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88-065 Worthington Chevrolet, Improvement Agreement 20955 Stevens Creek Boulevard· .' AGREEMENT 20955 STEVENS CREEK BLVD. 'lhis AGREEMENl' made and. entered into this -;rz!,f day of ~~ , 19,!!? , by and. l:letween the CrI"l OF OJPERI'INO, a municipal cozporation of the state of california, hereinafter --..... -~---.. designated as CrI"l, and. WORTHINGTON CHEVROLET WITNESSETH WHE:!lFAS, the DEVEIDPER has made application to the CrI"l for a BUILDING PERMIT to construct and. maintain a OFFICE BUILDING AND CAR WASH hereinafter referred to as "Proj ect. " WHEREAS, CrI"l hereby appraves the i:mpravement plans and. specifications prepared for the Project by KIER & WRIGHT a true ropy of which i:mpravement plans and. specifications are on file in the office of the City Engineer of CUpertinol and. WHE:!lFAS, the same are inco:rp:»:ated herein by reference, the same as though set rut in full; NCM, 'JliERE:I'ORE, said i:mpravement plans and. specifications shall J:)e hereinafter called the "Plans," and. the 'I«lrk to J:)e done U1'Xler the Plans shall J:)e called the ''Work.'' 1 t .' ,. WHEREAS, pursuant to the provisions of this AGREEMENT, the CITY hereby established the all¥:lUl1ts of J'lonjs, Fees, and Deposits as set forth in the following schedule: Scm:IllIE OF :oom:s, FEES AND DEroSrIS street IlTIprovement categOl.'Y: PARI' A. Faithful Performance :BorXi: SEVENTEEN THOUSAND AND 00/100 DOLLARS PARI' B. labor and Material :BorXi: SEVENTEEN THOUSAND AND 00/100 DOLLARS PARI' c. 0lecJd.n:; and Inspection Fee: ONE THOUSAND TWENTY AND 00/100 DOLLARS PARI' D. Indirect city Expenses: ONE HUNDRED FIFTY THREE AND 00/100 DOLLARS PARI' E. ' DaVe10pment Maintenance Deposit: FIVE HUNDRED AND 00/100 DOLLARS PARI' F. StorlI\ Drainage Fee: SEVEN THOUSAND SIX HUNDRED SIXTY FOUR AND 00/100 DOLLARS PARI' G. One Year PcMer Cost: SEVENTY TWO AND 00/100 DOLLARS PARI' H. street Trees: &:l DaVe10per PARI' I. Map 0lecJd.n:; Fee: PARI' J. Park Fee: PARI' K. water Main Eld:ension Deposit: PARI' L. Maps an:l/or IlTIprovement Plans: 2 $17,000.00 $17,000.00 $ 1,020.00 $ 153.00 $ 500.00 $ 7,664.00 $ 72.00 N/A N/A N/A t NOW, ~RE, IT IS HEREBY MIml1IIiUi AGREED by ani between the parties hereto as follows, 'lO WIT: 1. DEDICM'ION A. 'llie DEVEIDPER offers to dedicate the :real property sha;m on Exhi:bit "A", which is attached hereto ani made a part hereof by reference. said dedicated property shall be free ani clear of all liens or encumbrances except those which the c:rr:l shall waive in writing. '!he DEVEIDPER agrees not to revoke said offer of dedication, ani to keep said offer open until the c:rr:l accepts offer by resolution. B. Upon execution of this AGRE:E:MEm' the DEVEIDPER agrees to deliver a properly executed grant deed to the c:rr:l of the :real property described in Exhibit "A", and such other executed conveyances, or inst.ruments necessary to convey clear title as herein required. '!he DEVEIDPER shall provide, at the DEVEIDPER'S sole cost ani expense, to the City: (1) A prel:iminaJ:y title report issued by a title insurance company relating to the property offered for dedication. (2) A starxiard policy of title insurance issued by a title insurance company ani insurirxJ the c:rr:l in the sum of: NjA, ani which shall shCM said property free ani clear of all liens or encumbrances except those as the CI'F.{ shall expressly waive in t writirxJ; said policy shall be furnished at the time of acceptance of dedication ani recomation of deed. C. Upon the condition precedent that the DEVEIDPER shall perform each ani every covenant ani COIrlition of this AGRE:E:MEm', the CI'F.{ agrees to accept said :real property offered for dedication·. 2. lNSTALIATION OF ~ It is :furtl1er agreed that: A. 'lhe DEVEIDPER shall install ani complete the Work within one (1) year fram the date of execution of this AGREEMENT, or such lon;rer period as may be specifically authorized in writing by the City Engineer. In the event the DEVEIDPER fails or refuses to complete the Work within the specified period of time, the c:rr:l, at its sole option, shall be authorized to complete the Work in whatever manner the CI'F.{ shall decide. In the event the c:rr:l completes the Work, the c:rr:l may rect:Ner any ani all costs incurred thereby f= the DEVEIDPER or the DEVEIDPER' S surety or both. B. 'llie DEVEIDPER shall install ani complete the Work in a good ani worJoranlike manner in accordance with the plans as approved by the City En;Jineer of aJpert1no. 'llie Work shall be done in accordance with existing ordinances ani resolutions of the CI'F.{ ani in accordance with all plans, specifications, S'I:a:OOards, sizes, lines, ani grades approved by the City Engineer. The Work shall be done in accordance with all state ani County statutes applicable hereto. '!he decision of the City En;Jineer shall be final as to whether any material or workmanship meets the S'I:a:OOards, specifications, plans, sizes, lines ani grades as set forth. 3 C. It is further agreed that the WOrk shall be done in accordance with the 1lC6t cunent" star.dard Specifications of the Department of Public works, california Department of Transportation, state of califomia, and in accxm:lance with the specifications of the CUpertino sanita:l:y District ~ applicable. WhereVer the woms "state" or "o.Jifomia Division of Highways" are mentioned in the state Specifications, it shall be considered as referring to the CI:Tl1' of CUpertino: also wherever the "Di.:rector" or "Director of Public works" is mentioned, it shall be considered as referring to the City Engineer. In case of conflict between the state Specifications and the specifications of the CI:Tl1' arx3,/or the CUpertino sanita:l:y District, the specifications of the CI:Tl1' arx3,/or the CUpertino sanita:l:y District shall take preceienoa over and be used in lieu of such conflict:l.rq portions. 3. EKCAVATION PERMIT It is further agreed that the DIMll'.DPER shall comply with section '1hree of ord.inance. No. 130 of the CI:Tl1' by obtaini:rI;J an excavation permit from the City Engineer before the ~ of any excavation in, on, or under the surface of any existing public street, lane, alley, sidewalk, or other public place. It is further agreed that the DEVELOPER shall notify the City Engineer of the exact date and time 'When the proposed excavation is to commence. t 4. QUI'ICIAIM DEED It is further agreed that the DIMll'.DPER, 'When requested by the CI:Tl1', shall quitclaim all his rights and interests in, and shall grant to CI:Tl1' authorization to extract water from the undel:ground strata lying beneath said project and DIMll'.DPER agrees to execute a "Quitclaim Deed and Authorization" in favor of CI:Tl1', 'When presented to him for signature. S. 00NIlS AND amER SEXllRlTl{ A. Upon the execution of this .iIGRliB1ENl', the DIMll'.DPER shall fUe with the CI:Tl1' a faithfUl. perfo:anance born to assw:e his :fUll and faithfUl. perfo:anance of this .iIGRliB1ENl'. 'lb.e penal sum of said faithfUl. perfo:anance bond shall be the fUll cost of' any ~ to be made under this AGREEMENI', the value of any land agreed to be dedicated, am any improvements to be made under this .AGREEMENl'. In the event that ~ are to be made under this .iIGRliB1ENl', the DEVELOPER shall, in addition to said faithfUl. perfo:anance, file with the CI:Tl1' a lahor and l!laterials born in a penal sum adequate to assw:e fUll payment of all laJ:x)r and l!laterials :z:equ:i.red to construct. said improvements. 'lb.e amount of said borxls shall be as designated by the City Engineer. said borxls shall be executed by a surety company authorized to transact a surety business in the state of califurnia and lIl!.lSt be approved by the City Attom.ey as to fOJ:lll and by the City Engineer as to sufficiency. In the event that the DIMll'.DPER shall fail faitl'lfully to perfOJ:lll the covenants and con:U.tions of . this .iIGRliB1ENl', or to make any payment, or any dedication of land, or any illlprovements herein :z:equ:i.red, the CI:Tl1' shall call on the surety to perfOJ:lll this .iIGRliB1ENl' or pt:he:z:wise .:indemnify the CI:Tl1' for the DIMll'.DPER' S failure to so do. 4 .' B. . In lieu of a .. surety bon::l., the IlE.'VEWPER ICay elect to secure this ~ "r:I:i depositinq with the crri': 1. cash; or, 2. A cashier's check, or a certified check payable to the order of the city of Olpertino; or, 3. A certificate of deposit, or ~ of credit meetinq the reQ.Uireme.nts of Govemment: Code section 66499 (h) or (0) • C. '.!he a!1Xllmt of said cash, checks, certificate of deposit, or ~ of credit shall be as designated "r:I:i the City Engineer, and shall be the equivalent to that which would have been required had the IlE.'VEWPER furnished the Cl'lY with a surety bon::l.. In the event that the DEVELOPER shall fail faithfUlly to perfom the COI7enants and cor:Clitions of this ~, or to make any payment, or any dedication of land, or any ~ herein required, the crri' l!IaY apply the ptoceeds of said security thereto. D. No release of surety bon::l., cash deposit, check, or certificate of deposit, shall be :made except UpOn approval. of the City CC:uncil. E. No.interest shall be paid on any security deposited with the crri'. 6. CllECKIllG AND DlSPECl'ION FEE It is further agreed that DEVELOPER shall pay any and all necessCI:tY direct expenses for inspection, checkin;r, etc., incurred "r:I:i crri' :in connection with said Project, and that DEVELOPER shall have deposited with Cl'lY, prior to execution of this ~, the a!1Xllmt as set forth herein at Page 2 (Part C). Should construct:i.on cost vary niaterially from the estimate from which said sum is calculated, the City Engineer shall notify IlE.'VEWPER of any additional sum due and ~ as a result thereof. 7. INDIRECl' EXPENSES It is further agreed that DEVElOPER shall pay to crri', prior to execution of this ~, iIx:iirect expense allcalble to processing these ~, the aJIlaJIlt as set forth herein at Page 2 (Part D). 8. MAP CHECI.<ING FEE It is further agreed that the IlE.'VEWPER shall deposit with crri', prior to execution of this~, for office checkin;r of final map and field checkin;r of street lOCll'lIllIlSll, :in compliance with section 4:1 of ordinance No. 47 (Revised 12/04/61) of crri', the amount as set forth herein at Page 2 (Part I) • 5 \ 9. DEVEtDB4EN'l' MAIN'l'ENl;NCE ~lT It is :fUrther agreed that the DEVEtDPER shall pay to the CI'l'Y, prior to execution of this AGREEMENT, the aIOOUnt set forth herein at Page 2 (Part E) as a development maintenance deposit to insure proper dust control ani c1eanin;r duriD;J the construction period. 'llle development maIntenance deposit :may be utilized for repairs of defects ani imperfections arisiD;J out of or due to faulty workmanship an:'I/or materials appeariD;J in said work duri:nq the period until release of the improvement :t:x:ms by the CI'l'Y. Shoold the DEVEJ:DPER oc::mp1ete the required repairs to the e.ntim satisfaction of the CI'l'Y, the unused balance will be retumed after the release of the improvement :t:x:ms. 10. S'IORM DRAINAGE FEE It '.:J :fUrther agreed that the DEVEJ:.OPER shall deposit with the CI'l'Y, prior ;:0 execution of this AGREEMENl', a stem drainage cha:r:ge in connection with said Project in accordance with the requirements established in Resolution 4422, March 21, 1977, in the amount as set forth herein at Page 2 (Part F). 11. WATER Ml\llf EKTENSION ~lT 'llle DEVEJ:DPER fU:rt:her agrees to deposit with the CI'l'Y those lI'OIlies required to comply with "Policy on water Main EKtensions work ani Deposits" dated 9/30/77. 'll1e deposit shall be held by the CI'l'Y until said t lI'OIlies are needed to implement improvements OIltlined by t:l;e Director of - l?Ublic works or illlprovements OIltlined within the adopted water Master Plan. 'lll.e aIOOUnt shown herein at Part X, Page 2, shall be the full amount due. 12. ONE YFAR :R:lWER CXlSl' It is :fUrther agreed that the DEVEJ:DPER shall pay to CI'l'Y prior to execution of this AGREEMENT, the aw:mxt as set forth herein at Page 2 (Part G), which amount :teprss nta the power cost for sLteej:: lights for ons year. 13. 'DiE INSTALIATION' OF S'I!RE!!lI' mE!ES It is :fUrther agreed that the DEVEJ:.OPER shall, at such tWa as deemed appropriate by the City Er:q:ineer, plant sLteet trees in confo:tl!lance with the sta:ndaJ:tis of the City of 0Jpert1n0. variety of t.I:ee shall be selected from the City awroved list. 14. PARK FEES It is fU:rt:her agreed that the DEVEJ:DPER shall pay such fees an:'I/or de1icate such lan:i to the CI'l'Y, prior to execution, as is required within "Park Dedication O:tdinancell N\.miber 602, 1972, ani which is fU:rt:her_ stipllated ur:Der Part J, Page 2 herein. 6 '!he value of the land used in establishing the "Park Fee" outlined herein on :!?age 2, Part J, ~ fOl::lI1aJ. confil:mation. '!he CITY shall employ a qualified local appraiser to provide a :aa.rket value of the land. '!he City will calall.ate the "Park F~" based on the appraisal. '!he Developer agrees to pay for a:rrj deficiency'"within th.i.rt:y. (30) days ani the City agrees to refImi overage within thirty (30) days. .l\djU5t:ments shall be :made prior to a=ept:ance of the sul::division bnp=ement:s. 15. MlUN'l.".ElWrCE OF mEK It iJo furt:her agreed thet the' o:e:v:E:I.OPER shall roai:rttain the Work until. all deficienciee in the Work are correct:ed to conform to the Plans and the City stan:lards and specifications for the Work. '!he DEI7EI.Ol?ER shall. upon writ'"...en notice the..""eCf. illllllE!di ately repair or replace. wit:.hcut:. cost or obligation to the. Citt of OJperti:no.and to the entire samfaction of said. c:r:r:'l, all defects and ~ections arising out of or due to faulty workmanship and/or materials appear.i.:n;' in said. Work. IS. SAN'I.'.rARY DISmICl' It is furt:her agreed that the DEI7EI.OPER shall file with CIT:{, upon execution of this AGlEEMENI', a letter nom the 0Jperti:n0 Sanita:ty District stating that t.'le DEVELOPER has entered :into a separate AGRm!ENT with the said. District to iI'.staU sanita:ty seHers to 5e..'VE! all lots within said Project and stating that a l:xm:.i to insure full ani faithful perfonnance of the COl'l.S'i:::l:U...ion of the said. sanitary sS'.vers and to insure maintenance of t said. sanitary seHer in conformance wi~ .. j;:he provisions as set forth in Paragraph 15 above has been filed. 17. ~a:lOE It is further agreed. that 0EVEI0l?ER shall file with CIT:{, upon execution of this AGREEMENT, sul::stantia.l. evidence that all previsions of Section 66493, Article 8, Qlapter 4 of the Gove:rnmel'l:t: co:Ie, p!rtaining to sped al assessments or l:xm:.is, have been CX'l!!lJil jed with. ' 18. CEN'I:RAL FmE DISTlilICl' It is furt:her agreed. that the OEVEI.OPER shall file with the CIT:{, upon execution of this AGREEMENT 1 a 1et:t:er fl:'o!n the cent:ral Fire Pl:otection Dist:tict: of santa Cla:ra camty, stating that the DEI7EI.O.I?ER has entered :into an .l\GREnlEN'l' with said. Dist:rict: to install fire hydJ.:ant:s to serve said :Project and stating that all necessary fees have l:Ieen deposited with said. District to :insure installation and five (5), year rental fee of said , hydrants. ' 1.9. PACIFIC GAS AND EI.ECImCfPACIFIC BE:IL It iJo furt:her agreed. that the OEVEIOPER shall pay to l?acific Gas and Electric Cnnpany and/or to PACIFIC BE:U. Co!!lpany a:rrj and all fees ~ for installation of overhead and/qr UOOergrcur:d w:i.rinq ci:rt::uits to all electroliers within said ptcperty and a:rrj and' all fees :re::p:dred for' ~ as p;rovided in Ordinance No. 331 of CIT:{ when DEVELOPER is notified by either the City' En:;jineer or the 'J?acific Gas ani Electric Company an:l/or PACIFIC BE:IL COmpany that said. fees are due and payable. 7 ........... ",..1 ......... r ... _ .......... . ... " .... : i 1 • 20. El'ISllMEm'S AND RIGHT-OF-wAY It is further ag:teed that an;y easement ani right-of-way necessa:ry for completion of the l?roject shall be acquired by the DEVEIDPER at his Cl'ml cost ani expense. It is provided, however, that in the event eminent domain prooeed.in;,Js are requi.rEd by the CITI for the pu:rpose of securin;r said easement ani right-of-way, that the DEVEIDPER shall-deposit with CITI a sum coverin;r the reasonable market value of the lani proposed to be taken ani to be included in said sum shall be a reasonable allowance for severance damages, if an;y. It is further provided. that in addition thereto, such sums as may be required for legal fees ani costs, ~ineerin;r, ani other incidental costs in such. reasonable aJl¥JU!lts es the CITI my :require shall be deposited with the City of Olpe.rt:ino. 21. HOW HARMIESS It is further ag:teed that, ~ with the performance of the Work by the DEVEIDPER or his contractor ani cont:inui.nq until the completion of the naintenance of the Wo:r.1<:, the DEVEIDPER shall imemnify, hold hannless ani defem. the CITI from ani against an;y or all loss, cost, expense, damge or liability, or claim thereof, occasioned by or in an;y way 1tihatsoever arisin;r 9Ut of the perfol:mance or nonperfOl:ll1aIlCe of the Wo:r.1<: or the negligence or willful IIIisoc.nluct of the DEVEIDPER or the DEVEIDPER'S agents, enployees ani .i.n:Iepe.roent contractors. 22. INSURlINCE It is further agreed that: 'll1e DEVEIDPER shall take out, or shall :require an;y contractor ~ged to perform the Work to take out, ani maintain at all times during the perfOl:ll1aIlCe ani naintenance of the Wo:r.1<: called for or requi.rEd to be done hel:eurxier, a policy of insurance naming the CJ:r':l ani memre:s of the City Council of the City of Olpe.rt:ino, individually ani collectively, ani the officers, agents ani employees of the City indiv.idnaJJy ani collectively, as insured. Said separate policy shall provide bXli 1 Y injuxy ani property damage coverage to the foregoin;r named CITI ani !n:tiviClmtls cover.in;r all the Work performed by, for, or on behalf of said DEVEIDPER. Beth bodily injury ani property damage insurance l!11JSt be on an occurrence basis; ani said policy or policies shall provide that the coverage affonled thereby shall be pr.i:maJ:y coverage to the full limit of liability stated in the declarations, ani if the city, its members of the City 0XIncll individllalJy ani collectively, ani the officers, agents, and -employees of the CI'l'Y, individually and collectively, have other insurance against the loss COYel:ed by said policy or policies, that other insurance shall be excess insurance only. The insurance carrier shall provide proof of their ratings. All ratings shall be a minimum of "Best A-7" in accordance with !BAG policies. . t A. Each of said. policies of insurance shall provide COITerage in the follcw::l.rq minil11um aJOOUnts: For bodily injury, $100,000 each person; $300,000 each occu:rrence, property damage, $50,000 on acoount of any one occur:rence with an a.gg:t'e9ate limit of not less than $200,000. B. ~ DEIIEl'.OPER shall file with the City ED,;Jineer at or prior to the time of e:lCecUt:ion of this ~ l:ly the DEIlELOPER such evidence of said foregoing policy or policies of :I.nsurance as shall be satisfactoty to said City ED,;Jineer. Each such policy or policies shall bear an endorsement precJ..udinq the cancellation or recl!Jction in COITerage without givin;r the City ED,;Jineer at least ten (10) days advance notice thereof. C. In the event that the Project oovered herein should be mutually situated in or affect the area of jurisdiction of a separate lI1lll'licipality or political suJ:xlivision of the State of california, the policies of :I.nsurance ret;Illired herein and alxIve shall co-name such lIIlll'licipality or political suJ:xlivision and the provision set forth herein and alxIve for the pt'tItec1:ion of the Cl'lY shall equally apply to lI1lll'licipality and political suJ:xlivision. 23. MAPS AND/OR ~ PUNS It is further aqxeed that the Cl'lY shall o'bta.:in the follcw::l.rq map and/or plans at the DEI7ELOPER'S expense: A. A mylar sepia and seven (7) prints of fully executed parcel map. B. A mylar sepia and ten (10) prints of fully executed ilIprovement plans. C. A d:i:rect. duplicatm;r silver negative microfllm aperature card of all executed ilI1prcve:ment plans and map. The DEIlELOPER agrees to pay the Cl'lY fl::tmI the development maintenance deposit the cost for all prints of plans and map ret;Illired un::ter Item 23. 24. stJCCESSORS This AGREEMENT shall bind the heirs, administrators, executors, successor, assignee and tJ:anst:eLL es of the DEVEIOPER. 'll1e assignment of this AGRmolEm' shall not be made without app;roval l:ly the City Council of the City of Olpertino. ' 9 l " l,;UH .... UHAI t: A(;KNUWLt:.U\.::iMt:.N I 7120122 StateOI&",~19=#:I&.'::::::::::::~} Ss. county~ OFFICIAL SEAL JONILYNN II HILL NOTAII'f puauc: • CAl.IFORl'IlA 9ilIW!E!ITD COOIllY My _III. ";/10$ oer 13, 1990 NO. 202 On this the2daYOf ~ ~ ,~eforeme, ,,/{)A..J; 1f?.L,t.-A /~ '// / the undersigned Notary Public, personally appeared )Ef' personally known to me o proved to me on the basis of satisfactory evidence to bJl }II" persW$) who ex:;cuted the within Instrument as L/1l'!L l2Jdi::1:L tZtfZ..4 or on behalf of the corporation therein , named, and acknowledged 10 me that the corporation executed it. -,W",I-IT~N~~S",m,y:,;:h;a~n~d~a~nSd~o=f=fi:..c.~,a;.'1 $=-_1._ ~ NATIONAL NOTARY ASSOC!ATION • 23012 Ventura Olvd, • P.O.80)(4625 • Woodland Hills, CA 91365-4625 • m WI'INESS WHEREX:lF, c:rr'l has caused its name to be herelU'lto affixed by its Mayor am City Clerk, thereunto duly authorized by resolution of the City Council am said DEVELOPER has hereunto caused his name to be affixed the day am year first above written. Approved as to fom: City Attomey 2:>?V~e.e. /J,p/-r&//'lk c:%v~C)/c! c.( dye?/brJ0 -4 dft/%M/I d&-~,,;L Notary AcImoWJ edgment Required Exhibit A Attached 10 c:rr'l OF ClJPERI'INO: / DEVELOPER: /4~~~ R.~c /Ua!&~~ As~/.5I-~r-&PiiYct--f-e . • gl-(£M~l~ PRODUCER JAMES E. MCGOVERN, INC 1625 EL CAMINO REAL BELMONT, CA 94002 CODE SUB-CODE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING. COVERAGE f~~NY A MARYLAND CASUALTY 1-----------------------+ ~~~NY B INSURED JACK & COHEN BUILDERS 820 RAMONA PALO ALTO, CA 94301 )---f---' CLAIMS MADel X! ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-QWNED AUTOS GARAGE LIABILITY ,-=""",.LlABll..lTY OTHER THAN UMBRELLA WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY POLICY NUMBER EPA 01930396 WAA 82279985 UB 89719775 N/A COMPANY D LETTER COMPANY E LETTER 7-1-88 7-1-88 7-1-88 7-1-89 7-1-89 BODILY INJURY $ BODILY INJURY $ PROPERTY • DAMAGE EACH AGGREGATE 7-1-89 OCCURRENCE $2,000, $ 2,000, OTHER * A 10 DAY CERTIFICATE HOLDER, COLLECTIVELY & THE OF CANCELLATION ~~l':l~TTB~:E~T~GIVEN ON THE OF NON-pAYMENT OF CITY OF CITY OFICUPERTINO, INDIVIDUALLY, & OF CITY OF IDIVIDUALLY & DESCRIPTION OF OPERATIONSJLOCATIONSIVEHICLESfRESTRICTIONSfSPECIAL ITEMS PROJECT: WORTHINGTON CHEVROLET CITY OF CUPERTINO ATTN: LAVENDA MILLER-ENGINEERING DEPT. 10300 TORRE AVENUE CUPERTINO, CA 95014 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ~ MAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, r«i~~lGlIIl(iXX~XOOlIl\QaC ~~ .. ·.1 A_=_tlllt.l·CERTIFICATE OF INSURANCE < I'SSUE DATE IMMJDDIYY) , o 9L2.lL8_8 __ PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW R.L. MILSNER, INC. 2125 Oak Grove Road, Suite llO COMPANIES AFFORDING COVERAGE Walnut Creek, Ca. 94598 "1 COMPANY A FIREMAN'S FUND/NATIONAL SURETY LETTER CODE SUB-CODE COMPANY B .~NSURED LETTER COMPANY c PUBLIC WOkKS JACK & COHEN BUILDERS, INC. LETTER 820 Ramona COMPANY D SEP 23 1988 Palo Alto, Ca. 94301 LETTER COMPANY E LETTER _COJ/ERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTVoJITHSTANDING 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONI ALL LIMITS IN THOUSANDS LTR DATE (MMJDDIYY) DATE (MMJDDIYY) GENERAL LIABILITY GENERAL AGGREGATE , ~"COMMEI1CIAL GENERAl LIABILITY , PRODUCT5-COMPJOPS AGGREGATE $ I C~IMS MADU OCCUR. PERSONAL & ADVERTISING INJURY $ paWNER'S' CONmACTOR'S PROT. EACH OCCURRENCE • FIRE DAMAGE (Anyone fire) , MEDICAL EXPENSE (Anyone parson) $ ~DMOBILE LIABILITY COMBINED I SINGLE $ I--ANY AUTO LIMIT r--ALL OWNED AUTOS BODILY I INJURY $ I--SCHEDULED AUTOS I (Per person) I--HIRED AUTOS BODILY I INJURY ! $ • I--NON·OWNED AUTOS I (Per accldent)\ I I--GARAGE LIABILITY PROPERTY I, DAMAGE I EXCESS LIABILITY I I EACH AGGREGATE ROTHER THAN UMBRELLA FORM I OCCURRENCE '. • i J 19/29/88 9/29/89 STATUTORY I WORKER'S COMPENSATION WP 80355248 1000 • (EACH ACC!DENT) AND 1000 , (DISEASE-POLICY UMln EMPLOYERS' LIABILITY , 1000 (DISEASE-EACH EMPLOYEE) OTHER I DESCRIPTION OF OPERATIONS/LDCATIONSNEHICLES/RESTRICTlONSJSPECIAllTEMS RE: WORTHINGTON CHEVROLET _CERTIF.ICATE..HO~OER C~NC.ELL~tION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF CUPERTINO EXPIRflON DATE THEREOF, THE ISSUING COMPANY W'LL ~N~~mt: Attn: Lavehia Millar -. MAIL _0_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Engineering Department LEFT, HOQmI\~I)Il!;m§~~~~~N.}CjIll~~N/lj:~M.1tlJ\~MR{ 10300 Torre Avenue X!mQ"tx:~I{IIlII~~m>~~X~~~~~~~X~1j; Cupertino, Ca. 95014 AUTHORIZED REPRESENTATIVE f]"L.ffiLlQQ.QL ACORO 25-5 fa/88\ ©ACORO CORPORATION 1988