HomeMy WebLinkAbout2009-313
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RESOLUTION NO. 2009-313
RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF
SAN BERNARDINO AUTHORIZING THE EXECUTION OF AN AGREEMENT AND
ISSUANCE OF A CONTRACT PURCHASE ORDER IN THE AMOUNT OF $238,600
WITH FOUR (4) ONE-YEAR EXTENSIONS AT THE CITY'S OPTION TO
PAVEMENT RECYCLING SYSTEMS, INCORPORATED FOR COLD PLANING
SERVICES, LABOR AND EQUIPMENT RENTAL FOR CITY STREET REPAIRS.
WHEREAS, Pavement Recycling Systems, Incorporated submitted the only bid
for cold planing services, labor and equipment rental for City street repairs per RFQ F-
09-20.
BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE CITY
OF SAN BERNARDINO AS FOLLOWS:
SECTION 1. The City Manager of the City of San Bernardino is hereby
authorized to execute on behalf of said City an Agreement between the City of San
Bernardino and Pavement Recycling Systems, Incorporated, a copy of which is
attached hereto, marked as Exhibit "A", and incorporated herein by this reference as
fully as though set forth at length.
SECTION 2. That pursuant to this determination the Director of Finance or her
designee is hereby authorized to issue a purchase order to Pavement Recycling
Systems, Incorporated in the amount of $238,600 for FY 09-10.
SECTION 3. The Purchase Order shall reference this Resolution Number and
shall read, "Pavement Recycling Systems, Incorporated for cold planing services,
labor and equipment rental. Agreement not to exceed $238,600" and shall incorporate
the terms and conditions of the agreement.
SECTION 4. The authorization to execute the above referenced Purchase
Order and Agreement is rescinded if it is not executed by both parties within sixty (60)
days of the passage of this resolution.
2009-313
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RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF
SAN BERNARDINO AUTHORIZING THE EXECUTION OF AN AGREEMENT AND
ISSUANCE OF A CONTRACT PURCHASE ORDER IN THE AMOUNT OF $238,600
WITH FOUR (4) ONE-YEAR EXTENSIONS AT THE CITY'S OPTION TO
PAVEMENT RECYCLING SYSTEMS, INCORPORATED FOR COLD PLANING
SERVICES, LABOR AND EQUIPMENT RENTAL FOR CITY STREET REPAIRS.
I HEREBY CERTIFY that the foregoing Resolution was duly adopted by the
joint
Mayor and Common Council of the City of San Bernardino at a regular
meeting thereof, held on the 8th
day of Seotember
, 2009, by the
following vote, to wit:
Council Members: AYES NAYS ABST AI N ABSENT
ESTRADA x
BAXTER x
BRINKER x
SHORETT x
KELLEY x
x
JOHNSON
MCCAMMACK x
Q<~ h. ~Ah
Racllel G. Clark, City Clerk
_C.~J n;
The foregoing resolution is hereby approved this /
September , 2009.
day of
25 Approved as to Form:
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2009-313
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VENDOR SERVICE AGREEMENT
This Vendor Service Agreement is entered into this 8th day of September 2009, by
and between Pavement Recycling Systems, Incorporated ("VENDOR") and the City of San
Bernardino ("CITY" or "San Bernardino").
WITNESSETH:
WHEREAS, the Mayor and Common Council has determined that it is advantageous
and in the best interest of the CITY to contract for cold planing, labor and equipment rental for
City street repairs; and
WHEREAS, the City of San Bernardino did solicit and accept bids from available
vendors for cold planing, labor and equipment rental for City street repairs per RFQ F-09-20;
and,
NOW, THEREFORE, the parties hereto agree as follows:
1. SCOPE OF SERVICES.
For the remuneration stipulated, San Bernardino hereby engages the servIces of
VENDOR to provide those products and services as set forth in RFQ F-09-20, a copy of which
is attached hereto as Attachment "2" and incorporated by this reference.
2. COMPENSATION AND EXPENSES.
a. For the services delineated above, the CITY, upon presentation of an invoice, shall
pay the VENDOR up to the amount of $238,600, for cold planing services as per
Attachment 2.
b. No other expenditures made by VENDOR shall be reimbursed by CITY.
3. TERM; TERMINATION.
The term of this agreement shall be from September 8, 2009 through Jtl11e 30, 2010,
with four (4) one-year extensions at the City's option. Option year one, if exercised, shall be
Exhibit "A"
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2009-313
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effective July I, 2010 through June 30, 2011. Option year two, if exercised, shall be effective
July I, 2011 through June 30, 2012. Option year three, if exercised, shall be effective July I,
2012 through June 30, 2013. Option year four, if exercised, shall be effective July I, 2013
through June 30, 2014.
This Agreement may be terminated at any time by thirty (30) days prior written notice
by either party. The terms of this Agreement shall remain in force unless amended by written
agreement of the parties executed on or before date of expiration of current term of the
agreement.
4. INDEMNITY.
Vendor agrees to and shall indemnify and hold the City, its elected officials, employees,
agents or representatives, free and harmless from all claims, actions, damages and liabilities of
any kind and nature arising from bodily injury, including death, or property damage, based or
asserted upon any or alleged act or omission of Vendor, its employees, agents, or
subcontractors, relating to or in any way connected with the accomplishment of the work or
performance of service under this Agreement, unless the bodily injury or property damage was
actually caused by the sole negligence of the City, its elected officials, employees, agents or
representatives. As part of the foregoing indemnity, Vendor agrees to protect and defend at its
own expense, including attorney's fees the City, its elected officials, employees, agents or
representatives from any and all legal actions based upon such actual or alleged acts or
omissions. Vendor hereby waives any and all rights to any types of express or implied
indemnity against the City, its elected officials, employees, agents or representatives, with
respect to third party claims against the Vendor relating to or in any way connected with the
accomplishment of the work or performance of services under this Agreement.
Exhibit "An
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S. INSURANCE.
While not restricting or limiting the foregoing, during the term of this Agreement,
VENDOR shall maintain in effect policies of comprehensive public, general and automobile
liability insurance, in the amount of $1,000,000.00 combined single limit, and statutory
worker's compensation coverage, and shall file copies of said policies with the CITY's Risk
Manager prior to undertaking any work under this Agreement. CITY shall be set forth as an
additional named insured in each policy of insurance provided hereunder. The Certificate of
Insurance furnished to the CITY shall require the insurer to notify CITY of any change or
termination in the policy. Insurer shall give CITY 30 days notice prior to enactment of any
change or termination of policy.
6. NON-DISCRIMINATION.
In the performance of this Agreement and in the hiring and recruitment of employees,
VENDOR shall not engage in, nor permit its officers, employees or agents to engage in,
discrimination in employment of persons because of their race, religion, color, national origin,
ancestry, age, mental or physical disability, medical conditions, marital status, sexual gender or
sexual orientation, or any other status protected by law.
7. INDEPENDENT CONTRACTOR.
VENDOR shall perform work tasks provided by this Agreement, but for all intents and
purposes VENDOR shall be an independent contractor and not an agent or employee of the
CITY. VENDOR shall secure, at its expense, and be responsible for any and all payment of
Income Tax, Social Security, State Disability Insurance Compensation, Unemployment
Compensation, and other payroll deductions for VENDOR and its officers, agents, and
employees, and all business licenses, if any are required, in connection with the services to be
performed hereunder.
Exhibit "A"
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2009-313
8. BUSINESS REGISTRATION CERTIFICATE AND OTHER REQUIREMENTS.
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VENDOR warrants that it possesses or shall obtain, and maintain a business registration
certificate pursuant to Title 5 of the Municipal Code, and any other licenses, permits,
qualifications, insurance and approval of whatever nature that are legally required of VENDOR
to practice its business or profession at all times during the term of this Agreement.
NOTICES.
Any notices to be given pursuant to this Agreement shall be deposited with the United
States Postal Service, postage prepaid and addressed as follows:
TO THE CITY:
Public Services Director
300 North "D" Street
San Bernardino, CA 92418
Telephone: (909) 384-5140
TO THE VENDOR:
Pavement Recycling Systems, Incorporated
10240 San Sevaine Way
Mira Loma, CA 91752
Telephone: (951) 682-1091
Contact: Don Sante
9. ATTORNEYS' FEES.
In the event that litigation is brought by any party in connection with this Agreement,
the prevailing party shall be entitled to recover from the opposing party all costs and expenses,
including reasonable attorneys' fees, incurred by the prevailing party in the exercise of any of
its rights or remedies hereunder or the enforcement of any of the terms, conditions or
provisions hereof. The costs, salary and expenses of the City Attorney and members of his
office in enforcing this Agreement on behalf of the CITY shall be considered as "attorneys'
fees" for the purposes of this paragraph.
III
Exhibit "A"
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2009-313
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10. ASSIGNMENT.
VENDOR shall not voluntarily or by operation of law assign, transfer, sublet or
encumber all or any part of the VENDOR's interest in this Agreement without CITY's prior
written consent. Any attempted assignment, transfer, subletting or encumbrance shall be void
and shall constitute a breach of this Agreement and cause for the termination of this
Agreement. Regardless of CITY's consent, no subletting or assignment shall release VENDOR
of VENDOR's obligation to perform all other obligations to be performed by VENDOR
hereunder for the term of this Agreement.
11. VENUE.
The parties hereto agree that all actions or proceedings arising in connection with this
Agreement shall be tried and litigated either in the State courts located in the County of San
Bernardino, State of California or the U.S. District Court for the Central District of California,
Riverside Division. The aforementioned choice of venue is intended by the parties to be
mandatory and not permissive in nature.
12. GOVERNING LAW.
This Agreement shall be governed by the laws of the State of California.
13. SUCCESSORS AND ASSIGNS.
This Agreement shall be binding on and inure to the benefit of the parties to this
Agreement and their respective heirs, representatives, successors, and assigns.
14. HEADINGS.
The subject headings of the sections of this Agreement are included for the purposes of
convenience only and shall not affect the construction or the interpretation of any of its
proVtSlOns.
Exhibit "A"
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15. SEVERABILITY.
If any provision of this Agreement is determined by a court of competent jurisdiction to
be invalid or unenforceable for any reason, such determination shall not affect the validity or
enforceability of the remaining terms and provisions hereof or ofthe offending provision in any
other circumstance, and the remaining provisions of this Agreement shall remain in full force
and effect.
16. ENTIRE AGREEMENT; MODIFICATION.
This Agreement constitutes the entire agreement and the understanding between the
parties, and supercedes any prior agreements and understandings relating to the subject manner
of this Agreement. This Agreement may be modified or amended only by a written instrument
executed by all parties to this Agreement.
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Exhibit "A"
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2009-313
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VENDOR SERVICE AGREEMENT
PAVEMENT RECYCLING SYSTEMS, INCORPORATED
IN WITNESS THEREOF, the parties hereto have executed this Agreement on the day and
date set forth below.
Dated: ;J ~ I ed:: , 2009
I
By:
ms, Incorporated
Pave
Dated
,2009
Approved as to Form:
~/~
. Penman, City Attorney
Exhibit "A"
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ATTACHMENT "2"
Pav.ement Recycling Systems
10240 San Sevaine Way, Mira Lorna, CA 91752
PH: (951) 682-1091
FAX: (951) 682-1094
www.pavementrecycling.com
2009-313
Pavement Recycling Systems, Inc
10240 San Sevaine Way
Mira Loma., CA 91752
Phone:951-682-l091
Fax: 951-682-1094
Established in 1989 as a California Corporation.
CA Contractors License #569352 Type: "A"
PRS1 is an Employee Owned Company (ESOP) with approximately 150 employees.
Our main office is in Mira Loma. Additional offices are located in Lancaster, Bakersfield,
Fowler, San Diego, and Reno Nevada. Recycle Sites are located in Colton, Lancaster, and
Chula Vista.
PRSI has over 70 machines for Pulverizing, Cold Planing, Cold Recycling, Slurry Seal,
and Stabilization. We completed over 2,400 milling projects in 2008. Our service is
outstanding, as is witnessed by your own Field Management.
San Diego: 704 Rock Springs Road. Escondida. CA 92025' Phone: 760.489.6888 . Fax: 760.489.0808
PalmdalelLancaster: 46205 N. Division Street, Lancaster, CA 93535 . Phone 661.948.5599 . Fax: 661.948.5588
Bakersfield: 2280 S. Union. Bakersfield. CA 93307. Phone: 66f .833.2280' Fax: 661.833.2288
Fresno: 4692 E. Uncoln Avenue, Fowler, CA 93625 . Phone: 559.627.6788 . Fax: 559.627.9159
Reno/Carson Valley: 68 Carry Way, Carson NV 89706 . Phone: 775.246.2500 . Fax: 775.246.2501
CA Lie. #569352 Al Lie. #183900 NV Lie. #0036228 UT Lie. #6982390-5501 OR Lie. #185556
2009-313
RFQ F-09-"0
Cold Planing. Services
City of San Bernardino
TECHNICAL SPECIFICATIONS
RFQ F-09-20
COLD PLANING SERVICES
NOTICE: "SPECIAL INSTRUCTIONS TO THE BIDDER"
The Public Services Departrnent, Streets Division oversees cold planing
projects as part of the Capitallrnprovernent Projects (CIP) of City streets.
The projects are selected segrnents of streets throughout the City. The
intent of this document is to receive unit pricing for cold planing services
based on a daily rate per piece of equiprnent. Two grinders will be used
each scheduled day for 8-hours per day for the planing of the asphalt.
The main section of the street will need a large planer from the 10 1-inch
to 48-inch and the 18-inch planer for rnanholes, ridges, water gate valves
and header cuts. The City wishes to solicit bids from highly trained and
qualified vendors with experience in providing cold planing services. The
City is looking for the rnost responsive and responsible vendor that will be
cornrnitted to provide cold planing services. Through a cornpetitive
qualification and bid based procurernent process, the City of San
Bernardino intends to enter into an agreernent with a qualified vendor for
cold planing services for one year with possible annual extensions.
Services:
Bidder shall complete right-hand colurnn indicating brief reasoning
for exceptions to requirernents when not acceptable. State
"Acceptable" if requirernents are agreeable as set forth in left-hand
column.
Whenever the terms "Standard Specifications" is used, it shall
rnean the 'Standard Specifications for Public Works Construction,
latest edition.' In case of conflict between these specifications and
Standard Specifications, these specifications shall take precedence
over and be used in lieu of the Standard Specifications.
FAILURE TO COMPLETE RIGHT HAND COLUMN WILL INVALIDATE BID
CATEGORY I
ACCEPTABLE I AS
SPECIFIED
2009-313
1. SCOPE OF WORK
RFQ F-09-~O
Cold Planing Services
The Contractor will provide two (2) grinders, two (2)
operators and one (1) spotter/grade checker for
rnaintenance and repair operations.
~ a Ctpttl- \'1 &
The City of San Bernardino traditionally completes
several projects per year. For bidding purposes
and to better compare pricing, the specified
equipment used rnust be cost-out per day to
establish the unit cost. The unit price iterns 1-4
(below) will include the cost for the spotter/grade
checker. Itern 5 (below) will only include the unit
cost for the equiprnent and operator. The
Contractor recognizes and agrees that this
agreernent is for the purpose of establishing a
contractual relationship between the City of San
Bernardino and the Contractor for future road
irnprovernents upon real and personal property of
the City of San Bernardino.
Please note: Mobilization rnust be included with the
daily rate.
2009-313
2. EQUIPMENT
The Contractor must supply the following iterns
(equiprnent):
1. An 86" to 101" 800 hp Cold Planing grinder with
one (1) operator and one (1) spotter/grade
checker.
2. An 84" to 86" 500 hp Cold Planing grinder with
one (1) operator and one (1) spotter/grade
checker.
3. A 60" to 72" 425 hp Cold Planing grinder with
one (1) operator and one (1) spotter/grade
checker.
4. A 48" 330 hp Cold Planing grinder with one (1)
operator.
5. An 18" mini Cold Planing grinder with one (1)
operator for eight (8) hours per day.
The Contractor shall provide selVices on a unit cost
per day Rental price that includes all rnanpower, all
equiprnent, insurance and rnobilization costs.
Please provide a pricing bid that is a fixed fee
(unit cost) based on 8 hours a day for all items
mentioned above.
Also include an hourly overtime rate for al.1 work
that is completed after 8 hours for all items
listed above.
3. GREENBOOK STANDARDS
All work will corn ply with the current
"GREENBOOK" Standard Specifications for Public
Works Construction and the City of San Bernardino
Public Works Standards.
RFQ F-09-"0
Cold Planill9. Services
~~b\e;
~~ef
tpb1e..
A clef
2009-313
4. SOUND CONTROL REQUIREMENTS
Sound control shall comply with Ohapter
8.54 of the City of San Bernardino Municipal
Code and the following provisions: The noise b\~
level frorn the construction work, between
the hours of 9:00 p.rn. and 6:00 a.rn. shall \?
not exceed 86dbA at the distance of 50 feet ~ ttilP
and shall apply to all equiprnent on the job or
related to the job.
5. NATIONAL POLLUTANT DISCHARGE
ELIMINATION SYSTEM (NPDES)
REQUIREMENTS
All work shall cornply with NPDES
requirernents pursuant to the State Water ~ \//
Resources Board and the Cal Trans Storrn
Water Quality handbooks to prevent pOllutant {~
sources affecting the quality of storrn ~/f;tR
discharge from the construction site, both
during construction and after construction
completion.
6. ADVANCE NOTICE
The Contractor will post ternporary no ~\,\R/
parking signs 72 hours in advance before the
project start date. ~ ttflP
7. PROJECT APPEARANCE
Work crews shall maintain a neat
appearance to the work. In any area visible
to the public, the following shall apply: When ~?\\Q/
practicable, broken asphalt, concrete and
other debris developed during clearing,
rernoval, and grubbing shall be disposed of ~ o,() If
concurrently with its rernoval. If stockpiling is
necessary, the rnaterial shall be rernoved or
disposed of weekly.
RFQ F-09-20
Cold Planing Services
2009-313
-
8. UTILITY REQUIREMENTS
It is the responsibility of the Contractor to r~\v
ensure notification has been provided to
Underground Service Alert (USA) at least
two working days in advance of construction ~ ttllY
work involving excavation near or around any
utility substructures.
9. WORK HOURS
Work hours shall be confined to the hours XPb\RJ
between 7:00 a.m. and 5:00 p.m. Monday
through Friday, unless approved otherwise ~tl~
by the City Engineer or Public Services
Director or his designee.
10. REFERENCE LIST
Provide three (3) local governrnent agencies ^~ \0;
and/or cornpany's previous or current contact
references that support your ability to provide ~~}~
Cold Planing Services as described in this
bid.
11. CONTRACT LENGTH
The length of this contract shall be for one (1) year ~#\v
with four (4) one-year extensions at the City's ~~~
option.
12. QUALIFICATION/LICENSES
The vendor represents that it, its ernployees and kvb\V
subcontractors have all licenses, permits,
qualifications and approvals of whatever nature that
are legally required to perform the Services,
including a City Business License, and that such ~ 1f;tJ?
licenses and approvals shall be rnaintained
throughout the terrn of this Contract.
RFQ F-09-"0
Cold Planing Services
2009-313
13. SUBCONTRACTOR
Contractor must list all subcontractors used
for the duration of this contract. If a new
subcontractor is hired to provide services
during the contract, the contractor must
subrnit the name of the new subcontractor,
subcontractor's license, and insurance
information one-week prior to work
perforrned.
14. CONTRACTOR NON-COMPLIANCE
A. If the Public Services Departrnent Director or his
designee, deterrnines that there are deficiencies
in the perforrnance of this Agreernent, the Public
Services Director, or his designee, will provide a
written notice to the vendor stating the
deficiencies and specifying a tirne frame to
correct the specified deficiencies. This tirne
frame shall be reasonable, as deterrnined by the
Public Services Departrnent Director, or his
designee, to correct the specified deficiencies.
B. Should the vendor fail to correct any deficiencies
within the stated time frarne, the Public Services
Departrnent Director, or designee, rnay exercise
the following measures:
1. Deduct from the vendor's payment the amount
necessary to correct the deficiency, including
City overhead costs and impose a deficiency
deduction.
2. Withhold the entire or partial payrnent.
3. Terrninate the contract and award to second
bidder.
RFQ F-09-"0
Cold Planing Services
~~v
~ t,G~
~0\\iI
~!f~
2009-313
RFQ F-09-"0
Cold Planing Services
PRICE FORM
REQUEST FOR QUOTES:
RFQ F-09-20
DESCRIPTION OF RFQ:
Cold Planing Services
COMPANY NAME!ADDRESS:
;:';~~_-\-I<e~'hl ~,-b< ~ "oJ ~
o s"AN ~\)A,Y'\e- WA
M;rt>. (o""'A CAt\- 1\1'SL
,
NAME OF AUTHORIZED
REPRESENTATIVE
~a--~
~""" SAV\k- ~;Q/ z~.l-i~a.~
'1S"-(.,,~z.- \og\
95'\.. k,~z. - \O~"-/
PRINT NAME
TELEPHONE NO.
FAX NO. ! EMAIL
The Contractor Will Provide: Fixed Fee Overtime
For 8 Hrs* (after 8 Hrs)
1. An 86" to 101" 800 hp Cold Planing 4~590~ t(" 9S ~
grinder with one (1) operator and one (1)
spotter! grade checker. I
2. An 84" to 86" 500 hp Cold Planing grinder Ds9t./D~ ~40~
with one (1) operator and one (1) spotter!
grade checker. )
3. A 60" to 72" 425 hp Cold Planing grinder 1,5:(.00 ~ (J~OO ~
with one (1) operator and one (1) spotter!
grade checker. I
4. A 48" 330 hp Cold Planing grinder with i380~
one (1) operator. \i3, ~o~
5. An 18" rnini Cold Planing grinder with one 1Z 2~0 ~
(1) operator for eight (8) hours per day. !$ 2..~~
I
TOTAL FIRM FIXED FEE:
$ 2L\,'ZSb~
* Must include all manpower, equipment, insurance, and mobilization costs.
2009-313
PRICE FORM (cont.)
RFQ F-09-"0
Cold Planing S(:rvices
ANNUAL PURCHASE ORDER
Effective on or about August 1, 2009 through June 30, 2010 plus four (4) single-year
renewal options, for City's requirements,
Option year one if exercised, shall be effective July 1, 2010 through June 30,2011.
Option year two if exercised, shall be effective July 1,2011 through June 30, 2012.
Option year three if exercised, shall be effective July 1, 2012 through June 30,2013.
Option vear four if exercised, shall be effective July 1,2013 through June 30, 2014.
Actual option year pricing shall be negotiated with the successful Bidder(s) prior to
exercising of any given option year. Option years shall become effective only upon
issuance by the City of a duly authorized Purchase Order.
Are there any other additional or incidental costs. which will be required by
~our fir~der to meet the requirernents of the Technical Specifications?
~ 0 . (circle one). If you answered "Yes', please provide detail of
Ie additional costs:
Please indicate any elernents of the Technical Specifications that cannot be
rnet by your firm.
your bid all informational items and forms as
(circle one). If you answered "No', please explain:
This offer shall rernain firrn for 90 days frorn RFQ close date.
Terms and conditions as set forth in this RFQ apply to this bid.
Cash discount allowable ~ days; unless otherwise stated, payrnent
terrns are: Net thirty (30) days.
In signing this bid, Bidder warrants that all certifications and docurnents
requested herein are attached and properly completed and signed.
2009-313
RFQ F.09-"0
Cold Planing Services
Frorn tirne to time, the City rnay issue one or rnore addenda to this RFQ.
Below, please indicate all Addenda to this RFQ received by your firrn, and
the date said Addenda was/were received.
Verification of Addenda Received
Addenda No:
Addenda No:
Addenda No:
Received on:
Received on:
Received on:
AUTHORIZED SIGNATURE:
PRINT SIGNER'S NAME AND TITLE~ S3v\-k
~;c./ Z:-<>+iI'V'&V
rJ- df~oq
/6Z'-/O S"::)"/J~tJA;;./4' WR<j
COMPANY NAME & ADDRESS: MIrto Co",~, e.oJ4 9/?S:z-
.
PHONE: 9S/~?&'Z.-/()9/ FAX: 9V-tJ>Z-/o9 tJ
EMAIL: jDl1.s'@YJ-ke.~+recoc.I:I'\.S' Un....
-......:::,.~L
-
3
DATE SIGNED:
IF SUBMITTING A "NO BID", PLEASE STATE REASON(S) BELOW:
... ..
Bolton & Company
245 S. Los Robles Ave., Suite 105
Pasadena, CA 91102
Date (mmlddlyy)
9/28/2009
THIS CERTIFICATE 1$ ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
Producer
FF
INSURER Arch Insurance Company
v
(626) 799-7000 0008309
www.boltonco.com
Insured
Pavement Recycling Systems Inc.
10240 San Sevaine Way
Mira Loma CA 91752
INSURER
INSURER
INSURER
INSURER
THE POLICIES RANCE LISTED 8ELOW H E BEEN ISSUEO TO THE INSURED NAMED ABOVE FOR THE POLlCV PlOD INDICATED.
NOTWITHSTANOING ANY REQUIREMENT, TERM OR CONOITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDEO BY THE POLICIES DESCRIBEO HEREIN IS SUBJECT TO ALL THE
TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REOUCED BY PAID CLAIMS.
POLICY POLICY
EFFECTIVE EXPIRATION
DATE DATE
TYPE OF INSURANCE
POLICY NUMBER
LIMITS
NS.
LT.
A
GENERAL L1ABIUTY ZAGlB9075700
COMMERCIAL GENERAlllAB
CLAIMS MADE 00CCUR
10/1/2008
101112009
EACH OCCURRENCE
FIRE DAMAGE one fire
MED EXP one
PERSONAL" ADV INJURY
GENERAL AGGREGATE
PRODUCT5-COMPIOP AGG
s
s
s
s
s
s
s
o
A
LOC
ZACAT9067100
10/1/2008
10/112009
COMBINED SINGLE LIMIT
s
$1000000
BODILY INJURY
("" ponon)
BODILY INJURY
(1'0<",_
PROPERTY DAMAGE
(Per accident)
s
s
A
DEDUCTIBLE
RETENTION S
WORKERS' COMPENSATION &
EMPLOYERS' LIABILITY
S
AUTO ONLY. EA ACCIDENT S
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EACH OCCURRENCE $
AGGREGATE S
S
S
S
ZAWCI9129700
10/112008
10/1/2009
STATUTORY UMIT THE
EL EACH ACCIDENT $
EL DISEASE. EA EMPLOYEE $
EL DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONSlLOCATlONSNEHIClESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Blanket GL Additional Insured per the attached form CGZ033 0704
UTO Additional Insured per attached form.
Additionallnsured(s): City of San Bernardino, its elected officials, employees, agents or representatives
Job: RFQ F-09-20 Cold Planin9 Services. 9/8/2009 thru 6/30/2010
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
lEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION
OR LIABILITY OF ANY KINO UPON THE COMPANY, ITS AGENTS OR REPRE-
SENTATIVES. -10 ~ few Non~8ym.nt of Pr....lum.
AUTHORIZED
REPRESENTATIVE
Wd;~ Ct.~
RFQ F-09-20 Cold Planing Services 91 8/2009 thru 6/3012010
City of San Bernardino
300 N. "D" Street
San Bernardino CA 92418-0001
William A. Lewis
CERT NO., 58651>341 CLIENT CODE, PAVRM-l Riek Gave 9/28/2009 9:19:35 AM page 1 of 2
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(1es) must be endorsed. A statement
on this Cemftcat8 does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and condittons of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certiftCate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certiftcate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate hokter. nor does it
affirmatively or negatively amend. extend or alter the coverage afforded by the poliCtes listed thereon.
ACORO 25-S (7/97)
created at www.eCertsONLlNE.com
CERT NO." 5865634 CLIENT CODS: PAVEM-l Rick Oove 9/28/2009 9:19:35 AM Page:2 of :2