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RESOLUTION NO. 2004-141
RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY
OF SAN BERNARDINO APPROVING THE FINAL MAP FOR SUBDIVISION
TRACT NO. 16278 LOCATED ON THE NORTH SIDE OF KENDALL DRIVE
BETWEEN DEERFIELD STREET AND WAGON WHEEL ROAD, ACCEPTING THE
PUBLIC DEDICATIONS AS SET FORTH ON SAID MAP; AND AUTHORIZING
EXECUTION OF THE STANDARD FORM OF AGREEMENT FOR THE
IMPROVEMENTS IN SAID SUBDIVISION, WITH TIME FOR PERFORMANCE
SPECIFIED.
BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE
CITY OF SAN BERNARDINO AS FOLLOWS:
SECTION 1. The Mayor and Common Council find that proposed Subdivision Tract
No. 16278, a 1-lot condominium subdivision, and Conditional Use Permit No. 01-04 to
construct 8 detached single family condominium on the north side of Kendall Drive between
Deerfield Street and Wagon Wheel Road, together with the provisions for their design and
improvements, is consistent with the General Plan of the City of San Bernardino.
SECTION 2. The Mayor of the City of San Bernardino is authorized on behalf of
said City to execute the standard form of agreement adopted by Resolution No. 90-427 with
Betty Hsiufeng Chen Li, for improvements in said subdivision tract as are required by Title
19 of the San Bernardino Municipal Code and the California Subdivision Map Act. The time
for performance is specified at 24 months. Said improvements are specifically described and
shown on Drawings approved and on file in the office of Development Services of the City of
San Bernardino.
SECTION 3. The Final Map of said subdivision tract is hereby approved and the
City of San Bernardino hereby accepts as public property all dedications within the
subdivision as shown on said Final Map for streets, alleys (including access rights), drainage
and other public easements. As a condition precedent of approval of the Final Map, the
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R
RESOLUTION... APPROVING FINAL MAP FOR SUBDIVISION TRACT NO.
16278...
Subdivider shall first execute the agreement referenced in Section 2 hereof for the
improvements within said Subdivision.
The City Clerk shall certify the approval and acceptance of the Mayor and Common Council
as set forth in this Resolution.
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RESOLUTION... APPROVING FINAL MAP FOR SUBDIVISION TRACT NO.
16278...
I HEREBY CERTIFY that the foregoing Resolution was duly adopted by the Mayor
it.
and Common Council of the City of San Bernardino at a reg. meeting thereof, held on
the 7th day of June , 2004, by the following vote, to wit:
Council Members: AYES NAYS ABSTAIN ABSENT
ESTRADA %
LONGVILLE x
MC GINNIS x
DERRY x
KELLEY %
JOHNSON x
MC CAMMACK x
City Clerk
The foregoing resolution is hereby approved this 91 W day of June
2004.
C C« Wend�Cammack, Mayor Pro Tem
City of San Bemardino
Approved as to
Form and legal content:
JAMES F. PENMAN,
City Attorney
By:
2004-141
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(Subdivision Improvements)
3 THIS AGREEMENT is made and entered into as of this
4 day of 1#2L�±, by and between the CITY OF SAN
5 BERNARDINO, a Municipal Corporation, hereinafter referred to as
6 "City", and -4>E L hereinafter
7 referred to as "Subdivider".
8 RECITALS
9 A. WHEREAS, Subdivider has presented to City for
10 approval a final subdivision map (hereinafter called "map")
11 entitled T (G,c 4-- �J O. -7K
12
13 and,
14 B. WHEREAS, the map has been filed with the City for
15 presentation to the City Council (hereinafter called "Council")
16 f the City for its approval, which map is hereby referred to and
17 incorporated herein; and,
18 C. WHEREAS, Subdivider has requested approval of the map
19 prior to the construction and completion of improvements,
20 including all streets, highways or public ways and public utility
21 facilities which are a part of, or appurtenant to, the
22 subdivision (hereinafter called "subdivision") designated in the
23 map, all in accordance with, and as required by, the Plans and
24 Specifications for all or any of said improvements in,
25 ur pptenant to, or outside the limits of subdivision, which Plans
26 nd Specifications are now on file in the Office of the City
27 ngineer of the City; and,
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D. WHEREAS, Council has approved said map and accepted
the dedications therein offered, or some thereof, on condition
that Subdivider first enter into and execute this Agreement with
the City; and,
E. WHEREAS, This Agreement is executed pursuant to the
provisions of the Subdivision Map Act of the State of California
and Title 19 San Bernardino Municipal Code.
NOW THEREFORE, for and in consideration of the approval of
the map and of the acceptance of the dedications, or some
thereof, therein offered and in order to insure satisfactory'
performance by Subdivider of Subdivider's obligations under said
Subdivision Map Act and said Ordinance, the parties agree as
follows:
1. Performance of Work. Subdivider will do and perform,
or cause to be done and performed, at Subdivider's own expense,
in a good and workmanlike manner, and furnish all required
materials, all to the satisfaction of the City Engineer of City,
the work and improvements within (and/or without) the subdivision
to complete the improvements in accordance with the Plans and
Specifications on file as hereinbefore specified, or with any
changes required or ordered by said Engineer which, in his
opinion, are necessary or required to complete the work.
2.
Work:
Places and
Grades
to be Fixed by
Engineer.
All
of said
work is
to be done
at the
places, of the
materials,
in
the manner, and at the grades, all as shown upon the Plans and
Specifications therefor, heretofore approved by City Engineer and
which are now on file in his office, and to the satisfaction of
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said City Engineer.
3. Work:
Time
for
Commencement and Performance.
City
hereby fixes the
time
for
the completion of said work
to be
within
from the date hereof.
4. Time of Essence - Extension. Time is of the essence of
this Agreement; provided that, in the event good cause is shown
therefor, the City Engineer may extend the time for completion of
the improvements hereunder. Any such extension may be granted
without notice to the Subdivider's surety, and extensions so
granted shall not relieve the surety's liability on the bond to
secure the faithful performance of this Agreement. The City
Engineer shall be the sole and final judge as to whether or not
good cause has been shown to entitle Subdivider to an extension.
5. Repairs and Replacements. Subdivider shall replace, or
have replaced, or repair, or have repaired, as the case may be,
all pipes and monuments shown on the map which have been
destroyed or damaged, and Subdivider shall replace, or have
replaced, repair, or have repaired, as the case may be, or pay to
the owner the entire cost of replacement or repairs, of any and
all property damaged or destroyed by reason of any work done
hereunder, whether such property be owned by the United States,
or any agency thereof, or the State of California, or any agency
or political subdivision thereof, or by the City, or by any
public or private corporation, or by any person whomsoever, or by
any combination of such owners. Any such repair or replacement
shall be to the satisfaction, and subject to the approval, of the
City Engineer.
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6. Utility Deposits - Statement. Subdivider shall file)
with the City Clerk, prior to the commencement of any work to be
performed within the area delineated on the map, a written
statement signed by Subdivider, and each public utility
corporation involved, to the effect that Subdivider has made all
deposits legally required by such public utility corporation for
the connection of any and all public utilities to be supplied by
such public utility corporation within the Subdivision.
7. Permits: Compliance with Law. Subdivider shall, at
Subdivider's expense, obtain all necessary permits and licenses
for the construction of such improvements, give all necessary
notices and pay all fees and taxes required by law. Subdivider
shall comply with all provisions of the Subdivision Map Act and
Title 19 San Bernardino Municipal Code.
8. Superintendence by Subdivider. Subdivider shall give
personal superintendence to the work on said improvement, or have
a competent foreman or superintendent, satisfactory to the City
Engineer on the work at all times during progress, with authority
to act for Subdivider.
9. Inspection by City. Subdivider shall at all times
maintain proper facilities and provide safe access for inspection
by City to all parts of the work and to the shops wherein the
work is in preparation.
10. Contract Security. Concurrently with the execution
hereof, Subdivider shall furnish to City improvement security as
Ifollows:
(a) An amount equal to at least one hundred percent (100-1)
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of the total estimated cost of the improvement and
acts to be performed as security for the faithfuls
performance of this Agreement;
(b) An amount equal to at least fifty percent (50$) of thel
total estimated cost of the improvements and acts to
be performed as security for the payment of all
persons performing labor and furnishing materials in
connection with this Agreement; and,
(c) An amount equal to at least twenty-five percent (25$)
of the total estimated cost of the improvements and
acts to be performed as security for the guarantee and
warranty of the work for a period of one (1) year
following the completion and acceptance thereof
against any defective work or labor done, or defective
materials furnished.
As a part of the obligation guaranteed by the
security and in addition to the face amount of the
security, there shall be included costs and reasonable
expenses and fees, including reasonable attorney's
fees, incurred by City in successfully enforcing the
obligation secured. The type of security furnished
shall be in the form of bonds, deposits or letters of
credit as provided in Title 19 San Bernardino
Municipal Code,
and
the type
shall be at
the option of
and subject to
the
approval
of the City
Engineer and
the City Attorney.
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2 11. Subdivider's Insurance. Subdivider shall not commence
3 work under this Agreement until Subdivider shall have obtained
4 all insurance required under this paragraph, and such insurance
5 shall have been approved by City Attorney as to form, amount and
6 carrier, nor shall Subdivider allow any contractor or
7 subcontractor to commence work on his contract or subcontract
8 until all similar insurance required of the contractor or
9 subcontractor shall have been so obtained and approved. All
10 requirements herein provided shall appear either in the body of
11 the insurance policies or as endorsements and shall specifically
12 bind the insurance carrier.
13 (a) Workers Compensation Insurance/Employer's Liability
14 Insurance. Subdivider shall maintain, during the life
15 of this Agreement, Worker's Compensation Insurance and
16 Employer's Liability Insurance for all Subdivider's
17 employees employed at the site of improvement, and, in
18 case any work is sublet, Subdivider shall require any
19 contractor or subcontractor similarly to provide
20 Worker's Compensation Insurance and Employer's
21 Liability Insurance for all contractor's or
22 subcontractor's employees, unless such employees are
23 covered by the protection afforded by Subdivider. In
24 case any class of employees engaged in work under this
25 Agreement at the site of the project is not protected
26 under any Worker's Compensation Law, Subdivider shall
27 provide, and shall cause each contractor and
28 subcontractor to provide, adequate insurance for the
1[Subdivimp.Agr] 6
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2004-141
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2 protection of employees not otherwise protected.
3 Subdivider shall indemnify City for any damage
4 resulting to it from failure of either Subdivider or
5 any contractor or subcontractor to take out or
6 maintain such insurance.
7 (b) Public Liability and Property Damave Insurance.
8 Subdivider shall take out and maintain, during the
9 life of this Agreement, such public liability and
10 property damage insurance as shall insure City, its
11 elective and appointive boards, commissions, officers,
12 agents and employees, Subdivider and any contractor or
13 subcontractor performing work covered by this
14 Agreement from claims for damages for personal injury,
15 (as defined hereunder), including death, as well as
16 from claims for property damage or product liability
17 which may arise from Subdivider's or any contractor's
18 or subcontractor's operations hereunder, whether such
19 operations be by Subdivider or any contractor or
20 subcontractor, or by anyone, including, without
21 limitation, agents, employees or independent
22 contractors, directly or indirectly employed by either
23 Subdivider or any contractor or subcontractor, and the
24 amounts of such insurance shall be as follows:
25 (1) Public Liability Insurance. In an amount not
26 less than One Million Dollars ($1,000,000.00) for
27 injuries, including, but not limited to, death,
28 to any one person, and, subject to the same limit
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2 for each person, in an*amount not less than One
3 Million Dollars ($1,000,000.00) on account of any
4 one occurrence; Product Liability Insurance
5 coverage should be part of the Public Liability
6 Insurance;
7 (2) Property Damage Insurance. In an amount not less
8 than One Million Dollars ($1,000,000.00)
9 for damage to the property of each person on
10 account of any one occurrence.
11 In the event that any of the aforesaid insurance
12 policies provided for in this Paragraph 11 insures any
13 entity, person, board or commission other than those
14 mentioned in this paragraph, such policy shall contain
15 a standard form of cross -liability endorsement,
16 insuring on such policy City, its elective and
17 appointive boards, commissions, officers, agents and
18 employees, Subdivider and any contractor or
19 subcontractor performing work covered by this
20 Agreement.
21 (3) Tail Coverage. Insurance coverage, albeit for
22 public liability or property damage, shall be
23 written, if possible, on an "occurrence" form
24 rather than a "claims made" policy. If the
25 insurance policy is written on a "claims made"
26 policy, then additional coverage, entitled "tail
27 coverage" must be purchased to cover a period of
28 one (1) year from completion of the project. All
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2 subcontractors must and shall comply with the
3 same insurance provisions as the contractor(s)
4 and subdivider(s).
5 (4) Personal Injury - Defined. As used herein, the
6 term "personal injury" shall be defined as a hurt
7 or damage to one's
g person including, without
8 limitation, damage to health, cuts, bruises,
9 broken limbs and/or bones, or the like,
10 disabilities or impairments, including
11 aggravation of existing injuries, on invasion ofl
1211 personal rights, including libel or slander
1311 criminal conversation, malicious prosecution,
1411 false imprisonment and mental suffering.
15 12. Evidence of Insurance. Subdivider and contractor
16 shall furnish City, concurrently with the execution hereof, with
17 satisfactory evidence of the insurance required, and evidence
18 that City is named and endorsed on the policy as an additional
19 insured. Subdivider and contractor shall also provide City with
20 evidence that each carrier will be required to give City at least
21 ten (10) days prior written notice of the cancellation or
22 reduction in coverage of any policy during the effective period
23 of this Agreement.
24II 13. Hold Harmless/Indemnification. Subdivider(s)/
25 Developer(s) hereby agree to and shall protect, defend, indemnify
2611and hold the City and its elective and appointive boards,
27I1commissions, officers, agents, employees and servants free and
2811harmless from any and all liability losses, damages, claims,
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2 liens, demands and cause of action of* every kind and character
3 including, but not limited to, the amounts of judgments,
4 penalties, interests, court costs, attorney's/legal fees, and all
5 other expenses incurred by the City arising in favor on any
6 party, including claims, liens, debts, demands for lost wages or
7 compensation, personal injuries, including employees of the City,
8 death or damages to property (including property of the City) and
9 without limitation by enumeration, all other claims or demands of
10 every character occurring or in any way incident to, in
11 connection with or arising directly or indirectly, (including
12 from the negligent performance by its officers, employees,
13 agents) from the terms of this Agreement, whether such
14 operations/incidents are caused by contractor, Subdivider or any
15 of contractor/Subdivider's subcontractors, contractors or by any
16 one or more persons directly or indirectly employed by or acting
17 as agent for contractor, Subdivider, or any one of contractor or
18 Subdivider's contractors or subcontractors. Subdivider/Developer
19 shall investigate, handle, respond to, provide defense for and
20 defend any such claims, demand, or suit at the sole expense of
21 the Subdivider/Developer even if the claim or claims alleged are
22 groundless, false or fraudulent. Subdivider agrees to, and
23 shall, defend City, its appointive boards, commissions, officers,
24 agents and employees from any suits or actions at law or in
25 equity for damages caused, or alleged to have been caused, by
26 reason of any of the aforesaid operations, provided as follows:
27 (a) That City does not, and shall not, waive any rights
28 against Subdivider which it may have by reason of the
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aforesaid hold harmless agreement, because of the
acceptance by City, or the deposit with City by
Subdivider, or any of the insurance policies described
in Paragraph 11 hereof.
(b) That the aforesaid hold harmless agreement by
Subdivider shall apply to all damages and claims for
damages of every kind suffered, or alleged to have
been suffered, by reason of any of the aforesaid
operations referred to in this paragraph, regardless
of whether or not City has prepared, supplied or
approved of Plans and/or Specifications for the
subdivision, or regardless of whether or not such
Insurance policies shall have been determined to be
applicableto any of such damages or claims for
damages.
This provision is not intended to create any cause of action in
favor of any third party against Subdivider/Developer or the City
or to enlarge in any way the Subdivider's/Developer's liability
but is intended solely to provide for indemnification of the City
from liability for damage or injuries to third persons or
property arising from Subdivider/Developer's performance
2311hereunder.
24 14. Title to Improvements. Title to, and ownership of,
25 all improvements constructed hereunder by Subdivider shall vest
26 absolutely in City, upon completion and acceptance of such
27 improvements by City.
28 //
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15. Repair or Reconstruction of Defective Work. If,
within a period of one year after final acceptance of the work
performed under this Agreement, any structure or part of any
structure furnished and/or installed or constructed, or caused to
be installed or constructed by Subdivider, or any of the work
done under this Agreement, fails to fulfill any of the
requirements of this Agreement or the Specifications referred to
herein, Subdivider shall, without delay and without any cost to
City, repair or replace or reconstruct any defective or otherwise
unsatisfactory part or parts of the work or structure. Should
Subdivider fail to act promptly or in accordance with this
requirement, or should the exigencies of the situation as
determined by the City in the exercise of its sole discretion
require repair, replacement or reconstruction before the
Subdivider can be notified, City may, at its option, make the
necessary repairs or replacements or perform the necessary work,
and Subdivider shall pay to the City the actual cost of such
repairs plus fifteen percent (15t).
16. Subdivider Not Aaent of City. Neither Subdivider nor
any of Subdivider's agents or contractors are, or shall be,
considered to be agents of City in connection with the
performance of Subdivider's obligations under this Agreement.
17. Cost of EnginearIna and Inspection. Subdivider shall
pay to City the costs of all permit fees for all engineering
inspections and other services connected with the City in regard
the subdivision. Said fees shall be paid prior to commencing
construction.
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18. Notice of Breach and Default. If Subdivider refuses
or fails to obtain prosecution of the work, or any severable part
thereof, with such diligence as will insure its completion within]
the time specified, or any extensions thereof, or fails to obtain
completion of said work within such time, or if the Subdivider
should be adjudged a bankrupt, or Subdivider should make a
general assignment for the benefit of Subdivider's creditors, or
if a receiver should be appointed in the event of Subdivider's
insolvency, or if Subdivider, or any of Subdivider's contractors,
subcontractors, agents or employees, should violate any of the
provisions of this Agreement, City Engineer or City Council may
serve written notice upon Subdivider and Subdivider's surety of
breach of this Agreement, or of any portion thereof, and default
of Subdivider.
19. Breach of Agreement; Performance by Surety or City.
In the event of any such notice, Subdivider's surety shall have
the duty to take over and complete the work and the improvement
herein specified; provided, however, that if the surety, within
five days after the serving upon of such notice of breach, does
not give City written notice of its intention to take over the
performance of the contract, and does not commence performance
thereof within five days after notice to City of such election,
City may take over the work and prosecute the same to completion,
by contract or by any other method City may deem advisable, for
the account and at the expense of Subdivider, and Subdivider's
surety shall be liable to City for any excess cost or damages
occasioned City thereby; and, in such event, City, without
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liability for so doing, may take possession of, and utilize in
completing the work, such materials, appliances, plant and other
property belonging to Subdivider as may be on the site of the
work and necessary therefor.
20. Notices. All notices herein required shall be in
writing, and delivered in person or sent by registered mail,
postage prepaid.
(a) Notices required to be given to City shall be
addressed as follows:
City Administrator
City Hall
300 North "D" Street
San Bernardino, California 92418
(b) Notices required to be given to Subdivider shall be
addressed as follows:
(c) Notices required to be given to surety of Subdivider
shall be addressed as follows:
X� GTTY 17! i s� �fi CHF� Z-" ; 7ru s fe e.
7,1, aqr, 420 , Sca4g4- X I'- . 114 D a0q/6
Provided that any party or the surety may change such address by
notice in writing to the other party, and, thereafter, notices
shall be addressed and transmitted to the new address.
25 21. Successors Bound. This Agreement shall be binding
26 upon and inure to the benefit of each of the parties and their
27 respective legal representatives, successors, heirs and assigns.
28 ///
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IN WITNESS WBEREOF, the parties hereto have executed this
Agreement on the day and year first above written.
ATTEST:
City Clerk
Approved as to form
and legal content:
JAMES F. PENMAN,
City Attorney,
CITY OFFSAN BERNARDINO
r
We cCammack, Mayor Pro Tern
City of San Bernardino
SUBDIVIDER:
i
By:
INSTRUCTIONS
If the Subdivider is a corporation, the Agreement must be
executed in the corporate name and signed by the President or a
Vice -President and the Secretary or Assistant Secretary, and the
corporate seal affixed.. If the Subdivider is a partnership, it
must be signed by all partners. If the Subdivider is an
individual doing business under a fictitious name, it must be
signed by all persons having an interest in the business, and the
fictitious name must be signed also. The Agreement must be
24 STATE OF CALIFORNIA
25 COUNTY OF
26 On this day of 19 before
e, the undersigned, a Notary Pubiic in and for said County and
27 State, personally appeared R�IsY
28 ersonaiiy xnown to me (or proved to me on the basis-0
atisfactory evidence to be the President, and
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personally known to 11 me (or proved to ili:177iiiii the basis of
satisfactory evidence) to be the
Of the corporation that executed
the within instrument, and known
to me to be the persons who
executed the within instrument
on behalf of the corporation
therein named, and acknowledged
to me that such corporation
executed the same, pursuant to
its by-laws, or a resolution of
its Board of Directors.
WITNESS my hand and official seal.
Notary Signature (This area for official seal.)
[Subdivimp.Agr]
or 20, 1990
16
2004-141
$� AMERIC
STATE OF CALIFORNIA
COUNTY OF Is r
On I ' 3O - Oil before me, Vvk a vtI Z
personally appeared 'tV') R s . -& � e r l e �- ��
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 which the person(s) acted, executed the instrument.
WITNESS my hapd'and official seal.
Sign
GECIRGENA MUNIZ
COMM. #1305635
NOTARY PUBLIC — CALIFORNIAS
Z ° U�
SAN BERNARDINO COUNTY
My Commisslon Expires May 25, 2005
(This area for official notarial seal)
Title of Document ACA'r f e v}�`= v, - -
Date of Document I 30 04 No. of Pages 1 7
Other signatures not acknowledged uv.res
3008 0194) (General)
First American Title Insurance Company
2on4-141
UILilyyyy
ACOR LIHECERTIFICATE OF LIABILITY INSURANCE OP TTY 0ID 1 uAlt (Mnv2 1047/04l
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Raintree Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
License #0557773 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2037 North D street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
San Bernardino CA 92405
Phone: 909-881-2654 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A'. Nautilus Insurance Co. /Mona ch
INSURER B
Betty Hsiufeng Chen Li INSURERC.
12 Baughman Ct INSURER D.
Silver Spring MD 20906
'. INSURER P.
18I•31Tia•1v_Te1x.11
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IN LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
DATEYMIFWFDDm
DATE MM1ICY VDD/Y �N
LIMITS
GENERAL
LIABILITY
EACH OCCURRENCE
S 1 r ODD r OOO
A X
X
COMMERCIAL GENERAL LIABILITY
PENDING
02/14/04
02/14/05
PREM ISES(Ea occurence)
$ lOOr DOO
CLAIMS MADE OCCUR
j
MED EXP(Any one cerson)
S5,000
.,
PERSONAL B ADV INJURY
b l 0D0 000
GENERAL AGGREGATE
b 2 000 , 000
r
GEN'L AGGREGATE LIMIT APPLIES PER:
�-� POLICY PECTRO LOC
J
PRODUCTS - COMPIOP AGO
s2,000,000
j
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
ALL OWNED AUTOS
/
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
�
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS 'I
-�
� -
PROPERTY DAMAGE
(Per accident)
$
LGARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
S
ANY AUTO
b
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$
�r
' OCCUR _ � CLAIMS MADE
AGGREGATE
j $
S
J DEDUCTIBLE
S
S
RETENTION S
li WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
TORYLI MIT51 ER
El. EACH ACCIDENT S
ANY PRUPRIt IUW PAR I NERiEXECU, fYc
E.L. DISEASE - EA EMPLOYEE
$
OFFICERIMEMSER EXCLUDED'
S Yyes, tl L cirbePRO ISIO
II SPECIAL PROVISIONS below
1
E.L. DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IEEXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Requirement in order for vacant property to be track mapped for subdivision
purposes #16278 Contract:APN#0261-231-10
Certificate holder is named as additional insured
CERTIFICATE HOLDER CANCELLATION
SANBDNO
SHOULD PNY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL • 30 DAYS WRITTEN
City of San Bernardino
Public Works Dept./Engineering
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
300 No. "DII Street
REPRESJ:[lTATIV S.
AUTHORI RESENTATIV l
San Bernardino CA 92418
J7 L.
ACVKIJ 2D IdUUI/UU) ©ACORD CORPORATION 190