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HomeMy WebLinkAboutC-1791 - Installation of traffic signal and Safety Lighting at Pacific Coast Highway & Prospect Street6 October 17, 1977 Paul Gardner Corporation P.O. Bo= 233 Ontario, CA 91761 6 Subject: Surety . Federal Insurance Company Bonds No. . 80718108 -C Project : Installation of Traffic Signal 6 Safety Lighting at Contract No.: 1791 Coast Highway 6 Prospect St. The City Council on September 19, 1977 accepted the work of subject project and authorized the City Clerk to file a Notice of Completion and to release the bonds 35 days after Notice of Completion has been filed. Notice of Completion was filed with the Orange County Recorder on September 21, 1977 in Book No. 12385, Page 1483. Please notify your surety company that bonds may be released 35 days after recording date. Doris George City Clerk eg cc: Public Works Department NEVUESfED By ANU MAIL TC PLEASE RETURN Tp ." CITY CLERK CITY OF NEWPORT BEACH 3300 NEWPORT BOULEVARD NEWPORT BEACH, CALIF. 92663 EXEMPT C5 NOTICE. OF COMPLETION PUBLIC WORKS DK 12385P61483 RECORDED IN OFFICIAL RECORD$ OF ORANGE COUNTY. CAI IRORNIA soy A.M. SEP 21 1977 J. WYLIE CARLYLE, Csunq hecsrdilr 'to All Laborers and Material Men and to Every Other Person Interested: YOU WII..L PLEASE TAKE NOTICE that on August 3, 1977 the Public Works project consisting of Installation of Traffic Signal & Safety Lighting at Coast Highway & Prospect St on which Paul Gardner Corporation was the contractor, and Federal Insurance Company was the surety, was completed. V ERIFICAT I, the undersigned, say: CITY OF NEWPORT BEACH s Director I am the Public Works Director of the City of Newport Beach; the foregoing Notice of Completion is true of my own knowledge. I declare under penalty of perjury that the foregoing is true and correct. Executed on September 20, 1977 at Newport Beach, California. VERIFICATION O/V CITY I, the undersigned, say: I am the City Clerk of the City of Newport Beach; the City Council of said City on September 19, 1977 accepted the above described work as completed and ordered that a Notice of Completion be filed. I declare under penalty of perjury that the foregoing is true and correct. Executed on September 20, 1977 at Newport Beach, California. 0 II 0 0 CITY OF NEWPORT BEACH CALIFORNIA City Hall 3300 W. Newport Blvd Date: September 20- 1977 Mr. J. Wylie Carlyle County Recorder P. 0. Box 238 Santa Ana, California 92702 Dear Mr. Carlyle: Attached for recordation is Notice of Completion of Public Works project consisting of Traff4c 912nal 6 aafar)t TAghring /coast Highway 6 Prospect St. Contract No. 7791 _ on which Paul Gardner Corparacion was the Contractor and Toderal Ineurance Cg=&= was the surety. Please record and return to us. Very trul !yours, DorisDoris George City Clerk City of Newport Beach Encl. CITY OF NEWPORT BEACH Date May 12, 1977 TO: Public Works Department FROM: City Clerk SUBJECT: Contract No. 1791 Project Traf i1 is Signal - Coast Highway 6 Prospect Street Attached is signed copy of subject contract for transmittal to the contractor. Contractor: Paul Gardner Corporation Address: P.O. Box 233, 901 S. Sultana Ave., Ontario, CA 91761 Amount: $ 36,725 Effective Date: May 10, 1977 Resolution No. 9057 A�, Doris Geo e Att. cc: Finance Department V-1 City Hall • 3300 Newport BouleN,ard, Newport Beach, California 92663 CITY CLERK CONTRACT NO. 1791 CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT CONTRACT DOCUMENTS MV INSTALLATION OF TRAFFIC SIGNAL AND SAFETY LIGHTING AT COAST HIGHWAY AND PROSPECT STREET Approved by the City Council this 14th day of March, 1977 1/ City Clerk, Doris 0orge SUBMITTED BY: PAUL GARDNER CORPORATION Contractor P.O.BOX 233 901 South Sultana Avenue Address Ontario, California 91761 City Zip 714/ 984 1714 Phone $36,725.00 Total Bid Price • _ • PR 1 of 2 TRAFFIC SIGNAL AND SAFETY LIGHTING AT COAST HIGHWAY AND PROSPECT STREET CONTRACT NO. 1791 PROPOSAL To the Honorable City Council City of Newport Beach 3300 Newport Boulevard Newport Beach, CA 92663 Gentlemen: The undersigned declares that he has carefully examined the location of the work, has read the Notice Inviting Bids, has examined the Plans and Special Provisions, and hereby proposes to furnish all materials and do all the work required to complete Contract No. 1791 and will take in full payment therefor the following unit prices for each item, complete in place, to wit: ITEM QUANTITY ITEM DESCRIPTION UNIT UNIT TOTAL NO. AND UNIT PRICE WRITTEN IN WORDS PRICE PRICE 1 Lump Sum Construct traffic signal and lighting system at the intersection of Coast Highway and Prospect Street $ $ 36,725.00 TOTAL PRICE WRITTEN IN WORDS: Thirty six thousand seven hundred twenty five Dollars and No Cents • • PR 2 of 2 PAUL GARDNER CORPORATION CONTRACTOR'S NAME PAUL GARDNER CORPORATION S/ Paul R. Gardner, President March 31, 1977 S/ Paul R. Gardner Jr., Secretary DATE AUTHORIZED SIGNATURE CONTRACTOR'S ADDRESS 901 South Sultana Avenue Ontario, California 91761 TELEPHONE NUMBER 714/984 1714 172258 CONTRACTOR'S LICENSE NO. Designate the firm or company that will supply the control equipment: Multisonics Jame of Firm or Company 6444 Sierra Court, Dublin, California 94566 Address Telephone Number 415/ 829 3300 . arch 22, 1977 CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT INSTALLATION OF TRAFFIC SIGNAL AND SAFETY LIGHTING AT COAST HIGHWAY AND PROSPECT STREET CONTRACT NO. 1791 BID OPENING; March 31, 1977, 10;30 a.m. ADDENDUM NO. 1 Please make the following addition to the contract documents: 1. SPECIAL PROVISIONS: Add new section, X. x., to read; "x. BONDS AND INSPECTIONS In addition to the bonds required by the Standard S ecifications for Public Works Construction tNe Contractor sha Turn sh the State w th a signe app ication and a $10,000.00 one -year bond on the State's DHM -P -4 Bond Form to cover the work within the State highway right -of -way. The cost of this bond shall be included in the lump sum bid. The cost of all State inspections shall be borne by the City." NOTE: SHOW DATE OF RECEIPT OF THIS ADDENDUM ON THE PROPOSAL AND INSERT A COPY WITH YOUR PROPOSAL. 'p•Q� Bill E. Darnell Traffic Engineer PAUL GARDNER CORPORATION S/ Paul R. Gardner, President March 25, 1977 S/ Paul R. Gardner Jr., Secretary Date Received Contractor's Authorize Signature Page 1 CITY OF NEWPORT BEACH, CALIFORNIA NOTICE INVITING BIDS SEALED BIDS will be received at the office of the City Clerk, City Hall, Newport Beach, California, until 10:30 A.M. on the 31st day of March , 1977 , at which time they wi opened and read, for performing work as follows: INSTALLATION OF TRAFFIC SIGNAL AND SAFETY LIGHTING AT COAST HIGHWAY PROSPECT STREET CONTRACT NO. 1791 Bids must be submitted on the proposal form attached with the contract documents furnished by the Public Works Department. The additional copy of the proposal form is to be retained by the bidder for his records. Each bid must be accompanied by cash, certified check or Bidder's Bond, made payable to the City of Newport Beach, for an amount equal to at least 10 percent of the amount bid. The title of the project and the words "SEALED BID" shall be clearly marked on the outside.of the envelope containing the bid. The contract documents that must be completed, executed, and returned in the sealed bid are: A. Proposal B. Designation of Subcontractors C. Bidder's Bond D. Non - collusion Affidavit E. Statement of Financial Responsibility F. Technical Ability and Experience References These documents shall be affixed with the signature and titles of the persons signing on behalf of the bidder. For corporations, the signatures of the President or Vice President and Secretary or Assistant Secretary are required an t� he Corporate Seal sha 1 be of ixed to all documents requiring signatures. In the case of a Partnership, the signature of at least one general partner is required. No bids will be accepted from a contractor who has not been licensed in accordance with the provisions of Chapter 9, Division III of the Business and Professions' Code. The contractor shall state his license number and classification in the proposal. One set of plans and contract documents, including special provisions, may be obtained at the Public Works Department, City Hall, Newport Beach, California, at no cost to licensed contractors. It is requested that the plans and contract documents be returned within 2 weeks after the bid opening. (cont.) • 9 Page la The City has adopted the Standard Specifications for Public Works Construction (1976 Edition) as prepared by the Southern California Chapters of the American Public Works Association and the Associated General Contractors of America. Copies may be obtained from Building News, Inc., 3055 Overland Avenue, Los Angeles, California 90034, (213) 870 -9871. The City has adopted Standard Special Provisions and Standard Drawings. Copies of these are available at the Public Works Department at a cost of $5.00 per set. A standard "Certificate of Insurance for Contract Work for City" form has been adopted by the City. This form is the only certificate of insurance acceptable to the City. The successful low bidder will be required to complete this form upon award of the contract. For any required bonds, the company issuing Bid Bonds, Labor and Material Bonds, and Faithful Performance Bonds must be an insurance company or surety company licensed by the State of California. The companies must also have a current General Policy Holders Rating of A or better; and a Financial Category of at least Class X as per the latest edition of Best's Key Rating Guide (Property - Liability). In accordance with the provisions of Article 2, Chapter 1, Part 7 of the California Labor Code (Sections 1770 et seq.), the City Council of the City of Newport Beach has ascertained the general prevailing rate of per diem wages in the locality in which the work is to be performed for each craft, classification, or type of workman or mechanic needed to execute the contract and has set forth these items in Resolu- tion No. 8950 adopted December 13, 1976. A copy of said resolution is available in the office of the City Clerk. All parties to the contract shall be governed by all provisions of the California Labor Code relating to prevailing wage rates (Sections 1770 -1781 inclusive). The contractor shall be responsible for com- pliance with Section 1777.5 of the California Labor Code for all apprenticeable occupations. The contractor shall post a copy of the prevailing wage rates at the job site. Copies may be obtained from the Public Works Department. The City reserves the right to reject any or all bids and to waive any informality in such bids. Revised 12 -14 -76 Page 2 All bids are to be computed on the basis of the given estimated quantities of work, as indicated in this Proposal, times the unit price as submitted by the bidder. In case of a discrepancy between words and figures, the words shall prevail. In case of an error in the extension of a unit price, the corrected extension shall be calculated and the bids will be computed as indicated above and compared on the basis of the corrected totals. The estimated quantities of work indicated in this Proposal are approximate only, being given solely as a basis for comparison of bids. The undersigned has checked carefully all of the above figures and understands that the City will not be responsible for any errors or omissions on the part of the under- signed in making up this bid. The undersigned agrees that in case of default in executing the required contract with necessary bonds within ten (10) days, not including Saturday, Sunday and Federal Holidays, after having received notice that the contract is ready for signature, the proceeds of check or bond accompanying this bid shall become the property of the City of Newport Beach. Licensed in accordance with the Statutes of the State of California providing for the registration of Contractors, License No. 172258 Classification C -10 Accompanying this proposal is a Bidder's Bond (Cash, Certified Check, Cas ier s Check or Bon in an amount not less than 10 percent of the total bid price. The undersigned is aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workmen's compensation or to undertake self- insurance in accordance with the provisions of that code, and agrees to comply with such provisions before commencing the performance of the work of this contract. 714/984 -1714 Phone Number March 31, 1977 Date PAUL GARDNER CORPORATION Bidder's Name (SEAL) S /Paul R. Gardner, President uthorized Signature S /Paul R. Gardner Jr., Secretary Authorized Signature Corporation Type of Organization (Individual, Corporation, or Co- Partnership) List below names of President, Secretary, Treasurer and Manager if a corporation, and names of all co- partners if a co- partnership: Paul Gardner Corporation Paul R. Gardner - President, Treasurer, Manager Paul R. Gardner Jr., - Vice President, Secretary Page 3 DESIGNATION Of SUBCONTRACTORS The undersigned certifies that he has used the sub -bids of the following listed contractors in making up his bid and that the subcontractors listed will be used for the work for which they bid, subject to the approval of the City Engineer, and in accordance with the applicable provisions of the specifications. No change may be made in these subcontractors except upon the prior approval of the Engineer. Item of Work Subcontractor 1. Curb & A.C. Walk Orange Coast Constructors 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Address 21866 Winnebago Lane El oro, PAUL GARDNER CORPORATION Bidders Name S /Paul R. Gardner, President S /Paul R. Gardner Jr., Authorized ignature cretary Corporation Type of Organization (Individual, Co- partnership or Corp.) 901 South Sultana Avenue Ontario, California 91761 Address • OND NO. 80718108 -C FOR ORIGINAL SEE CITY CLERK'S FILE COPY Page 4 BIDDER'S BOND TO ACCOMPANY PROPOSAL KNOW ALL MEN BY THESE PRESENTS, That we, PAUL GARDNER CORPORATION and FEDERAL INSURANCE COMPANY as Principal, as Surety, are held and firmly bound unto the City of Newport Beach, California, in the sum of Ten Percent of the total amount bid Dollars ($ 70 %-- ------ ), lawful money of the United States for the payment of which sum well and truly to be made, we bind ourselves, jointly and severally, firmly by these presents. THE CONDITION OF THE FOREGOING OBLIGATION IS SUCH, That if the proposal of the above bounden principal for the construction of Installation of Traffic Signal and Safety Lighting at Coast Highway and Prospect Street (Contract No. 1791) in the City of Newport Beach, is accepted by the City Council of said City, and if the above bounden principal shall duly enter into and execute a contract for such construc- tion and shall execute and deliver the two (2) bonds described in the "Notice Inviting Bids" within ten (10) days (not including Saturday, Sunday and Federal Holidays) from the date of the mailing of a notice to the above bounden principal by and from said City of Newport Beach that said contract is ready for execution,.then this obligation shall become null and void; otherwise it be and remain in full force and effect, and the amount specified herein shall be forfeited to the said City. In the event that any principal above named executed this bond as an individual, it is agreed that the death of any such principal shall not exonerate the surety from its obligations under this bond. IN WITNESS WHEREOF, we hereunto set our hands and seals this 31st day of March , 19 77 . Corporate Seal (If Corporation) PAUL GARDNER CORPORATION Principal S/ Paul R. Gardner, President (Attach acknowled ement of Attorney -in -Fact S/ Paul,R. Gardner Jr,, Secretary March 31, 1977 S/ Carroll A, McHugh, Notary Public FEDERAL INSURANCE COMPANY Commission expires Feb. 10, 1979 Surety By S/ C, G. Grasso Title Attorney -in -Fact 0 NON - COLLUSION AFFIDAVIT 0 Page 5 The bidders, by its officers and agents or representatives present at the time of filing this bid, being duly sworn on their oaths say, that neither they nor any of them, have in any way, directly or indirectly, entered into any arrangement or agree- ment with any other bidder, or with any public officer of such CITY OF NEWPORT BEACH whereby such affiant or affiants or either of them, has paid or is to pay to such bidder or public officer any sum of money, or has given or is to give to such other bidder or public officer anything of value whatever, or such affiant or affiants or either of them has not directly or indirectly, entered into any arrangement or agree- ment with any other bidder or bidders, which tends to or does lessen or destroy free competition in the letting of the contract sought for by the attached bids; that no bid has been accepted from any subcontractor or materialman through any bid depository, the Bylaws, Rules or Regulations of which prohibit or prevent the contractor from considering any bid from any subcontractor or materialman which is not processed through said bid depository, or which prevent any subcontractor or materialman from bidding to any contractor who does not use the facilities of or accept bids from or through such bid depository; that no inducement or any form or character other than that which appears upon the face of the bid will be suggested, offered, paid, or delivered to any person whomsoever to influence the acceptance of the said bid or awarding of the contract, nor has this bidder any agreement or understanding of any kind whatsoever, with any person whomsoever to pay, deliver to, or share with any other person in any way or manner, any of the proceeds of the contracts sought by this bid. Subscribed and sworn to before me this 31stday of March , 19 77 . My commission expires: February 19, 1978 Jacqueline M. Gardner Notary Public PAUL GARDNER CORPORATION S/ Paul R. Gardner, President S/ Paul R. Gardner Jr., Secretary S/ Jacqueline M. Gardner Notary Public . Page 6 FOR ORIGINAL SEE CITY CLERK'S FILE COPY STATEMENT OF FINANCIAL RESPONSIBILITY Tne undersigned submits herewith a statement of his financial responsibility or agrees to submit a statement within 24 hours after the bid opening if he is the apparent low bidder. On file with City Clerk. PAUL GARDNER CORPORATION S/ Paul R. Gardner, President Paul R. Gardner Jr., Secretary Signed Page 7 TECHNICAL ABILITY AND EXPERIENCE REFERENCES The undersigned submits herewith a statement of the work of similar character to that proposed herein which he has performed and successfully completed. Year For Whom Performed (Detail) Person to Contact Tel State Department of Transportation Mr. G. H. Mills 1976 District 8 Resident Engineer 714/383 -4262 State Department of Transportation Mr. R. J. Corrigan State Department of Transportation Mr. r. H. Kreri 1975 District 6 Resident Engineer 714/294 -5123 1974 City of El Segundo City Engineer 213/322 -4670 PAUL GARDNER CORPORATION S/ Paul R. Gardner, President S/ Paul R. Gardner Jr., Secretary Signed Page 8 LABOR AND MATERIAL BOND BOND NO. 8072 03 42 KNOW ALL MEN BY THESE PRESENTS, That WHEREAS, the City Council of the City of Newport Beach, State of California, by motion adopted April 11, 1977, has awarded to PAUL GARDNER CORPORATION hereinafter designated as the "Principal ", a contract for Installation of Traffic Signal and Safety Lighting at Coast Highway and Prospect Street (C- 1791)_ in the City of Newport Beach, in strict conformity with the Drawings and Specifications and other contract documents on file in the office of the City Clerk of the City of Newport Beach; WHEREAS, said Principal has executed or is about to execute said contract and the terms thereof require the furnishing of a bond with said contract, providing that if said Principal or any of his or its subcontractors, shall fail to pay for any materials, provisions, provender, or other supplies or teams used in, upon, for, or about the per- formance of the work agreed to be done, or for any work or labor done thereon of any kind, the Surety on this bond will pay the same to the extent hereinafter set forth: NOW, THEREFORE, We . PAUL GARDNER CORPORATION as Principal, and FEDERAL INSURANCE COMPANY as Surety, are held firmly bound unto the City of Newport Beach, in the SUM of Eighteen Thousand, Three Hundred Sixty -Two and 50 /100 - -- Dollars ($ 18,362.50- - - - -), said sum being one -half of the estimated amount payable by the City of Newport Beach under the terms of the contract, for which payment well and truly to be made we bind ourselves, our heirs, executors and administrators, successors, or assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that.if the above bounden Principal or his subcontractors, fail to pay for any materials, provisions, provender, or other supplies or teams, used in, upon, for, or about the performance of the work contracted to be done, or for any other work or labor thereon of any kind or for amounts due under the Unemployment Insurance Code with respect to such work or labor, that the Surety or Sureties will pay for the same, in an amount not exceeding the sum specified in the bond, and also, in case suit is brought upon the bond, a reasonable attorney's fee, to be fixed by the Court as required by the Provisions of Section 4204 of the Government Code of the State of California. This bond shall inure to the benefit of any and all persons, companies, and corporations entitled to file claims under Section 3181 of the California Civil Code so as to give a right of action to them or their assigns in any suit brought upon Page 9 (Labor and Material Bond - Continued) this bond, as required by the Provisions of Section 4205 of the Government Code of the State of California. And said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alterations or additions to the terms of the contract or to the work to be performed thereunder or the specifications accompanying the same shall in any wise affect its obligations on this bond, and it does hereby waive notice of any such change, extension of time, alterations or additions to the terms of the contract or to the work or to the specifications. In the event that any principal above named executed this bond as an individual, it is agreed that the death of any such principal shall not exonerate the Surety from its obligations under this bond. IN WITNESS WHEREOF, this instrument has been duly executed by the Principal and Surety above named, on the 25th day of April , 19 77 j P PAUL GARDNER CORPORATION (Seal) Name of Contractor Principal FEDERAL INSURANCE COMPANY (Seal) Name of Surety 3200 Wilshire Blvd. Los Angeles, California 90010 Address of Surety 0- .c -C4L 4,4--" Signat� tle o ui ut orb Agent C.G. Grasso, Attorney -in -Fact Address of Agent (213) 386 -8553 Telephone No. of Agent ACKNOWLEDGMENT OF ANNEXED INSTRUMENT STATE OF CALIFORNIA ss.: COUNTY OF LOS ANGELES On this 25th day of April in the year one thousand nine hundred and Sayanty —Sayan before me, Carroll A. McF:u4h , a Notary Public in and for the County of LOS ANGELES residing therein, duly commissioned and sworn, personally appeared C. G. GRASSO known tometobethe Attorney —in —Fact of FEDERAL INSURANCE COMPANY, the Corporation that executed the within instrument, and also known to me to be the person_ who executed the within instrument on behalf of the Corporation therein named and acknowl- edged to me that such Corporation executed the same. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal in the County of ANGELES ANELES the day and year in thi certificate first above written. OFFICIAL SEAL / / ^ ��^� �q'v" �l l,9 - L��L /l "���C"✓ CARROLL A. MCHUGH= l L notary Public - California I OR PRINCIPAL OFFICE IN Notary Public in and for the County of f LOS ANGELES COUNTY My GOINrii5519n expires LOS AmrM ES State of California Form 2110 -165 (Formerly SF 6]0) o.c. 0 0 Page 10 BOND NO. 8072 03 42 PERFORMANtfe6y: $138.00 KNOW ALL MEN BY THESE PRESENTS, That WHEREAS, the City Council of the City of Newport Beach, State of California, by motion adopted April 11, 1977, has awarded to PAUL GARDNER CORPORATION hereinafter designated as the "Principal ", a contract for (Contract No. 1791) in the City of Newport Beach, in strict conformity with the Drawings and Specifications and other contract documents on file in the office of the City Clerk of the City of Newport Beach; WHEREAS, said Principal has executed or is about to execute said contract and the terms thereof require the furnishing of a bond for the faithful performance of said contract; NOW, THEREFORE, We, as Principal, and PAUL GARDNER CORPORATION FEDERAL INSURANCE COMPANY as Surety, are held and firmly bound unto the City of Newport Beach, in the sum of Thirty -Six Thousand, Seven Hundred Twenty -Five and No /1 no - - - - - - - - - - - - - - - - - - Dollars ($36,725.00 ), said sum being equal to 100% of the estimated amount of the contract, to be paid to the said City or its certain attorney, its successors, and assigns; for which payment well and truly to be made, we bind ourselves, our heirs, executors and administrators, successors or assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that if the above bounden Principal, his or its heirs, executors, administrators, successors, or assigns, shall in all things stand to and abide by, and well and truly keep and perform the covenants, con- ditions, 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 City of Newport Beach, its officers and agents, as therein stipulated, then this obligation shall become null and void; otherwise it shall remain in full force and virtue. And said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alterations or additions to the terms of the contract or to the work to be performed thereunder or to the specifications accompanying the same shall in any wise affect its obligations on this bond, and it does hereby waive notice 0 • 0 Page 11 (Performance Bond - Continued) of any such change, extension of time, alterations or additions to the terms of the contract or to the work or to the specifications. In the event that any principal above named executed this bond as an individual, it is agreed that the death of any such principal shall not exonerate the Surety from its obligations under this bond. IN WITNESS WHEREOF, this instrument has been duly executed by the Principal and Surety above named, on the 25th day of April , 19 77 PAUL GARDNER CORPORATION (Seal) Name of Contractor (Principal) FEDERAL INSURANCE COMPANY (Seal) Name of Surety 3200 Wilshire Blvd. Los Angeles, California 90010 Address of Surety Signature And Tle of Authorized Agent C. G. Grasso, Attorney -in -Fact 3200 Wilshire Blvd.. Los Angeles. Ca. Address of Agent (213) 386 -8553 Telephone No. of Agent ACKNOWLEDGMENT OF ANNEXED INSTRUMENT STATE OF CALIFORNIA ' ss.: COUNTY OF LOS ANGELES Onthis 25th dayof April in the year one thousand nine hundred and RPVPnt-y –Seven before me, Carroll A. McHugh , a Notary Public in and for the County of LOS ANGELES residing therein, duly commissioned and sworn, personally appeared C. G. GRASSO known tometobethe _Attorney –in –Fact of FEDERAL INSURANCE COMPANY, the Corporation that executed the within instrument, and also known to me to be the person— who executed the within instrument on behalf of the Corporation therein named and acknowl- edged to me that such Corporation executed the same. ` IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal in the County of LOS ANGELES the day and year in this certificate first above written. dxmm�nnnnmmiuunnnm,,,,,,,,,u,n FFICImnm SEALmnmunnm OFFICIAL SEAL CARROLL A. McHUGH_ vv(l Notary Public - Callfornla PRINCIPAL OFFICE IN Notary Public in and for the Count f y Conf(O$s tM(iH(($$eC-OUNTY r qs AZ36ELES State of California € —.!!V Ceummnmm�ixumEnx n Expires nFnenuburuuma iu m1w0 iG m1u9w7n9 nwm x mx7 Form 2110 -165 (Formerly SF 670) �, c. 0 0 Page 12 CONTRACT THIS AGREEMENT, made and entered into this ./O-#vday of by and between the CITY OF NEWPORT BEACH, California, hereinafter designated as the City, party of the first part, and PAUL GARDNER CORPORATION hereinafter designated as the Contractor, party of the second part. WITNESSETH: That the parties hereto do mutually agree as follows: 1. For and in consideration of the payments and agreements hereinafter mentioned to be made and performed by the City, the Contractor agrees with the City to furnish all materials and labor for the construction of INSTALLATION OF TRAFFIC SIGNAL AND SAFETY LIGHTING AT COAST HIGHWAY AND PROSPECT STREET CONTRACT NO. 1791 and to perform and complete in a good and workmanlike manner all the work pertaining thereto shown on the Plans and Specifications therefor; to furnish at his own proper cost and expense all tools, equipment, labor, and materials necessary therefor, (except such materials, if any, as in the said Specifications are stipulated to be furnished by the City), and to do everything required by this Agreement and the said Plans and Specifications. 2. For furnishing all said materials and labor, tools and equipment, and doing all the work contemplated and embraced in this Agreement, also for all loss and damage arising out of the nature of the work aforesaid, or from the action of the elements, or from any unforeseen difficulties which may arise or be encountered in the prosecu- tion of the work until its acceptance by the City, and for all risks of every description connected with the work; also, for all expenses incurred by or in consequence of the suspension or discontinuance of work, except such as in said Specifications are expressly stipulated to be borne by the City; and for well and faithfully completing the work and the whole thereof, in the manner shown and described in the said Plans and Specifications, the City will pay and the Contractor shall receive in full compensation therefor the lump sum price, or if the bid is on the unit price basis, the total price for the several items furnished pursuant to the Specifications, named in the bidding sheet of the Proposal, as the case may be. 3. The City hereby promises and agrees with the said Contractor to employ, and does hereby employ the said Contractor to provide the materials and to do the work according to the terms and conditions herein contained and referred to for the price aforesaid, and hereby contracts to pay the same at the time, in the manner, and upon the conditions set forth in the Specifications; and the said parties for themselves, their heirs, executors, administrators, successors and assigns, do hereby agree to the full performance of the covenants herein contained. 4. The Notice to Bidders, Instructions to Bidders, Contractor's Proposal, and the Plans and Specifications, and all amendments thereof, when approved by the parties hereto, or when required by the City in accordance with the provisions of the Plans and Specifications, are hereby incorporated in and made part of this Agreement. _0 Page 13 5. Pursuant to the Labor Code of the State of California, the City Council has ascertained the general prevailing rates of per diem wages for each craft or type of workman needed to execute the contract and a schedule containing such information is included in the Notice Inviting Bids and is incorporated by reference herein. 6. The Contractor shall assume the defense of and indemnify and save harmless the City, the Director of Public Works, and their officers and employees, from all claims, loss, damage, injury, and liability of every kind, nature, and description, directly or indirectly arising from the performance of the contract or work, regardless of responsi- bility for negligence; and from any and all claims, loss, damage, injury, and liability, howsoever the same may be caused, resulting directly or indirectly from the nature of the work covered by the contract, regardless of responsibility for negligence. IN WITNESS WHEREOF, the Parties hereto have caused this contract to be executed the day and year first above written. ATTEST: CITY F N WPORT BEAC CALIFORNIA By- ayor iv 0 F40L_ 4ii3C$ C & UP117td0.� Contractor (SEAL) Titl 0 0 CITY OF NEWPORT BEATP May 9, 1977 P62LIC WORKS DEPARTMENT TO: CITY CLERK FROM: Travis Engineer SUBJECT: TRAFFIC SIGNAL INSTALLATIUN AT COAST HIGHWAY AND PROSPECT STREET (C -1791) Attached are four copies of the subject contract documents. Please have executed on behalf of the City, retain your ci,j and the insurance certificates, and return the remaining cw ies to our department. Bill E. Darnell Traffic Engineer /z r, IV. r OC A/insurance • CERTIFICATE OF INSURANCE • The Policy identified below by a policy number is in force on the date of Certificate Issuance. Insurance is afforded only with respect to those coverages for which a specific limit of liability has been entered and is subject to all the terms of the Policy having reference thereto including for Umbrella Excess Third Party Liability Insurance a provision requiring the maintenance of underlying insurance or self insurance. This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded under any policy identified herein. In the event of cancellation of the Policy the Company issuing said Policy will make all reasonable effort to send notice of cancellation to the Certificate Holder at the address shown herein, but the Company assumes no responsibility for any mistake or for failure to give such notice. NAME AND ADDRESS OF INSURED Paul Gardner Corporation P. O. Box 3730 Ontario, California.91761 NAME AND ADDRESS OF CERTIFICATE HOLDER IF— City of Newport Beach 3300 Newport Boulevard Newport Beach, California 92660 DATE OF CERTIFICATE ISSUANCE: i April 28, 1977 Fran ], B 11 & Co. By: " eq' - -- Authorized Rep sentatwe THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE HOLDER V. Umbrella Excess Third Party Liability . The Excess Insuror's Limit of Liability is (Complete one) California in excess of a Retained Limit (b) Up to $ in excess of a Retained Limit and in excess of various underlying Insuror's Limits of Liability Complete below, by designating company by number in the box and entering policy number and expiration date in the sections corresponding to the type of insurance indicated above. I. CCP3005572 °' CCP3005572 LIMITS OF LIABILITY TYPE OF INSURANCE IS DESIGNATED BELOW COVERAGES ®July 1, 1977 Q July 1, 1977 Expiration Dote EACH PERSON EACH OCCURRENCE AGGREGATE i$ Comprehensive Automobile Liability I Bodily Injury Liability $250,000. 00 $ 500,000.00 F� ❑ Basic Automobile Liability Property Damage Liability ( $ 100 1000.00 I Bodily Injury ury and Property $ Damage Liability Combined I $I Uninsured Motorists I Uninsured Motorists 1; 15,000.00 1 $ 30 000.00t :X: Gomprehensive General Liability Bodily Injury Liability $ $ 500,000. 00 $ 500,000.00 C Owners', Landlords' and Tenants' Liability I Property Damage Liability $ 2550 , 000.00 I $ 250 ,000. 00 xlAdditional Insured Endorsement, Form G39053A ❑ Manufacturers' and Contractors' Liability Bodily Injury and Property $ $ ❑ Owners and Contractor's Protective Liability Damage Liability Combined ❑Beauticians Malpractice Liability Bodily Injury Liability I $ $ j Property Damage Liability I i $ $ 9 30 -Day Notice of Cancellation Clause Ir; i Workmen's Compensation A. Statutory Statutory Locations: Coast Highway & Employers' Liability B. Bodily Injury $ 100, 000.00 j Prospect St., Newport Bea V. Umbrella Excess Third Party Liability . The Excess Insuror's Limit of Liability is (Complete one) California in excess of a Retained Limit (b) Up to $ in excess of a Retained Limit and in excess of various underlying Insuror's Limits of Liability Complete below, by designating company by number in the box and entering policy number and expiration date in the sections corresponding to the type of insurance indicated above. I. CCP3005572 °' CCP3005572 NI' CCP3005572 Polity Number Q July 1, 1977 ®July 1, 1977 Q July 1, 1977 Expiration Dote IV. PWC2581506 V. Policy Number © F� E.pnahon Dote Contmental Casualty Company I `.' National Fire Insurance Company of Hcrilord ®r American Casualty Company of Reading, Pa. F .: Transportation Insurance Company 0 Transcontinental Insurance Company I . J Volley Forge Insurance Company 5 CNA Casualty of California G- 32343 -J This endowent modifies such insurance as is of f0d by the provi- sions of the policy relating to the following: COMPREHENSIVE GENERAL LIABILITY INSURANCE MANUFACTURERS' AND CONTRACTORS' LIABILITY INSURANCE ADDITIONAL INSURED (Owners or Contractors) It is agreed that: I. The "Persons Insured" provision is amended to include as an insured the person or organization named below (hereinafter colleC 1. additional insured'•), but only with respect to liability arising out of 1 i . cperotions performed for the oddmortol msured by the named insured at the locet ion designotea above or (2) acts or omissions of the additional insured in connection with hit general supervision of such operations. — "' —'— 2 None of the exclusions of the policy, except exclusions (a), (c), (f), (g), W. () and ml, apply to tnu insurance. 3 Additional Exclusions This insurance does nm apply: (o) tc bodily injury or property damage occurring after (I ) oli rork on the project (other than service, maintenance or repairs' to be performed by or on behalf of the additional insured at the she of the covered operations has been completed or (2) that portion of the named insured's work out of which the injury or domooe arises has been put to its intended use by ony person or organization other than another contractor or subcontractor engooed to performing operations for o principal as o parr, of the some project; (b) to bodily injury or property damage arising out of ony, oct or omission of the additional insured or any of his employees, other tho'. general supervl'on of work performed for the oddoiono) insured by the named insured; (c) to property damage to (I ) property owned or occupied by or rented to the additional insured, (2) property useo by the additional insured. �r3;,prppert. in the core, custody or control at the additional insured or as to which the odaiisonol insured is for any purpose aaernsing pnysvcoi control, or W work performed for the oddit,onol insured by the named insured. 4. Additional Definition P✓hen uses in reference to this insuianct. ­work­ in nudes motenois, parts ono equipment furnished in connec- tion therewith Name of Person of Organization (Additionof Insured) /City of Newport Beach , Premium Bases 6otlly Imun' Liability Cosr Procerrc Domooe L,cblbty Cos, Schedule Location of Covered Operations Coast Highway and Prospect Street Newport Beach, California (installation of traffic signal and safety lighting, Contract #C -1791) Rates Advonce Premium 100 at cost S 5 i Oct c+ cos, c Total Ac,onto- Premium 5 This endorsement forms a part of and is for attachment to the following described policy issued by the CNA /INSURANCE company designated therein, takes effect on the effective date of said policy, unless another effective date is shown below, at the hour staled in said policy and expires concurrently with said policy. l Must Be Completed Compleic Only When This Endorncmcnt Is Not Prrpured with the Policy Or Is Not to be Efj cttis•c with the Policy ENDT. No. i POLICY NO. ISSUED TO EFFECTIVE DATE OF THIS ENDORSEMENT CCP3005572 Paul Gardner Corporation April 28, 197 I CIVA/insurance Frank B. Hall & Co. Additional Insured (Owners or Contractors) Countersigned by Bar t G 39053 -A (ISO 6-116) AuthDrl d Age i .Y ENDORSEMENT W Los Angeles, Ca. 90010 EffeDEndorsement P Ltive April 28 r 1977 Name of Insured Paul Gardner Corporation Date o1 It is understood and agreed that the policy to which this endorsement refers may not be cancelled or materially changed until thirty days after receipt of registered written notice of cancellation or change by the City of Newport Beach, c/o City C1erk,3300 Newport Boulevard -, Newport Beach, California 92660. i, All other terms and conditions remaining unchanged. This endorsement is attached to and hereby made a part of Policy No of CNA Casualty of California € Frank B. Hall 6 Co. 3200 Wilshire Boulevard Los Angeles, California 90010 CCP3005572 Frank B. Hall & Co. By: �& � Agent I JMKIN RE 3600 WILSHI 100-41W XXICS ALI F. 90010 (213) 380 -9650 C�ex t trtt #t of r4 ns rang This is to certify to City of Newport Beach, c/o City Clerk 3300 Newport Beach Boulevards Newport Beach,_ California 92660 It is agreed that 30 days prior written notice shall be given to the above Certificate Holder in the event of cancellation. or material change. Said cancellation or material change shall not be effective until thirty days after receipts of That the following described Policy or Policies in force at this date have been issued through the office of the undersigned on behalf of insurers set forth below: ' , Assured: Paul Gardner Corporation and Street Light Corporation, et al Address: 901 South Sultana Avenue, Ontario, California 91761 Insurer Policy No. Expiration 1) Maine Bonding & Casualty Company #VW 002835 June 30, 1977 " * registered written notice. Type of Coverage Limits 1) Umbrella Liability $1,000,000, Occurrence /Aggregate excess of limits and coverages 21 ovl-ded-urfdeY -CN/A policy #'LLP300557 Notice is hereby given that John R. McDonald Co., Inc. are not insurers hereunder and they shall not be held liable for any loss or damage. For particulars concerning the limitations, conditions and terms of the coverage you are referred to the original Policy or Policies in the possession of the Assured. Dated at Los Angeles, Calif, 128 The Undersigned are not the Insurers, however Insurance has been effected by the Signer Corporation. 19. 77 JOiN 8. XCDONSLD CO" INC. MAC 2 3/76 By IMURAMCEFROM !. commerdal The company designated in the declarations la stock insurance company, herein called the company) in consideration of the payment of the premium, in reliance upon the statements in the declarations made a part hereof and subject to all of the terms of this policy, agrees with the named insured as follows: DEFINITIONS When used in this policy (including endorsements forming a part hereof); "automobile" means a land motor vehicle, trailer or semitrailer designed for travel on public roads (including any machinery or apparatus attached thereto), but does not include mobile equipment; "bodily injury" means bodily injury, sickness or disease sustained by any person which occurs during the policy perioQ including death at any time resulting therefrom; "collapse hazard" includes "structural property damage" as defined herein and property damage to any other property at any time resulting therefrom. "Structural property damage' means the collapse of or structural injury to any building or structure due to (1) grading of land, excavating, borrowing, filling, back- filling, tunnelling, pile driving, cofferdam work or caisson work or 12) moving, shoring, underpinning, raising or demolition of any building or structure or removal or rebuilding of any structural support thereof. The collapse hazard does not include property damage (11 arising out of operations performed for the named insured by independent contractors, or (2) included within the completed operations hazard or the underground property damage hazard, or (3) for which liability is assumed by the insured under an incidental contract; "completed operations hazard" includes bodily injury and property damage arising out of operations or reliance upon a representation or warranty made at any time with respect thereto, but only if the bodily injury or property damage occurs after such operations have been completed or abandoned and occurs away from premises owned by or rented to the named insured. "Operations" include materials, parts or equipment furnished in connection therewith. Operations shall be deemed completed at the earliest of the following times: (1) when all operations to be performed by or on behalf of the named insured under the contract have been completed, (2) when all operations to be performed by or an behalf of the named insured at the site of the operations have been completed, or (3) when the portion of the 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. Operations which may require further service or maintenance work, or correction, repair or replacement because of any defect or deficiency, but which are otherwise complete, shall be deemed completed. The completed operations hazard does not include bodily injury or property damage arising out of (a) operations in connection with the transportation of property, unless the bodily injury or property damage arises out of a condition in or on a vehicle created by the loading or unloading thereof, (b) the existence of tools, uninstalled equipment or abandoned or unused materials, or (c) operations for which the classification stated in the policy or in the company's manual specifies "including completed operations'; "alavatoe' means any hoisting or lowering device to connect floors or landings, whether or not in service, and all appliances thereof including any car, platform, shaft, hoistway, stairway, runway, power equipment and machinery; but does not include an automobile servicing hoist, or a hoist without a platform outside a building if without mechanical power or if not attached to building walls, or a hod or material hoist used in alteration, construction or demolition operations, or an inclined conveyor used exclusively for carrying property or a dumbwaiter used exclusively for carrying property and having a compartment height not exceeding four feet; "explosion hazard" includes property damage arising out of blasting or explosion. The explosion hazard does not include property damage I1) arising out of the explosion of air or steam vessels, piping udder pressure, prime movers, machinery or power transmitting equipment, or (2) arising out of operations performed for the named insured by independent contractors,or (3) included within the completed operations hazard or the underground property damage hazard, or (4) for which liability is assumed by the insured under an incidental contract; "incidental contract" means any written (1) lease of premises, (2) easement agreement, except in connection with construction or demolition operations on or adjacent to a railroad, (3) undertaking to indemnify a municipality required by municipal ordinance, except in connection with work for the municipality, (4) sidetrack agreement, or (5) elevator maintenance agreement; "insured" means any person or organization qualifying as an insured in the "Persons Insured " provision of the applicable insurance coverage. The insurance afforded applies separately to each insured against whom claim is made or suit is brought, except with respect to the limits of the company's liability; 0 "'mobile equipment" means a land vehicle (including any machinery or apparatus attached thereto), whether or not self - propelled, 11) not subject to motor vehicle registration, or (2) maintained for use exclusively on premises owned by or rented to the named insured, including the ways immediately adjoining, or (3) designed for use principally off public roads, of (4) designed or maintained for the sole purpose of affording mobility to equipment of the following types forming an integral part of or permanently attached to such vehicle: power cranes, shovels, loaders, diggers and drills; concrete mixers lother than the mix -in- transit type): graders, scrapers, rollers and other road construction or repair equipment; air-compressors, pumps and generators, including spraying, welding and building cleaning equipment; and geophysical exploration and well Servicing equipment; "named insured " means the person or organization named in Item 1. of the declarations of this policy; "named insured's products" means goods or products manufactured' sold ' handled or distributed by the named insured or by others trading under his name, including any container thereof (other than a vehicle), but "named insured's products" Shall not include a vending machine or any property other than such container, rented to or located for use of others but not sold; s "occurrence" means an accident, including continuous or repeated exposure to conditions, which results in bodily injury or property damage neither expected nor intended from the standpoint of the insured; "policy territory" means: (1) the United States of America, its territories or possessions, or Canada, or (2) international seaters or air space, provided the bodily injury or property damage does not occur in the course of travel or transportation to or from any other country, state or nation, or 0 (3) anywhere in the world with respect to damages because of bodily injury or property damage arising out of a product which was sold for use or consumption within the territory described in paragraph (1) above, provided the original suit for such damages is brought within such territory; "products hazard" includes bodily injury and property damage arising out of the named insured's products or reliance upon a represenatation or warranty made at any time with respect thereto, but only if the bodily injury or property damage occurs away from premises owned by or rented to the named insured and after physical possession of such products has been relinquished to others; , "property damage" means If I physical injury to or destruction of tangible property which occurs during the policy period, including the loss of use thereof at any time resulting therefrom, or (2) loss of use of tangible property which has not been physically injured or destroyed provided such 'caused by an occurrence during the policy period; lass of use is "underground property damage hazard" includes underground property damage as defined herein and property damage to any other property at any time resulting therefrom. "Underground property damage" means property damage to wires" conduits, pipes" mains, sewers, tanks, tunnels, any similar property, and any apparatus in connection therewith, beneath the surface of the ground or water, caused by and occurring during the use Of mechanical equipment for the purpose of grading land, paving, excavating,drilling, borrowing, filling, back- filling or pile driving. The underground property damage hazard does not include property damage (11 arising out of operations performed for the named insured by independent contractors, or (2) included within the completed operations hazard, or (3) for which liability is assumed by the insured under an incidental contract SUPPLEMENTARY PAYMENTS The company will pay, in addition to the applicable limit of liability: (a) all expenses incurred by the company, all costs taxed against the insured in any suit defended by the company and all interest on the entire amount of any judgment therein which accrues after entry of the judgment and before the company has paid or tendered or deposited in court that part of the judgment which does not exceed the limit of the company's liability thereon: (b) premiums on appeal bonds required in any such suit, premiums on bonds to release attachments in any such suit for an amount not in excess of the applicable limit of liability of this policy, and the cost of bail bonds required of the insured because of accident or traffic law violation arising out of the use of any vehicle to which this policy applies. not to exceed 5250 per bail bond. but the company shall have no obligation to apply for or furnish any such bonds; (c) expenses incurred by the insured for first aid to others at the time of an accident, for bodily injury to which this= policy applies; (dl reasonable expenses incurred by the insured at the— company's request in assisting the company in investigation ar defense of any claim or suit, including= actual loci of earnings not to exceed S25 per day. CONDITIONS 1. Premium All premiums for this policy shall be computed in accordance with the company's rules, rates, rating plans, premiums and minimum premiums applicable to the insurance afforded herein. Premium designated in this policy as "advance premium" is a deposit premium only which shall be credited to the amount of the earned premium due at the and of the policy period. At the close of each period (or part thereof terminating with the end of the policy period) designated in the declarations as the audit period the earned premium shall be computed for such period and, upon notice thereof to the named insured, shall become due and payable. If the total earned premium for the policy period is less than the premium previously paid, the company shall return to the named insured the unearned portion paid by the named insured. The named insured shall maintain records of such information as is necessary for premium computation, and shall send copies of such records to the company at the end of the policy period and at such times during the policy period as the company may direct. 2. Inspection and Audit The company shall be permitted but not obligated to inspect the named insured's property and operations at any time. Neither the company's right to make inspections nor the making thereof nor any report thereon shall constitute an undertaking, an behalf of or for the benefit of the named insured or others, to determine or warrant that such property or operations are safe or healthful, or are in compliance with any law, rule or regulation. The company may examine and audit the named insured's books and records at any time during the policy period and extensions thereof and within three years after the final termination of this policy, as far as they relate to the subject matter of this insurance. 3. Financial Responsibility Laws . When this policy is certi- fied as proof of financial responsibility for the future under the provisions of any motor vehicle financial responsibility law, such insurance as is afforded by this policy for bodily injury liability or for property damage liability shall comply with the provisions of such law to the extent of the coverage and limits of liability required by such law. The, insured agrees to reimburse the company for any payment made by the company which It would not have been obligated to make under the terms of this policy except for the agreement contained in this paragraph. 4, Insured's Duties in the Event of Occurrence, Claim or Suit (a) In the event of an occurrence, written notice containing particulars sufficient to identify the insured and also reasonably obtainable information with respect to the time, place and circumstances thereof, and the names and addresses of the injured and of available witnesses, shall be given by or for the insured to the company or any of its authorized agents as soon as practicable. (b) If claim is made or suit is brought against the insured, the insured shall immediately forward to the company every demand, notice, summons or other process received by him or his representative. (c) The insured shalt cooperate with the company and, upon the company's request, assist in making settlements, in the conduct of suits and in enforcing any right of contribution or indemnity against any person or organization who may be liable to the insured because of injury or damage with respect to which insurance is afforded under this policy; and the insured shall attend hearings and trials and assist in securing and giving evidence and obtaining the attendance of witnesses. The insured shall not, except at his own cost, voluntarily make any payment, assume any obligation or incur any expense other than for first aid to others at the time of accident. iJ 5, Action Against Company No action shall lie against the company unless, as a condition precedent thereto, there shall have been full compliance with all of the terms of this policy, nor until the amount of the insured's obligation to pay shall have been finally determined either by judgment against the insured after actual trial or by written agreement of the insured, the claimant and the company. Any person or organization or the legal representative thereof who has secured such judgment or written agreement shall thereafter be entitled to recover under this policy to the extent of the insurance afforded by this policy. No person or organization shall have any right under this policy to join the company as a party to any action against the insured to determine the insured's liability, nor shall the company be impleaded by the insured or his legal representative. Bankruptcy or insolvency of the insured or of the insured's estate shall not relieve the company of any of its obligations hereunder. 6. Other Insurance The insurance afforded by this policy is primary insurance, except when stated to apply in excess of or nttngent upon the absence of other insurance, When this insurance is primary and the insured has other insurance which is stated to be applicable io the loss an an excess or contingent basis, the amount of the company's liability under this policy shall not be reduced by the existence of such other insurance. When both this insurance and other insurance apply to the loss on the same basis, whether primary, excess or contingent, the company shall not be liable under this policy for a greater proportion of the loss than that stated in the applicable contribution provision below: (a) Contribution by Equal Shares. If ail of such other valid and collectible insurance provides for contribution by equal shares, the company shall not be liable for a greater proportion of such loss than would be payable if each insurer contributes an equal share until the share of each insurer equals the lowest applicable limit of liability under any one policy or the full amount of the loss is paid, and with respect to any amount of loss not so paid the remaining insurers then continue to contribute equal shares of the remaining amount of the loss until each such insurer has paid its limit in full or the full amount of the loss is paid. (b) Contribution by Limits. If any of such other insurance does not provide for contribution by equal shares, the company shall not be liable for a greater proportion of such loss than the applicable limit of liability under this policy for such lots bears to the total applicable limit of liability of all valid and collectible insurance against such loss. 7. Subrogation In the event of any payment under this policy, the company shall be subrogated to ail the insured's rights of recovery therefor against any person or organization and the insured shall execute and deliver instruments and papers and do whatever else is necessary to secure such rights. The insured shall do nothing after loss to prejudice such rights. 8. Changes Notice to any agent or knowledge possessed by any agent or by any other person shall not effect a waiver or a change in any part of this policy or estop the company for asserting any right under the terms of this policy; nor shall the terms of this policy be waived or changed, except by endorsement issued to form a part of this policy. 9, Assignment Assignment of interest under this policy shall not bind the company until its consent is endorsed hereon; if, however, the named insured shall die, such insurance as is afforded by this policy shall apply (1) to the named insured's legal representative, as the named insured, but only while acting within the scope of his duties as such, and (2) with respect to the property of the named insured, to the person having proper temporary custody thereof, as insured, but only until the appointment and qualification of the legal representa- tive. 10. Three Year Policy If this policy is issued for a period of three years any limit of the company's liability stated in this policy as "aggregate" shall apply separately to each consecutive annual period thereof. 11. Cancellation This policy may be cancelled by the named insured by surrender thereof to the company or any of its authorized agents or by mailing to the company written notice stating when thereafter the cancellation shall be effective. This policy may be cancelled by the company by mail- ing to the named insured at the address shown in this policy, written notice stating when not less than ten days thereafter such cancellation shall be effective. The mailing of notice as aforesaid shall be sufficient proof of notice. The time of surrender or the effective date and hour of cancellation stated in the notice shall become the end of the policy period. Delivery of such written notice either by the named insured or by the company shall be equivalent to mailing. ' r1 If the named insured cancels, earned premium shall be computed in accordance with the customary short rate table and procedure. If the company cancels, earned premium shall be computed pro rata. Premium adjustment may be made either at the time cancellation is effected or as soon as practicable after cancellation becomes effective, but payment or tender of unearned premium is not a conditon of cancellation. 12. Declarations By acceptance of this policy, the named insured agrees that the statements in the declarations are his agreements and representations, that this policy is issued in reliance upon the truth of such representations and that this policy embodies all agreements existing between himself and the company or any of its agents relating to this insurance. NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT (BROAD FORM) This endorsement modifies the provisions of this policy relating to ALL AUTOMOBILE LIABILITY, GENERAL LIABILITY, UMBRELLA LIABILITY AND MEDICAL PAYMENTS INSURANCE (OTHER THAN FAMILY AUTOMOBILE, COMPREHENSIVE PERSONAL AND FARMER'S COMPRE. HENSIVE PERSONAL INSURANCE). It is agreed that: I. This policy does not apply: A. Under any Liability Coverage, to damage (1) with respect to which an insured under this policy is also an insured under a nuclear energy liability policy issued by Nuclear Energy Liability Insurance Association, Mutual Atomic Energy Liability Underwriters or Nuclear Insurance Association of Canada, or would be an insured under any such policy but for its termination upon exhaustion of its limit of liability; or (2) resulting from the hazardous properties of nuclear material and with respect to which (a) any person or organization is required to maintain financial protection pursuant to the Atomic Energy Act of 1954, or any law amenda- tory thereof, or lb) the insured is, or had this policy not been issued would be, entitled to indemnity from the United States of America, or any agency thereof, under any agreement entered into by the United States of America, or any agency thereof, with -any person or organization, B. Under any Medical Payments Coverage, or under any Supplementary Payments provision relating to first aid, to expenses incurred with respect to damage resulting from the hazardous properties of nuclear material and arising out of the operation of a nuclear facility by any person or organization. C. Under any Liability Coverage, to damage resulting from the hazardous properties of nuclear material; if (1) the nuclear material (a) is at any nuclear facility owned by, or operated by or on behalf of, an insured or (b) has been discharged or dispersed therefrom; (2) the nuclear materiel is contained in spent fuel or waste at any time possessed, handled, used, processed, stored, transported or disposed of by or on behalf of an insured; or (3) the damage arises out of the furnishing by an insured of services, materials, parts or equipment in connection with the planning, construction, maintenance, operation or use of any nuclear facility, but if such facility is located within the United States of America, its territories or possessions or Canada, this exclusion (3) applies only to property damage to such nuclear facility and any property thereat. II. As used in this endorsement: "hazardous properties" include radioactive, toxic or explosive properties; "nuclear material" means source material, special nuclear material or byproduct material; "source material ", "special nuclear material ", and "byproduct material" have the meanings given them in the Atomic Energy Act of 1954 or in any law amendatory thereof; "spent fuel" means any fuel element or fuel component, solid or liquid, which has been used or exposed to radiation in a nuclear reactor; "waste" means any waste material (1) containing byproduct material and (2) resulting from the operation by any person or organization of any nuclear facility included within the definition of nuclear facility under paragraph (a) or (b) thereof; "nuclear facility" means (a) any nuclear reactor, (b) any equipment or device designed or used for (1) separating the isotopes of uranium or plutonium, (2) processing or utilizing spent fuel, or 13) handling, processing or packaging waste, (c) any equipment or device used for the processing, fabricating or alloying of special nuclear material if at any time the total amount of such material in the custody of the insured at the premises where such equipment or device is located consists of or contains more than 25 grams of plutonium or uranium 233 or any combination thereof, or more than 250 grams of uranium 235, Id) any structure, basin, excavation, premises or Place prepared or used for the storage or disposal of waste, and includes the site on which any of the foregoing is located, all operation conducted on such site and all premises used for such operations; "nuclear reactor" means any apparatus designed or used to sustain nuclear fission in a self- supporting chain reaction or to contain a critical mass of fissionable material; "property damage" includes all forms of radioactive contamination of property. AGENT (COMMISSION RATES) a FRANK S. TIALL ANN CO., 17512 T —I COMMERCIAL CASUALTY POLICY Item DECLARATIONS 1. PRODUCER N0. BRANCH PREFIX POLICY NUMBER 057U5 242. CCP. 1300 5 5 72 PAUL CAlMM CORPORATZON O pu EMOLS€ T &O.1) 901 SOUTH SULTAFA AVMTR 047ALWo CAL1FOR 1& 0// 71 BUSINESS OF INSURED: SLEECS?I= CONTRACTOR $2 INDIVIDUAL 0 PARTNERSHIP CORPORATION 0 JOINT VENTURE 0 OTHER 2. Policy Period : 01 A " OCT. 1- 1976 '/ To: JULY 11977 SUREDE A DATE e ISSUED NEW REPLACEMENT OF 4-5-77 11'—% .. RENEWAL OF - Y CNA Plaza Chic9go, Illinois 60685 INSURANCE IS PROVIDED BY THE COMPANY DESIGNATED BELOW (A stock insurance company, herein called the company) ❑ Continental Casualty Company ❑ National Fire Insurance Company of Hartford ❑ American Casualty Company of Reading, Pa. ❑ Transportation Insurance Company ❑ Transcontinental Insurance Company ❑ Valley Forge Insurance Company Y CNA CASUALTY OF CALIt? NU THIS DECLARATIONS PAGE IS ISSUED IN CONJUNCTION WITH AND FORMS A PART OF THE COMMERCIAL CASUALTY POLICY 3. Audit Period: Annual, unless_ otherwise stated. 4. The insurance afforded is only with respect to the following Coverage Part(s) indicated by specific premium charge(s). ADVANC— ADVANCE PREMIUMS COVERAGE PARTS) PREMIUMS COVERAGE PART(S) 3v900. $DEMSIT Comprehensive General Liability Insurance $ Completed Operations and Products Liability insurance $ 6,137. Comprehensive Automobile Liability Insurance $ Comprehensive Personal Insurance I $ 210• Automobile Medical Payments Insurance $ Garage Insurance $ 70. i Uninsured Motorists Insurance $ Owners' and Contractors' Protective Liability Insurance $ 977. 1 Automobile Physical Damage Insurance I $ 1 Premises Medical Payments Insurance S I Contractual Liabiiity Insurance $ Uninsured Motorists Insurance S I I I Manufacturers' and Contractors' Liability Insurance ' $ Basic Automobile Liability Insurance $ Owners', Landlords' and Tenants' Liability Insurance $ Automobile Medical Payments Insurance $ Uninsured Motorists Insurance . $ Form numbers of endorsements attached at issuance include: s i ;39O03;;Ci —A G -31721 A;G- 39021 —A; C-39020-4; C- 33894 —A; G- 39029 -8 $ 119294. Total Advance Premium for this policy. C-34830 —D;6- 31664 —D; G- 32091 —A; CF -39031 A; C- 39032 —A 33467 —F -,0- 39666 —$-- " 5. If Policy Period more than one year: $ Gross Premium $ Discount $ Net Premium Premium is payable: $ On effective date of Policy $ 1st Anniversary $ 2nd Anniversary 6. This declarations page is issued in conjunction with and forms a part of an insurance policy which is completed with the addition of the coverage part(s) indicated above by an advance premium and if any, by additional declarations, schedule(s), and endorser, ent(s). Such Coverage Parts), and if any, additional declarations, schedules) and endorsement(s) disclose all hazards insured hereunder known to exist at the effective date of this policy, unless otherwise stated herein.' 7. Ouring the past three years no insurer has canceled insurance, issued to the named insured, similar to that afforded hereunder, unless otherwise stated herein:` I I 'ABSENCE OF AN ENTRY MEANS "NO EXCEPTION ". ITEM NOI 7 NOT APPLICABLE IN MISSOURI. G- 31995 -8 - - Countersigned by. it This endorsement modifies such incur'! as is afforded by the provisions of the policy relatir '1 the following designated insurance: ❑ COMPREHENSIVE GENERAL L.. TY INSURANCE ❑AUTOMOM YSICAL DAMAGE INSURANCE C1 COMPREHENSIVE AUTOMOBILE *BILITY INSURANCE ❑ WAIVED OR INCLUDED PREMIUM ADJUSTMENT: ENONE ❑ IN POLICY PREMIUM ❑ADDITIONAL$ Payable: ❑SEE BELOW OR— Advance $ First Installment $ $ Second Installment $ $ ❑ RETURN $ _ Revised Installment IS COMPLETED TO REAP AS POLLOUSt PAUL GAH MM COP"UTION; STREET LIM CORPORATION; PAUL R. CARDNER, JR. AND JACQMMXbM He GARDM; PAUL R. CARD, AND VILLA E. GARDNE4 PAUL CAEDNER CORPORATION— PAUL B. GARDNERV JRv A JOINT VEMURB; t� This endorsement, which forms a part of and is for attachment to the following described policy issued by the company designated therein, takes effect on the effective date of said policy, unless another effective date is shown below, at the hour stated in said policy and expires concurrently with Said policy. Must Be Completed ENDT. NO. 1 POLICY NO. 300 53 72 /AW/RAACEPRON CNA BLANK ENDORSEMENT Complete Only When This Endorsement Is Not Prepared with the Policy Or Is Not to be Effective with the Policy ISSUED TO EFFECTIVE DATE OF THIS ENDORSEMENT PAUL GMSER COPPORATION 10 -1-76 Countersigned by Authorized Agent This endorsement modifies such insuc' 1 as is afforded by the provisions of the policy relates- the following designated insurance: ❑ COMPREHENSIVE GENERAL L..._ALITY INSURANCE ❑AUTOMOBI_. YSICAL DAMAGE INSURANCE ❑ COMPREHENSIVE AUTOMOBILE *ILITY INSURANCE ❑ WAIVED OR INCLUDED PREMIUM ADJUSTMENT: ANONE ❑ IN POLICY PREMIUM ❑ADDITIONAL $ Payable: ❑SEE BELOIV OR— Advance $ First Installment $ Second Installment $ li ;l' ilifc 11: 4W : d If wft:f , Yx.1 $ ❑ RETURN $ Revised Installment IT IS AGREED TVAT THE PP.E)CWH FOR TIM MIOD 10 -1 -76 TO 7 -1 -77 FOR COMPRVAMSM GE*3Em LIABILITY 2HSURAmIcE* CO'r3TRACTUAL LIABILITY INSURANCE, A:1D Pn"S. NAL InMRY INSURAMCS SHALL DR COMPUTED ON TES BASIS OF THE P0L WIXG RATES AND MrJUMM PREMIUMS. PRMaUH BASIS PER $100. OF GROSS PAYROLL ESTDUTM AWMAL PAYROLL ENDT -NO. $ 3409000. ESTDWM PAMLL 701 PERIOD HATE PER $ 100. 4.590 ESTD1ATEt7 PSLAUUM MR PF.atIOD $ 110705. 3S1'1TI94G'H PSEMIUH FOR PEP.ZOD $ 109535. DEPOSIT P$EFt= $ 39900. / AUDIT BASIS QUA$TEgyy / COVERAGE CODE HATS ESMIATED P=qm. DEPOSIT PRE14MM COINED EXCLUDr" PRODUCTS BODILY IHMMY 44 -9180 1.807 $ 40608. $ 10935. PROPERTY DAMGE 44 -9180 2.233 $ 50694. $ 11898. q, PRODUCTS Damy naw 40 -9180 .305- $ 778. $ 259. PROPERTY DAVACE 40 -9180 .245 $ 625. $ 205. S5c TOTAL 5�4. 9'0 1 705. 31,956. 4.Ir r :i' !? :vf _ :It ;1' r ".. :fi .r:. .. i YI f ! 'i :f `X •• �w .I :x. v. ri : i.�eR. ,. t• . i., • +ir , r s : s;s as • r This endorsement, which forms a part of and is for attachment to the following described policy issued by the company designated therein, takes effect on the effective date of said policy, unless another effective date is shown below, at the hour stated in said policy and expires concurrently with said policy. Must Be Completed ENDT -NO. POLICY NO. CCP 300 55 72 MISUR4RCEFROM CNA BLANK ENDORSEMENT G- 33467 -F Complete Only When This Endorsement Is Not Prepared with the Policy Or Is Not to be Effective with the Policy ISSUED TO EFFECTIVE DATE OF THIS ENDORSEMENT Countersigned by .. Authorized Agent r COVERAGEPART r attachment to Policy No CCP 'Ano 95 77_1 i COMPREHENSIVE GENERAL LIABILITY INSURANCE I. COVERAGE A— BODILY INJURY LIABILITY COVERAGE B— PROPERTY DAMAGE LIABILITY The company will pay on behalf of the insured all sums which the insured shall become legally obligated to pay as damages becuase of A. bodily injury or B. property damage to which this insurance applies, caused by an occurrence, and the company shall have the right and duty to defend any suit against the insured seeking damages on account of such bodily injury or property damage, even if any of the allegations of the suit are groundless, false or fradulent, and may make such investigation and settlement of any claim or suit as it deems expedient, but the company shall not be obligated to pay any claim or judgment or to defend any suit after the applicable limit of the company's liability has been exhausted by payment of judgments or settlements. C1312 soot, fumes, acids, alkalis, toxic chemicals, liquids or gases, waste materials or other irritants, contaminants or pollu- tants into or upon land, the atmosphere or any water course or body of water; but his exclusion does not apply if such discharge, dispersal, release or escape is sudden and accidental; 'i (g) to bodily injury or property damage due to war, whether or not declared, civil war, insurrection, rebellion or revolution or to any act or condition incident to any of the foregoing, with respect to (1) liability assumed by the insured under an incidental contract, or (2) expenses for first aid under the Supplementary Pay- ments provision; (hl to bodily injury or property damage for which the insured or his indemnitee may be held liable Exclusionsv / This insurance does not apply: L (a) to liability assumed by the insured under any contract or 4�Gtt,P agreement except an incidental contract; but this exclusion 1` 1,6411 does not apply to a warranty of fitness or quality of the VAV named insured's products or a warranty that work per- formed by or on behalf of the named insured will be done j7 in a workmanlike manner; 4 (b) to bodily injury or property damage arising out of the ownership, maintenance, operation, use, loading or unload- ing of (1) any automobile or aircraft owned or operated by or rented or loaned to any insured, or (2) any other automobile or aircraft operated by -any person in the course of his employment by any insured; but this exclusion does not apply to the parking of an automobile on premises owned by, rented to or controlled by the named insured or the ways immediately adjoining, if such automobile is not owned by or rented or loaned to any insured; (c) to bodily injury or property damage arising out of 11) the ownership, maintenance, operation, use, loading or unload - ing of any mobile equipment while being used in any prearranged or organized racing, speed or demolition contest or in any stunting activity or in practice or preparation for any such contest or activity or (2) the operation or use of any snowmobile or trailer designed for use therewith; 1d) to bodily injury or property damage arising out of and in the course of the transpormion of mobile equipment by an automobile owned or operated by or rented or loaned to any insured; (e) to bodily injury or property damage arising out of the ownership, maintenance, operation, use, loading or unload- ing of (1) any watercraft owned or operated by or rented or loaned to any insured, or (2) any other watercraft operated by any person in the course of his employment by any insured; but this exclusion does not apply to watercraft while ashore on premises owned by, rented to or controlled by the named insured; (1) as a person or organization engaged in the business of manufacturing, distributing, selling or serving alcoholic beverages, or (2) if not so engaged, as an owner or lessor of premises used for such purposes, if such liability is imposed W by, or because of the violation of, any statute, ordinance or regulation pertaining to the sale, gift, distribution or use of any alcoholic beverage, or _ (ii) by reason of the selling, serving or giving of any alcoholic beverage to a minor or to a person under the influence of alcohol or which causes or contributes to the intoxication of any person; but part (ii) of this exclusion does not apply with respect to liability of the insured or his indemnitee as an owner or lessor described in 12) above; (i) to any obligation for which the insured or any carrier as his ..� insurer may be held liable under any workmen's compensa- tion, unemployment compensation or disability benefits law, or under any similar law; (j) to bodily injury to any employee of the insured arising out of and in the course of his employment by the insured or to any obligation of the insured to indemnify another because of damages arising out of such injury; but this exclusion does not apply to liability assumed by the insured under an incidental contract; (k) to property damage to .. (1) property owned or occupied by or rented to the insured, (2) property used by the insured, or (3) property in the care, custody or control of the insured or as to which the insured is for any purpose exercising physical control; but parts (2) and (3) of this exclusion do not apply with respect to liability under a written sidetrack agreement and part (3) of this exclusion does not apply with respect to property damage (other than to elevators) arising out of the use of an elevator at premises owned by, rented to or controlled by the named insured; (1) to property damage to premises alienated by the named insured arising out of such premises or any part thereof; (m) to loss of use of tangible property which has not been .physically injured or destroyed resulting from (f) to bodily injury or property damage arising out of the (1) a delay in or lack of performance by or on behalf of discharge, dispersal, release or escape of smoke, vapors, the named insured of any contract or agreement, or PIGNA /insurance G- 39003 -A X (2) the failure of the named insured's products or work performed by or on behalf of the named insured to meet the level of performance, quality, fitness or durability warranted or represented by the named insured; but this exclusion does not apply to loss of use of other tangible property resulting from the sudden and accidental physical injury to or destruction of the named insured's products or work performed by or on behalf of the named insured after such products or work have been put to use by any person or organization other than an insured; to property damage to the named insured's products arising out of such products or any part of such products; to property damage to work performed by or on behalf of the named insured arising out of the work or any portion thereof, or out of materials, parts or equipment furnished in connection therewith; to damages claimed for the withdrawal, inspection, repair, replacement, or loss of use of the named insured's products or work completed by or for the named insured or of any property of which such products or work form a part, if such products, work or property are withdrawn from the market or from use because of any known or suspected defect or deficiency therein; to property damage included within: (1) the explosion hazard in connection with operations identified in this policy by a classification code number which includes the symbol "x;' (2) the collapse hazard in connection with operations identified in this policy by a classification code number which includes the symbol "c ", - 13) the underground property damage hazard in con- nection with operations identified in this policy by a classification code number which includes the symbol .,u.. PERSONSINSURED - Each of the following is an insured under this insurance to the :tent set forth below: if the named insured is designated in the declarations as an individual, the person so designated but only with respect to the conduct of a business of which he is the sole proprietor, and the spouse of the named insured with respect to the conduct of such a business; if the named insured is designated in the declarations as a partnership or joint venture, the partnership or joint venture so designated and any partner or member thereof but only with respect to his liability as such; if the named insured is designated in the declarations as other than an individual, partnership or joint venture, the organization so designated and any executive officer, director or stockholder thereof while acting within the scope of his duties as such; any person (other than an employee of the named insured) or organization while acting as real estate manager for the named insured; and with respect to the operation, for the purpose of loco- motion upon a public highway, of mobile equipment registered under any motor vehicle registration law, U) an employee of the named insured while operating any such equipment in the course of his employment, and Iii) any other person while operating with the permission of the named insured any such equipment registered in the name of the named insured and any person or organization legally responsible for such operation, but only if there is no other valid and collectible insurance available, either on a primary or excess basis, to such person or organization; provided that no person or organization shall be an insured under this paragraph (e) with respect to: (1) bodily injury to any fellow employee of such person injured in the course of his employment, or (2) property damage to property owned by, rented to, in charge of or occupied by the named insured or the employer of any person described in subparagraph lit). This insurance does not apply to bodily injury or property damage arising out of the conduct of any partnership or joint venture of which the insured is a partner or member and which is not designated in this policy as a named insured. III. LIMITS OF LIABILITY Regardless of the number of (1) insureds under this policy, (2) persons or organizations who sustain bodily injury or property damage, or (31 claims made or suits brought on account of bodily injury or property damage, the company's liability is limited as follows: Coverage A —The total liability of the company for all damages, including damages for care and loss of services, because of bodily injury sustained by one or more persons as the result of any one occurrence shall not exceed the limit of bodily injury liability stated in the schedule as applicable to "each occurrence." Subject to the above provision respecting "each occurrence ", the total liability of the company for all damages because of (1) all bodily injury included within the completed operations hazard and (2) all bodily injury included within the products hazard shall not exceed the limit of bodily injury liability stated in the schedule as "aggregate ". Coverage B —The total liability of the company for all damages because of all property damage sustained by one or more persons or organizations as the result of any one occurrence shall not exceed the limit of property damage liability stated in the schedule as applicable to "each occurrence ". Subject to the above provision respecting "each occurrence ", the total liability of the company for all damages because of all property damage to which this coverage applies and described in any of the numbered subparagraphs below shall not exceed the limit of property damage liability stated in the schedule as "aggregate ": (1) all property damage arising out of premises or opera- tions rated on a remuneration basis or contractor's equipment rated on a receipts basis, including prop- erty damage for which liability is assumed under any incidental contract relating to such premises or opera- tions, but excluding property damage included in subparagraph (2) below; (2) all property damage arising out of and occurring in the course of operations performed for the named insured by independent contractors and general supervision thereof by the named insured, including any such property damage for which liability is assumed under any incidental contract relating to such operations, but this subparagraph (2) does not include property damage arising out of maintenance or repairs at premises owned by or rented to the named insured or structural alterations at such premises which do not involve changing the size of or moving buildings or other structures; (3) all property damage included within the products hazard and all property damage included within the completed operations hazard. Such aggregate limit shall apply separately to the property damage described in subparagraphs (1), (2) and (3) above, and under subparagraphs (1) and (2), separately with respect to each project away from premises owned by or rented to the named insured. CoveragesA and B —For the purpose of determining the limit of the company's liability, all bodily injury and property damage arising out of continuous or repeated exposure to substantially the same general conditions shall be considered as arising out of one occurrence. IV, POLICY TERRITORY This insurance applies only to bodily injury or property damage which occurs within the policy territory. —ryr attachment to Policy No CCP 300 55 72 The Additional Declarations and Schedule Belay For Completion Of The Coverage Part Indicated By 0 In The Appropriate Box. ❑ COMPLETED OPERATIONS AND PRODUCTS LIABILITY INSURANCE ❑ MANUFACTURERS' AND CONTRACTORS' LIABILITY INSURANCE COMPREHENSIVE GENERAL LIABILITY INSURANCE ❑ OWNERS', LANDLORDS' AND TENANTS' LIABILITY INSURANCE ® CONTRACTUAL LIABILITY INSURANCE (Designated Contracts Only) ❑ ADDITIONAL DECLARATIONS Interest of named insured in such premises (check below) Location of all premises owned by, rented to or controlled by the named insured. ❑ Owner ❑ General Lessee ❑ Tenant ❑ Other (Enter "same" if same location as address shown in Item 1 of declarations) Part occupied by named insured (enter) SCHEDULE Coverages LIMITS OF LIABILITY Coverages LIMITS OF LIABILITY If Combined Limits Apply For Coverages A & B DESCRIPTION OF HAZARDS CODE NO. Each Occurrence Aggregate PROPERTY Each Occurrence Aggregate $ 5009000. $ 50090130. INJURY DAMAGE *A— Bodily Injury Liability *A— Bodily Injury Liability *B— Property Damage Liability $ 2509000. $ 2549000. and $ $ M (b)Frontage (b) Per linear *B— Property Damage Liability D"O PR� *Coverages for Contractual Liability are: Y = Bodily Injury Liability Z = Property Damage Liability RATES ADVANCE PREMIUMS DESCRIPTION OF HAZARDS CODE NO. PREMIUM BASES BODILY PROPERTY BODILY PROPERTY INJURY DAMAGE INJURY DAMAGE Premises — Operations — Escalators (Number at Premises) (a) Area (sq. ft.) (a) Per LOD sq. ft. of Area M (b)Frontage (b) Per linear ft. D"O PR� Remuneration (c) Per $100 of Remuneration (e) Number Insured (e) Per Landing IM =ED 19535. 19848. // J( WE PRVSIU?i CtlkPiTlATION KIMRS1rMM ATP;ACM Independent Contractors (g) Cost (g) Per $100 of cost (h) Number (h) Per Contract INCLUDED Designated Contracts (g) Cost (g) Per $100 Of Cost (h) Number (h) Per Contract Completed Operations — Products (d) Receipts (d) Per $1,000 of Receipts (f) Sales (f) Per $1,000 of Sales ICED _ 259. 208. Total Advance Premium 1 *794. 9910150 ..wa,vunawv CNA G- 39001,A ppnnr rPCo r•nc)v (over) When used as a premium basis: - - _ "Cost" except as respects to Contractual Liability means: • the total cost to the named insured with respect to operations performed for the named insured during the policy period by independent contractors of all work let or sub -let in connection with each specific project, including the cost of all labor, materials and equipment furnished, used or delivered for use in the execution of such work, whether furnished by the owner, contractor or subcontractor, including all fees, allowances, bonuses or commissions made, paid or due. "Cost" with respect to Contractual Liability means: the total cost to any indemnitee with respect to any contract which is insured of all work let or sub -let in connection with each specific project, in- cluding the cost of all labor. materials and equipment furnished, used or delivered for use in the execution of such work, whether furnished by the owner, contractor or the subcontractor, including all fees, allowances, bonuses or commissions made, paid or due. "remuneration" means the entire remuneration earned during the policy period by proprietors and by all employees of the named insured, other than chauffeurs (except operators of mobile equipment) and aircraft pilots and co- pilots, subject to any overtime earnings or limitation of remuneration rule applicable in accordance with the manuals in use by the company. "receipts' means the gross amount of money charged by the named insured for such oearations by the caned insured or by others during the yoiicy period as are rated on a receipts basis other than receipts from telecasting, broadcasting or motion pictures, and includes taxes, other f,?n 'taxes winch the named insured collects as a separate item aged remits directly to a governmental division. . "sales" means the gross amount of money charg =,d by the named insured or by others trading under his name for all goods and products sold or di<_,riouted du�in, 'he Policy period and charged during the policy period for installation, servicing or repair; and inelude� taxes, other than taxes which the aamed insured _ad such of`e's co!;ec'- as a separate item a..-,I remit dlreciN to a governmental division. I This endorsement ifies such insurance as is afforded by the Osions of the policy relating to the follog: COMPREHENSIVE GENERAL LIABILITY INSURANCE MANUFACTURERS' AND CONTRACTORS' LIABILITY INSURANCE OWNERS', LANDLORDS' AND TENANTS' LIABILITY INSURANCE SMP LIABILITY INSURANCE OWNERS' & CONTRACTORS' PROTECTIVE LIABILITY INSURANCE DEDUCTIBLE LIABILITY INSURANCE It is agreed that: T 1. The company's obligation under the Bodily Injury Liability and Property Damage Liability Coverages to pay damages on behalf of the insured applies only to the amount of damages in excess of any deductible amounts stated in the schedule below as applicable to such coverages. 2. The deductible amounts stated in the schedule apply as follows: (a) PER CLAIM BASIS—If the deductible is an a "per claim" basis, the deductible amount applies under the Bodily Injury Liability or Property Damage Liability Coverage, respectively, to all damages because of bodily injury sustained by one person, or to all property damage sustained by one person or organization, as the result of any one occurrence. (b) PER OCCURRENCE BASIS—If the deductible is on a "per occurrence" basis, the deductible amount applies under the Bodily Injury Liability or Property Damage Liability Coverage, respectively, to all damages because of all bodily injury or property damage as the result of any one occurrence. 3. The terms of the policy, including those with respect to (a) the company's rights and duties with respect to the defense of suits and (b) the insured's duties in the event of an occurrence apply irrespective of the application of the deductible amount. 4. The company may pay any part or all of the deductible amount to effect settlement of any claim or suit and, upon notifica- tion of the action taken, the named insured shall promptly reimburse the company , for such part of the deductible amount as has been paid by the company. SCHEDULE Coverage Amount and Basis of Deductible Bodily Injury Liability Property Damage Liability per claim er occurrence per ciaim s 250* per occurrence APPLICATION OF ENDORSEMENT (Enter here any limitations on the application of this endorsement. If no limitation is entered, the deductibles apply to all loss however caused):— This endorsement forms a part of and is for attachment to the following described policy issued by the CNA/INSURANCE company designated therein, takes effect on the effective date of said policy, unless another effective date is shown below, at the hour stated in said policy and expires concurrently with said policy. Afrist Be Completed ENDT. NO. POLICY NO� r-(;r 3W 55 72 Ill, #'CNAlinsurance Complete Only When This Endorsement 1.9 Not Prepared with the Policy Or Is Not to be Effective ivith. the policy ISSUED TO EFFECTIVE DATE OF THIS ENDORSEMENT Countersigned by Deductible Liability Insurance Authorized G-31721-A ISO No, G604 For attachment to Policy No. CCP 300 55 7: CONTRACTUAL LIABILITY iNSURANCE COVERAGE PART (Blanket or Designated Coverage) BCI 1. COVERAGE Y — CONTRACTUAL BODILY INJURY LIABILITY (hl to Ins of use of :ang:be prape•ty vnich has rot bee.-. o' —, COVERAGE Z — CONTRACTUAL PROPERTY DAMAGE LIABILITY jured o' d-stroved es,ttlng fron (1) a data/ it r Sack of perfonnaoc'_ hv-or on berm? o'. tle'arn. :d The company will pay on behalf of the i_nsured all sums which ` -:`e '.ns,tr -d, insured c' any contract Or by reason of WinesaeWal Liy him . under any written co (2) the a of the named r^SU d 5 prpd 5 O'K n, tract .des atan. :n ,F_ ,Ch_ ... tCr this TSU.'an Ce, ilia h __. _ •,ai Ip b: o Orr eh3.r c' the 'lame., .ns„r. ... I I uhtet t'',la ? Of s ifl obligated ^ay d =dal^sges because of for ante, Guar tv, jobless Di d�lab• r, sa a -d or eP :. :t:ed Y. bodily injury or Z. property damage by the named insured; to , ¢h ;C:s i^suorce applies caused by an occurrence, and tke company but this exclusion does not 3h:r'Y to rosy Of of ; - trrn b'e she I a,,e :he right and duty to deferd any suit against the insured sewing property resW tiog from the s_coe^ and ace delta' pr. erica' :r ='.ir'l -0 damages o^ account c: such bodily injury or property damage, even if any of or d ^_structron of the named Insured's : %inducts n _ .,. -.rl ?a•'I,a� the u!iecet,,ons ct ins suit are groundless, !else sr I'adulent and may make by or on behalf of the named insurad :. surf' Products such in rlstcar,c t and setnament Of any claim or suit as ,t deems esp.d -ht, hove bete, put to use h'v any o- ...n _r ,'rllI1 icy: a:hc the^ an but the company shall not be obligated to bay any G`a'le Or 1_d9ment Or to insured; defend (�) to property damage to the named insurad's products an, e.. _ (1) any arch- ration prnceed:ng .vherem the company is not e�ntled to axes Such products or any cart Of such orodvcts cite tie insure-i's r.ghts iu the chcce of arbitrators and in the co ^dia of such proceedings, or (j) to property dameye to v: or1 per'•:- ^"„ .. • ,, r. ^, .. ct t.._ 1. I ?) an a Suit after ihi' apoL Cable l m t o" i. = compa� + /'; lia6,l'ty has oe•an ?x named insured 9 's y t if th k •+y ,lp� - - _t haws :ed by payment of judgments Or se rtlem en s. of ledle a!s, parts .. .iv oleo l en c r Otli .l_r_r _. Ik) to damages elalmnd f_.r tc_ r *,, EtcPar,ns e ax:lus ors uppry unless state! in the schedule '.a pe cct ao . m ?nt or loss I use Of +eam ., ._- .', p .._.. :s 'n p!ic3b'e! prated ,y or 6r t :re named ,nsu,e -d ' _ r 0-rne . .; l,'1-,­l1 ., ch products or wc: 'v. fawn: a .. _ o �. :_.. - o- _ =rte r; Th.s insure ^,;� does not apply: a'e withdrawn from the :..3 'a Or _ use _ _3t, 3t ` R i.. - !al :f the insured or *±is mdemni tee is an arch:tzct, engir_e ±r or surveyor, susosered defect or dahc,en v there,r: to bodily injury or property damage ar s:ng cut oft re oing e ^d o`. 0: !o bodily injury or property damage c rung 0,,; c. the c: :nerinrc, or the fdillra to :ender PrOtes ola! services by, such insured or r Ma `Z�rmllcr, cc° -_.on_ _. g o' •. d.,,. or o 'y mobil. demnitze, !nciad:n9 equipment winie tier. g u._„ , n'y o'ear•a =,. ='. - viced ->ar9, (1) the preparation or approval of :maps, Plans, ap mors, rape: -is, speed or d ,'.:acn r --'1 nr 3ry a - `: or in P'3pbce surve Vs, designs or specifications and err prep ati,m for any sucl, cones: .�_. 12) supervisory, inspection or engineering services; Im) to bodily injury or property damage ars.nq o•..t of the dtsc�srge, dis persal release o: escape of smoke, vacors, soot. !lamas acids, alkalis, I'ot to bodily Injury or property damage due to war, whether or not de- too ehemica's, liquids Or cases, haste ma! =r ;aft Or Otber rritanu, Glared, uvl! war, insurrection, rebellion or revolution or to any act contaminants o: poilutanis :ntc or ,,,,,,n land . ..e atmosp`:ere Or any Or condition incident to any of the foregoing; water course or body of seater. but . s exCasion does not apply it (c) to bodily injury or property damage for vihich the :ndemnoee may such discharge, dispersal, release or escape is suddeo and accidental, be held liable In) toproperty damage •ue.,ded swfron l l) ;he explosion hazard, ) rye collapse hazard, or [3` the underground property damage hazard, ( 1 ) as a person or organization engaged in the business of manufac taring, distributing, selling or serving alcoholic beverages, or lo; to bodily injury or property damage arising oil of the cons!,ccoon, I2! ii not so engaged, as an owner or lessor of premises used for such ownership. mair,[enaoce, repair, aperatou, use, loading or un!oadisg, of any watercraft. if the bodily injury or property damage ^_ocUrs purposes, away from premises om'red by, tented to or contro!!ed by any insured; if such liability is imposed ip) to bodily injury or property damage arising out of construction ill by, or because of the violation of, any statute, ordinance or operations performed by or On behalf c; the inrured or his incemn: regulation pertaining to the sale, gift, distribution or use of tee within 50 feet of any ra road right Of ; a•;; any alcoholic beverage or Iql to bodily injury or property damage .n Cwded winY ^in the completed (ill by reason of the selling, serving or oivmg of any alcoholic operations hazard or the products hazard; beverage to a minor or to a person under the influence of alcohol or which causes or contributes to the intoxication (r) to liability assumed by the insured under of any person; (11 any incidental contract or but part fill of this exclusion does not apply with respect to liability of the indemmtee as an owner or lessor described '.n (21 above; (2) any other corrhactoragreement ensured elsewhere in this policy; err which would have been nsured !hereunder but for the ex W) to any obligation for which the insured or any carrier as his insurer haustlon of the Smit of kabltity applicable thereto; may be held liable under any workmen's compensation, unemploy- ment compensation or disability benefits law, or under any similar (sl to bodily injury or property damage sl,Iii ; out of the ow-rersh :p, law; maintenance, operation, use, loading or unloading of any a«ardtt by or on behalf of any insured; (e) to any obligation for which the insured may be held liable In an ac- tion on a contract by a third party beneficiary for bodily injury or (t) to bodily injury or property damage err sing out of the sole n ?giige ice property damage arisen cut of a project for public authority; but 9 9 P I P Y: of the undemnrtee. this this ex dusron does not apply t0 an action by the public authority or any other person or organization engaged in the project: 11. PERSONS INSURED M to property damage to Each of the following Is an insured under this insurance to the extent se! (1) property owned or occupied by or rented to the insured, forth below. 12) property used by the insured, or (a) d the named insured is designated in the dectarat :c;a as zn .nd'v du (3) property in the care, custody or control of the insured or as to al, the person so designated and his spouse; which the insured is for any purpose exercising physical control, (b; if the named insured is desgnated in the deriaratlen5 as a partner - (9) damage by insured ship or joint venture, the partnership or !omt venture so designated to property to premises alienated the named and any partner or member thereof but only with respect to his arising out of such premises or any part thereof; liability as such; INSURANCE FROM G- 39021 .A CNA 4 (c) if the named insured is designated in the declarations as other than an individual, partnership or joint venture, the organization so desig- nated and any executive officer, director or stockholder thereof while acting within the scope of his duties as such. This inwrance does not apply to bodily injury or property damage arising out of the conduct of any partnership, corporation or joint venture of which the insured is a member, partner or subsidiary and which is not designated in this policy as a named insured. III. LIMITS OF LIABILITY Regardless of the number of ( 11 insureds under this policy, (2) persons or organizations who sustain bodily injury or property damage, or (3) claims made or suits brought on account of bodily injury or property damage, the company's liability is limited as follows: Coverage Y — The total liability of the company for all damages, includ. mg; damages for care and loss of services, because of bodily injury sustained by one or more persons as a result of any one occurrence shall not exceed the limit of bodily injury liability stated in the schedule as applicable to "each occurrence ". Coverage Z — The total liability of the company for all damages because of all property damage sustained by one or more persons or organizations as the result of any one occurrence shall not exceed the limit of property dam- age liability stated in the schedule as applicable to "each occurrence ". Subject to the above provision respecting "each occurrence ", the total liability of the company for all damages because of all property damage to which this coverage applies shall not exceed the limit of property damage liability stated in the schedule as "aggregate' . Such aggregate limit of liability applies separately with respect to each project away From premises owned by or rented to the named insured. Coverages Y and Z — For the purpose of determining the limit of the company's liability, ail bodily injury and property damage arising out of continuous or repeated exposure to substantially the same general condi- tions shall be considered as arising out of one occurrence. IV- POLICY TERRITORY This insurance applies only to bodily injury or property damage which occurs within the policy territory. V. ADDITIONAL DEFINITIONS When used in reference to this insurance (including endorsements forming .a part of the policy): "contractual liability" means liability expressly assumed under a yrilten contract or agreement; provided, however, that contractual liability shall not be construed as including liability under a warranty of the fitness or quality of the named insured's products or a warranty that work per formed by or on behalf of the named insured will be done in a workman. like manner; construction operations 11 tpicludes construction- iiilleonstructi n i talla tion fabrication, erection em w -strut dr tyres, equi_ - - - - - of the ,'F9isnd,' a d tunnWIing. torrowing ;-bxcavatirm, fi illing. "wit" includes an arbitration proceeding to which the insured is required to submit or to which the insured has submitted with the comwny's con- sent. VLADDITIONAL CONDITION Arbitrations The company shall be entitled to exercise all of the insured's rights in the choice of arbitrators and m the conduct of any arbitration proceeding. The Schedule Below Is For Completion 0, J Vollowing Coverage Part: CONTRACTUAL LIABILITY INSURANCE (Blanket or Designated Coverage) SCHEDULE ..For attachment to Policy ctx JW ss 72 W 1. Designated types of written contracts: Insurance is provided for contractual liability arising out of all written contracts unless limited by the inclusion of an X below: Insurance is limited to: ❑ Contracts executed during the policy period. ❑ Contracts written notice of which is in possession of the company within 30 days fallowing contract execution, or; if executed prior to the effective date of this policy, within 30 days following the policy effective date. ❑ The contract pertaining ❑ Contracts of the following type: When an X is entered in a box below, the exclusion identified by that letter does not apply. Absence of an X in a ❑means the a lusiort applies. [ED D fn) (2) Ell (o) (P) (q) � ✓� (tl Code RATES ADVANCE PREMIUMS Coverages LIMITS OF LIABILITY Contractual Liability Insurance Y— Bodily Injury Liability Z— Property Damage Liability EACH OCCURRENCE AGGREGATE 500 *000. $ 250.000. XXXXXX $ 2500000. 1. Designated types of written contracts: Insurance is provided for contractual liability arising out of all written contracts unless limited by the inclusion of an X below: Insurance is limited to: ❑ Contracts executed during the policy period. ❑ Contracts written notice of which is in possession of the company within 30 days fallowing contract execution, or; if executed prior to the effective date of this policy, within 30 days following the policy effective date. ❑ The contract pertaining ❑ Contracts of the following type: When an X is entered in a box below, the exclusion identified by that letter does not apply. Absence of an X in a ❑means the a lusiort applies. [ED D fn) (2) Ell (o) (P) (q) � ✓� (tl Code RATES ADVANCE PREMIUMS DESCRIPTION OF HAZARDS No. Premium Bases BODILY PROPERTY BODILY PROPERTY INJURY DAMAGE IS41URY DAMAGE (e) Number (e) Per Contract (g) cost (g) Per $100 of Cost (f) Sales (f) Per $1000 of Sales 8M nn IIM emmm rion =0 As designated in 1 above � " Total Advance Premium When used as a premium basis: (g) "cost' means the total cost of all work in connection with all contracts of the type designated in the schedule for this insurance with respect to which "cost' is the basis of premium, regardless of whether any liability is assumed under such contracts by the insured. it includes the cost of all labor, materials and equipment furnished, used or delivered for use in the execution of such work, whether furnished by the insured, or Others including all fees, allowances, bonuses or commissions made, paid or due. (f) "sales" means the gross amount of money charged by the named insured or by others trading under his name for all goods and products sold or dis. tributed during the policy period and charged during the policy period for installation, servicing or repair, and includes taxes, other than taxes which the named insured and such others collect as a separate item and remit directly to a governmental division. G-39020 -A ''GIVAlinsurance PRODUCER COPY GENET ANABILITY EXTENSION ENDORSEMEN A&ORM B) This endorsement modifies such is afforded by the provisions of the policy to the following designated insurance: COMPREHENSIVE GENERAL LIABILITY INSURANCE = 340 55 72 PA1.1 GA all CU&IIOUXIOV9 LT AL PREMIUM BASIS PFjEMIj 4f-_. —% OF THE TOTAL COMPREHENSIVE GENERAL LIABILITY BODILY INJURY AND 'ea :Ivet f.U-fit LiATIGi . PROPERTY DAMAGE PREMIUM AS OTHERWISE DETERMINED $ :.,..::�,:.- ,.,;w..... MINIMUM PREMIUM $ Personal Injury and Advertising Offense Liability Limits of Liability: $ Aggregate. Advertising Offense Deductible: $2,500. each claim. It is agreed that with respect to such insurance as is afforded by the provisions of the policy relating to Comprehensive General Liability Insurance, this endorsement adds or modifies such insurance as follows: I. ADDITIONAL INSURED - EMPLOYEES rupture or bursting due to expansion or swelling of /(5) The Persons Insured provision is amended to Include, with respect the contents of any buildings or structures, caused to the Bodily Injury and Property Damage Liability Coverages only, by or resulting from water, bursting of relief any employee of the named insured while acting within the scope (6) rupture, or operation pressure of his duties as such, but the insurance afforded to such employee devices. does not apply: - (C) The limitof property damage liability in the scheduleof the (A) To bodily injury to (1) another employee of the same coverage part as applicable to each occurrence is, as employer arising out of or in the course of his employment respects this Fire and /or Explosion Legal Liability or (2) the named insured or, if the named insured is a Coverage —Real Property, amended to read $25,000 each partnership or joint venture, any partner or member occurrence. thereof; (B) To property damage to property owned, occupied or used III. WATERCRAFT NON- OWNERSHIP (UNDER 50 FEET IN LENGTH) by, rented to, in thecare, custody or control of, oroverwhich It is agreed that the policy exclusion relating to the ownership, physical control is being exercised for any purpose by (1) maintenance, operation, use, loading or unloading of watercraft another employee of the named insured or (2) the named shall not apply to any watercraft under 50 feet in length provided insured or, if the named insured is a partnership or joint such watercraft is not owned by the named insured and /or is not venture, any partner or member thereof; being used to carry persons or property for a charge. (C) To bodily injury or property damage included in the Incidental Malpractice Liability Coverage. IV. HOST LIQUOR LAW LIABILITY COVERAGE / The insurance afforded shall be excess over any other valid and The Bodily Injury and Property Damage Liability Coverages apply collectible insurance available to such employee. to bodily injury or property damage arising out of the serving or giving of alcoholic beverages, by or on behalf of the named I1. FIRE AND /OR EXPLOSION LEGAL LIABILITY COVERAGE -REAL insured, provided the named insured PROPERTY (A) is not a person or organization engaged in the business of The Property Damage Liability Coverage applies to property manufacturing, distributing, selling or serving alcoholic j damage to structures or portions thereof rented to or occupied by beverages, or ! the named insured, including fixtures permanently attached (8) is not an owneror lessorof premises used for such purposes thereto, if such property damage arises out of fire and /or if liability is imposed by, or because of the violation of, any explosion, subject to the following additional provisions: statute, ordinance or regulation pertaining to the sale, gift, (A) With respect to the insurance provided by these provisions, distribution or use of any alcoholic beverage. all of the exclusions of the policy, other than the Nuclear Damages includes damages for loss of support resulting from Energy Liability Exclusion (Broad Form), are deleted and bodily injury. replaced by the following: (1) This insurance does not apply to liability assumed by V. INCIDENTAL MALPRACTICE LIABILITY COVERAGE the insured under any contract or agreement. (2) As respects coverage afforded by the explosion The Bodily Injury and Property Damage Liability Coverages apply hazard, the insurance does. not apply to loss by to bodily injury or property damage occurring during the policy period and arising outof malpractice, error or mistake committed explosion of steam boilers, steam pipes, steam at or in connection with the premises or operations turbines or steam engines. (A) the rendering of failure to render medical, surgical. (B) The following are not "explosions" within the intent or g P d r dental, K" ray or nursing service or treatment, or the meaning of the explosion coverage: furnishing of food orbeverages in connection therewith, or (1) electric arcing, (B) the furnishing or dispensing of drugs or medical, dental or (2) rupture or bursting of rotating or moving parts of surgical supplies or appliances machinery caused by centrifugal force or subject to the following provisions: mechanical breakdown, (1) This insurance does not apply: w m (3) water hammer, (a) to bodily injury to any person to or for whom 4 lure bursting of water pipes, () P g P P benefits or damages on account thereof are This endorsement forms a part of and is for attachment to the policy described above, issued by the company designated therein, takes effect on the effective date of said policy, unless another effective date is shown, at the hour stated in said policy and expires concurrently with said policy. - Countersigned by Authorized Agent ar8r/ Lei N G- 33894 -A CNA - Page 1 of 3 payable under � valid and collectible voluntary compensation or employers' liability insurance available to the insured; (b) to damage resulting from an act or omission which is also a willful violation of a statute, Ordinance or regulation imposing criminal penalties, but this exclusion does not affect the right and duty of the Company to defend a suit against the insured seeking damages which would be covered under this policy 10, t is of the Company tlospay the feesecostsaand expenses of such defense. (2) The Supplemel taro Payments hism entrances nnsothepascd shall not apply provides for the payment of expenses incurred by the insured for first aid at the time of accident. (3) Exclusion(j)does not apply to injury to the emotions or reputation of a person arising out of the rendering of such services. vl. WORLD -WIDE PRODUCTS LIABILITY It is agreed that the definition of policy territory Is amended by deleting paragraph (3) and replacing it with the following: (3) anywhere In the world with respect to damages because of bodily injury or property damage arising i out of the named insured's products, but only as V respects claims or suits brought within the United states of America, its territories or possessions, or Canada; VII, CANCELLATION It is agreed that the first paragraph of the policy condition entitled Cancellation is amended to read as follows: This policy may be cancelled by the named insured by surrender thereof to the Company or any of its authorized agents or by mailing to the Company written notice stating when thereafter the cancellation shall be effective. This pony may be cancelled by the Company by mat ling to the named insured at the address shown in this policy, written notice stating when not less than si thereafter such cancellation shall be effective; providedt at,dthe . insured fails to discharge when due any of its obligations in connection nstatlment hereof, whetheerpayabledirectly totheCompanyorats agent or indirectly under any premium finance plan or extension of credit, this policy may be cancelled by the Company by mailing to the named insured at the address shown in the policy, written notice stating when not less than ten days thereafter such cancellation shall be effective. The mailing of notice as aforesaid shall be sufficient proof of notice. The time of surrender or the effective date and hour of cancellation stated in the notice shat I become the end of the policy period. Delivery of such writen notice either by the named insured or by the Company shall be equivalent to mailing. Vill. INJURY AND ADVERTISING OFFENSE LIABILITY COVERAGE (A) The Company will ay on behalf of the insured all sums which the insured shall become legally obligated to pay as damages because of personal injury or advertising offense sustained by any person or organization and arising out of the conduct of the named insured's business, if the offense is committed during the policy period within the policy territory, and the Company shall have the right and duty to defend any suit against the insured seeking damages on account of such injury or even if any of the allegations of the suit are groundless, false or fraudulent, and may make, such investigation and settlement of any claim or suit as it deems expedient, but the Company shall not be obligated to pay any claim or judgment or to defend an suit after the limit Of the exhausted by Payment of udgments ors settlements. been abit has (g) This insurance does not apply: (1) to personal injury or advertising offense arisingoutof the wilful violation of a penal statute or ordinance committed by or with the knowledge or consent of any insured; (2) to personal injury oradvertisingoffense arisingoutof a libel or slander or a publication or utterance in violation of an individual's right of privacy If the first injurious publication or utterance of the same or similar try s ssmadepr iortoheefectiedateofthi insurance; V • (3) to personal injury or advertising offense arising out of any publication orutterance (a)of a libeiorslanderor I of other defamatory or disparaging material, or (b) in violation of an individual's right of privacy concerning any person, organization or business enterprise, or or at the his or direction s of any nsu ed with know made edge of the falsity thereof; (4) to personal injury or advertising offense arisingoutof the conduct Of any partnership or joint venture of which the insured is a Partner or member and which is not designated in the declarations of the policy as a named insured; (5) to advertising offense arisingoutof (a) failure of performance of contract, other than the unauthorized appropriation of ideas based upon alleged breach of implied contract, (b) infringement of trademark, service mark or thereof me, otherlhan connection go use thereof on or in connection with goods, products or services sold, offered for sale or advertised, or (c) incorrect description or mistake in advertised price of goods, products or services sold, offered for sale or advertised, (d) or liability assumed by the insured under any contract or agreement. (C) The Limits of Liability provision is, as respects the Personal Injury and Advertising Offense Liability Coverage only, replaced by the following: Limits of Liability Regardless of the number of (1) insureds hereunder, (2) persons or organizations who sustain injury or damage, or (3) claims made or suits brought on account of personal injury or advertising offense, the total liability of the Company for all damages because ofsany such injury of e offense to which this coverage app ate' limit of liability stated in this endorsement as "Aggregate." (D) The Company's obligation under the Advertising Offense Liability Coverage to pay damages on behalf of the insured applies only to the amount of damages in excess of the advertising Offense deductible amount stated in the schedule as applicable to "each claim ". The deductible amount applies separately to each claim for advertising offense and, for purposes of determining the application of such deductible amount, each claim shall include all claims made or suits brought on account of any one advertising offense (regardless of the number or kind of media used or the frequency including ethoseewithnrespectftot e terms n the policy, g Company's rights and tulles with respect to the defense of suits and the insured's duties in theevent of an occurrence apply irrespective of the application o the or all e amount. The Company may pay Y P deductible amount to effect settlement of any claim or suit and upon notification of the action taken, the named for such part rOf theldedutibleyamounntras has been paid by the Company. (E) With respect to the Personal lnjuryand Advertising offense Liability Coverage the following additional definitions apply: Damages means only those damages which are payable because of personal injury or advertising offense arising out of an offense to which the Personal injury and Advertising Offense Liability Coverage applies. Personal injury means injury , arising out of the offense of false arrest, detention, imp risonment, malicious prosecution, the publication or utterance of a libel or slander or other defamatory or disparaging material, or the publication Or utterance in violation of an individual's right of privacy (except publications broadcasting Utterances in telecasting Of or related to advertising, B activities conducted byor on behalf of the named insured), wrongful entry or eviction, or other invasion of the right of private occupancy. Advertising Offense means injury occurring inun of f the named insured's advertising activities, such injury arises out of libel, slander, defamaton, violation of right of privacy, piracy, unfair competition, or infringement of copyright, title or slogan. Page 2 of 3 IX. AUTOMATIC COVERAGE - NEWLY AGED ENTITIES (90 DAYS) The word insured shall include any entity which is acquired or formed after the effective date of this endorsement by any named insured and overwhich such named insured maintains ownership or financial control, provided this insurance does not apply to bodily injury or property damage with respect to which such anew insured under this policy is also an insured under any other liability or indemnity policy orwould bean insured under any such policy but for exhaustion of its limits of liability. The insurance afforded hereby shall terminate 90 days from the date any such entity is acquired or formed by such named insured unless the Company consents to endorse this policy to include such new insured as a named insured effective as of the date of such acquisition or formation. X. INSURED'S DUTIES IN THE EVENT OF OCCURRENCE, CLAIM OR SUIT It is agreed that the first paragraph of the Condition entitled Insured's Duties In The Event Of Occurrence, Claim Or Suit — is amended to read as follows: In the event of an occurrence, written notice containing particulars sufficient to identify the insured, and also reasonably obtainable information with respect to the time, place and G- 33894 -A r F- i J circumstances thereof, and the names and addresses of the injured and of available witnesses, shall be given by or for the insured to the Company or any of its authorized agents as soon as practical after knowledge of such occurrence is had by the named insured, if an individual; by a partner, if a partnership; or by an executive officer or insurance manager, if a corporation. XI. INCREASED SUPPLEMENTARY PAYMENTS Item (d) of the Supplementary Payments Provision of the policy is amended to read: (d) reasonable expenses incurred by the insured at the Company's request in assisting the Company in the investigation or defense of any claim or suit, including actual loss of earnings not to exceed $50 per day. XII. LIBERALIZATION If the Company revises this endorsement with respect to its provisions whereby the insurance hereunder could be extended or broadened without additional premium charge, such insurance as is afforded hereunder shall be so extended or broadened effective immediately upon approval or acceptance of such revision during the endorsement period by the appropriate insurance supervisory authority. Page 3 of 3 This endorsement moor les such insurance as is afforded by the provisions of the policy relating to the following: COMPREHENSIVE GENERAL LIABILITY INSURANCE CONTRACTURAL LIABILITY INSURANCE BROAD FORM PROPERTY DAMAGE ENDORSEMENT (Including Completed Operations) It is agreed that the insurance for property damage liability applies, .subject to the following additional provisions: A. The exclusions relating to property damage to (1) property owned, occupied or used by or rented to the insured or in the care, custody or control of the insured or as to which the insured is for any purpose exercising physical control and (2) work performed by or on behalf of the named insured arising out of the work or any portion thereof, or out of materials, parts or equipment furnished in connection therewith, are replaced by the following exclusions (y) and (z): (y) to property damage (1) to property owned or occupied by or rented to the insured, or, except with respect to the use of elevators, to property held by the insured for sale or entrusted to the insured for storage or safekeeping, (2) except with respect to liability under a written sidetrack agreement or the use of elevators to (a) property while on premises owned by or rented to the insured for the purpose of having operations performed on such Property by or on behalf of the insured, (b) tools or equipment while being used by the insured in performing his operations, (c) property in the custody of the insured which is to be installed, erected or used in construction by the insured, (d) that particular part of any property, not on premises owned by or rented to the insured, (i) upon which operations are being performed by or on behalf of the insured at the time of the property damage arising out of such operations, or (ii) out of which any property damage arises, or (iii) the restoration, repair or replacement of which has been made or is necessary by reason of faulty workmanship thereon by or on behalf of the insured; (z) with respect to the completed operations hazard and with respect to any classification stated below as "including completed operations ", to property damage to work performed by the named insured arising out of the work or any portion thereof, or out of materials, parts or equipment furnished in connection therewith. B. The insurance afforded by this endorsement shall be excess insurance over any valid and collectible property insurance (including any deductible portion thereof) available to the insured, such as but not limited to Fire and Extended Coverage, Builder's Risk Coverage or Installation Risk Coverage, and the "Other Insurance" Condition is amended accordingly. Classification: Supplementary Schedule ❑ Premium Included in Coverage Part Schedule ❑ Basis of Premium Rate Additional Advance Premium Coverage Part Premises Operations, I�ICLG'i�r 3 In titollu t =TTATIJ'. 0iZO3ZZ1= Elevator Independent Contractors, and Completed Operations % Property Damage Premium Minimum Premium for this endorsement $ This endorsement, which forms a part of and is for attachment to the following described policy issued by the company designated therein, takes effect on the effective date of said policy, unless another effective date is shown below, at the hour stated in said policy and expires concurrently with said policy. Must Be Completed ENDT. NO. POLICY NO. C? 3 ^O 55 r 1AQWRAN1CLr/7Wxr CNA Complete Only When This Endorsement Is Not Prepared with the Policy Or Is Not to be Effective with the Policy ISSUED TO EFFECTIVE DATE OF THIS ENDORSEMENT Broad Form Property Damage Endorsement (Including Completed Operations) Countersigned by G- 39066 -A Authorized Agent COVERAGE PARTS Fo: 1chment to policy No.CCP 300 55 ]Z CAL COJOHENSIVE AUTOMOBILE LIABILITY INSURAIJ COVERAGE C — BODILY INJURY LIABILITY COVERAGE D — PROPERTY DAMAGE LIABILITY The company will pay on behalf of the insured all sums which the insured shall become legally obligated to pay as damages because of C. bodily injury or D. property damage to Of the which this insurance applies, caused by an occurrence and arising out of any automobile, a de the company hall dhavel the right and duty) to and unloadng, defend any suit against the insured seeking damages on account of such bodily injury Of property damage, even if any of the allegations of the suit are groundless, false or fraudulent, and may make such investigation and settlement of any claim or suit as it deems expedient, but the company shall not be obligated to pay any claim or judgment or to defend any suit after the applicable limit of the company's liability has been exhausted by payment of judgments or settlements. Exclusions This insurance does not apply: (a) to liability assumed by the insured under any contract or agreement; (b) to any obligation for which the insured or any carrier as his insurer may be held liable under any workmen's compensation, urlemploy. ment compensation or disability benefits law, or under any similar law; Ic) to bodily injury to any employee of the insured arising out of and in the course of his employment by the insured or to any obligation of the insured to indemnify another because of damages arising out of such injury; but this exclusion does not apply to any such injury arising out of and in the course of domestic employment by the insured unless benefits therefor are in whole or in part either payable or required to be provided under any workmen's compensation law; (d) to property damage to (1) property owned w being transported by the insured, or (2) property rented to or in the care, custody or control of the insured or to which the insured is for any purpose exercising Physical control, other than property damage to a residence or private garage by a private passenger automobile covered 6y this insurance; (e) to bodily injury Or Property damage due to sear, whether or not declared; civil war, insurrection, rebellion or revolution or to any act Of condition incident to any of the foregoing, with respect to expenses for first aid under the Supplementary Payments provision; (f) to bodily injury or property damage arising out of the discharge, dispersal, release or escape of smoke; vapors, soot, fumas,'acids: alkalis, toxic chemicals, liquids or gases, waste materials or other irritants, contaminants w Pollutants into or upon land, the does not apply atmosphere or any watercourse or body of water; but this exclusion if such discharge, dispersal, release or escape is sudden and accidental. 11 PERSONS INSURED Each of the following is an insured under this insurance to the extent set forth below: (a) the named insured; lb) any partner or executive officer thereof, but with respect to a non -owned automobile only while such automobile is being used in the business of the named insured; (c) any other person while using an owned automobile or a hired automobile with the permission of the named insured, Provided his actual operation or (if he is not operating) his other actual use thereof is within the scope of such permission, but with respect to bodily injury or property damage arising out of the loading or unloading thereof, such other person shall be an insured only if he is: (1) a lessee or borrower of the automobile, or (21 an MPIOyee of the named insured or of such lessee or borrower (Of any other person or organization but only with respect to his w its liability because of acts or omissions of an insured under (a), (b) or Icl above. None of the following is an insured: (n) anY Person while engaged in the business of his employer with respect to bodily injury to any fellow employee of such parson injured in the course of his employment; (i i) the owner or lessee (of whom the named insured is a sub - lessee) of a hired automobile or the owner of a non -owned automobile, or any agent Of employee of any such owner or lessee; an executive officer with respect to an automobile owned by him or by a member of his household; (iv) any person or Organization, other than the named insured with respect to: 111 a motor vehicle while used with any trailer owned or hired by such Person or organization and not covered by like insurance in the company (except a trailer designed for use with a private Passenger automobile and not being used for business purposes with another type motor vehicle), or (2) a trailer while used with any motor vehicle owned or hired by such person or organization and not covered by like insurance in the company; (v) any person while employed in or otherwise engaged in duties in connection with an automobile business, other than an automobile business operated by the named insured. This insurance does not apply to bodily injury or property damage "arising out of (1) a non-owned automobile used in the conduct of any Partnership or joint venture of which the insured is a partner or member and which is not designated in this policy as a named insured, w (2) if the named insured is a Partnership, an automobile owned by or registered in the name of a partner thereof. III LIMITSOF LIABILITY Regardless of the number of (1) insureds under this policy, (2) persons w organizations who sustain bodily injury or property damage, (3) claims made or suits brought on account of bodily injury or property damage or (4) automobiles to which this policy applies, the company's liability is limited as follows: Coverage C — The limit of bodily injury liability stated in the schedule as applicable to "each person" is the limit of the company's liability for all damages, including damages for care and loss of services, because of bodily injury sustained by one person as the result of any one occurrence; but subject to the above provision respecting "each person the total liability of the company for all damages, including damages for care and loss of services, because of bodily injury sustained by two w more persons as the result of any one occurrence shall not exceed the limit of bodily injury liability stated in the schedule as applicable to "each ocCURence ". Coverage D — The total liability of the company for all damages because of all property damage sustained by one or more persons or organiza- tions as the result of any one occurrence shall not exceed the limit of property damage liability stated in the schedule es applicable to "each Occurrence ". Coverages C and D — For the purpose of determining the limit of the company's liability, all bodily injury and property damage arising out of continuous or repeated exposure to substantially the same general conditions shall be considered M arising out of one occurrence. IV POLICY TERRITORY This insurance applies only to bodily injury or property damage which occurs within the territory described in paragraph (1) or (2) of the definition of Policy territory. V ADDITIONAL DEFINITIONS When used in reference to this insurance (including endorsements forming a part of the Policy): .1 automobile business" means the business or occupation of selling, repairing, servicing, storing or parking automobiles: "Tired automobile" means an automobile not owned by the named insured which is used under contract in behalf of, or loaned to, the named insured, provided such automobile is not owned by or registered in the name of (a) a partner or executive officer of the named insured or (b) an employee or agent of the named insured i who is gra mad an operating allowance of any sort for the use of such / automobile; G- 39029 -B OCNA /insurance / 'anon -owned automobile" means an autonr_:t t ich is neither an owned automobile nor a hired automobile; "owned automobile" means an automobile owned by the named insured; "private passenger automobile" means a four wheel private passenger or station wagon type automobile; "trailer" includes semi- trailer but does not include mobile equip- ment. VI ADDITIONAL CONDITION A. Excess Insurance — Hired and Non -Owned Automobiles With respect to a hired automobile or a non -owned automobile, this insurance shall be excess insurance over any other valid and collectible insurance available to the insured. B. Out of State lnwrav If, under the provisions of the motor vehicle financial responsibility law or the motor vehicle compulsory insurance law or any similar law of any state or province, a non - resident is required to maintain insurance with respect to the operation or use of a motor vehicle in such state or province and such insurance requirements are greater than the insurance provided by the policy, the limits of the company's liability and kinds of coverage afforded by the policy shall be as set forth in such law, in lieu of the insurance otherwise provided by the policy, but only to the extent required by such law and only with respect to the operation or use of a motor vehicle in such state or province; provided that the insurance under this provision shall be reduced to the extent that there is other valid and collectible insurance under this or any other motor vehicle insurance policy. In no event shall any person be entitled to receive duplicate payments for the same elements of loss. AUTOMOBILE MEDICAL PAYMENTS INSURANCE COVERAGE F — AUTOMOBILE MEDICAL PAYMENTS The company will pay all reasonable medical expense incurred within one year from the date of the accident: Division 1. to or for each person who sustains bodily injury, mused by accident, while occupying a designated automobile which is being used by a person for whom bodily injury liability insurance is afforded under this policy with respect to such use; Division 2. to or for each person who wstains bodily injury, caused by accident, while occupying or, while a pedestrian, through being struck by a highway vehicle. Exclusions This insurance does not apply Is) to bodily injury to any person or insured while employed or otherwise engaged in duties in connection with an automobile business, if benefits therefor are in whole or in part either payable or required to be provided under any workmen's compensation law; (b) to bodily injury due to war, whether or not declared, civil war, insurrection, rebellion or revolution, or to any act or condition incident to any of the foregoing; (c) under Division 1, to bodily injury to any employee of the named insured arising out of and in the course of employment by the named insured, but this exclusion does not apply to any such bodily injury arising out of and in the course of domestic employment by the named insured unless benefits therefor are in whole or in part either payable or required to be provided under any workmen's compensation law; (d) under Division 2, to bodily injury sustained while occupying a highway vehicle owned by any insured, or furnished for the regular use of any insured by any person or Organization other than the named insured. 11 PERSONS INSURED — DIVISION 2. Each of the following is an insured under this insurance to the extent set forth below: la) any person designated as insured in the schedule; (b) while residents of the same household as such designated person, his spouse and the relatives of either; and if such designated person shall die, any person who was an insured at the time of wch death shall continue to be an insured. III LIMIT OF LIABILITY . Regardless of the number of (1) persons or organizations who are insureds under this policy, (2) persons who sustain bodily injury, (3) claims made or wits brought on account of bodily injury or (4) designated automobiles to which this policy applies, the limit of liability for medical payments stated in the schedule as applicable to "each Person" is the limit of the company's liability for all expenses incurred by or on behalf of each person who sustains bodily injury as the result of any one accident. When more than one medical payments coverage afforded by this Policy applies to the loss, the company shall not be liable for more than the amount of the highest applicable limit of liability. IV ADDITIONAL DEFINITIONS The additional definitions applicable to automobile bodily injury liability insurance also apply to this insurance; and when used in reference to this insurance (including endorsements forming a part of the policy): "designated automobile" means an automobile designated in the schedule and includes: (a) an automobile not owned by the named insured while tempora. rily used as a substitute for an owned automobile designated in the schedule when withdrawn from normal use for servicing or repair or because of its breakdown, loss or destruction; and (b) a trailer designed for use with a private passenger automobile, if not being used for business purposes with another type automobile and if not a home, office, store, display or passenger trailer; "highway vehicle" means a land motor vehicle or trailer other than (a) a farm type tractor or other equipment designed for use Principally off public roads, while not upon public roads, (b) a vehicle operated on rails or crawler- treads, or (c) a vehicle while located for use as a residence or premises; "medical expense" means expense for necessary medical, surgical, x -ray and dental services, including prosthetic devices, and necessary ambulance, hospital, professional nursing and funeral services; "occupying" means in or upon or entering into or alighting from. V POLICY TERRITORY; TERRITORY This insurance applies only to accidents which occur during the policy period withln.the territory described in paragraph (1) or (2) of the definition of policy territory. VI ADDITIONAL CONDITIONS A. Medical Reports; Proof and Payment of Claim As soon as practicable the injured person or someone on his behalf shall give to the company written proof of claim, under oath if required, shall, after each request from the company, execute authorization to enable the company to obtain medical reports and copies of records. The injured person shall submit to physical examination by physicians sslected by the company when and as often as the company may reasonably require. The company may pay the injured person or any person or organization rendering the services and such payment shall reduce the amount payable hereunder for such injury. Payment hereunder shall not constitute an admission of liability of any person or, except hereunder of the company. B. Excess Insurance Except with respect to an owned automobile, the insurance under Division 1 shall be excess insurance over any other valid and collectible automobile medical payments or automobile medical expense insurance. The insurance under Division 2 shall be excess insurance over any other valid and collectible automobile medical payments or automobile medical expense inwrance available to the insured under any other pol icy. C. Non - Applicability of Subrogation Condition The Subrogation Condition does not apply to the Automobile Medical Payments Covwage. Q RAM ......wncts—wluluRISTS INSURANCE I COVERAGE �J l� U — UNINSURED MOTORISTS 1 (Damages for Bodily Injury) . id) The company not be obligated to pay under this insurance that The company will Pay all sums which the insured or his legal Part of the es which the insured may representative shall be legally entitled t° recover in dame from the owner or operator f Y be entitled owner or operator of represents expenses form o an uninsured highway to recover Injury sustained b an uninsured highway vehice because of bodily ly medical payments covers a dical services g Y vehicle which Y the insured, caused by accident and arising out of the g the Policy, Paid or payable under the ownership, maintenance or use of such uninsured an hi hwa Provided, for the purposes of this coverage determination as to whether IV POLICY PERIOD; TERRITORY the insured or such representative is legally g Y vehicle; damages, and if so the amount thereo , entitled to recover such Period insurance applies only to accidents which Occur during the policy between the insured or , shall be made b and within the United States of fail to agree, by arbitrationCh representative and the company agreement possessions, or Canada America, its territories or P y or, if they No judgment against an V ADDITIONAL DEFINITIONS responsible for the bodily Person or organization alleged to be legally When used in reference to this insurance insured and the company y iU Y shall be conclusive, as between the organization or of the amount of damages f liability which the inured is legally forming a part of the (including endorsements of such person or Policy): entitled unless such judgment is entered "'designated insured" prosecuted le the insured with the written consent company. under Designated Insured; s an individual named in the schedule action prosecuted Pany. "highway vehicle" means a land motor vehicle or trailer other than This insurance does not apply: (a) a farm NOf tractor Or other equipment designed for use (a) to bodily injury to an insured Principally off public roads, while not upon legal r with respect to which such insured, his (b) a vehicle P Public roads, presentative or any person entitled to operated on rails or crawler- treads, or insurance shall, without written consent le the comment under this (c) a vehicle while located for use as a residence or Premises; settlement with any person or organization who may any make any therefor; y a legally liable "hit -and -run vehicle' means a highway vehicle which causes bodily (b) to bodily injury to an insured while occu wi h t to ns insured arising out of physical contact of (other than occupying -with the insured or with a vehicle which the insured is ch vehicle an insured highway vehicle) owned byh he a the time of the accident, insured, any designated insured or any relative resident int the sa named Provided: at household as the named fa) there cannot be ascertained the identity struck by such a vehicle but aced sins does nrot apply being owner of such highway vehicle; of either the operator or named insured or his relatives while occu Pp y 2O the (b) the insured Or someone on his behalf shall have reported the highway vehicle owned 6y a designated PYing or if struck by a accident within 24 hours to a Police 9 ed he be d or his relatives; to the Commissioner of Motor Vehicles (c) $o as to inure directly or indirectly to the benefit hi an P Peace n judicial officer or compensation or disability workmen's With the company within 30 days therafter ad statement unnder organization N benefits carrier or any person or oath that the insured or his legal r compensation pr disability as a self- insurer under any workmen's g presentative has a cause or causes of action arising out of such accident for dam N benefits law or any similar law. a person or PERSONS INSURED setting forth the facts in wose identity is unascertainnabl ,and Each of the following is an insured under this insurance to the extent (C) at the company's r the in thereof; and set forth below: makes available for inspection the vehicle his legal representative (a) the named insured and any designated insured and, Occupying at the time of the accident; which the insured was the same household, the spouse and relatives of eithwhile residents of 'insured highway vehicle" means a highway vehicle: er; (b) any other person while occupying an insured highway v (a) described in the (cl an schedule as a insured highway applies to which Y Person, with respect to damages he is entitled my spices; and the bodily injury liability coverage of the olio applies; of bodily injury to which this insurance a °Caine because (i) while temporarily used as a substitute for an insured insured under fa) or (b) above. applies sustained by an vehicle as described in subparagraph highway The insurance applies from normal use dal above, when withdrawn with with respect to the PimitssoPthe Glom respect r destruction; because °f its breakdown, re Pact to each inw red, except Pair, servicing, loss company's liability. (c) while bets LIMITS OF LIABILITY 9 operated by the named or designated insured the spouse of either if a resident of the same household; or hY Regardless of the number of (1) but the term "insured insureds under this Persons or organizations who are highway vehicle" shall not include: claims made or suits brought on account of b (i) a vehicle while used as a Public Persons who sustain bodily injury (3) vehicles to which this policy applies, use is specifically declared and or livery conveyance, unless such bodily injury, or 141 highway described fad The limit of liabili (ii) a vehicle while bet led in this policy; - Person" is h' stated in the schedule as applicable to "oath ^g used without the permission of the limit to the tom (iii) under subparagraphs (b) and c the owner" because of bodily injury sustained by company's liability for all damages named insured () above, a vehicle owned by the one accident and, sub' y one Person as the result many any designated insured parson" lest to the above - same household as the named or or any resident of the the limit of liability stated in the schedule as aptilig Bch (iv) under subparagraphs love, a vehicle r or 'eadi accident" is the total limit of the com PP cable to (bl and Ic) above, a vehicle furnished for damages because of bodily in'u Pa ^Y's liability for all household; o use of the named insured or any resident of the same as the result of an 1 ry sustained 6Y two or more (b) Any amount y ° ^e accident. Parsons , Payable under the terms of occupying" means in or upon or entering into or alighting from; bodily injury sustained in an accident b atPe on who i because of estate" includes the District of under this covers a shall Y Person who is an insured of the United States, and a Province lof Canada; territory g be reduced by y or possession (7) all sums paid on account of such bodily "uninsured of Y injury by or on behalf highway vehicle" means: fa) a highway vehicle with respect to the ownership maintenance or (il the owner or operator of the uninsured hi use of which there is, in at least the amounts s (ill an highway Vehicle and financial re specified by the Y other person or organization 'ointl sponsibiliN law' of the state in which the insured together with such owner or ) Y or severally liable iiOiwaY vehicle is Principally garaged, no bodily in'u injury, operator for such b bond or insurance policy y injury liability bodily with respect to an y PPlicable at the time of the accident including all sums paid under legally the 6 for the use of such vehicle, or organization ation the policy, and odily injury liability coverage of hi responsible ; bodily injury liability bond or insurancepolicy appilicable at is the (2) the amount paid and the time of the accident but the company on account Of present value of all amounts payable coverage thereunder or is orb writing the same denies compensation law, disability injury under an workmen's (b) a hit - stomps Insolvent; or ' N benefits law or any simila aw and -run vehicle; (W Any Payment made under this insurance to or for any but the term " be applied in reduction of the amount of damages highwa uninsured highway vehicle" shall not entitled Y insured shall lie an insured of include: to recover from any Person or organization which he may be highway aelsicle, insured under the bodily injury liabili e othe who is an (ii) a highway vehicle of an Y aself- insurer N coverage of the Policy. within the 9 ith is owned Or operated b law, motor carrier law y motor vehicle financial responsibility or any similar law, (iii) a highway vehicle which is owned by United States of America, Canada, a state, a political subdivision of any such government or an agency of any of the foregoing. VI ADDITIONAL CONDITIONS A. B. Premium. If during the policy period the number of insured highway vehicles comed by the named insured or spouse or the number of ns denured shall plates issued to the named icred changes, notify the company during the policy period of any change and the premium n shall f lthe adjusted in accordance with the manuals computed exceeds' use by ad ance company premium paid, the named inw *ed shall pay the excess to the company: if less, the company shall return to the named insured the unearned portion paid by such insured, Proof of Claim; Medical Reports. As soon as practicable, the insured or other person making claim ball give to the company written proof of claim, under oath it required. (nctudtng full particulars of the nature and extent of the injuries, treatment. and other details entering Into the determination of the amount payable hereunder. The insured and every other person making claim hereunder shall submit to examinations under gasho by ten yasemay (tamed by the company and subscribe the same, reasonably be required. Proof of claim shall be made upon forms furnished by the company unless the company shall have failed to furnish such forms within 15 days after receiving notice of claim. The injured Person shall submit to physical examinations by Physicians selected by the company when and as often as the company may reasonably require and he, or in the event of his incapacity his legal representative, or in the event of his death his legal representative or the person or persons entitled to sue therefor, shall upon each request from the company execute authorization to enable the company to obtain medical reports and copies of records. Assistance and Cooperation of the Insured. After notice of claim under this insurance, the company may require the insured to take well action as may be necessary or appropriate to preserve his right to recover damages from any person or organization the alleged to be legally responsie companyr may bodily require tthe ury; and in any insure ed to join such against the company, a person or organization as a party defendant. D. Notice of Legal Action. If, before the company makes payment Of loss hereunder, the insured Of his legal representative anization legally reesspo responsible for bthelluse of injury against any Person or ed i highway vehicle involved in the accident, a copy of the summons and complaint or other process served in connection with such legal action shall be forwarded immediately to the company by the insured or his legal representative. E. Other Insurance. With respect to bodily injury to an insured while occupying a highway vehicle not owned by the named insured, this Insurance shall apply only ae excess insurance over any other similar insurance available to such insured and l thapplicable to such inhthe amount by whichnthe and limit Of _ insurance liability f shall then apply liability for this coverage exceeds the applicable limit of liability of such other insurance. Except as provided In the foregoing paragraph, if the insured has other similar insurance available to him and applicable to the accident, the damages shall be deemed not to exceed the higher of the applicable limits of liability of this insurance and such other insurance, and the company shall not be liable for a greater proportion of any loss to which this coverage applies than the limit of liability hereunder bears to the um of the applicable limits of liability of this insurance and such other insurance. Arbitration. n do not agree If any person making claim hereunder and the company that such person is legally emitted to recover damages from the owner or nt operator or of an uninsured do not agree as toathe amlounnt of because payment which may be insured, owing under this insurance, then, upon written demand of either, the matter or matters upon which such person and the company do not agree shall be settled by arbitration, which shall be conducted in accordance with the rules of the American Arbitration Association unless other means a conducting d �udagmnent upon the awed rendered by the insured ra and the company, persons and the company each g each a ee to consider itself boundrand to uch be bound by any award made by the arbitrators Pursuant to this insurance. G. Trust Agreement. In the event of payment to any person under this insurance: Ia) proceeds shall be settlement o rjudgment that may result afrom the , exercise of any rights of recovery of such person against any person or organization legally responsible for the bodily injury because of which such payment is made; {bi such ery hold shall have eagainst' the olr organization because of the damages which are the subject of claim made under this insurance; Ic) such person shall do whatever is proper to secure and shelf do nothing after loss to prejudice such rights; id) if requested in writing by the company. Such person suchlatake, through any representative designated by the company. as may be necessary or aDPropriate to recover such payment as damages from such other person or organization, such action to be taken in the name of such person; in the event of a recovery, the company shall be reimbursed out of such recovery for expenses, costs and attorneys' fees incurred by it in connection therewith: (e) such person shall execute and deliver the secure the rsuch instruments and papers as may be appropriate and obligations of such Person and the company established by this provision. H. Payment of LOW by the Company• Any amount due hereunder is payable ta) to the insured, or (b) if the insured be a minor to his parent or guardian, or (c) if the insured be deceased to his surviving spouse, otherwise td) to a person authorized by law to receive such payment or to a person legally entitled to recover the damages which the payment represents; proved dance company division yl at hereof. ion pay any amount due hereunder with For attachment to Policy No. CCF 300 55 la THE SCHEDULE BELOW IS FOR COMPLETION �,1OWING COVERAGE PART: COMPREHENSIVE AUTOMOBILE LIABILITY INSURANCE SCHEDULE The insurance afforded is only with respect to such of the following Coverages as are indicated by a specific limit or limits of liability. The limit of the company's liability against each such Coverage shall be as stated herein, subject to all the terms of this policy having reference thereto. Comprehensive Automobile Liability Insurance Coverages Limits of Liability C— Bodily Injury Liability D— Property Damage Liability EACH PERSON EACH OCCURRENCE E s w $ X)OO(XX $ 5wouW0 E 100.000, Automobile Medial Payments Insurance Uninsured Motorists Insurance F— Medical Payments EACH PERSON EACH ACCIDENT $ XXXXXX F -5—Uninsured Motorists $ 15.000. 30 000• COMPREHENSIVE AUTOMOBILE LIABILITY INSURANCE 1. Owned Automobiles Unit No. Town or City and State in Which Automobile Will be Principally Garaged Year of Model and Trade Name Body Type b Model; Truck Size; or Bus Seating Capacity Purpose of Use PER S=UL8 AMCM Unit No (M) Motor No. (S) Serial No. Radius of Operation in Miles Territory Code Rate Class PRO —R= ADVANCE PREMIUM Medical payments Uninsured Motorists Bodily Injury Property Damage PE& SCHIMM A MACIRM 70. 210. 49512. 22. 19599. 40 2. Hired Automobiles Premium Basis —Cost of Hire Estimated Total Cost of Hire For Each State Where the Named Insured Is Located. State Estimated Total Cost of Hire Rates Per $100 Cost of Hire BI PD 3. Non -Owned Automobiles— Premium Basis —Total Number of Employees At All Locations Total Number of Employees At Aft Locations CODE 1 6601 (1-25) Total Advance Premium 70. 1 210. 4.534. 1,603. .IC.IY.L f 111Lw1i 1 JYMwYC DESIGNATION OF AUTOMOBILES — Division I (1) ❑ Any owned automobile - (4) ['Any automobile described in the schedule and designated "M.P." (2) ❑ Any hired automobile (5) ❑ Any run -owned automobile (3) ❑ Any licensed owned private passenger automobile (6) ❑ DESIGNATED PERSON INSURED Division 2. Description of Insured Highway Vehicles (Check appropriate boa) Any automobile owned by the named insured ❑ Any private passenger automobile owned by the named insured ❑ Any highway vehicle to which are attached dealer's license plates issued to the named insured ❑ Arty ftighway vehicle designated in the schedule of the policy by the letters "UM" and a highway vehicle ownership of which is acquired during the policy period by the named inured as a replacement therefor ❑ Any mobile egegmaet owned a leased by and registered in the name of the named Inured PR(H111r`GR (1nPV TERR 59 59 59 59 59 59 59 AUTOMOBILE EXTENSION SCHEDULE CCP 300 55 72 X_ AUTOMOBILE LIABILITY, MEDICAL PAYMENT4r UNINSURED MOTORISTS INSURANCE For hment to Policy No. KW AUTOMOBILE PHYSICAL DAMAGE INSURANCE PACE 1 1. Owned Automobiles or Covered Automobiles 10-1-76 TO 10 -1 -77 The Schedules of the applicable Coverage Parts are. extended to include the following: Unit Town and State in Which Year of Model Body Type & Model; Truck Load Capacity; (M) Motor No. Radius of Business 0 Radius No. Automobile Will Be Principally Garaged an0 Trade Name Tank Gallonage or Bus Seating Capacity at (S) Serial No. ration; Use or L Class 1 OAt4E8I09 CALIF 196b CIIf,Y ' TON VAN 01256P125096 3 5= E ERVIC 014917 2 ONTARIO, CALIF. 1966 INT'L 314 TON P.U. 6132006387586-- IERVIC9 014917 3 ONTARIO, CALIF. 1968 INT'L. 3/4 TOO P.D. 213205H8282753 � VIC E 014917 4 OWARIO, CALIF. 19638 IN'S'L. 314 TOR P.U. 213205H831834- % Env= 014917 5 ONTARIO, CALIF. 1968 INT'L. 3/4 TON P.U. 213205H8318773 �i� ERVIC 014917 6 ONTARIO* CALIF. I%$ IMNL 3/4 TON P.D. 213208US316238 s � 4.9 ERVIC t 014917 7 ONTARIO, CALIF. 1969 INT'L 314 TOSS P.D. 31320H9073329 j � EEMVICR 014917 Complete For Physical Damage Coverage Only ADVANCE PREMIUMS Unit Month n 8 year °f Raline Sym. or Or�4lnal 'Amount of Insurance Amount of cowslun Comore Conlsio" Medical Uninsured Bodily Injury Property Damage No. Purchase0 Cost new Incl. Epulo. A.C.N. or Slated Value) Deductible a sdorlbb Payments Y Motorists 50.D i_ _2401-15 . .... ACT. --- ----- 4 . �.. .. S. 146• 39. 2 240 ACV - 49 - - S. 106. 39. 3 272 ACV - 4. - - 51 5. 106, 106. 39. 34. 4 240 ACV - 40 - 3 2401 ACV - 4. - - 51 S. 106. 106. 39. 39. 6 2401 ACV - 4. - - 7 ACV 40 39. Total Advance Premium Unless otherwise stated in each entry the Amount of InSWanCe is ' "Actual Cash Value.' G- 31664-D rw.rurt.�wee mow CNA PRODUCER COPY EAR AUTOMOBILE EXTENSION SCHEDULE AUTOMOBILE LIABILITY, MEDICAL PAYMENT NINSURED MOTORISTS INSURANCE Fjg6 #nt to Policy No. 3OO i5 72 X'AU70MOBILE PHYSICAL DAMAGE INSURANCE 1. Owned Automobiles or Covered Automobiles 10-1 —I6 DSO 101 -77 The Schedules of the applicable Coverage Parts are extended to include the following: Unit Town and State in Which Year of Model Body Type 8 Model; Truck Load Capacity; (M) Motor No. Radius of Business 0 Radius '( o Automobile Will Be and Tank G or or Operations Use or L Class Principally Garaged Trade Name us Seatting ing Ca B C a pp acci ty (SI Serial No. 8 GHTA8I0s CALIF. 1969 IAT'L. P•u. 313208&9073359 S7 s mVicl, 014917 9 MMU10a ORM1011 CALIF. CALIF. 1970 1970 INT#L. LIT'L. P.B. P•II. 31320889038009 31320580332970 S 5 4-MVIC E MVIM 014917 014917 10 1 ONTAR109 CALIF. 1970 1$70 OT IL. I:iT L. F/3 F{8 31320IB3012160 31320183012940 � 91 c � f SIRVICE MnCE 014917 014917 Z Oh'TARIOV CALIF. 3 08TA8Z00 CALIF. 1970 13`T'L F/s 31320IM012900 StnWIM 014917 4' ORTA8109 CALIF. 1970 IMOL. FIB 31320183013000 ' 5 41 014917 Complete For Physical Damage Coverage Only ADVANCE PREMIUMS Unit Month & rear R or Rating Sym. or Original 'Amount of Insurance Amount of coWSion Comore Collision Medical Uninsured Bodily Injury Property Damage No. Purchased u cost me. Incl. EQuiP. (a.c.v. or 5 Va Deductible a • • Payments Motorists 8 39/6. ACY — 40 — — 5. 106. 39. 9 90 — — 5. 106. 39. 3 3 8-B ACV ACY — — 9. 90 — — — 50 5. 106. 106. 39. 39. 1 3 ACV — 90 — 50 106. 106. 39. 39. 3 ACV — 9. — — 5. 4 54-6 ACV — 9. — — 5. 106. 39. Total Advance Premium .Unless othelwlse stated in each entry the Amount of lnsw ance is "Actual Cash value. G- 31664-D CNA PRODUCER COPY M AUTOMOBILE EXTENSION SCHEDULE W 300 55 72 AUTOMOBILE LIABILITY, MEDICAL PAYMENTS NSUREO MOTORISTS INSURANCE For.ment to Policy No. I AUTOMOBILE PHYSICAL DAMAGE INSURANCE J JO 3 1. Owned Automobiles or Covered Automobiles 10 -1 -76 TO 10 -1 -77 The Schedules of the applicable Coverage Parts are, extended to include the following: Unit Town and State in Which Year of Model Body Type & Model; Truck Load Capacity; (M) Motor No. Radius of Business 0 Radius No, Automobile Will Be and Tank Gallonage or or Operations Use or Class Principally Garaged Trade Name Bus Seating Capacity (S) Serial No. L 15 O'h' UMv CALIF. 1470 1=*L P.U. 31320583812590 /7 3 YIC 0244I7 16 ORTA8I0, CALIF. 1970 1&71L. P.O. 31320MO44270 -' 7 014917 17 ORTAR10i CALIF. 1966 ItTT'L. I ITIM DMW 6133OWS59933-6 CE 214717 18 ORPARW* CALIF. 1967 IPT'L 1 TOM - DWO? 713302 &6991437 / s MMCI 214717 19 0 3&10, CALIF. 1967 INT"L. i TOH -DUMP 723301u7370547 S V.VIC Z 214717 20 RTARIO. CALIF. 1968 nT'L. 1 TOM -DIU)W 213301H833 ,0848 ! �� S c 214717 21 FPMM, CALIF. 1968 IN!'L. 1 TON - DD!!P 21330188454758 � `� O s MVIC 214717 Complete For Physical Damage Coverage Only A ADVANCE PREMIUMS UOIf MBIh N "r Rating sym. or Original •Amoun\ of Insurance Amount of Calouon Compre. Conision Medical Uninsured Bodily Injury Property Damage No, rear u Purchased cost New, I"Cl. Egwo. (A.c.V. or 5 ate Values oeaucuole $jQy "sg�D Payments Motorists 15 128-6 ACV - 9. - 5. 106. 39. 16 01-6 ACV - 9. - - 5. 106. 39. 17 132-6 ACV - 6. - - - S. 3. 106. 106. 39. 390 18 528-6 ACV - 60 - 19 267-6 ACV - 6. - - 3.:; 5. 106. 106. 39. 390 20 3 201-6 ACV - 60 - - 21 01-6 ACV - 6. - S. 106, 39. Total Advance Premium Unless otherwise stated in each entry the Amount of Insurance is Actual Cash Value. r.wrnwwcr xnor G- 31664 -D CNA PRODUCER COPY 59 59 59 159 159 159 T AUTOMOBILE EXTENSION SCHEDULE CCP 300 55 AUTOMOBILE LIABILITY, MEDICAL PAYMENINSURED MOTDRISTS INSURANCE For ent to Policy No. + AUTOMOBILE PHYSICAL DAMAGE INSURANCE a PAG* Owned Automobiles or Covered Automobiles 10 -i -76 10 -2 -77 The Schedules of the applicable Coverage Parts are extended to include the following: 72 Unit Sown and State In Which Year of Model Body Type & Modeb, Truck Load Ca acit P y (M) Motor No. Radius of Business 0 Radius No Automobile Will Be and ; Tank Gallonage or or Operations Use o[ L Class Principally Garaged Trade Name Bus Seating Capacity (S) Serial No. 22 ONTARIO, CALIF. 1968 INT'L. 1 TOM -- DTT 213301085,S35636 214717 23 ONTARIO, CALIF. 1968 INT'L. 1 TON - DUMP 21330158546053 -, -3 SaVICE 214717 24 ONTARIO, CALIF. 2969 INT'L. I TOR DVT 31330IM36739 i S�SIRVICE 214717 25 ONTARIO, CALIF, ' 2969 INTL. 1 TON DUMP 313301Il9039799 -� 55-�M RVICE 224717 26 ONTARIO, CALIF. 1970 IHTOL. I TOM DMW 31330IR9043550 � '' g SIRVICI 214717 27 OASA &I0, CALIF. 1970 IRT'L. 1 TOM DUMP 313301HO332330 S1 MCI 214717 28 ONTARIO! CALIF. 1970 INT'L, 1 TOH Db'4S4 41606OM425840 V S VI 214717 Complete For Physical Damage Coverage Only rW RATA ADVANCE PREMIUMS Unit No. Mpnlh a Yea' N °` Rating Sy m. or original cost new 'Amount of Ao'4n ce (A.C.v. or Amount of cowsi°n Compre p 5O°.rbb Conisiop Medical Payments Uninsured Motorists Bodily Injury Property Damage Pu «based In U. Equip, taled value) Deductible w OI-6 ACV - 60 - - 5. 106. 39. 3 1 3 01-6 ACT - 6• 60 - - - - 5. S. 106. 106. 39. 39. 212 4 39-6 ACV - 25 9-46 ACV - 6. - - 5. 106. 39. 26 4,352-6 ACV - 6. - - 5. 5. 106• 106. 390 39. 27 4L79-6 ACV - 6. - - 28 55-6 ACV - 13. - - 5. 106. 39. Total Advance Premium 'Unless otherwise staled m each entry the Amount of Inset ante is "Actual Cash Value.' lM1IMIMG£fAOY G31664-D - CNA o U r-\ AUTOMOBILE EXTENSION SCHEDULE Ca 300 55 72 AUTOMOBILE LIABILITY, MEDICAL PAYMENTS ONINSURED MOTORISTS INSURANCE For a ant to Policy No. AUTOMOBILE PHYSICAL DAMAGE INSURANCE PAGIZ 5 Owned Automobiles or Covered Automobiles The Schedules of the applicable Coverage Parts are extended to include the following: 30 -1 -76 TO 10 -1 -77 Unit Town and State in 'Which Year of Model Body Type 8 Model; Truck Load Capacity; (M) Motor No. Radius of °usiress 0 Radius No Futomobile Will Be and Tank Gallonage or °f Operations Usa �r Class Principally Garaged Trade Name Bus Seating Capacity (S) Serial No. L 29 0NrARID6 CALIF. 1970 INT *L. I TON DMT 31330150590930 . C i 214717 30 ONTARIO, CALIF. 1970 INT*L. I-TON Dtt2$' 31330190570720 % b S� S MICT 214717 31 O=ARIO, CALIF. 1970 INT•L. I TUN DW 31330190571020 /r S VIC 214717 32 ONTARIO, CALIF. 1970 131T'L. I TON DUW 416060110498760 6� �' S1,2tVIC1 214717 33 ONS,ARIO, CALIF. 1954 BDME DMTP TR,LR DRT490490 r (2r. 6IC 684717 34 ONTARIO, CALIF. 1958 CONVERTO DUMP TELL' 0878573 YS13WIC1 684717 35 ONTARIO, CALIF. 1945 COVE m Dump T'RLR DB2350SIT / 7-24-C C 694717 Complete For Physical Damage Coverage Only ADVANCE PREMIUMS Unit No, main ti near 4, °f Rating sym, o� Ong, nal 'Amount of insurance Amount of Collision Comers. . Collision Medical Uninsured Bodily Injury Property Damage Purx hosed D Cost New Incl Equip. ° (A.C.V. or stated Valu¢1 Deductible en ¢ Payments Motorists 29 700-6 A509 DE ACV D - 6. - - S. 106. 39. 30 700-6 ACV - 60 - - 5. 106, 39. 31 700-6 ACV - b. - - - 5. 5. 106. 106, 39. 39. 32 Fool ACV - 1�. - 33 - - - - - .. - - - 21. 21. 7. 7. 34 - - - - 35 - - - - - - - 21. 7. Total Advance Premium UNrss otherwise stated in each entry the 'mount of Insui.;nce is "Actual Cash Value. ' /HVrVMCC F90Y G31664.D CHA MR 1 $9 $9 59 AUTOMOBILE EXTENSION SCHEDULE CC? 300 55 72 LX AUTOMOBILE LIABILITY, MEDICAL PAYMENTS-41NSURE0 MOTORISTS INSURANCE For a� ,—)n ent to Policy No. rAGz 6 'B AUTOMOBILE PHYSICAL DAMAGE INSURANCE 1. Owned Automobiles or Covered Automobiles The Schedules of the applicable Coverage Parts are. extended to include the following: 10-1-76 TO 10-1-77 Unit Town and State in Which Year of Model Body Type & Model; Truck Load Capacity (M) Motor No. Radius of Business 0 Radius ONO Automobile Will Be and To k Gallonage or or OPefs1I Use or Class Principally Garaged Trade Name Bus"Seating Capacity (S) Serial No. L 36 ONTARIO, CALIF. 1958 1O.kMV1DJ F/B TZa 6 DRT654946 S. -MVIC] 684917 1968 ZIV= 37 ORTARrOo CALIF. EQM TRLR Z155716 7 &UMCI ---------- 684917 38 ONZARICIrs CALIF. 1968 znm WIP. TRLR H581558 -rPtl S I 684917 39 ONTARIO, CALIF. 1965 POLZM=T TRLR ME DOLLY DR749510T 53R33 3S SrSI!RVICr VI 684917 684917 40 ONTARIO, CALIF. 1953 R== C 41 Ommoll, CALIF. 1953 AUJUNS 305 POLEDOLLY TO FOLLOW 724. c. VI 684917 L19" LICIADSM VM 42 ONTARIO* CALIF. =*L. PITWIN CRANE SZS784EF'-1- SIRVICE Z030/971 Complete For Physical Damage Coverage Only ADVANCE PREMIUMS Unit No Month N Ra"'nr%Sym. u anginal I 'Amount of Insurance Amount of C.u.si on Cornpre Collision Medical Uninsured Bodily Injury Property Damage Purchased D Cost New Incl. Equip. (A.C,V. Stated Valuer Deductible henslve Payments Motorists 36 27. 27. 10. 10. 37 38 M. ........ . ... 27, 27. 27. 10, 10. 10. 10. 39 40 41 42 Total Advance Premium Unless otherwise stated in each entry the Amount of Inswance is Actual Cash Value. G-31664-D rwwauvc� mo.. CNA PRODUCER COPY N( � AUTOMOBILE EXTENSION SCHEDULE CCP 300 55 72 ❑ AUTSMOSILE LIABILITY, MEDICAL PAYMENTc- M U�RED MOTORISTS INSURANCE For /_ /hrrW Policy No. [I AUTOMOBILE PHYSICAL DAMAGE INSURANCE PACE 7 1. Owned Automobiles or Covered Automobiles The Schedules of the applicable Coverage Parts are extended to include the following: 10 -1 -76 TO 10 -1 -77 Unit Town and State in Which Year of Model Body Type 8 Model; Truck Load Capacity; (M) Motor No. Radius of Business 0 Radius Automobile Will Be and Tank Gallonage or Operations Use or Class .No. Principally Garaged Trade Name ci Bus Seating Capacity (S) Serial No. L 43 ONTARIO, CALIF. 1970 INt ' L. miz � �(ES... �C Y F /B_.._.._...._ 416O60H0171760 �`. S VI 7030/971 F/z w n&H g 44 OXMIO, CALIF. 1970 IWL. AWIAL LADDER 31�201A3011940 n SI2tVjCj 70301971 _ ...... - 45 ONTARIO, CALIF. 19M SCM= ScwTT SC5�51401 % 6 % SJIRV=E 70301971 46 ONTARIO, CALIF. 1972 FORD WrT9 APITHAN —H 260.UYD, cram_ 775FVP31823 1 ..SIRVICE 7030/971 47 0HURI0, CALIF. 1972 Pumm S/W 1`M5=13893S SIRVICE 199800 48 0ts'*_ARIO, CALIF. 1970 OLDSMI)BILE TOROBAW 394870r,,604772 % SIMCE 199800 49 ONTARIO, CALIF. 1973 PLYND Dm; VL29=287856 7�'. SIRVICE 199800 Complete For Physical Damage Coverage Only rw RATA ADVANCE PREMIUMS Unit MoniM1 R 8 near °t Rating Sym. or original 'Amount of Insurance Amount of Collision Compre carrion Medical Uninsured Bodily In;ury Property Damage No. Purchased U Cost New Incl. Equip. (A,c.V. or Stated Value) Deductible -pensi� Payments Motorists 43 111975264 ACV ACV _. - - -- 54. - - 5. ISCLUDED N WDED 44 ._ _ _...__ —. 44-6 /ACV 45 694-6 - 10. IWWDED ' 46 2)9000-4 ACV - 1060 - - 51 ED ./ 47 5-6 ACV 100. 25. 67. 14, 5. 179. 179. 54., 54. 48 6-6 ACV 100. 33. 79. 14. 5. 44 4-5 ACV 100. 24 67. 14. 51 179. 54. Total Advance Premium Unless otherwise stated in each entry the Amount of Insurance is 'Actual Cash Value. rrwrtAwce mor G- 31664 -D CNA AUTOMOBILE EXTENSION SCHEDULE CCp 300 55 72 X- AUTOMOBILE LIABILITY, MEDICAL PAYMENTS. INSURED MOTORISTS INSURANCE For a. •ent to Policy No, Z AUTOMOBILE PHYSICAL DAMAGE INSURANCE 1. Owned Automobiles or Covered Automobiles 10 -1 -76 TO 10 -1.77 The Schedules at the applicable Coverage Parts are extended to include the following: Unit Town and State in Which Year of Model Body Type & Model: Truck Load Capacity; W Motor No. Radius of Business 0 Radius No Automobile Will Be and Tank Gallonae or or Operations Use or Class Principally Garaged Trade Name �u Bus Seating Capacity " (S) Serial No, L 0 Ot�TAHIOs CAS.IB. a �z Ifi7e L1it�'•OI rN�RT 9�Iiy� I VIC 199800 51 0MU09 CALIF. 1974 0KYSL tzArvptar. ' T43TkC116729 T!RVICI 199800 Complete For Physical Damage Coverage Only JpRn..RAI%L ADVANCE PREMIUMS Unit Month N a Rating Sym. or Original 'Amount of Insurance Amount of Compre� , Medical Uninsured No, year or Cost New (q.C.V. or CoWSiun pensive Collision Payments Motorists Bodily Injury Property Damage Pumhased fnct. Equm. stated Valuel Deductible - -- i -- 7'-'6 -- -ACV 14. 5. 179. .. .. 54. _ 51 7-4 ACT 100. 49. 106. 14. 5. 179. 54. Total Advance Premium 5", 409, 70. 210. 4,512. 10599. Unless otherwise stated in each entry the Amount of Insurance is "Actual Cash Value." r.auw..e ~.. G- 31664 -D CNA WARNING Unless you have automobile insurance written by a Mexican insurance company, you may spend many hours or days in jail, if you have an accident in Mexico. Insurance coverage should be secured from a company licensed under the laws of Mexico to write such insurance in order to avoid complications and some other penalties possible under the laws of Mexico, including the possible impound• ment of your automobile. This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following: COMPREHENSIVE AUTOMOBILE LIABILITY INSURANCE BASIC AUTOMOBILE LIABILITY INSURANCE AUTOMOBILE MEDICAL PAYMENTS INSURANCE MEXICAN COVERAGE Such insurance as is afforded with respect to automobiles principally garaged, maintained or used in the United States of America, it is agreed that the word, "Canada ", in the definition of Policy Territory is amended to read "North America ". With respect to such insurance as is provided under this endorsement but not otherwise provided under the policy, it is agreed. 1. This insurance shall be excess insurance over any other valid and collectible insurance available to the insured, and 2. in the event the company is prevented by law or otherwise from fully performing its obligation to defend any suit against the insured, the insured will, at the company's request, defend such suits and the company shall indemnify the insured for all defense costs and expenses incurred with the written consent of the company. This endorsement forms a part of and is for attachment to the following described policy issued by the CNA /INSURANCE company designated therein, takes effect on the effective date of said policy, unless another effective date is shown below, at the hour stated in said policy and expires concurrently with said policy. Must Be Completed ENDT. NO. POLICY NO. CCP 300 55 72 #T'AlAlinsurance G- 32091 -B Complete Only When This Endorsement Is Not Prepared with the Policy Or Is Not to be Effective with the Policy ISSUED TO EFFECTIVE DATE OF THIS ENDORSEMENT Countersigned by Authorized Agent Fi ttachment to Policy No CCP 300 55 72 COVERAGEPART • • PHD AUTOMOBILE PHYSICAL DAMAGE INSURANCE COVERAGE AGREEMENTS reported to the company and the police and terminating, regardless 1. The company will pay for loss to covered automobiles under: of expiration of the policy period, when such covered automobile is returned to use or the company pays for the loss; but, as to any one Coverage O— COMPREHENSIVE such theft, such reimbursement shall not exceed $10 for any one day nor $300 total. from any cause except collision; but, for the purpose of this 4. Such insurance as is afforded under each coverage applies separately ss coverage, breakage of glass and lo caused by missiles, falling to each covered automobile, and a land motor vehicle and one or objects, fire, theft or larceny, windstorm, hail, earthquake, explosion, riot or civil commotion, malicious mischief or more trailers or semitrailers attached thereto shall be held to be vandalism, water, flood, or colliding with a bird or animal, shall separate covered automobiles as respects limits of liability and any not be deemed loss caused by collision; deductible provisions applicable thereto. Coverage P— COLLISION mused by collision; Coverage Q —FIRE, LIGHTNING OR TRANSPORTATION mused by (a) fire or lightning, (b) smoke or smudge due to a sudden, unusual and faulty operation of any fixed heating equipment serving the premises in which the covered automobile is located, or (c) the stranding, sinking, burning, collision or derailment of any conveyance in or upon which the covered automobile is being transported; Coverage R —THEFT mused by theft or larceny; Coverage S— WINDSTORM, HAIL, EARTHQUAKE OR EXPLOSION mused by windstorm, hail, earthquake or explosion; Coverage T— COMBINED ADDITIONAL mused by la) windstorm, hail, earthquake or explosion, (b) riot or civil commotion, (c) the forced landing or failing of any aircraft or its parts or equipment, td) malicious mischief or vandalism, (e) flood or rising waters, or ff) external discharge or leakage of water; provided that, with respect to each covered automobile, (i) under the Comprehensive coverage (except as to loss from any of the causes described in the Fire, Lightning or Transporation coverage) and under the Collision coverage, such payment shall be only for the amount of each loss in excess of the deductible amount, if any, stated in the schedule as applicable thereto; (ii) under the Combined Additional coverage, $25 shall be deducted from the amount of each loss caused by malicious mischief or vandalism. 2. The company will pay. under; Coverage V— TOWING for towing and labor costs necessitated by.the disablement of covered automobiles, provided the labor is performed at the place of disablement. 3. SUPPLEMENTARY PAYMENTS In addition to the applicable limits Of liability, the company will (a) with respect to such transportation insurance as is afforded herein, pay general average and salvage charges for which the named insured becomes legally liable; (b) reimburse the named insured, in the event of a theft covered by this insurance of an entire covered automobile of the private passenger type (not used as a public or livery conveyance and not, at time of theft being held for sale by an automobile dealerl, for expense incurred for the rental of a substitute for such covered automobile during the period commencing 48 hours after such theft has been Exclusions This insurance does not apply: (a) to any covered automobile while used as a public or livery conveyance, unless such use is specifically declared and described in the schedule; @I to damage which is due and confined to: (i) wear and tear or (ii) freezing, or (iii) mechanical or electrical breakdown or failure, unless such damage is the result of other loss covered by this insurance; (c) to tires, unless (if loss be coincident with and from the same cause as other loss covered by this insurance; or iii) damaged by fire, by malicious mischief or vandalism or stolen and, as to the covered automobile, loss caused by such damage or theft is covered by this insurance; (d) to loss due to (i) war, whether or not declared, civil war, insurrection, rebellion or revolution, or to any act or condition incident to any of the foregoing; (ii) radioactive contamination; (e) to loss to (i) any device or instrument designed for the recording, reproduction, or recording and reproduction of sound unless such device or instrument is permanently installed in the covered automobile; (ii) any tape, wire, record disc or other medium for use with any device or instrument designed for the recording, reproduction, or recording and reproduction of sound; (f) to loss to a camper body designed for use with a covered automobile and not designated in the schedule, and for which no premium has been charged if such camper body was owned at the inception of the Policy period or the inception of any renewal or extension period thereof; (9) under the Comprehensive and Theft coverages, to loss or damage due to conversion, embezzlement or secretion by any person in possession Of a covered automobile under a bailment lease, conditional sale, purchase agreement, mortgage or other encumbrance; (h) under the Collision coverage, to breakage of glass if insurance with respect to such breakage is otherwise afforded herein; (if under the Windstorm, Hail, Earthquake or Explosion and Combined Additional coverages, to loss resulting from rain, snow or sleet, whether or not wind-driven. II LIMIT OF LIABILITY 1. The limit of the company's liability for loss to any one covered automobile shall not exceed the least of the following amounts: (a) the actual cash value of such covered automobile, or if the loss is to a part thereof the actual cash value of such part, at time of loss; Or lb) what it would then cost to repair or replace such covered automobile or part thereof with other of like kind and quality, with deduction for depreciation; or G-39031 -C •makAlinsurame V (c) the limit of liability stated in the sch'_ -`e as applicable to "each covered automobile" under the cover afforded for the loss to such covered automobile, provided that if ch limit of liability is expressed as a stated amount it shall espect to a covered automobile newly acquired during the cy period and not described in the schedule, be deemed as having been replaced by "actual cash value "; and, subject to the above provisions, shall not in any event exceed the amount, if any, stated in the schedule as the "maximum limit of liability" applicable to "any one covered automobile." 2. The total limit of the company's liability for all low directly attributable to a single happening out of which loss occurs shall not exceed: (a) as to all covered automobiles at any one location, the amount, if any, stated in the schedule as the "maximum limit of liability" applicable thereto, subject to the above provisions respecting any one covered automobile. (b) as to all covered automobiles, the amount, if any, stated in the schedule as the "maximum limit of liability" applicable thereto subject to the above provisions respecting (i) any one covered automobile and (ii) any one location. 111 POLICY PERIOD; TERRITORY; PURPOSES OF USE This insurance applies only to low which occurs during the policy Period, while the covered automobile is within the United States of America, its territories or possessions, or Canada, or is being transported between ports thereof and, if a covered automobile described in the schedule, is maintained and used for the purposes stated therein as applicable thereto. IVADDITIONAL DEFINITIONS When used in reference to this insurance lincluding endorsements forming a part of the policy): "camper body" means a body designed to be mounted upon a covered automobile and equipped as sleeping or living quarters; "collision" means (1) collision of a covered automobile with another object or with a vehicle to which it is attached, or (ii) upset of such covered automobile; "commercial type" means, li) a land motor vehicle of the truck, pick -up, express, sedan or Panel delivery type, including truck -type tractors, trailers and semitrailers, used for the transportation or delivery of goods or merchandise or for other business purposes, or (ii) an altered private passenger type vehicle used for retail or wholesale delivery; "covered automobile" means a land motor vehicle, trailer or semitrailer, including its equipment and other equipment permanently attached thereto (but not including robes, wearing apparel or personal effects), which is either (a) designated in the schedule, by description or otherwise, as a covered automobile to which this insurance applies and is: (i) owned by the named insured, or fit) leased to the named insured for a term of not less than one Year under an agreement expressly prohibiting any right of the lessor or owner to use such vehicle during the term of such lease except either as an operator employed by the named insured or for its repair or exchange; or (b) if not so designated, such vehicle is newly acquired by the named insured during the policy period provided, however, that: (0 it replaces a described covered automobile, or as of the date Of its delivery this insurance applies to all covered automobiles, and (it) the named insured notifies the company within 30 days following such delivery date; but "covered automobile" does not include a vehicle owned by or registered in the name of any individual partner or executive officer of the named insured, unless specifically stated otherwise by endorsement forming a part of the policy; "loss" means direct and accidental low or damage; "private passenger type" means a 4 -wheel land motor vehicle of the Private passenger or station wagon type; as to "purposes of use": "commercial" means use principally in the business occupation of the named insured as stated in the declarations, including occasional use forpersonal,pleasure, purposes; family and other business "pleasure and business" means personal, pleasure, family and business use. 1 VCONDITIONS None of the Corwin�..pits of the policy shall apply to this insurance except "Premium" ection and Audit ", "Subrogation "Changes "Assignment ", "Can tion", and "Declarations ". This insurance shat) also be subject to the following additional Conditions: 1. Named Insrred's Duties in Event of Loa In the event of loss the named insured shall: (a) protect the covered automobile, whether or not this insurance applies to the low, and any further loss or damage due to the named insured's failure to protect shall not be recoverable under this insurance; reasonable expenses incurred in affording such protection shall be deemed incurred at the company's request; (b) give notice thereof as soon as practicable to the company or any of its authorized agents and also, in the event of theft or larceny, to the police; (c) file with the company, within 91 days after loss, his sworn Proof Of low in such form and including such information as the company stay reasonably require and, upon the company's request, shall exhibit the damaged property and submit to examination under path' (d) cooperate with the company and, upon the company's request, shall assist in making settlements, in the conduct of suits and in enforcing any right of contribution or indemnity against any person or organization who may be liable to the named insured because of low with respect to which this insurance applies; and shall attend hearings and trials and assist in securing and giving evidence and obtaining the attendance of witnesses; but the named insured shall not, except at his own cost, voluntarily make any payment, assume any obligation, offer or pay any reward for recovery of stolen property or incur any expense other than as specifically provided in this insurance. 2. Payment for Loss With respect to any loss covered by this insurance, the company may pay for said low in money, or may: (a) repair or replace the damaged or stolen property, or (b) return at its expense any stolen property to the named insured, with payment for any resultant damage thereto, at any time before the loss is so paid or the property is so replaced, or (d take all or any part of the damaged or stolen property at the agreed or appraised value, but there shall be no abandonment to the company. 3. Appraisal If the named insured and the company fail to agree as to the amount of loss, either may, within 60 days after proof of loss is filed, demand an appraisal of the low. In such event the named insured and the company shall each select a competent appraiser, and the appraisers shall select a competent and disinterested umpire. The appraisers shall state separately the actual cash value and the amount of loo and failing to agree shall submit their differences to the umpire. An award in writing of any two shall determine the amount of loss. The named insured and the company shall each pay its chosen appraiser and shall bear equally the other expenses of the appraisal and umpire. The company shall not be held to have waived any of its rights by any act relating to appraisal. 4. Action Against Company No action shall lie against the company unless, as a condition precedent thereto, there shall have been full compliance with all the terms of this insurance nor until 30 days after proof of low is filed and the amount of loss is determined as provided in this insurance. 5. Other Insurance If the named insured has other insurance against a loss covered by this insurance, the company shall not be liable under this insurance for a greater proportion of such low than the applicable limit of liability stated to the schedule bears to the total applicable limit of liability of all valid and collectible insurance against such low; provided, however, with respect to any covered automobile newly acquired during the policy period and not described in the schedule, this insurance shall not apply to any low against which the named insured has other valid and collectible insurance. 6. No Benefit to Bailee None of the provisions of this insurance shall inure directly or indirectly to the benefit of any carrier or other bailee for hire. 7. Terms of Insurance Conformed to Statute Terms of this insurance which are in conflict with the statutes of the state wherein this insurance is issued are hereby amended to conform to such statutes. For,21tachment to Policy Na. /1 THE SCHEDULE BELOW IS FOR COMPLETION t. FOLLOWING COVERAGE PART: AUTUMOBILE PHYSICAL DAMAGE INSURANCE SCHEDULE The insurance afforded is or,!y with respect to such of the Coverages as are indicated by specific premium charge or charges and then only to a) the units that have a specific premium charged to indicate ca'.erae and b) if Fleet .Automatic. such coverage for newly acquired automobiles as is designated by Code Number(s).' BP 300 55 72 COVERED AUTOMODILES Unit Caverage(s) LIMITS OF LLASII:TY PB0 BATA ADVANCE PREt "SUMS 0— COMPREHENSI` F Will Be Psinrpally Garaged and trade name $ 5�• I °f I_!, j (S) Seri_ o. P— COLLISION I nsurance is aucrdd only with respect to such $ 409+ I Automobile Physical Damage Insurance Q —F!RE, LIGHTNING OR covered automobi!as as are designated in the $ TRANSPORTATION schedule sub;eet to the Limits of Liability indicated Purposes of Use (P & B = Piaasure antl Business, C = Commercial) "AC` /" _ .4c:ua1 Cash Value Fleet Automatic C, Yes ❑ No R —THEFT therein. The insurance for any dscrihM canted $ I S— WINDSTORM. HAIL, automobile applies also to its replacement, subject $ EARTHQUAKE OR E)(PLOSt0N to all the *terms of tae policy having reference Collision Absence of entry means r No DFerationS e Year thereto. or OriNew Cart New Purpose T— COMBINED ADDITIONAL $ V— TONING $25 for each disablement $ Total Advance Premium l 977. COVERED AUTOMODILES Unit Town and State in F/hich Automobile Year m ydodei sedy Type and 'path; Truck Size; Tare v "a4 (�,ii i.lo;cr No. No. j Will Be Psinrpally Garaged and trade name criage Capadt' or Bus Seating Cs;ariy °f I_!, j (S) Seri_ o. i PEB SCHMME =ACM Purposes of Use (P & B = Piaasure antl Business, C = Commercial) "AC` /" _ .4c:ua1 Cash Value F cwt° CFTu .YT :'+SriY 3beah. =:!Iry :'SV'i_✓.0 >.l; ° ;'c Radius of Month N Rating Sym. Coveages ater than G;!luian' Collision 1 Unit DFerationS e Year a or OriNew Cart New Purpose Classiti _ Entx: Enter, NO in miles Purchased i U Ird. Eduip. of Use canon Rates Aml or "ACV" CetK Zo4de "ACV" Oecuctihle' — ACV PER PER SCli.L' ATlA MM A0V i 50. ACV V ACV U NO. O. Tl ions unm +^TraaR: ut�2n �•.,s.3r2dess v ^.Ie; Sr .T2Y appear a ee neeee inurcea '4 tie lv Payx.:nmm aeicr. ADVANCE PREMIUMS Unit Comp Fhe '01 Collision . "'a r Thett Win3:mn, Hed EMa Combined Towing I No, hensive rra o, umaso^ Additional $ $ $ �$ $ $ $ $ $ �S $ $ $ $ $ $ Code Numberl s) for Newly Acquired Vehicles (Fleet Automatic)* jExcept with respect to bailment !ease, conditional sale, purchase agreement, mortgage or other encumbrance, the named insured is the sole owner of every covered auto. III mobile described herein, unless otherwise stated[ APPLICABLE TO FLEET AUTOMATIC ONLY Maximum Limit of Liabdiry Code Number(s) for Newly Acquired Vehicles Enter one or more of the following code numbers after "Newly Acquired Vehicles Any one covered automobile $ 20.000. (For Fleet Automatics' to indicate the coverages applicable to any newly acquired vehicle (other than replacements[. All covered automobiles at any one location $10010006 1 — all covered automobiles 5 — excluding vehicles leased to the All covered autamoblies 1100.000. 2 = all registered covered automobiles named insured 3 = all covered automobiles of the private 6 = excluding ucder Collision Coverage, passenger type any vehicle not having an Actual Cash Records to be submitted: 4 = all covered aul,,oblles of the cons, - Value of at least $ . ............................... :=Annually ❑ semi. annually ❑ eeanxly ❑ monloly mercial type G- 39032.A �'ril S11 a vrn41ry Z LOSS PAYABLE CLAUSE (Not applicable in Texas. Use Texas Endorsement 112A) (Not applicable tn the state of %Vzs1oiigt:n. Use special Erdorserpuntl Loss or damage, if vy, wader Me policy shAl on pnywKe as w1wast nay ippen V Yho Lots "ape 1 Cooetv! v — 23 AQ-- all !a Fjocy ca qe snalye and So Islane as n tre 'Newst or Me 007en: Lasso, Confinzia! VW :Y, 7alirliz N :01' saivej pot, x Assignee of Endnert Las-,v, V. ra'-'u, 0( ace. nn A q V not " :: A! co = ; .:3*7 1 =3QSq!d Ky gry aa C, negic, :! the Lessee, Atutgngen Once: of we X=a de3wnaw 2.4--Ons Sarge in tva 414 0 an'sVita ef the Clerty; provWed, Wvne, 16.-iot EReVi7en o v :::Sao 1 '0111gaq pua"a-'e; v -O-*�to: �, -,:o3oSno::n ;�' Be rro.3�rt) -=*rac ­' !-'f n.ai r,f:,! -, So sent Jy alley,! is 04 coam, 14F such ;nhcy, wFess S12000Y rund zqwny wd pa- .0 ! A j =3n� 2n n� :, ct in cne we Leese Owner of one Cesar 0:11 0evem n pay any pro-hurn d= J. s d in- 00"! inn'. an demand, pay ne same. 4 wle &SO, vat toe Unholdn shad 10% Te ow pan? Y any n,"ge, 100-0 i �j or 4cava cc two V i,­� N P r. Vve g:7"M to on VeKvd hnard I. '­L;7 )I t!ns ue )',r OUAsys1Q Yin, syll to cap lid 0. 01 car;any nsnM toe vzt to :nance' sich pyal A any WIT: 13 X3000 by no swas, t z 11 :074 on !A :z -, V; v P n:Z;:, was than ten days vereapar S.CK 10110001 AQ to 0 "nn h. no V9 =Wy Ind nve tie Agm, on Oka pod cc to Cann! ..r .S zveannent, 2a IWO 00 1: 'NS' �;lvf of -CES "00 !"e 11-i joint 0 Me ;Azy rcodws, q say 1­4,4:01 S"Y 0 cE­�5 Of, in fo:--. no , a"s ns JGVQA Ity NO ;ANY, all Elba, A& tie AbjeCZ :0 00 ;�VOSV S Of P! lVQ le"� 1 7) Pr o>31 md tirie to payoam and of brining sot.. 7nhonva to compary sbaid py 0a Lanyller my sum for h5s at damage under such picloy and shah c0b; Oat, 3F tc Kv Lavac rnef -t ct%of C , no ;iatn:ity t�.aa(cr oRiged, Oe company shah, 0 Zia extay of am, 52 Vvz.n� 5ulerogued tWaK Qe ilghis of AD Petty to whom such payout may tie nade, aral 11 SnLdun kb-...2 s w"Way, to Tv wt?, of vnj v: As npnoN pay to re Lienholls Be 410e pmcoal He a 2 gas Ka on AT .&CQ3ge 1r 00t^.o; se_,f '; a2:-,rzr-,osZ _ l 02H Tere4ion "We a FN asogment and Uansler of the mortgage o; jtNt SeCURY and of s! ___` 3o: ft sc�'y t,I ro subrogation shalt Impair tne right of the LinhoWo to iecover Me '�ud arrican.cf its A3im. Whenever a payment of any ratife.becomes due under the policy, sepaiate.payr.ent may be made to each party at interest jpr�vide.J i.!he company protects the equity of all parties. iarauwaNCerxoar /".'l -CNA For attachmeto Policy ENDORSEMENT DESIGNATING THE UNDERWRITING COMPANY CCP 20+0 55 72 It is agreed that with respect to all insurance provided by this policy other than the insurance provided in the State of California, the Company designated in the declarations shall be CONTINENTAL CASUALTY COMPANY (unless otherwise designated on the line below) CRA CASUALTY OF CALI73RNI!4 It is agreed with respect to the insurance provided in the State of California: The insurance afforded hereunder is provided by CNA CASUALTY OF CALIFORNIA (a stock insurance company organized under the laws of California and headquartered in Los Angeles) and all references to "the company" in this insurance shall mean CNA CASUALTY OF CALIFORNIA. 2. The preamble of the policy is deleted and replaced by the following: "CNA CASUALTY OF CALIFORNIA (a stock insurance company).agrees with the insured named in item 1 in the declarations:" In Witness Whereof, CNA CASUALTY OF CALI FORNIA has caused this policy to be signed by its president and corporate secretary, but the same shall not be binding upon CNA CASUALTY OF CALIFORNIA unless countersigned on the declarations page by a duly authorized agent of CNA CASUALTY OF CALIFORNIA. q14ioo�. Corporate secretary Form G- 33017 -A (except Workmen's Compensation) ezz�� Chairman of the Board 0 0 PAUL GARDNER CORPORATION 901 SOUTH SULTANA AVENUE POST OFFICE BOX 233 ONTARIO, CALIFORNIA 91761 714/984 -1714 City of Newport Beach Mr Bill E Darnell Traffic Engineer 3300 West Newport Boulevard Newport Beach, California 92663 Gentlemen April 28, 1977 CONTRACT DOCUMENTS TRAFFIC SIGNAL & LIGHTING CONTRACT 1791 PGC 7304 Enclosed please find four signed copies of the subject contract complete with the required bonds and two copies of a certification regarding Workmen's Compensation insurance, Our insurance certificates have not yet reached us from our broker. We will either forward or hand deliver them later this week. Yours very truly PAUL GARDNER 10ORP(dILCTION PRG BH Paul R Gardner Jr Vice President 0 0 PAUL GARDNER CORPORATION 901 SOUTH SULTANA AVENUE POST OFFICE BOX 233 ONTARIO, CALIFORNIA 91761 7141984 -1714 April 28, 1977 CERTIFICATION I am aware of and will comply with Section 3700 of the Labor Code, requiring every employer to be insured against liability for Workmen's Compensation or to undertake self - insurance before com- mencing any of the work. PAUL GARDNER CO,�E TION Paul R Gardner jr Vice President r� L PAUL GARDNER CORPORATION 901 SOUTH SULTANA AVENUE POST OFFICE BOX 233 ONTARIO, CALIFORNIA 91761 714/984.1714 April 28, 1977 CERTIFICATION I am aware of and will comply with Section 3700 of the Labor Code, requiring every employer to be insured against liability for Workmen's Compensation or to undertake self - insurance before com- mencing any of the work. Vice President CONTRACT NO. 1791 CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT CONTRACT DOCUMENTS FOR INSTALLATION OF TRAFFIC SIGNAL AND SAFETY LIGHTING AT COAST HIGHWAY AND PROSPECT STREET Approved by the City Council this 14th day of March, 1977 i 'City Clerk, Doris 0 orge k SUBMITTED BY: PAUL GARDNER CORPORATION Contractor 901 South Sultana Avenue Address Ontario, California 91761 City Zip 714/ 984 1714 9&, 7�-,5- . o a Total Bid Price • PR 1 of 2 TRAFFIC SIGNAL AND SAFETY LIGHTING AT COAST HIGHWAY AND PROSPECT STREET CONTRACT NO. 1791 PROPOSAL To the Honorable City Council City of Newport Beach 3300 Newport Boulevard Newport Beach, CA 92663 Gentlemen: The undersigned declares that he has carefully examined the location of the work, has read the Notice Inviting Bids, has examined the Plans and Special Provisions, and hereby proposes to furnish all materials and do all the work required to complete Contract No. 1791 and will take in full payment therefor the following unit prices for each item, complete in place, to wit: ITEM QUANTITY ITEM DESCRIPTION UNIT UNIT TOTAL NO. AND UNIT PRICE WRITTEN IN WORDS PRICE PRICE 1 Lump Sum Construct traffic signal and lighting system at the intersection of Coast Highway and Prospect Street $ s 3G} 7a's pa TOTAL PRICE WRITTEN IN WORDS: A Dollars and Cents K 0 • PR 2 of 2 PAUL GARDNER CORPORATION CONTRACTOR'S NAME PAUL GARDNER CORPORATION March 31, 1977 gE DATE au ar r NA Paul Gardner Jr President Secretary CONTRACTOR'S ADDRESS 901 South Sultana Avenue Ontario, California 91761 TELEPHONE NUMBER 714984 1714 172258 CONTRACTOR'S LICENSE NO. Designate the firm or company that will supply the control equipment: ame of rirm or 4�y Telephone Number,/6 ,? 9 -3' p • 0 rch 22, 1977 CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT INSTALLATION OF TRAFFIC SIGNAL AND SAFETY LIGHTING AT COAST HIGHWAY AND PROSPECT STREET CONTRACT N0, 1791 BID OPENING; March 31, 19770 10;30 a.m. ADDENDUM NO. 1 Please make the following addition to the contract documents: 1. SPECIAL PROVISIONS: Add new section, X. x., to read; "x. BONDS AND INSPECTIONS In addition to the bonds required by the Standard S ecifications for Public Works Construction e Contractor sha furs t sh the State with a signed application and a $10,000.00 one -year bond on the State's DHM -P -4 Bond Form to cover the work within the State highway right -of -way. The cost of this bond shall be included in the lump sum bid. The cost of all State inspections shall be borne by the City." NOTE: SHOW DATE OF RECEIPT OF THIS ADDENDUM ON THE PROPOSAL AND INSERT A COPY WITH YOUR PROPOSAL. Bill E. Darnell Traffic Engineer March 25, 1977 Date Receive PAUL GARDNER CO,R�FORATION Gon ac s AUthori^d Signature Paul R Gardner Paul R Gardner Jr President Secretary 0 Page 1 CITY OF NEWPORT BEACH, CALIFORNIA NOTICE INVITING BIDS SEALED BIDS will be received at the office of the City Clerk, City Hall, Newport Beach, California, until 10:30 A.M. on the 31 st day of March , 1977 , at which time they wig be opened and read, for performing work as follows: INSTALLATION OF TRAFFIC SIGNAL AND SAFETY LIGHTING AT COAST HIGHWAY PROSPECT STREET CONTRACT NO. 1791 Bids must be submitted on the proposal form attached with the contract documents furnished by the Public Works Department. The additional copy of the proposal form is to be retained by the bidder for his records. Each bid must be accompanied by cash, certified check or Bidder's Bond, made payable to the City of Newport Beach, for an amount equal to at least 10 percent of the amount bid. The title of the project and the words "SEALED BID" shall be clearly marked on the outside of the envelope containing the bid. The contract documents that must be completed, executed, and returned in the sealed bid are: A. Proposal B. Designation of Subcontractors C. Bidder's Bond D. Non - collusion Affidavit E. Statement of Financial Responsibility F. Technical Ability and Experience References These documents shall be affixed with the signature and titles of the persons signing on behalf of the bidder. For corporations, the signatures of the President or Vice President and Secretor or Assistant Secretary are required an t -The Cor orate Seal shah be affixed to all oz requiring signatures. In the case of a artnership, the signature of at least one general partner is required. No bids will be accepted from a contractor who has not been licensed in accordance with the provisions of Chapter 9, Division III of the Business and Professions' Code. The contractor shall state his license number and classification in the proposal. One set of plans and contract documents, including special provisions, may be obtained at the Public Works Department, City Hall, Newport Beach, California, at no cost to licensed contractors. It is requested that the plans and contract documents be returned within 2 weeks after the bid opening. (cont.) Page la The City has adopted the Standard Specifications for Public Works Construction (1976 Edition) as prepared by the Southern California Chapters of the American Public Works Association and the Associated General Contractors of America. Copies may be obtained from Building News, Inc., 3055 Overland Avenue, Los Angeles, California 90034, (213) 870 -9871. The City has adopted Standard Special Provisions and Standard Drawings. Copies of these are available at the Public Works Department at a cost of $5.00 per set. A standard "Certificate of Insurance for Contract Work for City" form has been adopted by the City. This form is the only certificate of insurance acceptable to the City. The successful low bidder will be required to complete this form upon award of the contract. For any required bonds, the company issuing Bid Bonds, Labor and Material Bonds, and Faithful Performance Bonds must be an insurance company or surety company licensed by the State of California. The companies must also have a current General Policy Holders Rating of A or better; and a Financial Category of at least Class X as per the latest edition of Best's Key Rating Guide (Property - Liability). In accordance with the provisions of Article 2, Chapter 1, Part 7 of the California Labor Code (Sections 1770 et seq.), the City Council of the City of Newport Beach has ascertained the general prevailing rate of per diem wages in the locality in which the work is to be performed for each craft, classification, or type of workman or mechanic needed to execute the contract and has set forth these items in Resolu- tion No. 8950 adopted December 13, 1976. A copy of said resolution is available in the office of the City Clerk. All parties to the contract shall be governed by all provisions of the California Labor Code relating to prevailing wage rates (Sections 1770 -1781 inclusive). The contractor shall be responsible for com- pliance with Section 1777.5 of the California Labor Code for all apprenticeable occupations. The contractor shall post a copy of the prevailing wage rates at the job site. Copies may be obtained from the Public Works Department. The City reserves the right to reject any or all bids and to waive any informality in such bids. Revised 12 -14 -76 Page 2 All bids are to be computed on the basis of the given estimated quantities of work, as indicated in this Proposal, times the unit price as submitted by the bidder. In case of a discrepancy between words and figures, the words shall prevail. In case of an error in the extension of a unit price, the corrected extension shall be calculated and the bids will be computed as indicated above and compared on the basis of the corrected totals. The estimated quantities of work indicated in this Proposal are approximate only, being given solely as a basis for comparison of bids. The undersigned has checked carefully all of the above figures and understands that the City will not be responsible for any errors or omissions on the part of the under- signed in making up this bid. The undersigned agrees that in case of default in executing the required contract with necessary bonds within ten (10) days, not including Saturday, Sunday and Federal Holidays, after having received notice that the contract is ready for signature, the proceeds of check or bond accompanying this bid shall become the property of the City of Newport Beach. Licensed in accordance with the Statutes of the State of California providing for the registration of Contractors, License No. 172258 Classification C-10 Accompanying this proposal is a Bidder's Bond (Cash, Certified Check, Cas ier s Check or Bon in an amount not less than 10 percent of the total bid price. The undersigned is aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workmen's compensation or to undertake self- insurance in accordance with the provisions of that code, and agrees to comply with such provisions before commencing the performance of the work of this contract. 714/984 -1714 Phone Number March 31, 1977 Date PAUL GARDNER CORPORATION Bidder's Name (SEAL) TAutLori ign e a ar ner Pr sident ze i gnature P ul R Gar ner r Secretary CORPORATION Type of Organization (Individual, Corporation, or Co- Partnership) List below names of President, Secretary, Treasurer and Manager if a corporation, and names of all co- partners if a co- partnership: Paul Gardner Corporation Paul R Gardner - President, Treasurer, Manager Paul R Gardner 1r - Vice President, Secretary Page 3 DESIGNATION OF SUBCONTRACTORS The undersigned certifies that he has used the sub -bids of the following listed contractors in making up his bid and that the subcontractors listed will be used for the work for which they bid, subject to the approval of the City Engineer, and in accordance with the applicable provisions of the specifications. No change may be made in these subcontractors except upon the prior approval of the Engineer. Item of Work 1. L uRB w' 2. 3. LEI 5. 6. 7. 8. 9. 10. 11. 12. Subcontractor Address n i✓c4F74 0 ZnN6 ., PAUL GARDNER CORPORATION Bidder s Nai Paul R Gardner Authorized Signature au rdner Jr President Secreta y Corporation Type of Organization (Individual, Co- partnership or Corp.) 901 South Sultana Avenue Ontario, California 91761 Address I 0 Page 4 BIDDER'S BOND TO ACCOMPANY PROPOSAL BOND NO. 80718108 -C KNOW ALL MEN BY THESE PRESENTS, That we, PAUL GARDNER CORPORATION FEDERAL INSURANCE COMPANY as Principal, as Surety, are held and firmly bound unto the City of Newport Beach, California, in the Sum of TEN PERCENT OF THE TOTAL AMOUNT BIDDollars ($ 109- , lawful money of the United States for the payment of which sum well and truly to be made, we bind ourselves, jointly and severally, firmly by these presents. THE CONDITION OF THE FOREGOING OBLIGATION IS SUCH, That if the proposal of the above bounden principal for the construct�i' oih installation of Traffic Signal and Safety Lighting at Coas ig way Prospect Street. Contract No. 1791. in the City of Newport Beach, is accepted by the City Council of said City, and if the above bounden principal shall duly enter into and execute a contract for such construc- tion and shall execute and deliver the two (2) bonds described in the "Notice Inviting Bids" within ten (10) days (not including Saturday, Sunday and Federal Holidays) from the date of the mailing of a notice to the above bounden principal by and from said City of Newport Beach that said contract is ready for execution, then this obligation shall become null and void; otherwise it be and remain in full force and effect, and the amount specified herein shall be forfeited to the said City. In the event that any principal above named executed this bond as an individual, it is agreed that the death of any such principal shall not exonerate the surety from its obligations under this bond. IN WITNESS WHEREOF, we hereunto set our hands and seals this 31st day of March , 19 77 . Corporate Seal (If Corporation) PAUL GARDNER CORPORATION Principal BY: - (Attach acknowledgement of Attorney -in -Fact) �4 — FEDERAL INSURANCE COMPANY Surety By Title C.G. Gras'o, Attorney - in -Fact -If ACKNOWLEDGMENT OF ANNEXED INSTRUMENT STATE OF CALIFORNIA ; ss.: COUNTY OF r n¢ aNrnr me On this 31 stdayof March in the year one thousand nine hundred and Seventy –Seven before me, Carroll A. McHugh , a Notary Public in and for the County of LOS ANGELES residing therein, duly commissioned and sworn, personally appeared C. G. GRASSO known to meto bathe Attorne V –in –Fact of FEDERAL INSURANCE COMPANY, the Corporation that executed the within instrument, and also known to me to be the person— who executed the within instrument on behalf of the Corporation therein named and acknowl- edged to me that such Corporation executed the same. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal in the County of LOS ANGELES the day and year in th3 certificate first above written. mm�mm�ummnnmrxrnxxunninxxrmmxnununninnnxrx OFFICIAL SEAL _ %�Zl� -C-{ CARROLL A. MCHUGH1 Notab PYbnC - CalirOmii PRINCIPAL OFFICE IN Notary Public in and fdr the CouOy of LOS ANGELES COUNTY i Mv.Commissiortexoires -___ 3 _. LOS ANC,F.r.FR State of California Form 21 -10 -165 (Formerly SF 670) a... Certified Copy of POWER OF ATTORNEY Knout all Men by tbror VreorntS, That the FEDERAL INSURANCE COMPANY, 90 John Street, New York, New York, a New Jersey Corporation, has constituted and appointed, and does hereby constitute and appoint Ira S. Brander Rodger E. Hagemn Gloria H. Fogle C. G. Grasso Broox G. Davis B. A. Lally of Los Angeles, California each its true and lawful Attorney -in -Fact to execute under such designation in its name and to affix its corporate seal to and deliver for and on its behalf as surety thereon or otherwise, bonds of any of the following classes, to -wit: 1. Bonds and Undertakings (other than Fiduciary Bonds) filed in any suit, matter or proceeding in any Court, or filed with any Sheriff or Magistrate, for the doing or not doing of anything specified in such Bond or Undertaking, in which the penalty of the bond or undertaking does not exceed the sum of One Hundred Thousand Dollars ($100,000.00). 2. Surety Bonds to the United States of America or any agency thereof, including those required or permitted under the laws or regulations relating to Customs or Internal Revenue; License and Permit Bonds or other indemnity bonds under the laws, ordinances or regulations of any State, City, Town, Village, Board or other body or organization, public or private; bonds to Transportation Companies, Lost Instrument bonds, Lease bonds, Workmen's Compensation bonds, Miscellaneous Surety bonds and bonds on behalf of Notaries Public, Sheriffs, Deputy Sheriffs and similar public officials. 3. Bonds on behalf of contractors in connection with bids, proposals or contracts. In Offneso 194trrnf, the said FEDERAL INSURANCE COMPANY has, pursuant to its By -Laws, caused these presents to be signed by its Assistant Vice President and Assistant Secretary and its corporate seal to be hereto affixed this let day of January 19 73. STATE OF NEW YORK as.: County of New York FEDERAL INSURANCE COMPANY By zl�� George McClellan Assistant Vice - President J"'0_4 66, John MacGregor Assistant Secretary On this 1st day of January 1973, before me personally came John MacGregor, to me known and by me known to be Assistant Secretary of the FEDERAL INSURANCE COMPANY, the Corporation described in and which executed the foregoing Power of Attorney and the said John MacGregor being by me duly sworn, did depose and say that he resides in the City of Short Hills, in the State of New Jersey; that he is Assistant Secretary of the FEDERAL INSURANCE COMPANY and knows the corporate seal thereof; that the seal affixed to the foregoing Power of Attorney is such corporate seal and was thereto affixed by authority of the By -Laws of said Company and that he signed said Power of Attorney as Assistant Secretary of said Company by like authority; that he is acquainted with George McClellan and knows him to be Assistant Vice- President of said Company, and that the signature of said George McClellan subscribed to said Power of Attorney is in the genuine handwriting of said George McClellan and was thereto subscribed by authority of said By -Laws and in deponent's presence. m ° V4pTAR), *?.PUBLIO '�� OF NE�11 Acknowledged and Sworn to before me on the date / `above written �i Notary Public MARY K. BENDICK Notary Public, State of New York No. 24- 0237960 Qualified in Kings County Certificate filed in New York County Commission Expires March 30, 1973 FORM 12.'6F{ReV. 1 -131 �• 0 CITY AND COUNTY OF NEW YORK: as 0 I, the undersigned, Assistant Secretary of the :FEDERAL INSURANCE COMPANY, do hereby certify that the following is a true excerpt from the By -Laws of the said Company as adopted by its Board of Directors on March 11, 1953 and amended May 27, 1971 and that this By -Law is in full force and effect. "ARTICLE 3VIII. Section 2. All bonds, undertakings, contracts and other instruments other than as above for and on behalf of the Company which it is autborized by law or its charter to execute, may and shall be executed in the name and on behalf of the Company either by the Chairman or the Vice Chairman or the President or a Vice - President, jointly with the Secretary or an Assistant Secretary, under their respective designations, except that any one or more officers or attorneys - in -fact designated in any resolution of the Board of Directors or the Executive Committee, or in any power of attorney executed as provided for in Section 3 below, may execute any such bond, undertaking or other obligation as provided in such resolution or power of attorney. Section 3. All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company, either by the Chairman or the Vice - Chairman or the President or a Vice - President or an assistant Vice - President, jointly with the Secretary or an Assistant Secretary, under their respective designations." And I further certify that I have compared the foregoing copy of the POWER OF ATTORNEY with the original thereof and the same is a correct and true copy of the whole of said original Power of Attorney and that said Power of Attorney has not been revoked. And I further certify that said FEDERAL INSURANCE COMPANY is duly licensed to transact fidelity and surety business in each of the states of the United States of America, District of Columbia, Puerto Rico, and each of the Provinces of Canada with the exception of Prince 'Edward Island; and is also duly licensed to become sole surety on bonds, undertakings, etc., permitted or required by law. Given under my hand and the seal of said Company at New York, N. Y., this ........... 3:1.st - Of..,..: ...... .....................da p March 19 77 . Assistant Secretary - Page 5 NON- COLLUSI%I AFFIDAVIT The bidders, by its officers and agents or representatives present at the time of filing this bid, being duly sworn on their oaths say, that neither they nor any of them, have in any way, directly or indirectly, entered into any arrangement or agree- ment with any other bidder, or with any public officer of such CITY OF NEWPORT BEACH whereby such affiant or affiants or either of them, has paid or is to pay to such bidder or public officer any sum of money, or has given or is to give to such other bidder or public officer anything of value whatever, or such affiant or affiants or either of them has not directly or indirectly, entered into any arrangement or agree- ment with any other bidder or bidders, which tends to or does lessen or destroy free competition in the letting of the contract sought for by the attached bids; that no bid has been accepted from any subcontractor or materialman through any bid depository, the Bylaws, Rules or Regulations of which prohibit or prevent the contractor from considering any bid from any subcontractor or materialman which is not processed through said bid depository, or which prevent any subcontractor or materialman from bidding to any contractor who does not use the facilities of or accept bids from or through such bid depository; that no inducement or any form or character other than that which appears upon the face of the bid will be suggested, offered, paid, or delivered to any person whomsoever to influence the acceptance of the said bid or awarding of the contract, nor has this bidder any agreement or understanding of any kind whatsoever, with any person whomsoever to pay, deliver to, or share with any other person in any way or manner, any of the proceeds of the contracts sought by this bid. Subscribed and sworn to before me this _ day of 19 My commission expires: t PAUL GARDNER CORPORATION Notary Public STATE OF FSAN RNIA, Ss. COUNTY O BERNARDINO March 31 77 ON , 19 —, before me, the undersigned, a Notary Public in and for the said State, personally appeared Paul R Gardner known to me to be the President, and Paul R Gardner Tr , known to me be the PAUL GAReDNNO'CORRPORATII the Corporation that executed the within Instrument, known to me to be the persons who executed the within Instrument, on behalf of the Corporation herein named, and acknowledged in me that such Corporation executed the within Instrument pursuant to its by -laws or a resolution of its board of directors. my hand and official seal. Page G STATEMENT OF FINANCIAL RESPONSIBILITY Tne undersigned submits herewith a statement of his financial responsibility or agrees to submit a statement within 24 hours after the bid opening if he is the apparent low bidder. PAUL GARDNER CORPORATION Paul R Gardner, esi t Paul R Garttner Jr, Secretary 0 0 Page 7 TECHNICAL ABILITY AND EXPERIENCE REFERENCES The undersigned submits herewith a statement of the work of similar character to that proposed herein which he has performed and successfully completed. Year ComDleted For Whom Performed (Detail) Person to Contact Tel 1974 City of El Segundo City Engineer 213/322 -4670 Paul R Gardner, Paul R Gardner Tr, Secretary State Department of Transportation Mr G H Mills 1976 District 8 Resident Engineer 714/383 -4262 State Department of Transportation Mr R J Corrigan 1975 District 8 Resident Engineer 714/383 -4262 Mr John D Harkins 1975 County of Riverside Resident Enaineer 714/787 -6554 State Department of Transportation Mr F H Kreft 1975 District 6 Resident Engineer 714/2 94-51 3 1974 City of El Segundo City Engineer 213/322 -4670 Paul R Gardner, Paul R Gardner Tr, Secretary CONTRACT 'btb. 1791 INDEX TO SPECIAL PROVISIONS FOR INSTALLATION OF TRAFFIC SIGNAL AND SAFETY LIGHTING AT COAST HIGHWAY AND PROSPECT STREET SECTION PAGE I. SCOPE OF WORK . . . . . . . . . . . . . . . . . 1 II. COMPLETION OF WORK . . . . . . . . . . . . . . 2 III. CONSTRUCTION SCHEDULE AND COMMENCEMENT OF WORK . . . . . . . . . . . . . 1 -2 IV. PAYMENT . . . . . . . . . . . . . . . . . . . . 2 V. PROTECTION OF EXISTING UTILITIES . . . . . . . 2 VI. WATER . . . . . . . . . . . . . . . . . . . . . 2 VII. GUARANTEE . . . . . . . . . . . . . . . . . . . 2 VIII. FLOW AND ACCEPTANCE OF WATER . . . . . . . . . 2 -3 IX. SHOP DRAWINGS, DATA ON MATERIALS, AND EQUIPMENT AND SAMPLES . . . . . . . . . . 3 -4 X. TRAFFIC SIGNAL AND SAFETY LIGHTING FACILITIES . . . . . . . . . . . . . 4 -14 SP 1 of 14 CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT SPECIAL PROVISIONS FOR INSTALLATION OF TRAFFIC SIGNAL AT COAST HIGHWAY AND PROSPECT STREET CONTRACT NO. 1791 I. SCOPE OF WORK The work to be done under this contract consists of the installation of traffic signal at Coast Highway and Prospect Street. The contract requires completion of all work in accordance with these Special Provisions; the City's Standard Special Provision; the Plans (Drawing No. T- 5154 -5), the City's Standard Drawings and Specifications; and, where applicable, the California Standard Specifications, January 1975, and the California Standard Plans, January 1975. The City's Standard Specifications are the Standard Specifications for Public Works Construction, 1976 Edition. Copies may be purchase from Buil ing News, Inc. 3055 Overland Avenue, Los Angeles, CA 90034, Telephone (213) 870 -9871. Copies of the City's Standard Drawings and Special Provisions may be purchased from the Public Works Department at a cost of $5.00. If there is a conflict in methods of measurement bet- ween the City's Standard Specifications and the California Standard Specifications, the City's Standard Specifications shall take precedence. II. COMPLETION OF THE WORK The Contractor shall complete all work within 110 consecutive calendar days after the date of award of Contract by the City Council. III. CONSTRUCTION SCHEDULE AND COMMENCEMENT OF WORK Subject to the provisions in Section 6 -1 of the Standard Specifications, the Contractor shall begin work within 15 calendar days after the City executes the contract. SP 2 of ) 4 Traffic Signal Standards, and signal heads shall not be installed until the signal controller has been delivered to the job site. IV. PAYMENT The unit or lump sum bid for each item of work shown on the proposal shall be considered as full compensation for all labor, materials, equipment, and all other things necessary to complete the work in place, and no additional allowance will be made therefore. Payment for incidental items of work, not separately provided for in the proposal shall be included in the price bid for other related items of work. V. PROTECTION OF EXISTING UTILITIES Known utilities are indicated on the plans. Prior to performing construction work, the Contractor shall request each utility company to locate their facilities. The Contract- or shall protect in place and be responsible for, at his own expense, any damage to any utilities encountered during con- struction of the items shown on the plans. VI. WATER The Contractor shall make his own provisions for obtaining and applying water necessary to perform his work. If the Contractor desires to use available City water, it shall be.his responsibility to make arrangements for water purchase by contacting the City's Utility Superintendent, Mr. Tom Phillips, at (714) 640 -2221. VII. GUARANTEE The Contractor shall guarantee for a period of one year, after acceptance of the work by the City Council, all materials and workmanship against any defects whatsoever. Any such defects shall be repaired at the Contractor's expense. VIII. FLOW AND ACCEPTANCE OF WATER It is anticipated that surface and ground or other waters will be encountered at various times and locations during the work herein contemplated. The Contractor, by submitting a bid, acknowledges that he has investigated the risks arising from water and has prepared his bid accordingly. The Contractor shall conduct his operations in such a manner that storm or other waters may proceed uninterrupted along their existing street and drainage courses. Diversion of water for short reaches to protect construction in progress SP 3 of 14 will be permitted if public or private properties are not damaged, or, in the opinion of the Engineer, are not subjected to the probability of damage. Surface water containing mud or silt from the project area shall be treated by filtration or retention in a settling pond, or ponds, adequate to prevent muddy water from entering storm drains or the bay. The Contractor shall submit a plan for implementing siltation control prior to commencing construc- tion. Upon approval of the plan, the Contractor shall be responsible for the implementation and maintenance of the control facilities. IX. SHOP DRAWINGS, DATA ON MATERIALS AND EQUIPMENT, AND CTUnT VO a. General The Contractor shall furnish to the engineer such working drawings, data on materials, and equipment and samples as are required for the proper control of the work, including, but not limited to, those working drawings, data and samples specifically required elsewhere in the specifications and in the drawings. All working drawings, data and samples shall be subject to review by the Engineer for conformity with the drawings and specifications. b. Shop Drawings and Data Defined Working drawings include without limitation, shop detail drawings, fabrication drawings, falsework and formwork drawings, pipe layouts, steel reinforcement and similar classes of drawings. They shall contain all required details and information in reasonable scale. Data on materials and equipment include, without limitation, materials and equipment lists, catalog data sheets, cuts, performance curves, diagrams, and similar descriptive lists. Materials and equipment lists shall give, for each item thereon, the name and location of the supplier or manufacturer, trade name, catalog reference, size, finish and all other pertinent data. C. Review and revision The Contractor shall furnish to the Engineer for review three prints of each shop drawing. The Contractor shall properly check and correct all working drawings and data before their submission, whether they are prepared within his own organization or by a subcontractor or supplier. The shop drawings shall be submitted at least 30 calendar days before drawings will be required for commencing the work. Within ten days of receipt of said prints, the engineer will return one print of each drawing:to the Contractor with his comments noted thereon. y SP 4 of 14 If the drawing is returned to the Contractor marked "NO EXCEPTIONS TAKEN," a revision of said drawing will not be required, and the Contractor..;*hall immediately submit four additional copies to the Engineer. If the drawing is returned to the Contractor marked "MAKE CORRECTIONS NOTED," formal revision of said drawing will not be required and the Contractor shall immediately submit five corrected copies to the Engineer. If the drawing is returned to the Contractor marked "AMEND AND RESUBMIT," the Contractor shall revise said drawing and shall resubmit six copies of said revised draw- ing to the Engineer. If the drawing is returned to the Contractor marked "REJECTED - RESUBMIT," the Contractor shall revise said drawing and shall resubmit three copies of said revised draw- ing to the Engineer, as in the case of an original submittal. Fabrication of an item shall not be commenced before the Engineer has reviewed the pertinent shop drawings and returned copies to the Contractor without rejection. Revision indicated on shop drawings shall be consid- ered as changes necessary to meet the requirements of the contract plans and specifications and shall not be taken as the basis of claims for extra work. The Contractor shall have no claims for damages or extension of time due to any delay resulting from making required revisions to shop drawings. The review of said drawings by the Engineer shall apply to general design only and shall in no way relieve the Contractor of responsibility for errors or omissions contained therein nor shall such review operate to waive or modify any provisions or requirements contained in these contract specifications or on the contract drawings. X. TRAFFIC SIGNAL AND SAFETY LIGHTING FACILITIES a. General The Contractor shall furnish all tools, equipment, materials, supplies and manufactured articles and shall perform all operations necessary to modify existing and construct additional traffic signal and street lighting facilities as shown on the drawings and as specified herein. b. Reference Specifications and Standard Plans 1. Standard Specifications - Except as modified herein, materials and installation shall conform to the California Standard Specifications, January, 1975. All references in this section to "Standard Specifications" shall be understoca to be referenced to the California Standard Specifications. 0 SP 5 of 14 2. Standard Plans - Except as modified herein, all references in t is section to "Standard Plans" shall be understood to be referenced to the California Standard Plans, January, 1975. 3. Codes, Ordinances and Regulations - All electrical materials and equipment furnished and installed under this section shall conform to the referenced regulations and codes specified in Section 86 -1.02 of the Standard Specifications and to all other ordinances and regula- tions of the authorities having jurisdiction. Whenever reference is made to the Code, Safety Orders, General Order or Standards, the reference shall be con- strued to mean the Code, Order or Standard that is in effect on the date set for receipt of bids. As -Built Print The Contractor is required to submit to the Engineer "As- Built" prints prior to the City accepting the installa- tions. The prints shall indicate in red all deviations from the contract plans, such as: locations of poles, pull boxes and runs, depths of conduit, number of conductors and other appurtenant work, for future reference. d. Description Furnishing and installing traffic signals, lighting, and sign illumination systems and payment therefor shall conform to the provisions in Section 86, "Signals and Lighting," of the Standard Specifications and these special provisions. Traffic signal work is to be performed at the following location: Coast Highway at Prospect Street e. Equipment List and Drawings Equipment list and drawings of electrical equipment and material shall conform to the provisions in Section 86 -1.03, "Equipment List and Drawings," of the Standard Specifications and these special provisions. The controller cabinet schematic wiring diagram and intersection sketch shall be combined into one drawing, and shall be supplied on 24" x 36" size sheets and shall be drawn in sufficiently large scale to be clearly readable by field techni- cians. Partial schematic diagrams of the basic cabinet wiring on 8 -1/2" x ill, sheets will not be acceptable. . 9 SP 6 of 14 The Contractor shall furnish a maintenance manual for all controller units, auxiliary equipment, and vehicle detector sensor units, control units and amplifiers. The maintenance manual and operation manual may be combined into one manual. The maintenance manual or combined maintenance and operation manual shall be submitted at the time the controllers are delivered for testing or, if ordered by the Engineer, previous to purchase. The maintenance manual shall include, but need not be limited to, the following items: a) Specifications b) Design characteristics c) General operation theory flFunction of all controls Detailed circuit analysis f) Trouble shooting procedure (diagnostic routine) g) Voltage charts with wave forms h) Block circuit diagram i) Geographical layout of components j) Schematic diagrams k) List of replaceable component parts with stock numbers Maintaining Existing and Temporary Electrical Systems Maintaining existing and temporary electrical systems shall conform to the provisions in Section 86 -1.05, "Maintaining Existing and Temporary Electrical Systems," of the Standard Specifications and these special provisions. Cost for maintaining existing and temporary electrical systems shall be included in the lump sum bid. No "extra work" will be allowed. Traffic signal system shutdowns shall be limited to periods between the hours of 9:00 a.m. and 3:30 p.m. All signal indications, detectors and control equipment, shall be maintained in operation except during shutdown hours as specified above. g. Conduit Conduit shall conform to the provisions in Section 86 -2.05, "Conduit," of the Standard Specifications and these special provisions. Non - metallic type conduit shall not be used. SP 7 of 14 Insulated bonding bushings will be required. After conductors have been installed, the ends of con- duits terminating in pull boxes and controller cabinets shall be sealed with an approved type of sealing compound. h. Pull Boxes Pull boxes shall conform to the provisions in Section 86 -2.06, "Pull Boxes," of the Standard Specifications and these special provisions. Plastic pull boxes shall not be used i. Conductors and Wiring Conductors and wiring shall conform to the provisions in Section 86 -2.08, "Conductors," and Section 86 -2.09, "Wiring," of the Standard Specifications and these special provisions. Conductors shall be spliced by the use of "C" shaped compression connectors as shown on the plans. Splices shall be insulated by "Method B." j. Bonding and Grounding Bonding and grounding shall conform to the provisions in Section 86 -2.10, "Bonding and Grounding," of the Standard Specifications and these special provisions. Grounding jumper shall be attached by a 3/16 inch or larger brass bolt in the standard or pedestal and shall be run to the conduit, ground rod or bonding wire in adjacent pull box. k. Signal Faces and Signal Heads Signal faces, signal heads and auxiliary equipment, as shown on the plans, and the installation thereof shall con- form to the provisions in Section 86 -4.01, "Vehicle Signal Faces," 86 -4.02, "Directional Louvers," 86 -4.03, "Backplates ", and 86 -4.06, "Signal Mounting Assemblies," of the Standard Specif ications and these special provisions. All signal faces shall be provided with 12 -inch sections. All lamps for traffic signal units shall be provided by Contractor. The cost of the lamps sr.all be included in the lump Sure bid. i 1. Detectors 9 SP 8 of 14 Detectors shall conform to the provisions in Section 86 -5, "Detectors," of the Standard Specifications and these special provisions. Loop detector sensor unit shall be Type B and shall be a Conoga Controls Corporation "Four Pack," or approved equal. closed. Output relays shall be used and shall be normally Loop detector lead -in cable shall be Type A:or B. Magnetometer detector sensor unit shall be provided with a time delay feature which shall extend the vehicle call for an adjustable period of time and shall be a Conoga Controls Corporation Proximeter II, or approved equal. The number of sensor units and lead -in cables required to achieve the specified detection shall be installed as indicated in the Detector and Conductor Schedules as shown on the construction plans. Separate control units need not be provided for each approach, however, a separate channel shall be provided for each lane. The Contractor shall test the detectors with a motor driven cycle, as defined in the California Vehicle Code, that is licensed for street use by the Department of Motor Vehicles of the State of California. The unladen weight of the vehicle shall not exceed 220 pounds and the engine displacement shall not exceed 100 cubic centimeters. Special features, components or vehicles designed to activate the detector will not be permitted. The Contractor shall provide an operator who shall drive the motor driven cycle through the response or detection area of the detector at not less than 3 miles per hour nor more than 7 miles per hour. The detector shall provide an indication in response to this test. m. Pedestrian Signals Pedestrian signals shall conform to the provisions in Section 86 -4.05, "Pedestrian Signal Faces," of the Standard Specifications and these special provisions. Pedestrian signals shall be Type D. The hood described in Section 86 -4.05 C, "Visors ", of the Standard Specifications shall be prpyided. • 0 SP 9 of 14 n. Internally Illuminated Street Name Signs Illuminated street name signs to be provided on this contract shall be constructed with quality and design features equivalent to NUART or Safeway Sign Company. The Contractor shall furnish, to the City, shop drawings and specifications of the selected suppliers sign. City approval must be obtained prior to purchasing. The following information shall be included in the drawings and specifications: 1. Internal maintenance method 2. Housing and mountings 3. Lamps and lampholders 4. Terminal Blocks 5. Ballasts 6. Conductors 7. Face panel 8. Fuses 9. Photo cell Sign messages shall be as shown on the plans. o. Pedestrian Push Buttons Pedestrian push buttons shall conform to the provisions in Section 86 -5.02, "Pedestrian Push Buttons," of the Standard Specifications and these special provisions. The 9" x 12" sign shall not extend beyond the mounting framework. When pedestrian push buttons are installed on pedestrian push button posts the button shall be installed at the height of 3' - 10 ". The length of the post specified on the plans shall be increased as required to facilitate the installation of the button at this height. p. Luminaires Luminaires shall conform to the provisions in Section 86 -6.01, "High- Intensity- Discharge Luminaires," of the Standard Standard Specifications and these special provisions. Glare shields are required. All new luminaires shall be 120 volt, 250 watt high pressure sodium vapor with integral ballast and photoelectric cell. q. Photoelectric Controls Photoelectric controls shall conform to the provisions in Section 86 -6.07, "Photoelectric Controls," of the Standard Specifications and these special provisions. Photoelectric controls shall be Type IV. r. Ballasts 0 SP 10 of '14 Ballasts shall conform to the provisions in Section 86 -6.10, "Ballasts," of the Standard Specifications and these special provisions. Integral ballasts shall be provided. S. Service Service shall conform to the provisions in Section 86 -2.11, "Service," of the Standard Specifications and these special provisions. Install modified Type II signal and lighting service in accordance with City of Newport Beach Standard Drawing No. Std. 910 -L. Circuit breakers shall be rated 25 percent higher than the expected load. t. Equipment Testing The third paragraph in Section 86 -3.01, "Controllers," of the Standard Specifications is amended to read: Controller units, auxiliary equipment and cabinet, fully wired, including wiring diagrams and manuals, shall be delivered to the testing facility designated by the City. The fifth paragraph in Section 86 -3.01, "Controllers," of the Standard Specifications is amended to read: The Contractor shall allow 21 days for City testing from the time the cabinet is delivered to the testing facilit desi Hated b the Cit until notification of the fina results. u. Traffic Signal Field Tests Field tests shall conform to the provisions in Section 86 -2.14, "Testing," of the Standard Specifications and these special provisions. Turn -on of the new traffic signal system shall not be on, nor shall the ten (10) day functional test start on, a Friday, Saturday, Sunday, holiday or on any day preceding a holiday. The Traffic Engineer shall be notified at least 48 hours prior to the intended "turn -on ". Prior to turn -on, all equipment as shown on the plans shall be installed and operable. All louvers, hoods and signal heads shall be directed to provide maximum visibility. a SP 11 of 14 Initial turn -on shall take place only during the hours between 9:00 A.M. and 2:00 P.M. A knowledgeable representative for the manufacturer or distributor of the traffic signal controller equipment shall be required to be present for the initial portion, first day, of the functional test and upon completion of the field installation. The contractor shall arrange to have a signal technician, qualified to work on the controller and employed by the con- troller manufacturer or his representative, present at the time the equipment is turned on. v. Solid -State Traffic Actuated Controllers Solid -state traffic actuated controller units, cabinets, and auxiliary equipment shall conform to the provisions in Section 86 -3, "Controller," of the Standard Specifications and these special provisions. Option (B) of the twenty -first paragraph of Section 86 -3.07, "Controller Cabinet ", of the Standard Specifications is amended to read: (B) A cable containing two No. 22, or larger, conductors with each conductor insulated with either (1) a minimum of 10 mils or polyvinyl chloride and 2 mils of nylon, or (2) a minimum of 14 mils of polyethylene or polypropylene. The conductors shall be twisted and the twisted pair shall be protected with a shield. The shield or a stranded tinned copper drain wire shall be grounded at only one end of the cable. The cable shall be provided with a polyethylene or polyvinly chloride outer jacket with a minimum thickness of 20 mils, or with a chrome vinyl outer jacket with a minimum thickness of 25 mils. Solid -state switching devices shall conform to the provisions in Section 86- 3.08D, "Solid -State Switching Devices," of the Standard Specifications and the following: Zero voltage turn -on is not required during the first half -cycle of line voltage during which the input signal is applied. A reed relay, rated for at least 10 million operations, may be used in the input portion of the switching device. The depth of the solid -state flasher shall not exceed 8.0 inches from the panel surface holding the mating connector, including any handle or gripping device. The flasher shall be no more than 1.90 inches in width and no more than 4.2 inches high. The flasher shall be so constructed that no part of it will extend more than 1.00 inch to the right or left of the centerline of the connector pin configuration as viewed from the front. No other equipment within the controller cabinet shall use a socket which will accept a flasher or a flash transfer relay. x • • SP 12 of 14 The cabinet shall contain a conspicuous warning against operation without the monitoring device being installed. The convenience receptacle shall have ground -fault circuit interruption as defined by the Code. Circuit interruption shall occur on 6 milliamperes of ground -fault current and shall not occur on less than 4 milliamperes of ground -fault current. A separate harness and plugs shall be provided in each solid -state traffic- actuated controller cabinet for the use of an emergency replacement controller unit. Instructions on transfer of control from the solid -state controller unit to the emergency replacement controller unit shall be mounted in the cabinet in plain view. The signal output circuits from the emergency replacement controller unit shall be connected to the load side of the solid - state load switches. Coordination Operation Location "A" is Coast Highway at Prospect Street. Location "B" is Coast Highway at Orange Street. There shall be two (2) modes of coordinated operation: Mode "A" - Light traffic coordination Mode "B" - Heavy traffic coordination A. Mode "A" Operation: 1. The slave controller at Location "A" shall operate as a full- actuated controller during "Mode A ", but will be inhibited by the following operation: a. The beginning of phase Al green at Location "B" shall activate the phase A2 detector circuit of the slave controller at Location "A" for an adjustable period of time. This adjustable period of time shall be controlled by an auxiliary solid -state timer (adj. 0 -60 sec.) b. In event the slave controller (Location "A" is in phase A2 when the phase A2 detector circuit is activitated, the controller shall be "held" in phase A2 for a length of time as timed by the auxiliary timer, any subsequent green time for phase A2 shall depend on phase A2 detector actuations. B. Mode "B" Operation: 1. The slave controller shall operate as a semi - actuated controller during "Mode B ". 2. The phase Al yellow slave controller at phase A2. • SP 13 of 14 at Location "B" shall allow the Location "A" to yield out of The call back circuit shall be operative only during Mode B. Additional equipment shall be installed in the cabinets as follows: 1. Install (2) coordination relays to provide the following: a. One relay to send 120 V phase Al yellow to Location "A" (Prospect). b. One relay to send 120 V phase Al green to Location "A" (Prospect). 2. Any phase B detector actuation at Location "A" shall act as phase B call detectors for the controller at Location "B" (Orange) through the use of a phase B call detector relay located in the cabinet at Location "B" (Orange). (Call Back Circuit) 3. Install Type 90 controller, detector sensor units, and traffic volume meter for selecting coordination mode of operation in Type "P" cabinet. 4. In addition to their normal function, detectors 1 -A2 and 2 -A2 shall function as counting detectors for the traffic volume meter. TRAFFIC VOLUME METER. - -The Traffic Volume Meter shall be a 2 -level traffic volume computer which maintains a continuous measure of traffic volume on a vehicles per hour basis by the use of volume detectors 1 -A2 and 2 -A2 as shown on the traffic signal plan (Location "A "). Means shall be provided to meter the volume of traffic and select either "Mode A" (light traffic coordination) or "M6de B" (heavy traffic coordination) on a percentage of volume basis. The percentage of traffic volume level at which the volume meter will transfer between "Mode A" and "Mode B" shall be selectable by 2 "transition selector knobs" calibrated in "percentage of traffic to transfer ". One knob shall be adjust- able to determine the transition point from "Mode A" (light traffic coordination) to "Mode B" (heavy traffic coordination). The other transition knob shall be adjustable to determine the transition point from "Mode B" (heavy traffic coordination) to "Mode A" (light traffic coordination ). The 2 knobs shall be mechanically interlocked so that the "step -up dial" must always be set to a higher value than the "step -down dial ". SP 14 of 14 A "Percentage of traffic volume" meter shall be provided. The meter scale shall be calibrated linearly from 0% to 150 %. A selector switch shall be provided to determine the range of the meter. It shall be calibrated in "traffic volume actuations per hour at 100% readings ". The range of calibration shall be from 600 actuations per hour to 4800 actuations per hour. There shall be a minimum of 5 calibrated positions within this range. An "averaging time" selector switch shall be provided. The selector switch shall enable the selection of the average input information on a 1, 2, 4, 6, 8, and 10 minute basis as selected, The response to traffic changes on the meter shall be exponential within the time base set on this control. Indicator lights shall be provided to indicate which level of operation is in effect. An indicator light shall be pro- vided to indicate as detector actuations are received. The unit shall provide an output for use with a recording instrument for recording "percentage of traffic volume ". All controls and indications shall be located on the front panel of the unit. The unit shall be solid- state. All indications and controls shall be identified and calibrations shall be clearly readable. Volume detectors 1 -A2 and 2 -A2 shall be connected to the detector input circuit. The Contractor shall arrange to have a signal technician, qualified to work on the controller and employed by the controller manufacturer or his representative, present at the time the equipment is turned on. w. Pa:Went Markings and Roadway Signs Removal and installation of striping, raised pavement markers, and roadway signing, except internally illuminated street name signs, shall be performed by the City at no expense to the Contracter. C AAbN AsocAAvt as rsgaW by NY /hy fo CWIt SM. P � ES -2A, Dbgm 5. Serv/ce disconnect and Chca/t &Vaters. Fd"ft sheet meta! &Via vre AN" 18-900 gi NWIzed StV*. Fbant to molCh Cubr of cabinet and mn*o awbacm, and hn- Sio // ow exposed Cawa9/# . conaanif to uh'/!ty cwpony mervko poAb. Same as noMd f ab w. 0 I I I 1=J I I PcC ps0kslo/ hnadahbri /n I 1 � I I ' : �; accordance with 1hB Co!!f. Stonabro' SPecK/Q AWS and I Std. Pihn No. ES - 48, I i I r4 !I II y� exo9pJ as Holed hereon. /mrwm width by d/mension 'rx" � I of TRAFFIC SIGNAL SERVICE ( MODIFIED TYPE II ) DRAWN DRAWING Tye "P"a nprr camw. Cob/ne/ fmIl b/ka m acrmdave whh the Calif. SMnobrd Spoo/flanf m and SYd PArn No. ES -4B, mr4of as owed hereon. 4n DATE 5-1-76 /. l o BLIC WORKS DIRECTOR R.E. NO. 653T STD, -910 -L CD 0 0 _ W � I of TRAFFIC SIGNAL SERVICE ( MODIFIED TYPE II ) DRAWN DRAWING Tye "P"a nprr camw. Cob/ne/ fmIl b/ka m acrmdave whh the Calif. SMnobrd Spoo/flanf m and SYd PArn No. ES -4B, mr4of as owed hereon. 4n DATE 5-1-76 /. l o BLIC WORKS DIRECTOR R.E. NO. 653T STD, -910 -L moftm x 0 0 3" C/eorwm PActoca // STREET NAME C A A eff" wworft saw f"fif. d s4p to taco SECTION A-A BEACH ILLUMINATED STREET NAME SIGN INSTALLATION ✓T cable DRAWN DATE WORKS OIREM R.E. NO. -2 ST4-.911- L _r,., B I D S U N N A R Y� TITLE Installation of traffic signal LOCATION Coast Hwy. & Prospect St. CONTRACT N0. --T 9 _ TI14E ENGINEER'S ESTIt•1ATE1,6013 DATE BY CHKD DATE CONTRACTOR TOTAL PRICE ° o-a � I By ..... L RESOLUTION NO, 9 05 7 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF NEWPORT BEACH AWARDING A CONTRACT TO THE PAUL GARDNER CORPORATION FOR A TRAFFIC SIGNAL AT COAST HIGHWAY AND PROSPECT STREET, CONTRACT NO. 1791 WHEREAS, pursuant to the notice inviting bids for work in connection with a traffic signal at Coast Highway and Prospect Street, in accordance with the plans and specifications heretofore adopted, bids were received on the 31st day of March, 1977, and publicly opened and declared; and WHEREAS, it appears that the lowest responsible bidder therefore is PAUL GARDNER CORPORATION: NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Newport Beach that the bid of Paul Gardner Corporation for the work in the amount of $36,725.00 be accepted, and that the contract for the described work be awarded to said bidder; BE IT FURTHER RESOLVED that the Mayor and City Clerk are hereby authorized and directed to execute a contract in accordance with the specifications, bid and this award on behalf of the City of Newport Beach, and that the City Clerk be directed to furnish an executed copy to the successful bidder. ADOPTED this 11th ATTEST: City Clerk day of April , 1977. Mayor DDO /bc 4/7/77