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Home My WebLink AboutRandazzo Enterprises - 2015 Agreement - Change Order 1City of Gilroy Public Works Department - Engineering Division R 7351 Rosanna St., Gilroy, CA 95020 Phone (408) 846 -0451; Fax (408) 846 -0429 CHANGE ORDER 1 To contract for: 7350 Rosanna Parking Improvement Project City Project No.: 15 -PW -227 Contractor: Randazzo Enterprises Contract Date: 3/3/15 This order shall become effective when it has been signed by the City Administrator, City Engineer, Project Engineer, and Description of Work The following is a descriptive list of change order work performed: (COR #3) Remove existing soil along sidewalk and other edges to minus 6" below finish grade. Install header boards at existing fire service to remain and along edge of sod at the north side. Re -grade and compact demoed site to 6" below finish grade. Import Class II recycled concrete base for a 4" sub -base and compact to 95 %. Install 2" asphalt to demoed site to match adjacent grades. The total invoice for this work shall not exceed $34,995. Taking into account funds still remaining in the original purchase order, this additional work will require an increase in contract amount of $23,993.00. All requirements of the original Contract Documents shall apply to the above work except as specifically modified by this Change 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. Change in working time granted by this change order: ► All Extra Work authorized under this Change Order must be billed separately from the original contract. All bills for work done under this Change Order shall reference this Change Order No. 1. I (We) agree to make the above change subject to the terms of this Change Order for a NET INCREASE not to exceed $23,993.00. 10 Working Days Original Contract Price Previous Change Orders Total to Date This Change Order Total Change Orders to Date Revised Contract Price Cost Percentage $56,265.00 $0.00 N/A $56,265.00 $23,993.00 $23,993.00 42.64% of bid $80,258.00 By: F o Date: b < < lJ RECOMMENDED BY: Construction Manager JJ Datee ACCEPTED BY: &A,tV„¢U-, V1 f `s Project Engineer /Project Manager Date city Engi �Datej�/ / C ►+y Ael mi-Ai sNiod` `6'12e,J , IS ante f ' RANDA -3 nP In- LSA 'AL L,7%Z LX tom,,...- CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDONY1/Y) TYPE OF INSURANCE D4 /13/2015 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 pollcy(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). DCD Financial & Insurance Svcs P.O. Box 4209 1123 Soquel Ave Santa Cruz, CA 95062 Clay Timmons NAME CT Clay Timmons PNONE .831- 423 -8542 FAIL N, : 831- 423 -5714 e• ADDRESS: WSURER S AFFORDING COVERAGE NAIC A INSURER A: Interstate Fire & Casual 22829 DAN1000361 INSURED Randazzo Enterprises, Inc. 13550 Bi5 012 Castrovillelle, C A 9 95 C INsuPmzB:American Auto Insurance Co. 21857 INSURMC.Scottsdale Insurance 41297 INSURER O:Westchestsr Surplus Lines 10172 INSURER E : $ 5,000 INSURER F - 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 vivo POLICY NUMBER POLICY JEFF POLICY EXP (MMIDDIYYYYI uMlrs A X COMMERCIAL GEINERALLIAMUTY CLAIMS-MACE a OCCUR X DAN1000361 04/13/2016 04/13/2016 EACH OCCURRENCE $ 1,000, pREMISES Es *=.wrence S 300,000 MED EXP (Any ono person) $ 5,000 PERSONAL BADV INJURY $ 1,000,000 GEN'LAGGREGATELIMITAPPLIESPER EC GENERAL AGGREGATE S 2,000,0 PRODUCTS - COMPIOPAGG $ 2,000,00 Deduct $ 5,00 OTHER B AUTOMOHILELIASILITY X X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -CMEO AUTOS MXA80312144 _ 04/13/2015 04/1312016 eENED SINGLE LIMIT S 1 ,000,00 BODILY INJURY (Per person) S BODILY INJURY (Per accident) —P-ROMTY $ DAMAGE ara¢ldan $ S C X UMBRELLA LIA6 EXCESS LIAR X OCCUR CLAIMS MADE L50096748 04/13/2015 04/13/2018 EACH OCCURRENCE $ 1,000,000 AGGREGATE 5 11000100 ICED I x I RETENTIONS 10,000 S WORKERS COMPENSATION AND EMPLOYERS' L MUTY YIN ANY PROPRIETO WPARTNEWEXEcv TI VE OFFICEM MEMBER EXCLUDED? (KarxMlory In ) tt h�aass,, destrifaa under DESCRIPTION OF OPERATIONS below NIA STATUTE ER EL EACH ACCIDENT S EL DISEASE - EA EMPLOYE S EL DISEASE -POLICY LIMIT $ D Ilution G27583246001 04/13/2015 04/1312015 Limit 1,000,00 Deduct 5,00 DESCIMMON OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached E more space Is required) City of Gilroy is named as additional Insured per Blanket Al Forms CG 20 10 10101 & CG 20 37 10101 attached, with respect to operations of the named Insured at Job 95566 7350 Rosanna Street Gilroy, CA 95020 _ — w% l I V IY CITYG -1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE .� 1 oov -cu 14 ""wrtu wRrurcA I IUP1. all ngnts reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD Policy No. DAN1000361 Randazzo Enterprises, Inc. COMMERICAL GENERAL LIABILITY CG 20 37 10 01 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 Person or Organization: Blanket when required by written contract Location and Description of Completed Operations: As Per Contract .Additional Premium: Included (If no entry appears above, Information required to complete this Schedule, if not shown here, wilt be shown in the Declarations as applicable to this endorsement.) 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" 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 10 01 ISO Properties, Inc., 2000 Page 1 of 1 Policy No. _DAN1000361 POLICY NAME: Randazzo Enterprises, Inc. COMMERCIAL GENERAL LIABILITY CG 20 10 1 0/01 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 Blanket when required by written contract. Project: As described in the contract or agreement. A_ Section ti — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect- to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions 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 site 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 other 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 1010 01 Page 1 of 1 RANDA -3 OP in- LM CERTIFICATE OF LIABILITY INSURANCE DA04/131201s' Y) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 04!1312015 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 pollcy(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) DCD Financial ncial & Insurance Svcs P.O. Box 4209 1123 Soquel Ave Santa Cruz, CA 95062 Clay Timmons ra cT Clay N.N Timmons P .831- 423 -8542 F'� ac No : 83I- 4235714 eel ADDRESS: INSURER(SI AFFORDING COVERAGE NAIC a ausuRERA:interstate Fire & Casual 22829 COMUMCULGENERALLIABILITY INSURED Randazzo Enterprises. Inc. 13550 villa, C 95 Castrovill ®, CA 91012 INsuRERa:American Auto Insurance Co. 21857 INsuRERc:Scottsdale Insurance 41297 INsuRER o : Westchester Surplus Lines 110172 INSURER E : X D&URER F 04713/201b 0411 312 01 8 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 DOCLIMENT 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. LTR TYPE OF INSURANCE POLICY NUMBER IO ( F Arf.11D P LIMITS A X COMUMCULGENERALLIABILITY EACH OCCURRENCE $ 1,000,00 comas -MADE OCCUR X OAN1000361 04713/201b 0411 312 01 8 p,am aomarmr� 5 300,00 MED EXP Any one arson) S 5,00 PERSONAL & ADV INJURY S 1,000,000 POLICY,a POTHER LAGGREGATELIMITAPPLESPER F LOC GENERAL AGGREGATE S 2,000,00 JEC7 PRODUCTS- COMPIOPAGG S 2,000,000 Deduct $ 5,00 AUWHOOB LE LIABILITY COMBINED SINGLE UM Eaacdoent S 1,000,00 B AN Y AUTO XA80312144 04/1312015 04/1312016 BODILY INJURY (Per person) S ALL OWNED scwDuU D BODILY INJURY (Per actldent} S JX AUTOS AUTOS HIRED AUTOS X NON VMEO AUTOS PR TY DAMAGE Peraccrde S S. UMBRELLA LJAB X EACH OCCURRENCE $ 1,000,00 C X EXCESS Line �OCCUR CIAIMggDE XLS0096748 04113/2015 04/13/2016 AGGREGATE S 1,000,00 DED X RETENTIONS 10,000 - $ WORKERS COMPENSATION p AND EMPLOYSIM LIABILITY YIN STATCITE ER E.L. EACHACCDENT S ANY PROPRiETC WARTNERAEXEWTIVE ❑ OFFICERIMEMBER EXCLUDED? A MIA E.L. DISEASE -EA EMPLOY S (Mandatory In NH) tl yes, desciDe under EL DISEASE -POLICY UMIT S DESCRIPTION OF OPERATIONS below D Pollution G27583246001 04/13/2015 Q4113M01s Limit 1,000,00 Deduct 5,00 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101. AddlHonal Remarks Schedule, "my be attached If more space Is regrdred) City of Gilroy Is named as additional Insured per Blanket Ai Forms CG 201010/01 & CG 20 3710101 attached, with to respect operations of the named Insured at Job 95566 7350 Rosanna Street Gilroy, CA 95020 CITYGA City of Gilroy Building 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. JJTTHOORLZE_D REPRESENTATIVE 01988 -2014 ACORD CORPORATION. All rights resarvRd ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD Policy No. DAN1000361 Randazzo Enterprises, Inc. COMMERICAL GENERAL LIABILITY CG 20 37 10 01 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 Person or Organization: Blanket when required by written contract Location and Description of Completed Operations: As Per Contract .Additional Premium: Included (If no entry appears above, information required to complete this Schedule, if not shown here, will be shown in the Declarations as applicable to this endorsement.) Section Il —Who Is An Insured is amended to include as an additional insured the persons) or crganization(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 3710 01 ISO Properties, Inc., 2000 Page 1 of 1 Policy No. _DAN1000361 POLICY NAME: Randazzo Enterprises, Inc. COMMERCIAL GENERAL LIABILITY CG 20 10 10 /01 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 on or Blanket when required by written contract. Project: As described in the contract or agreement. A. Section Il — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2 Exclusions 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 site 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 other 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 10 01 Page 1 of 1