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HomeMy WebLinkAboutFinal Tract Map No 14980 - Annadale Associates, LP - Subdivi City Of Huntington - Beach • P O BOX 711 CALIFORNIA 92648 TELEPHONE 714 536.5200 FAx 714 374.1603 SHARI L.FREIDENRICH CITY TREASURER September 16, 1999 CERTIFIED MAIL -Insurance Company of the West c/o Judy Williams 17852 E. 17th St., Ste. 111 Tustin, CA 92780 Dear Ms. Williams: This is to inform you the City Council of the City of Huntington Beach, on July 7, 1999, approved the release of the following bonds: , 0- 6 a Tracf# 14980 Faithful Performance and Labor& Material Bond No. 1558120 Monument Bond No. 1558121 We are releasing the bonds and have enclosed them for.your file. Also enclosed, is a copy of the City Council Action approving the release of the above-referenced bonds. If you have any questions regarding this matter,please contact me at (714) 536-5200. Sincerely, Shari L. Frei enrich, CPA, CCMT City Treasurer Enclosures cc: Annandale Associates, L.P. 23 Corporate Plaza, Ste. 245 Newport Beach, CA 92660 Bob Beardsley,Director of Public Works (no attachments) Connie Brockway, City Clerk (no attachments) G:`•..Denine`•SharilLetters,,BondLt?1 I have received Maintenance Bond No. 1558120-M, Insurance Company of the West,. Re: Tract 14980, Annandale Associates L.P. a/side of Goldenwest Street, s/Ellis Avenue—Approved 7/6/99, E-6, City Clerk Vault File No. 420.60. Dated: By: Premiuoncluded in Performance Bond MAINTENANCE BOND Bond No. 1558120-M Any singular reference to Contractor,Principal,Surety,Owner or other party shall be considered plural where applicable. KNOW ALL MEN BY THESE PRESENTS: That Annandale Associates, L.P. , a California L.P. as Principal, hereinafter called Contractor,and Insurance Company of the West as Surety,hereinafter called Surety, are firmly bound unto CITY OF HUNTINGTON BEACH (Name and address of Owner) hereinafter called Obligee, in the sum of $20,000.00 DOLLARS, lawful money of the United States of America, to be paid to the said Obligee or its successors or assigns to the payment of which sum well and truly to be made, we do bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally,firmly by these presents. WHEREAS, Contractor entered into a contract with the said Obligee dated for Tract 14980 Sandpiper NOW, THEREFORE, the condition of this obligation is such that, if Contractor shall remedy any defects due to faulty materials or workmanship and pay for any damage to other work resulting therefrom which shall appear within a period of 1 (One)ear(s) from the date of acceptance of the work provided for in the Contract, then this obligation shall be void; otherwise it shall be and remain in full force and effect. Annandale Associates, L.P. , a ATTEST: California L.P. Name of Contractor/Principal B >� (Si a Principal (SEAL) Insurance Company of the West ATTEST: Name of Surety By. - (Sig e) Surety Jeri Apodaca , Attorney-in-Fact (SEAL) lkPDRO ED A9 TO FORM:. GAIL 111LJTTO1T.,; City Attorney WCd659 Attach Properly Executed Power of Attorney i�: Li3y tlYy L li;jT �: �Oi: 2 j Insurance Company of the West HOME OFFICE:SAN DIEGO,CALIFORNIA POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That INSURANCE COMPANY OF THE WEST, a California Corporation,does hereby appoint: JERI APODACA its true and lawful Attomey(s)-in-Fact,with full power and authority, to execute,on behalf of the Company, fidelity and surety bonds, undertakings, and other contracts of suretyship of a similar nature. This Power of Attorney is granted and is signed and sealed by facsimile under the authority of the following Resolution adopted by the Board of Directors on the 23rd day of February, 1998,which said Resolution has not been amended or rescinded and of which the following is a true copy: "RESOLVED,that the Chairman of the Board,the President,an Executive Vice President or a Senior Vice President of the Company,and each of them, is hereby authorized to execute Powers of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company,fidelity and surety bonds, undertakings,or other contracts of suretyship of a similar nature;and to attach thereto the seal of the Company; provided however,that the absence of the seal shall not affect the validity of the instrument. FURTHER RESOLVED,that the signatures of such officers and the seal of the Company, and the signatures of any witnesses,the signatures and seal of any notary, and the signatures of any officers certifying the validity of the Power of Attorney, may be affixed by facsimile." IN WITNESS WHEREOF, INSURANCE COMPANY OF THE WEST has caused these presents to be signed by its duly authorized officers this 28th day of July 1998 . -^.VPANYCA INSURANCE COMPANY OF THE WEST ��\CpRPORA!\ T r I '! CALIFONML' . ' STATE OF CALiFCRN!A John L. Hannum, Executive Vice President SS. % COUNTY OF SAN DIEGO `✓ IN WITNESS WHEREOF,the undersigned certify that they are adults,and have witnessed the signing of this instrument by the principal or have witnessed the principal's acknowledgment of the signature on the power of attorney, pursuant to California Probate Code§4121 and 4122. ram; i 7 Jerry Fafau Janis Theodore L CERTIFICATE: I,John H.Craig,Assistant Secretary of INSURANCE COMPANY OF THE WEST,do hereby certify that the original POWER OF ATTORNEY,of which the foregoing is a true copy, is still in full force and effect, and that this certificate may be signed by facsimile under the authority of the above quoted resolution. IN WITNESS WHEREOF, I have subscribed my name as Assistant Secretary,on this 19th day of January 1C-99 E,OYPAN,,, 9 �c iw\*COPPORAlEO INSURANCE C ANY f THE E cK y ~ARCH I.19n CALIFORMP Jo .Cr ,a Assistan 9t ecretary ICW 37 CALIFORNIA ALL-PURPOSEAD NOWLEDGMENT No.5907 State of California County of Orange On January 19, 1999 before me, Patricia H. Brebner, Notary Publid DATE NAME,TITLE OF OFFICER-E.G.."JANE DOE.NOTARY PUBLIC" personally appeared Jeri Apodaca NAME(S)OF SIGNER(S) X❑ 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. _ F—AiRlCIA H.BRB11ER Commission# 1146000 Notary Public-California WITNESS m hand and official seal. Orange County My Comm Exp?,es Jul 5,2001 - SIGNATURE OF NOTARY 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 11 ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR NUMBER OF PAGES ❑ OTHER: SIGNER IS REPRESENTING: DATE OF DOCUMENT NAME OF PERSON(S)OR ENTITY(IES) SIGNER(S) OTHER THAN NAMED ABOVE WC-4087/EP 7/94 ©1993 NATIONAL NOTARY ASSOCIATION 0 8236 Remmet Ave., P.O. Box 7184 9 Canoga Park.CA 91309-7184 • ATTACHMENT 3 .j"te CITY OF HUNTINGTON BEACH 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY-CLERK CONNIE BROCKWAY CITY CLERK July 14, 1999 Gary L. Granville, County Clerk-Recorder P. O. Box 238 Santa Ana, CA 92702 Enclosed please find "Acceptance of Public Improvements" for Tract 14980 to be recorded and returned to the City of Huntington Beach, Office of the City Clerk, 2000 Main Street, Huntington Beach, CA 92648. Please return a conformed copy of the acceptance when recorded and return to this office in the enclosed self-addressed stamped envelope. Connie Brockway, CIVIC City Clerk Enclosures g:\followup\deedltr: Tract 14980—Annandale Associates LP a/Goldenwest Street s/Ellis Avenue. Approved by City Council on 7/6/99— Item E-6 G:\folloNvup\deedltr 1 Telephone:714536-5227) 3 Recording requested by, and when recorded return to: Connie Brockway,City Clerk Recorded in the County of Orange, California Gary L. Granville, Clerk/Recorder CITY OF HUNTINGTON Office of the City Clerk 11111 II11111III III No Fee P.O. oox 90—2000 Man Str et EACH 19990533634 04;30PM 01/20l99 Huntington Beach,Ca. 92648 005 20021528 20 13 A04 1 6.00 0.00 0.00 0.00 0.00 0.00 (Space above this line for Recorder's use only) ACCEPTANCE OF PUBLIC IMPROVEMENTS (Huntington Beach Zoning and Subdivision Ordinance Section 255.22) PLEASE TAKE NOTICE THAT on June 16, 1999, the City Engineer considered the subdivision improvements described below, and found them to have been completed satisfactory I� and accepted; as limited by Huntington Beach Zoning and Subdivision Ordinance Section 255.22(A), the improvements for public use. I rf Further, the public improvements for the subdivision(s)have been dedicated to the City U� of Huntington Beach, as described on Final Map No. 14980. �1 Public improvements constructed consist of curb, gutter, sidewalk and paving on Goldenwest Street, the domestic water system and appurtenances within the private streets, the sanitary sewer system and appurtenances and the storm drain system and appurtenances s.within the dedicated easements. 'Pax-Exiinpt-Government Agency CITY OF HUNTINGTON BEACH The foregoiq iftAmnad h 0 tWftd erockmy,Cris Clark copy of nJ,44, original om t9fil� to this office, AttestP/ 19 BY. puty City-Clerk N IE BROCKWAY City Clerk and Ex-officio.Clerk of the City Council of the City of Huntington .B.eachd Califor ' . j:,:;•.;,<_t; CITY OF HUNTINGTON BEACH By Depllfy - City Engineer - ity Attorney 61 p� 'd'his document Is'solely_for tha f. � �g•� official business of the-City- ot Huntington Beach;as contem-- Mated under`Governmellt Code Sec. 6103 sand should be reap_0d freo of-chars®. IRTY OF HUNTINGTON BEACH MEETING DATE: July 6, 1999 DEPARTMENT ID NUMBER: PW 99-060 Council/Agency Meeting Held: 4.4O Deferred/Continued to: Ap roved onditionally Approved ❑ Denied Clerk's Signature Council Meeting Date: July 6, 1999 Department ID Number: PW 99-060 CITY OF HUNTINGTON BEACH REQUEST FOR COUNCIL ACTION SUBMITTED TO: HONORABLE MAYOR AND CITY COUNCIL MEMBERS SUBMITTED BY: RAY SILVER, City Administrator04V PREPARED BY: ROBERT F. BEARDSLEY, Director of Public WorksA SUBJECT: APPROVE THE RELEASE OF SECURITIES FOR TRACT NO. 14980 AND ACCEPT THE PUBLIC IMPROVEMENTS. Statement of Issue,Funding Source,Recommended Action,Alternative Action(s),Analysis,Environmental Status,Attachment(s) Statement of Issue: Annandale Associates, L.P., the developer of Tract No. 14980, located on the east side of Goldenwest Street, south of Ellis Avenue, has completed all required public improvements and is requesting a release of securities pursuant to the provisions of the Subdivision Map Act. Funding Source: Not applicable Recommended Action: Motion to: 1. Accept the improvements constructed and dedicated for public use with Tract No. 14980 and, 2. Release the Faithful Performance/Labor and Material No. 1558120 and Monument Bond No. 1558121 pursuant to California Government Code Section No. 66499.7(b); and, 3. Accept Maintenance Bond No. 1558120-M; the security furnished for guarantee and warranty of improvements, and instruct the City Clerk to file the bond with the City Treasurer; and, 4. Instruct the City Clerk to notify the Developer, Annandale Associates, L.P., of this action, and the City Treasurer to notify the Surety, Insurance Company of the West, of this action; and, 5. Instruct the City Clerk to record the "Notice of Acceptance of Public Improvements" (attached) with the Orange County Recorder. Alternative Action(s): Deny the recommended action. Analysis: On November 19, 1996, the City Council approved Final Map No. 14980 and accepted bonds as the securities furnished for faithful performance, labor and material, and monuments. The developer has completed all required public improvements, and is requesting acceptance of the work and release of the faithful performance, labor and material and monument bonds, pursuant to Calif. Government Code Section 66499.79(a). Public improvements constructed consist of curb, gutter, sidewalk and paving on Goldenwest Street, the domestic water system and appurtenances within the private streets, the sanitary sewer system and appurtenances and the storm drain system and appurtenances within the dedicated easements. The City Engineer has determined that the improvements have been constructed in substantial compliance with the approved plans and specifications, and recommends acceptance of the improvements. Calif. Government Code Section No. 66499.3 (d) requires that security for the guarantee and warranty of the improvements be posted upon acceptance of the public improvements. The developer has provided Maintenance Bond No. 1558120-M as security. Following is a list of project data: Developer: Annandale Associates, L.P., L.P., 23 Corporate Plaza, Ste. 245, Newport Beach, CA. 92660 Engineer: Hunsaker &Assoc., 3 Hughes, Irvine, CA. 92718 Title Co.: First American Title Co., 114 E. 5th St., Santa Ana, Ca. 92702 Location: East side of Goldenwest St., south of Ellis Ave. Lots: 98 Acreage: 14.647 Zone: Holly-Seacliff Specific Plan Environmental Status: This recommended action is a ministerial act, and is exempt from the requirements of the California Environmental Quality Act, pursuant to State CEQA Guidelines, Cal. Admin. Code, Title 14, Chapter 3. Section 15268 (b). Attachment(s): City Clerk's Page Number No. Description 1. Location Map 2 Maintenance Bond No. 1558120-M 3 Acceptance of Public Improvements Form RCA Author: Bruce Crosby Tr 14980 rca -- 06/17/99 11:15 AM CITY OF HUNTINGTON BEACH 2000 MAIN STREET CALI FOR N_ -IA 92648 OFFICE OF THE CITY-CLERK CONNIE BROCKWAY CITY CLERK LETTER OF TRANSMITTAL OF ITEM APPROVED BY THE CITY COUNCIL/ REDEVELOPMENT AGENCY OF THE CITY OF HUNTI\i rGTON BEACH DATE: TO:A�r .nd & ATTENTION: J7e&RcoOrx�e-. DEPARTMENT: Stre g646 REGARDING: &(7.r /4/-ffO Ci State Zip n l Age zrr Xc)1e1xe17 rs See Attached Action Agenda Item = Date of Approval Enclosed For Your Records Is An Executed Copy Of The Above Referenced Agenda Item. rks:Re a �-� �%;C. aavo l55 pia v Connie Brockway _ City Clerk and 5*y)y )e,1 /- 960AJ o �� ✓`��"� Attachments: Action Agenda Page Agreement Bonds Insurance RCA Deed Other CC: Re -Z Nayys� De artment RCA Agreement Insurance Other (o.td�S.�� D ✓ NarttE` Department RCA Agreement Insurance Other /YP UR J hY,_.c%r,eA , Name Department RCA Agreement Insurance Other Name Department RCA Agreement Insurance Other Risk Management Dept. Insurance Received by Name- Company Name - Date G:Followup/coverltr (Telephone:714-536-5227) (9) 07/06/99 - Council/l@ency Agenda - Page 9 E-3. (City Council) Approve Agreement with Orange County Fire Authority to Provide Advanced Life Support (Paramedic) Services to Sunset Beach (510.40)—Approve and authorize the Mayor and City Clerk to execute agreement with the Orange County Fire Authority to provide Advanced Life Support (Paramedic) services to Sunset Beach and establish cost recovery of City fire response services-through financial reimbursement. Submitted by the Fire Chief Funding: None required for recommended action. However, additional revenue will be obtained from approval and implementation. [Approved 6-0-1 (Garofalo absent)] E-4. (City Council) Appoint Fire Chief and Division Chief/Operations as Alternate to the Orange County City Hazardous Materials Emergency Response Joint Powers Authority for Fiscal year 1999/2000 (110.20) —Appoint Fire Chief Michael Dolder as the City's Board Member to the Orange County-City Hazardous Materials Emergency Response Joint Powers Authority for Fiscal Year 1999/2000 and Division Chief/Operations Charles Reynolds as the City's Alternate Board Member. Submitted by the Fire Chief Funding: None Required. [Approved 6-0-1 (Garofalo absent)] E-5. (City Council) Approve the Release of Securities for Tract No. 14659 and Accept the Public Improvements— Lyon Shores —s/e Corner of Goldenwest Street & Ellis Avenue — (Holly-Seacliff Specific Plan) (420.60) — 1. Accept the improvements constructed and dedicated for public use with Tract 14659; and 2. Release the Faithful Performance/Labor and Material No. 3SM 908 988 00 and Monument Bond No. 3SM 908 989 00 pursuant to California Government Code Section No. 66499.7(b); and 3. Accept Maintenance Bond No. 3SM 908 988 00-A; the security furnished for guarantee and warranty of improvements, and instruct the City Clerk to file the bond with the City Treasurer; and 4. Instruct the City Clerk to notify the Developer, Lyon Shores No. 116, L.P., of this action, and the City Treasurer to notify the Surety, American Motorists Insurance Company, of this action; and 5. Instruct the City Clerk to record the Notice of Acceptance of Public Improvements (attached) with the Orange County Recorder. Submitted by the Director of Public Works Funding: N/A. [Approved 6-0-1 (Garofalo absent)] E-6. (City Council) Approve the Release of Securities for Tract No. 14980 and Accept the Public Improvements —Annandale Associates —e/s Goldenwest Street—s/o Ellis Avenue — (Holly-Seacliff Specific Plan) (420.60) — 1. Accept the improvements constructed and dedicated for public use with Tract 14980; and 2. Release the Faithful Performance/Labor and Material No. 1558120 and Monument Bond No. 1558121 pursuant to California Government Code Section No. 66499.7(b); and 3. Accept Maintenance Bond No. 1558120-M; the security furnished for guarantee and warranty of improvements, and instruct the City Clerk to file the bond with the City Treasurer; and 4. Instruct the City Clerk to notify the Developer, Annandale Associates, L.P., of this action; and the City Treasurer to notify the Surety, Insurance Company of the West, of this action; and 5. Instruct the City Clerk to record the Notice of Acceptance of Public Improvements (attached) with the Orange County Recorder. Submitted by the Director of Public Works Funding: N/A. [Approved 6-0-1 (Garofalo absent)] ATTACHMENT 1 a I .. SHERWOOD 1 it t f/ S \ i S j ' I % • - - / '� Prepared By- !F i 9 Ifunsaker & Associates ©Irvine. Inc. I / l Planning•Engineerin.p-.Snn.rying Three !nine, CA MIS(714) 583-1010 Prepared For r z / ' PLC Land Company N' 23 Corporate Plaza. Suite 250 Newport Beach. G 92660 (714) 721-9777 ' � 4 ATTACHMENT 2 ,+t Recording requested by, and when recorded return to: Connie Brockway,City Clerk Office of the City Clerk CITY OF HUNTINGTON BEACH P.O. Box 190-2000 Main Street Huntington Beach,Ca.92648 (Space above this line for Recorder's use only) ACCEPTANCE OF PUBLIC IMPROVEMENTS (Huntington Beach Zoning and Subdivision Ordinance Section 255.22) PLEASE TAKE NOTICE THAT on June 16, 1999, the City Engineer considered the subdivision improvements described below, and found them to have been completed satisfactory and accepted, as limited by Huntington Beach Zoning and Subdivision Ordinance Section 255.22(A), the improvements for public use. Further, the public improvements for the subdivision(s) have been dedicated to the City of Huntington Beach, as described on Final Map No. 14980. Public improvements constructed consist of curb, gutter, sidewalk and paving on Goldenwest Street, the domestic water system and appurtenances within the private streets, the sanitary sewer system and appurtenances and the storm drain system and appurtenances within the dedicated easements. Tax-Exempt-Govemment Agoncy CITY OF HUNTINGTON; BEACH Tfie foregoing iftAm�wik h a ctaRect Broctcvray,crey (eoo� copy oft 'original on oo this office, AttestCaiic / 19 By. puty City Clerk N tE BROCKWAY__ City Clerk and Ex-officio Clerk of the City Council of the City of Huntington Reach CITY OF HUNTINGTON BEACH Califo By IIeP City Engineer - AityAttormrey This document Is solely for the official business of the City of Huntington Beach, as contem- plated under Government Code Sec. 6103 and should be recorded free of charge. RCA ROUTING SHEET INITIATING DEPARTMENT: Public Works SUBJECT: Approve the Release of Securities for Tract No. 14980 and Accept the Public Improvements COUNCIL MEETING DATE: July 6, 1999 -` RCA ATTACHMENTS STATUS Ordinance (w/exhibits & legislative draft if applicable) Not Applicable Resolution (w/exhibits & legislative draft if applicable) Not Applicable Tract Map, Location Map and/or other Exhibits Attached Contract/Agreement (w/exhibits if applicable) (Signed in full by the City Attorney) Not Applicable Subleases, Third Party Agreements, etc. (Approved as to form by City Attorney) Not Applicable Certificates of Insurance (Approved by the City Attorney) Not Applicable Financial Impact Statement (Unbudget, over $5,000) Not Applicable Bonds (If applicable) Attached Staff Report (If applicable) Not Applicable Commission, Board or Committee Report (If applicable) Not Applicable Findings/Conditions for Approval and/or Denial Not Applicable EXPLANATION F.OR.MI;SSING ATTACHMENTS' REVIEWED RETURNED FORWARDED Administrative Staff ( ) ( ) Assistant City Administrator (Initial) ( ) ( ) City Administrator (Initial) City Clerk ( ) EXPLANATION FOR RETURN OF ITEM. Only)(Below Space For City Clerk's Use RCA Author: Bruce Crosby Lit of Huntintoton Beach P O Box 711 CALIFORNIA 92648 TELEPHONE 714 536.5200 FAx 714 374.1603 SHARI L.FREIDENRICH CITY TREASURER VIA CERTIFIED U.S. MAIL June 25, 1998 Lou Jones & Associates P O Box 41375 Los Angeles, CA 90041 - Re: Tract No. 14980; PLC Gentlemen: This is to inform you that the City Council of the City of Huntington Beach, on October 6, 1997, approved to release the following bonds: Tract No. 14980 Faithful Performance Bond,Bond No. 3SM 890 124 00 Labor and Material Bond, Bond No. 3SM 890 124 00 Monument Bond, Bond No. 3SM 889 879 00 We are releasing these bonds and have enclosed copies of them for your files. Also enclosed is a copy of the City Council Action approving release of these bonds. If you have any questions,please call me at 714 536-5200. Sincerely yours, Shari L. Freidenrich -•-�---�--Enclosures xc: Bill Holman, PLC Land Co., 23 Corporate plaza, Suite 250, Newport Beach, CA 92660 (no attachments) Daryl Smith,Acting Director of Public Works (no attachments) Connie Brockway, City Clerk(no attachments) —P_at-Lovelace;-Sr.-Deputy-City Treasurer(no attachments) r,Y•'. 4 } _ $ ( } {. f y T.+ t _�,{'t� 1 "�1 {{p _ +��..j1} �xyf i'S}.}_.-�}___--- - _ - i --- � (u'-ti"I.ar•V .��45. t�j L�t�i tX F_�I.NT+� -.cib 61'�!•)_�T�.'t.� !•r'YPn`\'T��;��{K.3� lG�N'�itT���!"J� 4PP� \'1 J!F . ;.} P _.�.. .- (11) • 10/06/97 - Councogency Agenda - Page 11 E-9. (City Council)Approval of Amendment No. 1 To Agreement The Contract With Engineering Resources, Inc. To Perform Public Works Engineering, Development Processing And Inspection Services- (600.10) 1. Approve Amendment No. 1 to Agreement between the City of Huntington Beach and Engineering Resources Inc. for Plan Checking and Development Processing to provide an additional $865,000 for development processing, engineering project delivery facilitation, environmental document review and construction inspection services for proposed private and public facilities on a time and material basis. The new compensation cap will not exceed $1,514,500; and 2. Continue to accept the current and approved Insurance and Letter of Credit (covering the deductible) that accompanies the current contract; and 3. Instruct the Finance. Division to open another Purchase Order for$865,000 to fund the Engineering Resources Contract ($650,000 from account E-AA-PW-411-3-90-00 and $215,000 from Account No. E-EW- PW-921-3-90-00). Submitted by the Public Works Director [Approved 7-01 E-10. (City Council) Approve The Substitution Of Bonds And Subdivision Agreement - Tract No. 14980 - From PLC Land Company To Annandale Associates, L.P. - (Holly-Seacliff Development Agreement Area) e/o Goldenwest Street -s/o Ellis - n/o Ernest Avenue - (420.60) 1. Release PLC Land Company Subdivision Agreement And Bond Nos. 3SM89012400 and 3SM88987900, the securities furnished for Faithful Performance, Labor& Material, and Monuments respectively; 2. Accept Annandale Associates, L.P. Subdivision Agreement and Bond Nos. 1558120, 1558121, (Insurance Company of the West) the securities furnished for Faithful Performance, Labor& Materials, and Monuments respectively, and approve and authorize execution by the Mayor and City Clerk of the Subdivision Agreement and file the bonds with the City Treasurer; and instruct the City Clerk to notify the previous developer, PLC Land Company of this action, and the City Treasurer to notify the bonding company of this action. Submitted by the Community Development Director [Approved 7-0] E-11. (City Council)Amendment No. 3 To The Contract With EDAW, Inc. And Amendment No. 3 To The Reimbursement Agreement With McDonnell Douglas Realty Company For Preparation Of The McDonnell Centre Business Park Specific Plan And Environmental Impact Report- (ED 600.10 & MC 600.10) 1. Approve & authorize execution by the Mayor and City Clerk of Amendment No. 3 to Professional Services Agreement between the City of Huntington Beach and EDAW, Inc. for Planning Consulting Services for the Preparation of the McDonnell Centre Business Park Specific Plan and Environmental Impact Report, for a total contract fee not to exceed $303,099; and 2. Approve and authorize execution by the Mayor and City Clerk of Amendment No. 3 to Specific Plan and Environmental Agreement between the City of Huntington Beach and McDonnell Douglas Realty Company. Submitted by the Community Development Director [Approved 7-0] (11) STATEMENT OF ACTION OF THE CITY COUNCIL Council Chamber, Civic Center Huntington Beach, California Monday, October 6, 1997 A videotape recording of this meeting is on file in the Office of the City Clerk. The regular meeting of the City Council and the Redevelopment Agency of the City of Huntington Beach was called to order at 5:00 p.m. CITY COUNCIUREDEVELOPMENT AGENCY ROLL CALL PRESENT: Julien, Harman, Dettloff, Bauer, Sullivan, Green, Garofalo ABSENT: Consent Calendar- (Item Approved) A motion was made and the following item was approved as recommended by the following roll call vote: AYES: Julien, Harman, Dettloff, Bauer, Sullivan, Green, Garofalo NOES: ABSENT: E-10. (City Council) Approve The Substitution Of Bonds And Subdivision Agreement - Tract No. 14980 - From PLC Land Company To Annandale Associates, L.P. - (Holly- Seacliff Development Agreement Area) e/o Goldenwest Street- s/o Ellis - n/o Ernest Avenue - (420.60) 1. Release PLC Land Company Subdivision Agreement And Bond Nos. 3SM89012400 and 3SM88987900, the securities furnished for Faithful Performance, Labor& Material, and Monuments respectively; 2. Accept Annandale Associates, L.P. Subdivision Agreement and Bond Nos. 1558120, 1558121, (Insurance Company of the West) the securities furnished for Faithful Performance, Labor& Materials, and Monuments respectively, and approve and authorize execution by the Mayor and City Clerk of the Subdivision Agreement and file the bonds with the City Treasurer; and instruct the City Clerk to notify the previous developer, PLC Land Company of this action, and the City Treasurer to notify the bonding company of this action. Submitted by the Community Development Director [Approved 7-0] 0 • The meeting adjourned to Monday, October, 20, 1997 at 5:00 p.m., in Room B-8, Civic Center, 2000 Main Street, Huntington Beach, California. /s/ Connie Brockway City Clerk and ex-officio Clerk of the City Council of the City of Huntington Beach, California ATTEST: /s/Connie Brockway /s/ Ralph Bauer City Clerk/Clerk Mayor STATE OF CALIFORNIA ) County of Orange ) ss: City of Huntington Beach ) I, Connie Brockway, the duly elected City Clerk of the City of Huntington Beach, California, do hereby certify that the above and foregoing is a true and correct Statement of Action of the City Council of said City at their regular meeting held on the October 6, 1997. Witness my hand and seal of the said City of Huntington Beach this 15th day of October, 1997. /s/Connie Brockway City Clerk and ex-officio Clerk of the City Council of the City of Huntin ton Beach, California B Depu ity Clerk �7 4PITY OF HUNTINGTON BEA MEETING DATE: October 6, 1997 DEPARTMENT ID NUMBER. W 97-082 Council/Agency Meeting Held: /a'�f97 1i'�°•60 Deferred/Continued to: Lzl'Approved ❑ Conditionally Approved ❑ DeniedAorpa4 City Clerk Signature Council Meeting Date: October 6, 1997 Department ID Number: PW 97-082 CITY OF HUNTINGTON BEACH REQUEST FOR COUNCIL ACTION SUBMITTED TO: HONORABLE MAYOR AND CITY COUNCIL MEMBERS SUBMITTED BY: MICHAEL T. UBERUAGA, City Administr r TL` PREPARED BY: "�ES M. JONES II, Director of Public Works SUBJECT: Approve the Substitution of Bonds and Subdivisi agreement--Tract No. 14980 Statement of Issue,Funding Source,Recommended Action,Alternative Action(s),Analysis,Environmental Status,Attachments) -jr Statement of Issue: Annandale Associates, L.P. has purchased Tract No. 14980 from PLC Land Company and is requesting that their Bonds and Subdivision Agreements be substituted in place of PLC Land Company Bonds and Subdivision Agreements. Funding Source: Not applicable. 1. Recommended Action: Motion to Release PLC Land Company Subdivision Agreement and Bond Nos. 3SM 890 124 00 and 3SM 889 879 00, the securities furnished for Faithful Performance/Labor & Material and Monuments respectively; and, 2. Accept Annandale Associates, L.P. Subdivision Agreement and Bond Nos. 1558120, 1558121, the securities furnished for Faithful Performance/Labor & Material and Monuments respectively, and instruct the City Clerk to execute the Subdivision Agreement and file the Bonds with the City Treasurer; and, Instruct the City Clerk to notify the previous developer, PLC Land Company of this action, and the City Treasurer to notify the bonding company of this action. Alternative Action(s): Deny the recommended action. (D �V 0027777.01 -2- 09/23/97 10:25 AM *QUEST FOR COUNCIL ACTR MEETING DATE: October 6, 1997 DEPARTMENT ID NUMBER: PW 97-082 Analysis: On November 19, 1996, the City Council approved Final Map No. 14980 and accepted Bonds from PLC Land Company, the securities furnished for Faithful Performance/Labor & Material and Monuments. Subsequent to this, Annandale Associates, L.P. purchased Tract No. 14980 and has requested that the City exonerate the original Bonds posted by PLC Land Company and substitute their Bonds. Following is a list of project data: Subdivider: Annandale Associates, L.P., 23 Corporate Plaza, Ste. 245, Newport Beach, Ca. 92660 Engineer: Hunsaker & Assoc., 3 Hughes, Irvine, Ca. 92718 Title Co.: First American Title Co., 114 E. 5th St., Santa Ana, Ca. 92702 Zone: Holly-Seacliff Specific Plan Environmental Status: This recommended action is a ministerial act, and is exempt from the requirements of the California Environmental Quality Act, pursuant to State CEQA Guidelines, Cal. Admin. Code, Title 14, Chapter 3, Section 15268 (b). Attachment(s): City Clerk's P. . - NumberDescription1 Location Ma 2 Faithful Performance/Labor& Material Bond No. 1558120 /,; 9� F cRa+ a, 3 Monument Bond No. 1558121 4 Subdivision Agreement for Tract No. 14980 5 Certificate of Insurance for Tract No. 14980 F� RCA Author: Bruce Crosby 0027777.01 -3- 09/23/97 10:33 AM ATTACHMENT 1 I I I - 7-1 EDWGEIL Bzu. wARrmt SUTBR TALBRIff /"GRKTOW r r IIVDIAN mum E r ATLANTA ELAMIUM SITE UDC/1TION SITE LOCAMN r r BANNING Lam` TRACT NO 14980 1 R� �. HUNTINGTON BEACH PLANNING DMSION ATTACHMENT 211 ATTACHMENT 3 I have received Faithful Performance Bond No. 1558120 - Insurance Company of the West, Labor and Material Bond No. 155 8120- Insurance Company of the West, Monument Bond No. 155 8121 - Insurance Company of the West. Re: Final Tract Map No. 14980 -Annandale Associates L.P. Agreement Purchased from PLC Land Co. Holly-Seacliff Development Agreement Area. RCA and Action Agenda for October 6, 1997 attached. Dated: �� — By: BOND NO.,_155L.U-2.1... .— PREMIUM $450.00 MONUMENT BOND KNOW ALL MEN BY THESE PRESENTS: THAT ANNANDALE ASSOCIATES, L.P. a California Limited Partnership 980 as Subdivider of Tract No. lI( X in the City of Huntington Reach,County of Orange,State of. Califurnia,leas submitted to said City a Final Map of said tract containing an engineer's or surveyor's certificale slating Itiat all final monuments will be set in the positions indicated on or before tfre date specified in said certificate: Thai said ANNANDALE ASSOCIATES. L.P. i! California Limited Partnership (Subdivider) as principal,and INSURANCE COMPANY OF THE WEST. as surety,hereby guarantee to the City of Huntington Beach the payment of the cost of setting all such rivinuments within or in connection with said(tact,as are not already set prior to Ifie recording of said Final Map,in accordance with said map and said certificate up to but not in oxcess of the sum of 181000.00 S______.___� in which sum we are held and firmly bound 1e the City of Iuntington Eleaclr,all in accordance with and subject to Iho torrns,conditions and provisions of Article 9,Chapter 4 of the Government Code of the State of California. 1N WI FNLSS Wl IEREOF,we have executed this instrument Ihis 1..TH ^____day of r 97 ANNANDALE ASSOCIATES, L.P. a California Limitied Partnership By: INSURANCE'COMPANY OF THE WEST, as Surety (D�, . IIy J nAna Beaudry, Attorney—In—Fac By: De :y ,ity Attorney Insurance Company of the West HOME OFFICE:SAN DIEGO,CALIFORNIA POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That INSURANCE COMPANY OF THE WEST,a California Corporation,does hereby appoint: JANINA BEAUDRY its true and lawful Attomey(s)-in-Fad,with full power and authority,to execute,on behalf of the Company,fidelity and surety bonds,undertakings,and other contracts of suretyship of a similar nature. This Power of Attorney is granted and is signed and sealed by facsimile under the authority of the following Resolution adopted by the Board of Directors on the 22nd day of November, 1994,which said Resolution has not been amended or rescinded and of which the following is a true copy: "RESOLVED,that the Chairman of the Board,the President,an Executive Vice President or a Senior Vice President of the Company, and each of them,is hereby authorized to execute Powers of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company,fidelity and surety bonds, undertakings,or other contracts of suretyship of a similar nature;and to attach thereto the seal of the Company; provided however,that the absence of the seal shall not affect the validity of the instrument. FURTHER RESOLVED,that the signatures of such officers and the seal of the Company,and the signatures of any witnesses,the signatures and seal of any notary,and the signatures of any officers certifying the validity of the Power of Attorney,may be affixed by facsimile." IN WITNESS WHEREOF, INSURANCE COMPANY OF THE WEST has caused these presents to be signed by its duty authorized officers this 15th day of May 1995 +4t�,�►.r.c.�� INSURANCE COMPANY OF THE WEST C4601M' STATE OF CALIFORNIA J hn L.Hannum,Senior Vice President SS. COUNTY OF SAN DIEGO On May 15th,1995 before me, personally appeared John L.Hannum,Senior Vice President of INSURANCE COMPANY OF THE WEST, personally known to me to be the individual and officer who executed the within instrument,and acknowledged to me that he executed the same in his official capacity and that by his signature on the instrument, the corporation, on behalf of which he acted,executed the instrument. WITNESS my hand and official seal. NORMA PORTER NOTARY PUBLIC-C:.IFORN6!vN -16m�w I/ ''�� SAN DIEGO CCUNTY n Notary Public CO) My My Commission Expires CERTIFICATE: JANUARY 14.1996 I,E.Harried Davis,Vice President of INSURANCE COMPANY OF THE WEST,do hereby certify that the original POWER OF ATTORNEY,of which the foregoing is a true copy, is still in full force and effect,and that this certificate may be signed by facsimile under the authority of the above quoted resolution. IN WITNESS WHEREOF, I have subscribed my name as Vice President,on this 11th day of September 19 97 I&,QYFAX,O,,4 INSURANCE COMPANY OF 7EST E.Framed Davis,Vice President ICW 37 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of 0R.a:NGE On_ September 11, 1997 before me, JERI S t i ER Notary Public Date \otary personally appeared JANINA BEAUDRY Name of Signers) N$ersonally known to me - OR - ❑ proved to me on the basis of satisfactory e\idence to be the person(s)whose 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 JEM SUMNER instrument. � COMM.•103AL8.1 Vi • � =j P"otaly Ptbnc—calitarzta Sk WITNESS my hand and official seal. � LOS ANGi:ILEC COUNFrY - My Comm.Expi:esJ��..1.1455 Signature o i::'ki rti;`:'is<:•t.:i:i{`::::ii:i:;i:a':`:::{;:r;>::: :::5.{:vi:;i:;:ji:{•iY4i:J:?:^i'r•:::a;..;•:::::5y t:}i'iiii. t:. ..oP. DNA.Lv::.:vvv :::::::::v::::::::::: �:::v-': Though the data below is not required bylaw,it may prove valuable to persons rchrma on the document and could prevent fraudulent reattachment of this forth. CAPACITY CLALNIED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ R DIN,DeauS) ❑ CORPORATE OFFICER(S) TITLES(S) TITLE OR TYPE OF DOCUMENT ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL NLMBER OF PAGES ATTORNEi--r-,-FACT U TRUSTEE(S) ❑ GUARDIAN.CONSERVATOR ❑ OTHER: DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSON(S)OR E`TM-(IES) SIGNER(S)O_rrlER THAN N.-1.\[ED.•.BO« w BOND NO. 155 81 20 r •. PREMIUM Included_in charge for performance bond LIBOR AND MATERIAL BOND WHEREAS.the City COUntil of ft Cfty of Huntington Beach,State of California,end ANNANDALE ASSOCIATES, L.P. a California Limited Partnership (hereinafter designated as'Pdnclpal')have entered Into an agreement whereby principal agrees to irtstait and complete designated public Improvements,which said agreement,dated 14980 -- 19... .__ and identified as projact,__ r5gft ,Is hereby referred to and made a part hereof; and WI IEREAS,under the terms of said agreement,principal Is required before entering iipon the performance of the work,to Tile a good and sufficient payment bond with the City of Huntington Beach to secur c the claims to which reference is made in Title 15(commencing with Section 3082)of Part 4 of Division 3 of Civil Code of Me State of California. Now,therefore,said principal and the undersigned as corporate surety,are held firmly bound unto the City of Huntington Beach and all contractors,subcontractors,laborers,materialmen and other per sons ernpkiyed In the performance of the aforesaid agreement and referred to in the aforesaid Code of Civil Procedures In the sum of Sixty-Five Thousand Seven Hundred Ninety-Nine.& no/100's dollars(S_65,799.00 ),for maWals fumished or labor therron of any kind,or for amounts dug under the Unemployment Insurance Act with respect to such work or labor,that said surety A pay the same In an amount not exceeding the amount hereinabove set forth,and also in case:suit Is brought upon this bond,will pay,in addition to the face amount thereof,costs and reasonable expenses and fees,Including reasonable attorney's fees,IncurTed by'City"In successfully enforcing such obligation,to be awarded and fixed by the coin,and to be taxed as casts and to be includod in die i iddgment therein n:ndered. It is hereby expressly stipufatad and agreed that this bond shall Insure to the benefit of any and all pefsons,companies and corporations entitled b file claims under Title 154cormiencing with Sectlon 3082)of Part 4 of Division 3 of the Civil Code,so as to give a right of action b them or their assigns in any suit brought upon this bond. Should the condilian of this bond be fully performed,then this obligation shall bocoinc nuM and vc.d,o!herwise it shall be and remain In U force and effect. The surety hereby stipulates and agrees that no change,extension of llrrr.,allegation or addition to the tarots of said eg►eemaint or the specifications accompanying Uw same shall In any nianner Signed and Sealed this 11th, day of September, 1997. ANNANDALE ASSOCIAT ., L.P. NCE COMPANY OF THE WEST, as Suret3 a California , - Eed Partnership ley: By: i anina Beaudry, Attorney-In act By: C EJD :ttornoy Insurance Company of the West HOME OFFICE:SAN DIEGO,CALIFORNIA POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That INSURANCE COMPANY OF THE WEST,a California Corporation,does hereby appoint: JANINA BEAUDRY its true and lawful Attomey(s)•in-Fad,with full power and authority,to execute,on behalf of the Company,fidelity and surety bonds, undertakings,and other contracts of suretyship of a similar nature. This Power of Attorney is granted and is signed and sealed by facsimile under the authority of the following Resolution adopted by the Board of Directors on the 22nd day of November, 1994,which said Resolution has not been amended or rescinded and of which the following is a true copy: "RESOLVED,that the Chairman of the Board,the President,an Executive Vice President or a Senior Vice President of the Company,and each of them, is hereby authorized to execute Powers of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company,fidelity and surety bonds,undertakings,or other contracts of suretyship of a similar nature;and to attach thereto the seal of the Company; provided however,that the absence of the seal shall not affect the validity of the instrument. FURTHER RESOLVED,that the signatures of such officers and the seal of the Company,and the signatures of any witnesses,the signatures and seal of any notary,and the signatures of any officers certifying the validity of the Power of Attorney,may be affixed by facsimile." IN WITNESS WHEREOF, INSURANCE COMPANY OF THE WEST has caused these presents to be signed by its duty authorized officers this 15th day of May 1995 `DDMPANYot INSURANCE COMPANY OF THE WEST 16 t �s a i�GDR►oM7E t O C4L6D,M%1' STATE OF CALIFORNIA J hn L.Hannum,Senior Vice President SS. COUNTY OF SAN DIEGO On May 15th, 1995 before me, personally appeared John L.Hannum,Senior Vice President of INSURANCE COMPANY OF THE WEST, personally known to me to be the individual and officer who executed the within instrument,and acknowledged to me that he executed the same in his official capacity and that by his signature on the instrument, the corporation, on behalf of which he acted,executed the instrument. WtT'NESS my hand and official seal. NORMA PORTER r COMM.#95.^_0"44 n lf6vw� 0ML," NOTARY PUBLIC-6-"ORNI' (a Notary Public V SRN 0,EGO CCUNTY A ry My Commission Expires CERTIFICATE: JANUMY 14,199& 1,E.Hamed Davis,Vice President of INSURANCE COMPANY OF THE WEST,do hereby certify that the original POWER OF ATTORNEY,of which the foregoing is a true copy,is still in full force and effect,and that this certificate may be signed by facsimile under the authority of the above quoted resolution. IN WITNESS WHEREOF,I have subscribed my name as Vice President,on this 11th day of September 19 97 cEDD,L►ANro� INSURANCE COMPANY OF THE ST R�pA►oM�EO s E.4amed Davis,Vice President ICW 37 i I F• CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of ORANGE On September 11, 1997 before me, JERI SUMNER Notary Public Date Notary personally appeared JANINA BEAUDRY Name of Signers) LE'personally known to me - OR - ❑ proved tome on the basis of satisfactory e%idence to be the person(s)whose 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 JR,StI AKI � instrument. CCMAA.#1r"k zel :t Plc±aryr Pt�hllc—C-Hornta WITNESS my hand and official seal. LOSANGEL":;t7U,- Comm.Expiras J:Ji.31.INS LU _t Si? tary <' .......:::.:::.:............ ...................................................:::::.:............ 4.., Though the data below is not required by law,it may prove valuable to persons relying on the docurncnt and could prevent fraudulent reattachment orthis forts CAPACITY CLAMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVTD(JAUS) ❑ CORPORATE OFFICER(S) TITLES(S) TITLE OR TYPE OF DOCUMENT ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL NUMBER OF PAGES ATTOR-`EY"-tr-FACT ❑ TRUSTEE(S) iJ GUARDIAN CONSERVATOR L OTHER: DATE OF DOCUMENT SIGNER IS REPRESENTING: `A.\IE OF PERSON(S)OR E`-rITY(IES) SIGNER(S)OTHER THAN NA.%IED ABO%B • BOND NO. 155 8120 PREMIUM $3,290.00 FAITHFUL PERFORMANCE BOND WI IEREAS,the City Council of the City of Huntington Beach,State of California,and ANNANDALE ASSOCIATES L.P. a California Limited Partnership_ (hereinafter designated as'principal")have entered into an agreement whereby principal agrees to install and complete designated public improvements,which said agreement,dated 14980 19 ,and identified as project x1<MSR is hereby referred to and made a part hereof;and WHEREAS,.said principal is required under the terms of said agreement to furnish a bond for the faithful performance of said agreement. Now,therefor,we,the principal and INSURANCE COMPANY OF THE WEST as surety,are held and firmly bound unto the City of Huntington Beach,herelnMer called'City,the penal SUM of One Hundred Thirty-One Thousand Five Hundred dollars($13 1,5 9 5.00 Ninety-Five and no/100's lawful money of the Unitod States,for the payment of which sum well and truly to be made,we bind ourselves,our heirs,successors,executors and administrators,jointly and severally,firmly by these presents. The condition of this obligation is such that if the above bounded principal,his or its heirs, executors,-drvitlistrators.successors or assigns,shall in all things.stand to and abide by,and well and truly keep and perform the covenant,condition and provisions in the said agreement and any alteration .thereof made as therein provided,on his or their part,to be kept and performed al the time and in the n►anner therein specified,and in all respects according to their true intent and meaning,and shall indemnify and save harmless"City',its officers,agents and employees,as therein stipulated;tl►en this obligation shall become null and void;otherwise it shall be and remain in full force and effect. As a part of Um obligation secured hereby and in addition to the face amount specified therefor,there shall be Included costs and reasonable expenses and fees,including reasonable attorney's fees incurred by City In successfully enforcing such obligation,all to be taxed as costs and included in any judgment rendered. Signed and Sealed this 11th, day of September, 1997. ANNANDALE AS AT.ES, L.P. a California Limited Partnership By: / A INSU CEjCOMPANY 01 TH EST., as Surety By, Ci`,_ A ,sY J na Beaudry, Attorney-In-Fact i r ' Insurance Company of the West HOME OFFICE:SAN DIEGO,CALIFORNIA POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That INSURANCE COMPANY OF THE WEST,a California Corporation,does hereby appoint: JANINA BEAUDRY its true and lawful Attomey(s}in-Fad,with full power and authority,to execute,on behalf of the Company,fidelity and surety bonds,undertakings,and other contracts of suretyship of a similar nature. This Power of Attorney is granted and is signed and sealed by facsimile under the authority of the following Resolution adopted by the Board of Directors on the 22nd day of November, 1994,which said Resolution has not been amended or rescinded and of which the following is a true copy: "RESOLVED,that the Chairman of the Board,the President,an Executive Vice President or a Senior Vice President of the Company, and each of them, is hereby authorized to execute Powers of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company,fidelity and surety bonds,undertakings,or other contracts of suretyship of a similar nature;and to attach thereto the seal of the Company; provided however,that the absence of the seat shall not affect the validity of the instrument. FURTHER RESOLVED,that the signatures of such officers and the seal of the Company,and the signatures of any witnesses,the signatures and seal of any notary,and the signatures of any officers certifying the validity of the Power of Attorney,may be affixed by facsimile." IN WITNESS WHEREOF, INSURANCE COMPANY OF THE WEST has caused these presents to be signed by its duty authorized officers this 15th day of May 1995 �\.°py►�+r�i INSURANCE COMPANY OF THE WEST + ff' ��ppR►OMI�O � �l6pRM►' . STATE OF CALIFORNIA J hn L.Hannum,Senior Vice President SS. COUNTY OF SAN DIEGO On May 15th,1995 before me, personally.appeared John L.Hannum,Senior Vice President of INSURANCE COMPANY OF THE WEST, personalty known to me to be the individual and officer who executed the within instrument,and acknowledged to me that he executed the same in his official capacity and that by his signature on the instrument, the corporation, on behalf of which he acted,executed the instrument. WITNESS my hand and official seal. NORMA PORTER NOTAR'f PU9LIC-C LIFORNV of SAN DIEGO CCUNTY A Notary Public My Commission Expires CERTIFICATE: JANUARY 14.1996 1,E.Hamed Davis,Vice President of INSURANCE COMPANY OF THE WEST,do hereby certify that the original POWER OF ATTORNEY,of which the foregoing is a true copy, is still in full force and effect,and that this certificate may be signed by facsimile under the authority of the above quoted resolution. IN WITNESS WHEREOF, I have subscribed my name as Vice President,on this 11th day of September 19 97 °��pY►,+.,,�� INSURANCE COMPANY OF THE ST a App\/pyljo � `"•0""' E.Ftamed Davis,Vice President ICW 37 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of ORANGE On September 11, 1997 before me, JERI SL'MNER Notary Public .Date Notary personally appeared JANINA BEAUDRY Name of Si_mcr(s) I'personally known to me - OR - ❑ proved to me on the basis of satisfactory e%idence to be the person(s)whose the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/shelthey 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 ri_zi ., JERI SUMNER instrument. -� +y�: Comm.♦1C3 M LOS ANGME�o Jr la - WITNESS my hand and official seal. b"Y Comm.Err�oesS:si.3l,I i Signa re tary i Though the data below is not rewired by law,it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this forth 1 } CAPACITY CLAMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT i ❑ INDIVIDUALS) CORPORATE OFFICER(S) TITLES(S) TITLE OR TYPE OF DOCUMENT PAR_I-,ER(S) ❑ LIMITED ❑ GENERAL. NUMBER OF PAGES V aTTOR.NEY-rN-FACT t TRUSTEE(S) _' GUARDIAN,CONSERVATOR OTHER: DATE OF DOCUMENT SIGNER IS REPRESENTING: N.k%fE OF PERSON(S)OR E`TM SIGNER(S)OTHER THAN N.k%IED ABO« ATTACHMENT 4 SUBDIVISION AGREEMENT BY AND BETWEEN THE CITY OF HUNTINGTON BEACH AND ANNANDALE ASSOCIATES, L.P. FOR TRACT NO. 14980 THIS AGREEMENT is entered into this day of 0 C4o b-P-K , 1997, by and between the CITY OF HUNTINGTON BEACH, a municipal corporation of the State of California, hereinafter referred to as "CITY," and ANNANDALE ASSOCIATES, L.P., a California limited partnership, hereinafter referred to as "SUBDIVIDER." RECITALS WHEREAS, SUBDIVIDER is the owner of a tract of land in CITY, which it is seeking to subdivide into lots and to dedicate certain streets, alleys, and other improvements therein to public use, and is about to file with CITY a map of the tract of land known as Tract No. 14980; and As a condition of the approval of and prior to the recordation of said subdivision map, SUBDIVIDER is required to improve and dedicate the streets and alleys, and to perform certain other improvements in said subdivision; and SUBDIVIDER desires to enter into an agreement with CITY to delay performance of certain of the work; to agree to perform said work as herein provided; and to execute and deliver to CITY bonds for the faithful performance of said agreement, for the payment of all labor and material in connection therewith, and for the guarantee and warranty of the work for a period of one (1�) year following completion and acceptance thereof against any defect in work or labor done, or defective materials furnished, as required by Sections 66499 and 66499.3 of the Government Code of the State of California, and Chapter 225 of CITY'S Zoning and Subdivision Code. NOW, THEREFORE, in consideration of the promises and agreements of the parties as herein set forth, the parties agree as follows: 1 3/pw/g:\agree\t ra cfo rm 6/10/97 1. GENERAL STREET CONSTRUCTION SUBDIVIDER does hereby agree to do and perform the following work in said tract: - all conditions of the tract map not completed at the time of the recordation thereof to include,.but not limited to, the construction of streets, including excavation, paving, curbs, gutters, sidewalks, trees and landscaping; sewers, including construction of main lines and lot laterals and structures; street lights; street signs; construction of domestic water systems including the construction of water mains, lot laterals and installation of meters; engineering costs; and any miscellaneous requirements as may be set forth in CITY'S codes. All of said work shall be done and performed in accordance with plans, specifications and profiles which have been approved by the City Engineer and filed in the office of the City Engineer. All of work shall be done at the sole cost and expense of SUBDIVIDER. The acceptance of the dedication of said streets, alleys and other improvements, and said work shall be completed on or before two (2) years from the date hereof, and all labor and material bills therefor shall have been paid by SUBDIVIDER. 2. ARTERIAL HIGHWAY IMPROVEMENT SUBDIVIDER agrees to complete all arterial highway improvements, including perimeter walls and landscaping required by conditions of the tract map, prior to release or connection of utilities for occupancy for any lot in the Tract. 3. GUARANTEE SUBDIVIDER shall guarantee all work and material required to fulfill its obligation as stated herein for a period of one (1) year following the date of City Council acceptance of same. 2 3/pw/g Aag ree\t ra cfo rm 6/10/97 M 4. FAITHFUL PERFORMANCE AND SECURITY In accordance with Huntington Beach Zoning and Subdivision Code, upon execution hereof SUBDIVIDER shall deposit with the City Treasurer the sum of One Hundred Thirty One Thousand Five Hundred Ninety Five Dollars ($131,595.00) as prescribed by Section 255.16 thereof, which security is given to CITY to insure faithful performance of this Agreement and of all of the conditions of the Tract Map. The deposit may be by corporate surety bond, cash or other approved form of improvement security. All bonds and other forms of deposit shall be approved by the City Attorney prior to their acceptance by CITY. SUBDIVIDER may, during the term of this Agreement, substitute improvement security provided that the substituted security is acceptable to the City Attorney; however, any bond or other security given in satisfaction of this condition shall remain in full force and effect until the work of improvement is finally accepted by CITY and SUBDIVIDER may be required by CITY to provide a substitute security at any time. 5. INDEMNIFICATION, DEFENSE, HOLD HARMLESS SUBDIVIDER hereby agrees to protect, defend, indemnify and hold and save harmless CITY, its officers, and employees against any and all liability, claims, judgments, costs and demands, however caused, including those resulting from death or injury to SUBDIVIDER'S employees and damage to SUBDIVIDER'S property, arising directly or indirectly out of the obligations or operations herein undertaken by SUBDIVIDER, including those arising from the passive concurrent negligence of CITY, but save and except those which arise out of the active concurrent negligence, sole negligence, or the sole willful misconduct of CITY. SUBDIVIDER will conduct all defense at its sole cost and expense. CITY shall be reimbursed by SUBDIVIDER for all costs or attorney's fees incurred by CITY in enforcing this obligation. 3 3/pw/g:\agree\tracform 6/10/97 • 6. WORKERS' COMPENSATION INSURANCE Pursuant to California Labor Code § 1861, SUBDIVIDER acknowledges awareness of § 3700 et seq. of said code, which requires every employer to be insured against liability for workers' compensation; SUBDIVIDER covenants that it will comply with such provisions prior to commencing performance of the work hereunder. SUBDIVIDER shall maintain Workers' Compensation Insurance in an amount of not less than One Hundred Thousand Dollars ($100,000) bodily injury by accident, each occurrence, One Hundred Thousand Dollars ($100,000) bodily injury by disease, each employee, Two Hundred Fifty Thousand Dollars ($250,000) bodily injury by disease, policy limit. 7. INSURANCE In addition to the workers compensation insurance and SUBDIVIDER's covenant to indemnify CITY, SUBDIVIDER shall obtain and furnish to CITY, a policy of general public liability insurance, including motor vehicle coverage covering the PROJECT. Said policy shall indemnify SUBDIVIDER, its officers, agents and employees, while acting within the scope of their duties, against any and all claims of arising out of or in connection with the PROJECT, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including products/completed operations liability and blanket contractual liability, of$1,000,000 per occurrence. If coverage is provided under a form which includes a designated general aggregate limit, the aggregate limit must be no less than $1,000,000. Said policy shall name CITY, its officers, and employees as Additional Insureds, and shall specifically provide that any other insurance coverage which may be applicable to the PROJECT shall be deemed excess coverage and that SUBDIVIDER's insurance shall be primary. Under no circumstances shall said above-mentioned insurance contain a self-insured retention, or a "deductible" or any other similar form of limitation on the required coverage. 8. CERTIFICATES OF INSURANCE; ADDITIONAL INSURED ENDORSEMENTS 4 3/pw/g:\ag ree\tradorm 6/10/97 Prior to commencing performance of the work hereunder, SUBDIVIDER shall furnish to CITY certificates of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverages as required by this Agreement; said certificates shall: 1. provide the name and policy number of each carrier and policy; 2. shall state that the policy is currently in force; 3. shall promise to provide that such policies will not be canceled or modified without thirty (30) days prior written notice of CITY; and 4. shall state as follows: "The above detailed coverage is not subject to any deductible or self-insured retention, or any other form of similar type limitation." ` SUBDIVIDER shall maintain the foregoing insurance coverages in force until the work under this Agreement is fully completed and accepted by CITY. The requirement for carrying the foregoing insurance coverages shall not derogate from the provisions for indemnification of CITY by SUBDIVIDER under the Agreement. CITY or its representative shall at all times have the right to demand the original or a copy of all said policies of insurance. SUBDIVIDER shall pay, in a prompt and timely manner, the premiums on all insurance hereinabove required. A separate copy of the additional insured endorsement to each of SUBDIVIDER's insurance policies, naming the CITY, its officers and employees as Additional Insureds shall be provided to the City Attorney for approval prior to any payment hereunder. 5 3/pw/g:\agree\t ra cfo rm 6/10/97 9. ATTORNEY'S FEES In the event suit is brought by either party to enforce the terms and provisions of this agreement or in any bond given to secure the performance hereof, each party shall bear its own attorney fees and costs. IN WITNESS WHEREOF, the parties hereto have executed this agreement the day and year first above written. ANNANDALE ASSOCIATES, L.P., a CITY OF HUNTINGTON BEACH, A California limited partnership municipal corporation of the State of California By REI LILY HOMES, INC., a Delaware corporation, as its general partner By: Mayor A Bruce . Billy, i resident By: ATTEST: Keith Reilly -ructloi sident of Cons - City Clerk REVIEWED ND APPROVED:0 2 il APPROVED AS TO FORM:= -P City Administrator City Attorney INITIATED AND APPROVED: City Engineer 6 3/pw/gAagree\tracform 6/10/97 SUBDIVISION AGREEMENT BY AND BETWEEN THE CITY OF HUNTINGTON BEACH AND ANNANDALE ASSOCIATES, L.P. FOR TRACT NO.14980 TABLE OF CONTENTS Section Page 1 General Street Construction ..................................................................................2 2 Arterial Highway Improvement...............................................................................2 3 Guarantee..............................................................................................................2 4 Faithful Performance and Security.........................................................................3 5 Indemnification, Defense, Hold Harmless..............................................................3 6 Workers' Compensation Insurance........................................................................4 7 Insurance...............................................................................................................4 8 Certificates of Insurance; Additional Insured Endorsements..................................5 9 Attorneys' Fees......................................................................................................5 7 3/pw/g:\agree\tracfo rm 6/10/97 ATTACHMENT 511 CITY OF HUNTINGTON BEACH APPLICATION FOR INSURANCE REQUIREMENTS WAIVER OR MODIFICATION 1. Name/Title Department of Requesting Staff Member 1ge&44= egb sy)l 2. Date of Request 3. Description of work to be performed x/O. f¢wo 6eell-Ylf�O� tJ S'z—Ar4.i lAy'0o t✓�A9��cf�S� 4. Length of Contract 5. Type of Insurance Waiver or Modification Requested: �/� � � boa• OC> (a)Limits: (b)Coverage 6. Reason for Request for Waiver or Reduction of Limits�r�/L f�D,f n /"•!.t�� 7. Identify the risks to the City if this request for waiver or modifications granted (This section to be completed by the Risk Manager) Recommendation: Approve Deny Risk Manager's Signature/Date / / / ?7 (This section to be completed by the City Attorney) Recommendation: Approve Deny City Attorney's Signature/Date Settlement Committee approval[is]Aiv e] required for this waiver. If Settlement Committee approval is required, submit form to City Attorney's Office to be placed on the agenda. Recommendation: Approve Deny City Council approvals[is not] required for this waiver. If City Council approval is required,attach this form to the RCA after consideration by the Settlement Committee. jmp/k/resoufiWinsreglfl17/97 7 Gh K 11t-IUA J `' Ut- .LIAtSILl: 1 Y: IfV�UfiE' �V VC :RI�LLOl 07/25/97 PROpLh�� THIS CERTIFICATE I5-•.� AS A MATTER OF INFORMATI ONLY ANP CONFERS NHTS UPON THE CERTIFICATE �:/7 7 Arthur J. Gallagher & Co. HOLDER. THIS CERTIFIC DOES NOT AMEND, EXTEND 0 12030 Main Street, Suite 1100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. i Irvine CA 92614 i COMPANIES AFFORDING COVERAGE Silvia E. Creasman COMPANY PhaneNO, 77-4-756-8500 r..Ne. 714-756-8701 A Steadfast Insurance Company INSURED COMPANY Golden Eagle Insurance Company Riel3 y Homes DBA: Annandale COMPANY pA�-sociates, L.R. C T3 Corporate Plaza Drive #245 COMPANY Newport Beach CA 92660 D CpVEF#AGES, THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A90VE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CON':RACT OR OTHER DOCUMENT WITH RESPECT 70 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 REDJCED BY PAID CLAHAS. 00 TYPE OF INSURANCE POLICY NUMB[R POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE(MMIDD-TY) DATE(MM!DD:YY) GENERAL LIABILITY ) GENERAL AG3REGATE S 2, 000,000 A X C01✓MERCIA4GaNERALLIABILI7Y SCO837162202 06/15/97 06/15/98 PRODUCTS-COvP/OPAGG S 2,000,000 CLAIMS WIPE X1 OCCUP. I PERSONA:&ADV INJURY S OWNER'S&CONTRACTOR'S PROT *CGL S1,COO,000 per OCC EACH OCCURRENCE S X SIR 25,000 ) *Prod/CQMP Dps $1,000,000 I FIRE DAMAGEIAny one'IrF) s Excluded per occ MEO QXP(Any ola 7crcon) ` Excluded AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I S ANY AUTO I j ALL OWNED AUTOS 8071LY IN URY S SCHEDIACD AUTOS j IPer Pcrser) HIRE5AUTOS APPROVED AS TO F RM:, BODILY INJURY NON-OWNED AUTOS GAIL HUL� I(Per accleerd 8 � TTON I CITY A TOR11EY PROPERTY DAMAGE I S i GARAGE LIABILITY ljy I I AUTO ONLY-EA ACCIDENT I S ANY AUTO e y 1, Attorney OTHER THAN AUTO ONLY: EACH ACCIDENT 8 I AGGREGATE S EkCC•SS LIABILITY I EACH OCCURRENCE +S UMBRE:LA FORM I AGGREGATE 18 OTHER THAN UMBRELLA FORM n ' ICI' .�- [N-DQRSENENT ATTACH; a WORKERS CONIPENSAYION AND I I VC STATU- CTH• ITORY LIMITS I EMPLOYERS'LIABILITY EL EACH ACCIDENT S1, 00,000 B THE PROPRIETCR/ I�:NCL N-WC476055 07/01/97 i 07/01/98 ELDISEASE-POLICY LIMITit 1300,000 PARTNZRSJI-XF;CUTIVE OFFICERS ARE; � EXCt EL DISEASE-EA EIJ ,PLOYEE S 1 �00,000 OFFICERS I I OTHER T gin t� m r m rrn _ ;0 OESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/SPECIAL ITEMS Certificate Holder is named as additional insured per form CO2010 attached. (.n 7 CERTlFICATE.MOLDER CANC�LCATION. . ...... . CITY167 SHOULD ANY OF THE ABOVE DESCRiBEP POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL PU11AUaQZA1A1AIL 30 DAYS WRITTEN NOTICE TO YHE CERTIFICATE HOLDER NAMED TO THE LEFT, City of Huntington Beaoh,its agents, officers & employees 2000 Main Street - Huntington Beach CA 92948 AUTHORINDREPRESENTATIVE Silvia E. Crest �•�f j "I/ LACORD 25-5 (1195) i� ACORD CQFiPDRATiON 1,986,' H.J.U. L.U. lI"11._. 1Kill1Vt r d.h•TSLi—f._r r f U I _ i n_i, POLICY NUMBER. SC( 162202 COMMERCIA' NERAL LIABILITY • Rielly Hames, AL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE A�YdI/P� /0l(0/27 Name of Person or Organization: City of Huntington Beach, its agents, officers & employees 2000 Main Street Huntington Beach, CA 92648 (if no entry appears above, Information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO iS AN INSURED (Section II) is amended to Include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work"for that insured by or for you. CG 20 10 11 85 Copyright,Insurance Services Office,Inc..1884 10%02/97 THU 09:45 FAX 714 719 4976 RIELLl HOMES INC 001 RIEL.LYH" . HONNIES A Delaware Corpontion C)PPV0 V a /Ole, 9-7 October 2, 1997 Department of Public Works 2000 Main Street Huntington Beach, CA. 92648 A>;tention: M-1, Bruce Crosby Re: Sandpiper,Huntington Beach- Tract 14980 Dear Mr_ Crosby: Regarding the Certificate of Insurance for Sandpiper Tract 14980,please be advised that Annandale Associates,L.P. will engage 6e services of Rielly Homes, Inc., a liceused general building contractor, for the construction, develoment and marketing of the Project. Please note that Annandale Associates, L.P. is a named insured under the Steadfast Insurance Policy and the Golden Eagle Insurance Company which is noted "Rielly Homes, et. al Sincerely, RIELLY HOMES, INC- : Rielly Executive - esident 23 Corporate Plaza,Suitc 245 Ncwpwt Beach, California 92660 (714) 719-4975 FAX(7t4)719-4976 R. .1. G. CO. I NC. I Pt)I NE Fax:714-r 56-3701 7U 1 25 '97 12 :59 I�% 7 . RIELLDI :- -. 07 97 CER ' I . , THIS CERTIFICATE IS I p AS A MATTER OF INFORMATION ONLY AND CONFERS RIGHTS UPON THE CERTIFICATE Azthur J. Gallagher & Co. I HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR _ - 2030 Main. Street, Suite 1100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Irvine CA 92614 1��0. D _ COMPANIES AFFORDING COVERAGE Silvia E. CressmanQ - Pr4nnNn. 714-756-8500 FexNc. 714-756-ELL I A Steadfast Insurance Company ` WSURED COMPANY 16/40�f7 B Golden Eagle Insurance Company j COMPANY Rielly Homes, et al I C 23 Corporate Plaza Drive #245 COMPANY Newport Beach CA 92660 D COVERAGES .-.... ...... . . _..: THIS IS TO CERTIFY THAT POLIC:_S OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED 14AMED A3OVL• FOR"'He POLICY PERIOD INDICATED, NOS:';THSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WH;CH THIS CERTIFICATE MAY BE ISSJED OR MAY PERTAIN,THE INSJRANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POL'CISS. WAITS SHOW14 MAY HAVE BEEN REDUCED BY PAID CLAIMS. i CO POLICY EFFECTIVE (POLICY EXPIRATION LIMITS LTR I TYPE OF INSURANCE I POLICY NU'rBER DATE{MM.'DO.Tyl I DATE(MM/DD/Y'Y) GENERAL LIABILITY I I !GENERAL AGGaEGA-r i 5 2,000,000 A x I COMMcRCALGEr:ERALLIA010y SC08217162202 06/15/97 ; 06/15/98 PaonUCTS-COMP.'o➢AGc S 2,000,000 CLAI.`✓5`t.AO: I OCCUR I i j I PERSO'SAL&l.DV INJURY � 5 TX —o", ER'S&CONTRACTOiR'S PROT I *CGL $1,000,000 per OCc ! ! EACH OCCURRENCE � S R 2S, 000 j *Prod/Comp Ops 11,000,000 iF:REpaMAGEIAnya:afire) � s Excluded j per oce I;ED EXP(Any anm person) j 6 Excluded c �AUTOMOB:LELIAB:ITY ANY AUTO j vO'.IB:NEO SINGLE L;11IT ! 6 AL:OVr'N'.D a'JTCS BODILY INJURY I SCHCO4.__'J AJTCS I I :Psr pcman! II��11 I I I I HAYED AUTOS I B^,CILY INJURY 6 II NON-0 NNED AJ70S iFer ecc."en,: M:I F90PEP.TY DAMAGE 6 GARAGE LIABILTY C 1 1 v l y v ii I AJTO ONLY-EA ACCIDENT s I{�ANY AUTO 1I OTHER-HAN AUTO ' By , ; Attorney EACH ACCOENT I I De llt;r C I -y I AGGREGA`. ; 6 i EXCESS LIABILITY I EACH OCCURRENCE UMBRELLA FCRM y A-,4REGATE 6 i OTHEIR TKA!! UVIBk .A FORM I I I S j WORKERS COMPENSATION AND 1 EMPLOYERS'LIABILITY I i j EACH ACCIDENT j THE PRO?R; TOR: INCL I IMC476055 I 07/01/97 ' 07/01/98 j ELDISEASE-'POLICY LIMIT 141, 000,000 II PARTNEP.S:EX_C''L'TIVE OFFICERS ARE, EXCL. I EL DISEASE•EA E!..PLCYEE r 1,000,000 OTHER i i � I DESCRIPTION OF OPERATIONS!LOCAT10NS;VEHIC!ES,SPECIAL ITEre.5 Certificate Holder is named as additional insured per form CG2010 attached. CERTIFICATE.HOLDER : ... . CITY167 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 13EFORF THE EXPIRATION DATE THEREOF.THE ISSUING COMPANY WILL 6WQ&L'no=":AIL 3 0 DAYS VJRI'I fEN NOTICE TO THE CERTIFICATE HOLDER NAME;)TO THE LEFT, City of Huntington Beach,its edr rMraRE-rfl MoulF Od9++.+:o9Ice r1In 1 1acraecc r•o ^_I—„— agents, officers & employees 2000 Main Street i-r [A—JTH�ORIZED - Htington Beach CA 92648 REPRESENTATIVE I Silvia E_ CressLtan ACORD 25-S 111351 z'".:.. ca.AC0Rb CORPORATION 1'988 R.J. G. CO. INC:. IRVIIdE Fax:714-7515—, 701 31-11 25 'Sfi? 1 :00 P. C17 POLICY NUMEER: FCO 2202 COMMERCIAL ERAL LIABILITY RiellyHomes,*A L THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: ��w ?0�0 COMMERCIAL. GENERAL LIABILITY COVERAGE PART. 7ie1t'L! SCHEDULE Name of Person or organization: City of Huntington Beach, its agents, officers & employees 2000 Main Street Huntington Beach, CA 92648 (if no entry appears above, Information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to Include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of"your work" for that insured by or for you. CG 20 10 11 85 Copyright,Insurance Services Office,Inc..1984