HomeMy WebLinkAboutC-2162 - Inspection of Timber Piles on Newport and Balboa Piers� r
NAME Ar ADDRESS OF AGENCY
JAY & RENFRO INS. BROKERS
P.O. BOX 1607
NEWPORT BEACH, CA 92663 -0617
TEL: )714) 645 -9000
NAME AW, MAILING ADDRESS Of NSURED
Submarine Engineering Associates
504 31st Street
Ma Trnrt PaAnh l'al i fnmi a 9 ?(C"A
22
COMPANY
p Cravens, Dargan & Co. _
Effective 12:01a in Oct. 30 . 1941
Expires R{ 12:01 am 0 Noon Nov. 30 , 1981
7M This binder is issued to extend coverage in the above
company per expiring policy d f4Ue 10 -2
-ol as pule § -77
be owi
i--1 escription _ of Operation /Vehicles /Property
0 WORKERS' COMPENSATION — Statutory Limits (specify states below) 0 EMPLOYERS' LIABILITY — Limit $
SPECIAL CONDITIONS /OTHER COVERAGES
Binder issued pending receipt of renewal policy YkU 10 -34 -20 for Excess Umbrella
(1,000,000.00) from the company.
NAME AND ADDRESS OF 0 MORTGAGEE U LOSS PAYEE 0 ADD 'L INSURED
LOAN NUMBER
ACORD 75 (11 77)
Jay& Renfro
Signature of Authorized Represe ve
Date im
Type and Location of Pr
w.
Coverage /Perils /Forms Amt of Insurance
C.
Ded. %
P
_.
0J
o
P
pE
�...
E
�\
R
T
Y
Type of Insurance
Coverage /Forms
Limits of Liabilit
EachOccurrence
_
Aggregate
L
1
0 Scheduled Form
0 Comprehensive Form
Bodily Injury
$
$
A
B
0 Premises /Operations
Property
p y
1
0 Products /Completed
Operations
Damage
$
$
Bodily Injury &
L
0 Contractual
1
0 Other (specify below)
Properly Damage
T
0 Med. Pay. $ Per
$ Pe-
Combined
Personal
Injury
_
$
Y
Person ACC OP.nI
❑ Personal Injury
❑ A 0 B ❑ C
A
Limits of Liability
Bodily Injury (Each Person)
$
U
0 Liability _ 0 Non -owned 0 Hired
T
0 Comprehensive - Deductible
$
Bodily Injury (Each Accident)
$
0
0 Collision Deductible
$
Property Damage
. --
$
M
O
0 Medical Payments $
Uninsured 0 U d M t
$
—
0 No Fault (specify):
Bodily Injury & Property Damage
L
0 Other (specify)'.
Combined
$
E
0 WORKERS' COMPENSATION — Statutory Limits (specify states below) 0 EMPLOYERS' LIABILITY — Limit $
SPECIAL CONDITIONS /OTHER COVERAGES
Binder issued pending receipt of renewal policy YkU 10 -34 -20 for Excess Umbrella
(1,000,000.00) from the company.
NAME AND ADDRESS OF 0 MORTGAGEE U LOSS PAYEE 0 ADD 'L INSURED
LOAN NUMBER
ACORD 75 (11 77)
Jay& Renfro
Signature of Authorized Represe ve
Date im
FM
6.; -
.111 .1
:port: Beach
c/o City Clerk
3300 Newport Boulevard
Newport Beach, CA 92663
Southern California Edison
Insurance Division
P.O. Box 800
Rosemead, CA 91770
The Pacific Telephone & Telegraph Co.,
or Bell Telephone Co. of Nevada
P.O. Box 524, Room 1622
San Diego, CA 92112
Department: of Water & Power.
City of Los Angeles
P.O. Box 111, Terminal Annex
Los.Angeles, CA 90051
W.A. Huscroft.
2529 Santa Ana Avenue
Costa Mesa, CA 92627
Mission Viejo Company
26137 La Paz Road
Mission Viejo, CA 92691
Santa Margarita Wdt.er District
P.O. Box 2279
Mission Viejo, CA 92690
tV
"v.
•y
I
NAME AND ADDRESS Or AGENCY
Jay & Renfro Insurance Brokers
333 North Newport Boulevard
Newport Beach, CA 92663
NAMF AND c(;ORES> OF •,NSJRrC
Submarine Engineering Associates l". 504 31st 31st Street
Newport Beach, CA 92663
This is to certify that policies of insurance listed below have b6el =s sued to the insured na
of any contract or other document with respect to which this cerrlcate may be issued
terms, exclusions and conditions of such policies.
COMPANY TYPE OF INSURANCE POLICY NI +I R
LETTER
GENERAL LIABILITY
X�GOMPR[v;,'+fr,i �yRM
FAPI051ON AND ; Y;'., + +'SF
HAZARD
❑x UNDERGROUND HAZARD
A Q PRODUCTSICOMPLEIED 59 GL 292879 CCA
OPERATIONS IT ZA.M.-
M CONTRACTUAL INepkANCL
BROAD FOP,! PROPERTY
❑DAMU:E
x IND2PEa0c.- CC+NTPA�TORS
XQ PERSONAE INIL'RY
AUTOMOBILE LIABILITY
A ®CwnPrel:ayslve FORM 059 JA 13893057 CCA
® I +IRFD
NON OWNED
EXCESS LIABILITY
C Ib.J UMBRF;LA WPM MU 10 34 20
El i; `IIER THAN 0`18RELL1
I FORM
WORK ERS'COM PE NSAT ION Including U.S. Longshc
B and & Harbor Workers Act C
-� EMPLOYERS' LIABILITY _J CL 65 67 00 0 _
OTHER
DESCRIPTION Or OPERATIONS /LOCATIONSNEHICLES
COMPANIES AFFORDING COVERAGES
II'MPAN`'
LFTTEP A Aet.
COMPANY
LETTER B INA
COMPANY p _
LETTER V Mot,
t
D
COMPANY E -
LETTER
Ted above and are in torte at
or may pertain, the insurano
POLICY
..+ . ^"ON DATE
rablII M
�j
8 -31 -82
vehicle
b
ime. Notw s
rded by the it i
i
Limits A
ROLTLY INJURY
22 1981►
✓POPERTYDAMI ".GE I b 100,
BODII Y INJURY AND
PROPERTYOAMAGE $
COMBINED
PERSONAL NJOP'•
BODILY I.N,:LRY ! $
(EACH PLPSONI
BODILY INlURF !I
(EACH ACCIDENT)
BODILY INJURY 4ND
PROPERTY DAMl p'E � $ 500,
'500,
$100 ,
s
BODILY INJURY AND
aTYDAMACE $1,000, j `1,000,
)MRINED
SIATUIORY
Cancellation: Should any of the above described policies be cancelled before the expiration date thereof. the ISSUIng ren:
pany will xxgt xggxnail 'it) — days written notice to the below narned certificate holder. 41X%kb t.'xxe{kx
x�a[ t�crsPaxQOXx�x�4Asxxxlaf¢ k��i�x�aka��i�cx��La�x�xt�� :iia�t�Kxxxx
(NAME AND ADDRESS OF CEPTIFIC AT F IIOI DER
City of Newport Beach
c/o City Clerk
3300 Newport Blvd.
Newport Beach, CA 93663
ACORD 25 (1 79)
ISSbEO
IVE
• GL 20 10
(Ed. 01 73)
• This endorsement forms a part of the policy to which attached, effective on the inception date of the policy unless otherwise stated herein.
(The following information is required only when this endorsement is issued subsequent to preparation of policy.)
Endorsement effective 8/31/81 Policy No. 59 GL 292879 CCA Endorsement No.
Named Insured Submarine Engineering Assoc.
Countersigned by
(Authorized Represent ve!3
JAY & RENFRO
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following:
COMPREHENSIVE GENERAL LIABILITY INSURANCE
MANUFACTURERS AND' CONTRACTORS LIABILITY INSURANCE
ADDITIONAL INSURED
(Owners or Lessees)
It is agreed that:
1. The "Persons Insured" provision is amended to include as an.insured the person or organization named below but only with respect to liability arising
out of operations performed for such insured by or on behalf of the named insured.
2. The applicable limit of the company's liability for the insurance afforded under the Contractual Liability Insurance Coverage Part forming a part of this
policy shall be reduced by any amount paid as damages under this endorsement on behalf of the person or organization named below.
• Name of Person or Organization
(Additional Insured)
•
CITY OF NEWPORT BEACH
C/O CITY CLERK
3300 NEWPORT BLVD.
NEWPORT BEACH, CALIF. 92663
GL 20 10 01 73
r
'
AGENCY/ ,
BROKER
CODE
NAME
•
a
u
PAYMENT
TAX DISTRICT
TRANS ION
LINE OF
BUSINESS
C
P
POLICY EFF. DATE
DATE TYPED
INITIALS
I
s
i
E
OFFICE CODE
C/S CODE
POLICY EXPIRY DATE
COUNTERSIGNING
CODES No
H
STAT
PLAN
ID
TERRITORY
LIMITS OF LIABILITY
DR.
REC.
FORM OR
CLASS
DISC
PREMIUM
EXPOSURE
STATE
RATE
BI
PD
MED
—�
i
END'T FORM NO.
AMENDED CANCELLATION CONDITION
IT IS AGREED THAT SUCH INSURANCE AS IS AFFORDED BY THE POLICY
SHALL NOT BE CANCELLED OR REDUCED IN COVERAGE UNTIL 30
DAYS AFTER THE PARTY DESIGNATED BELOW SHALL HAVE RECEIVED
NOTICE OF SUCH CANCELLATION OR REDUCTION:
CITY OF NEWPORT BEACH
C/O CITY CLERK
3300 NEWPORT BLVD.
NEWPORT BEACH, CALIF. 92663
IT IS FURTHER AGREED THAT THE FIRST SENTENCE OF THE CANCELLATION
CONDITION OF TEE POLICY IS AMENDED TO READ AS FOLLOWS:
THIS POLICY MAY BE CANCELLID BY THE NAMED INSURED
BY MAILING WRITTEN NOTICE TO THE COMPANY STATING
WHEN, NOT LESS THAN 35 DAYS THEREAFTER, SUCH
CANCELLATION SHALL BE EFFECTIVE,
01 :.
Tins endorsement, issued by one of the below named companies, forms a part of the policy to which attached, effective on the inception date of the
policy unless otherwise stated herein.
(The information below a required only whe. rhit endorsement it hived subsequent to preparation of policy.)
Endorsement effective 8/31/81 Policy No59 GL 292879 CCA Endorsement No.
Named Insured Submarine Engineering Assoc.
Additional Premium $ Return Premium $ BI
In Advance $ $
lsr Anniv. $ $
2nd Anniv.$ $
The /Etna Casualty and Surety Company
The Standard Fire Insurance Company
Hartford, Connecticut
.190455 -1 BI 12 -73
PD
Countersigned b
(Authorized Representati
CAT. 33719
PRINTED IN U.S.A.
i�City of Newport Beach
c/o City Clerk
3300 Newport. Boulevard
Newport Beach, CA 92663
Southern California Edison
Insurance Division
P.O. Box 800
Rosemead, CA 91770
,I The Pacific Telephone & Telegraph Co.,
or Bell Telephone Co. of Nevada
P.O. Box 524, Room 1622
San Diego, CA 92112
Department of Water & Power
City of Los Angeles
P.O. Box 111, Terminal Annex
Los Angeles, CA 90051
W.A. Huscroft:
2529 Santa Ana Avenue
Costa Mesa, CA 92627
Mission Viejo Company
26137 La Paz Road
Mission Viejo, CA 92691
Santa Margarita WzAter District
P.O. Box 2279
Mission Viejo, CA 92690
NAME AND ADDRESS OF AGENCY
AY 3 RENFRO INS. BROKERS
P.U. BOX 1607
N V°?ORT BEACH, CA 92663
NAME AND MAKING ADDRESS OF INSURED
Submarine Engineering Associates
504 31st Street
Newport Beach, California 92663
Type and Location of Property
P
R
0
P
E
R
T
Y
TvP- :, of Insurance
L
1 C Scheduled Form ❑ Comprehensive
A C Premises: Operations
B
I C Products; Currpict: °C l :,: ations
L
7- Contractual
1
C Other (specify below;
T
C Med. Pay $
$ r-
Y
Fcsc�
G Personal Injury
Acar�,
U
C Liability C Non-owned
C Hired
T
C Comprehensive-Deductible
$
0
❑ Collision Deductible
$
M
C Medical Payments
$
0
B
C Uninsured Motorist
$
1
0 No Fault (specify).
L
❑ Other ( specity;,
E
COMPANY
Cravens,
Binder No.
I
9:54
T. r„
Effective 12: Ola m Sept. 30, 19 81
Expires3M 12:01 am C Noon Oct. 30 19 81
=This'.,nder is issued to extend coverage in the above named
j coi::Pany per expiring policy # MU 10- ?,§ : ]].
L _xcept as noreA -
Description of
Coverage /Perils/ Forms
Coverage /Forms
C A C
of Insurance I Ded.
Each Occurrence
Roddy Injury $ $
i
Propariy
Damage $-
Bodily Injury &
Property Damage
Combined
Personal Injury
!Bodily Injury (Each Person) $
iBodliy injury (Each Accident) $
Property Damage 'x
Bodily Injury .& Property Damage
Gombmed $
C WORKERS' COMPENSATION — Statutory Limits (specify states below) _ -, s -Ad P; t;YF ^S !.IABILITY —Limit $
SPECIAL CONDITIONS /OTHER COVERAGES
Binder issued pending receipt of renewal policy #MU 10 -34 -20 for Excess
Umbrella ($1,000,000.00) from the company.
NAME AND ADDRESS OF ❑ MORTGAGEE t_) LOSS PAYEE C ADO 'l INSURED
L.)A'4 n:,^arit u
See attached.
ACORD 75 (11 -77)
of
Jay $ Renfro
Date T
Tory
NAME AND ADDRESS OF AGEN_Y
JAY & RENFRO
P. 0. Box 1607
Newport Beach, Calif. 92663
(714) 645 -9000
NAME AND ADDRESS OF'- INSURED
LORENZO C. MILLER
DBA: SUBMARINE ENGINEERING ASSOCIATES
504 31st Street
Newport Beach, California 92663
This is to certify the[ poifdes of Insurance lilisted bei : -.- c�een iss� :et tc the insured n
Of any contract or other document with respect to wh¢n this certificrr: a may be issue)
terms, exclusions and conditions of Such policies. -
COMPANV I Y PE OF INSURANCE POLICt'NDM1tdER
LETTER
GENERAL ILIA BiinY
- .. .
®C'rin :PPP +EN i:VE FORM
® PREMR'E is F!'RSTfOro7
09 -oON A0.;. CCU Ai'<!
H-IARD
A nNNDERGTS',O) HAZARD 59 GL 227337 CCA
LA) vROOUC'TG COMFI Z t'U
(w� OPERATIONS IIAZAFG
CONTRACTUAL oN9URAN!..11
BROAD FORM FROPERTY
I �;I ,d,11ACC
LJyI m'ULPINJEN^ i'ON'IRACTOPS
PFPSONAi INJJRY
AUTOMOBILE LIABILITY
11 J.'.yFNF- fFN�,VF jRM.
A X�f uv,NFC' 59 FJ 111200 CCA
In�(J ieuED
LAJ NCM OWNEP
EXCESS LIABILITY_._- ......._....
li�''IMRPEI In FORM
COMPANIES AFFORDING COVERAGES
COMPANY A AETNA C & S
LETTER
COMPANY COMPA \' Insurance Compa
C n 004LPTHAnOMB4ELI Bound
FJ
woRKERS COMPENSATION] C 1456367 Including U.S.
B I and 1 Longshoremens & Harbor
EMPLOYERS LIABILITY
OTHER —� � • e s— Act-- COVErage --
DESCRIPTION CE
HIM -311
ny of North
dsualty Com
herein is suLlect to el'. :he
done 41 500
PROPERTY OAMAGL s 100
BODILY INJURY AND I
PROPERTY OANIA•;E 5
COMBINED
oRSONdi.
INJI�4.
BODILY INJUR'r
!EACH nFPSON)
V
1'e,
-ETTER
00aILY IN URY
t
COMPANY
®
\�
LETTER
J
PROPERTY DAh1A-
COMPANY
BODILY fNjURY +'JC
®1�t.. ' yC•:- r\ t�
LETTER
med above and are i�.%
eat tpLilt 6twipfstanding
or may pel't3
^. the 'n tine HNa'rdeg! tlt!p?I�gl s d
C n 004LPTHAnOMB4ELI Bound
FJ
woRKERS COMPENSATION] C 1456367 Including U.S.
B I and 1 Longshoremens & Harbor
EMPLOYERS LIABILITY
OTHER —� � • e s— Act-- COVErage --
DESCRIPTION CE
HIM -311
ny of North
dsualty Com
herein is suLlect to el'. :he
done 41 500
PROPERTY OAMAGL s 100
BODILY INJURY AND I
PROPERTY OANIA•;E 5
COMBINED
AGGREGATE
500
$100
5
$
$1, 000
L.".'., "- ..':11•' :I
Cancellation: Should any of the above described policies be Cancelled before the eapiratu -n date thereof. the :suing, corm
pany will J4IXftAE9 XKX cCmail 'In days written notice to the below named certificate holder. IWxxkxx-xkx
Rk�x1PRhIRRJ f�c3Fk' kkR�Pi3R�CSt4 tR�t�i`. t' RkDf�' Rii: NldkRfx�F' �Y: fhF�iFic4t�9tk�E'R>rR3t3P:�R'it
NAME AND ADDPFSS OF CERTIFICA - F HOLDER
CITY OF NEWPORT BEACH
c/o City Clerk
3300 Newport Blvd.
Newport Beach, Calif. 92663
ACORD 25 (T 79)
DATE ISSJEo-___71 -11 -80 __,
r
AUTHORIZED REPRESENTATIVE
J ay & EZcitFO
ph
oRSONdi.
INJI�4.
BODILY INJUR'r
!EACH nFPSON)
I T
00aILY IN URY
t
8 -31 -81
EAcH AEacEN_.
J
PROPERTY DAh1A-
BODILY fNjURY +'JC
y 5'
5 00
PROPLRTY OAMAf.T
,-
COMBINED
BOD:_ Y INJURY AiYJ
8 -31 -81
..... .p,n Ya rv'Fr
11,000
11 -23 -81
100
AGGREGATE
500
$100
5
$
$1, 000
L.".'., "- ..':11•' :I
Cancellation: Should any of the above described policies be Cancelled before the eapiratu -n date thereof. the :suing, corm
pany will J4IXftAE9 XKX cCmail 'In days written notice to the below named certificate holder. IWxxkxx-xkx
Rk�x1PRhIRRJ f�c3Fk' kkR�Pi3R�CSt4 tR�t�i`. t' RkDf�' Rii: NldkRfx�F' �Y: fhF�iFic4t�9tk�E'R>rR3t3P:�R'it
NAME AND ADDPFSS OF CERTIFICA - F HOLDER
CITY OF NEWPORT BEACH
c/o City Clerk
3300 Newport Blvd.
Newport Beach, Calif. 92663
ACORD 25 (T 79)
DATE ISSJEo-___71 -11 -80 __,
r
AUTHORIZED REPRESENTATIVE
J ay & EZcitFO
ph
Gcoriy 'f I y r ' I tl ��+ . If ,! AJ "+ } }, 1.} 1 ° F
i�1 :_.663
NAME Ar.1� ',;'.DU[ OF AGEUC, COMPANY -
Aetna C & S
- -- - ----- -----
- -- — —
JAY & RENFRO INSURANCE BROKERS Ellechvr12:01 a m October 31, .19 80
P.O. BOX 1607 Expires W 12:01 am C3 Noon Nov. 30 . 19 80
NEWPORT BEACH, CA 92663 ix This binder IS issued to extend coverage in the above named
TEL: (714) 645 -9000 rinnpanv per expinnp policy P r 59, CL 5802.2
NAME AND MAILING ADDRESS OF I': °,11REO Descnptlon of Operation /Vehicles /Property t -
Submarine Engineering
504 31st St.
4
Newport Beach', CA 92663 _
Type and Location of Property Coverage /Perils /Forms -' Amtof Wilrance DA. %
R c
0 It
' E
R
T
Y
Limits
Type of Insurance Coverage /Forms -------- --- - -- - - --
of Liabilit
- L EachOccurrence Aggregate
E) Scheduled Form fii f_ ± i+ly 111Im, $ 500,000 $ 500,000
A fi{l f'rer u�es� Op r +hnrlq r I rv•',
Br 100 000 . 100 000
1 f''r ,Turfs (;gym p'el r•ri ( ?)�eral,on , ,
L fie] Conti w;tual h dlh,
I & Other (spe itybelow)Fire Legal - $25,000. -504 1st St., NB I ,- naer•I
T O A4ed Pay.
❑ Personal In)ury L7 A {_! f' (,1 {' Personal buu %y
A - - _- - - -- Limns of Liability __
U ❑ LlabGty U Non'i,vned r7lfired R• !hi. 1•:p •p IEa h 1'•'"'11) $ - - .°
T ❑ Comprehensive Deductible $ Biddy hl)ury (Each A+cidpnt) $
0 ❑Collision Deductible $
D ❑ Nled,cal Payments $ Pr'.(': Try U;vl"Ipe $
9 ❑ U'- insured NV)tonc( $
•s,
1 0 No Fault (sr eel' -Y)- C: Lilly _11 r •rte U,u i?ai; ?�_ _____
L 0Olher (�e[Ity) :1 $
E
❑ WORKERS' C7r'AFF N:; %,lIC'J - <:I I_Inlr.- r: i, Try qL,., ta•I:_ .1 _ I t t,rt-I 1:111: ! IAlol ...nil $
SPECIAL CONDITIOr4S /OTHLR COVERAGES
Pending renewal issuance from Insurance Co.
NAME ANO A[.JR[: S (.1 [1 NI(if, TT,A : ,I t IJ E L]
Jay and Renfro ;. -.
Eight (8) additional Insureds
see attached list
°.•:1 %::J.u•." A,1(hgr': e•adhve date dl
ACORD 75 It 1-77)
isT A�t 1.1SIIEU tn:3
TELEPHONE 645 9000
AREA CODE 714
TWX 910 596 1356
T. WESTON JAY
MACR.RENFRO
DEE R. RENFRO
WILLIAM W. M,DOWELL
GEORGE D. WEST
BEN BARNETT
ROY E. GIBSON
MARINENA ZIEGLER
RUTH GERRISH
DORRYL KORDIK
P�n�[��n.mnp�n
INSURANCE BROKERS
r0ST OFncr- Box 1607
333 NORTH NEWPORT BOULEVARO
NEWPORT REACH, CALIFORNIA 02663
ADDITIONAL INSUREDS
1. City of Newport Beach
c/o City Clerk
3300 Newport Blvd.
Newport Beach, CA 92663
3. City of Huntington Beach
City Hall
Huntington Beach, CA
5. Brown and Caldwell
150 So. Anoyo Parkway
Pasadena, CA 91105
7. Aminoil USA, Inc.
P.O. Box 191
Huntington Reach, CA
LIFE AND HEALTH DEPT.
1 ELEPHONE 5469003
5469008
AREA CODE 714
W!„1 J R 51 Al 5 J R., C L U.
WM R TRAVFORD
,I�AAGIE COLEMAN
2. Southern California Edison
P.O. Box 800
Rosemead, CA 9177^
4. Department of Fish and Game
116 Oth St.
Sacramento, CA
6. Ocean DesiDn En�ineerinn Corn.
17835 Sky park Circle
Irvine, CA
8. City of Redondo Reach
415 DiamW. St.
Redondo Reach, CA Q0277
e"Ce/ 4,10-17 20
(Gecl.- Submarine En ering
Gentlemen:
Enclosed please find binder of insu
you additional insured.
Thank you,
Janet Mendoza /dl
F
TO City of Newport Beach
L
lrzlc )7uclust
G
ve captioned insured naming
Y ,,�qo- ;'�
JAY & RENFRO
INSURANCE BROKERS
P. O. BOX 1607 — 333 N. NEWPORT BLVD.
NEWPORT BEACH. CALIFORNIA 92663
Phone: 17141 6459000
CXC-7- 0
NAME AND ADDRESS OF AgENfv
r
t shy{,
TC-
-XI �h:ay� lry r i 'vJG.
and {
�Il c , +17 t: t�!,falrll.l I..til.ti; sid�l.Yi.i_�r� ;1 Ic 6289
JAY Z REY:F "O INSURANCE SROKERS
P.O. BO)X 1607
P.IEU +'FORT BEACH, CA 92663
1EL: )714) 645 -9000
%AME AND MAILING AD * *RESS OF iNSURFD
Submarine Engineering
504 31st St.
Newport Beach, CA 92663
L
1
A
13
1
L
I
T
Y
Type and Location of Property
Type of Insurance
❑ Scheduled Form U Comprehensive Form
6C-- Prernlses OUera dons
44 Pr'oducts.- ''Ccunpleted Operabun.s
Contractual
* Other (specify below) Fire Legal- $25,000. -504
* Med. Pay.
Pec::u $ n,,t rnm
(id Personal Infury
A
U
0 Liability 0 Non owned
0 Hved
T
0 Comprehensive Deductible
$
0
0CoVrionDeductible
$
M
0 Medical Payments
$
0
9
❑Urnns,:.:red
0 No Fault (st:ecltp)
L 0 Other (specify).
COMPANY
Eflective12:01 a no August 31 • 19 SO
Expires Q 12:01 ant 0 Noon Oct. 31 , 19 80
® This binder is issued to extend coverage in the above named
company per expinnp policy it _59 2
Description of Operation /Vehicles /iPC1�! i. --
Coverage /Perils /Forms IAunt of ins
i_
Coverage /Forms
1st St. N.B.
Limits of Liabilit
_
Each Occur, enre
Illy Inlu'y fi 50o,o0e.
{:ally
I;r jl'• i_ 100.,000._
lit.: !spay F. -
pClty (ian:dRe
0 A 0 H 0 (, Personal tnplry
Limits of Liabi
118odily injury (Each Accident)
0 WORKERS (Ot1PEN 1 ?IO'1 -- Stahltnry Lut IU lsCer -If+ tiles below)
SPECIAL CONDITIONS /OTHER COVERAGES
1500,000.
1100,o00,
$
$•
$
If'roperty Damage $
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Pending renewal issuance from Insurance Company
NAME ANOADDRF3SOI OMDRILAiEF OIOsSPArLE YJ ADOL INSUM0
Eight (8) additional Insureds -
See attached list
ACORD 75 (1177)
Jay and Renfro
Sgnaturepl Autkonzeti Representative Date
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ESTABLISHED 1923 • •
TELEPHONE 6459000
ARE�CODE 714
TWX 910596 -1356 p��x d��Ilha FTIH lI�c1D
T.
MAC R.RENFR
MAC R. RENFRO
INSURANCE BROKERS
DEE R.
WILLIAM
M W. Mc
WILLIAM W. MCDOWELL
POST OFFICE BOX 1607
GEORGE D. WEST
333 NORTH NEWPORT BOULEVARD
BEN BARNETT
ROY E. GIBSON
NEWPORT BEACH, CALIFORNIA 92663
MARINENA ZIEGLER
RUTH GERRISH
DORRYL KORDIK
ADDITIONAL INSUREDS
1. City of Newport Beach
c/o City Clerk
3300 Newport Blvd.
Newport Beach, CA 92663
3. City of Huntington Beach
City Hall
Huntington Beach, CA
5. Brown and Caldwell
150 So. Anoyo Parkway
Pasadena, CA 91105
7. Aminoil USA, Inc.
P.O. Box 191
Huntington Reach, CA
LIFE AND HEALTH DEPT.
TELEPHONE 546 -9003
546 -9006
AREA CODE 714
WM. J.R SIMS JR.. C.L.U.
WM. R. TRAFFORD
MARGIE COLEMAN
2: Southern California Edison
P.O. Box 800
Rosemead, CA 9177^
4. Department of Fish and Game
116 Oth St.
Sacramento, CA
6. Ocean DesiDn EnCineerinn Corp.
17635 Sky park Circle
Irvine, CA
8. City of Redondo Reach
415 Diamond St.
Redondo Reach, CA on277
E
TO: FINANCE DIRECTOR
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CITY OF NEWPORT BEACH
CALIFORNIA
City Han
3300 W. Newport Blvd,
Area Code 714
FROM: City Cleric
SUBJECT: Contract No. `C-23B7
Description of Contract Tirnkwr Pilp —n Tnsper+irn of 7Qa1*mrt & Balboa Ptiera
Authorized by Resolution No. ,viva , adopted on (auth by C.Mgrk-
Effective date of Contract February 25. 1980
Contract with Submarine Emineerincr Associates M
• •� 1 l I
�uL• i i« ri
Amount of Contract $6.900.00
city Clerk
TECHNICAL SERVICE AGREEMENT
FOR THE
INSPECTION OF THE BALBOA AND NEWPORT PIERS
This Agreement is made and entered into this .25 `rtt day of
f i�r?:✓nP i 1980, by and between the CITY OF NEWPORT BEACH, a municipal
corporation, hereinafter referred to as "City ", and the firm of SUBMARINE
ENGINEERING ASSOCIATES, a General Engineering Contractor, hereinafter refer-
red to as "Contractor ";
WITNESSETH:
WHEREAS, technical inspection services are necessary to determine
the condition of all piles on the Balboa and Newport Piers in the City of
Newport Beach; and
WHEREAS, Contractor has submitted a proposal to perform the necessary
technical inspection of the aforementioned piers and furnish the City a final
written report on the inspection for a total sum of $6,900;
NOW, THEREFORE, the parties agree as follows:
1. GENERAL
F
a. City engages Contractor to furnish the services hereinafter
stipulated and for the compensation herein stated;
b. Contractor agrees to perform such services upon the terms
hereinafter set forth.
2. CONTRACTOR AGREES:
a. To perform the inspection of the aforementioned piers as
called out in the Special Provisions (attached and made
part of this Agreement).
b. To inspect the entire length of all piles for the afore-
mentioned piers.
c. To provide the City a letter -type report showing the find-
ings of the inspection.
3. CITY AGREES:
a. To provide plans and specifications.
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b. To pay Contractor for the inspection of the aforementioned
piers a lump sum of Six Thousand and Nine Hundred Dollars
($6,900) after receipt of the final written report and
approval by the City Engineer.
4. IT IS MUTUALLY UNDERSTOOD AND AGREED:
a. Amendment
The scope of the services to be furnished by Contractor
may be changed and the maximum fee and time period for
completion revised upon prior written authorization of
the City Engineer, and approval of the City Manager.
b. Assignment
This agreement or any portion thereof shall not be assigned
without written consent of City. The underwater diver(s)
performing the inspection operations aforementioned shall
be Steve Holmquist, Mike Cooke, or Jeff Anderson.
c. Hold Harmless
Contractor shall assume the defense of and indemnify and
save harmless the City, and its officers and employees,
from all claims, loss, damage, injury, and liability,
directly arising from any errors, omissions, or negligence
in Contractor's performance of this Agreement, and from the
inspection work and services provided herein.
d. Termination
This Agreement may be terminated at any time by the City
upon three (3) days' written notice to Contractor by placing
said notice in the United States Mail, postage prepaid,
addressed to Contractor's business office. In the event of
termination due to the fault of Contractor, City shall be
relieved of any obligation to compensate Consultant. If
this Agreement is terminated for any reason other than the
fault of Contractor, City agrees to compensate for the actual
services performed up to the effective date of the notice
of termination.
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e. Contractor in Charge
Lorenzo C. Miller, General Engineering Contractor and
owner of Submarine Engineering Associates, Lic. No. 251985
shall be in charge of the inspection and written report.
IN WITNESS WHEREOF, the parties hereto have executed this
Agreement on the date first above written.
APPROVED AS TO FORM:
By: ijv i
C ty Attorne
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CITY OF NEWPORT BEACH
By: c
City Manager
SUBMARINE ENGINEERING ASSOCIATES
By:
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CITY OF NEWPORT BEACH
PUBLIC WORKS DEPARTMENT
SPECIAL PROVISIONS
FOR
INSPECTION OF TIMBER PILES
ON
NEWPORT AND BALBOA PIERS
I. SCOPE OF WORK
The work consists of furnishing all labor, materials, transportation and
equipment required to inspect the existing timber piles of the Newport
Pier and Balboa Pier, as indicated on the City of Newport Beach Drawing
No. H- 5052 -S, consisting of 2 sheets.
The contract requires completion of all work in accordance with these Special
Provisions, the City's Standard Special Provisions, the City's Standard Speci-
fications. The City's Standard Specifications are the Standard Specifications
for Public Works Construction, 1976 Edition. Copies may be purchased from
Building News Inc., 3055 Overland Avenue, Los Angeles, California 90034,
telephone (213) 870 -9871. Copies of the City's Standard Special Provisions may
be purchased from the Public Works Department at a cost of $5.
II. TIME OF COMPLETION
All inspection work and an accompanying report of inspection findings shall be
completed and submitted to the City within 45 calendar days following the date
of authorization to proceed.
III. INSURANCE
The Contractor shall provide insurance as required in Section 7 -4 of the Standard
Specifications and Section 7 -3 of the City's Standard Special Provisions. A
standard "Certificate of Insurance for Contract Work for City" form has been
adopted by the City (sample attached). The Contractor will be required to
complete this form and obtain City's approval prior to the start of any work.
IV. LICENSES
The Contractor must have a valid City business license prior to starting the
inspection work.
V. CONDUCT OF WORK
The Contractor shall keep a minimum of one 10 -foot traffic lane, including a
turnaround at the end of the piers, open to vehicular traffic at all times
during the inspection work.
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C SP2of 2
VI. PAYMENT
The lump sum price of $6,900 shall be full compensation for inspecting the
timber piles, furnishing and installing scaffolding, drilling and plugging
when necessary, pile cleaning, and furnishing a final written report.
VII. METHOD OF INSPECTION
a. General
VIII
IX
The Contractor shall inspect bents 2 through 47 of the Balboa Pier;
bents 5 through 53 of the Newport Pier.
b. Timber Piles
The Contractor shall inspect the entire length of each pile from the pile
cap beams to a minimum of 12 feet below the sand (mud) line. The timber
piles shall be stabbed with a sharp instrument and hit with a heavy hammer
at frequent intervals throughout entire inspection length to ascertain the
solidness of the pile. Portions of sea life shall be removed at the tidal
fluctuation line to allow adequate inspection of this area of the pile.
The Contractor shall note all irregularities in the piles including appear-
ance of holes into the heart of the pile caused by mollusks' (teredos, pholas,
petricola, et al) bores and burrows and interlacing in the soft portion of
the wood grain caused by crustaceans' (limnoria, et al) bores. He shall
also inspect for decay and termites above the tidal zones.
PLANS
The plans are to used for pile location only. The existing sand (mud) lines
may vary from the approximate sand lines indicated on the original construction
plans.
Gt:ull UI
The Contractor shall submit a final written report indicating the present
sand line location of each pile in each structure inspected. The Contractor
shall supplement his report by utilizing available copies of the plans included
with this contract. Location reference shall be made as to pile bent and
number.
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