HomeMy WebLinkAboutWipf Construction 2020-05-07 Contract#1920248
CITY OF UKIAH
Mendocino County, California
AGREEMENT
FOR
BUSH AND LOW GAP UNDERGROUND IMPROVEMENT PROJECT
Specification No. 20-05
THIS AGREEMENT,made this 7th day of May ,20 20 ,by and between the City of Ukiah,
Mendocino County,California, hereinafter called the City and Wipf Construction LLC hereinafter called the
Contractor,
W ITNESSETH:
WHEREAS,the City has caused to be prepared in accordance with law,specifications,drawings and other contract
documents for the work herein described and shown and has approved and adopted these contract documents,
specifications and drawings and has caused to be published in the manner and for the time required by law a notice
to bidders inviting sealed proposals for doing the work in accordance with the terms of this contract and
WHEREAS, the Contractor, in response to the notice to bidders, has submitted to the City a sealed proposal
accompanied by a proposal guaranty in an amount of not less than 10 percent of the bid price for the construction
of the proposed work in accordance with the terms of this contract and
WHEREAS, the City, in the manner prescribed by law, has publicly opened, examined and canvassed the
proposals submitted and as a result has determined and declared the Contractor to be the lowest and best regular
responsible bidder for the work and for the sums named in the proposal,
NOW, THEREFORE, THIS AGREEMENT WITNESSETH:
Article 1. Work to be Done and Contract Days Allowed
That the Contractor shall provide all necessary machinery,tools,apparatus and other means of construction;shall
furnish all materials,superintendence,overhead,expenses,all labor and expenses of whatever nature necessary
for completion of the work in conformity with the Special Provisions and other contract documents hereto attached
and according to such instructions as may be given by the Engineer.The Contractor shall complete the work within
TWENTY DAYS(20)calendar days.Contract days shall be counted starting with the 10th day following receipt of
notice that the contract has been executed by the City. Contractor, at his or her option, may begin work prior to
start of counting contract days,however,in no event shall the Contractor start work without giving notification to the
Engineer at least 72 hours prior to the start of work, without obtaining an encroachment permit from the City, or
without having submitted certificates of insurance that have been accepted and approved by the Engineer
Article II. Contract Prices
That the City shall pay the Contractor the prices stated in the proposal submitted by the Contractor,for complete
performance of the contract by the Contractor. The Contractor hereby agrees to accept the prices as full
BUSH AND LOW GAP UNDERGROUND IMPROVEMENT PROJECT 50
Spec.No.20-05
compensation for all material and appliances necessary to the work, for all labor and use of tools and other
implements necessary to execute the work contemplated in this contract;for all loss or damage arising out of the
nature of the work or from the action of the elements,or from any unforeseen obstructions or difficulties which may
be encountered in the prosecution of the work; for all risks of every description connected therewith; for all
expenses of the work,as herein specified;for all liability and other insurance,for all overhead and other expenses
incident to the work;all according to the Contract Drawings,the Special Provisions,the Details,the instructions and
the requirements of the City.
Article III. Labor Discrimination
Attention is directed to Section 1735 of the Labor Code,which reads as follows:
No discrimination shall be made in the employment of persons upon public works because of the race,
color,national origin or ancestry,or religion of such persons and every contractor for public works violating
this section is subject to all the penalties imposed for a violation of this chapter."
In connection with the performance of work under this contract,the Contractor agrees as follows:
(a) The Contractor will not willfully discriminate against any employee or an applicant for employment
because of race,color,religion,ancestry,or national origin.The Contractor will take affirmative action
to ensure that applicants are employed and that employees are treated during employment without
regard to their race,color, religion,ancestry, or national origin. Such action shall include, but not be
limited to, the following: employment, upgrading, demotion or transfer; recruitment or recruitment
advertising; layoff or termination; rates of pay or other forms of compensation; and selection for
training,including apprenticeship.The Contractor agrees to post in conspicuous places,available to
employees and applicants for employment, notices to be provided by the awarding authority setting
forth the provisions of this Fair Employment Practice section.
(b) The Contractor will send to each labor union or representative of workers with which he or she has a
collective bargaining agreement or other contract or understanding, a notice,to be provided by the
awarding authority, advising the said labor union or worker's representative of the Contractor's
commitments under this section,to employees and applicants for employment.
(c) The Contractor will permit access to his or her records of employment,employment advertisements,
application forms and other pertinent data and records by the Fair Employment Practices
Commission, City of Ukiah or any other appropriate agency of the State of California designated by
the awarding authority, for the purposes of investigation to ascertain compliance with the Fair
Employment Practices section of this contract.
(d) A finding of willful violation of the Fair Employment Practices section of this Contract or of the Fair
Employment Practices Act shall be regarded by the awarding authority as a basis for determining the
Contractor to be not a "responsible bidder" as to future contracts for which such Contractor may
submit bids,for revoking the Contractor's pre-qualification rating,if any and for refusing to establish,
reestablish or renew a pre-qualification rating for the Contractor.
The City of Ukiah shall deem a finding of willful receipt of written notice from the Fair Employment
Practices Act to have occurred upon that it has investigated and determined that the Contractor has
violated the Fair Employment Practices Act and has issued an order under Labor Code Section 1426
or obtained an injunction under Labor Code Section 1429.
Upon receipt of such written notice from the Fair Employment Practices Commission,the City shall
notify the Contractor that unless he or she demonstrates to the satisfaction of the awarding authority
BUSH AND LOW GAP UNDERGROUND IMPROVEMENT PROJECT 51
Spec.No.20-05
within a stated period that the violation has been corrected, his or her pre-qualification rating will be
revoked at the expiration of such period.
(e) The Contractor agrees that should the City determine that the Contractor has not complied with the
Fair Employment Practices section of this Contract,then pursuant to Labor Code Section 1735 and
1775 the Contractor shall,as a penalty to the City,forfeit for each calendar day or portion thereof,for
each person who was denied employment as a result of such non-compliance,the penalties provided
in the Labor Code for violation of prevailing wage rates. Such monies may be recovered from the
Contractor. The City may deduct any such damages from any monies due the Contractor.
(f) Nothing contained in this Fair Employment Practices section shall be construed in any manner of
fashion so as to prevent the City or the State of California from pursuing any other remedies that may
be available at law.
(g) Prior to awarding the Contract,the Contractor shall certify to the awarding authority that he or she has
or will meet the following standards for affirmative compliance,which shall be evaluated in each case
by the awarding authority:
(1) The Contractor shall provide evidence, as required by the City that he or she has notified all
supervisors,foremen and other personnel officers in writing of the content of the anti-discrimination
clause and their responsibilities under it.
(2) The Contractor shall provide evidence, as required by the City, that he or she has notified all
sources of employees' referrals (including unions, employment agencies, advertisements,
Department of Employment)of the content of the anti-discrimination clause.
(3) The Contractor shall file a basic compliance report, as required by the City. Willfully false
statements made in such reports shall be punishable as provided by law.The compliance report shall
also spell out the sources of the work force and who has the responsibility for determining whom to
hire,or whether or not to hire.
(4) Personally,or through his or her representatives,the Contractor shall,through negotiations with
the unions with whom he or she has agreements, attempt to develop an agreement which will:
a. Spell out responsibilities for nondiscrimination in hiring, referral, upgrading and training.
b. Otherwise implement an affirmative anti-discrimination program in terms of the unions'
specific areas of skill and geography to the end that qualified minority workers will be available
and given and equal opportunity for employment.
(5) The Contractor shall notify the City of opposition to the anti-discrimination clause by individuals,
firms or organizations during the period of its pre-qualification.
(h) The Contractor will include the provisions of the foregoing paragraphs 1 through 5 in every first tier
subcontract so that such provisions will be binding upon each such subcontractor.
(1) The "Fair Employment Practices Certification" must be completed and signed prior to the time of
submitting the bid.
BUSH AND LOW GAP UNDERGROUND IMPROVEMENT PROJECT 52
Spec.No.20-05
Article IV. Parts of the Contract.
That the complete contract consists of the following documents, all of which shall be considered a part of this
agreement.
1. Notice to Bidders
2. Wage Rates
3. General Conditions
4. Technical Specifications
5. Proposal
6. Fair Employment Practices Certification
7. Agreement
8. Contract Bonds
9. Contract Drawings and Construction Details
10. Standard Drawings
11. Indemnification Agreement
IN WITNESS WHEREOF,this contract being executed in duplicate and the
/parties having caused their names to
be signed by authority of their duly authorized office this 13 day of 0"/ , 20,�&,
CITY OF UKIAH, MENDOCINO COUNTY, CALIFORNIA
By:
CITY MANAGER, CITY OF UKIAH
r,
Attest: llbc( /ui'c
CITY CLERK, CITY OF UKIAH
By:
CONTRACTOR
Attest:
Title:
The foregoing contract is approved as to form and legality this 19th day of May 20 2
CITY ATTORNEY, CITY OF UKIAH
BUSH AND LOW GAP UNDERGROUND IMPROVEMENT PROJECT 53
Spec.No.20-05
INDEMNIFICATION AGREEMENT
This Indemnification Agreement is made and entered in Ukiah, California, on May 2020 , by
and between the City of Ukiah (Ukiah) and WIPF CONSTRUCTION LLC (Contractor).
Contractor is
WIPF CONSTRUCTION LLC
for Ukiah.
As a condition of issuing the work order, attached hereto, Ukiah requires assurance that Contractor will protect
Ukiah from damage or damage claims which arise from its performance of the work.
Accordingly, Contractor agrees as follows:
1. Indemnification. Contractor shall indemnify and hold harmless Ukiah and its officers,agents,and employees
from and against any claim, loss,or damage, including the legal and other costs of defending against any claim of
damage or loss which arises out of the Contractor's negligent or wrongful performance under the work order
attached hereto, except for claims, losses, or damages resulting from the sole and exclusive negligence or other
wrongful conduct of Ukiah or its officers, agents and employees.
CONTRACTOR
BY:
TITLE: Owner
BUSH AND LOW GAP UNDERGROUND IMPROVEMENT PROJECT 54 Spec.No.20-05
Bond No.107190995
Premium: $964.00
CITY OF UKIAH
Mendocino County, California
FAITHFUL PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS,
That we the undersigned, WIPF Construction LLC
PO Box 234, Ukiah, CA 95482
AS PRINCIPAL, and
Travelers Casualty and Surety Company of America: 11070 White Rock Road Ste 130, Rancho Cordova CA 95570
AS SURETY,
are held firmly bound unto THE CITY OF UKIAH, hereinafter called the"City", in the penal sum of
""Eighly Four Thousand Five Hundred Ninety Five Dollars Only" dollars($ 84,595.00 )
for the payment of which sum we bind ourselves,our heirs,executors,administrators,and successors,jointly and
severally.
WHEREAS,the Principal has entered into a certain Contract with the City, dated May 7 20 20
a copy of which is hereto attached and made a part hereof,
NOW,THEREFORE,the condition of this obligation is such that if the Principal shall in all respects fully perform the
Contract and all duly authorized modifications thereof,during its original term and any extensions thereof that may
be granted and during any guaranty period for which the Contract provides,and if the Principal shall fully satisfy all
claims, arising out of the prosecution of the work under the Contract and shall fully indemnify the City for all
expenses which it may incur by reason of such claims, including its attorneys fees and court costs, and if the
Principal shall make full payment to all persons supplying labor, services, materials, or equipment in the
prosecution of the work under the Contract, in default of which such persons shall have a direct right of action
hereupon; and if the Principal shall pay or cause to be paid all sales and use taxes payable as a result of the
performance of the Contract as well as payment of gasoline and special motor fuels taxes in the performance of the
Contract and all motor vehicle fees required for commercial motor vehicles used in connection with the
performance of the Contract,then this obligation shall be void;otherwise,it shall remain in full force and effect.No
modification of the Contract or extension of the term thereof,nor any forbearance on the part of the City shall in any
way release the Principal or the Surety from liability hereunder. Notice to the Surety of any such modification,
extension, or forbearance is hereby waived.
IN WITNESS WHEREOF,the aforesaid Principal and Surety have executed this instrument and affixed their seals
hereto, this 11th day of May ,20 20
In the presence of:
WITNESS:
(SEAL)
(Individual Principal)
(Business Address)
(City/State/Zip Code)
BUSH AND LOW GAP UNDERGROUND IMPROVEMENT PROJECT 55 Spec.No.20-05
WIPF Construction LLC
WITNESS:
(SEAL)
(Corporate Prin I)
PO Box 234
(Business Address)
Ukiah,CA 95482
(City/State/Zip Code)
ATTEST:
(Corporate Principal) Affix
Corporate
Seal
(Business Address)
(City/State/Zip Code)
Travelers Casualty and Surety Company of America
ATTEST i ulr', 121 AAffix
:
Cassandra Medina (Corporate Surety) Attomey-In-Factcorporate
Seal
11070 White Rock Road Ste 130
(Business Address)
Rancho Cordova CA 95670
(City/State/Zip Code)
The rate of premium on this bond is$ 11.40 per thousand.
The total amount of premium charges is$ $964.00
(The above is to be filled in by Surety Company).(Power of Attorney of person signing for Surety Company must be
attached).
(CERTIFICATE AS TO CORPORATE PRINCIPAL)
I, certify that I am the
Secretary of the corporation named as Principal in the foregoing bond; that
who signed the said bond on behalf of the Principal,was then
of said corporation;that I know his signature,and that his
signature thereto is genuine;and that said bond was duly signed,sealed,and attested to for and in behalf of said
corporation by authority of its governing body.
Affix Corporate Seal
BUSH AND LOW GAP UNDERGROUND IMPROVEMENT PROJECT 56 Spec.No.20-05
STATE OF Nevada
COUNTYOF Washoe }
On 05/11/2020 before me, Gabriela Bell
(here insert name of notary)
personally appeared Cassandra Medina
(name(s)of Signer(s))
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/she4hey executed the same in his/her/their authorized
capacity(ies), and that by his/herAheir signature(s) on the instrument the person(s), or the entity upon behalf of which the
person(s)acted,executed the instrument
WITNESS my hand and o al seal.
..................................................................
GMRIELA BELL
Signature (S ) Notary Public-State of Nevada
Appotrltrwd Recorded In Wyfae(bunty
*]No:I S96116.2-Expires August 28,2022
This area for Official Notarial Seal
OPTIONAL
Though the data below is not required by law, it may prove valuable to persons relying on the document and could
prevent fraudulent reattachment of this form.
CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT
❑ INDIVIDUAL
❑ CORPORATE OFFICER
TITLE OR TYPE OF DOCUMENT
TITLE(S)
❑ PARTNER(S) ❑ LIMITED
❑ GENERAL
❑ ATTORNEY-IN-FACT NUMBER OF PAGES
❑ TRUSTEE(S)
❑ GUARDIAN/CONSERVATOR
❑ OTHER:
DATE OF DOCUMENT
SIGNER IS REPRESENTING:
NAME OF PERSON(S)OR ENTITY(IES)
SIGNER(S)OTHER THAN NAMED ABOVE
ID-1232(REV.5/09) ALL-PURPOSE ACKNOWLEDGEMENT
Travelers Casualty and Surety Company of America
��► Travelers Casualty and Surety Company
TRAVELERS J St. Paul Fire and Marine Insurance Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:That Travelers Casualty and Surety Company of America,Travelers Casualty and Surety Company, and St.
Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the
"Companies'),and that the Companies do hereby make,constitute and appoint CASSANDRA MEDINA of Reno
Nevada , their true and lawful Attomey-in-Fact to sign, execute, seal and acknowledge any and all bonds, recognizances,
conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the
fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any
actions or proceedings allowed by law.
IN WITNESS WHEREOF,the Companies have caused this instrument to be signed,and their corporate seals to be hereto affixed,this 3rd day of February,
2017.
►ray 8".cow 41
VA
State of Connecticut
By:
City of Hartford ss. Robert L.Raney,Se or Vice President
On this the 3rd day of February,2017,before me personally appeared Robert L.Raney,who acknowledged himself to be the Senior Vice President of
Travelers Casualty and Surety Company of America,Travelers Casualty and Surety Company,and St. Paul Fire and Marine Insurance Company, and
that he,as such,being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations
by himself as a duly authorized officer.
In Witness Whereof,I hereunto set my hand and official seal.
My Commission expires the 30th day of June,2021
0 Mane C.Tetreault,Notary Public
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Travelers Casualty and
Surety Company of America,Travelers Casualty and Surety Company, and St.Paul Fire and Marine Insurance Company,which resolutions are now in
full force and effect,reading as follows:
RESOLVED,that the Chairman,the President, any Vice Chairman,any Executive Vice President, any Senior Vice President,any Vice President, any
Second Vice President,the Treasurer, any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Attomeys-in-Fact and
Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with
the Company's name and seal with the Company's seal bonds, recognizances,contracts of indemnity, and other writings obligatory in the nature of a
bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such appointee and revoke
the power given him or her;and it is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice
President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation
is in writing and a copy thereof is filed in the office of the Secretary;and it is
FURTHER RESOLVED,that any bond, recognizance,contract of indemnity,or writing obligatory in the nature of a bond, recognizance,or conditional
undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior
Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant
Secretary and duly attested and sealed with the Companys seal by a Secretary or Assistant Secretary;or(b)duly executed(under seal,if required)by
one or more Attomeys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more
Company officers pursuant to a written delegation of authority;and it is
FURTHER RESOLVED,that the signature of each of the following officers:President,any Executive Vice President,any Senior Vice President,any Vice
President,any Assistant Vice President,any Secretary,any Assistant Secretary,and the seal of the Company may be affixed by facsimile to any Power
of Attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attomeys-in-Fact for purposes only
of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such Power of Attorney or certificate bearing
such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile
signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached.
I, Kevin E. Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety
Company,and St. Paul Fire and Marine Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of the Power of
Attorney executed by said Companies,which remains in full force and effect.
Dated this 11th day of May 12020
9'a n
wm�o ®rj)Nj
VA
OF
Kevin E.Hughes,Assi tant Secretary
To verify the authendchy of This Power ofAttorney,please call us at 1-800-421-3880.
Please refer to the above-named Attorney-in-Fact and the details of the bond to whidu the power is attadied,
Bond No.107190995
Premium: Included in Performance Bond
CITY OF UKIAH
Mendocino County, California
MATERIAL AND LABOR BOND
KNOW ALL MEN BY THESE PRESENTS,
That we the undersigned, WIPF Construction LLC
PO Box 234,Ukiah,CA 95482
AS PRINCIPAL,and
Travelers Casualty and Surety Company of America; 11070 White Rock Road Ste 130,Rancho Cordova CA 95670AS SURETY,
are held firmly bound unto THE CITY OF UKIAH, hereinafter called the"City"in the penal sum of
"Eighty Four Thousand Five Hundred Ninety Five Dollars Only" dollars($ 84,595.00 )
for the payment of which sum we bind ourselves,our heirs,executors,administrators,and successors,jointly and
severally.
WHEREAS,the Principal has entered into a certain Contract with the City,dated May -,20 20
a copy of which is hereto attached and made a part hereof,
NOW,THEREFORE,the condition of this obligation is such that if the Principal shall in all respects fully perform the
Contract and all duly authorized modifications thereof,during its original term and any extensions thereof that may
be granted and during any guaranty period for which the Contract provides,and if the Principal shall fully satisfy all
claims, arising out of the prosecution of the work under the Contract and shall fully indemnify the City for all
expenses which it may incur by reason of such claims, including its attorneys fees and court costs, and if the
Principal shall make full payment to all persons supplying labor, services, materials, or equipment in the
prosecution of the work under the Contract, in default of which such persons shall have a direct right of action
hereupon; and if the Principal shall pay or cause to be paid all sales and use taxes payable as a result of the
performance of the Contract as well as payment of gasoline and special motor fuels taxes in the performance of the
Contract and all motor vehicle fees required for commercial motor vehicles used in connection with the
performance of the Contract,then this obligation shall be void;otherwise,it shall remain in full force and effect.No
modification of the Contract or extension of the term thereof,nor any forbearance on the part of the City shall in any
way release the Principal or the Surety from liability hereunder. Notice to the Surety of any such modification,
extension, or forbearance is hereby waived.
IN WITNESS WHEREOF,the aforesaid Principal and Surety have executed this instrument and affixed their seals
hereto,this 11th day of May ,20 20
In the presence of:
WITNESS:
(SEAL)
(Individual Principal)
(Business Address)
u �k L� q5`x,:�-
(City/State/Zip Code)
BUSH AND LOW GAP UNDERGROUND IMPROVEMENT PROJECT 57 Spec.No.20-05
WIPF Construction LLC
WITNESS:
(SEAL)
(Corporate Princip
PO Box 234
(Business Address)
Ukiah,CA 95482
(City/State/Zip Code)
ATTEST:
(Corporate Principal) Affix
Corporate
Seal
(Business Address)
(City/State/Zip Code)
Travelers Casualty and Surety Company of America
ATTEST: ' 1 '
Affix
Cassandra Medina, (Corporate Surety) Attomey-In-FactCorporate
Seal
11070 White Rock Road Ste 130
(Business Address)
Rancho Cordova CA 95670
(City/State/Zip Code)
The rate of premium on this bond is$ Included in performance bond per thousand.
The total amount of premium charges is$ Included in performance bond
(The above is to be filled in by Surety Company).(Power of Attorney of person signing for Surety Company must be
attached).
(CERTIFICATE AS TO CORPORATE PRINCIPAL)
I, certify that I am the
Secretary of the corporation named as Principal in the foregoing bond; that
who signed the said bond on behalf of the Principal,was then
of said corporation;that I know his signature,and that his
signature thereto is genuine;and that said bond was duly signed,sealed, and attested to for and in behalf of said
corporation by authority of its governing body.
Affix Corporate Seal
BUSH AND LOW GAP UNDERGROUND IMPROVEMENT PROJECT 58 Spec.No.20-05
STATE OF Nevada
COUNTYOF Washoe }
On 05/11/2020 before me, Gabriela Bell
(here insert name of notary)
personally appeared Cassandra Medina
(name(s) of Signer(s))
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/hedtheir authorized
capacdy(ies), and that by his/herAheir signature(s) on the instrument the person(s), or the entity upon behalf of which the
person(s)acted,executed the instrument.
WITNESS my hand and official seal.
Signature (SEAL) C3ABRIELA BELL
Notary Public-State of Nevada €
Appo rimed RsoAsd in Wsshoe Courip
No:18.3502-E*res August 28,20?2
This area for Official Notarial Seal
OPTIONAL
Though the data below is not required by law, it may prove valuable to persons relying on the document and could
prevent fraudulent reattachment of this form.
CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT
❑ INDIVIDUAL
❑ CORPORATE OFFICER
TITLE OR TYPE OF DOCUMENT
TITLE(S)
❑ PARTNER(S) ❑ LIMITED
❑ GENERAL _
❑ ATTORNEY-IN-FACT NUMBER OF PAGES
❑ TRUSTEE(S)
❑ GUARDIAN/CONSERVATOR
❑ OTHER:
DATE OF DOCUMENT
SIGNER IS REPRESENTING:
NAME OF PERSON(S)OR ENTITY(IES)
SIGNERS)OTHER THAN NAMED ABOVE
ID-1232(REV.5109) ALL-PURPOSE ACKNOWLEDGEMENT
Travelers Casualty and Surety Company of America
Aftk Travelers Casualty and Surety Company
TRAVELERS J St. Paul Fire and Marine Insurance Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:That Travelers Casualty and Surety Company of America,Travelers Casualty and Surety Company, and St.
Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the
"Companies"),and that the Companies do hereby make,constitute and appoint CASSANDRA MEDINA of Reno
Nevada , their true and lawful Attomey-in-Fact to sign, execute, seal and acknowledge any and all bonds, recognizances,
conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the
fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any
actions or proceedings allowed by law.
IN WITNESS WHEREOF,the Companies have caused this instrument to be signed,and their corporate seals to be hereto affixed,this 3rd day of February,
2017.
4 2 ►wrFam irNarR
CONK
State of Connecticut
By:
City of Hartford ss. Robert L.Raney,Se or Vice President
On this the 3rd day of February,2017,before me personally appeared Robert L.Raney,who acknowledged himself to be the Senior Vice President of
Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company,and St. Paul Fire and Marine Insurance Company,and
that he,as such,being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations
by himself as a duly authorized officer.
In Witness Whereof,I hereunto set my hand and official seal.
a
My Commission expires the 30th day of June,2021
0* t� w Mane C Tetreault,Notary Public
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Travelers Casualty and
Surety Company of America,Travelers Casualty and Surety Company, and St.Paul Fire and Marine Insurance Company,which resolutions are now in
full force and effect,reading as follows:
RESOLVED,that the Chairman,the President, any Vice Chairman,any Executive Vice President, any Senior Vice President, any Vice President, any
Second Vice President,the Treasurer, any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Attomeys-in-Fact and
Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with
the Company's name and seal with the Company's seal bonds, recognizances,contracts of indemnity, and other writings obligatory in the nature of a
bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such appointee and revoke
the power given him or her;and it is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice
President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation
is in writing and a copy thereof is filed in the office of the Secretary;and it is
FURTHER RESOLVED, that any bond, recognizance,contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional
undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior
Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant
Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary;or(b)duly executed(under seal, if required)by
one or more Attomeys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more
Company officers pursuant to a written delegation of authority;and it is
FURTHER RESOLVED,that the signature of each of the following officers:President,any Executive Vice President,any Senior Vice President,any Vice
President,any Assistant Vice President,any Secretary,any Assistant Secretary,and the seal of the Company may be affixed by facsimile to any Power
of Attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attomeys-in-Fact for purposes only
of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such Power of Attorney or certificate bearing
such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile
signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached.
I, Kevin E. Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety
Company,and St. Paul Fire and Marine Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of the Power of
Attorney executed by said Companies,which remains in full force and effect.
Dated this 11th day of May .2020
CON ),;
•,Iv 4,o
VA
K� g
Kevin E.Hughes,Assi tant Secretary
To verify the authenticity of this Power ofAttorney,please callus at 1-800-421 3880.
Please refer to the above-named Attorney-in-Fad and the details of the bond to which the power is attached.
A�p�
CERTIFICATE OF LIABILITY INSURANCE 7DATE(MM/DD/rYYY)
019
913012019
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
Owen-Dunn Insurance Services NAME: Barbara O'Hara
PHONE
1455 Response Road,Suite 260 o Ex • 916-993-270o FAX No;916-993-2683
Sacramento CA 95815 E-MAIL
ADDRESS: info owendunn.com
INSURERS AFFORDING COVERAGE NAIC#
INSURED WIPFCON-01
INSURER A:Travelers Property Casual Com an of America 25674
INSURERS:Travelers Indemnity Company of CT
Wipf Construction, LLC 25682
P.O. Box 234 INSURERC:STATE COMPENSATION INS FUND 35076
Ukiah CA 95482 INSURER D
INSURER E:
INSURER F
COVERAGES CERTIFICATE NUMBER:1926733753 REVISION NUMBER:
THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL SUBR
LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP
MM/DD MM/DD/YYYY LIMITS
B X COMMERCIAL GENERAL LIABILITY Y CO-OL687572-TCT-19 7/15/2019 7/15/2020
EACH OCCURRENCE $1,000,000
CLAIMS-MADE M OCCUR DAMAG
X $5,000 Deduclibl PREMISES Ea occurrence $300,000
MED EXP(Any one person) $5,000
GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL 8 ADV INJURY $1,000,000
POLICY E PRO- LOC GENERAL AGGREGATE $2,000,000
OTHER:
PRODUCTS-COMP/OP AGG $2,000,000
B AUTOMOBILE LIABILITY Y 810-2N594157-19-26 7/15/2019 7/15/2020 COMBINED SINGLE LIMIT
X ANY AUTO Ea accident $1,000,000
OWNED SCHEDULED BODILY INJURY(Per person) $
AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
X HIRED X NON-OWNED
AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $
Per accident
A X UM;BRELLALIAR X $
OCCUR CUP-OL722148-19-26 7/15/2019 7/15/2020 EACH OCCURRENCE
EXR CLAIMS-MADE $5,000,000
AGGREGATE $5,000,000
DERETENTION$
C WORKERS COMPENSATION Y 9261634-2019 $
AND EMPLOYERS'LIABILITY Y/N 10/1/2019 10/1/2020 X PER OTH-
ANYPROPRIETOR/PARTNER/EXECUTIVE STATUTE ER
OFFICER/MEMBER EXCLUDE D? N/A E.L.EACH ACCIDENT $1,000,000
(Mandatory In NH)
If es,describe under E.L.DISEASE-EA EMPLOYEE $1,000,000
DESCRIPTION OF OPERATIONS below
A Scheduled Equipment E.L.DISEASE-POLICY LIMIT $1,000,000
Leased/Rented Equipment QT6601792N188TIL19 7/15/2019 7/15/2020 Limit: 620,361 Deductible:2,500
Cargo Insurance limit: 250,OD0
Limit: 250,000 Deductible:2,500
Deductible:5,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required)
RE: All jobs completed for the City of Ukiah under vendor number 041803
Workers Compensation Waiver of Subrogation applies per terms and conditions of the attached endorsement. Auto Liability Additional Insured applies per
terms and conditions of the attached endorsement(s). General Liability Additional Insured applies per terms and conditions of the attached endorsement(s).
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Ukiah ACCORDANCE WITH THE POLICY PROVISIONS.
300 Seminary Avenue
Ukiah CA 95482 AUTHORIZED REPRESENTATIVE
1988-2015
ACORD 25(2016/03) The ACORD name and logo are registered ma ks of AC RDORD CORPORATION. All rights reserved.