SIGNED BOARD REPORT"�|E���MONTEREY COUNTY BOARD OF SUPERVISORS
MEETING: May 24, 2011 Consent AGENDA NO:
SUBJECT: a. Award annual construction contract to Norcal Contractor, low bidder,
in an amount not to exceed $150,000 for the annual maintenance of
park roadways at Laguna Seca Recreation Area, for the calendar year ending
December 31, 2011, Bid No.10289; and
b. Authorize the Chair of the Board to sign the contract
DEPARTMENT: Parks
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Award annual construction contract to Norcal Contractor, low bidder, in an amount not to
exceed $150,000 for the annual maintenance of park roadways at Laguna Seca Recreation
Area, for the calendar year ending December 31, 2011, Bid No.10289;
b. Authorize the Chair of the Board to sign the contract
SUMMARY/DISCUSSION:
This project will provide for up to $150,000 worth of roadway patching and pavement repairs at
Laguna Seca Recreation Area for the calendar year 2011. The project was approved for solicitation
of bids on March 1, 2011.
For the purposes of comparison, bids were tendered on the basis of estimated quantities of work.
Attached is the certified list of the five bids received by the County Purchasing Agent. Of the4 e--(~
bids received, Norcal Contractor tendered the lowest bid of $202,440. The annual contract
authorizes work based on individual unit prices up to, but not exceeding, $150,000
OTHER AGENCY INVOLVEMENT:
County Counsel has approved the construction contract as to form and County Purchasing has
approved the annual bid process.
FINANCING:
There is no effect to General Fund Contribution as a result of this action. Appropriations for the road
maintenance are budgeted in Fiscal Year 2010-11 Approved Budget for Parks Department 7500,
PAR001, Unit 8146 and have also been included in the department's Requested Budget for Fiscal
Year 2011-12. Cost is offset annually by track rental revenue in Restricted Revenue Fund 020-2856.
Date:
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ervisor
J. Pi
Chief Ranger/Parks Director
Date:
Attachments: The certified list of bids as provided by the County Purchasing Agent
Contract with Norcal Contractor
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SIGNED BOARD REPORT"�|E���BEFORE THE BOARD OF SUPERVISORS IN AND FOR THE
COUNTY OF MONTEREY, STATE OF CALIFORNIA
a. Award annual construction contract to Norcal Contractor,
low bidder, in an amount not to exceed $150,000 for the
annual maintenance of park roadways at Laguna Seca
Recreation Area, for the calendar year ending December
31, 2011, Bid No.10289; and
b. Authorize the Chair of the Board to sign the contract
Upon Motion of Supervisor seconded by
Supervisor and carried by those members present, the Board
hereby
a. Award annual construction contract to Norcal Contractor, low bidder, in an amount not to exceed
$150,000 for the annual maintenance of park roadways at Laguna Seca Recreation Area, for the
calendar year ending December 31, 2011, Bid No.10289; and
b. Authorize the Chair of the Board to sign the contract
PASSED AND ADOPTED on this day of 2011 by the following
vote, to wit:
AYES:
NOES:
ABSENT:
I, GAIL T. BORKOWSKI, Clerk of the Board of Supervisors of the County of Monterey, State of
California, hereby certify that the foregoing is a true copy of an original order of said Board of
Supervisors duly made and entered in the minutes thereof at Page of Minute Book on
2011.
Dated: 2011
GAIL T. BORKOWSKI, Clerk of the Board of
Supervisors, County of Monterey, State of
California
By
Deputy
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SIGNED BOARD REPORT"�|E���BID SUMMARY SHEET:
BOARD OF SUPERVISORS, COUNTY OF MONTEREY
w
Project: Laguna Seca Read Improvements Bid Number: 10289
Department: Parks Department
Authority: Ordinance No. 1862 as amended by Ordinance No. 2628
Bidders: Estimated Cost:
Base Bid Amount
Monterey Peninsula Engineering. Inc.
P. O. Box 2317
Monterey, CA 93942 S t-) C Oco. 00
Norcal Contractor
1615 Devonshire Way
Salinas, CA 93906
$ d. N
L L 0 00
Granite Rock Co. dba Pavex Construction
Division
120 Granite Rock Way C~ 1
7~
1
San Jose, CA 95136
S
Robert F. Enz Construction, Inc.
P. 0. Box 1206
Hollister, CA 95024-1206
Don Chapin Co.
560 Crazy Boise Canyon Rd.
Salinas, CA 93907-8434
Giani onstructiou Co.
P. 0. Box 720
Watsonville, CA 95077
JOB IOOoO
Lb
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ao
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Certification: I certify that bids listed above were opened, examined, and declared by me on March 24, 2011 at 1:30 P.M., in the Clerk to the Board's
Closed Session Room, Is[ Fl., Government Center, Salinas, CA
Levu C. Bauman, Purchasing Agent
By
j
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COMPLETED BOARD ORDER"�|E���34
Before the Board of Supervisors in and for the
County of Monterey, State of California
Construction No. 2011-003; Agreement No. A-11992
a. Award annual construction contract to Norcal
Contractor, low bidder, in an amount not to exceed
$150,000 for the annual maintenance of park roadways
at Laguna Seca Recreation Area, for the calendar year
ending December 31, 2011, Bid No. 10289; and
b. Authorize the Chair of the Board to sign the contract...
Upon motion of Supervisor Potter, seconded by Supervisor Armenta, and carried by those
members present, the Board hereby;
a. Award annual construction contract to Norcal Contractor, low bidder, in an amount
not to exceed $150,000 for the annual maintenance of park roadways at Laguna Seca
Recreation Area, for the calendar year ending December 31, 2011, Bid No.10289; and
b. Authorize the Chair of the Board to sign the contract
PASSED AND ADOPTED on this 24th day of May, 2011, by the following vote, to wit:
AYES: Supervisors Armenta, Calcagno, Salinas, Parker, and Potter
NOES: None
ABSENT: None
I, Gail T. Borkowski, Clerk of the Board of Supervisors of the County of Monterey, State of California, hereby
certify that the foregoing is a true copy of an original order of said Board of Supervisors duly made and entered
in the minutes thereof of Minute Book 75 for the meeting on May 24, 2011.
Dated: May 26, 2011 Gail T. Borkowski, Clerk of the Board of Supervisors
County of Monterey, State of California
By
Deputy
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FULLY EXECUTED CONTRACT"�|E��
�BID NO. 10289
CONTRACT FOR PUBLIC WORK
COUNTY OF MONTEREY
STATE OF CALIFORNIA
THIS AGREEMENT, made in the County of Monterey, State of California, by and between the COUNTY OF
MONTEREY, hereinafter called the County, and Norcal Contractor, hereinafter called the Contractor,
WITNESSETH that the County and the Contractor for the considerations stated herein agree as follows:
ARTICLE I SCOPE OF WORK. The Contractor shall perform within the time stipulated the contract as herein
defined, and shall provide all labor, materials, tools, utility services, and transportation to complete in a
workmanlike manner all of the work required in connection with the following-titled project:
Annual Maintenance and Repair of Park Roadways at Laguna Seca Recreation Area BID NO.
10289 for Calendar year 2011 January 1, 2011 through December 31, 2011) in strict compliance
with the contract documents as specified in Article 4 below.
ARTICLE 2 TIME FOR COMPLETION. This contract is for annual repairs for the calendar year 2011 during
which the Contractor will be called upon to complete incremental portions of the work as directed at various times
during 2011. The Contractor shall begin each increment of work within 10 working days of notification from the
Engineer and shall perform the work on a continuing basis until complete. The term of this Agreement is January 1,
2011 through December 31, 2011.
ARTICLE 3 CONTRACT PRICE. The County intends to release incremental contract Purchase Orders up to the
amount of $150,000 during the life of the contract which ends December 31, 2011. The County agrees to pay all
approved invoices submitted as full consideration for the faithful performance of the contract, subject to any
additions or deductions as provided in the contract documents based on the following Item Prices for the items of
work completed
ITEM ESTIMATED UNIT OF ITEM ITEM PRICE TOTAL
NO. QUANTITY MEASURE DESCRIPTION in figures)
1. 15,000 Sq.Ft. 2" A. C. Overlay $19,950.00
2. 45,000 Sq.Ft. 2" A.C. Overlay with Peromat $77,400.00
3. 3,000 Sq.Ft. Type 1, 4" Deep Patch $12,300.00
4. 3,000 Sq.Ft. Type 2, 6" Deep Patch $16,200.00
5. 6,000 Sq.Ft. Type 3, 12" Deep Patch $31,620.00
6. 6,000 Sq.Ft. Type 4, 19" Deep Patch $40,020.00
7. 9,000 Sq.Ft. Cold Plane AC 1" wedge grind) $4,950.00
ARTICLE 4 COMPONENT PARTS OF THE CONTRACT. The contract entered into by this Agreement consists
of the following contract documents, all of which are component parts of the contract as if herein set out in full or
attached hereto:
Notice to Contractors
Bid, as accepted
Designation of Subcontractors
Contractor's Certificate Regarding Workers' Compensation
Bid Bond
Agreement
Performance Bond
Payment Bond for Public Works
Standard Specifications of the State of California
Special Provisions
Addenda No. 1
Drawings
Affidavit Concerning Employment of Undocumented Aliens
Noncollusion Affidavit
BID #10289
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�ALL of the above-named contract documents are intended to be complementary. Work required by one of the
above-named contract documents and not by other shall be done as if required by all.
ARTICLE 5 PRECONDITION BONDS. Within 10 working days of notification of award by County, and as a
precondition to the issuance of a Notice to Proceed, Contractor shall submit to County a Performance Bond and
Payment Bond for Public Works as specified in the bid, said bonds being required components of this contract.
ARTICLE 6 NOTICE. Notice under this contract shall be sent to the parties at the addresses as set forth below.
Notice shall be deemed effective upon delivery if personally delivered, upon transmission if sent by facsimile, and
on the third day after mailing.
County:
Monterey County Parks Department
Salinas, CA 93915
Phone: 831) 755-4895
Fax: 831) 755-4914
Contractor:
Norcal Contractors
1615 Devonshire Way, Salinas, CA 93906
Phone: 831-444-&-IV 0 3 5-'7
Fax: 831-444-0357
IN WITNESS WHEREOF, this Agreement has been duly executed by the above-named parties.
CONTRACTOR:
Kka l`-C'.`
Contractor's Business Name
Z UAU a
By W
C
Name and Title
u- X'7"'TfJ'A&V
Date________
B`
C
Daot;-
COUNTY:
By:
Title: Chair, Monterey County /Board of Supervisors
Dated: / Z //:L I
APPROVED AS TO FORM:
Charles McKee, County Counsel
Instructions: If Contractor is an artificial legal entity, including but not limited to a corporation, limited liability
corporation, non-profit corporation, or other company, the full legal name of the entity shall be set forth together
with the signatures and titles of the to statutorily specified officers i.e., one of each: a] President/Vice President
or Chairman, and b] Secretary/Treasurer or Financial Officer). If Contractor is a partnership or trust, the name of
the partnership or trust shall be set forth together with the signature and capacity of the signer i.e., Partner/Trustee)
who has actual authority to execute the Agreement on behalf of the Partnership or Trust. In all cases, additional
documentation may be required to substantiate authority of the signing party. If Contractor is contracting in an
individual capacity, the individual shall set forth his d.b.a. name, if any, and shall personally sign the Agreement.
Contractors are required by law to be licensed and regulated by the Contractors' State License Board. Any questions
concerning a contractor may be referred to the Registrar of the Board whose address is:
Contractors' State License Board
P.O. Box 26000
Sacramento, CA 95826
Business and Professions Code, Section 7030)
BID #10289
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�7-3 Indemnification and Insurance:
7-3.1 Hold Harmless/Indemnification:
Contractor shall indemnify, defend, and hold harmless the County, its officers, agents and employees
from and against any and all claims, liabilities, and losses whatsoever including damages to property and
injuries to or death of persons, court costs, and reasonable attorney's fees) occurring or resulting to any and
all persons, firms or corporations furnishing or supplying work, services, materials, or supplies in connection
with the performance of this Agreement, and form any and all claims, liabilities, and losses occurring or
resulting to any person, firm, or corporation for damage, injury, or death arising out of or connected with the
CONTRACTORS's performance of this Agreement, unless such claims, liabilities, or losses arise out of the
sole negligence or willful misconduct of the County. CONTRACTOR'S" performance" includes
CONTRACTROR's action or inaction and the action or inaction of CONTRACTOR's officers, employees,
agents and subcontractors.
Insurance Coverage Requirements: Without limiting CONTRACTOR's duty to indemnify,
CONTRACTOR shall maintain in effect throughout the term of this Agreement a policy or policies of
insurance with the following minimum limits of liability:
Commercial general liability insurance, including but not limited to premises and operations,
including coverage for Bodily Injury and Property Damage, Personal Injury, Contractual Liability, Broadform
Property Damage, Independent Contractors, Products and Completed Operations, with a combined single
limit for Bodily Injury and Property Damage of not less than $1,000,000 per occurrence.
Business automobile liability insurance, covering all motor vehicles, including owned, leased, non-
owned, and hired vehicles, used in providing services under this Agreement, with a combined single limit for
Bodily Injury and Property Damage of not less than $1,000,000 per occurrence
Professional liability insurance, if required for the professional services being provided e.g., those
persons authorized by a license to engage in a business or profession regulated by the California Business and
Professional Code), in the amount of not less than $1,000,000 per claim and $2,000,000 in the aggregate, to
cover liability for malpractice or errors or omissions made in the course of rendering professional services. If
professional liability insurance is written on a claims-made" basis rather than an occurrence basis, the
CONTRACTOR shall, upon the expiration or earlier termination of this Agreement, obtain extended reporting
coverage tail coverage") with the same liability limits. Any such tail coverage shall continue for at least
three years following the expiration or earlier termination of this Agreement.
7-3.2 Workers' Compensation Insurance:
If CONTRACTOR employs others in the performance of this Agreement, in accordance with
California Labor Code section 3700 and with Employer's Liability limits not less than $1,000,000 each
person, $1,000,000 each accident and $1,000,000 each disease.
7-3.3 Other Insurance Requirements and Commercial General Liability:
All insurance required by this Agreement shall be with a company acceptable to the County and
issued and executed by an admitted insurer authorized to transact Insurance business in the State of
California. Unless otherwise specified by this Agreement, all such insurance shall be written on an
occurrence basis, or, if the policy is not written on an occurrence basis, such policy with the coverage
required herein shall continue in effect for a period of three years following the date CONTRACTOR
completes its performance of services under this Agreement.
11
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FULLY EXECUTED CONTRACT"�|E��
�Each liability policy shall provide that the County shall be given notice in writing at least thirty
days in advance of any endorsed reduction in coverage or limit, cancellation, or intended non-renewal
thereof. Each policy shall provide coverage for Contractor and additional insureds with respect to claims
arising from each subcontractor, if any, performing work under this Agreement, or be accompanied by a
certificate of insurance from each subcontractor showing each subcontractor has identical insurance
coverage to the above requirements.
Commercial general liability and automobile liability policies shall provide an endorsement naming
the County of Monterey, its officers, agents, and employees as Additional Insureds with respect to liability
arising out of the CONTRACTOR's work, including ongoing and completed operations, and shall further
provide that such insurance it primary insurance to any insurance or self-insurance maintained bathe
County and that the insurance of the Additional Insureds shall not be called upon to contribute to a loss
covered by the CONTRACTOR's insurance. The required endorsement form for Commercial General
Liability Additional Insured is ISO Form CG 20 10 11-85 or CG 20 10 10 01 in tandem with CG 20 37 10
01 2000). The required endorsement form for Automobile Additional Insured endorsement is ISO Form
CA 20 48 02 99.
Prior to the execution of this Agreement by the County, CONTRACTOR shall file certificate s of
insurance with the County's contract administrator and County's Contracts/Purchasing Division, showing
that the CONTRACTOR has in effect the insurance required by this Agreement. The CONTRACTOR
shall file a new or amended certificate of insurance within five calendar days after any change is made in
any insurance policy which would alter the information on the certificate then on file. Acceptance or
approval of insurance shall in no way modify or change the indemnification clause in this Agreement,
which shall continue in full force and effect.
CONTRACTOR shall at all times during the term of this Agreement maintain in force the insurance
coverage required under this Agreement and shall send, without demand by County, annual certificates to
County's Contract Administrator and County's Contracts/Purchasing Division. If the certificate is not
received by the expiration date, County shall notify CONTRACTOR and CONTRACTOR shall have five
calendar days to send in the certificate, evidencing no lapse in coverage during the interim. Failure by
CONTRACTOR to maintain such insurance is a default of this Agreement which entitles County, at its sole
discretion, to terminate this Agreement immediately.
7-4 Permits and Licenses:
The Contractor shall procure all permits and licenses required to perform the contract, in conformance
with Section 7-1.04, Permits and Licenses" of the Standard Specifications.
7-5 Compliance with Clean Air Act of 1970:
The Contractor agrees to comply with the Clean Air Act of 1970 and with all applicable federal water
pollution control rules and regulations.
7-6 Compliance with the Copeland Anti-Kickback" Act:
The Contractor shall comply with all rules, regulations and provisions as described in the Copeland
Anti-Kickback" Act.
12
BIB]
40694-U01
FULLY-U02
EXECUTED-U02
CONTRACT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99821-U03
AI101853-U03
DO102627-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
5/31/2011-U04
BOYDA-U04
16495-U05
4-U06
A.-U07
AWARD-U07
ANNUAL-U07
CONSTRUCTION-U07
CONTRACT-U07
TO-U07
NORCAL-U07
CONTRACTOR,-U07
LOW-U07
BIDDER,-U07
IN-U07
AN-U07
AMOUNT-U07
TO-U07
EXCEED-U07
$150,000-U07
THE-U07
750-PARKS-U08
BEARDSALL-U09
LYNNETTE-U09
BEARDSALLL-U10
5/10/2011-U011
ANNUAL-U012
MAINTENANCE-U012
OF-U012
PARK-U012
ROADWAYS-U012
AT-U012
LAGUNA-U012
SECA-U012
RECREATION-U012
AREA,-U012
THE-U012
CALENDAR-U012
YEAR-U012
ENDING-U012
DECEMBER-U012
31,-U012
2011,-U012
BID-U012
NO.10289;-U012
B.-U012
AUTHORIZE-U012
THE-U012
CHAIR-U012
OF-U012
THE-U012
BOARD-U012
TO-U012
SIGN-U012
THE-U012
CONTRACT.-U012
FULLY EXECUTED CONTRACT"�|E��
�PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS: That
WHEREAS, the County of Monterey, hereinafter designated as Public Entity") on
2011, has awarded
hereinafter designated as the Principal," a contract for the work described as follows:
Annual Maintenance and Repair of Park Roadways at Laguna Seca Recreation Area BID NO. 10289for
Calendar year 2011 January 1, 2011 through December 31, 2011).
WHEREAS, said Principal is required under the terms of said contract to furnish a bond for the faithful
performance of said contract,
NOW THEREFORE, we, the Principal and
as Surety, are held and firmly bound unto the Public Entity in the penal sum of
Dollars $ lawful money of the United States
of America, for the payment of which sum well and truly to be made, we bind ourselves, our heirs,
executors, administrators, successors and assigns, jointly and severally, firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH that if the above bounded Principal, his or its
heirs, executors, administrators, successors or assigns, shall in all things strand to and abide by and well
and truly keep and perform, the covenants conditions and agreements in the said contract and any
alteration thereof made as therein provided, on his or their part, to be kept and performed at the time and
in the manner therein specified, and in all respects according to their true intent and meaning, and shall
indemnify and save harmless the Public Entity, 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.
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 anywise affect its obligation 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.
In the event suit is brought upon this bond by the County and judgment is recovered, the Surety shall pay
all litigation expenses incurred by the County in such suit, including court costs, expert witness fees and
investigation expenses.
IN WITNESS WHEREOF, this instrument has been duly executed by the Principal and Surety above
named, on the day of 92011.
Attach required acknowledgments)
by
by
Surety
Principal
Attorney-in-Fact
31
BIB]
40694-U01
FULLY-U02
EXECUTED-U02
CONTRACT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99821-U03
AI101853-U03
DO102627-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
5/31/2011-U04
BOYDA-U04
16495-U05
4-U06
A.-U07
AWARD-U07
ANNUAL-U07
CONSTRUCTION-U07
CONTRACT-U07
TO-U07
NORCAL-U07
CONTRACTOR,-U07
LOW-U07
BIDDER,-U07
IN-U07
AN-U07
AMOUNT-U07
TO-U07
EXCEED-U07
$150,000-U07
THE-U07
750-PARKS-U08
BEARDSALL-U09
LYNNETTE-U09
BEARDSALLL-U10
5/10/2011-U011
ANNUAL-U012
MAINTENANCE-U012
OF-U012
PARK-U012
ROADWAYS-U012
AT-U012
LAGUNA-U012
SECA-U012
RECREATION-U012
AREA,-U012
THE-U012
CALENDAR-U012
YEAR-U012
ENDING-U012
DECEMBER-U012
31,-U012
2011,-U012
BID-U012
NO.10289;-U012
B.-U012
AUTHORIZE-U012
THE-U012
CHAIR-U012
OF-U012
THE-U012
BOARD-U012
TO-U012
SIGN-U012
THE-U012
CONTRACT.-U012
FULLY EXECUTED CONTRACT"�|E��
�PAYMENT BOND FOR PUBLIC WORKS
KNOW ALL MEN BY THESE PRESENTS: That
WHEREAS, the County of Monterey, hereinafter designated as Public Entity") on
2011, has awarded
hereinafter designated as the Principal") a contract for the work described as follows:
Annual Maintenance and Repair of Park Roadways at Laguna Seca Recreation Area BID NO 10289 for Calendar year
2011 January 1, 2011 through December 31, 2011).
WHEREAS, said Principal is required by Chapter 5 commencing at Section 3225) and Chapter 7 commencing at
Section 3247), Title 15, Part 4, Division 3 of the California Civil Code to furnish a bond in connection with said contract;
NOW THEREFORE, we, the Principal and
as Surety, are held and firmly bound unto the Public Entity in the penal sum of
Dollars $
lawful money of the United States of America, for the payment of which sum well and truly to be made, we bind
ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH that if the said Principal, his or its subcontractors, heirs,
executors, administrators, successors or assigns, shall fail to pay any of the persons named in Section 3181 of the
California Civil Code, or amounts due under the Unemployment Insurance Code with respect to work or labor performed
under the contract, or for any amounts required to be deducted, withheld, and paid over to the Franchise Tax Board from
the wages of employees of the contractor and his subcontractors pursuant to Section 18806 of the California Revenue and
Taxation Code, with respect to such work and labor the survey or sureties will pay for the same, in an amount not
exceeding the sum hereinabove specified, and also, in case suit is brought upon this bond, court costs, expert witness
fees and investigation expenses.
This bond shall insure to the benefit of any of the persons named in Section 3181 of the California Civil Code, so as to
give a right of action to such persons or their assigns in any suit brought upon this bond.
It is further stipulated and agreed that the Surety on this bond shall not be exonerated or released from the obligation of
this bond by any change, extension of time for performance, addition, alteration or modification, to, or of any contract,
plans, specifications, or agreement pertaining or relating to any scheme or work of improvement hereinabove described
or pertaining or relating to the furnishing of labor, materials, or equipment therefore, nor by any change or modification
of any terms of payment or extension of the time for any payment pertaining or relating to any scheme or work of
improvement hereinabove described, nor by any rescission or attempted rescission of the contract, agreement or bond,
nor by any conditions precedent or subsequent in the bond attempting to limit the right of recovery of claimants
otherwise entitled to recover under any such contract or agreement or under the bond and that this bond be construed
most strongly against the Surety be released from liability to those for whose benefit such bond has been given, by reason
of any breach of contract between the owner or Public Entity and original contractor or on the part of any obligee named
in such bond, but the sole conditions of recovery shall be that claimant is a person described in Section 3110 or 3112 of
the California Civil Code, and has not been paid the full amount of his claim and that Surety does hereby waive notice of
any such change, extension of time, addition, alteration or modification herein mentioned.
IN WITNESS WHEREOF, this instrument has been duly executed by the Principal and Surety above named, on the
day of 20
Principal
by
Attach required
acknowledgments) Surety
by
Attorney-in-Fact
32
BIB]
40694-U01
FULLY-U02
EXECUTED-U02
CONTRACT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99821-U03
AI101853-U03
DO102627-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
5/31/2011-U04
BOYDA-U04
16495-U05
4-U06
A.-U07
AWARD-U07
ANNUAL-U07
CONSTRUCTION-U07
CONTRACT-U07
TO-U07
NORCAL-U07
CONTRACTOR,-U07
LOW-U07
BIDDER,-U07
IN-U07
AN-U07
AMOUNT-U07
TO-U07
EXCEED-U07
$150,000-U07
THE-U07
750-PARKS-U08
BEARDSALL-U09
LYNNETTE-U09
BEARDSALLL-U10
5/10/2011-U011
ANNUAL-U012
MAINTENANCE-U012
OF-U012
PARK-U012
ROADWAYS-U012
AT-U012
LAGUNA-U012
SECA-U012
RECREATION-U012
AREA,-U012
THE-U012
CALENDAR-U012
YEAR-U012
ENDING-U012
DECEMBER-U012
31,-U012
2011,-U012
BID-U012
NO.10289;-U012
B.-U012
AUTHORIZE-U012
THE-U012
CHAIR-U012
OF-U012
THE-U012
BOARD-U012
TO-U012
SIGN-U012
THE-U012
CONTRACT.-U012
FULLY EXECUTED CONTRACT"�|E��
�BID NO 10289
CONTRACTOR'S CERTIFICATE REGARDING
WORKERS' COMPENSATION
Labor Code Section 3700 in relevant part provides:
Every employer except the State shall secure the payment of compensation in one or more of
the following ways:
a) By being insured against liability to pay compensation in one or more insurers duly
authorized to write compensation insurance in this State.
b) By securing from the Director of Industrial Relations a certificate of consent to self-
insure, which may be given upon furnishing proof satisfactory to the Director of Industrial
Relations of ability to self-insure and to pay any compensation that may become due to its
employees.
I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured
against liability for workers' compensation or to undertake self-insurance in accordance with the provisions of
that code, and I will comply with such provisions before commencing the performance of the work of this
contract.
In accordance with Article 5 commencing at Section 1860), Chapter 1, Part 7, Division 2 of the Labor
Code, the above certificate must be signed and filed with the awarding body prior to performing any work
under this contract.)
30
BIB]
40694-U01
FULLY-U02
EXECUTED-U02
CONTRACT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99821-U03
AI101853-U03
DO102627-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
5/31/2011-U04
BOYDA-U04
16495-U05
4-U06
A.-U07
AWARD-U07
ANNUAL-U07
CONSTRUCTION-U07
CONTRACT-U07
TO-U07
NORCAL-U07
CONTRACTOR,-U07
LOW-U07
BIDDER,-U07
IN-U07
AN-U07
AMOUNT-U07
TO-U07
EXCEED-U07
$150,000-U07
THE-U07
750-PARKS-U08
BEARDSALL-U09
LYNNETTE-U09
BEARDSALLL-U10
5/10/2011-U011
ANNUAL-U012
MAINTENANCE-U012
OF-U012
PARK-U012
ROADWAYS-U012
AT-U012
LAGUNA-U012
SECA-U012
RECREATION-U012
AREA,-U012
THE-U012
CALENDAR-U012
YEAR-U012
ENDING-U012
DECEMBER-U012
31,-U012
2011,-U012
BID-U012
NO.10289;-U012
B.-U012
AUTHORIZE-U012
THE-U012
CHAIR-U012
OF-U012
THE-U012
BOARD-U012
TO-U012
SIGN-U012
THE-U012
CONTRACT.-U012
FULLY EXECUTED CONTRACT"�|E��
�PFErJ11UF.4 IS Fort CONTRA;CT'tERM
AND IS SUBJECT TO ADJUSTMENT
ON Fii 4 CBNTPLACT PRICE
PERFORMANCE BOND Bond no. 782770P
Premium: $1,300.00
kLN0 A' Ai,L /iEN B?' T-9FSE P P.ESi i S: i b i
0 i i has awarded
Nor-Cal Contractor, 1615 Devonshire Way, Salinas, CA 93906
e einaft r CCSi a-ed s t ht u:. w-~:~ y
Annual Maintcnanct a_d Reoair of a Rcadways at L a2:.nr S_ A r cs BE) NO.'C,'U,af_
talcnda'year2O1i a is 1 11 Lm ec Tea"S_
WHEREAS. said F n x c i p b t is t j y d i
perforrran e of said cunt a
T;- FLFO the ir.~_ral and
Developers Surety and Indemnity Company 17780 Fitch #200, Irvine,
CA 9614
Sare.r, are held and ir:*il d
Uzi.:! L: c r y One Hundred Fifty
Thousand 00/100 iia- 1; 150,000.00
c;" Atncric3, for tie-mail, Ti�_n: r u-:b s-am lay-d`
ecutors, administrators, surcesso_a Tnd a: Z- +v. i y a: d hose
c0\-DMOIN mr OBUGATICiN S SUCH t t / o be dx+ r
huts, CCU cuaors, 2d.mdni3i.'ato-", lti: S: o. LLat_zns Snai. St-a^~ ant Z7Idc tTt- a.d w_,f
na d trul leap Mid peTfOre' the G: e-rmts C:J'i_Glt:'J17_s atd c'nJu the said c c and a.7
a. mratlon thereef made is h l W'l prmin;dftd. on his or c
in the manner thercta Spv-iii�d, aid e ta 3~'vT m the D me
ttz'd an y~'3i17,.r a, il shall
irder ity and save h zG i- dr-z 3i c L'i OL'''DSre ani: i i~_ct ttmr
O li_S IOn Shall become m;' and Mild o rr s a Lt and
1^G the said Sur C{, for vdlli z e f in;?R 3E_,YU7 C yc s nc rte f c s.or of time,
alteration or addition to the cr t, e 3 tc F th'* eT c the
pccificarions aCCo mcanvma e s nse. Shall u pan: R s' LL ect ob i on th C a)�d it X
ha ebv waive n.)tice of an:' j Mn,2_t. z on t
tm~c a r a j th
addif i:. t^tns o e
contact, or to tin pork, or is c tL~Ouc
In the event suit in bs_'GUe?: oco n dt:= bocd by the iv_d2_' a i i m at v red_ t] 3',!r Cry' Shah tav
all, Iit_<_ratmor, expenses irEc-.n- d l_ z:,_nw such s t, inc_:, m C_ c x~ wI 1esS anc
t'^_5 investigation e;:nzne5.
T tv171' SS WHEREOF. his ins- ne i:':as e e an y ec i r,=i} i:�d Si:,
above
r amed, on the 5 d2�,. oi' Aril c. I.
i:.1rw. r r.:ircd arkn-:~� ei~ n
Nor-Cal Contractor
DevI:oers Surety and Indemnity Company
try r. t %d 1 v
Greg ffm i a s n-sac.
3 t
BIB]
40694-U01
FULLY-U02
EXECUTED-U02
CONTRACT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99821-U03
AI101853-U03
DO102627-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
5/31/2011-U04
BOYDA-U04
16495-U05
4-U06
A.-U07
AWARD-U07
ANNUAL-U07
CONSTRUCTION-U07
CONTRACT-U07
TO-U07
NORCAL-U07
CONTRACTOR,-U07
LOW-U07
BIDDER,-U07
IN-U07
AN-U07
AMOUNT-U07
TO-U07
EXCEED-U07
$150,000-U07
THE-U07
750-PARKS-U08
BEARDSALL-U09
LYNNETTE-U09
BEARDSALLL-U10
5/10/2011-U011
ANNUAL-U012
MAINTENANCE-U012
OF-U012
PARK-U012
ROADWAYS-U012
AT-U012
LAGUNA-U012
SECA-U012
RECREATION-U012
AREA,-U012
THE-U012
CALENDAR-U012
YEAR-U012
ENDING-U012
DECEMBER-U012
31,-U012
2011,-U012
BID-U012
NO.10289;-U012
B.-U012
AUTHORIZE-U012
THE-U012
CHAIR-U012
OF-U012
THE-U012
BOARD-U012
TO-U012
SIGN-U012
THE-U012
CONTRACT.-U012
FULLY EXECUTED CONTRACT"�|E��
�POWER OF ATTORNEY FOR
DEVELOPERS SURETY AND INDEMNITY COMPANY
INDEMNITY COMPANY OF CALIFORNIA
PO Box 19725, IRVINE, CA92623 949) 263-3300
KNOW ALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, do each
hereby make, constitute and appoint:
***Greg Zoffman, L.K. Lau, Peggy Roy, P. Bewley, R. Overby, jointly or severally***
as their true and lawful Attorney(s)-in-Fact, to make, execute, deliver and acknowledge, for and on behalf of said corporations, as sureties, bonds, undertakings and contracts of surety-
ship giving and granting unto said Attorney(s)-in-Fact full power and authority to do and to perform every act necessary, requisite or proper to be done in connection therewith as each of
said corporations could do, but reserving to each of said corporations full power of substitution and revocation, and all of the acts of said Attorney(s)-in-Fact, pursuant to these presents,
are hereby ratified and confirmed.
This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY
AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, effective as of January 1st, 2008.
RESOLVED, that a combination of any two of the Chairman of the Board, the President, Executive Vice-President, Senior Vice-President or any Vice President of the
corporations be, and that each of them hereby is, authorized to execute this Power of Attorney, qualifying the attorney(s) named in the Power of Attorney to execute, on behalf of the
corporations, bonds, undertakings and contracts of suretyship; and that the Secretary or any Assistant Secretary of either of the corporations be, and each of them hereby is, authorized
to attest the execution of any such Power of Attorney;
RESOLVED, FURTHER, that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such
Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond, undertaking
or contract of suretyship to which it is attached.
IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by
their respective officers and attested by their respective Secretary or Assistant Secretary this January 1st, 2008.
e-
ANp,
By: I
Daniel Young Vice-PresidentJ
POR
gl
L,,
Stephen T. Pate, Senior Vice-President
State of California
County of Orange
On January 31, 2011 before me,
Date
personally appeared
Place Notary Seal Above
true and correct.
IIIRR!!I IIRIRRRRl,*`
Antonio Alvarado, Notary Public
Here Insert Name and Title of the Officer
Daniel Young and Stephen T. Pate
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 his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is
WITNESS my hand and official seal.
Signature
CERTIFICATE
Antonio Alvarado, Notary Public
The undersigned, as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA, does hereby
certify that the foregoing Power of Attorney remains in full force and has not been revoked and, furthermore, that the provisions of the resolutions of the respective Boards of Directors of
said corporations set forth in the Power of Attorney are in force as of the date of this Certificate.
This Certificate is executed in the City of Irvine, California, this
By:
regg Okur istant Secretary
5th day of April 2011
ID-1380(Rev.01/11)
BIB]
40694-U01
FULLY-U02
EXECUTED-U02
CONTRACT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99821-U03
AI101853-U03
DO102627-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
5/31/2011-U04
BOYDA-U04
16495-U05
4-U06
A.-U07
AWARD-U07
ANNUAL-U07
CONSTRUCTION-U07
CONTRACT-U07
TO-U07
NORCAL-U07
CONTRACTOR,-U07
LOW-U07
BIDDER,-U07
IN-U07
AN-U07
AMOUNT-U07
TO-U07
EXCEED-U07
$150,000-U07
THE-U07
750-PARKS-U08
BEARDSALL-U09
LYNNETTE-U09
BEARDSALLL-U10
5/10/2011-U011
ANNUAL-U012
MAINTENANCE-U012
OF-U012
PARK-U012
ROADWAYS-U012
AT-U012
LAGUNA-U012
SECA-U012
RECREATION-U012
AREA,-U012
THE-U012
CALENDAR-U012
YEAR-U012
ENDING-U012
DECEMBER-U012
31,-U012
2011,-U012
BID-U012
NO.10289;-U012
B.-U012
AUTHORIZE-U012
THE-U012
CHAIR-U012
OF-U012
THE-U012
BOARD-U012
TO-U012
SIGN-U012
THE-U012
CONTRACT.-U012
FULLY EXECUTED CONTRACT"�|E��
�CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
3k1~ mr,rl r3... +7.:Re.aL
STATE OF CALIFORNIA
County of Sacramento
On April 5, 2011 before me, Rebecca Overby, Notary Public
Date Here Insert Name and Title of the Officer
personally appeared Greg Zoffman
Name(s) of Signer(s)
+*. *+,tte,r+~++++++++++,r,r,t++++*+++++*:r*,t+++++++*+*�** **++++++a+++++:r++*++,t.+:t * * *++*+++++++~+*+* **+t++++~**t++++,t+,t*,r*,t*,tt� *~~* t
elf F l E5ECCA O'VERRY
COMA M. 1388111
0
N ui RV PUiILIC CALIFORNIA
SACrfA.Nif=NTQ COUNTY 0
5 q S MAY 2, 2014
Place Notary Seal Above
who proved to me on the basis of satisfactory evidence to
be the person(s) whose name Is/ re subscribed to the
within instrument and acknowledged to me thatZhe/they
executed the same ia_40her/their authorized capacity(ies),
and that b is er~their signature(s) on the instrument the
person(s), the entity upon behalf of which the person(s)
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.
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Documen`
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
Individual
Corporate Officer-Title(s):
Partner Limited General
Attorney in Fact
Trustee
Guardian or Conser or
Other:
RIGHTTHUMBPRINT
OF SIGNER:'
Top of thumb here
im
Signer's Name:
Individual
Corporate Officer Title(s):
Partner Limited General
Attorney in Fact
Trustee
Guardian or Conservator
Other:
Signer Is Representing:
RIGHTTHUMBPRINT
OF SIGNER
Top of thumb here
0 2007 National Notary Association 9350 De Solo Ave., P.O. Box 2402 Chatsworth, CA 91313-2402 www.NationatNotary.org Item #5907 Reorder: Call Toll-Free 1-800-876-6827
BIB]
40694-U01
FULLY-U02
EXECUTED-U02
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FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
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5/31/2011-U04
BOYDA-U04
16495-U05
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AWARD-U07
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CONTRACTOR,-U07
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IN-U07
AN-U07
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�ACORDTMA CERTIFICATE OF LIABILITY INSURANCE
COMMPRO INSURANCE SERVICES, INC.
9065 LOCUST STREET STE Bi
ELK GROVE CA 95624
DATE j*AtDOI'YTW)
I 0410512011
PRODUCER P~. Ly77I 366.3057 Fec t Bj 685 31.G4 THIS CERTIFICATE IS ISSUED AS A MATTER OF WIFORYAYION
ONLY Abb CONFERS NO R415,HTS UPON YME CERTIFICATE
MOLDER. THLS CF;RTTFICATE ODES NOT AMEND. EXTEND OR
ALTER,THE COVERJLOg AFVORC1ED BY ME PQLICIE9 BELOW.
INSURERS AFFORDING COVERAGE.
NIAIC 0
T+TE POLICYES 01 1 4J, ANCE. LISrCD 8f3JW NAVE BEEr, I25)E0 TO THE INSURED' N $dED ABQVE. FOR THE POLICY PERIOD WOICATED. NDYIMTHSTMIDN G
ANY ASDUIREMIT. rER DR CONOIYION OF ANY CON1RACI DR OriIER DOCUMENT WITH RESPECT TOW1(,CM TN* CERTIFICATE VWY BE, ISSUED OR
I.UY PERTAUI THE INSURANCE AP#OTl0EO by THE POLICIES OESCPI9ED HeREIN IS SJB,IECT TO.ALLTHE TEALS: E. CLUtiIONS AND CONDITIONS OF 6UCI+
PJLICIES AGOREGATE LIMITS SHOWN MAY IV.Vt EiN REDUCED BY PAID CLAMS
6A' POLXIY iMEC7iA
TYPE OF INSURANCE POLCY NUMI7LIJt
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AUTOMOBILJ' LIABILITY COMBINED SINCLE LIMIT
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OTitER
DESCRIPTION OF OPERATIONSJLOCATIONSNEHICLES/EXCLUSIONS.ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
THE COUNTY OF MONTEREY, ITS OFFICERS. AGENTS AND EMPLOYEES ARE LISTED AS ADDITIONAL INSURED,
PROJECT: 1025 MONTEREYSALINAS HIGHWAY 68. SAUNAS, CA. 83808
CERTIFICATE HOLDER
THE COUNTY OF MONTEREY
P.O. BOX 5249
SAUNAS., CA- 93916
CANCELLATION
SI OUI.D ANY 4e THE ABOVE DESCRIBED. POLICIES BE CANCELLED TIFcORE r,
EXYIRwr10N DATE. TNSk.Gf THE ISSUING INSURER WILL ENDEAVOR TO h4VL 10 DAIS
45
WRtlTEN N01,CE 10 THE CFRTIFiCATE NULDER- NAMLD TO THE LEFT, BUFFfuLuRE
10 DO Se SIiALJ MPOiE NO OBLTOATION 0H LVPILITV OF ANY IUND UPON TIE INSURER
ITS AGENTS OR REPRF:SCNT}TIVES
AUTN IZE RiErMSENTATIVIE
INSURED
NOR-CAL CONTRACTOR
1615 DEVONSHIRE WAY
SALINAS CA 93906
INSURER A NAVIGATORS INSURANCE
INSURER B. NATIONAL UNION FIRE INSURANCE COMPANY
INSuRER C
INSURER D_
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COVERAGES
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40694-U01
FULLY-U02
EXECUTED-U02
CONTRACT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99821-U03
AI101853-U03
DO102627-U03
C1-U03
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DOCUMENTS-U03
5/31/2011-U04
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16495-U05
4-U06
A.-U07
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31,-U012
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�To. Arnold Gonzalez P. 2 of 2 2011-007 18:40:04 GMT) 1 4 1 5 5 200 297 ComCov From: Commerdal Coverage
1 QO
ls?q CERTIFICATE OF LIABILITY INSURANCE
4/1//2201011YYV)
4/1
PRODUCER 415)436-9800 FAX: 415) 520-0297
Commercial Coverage Insurance, Agency
1119 Market St. 3rd Floor THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER YHE COVERAGE AFFORDED BY THE POLICIES BELOW.
Lic# OF06636
San 8'ranCisOO CA 94103
INSURE RSAFFORDING COVERAGE
NAICM
INSURED NSURER A Progreaai'IFe
Nor-Cal Contractor INSURER 8
1615 t>e-TTonshile Way rrsLwER c
INSURER 0
Salinasl CA 93906 INSURER E
COVERAGES
THE POLICIES Of INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED MOVE 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 16 SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OFSUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
WSW O'L POLICY NUMBER POLICY C& EXPIRATION LIMITS
I TR an TYPE OF INSURANCE OENERALLU9ILITY EACH OCCURRENCE
131"11) S
NT-.D
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AUT OMOBILE UABILITY COMBINED SINGLE LIMIT f
1
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000
X ANY AUTO Ec mcidtiIll
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SCHEDULED AUTOS Pal person)
HIRED AUTOS BODLY INJURY $
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OE LIABILITY
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CERTI
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
OATS THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DD 30 SHALL
County of Monterey IMPOSE NO OBLIGATION OR LIABILITY Of ANY KIND UPON THE INSURER, ITS ACENTS OR
Its Officers, Agents and Employees
G
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ACORD 25 2D09101)
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ATE HOLDER
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188.2009 0 D CORPORATION. All rights reserved.
The ACORD name and logo rrs registered manta of ACORD
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40694-U01
FULLY-U02
EXECUTED-U02
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LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99821-U03
AI101853-U03
DO102627-U03
C1-U03
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DOCUMENTS-U03
5/31/2011-U04
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4-U06
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ANNUAL-U07
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CONTRACT-U07
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LOW-U07
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THE-U07
750-PARKS-U08
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5/10/2011-U011
ANNUAL-U012
MAINTENANCE-U012
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ROADWAYS-U012
AT-U012
LAGUNA-U012
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RECREATION-U012
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THE-U012
CALENDAR-U012
YEAR-U012
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DECEMBER-U012
31,-U012
2011,-U012
BID-U012
NO.10289;-U012
B.-U012
AUTHORIZE-U012
THE-U012
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FULLY EXECUTED CONTRACT"�|E��
�POLICYHOLDER COPY
STATE
FUND
ISSUE DATE: 03-29-2011
P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
MONTEREY COUNTY PARKS DEPT
PD tilt 5249
SALINAB CA 095119-$249
NC
GROUP: 000713
POLICY NUMBER: 001766B-2009
CERTIFICATE ID 33
CERTIFICATE EXPIRES: 09-o4-2011
OB-04-2010/oti-on-2011
This is to certify that we have issued a valid Workers' Compenaetion Insurance policy In a form approved by the
Cailtornr,k Insurance Commir:eioner to the employer name4 below for the policy period indicated.
Tliis Policy in not subject to ce icelistion by the Fund cxoapt upon 30 days advance written notice to the employer.
We will also give you 30 days advance notice should this policy ee aanoolled prior to Its normal xpiration.
This certificate of insurance is not an Insurance policy and does not amend, extend or alter the coverage afforded
try the policy listed herein. NotwlthOtanding any requirement, term or condition of any contract or other document
with rect to which this certificate of Insurance may be Issued or to which it tnay pertain, the Insurance
afforded by the policy described herein Is subject to all ft terms. exclusions, and conditions, of such policy.
/ atY-4tu.
Authorized Representative \IJ President and CEO
UNLESS INDICATED OTHERWISE MY ENDORSEMENT, COVERAGE UNDER THIS POLICY EXCLUDES THE FOLLOWING:
THOSE NAMED IN THE POLICY DECLARATIONS AS AN INDIVIDUAL EMPLOYER OR A HUSBAND AND WIFE FJIPLOYER;
EMMPLOYEM?S COVERED ON A COMPRINPNSIVE PERSONAL LIABILITY INSURANCE POLICY ALSO AFFORDING
CALIFORNIA WORKERS' COMPENSATION BENEFITS; EMPLOYEES EXCLUDED UNDER CALIFORNIA WORKERS'
COMPENSATION LAW.
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: x1,000,000 PER OCCURRENCE.
ENDOR5rMkKT 612005 ENTiYLID G6RTIrxCATE HOLDERS' NOTICE EFFECTIVE 08-04-2ooe IS
ATTACHED TO AND FORMS A PART OP THIS POLICY.
EMPLOYER
GONZALEZ, ARNDLDO AND GONZALEZ, LORENA DMA:
NOR-CAL CONTRACTOR
1615 DEVONSHIRE WAY
S/LLINAS CA 29908
ILRH,NC)
4REV.tI.20101
PRINTED 03-29-2011
50/90 39tfd ibdd t7D3S VNlEtfl 8T898SLIE8 99:ZT TIOZ/TT/t'0
BIB]
40694-U01
FULLY-U02
EXECUTED-U02
CONTRACT-U02
LI21329-U03
FO96183-U03
FO96184-U03
FO99716-U03
MG99791-U03
AS99817-U03
AS99821-U03
AI101853-U03
DO102627-U03
C1-U03
GENERAL-U03
DOCUMENTS-U03
5/31/2011-U04
BOYDA-U04
16495-U05
4-U06
A.-U07
AWARD-U07
ANNUAL-U07
CONSTRUCTION-U07
CONTRACT-U07
TO-U07
NORCAL-U07
CONTRACTOR,-U07
LOW-U07
BIDDER,-U07
IN-U07
AN-U07
AMOUNT-U07
TO-U07
EXCEED-U07
$150,000-U07
THE-U07
750-PARKS-U08
BEARDSALL-U09
LYNNETTE-U09
BEARDSALLL-U10
5/10/2011-U011
ANNUAL-U012
MAINTENANCE-U012
OF-U012
PARK-U012
ROADWAYS-U012
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LAGUNA-U012
SECA-U012
RECREATION-U012
AREA,-U012
THE-U012
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