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HomeMy WebLinkAbout04858 - AL MILLER ROOFING CONVENTION CENTER CP 02-27-13 _ _- iY wy He Edit Generate Letters Transactions. , Reports hAVntenance Quit , _.. _ .. 14..........i I �, ; -;kip J.. ..-..-_..-........ I Maintenance „l lel a EAt Program Gen.Letters 7ransactiolts Reports, l ,D 0" •,,, .I�,:'r��^✓�'i-\,,tyj L)OCUMe I): A4453 Group: PP.00l1P,ER4ENT �;AC[Ive - - - -- Document I' Deserlptlnn: Convention Ctr EXP Phase 2 Trade 13 Einaltcials ' Approum Date; 33J3112004 apire.Date: 10N112005 Closed Date: 1 J i awed: 1 ,191 ,G6�.gq Company, JAI raillei sans XRet: 1PROCUREMENT Pal[I: 0.013 I. Contact: Insurance Department Pie O - Eet: AddreSS: s875o Summft Dr. Bal: $'I ,151 ,662.gq Address2- jCity. Is5hadralCRy -- St: CA Zip; 92264 country, .i i FaDc t ) email: Service: NOC-File �^ .. Insurance Status: N4'CertirlcatC On rlle. document Tracking Items (DUI clickheading to SarQ Nts 1rkis g ite CurJe Item Dire Bp Completed AmtAdded JAMtP' ^ w ❑ If 1 Ir I f f 0001 0.00 0 r re r..r •lr rr ,-. rr rr r rr ❑ 0 313 112 0 0 4 P,es 20880 C0 1 decr$115,770 if If 1 1 -115,770 00I 0.00 °^ ° ❑ 05f1012004 CO 1 in file f f r 1 0.00 0.00 ❑ 04M V2005 CO 2 lncr$11,180 -in file_ ! 1 r l 11,180A0 0.00 ❑ 07f01f2005 CO3incr$36,500- Infile rr" �11 36,500.00 000� ❑ 08f1912005 r _ IUOC to Al for recordingµ r I f / 0001 coo ❑ 0 911 412 0 0 5 NCC 2005-0690547 08.23-05 in file W r I f 1 1 0,001 0 00 © 10r1712005 Co 5 incr$5,952.00- in file If f If 1 1 5.952.001 0,00 4 0 10r1912005 MO"7760 CO 6 incr not prov by dept. 1 1 564,900.001 0.00 \� �q� ❑ 1 012 812 0 0 5 GO 6 to GM for slg 4� ❑-06 912 0 0 7 kdh sent note to Al S asking him ffwre sh closed fil f f CITY OF PALM SPRINGS PALM SPRINGS CONVENTION CENTER EXPANSION PHASE II CONSTRUCTION CHANGE ORDER To: Al Miller& Sons, Inc. Date: October 11. 2005 88750 Summit Drive Project No. 02-27 Cathedral City, CA 92234 Change Order No. 6 Purchase Order No. 416613 Attn: Russ Miller Agreement No. A4858 Account No. 4283-50003 Description of Change to be Made: Description Add/ Deduct Amount 1. Re-roof the old existing portions of the Palm Springs Convention Add: $564,900.00 with the "Fibertite" single ply roofing system. Work includes removal of existing "ballasted" roof systems. Provide the same warranty as the new expansion area "Fibertite" roofs TOTAL ADD: $564,900.00 AUTHORIZATION FOR CHANGE: SummarV of Cost/Time Original Contract Price $ 688,900.00 Total of all Previous Change Orders $ (62,138.00) Total of this Change Order $ 564,900.00 Total Contract Price $ 1 191.762.00 This Change Order(increases) (decreases) (unchanged)the contract time by 0 working days I have received a copy of t��Yt��'ss-Chartge'Order and the above AGREEQ�PRICE2'are acceptable to the contrfor. City Approval: �r By: °� .r` � Submitted By: Date:L6 2g f Owner's Representative T(e-: ` er — Approved by: Date: 10•�j@ D� Date: ,ty a ager Distribution: Original Conformed Copies Conformed- File Copy City Clerk (1) Project Administrator (1) Contractor (1) Procurement&Contracting (1) - Finance (1) Owner's Representative (1) ATTEST: Turner Construction (1) APPROVED BY CITY COUNCIL i, y Clerk C).,:I�kI).,r.,�. 6ee0 I��I C CITY OF PALM SPRINGS PALM SPRINGS CONVENTION CENTER EXPANSION PHASE II CONSTRUCTION CHANGE ORDER To: Al Miller& Sons, Inc. Date: September 9, 2005 88750 Summit Drive Project No. 02-27 Cathedral City, CA 92234 hL— JJhGbJ'L_J Change Order No. 5 Purchase Order No. 416613 Attn: Russ Miller ). �� Agreement No. A4858 Account No. 4283-50003 i�l�lr��q"�g:i Y°�es�t�r•��a Description of Change to be Made: Description Add/ Deduct Amount 1. Repair clay tile at BE trellis @ 26 line @ AA line. Add: $ 575.00 2. Provide credit for roofing at Cooling Tower. Deduct: $ (575.00) 3. Rework roofing at M.2 between 26 &25 line. RFI's 604 &661. Add: $ 0.00 4. Provide labor& material to protect building from rain on 12/28, Add: $ 5,000.00 12129, 12/30, 12/31/04 and 4/22 &4/23/05. 5. Remove safety railing at roof line. Add: $ 368.00 6. Demo & repair existing roofing at H.9 between 32 and 34. Add: $ 0.00 7. Work overtime on Saturday, May 7, 2005. Add: $ 400.00 8. Repair roofing at corner of vertical expansion joint at H.9 & 32 line. Add: $ 184.00 TOTAL ADD: $6,952.00 AUTHORIZATION FOR CHANGE: PCO's: 1) 99; 2) 160; 3) 263; 4) 307/327/592; 5) 599; 6) 621; 7) 632; 8) 751 Summary of Cost/Time Original Contract Price $ 688,900.00 Total of all Previous Change Orders $ (68,090.00) Total of this Change Order $ 5,952.00 Total Contract Price $ This Change Order(increases) (decreases) (unchanged) the contract time by 0 working days. A I have received a copy of this Change Order Constr. Manager: and the above AGREED PRICES are acceptable Approval: 1 / - Date: 4 C �� to the contractor. �/� Turner Corist' cti"MC mp ny I d City Ap By: _ �// Submitted By Date: iUL Ow 's Rep s t tive -3� Title: } _� Approved by: Date: r7 Dat r/ Project "st for Distribution V f4/il.P' !AMk�'I'r Original Conformed Copies Conformed- File Cpv APPROVED BY C)T it COUNI IL City Clerk (1) ProjectAdministr*or (1)1� cc44 d I Contractor (1) Procurement& Contracting (1)g080ov0 7•�J�•'QL�•, t� Finance (1) Owner's Representative (1) Turner Construction (1) I I .- DOC N 2005-05SOG47 08/23/2005 08:OOA Fee:NC Page 1 of 2 PLEASE COMPLETE THIS INFORMATION Recorded in Official Records RECORDING REQUESTED BY: County of Riverside Larry W. Ward Assessor, County Clerk $ Recorder AND WHEN RECORDED MAIL TO: III IIII II II IIII II III I III I III IIII IIII City Clark M s u [UCOPY Penn NOCOR SMF MISC. City of Palm Springs P.O. Box 2743 24 Patin Springs, California 92263-2743 AJ A R LLONG REFUND NCHG I I Space shove this line for recorders use only I Tom' NOTICE OF COMPLETION I DTT: i I Title of Document I I I I TO AREA FO GO "E, 0) U 03 N LY E `R RDE i i I i i I I I THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION ($3:00 Additional Recording Fee Applies) i I ACR 238P-AS4REO (Rev.0212003) , r i i Return To: City Clerk City of Palm Springs P.O. Box 2743 Palm Springs, California 92263-2743 Filing fee EXEMPT per Government Code 6103 NOTICE OF COMPLETION NOTICE IS IIISREBY given that: 1. The City of Palm Springs, California is a municipal corporation, organized and incorporated pursuant to the laws of the State of California. 2. The City Clerk of the City of Palm Springs is authorized and directed to execute, on behalf of said City, any and all Notices of Completion. 3. The address of the City of Palm Springs is City Hall, 3200 E. Tahquitz Canyon Way, Palm Springs, California(P.O. Box 2743, Palm Springs, California 92263-2743). 4. The public work improvement on the hereinafter refereed to real property within the city was COMPLETED on the 19th day of August, 2005. 5. The name of the contractor(if named) for such improvement was: Al Miller& Sons 6. The public work improvement, which was completed in the City of Pahn Springs, County of Riverside, State of California, is described as follows: Palm Springs Convention Center Expansion-Phase II, City Project No. 02-27,Roofing. 7. The property or location of said property is:277 N.Avenida Caballeros, Palm Springs, California, 92262. 8. City Project No: 02-27 Agreement No. A4858 Resolution No. 20880 DATED: d 4 p — CITY OF PALM SPRINGS By: Allen F. Smoot/Project Administrator JAMES THOMPSON, being duly sworn, says: That he is the City Clerk of aforesaid City of Palm Springs, California,the corporation that executed the foregoing notice; that he makes this verification on behalf of said corporation;that he has read the foregoing Notice of Completion, and knows the content thereof, and that the facts stated therein are true; that as said City Clerk,he makes this verification on behalf of said municipal corporation. City Clerk Index No. IIIIIIIIIIIIIIIIIII IIIII III IIIIIII IIIII III IIIIIIIII INesf�002 of08:GOP 2 ?ALA! A ., S.1 r!! w M E M O R A N D U M ti * rsh'rnRMsiq�* i 141FCYW TO: Mari Lynn Boswell Procurement Administrative Coordinator FROM: Kathie Hart, CMC Chief Deputy City Clerk DATE: July 1, 2005 SUBJECT: Convention Center Expansion Phase II Change Orders cc: Jay Thompson, City Clerk File Please find attached a copy of each change order relating to the Convention Center Expansion Phase II: 1. ,, ,,--A[ Miller & Sons A4858—CO 3 2. Cookson Door Sales A5054 — CO 1 3. Tri-Star A4872—CO 7 We have retained the original our files. Please feel free to contact me if there are any questions, ext. 8206. /kdh attach. CITY OF PALM SPRINGS PALM SPRINGS CONVENTION CENTER EXPANSION PHASE II ItIw� CONSTRUCTION CHANGE ORDER WW To: Al Miller& Sons, Inc. Date: June 15, 2005 88750 Summit Drive Project No. 02-27 Cathedral City, CA 92234 Change Order No. ,4--- .2 Purchase Order No. 416613 Attn: Russ Miller Agreement No. A4858 Account No. 4283-50003 Description of Change to be Made: Description Add/ Deduct Amount 1. Furnish & install Fire Blankets with fire rating specified at roofs and Add: $ 36,500.00 roof intersections. Include removal and reinstallation of existing roofing and roof expansion joints. TOTAL ADD: $36,500.00 AUTHORIZATION FOR CHANGE: PCO's: 1) 644 Summary of Cost/Time Original Contract Price $ 688,900.00 Total of all Previous Change Orders $ (104.590.00) Total of this Change Order $ 36,500.00 Total Contract Price $ 620 810.00 This Change Order(increases) (decreases) (unchanged)the contract time by 0 working days. I have received a copy of this Change Order Constr. Manager: and the above AGRE D PR,I -ES are acceptable Approval: I Date: to the contraetor.� Turner y: r ctil C mp ny p City Approval' 1 1� By: `�"` r'" Submitted Date: 1�J o�p CJj O ne Represe tati e i Approved by: V' Date: Date: N �ea r�� P dministrator Distribution: Original-Conformed Copies Confor �dFile Copy _ City Clerk (1) Project Administrator (1) Contractor (1) Procurement& Contracting (1) ATTEST: Finance (1) Owner's Representative (1) Turner Construction (1) .,ity Clerk !�� 'APPROVED BY cjrY rauNUL i�-' f�4oi!p'ri21,d "2 a CITY OF PALM SPRINGS • PALM SPRINGS CONVENTION CENTER EXPANSION PHASE II INIJ CONSTRUCTION CHANGE ORDER To: Al Miller&Sons, Inc. Date: March 7, 2005 88750 Summit Drive Project No. 02-27 Cathedral City, CA 92234 Change Order No. ,,3- i Purchase Order No. 416613 Attn: Russ Miller Agreement No. A4858 Account No. 4283-50003 Description of Chanqe to be Made: Description Add / Deduct Amount 1. Repair existing Exhibit Hall expansion joints at flat roof areas with Add: $ 3,680.00 Fibertile at flat room areas. 2. Demo existing roofing & re-roof two (2) low roof wells. Add: $ 7,500.00 TOTAL ADD: $11,180.00 AUTHORIZATION FOR CHANGE: PCO's: 1) 380; 2) 381 Summary of Cost/Time Original Contract Price $ 688,900.00 Total of all Previous Change Orders $ (115,770.00) Total of this Change Order $ 11,180.00 Total Contract Price $ 584 310.00 This Change Order(increases) (decreases) (unchanged) the contract time by 0 orkin days. I have received a copy of t ' han rder Constr. Manager: I and the above AGREE IC are acceptable Approval: 1 , Date: f1U to the contract Turner structi om any City Approval. �-- By: Submitted By: Date: rn%'s Representative Titl t�� �� p lCL ��z Approved by: ���I� Date: Date: `V1r'-�— Project Administrator Distribution: (! F ff HAt Original-Conformed Copies Conformed - File Copv City Clark (1) Project Administrator (1) Contractor (1) Procurement& Contracting (1) ATTEST: Finance (1) Owner's Representative (1) JTurner Construction (1) APPROVED BY CITY COUNCIL j ty Clerk I34 V • CITY OF PALM SPRINGS • PALM SPRINGS CONVENTION CENTER EXPANSION PHASE II CONSTRUCTION CHANGE ORDER To: Al Miller& Sons, Inc. Date: April 30, 2004 68750 Summit Drive Project No. 02-27 Cathedral City, CA 92264 Change Order No. 1 Purchase Order No. 416613 u/q Attn: Russ Miller Agreement No. 13 Account No. 4283-50003 Description of Change to be Made: Description Add/Deduct Amount 1. Change EPDM roofing to PVC. 2. Change roof expansion joints from specified to fibertite standard details. 3. Eliminate roofing underlayment boards. 4. Eliminate fire blankets at expansion joints. TOTAL DEDUCT: (-$115,770.00) AUTHORIZATION FOR CHANGE: City Council via Resolution No. 20880 dated 3/31/04. SummarV of Cost/Time Original Contract Price $ 688,900.00 Total of all Previous Change Orders $ 0.00 Total of this Change Order $ (115,770.00) Total Contract Price $ 573.130.00 This Change Order(increases) (decreases) (unchanged) the contract time by A. working days. I have received a copy of fore�"Change Order Constr. Manager: ^il� ��V and the above A�REEj]; DICES are acceptable Approval: Date: �9 to the conttaeycr /�� Turner C s_m ct li om anv City Approv; 8 _ // � By: / Submitted By: Dater Tnei,,'sRTg�eptative Approved by: �,%. Date: Date: Gres Project Administrator Distribution: y 'L( Original Conformed Copies Conformed - File Copy City Clerk (1) Project Administrator (1) Contractor (1) Procurement& Contracting (1) Finance (1) Owner's Representative (1) Turner Construction (1) F Al Miller Roofing •Roofing for Convention Center AGREEMENT#4858 RES 20880, 3-31-04 AGREEMENT THIS AGREEMENT evade this 1ati� day of �0 to in the year 2004, by and between the City of Palm :springs, a charter city, organi'ed and existing in the County of Riverside, under and by virtue of the laws of the State of California, hereinafter designated as the City, and .Al .Miller s hereinafter designated as the Contractor. Sorts Roofing The City and the Contractor, in consideration of the mutual covenants hereinafter set forth, agree as follows: ARTICLE 1-THE WORK The Contractor shall complete 'the~Work as specified or indicated under the Bid Schedule(s) of the City Contract's contract Documents entitled: Palm Springs Phase 11 Convention Center Expansion Phase II City Project No 02-27-13 The work is generally described as follows: All that Work set forth in the Trade Bid Schedule of the bid Forms, as awarded by the City of Palm Springs, pursuant to the Contract Documents for the City Project No. 02-27- 13. ARTICLE 2-COMMENCEMENT AND COMPLETION The Work to be performed under this Contract shall be commenced on the date specified the Notice to Proceed by the City and the Work shall be fully completed within the time specified in the Notice to Proceed. The City and the Contractor recognize that time is of the essence of this Agreement and that the City will suffer considerable financial loss if the Work is not completed within the time specified in said Notice to Proceed, plus any extensions thereof allowed in accordance with Article 12 of the General Conditions. The damages suffered by the City would be extremely difficult or impractical to determine in the event of a breach by the Contractor. Accordingly the City and the Contractor agree that the Contractor shall pay the amount provided in Exhibit G of the contract documents attached hereto as liquidated damages, for each calendar day that the work is not completed in the time set forth. ARTICLE 3-CONTRACT PRICE ($e88,900) The City shall pay the contractor for the completion of the Work hereunder in accordance with the Contract Documents in current funds the Contract Price(s) named in the Contractor's Bid and accepted Bid Schedule. ARTICLE 4-THE CONTRACT DOCUMENTS The Contract Documents consist of : notice Inviting Bids, Instructions to Bidders, the accepted Bid and Bid Schedule, the Schedule of Values, Bid Security or Bid Bond, this Agreement Worker's Compensation Certificate, Performance Bond, Multiple Oblige Rider to Performance Bond, Payment Bond, Notice of Award Notice to Proceed, Notice of Completion, General Conditions of the Contract, Supplementary General Conditions of the Contract, the Technical Specifications, Drawings listed in The Schedule of Drawings in the Supplementary General Conditions or in the Index on the Cover of the Drawings, Addenda numbers 1, 2, 3 and 3-13, Inclusive, and all Change Orders, and Work Directive Changes which may be delivered or issued after the Effective Date of the Agreement and are not attached hereto. ARTICLE 5- PAYMENT PROCEDUERES The Contractor shall submit Applications for Payment in accordance with the provisions of the General Conditions and the Supplementary General Conditions of the Contract. Applications for Payment will be processed by the City as provided in the Contract Documents. ARTICLE 6- NOTICES Whenever any provision of the Contract Documents requires the giving of written notice, it shall be deemed to have been validly given if delivered in person to the individual or to a member of the firm or to an officer of the corporation for whom it is intended, or if delivered at or sent by registered or certified mail, postage prepaid, to the last business address know to the giver of the Notice. ARTICLE 7- MISCELLANEOUS Terms used in this Agreement which are defined in Article 1 of the General Conditions will have the meanings indicated in said General Conditions and Supplementary General Conditions. No assignment by a party hereto of any rights under or interests in the Contract Documents will be binding on another party hereto without the written consent of the party sought to be bound; and specifically but without limitation monies that may become due and monies that are due many not be assigned without such consent (except to the extent that the effect of this restriction may be limited by law), and unless specifically stated to the contrary in any written consent to an assignment, no assignment will release or discharge the assignor from any duty or responsibility under the Contract Documents. The City and the Contractor each binds itself, its partners, successors, assigns, and legal representatives to the other party hereto, its partners, successors , assigns, and legal representatives in respect of all covenants, agreements, and obligations contained in the Contract Documents. 0 IN WITNESS WHEREOF, the parties have executed and entered into this Agreement as of the date first written above. CITY OF PALM SPRINGS ATTEST: a municipal corporation CITY MANAGER City Clerk p -� APPROVED AS TO FORM: ' ' l',U 'e"I"e-Wed and approved by Y cc".rement & Contracting City Attorney Initials b 4 6 Date SIGNATURES ON NEXT PAG5'' ':•.s' - �2C� °E C[^ �,��50 CONTRACTOR: Check one:_Individual Partnership XX Corporation Corporations require two notarized signatures:One from each of the following:A. Chairman of Board, President,or any Vice President AND B. Secretary,Assistant Secretary/�Teasurer,2ssistant Treasurer,or Chief Financial Officer. By By SIGNATURE NOTARIZED //SZGj TATORE NOTARIZED Name: C>A, Miller CRussell Miller Title: President Title General Manaqer Address: 38-402 Vista Del Sol Address: 44-520 Verbena Drive Rancho Mirage, CA 92270 La Ouinta, CA 92253 State of California State of California County of Riverside County of Riverside On 29 6 pp 7 0 eforeme Eileen F, Billings On�_9 before rue Eileen F. Billings personally appeared C..A.. Miller personally appeared Russell Miller personally known to me(mgmCknimm personally known to me(oxjD1 Bl4X(KM 0)M I�X¢x�StrMxXxlxixk to be the to be the personW whose named is/5M subscribed person whose name(s)is/Rit subscribed to the within instrument and acknowledged to the within instrument and acknowledged to me that he/Akot y executed the same in to me that hekks rM1,7 executed the same in his/hhK/W&authorized capacityQM),and hislY&M ft-authorized capacityW and that by hisihexMiei'r signatureo) on the that by his/b&&IKfflr signatures on the instrument the person(x),or the entity upon instrument the person6t or the entity upon behalf of which the personW acted, behalf of which the person(o acted executed the instrument. executed the instrument. WITNESS my hand and official seal. WITNESS my hand and official seal. ary Signature otary Signature Notary Seal: Notary Seal: ILEM e naluNGs 4 FIIE,S;�9 F.SCttGSdGS Comfolislon v:1412911 F . CaQnMLAs.ten,r`1412911 ,.� '`' Notary PubHo-CoRotrla PEver"'e Count �( �lYa,7iGiA 8',at�tly My Coon:ro.Ex�ttm:C.ps 22,2C�16S' MVCan1�. 22,2007 ��� 03/17/2004 17: 51 7603275801 TURNER • PAGE 01 � ! ins TJ CITY OF PALM SPRINGS 3200 EAST TAHQUITZ CANYON WAY PALM SPRINGS, CA. 92262 PALM SPRINGS CONVENTION CENTER EXPANSION PHASE II CITY PROJECT NO, 2-27 NOTICE TO PRE-QUALIFIED TRADE CONTRACTOR TRADE BID #13, ROOFING ADDENDUM NO. 3-13 THE FOLLOWING REVISIONS AND/OR ADDITIONS TO THE PLANS AND SPECIFICATIONS ARE TO 86 INCLUDED IN THE ORIGINAL DRAWINGS AND SPECIFICATIONS, THIS ADDENDUM SHALL TAKE PRECEDENCE OVER ANYTHING CONTRARY ON THE PREVIOUSLY ISSUED DRAWINGS AND SPECIFICATIONS AND SHALL BE REFERRED TO HEREINAFTER AS PART OF THE CONTRACT DOCUMENTS. A. Questions and Answers to RFI's: All Trade Contractors shall review and determine the applicability and impact of each RFI response on their respective Trade Bid Package. 1. The specification calls for roof section RF-3 to be painted with an acrylic coating. Are the other sections going to remain black? If so why? Response: Drawings and specifications show correct roofing systems. 2, The details for the expansion joints don't show any wood blocking. Also it would be better for the expansion joint to be curb style rather than roofing to the expansion joint. Response: Wood blocking is not allowed in the roof assemblies for this Type 1-FR building per Palm Springs Building Department. 3. is the city open to changing the roof specification to better cheaper system? Response: Drawings and specifications describe intended roofing system. 03/1/2004 17: 51 7603275801 TURNER PAGE 02, B, BIDDERS SHALL ACKNOWLEDGE RECEIPT OF THIS ADDENDUM IN THE BID FORM ON TRADE BID FORM 2. BY ORDER OF THE CITY OF PALM SPRINGS, CALIFORNIA HAROLD E. GOOD, CPPO Director of Procurement & Contracting DATE: March 17, 2004 ® Bond PBD382834 Premium included in performance bond PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS, That Al Miller & Sons Roofing,as Contractor and Nationwide Mutual Insurance Company, as Surety are held firmly bound unto the City of Palm Springs, a Charter City, organized and existing in the County of Riverside, California,hereinafter called the"City", in the sum of$573,130.00(Five hundred seventy three thousand one hundred thirty)dollars, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents. WHEREAS said contractor has been awarded and is about to enter into the annexed Agreement with said City to perform the Work as specified or indicated in the Contract Documents entitled: PALM SPRINGS PHASE II Convention Center Expansion Phase II CITY PROJECT 02-27-13 Convention Center NOW THEREFORE, if said Contractor, its subcontractors, its heirs, executors, administrators, successors, or assigns shall fail to pay for any materials, provisions, provender, equipment or other supplies used in, upon, for or ahout the performance of the Work contracted to be done, or for any work or labor thereon of any kind, or for amounts due under the Unemployment Insurance Code, or for any amounts required to be deducted, withheld and paid over to the Employment Development Department iron the wages of employees of the Contractor and its subcontractors pursuant to Section 13020 of the Unemployment Insurance Code with respect to such labor, all as required by the provisions of Title XV, Chapter 7, Sections 3247-3252, inclusive, of the Civil Code of the Slate of California and acts amendatory thereof, and sections of other codes of the State of California referred to therein and acts amendatory thereof, and provided that the persons, companies or corporations so furnishing said materials, provisions, provender, equipment or other supplies, appliances or power used in, upon, for or about performance of the work contracted to be executed or performed, or any person, company or corporation renting or hiring labor upon the same, or any person who supplies both work and materials therefore, shall have complied with the provisions of said laws,then said surety will pay the same in an amount not exceeding the sun herembefore set forth and also will pay, in case suit is brought upon this bond, a reasonable attorney's fee, as shall be fixed by the Court. This bond shall insure to the benefit of all and any persons named in Section 3181 of the Civil Code of the State of California so as to give a right of actual to them or their assigns in any suit brought upon this bond. PROVIDED,that any alterations in the Work to be done or the materials to be furnished, or changes in the time of completion, which may be made pursuant to the terms of said Contract Documents, shall not in any way release said Contractor or said Surety thereunder,nor shall any extensions of time granted under the provisions of said Contract Documents,release either said Contractor or said Surety,and notice of such alterations or extensions of the Agreement is hereby waived by said Surety. SIGNATURES ON NEXT PAGE SIGNED AND SEALED,this 27°i day of April,2004. CONTRACTOR: SURETY: AL MIILLER& SONS ROOFING INC. NATI MUTUAL INSURANCE{e ANNCE COMPANY O IDE Title� Title-Attorney-in-Fact i AL MILLE II&I S9N"00 IING INC. (Seal and notarial aeknowledgp ` of surety) +' (Corporations require two notarized signatures: One from each of the following : 1. Chairman of Board,President,or any Vice President: AND 2. Secretary,Assistant Secretary, Treasurer, Assistant Treasurer or Chief Financial Officer) V State of California it <. i( "� - ss. xl County of t tci`�S Lam`s It, e> On rJ rS � 9u before me, Ix. Da a i Neme end Tlllo of OOmer(e g a,"Ja Do Notary P�sublml) personally appeared �•%9 • 1 a �V �' Namef msl9nagsfal 4i personally known to me f'I ❑ proved to me on the basis of satisfactory "I If, evidence ` to be the person(s) whose name(s)-is/are I? subscribed to the within instrument and -bl 14}II acknowledged to me that-/she/they executed ljj�; � EILEEN E.Y®ILLINGS the same in reLTrsfhar/their authorized ca acit fes IrsHiarftheir li Qh1 !Q-" Corteoeeoissdon tw E9ll3xJ➢V �� P Y(� )� and that by P�all Nofm fission - ,112911signature(s) on the instrument the person(s), or the entit u on behalf of which [he erson s fd4veesV�aCoun;y Y p P OUyCoclaaet.Exp9cesA.��s2-2p22F,JP' acted, executed the instrument. „I LI to WITNESS my hand and official seal. f; Signature of Notary Public `7 fa. i ^- Though the information below is not remnred by law,it may prove valuable to persons relying on the document and could prevent jfraudulent removal and reattachment of this form to another document ,¶ S, y Description of Attached Document Title or Type of Document; t -A L/y�✓0 .R�'0 (2. Document Date: i �o© Number of Pages: _ L;n <.� Signer(s)Other Than Named Above: rV CS �— l'- 11 a Cepaefcity(Ges) Cialmed Gay Signer s" u'r Signer's Name: ❑ Individual Top of thumb here ;dl Corporate Off icer—Title(s): ` tip f���0 �l_• � �yii ElPartner—❑ Limited El General �.111 ❑ Attorney-in-Fact ❑ Trustee , ci ❑ Guardian or Conservator Other: Signer Is Representing.- L I �.��- C; � 01999 Nelonal Notary Association•9350 De Solo Ave,POBox2402•Cbate.c0h,CA9131 3-240 2 wwwnelonalnolaryorg Pad No5907 Reorder Call Trill 1-809U616-6527 STATE OF CALIFORNIA COUNTY OF RIVERSIDE ON 12004 BEFORE ME, YVONNE R. ORTIZ - NOTARY PUBLIC, PERSONALLY APPEARED ANN WILLARD personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of SEAL which the person(s) acted, executed the instrument. YVONNE P.ORWIR WITNESS my hand and official seal. ` Commlzsbn 4�421191 Notary Pub:,c•C"::44w1�a MV Comm.Expircn Jun Mi.2Q25 Signature �— ALL PURPOSE ACKNOWLEDGMENT KNOW ALL MEN BY THESE PRESENTS THAT Nationwide Mutual Insurance Company, a corporation organized under the laws of t State of Ohio, with its principal office in the City of Columbus, Ohio, hereinafter called ACompany does hereby make, constitute appoint Ann Willard Palm Desert, CA each in their individual capacity, its true and lawful Attorney-In-Fact with full power and authorityto sign,seal,and execute on its behalf and all bonds and undertakings and other obligatory instruments of similar nature in penalties not exceeding the sum of Six Hundr Thousand and no/100 ($600,000.00)dollars and to bind the Company thereby,as fully and to the same extent as if such instrume, were signed by the duly authorized officers of the Company;and all acts of said Attorney pursuant to the authority given are hereby ratii and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board Directors of the Company. ARESOLVED,that the President,or any Senior Vice President,Vice President,Resident Vice President or Second Vice President be,and the same hereby is,authorized and empowered to appoint Attorneys-In-Fact of the Company and to authorize them to execute any and all bonds, undertakings, recognizances,contracts of indemnity, policies, contracts guaranteeing the fidelity of persons holding positions of public or private trust, and other writings obligatory in nature which the business of the Company may require;and to modify or revoke,with orwithout cause,any such appointment or authority. The authority granted hereby shall in no way limit the authority of other duly authorized agents to sign and countersign any of said documents on behalf of the Companys ARESOLVED FURTHER,that such Attorneys-in-Fact shall have full power and authorityto execute and deliverany and all such documents and to bind the Company, subject to the terms and limitations of the power of attorney issued to them, and to affix the seal of the Company thereto, provided, however, that said seal shall not be necessary for the validity of any such documents.- This Power of Attorney is signed and sealed by facsimile under and by the following By-Laws duly adopted by the Board of Directors oft Company ARTICLE VIII Section 10. Execution of Instruments. Any Vice President and any Assistant Secretary or Assistant Treasurer shall have the power and authority to sign or attest all approved documents, instruments, contracts or other papers in connection with the operation of the business of the company in addition to the Chairman and Chief Executive Officer, President, Treasurer and Secretary, provided, however, the signature of any of them may be printed, engraved or stamped on any approved document, contract, instrument or other papers of the company. IN WITNESS WHEREOF, the said Nationwide Mutual Insurance Company has caused this instrument to be sealed and dr attested by the signature of its Vice President the 28th day of April, 1999. ACKNOWLEDGMENT By it ^ ► 6vmtrs rr.� STATE OF Iowa %�c,QRAT•' '� COUNTY OF Polk SS Vice President On this 28th day of April, 1999, before me came the above named Vice President for Nationwide Mutual Insurance Company, to n personally known to be the officer described in and who executed the preceding instrument, and he acknowledged the execution of tl same,and being by me duly sworn,deposes and says,that he is the officer of the Company aforesaid,that tl seal affixed thereto is the corporate seal of said Company, and the said pp corporate seal and his signatu were duly affixed and WA, A nt by the authority and �9�ne�l�/ direction of said Company. COMMISSION No.1S2]e5 O MY COMW 24,/FXPIfl6 MARCH 2 20R5 My Commission Expires March 24, 2005 Notary Public CERTIFICATE I,John F. Delaloye,Assistant Secretary of Nationwide Mutual Insurance Company,do hereby certify that the foregoing is a fr true and correct copy of the original Power of Attorney issued by said Company;that the Resolution included therein is a true and tort: transcript from the minutes of the meeting of the Board of Directors duly called and held on the 6th day of September, 1967,and the San has not been revoked or amended in any manner;that said Douglas L.Andersen was on the date of the execution of the foregoing Pow of Attorney the duly elected Vice President of Nationwide Mutual Insurance Company and the corporate seal and his signature as Vil President were duly affixed and subscribed to the said instrument by the authority of said Board of Directors, and the foregoing Power of Attorney is still in full force and effect. � I IN WITNESS WHEREOF, I have hereunto subscribed my name as ......... 3 Assistant Secretary, and affixed the corporate seal of said Company this 27th i day of April , 2004 SEAL•j Fruse Bd 1(04-00) Assistant Secretary F � . Bond #BD382834 Premium: $7,308.00 PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS, That Al Miller & Sons Roofing, as Contractor and Nationwide Mutual Insurance Company, as Surety are held firmly bound unto the City of Palm Springs, a Charter City, organized and existing in the County of Riverside, California,hereinafter called the"City", in the sum of$573,130.00(Five hundred seventy three thousand one hundred thirty)dollars,for the payment of which sum well and truly to be made,we bind ourselves, our heirs, executors,administrators, successors and assigns,jointly and severally,firmly by these presents. WHEREAS said contractor has been awarded and is about to enter into the annexed Agreement with said City to perform the Work as specified or indicated in the Contract Documents entitled PALM SPRINGS PHASE II Convention Center Expansion Phase II CITY PROJECT 02-27-13 Convention Center NOW THEREFORE, if said Contractor shall perform all the requirements of said Contract documents required to be performed on its part, at the times and in the manner specified herein, then this obligation shall be null and void, otherwise it shall remain in full force and effect. PROVIDED, that any alterations in the Work to be done or the materials to be furnished, or changes in the time of completion, which may be made pursuant to the terms of said Contract Documents, shall not in any way release said Contractor or said Surety thereunder, nor shall any extensions of time granted under the provisions of said Contract Documents, release either said Contractor or said Surety, and notice of such alterations or extensions of the Agreement is hereby waived by said Surety. SIGNATURES ON NEXT PAGE SIGNED AND SEALED,this 27°i day of April,2004. CONTRACTOR: SURETY: AL MILLER& SONS ROOFING INC. NATIONWIDE MUTUAL INSURANCE COMPANY � 4 Title d�[,�c_.-�%" Title-Attorney-in-Fact AL MILLLEp✓& SONS ROOFl NC. (Seal and notarial acknowledgement of surety) Title HOE C4 5 L J (Corporations require two notarized signatures: One from each of the following : -�`- 1. Chairman of Board, President, or any Vice President: AND 2. Secretary, Assistant Secretary, Treasurer,Assistant Treasurer or Chief Financial Officer) - ire State of California •i County off On n �.( o�a� before me, �1 la� �o�e tJ�°` `l� - Pad me _ Neffee d lue oroaleerye g,'Jane O Ir, hlleJ ,el I' personally appeared �` '. V 9b-�'u�, �— I l i� ,�P eel Nart of Sgnerv) IkjA «� �Personally(mown to me �n i-1 ❑ proved to me on the basis of satisfactory n evidence I( fi to be the person(s) whose name(s) =isdare Ie subscribed to the within instrument andal �i acknowledged to me that-hefshe/they executed irk the same in -,ts gre>r/their authorized ',)I 5 capacity(fes), and that by k.s her/their �; signature(s) on the instrument the person(s), or <i Ic, EILEEN F. LUNGS the entity upon behalf of which the persons) < Osr, Comm6sscom;;'7�iB2g➢9acted, executed the instrument.No9®vy PubEC-C®06Poenf®C6vovcldo CGIB 19 ..,I WITN S my hand and official. my Comm.RxNreaB'gt°2,y,0gy� N I(, Signature of Notary Park if l)I it t� OPTO60NAL �F Though the information below 1s not required bylaw,it may prove valuable to persons relying on the document and could prevent in fraudulent removal and reattachment of this form to another document II 'I ®esci of bltEachea9 Docume 8 Title or Type of Document: Pr q Document Date: t ©© Number of Pages: Signer(s)Other Than Named Above: V, capadgy(oes) Mai eoi by Sagnee � U Signer's Name: �� • l ! ti � p eJ �� fl �.� P �i la.l ❑ Individual - rnp onn9red n6re � If Corporate Officer—Title(s): � e ❑ Partner—❑ Limited ❑General f( Li Attorney-in-Fact ,1f ❑ Trusteed) ❑ Guardian or Conservator Other: _ L r% a a: ¢-, Signer Is Representing: h- VL- `��-��� � 1999 National Mood,Association•9350 Do Solo Ave,PO Sox 2402•Cralswodh,CA 913132402 wrz vne0onalnoBa dui� Prod.No 5907 Reorder Call Toll-Free 1-600-676 6827 STATE OF CALIFORNIA COUNTY OF RIVERSIDE ON 2004 BEFORE ME, YVONNE R. ORTIZ - NOTARY PUBLIC, PERSONALLY APPEARED ANN WILLARD personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of SEAL which the person(s) acted, executed the _.e___ instrument. yvc.' e.saNa_ C�uwo7uv6s¢dan� YCC�2A5B z �!� ' P7©�®Py/GEd"5P •C(CwF'.C;,R.171 WITNESS my hand and official seal � : . pevorn,12 0 CCun�� Signature ALL PURPOSE ACKNOWLEDGMENT STATE OF CALIFORNIA COUNTY OF RIVERSIDE ON 2004 BEFORE ME, YVONNE R. ORTIZ - NOTARY PUBLIC, PERSONALLY APPEARED ANN WILLARD personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of SEAL T.. casc�w�ess�®��� �462eea which the person(s) acted, executed the instrument. cemm.c ,9 WITNESS my hand and official seal. Signature CL ALL PURPOSE ACKNOWLEDGMENT MULTIPLE OBLIGEE RIDER TO PERFORMANCE BOND To be attached to and form part of Bond Number BD 382834, with Nationwide Mutual Insurance Company as Surety and AI Miller& Sons Rooting as Principal, and City of Palm Springs as Obligee, for valuable consideration, hereby agree respectively in connection with a contract for PALM SPRINGS PHASE II Convention Center Expansion Phase II CITY PROJECT 02-27-13 Convention Center which bond and contract are made a pail hereof by reference, shall now include as additional Obligee (s) U.S.Department of Interior Bureau of Indian Affairs "Pertaining to Lease PSL-315" This bond is subject to the condition that no Obligee shall have any right or action greater than those of any other Obligee and shall be subject to all offsets and defenses, however arising, which might be available against any other Obligee, their agents and representatives, in addition to any offsets or defenses that might be available against themselves. In no event shall the Surety be liable in the aggregate to the Obligees for more than the penalty of this bond. At Surety's election, any payment due to any Obligee may be made by its check issued to the Obligees jointly. Neither the execution nor language of this instrument, nor any previous negotiations, shall be construed as relieving any Obligee from the due and timely performance of such obligations and duties as he, or his agent or representative, may owe to the Principal or the Surety under the contract or bond. Witness the following signatures and seals this 27"'day of April,2004. CONTRACTOR: SURETY: AL MILLER& SONS ROOFING INC. NATI MUTUAL INSURANCE COMPANY By. � /Lr By: Title //,�/G�' ,.ice Title-Attorney-in-Fact AL MILLE & SO- S ROG INC. (Seal and notarial sue'=—�wledgement of surety) Title �_2 � a (Corporations require two notarized signatures: One from each of the following 1. Chairman of Board, President, or any Vice President: AND 2 Secretary, Assistant Secretary, Treasurer, Assistant Treasurer or Chief Financial Officer) CAL11170MIA ALL-PURPOSE 111 ir; State of Californ if ss. f)l County of la, lil 0 On before me, li go i <_ personaly appe ald a Nounion of Sil �p)ersonally known to me proved to me on the basis of satisfactory 11, evidence to be the person(s) whose names) is/are fe subscribed to the within instrument and acknowledged to me that he/she/they executed EU Riiiiii F 2!l the same in his/her/their authorized I �esrrtretPtVul 1aDy2wAE capacityl and that by his/her/their ri=;'a-0g;; m m signature(s) on the instrument the person(s), or the entity upon behalf of which the persons) Q2,T'i Fic"iliftli-;,ol acted, executed the instrument. fit I�IT\I�SS my hand and official 4*eal. Signature of Notary Public OPTiONAL 11 Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document Descrupidcn of All DocumW i C —, Title or Type of Document: U ��—N fris L-Z-1 Z t.C a- a i Ilt Document Date. W f�-J,&C) Number of Pages: 4 Signer(s)Other Than Named Above: (-1-6 1 Ifs Capal Uaimed by S�gnev "A f: Signer's Name: lf� 1C cl, IE 1 , ) Top ofhuntin here Gl El Individual l�Corperate Officer—Titlel (o 11 Partner—11 Limited 11 General LJ Attorney-in-Fact {el 11 Trustee El Guardian or qonservator "c" Other. Signer Is Representing: 0 1999 National loolary Association-9350 So Soto Ave,PC Bor2402-Chiagiverth CA91313 2402-.,,nialibroolury., Prod No 5907 Person,Call Will 1-800-876 6827 Search Results -Page - - AM$ttist Online Ratings and Analysis Page 1 of 1 July 2,2004 IA ard1b0slixo 77 r,F.�tings,4 A.nalp&Is- �', c_ ax.,, ,- r,�,rT•_ - Naas Publicadcn., Product R SarJce., + Inturame Reeourc._ A.r! Ras.^ Search Results Page 1 of 1 .About 3 Rated or Urinated companies found, results sorted by Company Name (ascending) Criteria Used: Company Name: Company names starting with Nationwide Mutual Rating r.),r` To refine your search, please use our Advanced Search or view our Online Help for more it SEARCH Ratings Ccrnpanylnfcrmaticn View results starting with: ABCDEFGHIJKLMNOPQRSTUVWXYZ W Best's AMB# Industry Company Name Rating Domicile Enter Company Nome or Ahl.Best Nurn bar 02357 P Nationwide..Mutual Fire Insurance A. United States: Ohi Find! Company P0jcra Search p_iuns tio 02358 P Nanwide Mutual Insurance Ar United States: Chi Li -- Company ---- - - -- --- - - - - -- - - - 87071 P Nationwide-- - Mutual Insura- - nce Co--- At Canada-- : Ontario CO IQ rACY tdS CAB Where in the "odd is 'C+ry ti A.M.I%rs7d" Fmc our kcaaons *Ratings as of 0710212004 02:35 PM E.S.T. rWhat ao Industry: P = Property/Casualty(non-life) L = Life/Health you think, send uayour cornmen-s View the Guide to Best's Financial Strength Ratings for an in-depth explanation of Best'; System and Procedures. 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ALL RIGHTS RESERVED No part of this report may be distributed in any electronic form or by any means,or stored in a database or retrieval syst written permission of the A.M.Best company Refer to our terms of use for additional details 7/2/2004 f(v� TRADE BID SCHEDULE J; Lump Sam Price for Construction of The Palm Springs Convention Center Expansion Phase II Project No. 02-27 in the City of Palm Springs, California TRADE BID PACKAGE NO.: 13 TRADE BID PACKAGE DESCRIPTION: Roofing TOTAL BID PRICE - (INCLUDING PERFORMANCE AND PAYMENT BOND PREMIUM) - $--688-,-i9,9g.n 9ures _.Si3lnndr�sl Fight�t 'thousand Nine I-Hrndred llollsrs and no Cents Price in wards Price In words BIDDER: Al Miller &''Sons Roofing, fnc. BY: SlgnaNre" Russ -Mi1le' TITLE: i rGeaeral Manager DATE: 03-23-04 City of Palm Springs TRADE BID SCHEDULE - LUMP SUM PRICE TRADE BID FORMS - 3 • TRADE BID TRADE BID PACKAGE# 13 TRADE DESCRIPTION Pontine BID TO: CITY OF PALM SPRINGS, CALIFORNIA 'the undersigned Bidder proposes and agrees, if this Bid is accepted,to enter into an Agreement with the City of Palm Springs in the form included in the Contract Documents (as defined in Article 4 of the Agreement) to perform the Work as specified or indicated in said Contract Documents entitled, TRADE BID FOR: PALM SPRINGS CONVENTION CENTER EXPANSION PHASE II PROJECT NO. 02-27 Bidder accepts all of the terms and conditions of the Contract Documents,including without limitation those in the Notice Inviting Bids and Instructions to Bidders, dealing with the disposition of the Bid Security. This Bid will remain open for the period stated in the Notice Inviting Bids unless otherwise required by law. Bidder will enter into an Agreement within the time and in the manner required in the Instructions to Bidders, and will furnish the insurance certificates, Payment Bond, Performance Bond, and Permits required by the Contract Documents Bidder has examined copies of all the Contract Documents including the following Addenda (receipt of which is hereby acknowledged): Number 1 Date 03-02-04 Number 2 Date 03-05-04 Number 3 Date 03-09-04 Number 3-13 Date 03-17-04 Bidder has familiarized itself with the nature and extent of the Contract Documents,the Work, the site,the locality where the Work is to be performed, the legal requirements (federal, state, and local laws, ordinances, rules, and regulations), and the conditions affecting cost,progress or performance of the Work and has made such independent investigations as Bidder deems necessary. In conformance with current statutory requirements of California Labor Code Section 1860,at seq.,the undersigned confirm the following as its certification: I are aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self insurance in accordance with the provisions before commencing the performance of the Work of this Contract. To all the foregoing, and including all Bid schedule(s), List of Subcontractors, Non-collusion Affidavit, Bidder's General Information, and Bid Bond contained in these Bid Forms, said Bidder further agrees to complete the Work required under the Contract Documents within the Contract Time stipulated in said Contract Documents,and to accept in full paymentthereforthe Contract Price based on the Lump Sum or Unit Bid Price(s) named in the aforementioned Bidding Schedu_le(s), Date: 03-22-04 Bidder: Al Miller &/ Sons,-Roofing, ihc. By:_- , /kus S/Ml l'l er,, -_ t° • TRADE BID TRADE BID FORMS - 2 • NON-COLLUSION AFFIDAVIT TO BE EXECUTED BY OFFEROR AND SUBMITTED WITH PROPOSAL State of California I I as. County of Riverside I, Russell Miller being first duly sworn, deposes and says that he or she is General Manager of Al Miller & Sons Roof ingthe 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 mariner, 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. j BIDDER Al M'fit7ex & Son� oofing Co„ Inc, BY ,,!l ! ,� / �• Russell Miller TITTLE l G%neral Manager Z ORGANIZATION Al Miller & Sans Roofing.Co_ , Inc.. ADDRESS 68-760 Summit Drive Cathedral City, CA 92234 SUBSCRIBED AND SWORN TO BEFORE ME THIS 151::bAY OF March, . 2004 � 12911 ---NOTARY PUBLIC IN AND FOR SAID Nom\ c� t COUNTY AND STATE J �00IM600APF22.200 .. . . MY COMMISSION EXPIRES: April 22, 2007 • City of Palm Springs NON-COLLUSION AFFIDAVIT TRADE BID FORMS - 5 f GID BOND KNOW ALL MEN BY THESE PRESENTS, That AL MILLER & SONS ROOFING INC. asPrinclpal, and T91`Wj.jD,F--NTVA,L. INSURANCE COMPAPJx_,_....__._.,_.___._. ......as Surety, are held and firmly bound unto the City Of Palm Springs, hereinafter called She: "City" ui tho :urn of (state in words and figures) _,TFN .P_EBCEKT-DE-DE_9MOI 0%f bid I'rrq LUUv:n n o.I of Mal umoum of pioi,uu:,li for the payment of which sum, well and truly io be made, we bind ourselves, our heirs, exerulom, adminiwators, successors, and assigns, jointly and severelly, firmly, by these presents. WHEREAS, said Principal hos submitted a bid to said City 'to perform the Work required under the bidding schedule of the City's Contract Documents entitled: PALM SPRINGS CONVENTION CENTER EXPANSION PHASE II City Piojeci No. 02-27 NOW THEREFORE, if said Principal is awarded a contract by said City, and, wnhin tho time and in the mannor required in the "Notice Inviting Bids" and thr• "Instructions to Hiddsrs" enters Into o written Agreement on the form of agreement bound with said Contract Documents, furnishes the required Certificates of Ina;urance, and furnishes the required Performance Pond Dnd Payment Lend, then this obligation shall be null and void, otherwise it shell remain in full force; and effect. In the event suit is brought upon this bond by said City and City prcveiils, said Surety shall pay all coats incurred by x,ld City In such suit, including a reasonable attorney's fee to be fixed by the count. SIG14ED AND SEALED, this _ZZnd day ALS1ll.1.ER_-,�,-SQNS ,ROOFING�_INC ISEALI (SEAL) -- ISEALI Wrinapolj rrr't " NATIONWIDE MUTUAL INSURANCE COMPANY _ISEAI_) i5uroty� lSlannrura)-- —--'—'—"-- s SEAL AND NOT A\�L'r,,,„•:;,,r By:. _Ann Willard -_ Attorney-in-Fact -.. _..- ACKNOWLEDGMENT OF SURETY Signowret BID BOND City of Palrn Springs Bit) TRADF FORMS - G lRower of Altorney Allied Insurance a member of Nationwide Insurance KNOW ALL MEN BY THESE PRESENTS That AMCO Insurance Company,a corporation organized under the laws of the State of Iowa, with its principal office in the City of Des Moines,Iowa,hereinafter called"Company", does hereby make,constitute and appoint I aal W.Lewis Diane M.Nielsen Ann Vriflard each in his or her individual capacity,its true and lawful Attorney-In-Fact with full power and authority to sign, seed,and execute in its behalf any and all bonds and undertakings and other obligatory instruments of sirmlm'nature(except bonds guaranteeing the payment of principal and interest of notes, mortgage bonds and mortgage(s)in penalties not exccedfng the sum of Five Hundred Thousand and no/100 ($500,000.00) and to bind the Company thereby,as fully and to the same extent as if such inistrumonts were signed by the duly authorized officers of the Company: and all acts of said Attorney pursuant to the authority hereby given are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the following By-Laws duly adoptoi by the Board of Directors of the Company. ARTICLE 7. EXECUTION OF CONTRACTS "Section 7.4 Ins rumen(Issued by the Corporation. Bonds,undertakings, end other obligatory instruments u'F similar nature, other than insurance policies and insurance endorsements, issued by the Corporation stall be validly executed and binding;on the Corporation when signed by the President or a Vice President or by the Attorney(s)-hi-Pact appointed by the President or by a Vitae President." "Section 7.5 Appointment of Agents. The President or a Vice President shall have the power to appoint agents of t-he Corporation, or other persons, as Auorney(s)-In-Fact to act on behalf of the Corporation in the execution of bonds,undertakings, and other obligatory instruments of similar nature, other than insurance policies and endorsements, with full power to bind the Corporation by their signature and execution of any such instrument. The appointment of such Anomey(s)-In-Fact shall be accomplished by Powers of Attorney signed by the President or the Vice President." This Power of Attorney is signed and sealed by facsimile under and by the following By-Laws duly adopted by the Board of Directors of the Company. ARTICLE 7 E�ON OF CONTRACT "Section 7.6 Verifications. The Secretary, or any Assistant Secretary, is authorized to certify that any spch Power of Attorney signed is validly exeranrd and binding on the Corporation and[o certify that any bond,undertaking, or obligatory instrument of similar nature, other than insurance policies and endorsemens,m which due Power of Attorney is attached is and shall continue to be a valid and binding obligation of the Corporation,accordipg to its terms, when executed by Attorney(s}In-Fact appointed by the President or Vice President." "Section 7.7 Use of Corporate Seal R shag!not be necessary to the valid execution and binding effect on the Corporation of any bond, undertaking, or obligatory instrument of r�imilar nature, other than insurance policies and endorsements, signed on the behalf of the Corporation by the President or a Vice President,or Attorneys)-In-Pact appointed by the President or a Vice President, or of any Power of Attorney executed on behalf of the Corporation appoirrting Atmrney(s)-In-Fact to act for the Corporation, or of any certificate to be executed by the Secretary pr an Assistant Secretary, as herernabove in Sections 7.4, 7.5,and 7.6 provided,thaz the corporate seal be affixed to any such itrstmment,but the person authorized tO sit¢such instrument may affix the corporate seal. A facsimile corporate seat affixed to any such ins[mment shall be as effective and binding as[he original seal." "Section 7.8 Other Facsimile S' natures. A facsimile signature of the President or of a Vice President affixed,to any bond,undertaking, or obligatory instrument O sunder nature,other than policies and endorsements,or to a Power of Attorney signed by such President or a Vice President,as herein in Sections 7.4 and 7.5 provided, or a facsimile signatnre of the Secretary or of an Assistant Secretary to any certificate as herein in Section 7.6 provided,shall he effective and bhudiug upon the Corporation with the same€once and effect as the original signatures of any such officers." Section 7.9 Former Officers. A facsimile signature of a former officer shall be of the same validity as that of an existing officer, when affixed to any insutart—ce polpoicy or iasmance tvdorsemepr,say bond or undertaking,any Power of Atmrney or certificate,As herein in Sections 7_I 7.2,7.4,7.5, and 7.6 provided." IN WITNESS WI REOF, the Company has caused these presents to be signed by its Vice President and its corporate seal m be hereunto affixed this 25th day of March,2002 �..��� AMCO INSURANCE ANY STATE OF IOWA By: Vice President COUNTY OF POLK as On this 25th day of March,2002,before me personally came Brett Llarmem, to me known,who,being by me duly sworn,did depose and say that he is Vice Presidem of AMCO Insurance Company, the corporation described in And which executed the above instrument; that he knows the seal of said corporation,that the seal affixed to said instrument is such corporation seal;drat it was so affixed pursuant to authority given by the Beard of Directors of said corporation and that he has signed his name therete pursuant to like aethe rity,and acknowledged the same to be the act and deed of said corporation. 1/ � � poua xo i�tea No ry blic �f m��OrnOa'°t My Commission Expires March 24,2005 CEK CATE 1, the undersigned,Assistant Secretary of AMCO Insurance Company, a corporation organized under the Jews of the State of Iowa, do hereby certify that the foregoing Power of Attorney is still in force, and further certify that Sections 7.4 through 7.9 inclusive of Article 7 of the By-Laws of the Company set forth in said Power of Attorney ate still in force. IN TESTIMONY WHEREOF,I have subscribed my name and affixed the seal of the Company this 3Z day of Match) e `� 0 Assistant Secrets 20213 r :SI AL' ry Bda 1(04-00)00 This Power of Attorney 1,%,p.ft6,:,a Expires July 7,2006 STATE OF CALIFORNIA COUNTY OF RIVERSIDE ON 9v ak4 ,) 2004 BEFORE ME, YVONNE R. ORTIZ - NOTARY PUBLIC, PERSONALLY APPEARED ANN WILLARD personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in WONNE R.ORbZ his/her/their authorized capacity(ies), and that a Commission* 1462491 by his/her/their signature(s) on the instrument `~ Notary Public.California Riverside County the person(s) or the entity upon behalf of SEAL MY COMM.Explres ion 13,2008 which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature ALL PURPOSE ACKNOWLEDGMENT CITY OF PALM SPRINGS BUSINESS LICENSE 3200 E TAIIQUITZ CANYON WAY, PALM SPRINGS, CA 92262(760) 323-8289 PLEASE NOTE THAT IT IS YOUR RESPONSIBILITY'I O RENEW AND UPDATE THIS LICENSE ANNUALLY. BUSINESS NUMBER: 00003096 EXPIRATION: 10/01/2004 LICENSE TAX: 133A BUSINESS TYPE: ROOFING CONTRACTOR CERTIFICATE NO: 5585 OWNER NAME: C. A. MILLER (PRESIDENT) BUSINESS NAME: MILLER AND SONS ROOFING COMPANY INC BUSINESS ADDRESS: 68760 SUMMIT DR CATHEDRAL CITY CA 92234 MILLER AND SONS ROOFING COMPANY INC ISSUANCE OF THUS LICENSE DOES NOT ENTITLE 68760 SUMMIT DR THE LICENSEE TO OPERATE OR MAINTAIN A CATHEDRAL CITY CA 92234 BUSINESS IN VIOLATION OF ANY OTHER LAW OR ORDINANCE. THIS IS NOT AN ENDORSEMENT OF THE ACTIVITY NOR OF THE APPLICANT'S QUALIFICATIONS. MUST BE POSTED IN A CONSPICUOUS PLACE Slate Of California CONTRACTORS STATE LICENSE BOARD ACTIVE LICENSE ' !' 336a47 E„�, CORP AL MILLER 8, SONS ROOFING CO INC C39 HIC 0� E,.°.. 07/31/2005 PALM SPRINGS CONNTION CENTER EXPANSION OASE II CITY PROJECT NUMBER: 02-27 TURNER PROJECT NO. 8640MA TRADE BID NUMBER: 13 ROOFING February 6, 2004 SCOPE OR WORK PROVISIONS 13- ROOFING A. Scope of Work shall include, but not be limited to, the following Contract Documents: 1. All conditions as set forth in the City's Bid Package 13 Construction Documents, dated February 6, 2004, including the Safety Program dated February 6, 2004 (Exhibit A), Master Construction Schedule for Bidding Information (Exhibit B), dated February 6, 2004, General Liability and Automobile Insurance Limits (Exhibit C), dated February 6, 2004, Document List(Exhibit D), dated February 6, 2004, Construction Manager's Standard Provisions (Exhibit E), dated February 6, 2004, Temporary Utilities for Construction Purposes (Exhibit F), dated February 6, 2004 and Liquidated Damages (Exhibit G), dated February 6, 2004 are to be considered as part of the Work. 2. OSHA 30 Hour Safety Training Policy, as outlined, in the City's Safety Program, dated February 6, 2004. 3. Project Regulations and Logistics. Reference Paragraph "H" of the Scope of Work Provisions. S. Additional Instructions 1. The Contract Documents do not necessarily indicate or describe all Work required for the full performance of the Roofing Work. Trade Contractor is to provide all items required for the completion of the Work without adjustment to the Price. It is intended that the Trade Contractor shall be solely responsible for the inclusion of adequate amounts to cover all Work indicated, described, or implied, subject to code requirements and the reasonable intent of the Contract Documents. The Trade Contractor acknowledges and represents that they have: a) Visited the site and become familiar with the existing conditions, improvements and the overall physical condition of the site. b) Examined and fully understand the Contract Documents and all other exhibits, attachments, engineering reports, soils reports, special studies, and existing conditions to the extent necessary to perform the Work. The drawings, specifications, and other information listed as Contract Documents indicate the general scope of Work, and do not necessarily indicate or describe everything required for the full performance and completion of the Work. Trade Contractor shall be solely responsible for completing the Work in accordance with code requirements and the reasonable intent of the Contract Documents. c) Had an opportunity to request changes, clarifications and interpretations of errors, ambiguities, omissions and other matters which Trade Contractor has become aware of contained in the Contract Documents and Exhibits. d) Determined all procedures, techniques, phasing, sequencing, and schedules necessary or appropriate to complete the Work. e) Examined and fully understands Safety Manual and its rules, regulations and guidelines. 2. In addition, the Work will include the requirements of Construction Documents, General Conditions, Supplementary Conditions, and Division 1 General Requirements. 1 PALM SPRINGS COANTION CENTER EXPANSIONOASE II CITY PROJECT NUMBER: 02-27 TURNER PROJECT NO. 8640MA TRADE BID NUMBER: 13 ROOFING February 6, 2004 3. Trade Contractor acknowledges that they will be working in an existing, fully functional Convention Center facility, and the work may include working within public right-of ways. As such, Trade Contractor will allow for the Owner's needs for security, delivery and cleanliness and will perform the Trade Contractor's Work without disruption of the facility or its systems and operations. The level of quality, detail, coordination, scheduling, phasing, sequencing, construction activities and aesthetics is expected to exceed normal industry standards. 4. Trade Contractor fully understands that the existing Convention Center will remain open for business and will be fully operational. This Contractor further acknowledges that occasionally the progress of the work will be impeded as a result of operating the existing facility. Any demobilization, remobilization, or any other associated costs related to this type of delay is not reimbursable. 5. Contractor to provide all drinking water containers, ice, cups, trash receptacles, etc. as necessary for Contractor's employees. 6. Trade Contactor acknowledges that Turner is the Construction Manager and as such has no field forces or material handling capability to assist Trade Contractor. 7. On the basis of the above and further examinations, investigations and studies which the Trade Contractor has made in connection with the Work, Trade Contractor represents and agrees that the Contract Documents and Exhibits are accurate to the best of the Trade Contractor's knowledge and that the Work can be performed in strict accordance with the terms of their Agreement with the City. C. Scope Of Work General Scope: 1. Provide all Roofing Work as required by the Contract Documents. The following items and descriptions of Work are particularly included and are not intended to limit the Trade Contractor's Work but to clarify or emphasize the Work. 2. All items listed under scope of work that are not specifically shown in the Contract Documents, or are necessary to perform this Work to completion, must be included by this Trade Contractor. 3. This Work includes, but is not limited to, all the Work specified in Section(s) This Work includes, but is not limited to, all the Work specified in Section(s) 01732, 01735, 07210, 07530 and 07900 of the Specifications. 4. The word "provide' when used herein shall mean Provide completely, including all costs for labor, material, equipment, travel, hoisting, scaffolding, tools, rigging and any other facilities necessary to complete the Work. 5. The word "remove"when used shall mean remove and dispose, unless otherwise noted 6. All required fees, sales taxes, haul route permits, freight or other ancillary charges associated with the performance of this Work are included. The Building Permit will be obtained and paid for by others. 7. Provide the complete, fully functional, code complying Roofing to meet all the criteria of the Contract Documents, Exhibits, and all governing agencies. 8. Trade Contractor shall be responsible for providing Protection of adjacent surfaces. Sanitary protection of all loads or items being transported through or around the Existing Building of the Convention Center Facility. 9. Parking will be included in areas designated by the Project Superintendent at the City's discretion. 2 PALM SPRINGS CONONTION CENTER EXPANSIOAASE II CITY PROJECT NUMBER: 02-27 TURNER PROJECT NO. 8640MA TRADE BID NUMBER: 13 ROOFING February 6, 2004 10. Remove general debris and leave Work area broom clean on a daily basis. Trade Contractor shall deposit all debris in trash bins. 11. Food & beverages will be allowed in designated areas only. The designated area will be located outside of existing and new building areas, and may be located offsite. Designated areas will be determined by Turner Construction Company. 12. A City Business License must be obtained within 10 business days after the start of the project. 13. Move-ins: As required to meet the schedule and performance of the Roofing portion of work. 14. The Working hours for the project will be 7:00 a.m. —3:30 p.m. daily. All off-hour work, deliveries must be scheduled through the Construction Manager. 15. Provide, install and coordinate all hoisting, rigging, scaffolding, fall protection and temporary bracing necessary for the safe execution of your Work required by OSHA and the City's Safety Program, which ever is most stringent will apply. 16. Work to be performed in areas: All Work areas shown or on Contract Documents. 17. Trade Contractor is responsible for performing an existing damage survey in areas of Trade Contractors Work in existing areas within five (5) days prior to beginning work. In addition, submit a typed list to Turner Construction Company on your Company's letterhead with the pertinent Company Representative certifying all damage noted is true and the list is complete. Any items not listed by the Trade Contractor's will be the responsibility of the Trade Contractor to correct to the satisfaction of Turner Construction Company and the Owner. Survey should encompass all areas within or around the limits of the demolition and construction. 18. Include traffic control, flagmen and staging for all activities, vehicles and equipment related to your work including deliveries. 19. Delivery of materials and equipment shall be scheduled and coordinated with Turner. 20. Provide layout/verification as required for the work unless noted otherwise. Reference lines and grades only will be provided City's surveying. Provide any required grade/elevation surveys. 21. All excavations shall be shored and braced as required. Loadings from existing structures and utilities and services shall be accounted in the shoring and bracing requirements. Engineered plans for shoring and bracing shall be provided if required. Provide required access/egress/ventilation into all trenches, excavations or confined spaces for all workers and governing agency inspections. 22. All required utility and systems shut-downs, or all area closures are to be scheduled and coordinated in advance with all agencies having jurisdiction of the work, including, but not limited to, the City, Building Department, Engineering, Public Works, Fire Department, Verizon, SCE, Gas Company, DWA, Fire Alarm Monitoring, Building Management Systems, Security and other agencies having jurisdiction, and with the Convention Center through Turner. Perform shut- downs and closures related work on off-hours, or approved schedule time frame as not to disruption of the facility or its systems and operations, as required. Provide 72 hour notification for any scheduled shut down. 23. Storage space on site is extremely limited Use, placement and size of Trade Contractor jobsite office trailers and storage bins shall be reviewed and approved by Turner, and may not be allowed. Storage area will be located at the 5 Acre East Lot located at the Southeast corner of Avenida Caballeros and Amado Road, as noted in the Proposed Site Logistics plan, dated 3 PALM SPRINGS COSENTION CENTER EXPANSIONOASE II CITY PROJECT NUMBER: 02-27 TURNER PROJECT NO. 8640MA TRADE BID NUMBER: 13 ROOFING February 6, 2004 February 6, 2004. Limited Office Trailer space is available to the Trades that are required to provide onsite jobsite offices as noted in the Temporary Utilities for Construction Purposes (Exhibit F), dated February 6, 2004. 24. Notify DIGALERT (1-800-277-2600) a minimum of two (2) days before commencement of all excavating or trenching. 25. Provide on-site dust control and clean-up of soil, including the adjacent sites and streets, during the execution of the work. The PM-10 and SWPPP plans will be provided and maintain by the Site Demolition and Grading Trade Contractor through the duration of the project. However, coordination, removal and replacement of PM-10 and SWPPP measures to accommodate your work will be this Trade Contractor's responsibility. Coordinate your work, including impacts to the above plans with the Site Demolition and Grading Trade Contractor prior to start of your work. 26. All clean up of streets, adjacent properties and site debris, generated by execution of its work will be the responsibility of this Trade Contractor. 27. Provide all water required for construction, including dust control. The temporary water consumption costs will be paid for by the City of Palm Springs. 28. Protect in place all new and existing work within the demolition and construction limits, and the existing Convention Center that will be remain, reused, reworked or reconnected, unless otherwise noted. 29. References to Roof Trade Contractor shall mean Roofing Trade Contractor. References to Roofing Trade Contractor shall mean Roof Trade Contractor. 30. Specifically refer to Cutting and Patching, specification section 01732, and Selective Demolition, and Appendix Demolition Photographs, specification section 01735 for additional demolition, patching, reuse, rework or reconnect work required by your scope of work. 31. Site shall be enclosed with construction fencing with the boundaries conveyed on the proposed Site Logistics plan, dated February 6, 2004. All temporary removal, relocation and replacement of fencing to perform your work will be this Trade Contractors responsibility. Coordinate removal, relocation and replacement of fencing with Turner 72 hours in advance of commencement of work. Specific Scope: 1. Provide all materials necessary and required for a complete and watertight roofing system as specified, including, but is not limited to all crickets, cants, mechanical fasteners, adhesives, primers, sealants, coatings and other accessories for a complete roofing system. 2. Provide all fasteners, adhesives, clips and accessories to attach and secure the roofing and accessories and meet the specified ratings for wind uplift. 3. Trade Contractor recognizes that Roof Type RF-3 is visible and as such, care should be taken to provide neat final installation and which closely follow the manufacturer's recommendations for installation and final appearance. Provide a 100 SF mock-up of Roof Type RF-3 with the acrylic coated roof for review by Owner. Mock-up may be incorporated into the final work. 4 PALM SPRINGS CONINTION CENTER EXPANSIOAASE 11 CITY PROJECT NUMBER: 02-27 TURNER PROJECT NO. 8640MA TRADE BID NUMBER: 13 ROOFING February 6, 2004 4. Provide the specified roofing type at pylon tops as indicated on roof plans. Provide tapered insulation, if required at pylon roofs to achieve proper drainage of these areas. 5. Provide new roof at all roofs at new construction/addition areas per plans. 6. Provide patching of exiting roof for the following locations and/or approximate quantities: a. At Exhibit hall roof for width of Exhibit Hall as indicated on roof plan to indicated "new" area Include necessary preparation of area which may include some roof removal. Roof ballast for area will be stockpiled adjacent to patch area. b. Provide an additional 1000 SF (min 200 SF per each area) of roof patch at existing roof areas. c. Provide roof patch at 10 ea 6" OD roof penetrations at existing roof. d. Repair existing roofing at east mechanical mezzanine roof at locations of new HVAC roof equipment. e. Re-work roof slope with tampered insulation at existing loading dock canopy at L.8. Existing demolition line of canopy does not allow roof to drain to existing drains. 7. Provide walk pads as shown on roof plan. Coordinate the final location and layout of the walk pads with Turner and the Owner. 8. Provide the specified roofing at back and top of parapet locations as indicated on the drawings and locations roofing manufacturer's recommendations. 9. Coordinate with the Trade Contractor responsible for installation of wood nailers and plywood. 10. Provide roofing manufacturer recommended boots for all roof penetrations. 11. Review Contract Documents for any construction details and conditions, which may conflict with the roofing manufacturer's recommendations. Notify Turner within two weeks of award of any such conflicts. 12. Provide tapered insulation where required to create the minimum specified slope requirements. 13. Clean and repair surfaces contaminated by the roofing process. Where results of cleaning are not acceptable, provide new work of the same kind at no cost to Owner. 14. Provide all material handling equipment for the proper transportation, receiving, unloading and disbursement of their material. 15. Provide approved ladders to the roof and other work areas. 16. Provide all roof to roof and roof to parapet expansion joints indicated in Specification Section 07530 and shown on roof plans and related details. Coordinate all framed opening requirements, sheet metal counter (lashings and any transitions to wall expansion joints with the affected Trade Contractors. Fire blankets are not required. 17. Provide roof opening protection in the course of the Work and as required by OSHA. 18. All jobsite staff are required to have proper footwear, clothing, hard hat, and safety glasses at all times. No exceptions will be tolerated. 5 PALM SPRINGS COANTION CENTER EXPANSIOAASE II CITY PROJECT NUMBER: 02-27 TURNER PROJECT NO. 8640MA TRADE BID NUMBER: 13 ROOFING February 6, 2004 19. Ensure all workers performing work above 6-0" shall be required to be tied off with proper safety equipment (i.e. harness and lanyard). The only exception to this requirement will be those ladders which are required to be tied off above 24'-0". No exceptions will be tolerated. 20. Provide final cleaning of metal decks prior to roofing installation. 21. Patch all existing roofing and new to old roofing in accordance with manufacturer's recommendations. All new membrane to be welded and mechanically fastened in the field and perimeters. 22. Coordinate the roofing with roof/overflow drains with the plumbing Trade Contractor. Scope of Work Allowances: A log of hours used will be kept and a credit will be provided by this Trade Contractor to the City at the end of the project for any remaining unused hours. Turner Construction Company Field Superintendent will issue authorization to your Firm to begin the utilizing the allowance hours. The Trade Contractor will provide a Daily Time Ticket with a description of work, manpower quantity, and the number of man-hours worked. Trade Contractor Daily Time Ticket must be presented daily to Turner Construction Company for approval. Upon completion of the Work performed within a given month, the Trade Contractor is to present the monthly cost to Turner Construction Company in the form of a Trade Contractor Request for Change Order with Daily Time Tickets that reflect the time, material and equipment cost attached. All Final Costs associated with the Work, upon Turners approval, will be reconciled and issued to your Firm in the form of a Trade Contractor Change Order by the City. A Change Order must be executed by both the City and the Trade Contractor prior to billing for this work. The following Allowances are specifically included in the Trade Contractor's work: 1. None D. Exclusions The following items are specifically excluded from the Work: 1. Building Permit fees by Owner. 2. Testing for or removal of Hazardous Material by Owner. 3. Temporary Boundary Fencing. 4. Copper Fascia 5. Metal Decking 6. General Flashing and Sheetmetal 7. Roof Accessories, hatches, ladders, etc. E. Taxes 1. All sales, use and other taxes which may be required must be included. 6 PALM SPRINGS COANTION CENTER EXPANSIOAASE II CITY PROJECT NUMBER: 02-27 TURNER PROJECT NO. 8640MA TRADE BID NUMBER: 13 ROOFING February 6, 2004 F. Insurance Requirements 1. Provide the following insurance for Combined Single Limit or Aggregate, in the amounts described: A. Comprehensive General Liability, in the amount of 1,000,000,00, including: a. Premises and Operation b. Elevators C. Independent Contractors d. Blanket Contractual Including Liability Assumed by Insured under the Subcontract. B. Comprehensive Automobile Liability in the amount of 1,000,000.00, including: a. Owned b. Non-owned c. Hired Automobile Exposures. 2. Turner Construction Company shall be named as additionally insured on all required insurance certificates/policies G. Material Delivery, Handling and Protection 1. This Trade Contractor shall securely store all their jobsite materials to prevent the occurrence of any condition which could contribute to a hazardous material contamination, fire, explosion or other calamity. 2. Provide traffic control and signal men as necessary for deliveries to the jobsite. 3. Use designated areas, as determined by Construction Manager for all dumpster, deliveries, truck loading, material storage and equipment staging locations. Coordinate delivery, routing, staging, storage, dumping, pick-up of all dumpster, deliveries, truck loading, material storage and equipment staging with Turner's Project Superintendent. 4. All material handling equipment required for loading, transportation, receiving, unloading and disbursement is included. 5. Construction security will not be provided. Trade Contractor shall be responsible for its materials and equipment stored on the project until installed and accepted by the Owner. 6. Trade Contractor fully understands that there is limited storage space onsite for materials. Stockpiling on floors to be minimized and located as directed by Turner. From time to time, relocation of stockpiled materials and equipment on floors and on site may be required as directed by Turner. Trade Contractors will not be entitled to additional compensation for relocating equipment or materials as necessary to allow for the efficient progression of the work. H. Mock-Ups—As noted in the Contract Documents, including but limited to, the following: 1. Roof Type RF-3 (100 SF) 7 PALM SPRINGS CONONTION CENTER EXPANSIONQASE II CITY PROJECT NUMBER: 02-27 TURNER PROJECT NO. 8640MA TRADE BID NUMBER: 13 ROOFING February 6, 2004 1. Schedule 1. All Work is to be performed in accordance with the Master Project Construction Schedule, Exhibit B, dated 2/6/04. A detailed schedule will be required from all Trade Contractors within 10 days from award of Contract, and will be review for compliance with the Master Project Construction schedule's intent. Trade Contractor's will acknowledge that the Master Project Construction Schedule will include "multiple move-ins', "out of sequence,"and "phasing" of the work. 2. Trade Contractor shall be responsible for the cost of all overtime, shift time differentials, off hour work and other premium time costs required to "expedite" or "make-up" delays to the schedule caused by this Trade Contractor. This includes, but is not limited to, work in excess of eight hours per day, forty hours per week, and/or work on Saturdays, Sundays and Holidays. All off-hour work must be scheduled through the Construction Manager. 3. All "tie-ins" or "shut-downs' and other impacts must be scheduled through Turner at least 72 hours in advance. All related costs, including overtime, phasing and off hour work are included in the Trade Contract price 4. Whenever an actual or potential labor dispute, involving the Trade Contractor, delays or threatens to delay the timely performance of the work, the Trade Contractor shall promptly give notice thereof in writing to Turner If as a result of any labor dispute, a special gate is designated by Turner for ingress and egress by the Trade Contractor to the job site, the Trade Contractors and suppliers will comply with the requirement to use only the designated gate. Special badging may be required as long as the Trade Contractor is restricted to the reserved gate. 5. A detailed schedule of this trades' work, including submittals/shop drawings, material/equipment fabrication, delivery, installation, start-up/testing/commissioning and closeout, will be provided with ten (10) days of award of contract. 7. Punchlist items are to be completed within 10 days of the punchlist issuance. Any Turner supervision costs required to complete punchlist items after the 10 day period will be backcharged to the appropriate Trade Contractor. 8. In addition, Trade Contractor shall complete various portions of, or acknowledges special conditions regarding the Work. The following is not to limit this Trade Contractor's Work, but to emphasize various or special conditions regarding the schedule. The items are as follows: a. b. C. J. Schedule of Values 1. The Trade Contractor shall provide, within ten (10) days of Contract award the following: a. A detailed schedule of values, with the appropriate system/work breakdown, for each building, which shall be used for monthly progress billings. The schedule of values shall be prepared on the AIA G702/703 forms or a similar form as approved by Turner and City. The schedule of value shall be itemized breakdown, including but not limited to, material, equipment, labor, submittals/shop drawings, closeout, training, allowances, safety, clean-up, and shall be detailed by areas, major disciplines and systems. 2. Provide an estimate of the monthly value of work-in place and manpower. 8 PALM SPRINGS COA'NTION CENTER EXPANSIONOASE II CITY PROJECT NUMBER: 02-27 TURNER PROJECT NO. 8640MA TRADE BID NUMBER: 13 ROOFING February 6, 2004 K. Submittal Schedule 1. Provide a fully itemized submittal including material and equipment lead time, including shipping and delivery dates. Provide weekly shipping schedules and delivery dates, including schedules of shipment"PRO#'s" as requested by the Construction Manager. 2. Provide complete shop drawings, samples and product data submittals as required and per specifications for approval within three (3)weeks of the Contract Award. L. Other Information: 1. The name and address of the Owner is: City of Palm Springs 3200 E. Tahquitz Canyon Drive Palm Springs CA 92262 760-323-8239 2. The Project is being funded by City of Palm Springs. There is no lender. 3. The Trade Contractor shall have one key field supervisory staff person register and complete, within three months of contract award, the Turner/OSHA 30 hour safety certification training course via the Turner Knowledge Network (TKN) on the Internet($595 per person). M. Proiect Regulations and Logistics 1. Safety Manual, Exhibit"A" and as specified below: a) Hardhats b) Workboots c) Safety Glasses d) Safety Gloves e) Proper attire such as shirts with sleeves and long Work pants. f) No illegal substances or alcohol on or near the project. g) All Trade Contractor equipment is to be inspected on a daily basis for safety compliance. h) In addition to required cleanup of own work and work areas, this Trade Contractor will be required to provide general labor to general clean-up crews for weekly or bi-weekly full building cleanings (4 man firs min. per week). Trade Contractor Daily Reports(DCR). i) Trade Contractor Daily Reports (DCR). j) Trade Contractor Daily Equipment Inspection List. 9 PALM SPRINGS C046NTION CENTER EXPANSION%ASE II CITY PROJECT NUMBER: 02-27 TURNER PROJECT NO. 8640MA TRADE BID NUMBER: 13 ROOFING February 6, 2004 2. Each Trade Contractor is to provide a fully qualified field foreman. The same foreman that starts the project will remain on the project until completion. The foreman will maintain safety, DCR's, Daily Equipment Inspection Lists, and proper conduct amongst the Trade Contractors field forces. 3. All supplier's personnel and vehicles shall enter and leave the site through gates designated by Turner. Vehicle access will be limited to approved vehicles essential to efficient work performance. 4. All deliveries shall be scheduled with Turner's Project Superintendent a minimum of forty-eight (72) hours prior in advance. END OF SCOPE OF WORK DOCUMENT 10 A CO r1�1 DATE(MMIDD/Y`/YV ,M CERTIFICATOOF LIABILITY INSURA E OS/D3/2D04 PRODUCER (760)771-5550 FAX (760)771-5755 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION LIA of Coachella Valley ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 78-010 Main Street HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 200 La Quinta, CA 92253 INSURERS AFFORDING COVERAGE NAIC# INSURED Al Miller & Sons Roofing Inc. INSURER Lexington Insurance Company 68-760 Summit Drive INSURERB Virginia Surety Company Inc. Cathedral City, CA 92234 INSURERERD NSUR D INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDIN 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 DVL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONNSR LIMITS GENERAL LIABILITY 1070339 09/18/2003 09/18/2004 EACH OCCURRENCE $ 1.,000,( X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50 CLAIMS MADE O GCGUR - MED EXP(Any ane person) $ N( A X PERSONAL&ADV INJURY $ 1,'000 e( GENERAL AGGREGATE $ 2,000,i GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG S 1,000,1 X POLICYLIJECT PRO LOC PRO- AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO (Ea accdent) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY accident) $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GAR AGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA AGO $ AUTO ONLY AGO $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑ CLAIMS MADE AGGREGATE S S DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND 1CWSO109600 09/01/2003 09/01/2004 X Toc STmTuTB OFTH- EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNERIEXECUTIVE EL EACH ACCIDENT $ 1,000,( OFFICER/MEMBER EXCLUDED - EL DISEASE EA EL^.PL O`IE $ 1,CUD, yes,describe under SPECIAL PROVISIONS below E L DISEASE-POLICY LIMIT $ 1,000,( OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/E](CLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS '110 Days for non payment of premium OOFING- PALM SPRINGS CONVENTION CENTER EXPANSION PHASE II ITY PROJECT #02-27-13 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL CITY OF PALM SPRINGS 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, TURNER CONSTRUCTION BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 3200 TAHQUITZ CANYON WAY OF ANY KIND-UPON THE INSdR _ITS AGgNTS OR REPRESENTATIVES. PALM SPRINGS, CA 92262 AUTH 2E E ESE t �E r J 7/ � � a ACORD 25(2001/08) �� ©ACORD CORPORATION 1! Policy Number:. 1070339 COMMERCIAL GENERAL LIABILITY Named Insured: AL MILLER & SONS ROOFING INC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: CITY OF PALM SPRINGS AND TURNER CONSTUCTION COMPANY (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations perfonncd for that insured CG 20 10 10 93 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 11 Search Results - Page - - AM B Online Ratings and Analysis • Page 1 of 1 May 7,2004 Rol aBtEvcst.cnety +F Gangs U u.nalYe.is + hours r'ublica:icns . Prcduu's P,Services v r5uranGe I; .ource. 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ALL RIGHTS RESERVED No part of this report may be distributed in any electronic form or by any means,or stored in a database or retrieval syst written permission of the A M. Best Company.Refer to our terms of use for additional details. 7/9/2004 JUL-09-2004 FRI 09:39 AM AL MILLER & SONS ROOFING FAX NO. 32 556666 P. 01 0YA pRDM CERTIFICA IABILITY INSURANCE 06/012048 rr<ooucaia( 6pjgj..ry,�,j,1, VAX (760)320-1115 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Garcia Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE I',fY, f6Gx Z803 HOLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE APFORbED BY THE POLICIES BELOW, Palm S�nrinrgs, CA 92263 ---��.•_..r_-._-__._-,_ __..-..._-...m..,..,.._.__.r-_,.,,._.,.,........_ INSURERS AFFORDING COVERAGE NAIC sli rii h'1 N'il1eo^ Soi W -'- f- " is foo'f"1nrU, Inc. INsuRER,r Golden Eagle Insurance 69760 Svmmit Drive iNsii Cathedral City, CA 92Z34 ---- INSUREN D. TI IC POLICILB OI"INSURANCE LIS I�'D BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVF FOR THE POLICY PERIOD INDICATED.NOI WITHSTANOIp ANY f0"C]I,1 G'I"MI"NT,11 FM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE:INSQRANCF AFTORDrD BY THF,POLICIFS DESCRIUI'1'D 1,11132(_IN IS SUl9JECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCI POLICIES,AC',GIIIECAIC LIMI IS Sh TOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- `___________ _ _—___.__— __--_.__._.__ .........___....___--"._....._..... INS(}ii0011 ' POLICY EFFECTIVE POLICY EXPIRATION _TY11;OFINSURANr,E _... „POI.IGY rvLIMPER� [,ATE fMM/ISL1[ LIMITS 6hNl I!AI.UAII 111V Y EAGI I OGCURRCNCF; COA,IME.IlCN1.OENEIiAL LIAEILITY 116AM�P,E TO µC"NTCP W y PDrIGFG(Po nor ., __ __ CLAIMS'MADL a OCCUR MLU EXP(Alryona parson) $ PERSONAL A ADV INJURY S GENERAL AGGREGATE & AgORCpATG"1,IMIFAPPLIE,$PCR PRODUCTS.COMP/OP AGG $ �POLIC.Y 1, jEC I' LOG AIJICMO131 LL LIABILITY CBP9763962 09/08/2003 09%08%Z004 coMBINE.SINGLE UMn r }( ANY AUTO (Ea eccldent) 1,0 ALL OWNI.D ALTOS BODILY INJURY $ A X S011-100 Fri AU Fos (Par PI+ILO ) y( II(PLIDAUTO" BODILY INJURY NON OVJNIrO AU rUS (Per acndcnp S PROPERTY DAMAGE (Pee ac edw) GARAGE L IAFALITY AUTO ONLY.LAACMDENT g ANYAUIO D'LHER IHAN EAACC $ At TO ONIN; AGG $ E„xLt:`iSIUMIR6C LLLA�I"IAHII ITY CACN OCCI,IRRENCC S OCCUR t l CLAIM,MADE AGGREGATE $ x ulcpLlCi'ILfLF _ ILM1IEMION $ $ —.�.,WORKF RSOOMPEN9ATON ANI)��..,���•�, H _ WC SVL OI _--"..���`""� LMPLOYFRR J.ARII.II'Y ANY 7H011101,1 01WARTNERAXECUTIVE L,L.EACIi ACCIPE AT S UI IC6.1 Yld;.MIT[R I:.xC1 UDCP4 E L DISEASE-EA EMPLOYE' S Ily(%.tlW.edbL antler ._________._.._.r..___...... ... .... . --------- S I'I.CCMI.PROVISIONS bolow El DISEASE-POLICY LIMIT S 1 OTt II R DpiSCNlI'T IUH OP UPI'_f4AY IONS 1 LOCATIONS I VEHICLES I EXCLUSIONS APOC-6Y E'NPORSI-MFNT I SPECIAL PROVISIONS 1'ssued 0s evidence of insurance. dc; All operations CE'ERTIRC'ATE 1•101-D[ ._,.— ..�........w..,_.._..._,.CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES RE CANCELLED BEFORC:THEE EXPIRATION DAT E 1'HaRFOF,THE ISSUING INSURER WILL ENDEAVOR To MAIL _—0.,,_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LGFT, City of Palm Springs BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 3200 Last Tahquitz Canyon Way OF ANY HIND UPON THE INSURER,ITS AGENTS O RCSLNTATI,VGQ,-- I'alil) SpilingS, CA 92262 AUTHORIZED REPRESENT WE Joseph Garcia - ACGJZD 25(2001l03,') C)ACORD CORPORATION V 200 . 9 • STATE OF CALIFORNIA—DEPARTMENT OF INDUSTRIAL RELATIONS DIVISION OF APPRENTICESHIP STANDARDS TO: California Department of Industrial Relations Division of Apprenticeship Standards P.O. Box 603 San Francisco, California 94101 EXTRACT OF FROM: AWARDING AGENCY PUBLIC WORKS CONTRACT AWARD 832480000 City of Palm Springs Office of Procurement & Contracting 3200 E. Tahquitz Canyon Way Palm Springs, CA 92263-2743 A CONTRACT TO PERFORM PUBLIC WORKS UNDER LABOR CODE §17777.5 HAS BEEN AWARDED TC 2 Name of General Contractor 3, Contractor's License Number Al Miller Roofing 336547 4. Mad Address(Street Number of P.O.Box) 5. City 68-760 Summit Drive Cathedral City 6 Zip Code 7. Telephone Number 92234 (760)328-6616 Ext 8. Address or Location of Public Works Site(Include city and/or country) Convention Center, Palm Springs, CA USA 9 Contract or Project Number 10, Dollar Amount of Contract Award 02-27-13 $688,900.00 11 Starting Date(Estimated or Actual) 12 Completion Date(Estimated or Actual) MONTH DAY YEAR (USENUMBERS) MONTH DAY YEAR (USE NUMBERS) 4/19/2004 911/2005 13. Type of Construction(Highway,school, 15 hospital,etc. Convention center expansion ❑ NEW CONSTRUCTION X ALTERATIONS 16. Classification or Type of Workman(Carpenter,plumber,etc) Roofers 17 Is language included in the Contract Award to effectuate the provisions of Section 1777.5, As required by the Labor Code?,. .. . ... ... .. .... X YES NO Is language included in the Contract Award to effectuate the provisions or Section 1776, As required by the Labor Code?.... ... ..... .. .... ... X YES NO 18, Signature 19 Title 20 Date Sr. Contracting July 9, 2004 Specialist 21. Printed or Typed Name d 22. Telephone Number Bruce R. Johnson � ��� 760-322-8373 ACORDM CERTIFICA F LIABILITY INSURA 'E 06/08/z a PRODUCER (760)320-1111 FAX (760)320-111S THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Garcia Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 2803 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Palm Springs, CA 92263 INSURERS AFFORDING COVERAGE NAIC# INSURED Al Miller & Sons Roofing, Inc. INSURERA: Golden Eagle Insurance 68760 Summit Drive INSURER B: Cathedral City, CA 92234 INSURER -INSURERO a s INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE UED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTAND 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 SUC POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE ❑OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ POLICY PROJECT LOG AUTOMOBILE LIABILITY CBP9763962 09/08/2003 09/08/2004 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1,000, ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) A X HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHERTHAN EAACC $ AUTO ONLY AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR O CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU-EMPLOYERS'LIABILITY ANY PROPRIEfORIPARTNERIEXECUTIVE El EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED E.L.DISEASE-EA EMPLOYE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS issued as evidence of insurance. e: All operations CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, City of Palm Springs BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 3200 East Tahquitz Canyon Way OF ANY KIND UPON TH URER,ITS AGENTS O RESENTA Palm Springs, CA 92262 AUTHORIZED REPRESE ATIVE / Joseph Garcia ACORD 25(2001108) ©ACORD CORPORATION V DATE(MMIDDIYYY' .23 CDEPM CERTIFIV.dA1 W. F UA5L7Y NSUS fG 04./29/2004, PRODUCER (760)320-1111 FAX (760)320-1115 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Garcia Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CEP.TIFICAI'E P.O. Box 2803 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Palm Springs, CA 92263 INSURERS AFFORDING COVERAGE NAIC# INSURED Al Miller & Sons Roofing, Inc. / \INSURERA. Golden Eagle Insurance 68760 Summit Drive �1' ! SURERB Cathedral City, CA 92234 �Ict�^ °INSURER U INSURERD. INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDI 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 SUC POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR ADD, TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS N ATIMMIDDfYYI GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE OCCUR REEMISES(Ea occurrence) MED EXP(Any one person) $ PERSONAL S ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ POLICY 7 PROECT LOC J AUTOMOBILE LIABILITY CBP9763962 09/08/2093 09/08/2004. COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1,0®®, ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ A X HIREDAUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHERTHAN EA ACC $ AUTO ONLY AGO $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WOR;C MIT -ER EMPLOYERS'LIABILITY EL EACH ACCIDENT $ ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED' E.L.DISEASE-EA EMPLOYEE $ If yes,describe under _ SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ssued as evidence of insurance. Certificate holder and Turner Construction are named as additional insured. e: Palm Springs Convention Center Expansion Phase II, City project #02-27-13 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, n City of Palm Springs BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPQSE NO OBLIGATIONO-R LIABILITY 3200 Tahqui tz Canyon Way OF ANY KIND UPON nJE-INSPIRER,ITS AGENTS,OR REPRESENTATIVES. Palm Springs, CA 92262 AUTHORIZED REPRESENTATIVE 1✓ Jos-ph Garcia ` —.1? ACORD 25(2001108) (� ©ACORD CORPORATION 1 License Detail • Page 1 of 2 Cafl- is Home Friday,J 47v- kiVelcorneto Cali or1lIaInig r , ..dr . License Detail CALIFORNIA CONTRACTORS STAT E UCEM Contractor License # 336547 DISCLAIMER A license status check provides information taken from the CSLB license data base. Befor( on this information, you should be aware of the following limitations: . CSLB complaint disclosure is restricted by law (B&P 7124.6). If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below. Click on the lir button to obtain complaint and/or legal action information. . Per B&P 7071.17, only construction related civil judgments known to the CSLB are di . Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. . Due to workload, there may be relevant information that has not yet been entered oni Board's license data base. Extract Date: 07/09/2004 * * * Business Information AL MILLER & SONS ROOFING CO INC 68760 SUMMIT DRIVE CATHEDRAL CITY, CA 92234 Business Phone Number: (760) 328-6616 Entity: Corporation Issue Date: 06/08/1977 Expire Date: 07/31/2005 * * * License Status * * * This license is current and active. All information below should be reviewed. * * * Classifications * * * Class Description C39 ROOFING * * * Bonding Information CONTRACTOR'S BOND: This license filed Contractor's Bond number 930643C in the an $10,000 with the bonding company ve1or%Ml1n%9lTv a f%KnDAKIV nc rAi 1117nr_rneen 7/9/2004 License Detail 0 • Page 2 of 2 iev r�� esewi � e esvinrrnra r yr a,m-��er to rtoo�om�. Effective Date: 01/01/2004 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(1): The Responsible Managing Officer (RMO) CHJ ALFRED MILLER certified that he/she owns 10 percent or more of the voting stock/equit) corporation. A bond of qualifying individual is not required. Effective Date: 01/01/1980 * * * Workers Compensation Information This license has workers compensation insurance with the VIRGINIA SURETY COMPANY, INC. Policy Number: 1CW50109600 Effective Date: 09/01/2003 Expire Date: 09/01/2004 Workers Compensation Histiory Personnel listed on this license (current or disassociated) are listed on other lice) Personnel List Salesperson-List Other Licenses License Number Request Contractor Name Request personnel Name Request Salesperson Request Salesperson Name Request ©2004 State of California. Conditions of Use PILL@ Policy 7/9/2004 VENDORS&AMOUNTS BID VENDORS &AMOUNTS BID BID ABBTi RACT 02-27-13 DATE 0DUE 3(23(04 v )ING TO: ROOFING 2:00 WEST CONF ROOM `J(` G� J , JTITY COMMODITY ITEM" �9 \ e' RZ 06 1� L 5 CONTRACT ABSTRACT Contract Company Name: Al Miller Roofing Company Contact: Al Miller Sununary of Services: roofing for convention center Contract Price: $688,900.00 Funding Source: 261-4283-43200 Contract Term: April 2004 to August 2005 Contract Administration Lead Department: Project Manager Contract Administrator: Al Smoot Contract Approvals Council/Community Redevelopment Agency Approval Date: 3/24/2004 Minute Order/Resolution Number: 020880 Agreement No: 4858 Contract Compliance Exhibits: N/A Signatures: Complete Insurance: Attached Bonds: Attached Contract prepared by: Procurement& Contracting Submitted on: 7/9/04