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CONTRACT 2823 Public Works Contract CLOSEDORIGINAL CITY OF EL SEGUNDO ' PUBLIC WORKS CONTRACT THIS AGREEMENT is made and entered into this 5th day of September, 2000 by and between the CITY OF EL SEGUNDO, a municipal corporation, hereinafter called "CITY," and TRANSPORTABLE TREATMENT SERVICES, INC., hereinafter called "CONTRACTOR." CITY, by its Notice Inviting Bids, duly advertised for written bids to be submitted on or before AUGUST 15, 2000, for the following: LINING OF SANITARY SEWER ACCESS STRUCTURES — PROJECT NO.: PW 00 -12 hereinafter called "PROJECT." At said time, in the Office of the City Clerk of the City of El Segundo, said bids were duly opened. At its regular meeting held on SEPTEMBER 5, 2000 the City Council duly accepted the bid of CONTRACTOR for said PROJECT as being the lowest responsible bid received and directed that a written contract be entered into with CONTRACTOR. NOW, THEREFORE, in consideration of the premises and of the mutual covenants and agreements herein contained, said parties do hereby agree as follows: ARTICLE I The Contract Documents for the PROJECT shall consist of the Notice Inviting Bids, Instructions to Bidders, General Specifications, Standard Specifications, Special Provisions, Plans, CONTRACTOR'S Proposal, and all referenced specifications, details, standard drawings, and appendices, together with this Contract and all required bonds, insurance certificates, permits, notices and affidavits, and also including any and all addenda or supplemental agreements clarifying, amending, or extending the work contemplated as may be required to insure its completion in an acceptable manner. All of the rights and obligations of CITY and CONTRACTOR are fully set forth and described in the Contract Documents. All of the above - mentioned documents are intended to complement the other documents so that any work called for in one, and not mentioned in the others, or vice versa, is to be executed the same as if mentioned in all of said documents. The documents comprising the complete contract are hereinafter referred to as the CONTRACT DOCUMENTS and are incorporated herein by this reference and made a part hereof as though they were fully set forth herein. ARTICLE II For and in consideration of the payments and agreements to be made and performed by CITY, CONTRACTOR hereby agrees to furnish all materials and perform all work required for the PROJECT and to fulfill all other obligations as set forth in the CONTRACT DOCUMENTS. I -D -1 NASPECS.PRMW00 -12.01 (8121/00) ARTICLE III CONTRACTOR hereby agrees to receive and accept the amounts set forth in its Proposal, a copy of which is enclosed herewith, marked Exhibit "A" and by this reference incorporated herein and made a part hereof as though fully set forth herein, as full compensation for furnishing all materials, performing all work, and fulfilling all obligations hereunder. Said compensation shall cover all expenses, losses, damages, and consequences arising out of the nature of the work during its progress or prior to its acceptance including those for well and faithfully completing the work and the whole thereof in the manner and time specified in the CONTRACT DOCUMENTS, and also including those arising from actions of the elements, unforeseen difficulties or obstructions encountered in the prosecution of the work, suspension or discontinuance of the work, and all other unknowns or risks of any description connected with the work. ARTICLE IV CITY hereby promises and agrees to employ, and does hereby employ, CONTRACTOR to provide the materials, do the work, and fulfill the obligations according to the terms and conditions herein contained and referred to, for the said amounts set forth in ARTICLE III hereof, and hereby agrees to pay the same at the time, in the manner, and upon the conditions set forth in the CONTRACT DOCUMENTS. In addition, CONTRACTOR hereby promises and agrees to comply with all of the provisions of the Federal Immigration and Nationality Act (8 USCA 1101, et sea.), as amended; and, in connection therewith, shall not employ unauthorized aliens as defined therein. Should CONTRACTOR so employ such unauthorized aliens for the performance of work and /or services covered by this contract, and should the Federal Government impose sanctions against the CITY for such use of unauthorized aliens, CONTRACTOR hereby agrees to, and shall, reimburse CITY for the cost of all such sanctions imposed, together with any and all costs, including attorney's fees, incurred by the CITY in connection therewith. I -D -2 I•D -2.MST (9/28195) ARTICLE V Contract time shall commence on the date specified in the Notice to Proceed to be issued to said CONTRACTOR by the Department of Public Works of CITY and shall complete work on the PROJECT as outlined in the Specifications which are a part thereof. ARTICLE VI CONTRACTOR shall assume the defense of and indemnify and save harmless the CITY, its elective and appointive boards, officers, agents and employees, from any liability for damage or claims for damage for personal injury, including death, as well as from claims for property damage which may arise from CONTRACTOR'S or any of subcontractor's operations under this CONTRACT, whether such operations be by CONTRACTOR or subcontractor, or subcontractor's, or by any one or more persons directly or indirectly employed by, or action as agent for, CONTRACTOR or any subcontractor or subcontractors. CONTRACTOR agrees to, and shall, defend CITY and its elective and appointive boards, officers, agents and employees from any suits or actions at law or in equity for damages caused, or alleged to have been caused, by reason of any of the aforesaid operations; provided (a) That CITY does not, and shall not, waive any rights against CONTRACTOR which it may have by reason of the aforesaid hold harmless agreement because of the acceptance by CITY, or the deposit with CITY by CONTRACTOR, of any of the insurance policies hereinafter described in this Agreement. (b) That the aforesaid hold harmless agreement by CONTRACTOR shall apply to all damages and claims for damages or every kind suffered, or alleged to have been suffered, by reason of any of the aforesaid operations of CONTRACTOR or any subcontractor, regardless of whether or not such insurance policies shall have been determined to be applicable to any of such damages or claims for damages. ARTICLE VII CONTRACTOR, before commencing said PROJECT, shall furnish and file with CITY a bond, or bonds, in a form satisfactory to the CITY, in the sum of one hundred percent (100 %) of the contract price thereof conditioned upon the faithful performance of this contract and upon the payment of all labor and materials furnished in connection with this contract. I -D -3 I- D-IMST (9/28/95) ARTICLE VIII CONTRACTOR shall not commence work under this contract until CONTRACTOR shall have obtained all insurance required by the CONTRACT DOCUMENTS and such insurance shall have been approved by CITY as to form, amount and carrier, nor shall CONTRACTOR allow any subcontractor to commence work on any subcontract until all similar insurance required of the subcontractor shall have been so obtained and approved by the City. (a) COMPENSATION INSURANCE. CONTRACTOR shall take out and maintain, during the life of this contract, Workers' Compensation Insurance for all of CONTRACTOR'S employees employed at the site of improvement; and, if any work is sublet, CONTRACTOR shall require the subcontractor similarly to provide Workers' Compensation Insurance for all of the latter's employees, unless such employees are covered by the protection afforded by CONTRACTOR If any class of employees engaged in work under this contract at the site of the PROJECT is not protected under any Workers' Compensation law, CONTRACTOR shall provide and shall cause each subcontractor to provide adequate insurance for the protection of employees not otherwise protected. CONTRACTOR shall indemnify CITY for any damage resulting to it from failure of either CONTRACTOR or any subcontractor to take out or maintain such insurance. Evidence of the satisfaction of this requirement shall be submitted to and approved by the City. (b) COMPREHENSIVE GENERAL LIABILITY PRODUCTS/ COMPLETED OPERATIONS HAZARD, COMPREHENSIVE AUTOMOBILE LIABILITY AND CONTRACTUAL GENERAL LIABILITY INSURANCE. CONTRACTOR shall take out and maintain during the life of this contract such comprehensive general liability, products /completed operations hazard, comprehensive automobile liability and contractual general liability insurance as shall protect CITY, its elective and appointive boards, officers, agents and employees, CONTRACTOR, and any subcontractor performing work covered by this contract, from claims for damage for personal injury, including death, as well as from claims for property damage which may arise from CONTRACTOR'S or any subcontractor's operations under this contract, whether such operations be by CONTRACTOR or by any subcontractor, or by anyone directly or indirectly employed by either CONTRACTOR or any subcontractor, and the amounts of such insurance shall be as follows : (1) Public Liability Insurance in an amount of not less than ONE MILLION DOLLARS ($1,000,000); (2) Products /Completed Operations Hazard Insurance in an amount of not less than ONE MILLION DOLLARS ($1,000,000); I -D4 I•D -4.MST (9(28195) (3) Comprehensive Automobile Liability Insurance in an amount of not less than ONE MILLION DOLLARS ($1,000,000); and, (4) Contractual General Liability Insurance in an amount of not less than ONE MILLION DOLLARS ($1,000,000). A combined single limit policy with aggregate limits in an amount of not less than TWO MILLION DOLLARS ($2,000,000) shall be considered equivalent to the said required minimum limits set forth hereinabove. (c) PROOF OF INSURANCE. The CITY shall be named as "additional insured" on all policies required hereunder, and CONTRACTOR shall furnish CITY, concurrently with the execution hereof, with satisfactory proof of carriage of the insurance required, and adequate legal assurance that each carrier will give CITY at least thirty (30) days' prior notice of the cancellation of any policy during the effective period of this contract, by certified or registered mail. (d) NOTICE TO COMMENCE WORK. The CITY will not issue any notice authorizing CONTRACTOR to commence work under his contract until CONTRACTOR has provided to the CITY the proof of insurance as required by subparagraph (c) of this article. ARTICLE IX The parties agree that it would be impractical and extremely difficult to fix the actual damages to the CITY in the event the PROJECT is not commenced and /or completed on or before the dates specified for commencement and completion of the PROJECT in the CONTRACT DOCUMENTS. The parties have considered the facts of a breach of this contract and have agreed that the liquidated damages sum hereinafter set forth is reasonable as liquidated damages in the event of a breach, and that said sum shall be presumed to be the amount of the damages sustained by the CITY in the event of such a breach. The parties therefore agree that in the event such work is not begun and /or completed and accepted by the times so specified in the CONTRACT DOCUMENTS, the sum of TWO HUNDRED FIFTY DOLLARS ($250.00) shall be presumed to be the amount of damages suffered by the CITY for each day's delay in the starting and /or completion and acceptance of said PROJECT after the dates specified in the CONTRACT DOCUMENTS for the start and /or completion thereof, and CONTRACTOR hereby agrees to pay said sum of TWO HUNDRED FIFTY DOLLARS ($250.00) as liquidated damages for each day of delay in the starting and /or completion and acceptance of said PROJECT beyond the dates specified in the CONTRACT DOCUMENTS. Any and all such liquidated damages assessed shall be done so in accordance with the Standard Specifications for Public Works Construction, 1991 Edition. I -D -5 I- D -5.MST (9R8M) ARTICLE X This contract shall not be assignable, either in whole or in part, by the CONTRACTOR without first obtaining the written consent of the CITY thereto. ARTICLE XI The provisions of this Agreement are cumulative and in addition to and not in limitation of any rights or remedies available to CITY. IN WITNESS WHEREOF, the parties hereto have caused this contract to be executed on the date first above written by their respective officers duly authorized in that behalf. CITY: City of El Segundo a Municipal Corporation By :A41 Mike Gordon, Mayor Approved as to Form W: -� c,i� Mark D. Rensley City Attorney Attest: B indy r se City CI NASPECS.MTW00 -11.06 (8/21/00) CONTRACTOR: Transportable Treatment Services, Inc. By: 4 Print/Type Name: Tony Boldaji Title: Vice President Contractor's License No.: 704729 City of El Segundo Business License No.: 18278 Federal Tax Identification No.: 33- 0467300 I -D -6 BOND NO. 8 SB 103379591 BCH MATERIAL AND LABOR BOND FOR THE LINING OF SANITARY SEWER ACCESS STRUCTURES IN THE CITY OF EL SEGUNDO SPECIFICATIONS NO,: PW 00.12 KNOW ALL MEN BY THESE PRESENTS that TRANSPORTABLE TREATMENT SERVICES, INC., CONTRACTOR and TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA as SURETY, are held and firmly bonded unto the City of El Segundo, In the penal sum of FIFTY THOUSAND DOLLARS AND 00/100 ($50,000.00), which Is one hundred percent (100 %) of the total contract amount for the above stated project, for the payment of which sum, CONTRACTOR and SURETY agree to be bound, Jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas CONTRACTOR has been awarded and is about to enter Into the annexed Contract with the City of El Segundo for the above stated project, if CONTRACTOR or any subcontractor fails to pay for any labor or material of any kind used in the performance of the work to be done under sald contract, or fails to submit amounts due under the State Unemployment Insurance Act with respect to said labor, SURETY will pay for the same In an amount not exceeding the sum set forth above, whlch amount shall Insure to the benefit of all persons entitled to file claims under the State Code of Civil Procedures; provided that any alterations In the work to be done, materials to be furnished, or time for completion made pursuant to the terms of the contract documents shall not in any way release either CONTRACTOR and SURETY, and notice of said alterations is hereby waived by SURETY. IN WITNESS WHEREOF the parties hereto have set their names, titles, hands and seals this 13th day of SEPTEMBER 20 00 CONTRACTOR* TRANSPORTABLE TREATMENT SERVICES, INC. BY: a Tony Boldaji, V ce President SURETY* TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA BY: li&u� 4�&� EILEEN ,, ATTORNEY -IN -FACT 215 Shuman Blvd., Naperville, IL 60563 -8458 Telephone: (630) 961 -7 JOAN C. SCHWING Subscribed and sworn to this da of 20 �� COMM 1126234 y s NOTARY PUBLIC - CAVORM - NTY LOS ANGELES COU n NOTARY PUBLIC �,,,,, ,,,- My Comm. Expires rib. 6.2001 Provide CONZCTOWSURETY name, address and telephone number and the name, title, address and telephone number for authorized representative. 1 -F -1 NASPECS.PRJ \PW- 12.IF1 (6/22/00) TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA TRAVELERS CASUALTY AND SURETY COMPANY FARMINGTON CASUALTY COMPANY Hartford, Connecticut 06183 -9062 TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS Naperville, Illinois 60563 -8458 POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORNEYS) -IN -FACT KNOW ALL PERSONS BY THESE PRESENTS, THAT TRAVELERS CASUALTY AND SURETY COMPANY OF TY COMPANY AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY City O Hartford, corporations duly organized under the laws of the State of Connecticut, and having their principal offices ir. , County of Hartford, State of Connecticut, and TRAVELERS CASUALTY AND SURETY COMAAN N OF ILLINOIS, of corporation duly organized under the laws of the State of Illinois, and having its principal office in the City pe DuPage, State of Illinois, (hereinafter the "Companies ") hath made, constituted and appointed, and do by these presents make, constitute and appoint: Dwight F. Miller, David C. Banks, Janice B. Kaplan, Kevin P. Nagel, Jeffrey S. Malecek, Terry J. Reckamp, Lorraine Pozezinski, Eileen Lucitt, Carol F. Tasciotti, Evonne Brown, Adele M. Korczak, Grace Villarreal, Gail Schroeder, Craig Goesel, Jeffrey A. Zehr, Rebecca L. Dauparas, Barbara J. Bailey, Chad Berberich, Cindy Genslinger, Gina M. Damato, Meredith C. Covelli, Thomas A. Pictor, Juli Giorgianni, Erik Janssens, Jane Bronson, Nan -Yi Chen or Carrie M. Roder * * of Naperville, EL, their true and lawful Attorney (s) -in -Fact, with full power and authority hereby conferred to sign, execute and acknowledge, at any place within the United States, or, if the following line be filled in, within the area there designated the following instrument(s): STATE OF ILLINOIS ) ) SS. COUNTY OF KENDALL ) "OFFICIAL SEAL" Gina M. Damato Notary Public, State of Illinois My Commission Expires 4/5/ 2004 5-2429 (07 -97) 1, GINA M. DAMATO a Notary Public in and for said County and State, do hereby certify that Resident Vice President, and Resident Assistant Secretary, EILEEN LUCITT Attorney -in -Fact, of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, who is personally known to me to be the same person — whose name is subscribed to the foregoing instrument, appeared before me this day in person, and acknowledged that he signed, sealed and delivered said instrument, for and on behalf of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, for the uses and purposes therein set forth. Given under my hand and notarial seal, this 13th day of SEPTEMBER 2000 , ► oY ' Notary Public rn writing and a copy inereor is tired m the orrice or the secretary. VOTED: That any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Assistant Secretary, su er,(th duo Corporate d (under osr any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or required) by one or more Attomeys -in -Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority. This Power of Attorney and Certificate of Authority is signed and sealed by facsimile under and by authority of the following Standing Resolution voted by the Boards of Directors of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY, FARMINGTON CASUALTY COMPANY and TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS, which Resolution is now in full force and effect: VOTED: That the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice to any President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile act for power of attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorney - purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such power attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed nd or certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company in the future with respect to any undertaking to which it is attached. (8-97) IN WITNESS WHEREOF, TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY, FARMINGTON CASUALTY COMPANY and TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS have caused this instrument to be signed by their Senior Vice President, and their corporate seals to be hereto affixed this 10th day of March, 2000. STATE OF CONNECTICUT ) SS. Hartford COUNTY OF HARTFORD N-ly AND WMA N. � NARTFORO, < c TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA TRAVELERS CASUALTY AND SURETY COMPANY FARMINGTON CASUALTY COMPANY TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS G►.su,44 -0 i "1 952 o SM BY ; • D; 1 George W. Thompson Senior Vice President On this 10th day of March, 2000 before me personally came GEORGE W. THOMPSON to me known, who, being by me duly sworn, did depose and say: that he/she is Senior Vice President of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY, FARMINGTON CASUALTY COMPANY and TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS, the corporations described in and which executed the above instrument; that he/she knows the seals of said corporations; that the seals affixed to the said instrument are such corporate seals; and that he/she executed the said instrument on behalf of the corporations by authority of his/her office under the Standing Resolutions thereof. My commission expires June 30, 2001 Notary Public Marie C. Tetreault CERTIFICATE I, the undersigned, Assistant Secretary of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, stock corporations of the State of Connecticut, and TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS, stock corporation of the State of Illinois, DO HEREBY CERTIFY that the foregoing and attached Power of Attorney and .Certificate of Authority remains in full force and has not been revoked; and furthermore, that the Standing Resolutions of the Boards of Directors, as set forth in the Certificate of Authority, are now in force. Signed and Sealed at the Home Office of the Company, in the City of Hartford, State of Connecticut. Dated this 13th day of SEPTEMER > 2000- "N" r%, '(v ANO GAsu %`)y �0fWlflrC 'gJ JG,, .r. Ol�lt� yv Opro " y m FO a7J `� SEAL 2 By NARTFORD, < n 1 9 3 2 0 0 0 W HART ° x r 1971 R Kori M. Johanson CONN. - -_ -I- ���� �bry , ,.�,s �,`� " °s+ Assistant Secretary, Bond 2P r I, BOND NO. 8 SB 103379591 BCN FAITHFUL PERFORMANCE BOND FOR THE LINING OF SANITARY SEWER ACCESS STRUCTURES IN THE CITY OF EL SEGUNDO SPECIFICATIONS NO.: PW 00.12 KNOW ALL MEN BY THESE PRESENTS that TRANSPORTABLE TREATMENT SERVICES, INC., CONTRACTOR and TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA as SURETY, are held and firmly bonded unto the City of El Segundo, in the penal sum Of FIFTY THOUSAND DOLLARS AND 00 /100 ($54,000.00), which Is one hundred percent (100 %) of the total contract amount for the above stated project, for the payment of which Sum, CONTRACTOR and SURETY agree to be bound, jointly and severally, firmly by these presents, THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas CONTRACTOR has been awarded and is about to enter into the annexed Contract with the City of El Segundo for the above stated project, If CONTRACTOR faithfully performs and fulfills all obligations under the contract documents In the manner and time speclfied therein, then this obligation shall be null and void, otherwise It shall remain in full force and effect in favor of the City of El Segundo; provided that any alterations In the obligations or time for completion made pursuant to the terms of the contract documents shall not In any way release either CONTRACTOR or SURETY, and notice of such alterations Is hereby waived by SURETY. IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seals this 13th day of SEPTEMBER 20 00 CO TRANSPORTABLE TREATMENT SERVICES, INC. BY: Tony a' Vice resident SURETY' TRAVELERS cASU TY AND SURETY COMPANY OF AMERICA BY: EILEEN LOCI ATTORNEY -IN -FACT 215 Shuman Blvd., Naperville, IL 60563 -8458 Telephone: (630) 961 -7 36�' JOAN C. SCHWING Subscribed and sworn this _ day of , 20 (L-!� COMM. r 1126234 NOTARY PUBLIC - CALIF0W LOS ANGELES Coulm n �^ N, MY Caron. Expires Fib. i, 2001 ► NOTARY PUBLIC � ` Provide CON CTOR/SURETY name, address and telephone number and the name, title, address and telephone number for authorized representative, I -E -1 NASPECS.PRJTW00.12.IE1 (0/22/00) TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA TRAVELERS CASUALTY AND SURETY COMPANY FARMINGTON CASUALTY COMPANY Hartford, Connecticut 06183 -9062 TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS Naperville, Illinois 60563 -8458 POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORNEY(S)-IN-FACT KNOW ALL PERSONS BY THESE PRESENTS, THAT TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, corporations duly organized under the laws of the State of Connecticut, and having their principal offices in the City of Hartford, County of Hartford, State of Connecticut, and TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS, a corporation duly organized under the laws of the State of Illinois, and having its principal office in the City of Naperville, County of DuPage, State of Illinois, (hereinafter the "Companies ") hath made, constituted and appointed, and do by these presents make, constitute and appoint: Dwight F. Miller, David C. Banks, Janice B. Kaplan, Kevin P. Nagel, Jeffrey S. Malceek, Terry J. Reckamp, Lorraine Pozezinski, Eileen Lucitt, Carol F. Tasciotti, Evonne Brown, Adele M. Korczak, Grace Villarreal, Gail Schroeder, Craig Goesel, Jeffrey A. Zehr, Rebecca L. Dauparas, Barbara J. Bailey, Chad Berberich, Cindy Genslinger, Gina M. Damato, Meredith C. Covelli, Thomas A. Pictor, Juli Giorgianni, Erik Janssens, Jane Bronson, Nan -Yi Chen or Carrie M. Roder * * of Naperville, IL, their true and lawful Attorneys) -in -Fact, with full power and authority hereby conferred to sign, execute and acknowledge, at any place within the United States, or, if the following line be filled in, within the area there designated the following instrument(s): by his/her sole signature and act, any and all bonds, recognizances, contracts of indemnity, and other writings obligatory in e ts incident thereto nature of a bond, recognizance, or conditional undertaking and any and all consen STATE OF ILLINOIS ) ) SS. COUNTY OF KENDALL ) "OFFICIAL SEAL" Gina M. Damato Notary Public, State of Illinois My Commission Expires 4/5/2004 5-2429 (07 -97) I, GINA M. DAMATO a Notary Public in and for said County and Resident State, do hereby certify that Resident Assistant Vice President, and Attorney -in Fact, of Secretary, EILEEN LUCITT TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, who is personally known to me to be the same person _ whose name is subscribed to the foregoing instrument, appeared before me this day in person, and acknowledged that he signed, sealed and delivered said instrument, for and on behalf of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, for the uses and purposes therein set forth. Given under my hand and notarial seal, this 13th day of SEPTEMBER 2000 . Notary Public undertaking shall be valid and binding upon the Compan y when (a) signed by the President, any Vice Chairman, any Executive vice rresuaenr, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary, or (b) duly executed (under seal, if required) by one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority. This Power of Attorney and Certificate of Authority is signed and sealed by facsimile under and by authority of the following Standing Resolution voted by the Boards of Directors f TRAVELERS NiP ARMIN�GTON CASUALTY COMPANY and AMERICA, TRAVELERS CASUALTY AND SURETY TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS, which Resolution is now in full force and effect: VOTED: That the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice to any President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsl Fact for power of attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorney - purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Compan y in the future with respect to any bond or undertaking to which it is attached. (8-97) 1N WITNESS WHEREOF, TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY, FARMINGTON CASUALTY COMPANY and TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS have caused this instrument to be signed by their Senior Vice President, and their corporate seals to be hereto affixed this 10th day of March, 2000. STATE OF CONNECTICUT }SS. Hartford COUNTY OF HARTFORD gyp fWi�O cy- bJp\.f Y ANO rG m HARTFORD, '< N. a WWL GNSU,q�� (3 TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA TRAVELERS CASUALTY AND SURETY COMPANY FARMINGTON CASUALTY COMPANY TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS qqq tr° �rQ y 40p�Oq��� i6 I r� s�Y Y 1 °971 e a George W. Thompson LINO\ . c+ Senior Vice President On this 10th day of March, 2000 before me personally came GEORGE W. THOMPSON to me known, who, being by me duly sworn, did depose and say: that he/she is Senior Vice President of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY, FARMINGTON CASUALTY COMPANY and TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS, the corporations described in and which executed the above instrument; that he/she knows the seals of said corporations; that the seals affixed to the said instrument are such corporate seals; and that he/she executed the said instrument on behalf of the corporations by authority of his/her office under the Standing Resolutions thereof. p.TEr * �uelaa *. My commission expires June 30, 2001 Notary Public Marie C. Tetreault CERTIFICATE I, the undersigned, Assistant Secretary of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, stock corporations of the State of Connecticut, and TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS, stock corporation of the State of Illinois, DO HEREBY CERTIFY that the foregoing and attached Power of Attorney and Certificate of Authority remains in full force and has not been revoked; and furthermore, that the Standing Resolutions of the Boards of Directors, as set forth in the Certificate of Authority, are now in force. Signed and Sealed at the Home Office of the Company, in the City of Hartford, State of Connecticut. Dated this 13th day of SEPTEMER , 2000 f ` Jr%.ty ANO' GASUj- Wrp yySl �'p 4r G� �O�i` • y 40pPon_ - a7 c HARTFORD i tl �� a s j� n 5 sEAI ' B�/ FUCTmFORD, US CONN. n Z • 1071 g Kori M. Johanson �• �\��£ �`dl ttNO �r��ro �byy • H�,a�� S Assistant Secretary, Bond PROPOSAL FOR THE LINING OF SANITARY SEWER ACCESS STRUCTURES IN THE CITY OF EL SEGUNDO SPECIFICATIONS NO.: PW 00 -12 TO THE CITY OF EL SEGUNDO: In accordance with the City of El Segundo's Notice Inviting Sealed Bids, the undersigned BIDDER hereby proposes to furnish all materials, equipment, tools, labor, and incidentals required for the above stated project as set forth in the Plans, Specifications, and contract documents therefor, and to perform all work in the manner and time prescribed therein. BIDDER declares that this proposal is based upon careful examination of the work site, Plans, Specifications, Instructions to Bidders, and all other contract documents. Submittal of this bid shall be considered evidence that the BIDDER has satisfied himself regarding the contract documents, access and any other field conditions which may effect bid prices. If this proposal is accepted for award, BIDDER agrees to enter into a contract with the City of El Segundo at the unit and /or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to the City of El Segundo of the proposal guarantee accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids, and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE CITY OF EL SEGUNDO RESERVES THE RIGHT TO INCREASE OR DECREASE THE AMOUNT OF ANY QUANTITY SHOWN AND TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and /or lump sum prices bid include all apparent expenses, taxes, royalties, and fees. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. If awarded the Contract, the undersigned further agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within ten working days after the date of the City of El Segundo's notice of award of contract to the BIDDER, including sending by U.S. Mail a Public Works Contract for signature by the Awardee, the proceeds of the security accompanying this bid shall become the property of the City of El Segundo and this bid and the acceptance hereof may, at the City of El Segundo's option, be considered null and void. 1 -C -1 NASPECSASTIPW JC1 (315199) EQUAL EMPLOYMENT OPPORTUNITY COMPLLANCE BIDDER certifies that in all previous contracts or subcontracts, all reports which may have been due under the requirements of any agency, State, or Federal equal employment opportunity orders have been satisfactorily filed, and that no such reports are currently outstanding. A1LIRMATIVE ACTION CERTIFICATION BIDDER certifies that affirmative action has-been taken to seek out and consider minority business enterprises for those portions of the work to be subcontracted, and that such affirmative actions have been .fully documented, that said documentation is open to inspection, and that said affirmative action will remain in effect for the life of any contract awarded hereunder. Furthermore, BIDDER certifies that affirmative action will be taken to meet all equal employment opportunity requirements of the contract documents. NONCOLLUSION AFFIDAVIT BIDDER declares that the only persons or parties interested in this proposal as principals are those named herein; that no officer, agent, or employee of the City of El Segundo is personally interested, directly or indirectly, in this proposal; that this proposal is made without connection to any other individual, firm, or corporation making a bid for the same work and that this proposal is in all respects fair and without collusion or fraud. I -C -2 I -02.hm (9/U/95) BID SHEET I de-t ESTIMATED QUANTITIES DESCRIPTION (UNIT PRICE WRITTEN IN WORDS) UNIT PRICE IN FIGURES TOTAL AMOUNT 500 FEET OF TOTAL LINING OF SANITARY SEWER $ 100.00 $ 50,000.00 DEPTH ACCESS STRUCTURES @ $100.00 PER FOOT OF DEPTH TOTAL BID $ 50, 000.00 TOTAL BID WRITTEN IN WORDS Fifty Thousand Dollars And Zero Cents. I -C -3 (Page 1 of 1) BIDDER'S INFORMATION - ' BIDDER certifies that the following information is true and correct: Bidder's Name Transportable Treatment Services, Inc. Form of Legal Entity (i.e., individual, partnership, corporation, etc.) Corporation If corporation, State of Incorporation (i.e., California) Delaware Business 1461 Harbor Avenue Address Long Beach, CA 90813 Telephone No. ( 562) 435 -5700 FAX No. ( 562) 436 -6795 State Contractor's License No. and Class 704729 ; C42 Original Date Issued 1991 Expiration Date 04/30/2001 The following are the names, titles, addresses, and phone numbers of all individuals, firm members, partners, joint venturers, and /or corporate officers having principal interest in this proposal: Julius Hemmelstein President 1461 Harbor Ave., JOng Beach, CA 90813 Tony Boldaji V.P. /C.0.0. 1461 Harbor Ave., Long Beach, CA 90813 Dennis Keene Exe. V.P. 1461 Harbor Ave., Lonq Beach, CA 90813 The date of any voluntary or involuntary bankruptcy judgements against any principal having an interest in this proposal are as follows: None All current and prior DBA's, alias, and/or fictitious business names for any principal having an interest in this proposal are as follows: N/A I -C4 ] -CAMST (9/28A5) IN WITNESS WHEREOF, BIDDER executes and submits this proposal with the names, titles, hands, and seals of all aforenamed principals this 10 day of Aucaust XV 00 . 20 BIDDER Transportable Treatment Services, Inc. 1461 Harbor Avenue Long Beach, CA 90813 Subscribed and sworn to this „/c _ day of Tft NOTARY PUBLIC I -C -S I- C -5.MST (gram) BID BOND ACCT f 8 SB 5683539 BCN PROPOSAL GUARANTEE BID BOND LINING OF SANITARY SEWER ACCESS STRUCTURES IN THE CITY OF EL SEGUNDO SPECIFICATIONS NO.: PW co•-IZ KNOW ALL MEN BY THESE PRESENTS that, TRANSPORTABLE TREATIENT SERVICES, INC. , as BIDDER, and TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA , as SURETY, are held and firmly bound unto the City of El Segundo, In the penal sum of Five Thousand DOLLARS ($500¢ which Is ton (10 %) percent of the total amount bid by BIDDER to the City of El Segundo for the above stated project, for the payment of which sum, BIDDER and SURETY agree to be bound, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas BIDDER Is about to submit a bid to the City of El Segundo for the above stated project, If said bid Is rejected, or If said bid is accepted and a contract Is awarded and entered Into by BIDDER In the manner and time specified, then this obligation shall be null and void, otherwise it shall remain In full force and effect In favor of the City of El Segundo. IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seals this 15th day of AUGUST 20 00 BIDDER' TRAM LE TREATMENT SERVICES, INC. BY: Tony Bo' j i , V.P. SURETY* TRAYE CASUALTY SURETY COMPANY OF AMERICA EI.LEEN LOCITT, ATTORNEY -IN -FACT Telephone: (630) 961 -7036 215 Shman Blvd., Naperville, IL 60563 -8458 Subscrlbad and sworn to this _10 day of -August 20 00, JOAN r crr +r;yfti� NOTARY UBLIC P \ / � C\�ry� . • NOT.!.r °li ?i l" • Ck�ORf�. // tQS AN::;IES CO(Nry Provide BIDbER1SURETY name, address and telephone M, Comm, Ex FS. 6.2W f the name, title, address and telephone number for authorized representative. I•C•6 N:%SPEC8.PRJWW (3/2100) TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA TRAVELERS CASUALTY AND SURETY COMPANY U Zm ,} ' FARMINGTON CASUALTY COMPANY Hartford, Connecticut 06183 -9062 TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS Naperville, Illinois 60563 -8458 POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORNEY(S)-IN-FACT KNOW ALL PERSONS BY THESE PRESENTS, THAT TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, corporations duly organized under the laws of the State of Connecticut, and having their principal offices in the City of Hartford, County of Hartford, State of Connecticut, and TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS, a corporation duly organized under the laws of the State of Illinois, and having its principal office in the City of Naperville, County of DuPage, State of Illinois, (hereinafter the "Companies ") hath made, constituted and appointed, and do by these presents make, constitute and appoint: Dwight F. Miller, David C. Banks, Janice B. Kaplan, Kevin P. Nagel, Jeffrey S. Malecek, Terry J. Reckamp, Lorraine Pozezinski, Eileen Lucitt, Carol F. Tasciotti, Evonne Brown, Adele M. Korczak, Grace Villarreal, Gail Schroeder, Craig Goesel, Jeffrey A. Zehr, Rebecca L, Dauparas, Barbara J. Bailey, Chad Berberich, Cindy Genslinger, Gina M. Damato, Meredith C. Covelli, Thomas A. Pictor, Juli Giorgianni, Erik Janssens, Jane Bronson, Nan -Yi Chen or Carrie M. Roder * * of N~rvillr.. TT.. their trne and lawful Attornev(s) -in -Fact with full power and authority hereby conferred to sim execute and STATE OF ILLINOIS ) L GINA M. DAMATO a Notary Public in and for said County and ) SS. State, do hereby certify that Resident COUNTY OF KENDALL ) Vice President, and Resident Assistant Secretary, EILEEN WCITT Attorney -in -Fact, of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, - OFFICIAL SEAL' who i s personally known to me to be the same person _ whose m Gina M. Daato name 1 subscribed to the foregoing instrument, appeared before me this Notary Public, State of Illinois day in person, and acknowledged that he signed, sealed and My Commission Expires 462004 delivered said instrument, for and on behalf of TRAVELERS CASUALT`' AND SURETY COMPANY OF AMERICA, for the uses and pr- therein set forth. Given under my hand and notarial seal, this _ of AUGUST 2000 Me y in S -2429 (07 -97) ! such President relegation is in writing and a copy thereof is filed in the office of the Secretary. VOTED: That any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary, or (b) duly executed (under seal, if required) by one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority. This Power of Attorney and Certificate of Authority is signed and sealed by facsimile under and by authority of the following Standing Resolution voted by the Boards of Directors of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY, FARMINGTON CASUALTY COMPANY and TRAVELERS CASUALTY AND SURETY COMPANY OF ILLINOIS, which Resolution is now in full force and effect: VOTED: That the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. (8 -971 1. BIDDER'S Contractor's License Number is: 704729 Class No.: C42 2. The expiration date of BIDDER'S Contractor License is: 04/3a , 20 01 3. BIDDER'S acknowledges that Section 7028.15(e) of the Business and Professions Code provides as follows: "A licensed contractor shall not submit a bid to a public agency unless his or her contractor's license number appears clearly on the bid, the license expiration date is stated, and the bid contains a statement that representations herein are made under penalty of perjury. Any bid not, containing this information, or a bid containing information which is subsequently proven false, shall be considered non - responsive and shall be rejected by the public agency." The undersigned declares, under penalty of perjury, that the representations made by the undersigned in this bid proposal are true and correct. Executed on 08/10 2000 )R4_, at Long Beach, California Sign ur (insert City and State where Declaration is signed). Tony Boldaji Typed Name V.P. /C.0.0. Title Transportable Treatment Services, Inc. Name of Bidder I -C -7 I- C -7.MST (8/25/99) NON - COLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ) ) ss. County of Los Angel es Tony Boldaji being first duly sworn, deposes and say that he orM is V.P. C.0.0. of TTSI the party making the foregoing bid That the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that' the BIDDER has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any other BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. rung rsolaaj 1 Typed Name V.P. /C.0.0. Title I -C -8 I- C -8.MST (9/28,95) Transportable Treatment Services, Inc.(TTSI) Name of Bidder August 10, 2000 Date r? C CERTIFICATION Section 1861 OF THE LABOR CODE (Workers' Compensation) Pursuant to Section 1861 of the Labor Code, the BIDDER, in submitting his PROPOSAL, shall sign the following certification: "I am aware of the provisions of Section 3700 of the Labor Code which require every employer- to be insured against liability for workers' compensation or to undertake self - insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract." Signature of Bidder: 664Tony Bolda j i Title: V.P. /C.0.0. Business Name: Transportable Treatment Services, Inc. Business Address: 1461 Harbor Avenue Long Beach, CA 90813 Telephone Number: f562 1 435 -5700 Dated this 10 day of August )M 2000 I.C.9 I- C -9.MST (9/28/95) DESIGNATION OF SUBCONTRACTORS BIDDER proposes to subcontract certain portions of the work which are in excess of one -half of one percent of the bid and to procure materials and equipment from suppliers and vendors as follows: NAME, ADDRESS AND PHONE NUMBER OF SUBCONTRACTORS, PORTION OF WORD, SUPPLIERS, AND VENDORS MATERIALS, OR EQUIPMENT None I -C -10 ]- C -IONST (9128/95) REFERENCES The following are the names, addresses, and telephone numbers for three (3) public agencies for which BIDDER has performed similar work as the prime contractor or major subcontractor within the past two (2) years: 1. Project Title: Manhole Rehabilitation Location: Tiburon, California Richardson Bay Sanitary District, 500 Tiburon Blvd., Tiburon, CA 94920 ame ana aaciress o owner Frank T. Dittle, Jr. ; (415)388 -1345 Type of Work: Manhole Rehabilitation Contract amount: $ 62,000.00 Date completed: October 1999 Amount of work done by my /our firm under contract $ 62,000.00 Did your firm have any financial interest in Project? Ne 2. Project Title: Manhole Lining Rehabilitation Location: Escondido, California City of Escondido, 201 N. Broadway, Escondido, CA 92025 Name and address of owner Bill Evans ; (760)839 -4664 x3808 Type of Work: Manhole Rehabilitation Contract amount: $ 181, 000.00 Date completed: September 1999 Amount of work done by my /our firm under contract $ 181, 000.00 Did your firm have any financial interest in Project? No Project Title: Manhole Repair Services Location: Orange County, California Orange County Sanitation District, 10844 Ellis Ave., Fountain Valley, CA 92728 Name anci adaress o owner Jim Lawhon ; (714)593 -7366 Name and telephone number 01 person iar wiff7pFoJect Type of Work: Manhole Rehabilitation Contract amount: $ 128, 000.00 Date completed: February 1999 Amount of work done by my /our firm under contract X128,000.00 Did your firm have any financial interest in Project? No I -C -11 (Page 1 of 2) 1 -C- 11.14 (MM 10 /10A5) 4. Project Title: Location: Name and address of owner Name and telephone number of person familiar with project . Type of Work: Contract amount: $ - Date completed: Amount of work done by my /our firm under contract $ Did your firm have any financial interest in Project? 5. Project Title: Location: lvame ana address of owner riame ana telepnone number of person familiar with project Type of Work: Contract amount:$ Date completed: Amount of work done by my /our firm under contract $ Did your firm have any financial interest in Project? The following are the names, addresses, and telephone numbers for all brokers and sureties from whom BIDDER intends to procure insurance bonds: Travelers Property Casualty, 215 Shuman Blvd., Naperville, IL 60563 , (800) 747 -3719 I -C -11 (Page 2 of 2) 1 -C- 11.2 -2 (MS7) 9/28/95 . ACORD CERTIFICATE OF LIABILITY INSURANC PID DATEWWDD" p 3 -5 09/13/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Associated Agencies, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1701 Golf Rd, Tower 3, 7th Flr ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Rolling Meadows IL 60008 -4267 Phone:847- 427 -8400 INSURERS AFFORDING COVERAGE INSURED INSURER A: Reliance Insurance Company INSURER B: Transportable Treatment Services Inc. 1461 Harb� or Avenue Long Beach CA 90813 -2741 INSURER C: INSURER D: INSURER E: GUVEKAUES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER DATE MM /DD DATE MM/DD LIMITS • GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FX] OCCUR X XCU Included VQ2846756 10/31/99 10/31/00 EACH OCCURRENCE $ 1000000 FIRE DAMAGE (Any one fire) $ 100000 MED EXP (Any one person) $ 50000 PERSONAL 8 ADV INJURY $ 1000000 GENERAL AGGREGATE $ 3000000 GENLAGGREGATELIMR APPLIES PER: POLICY X JECT LOC PRODUCTS - COMP /OPAGG $ 3000000 • AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS VQ2846757 10/31/99 10/31/00 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ • EXCESS LIABILITY X OCCUR 7 CLAIMSMADE DEDUCTIBLE RETENTION $ WU2846758 10/31/99 10/31/00 EACH OCCURRENCE $ 5000000 AGGREGATE $ 5000000 $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WD2846755 10/31/99 10/31/00 X TORY LIMITS TH I ER E.L. EACH ACCIDENT $ 500000 E.L. DISEASE - EA EMPLOYE $ 500000 E. L. DISEASE - POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS The City of E1 Segundo, its officers, agents and employees are additional insureds with respect to the general liability coverage for operations performed by the insured. See attached endorsement. CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION ELSEG -1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of El Segundo EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENBEAYOR TO MAIL Public Works Department El Segundo City Hall 350 Main Street 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT' ir El Segundo CA 90245 ` C AuuKu 1a-b (ilwo .. ACORD CORPORATION 1988 U,;: JQ PM P 0 2 GENERAL LIABILITY ADDITIONAL INSURED ENDORSEMENT CITY OF EL SEGUNDO in consideration of the Premium charged and notwithstanding any Inconsistent statement In the policy to which this endorsement to attached or any endorsement now or hereafter attached thereto, it is agreed as follows: 1 • ADDITIONAL INSURED. The City of El Segundo, its ofAcsrs, agents and employees are Included as ad Insured with regard to liabliity and defense of auRa arls(ng from the operations and uses or on behalf of the named Insured additional regardless of whether liability Is attributable to the named Insured ors mb by of the named and the Insured Insured. 2. CONTRIDUTION NOT REQUIRED. Any other insurance maintained by the City of HI Segundo shall Of this Insurance and shall not contribute with it. e9 hat be excess 3• SEVERABILITY OF INTEREST. This made or suit is brought except with respect t the compa�spmiitts of Ilablilty, TherInclusion of any � lrn is organization ao an insured aholl not affect any right which ouch person or organlzation would have as a claimant If not so Included. Person or 4. CANCELLATION NOTICE. With respect to the Interests of the City of El Segundo, this insurance shaft n canceled, reduced in coverage or limits or non-renewed, ISTERED OR PPerael R M awed, except after thirty (30) days prior written notice by •• rnA1L has been given to the public Works Director of El Segundo addressed as follows. Public Works Department, El Segundo City Mall, $50 Main Street, EI Segundo, Cu 80245 5• APPLICABILITY, The Insurance pertains to the operations and/or tenancy of the named insured under written agreements in force with the City of El Segundo unless chocked here following specific agreements with the City all ty of EI 8egundv are covered: � ) In �� case only the 8. MAILING ADDRESS: Completed endors ements shag be Issued to the City of El Segundo as follows: PUBLIC WORKS DEPARTMENT El Segundo Clty Hall 380 Main 9t eet El Ugundo, CA 90245 7. CLAIM$: Underwriter's representative for claims pursuant to this insurance: Sterling Admj niatxati.Ve- Se,,- Vi,ceS 700 N ExAnd al yd., Ste, 1200, Glendale Except as stated above, nothing herein shall be held to waive, alter or end an of the limits, conditions? 5 or exclusions of the popcy to which ext this endorsement Is attached. y agreements, I Ki:m Riech.ext (prtnthype name) y��� that r have autho by my slgnature he n do so d rhy to bind the betow4lsted insurance corn n rnpany to this endorsement. Pa y and & signature: Authorized Peprosenmtl' (ordinal Warature required on copy N"had to the City Alto wy) TITIJ: S'enj_or Nakrketer f. OROMIZATON:_8 s s -o c i a t Q d _&911L. Golf leer Inc l.ric 1701 G ADDRESS: R d• r S t e.: 7 0, 0 Ro11inQ Meadows IT—. 847. -,427- 6x0.08 YELEPHONEt 8 4 0 Ct area code) (tNe�e number) NMORMSWOTICILIKI (W2&VO) wp Fi,89 Of Z PM - P 0 3 2P a A 10. Includes (cilwo as ePp1190bie); U Bread from Liability Endorsement Gl Bread Form Property Llernage. (W Personal Injury IN b'dtPendant Contrsctorn 0 Premises and Operations M Explosion Harrerd CollePOWndergmund Hurd Produft'C'" 10tod Operatlons Watercraft Liability �) " """Pore Legal Llabllity lnoldental Medical Malpractice Contnea,al Liability () Owned AutomoWla () Mon -Owned Aft noblles () Hind AutornWles Firs Legal Liability r) 11, Type Cowra s: g Oomme.xcj:al Ge.ne.Zal a,h.�:,ll..tx '12. Limits of Liability: $1 r NOW: 000' 'QQ0 . 12L r occurrence /$3 0. I,ggregate ; Prom; 10-31-99 - � Q.0.0: r 00. To; -10-31-00 14. Dedu"bN O S0V4nsured Retbntlon (01110 which) off ai'$%ilM t0 G L coverage• ( ) Per Clalm Par 18. Other proNslons: Occuranas 1d' Name insured and Address: T r ans'10ortable Treatment Se 17. Insurance Compan; Ave . r Long Beach, r y i c e r rt c, r 14 6.1 Ha Reliance InS- urance �A 9Q.8 -13-- .2741 rbor is, Co. PeUcy Nuntbsn V Q 2 8 4 6 7 5 6 C o 10. Bndorsement Mu�nbsr; 20. Plfeetlw bat@ of Rndorssn+snt: 9 -12 pil8o Z of s N"IFORMSWOTICE SK2 (Mfoo) WA