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89-141 Improvement Agreement, 10706 Rae Lane, Reso 7922, APN 356-07-19 Citil of CNperti"o 10300 Torre Avenue Cupertino,California 95014 P.O. Box 580 Telephone: (408) 252-4505 Cupertino,California 95015 September 13, 1989 B. S. Dhillon 2705 Peachwood Court San Jose, CA 95132. AGREEMENTneTCVEMENT - 10706 STEVENS CREEL( BUjLEVARD We are enclosing to you for your files one (1) copy of the Agreement by and between the City of Cupertino and B. S. Dhillon, which has been fully executed by City Officials, along with one (1) copy of Resolution No. 7922, which was enacted by the City Council of the City of Cupertino, at their regular meeting of Tuesday, September 5, 1989. Sincerely, DORO'T'HY OORNE,LIUS CITY CLERK CITY OF CQJPERTINO DC/so encl. cc: Department of Public Works RESOLUTION NO. 7922 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF CUPERTIN0 APPROVING PARCEL MAP AND IMPROVEMENT PLANS OF PROPEE7I'Y LOCATED AT 10760 RAE LANE; DEVELOPER; B. S. DHIIZON; AUTHORIZING EXECUTION OF IMPROVEMENT AGREE =; AUTHORIZING SIGNING OF PARCEL MAP AND IMPROVEMENT PLANS WHEREAS, there has been presented to the City Council for approval of the parcel map and improvement plans of property located at 10760 Rae Lane by B. S. Dhillon; and WHEREAS, there has been presented to the City Council a proposed agreement for the construction of streets, curbs, and gutters, and for other improvements and good and sufficient bonds (letter of credit) , fees, and deposits as set forth in Exhibit "A" having been presented for the faithful performance of said work and the carrying out of said agreement; and said map, agreement, and bonds having been approved by the City Attorney; NOW, THEREFORE, BE IT RESOLVED THAT a. Said parcel map and improvement plans herein referred to are hereby approved. b. The offer of dedication for street areas and all easements is hereby accepted. C. The City Engineer is hereby authorized to sign said improvement plans. d. The City Engineer and the City Clerk are hereby authorized to sign said parcel map. e. The Mayor and the City Clerk are hereby authorized to execute the agreement herein referred to. PASSED AND ADOPTED at a regular meeting of the City Council of the City of Cupertino this 5th day of September 1989, by the following vote: Vote Members of the City Council AYES: Johnson, Koppel, Rogers, Plungy NOES: None ABSENT: Gatto ABSTAIN: None ATTEST: APPROVED: /s/ Dorothy Cornelius /s/ John J. Plungy, Jr. City Clerk Mayor, City of Cupertino EXHIBIT "At1 SCHEDULE OF BONDS, FEES, AND DEPOSITS DEVELOPMENT Single-Family DEVELOPER B. S. Dhillon LOCATION 10760 Rae Lane A. Faithful Performance Bond: $27,000.00 Twenty Seven Thousand Dollars and no/100 Dollars B. Labor and Material Bond: $27,000.00 Twenty Seven Thousand Dollars and no/100 Dollars C. Checking and Inspection Fee: $ 1,350.00 One Thousand Three Hundred Fifty Dollars and no/100 Dollars D. Indirect City Expenses: $ 203.00 Two Hundred Three Dollars and no/100 Dollars E. Development Maintenance Deposit: $ 1,000.00 One Thousand Dollars and no/100 Dollars F. Storm Drainage Fee: $ 628.00 Six Hundred Twenty Eight Dollars and no/100 Dollars G. One Year Power Cost: N/A H. Street Trees: By Developer I. Map Checking Fee: $ 210.00 Two Hund-rdd 'Ten.tDo11ars =and•-no/100 Dollars J. Park Fee: II $21,200.00 Twenty One Thousand Dollars and no/100 Dollars K. Water Main Extension Deposit: $ 3,780.00 Three Thousand Seven Hundred Eighty Dollars and no/100 Dollars L. Maps and/or Improvement Plans: As specified in Item 23 of Agreement B AGREEMENT 10760 RAE LANE (APN 356-07-19) FILE #51,854 This Air made and entered into this day of Tzj 4, 199 , by and between the CITY OF CUPEIUM, a municipal corporation of the State of California, hereinafter designated as CITY, and B. S. DHILLON hereinafter designated as DEVELOPER. WITNESSETH WHEREAS, the DEVELOPER has made application to the CITY for a BUILDING PERMIT to construct and maintain a SINGLE FAMILY DWELLING hereinafter referred to as "Project." WHEEMM, CITY hereby approves the improvement plans and specifications prepared for the Project by LEE ENGINEERS ; a" true copy of which improvement plans and specifications are on file in the office of the City Engineer of Cupertino; and WBE REAS, the same are incorporated herein by reference, the same as though set out in full; NOW, THEREFORE, said improvement plans and specifications shall be hereinafter called the "Plans," and the work to be done under the Plans shall be called the "Work." • 1, 1 1 f WHEREAS, pursuant` 'to the provisions of this AGREEmwr, the CITY hereby established the ai� of Bonds, Fees, and Deposits as set forth in the follaaing schedule: SaIEDCnF'• OF BONDS, FEES AND DEPOSITS Street Improvement Category: PART A. Faithful Performance Bond: TWENTY SEVEN THOUSAND DOLLARS AND N0/100 $27,000.00 PART B. Labor and Material Bond: TWENTY SEVEN THOUSAND DOLLARS AND NO/100- $27,000.00 PART C. Checking and Inspection Fee: ONE THOUSAND THREE HUNDRED FIFTY DOLLARS AND N0/100 $ 1,350.00 PART D. Indirect City Expenses: TWO HUNDRED THREE DOLLARS AND N0/100 $ 203.00 PART E. Development Maintenance Deposit: ONE THOUSAND DOLLARS AND INO/100 $ 1,000.00 A PART F. Storm Dranage,,,Fee: SIX HUNDRED TWENTY�EIGHT DOLLARS AND N0/100 $ 628.00 PART G. One Year Prower Cost: N/A PART H. Street Trees: By Developer PART I. Map Checking Fee: TWO HUNDRED TEN DOLLARS AND N0/100 $ 210.00 PART J. Park Fee: TWENTY ONE THOUSAND DOLLARS AND N0/100 $21,000.00 PART K. Water Main Extension Deposit: THREE THOUSAND SEVEN HUNDRED EIGHTY DOLLARS AND NC�00 $ 3,780.00 PART L. Maps and/or Improvement Plans: As Specified in Item 23 � U 2 � o NOW, MEM ORE, IT IS HMEBY M M ALLY AGREED by and between the parties hereto as follows, TO WIT: 1. DEDICATION A. The DEVELOPER offers to dedicate the real property shaven on Exhibit "A", which is attached hereto and made a part hereof by reference. Said dedicated property shall be free and clear of all liens or encumbrances except those which the CITY shall waive in writing. The DEVELOPER agrees not to revoke said offer of dedication, and to keep said offer open until the CITY accepts offer by resolution. B. Upon execution of this AGREEMENT the DEVELOPER agrees to deliver a properly executed grant deed to the CITY of the real property described in Exhibit "A", and such other executed conveyances, or instruments necessary to convey clear title as herein required. The DEVELOPER shall provide, at the DEVELOP'ER'S sole cost and expense, to the city: (1) A_, prelim nary title report issued by a title insurance ccmlpany'relating to the property offered for dedication. (2) A ,,standard;.; policy of title insurance issued by a title insurance, company and insuring the CITY in the sum of: N/A, and which shall , show. said property free and clear of all liens or encumbrances_except those as the CITY shall expressly waive in ' writing; 'said policy shall be furnished at the time of acceptance of dedication and recordation of deed. C. Upon the condition precedent that the DEVELOPER shall perform each and every covenant and condition of this AGREEMENT, the CITY -agrees to accept said'real property offered for dedication. 2. INSrDU=0N OF WORK It is further agreed that: A. The DEVELOPER shall install and canplete the Work within one (1) year from the date of execution of this AMZM04I', or such longer period as may be specifically authorized in writing by the City Engineer. In the event the DEVELOPER fails or refuses to complete the Work within the specified period of time, the CITY, at its sole option, shall be authorized to complete the Work in whatever manner the CITY shall decide. In the event the CITY completes the Work, the CITY may recover any and all costs incurred thereby from the DEVELOPER or the DEVELOPER'S surety or both. B. The DEVELOPER shall install and ccWlete the Work in a good and workmanlike manner in accordance with the plans as approved by the City Engineer of Cupertino. The Work shall be done in accordance with existing ordinances and resolutions of the CITY and in accordance with all plans, specifications, ' standards, sizes, lines, and grades approved by the City Engineer. The,Work shall be done in accordance with all State and County Statutes applicable hereto. The decision of the City Engineer shall be final as to whether- -arty; material or workmanship meets the standards, specifications, ,plans,;-sizes, lines and grades as set forth. 3 Al C. It is. ,further,,..agreed that the Work shall be done in accordance with the most current.,standard Specifications of the Department of Public Works, Californ auDepartment of Transportation, State of California, and in accordance with the y°specifications of the Cupertino Sanitary District where applicable.-i,, Wherever the words "State" or "California Division of Highways" are mentioned in the State Specifications, it shall be considered as referring to the CITY of Cupertino; also wherever the "Director" or "Director of Public Works" is mentioned, it shall be considered as referring to the,pity, Engineer. In case of conflict between the State Specifications and the specifications of the CITY and/or the Cupertino Sanitary. District, the specifications of the CITY and/or the Cupertino Sanitary District shall take precedence over and be used in lieu of such conflicting portions. 3. EXCAVATION PE= It is further agreed that the DEVELOPER shall comply with Section Three of Ordinance No. 130 of the CITY by obtaining an excavation permit from the City Engineer before the c=wxcament 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 ccnmence. 4. QUITCLAIlri DEID It is further agreed that the DEVELOPER, when requested by the CITY, shall quitclaim, all his rights and interests in, and shall grant to CITY authorization .to, extract water from the strata lying beneath said project and DEVELOPER agrees to execute a "Quitclaim Deed and Authorization";in-;.favor,,of ,CITY, when presented to him for signature. 5. BONDS SAND OUM,SECURIT.'Y A. Upon the;� execution of this AGRE I-TENT, the DEVELOPER shall file with the CITY a faithful performance bond to assure his full and faithful performance of this AGREEMERT. The penal sum of said faithful performance bond shall be the full cost of any payment to be made under this AGREEMERr, the...value of any land agreed to be dedicated, and any improvements to,. be made- under - this AGREEMENT. In the event that improvements are.to be made under this AGFtEEKENT, the DEVELOPER shall, in addition to said faithful performance, file with the CITY a labor and materials bowl in a penal sum adequate to assure Rill payment of all labor and materials required-to construct said improvements. The amount of said bonds shall be as designated by the City Engineer. said bonds shall be executed by a surety ccanpany authorized to transact a surety business in the State of California and must be approved by the City Attorney as to form and by the City Engineer as to sufficiency. In the event that the DEVELOPER shall fail faithfully to perform the covenants and conditions of this AGREEMENr, or to make any payment, or any dedication of land, or any improvements herein required, the CITY shall call on the surety to perform this AGREEMERr or otherwise indemnify the CITY for the DEVELOPER'S failure to so do. A B. In lieu of a"surety bond, the DEVELOPER may elect to secure this AGRE mE TI' by depositing with the CITY: 1. Cash; or, 2. A,cashier's check, or a certified check payable to the order of the City of Cupertino; or, 3. Alcertificate of deposit, or instrument of credit meeting the requirements of Government Code .Section 66499 (b) or (C) C. The amountof said cash, checks, certificate of deposit, or instrument of credit, shall be as designated by the City Engineer, and shall be the equivalent to that which would have been required had the DEVELOPER furnished the CITY with a surety bond. In the event that the DEVELOPER shall faiL;Vfaithfully to perform the covenants and conditions of this AGREEMENT, or: to make any payment, or any dedication of land, or any improvements herein required, the CITY may apply the proceeds of said security thereto. D. No release of surety bond, cash deposit, check, or certificate of deposit, shall be made except upon approval of the City Ca=il. E. No interest shall be paid on any security deposited with the CITY. 6. CHEC=G AND INSPECTION FEE It is further agreed that DEVELOPER shall pay any and all necessary direct expenses for inspection, checking, etc., incurred by CITY in connection with said Project, .and that DEVELOPER shall have deposited with CITY, prior to execution of this AGREEMENT, the amount as set forth herein at Page 2 (Part C) . Should construction cost vary materially from the estimate from which said sum is calculated, the City Engineer shall notify DEVELOPER of any additional sum due and owing as a result thereof. 7. INDIRECT, EXPENSES It is further agreed that DEVELOPER shall pay to CITY, prior to execution of :this MAGI', indirect expense allocable to processing these improvements., the�zma nit as set forth herein at Page 2 (Part D) . B. MAP CHEMUNG, FEE It is further,agreed that the DEVELOPER shall deposit with CITY, prior to execution of this., AGREEMENT, for office checking of final map and field checking of street monuments, in ccupliance with Section 4:1 of Ordinance No. 4µ7„ ,,3 (]Revised . 12/04/61) of CITY, the amount as set forth herein at Page 2• (;Part�I) . 9. DEVELOPMENT MAI=WCE DEPOSIT It is further agreed that the DEVELOPER shall pay to the CITY, prior to execution of this AGRE'EMEVT, the amount set forth herein at Page 2 (Part E) as a development maintenance deposit to insure proper dust control and cleaning during the construction period. The development maintenance deposit may be utilized for repairs of defects and imperfections arising out of or due to faulty workmanship and/or materials appearing in said work during the period until release of the improvement bonds by the CITY. Should the DEVELOPER complete the required repairs to the entire satisfaction of the CITY, the unused balance will be returned after the release of the improvement bonds. 10. STORM DRA3�G FEE It is further agreed that the DEVELOPER shall deposit with the CITY, prior to execution of this AGREEMERr, a storm drainage charge 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 11. ITER MAIN EXTENSION DEPOSIT The LIEVELOPER further agrees to deposit with the CITY those monies required to comply with "Policy on Water Main n&ansions Work and Deposits" dated 9/30/77: -The deposit shall be held by the CITY until said monies are needed to implement improvements outlined by the Director of Public Works or improvements outlined within the adapted Water Master Plan. The amount shownherein at Part K, Page 2, shall be the full amount due. 12. ONE YEAR POWER COST It is further agreed that the DEVELOPER shall pay to CITY prior to execution of this AGREEMENT, the amount as set forth herein at Page 2 (Part G) , which amount represents the power cost for street lights for one year- 13. THE INSTA r A'T'TON OF S'T'REET TFdM It is further agreed that the DE,'V=PER shall, at such time as deemed appropriate by the City Engineer, plant street trees in conformance with the standards of the City of Cupertino. Variety of tree shall be selected from the City approved list. 14. PARK FEES It is further agreed,. that the DEVELOPER shall pay such fees and/or dedicate such land. to,the ,CITY, prior to execution, as is required within "Park Dedication �Qrd nance" Number Numb602, 1972, and which is further stipulated under Part J,. Page 2 herein. 14-d. PARK A=-SIMEM 1:111VISICNS The value of the land used in establishing the "Park Fee" cutlined herein on Page 2, Part J, requires formal confirmation. The CITY shall employ a qualified local appraiser to provide a market value of the land. The City will calculate the "Park Fee" based on the appraisal. The Developer agrees to pay for any deficiency`within thirty. (30) days and the City agrees to refund overage within thirty (30) days. Adjustments shall be made prior to°accxgptance of the subdivision improvements. 15. MAZE T-77 NCE- OF Nr It iS fur`=her agreed that- the DE=P—;rR 111 1 maintain the Work until all deficiencies in the Work are corrected to confora to the plans and the City standards arra specifications for the Work. The DE'V=PER shall, upon written notice thereof, ; j;ately repair or remlace, without cost or obligation to the. City of Cupertino, and to the entire satisfaction of said CITY, all defects and imicerfections arising out of or due to faulty wor.1m nship aril/or materials appearing in said Work. 16. SANT= DISMICr It is further agreed that the DE =PM shall file with =v-, uron execution of this AGREc"'�1 , a letter frem the Cupertino Sanitary Dist icr stat=9 that the DE=PER has ente-r-ed into a separate A=a,1M-' with the said District to install sanitary se*aers to serve all lots within said Project and stating that a bond to insure full and faithful performance of the const uc'.ion of the said sanitary sewers and to irm-u a maintenance of said sanitary suer in conformance with the provisions as set forth in Paragraph 15 above has been filed. 17. GOVaRNMENT CODE ; It is further agreed that DEVE -OPM shall file with CZ'1'Y, upon execution of this AGRM=, substantial evidence that all provisions of Section 66493, Article .8, Chapter 4 of the Gcve==ezt Code, pertaining to special assessments or bonds, have been ccmplied with. ` 18. CET= FIRE DISMICT It is further, agrePd, that the DEVELOPER shall file with the CITY, upon execution of this. �AGiED=,, a letter from the central Fire Protection District of Santa ara� County, stating that the DEVELOPER has entered into an ACTED= with said District ' to install fire hydrants to serve said Project and stating that all necessary fees have been deposited with said District to insure dation and five (5) year rental fee of said hydrants. 19. PAC2F'IC GAS' AND ELE=C,/PAC;IF'IC HELI • i It is further agreed .that the DEVE3:OPFR shall pay to Pacific Gas and Electric company and/or to PA=c EtF'TT, Ccntpany any and all fees required for installation 11 ation of overhead and/or undergroundwiringcircuits to all electroliers within, said property and any and, all fees recd"r•ed for - undergr=lding as provided in Ordinance No. 331 of CI'T'Y when DEVELOPER is notified by either the City M-gineer or the Pacific Gas and Electric Comaany and/or PAC=C HELI, Cc pony that said fees are due and payable. 7 20. EASEMENTS AND RIGHT-OF-WAY It is further agreed that any easement and right-of-way necessary for completion of the Project shall be acquired by the DEVEIAPER at his own cost and expense. It is provided, however, that in the event eminent domain proceedings are..required by the CITY for the purpose of securing said easement and right-of-way, that the DEVEIAPER shall deposit with CITY a stun covering the reasonable market value of the lard proposed to be taken and to be included in said sum shall be a reasonable allowance for severance damages, if i,any. It is further provided that in addition thereto, such sums as may be required for legal fees and costs, engineering, and other incidental costs in such reasonable amounts as the CITY may require shall be deposited'with the City of Cupertino. 21. HOLD HARMLESS It is further 'agreed that, commencing with the performance of the Work by the DEVETAPER or his contractor and continuing until the completion of . the maintenance of the Work, the DEVELOPER shall indemnify, hold harmless and defend the CITY from and against any or all loss, cost, expense, damage or liability, or claim thereof, occasioned by or in any way whatsoever arising out of the performance or nonperformance of the Work or the negligence or willful misconduct of the DEVELOPER or the DEVE-OPER'S agents, employees and independent contractors. 22. INSURANCE It is further agreed that: The DEVELOPER shall take out, or shall require any contractor engaged to perform the Work to take out, and maintain at all times during the performance and maintenance of the Work called for or required to be done hereunder, a policy -of insurance naming the CITY and members of the City Council of the City of Cupertino, individually and collectively, and the officers, agents and employees of the City individually and collectively, as insured. Said separate policy shall provide bodily injury and ply damage coverage to the foregoing named CITY and individuals covering all the Work performed by, for, or on behalf of said-..DE, V=PER- Both bodily injury and ply damage insurance mast be on an` oocrretvoe ,basis; aril said policy or policies shall provide that the coverage. afforded thereby shall be primary coverage to the full limit of liability stated in the declarations, and if the city, its members of the ,: City'._�Council. individually and collectively, and the officers, agents; ,.:and: employees of the CITY, individually and collectively, have other insurance against the loss covered 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 ABAG policies. A. Each of said- policies of insurance shall provide coverage in the following minju amounts: For bodily injury, $100,000 each person; $300,000 each occurrence, property damage, $50,000 on account of any one occurrence with an aggregate limit of not less than $200,000. B. The DEVELOPER shall file with the City Engineer at or prior to the time of execution of this AGREMM by the DEVELOPER such evidence of said fo'regoing'' policy or policies of insurance as shall be satisfactory, to said City Engineer. Each such policy or policies shall bear an endorsement, precluding the cancellation or reduction in coverage withoutgiving the City Engineer at least ten (10) days advance notice thereof. C. In the event that the Project covered herein should be nattually situated in or affect the area of jurisdiction of a separate municipality or political subdivision of the State of California, the policies of insurance required herein and above shall co-name such municipality or political subdivision and the provision set forth herein and above for the protection of the CITY shall equally apply to municipality and political subdivision. 23. MAPS AND/OR nSTDVEMERr PLANS It is further agreed that the CITY shall obtain the following map and/or plans at the DEVELOPER'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 improvement plans. C. A direct duplicating silver negative microfilm aperature card of all executed improvement plans and map. The DEVELOPER agrees to pay the CITY from the development maintenance deposit the cost for all prints of plans and map required under Item 23. 24. SUCCESSORS r This AGREEMENT ' shall bind the heirs, administrators, executors, successor, assignee and transferrees of the DEVELOPER. The assignment of this AGREEM&4 -.- shall riot be made without approval by the City Council of the City of Cupertino. Q STATE OF CALIFORNIA ss. COUNTY OF Santa Clara On this 28th ' day of July in the year 1989 OFFICIAL SEAL before me, the undersigned, a Notary Public in and for said State, personally appeared CH�RI'I_ L. GREGORY 3c 9c 9c x 3c st 4c 4c Notary Public—California]NT ��B.S. Dhillon�� ' ` •��t SANTA CLARA ODUNTY personally known to me a ill o.�' My own.Exp.Aug.10,19 (or proved to me on the basis of satisfactory evidence) to be the person_whose name_ is subscribed to the within instrument,and acknowledged to me that_he_ executed it. f WITNESS my hand and official seal. _ r7 If Notar Public in and for sai State. ACKNOWLEDGMENT—General—Wolcotts Form 233CA—Rev.5-82 ©1982 WOLCOTTS,INC. (price class 8-2) P IN WITNESS WMWF, CITY has caused its name to be hereunto affixed by its Mayor and City Clerk, thereunto duly authorized by resolution of the City Council and said DEVELOPER has hereunto caused his name to be affixed the day and year first above written. CITY OF CUPERTINO: Approved as to form• L Q4a'4-1'e-A- City Attorney City Cler DEVELOPER: r Notary Acknowled.gnent, F;tii2g i^ed r r FIRST COMMERCIAL BANK 94 San Tomas Aquino Rd. Campbell, CA 95008 July 28, 1989 (408) 374-5300 Director of Public Works City of Cupertino 10430 South DeAnza Boulevard Cupertino, California 95014 Re: WITHHOLD FOR FAITHFUL PERFORMANCE OF LABOR AND MATERIAL FOR B. S. 'Dhillon on 10760 Rae Lane Project First Commercial Bank agrees to hold $27,000 as faithful Performance of Site Improvements and Labor and Material for 10760 Rae Lane, in Cupertino. These funds will be made available to the City of Cupertino at such time to fulfill the obligation of B. S. Dhillon if Developer fails to complete subject project. This security will remain in full force and effect until released by the City of Cupertino in writing. R. Luperine Senior Vice President • -e ISSUE BATE(MM/DDNY) �r ® 66" • ' PRODUCCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS ii NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, T EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE. ;.°rk 750 i COMPANY A P','�-,2d,7,NU�L.QUERWI LETTER (4018) 724-3841 COMPANY INSURED LETTER CLEOTMTER Y C } t t 'f9ir i COM k. ' LETTER CY ® :. COMPANY LETTER • THIS IS TO CERTIFY THAT 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 CONDI- TIONS OF SUCH POLICIES. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS LTR DATE(MMlDD/YY) DATE(MM/DDIYY) EACH' OCCURRENCE AGGREGATE GENERAL LIABILITY A COMPREHENSIVE FORM 9001—x,603 a�� .. ���l� t :8 INJURY $ $ PREMISES/OPERATIONS PROPERTY UNDERGROUND DAMAGE $ $ EXPLOSION&COLLAPSE HAZARD PRODUCTS/COMPLETED OPERATIONS CONTRACTUAL COMBINED $ � $ 3 INDEPENDENT CONTRACTORS .: BROAD FORM PROPERTY DAMAGE PERSONAL INJURY PERSONAL INJURY $ �' tic'- AUTOMOBILE LIABILITY BODILY INJUh1A 7 ANY AUTO t (PERP " �w ALL OWNED AUTOS(PRN.PASS.) BODILY ALL OWNED AUTOS OTHER THAN INJURY n PRIV.PASS. (PER ACCIOENT) $ HIRED AUTOS PROPERTY ' NON-OWNED AUTOS DAMAGE $ GARAGE LIABILITY BI&PD - COMBINED' $ Inc!g�� EXCESS LIABILITY UMBRELLA FORM BI&PD COMBINED $ $ OTHER THAN UMBRELLA FORM '•'• ""' WORKERS'COMPENSATION STATUTORY AND $ (EACH ACCIDENT) $ (DISEASE-POLICY LIMIT) EMPLOYERS'LIABILITY ' (DISEASE-EACH EMPLOYEE) OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS JOB ROB&PT I)HU ON t STRUCT11-03aT TWWT #470-0, PARCMS A B 014 rulE LAD TN . -CLJP ?11lBT , CA OFF81TE Rig CMS GIN'fa f3TDM- V,, STOPS DRVEN, . r rt P9 RUTH UTEOVR� • o • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- B.S. DRILL DI PIRATION DATE THEREOF, THE ISSUING COMPANY WILL EXffdafflM .. MAIL DAYS W ITTEIN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 2705 M01400 03UMFT, I CA 95132 A HO DRE E NTATI E s• e f CITY OF_C7.Ix'II JOB W'19-010`3-001-07 ROBERT Mlizoi .CmisTRucaniou a�:`'iCe .x'4790, PARCELSA& B i�'li, Pg a 7C r��y_�? f1�q€a'T`I�Cy $' rgp�+�4 AWME y�;.y3�Irt�'aI �7 �'�I�.Ira. "�At I.pLICr�`�5T, 'Fa-2, PyL�.iI r+�-1:�d,l Y ���7•�3TLH S�yf'-:✓"F-".',Ts3p�tT1{.!-f� LglIgF�'2y'3�1+3.t-I'l%p ATE-,ISI--'4�L+S- 0r,r,3T ,1 '-�-711 i\.'D`.[..L(TTC7 3.1..#- .t.I�a-A.`'.�,I�J.IMAL INS RU) x" . L�dS_.e 'f S p--i ,,t) .Sr'd.3 G�a�,,F E'9�;-) s(�a3 k: G3%T 4ACE, A.PE'M.:?ED Syr I.S.O. ST +hq z.:`D LIABILITY INISURANKMI 73,7,-k! G39008 Ab This endorsement is a part of your policy-and takes effect on the effectivedate of your policy, unless another effec- tive date is shown below. Must Be Completed Complete Only When This Endorsement Is Not Prepared with the Policy Or Is Not to be Effective with the Policy' ENOT.NO., POLICY NO. ISSUED TO_ EFFECTIVE DATE OF THIS ENDORSEMENT CH449 € ' 900-160517 Cp r;IjST-,U TIGT 0"G A4 8/22/89 CNAIIIPy For All the Commitments You Make® - , Countersigned by. Authorized Representative G-39543-A