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Home My WebLink AboutKiewit Pacific 2005-10-28; NOCCONFORMED COPY Copy of Document Recorded on 06/18/2010 02:39:43 PM as 2010-08002 Mendocino County Clerk-Recorder Please return to: CITY OF UKIAH 300 Seminary Avenue Ukiah, California 95482-5400 (707) 463-6200 NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN: 1, That the real property described is owned by the following whose address is: City of Ukiah, a Municipal Corporation. 300 Seminary Avenue Ukiah California 95482-5400 2. That the nature of the title to the City of Ukiah WV TP Improvement Project Specification 06-20 - of all said owners is that of fee simple. 3. That on the 14th day of May 2010, the Contract work for this project was actually completed. 4. That the name and address of the Contractor is Kiewit Pacific Company, 4650 Business Center Drive Fairfield, California, 94534 . 5. That the real property herein referred to is situated in the County of Mendocino, State of California, and is described as follows: City-owned property located at 300 Plant Road within the City of Ukiah I hereby certify under penalty of perjury that the forgoing is true and correct: City Council Approval CITY OF UKIAH, a Municipal Corporation &-(to !U By. L - W 0, C-ib (O-lg..►!~ Date JoAnne Currie, City Clerk Date State of California County of Mendocino l x.77777 Producer ( 4 U L ) L / 1- L `J 5 b THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Midwest Agencies, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTE[ID OR ALTER THE 3555 Farnam Street Omaha, NE 6 8131 COVERAGE AFFORDED BY THE POLICIES BELOW. Company ZURICH AMERICAN INSURANCE COMPANY A company CALIFORNIA SELF-INSURED Insured 0364003-JLB B KIEWIT PACIFIC CO. Company 5000 MARSH DRIVE CONCORD, CA 94520 C Company THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE LIMITS GE NERAL LIABILITY General Aggregate $10,000, A Commercial General Liab GLO 4641069 07/15/04 03/01/07 Products-Comp o s A $10,000,006 Claims Made mOccur Personal & Adv Injury $ 5,000,00 Owner's & Cont Protective Each Occurrence $ ;-noo 00o Fire Dama e(an 1 fire) $ 5,000,0 Med E (an one person) $ A AU TOMOBILE LIABILITY Any Auto BAP 4641070 07/15/04 03/01/07 Combined Single Limit $ 51000,000 All Owned Autos Scheduled Autos Bodily Injury (per person) $ Hired Autos - Non-Owned Autos Bodily Injury (per accident) $ Pro ert Dama e p y g GARAGE LIABILITY Auto Only - Ea Accident $ Any Auto Other Than Auto Only Each Accident $ Aggregate EXCESS LIABILITY Each Occurrence $10,000,000 A Umbrella Form UMB 4641071 07/15/04 03/01/07 Aggregate $ 10 1-0.0 0 1000 Other Than Umbrella Form $ WORKERS' COMPENSATION AND Statutor Limi Othe B EMPLOYERS' LIABILITY CERT #2157 11/01/90 EL Each Accident $ A The Proprietor/ Partners/Executive Incl WC 4641067 07115/04 03/01/07 EL Disease-Policy Limit $ Officers are: Excl WC! 4641068(EX(-) 07 11 9; /04 01 / t) 1_ J() 7 EL Disease-Ea Employee Is OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER, BROWN AND CALDWELL AND ENGINEER'S CONSULTANTS, SHN CONSULTING ENGINEERS & GEOLOGIST, INC., MICHAEL WILLIS ARCHITECTS AND HARRIS & ASSOCIATES AND CONSTRUCTION MANAGER'S CONSULTANTS ARE NAMED AS ADDITIONAL INSUREDS ON A PRIMARY BASIS WITH A WAIVER OF SUBROGATION RE: WASTEWATER TREATMENT PLANT IMPROVEMENT PROJECT JOB NO. 36-5940 ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEI 'ION DATE THEREOF, THE ISSUING COMPANY WILL ~ MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE CITY OF UKIAH UKIAH CIVIC CENTER 300 SEMINARY AVENUE UKIAH, CA 95482 Date Producer ( 4 U ) L / 1- y 5 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Midwest Agencies, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 3555 Farnam Street THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE Omaha, NE 68131 covSRAGS AFFORDED BY THE POLICIES BELOW. - Company ZURICH AMERICAN INSURANCE COMPANY A Company CALIFORNIA SELF-INSURED insurea 0364003-JLB J-3 KIEWIT PACIFIC CO. Company 5000 MARSH DRIVE CONCORD, CA 94520 C Company THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY POLICY CO TYPE OF INSURANCE POLICY NUMBER EFFHCTIVE EXPIRATION LIMITS LTR DATE DATE G HRAL LIABILITY General Aggregate $10,000,000 A Commercial General Liab GLO 4641069 07/15/04 03/01/07 Products-Comp o s A $10, 000, 0 0_Q Claims Made mOccur Personal & Adv Injury _ $ 5,000,00 Owner's & Cont Protective Each Occurrence $ Fire Dama elan 1 fire) $ 5,000,000 Med E (an one person) $ A AU TOMOBILE LIABILITY Any Auto BAP 4641070 07/15/04 03/01/07 Combined Single Limit $ All Owned Autos Scheduled Autos Bodily Injury (per person) $ Hired Autos Non-Owned Autos Bodily Injury (per accident) $ P t D roper y amage GARAGE LIABILITY Auto only - Ea Accident $ Any Auto Other Than Auto Only Each Accident $ Aggregate $ EXCESS LIABILITY Each Occurrence $10,000,000 A Umbrella Form UMB 4641071 07/15/04 03/01/07 _ Aggregate $ Other Than Umbrella Form $ WORKERS' COMPENSATION AND Statutor Limi Othe B EMPLOYERS' LIABILITY CERT #2157 11/01/90 EL Each Accident $ 2,000,000 A The Partneors/Executive Incl WC 4641067 07/15/04 03/01/07 EL Disease-Folic Limit $ Officers are: Excl WC 4641068(EXC!) n7/1-r.04 0-AJ()1_J()7 EL Disease-Ea Employee S OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER, BROWN AND CALDWELL AND ENGINEER'S CONSULTANTS, SHN CONSULTING ENGINEERS & GEOLOGIST, INC., MICHAEL WILLIS ARCHITECTS AND HARRIS & ASSOCIATES AND CONSTRUCTION MANAGER'S CONSULTANTS ARE NAMED AS ADDITIONAL INSUREDS ON A PRIMARY BASIS WITH A WAIVER OF SUBROGATION RE: WASTEWATER TREATMENT PLANT IMPROVEMENT PROJECT JOB NO. 36-5940 ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 'ION DATE THEREOF, THE ISSUING COMPANY WILL ~ MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE CITY OF UKIAH UKIAH CIVIC CENTER 300 SEMINARY AVENUE UKIAH, CA 95482 iph-u