy of a Power of Attorney given by the companies, which is still in full force and effect. a 0 m 3 IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 28th day of S ep te,rnber, 2011. m 0 s.* U R AN 0 ;P NTY " 71111.411110s—ros+-4 Z ;i : SEAL :0 a to ` cl i SEAL Mark S. Man uno,, Secretary m y r o1 _ g z y,� o — y 4 The Gray Insurance Company f " "' ��`' ~• The Gray Casualty & Surety Company 1 x y 0 0 o c 3 m F. to z O a c -1 x m • z o c z r m m ''/ SS31Nfl OI1N3H1f1V ION SI 1N3Wf1000 SINI • H30H081NIHd01:1011/11 V ONV `SH381d 319181A `NHVWH3IVM 311E11 V SVH I1 SS3]Nl OILN3H1fV ION SI 1N3Wf1000 SIH.>' NS?rIN122111112 Aco® CERTIFICATE OF LIABILITY INSURANCE DATE26/2/Y3 ��. 09/26/2013 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 N REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. L IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(los)must be endorsed. H 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 LIC #0726293 1-408-973-9500 CONTACT NAME: Arthur J. Gallagher & Co. PHONE 408-973-9500 FAX 408-257-2985 Insurance Brokers of California, Inc. A/C No: One Almaden Boulevard E-MAIL > ADORES3: z Suite #960 — w San Jose, CA 95113 ___ ____ _ INSURER(S)AFFORDING COVERAGE _ NAIC0 INSURER A: Colony Insurance Company 39993 INSURED INSURER B: Peerless Insurance Co. 24198 CRW Industries Inc. INSURER C: State Compensation Insurance Fund 35076 5346 Scotts Valley Drive, Suite E INSURER D: AGCS Marine insurance Company 22837 Scotts Valley, CA 95066 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 35981444 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL UBR POLICY NUMBER M_OLICY EFF FOLIC EXP LIMBS LTR A GENERAL LIABILITY X X GL954138 04/15/1 04/15/14 EACH OCCURRENCE $1,000,000 DAMAGE TO R X COMMERCIAL GENERAL LIABILITY PREMISES EaEoccunence $100,000 CLAIMS-MADE I X I OCCUR MED EXP(Any one person) $5,000 X Deductible $2,500 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 JECT POLICY X PR0. LOC $ B AUTOMOBILE LIABILITY X X BA 8644728 04/15/12 04/15/14 COMBINED SINGLE LIMIT 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) _ _ AUTOS AUTOS _ NON-OWNED PROPERTY t DAMAGE X HIRED AUTOS X AUTOS Per acciden $ Camp/Coll Ded. $$500 A UMBRELLA LWB X OCCUR XS169456 04/15/1 04/15/14 EACH OCCURRENCE $51000,000 X EXCESS LIAR CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION NIL $ C WORKERS COMPENSATION X 9073145-2013 10/01/1 10/01/14 X WCSTATU- OTH- AND EMPLOYERS'LIABILITY — ANY PROPRIETOR/PARTNER/EXECUTIVE YIN NIA E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? Y (Mandatory In NH) E.L.DISEASE-EA EMPLOYEd$ 1,000,000 _ 11 es,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D Rented/Leased Equipment KZI93044702 09/12/1 09/12/14 $1,000 Dad 25,000 D Contractors Equipment KZI93044702 09/12/1 09/12/14 Scheduled 45,309 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) RE: Project #2012-9133; McClellan Ranch Preserve, Environmental EQucation Center & Blacksmith Shop Relocation. Additional Insureds: City of Cupertino, a Municipal Corporation of the State of California, its City Council, and their employees, representatives, consultants, and agents, and Enginserc, and Guilbane Building Company. CERTIFICATE HOLDER CANCI_LLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Cupertino THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Public Works Department ACCORDANCE WITH THE POLICY PROVISIONS. 10300 Torre Avenue AUTHOR ZED REPRESENTATIVE Cupertino, CA 95014 - USA P ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD slweis 35981444 P52oot¢nu02 Narred I nsur ed: CRN I ndust r i es, I nc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TRANSFER F RIGHT'S OF RECOVERY S FER LL AGAINST OTHERS TO US ° This endorsement modifies insurance provided under the following: N COMMERCIAL GENERAL LIABILITY COVERAGE PART > PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART w The following is added to Paragraph 8.Transfer Of Rights Of Recovery Against Others To Us of Section IV- Conditions: We waive any rights of recovery we may have against any person or organization because of payments we make for injury or damage resulting from your ongoing operations or"your work"done under a contract with that person or organization and included in the "products-completed operations hazard" if: a. you agreed to such waiver; b. the waiver is included as part of a written contract or lease; and c. such written contract or lease was executed prior to any loss to which this insurance applies. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. U047-0310 Includes copyrighted material of ISO Properties, Inc., Page 1 of 1 with its permission. �P52filNl?7{(X12 2. That portion of "your work" out of which the injury or damage arises has been put to its w intended use by any person or organization. N w 0 Negligence of Additional Insured "Bodily injury"or"property damage"arising directly or indirectly out of the negligence of the additional insured(s). N C. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance is w amended and the following added: The insurance afforded by this Coverage Part for the additional insured shown in the Schedule is primary insurance and we will not seek contribution from any other insurance available to that additional insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. U156P-0310 Includes copyrighted material of ISO Properties, Inc., Page 2 of 2 with its permission. P52GIN12NU111 Insured: CRWlndustries, Inc. - Policy #: BAS644728 Policy Terra 04/ 15/2013 to 04/15/14 COMMERCIAL AUTO GOLD ENDORSEMENT " N W THIS ENDORSEMENT CHANGES THE POLICY. PLEASE 13EAD IT CAREFULLY. This endorsement modifies insurance provided under the following: N N BUSINESS AUTO COVERAGE FORM > Z w SECTION II-LIABILITY COVERAGE A. COVERAGE * * 1. WHO IS AN INSURED The following is added: d. Any organization,other than a partnership or joint venture,over which you maintain ownership or a majority interest on the effective date of this Coverage Form, if there is no similar insurance available to that organization. e. Any organization you newly acquire or form other than a partnership or joint venture, and over which you maintain ownership of a majority interest. However, coverage under this provision does not apply: (1) If there is similar insurance or a self-inst,red retention plan available to that organization;or (2) To "bodily injury" or "property damage" that occurred before you acquired or formed the organization. f. Any volunteer or employee of yours while using a covered"auto"you do not own, hire or borrow in your business or your personal affairs. Insurance provided by this endorsement is excess over any other insurance available to any voluntee r or employee. g. Any person, organization, trustee, estate or governmental entity with respect to the operation, maintenance or use of a covered"auto"by an insured,if: (1) You are obligated to add that person,organization,trustee,estate or governmental entity as an additional insured to this policy by: (a)an expressed provision of an"insured contract",or written agreement;or (b)an expressed condition of a written permit issued to you by a governmental or public authority. (2) The"bodily injury"or"property damage"is caused by an"accident'which takes place after: (a)You executed the"insured contract'or written agreement;or (b)the permit has been issued to you. GECA 701(01/07) Includes copyrighted material of Insurance Services Offices,Inc.with its permission Page 1 of 4 �PSNNN12MIN12 If "loss" results from the total theft of a covered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided under paragraph 4.Coverage Extension. N w 0 7. Lease Gap Coverage If a long-term leased "auto" is a covered "auto" and the lessor is named as an Additional Insured - Lessor, In the event of a total loss, we will pay your additional legal obligation to the lessor for any difference between the actual cash value of the "auto" at the time of the loss and the "outstanding z balance"of the lease. w "Outstanding balance"means the amount you owe on the lease at the time of loss less any amounts representing taxes;overdue payments;penalties, interest or charges resulting from overdue payments;additional mileage charges;excess wsar and tear charges;and lease termination fees. B. EXCLUSIONS The following is added to Paragraph 3 The exclusion for "loss" caused by or resulting from mechanical or electrical breakdown does not apply to the accidental discharge of an airbag. Paragraph 4 is replaced with the following: 4. We will not pay for"loss"to any of the following: a. Tapes, records, disks or other similar audio, visual or data electronic devices designed for use with audio,visual or data electronic equipment. b.Equipment designed or used for the detection or location of radar. c.Any electronic equipment that receives or transmits audio,visual or data signals. Exclusion 4.c does not apply to: (1) Electronic equipment that receives or transmits audio, visual or data signals, whether or not designed solely for the reproduction of sound, if the equipment 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"electrical system,in or upon the covered"auto";or (2)Any other electronic equipment that is: (a)Necessary for the normal operation of th;covered"auto"or the monitoring of the covered"auto's"operating system;or (b)An integral part of the same unit housing any sound reproducing equipment described in (1) above and permanently installed in the opening of the dash or console of the covered "auto" normally used by the manufacturer for inslallation of a radio. D. DEDUCTIBLE The following is added: No deductible applies to glas 3 damage if the glass is repaired rather than replaced. GECA 701(01107) Includes copyrighted material of Insurance Services Offices,Inc.with its permission Page 3 of 4 N5?mxilxix�l Arthur J.Gallagher& Co. One Almaden Boulevard Suite#960 San Jose,CA 95113 Electronic Service Requested E B IX B PO N w 0 MIXED AADC 950 6122 2.2601 MB 0.652 I1111���1�'���I��1�1�1�1111�1�111111�'�'�II�I�����111�111����111� N N City of Cupertino 10 PUBLIC W It6 OR DEPARTMENT > 10300 TORRE AVENUE w CUPERTINO, CA 95014-3202 This document was brought to you by Ebix/CertificateeNaa and Arthur J. Gallagher Co. - Insurance Brokers of California, Inc. in San Jose, CA.- Any documents forwarded with the certificate request were reviewed for the sole purpose of - completing the certificate.- If you have questions regarding the content of this document, please contact - the Producer/Agent listed on the certificate of insurance or fax to 1-408-257-2985.- The data included in this notice and in the attached document is confidential to - Ebix/CertificatesNow and Arthur J. Gallagher & Co. Insurance Brokers of California, Inc.- - cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. Certificate Delivery by CertificatesNow-www.ConfirmNet.com-877.669.8600 �P52(alU'2%1X12 - - - n A�pQ® DATE(MMIODNYYY) /'l A CERTIFICATE OF LIABILITY INSURANCE 09/26/2013 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. U_ IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(13s)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 LIC #0726293 1-408-973-9500 CONTACT r+ Arthur J. Gallagher & Co. PHONE FAX - N 408-973-9500 408-257-2985 0 Insurance Brokers of California, Inc. WC,No.Lxu: Na; One Almaden Boulevard E-MAIL DDRESS: 2 Suite #960 -- San Jose, CA 95113 __- ___-,____-INSURER 5 AFFORDING COVERAGE NAIL t INSUREF:A: Colony Insurance Company 39993 INSURED INSUREF:6: Peerless Insurance Co. 24198 CRW Industries Inc. C INSUREF: State Compensation Insurance Fund 35076 5346 Scotts Valley Drive, Suite E INSURER D: AGCS Marine Insurance Company 22837 Scotto Valley, CA 95066 INSUREF:E: INSURER.F: COVERAGES CERTIFICATE NUMBER: 35981492 _ 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 1HE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN R EDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDDNM MMIDDIYYYY A GENERAL LIABILITY X X GL954138 04/15/1 04/15/14 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 100,000 -PREMISES(Ea occurrence $ CLAIMS-MADE 1XI OCCUR MED EXP(Any one person) $5,000 X Deductible $2,500 PERSONAL&ADV INJURY $1,000,000 _ GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 JECT POLICY X PRO-__1 LOC _ $ B AUTOMOBILE LIABILITY X X BA 8644728 047-197U3 COMBINED SINGLE LIMIT Ea accident 1,000,000 X ANY AUTO BODILY INJURY(Par person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident Comp/Coll Ded. $$500 A UMBRELLA LIAR X OCCUR XS169456 04/15/1 04/15/14 EACH OCCURRENCE $5,000,000 X EXCESS LIAR_ CLAIMS MADE AGGREGATE $5,000,000 DED X RETENTION NIL _ $ C WORKERS COMPENSATION X 9073145-2013 10/01/1 10/01/14 X WT RY L1MI OTH- AND EMPLOYERS'LIABILITY - ER ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? y - (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000_ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT $ D Rented/Leased Equipment 1SZZ93044702 09/12/1 09/12/141$1,000 Ded 25,000 D Contractors Equipment XZI93044702 09/12/1 09/12/14 Scheduled 45,309 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) RE: Project #2010-9135 Blackberry Farm Infrastructure Upgrade 2011, 21979 San Fernando Avenue. Additional Insured (General & Auto Liability) and waivers of Subrogation (General & Auto Liab & Workers Comp): The City of Cupertino, a Ninicipal Corporation of the State of CaLi.fornia, its City Council, and their employees, representatives, consultants (Excluding Professional Liability) slid agents and Engineers (Excluding Professional Liability) with respect to liability arising out of the activitie;r of the named insured. CERTIFICATE HOLDER CANCELLATION Project #2010-9135 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Cupertino THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Public Works Department ACCORDANCE WITH THE POLICY PROVISIONS. 10300 Torre Avenue AUTHOF IZED REPRESENTATIVE 1 �/'INI Cupertino, CA 95014 -fj'� �l - USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD slweis 35981492 NS)(rl Nl2 tll Nl? Narred I nsur ed: CIAN I ndust r i es, I nc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. G TRANSFER OF RIGHTS OF RECOVERY N AGAINST OTHERS TO US ° This endorsement modifies insurance provided under the following: N COMMERCIAL GENERAL LIABILITY COVERAGE PART > PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to Paragraph S.Transfer Of Rights Of Recovery Against Others To Us of Section IV- Conditions: We waive any rights of recovery we may have against any person or organization because of payments we make for injury or damage resulting from your ongoing operations or"your work"done under a contract with that person or organization and included in the "products-completed operations hazard" if: a. you agreed to such waiver; b. the waiver is included as part of a written contract or lease; and c. such written contract or lease was executed prior to any loss to which this insurance applies. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. _ U047-0310 Includes copyrighted material of ISO Properties, Inc., Page 1 of 1 with its permission. �P5261N12%IN12 I- 2. That portion of "your work' out of which the injury or damage arises has been put to its w intended use by any person or organization. w 0 Negligence of Additional Insured "Bodily injury"or"property damage"arising directly or indirectly out of the negligence of the additional insured(s). C. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance is z amended and the following added: W The insurance afforded by this Coverage Part for tho additional insured shown in the Schedule is primary insurance and we will not seek contribution from any other insurance available to that additional insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. U156P-0310 Includes copyrighted material of ISO Properties, Inc., Page 2 of 2 with its permission. P52aei28t"J2 Insured: CRWlndustries, Inc. Policy #: BA8644728 Policy Term 04/ 15/2013 to 04/15/14 COMMERCIAL AUTO GOLD ENDORSEMENT N L+, THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: N N BUSINESS AUTO COVERAGE FORM z w SECTION 11-LIABILITY COVERAGE A. COVERAGE *** 1. WHO IS AN INSURED The following is added: d. Any organization,other than a partnership or joint venture,over which you maintain ownership or a majority interest on the effective date of tI•is Coverage Form, if there is no similar insurance available to that organization. e. Any organization you newly acquire or form other than a partnership or joint venture, and over which you maintain ownership of a majority interest. However, coverage under this provision _ does not apply: (1) If there is similar insurance or a self-insured retention plan available to that organization;or (2) To 'bodily injury" or "property damage" chat occurred before you acquired or formed the organization. f. Any volunteer or employee of yours while using a covered"auto"you do not own, hire or borrow in your business or your personal affairs. Insurance provided by this endorsement is excess over any other insurance available to any volunteer or employee. g. Any person, organization, trustee, estate or governmental entity with respect to the operation, maintenance or use of a covered"auto"by ar insured,if: (1) You are obligated to add that person,organization,trustee,estate or governmental entity as an additional insured to this policy by: (a)an expressed provision of an"insured contract',or written agreement;or (b)an expressed condition of a written permit issued to you by a governmental or public authority. (2) The'bodily injury"or"property damage"is caused by an"accident'which takes place after: (a)You executed the"insured contract'or written agreement;or (b)the permit has been issued to you. GPCA 701(01/07) Includes copyrighted material of Insurance Services Offices,Inc.with its permission Page l of 4 wszoa12nuu: If "loss" results from the total theft of a covered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided under paragraph 4.Coverage Extension. 0 7. Lease Gap Coverage If a long-term leased "auto" is a covered "auto" and the lessor is named as an Additional Insured - N Lessor, In the event of a total loss, we will pay dour additional legal obligation to the lessor for any difference between the actual cash value of the 'auto" at the time of the loss and the "outstanding z balance"of the lease. u� "Outstanding balance"means the amount you owe on the lease at the time of loss less any amounts representing taxes;overdue payments;penalties,interest or charges resulting from overdue payments;additional mileage charges;excess wear and tear charges;and lease termination fees. B. EXCLUSIONS The following is added to Paragraph 3 The exclusion for "loss" caused by or resulting frrom mechanical or electrical breakdown does not apply to the accidental discharge of an airbag. Paragraph 4 is replaced with the following: 4. We will not pay for"loss"to any of the following: a. Tapes, records, disks or other similar audio, visual or data electronic devices designed for use with audio,visual or data electronic equipment. b.Equipment designed or used for the detection or lo,:ation of radar. c.Any electronic equipment that receives or transmits audio,visual or data signals. Exclusion 4.c does not apply to: (1) Electronic equipment that receives or transmits audio, visual or data signals, whether or not designed solely for the reproduction of sound, if the equipment 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"electrical system,in or upon the covered"auto';or (2)Any other electronic equipment that is: (a)Necessary for the normal operation of the covered"auto"or the monitoring of the covered"auto's"operating system;or (b)An integral part of the same unit housing any sound reproducing equipment described in (1) above and permanently installed in the o;jening of the dash or console of the covered "auto" normally used by the manufacturer for installation of a radio. D. DEDUCTIBLE The following is added: No deductible applies to glass damage if the glass is repaired rather than replaced. GECA 701(01/07) Includes copyrighted material of Insurance Services Offices,Inc.with its permission Page 3 of 4