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Trinchero Construction - Agreement for Chestnut Street Bicycle and Pedestrian BridgeSECTION 00500 AGREEMENT Chestnut Street Bicycle and Pedestrian Bridge Project, Project No. 09 -CDD -169, Federal Project, No. CML -5034 (015) THIS AGREEMENT, made this tit day of Tu M X I , by and between the City of Gilroy, hereinafter called the "City," and Trinchero Construction Co . , Inc. hereinafter called the "Contractor." WITNESSETH: WHEREAS, the City has caused the Contract Documents to be prepared comprised of bidding and contract requirements and technical specifications and drawings for the construction of the Chestnut Street Bicycle and Pedestrian Bridge Project Project No 09 -CDD- 169, Federal Project No. CML -5034 (015, as described therein, and WHEREAS, the Contractor has offered to perform the proposed work in accordance with the terms of the Contract Documents. NOW, THEREFORE, in consideration of the mutual covenants and agreements of the parties herein contained and to be performed, the City and Contractor agree as follows: Article 1. Work. Contractor shall complete the Work as specified or indicated in the Contract Documents. Article 2. Contract Time. The Work shall be completed by the Contractor in accordance with the Contract Documents within the time period required by Paragraph 00810 -2.0, Time Allowed for Completion, subject to extension as expressly provided in the Contract Documents. Article 3. Liquidated Damages. THE CITY AND THE CONTRACTOR RECOGNIZE THAT THE CITY WILL SUFFER SUBSTANTIAL DAMAGES AND SIGNIFICANT FINANCIAL LOSS AS A RESULT OF THE CONTRACTOR'S DELAYS IN PERFORMANCE OF THE WORK DESCRIBED Project No. 09 -CDD -169, Chestnut Street Bicycle and Pedestrian Bridge Project Section 00500 -1 Federal Project No. CML -5034 (015) IN THE CONTRACT DOCUMENTS. THE CITY AND THE CONTRACTOR HEREBY ACKNOWLEDGE AND AGREE THAT THE DAMAGES AND FINANCIAL LOSS SUSTAINED AS A RESULT OF ANY SUCH DELAYS IN PERFORMANCE WILL BE EXTREMELY DIFFICULT AND IMPRACTICAL TO ASCERTAIN. THEREFORE, THE CITY AND CONTRACTOR HEREBY AGREE THAT IN THE EVENT OF SUCH DELAYS IN PERFORMANCE, THE CITY SHALL BE ENTITLED TO COMPENSATION BY WAY OF LIQUIDATED DAMAGES (AND NOT PENALTY) FOR THE DETRIMENT RESULTING THEREFROM IN ACCORDANCE WITH PARAGRAPH 00700 -6.5, LIQUIDATED DAMAGES, OF THE CONTRACT DOCUMENTS. THE CITY AND THE CONTRACTOR FURTHER AGREE THAT THE AMOUNTS DESIGNATED AS LIQUIDATED DAMAGES ARE A REASONABLE ESTIMATE OF THE CITY'S DAMAGES AND FINANCIAL LOSS IN THE EVENT OF ANY SUCH DELAYS IN PERFORMANCE CONSIDERING ALL OF THE CIRCUMSTANCES EXISTING AS OF THE DATE OF THIS AGREEMENT, INCLUDING THE RELATIONSHIP OF SUCH AMOUNTS TO THE RANGE OF HARM TO THE CITY WHICH REASONABLY COULD BE ANTICIPATED AS OF THE DATE OF THIS AGREEMENT AND THE EXPECTATION THAT PROOF OF ACTUAL DAMAGES WOULD BE EXTREMELY DIFFICULT AND IMPRACTICAL. BY INITIALING THIS PARAGRAPH BELOW, THE PARTIES HERETO SIGNIFY THEIR APPROVAL AND CONSENT TO THE TERMS OF THIS ARTICLE 3. City's Initials Contractors Initials Article 4. Contract Price. In consideration of the Contractors performance of the Work in accordance with the Contract Documents, the City shall pay the Contract Price set forth in the Contract Documents. Article 5. Contract Documents. The Contract Documents which comprise the entire agreement between City and Contractor concerning the Work consist of this Agreement (Section 00500 of the Contract Documents) and all of the following attachments to this Agreement, all of which are hereby incorporated into this Agreement by reference with the same force and effect -as if set forth in full. Invitation to Bid Instructions to Bidders Bid Documents Designation of Subcontractors Bid Guaranty Bond Project No. 09 -CDD -169, Chestnut Street Bicycle and Pedestrian Bridge Project Section 00500 -2 Federal Project No. CML -5034 (015) Agreement Acknowledgements Performance Bond Payment Bond General Conditions Supplementary Conditions General Requirements Standard Specifications Technical Specifications Drawings Addenda, if any Executed Change Orders, if any Notice of Award Notice to Proceed Article 6. Miscellaneous. Capitalized terms used in this Agreement which are defined in Section 01090, References, of the Contract Documents will have the meetings set forth in Section 01090, References. - Contractor shall not assign any rights, obligations, duties or responsibilities under, or interest in - the Contract Documents without the prior written consent of the City, which consent may be withheld by the City in its sole discretion. No assignment by the Contractor of any rights, obligations, duties or responsibilities under or interests in the Contract Documents will be binding on the City without the prior written consent of the City (which consent may be withheld - in City's sole discretion); and specifically but without limitation monies that may become due and monies that are due may not be assigned without such consent (except to the extent that the effect of this restriction may be limited by law), and unless specifically stated to the contrary in any written consent to an assignment, executed by the City, no assignment will release or discharge the assignor from any liability, duty, obligation, or responsibility under the Contract Documents. Subject to the foregoing, the Contract Documents shall be binding upon and shall inure to the benefit of the parties hereto and their respective successors and assigns. Nothing contained in the Contract Documents shall in any way constitute a personal obligation of or impose any personal liability on any employees, officers, directors, agents or representatives of the City or its successor and assigns. In accordance with California Business and Professions Code Section 7030, the Contractor is required by law to be licensed and regulated by the Contractors' State License Board which has jurisdiction to investigate complaints against Contractors if a complaint regarding a patent act or omission is filed within four years of the date of the alleged violation. A complaint regarding a. Project No. 09 -CDD -169, Chestnut Street Bicycle and Pedestrian Bridge Project Section 00500 -3 Federal Project No. CML -5034 (015) latent act or omission pertaining to structural defects must be filed within 10 years of the date of the alleged violation. Any questions concerning the Contractor may be referred to the Registrar, Contractors' State License Board, P.O. Box 26000, Sacramento, California 95826. IN WITNESS WHEREOF, this agreement has been executed on this I ��day of T\z A - I . � Trinchero aonstruction Co., Inc. Name of ntr ctor 5ture of Cbntra< i� D nald Trinchero President Title of Signator MMM$Ift N 18"M Mry Public Title of Signafory Approved as to form: City Attorney gnatd&e of City Mn Title of Signator Title o gnator ** *END OF SECTION * ** �S Project No. 09-CDD -169, Chestnut Street Bicycle and.Pedestrian Bridge Project - Section 00500 -4 Federal Project No. CML -5034 (015) f i 06 -02 -09 02:44pm From- Date: June 2, 2009 T -248 P -01 F -100 Pacific Diversified Insurance Services, Inc. 9015 Murray Ave., Suite 110, Gilroy, CA 95020 (408) 8422131 Fax (408) 842 -0867 License 90504035 FAX To: Don Company: Trinchero Construction Co. Inc Fax No: 408 - 683 -2819 From: Kathryn Thome, CIC, CISR Number of Pages Including Cover: 10 Subject: Certificate of Insurance The City of Gilroy, Chestnut Street Bridge Don, Please find the requested Certificates of Insurance for the above referenced project_ Please note that the last page of this fax needs to be filled out and signed by you as regards to having Workers' Compensation coverage in place. Please call me if you have any questions. Thank you, Kathryn 06 -02 -09 02:44pm From— T -248 P.02 F -100 OP W K DATE (MMIO0/YYYY) c0 a CERTIFICATE OF LIABILITY INSURANCE TRINC -1 o6/0 09 PRDOLICER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Pacific Diversified 7 assurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Pacif Office HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 9 Gilroy Offi Avenue #110 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Gilroy Cal 95020 Phone: 408 -842 -2131 Fax i 408- 842-0867 INSURERS AFFORDING COVERAGE NAIC INSURED INSURER rinanelal Pacific Insurance Co Trinc>,ero Construction Co .Inc INSURER 8' the Hartford 22357 c�+s INSURER C: Donaia jj0 Tarinchero San6XarLlu CA 95046ue INSURERD INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS POLICIEEST AIGGREGATE LIMITS INSURANCE SHOWN MAY HAVE E SEEN REDUCED U ED B gPAID CLAIMS. SUBJECT TO ALL THE TERMS, .TR NS TYPE OF INSURANCE POLICY NUMMR DATE MM /DD/YY DATE MMIDDIYY GENERAL LIABILITY A X X COMMFRCIALOENCRALLIA 1LITY 1767288 12/20/09 12/20/09 CLAIMS MADE � OCCUR in1eluded GEN'L AGGREGATE LIMP' APPLIES PER X POLICY JEC LOG AUTOMOBILE LIABILITY p, .X ANY AUTO 1767288 ALL OWNED ALTOS SChEDULED AUTOS X HIRED AUTOS X NON- OVVNED AV= X 92EF DDOd __ 500 X Coll Ded $1 000 GARAGE LIABILITY ANY AUTO EXCESSIUMBRELLA LIABILITY A OCCUR CLAIMS MADE 9231633 DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LABILITY pFFICERMIM8ERrEJICLUOE ED LUTIVE It yex. descrlDe llndOr S CIAL PROVISIONS IAIOW OTHER A Equipment 1767288 1,2/20/081 12/20/09 12/20/08 12/20/09 12/20/081 12/20/05 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL FROVIWIUns Re: Project No. 09 -CDD -169, Chestnut Street Bicycle and Pedestria Vederal Project No. CHL-5034 (015) for excavation 9 grading. Che: (Bridge, Gilroy, CA. The City of ailrOy, and City's employees, off design consultants, elected officials, Construction Manager, ager subco)nsultants (see notes for rest of d8scriP'ti0n) CERTIFICATE HOLDER The City Of Gilroy C=Imunity Development Dept. 7351 Rosanna street Gilroy CA 95020 PERIOD INDICATED, NOTWITHSTANDING CERTIFICATE MAY BE ISSUED OR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES EE CANCELLED RAFORB THE EXPIRATION HATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE YO THE CERTIPICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 60 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR rl 25 (2001108) 0 06 -02 -09 02:44pm From- T -248 P.03 F -100 06-02 -09 02:44pm From- T-248 P.04 /11 F -100 POLICY NUMBER: 176728B COMMERCIAL GENERAL. LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following' COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or organization: The City of Gilroy, its employees, officers,desigrl consultants, elected officials, construction manager, agents and subconsultants acting within the scope of their duties that are controlled and supervised by the primary (first) additional insured. 7351 Rosanna Street Gilroy, Ca 95020 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only to the extent that the person or organization is held liable for "your work" for that person or organization by or for you. This endorsement applies to the following work: Description of Job: Excavation and Grading - Commercial Work Only Location of Job: Chestnut Street Bridge, Gilroy, Ca Al only Effective from: Effective Date: 6/2/2009 Expiration Date: 12/20/2009 Project #09 -ODD -169, Chestnut Street Bicycle & Pedestrian Bridge Federal Project #CML -5034 (015) When this endorsement applies and when required by written contract, such insurance as is afforded by the general liability policy is primary insurance and other insurance shall be excess and shall not contribute to the insurance afforded by this endorsement. CG 20 10 11 8s MOD (07 -01) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 06 -02 -09 02:45pm From- T -248 P.05 /11 F -100 CERTHOLDER COPY STATE ATE P.O. BOX 420807, SAN FRANC1SCO,CA 94142 -OB07 COMPENSATION INSURANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE' 09- 02 -2008 GROUP: 000571 POLICY NUMBER: 0003942 -2008 CERTIFICATE ID: 142 CERTIFICATE FXPIRES: 10- 01-2009 10 -01- 2008/10 -01 -2008 CITY OF GILROY NG dO8:PROJECT NO. 08 -CDD -158 CHESTNUT STREET COMMUNITY DEVELOPMENT DEPT. BICYCLE AND PEDESTRIAN BRIDGE 7361 ROSANNA ST FEDERAL PROJECT NO. CML -6034 GILROY CA 85020 -6141 This is to certify that we have issued a valid Workers' Compensation insurance policy in a Form approved by the California Insurance Commissioner to the employer named below for the policy period Indicated. This pollcy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance poilcy and does not amend, extend or alter the coverage afforded by the policy ilstod herein. Notwithstanding any requirement. term or condition of any contract or other document with respect to which this certificate of Insurance may be Issued or to which It may pertain, the insurance afforded by the policy described herein is'subject Lo all the terms, exclusions, and conditions, of such policy. TMORl7EO REPRESENTATI PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #1600 - DONALD TRINCHERD PRES,SEC,TRES - EXCLUDED - ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10- 01-2004 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. ENDORSEMENT ENTITLED WAXVER OF SUBROGATION 9 -06 -02 IS NAME0 CITY OF GILROY EMPLOYER TRINCHERO CONSTRUCTION CO INC NG 12560 SYCAMORE AVE SAN MARTIN GA 85046 [B17,NG1 PRINTED : 00 -02 -2008 LRIV.2 -os> 06 -02 -09 02:45pm Frum- SECTION 00630 C>Etm1C&JE ap INSi!{MM Return completed Certiftate to City of Gilroy ( Agency) T -248 P.06 /11 F -100 This certifies to the Agency that the following described policies have been lssded to the InsureO named below and are in force at this tine, e. insured Trinchero Construction Company, Inc. Address 12860 Sycamore Ave., San Martin, CA 95046 Description of operationslici�Otioris/prvducts insured (snevu Contract name and /or number. if any): POLICIES AND INSURERS Bodily LIMITS Property POLICY eXPIRATION Injury Damage NUMBER DATE Workers, Compansation Employers Llablilty 571000394208 1011109 $ 1,000,000 (Name of Insurer) State vompensation Fund (Best's* Raking) . Check policy type. 'Claims Made" Ocaurmrtce COMPREHENSIVE Each . Each GENERAL Occurrence occurrence LIABILITY , or 8: `6 COMMERCIAL 09NERAL Aggregate Aggregate UABIL17Y x $ $ or Combined_ single omit 1767288 12/x0109 (Name of Insurail $ 1,000,000 Financial Pacific Aggregate $ Z000,000 i8esi s Rating) A VIII BUSINESS ALITO POLICY Each Person Each Accident Liabillty Coverage Symbol 1 $ $ $ Financial Pacific Each Accident 1767288 a/aaos A Vill or, Combined Single Limit $1,000,000 UMBRF -LLA LtAlBtuTY 'Claims Made" Dcourrence OccurrencelAggregate $ 1,000,000 (Name of Insurer) Salf4rfsuretl Retention 9231636 12/20/09 Financial Pacific 0.00 (EW'S Rating) A Vin No, O-CDD -169, Chcsinut smet Bicycle and PedesW= Hrldgc Project $et tion 09630 -1 Fe rvj Nv. CML -5034 (0 15i - 06 -02 -09 02:45pm From- T -248 P -07 /11 F -100 The following coverage or conaltions are in effect: Yes NO The Agancy, Its 0111tMI8, and employees are named on an liability policies descrlbod above arc Insureds as raspectc: (a) activities patformed for the Agency by or on behalf of the Named Insured, (b) products and completed opwatfons of the Named Insured. and (c) pnarnlaes owned, leomad or uses tsy the Narned Insured. X Products and Completed Operations X The tmdersigned Viii snail to the Apimcy 3D 42ys written notice of Cancellation or reduction of coverage or limits X Crass Liability Clause (or equNalarnworcring) Personal Injury. Perlis A, B and C X broad Form Property Damage X X, C, USA Haxarda inGuded X ContracWal Liablllty Coverage applying to this Contract X Uquor Liat g ty X Coverage afforded the Agency, its officials, employees and valunteet'a as Insureds applies ,av primary and not excess or t oFMbuting to any insurancz issued in the riame of the Agency ' X waiver of subrogation from WorkeW Compensation Insurer X This eartiflosle is 10sued aS a matter Or inrorrmion, i Ns cernncaw it; not an msurdnr.-e pouvy ant; o0as not amend, extend or alter the coverage afforded by the policlaa Wad herein. Notwithstanding any revirerrim :errs or ccnditlon of any contmdX of other document with respeat to which this carsliionte of h+sur;ance may be issued or may portain, the insurance afforded by the policies described herein is ' subject to all the term*, exclusions and cvriditions of such pnlicie *. Pacific Diversified Insurance Financial Pacific and State Fund agency or BrokeWe Insurance Company 9015 Murray Ave., Ste. 110 Address ,JH,,ome Office Kathryn Kathryn Thome, Account Manager C ''i%t✓[ ��l n �.� - Narne of Person to be Contacted Authorized Signature Date (408) 842.2131 x164 Telephone No. , 1 I i Note: Authorized signatures may be the agent's,if the a0ant has placed insurance through an agency agreement with tho insurer. if insuranc.& Is brokered. autharized signature must j be that of official of Imurer_ Wajoat No, 09-CDD -169, Chestain Sweat Bicycle end Ndtatriun Bridge Pfojut 3cotion 4063o -2 J,c doroi Pr ojmt No. CUlw -5034 (Q 35) 64 06 -02 -09 02:45pm From- T -248 P.08 /11 F -100 City ofG hay C Ae 1+ zgaty „) GENERAL I IABILITY ENDORSEMENT 7951 AosaNlma $treat Gilroy, CA 95020 Aflo, Rink Managct A. �2LI�.1 'n$i�A l Endorsmmt No - 1. lase Company Financial Pacific PcHoy No. 11672A 2. Polley Tenn (from) 12/20/08 (t v) 12!20109 3. NuavdIiLitnr -mil Trin ern C`nn¢ ri,rtion Gomr1A11�1� a. Address afNamed lnm red -1-p60 Sycamore Ave Sa Martin CA 95046 5. Limit of Liabilip+ Any Qne lrxi$entlASSmgaft S 1 nno 0nno- Ann nnn_. 6. Dedactible or Self- nm-dd Rntcntiom $1-000 (Nil unless otherwi5r, specified): S - 7. CoveraZa ie equivalent• 2, Campmhenalva Gantt] U&iltty f6m GL0002 (Bd i173L, _ _ ,,,,,, Campruhmsive Genw*1 i.iaWHty'"oaau rwcd' farm CGOOOi X Cotpprehmsive Geocuatl ldabpity "Afts•made " f0m CG0802..,.;......... f4rY+! \l�IJ�IYU..wn YWWb� 9. SWIV MUTY and Iroper0' Damage 00vera20 is: Occurrence ifolalms -made, 'the Ietroactiva date h NQTE- The Apncy'a: cmndvd in=anaee regWm=nts gpcpifj "noGun=0c” covoragc. "'Claims -mada" onverago requbw special approval. 73. )rQL7C•Y A1r XWM VAS Ibis endorsement is issued in considcravoa of the policy premium, Notwitbstan ft MY iAcansistent stuamant in rice policy to w Vjch thin ondwscmom is aasachvd or any other endorra:cun = as%mhO thereto. it is azeed 05 follows: L IN'Sl PS11). The Agenoy, its cleated and appointed officers, offioials, cmployccs and volunteers are ixicludcd as fasure4b with regards to damages and defenme of claims arising from: (a) activities performed by or oii behalf of the Named Insured,.(b) products and . comploted cperations of the Named Insured, or (c) preWses owned, leased or used by the Narned Irnstued. 2, tCONTRIBMON NOT REQUIRED. As : espects- (a) work pWonued by the Named Insured for or on, babaif of the Agency; or (b) products sold by the Nomad Iusurod to the Agency; or (o) promiocs !cried by the Named Insured frm 1ho Agency, 1�he jc9 ranee aifbrded by this policy shall be prima'vty i murance as respects the Agency, its elected or appointed officers, officials, employees or volunteers; or stand in an unbroken chain of covn-ne excess of the Named hmued <s scheduled underlying primuryr covemSe. In either event, any other iusm uce: maintained by the ,AM=Y, its elected or appointed officers, officials, employocs and volunucrs shall be in cxc=s of Thin insivance and shall not contribute with it. 3. SCOpg OF CQvLRAGy-. This CDv"aSc, if pxinnar}', affords covetago is least aF broad Sts: (1) Insur=ce Services Office foam number GL Dtia (Ed. 1/73), comprehensive Frgjoct No. 09- CM-169, Chc=ut Suter Hiayc30 and FCdOSUan'a Bridge FfOece 3ect5on 00630 -s Fedwd protect No. CUL•5034 (015) 150 06 -02 -09 02:45pm From- T -248 P.09 /11 F -100 General Liability In=ace and I=uraueo Scrvieca OfGG form n=b r OL 0404 a Broad 1=osm comprehensivo General t.iabMW rxtdorAenaftut: or j (2) in wraztce Services Office Commercial GeneaI Liability Coverage, ` °occ= -ice" form C(10001 or ,'claims -made' term CCs 0002; or (3) if excess, affords coverae which is at least as broad as the primary insu canoe fb=6 referetocd in the preceding scctiens (1) and (2). 3. STVERABIUTY OF ngTEREST. The inswance affnrdod by this policy applies , scpamrately to 0wh lusumd who is vV6,king covcrago or agedust whom a Claim is made or a suit is brouAt, except witlxrespeofs to the Company" r. limit of liability. 4. PRO'VMGNS REGARDING THE INSUREDS DUMS AFTER ACCIDENT OR � LOSS. Any failure to comply with reporting provisions of the policy shall not o#ect coverage provided to the ,Agency, its elected or appointed officers, offteieis, employees or valuxt atI& 1 5, CANCELLATrON NOTIC -R. 'rho insurance afforded by Ws policy shall not be 3usp=ded, voided, eanccllad, reduced in coverage"in limits except alter thirty (3 0) I days prior written notice by owtifled mail rerun recsipt requ=tad has been givers to the Agency. S-acb notice shall be addressed as shown t the heading of this endarsemeot, C INCIDENT' AN'- cl.A=grQ&T Q pRnrR'hYtta>r• i.. f lacidents and claims am to be:¢ported to tiro iftivvr ar. I ATTN. Kathryn Thome ("fide) (Depat ltriam) Pecs ie Qiyer2ffled In ironer, 901 LqWrray-Ayi�. 5te- 119 Ql= CA 95920 (408) 8420-1131 (Address) r (Telopbane) D. �'i(oiNA�"fJliit UlN l T IIlib'R S� , !�XJ't' Ot 7a +�i R�p1 ir� 21'1 A7`7�?E.�THZ II!l�ti�li� l I Hama), waxx?mt tbQt i i1aVe authority to hind ft- below 1bud inaumeta eaurpany and by my 4patme 13 r do so bind tb9s company. ! SIGN, .1 W A TMnjjl n RIsMESENTATIVE (wiaiasl s*oturo regttved on ondorswa=t fumishod to the Aza=y) ORGANIZATION Pacif r, Div_erslflad Insurance_ . TITL Account Mannjaer i ADDRESS �pDQ � (408) 842 -2131 x164 Gilroy, CA 98020 Prc fwt No. 09-CM-1 69. Chebmut 3udec I310VIe and redesulaul 004ge Project SeCZon 00630 - Federal P rojoct No. CML -Sa94 (013) /So 06-02 -09 02:46pm From- T-248 P.10 /11 F -100 W011KER'S COMIMNSATIOrftNIPLOYERS LIABILM IDNI)ORSEMNT The City of Gilroy Vtbe Agency') 7333 itoesnna Street Gilroy, CA 95028 Atm: Risk Manager A. FOUCY INFOR1Vi TION Endorsement # 1. Inswance �n ,y State Compensation Fund Me Company ") polity NuLriber 571000394298 _ _ 2, Ffleodvc Date of This Endmament S. Named Irowed Trinchero Construction Company, Inc. 4, Em`ployer's Liability Limit (Coverage BL 1,000.0oo 9. P011CY AMErtnMENTS Ir considemion of the policy premium and norwitbsianding any ineonsistvnt =amen% in thr p*Uoy to wbicb this re►dorsemewt it amwjied or =Y other andow mert aftchad thereto, it is agreed as follows: 1. Coucollation Notice. The insurance afforded by this policy shall not be suspended, voided, cancelled, reduced in coverage or in limits except after thirty (30) days prier written notice by ccoZed mail return r=cipt requested has been given to the Agency. Such notice shall be addressed as shown is dw heading of this endorsement. 2. Waiver of Subrogation. The Insurauco Company agrees to waive all rights of subrog4on against the Agency, its elecred or Etppo€tged afifcers, officials, agents and =ploye% for losses VMd unda the tams of this policy which arise from work pc6birnod by the Named Ttasured for then Agency. C.. SIGNATiME OF WSUREia eR A'JT00Wz1ED P9MUSENTATIVB of THE WBVPUM 1, Kathryn THome ..(ptlmltype nemc), warrant that I have authority to aiad tfie bolo-W lined igmura:nco aoutpany and by my sigoaLuxn bar wn do so bind this Company. SIGNATURE OF AU'MORVZED REMS AME (original signature rr4uired on eatdorsemear rwnisw to die Agency) dRGANIZATIQN Pacific Diversified Insurance TI1C1( Account Mena ger ADDRESS 9015 Murrmy Ave., Ste. 110, Gilroy, CA 85020 T=p140 NE (4081842 -2131 x164 projecr•No. 09 -CDD -169, Chestnut Sueot Bicycle and PedesWan Dridge Project Fcdmi Projoct No. CML-3034 (913) SactlaSi 00630 -5 Ifo 06/16/2009 TUB 11:0 °. 40188522663 Line 1 06 -02 -OA 02;46pm in FAX From- 10:25; 27 a,m. 16 -05 -2009 T -240 P.11h1 F -100 Sk7GTION 00654 WORK ' -COMPRMION Z5EV . ff M 8CAYE mordanee wfrn CoMfOW& Xabor Code Smdan 120. PdW to CaMumcomont of wgtk as The Cftbw t.40 aaowr shelf 5W, =a M* wub 10 csy t8e ful)&W a$ oradfi =dc x 'Z = award offt po*1cas of Seepou 3700 of fire Labor Code wb l& ragaire every mplaw i* Im insured MRSW %r *mans• capllpEax O11 at to =de:tft St°ti 'M7 In s-- -- witch the pltpviBioe9 of ShM coat, Wkd x wilt Comply Wulf boFarc oGo�; Vila pesfprm ov ai' ilia work of thh oaptmpbK Trin _h Co foxi Co. , TA Donald Trxmckhero Naha Of Caut mer President y�t1r June 2, 2009 Data + **• RIM OF SECTION **rk P4mn loo_ W- =1 dp. Clsemin strait Iticyda and Pedaaiau Addip Pro m 000dol, 006$0 -3 Fed&W Prcj=%No. CML,303& (075) �ooz/ooz 1 11 Bond Number: CF0840 Premium: $2,391.00 SECTION 00610 FAITHFUL. PERFORMANCE BOND KNOW ALL PERSONS BY THESE PRESENTS, THAT, WHMAS, City of Gilroy , hereinafter designated the "City," has, on %i 2009 , awarded te, hereinafter designated as the "Principal," a Contract for the construction of the Chestnut Street Bicycle and Pedestrian Bridge Project, Project No. 09 -CDD -169, Federal Project No. CML -5034 (015), and * Trinchero Construction Company, Inc. WHEREAS, said Principal is required under the terms of said Contract to furnish a bond for the WtW performance of said Contract: NOW, THEREFORE, WE, the Principal, and, as Surety, are held and firmly bound unto the City the penal sum of Three hundred ** dollars ($ $329,829.00 ) lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally, firmly by these presents. ** twenty -nine thousand eight hundred twenty -nine and 001100s THE CONDITION OF THIS OBLIGATION IS SUCH, that if the above bounders Principal, it or its heirs, executors, administrators, successors, or assigns, shall in all things stand to and abide by, and well and truly keep and faithfully perform the covenants, conditions, and agreements in the said contract and any alterations made as therein provided, on it or their part to be kept and performed, at the time and in the manner therein specified, and in ail respects according to their true intent and meaning, and shall indemnify and save harmless, the City, its officers and agents as therein stipulated, then this obligation shall become null and void; otherwise it shall be and remain in full force and virtue. It is acknowledged that the Contract provides for a one -year warranty period, during which time this bond remains in full force and effect. And the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration, or addition to the terms of the Contract or to the work to be performed thereunder or the specifications accompanying the same shall, in any way, affect its obligations on this bond, and it does hereby waive notice of any such change, extension of time, alteration, or addition to the terms of the Contract or to the work or to the specifications. Said Surety hereby waives the provisions of Sections 2819 and 2845 of the Civil Code of the State of California. Project No. 09- CAD -169, Chestnut Street Bicycle and Pedestrian Bridge Project Section 00610 -1 Federal Project No. CML -5034 (015) rN WITNESS WHEREOF, the above bounden parties have executed this instrument under their seals this 1 day of June a _ 2009 , the name and corporate seal of each corporate party being hereto affixed and these presents duly signed by its undersigned representative, pursuant to authority of its governing body. (Seal) Trinchero Cpfisfruction Company, Inc. for Donald Trinchero, President Title of Signator Contractors Bonding and Insurance Company Surety (Seal) Signature for Surety Ann S. Ferrante, Attorney In Fact Title of Signator * * ** ENA OF SECTION * * ** Project No. 09 -CDD -169, Chestnut Street Bicycle and Pedestrian Bridge project Section 00610 -2 Federal Project No. CM1i5034 (015) CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT State of California County of Santa Cruz On June 1, 2009 before me, JOE A. FERRANTE, NOTARY PUBLIC DATE NAME, TITLE OF OFFICER personally appeared Ann S. Ferrante JOE A. FERRANTE Commission * 1808761 -•d Notary Public - California zZ Z Santa Cruz County ' My Comm. Expires Sep 3, 2012+ OPTI NAME(S) OF SIGNER(S who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is /are- subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hW her /theif authorized capacity(ies), and that by his/her /theif- signature(s) on the instrument the person(s,), of the entity upon behalf of which the person( &) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. IGNATURE OF NOTARY Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER INDIVIDUAL CORPORATE TITLE (S) [ ] PARTNER (S) [ ] LIMITED [ ] GENERAL [X] ATTORNEY -IN -FACT [ ] TRUSTEE(S) [ ] GUARDIAN /CONSERVATOR [ ] OTHER: DESCRIPTION OF ATTACHED DOCUMENT PERFORMANCE AND /OR PAYMENT BOND(S) SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) Contractors Bonding and Insurance Company TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES DATE OF DOCUMENT Trinchero Construction Company, Inc. Bond Number: CF0840 Premium: Included in Performance Bond SECTION 00620 PAYMENT BOND KNOW ALL PERSONS BY TBESE PRESENTS, THAT, WHI AS, City of Gilroy , hereinafter designated as the "City," has, on 2009 ,awarded to Trinchero Construction * hereinafter designated as the ` rincipal," a Contract for the construction of the Chestnut Street Bicycle and Pedestrian Bridge Project, Project No. 09 -CDD- 169, Federal Project No. CM1-5034 (015), and * Company, Inc. WHEREAS, said principal is required to furnish a bond in connection and with said Contract, providing that if said principal, or any of it or its subcontractors shall fail to pay for any materials, provisions, or other supplies used in, upon, for, or about the performance of the work contracted is be done, or for any work or labor done thereon of any kind, the Surety of this bond will pay the same to the extent hereinafter set forth; NOW, TBEREFORE, we, the Principal, and, as Surety, are held and firmly bound unto the City the penal sum of Three hundred twenty -nine thousand ** Dollars (S $329,829.00 ) lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, and successors jointly and severally, firmly by these presents. ** eight hundred twenty -nine and 00 /100s dollars The Payment Bond for which this Section provides shall secure the payment of those persons or entities to whom the Principal, its Subcontractors or its heirs, executors, administrators, successors, or assigns, shall be become legally indebted for labor, materials, tools, equipment or services of any kind used or employed by the bidder in performing the work, or taxes or amounts to be withheld thereon. The Surety or Sureties will pay the following amounts should the Principal or a Subcontractor fail to pay the same, plus reasonable attorneys' . fees to be fixed by the court if suit is brought upon the bond: (1) amounts due to any of the persons named in California Civil Code Section 3181; (2) amounts due under the Unemployment Insurance Code with respect to work contracted to be done or any work or labor thereon of any kin; and (3) any amounts required to be deducted, withheld, and paid over to the Employment Developmqnt Department from the wages of employees of the Principal and Subcontractors pursuant to Section 13020 of the Unemployment Insurance Code with respect to the work and labor. This Payment Bond shall inure to the benefit of any of the persons named in Civil Code Section 3181 so as to give a right of action to those persons or their assigns in any suit brought upon this bond. And the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration, or addition of the terms of the Contract or to the work to be pmformed thereunder or the specifications accompanywS the same shall, in any way, affect its obligations of this bond, and it does hereby waive notice of any change, extension of time, alteration, or addition to the terms-of the contract or to the work or to the specifications, Said Project No. 09-CDD -169 Chestnut Street Bicycle and Pedestrian Bridge Protect Section 00620 -1 Federal Project No. CUL -5034 (015) Surety hereby waives the provisions of Sections 2819 and 2845 of the Civil Code of the State of California. IN WITNESS WHEREOF, the above bounded parties have executed this instrument under their seals this 1 day of June 2009 , the name and corporate sea] of each corporate party being hereto affixed and these presents duly signed by its undersigned representative, pursuant to authority of its governing body. (Seal) Trinchero C dstr ction Company, Inc. rm al 3 Signature for Principal Title Donald Trinchero, President Contractors Bonding and Insurance Company Surety Signature for Surety Title Ann S. Ferrante, Attorney In Fact *"* END OF SECTION " Project No. 09-MO -169 Chestnut Stmt Bicycle and Pedestrian Bridge Project Section 00620 -2 Federal Project No. C,ML -5034 (015) CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT State of California County of Santa Cruz On June 1, 2009 before me, JOE A. FERRANTE, NOTARY PUBLIC DATE NAME, TITLE OF OFFICER personally appeared Ann S. Ferrante JOE A. FERRANTE Commission # 1808761 = .� Notary Public - California Santa Cruz County My Comm. Expires Sep 3, 2012 NAME(S) OF SIGNERS who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) Ware - subscribed to the within instrument and acknowledged to me that he/she /d+ey executed the same in hg-,/ her /them authorized capacity(ies-), and that by hi&/her/the4 signature() on the instrument the person(s), of the entity upon behalf of which the person( &) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. OPTIONAL GNATURE OF NOTARY Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER INDIVIDUAL CORPORATE TITLE (S) [ ] PARTNER (S) [ ] LIMITED [ ] GENERAL [X] ATTORNEY -IN -FACT [ ] TRUSTEE(S) [ ] GUARDIAN /CONSERVATOR [ ] OTHER: DESCRIPTION OF ATTACHED DOCUMENT PERFORMANCE AND /OR PAYMENT BOND(S) SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) Contractors Bonding and Insurance Company TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES DATE OF DOCUMENT Trinchero Construction Company, Inc. .qTr_VPR (C) nTW7V TuATT 1KT7Tmvn TnnTrr- Certibcate ot Appointment and 1jesojution of the hoard of Directors Be undewgwd Pnod.1 and Samcni- NOMOWON Hun Am 9 On � "On! no C c"Wany hureP., cortif,, that the President ha appointed ihcAncimeAnyin-Fan Amp" ad 6rit a W, 0d,&Vp,,, a,: wj_ &7AAW the; Qonq of I no Womr,rcsolations adopted A the BoaW of 10"sm"d ( vn BMW PA il - ,,, 0 � , n vz-g Lj,jA ­n 13. i993: RESC)LI, cD. W L x louetaqi and any My empQve a, ml be s rwin"n: tow zc'd(-"1- ACC; I inq uppodn! oE in" each ca"a. .o" andumi,mg, rnnqhnxl� �Iy tAwn,hl o an\ Such. RESOILVEDF-t P-Fjwk, A" PA A,," p�pl L-MI �e, nnZ A2 W& MCC 07YOEYM05 he undenal, i n q. W L 0 g n Z W n 1 q k! MW 4 la! p e n, r WT W a — an UM I a I Wd RESUIA ED FURPTE. 110; Z Yclawn 1"Wo-W> R" 'H conernny PCOM 01 allowncy and jo�" )! 7 a M Wnq " n-ia'� 1 j� by We Bond A j4v ixn ., incwnp bpi n, 1 !&Yan h 10 0. 10 -ta', W !aWqPAL pmcs A awrnq Arc the a I. of !N"Xv of Ulu nx, ivy "W nun! won anq to, K'W kx.x�nqyo. '�Voc�j non q nan Vic annocan, dwWal bMd ctidCt UM I �n 'I P QC" �Up Z iN " rmss %\ wi .rnwor, ts indpig ! r...,. t and sLavari and Yin awriAn nl .c..-, P. State of W"Ampon Couny-of King On June 13. 2007, before' i-n , Frk-Aa' J VNI \nqxl POW. runnQ app2yncd wn 4yy a, md it Ork EAnd penonally known to me ') b e the per'sor"s "tme nwon ar, Sahswpowd C u no j, nhin invrLopurl- mid wAn. Wedym to nw A that Ac y executed the same in their autborizeo capachieb anj IS by Wee �nonn T i �, ;! "� l (I" the �,-m-mnnenl WA6, k J Q� ,VITNESS my hanci an P J7 c-a! Signature ------ 'N !IULIJ io We 0,& OZ City of Gilroy Engineering Division 7351 Rosanna St., Gilroy, CA 95020 Phone (408) 846 -0451; Fax (408) 846 -0429 CHANGE ORDER NO. 1 To contract for : Chestnut Street Bicycle and Pedestrian Bridge Project Federal Project No. CML -5034 (015) City Project No. 09 -CDD -169 Contractor: Trinchero Construction, Inc. Contract Date: 6/17/2009 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 This change order provides for the following: - Change bridge deck from timber to concrete per attached Price Request #1. - Change street light poles from steel to aluminum per attached Price Request #2. - Change pilasters from cast -in -place to precast to match the pilasters at Sixth Street/Railroad Street per attached Price Request #3. -Raise existing utility covers to grade on Lewis Street per attached Price Request #4. - Additional costs for quantity increases on Bid Items 5, 6, 10, 14, 15, 25 and 28 per attached quantity spreadsheet. The contract time shall be extended by forty five (45) working days. 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. Cost Percentage Initial I (We) agree to make the above change Original Contract Price $329,829.00 subject to the terms of this Change Order Previous Change Orders $0.00 0.00 %__JLQ for the NET INCREASE of $48,635.70 Total to Date $329,829.00 This Change Order $48,635.70 Total Change Orders to Date $48,635.70 14.75% 04W // Revised Contract Price $378,464.70 CONTRACTiA By: Date: Proj ect Date TRINCHERO CONSTRUCTION, Inc. License #435406 Price Request #1 Date: August 6, 2009 Project: Chesnut Street Bicycle and Pedestrian Bridge Owner: City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 Description: Concrete deck alteration to bridge Bid Item Description of Item 1 Structural re- design, new bridge supplied w/ concrete form pan, 5.75" concrete bridge deck w/ #5 rebar 6" O.C. (per manufacturers recommendation) Qty UOM Unit Price Total 1 LS $ 16,289.00 $ 16,289.00 TOTAL $ 16,289.00 'Re-design process of bridge will add three additional weeks to schedule * ** Thank you, Trinchero Construction Company, Inc. Gerad Trinchero 12860 Sycamore Ave. San Martin, CA 90546 (408)- 683 -2503 i Alf TRINCHERO CONSTRUCTION, Inc. License #435406 Price Request #2 Date: August 24, 2009 Project: Chesnut Street Bicycle and Pedestrian Bridge Owner: City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 Description: Electrical- Credit for pole material Bid Item Description of Item 1 Change Steel Ornamental Poles to Aluminum Poles Qty UOM Unit Price Total 6 EA $ (250.00) $ (1,500.00) TOTAL $ (1,500.00) Thank you, Trinchero Construction Company, Inc. Gerad Trinchero 12860 Sycamore Ave. San Martin, CA 90546 (408)- 683 -2503 08/21/2009 09:43 4089294905 SIGNAL ELECTRIC San lose Signal Electric Construction Inc. Phone (408) 9294900 Fax (408) - 929.4905 FAX TRANSMITTAL DATE: 8 -21-09 FROM: Frank A Garcia X -24 PAGE 01/01 TO: Trinchero Construction ATTN.- Gerad FAX: 683 -2819 Project: Chestnut Street Bicycle & Pedestrian Bridge Location: Gilroy Gerad, Per the City of Gilroy's request to change the Ornamental Steel Poles to Aluminum. The city has requested a credit for making this change. Below is a credit. 1. 6ea. Change Steel Ornamental Poles to Aluminum Poles $250.00 ea. Total Credit: $1500.00 Please get back to me as soon as possible so I can release either the steel or alumtinimn. Poles. I understand the footings are going to be installed and we need to get anchor bolts in and I still do not have any anchors bolts. I will get once an approved submittal . is received. Any questions, please call me at 408 - 929 -4900 ext. 24. Sincerely Frank A. Garcia 09/15/2009 07:28 4089294905 SIGNAL ELECTRIC PAGE 01/03 San Jose Signal Electric Construction Inc. Phone (408) 929 -4900 Fax (408)- 929 -4905 FAX TRANSMMAL DATE: 9 -24 -09 FROM: Frank A Garcia X -24 TO: Trinchero Construction ATTN: Gerad FAX: 683 -2819 Project: Chestnut Street Bicycle & Pedestrian Bridge Location: Gilroy Gerad, Here is the credit breakdown you requested. 1. Electrical Distributors original quote $18,000.00 2. Revised 9 -02 -09 ($16500.00) $1500.00 Difference is $1500.00 divide into 6ea. = $250.00 ea. Get back to me let me know which poles to release "Steel or Aluminium" Sinccrely Frank A. Garcia 09/15/2009 07:28 4089294905 SIGNAL ELECTRIC PAGE 02/03 QUOTE # 09- 0932 -1 DATE: 06-26 -09 PAGE 1 San Jose Phone: 408. 293.5818 Fax: 4082834919 Salinas Phone: 831.422.4786 Fax: 8312 -4846 Monterey Phone: 831.373.4786 Fax: 831-3734W= Gilroy Phone: 408. 847.2222 Fax: 408-847-2324 To FRANK Proj; CHESTNUT STREET PADESTRIAN BRIDGE SIGNAL BLECTRXC PO BOX 611525 SAN JOSE, QA 95161 408/929 -4900 Fax 408/929 -4905 Remarks: 6 A 6 B i Description 6/25/09 8A #02528674/CAL WEST 2920 »1368 _ F�-10OW 80L0 COV100HPMTCR3NSB DTLPR20 /24/270 F1 GV1A732 067514 POLE HOLO (AOL- 31130) NY10.520CZSBKH NOTES: — - 1) SEE ATTAMED HOLOPE"E V3SCRIPTIO1fS. —� LOT LOT NOT40PRANE F.O.B, Per MFG - Total..._ - -- — Terms: Net 30 Days ILead time: UPON Prices firm for entry by: 10 DAYS 10hipmient by: This quotation is based solely on reliance of information and specifications provided by the customer. Subject to manufacturers published texas and conditions of sale. Quotation is void if changed. Complete quote must be used, no partials. Lampe and other accessories are not included in the quote unless noted. Sales taz is not included. Pricing is based on one shipment direct to jobsits. Freight will be charged on all partial releases that do not make factory freight allowance. Pricing indicated above is for direct shipments only. Any shipments routed through Electrical Distributors may Price $18000.00 09/15/2009 07:28 4089294905 SIGNAL ELECTRIC PAGE 03/03 QUOTE # 09-0932-3 DATE: 09-02-09 PAGE 1 San Jose Phone: 408-293-5818 Fax: 408-283-1919 Salinas Phone, 831-4224786 Fax: 831-4224M Monterey Phone: 831-373-4786 Fax: $31-373.6430 Gilroy Phone: 408-847-2222 Fax., 408-847-2324 To. FRANK 810NAL R7ACTItIC PO BOX 611525 SAN JOSE, Ca 95161 408/929-4900 Vex 408/929-4905 :Remarks- PrOJI CHESTNUT STRUT RED2STRXW E - RIDOR 8121109 RHVXSXOM # 2-.POZZ CKAWz To AZUMXNUM Price; IF-100W 6:A ;80WiqV1008PmT C93MBB DTLPR20/2*/27D F1 GVIA738 9675I4 -POZ-V 6 D xrlC.6C20CABXR 10' 6m TAPERED FLUTED CAST SERPT, 20- DZMMTzR BLACK FINISH, LESS ANCHOR DOLTS Total rar. $16500.00; F.O.B. Per ITerm ! Not 30 Days . . ...... -- 4 tiMS: UPON RgQiiisi :Prices firm for entry by: 10 DAYS Jbipment by: I This quotation is based solely an reliance of information and specifications provided by the customer. Subject to manufacturer's published terms and conditions Of sale. Quotation is Vold if changed. CCXPXGtG quota must be used. no partials. Lamws and other accessories Ara not Included In the quote direct to Jobgitft. preight will h unlema noted. sales tax is not included. Pricing in based on one shipment be charged an all partial releases that do not make factory freight allowance. shipments only. Any shipments Pricing indicated above is for direct incur pkdd�tL qua - routed through zlectric&l Distributors may 10,4 .. 0!a2 09 0.9 a -06.-23 Per- - _=L88A A AF TRINCHERO CONSTRUCTION, Inc. License #435406 Price Request #3 Date: September 4, 2009 Project: Chesnut Street Bicycle and Pedestrian Bridge Owner: City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 Description: 24" Precast Pilaster Per City Request in returned submittal package dated 8/17/09 Bid Item Description of Item Qty UOM Unit Price 1 24" Custom precast pilaster (painted, tops set in place, anchor bolt system set in place for electrical poles) 2 Footing Excavation for pilasters adjacent to sidewalk on Lewis Street 3 Bond Premium @ 2% 4 Credit for cast in place pilasters 12860 Sycamore Ave. Total 6 EA $ 3,925.00 $ 23,550.00 2 EA $ 250.00 $ 500.00 1 LS $ 481.00 $ 481.00 1 LS $ (18,000.00) $ (18,000.00) TOTAL $ 6,531.00 Thank you, Trinchero Construction Company, Inc. Gerad Trinchero San Martin, CA 90546 (408)- 683 -2503 Sep 02 09 11:54a p.2 LINK CONSTRUCTION CO., INC. 13895 Spring Valley Rd. Morgan Hill, CA 95037 Phone & FAX (408) 779 -5490 Ur, #377034 To: Trinchero Const. Co., Inc. 9 -2 -2009 Re: Chestnut Street, Gilroy CA Ped. Bridge Pilasters This bid is for all labor, material and equipment to set 6 pilasters and two foundations as described on attached. Excludes excavation for two foundations. TOTAL BID PRICE ......................$ 21,400.00 Ar TRINCHERO Ar CONSTRUCTION, Inc. License #435406 Price Request #4 Date: September 21, 2009 Project: Chesnut Street Bicycle and Pedestrian Bridge Owner: City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 Description: Set existing utility covers to grade on Lewis Street and patch pave AC Bid Item Description of Item 1 Raise existing utility covers to new street grade and patch AC Qty UOM Unit Price Total 1 LS $ 2,200.00 $ 2,200.00 TOTAL $ 2,200.00 Thank you, Trinchero Construction Company, Inc. Gerad Trinchero 12860 Sycamore Ave. San Martin, CA 90546 (408)- 683 -2503 Quantity Spreadsheet — Change Order No. 1 Bid Item - Description Unit Price Bid Quantity Bid Amount Rev. Unit Price Rev. Quantity Rev. Amount Increase 5 -Cold Plane AC Pavement $35.60 /SQYD 70 SQYD $2,492.00 $33.50 285 SQYD $9,547.50 $7,055.50 6- Remove Concrete (SW, DW & Swale) $3.50 /SF 1041 SF $3,643.50 1564 SF $5,474.00 $1,830.50 10- Roadway Excavation $113.00/CY 161 CY $18,193.00 171 CY $19,323.00 $1,130.00 14 -Class 2 Aggregate Base $145.00/CY 110 CY $15,950.00 125 CY $18,125.00 $2,175.00 15 -Hot Mix Asphalt (Type B) $187.00/TON 60 TON $11,220.00 $175.00 116 TON $20,300.00 $9,080.00 25 -Minor Concrete (DW, 6 -Inch Thick) $7.90 /SF 361 SF $2,851.90 679 SF $5,364.10 $2,512.20 28 -Minor Concrete (SW, 4 -Inch Thick) $6.50/SF 1370 SF $8,905.00 1575 SF $10,237.50 $1,332.50 TOTAL: $25,115.70 TRINC -1 OP ID: NA A�O�RO" CERTIFICATE OF LIABILITY INSURANCE F DAT 10 /01O/YYY() 10/01 /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 terns 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- 842 -2131 Pacific Diversified Insurance 408- 842 -0867 Gilroy Office 9015 Murray Avenue #110 Gilroy, CA 95020 NAM ' E: PNONE FAx No No): EMAIL ADDRESS: $ 1,000,0 PREMISES (El occurrenoa Barry E. Link INSU S AFFORDING COVERAGE NAIL # INSURER A: Financial Pacif Insurance Co 176728E INSURED Trinchero Construction Co. Inc INSURER B: The Hartford 22357 D &E Equipment Donald G. Trinchero INSURER C: Everest National Insurance Co. 101'20 12860 Sycamore Avenue INSURER D: $ 5,00 INSURER E: San Martin, CA 95046 X X.= kW*Kled INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE INSURANCE POLICY EFF POLICY EXP LIMITS LTR POUCY�NUMBER MM/DD/YYYY MM /DD/YYYY GENERALL1101911LJTY EACH OCCURRENCE $ 1,000,0 PREMISES (El occurrenoa $ 50,00 A X COMMERCIAL GENERAL LIABILITY X 176728E 12/20111 12/20112 CLAIMS -MADE Fx-1 OCCUR MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 X X.= kW*Kled GENERAL AGGREGATE $ 2,000,00 GENT: AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S $000,00 Ded $1 K. $ Per Occ X POLICY FRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,0 BODILY INJURY (Per parson) $ A X ANY AUTO 176728E 12/20M I 12/20/12 ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS AUTOS Ix NON -OWNED BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident $ Comp Ded $ 50 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,0001 AGGREGATE S 1,000,00 A EXCESS LIAB CLAIMS -MADE 923163E 12/20/11 12/20/13 DED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECl1TIVE YIN N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) NIA 7600008048121 10/01/12 1 OMIM3 X I WCSTATU- OTH- T E.L. EACH ACCIDENT E L DISEASE - EA EMPLOYEE s 1,000,0 $ 1,000,00 I yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1,000,00 B Equipment 57UUMPV2715 121201'11 12/20/12 Rent Equi 250,00 Ded - $2,500 Schl Equi 1,361,62 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Project No. 09 -CDD -169, Chestnut Street Bicycle and Pedestrian Bridge, Federal Project No. CML -5034 (015) for excavation & grading. Chestnut Street Bridge, Gilroy, CA. The City of Gilroy, and City's employees, officers, design consultants, elected officials, Construction Manager, agents and subconsultants (see notes for rest of description) k.rK I Ir -II.A I t rIULUCK k ANN rLLA l IUIV THECITY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Gilroy ACCORDANCE WITH THE POLICY PROVISIONS. Community Development Dept. 7351 Rosanna Street AUTHORIZED RF.PRF.SENTATIVE Gilroy, CA 95020 © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD TRINC -1 OP ID: NA. ACOR® CERTIFICATE OF LIABILITY INSURANCE DATE (MMDD/YYYY) 1.0101112. 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 endomemen s . PRODUCER 408 - 842 -2131 Pacific Diversified Insurance 408 - 842 -0867 Gilroy Office 9015 Murray Avenue #110 Gilroy, CA 95020 NAMME: PHONE Ext : FAX No E -MAIL ADDRESS. GENERAL LIABILITY Barry E. Link INSURER(S) AFFORDING COVERAGE NAIC # INSURERA : Financial Pacific Insurance Co EACH OCCURRENCE $ 1,000,00 INSURED Trinchero Construction Co. Inc INSURER B: The Hartford 22357 D &E Equipment Donald G. Trinchero INSURER C: Everest National Insurance Co. 10120 12120112 DAMAGE REMISES Ea occurrence) 12860 Sycamore Avenue 1 INSURER D: CLAIMS -MADE Fx_� OCCUR INSURER E: San Martin, CA 95046 INSURER F MED EXP I(Any one person) COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE ,INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS - INSR LTR TYPE OF INSURANCE ADDI U POLICY NUMBER MPOLICY DY MM DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X 176728E 12!20!11 12120112 DAMAGE REMISES Ea occurrence) $ 50,00 CLAIMS -MADE Fx_� OCCUR MED EXP I(Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 X X.C.U. Included GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES'PER: PRODUCTS- COMP /OP AGG $ 2,000,00 Ded $1 K $ Per Occ X POLICY PRO LOC _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,00. BODILY INJURY (Per person) $ A X ANY AUTO 176728E 12120/11 12/20/12 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraxident $ X HIRED AUTOS X NON -OWNED AUTOS Comp Ded $ 50 'X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,00 A EXCESS LAB CLAIMS -MADE 923163E 12/20/11 12/20/13 DIED :1 - $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEWEXECUTIVE YEN OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) N/A 7600006048121 10/01/12 10/01/13 X I WC STATU - I OTH- TORY LIMIT ER - E.L. EACH ACCIDENT E.L. DISEASE - FA EMPLOYEE $ 1,000,00 $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,00 B Equipment 57UUMPV2715 12/20111 12/20/12 Rent Equi 250,00 Ded - $2,500 Schl Equi 1,361,62 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: Project No. 09 -CDD -169, Chestnut Street Bicycle and Pedestrian Bridge, Federal Project No. CML -5034 (015) for excavation 6 grading. Chestnut Street Bridge, Gilroy, CA. The City of Gilroy, and City's employees, officers, design consultants, elected officials, Construction Manager, agents and subconsultants (see notes for rest of description) CERTIFICATE HOLDER The City of Gilroy Community Development Dept 7351 Rosanna Street Gilroy, CA 95020 THECITY 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 �� l ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD TRINC -1 OP ID: NA ~tic<>Me'r CERTIFICATE OF LIABILITY INSURANCE F DAT 10/0110101DlYYYY) /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 endorsemen s . PRODUCER 408 -842 -2131 Pacific Diversified Insurance 408- 842 -0867 Gilroy Office 9015 Murray Avenue #110 Gilroy, CA 95020 Barry E. Link CONTACT NAME: PHONE FAX A/C No Ext :. A/C, No): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Financial Pacific Insurance Co LIMITS INSURED Trinchero Construction Co. Inc D &E Equipment Donald G. Trinchero 12860 Sycamore Avenue San Martin, CA 95046 INSURER B: The Hartford 22357 INSURER C: Everest National Insurance Co. 10120 INSURER D: INSURER E $ 1,000,00 - INSURER F: X COMMERCIAL GENERAL LIABILITY COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR DOCUMENT WITH RESPECT TO WHICH THIS _OTHER_ CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADD POLICY NUMBER MMIDDlYYYY D Y MMIDYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X 176728E 12120/11 12/20/12 PREMISES Ea occurrence $ 50 +00 CLAIMS -MADE Fx_1 OCCUR MEDEXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 X X.C.U. Included GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP /OP AGG $ 2,000,00 X POLICY 1PEC LOC Ded$1K $ Per AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000 00 BODILY INJURY (Per person) $ A X ANY AUTO 176728E 12/20/11 12120112 ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY '(Per accident) $ PROPERTY DAMAGE Per accident $ X HIRED AUTOS AUTOS Ix NON -OWNED Comp Ded $ SO X 'UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,900,00 AGGREGATE $ 1,000,00 A EXCESS LIAB CLAIMS -MADE 923163E 12/20/11 12120/13 DED I I RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' - LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE YIN OFFICERMIEMBER.EXCLUDED? ❑ (Mandatory in NH) N/A 7600008048121 10/01/12 10/01/13 X WC STATU- OTH- TORY LIMIT R E.L. EACH ACCIDENT EL DISEASE -FA EMPLOYEE $ 1,000,00 $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below E. L. DISEASE - POLICY LIMIT $ 1,000,00 B Equipment 57UUMPV2715 12120/11 12/20/12 Rent Equi 250,00 Ded - $2,500 Schl Equi 1,361,62 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Transportation Permit. The City of Gilroy is named as Additional Insured with respects to the General Liability, per attached carrier endorsement, provided a written contract or agreement is in place. 10 days notice for non- payment of premium. The City of Gilroy Attn: Public Works Department 7351 Rosanna St. Gilroy, CA 95020 ACORD 25 (2010/65) THECITY 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 (32�1 ENE The ACORD name and logo are registered marks of ACORD All rights reserved. TRINC -1 OP ID: NA ACOR® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 10101/12 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 408442 -2131 Pacific Diversified Insurance 408 -842 -0867 Gilroy Office 9015 Murrayy Avenue #110 Gilroy, CA 95020 Barry E. Link CONTACT NAME: PHONE t Ext : FAX No EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL N INSURER A: Financial Pacific Insurance Co LIMITS INSURED Trinchero Construction Co. Inc DSE Equipment Donald G. Trinchero 12860 Sycamore Avenue San Martin, CA 95046 INSURER B: The Hartford 22357 INSURER C: Everest National Insurance Co. 10120 INSURER D: INSURER E: $ 1,000,00 INSURER F X COMMERCIAL GENERAL LIABILITY COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL POLICY NUMBER POLICY EFF MMIDD POLICY EXP MNUDDMIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 • X COMMERCIAL GENERAL LIABILITY X 176728E 12/20/11 12/20/12 PREMISES Ee occurrence $ 50,00 CLAIMS -MADE 1K OCCUR MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 X X.C.U. Included GENERAL AGGREGATE $. 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,00 X POLICY PRO Loc Ded $1 K $_ Per Occ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1 OOO,OO BODILY INJURY (Per person) $ • X ANY AUTO 176728E 12120/11 12120112 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident). $ PROPERTY DAMAGE Per ax.dent $ X HIRED AUTOS AUTOS Ix NON -OWNED Comp Ded $ 50 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 11000100 • EXCESS LIAS CLAIMS-MADE 923163E 12/20111 12120113 DED.. I RETENTION $ • WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE YIN OFFICERIMEM ❑. BER EXCLUDF_D7 (Mandatory . In NH) NIA 7600006046121 10/01/12 10/01/13 X WC STATU- OTH_. T o RY'LIMIT ER E.L. EACH 'ACCIDENT E. L. DISEASE - EA EMPLOYEE $ 1,000,00 $ 1,000,00 If yes, describe under .DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,00 B Equipment 57UUMPV2715 12/20/11 12120/12 Rent Equi 250,00 Ded - $2,500 Schl Equi 1,361,62 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Transportation Permit. The City of Gilroy is named as Additional Insured with respects to the General Liability, per attached carrier endorsement, provided a written contract or agreement is in place. 10 days notice for non - payment of premium. The City of Gilroy Attn: Public Works Department 7351 Rosanna St. Gilroy, CA 95020 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 olcaDll ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD TRINC -1 OP ID:_KI CERTIFICATE OF LIABILITY INSURANCE DAT12 /21D/YYYY) 12/21 /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). CONTACT PRODUCER 408- 842 -2131 NAME: - Pacific Diversified Insurance Gilroy Office 408 -842 -0867 PHONE a No: 9015 Murray Avenue #110 E-MAIL DRESS: Gilroy, CA 95020 Barry E. Link INSURERS AFFORDING COVERAGE NAIC # INSURER A:Ironshore Specialty Ins. Co. INSURED Trinchero Construction Co. Inc INSURER B:Golden Eagle Insurance 10836 12860 Sycamore Avenue INSURER c: Everest National Insurance Co. 10120 San Martin, CA 95046 INSURER D : Topa Insurance r.FRTimr-ATF NIIMRFR• RFVISInN NI IMRFR- HIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD DICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ERTIFICATE 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. TYPE OF INSURANCE A DDL SUBR POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 pREMISES Ea occurrence $ 50,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X1 OCCUR X AGS0034500 12120112 12/20/13 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,00 POLICY PRO LOC Emp Ben. $.. 110000 AUTOMOBILE LIABILITY MBINED IN LE LIMIT Ea accident 1 OOO OO $ , X BODILY INJURY (Per person) $ , B ANYAUTO BA1079215 12/20/12 12/20/13 ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMA E Per accident $ $ UMBRELLA Li" X OCCUR EACH OCCURRENCE $ 1,000,00 X AGGREGATE $ 1,000,00 A EXCESS LIAB CLAIMS -MADE AXS0001400 12/20/12 12120/13 DED I X RETENTION, Over GL $ C WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE Y� OFFICER /MEMBEREXCLUDE( (Mandatory In NH) N/A 7600008048121 10/01/12 10/01/13 WC STATU- 0TH- TORY LIMBS ER E.L. EACH ACCIDENT $ 1,000,00. E . DISEASE - EA EMPLOYE9 $ 1,000,00 If yyes, describe under - DESCRIPTIONOF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,00 D Excess Liability XL6604534 12/20112 12120113 Excess 1,000,00 over Auto Only DESCRIPTION OF OPERATIONS / LOCA71ONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) ransportation Permit. The City of Gilroy is named as Additional Insured with respects to the eneral Liability, per attached carrier endorsement, provided a written contract or agreement is in place. 10 days notice for non- payment of premium.. THECITY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City Of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y y ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Public Works Department 7351 Rosanna St. AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 r ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons) Or Organization(s): Locations Of Covered_ Operations As required by written contract. If required by your agreement with such Additional Insured, this insurance shall be primary insurance and non- contributory for that Additional Insured. If anyone, other than the Additional Insured, provides similar insurance for the Additional Insured, then this insurance will a? 1 as ate. outlined in I 01231N� N0 x� , paragraph 4, Other Insurance, subparagraph c., Method of Sharing. The inclusion of one or more Insured(s) under the terms of this endorsement does not increase our limits of liability. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 — Who Is An Insured is amended to B. With respect to the insurance afforded to these . include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage "personal personal and advertising injury "property damage" occurring after: caused, in whole or in part, by: 1. Your acts or omissions; or 1. All work, including materials, parts or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or 2. 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 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑ POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations Blanket as required by written contract and Blanket as required by contract. effective during the policy period as stated on the Primary Insurance: It is agreed that such insurance policy declarations. as is afforded by this policy for the benefit of the additional insured shown shall be primary insurance, and any other insurance maintained by the additional insured(s) shall be excess and non contributory as respects any claim, loss or Liability allegedly arising out of the operations of the named insured, provided however that this insurance will not apply to any claim, loss or liability determined to arise or result from the additional . insured(s sole negligence or willful misconduct. The insurance afforded by this policy for the benefit of the additional insured does not apply to 'property damage' to any building, structure or appurtenant structure intended to be occupied as a 'private residence'. The term "private residence" includes single family homes or residences, multi - family homes or residences, condominiums, town homes. Section If — Who Is An Insured is amended to include as an additional insured the person(s) or organizations) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated 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 © ISO Properties, Inc., 2004 Page 1 of 1 0 TRINC -1 OP ID: KT CERTIFICATE OF LIABILITY INSURANCE DATE (MM /OO/YYYY) . 12/21112 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 -842 -2131 Pacific Diversified Insurance Gilroy Office 408- 842 -0867 9015 Murray Avenue #110 Gilroy, CA 95020 Barry E. Link CONTACT PHONE C No:. - E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC q INSURER A:Ironshore Specialty Ins. Co. LIMITS INSURED Trinchero Construction Co. Inc 12860 Sycamore Avenue San Martin, CA 95046 INSURER B:Golden Eagle Insurance 10836 INSURERC:Everest National Insurance Co. 10120 INSURER D:TO alnsurance INSURER E: $ 1,000,00 PREMISES Ea occurrence $ 50,00 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD" INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OFINSURANCE ADDL SURR POLICY NUMBER POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 50,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FK OCCUR X AGS0034500 12/20/12 12120/13 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,OOQ,00 POLICY PRO- LOC Emp.Ben., - $ 1,000,00.. AUTOMOBILE LIABILITY MBINED IN LE LIMIT Ea accident - - $ . 1,000,00_ BODILY INJURY (Per person), $ B X ANY AUTO BA1079215 12/20/12, 12/20113 _ ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,00 X AGGREGATE $ 1,000,00 A EXCESS LIAB CLAIMS -MADE AXS0001400 12/20112 12/20/13 DED I X I RETENTION Over GL. $ C WORKERSCONIPENSATtON AND EMPLOYERS' LIABILITY AND ANY PROPRIETOR /PARTNER /EXECUTIVE Y / N OFFICER /MEMBER EXCLUDED? ❑ (Mandatory in NH) N/A 7600008048121 10/01112 10101/13 X WC'STATU- I 0TH= LIMITS ER E.L. EACH ACCIDENT $ 1.000,00 E.L. DISEASE - EA EMPLOYE9 $ 1,000.00 dyes, describe under DESC RIPTION. OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,00 D Excess Liability XL6604634 12120/12 12/20/13 Excess 1,000,00 over Auto Only DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: Project No. 09 -CDD -169, Chestnut Street Bicycle and Pedestrian Bridge, ederal Project No. CML -5034 (015) for excavation & grading. Chestnut Street Bridge, Gilroy, CA. The City of Gilroy, and City's employees, officers, design consultants, elected officials, Construction Manager, agents and subconsultants (see notes for rest of description) THECITY The City of Gilroy Community Development Dept. 7351 Rosanna Street Gilroy, CA 95020 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 C 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD NOTEPAD: HOLDER CODE THECITY TRINC -1 PAGE 2 INSUREDS NAME Trinchero Construction Co. Inc OP ID: KT DATE 12/21112 are hereby added as Additional Insured's in so far as Work done under this Contract is concerned. "acting within the scope of their duties that are controlled and supervised b the primaryry (first) Additional Insured." per attached carrier endorsmen, Primary Wording ncluded. Only 10 days notice of cancellation in the event of non - payment ofgpremium. Commercial Work to begin 6/2/09 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Locations Of Covered Operations As required by written contract. If required by your agreement with such Additional Insured, this insurance shall be primary insurance and non- contributory for that Additional Insured. If anyone, other than the Additional Insured, provides similar insurance for the Additional Insured, then this insurance will a 1 as outlined in � a �. �', paragraph 4, Other Insurance, subparagraph c., Method of Sharing. The inclusion of one or more Insured(s) under the terms of this endorsement does not increase our limits of liability. Information required to corn lete 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 organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: 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 repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its 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 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑ POLICY NUMBER: 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 Organ izati6n s : Location And Description Of Completed Operations Blanket as required by written contract and Blanket as required by contract. effective during the policy period as stated on the Primary Insurance: It is agreed that such insurance policy declarations. as is afforded by this policy for the benefit of the additional insured shown shall be primary insurance, and any other insurance maintained by the additional insured(s) shall be excess and non contributory as respects any claim, loss or liability allegedly arising out of the operations of the named insured, provided however that this insurance will not apply to any claim, loss or liability determined to arise or result from the additional'insured's sole negligence or willful misconduct. The insurance afforded by this policy for the benefit of the additional insured . does not apply to 'property damage' to any building, structure or appurtenant structure intended to be occupied as a 'private residence'. The term "private residence" includes single family homes or residences, Multi-family homes or residences, condominiums, townhomes. Section 11 — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated 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 ❑ TRINC -1 OP ID NA ACOR ®- CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 09/30/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions-of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Phone: 408 -842 - 2131 Pacific Diversified Insurance Gilroy Office Fax: 408 - 842 -0867 9015 Murray Avenue #110 Gilroy, CA 95020 °NNONT cr PHONE FAX A/c No Ext : A/C No): E'MaL- ADDRESS: GENERAL LIABILITY Barry E. Link INSURER(S) AFFORDING COVERAGE NAIC M INSURER A:Ironshore Specialty Ins. Co. EACH OCCURRENCE $ 1,000,00 INSURED Trinchero Construction Co. Inc INSURER B: Golden Eagle Insurance 10836 12860 Sycamore Avenue San Martin, CA 95046 INSURER C: Everest National Insurance Co. 10120 INSURER D : To a Insurance 12/2012012 INSURER E: MED EXP (Any one person) $ 5,00 INSURER F.: $ 1,000,00 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MM POLICY EXP MM/DD/Y1/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence) $ 50,00 A X COMMERCIAL GENERAL' LIABILITY CLAIMS -MADE OCCUR X AGS0034500 12/2012012 12/20/2013 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP /OP AGG $ 2,000,00 Emp Ben. $ 1,000,00 POLICY X PRO LOC AUTOMOBILE' LIABILITY (CEO, deDSINGLE LIMIT 1,000,00 BODILY INJURY (Per person) $ B X ANY AUTO BA1079215 12/20/2012 12/20/2013 BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS NON OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,00 X AGGREGATE $ 1,000,00 A EXCESS UAB CLAIMS-MADE AXS0001400 12/2012012 12/20/2013 DED I X I RETENTION $ Over GL $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? F—] (Mandatory in NH) N/A 7600008048131 10/0112013 1 10/01/2014 X WC STATU- DTH- E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 If yes, describe under . DESCRIPTION OF OPERATIONS below D Excess Liability XL6604634 12/20/2012 1V2012013 Excess 1,000,00 over Auto Only DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Re: Project No. 09 -CDD -169, Chestnut Street Bicycle and Pedestrian Bridge, Federal Project No. CML -5034 (015) for excavation & grading. Chestnut Street Bridge, Gilroy, CA. The City of Gilroy, and City's employees, officers, design consultants, elected officials, Construction Manager, agents and subconsultants (see notes for rest of description) The City of Gilroy Community Development Dept. 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2010/05) THECITY 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 n The ACORD name and logo are registered marks of ACORD All riahts reserved. TRINC -1 OP ID NA .AC'"M ®" p w CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 09/30/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Phone: 408-842-2131 Pacific "Diversified insurance Gilroy Office Fax: 408 -842 -0867 9015 Murray Avenue #110 Gilroy, CA 95020 Barry E. Link NAME PHONE FAX A/c No. Ext • A/c No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A:Ironshore Specialty Ins. Co. LIMITS INSURED Trinchero Construction Co. Inc 12860 Sycamore Avenue San Martin, CA 95046 INSURER B: Golden Eagle Insurance 10836 INSURER C: Everest. National Insurance Co. 10120 INSURER D : To a Insurance INSURER E: $ 1,000,00 INSURER F: $ 50,00 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILT R LTR TYPE OF INSURANCE POLICY NUMBER MMIIDD� MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 DAMAGE TO PREMISES Ea occurrence $ 50,00 A X COMMERCIAL GENERAL LIABILITY X AGS0034500 12/20/2012' 12/20/2013 CLAIMS -MADE FX1 OCCUR MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,0. O Ben. 1,000,00 P POLICY RO- AUTOMOBILE LIABILITY COMBINED SINGLELIMIT Ea accident 1,000,00( BODILY INJURY (Per person) $ B X ANY AUTO BA1079215 12/20/2012 12/2012013 BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE paraccident $ $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,00 X AGGREGATE $ 1,000,00 A ExCESS LIAR CLAIMS -MADE AXSOOOI4OO 12/20/2012 12120/2013 DED I X I RETENTION $ Over GL $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? F—] (Mandatory in NH) NIA 7600008048131 10/0112013 10/01/2014 X I WC'STATU- OTH- TORY LIMITS E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000'm If yes, describe under DESCRIPTION OF OPERATIONS below D Excess Liability XL6604534 12/20/2012 12/20/2013 Excess 1,000,00 over Auto Only DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Transportation Permit. The City of Gilroy is named as Additional Insured with respects to the General Liability, per attached carrier endorsement, provided a written contract or agreement is in place. 14; Lei III 01=1V THECITY The City of Gilroy Attn: Public Works Department 7351 Rosanna St. Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 0 ACORD CORPORATION. All riahts reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD TRINC -1 OP ID: KT CERTIFICATE OF LIABILITY INSURANCE D 1 123/20/3 Y) 12/23/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 Phone: 408-842-2131 Pacific Diversified Insurance Gilroy Office Fax: 408 - 842 -0867 9015 Murray Avenue #110 Gilroy, CA 95020 Barry E. Link CONTACT NAME: FAX PHCNE A/C No): AD RL INSURER (S) AFFORDING COVERAGE NAIC # INSURER A :lronshore Specialty Ins. Co. LIMITS INSURED Trinchero Construction Co. Inc 12860 Sycamore Avenue San Martin, CA 95046 INSURER's:GOlden Eagle Insurance 10836 INSURER C: Everest National Insurance Co. 10120 INSURER D:TO alnsurance INSURER E: $ 1,000,000. INSURER F• $ 50,000 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OFINSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXP MD1YYYY1 LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000. PREMISES Ea occurrence $ 50,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X AGS0034501 12120/2013 12/20/2014 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 X POLICY PRO LOC Emp Ben. $ 100,00 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,00( $ X BODILY INJURY (Per person) $ B ANYAUTO BA1079215 1212012013 12/2012014 ALLOWNED A U TOS AUTOS SCHEDULED BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTYDAMAGE Per accident $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,00 o X AGGREGATE $ 1,000,0_0_. A EXCESS LIAB CLAIMS -MADE AXS0001401 1212012013 12/20/2014 DED I I RETENTION $ Over GL $ C - WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? CI (Mandatory in NH) N / A 7600008048131 10/01/2013 10/01/2014 X WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,00_ E.L. DISEASE - EA EMPLOYEE $ 1,000,00 K es, describe under - DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMB 1 OOO OO '$ , , D Excess Liability 12/20/2013 1212012014 Excess 1,000,00 over Auto Only =53401 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Transportation Permit. The City of Gilroy is named as Additional Insured with respects to the General Liability, per attached carrier endorsement, provided a written contract or agreement is in place. The City of Gilroy Attn: Public Works Department 7351 Rosanna St. Gilroy, CA 95020 ACORD 25 (2010/05) THECITY 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 The ACORD name and logo are registered marks of ACORD reserved. POLICY NUMBER: AGS0034501 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Locations Of Covered Operations Additional Insureds shown in a written contract, or written Any location. agreement that includes primary and non - contributory wording. The inclusion of one or more Insured under the terms of this endorsement does not increase our limits of liability. All other terms and conditions remain unchanged. Information required to complete this Schedule, if not shown above will be shown in the Declarations. A. SECTION Il — 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", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: 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 repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its 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 04 0 ISO Properties, Inc., 2004 Page 1 of 1 13 TRINC -1 OP ID: KT CERTIFICATE OF LIABILITY INSURANCE COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD DATE /23/2013 12/23/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Phone: 408 -842 -2131 Pacific Diversified Insurance Fax: 408- 842 -0867 Gilroy Office CONTACT NAME: PHONE FAX A/c No): ADDRESS: 9015 Murray Avenue #110 Gilroy, CA 95020 Barry E. Link INSURERS AFFORDING COVERAGE NAIC # INSURER A:Ironshore Specialty Ins. Co. INSURED Trinchero Construction Co. Inc INSURER B:Golden Eagle Insurance 10836 12860 Sycamore Avenue San Martin, CA 95046 INSURER C: Everest National Insurance Co. 10120 INSURER D:TO alnsurance INSURER E: 1212012013 1212012014 INSURER F: $ 5,00 PERSONAL & ADV INJURY COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE. MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPEOFINSURANCE ADDL INSR SUBR JMM POLICYNUMBER POLICY EFF POLICY EXP fDDNYYY1 LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00C. PDAE E I Ea occurrence $ 50,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X AGS0034501 1212012013 1212012014 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1x000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,00 X POLICY PRO F LOC Emp Ben. $_ 10000 AUTOMOBILE LIABILITY OMBINED SINGLE LIMB Ea accident $ 1,000,00( X BODILY INJURY (Per person) $ B ANYAUTO BA1079215 1212012013 1212012014 ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,00 X AGGREGATE $ 1,000_,00_ A EXCESSUAB CLAIMS -MADE AXS0001401 12/2012013 12/2012014 DED I I RETENTION $ Over GL $ C V69RKERSCOMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE Y / N OFFICF.R/MEMBER.EXCLUDED? (Mandatory in NN) N es, describe under DESCRIPTION OF OPERATIONS below N/A 7600008048131 _ 10101/2013 1010112014 WC STATU- OTH- X TORY LIMITS ER E.L. EACH ACCIDENT $ 11000100 E.L. DISEASE - EA EMPLOYE9 $ _ 1,000_ ,0O E.L. DISEASE - POLICY LIMIT $ 1,000,00_ D Excess Liability XL660453401 1212012013 12/20/2014 Excess 1,000,00 over Auto Only DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, Nmcre space is required) Re: Project No. 09 -CDD -169, Chestnut Street Bicycle and Pedestrian Bridge, Federal Project No. CHL -5034 (015) for excavation 6 grading. Chestnut Street Bridge, Gilroy, CA. The City of Gilroy, and City's employees, officers, design consultants, elected officials, Construction Manager, agents and subconsultants (see notes for rest of description) The City of Gilroy Community Development Dept. 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2010/05) THECITY 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 The ACORD name and logo are registered marks of ACORD All rights reserved POLICY NUMBER: AGS0034501 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART �*3:1;0711IL4 Name Of Additional Insured Person(s) Or Organization(s): Locations Of Covered Operations Additional Insureds shown in a written contract, or written Any location. agreement that includes primary and non - contributory wording. The inclusion of one or more Insured under the terms of this endorsement does not increase our limits of liability. All other terms and conditions remain unchanged. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. SECTION II — WHO IS AN INSURED is amended to include as an additional insured the person(s) or organizations) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: 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 repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its 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 04 0 ISO Properties, Inc., 2004 Page 1 of 1 13 s TRINC -1 OP ID: KT A� °� °� CERTIFICATE OF LIABILITY INSURANCE °;z29no 4Y' 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 WANED, 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 Phone: 408 - 842 -2131 Pacific Diversified Insurance Fax: 408 -842 -0867 Gilroy Office 9015 Murray ,Avenue #110 Gilroy, CA 95020 Barry E. Link NAME CONTACT -- PHONE FAX c o Arc No: E-MAIL ADDRESS' INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: I ronshore Speciafty Ins. Co. 25445 INSURED Trinchero Construction Co. Inc INSURER B:GOlden Eagle Insurance 10836 12860 Sycamore Avenue San Martin, CA 95046 INSURER c:First Mercury 10657 INSURER D: Everest National Insurance Co. 10120 INSURER E: GENERALAGGREGATE $ 2,000,00 INSURER PRODUCTS - COMPIOP AGG .$ 21000io0 COVERAGES CERTIFICATE NUMBER: REVISION_ NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPEOFINSURANCE ADDLSUBR POLICYNUMBER MMI0DI Yy' POIIDICYEXP LIMITS A _ GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X AGS0034502 12/20/2014 12/20/2015 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 50,00 MEDEXP (Anyone . person) $ '5100 PERSONAL & ADV INJURY $ 1.,000;000 GENERALAGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: 1-1 POLICY PRO LOC PRODUCTS - COMPIOP AGG .$ 21000io0 Emp Ben. $ 100,00 B AUTOMOBILE LIABILITY A X ANY AUTO ALL OWNED SCHEDULED AUTOS — NO OWNED HIRED AUTOS AUTOS BAA56272391 12/20/2014 12/2012015 COMBINED SINGLE LIMIT Ea accident 1: + $ + 000.00 BODILY INJURY (Per.person) $ BODILY INJURY (Per accident). $ PeDAM ea AGE r accident) $ Cj UMBRELLA LIAB EXCESS LIAS OCCUR CLAIMS -MADE EX -0000050378 -01 12120/2014 12/20/2015 EACH OCCURRENCE $ 1,000,00 X AGGREGATE $ 1,000,00 DIED I I RETENTION $ $ D WORKERS COMPENSATION AND ,EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y I❑N OFFICERIMEMBER EXCLUDED? (Mandatory in Ni It yes, describe under DESCRIPTION OF.'OF?ERATIONS.below NIA A 7600008048141 10101/2014 10/0112015 X WCSTATT OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE -EA EMPLOYEE $ 1,000,00 E.L.'DISEA.SE- POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS .I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required). The City of Gilroy is named as Additional insured with respects to the General Liability, per atta d' che carrier endorsement, provided a written contract or agreement is in place.A KULUtK THECITY The City of Gilroy Attn: Public Works Department 7351 Rosanna Street Gilroy, CA 95020 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 C- -00- -- 9-s X 01AAA -7Mn Arnpn rnRPnRATInN_ All riahts reserved ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: AGS0034502 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Locations Of Covered Operations Additional Insureds shown in a written contract, or written Any location. agreement that includes primary and non - contributory wording. The inclusion of one or more Insured under the terms of this endorsement does not increase our limits of liability. All otherterms and conditions remain unchanged. 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 organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: 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 repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its 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 20 10 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 ❑ 7. Coverage Territory The coverage territory is the United States of America (including its territories and possessions); Puerto Rico; and Canada. Exceptions for the following Additional Coverages: a. Business Travel a. 9. For the Business Travel Additional Coverage, the Coverage Territory is anywhere in the world. b. Exhibitions For the Exhibition Additional Coverage, the Coverage Territory is anywhere in the world. c. Transit. For the Transit Additional Coverage, the Coverage Territory is within or between the United States of America, (including its territories and possessions), Puerto Rico and Canada; however, waterborne shipments are covered only if on inland waterways or in territorial waters, within 12 miles of land. Equipment Breakdown - Suspension When any Equipment Breakdown Property is found to be in, or exposed to a dangerous condition, any of our representatives may immediately suspend the insurance against loss from an Equipment Breakdown Accident to that equipment. We can do this by mailing or delivering a written notice of suspension to your address as stated in the Property Choice Schedule of Premises and Coverages, or at the address where the equipment is located. Once suspended in this way, your insurance can be reinstated only by written notice from us. If we suspend your insurance, you will get a pro rata refund of premium. But the suspension will be effective even if we have not yet made or offered a refund. Equipment Breakdown - Jurisdictional Inspections If any Equipment Breakdown Property requires inspection to comply with state or municipal boiler and pressure vessel regulations, we agree to perform such inspection on your behalf. 10. If Two or More Coverages Apply If two or more coverages in this policy apply to the same loss or damage, we will not pay more than the actual amount of loss or damage. 11. Legal Action Against Us No one may bring a legal action against us under this Coverage Part unless: a. There has been full compliance with all of the terms of this Coverage Part; and b. The action is brought within 2 years after the date on which the direct physical loss or damage occurred. For coverage under the Business Crime Coverage Forms, the words the direct physical loss or damage occurred are replaced by the words you discover the loss. 12. Liberalization If we adopt any revision that would. broaden this Coverage Part, without additional premium, within 45 days prior to inception of this policy or during this policy period, the broadened coverage will immediately apply to you. 13. Loss Payee a. For Covered Property in which both you and the Loss Payee as stated in the Property Choice - Schedule of Premises and Coverages or by endorsement have an insurable interest, we will: (1) Adjust losses with you; and (2) Pay any claim for loss or damage jointly to you and the loss payee, as interests may appear. b. If we cancel this policy, we will give written notice to the loss payee at least: (1) 10 days before the effective date of cancellation if we cancel for your nonpayment of premium; or (2) 30 days before the effective date of cancellation if we cancel for any other reason. (3) If we elect not to renew this policy, we will give written notice to the loss payee at least 10 days before the expiration date of this Coverage Part. 14. Mortgageholders and Lender Loss Payees a. We will pay each of the following for their interest in covered loss or damage, as stated in the Property Choice - Schedule of Premises and Coverages or by endorsement in the order of their precedence, as their interest may appear. (1) Mortgageholder for their interest in buildings or structures. The term mortgageholder includes trustees. Page 2 of 6 Form PC 00 90 01 11 TRINC -1 OP ID: KT CERTIFICATE OF LIABILITY INSURANCE ATE (MM/DDIYYYY) D12/29/2014 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 Phone: 408 -842 -2131 Pacific Diversified Insurance Fax: 408-842-0867 Gilroy Office 9015 Murray Avenue #110 Gilroy, CA 95020 Barry E. Link NAME CONTACT PHONE FAX c No . Exth Alc No: aoDResS: INSURERS AFFORDING COVERAGE NAIC # INSURER A:Ironshore Specialty Ins.Co. 25445 INSURED Trinchero Construction Co. Inc 12860: Sycamore Avenue San Martin, CA 95046 INSURER B:Golden Eagle Insurance 10836 INSURER C: First Mercury 10657 INSURER o: Everest National Insurance Co. 10120 INSURER E.: MED EXP�(Any one person) INSURER F: PERSONAL & ADV INJURY COVERAGES 'CERTIFICATE--NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD - INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR - TYPEOFINSURANCE ADDL INSIR SUER WVQ POLICYNUMBER POLICY EFF (MMID0fYYYY1 POLICY EXP fMMIDDr(YYYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I X I OCCUR X AGS0034502 12/20/2014 1212012015 EACH OCCURRENCE $ 1,000,000 kGE TO RENTED PREMISES Ea. occurrence $ 50,000 MED EXP�(Any one person) $ 5,000 PERSONAL & ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 17 PRO- 1 LOC PRODUCTS- COMP /OP.AGG $ 2,000,00 Emp Ben. $ 100,00 B AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED _ AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS BAA56272391 12/2012014 12/20/2015 COMBINEDSINGLELIMIT Ea accident $ 1. 000 00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) PROPER N'DAMAGE $ $ .0 X UMBRELLA LIAB EXCESS LIAB HCLAIMS-MADE OCCUR EX -0000050378 -01 12120/2014 12/20/2015 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,00 DED : I RETENTION $. $ D " WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE Y 7❑N OFFICER /MEMBER EXCLUDED? (Mandatory In NH) yes,desrhibe under .DE SCRIPTIONOF OPERATIONS below NIA 7600008048141 10/01/2014 10/01/2015 "- X WCSTATU- OTH- TORY ,LIMITS ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYE $ 1,000,00 EL: .DISEASE'- POLICY LIMIT "...$ - " -. - -. - ._1,900,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Transportation Permit. The City of Gilroy is named as Additional Insured with respects to the General Liability, per attached carrier endorsement, provided a written contract or agreement is in place. CERTIFICATE THECITY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES °BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Gilroy ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Public Works Department 7351 Rosanna St. AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 ` n 1988 -2010 ACORD CORPORATION- All riahts reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: AGS0034502 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED = OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Locations Of Covered Operations Additional Insureds shown in a written contract, or written Any location. agreement that includes primary and non- contributory wording. The inclusion of one or more Insured under the terms of this endorsement does not increase our limits of liability. All other terms and conditions remain unchanged. 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 organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: 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 repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its 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 04 © ISO Properties, Inc., 2004 Page 11 of 1 ❑ 7. Coverage Territory The coverage territory is the United States of America (including its territories and possessions); Puerto Rico; and Canada. Exceptions for the following Additional Coverages: a. Business Travel 8 9. For the Business Travel Additional Coverage, the Coverage Territory is anywhere in the world. b. Exhibitions For the Exhibition Additional Coverage, the Coverage Territory is anywhere in the world. c. Transit - For the Transit Additional Coverage, the Coverage Territory is within or between the United States of America, (including its territories and possessions), Puerto Rico and Canada; however, waterborne shipments are covered only if on inland waterways or in territorial waters, within 12 miles of land. Equipment Breakdown - Suspension When any Equipment Breakdown Property is found to be in, or exposed to a dangerous condition, any of our representatives may immediately suspend the insurance against loss from an Equipment Breakdown Accident to that equipment. We can do this by mailing or delivering a written notice of suspension to your address as stated in the Property Choice Schedule of Premises and Coverages, or at the address where the equipment is located. Once suspended in this way, your insurance can be reinstated only by written notice from us. If we suspend your insurance, you will get a pro rata refund of premium. But the suspension will be effective even if we have not yet made or offered a refund. Equipment Breakdown - Jurisdictional Inspections If any Equipment Breakdown Property requires inspection to comply with state or municipal boiler and pressure vessel regulations, we agree to perform such inspection on your behalf. 10. If Two or More Coverages Apply If two or more coverages in this policy apply to the same loss or damage, we will not pay more than the actual amount of loss or damage. 11. Legal Action Against Us No one may bring a legal action against us under this Coverage Part unless: a. There has been full compliance with all of the terms of this Coverage Part; and b. The action is brought within 2 years after the date on which the direct physical loss or damage occurred. For coverage under the Business Crime Coverage Forms, the words the direct physical loss or damage occurred are replaced by the words you discover the loss. 12. Liberalization If we any revision that would._ broaden this Coverage Part, without additional premium, within 45 days prior to inception of this policy or during this policy period, the broadened coverage will immediately apply to you. 13. Loss Payee a. For Covered Property in which both you and the Loss Payee as stated in the Property Choice - Schedule of Premises and Coverages or by endorsement have an insurable interest, we will: (1) Adjust losses with you; and (2) Pay any claim for loss or damage jointly to you and the loss payee, as interests may appear. b. If we cancel this policy, we will give written notice to the loss payee at least: (1) 10 days before the effective date of cancellation if we cancel for your nonpayment of premium; or (2) 30 days before the effective date of cancellation if we cancel for any other reason. (3) If we elect not to renew this policy, we will give written notice to the loss payee at least 10 days before the expiration date of this Coverage Part. 14. Mortgageholders and Lender Loss Payees a. We will pay each of the following for their interest in covered loss or damage, as stated in the Property Choice - Schedule of Premises and Coverages or by endorsement in the order of their precedence, as their interest may appear: (1) Mortgageholder for their interest in buildings or structures. The term mortgageholder includes trustees. Page 2 of 6 Form PC 00 90 01 11