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Calstate Construction - San Ysidro Park Rec. Building Remodel - Amendment No. 8CfCitp of Oilrop Public Works Department - Engineering Division 7351 Rosanna St., Gilroy, CA 95020 Phone (408) 846 -0451; Fax (408) 846 -0429 CHANGE ORDER NO. 8 To contract for: Temp Tailer Hookup / Misc Concrete - Asphalt City Project No Contractor: Calstate Construction Inc, Contract Date: 12 -PW -194 1/6/2012 This order shall become effective when it has been signed by the City Administrator, City Engineer, Project Engineer, and Contractor. All copies forwarded to Contractor for signature shall be returned to the City of Gilroy properly filled out. Upon acceptance by the City, the Contractor's copy will be returned to him as his authority to proceed with the work. Description of Work To remove approximately 1300 sf of existing asphalt pathway behind BB court #2. Replace demo pathway with 6" slab heavy duty concrete as per A121 detail 3B. Remove abandoned ADA handicap access ramp, curb and gutter at Murray corner to nearest controll joint. Replace approximately 200 sf with new curb, gutter, and sidewalk. Remove and Replace asphalt at new curb locations as needed. Remove and replace approximately 100 sf AC pathway at restrooms entrance to meet the 5% ADA grade requirements. Extend existing 2" potable waterline behind retaining wall approximately 301f. Reconnect to main line. Drill 2'x3' deep hole at end of retaining wall and fill with crushed drain rock for drainage. Temporary Trailer Hookup To Include: Install ADA restroom signage, 2ea nuclear exit signs, relocate exterior outlet for water tank, Repair existing plumbing tree and connect to holding tank. Dig 5'x9'x2' deep hole in grass to insert holding tank for proper flow. Rental of 4 ea 10' cyclone fence panels surrounding holding and fresh water tanks. Repair 3' drain line at catch basin behind court #1. (Time extension of 5 days will be added to the contract). All requirements of the original Contract Documents shall apply to the above work except as specifically modified by this Change Order. The contract time shall not extend unless expressly provided for in this Change Order. By signing this Change Order, Contractor acknowledges and agrees that the adjustments to cost and time contained herein are in full satisfaction and accord, and are accepted as payment in full, for any and all costs and expenses associated with this Change Order, (the "Extra Work "), including but not limited to labor, materials, overhead and profit, delay, disruption, loss of efficiency and any and all other direct and /or indirect costs or expenses associated with the Extra Work and hereby waives any right to claim any further cost and time impacts at any time during and after completion of the Contract associated with the Extra Work. ► All Extra Work authorized under this Change Order must be billed separately from the original contract. All bills for work done under this Change Order shall reference this Change Order No. 8. I (We) agree to make the above change subject to the terms of this Change Order for a NET INCREASE not to exceed $26,322.54. Calstate Construction, Inc. CO By: RECOMMENDED BY: ACCEPTED BY: Cost Percentage Initial Original Contract Price $771,744.00 Previous Change Orders $78,830.50 10.21% Total to Date $850,574.50 This Change Order $26,322.54 Total Change Orders to Date $105,153.04 13.63% Revised Contract Price $876,897.04 Date: 4/17/12 San Ysidro Park Recreation Bldg Remodel # 12-PW -194 Project No. 12 -001 DATE: 4812012 San Ysldro Park 912-PW -194 CONTRACTOR: Calslate Constnrction, Inc. CONTRACTOR COST PROPOSAL* 72 POTENTIAL CHANGE ORDER (PCO) - COST PROPOSAL - PRIME CONTRACTOR DESCRIPTION OF CHANGE: Furnish 8 Install 2 ns Ikuminated exist mpns. ADA Resbwm sipnape at door and strike We of door. Dip 5\w x e' L x 2' deep hole In grass at Deck and of haler to reoahre collection sewme tork Repair wdsling plumbing tree on trailer and connect ID newsewage tend. Remove 10' of 2 " drain line from Caloh basin under walk at court #1 and "we with r line/ reconnect. Supply five morMh rental Coat for 5 ea 10 '*= panels to protect sewage and water larks. MATERIAL + 15% LABOR + 15% EQUIPMENT + 15% PRIME CONTRACTOR TOTAL Sub Contractor Costs from Attached Cost Proposal(s) SUBCONTRACTOR SUBTOTAL DIRECT COSTS PRIMARY 5% FEE ON SUBCONTRACTORS COST SUBCONTRACTOR TOTAL FEE PRIME TOTAL SUBTOTAL COR BOND ( not to exceed 2% of sub totaq TOTAL $69.00 $471.50 $287.50 :628.00 $4,178,851 208.94 $4,387.79 $828.00 $5,215.79 $ 104.32 65.320.11 PREPARED & SUBMITTED BY: Jim Leona COMPANY: Cak tats Constru don, Inc, TITLE: 1 PM �'� ' -• : 1 nil .•) r . — ■__ a 11 11 MEN _ME; MATERIAL + 15% LABOR + 15% EQUIPMENT + 15% PRIME CONTRACTOR TOTAL Sub Contractor Costs from Attached Cost Proposal(s) SUBCONTRACTOR SUBTOTAL DIRECT COSTS PRIMARY 5% FEE ON SUBCONTRACTORS COST SUBCONTRACTOR TOTAL FEE PRIME TOTAL SUBTOTAL COR BOND ( not to exceed 2% of sub totaq TOTAL $69.00 $471.50 $287.50 :628.00 $4,178,851 208.94 $4,387.79 $828.00 $5,215.79 $ 104.32 65.320.11 PREPARED & SUBMITTED BY: Jim Leona COMPANY: Cak tats Constru don, Inc, TITLE: 1 PM Son Ysidro Park Recreation Bldg Remodel # 12 -PW 194 Project No. 12-001 DATE: 4MZ12 San Ysidro Park #124PW194 CONTRACTOR: Calsfate Construction, Inc, CONTRACTOR COST PROPOSAL M: 7.2 POTENTIAL CHANGE ORDER (PCO) - COST PROPOSAL - SUBCONTRACTOR CONTRACTOR DESCRIPTION OF CHANGE: Furnish a Ineml 2 s nan d order ab u. ADA Rssboom sgrrae at door and saw aMa of door. Dig aw x V L x r deep boN In prase at bad* sod of War to mceiw collation semme bank. Rep* mk tg plumbing trw on jester and coons[ to rwmwwam tent. Romm 17 of 2' drain Ina from catch train wdw wak at cwrt #1 pod reolewl3 with Y Ind recmnecL ftwk five manar rem coat far D ss 10' Mres peels b praleel sswsas and water taNu. MATERIAL LABOR EQUIPMENT SUBTOTAL DIRECT COSTS FEE ON DIRECT COSTS (18 %) SUBCONTRACTOR SUBTOTAL Third and Fourth Tier Sub Contractor Costs from Af achad Cost Proposal SUBCONTRACTOR SUBTOTAL t�1a�•rIt :�l $818.10 SIA7.90 $0.00 $1,884.00 $282.01) L Iliziu.601 TOTAL 16660 PREPARED & SUBMITTED BY: Jim Lyons - CSCI COMPANY: Unhrersal TITLE: San Ysidro Park Recreation Bldg Remodel # 12 -PW -194 Project No. 12 -001 DATE: 4!2/2012 San Yaldro Park 4112 -PW -104 CONTRACTOR: Calstate Construction, Inc. CONTRACTOR COST PROPOSAL #: 7.2 POTENTIAL CHANGE ORDER (PCO) - COST PROPOSAL - SUBCONTRACTOR CONTRACTOR DESCRIPTION OF CHANGE: FtxTtsh & Install 2 as 11winated wilt sigrs. ADA Restww slpnage at door and strike skis d door. Dig 5%v x V L x 7 deep We to grass at back and dtracer to receive eolecton sewage tank. Repair edaft plumbing tree m traler and oorsmx to rtewsearaps tars. Remove 10' of 2' drakt Me from catch bask, radar walk at coot #1 and replace with 3- Mal reaornacL Supply Me month rental cost for 5 as 10' fame pards to pndek! sewage and water tent. MATERIAL $20.00 LABOR $840.00 EQUIPMENT $0.00 SUBTOTAL DIRECT COSTS $860.00 FEE ON DIRECT COSTS (15%) $129.00 SUBCONTRACTOR SUBTOTAL $9439.00 Third and Fourth Tier Sub Contractor Costa from Attached Cost Proposal SUBCONTRACTOR SUBTOTAL TOTAL $919.00 PREPARED 8 SUBMITTED BY: Jhn Lyons - CSCI COMPANY: Unwersal TITLE: Proposed Cost Proposal Subcontractor San Ysidro Park Recreation Bldg Remodel # 12 -PW -194 Project No. 12-M DATE: 4/212012 San Ysidro Park #12 -PW -194 CONTRACTOR: Calstate Construction, Inc. CONTRACTOR COST PROPOSAL #: 7.2 POTENTIAL CHANGE ORDER (PCO) - COST PROPOSAL - SUBCONTRACTOR CONTRACTOR DESCRIPTION OF CHANGE: FuNSh B Irrstan 2 ea Oumhated mdet signs. ADA Restroom signage at door and strike aide of door. Dig 5%v x 9 L x r deep hole In grass at bade end of trallar to receive odleclbn sewage tank. Repair adstim piumbky tree on Crater and corned to r wsemo tanl. Remove 10' of 2 ' drain Ikar tum catch basin under walk at court iN and replace with 3' Ina+ rimmed. Supply five month rental oast for 5 es 10' lame cantle to protect sewage and water tanks. MATERIAL $75.00 LABOR $380.00 EQUIPMENT $0.00 SUBTOTAL DIRECT COSTS $455.00 FEE ON DIRECT COSTS (15%) $08.25 SUBCONTRACTOR SUBTOTAL F $523.25 Third and Fourth Tier Sub Contractor Costs from Attached Cost Proposal SUBCONTRACTOR SUBTOTAL TOTAL $523.25 PREPARED & SUBMITTED BY: Jim Lyons - CSCI COMPANY: Universal TITLE: Proposed Cost Proposal Subcontractor San Ysldro Park Recreation Bldg Remodel # 12 -PW -194 Project No. 12-001 DATE: 412!2012 San Ysidro Park 012 -PYY -194 CONTRACTOR: Calstals Construction, Inc. CONTRACTOR COST PROPOSAL 0: 72 POTENTIAL CHANGE ORDER (PCO) - COST PROPOSAL - SUBCONTRACTOR CONTRACTOR DESCRIPTION OF CHANGE: Funlsh d kite! 2 as Mumino W exist aigns. ADA R@Wmn stmae at door and strlce side of door. Dip 1 W x V L x 7 deep hdo in prase in back end of braler m reo*m mleetlon wmwe S* RaMh oxieft Wwrlbino bee an t oW and conned bo new9mgme tnni. Remove 10' a 2 - cUsh ine horn catch WWn un r walk at court#1 end mohme with 3-lnal reconnect Suo* flue nWO MYW root for 5 as 10' Wo panels b protect sewaoe and weW bee3. MATERIAL $0.00 LABOR $0.00 EQUIPMENT $0,00 SUBTOTAL DIRECT COSTS $0.00 FEE ON DIRECT COSTS (15%) $0.00 SUBCONTRACTOR SUBTOTAL :800 00 Third and Fourth Tier Sub Contractor Costs frown Attached Cost Proposal 1='J SUBCONTRACTOR SUBTOTAL TOTAL PREPARED & SUBMITTED BY: Jim Lyons - CSCI COMPANY: Universal TITLE: License # 961816 Certified SOF # 1688140 A ::LffromER 14 40DRESS'. -,A)-- (k31)'630-9021 Fox adCplelodrk@ymvHx"" 330 Son Tn"z Dr Hollislar, CA 95023 WORK ORDER - JOB INVOICE NOmATERIAL )o - mralufflu OPMTAWISY ❑ DAY WORK ❑ CONTRACT ❑ S(TRA MBU=Txrz = PHX.'E BrAffroa DATE CALL FIEMVID NOmATERIAL )o - mralufflu -.j TOTAL ORDER Ham rU DATE COTWLETE& TOTAL MATERIALS TOTAL LABOR TOTAL WAPfWW (8311524 -6416 Tel {631) 630 -9021 Fox odcldelectric6s"lal•com 330 Son Tropes Dr Hollister, CA 95023 License # 961816 Certified SOh # 1688140 ADDRESS: WORK ORDER - JOB INVOKE CL11TA�fE;tBY �_ oxw.. tBmmmagt DAY WORK CONTRACT EXTRA M9 LGw^ 1TIM 'so PW.C- eTrarr� DATE Tsw'E COLiP�CE1VEU :BETi': E MAR -27 -2012 16:55 FROM:MARIA 14083371983 T0:15106571810 BEMONTE'S CONCRETE SERVICES, INC. 800 N. IST STREET \� C.... SAN JOSE, CA. 95112 San Ysidro park Recreation Building Remodel # 12 -PW -194 'lime & Materials as per City of Gilroy 3/21/2012 Excavate by hand, remove pipe, make subgrade and place bedding for pipe Labor 6 HrS S 60.00 $ 860.00 3/22/2012 Excavated for tank at trailer broke Into existing CB place 4" PUC and bac kflll Labor R HrS $ 60.00 S 480.00 Materials PUC 10 LF $ 2.00 S 20.00 SUBTOTAL $ 860.00 15% Mark Up $ 124.00 TOTAL T & M $ a�+w� 889.00 Sin Ysidro Park BID P. 10/14 3/24/2012 MAR-27-2012 16:55 FROM:MPRIA UU] rx in Urld X11 GO& Mft lsdl K 140e3371983 amsnu OPP[c6 W1 EAWr HAFM&JR DR- PHOMM, AZ T0:151065718iO P.11 /14 cjw.j�z SALE OA111fa, VUR.01 01"myrz Ininn 5t,'24047'.A- 1, A PAGE I - t oR�ff12 coupuu-"Irr) 7170 FOREST .-T. 21?DVV TA WT nruT,r1.T1TrM FTIN (4W90-r"'J!, Y C r CE '�HLr- LIlt MT1'r- t, 54, ZAN z A 4 S 'a 72 =- slam MM&M.= w Q1r 'I 5UG QTY DMr.-H IFIT rot! WLT ]JINTEN5 C)RDLR FP-TP VVTP - ... ..... ... " . . -- .- . - - : ------ ----- ..rj V, W T /' F , 4 rbp, v#ijz2 Ilk—ioli . t 'f'Ai lw,-E on Tk$ 4,34 Pf" (7) IT I fir ON Ri"11M. *v lyo TO TI, 1: 156.41 C Ir IUM TOTAL LUS., ^ t IRACU XYCf YUP-1 F-P VATF 7 cumam copy V MAR-27-2012 16:56 FROM:MRRIA 4 n 14OB=1983 T ' CL MO� Z Un DR PHOENM AZ SWM P=4rlG4F W Mo TO:15106571B10 fvukry 7 0 v ruti 1! 5- 1 ED r., (1148 - O."FC-Iff TF t1i 11 V 0 F1 0 P ly i S 7. 'i All 11]:X1+' P. 12/14 -2:= T MAP[! . Tir I I U.", Urpl, TOB. U. t t rr a �c jr c &--.4.j:r= 2- ON't 9;=�L 3: v & 2 & v -M DEL'-": K P 1 00 a QT1 CYRTUR x no Cliri 1 STle COX Sr 1 14 'K-4 5 0 14 c,j,. (D. Ftim Eviry alvantlatic Ronvaztrff R-etwijr.1% .1�;ilvw*l yvu 4--a •uvr un bL f. i nov. q- 6 i;j,-Vr-1F)f WltI. J cc.%,,rt VII 1 Yf dt t t t ' 0 4r TOTAi- • : flo e4!V� (')?A I LIMP TAX T07 t. T-- C, of LA I E K 4; ;1 GU3?ohm cory Associated Plumbing, Inc- 90 Leavesley Rd. Gilroy, CA 95020 Bil To CALSTATE COASTRUCT10N, INC. 4165 SUSWESS CENTER DR FREMONT, CA 94338 Invoice Dale Irwake* 31232012 10291 -X Z -d 0V91-Lb8-90b Sjuuep d91 :£0 Zl 97, !eW ASSOCIATED PLUMBING, INC- Pa L.H10-Y csm LIC. #577085 To: CALSTATE CONSTRUCTION, INC. From DENNIS Attn: JAILED Debt: 3/28/12 Fax: 510- 657 -1810 Number of Pages: 2 Phone: E-MaU: ORIGINAL IN MAIL - ASSOCIATED PLUMBING, INC. 90 LEAVESLEY RD. GILROY, CA 95020 Phone: 408- 847 -4406 Email: as_plbg@msn.com Fax: 408 -847 -1644 L'd Ml,- L48-9()p sluuec d96:£0 Z6 8Z JeW Project Name: San Ysidro Park Recreation Building FIELD ORDER City Of Gilroy 7387 Rosanna Street Gilroy, CA 95020 FIELD ORDER NO. 10 Project Name: San Ysidro Park Recreation Contract Date: 01/06/2012 To Contractor: Calstate Construction Inc Address: 4165 Business Center Dr. Fremont CA 94538 DESCRIPTION OF WORK: Project No: 12 -PW -194 3/20/12 Furnish & Install 2 ea illuminated exit signs with emergency lights. Supply and Install ADA restroom signage at door (triangle or circle) and strike side of door (brail). Dig 5'w x 9'I, x 2' deep hole in grass at back end of trailer to receive collection sewage tank. Repair existing plumbing tree on trailer and connect to new sewage tank. Remove I0' of 2" drain line from catch basin under walk at court #1 and replace with 3" line / reconnect. Supply five month rental cost for 5 ea I0'fence panels to protect sewage and water tanks. Estimated Adjustment of Contract Sum: Ron Barri / PM (Name of Construction Manager/Title - typed or printed) By: (Signature) Date: 03/20/2012 Jared Perry / Proi ect Manager (Name of Contractor Representative/Title - typed or printed) (Signature) Date: Estimated Adjustment of Contract Time: 0 Note: This Field Order will be superseded by an allowance adjustment or a Change Order that will include the scope of the change in the Work and any actual adjustments of the Contract Sum. San Ysidro Park Recreation Bldg Remodel # 12 -PW -194 Project No. 12 -001 DATE: 3118/2012 San Ysidro Park 012 -PW 194 CONTRACTOR: Calstate Construction, Inc. CONTRACTOR COST PROPOSAL* 13 POTENTIAL CHANGE ORDER (PCO) - COST PROPOSAL - PRIME CONTRACTOR DESCRIPTION OF CHANGE: Extend existing 7 portable water line behind retaining wall Wpx 30 LF to main line. Ddh 2k3' deep hob at and of retaining wall and fill with Crushed drain rock for drainage. Option A MATERIAL + 15% $0.00 LABOR + 15% $461.50 EQUIPMENT + 15% $0.00 PRIME CONTRACTOR TOTAL $01.58 Sub Contractor Costs from Attached Cost Proposal(s) SUBCONTRACTOR SUBTOTAL DIRECT COSTS $1,369.97 PRIMARY 5% FEE ON SUBCONTRACTORS COST $88.50 SUBCONTRACTOR TOTAL FEE 1,438.47 PRIME TOTAL $461.50 SUBTOTAL COR $1,899.97 BOND ( not to exceed 2% of aub tote!) $ 38.00 TOTAL 1 $1,937.97 PREPARED & SUBMITTED BY: Jim Lyons COMPANY: Calstate Construction, Inc. TITLE: PM Cost Proposal San Ysidro Park Recreation Bldg Remodel # 12 -PW -194 Project No. 12 -001 DATE: 3116/2012 San Ysidro Park #124)W.194 CONTRACTOR: Calstats Construction, Ina CONTRACTOR COST PROPOSAL #: 13 POTENTIAL CHANGE ORDER (PCO) - COST PROPOSAL - SUBCONTRACTOR CONTRACTOR DESCRIPTION OF CHANGE: MATERIAL LABOR EQUIPMENT SUBTOTAL DIRECT COSTS FEE ON DIRECT COSTS (15%) SUBCONTRACTOR SUBTOTAL Third and Fourth Tier Sub Contractor Costs from Attached Cost Proposal SUBCONTRACTOR SUBTOTAL TOTAL PREPARED & SUBMITTED BY: Jim Lyons - CSCI COMPANY: Universal TITLE: Option 8 $41.28 $960.00 $190.00 $1,191.28 $178.69 $1,869.97 $1,x.97 Proposed Cost Proposal Subcontractor tM- 15 -W12 13:13 FFMM:MARIA 14eIB33'P1E183 TO: 15106571810 P.3 .17 BEMONTE'S CONCRETE SERVICES, INC. 8D0 N. 1ST STRIEEP SAN JOSE, CA. 95112 San Ysidro Park Recreation Building Remodel # 12 -PW -194 FIELD ORDER 6 0 Description of work: Extend existing 2" potable water line behind retaining wall appx 3o if to main line which Is located under demo pathway behind Court # 1 Drill 2'x 2' deep hole at and of retaining wail and fill with crushed drain rock for drains". work performed on March 7 and 8, 203L2 Labor 16 Mrs $60.00 Hr $ 560.00 Materials Drain Rock 2 ton $ 10.00 $ 20.00 Plpe (see tag) 5' 21.28 Equipment Dump Trick 2 firs. min $ 95.00 $ 190.00 Subtaeal $3,191,x8 1S% Mark Up $ 17LS9 TOTAL COMPLETED CHANGE ORDER # S $1,369.97 Son Y4*o Park WD par 1 3/15MI2 tM -15 =2812 13:13 FROM MARIA 49 • lrMpdef a AN a �dnRdl�i V" I EAST HARBOUR DR., MOENK AZ 66094 PHONE (E06} 497 6680 FAX (M 43f 2606 WWW OMNIM.00M i48&3371%3 70:15106571810 P.4 -7 KMCRASSD F90d.. BBO xxrw. GXLROY )0 7170 FOREST ST. 0=90Y, CA 950206612 (408) 849 -•6515 FAX (408) 8486645 BELMONTIC' S CONCRETE I5&RVICE 400 M 1ST 8T 9" JOS8,CA 95112 3441 R. KhRD= DRZVE PHOZ=X, AZ 85034 54910- 4445967 0000- BUYER: JORGE wrwu ,OOi„W • ^•' D.UCewra i1MK6y(� •wMruK fbe war SAN YSIDRO 001(11 3 07/12 WIC OR 1 1/2 PT 725 WET R DRY PVC CMN08007252 1 1 11.15 6.926 6.193 1/2 PT P -70 PURPLE PRIME& 08008612 1 1 10.20 5.9114 5.81 i SLIP V= REPAIR =91? x 03101110 1 1 5.41 4.328 4.33 1 PVC 90 ELL s8 04416010 3 3 2.97 .493 1.48 1 PVC Tm SS$ 04401010 1 1 2.52 .630 63 TN- BOUND' FRS IGW SURCHARGE .4e !I) The Ewing Advantage Resource Netw ark allows you to save on businoss OxPe=ee with discounted products & services. Re4ietOx online & start suviAg today. BUSTOTAL TAX 3.9.66 1.62 .. CBzJ:GrWLL zwmzcg $21.28 'a aw �wme�.:rvbr� 14M a �w fo► the abet+ wrMOl rtunt�.eiee of tr oaea a1 ru. Mfr ar hter� K In aeeae�ge wJlh iha wlMinp Iraq UMM MMwm � meow PeP dra Mui! aoenw a4Inbw °�0*&A &M N PAMMewNnewa k ow Vw Wo hue v*W*e. pn dde.e.p,WA rweww a s. ee k,.YUh tO sy� d warps aweeta AI n eornnN�.wn x unto adl, n10r.�:d a et 04 a&*W*..f we no mme s N &W °"a AeAeee"'�"'to w soft a fot+nfm kxb4 0 a w.en.oie apen,e�r be v w'Im" w flel egNe bYldepas+Meerb aoorr I IM '=,. M aelnOe1-110 Q realo al a m aYEhMtfle. m dp" W ,- Me 1M m b" WdgM to sunk aaeieot am et mmat okbolimb San Ysidro Park Recreation Bldg Remodel # 12 -PW -194 Project No. 12 -001 DATE: 3/20/2012 San Yeldro Park i12-PW -194 CONTRACTOR: Calstate Construction, Inc. CONTRACTOR COST PROPOSAL* 14 POTENTIAL CHANGE ORDER (PCO) - COST PROPOSAL - PRIME CONTRACTOR DESCRIPTION OF CHANGE: Remove and replace AC patch at building pettway Option A MATERIAL + 15% $0.00 LABOR + 15% $377.20 EQUIPMENT + 15% $0.00 PRIME CONTRACTOR TOTAL 1 $377.20 Sub Contractor Costs from Attached Cost Proposal(s) SUBCONTRACTOR SUBTOTAL DIRECT COSTS $1,803.1 PRIMARY 5% FEE ON SUBCONTRACTORS COST $80.16 SUBCONTRACTOR TOTAL FEE $1,68326 PRIME TOTAL $377.20 SUBTOTAL CDR $2,060.46 BOND ( not to exceed 2% of sub total) $ 41.21 TOTAL. 1 $2.101.66 PREPARED & SUBMITTED BY: Jim Lyons COMPANY: Calstate Construction Inc._ TITLE: PM Cost Proposal San Ysidro Park Recreation Bldg Remodel # 12 -PW -194 Project No. 12 -001 DATE: 3/2012012 San Ysidro Paris 012 -PW -194 CONTRACTOR: Calstate Construction, Inc. CONTRACTOR COST PROPOSAL #: 14 POTENTIAL CHANGE ORDER (PCO) - COST PROPOSAL - SUBCONTRACTOR CONTRACTOR DESCRIPTION OF CHANGE: MATERIAL LABOR EQUIPMENT SUBTOTAL DIRECT COSTS FEE ON DIRECT COSTS (15%) SUBCONTRACTOR SUBTOTAL Third and Fourth Tier Sub Contractor Costs from Attached Cost Proposal SUBCONTRACTOR SUBTOTAL TOTAL PREPARED S SUBMITTED BY: Jim Lyons - CSCI COMPANY: Universal TITLE: Option B $149.00 $720.00 $525.00 $1,394.00 $209.10 $1,808.10 �J ;1,803.10 Proposed Cost Proposal Subcontractor MAR- 15'-2012 13:13 FROM:MARIA 14083371903 TO:15106571810 P.5/7 BEMONTE'S CONCRETE SERVICES, INC. 800 N. ]ST STREET SAN JOSE, CA. 95112 San Ysidro Park Recreation Building Remodel # 12 -PW -194 BID PROPOSAL Description of work: Remove and replace AC patch at building pathway. Labor Materials AC 3/8 fines Tack oil Equipment Plate Wacker Dump truck Subtotal 15% Mark Up 12 Hrs $60.00 Hr $ 720.00 1 ton $109.00 $ 40.00 $149.00 $ 50.00 5 hrs. $ 95.00 $495.00 $525.00 $ 149.00 $ 525.00 51,394.00 S 209.10 $1,603.10 3/15/2012 San Isidro Park bld propose ac patch Page San Ysidro Park Recreation Bldg Remodel # 12 -PW -194 Project No. 12.001 DATE: 3/20/2012 San Ysldro Park #12-PW -194 CONTRACTOR: Calstate Construction, Inc. CONTRACTOR COST PROPOSAL It 15 POTENTIAL CHANGE ORDER (PCO) - COST PROPOSAL - PRIME CONTRACTOR DESCRIPTION OF CHANGE: Remove existing handk ap ramp at Murray St Replace with new C & G ramp Option A MATERIAL + 15% $0.00 LABOR + 15% $377.20 EQUIPMENT + 15% $0.00 PRIME CONTRACTOR TOTAL j $377.20 Sub Contractor Costs from Attached Cost Proposal(s) SUBCONTRACTOR SUBTOTAL DIRECT COSTS $2,608.20 PRIMARY 5% FEE ON SUBCONTRACTORS COST $130.41 SUBCONTRACTOR TOTAL FEE $2,738.61 PRIME TOTAL $377.20 SUBTOTAL COR $3,11671 BOND ( not to exceed 2% of sub total) $ 62.32 TOTAL $3,17$.13 PREPARED & SUBMITTED BY: Jim Lyons COMPANY: Calstate Construction, Inc. TITLE: PM Cost Proposal San Ysidro Park Recreation Bldg Remodel # 12-PW -194 Project No. 12.001 DATE: 3/20/2012 San Ysidro Paris #12-PW -194 CONTRACTOR: Calstate Construction, Inc. CONTRACTOR COST PROPOSAL #: 15 POTENTIAL CHANGE ORDER (PCO) - COST PROPOSAL - SUBCONTRACTOR CONTRACTOR DESCRIPTION OF CHANGE: SUBCONTRACTOR SUBTOTAL TOTAL =2,608 20 PREPARED & SUBMITTED BY: Jiro Lyons - CSCI COMPANY: Unh+ersal TITLE: Proposed Cost Proposal Subcontractor option B MATERIAL $720.00 LABOR $900.00 EQUIPMENT $588.00 SUBTOTAL DIRECT COSTS $2,268.00 FEE ON DIRECT COSTS (15 %) $34020 SUBCONTRACTOR SUBTOTAL $2.808 20 Third and Fourth Tier Sub Contractor Costs from Attached Cost Proposal ism SUBCONTRACTOR SUBTOTAL TOTAL =2,608 20 PREPARED & SUBMITTED BY: Jiro Lyons - CSCI COMPANY: Unh+ersal TITLE: Proposed Cost Proposal Subcontractor option B MATERIAL $720.00 LABOR $900.00 EQUIPMENT $588.00 SUBTOTAL DIRECT COSTS $2,268.00 FEE ON DIRECT COSTS (15 %) $34020 SUBCONTRACTOR SUBTOTAL $2.808 20 Third and Fourth Tier Sub Contractor Costs from Attached Cost Proposal SUBCONTRACTOR SUBTOTAL TOTAL =2,608 20 PREPARED & SUBMITTED BY: Jiro Lyons - CSCI COMPANY: Unh+ersal TITLE: Proposed Cost Proposal Subcontractor MAR -20 -2012 09:09 FROM:MARIA 14083371%3 T0:15106571810 P.2,3 SEMONTE'S CONCRETE SERVICES, .INC. 800 N. 1ST STREET SAN JOSE, CA. 95112 San Ysidro Park Recreation Building Remodel 412 -PW -194 910 PROPOSAL Description of work: Remove existing handicap ramp at Murray St. replace with new C & G ramp. Labor Labor 4 Hrs $ 60.00 $240.00 Cement Masoi 12.00 Hrs. $ 60.00 $720.00 $960.00 $960.00 Materials Concrete 2 cy $115.00 $230.00 Short Ld $250.00 Ac 3/4 Reg 3 ton $ 80.00 $240.00 $720.00 $ 720.00 Equipment Breaker 2 hrs $ 85.00 $170.00 Dump truck 2 hrs. $ 95.00 $190.00 Saw cut 2 hrs. $ 114.00 $228.00 $588.00 $ 588.00 Subtotal $21268.00 15% Marls Up $340.20 $2,608.2a NOTE: Material estimate Only, we will charge only for actual lost of material if lower than amount listed will credit if higher than amount listed will increase price. 3/20/2012 San Ysidro Park bid propose RR ramp on Murray Page 1 San Ysidro Park Recreation Bldg Remodel # 12 -PW -194 Project No. 12 -001 DATE: 3/2312012 San Ysidro Park #12 -PVT -194 CONTRACTOR: Calstate Construction, Inc. CONTRACTOR COST PROPOSAL M 16.1 POTENTIAL CHANGE ORDER (PCO) - COST PROPOSAL - PRIME CONTRACTOR DESCRIPTION OF CHANGE: Price for additlonsl 6" concxee at South BB Court Al MATERIAL + I S% LABOR + 15% EQUIPMENT + 15% PRIME CONTRACTOR TOTAL Sub Contractor Costs from Attached Cost Proposals) SUBCONTRACTOR SUBTOTAL DIRECT COSTS PRIMARY 5% FEE ON SUBCONTRACTORS COST SUBCONTRACTOR TOTAL FEE PRIME TOTAL SUBTOTAL CDR BOND ( not to exceed 2% of sub total) TOTAL Opbw A $0.00 $377.20 $0.00 $377. $12,511.60 $625.58 $13137.18 77.20 13,514.38 $ 270.29 $13,784.67 PREPARED & SUBMITTED BY: Jim Lyons COMPANY: Calstate Construction, Inc. TITLE: PM it I I I Cost Proposal MATERIAL + I S% LABOR + 15% EQUIPMENT + 15% PRIME CONTRACTOR TOTAL Sub Contractor Costs from Attached Cost Proposals) SUBCONTRACTOR SUBTOTAL DIRECT COSTS PRIMARY 5% FEE ON SUBCONTRACTORS COST SUBCONTRACTOR TOTAL FEE PRIME TOTAL SUBTOTAL CDR BOND ( not to exceed 2% of sub total) TOTAL Opbw A $0.00 $377.20 $0.00 $377. $12,511.60 $625.58 $13137.18 77.20 13,514.38 $ 270.29 $13,784.67 PREPARED & SUBMITTED BY: Jim Lyons COMPANY: Calstate Construction, Inc. TITLE: PM it I I I Cost Proposal San Yaldro Park Recreation Bldg Remodel # 12 -PW -194 Project No. 12 -001 DATE: 3/23/2012 San Ysidro Park #12 -PWA94 CONTRACTOR: Calstate Construction, Inc. CONTRACTOR COST PROPOSAL #: 18.1 POTENTIAL CHANGE ORDER (PCO) - COST PROPOSAL - SUBCONTRACTOR CONTRACTOR DESCRIPTION OF CHANGE: Price for addibriel 6- concrete at South BB Court MATERIAL LABOR EQUIPMENT SUBTOTAL DIRECT COSTS FEE ON DIRECT COSTS (15%) SUBCONTRACTOR SUBTOTAL Third and Fourth Tier Sub Contractor Costs from Atlached Cost Proposal SUBCONTRACTOR SUBTOTAL TOTAL PREPARED & SUBMITTED BY: Jim Lvons - CSCI COMPANY: Universal TITLE: tptan B $0.00 $12,511.80 $0.00 ;12,511.80 $0.00 ;12 511.80 512,511.80 Proposed Cost Proposal Subcontractor MRR -15 -2912 13:13 FROM: WRIA L40333719M TD:151WS71918 BEMONTE'S CONCRETE SERVICES, INC. 800 N. 15T STREET $AN JOSE, CA. 95112 San Ysidro Park Recreation Building Remodel # 12 -PW -194 DID PROPOSAL WORK DESCRIPTION Price for additional 6" concrete 1380 sr 0 South end of project. Demo, srade and mmoset base rock, 6" of heavy concrete. Contract price / at MJ40 SF S 2A4 SF $ 3,,W f .20 Set up and pour concrete 6" heavy concrete 1240 l _T Sf $ 7.65 SF TOTAL NOTE. P.7 -7 9`7 430a?5.,6a 7A .00 * I1jBb Jared, Endosed please find price !br additional 6" concrete requested by the City this price reflecx our bid. If you have any questions please call me direct at (650) 771-6799 San Ytldro F►arJc 8iC page 2 3/W/aosz NQVi1 PARTNERS I N C7 () R I'U R A r F F3 San Ysidro Park Recreation Building Remodel +Addition +Site Improvements Project Budget 4/18/2012 # Date Initiated Description Field Order ROM Amount sub Change Order Amount roved Approved Date STATU Di stied Sir 1 2/1012012 Asbestos Survey & Removal FO #1 CO #2 $1,329 3/14/2012 work in progr asa Nova 2 2116/2012 Install catch basin at west end of court #2 FO #2 CO #5 $3,974 3/19/2012 completed Architect 3 2122/2012 Install slot drain at west end of handball courts FO #3 CO #5 $5,354 3/19/2012 in progress Architect 4 212412012 New Basketball Standards Court #1 FO #4 CO #1 $10,350 3/14/2012 work in progress COG 6 2110/2012 Rockwell FO #5 CO #4 $7,951 3/14/2012 completed COG 6 1 2/24/2012 Tempory Tempo Trailer FO #6 1 CO #7 $42,276 4/6/2012 completed COG 7 3/612012 Mini d well behind retaining wall / reconnects 2" potable water line FO #8 $ 1,938.00 CO work completed Inspector 8 3/6/2012 repair damaged mowband / install 3 as concrete pad at light post at courts FO #9 CO #6 $3,475 4/6/2012 in progress COG 9 2/26/2012 Seating Si na a at Seat Wall CO #3 $206 3/14/2012 ca tured in CO #3 Architect 10 21912012 Reroute existing conduit to lighting at court #1 CO #3 $3,916 3/14/2012 completed Nova 11 2/2212012 As hault repair to access ram near ex restrooms to meet 5% grade $ 2,102.00 CO waiting on approval Inspector 12 3114/2012 Misc Irrigation $6,000 in review COG 13 Architect extra visits (Hemingway) $6.000 waiting on pricing COG 14 1 3/14/2012 Remove existing ash halt behind court #2 and replace with concrete $ 13 785.00 CO _ waitnin on approval COG 15 3/20/2012 Misc Temp Trailer ookup FO #10 $ 5,320.00 COA waiting on approval COG 16 3/6/2012 Tree removal and replacement (pathway if needed $1,200 in review COG 17 3/2012012 Remove old access ramp at street curb / our new curb & gutter $ 317800 CO wating on approval COG 18 3/20/2012 Sod repair after trailer removal $3 500 in review COG 19 3/19/2012 Tiles for art project $800 in review COG 20 5/19/2012 new tree near seating wall $500 in review COG 21 3/2912012 Kitchen window FO #11 5668 in review Nova 22 41412012 Mudsill Flashing at Activities Room FO #12 $2.72- work completed Nova 23 4/4/2012 Bathroom FRP FO #13 $6.695 in review COG 24 41412012 Exterior Plywood and trims FO #14 $2,000 work in progress COG 25 4/6/2012 ADA Barbecue FO #15 1200 in review Inspector 26 4/6/2012 Dryrott at Recreation Building 2000 work in progress Nova Project Funding FY 2011/2012 $1,102,922.00 Calstate contract •$771,744.00 Nova Contract 486,200.00 ROM . $32,268.14 already spent In FY 12 •$49,496.00 Submitted •$26,323.00 Cod � Confidential 4/18/2012 Page i OP ID: YV A�O�RD' CERTIFICATE OF LIABILITY INSURANCE DATE (M211111 YY) 12121!11 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(% 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 408- 288-6262 Barlocker Ina Svs. -San Jose 408_298_7635 Lic. # 0580438 1330 S. Bascom Ave. San Jose, CA 95128 Nicholas A Weintraub CONTACT NAME: PHONE No A/C Ext IL n DRESS: PRODUCER CALST01 CUSTOMER ID f: INSURER(S) AFFORDING COVERAGE NAIC f AUTHORIZED REPRESENTATIVE INSURED CalState Construction, Inc. INSURER A: Scottsdale Insurance Company 41297 INSURER B: Allied Insurance Co. 42579 4165 Business Center Drive INSURER C: Everest National Insurance Co. 10120 Fremont, CA 94538 -6182 INSURER D: BCS0024533 04101111 INSURER E MED EXP (Anyone person) $ Exclude INSURER F ; CLAIMS -MADE � OCCUR rnCieo ersee CERTIFICATE NUMBER • REVISION NUMBER: V V TILT \AV VV THIS IS TO CERTIFYTHAT 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 I LTR TYPE OF INSURANCE ADOL SUB13 POLICY NUMBER POLICY EFF MMIDDNYYY POLICY EXP MMIDDIYYYY LIMITS ACCORDANCE WITH THE POLICY PROVISIONS. GENERAL L LABILITY 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95070 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 1 00,00 A X COMMERCIAL GENERAL LIABILITY X X BCS0024533 04101111 04!01112 MED EXP (Anyone person) $ Exclude CLAIMS -MADE � OCCUR PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER. PRODUCTS- COMP /OP AGG $ 2,000,00 $ POLICY X PRO LOC B AUTOMOBILE LIABILITY ANY AUTO CP7833765065 11!21!11 11/21/12 COMBINED SINGLE LIMIT $ 1,000,00 X BODILY NJJRY (Per person) BODILY $ BODILY INJURY (Per accident) $ ALL OWNED AUTOS PROPERTY DAMAGE (Per accident) $ SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS $ A UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE XLS0073537 04101!11 04/01/12 EACH OCCURRENCE $ 4,000,00 X AGGREGATE $ 4,000,00 DEDUCTIBLE $ X WC STATU- OTH- TORY LIMITS ER I $ C RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y❑ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA A 7600003953111 11/01/11 11!01!12 E L EACH ACCIDENT $ 1,000100 E L DISEASE - EA EMPLOYEE $ 1�000�00 E L DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 701, Addltlonal Remarks Schedule, If more space Is rectulred) The City of Gilroy, Its officials, and employees are named as additional Insured per GL forms CG2033 & CG2037 attached. RE: San Ysidro Park Recreation Building Projectl2 -PW -194 7700 Murray Ave Gilroy Ca 95020 GL Waiver of Subrogation applies & attached. f- AtJf`CI I eTION GCKIWK-AItMVCuet[ - -- CITYGIL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of Gilroy 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95070 A I'fwT1A�1 All rir L {. aA V 1980-200V AC.URU C.Vrcrvr\Mr Ivre. All IQI.— IU�UI..... ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD Policy Number BCS0024533 COMMERCIAL GENERAL LIABILITY CG 20 33 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section 11-- Who Is An Insured is amended to professional architectural, engineering or include as an additional Insured any person or surveying services, including: organization for whom you are performing a. The preparing, approving, or failing to operations when you and such person or prepare or approve, maps, shop organization have agreed in writing in a contract drawings, opinions, reports, surveys, field or agreement that such person or organization be orders, change orders or drawings and added as an additional insured on your policy. specifications; or Such person or organization is an additional b, Supervisory, inspection, architectural or insured only with respect to liability for "bodily engineering activities. injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 2. "Bodily injury" or "property damage" occurring after: 1. Your acts or omissions; or a. All work, including materials, parts or 2. The acts or omissions of those acting on your equipment furnished in connection with behalf, such work, on the project (other than in the performance of your ongoing operations for service, maintenance or repairs) to be the additional insured. performed by or on behalf of the A person's or organization's status as an additional insured(s) at the location of the covered operations has been completed; additional insured under this endorsement ends when your operations for that additional insured or are completed, b. That portion of "your work" out of which B. With respect to the insurance afforded to these the injury or damage arises has been put additional insureds, the following additional to its intended use by any person or organization other than another exclusions apply: contractor or subcontractor engaged in This insurance does not apply to: performing operations for a principal as a 1. "Bodily injury", "property damage" or part of the same project. "personal and advertising injury" arising out of the rendering of, or the failure to render, any CG 20 33 07 04 Copyright, ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: BCS0024533 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description of Completed operations ANY PERSON OR ORGANIZATION WHEN YOU AND All Locations SUCH PERSON OR ORGANIZATION HAVE AGREED IN WRITING IN A CONTRACT OR AGREEMENT, EXECUTED PRIOR TO THE 'OCCURRENCE' To WHICH THIS INSURANCE APPLIES, THAT SUCH PERSON OR ORGANIZATION BE ADDED AS AN ADDITIONAL INSURED ON YOUR POLICY Information required to complete this Schedule, if not shown above will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional Insured and Included in the 'products- completed operations hazard ". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 'I of 1 POLICY NUMBERBcS0024533 _ _ COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY ALAI N ST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/ COMPLETED OPERATIONS LIABILITY COVERAGE PARS" SCHEDULE Name Of Person Or Organization: ANY PERSON OR ORGANIZATION WITH WHOM THE INSURED HAS AGREED TO WAIVE RIGHTS OF RECOVERY, PROVIDED SUCH AGREEMENT IS MADE IN WRITING AND PRIOR TO THE LOSS The following is added to Paragraph & Transfer Of Rights of Recovaq Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or darnage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 a Insurance Services Office, Inc., 2008 A.,..V. r - Page 1 of 1 0 OP ID: YV CERTIFICATE OF LIABILITY INSURANCE F DAT YY) WHICH THIS 04 /03 /12 04/03/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 408 -288 -6262 CONTACT NAME: Barlocker Ins. Svs. - San Jose 408 -298 -7635 PHONE Lic. # 0580438 ,C, No Ext):_ 1330 S. Bascom Ave. E -MAIL San Jose, CA 95128 Nicholas A. Weintraub ADDRESS _-- -.------- -_ - - -- -- — - - - -- - -- - -- PRODUCER CALST01 CUSTOMER ID #: MED EXP (Any one person) -INSURER(S) AFFORDING COVERAGE NAIC # INSURED CalState Construction, Inc. INSURE RA.Kinsale Insurance Company 38920 4165 Business Center Drive - - .. - - -----------_..- - - - ' INSURER Insurance Co. 42579 Fremont, CA 94538 -6182 - -- - -- - - -- . - - -- -- - - - -- - -- - -- - INSURERC:Everest National Insurance Co. _ 1.0.120 GENERAL AGGREGATE INSURER D: 2,000,00 INSURER E: INSURER F: $ COVERAGES CERTIFICATE NUMBER: RFVISInN 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 ADDL' SUBR POLI CY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM /DD/YYYY MM /DO/YYYY ISR LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X X ' .01000052620 04/01/12 04/01/13 _ DAMAGE TO RENTED PREMISES_LEaoccurrenceJ_$_- 100,00 _ CLAIMS -MADE - X OCCUR MED EXP (Any one person) $ Exclude PERSONAL &ADVINJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: - PRODUCTS - COMP /OP AGG $ 2,000,00 PRO- POLICY X LOC $ - AUTOMOBILE LIABILITY - - COMBINED SINGLE LIMIT $ 1,000,00 B X ANY AUTO ACP7833765065 11/21/11 11/21/12 ' (Ea accident) - — - - - -- -------- - - - - -- - -' BODILY INJURY (Per person) $ ALL OWNED AUTOS - - BODILY INJURY (Per accident) $ SCHEDULEDAUTOS - ---------- - - - - -- - -- - PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON -OWNED AUTOS $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,00 X EXCESS LIAB CLAIMS -MADE A - -- --- - - - - -- - 01000052560 04101/12 04/01/13 AGGREGATE - _ - -- — $ - 3,000,00 - - -- DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION WC STATU- 0TH -' X AND EMPLOYERS' LIABILITY YIN TORY LIMITS___. —,-ER_. - C ANY PROPRIETOR/PARTNER/EXECUTIVE 7600003953111 11/01/11 11/01/12 E.L. ACH ACCIDENT $ 1000000 i OFFICER /MEMBER EXCLUDED? N/A ❑ -- -- -- - . - -- ' - - - -= - -- (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,00 If yes, describe under -- - - - - - >- - ---- - - - - -- DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City of Gilroy, its officials, and employees are named as additional insured GL forms CG2010 & CG2037 RE: per attached. San Ysidro Park Recreation Building Projectl2 -PW- 194 7700 Murray Ave Gilroy Ca 95020 GL Waiver of Subrogation applies & attached. CERTIFICATE HOLDER CANCELLATION The City of Gilroy 7351 Rosanna Street Gilroy, CA 95070 ACORD 25 (2009/09) CITYGIL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — SCHEDULED PERSON OR ORGANIZATION Attached To and Forming Port of Policy Effective Date of Endorsement Named insured 0100005262 -0 11101/12 CalState Construction Inc 12:OlAh� at the Named Insured ad- dress shown on the Declarations Additional Premium: Return Premium: $0.00 $0.00 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional insured Persons) Or Organization (s): Location(s) Of Covered Operations Blanket, as required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organiza- tion(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "per- sonal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your be- half; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these addi- tional insureds, the following additional exclusions ap- ply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or re- pairs) to be performed by or on behalf of the addi- tional insureds) at the location of the covered op- erations has been completed; or Z. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 2010 07 D4 © 150 Properties, Inc., 2004 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100005262 -0 04/01/12 12:01AM at the Named insured CalState Construction Inc address shown on the Declarations Additional Premium: Return Premium: $0.00 $0.00 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LJA131LITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization (s): Location And Description Of Completed Operations As Required By Written Contract. Excludes All New Residential Construction. "Your work" does not include "New Residential Construc- tion", which means any building or structure not previously occupied and designed or intended for occupancy in whole are in part as a residence by any person or persons. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location desig- nated and described in the schedule of this endorsement performed for that additional insured and included in the "products- completed operations hazard ". CG 20 37 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100005262 -0 04/0111212:01AM at the Named Insured CalState Construction Inc address shown on the Declarations Additional Premium: Return Premium: $0.00 1$0.00 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE SECTION IV — CONDITIONS, 8. Transfer of Rights of Recovery against Others to Us is amended by the addition of the following: We waive any right of recovery we may have against persons or organizations because of payments we make for injury or damage arising out of "your work" done under a written contract with that person or organization wherein you have agreed to provide this waiver. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. CAS4002 0110 Page 1 of 1