HomeMy WebLinkAboutMINUTES - 08122003 - C.27 TO: BOARD OF SUPERVISORS AS THE BOARD OF DIRECTORS, BLACKHAWK
GEOLOGIC HAZARD ABATEMENT DISTRICT O-W
FROM: MAURICE SHIU, PUBLIC WORKS DIRECTOR
DATE: August 12, 2003
SUBJECT: APPROVE and AUTHORIZE Richard D. Short, Kleinfelder, Inc., General Manager of the
Blackhawk Geologic Hazard Abatement District (GHAD) to execute a contract with Sands
Construction, Inc, in the amount of$155,000, to provide operations management services for the
Blackhawk CHAD, for the period July 1, 2003 through June 30, 2004, Danville area. (District
III) Project No. 7760-6X5147
SPECIFIC REQUEST(S)OR RECOMMENDATIONS)&BACKGROUND AND JUSTIFICATION
I. Recommended Action:
APPROVE and AUTHORIZE Richard D. Short, Kleinfelder, Inc., General Manager of the Blackhawk
Geologic Hazard Abatement District (GHAD) to execute a contract with Santis Construction, Inc. in the
amount of $155,000, to provide operations management services for the Blackhawk GHAD, for the
period July 1, 2003 through June 30, 2004.
II. Fiscal Impact:
There is no impact on the County General Fund. The Blackhawk GHAD is funded through revenues
generated by County Service Area M-23 (CSA M-23).
Continued on Attachment: X SIGNATURE:
Ge
RECOMMENDATION OF COUNTY ADMINISTRATOR
RECOMMENDATION OF BOARD COMMITTEE
1 P0PROVI OTHER
SIGNATURE(S)d,
ACTION OF BOA ON AUGUST 12, 2003 APPROVED AS RECOMMENDED ix OTHER
VOTE OF SUPERVISORS
XX UNANIMOUS(ABSENT XiiE }
AYES: NOES:
ABSENT: ABSTAIN:
I hereby certify that this is a true and correct copy of an
CS:sr action taken and entered on the minutes of the Board of
G:iGrpData\SpDist\Board Orders\2003148-12-43 BO-(B)Sands.doe Supervisors acting as the GHAD Board on the date shown.
Orig.Div: Public Works(Special Districts)
Contact: Skip Epperly(313-2253) ATTESTED:_AUGUST , 20()3
cc, County Counsel
Auditor-Controller JOHN SWEETEN,Clerk of the Blackhawk GHAD Board
L.Holden,Accounting of Directors and Board Administrator
H.Ballenger,Eng.Svc.
R.Short,Kleinfelder,Inc.
GHAD File&Binder By--- --qe--
t�reput}'
SUBJECT: APPROVE and AUTHORIZE Richard D. Short, Kleinfelder, Inc., General Manager of the
Blackhawk Geologic Hazard Abatement District (GHAD) to execute a contract with Sands
Construction, Inc. in the amount of$155,000, to provide operations management services for the
Blackhawk CHAD, for the period July 1, 2003 through June 30, 2004, Danville area. (District
111) Project No. 7760-6X5147
DATE: August 12, 2003
PAGE: 2
III. Reasons for Recommendation and Backkaround:
Mike Sands, President of Sands Construction, Inc., has been serving as the Operations Manager for the
Blackhawk GRAD for approximately thirteen years. Mr. Sands has extensive experience in responding
to and assisting the CHAD with the repair of landslides and landslide related work in Blackhawk and the
surrounding area. Mr. Sands has acted as the community liaison during this tenure. His firm has been
instrumental in providing assistance to both homeowners and GRAD during emergency response
conditions.
Mr. Sands directs contracts retained by the District to repair landslides, supervises contractors retained
to perforrn preventative maintenance activities, responds to emergency calls from property owners and
conducts initial site investigations. Mr. Sands brings a wealth of information regarding the District
stemming from his long experience in the development, and provides the only reliable history of events
available to the CHAD staff at this time. K.leinfelder, Inc. recommends approval of Sands
Construction's annual contract with the Blackhawk CHAD for Fiscal Year 200312004.
IV. Consequences of Negative Action:
Without Board approval, the GHAD will not be able to effectively respond to emergencies, conduct
major repair operations or execute its preventative maintenance program during this fiscal year.
Y
CC3MLI-ING SERVICES lt&MEMMENT
1.S ope al Conditions. These Special Conditions are incorporated below by reference.
(a) Public Agency: Blackhawk Gag lo is Hgzard Ab to en Dlstric t
(b) Consultant's Name&Address: Sands n9wgVq_n Com-Dany Inc.
P.O.PM 1125
La e CA_ 94649 Ph ne:325 52 -27 pax.925 62-1943
(c) Project Name,Number&Location: District Operations Manager,Blackhawk Geologic Hazard Abatemant District
(d) Effective Date: July 1,2003 (e) Payment Limit(s):$155,000.00
(f) Completion Date(s): June 30,2004
(g) Federal Taxpayer's I.D.: 68-0105138
2. Si nal res_ These signatures attest the parties`agreement hereto:
PUBLICAgENCY CC ULANT
By: Richard D.Short,Kleinfelder,Inc.
General Manager By.
i nate offs ` C84's Ity a business)
By: { ft--si�J�Cj`"
By (Designate official capacity1d the business)
Type of Business:Sole Proprietorship,Government Agency,
Partnership or Corporation(circle one)
If Corporation,State of Incorporation:.Callfomia
Notes Cgs Its: For corporations,the contract must be signed by two officers. The first signature must be that of the chairman of the board,president or
vice-president;the second signature must be that of the secretary,assistant secretary,chief financial officer or assistant treasurer.(Civ.Code,Sec.1190 and
Corps.Code.See.313.) The acknowledgment below must be signe4 by a Notary Public.
State of CallCaliforniaCERTIFICATE OF CKNOWLEDGMENT
}
ty ss.' } }
Coup of
On the date w itten bel befo me 1 t t b` 14 personally appeared(insed name and titin
Of officer)- ,personally knower to
me(or proved to me on the basis of sa sfactory evl rice)to be the person(s)whose names)islare subscribed to the within instrument and acknowWlg
tome that helshefthey executed the same in his/herttheir authorized capacity(ies),and that by his/herftheir signature s}on the instrument the person(s),or
the entity upon behaff of which the person(s)acted,executed the instrument.
WITNESS my hnd official sea.
Dated: ti�20'_ SUZI Al
CQW.vt WA is 1C
NOTARY
(Notary's Seal) PUSUXAUFORNIA
CONTRA COSTA COUNTY «►
AW.19,2M Jr.
3. PadjeA. Effective ojh Remmm'Fabi acrd Consultant mutually agree and promise as follows:
4. Errtolo riarrt Public Agency hereby employs Consultant,and Consultant accepts such employment,to perform the professional services described
herein,upon the terms and in consideration of the payments stated herein.
5. 80pe Of 32Mice- Scope of service shall be as described in Appendix A,attached hereto and made a part hereof by this reference.
5, Resort Cllsclosura Sectiotr. Any document or written report prepared hereunder by Consultant,or a subcontractor,for Public Agency she#min,
in a separate section,the numbers and dollar amounts of this contract and all subcontracts relating to the preparation of such document or written
report,provided that the payment limit specified in Sec. 1(e)exceeds$5,000. When multiple documents or written reports are the subject or
products of this agreement,the disclosure section may also contain a statement indicating that the total contract amount represents compensation
for multiple documents or written reports.
7. j 20MOS: Consultant shall,at no cost to Public Agency,obtain and maintain during the term hereof: (a)Workers`Compensation Insurance
pursuant to state taw;(b)Comprehensive Liability Insurance including blanket contractual(or contractual Ilability)coverage,broad fora property
damage coverage,and coverage for owned and non-owned vehicles,with a minimum combined single limit coverage over$1,000,000 for all
damages due to bodily injury,sickness or disease,or death to any person,and damage to property,including the loss of use thereof,arising out of
each accident or occurrence,and naming Blackhawk CHAD,Contra Costa County Richard D.Short,Kleinfelder Inc.,and their boards,of loan
and employees as additional insureds. Consultant shall promptly famish to Public Agency certificates of insurance evidencing such coverage and
uiring 30 days written notice to Public Agency of Policy lapse,cancellation or material change in coverage.
SUZI A7WOM
COMM,#1347
X CON
NOTARY PUS UC-�Ft3RNIA
TRA COSTA COUNTYMy ,•�
n olo MAK 19,2006 r
8. Pavmf. Public Agency shall pay Consultant for professional services performed at the rates shown in Appendix B attached hereto,which includ
all overhead and incidental expenses,for which no additional compensation shall be allowed. Notwithstanding the foregoing,these incident
expenses specifically itemized in Appendix B shall be reimbursable by Public Agency to Consultant,provided that Consultant submits copies r
receipts and,if applicable,a detailed mileage log to Public Agency. in no event shall the total amount paid to Consultant exceed the paymer
limit(s)specified in Sec.1(e)without prior written approval of the PubliicAgency. Consultant's billing statements shall be submitted at converrier
intervals approved by Public Agency and shall list,for each item of services,the employee categories,hours and rates.Public Agency will pa
consultant in accordance with the requirements of Civil Code Section 3320 as applicable.
9. 3tptus. The Consultant is an independent contractor,and shall not be considered an employee of Public Agency.
10. Time or Completion. Unless the time is extended in writing by Public Agency,Consultant shall complete all services covered by this Agreement n
later than the Completion Date(s)listed above.
11. RgpordRVtgntlon and Auditing. Except for materials and records delivered to Public Agency,Consultant shall retain all materials and record
prepared or obtained in the performance of this Agreement,including financial records,for a period of at least five years after Consultants recak
of the final payment under this Agreement. Upon request by Public Agency,at no additional charge,Consultant shag promptly make such record
available to Public Agency,or to authorized representatives of the state and federal governments,at a convenient location within Contra Cost;
County designated by Public Agency,and without restriction or limitation on their use.
12. Documentation. Consultant shall prepare and deliver to Public Agency at no additional charge,the items described in Appendix A to dor„urn th
performance of this Agreement and shall furnish to Public Agency such information as is necessary to enable Public Agency to monitor tN
performance of this Agreement.
13. Ownershi of'pocuments. All materials and records of a finished nature,such as final plans,specifications,reports,and maps,prepared c
obtained in the performance of this Agreement,shall be delivered to and become the property of Public Agency. All materials of a prelimifrar
nature, such as survey notes, sketches, preliminary plans, computations and other data, prepared or obtained in the performance of thi;
Agreement,shall be made available,upon request,to Public Agency at no additional charge and without restriction or limitation on their use.
14. Extra}Mork. Any work or services in addition to the work or services described in Appendix A shall be performed by Consultant according to thr
rates or charges listed in Appendix B. in the event that no rate or charge is listed for a particular type of extra work,Consultant shall be paid for tl'it
extra work at a rate to be mutually agreed on prior to commencement of the extra work. In no event shall Consultant be entitled to compensation fo
extra work unless a written authorization or change order describing the work and payment terms has been executed by Pubfic Agency prior to thi
commencement of the work.
15. Termination: Public Agency or Consultant shall have the right to terminate this Agreeimment at any tkrre,whether or not Consultant is in default,tr,
giving thirty(30)days written notes to the other parties. Upon such termination,Consultant shall without delay,deliver to Public Agency al
materials and records prepared or obtained in the performance of this Agreement,and shall be paid,without duplication,all amounts due for the
series rendered up to and including the date of termination.
1$. AbandonrlmerA by Qonsul tent. In the event the Consultant ceases performing services under this Agreement or otherwise abandons the project prio
to completing all of the services described in this Agreement,Consultant shall,without delay,deliver to Public Agency all materials and records
prepared or obtained in the performance of this Agreement,and shall be paid In accordance with provisions of Appendix B up through the date o
said termination
17. Breach. In the event that Consultant fails to perform any of the services described in this Agreement or otherwise breaches this Agresement,Pt"
Agency shall have the right to pursue all remedies provided by law or equity. Any disputes relating to the performance of this Agreement shall no
be subject to myon-judicial arbitration. Any litigation involving this Agreement or relating to the work shall be brought in Contra Costa County,aric
Consultant hereby waives the removal provisions of Code of Civil Procedure Section 394.
18. CoOVIiance with Laws. In perforating this Agreement,Consultant shall comply with all applicable laws,statutes,ordinances,rules and regulations
whether federal,state or local in origin.This includes compliance with prevailing wage rates and their payment in accordance with California t,aba
Code,Section 1775.
19 egg mr d. This Agreement shall not be assignable or transferable in whole or in part by Consultant,whether voluntarily,by operation of laser 01
otherwise;provided,however,that Consultant shall have the right to sub-contract that portion of the services for which Consultant does not haws
the facilities to perform so long as Consultant notifies Public Agency of such subcontracting prior to execution of this Agreement.Any othei
purported assignment,transfer or sub-contracting shall be void.
20. SSubcantmctirna. All subcontracts exceeding$25,000 in cost shall contain all of the required provisions of this contract. Consultant will pay eaeb
subconsultant in accordance with the requirements of Civil Code Section 3321 as applicable.
21. Eridorselnent on Plans. Consultant shall endorse all plans,specifications,estimates,reports and other items described in Appendix A prior tc
delivering them to Public Agency,and where appropriate,indicate his/her registration number.
22. Patents and C ovr€ghts;The issuance of a patent or copyright to Consultant or any other person shall not affect Public Agency's right to the
materials and records prepared or obtained in the performance of this Agreement. Public Agency reserves a license to use such materials and
records without restriction or limitation,and Public agency shall not be required to pay any additional fee or royalty for such materials or recorcls.
The license reserved by Public Agency shall continue for a period of fifty years from the date of execution of this Agreement,unless extended bV
operation of law or otherwise.
4
23. Indemnification: To the extent that a claim or lawsuit is not covered by the insurance required under Section 7,Public Agency shall indemnify ark
hold Consultant harmless against,expenses,including reasonable attorneys fees,judgments,fines,settlements,and other amounts actually aro
reasonably incurred in connection with any proceeding arising by reason of Consultant performance of services hereunder,except for expensaea
incurred by Public Agency, Blackhawk CHAD, Richard 0. Short, Kleinfelder Inc. and their boards, officers and employees resulting front
Consultant's gross negligence or will misconduct. Should Consultant become aware of a claim or lawsuit that may be subject to this section
Consultant shall notify Pubic Agency and Richard D.Short,Kieinfelder ine.promptly in writing,and PublicAgency shall have the right to conduct ttu
defense of such claim or lawsuit.
24. Heirs Surgessors and Assigns. Except as provided otherwise in section 20 above,this Agreement shall inure to the benefit of and bind the heirs
successors,executors,personal representative and assigns of the parties.
25. 'public lin orsements. Contractor shall not in its capacity as a contractor with Public Agency publicly endorse or oppose the use of any particule
brand name or commercial product without the prior approval of the Public Agency`s governing board. In Its Public Agency Contractor capacity
Contractor shall not publicly attribute qualities or lack of qualifies to a particular brand name or commercial product in the absence of a well
established and widely accepted scientific basis for such claims or without the prier approval of the Public Agency's governing board. In Its Pubik
Agency contractor capacity, Contractor shall not participate or appear in any commerclally-produced advertisements designed to promote€
particular brand name or commercial product,even if Contractor is not publicly endorsing a product,as long as the Contractor's presence in Ow
advertisement can reasonably be interpreted as an endorsement of the product by or on behalf of Public Agency. Notwithstanding the foregoing
Contractor may express its views on products to other contractors, the Public Agency"s governing board, its officers,or others who may tte
authorized by the Public Agency's governing board or by law to receive such views.
26. P ;t e>arsonnel. In performing the services under this Agreement,Consultant shall use the personnel listed in Appendix C,attached hereto arse
made a part hereof by this reference. Changes in project personnel may only be made with Public Agency's written consent,and Consultant that
notify Public Agency in uniting at least thirty(30)days in advance of any proposed change.Any person proposed as a replacement shall possew
training,experience and credentials comparable to those of the person being replaced
27. ,PMgnt "a 9w Public Agency's payment for the services performed by Consultant under this Agreement shall be subject to review,
determination of satisfaction,and approval of the Pubic Works Department,pursuant to section 1 of the Joint Exercise of Powers Agreement dam
June 24,1W between Public Agency and the County of Contra Costa.
2& 6gnee nt Exter ion: In Public Agency"s sole discretion,the term of this Agreement maybe extended for one additional period not to exceed two„
years(.e.,a new Completion date no later than December 31,2003). The extension shall require a written amendment executed in advance by
Consultant and the Public Works Director or designee. If the extension would involve any substantive changes to this Agreement the amendmer l
shall be submitted to Public Agency's governing body for prior approval.
29. gaftignt,Except as provided otherwise in section 29,this Agreement shall be subject to amendment only through written amendment approved
in advance by Public Agency's governing body.
Attachments:Apperift A,App $,RpperWix C
Form approveci by Court/Counsel{2)98)
i
Blackhawk Geologic Hazard Abatement District (GHAD)
Sane Construction Company inc.
Professional Services Contract
Appendix "A" Scope of Work
Under this contract, Sands Construction Company Inc. agrees to provide Professional Services as the District
Operations Manager to the Geologic Hazard Abatement District(GHAT). The Scope ofWork ork,is subject to the payment
limit in Section One of this Agreement. Services include,but are not necessarily limited to the following:
:Cinder the direction of the General Manager or his designee,the District Operations Manager's duties include but are not
limited to the following:
• Establish priorities, forecast and establish work schedules, verify work activities are accomplished within
established timeframes;
• Assist with the preparations of Requests for Proposals (RFP), review experience of potential contractors:
prepare and negotiate contracts,administer contracts,issue contract change orders,assist in managing claims,
• Assist in administering and implement the Major Repairs Program, including assigning and directinj
contractors to perform repairs;
• Assist in administering and implement the Preventive Maintenance Program and establish and implemen
Emergency Response capabilities;
• Assist the General manager in establishing budgetary needs and status,preparing written reports and assist h
Special Projects and Programs;
• Represent the General Manager and the District, work with and respond to public inquires,property owne
requests, interpret District policies and procedures, work with homeowners association representatives an
others regarding activities of the District;
• Assist the General Manager in determining work priorities and preparing the annual budget and repair an,
maintenance programs, capital improvements programs, and updates of the Plan of Control;
• Perform other duties as designated.
Other services may be added to scope of services by General Manager on an as-needed basis.
l laekhawk Geologic Hazard Abatement District (GHAD)
Sands Construction Company Inc.
Professional Services Contract
Appendix "B" Fee Schedule
District Operations Manager
June 2043
Operations Manager $155.401 hr
Ward Processing/Clerical $ 47.54/hr
Eligible reimbursable expenses as authorized by the eneral manager include,but are not limited to mileage
reimbursement at the IRS approved standard mileage rate,extraordinary office expenses(e.g. computer
programming,report and or plan copying,District stationary,etc.)All extraordinary costs will be billed at cost plus
15%(excluding mileage charge).
Fees effective through June 30,2044
Blackhawk Geologic Hazard Abatement District {GRAD}
Sands Construction Company Inc.
Professional Services Contract
Appendix "C" Personnel
Consultant agrees to assign the following personnel:
Operations Manager Michael D. Sands
Word Processing/Clerical TBD
Other personnel may be assigned from time to time; Consultant understands that any such appointments may be
subject to the approval of the General Manager.
Form W. Request for Taxpayer Give form to the
(Rev.January 2003) Identification Number and Certification requester.€10 not
tJepartmeM of the i'reSsury
send to the IRS.
Internal Revenue Service
Name
�i
C3. Business name,if different from above
e
0
Individual/ Exempt from backup
Check appropriate box: ❑ Sole proprietor Corporation ❑ Partnership ❑ other ► --------___ ❑ withholding
Address(number,street,and apt.or suite no.) Requester's name and address(optional)
' "
City,state,and ZIP code
List account number(s)here(optional)VJIM `
V)
Taxpayff ldeMWICation Number(TIN)
Enter your TIN in the appropriate box. For individuals,this is your social security number(SSN). Social security number
However,for a resident allen,sole proprietor,or disregarded entity,see the Part i instructions on
page 3_For other entities,it is your employer identification number(EIN).if you do not have a number,
see How to get a TIN on page 3. or
Note.If the account is in more than one name,see the chart on page 4 for guidelines on whose number flEmployer identification number
to enter. 16161,01t O g
HIM Certification
Under penalties of perjury,I certify that:
1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me),and
2. 1 am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the internal
Revenue Service ORS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the iRS has
notified me that I am no longer subject to backup withholding,and
3. 1 am a U.S.person{including a U.S,resident alien).
Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup
withholding because you have faded to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.
For mortgage interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an Individual retirement
arrangement.(IIIA),and generally,payments other than interest and dividends,you are not required to sign the Certification,but you must
provide your correct TIN.(See the instruction on page 4.)
H�gn Signature of V/
erre t3. rson►�2� / Date► 'itAg 2+1
Purpose of Form Nonresident alien who becomes a resident alien.
Generally,only a nonresident alien individual may use the
A person who is required to file an information return with terms of a tax treaty to reduce or eliminate U.S.tax on
the IRS, must obtain your correct taxpayer identification certain types of income. However, most tax treaties contain a
number(TIN)to report,for example, income paid to you, real provision known as a "saving clause." Exceptions specified
estate transactions, mortgage interest you paid, acquisition in the saving clause may permit an exemption from tax to
or abandonment of secured property, cancellation of debt, or continue for certain types of income even after the recipient
contributions you made to an IRA. has otherwise become a U.S. resident alien for tax purposes.
U.S.person.Use Form W-9 only if you are a U.S.person If you are a U.S.resident alien who is relying on an
(including a resident alien),to provide your correct TIN to the exception contained in the saving clause of a tax treaty to
person requesting it(the requester)and,when applicable, to: claim an exemption from U.S.tax on certain types of income,
1. Certify that the TIN you are giving is correct(or you are you must attach a statement that specifies the following five
waiting for a number to be issued), items:
2.Certify that you are not subject to backup withholding, 1.The treaty country. Generally, this must be the same
or treaty under which you claimed exemption from tax as a
3. Claim exemption from backup withholding if you are a nonresident Alen.
U.S.exempt payee. 2.The treaty article addressing the income.
Note: if a requester gives you a form other than Form W-9 3.The article number(or location)in the tax treaty that
to request your TIN,you should use the requester's form. contains the saving clause and its exceptions.
However, this form must meet the acceptable specifications 4. The type and amount of income that qualifies for the
described in Pub. 7767, General Rules and Specifications for exemption from tax.
Substitute Tax Forms and Schedules. 5.Sufficient facts to justify the exemption from tax under
Foreign person. if you are a foreign person, use the the terms of the treaty article.
appropriate form W-8(see Pub.66166,Withholding of Tax on
Nonresident Aliens and Foreign Entities).
Cat.No.10231X Form W-9 (Rev.1-2003)
CERTIFICATE OF LIABILITY IN URANC SR ER DaTE(MattDD Y)
S-1 06!19103
PRODUCER THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION _-
Schroder Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Lic# 0163154 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
P.O.Box 4097 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Walnut Creep CA 94596
Phone: 925-934-6789 Fax,:925-934-0189 INSURERS AFFORDING COVERAGE
INSURED INSURER A: EVEREST NATIONAL INSURANCE CO
SANDS CONSTRUCTION COMPANY, INSURER B: American States Insurance Co.
INC. - —
Michael Sands INSURER C:
Post Office Box 1125 INSURER fl: -�— —
Lafayette CA 94549
INSURER E:
,-COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTRINSRPOLICY EFFECTIVE POLICY EXPI
TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDn DATEm—RDWtYY LIMITS w
GENERAL LIABILITY I EACH OCCURRENCE $1000000
A .K COMMERCIAL GENERAL LIABILITY 3700001832-021 08/07/02 08/07/03 FIRE DAMAGE(Anyone fire) $100000
CLAIMS MADE E_C I OCCUR MED EXP(Any ona person) $5000
PERSONAL a ADV INJURY $1000000
GENERAL AGGREGATE
:s2000000
GEN1 AGGREGATE LIMIT APPLIES PER: I PRODUCTS-COMPIOP AGG ':$2000000
POLICY I ECOT- LOC i
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT s 1000000
B ANY AUTO 02CD13362720 47/01/02 07/01/03 ! (Ea accident)
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS (Per parson)
X HIREDAUTOS
BODILY INJURY $
,K NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
I(Par accident)
GARAGE LIABILITY i AUTO ONLY-EA ACCIDENT $
ANY AUTO i OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
OCCUR C CLAIMS MADE (AGGREGATE $
r,
$
DEDUCTIBLE i $
RETENTION $ is
WORKERS COMPENSATION AND I TORY LINTS1. I ERB
EMPLOYERS'LIABILITY !!
E.L.EACH ACCIDENT $
I E.L.DISEASE-EA EMPLOYE;$
E.L.DISEASE-POLICY LIMIT $
OTHER
i
a
.DESCRIPTION Of OPERATIONStLOCATiONSIVEHCLESIEXCLUSiONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
`BLACKHI+,WK GHAD, CONTRA COSTA COUNTY, RICHARD D. SHORT, KLEINFELDER, INC. AND
THEIR BOARDS, OFFICERS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED AS
RESPECTS WORK DONE BY THE NAMED INSURED.
CERTIFICATE HOLDER Y I ADDITIONAL INSURED;INSURER LETTER:_ CANCELLATION
BLKHKGTi SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAi
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTE
BLA.CKHAWK GEOLOGICAL HAZARD NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHA
ABATEMENT DISTRICT IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS flR
4125 BLACKHAWK PLAZA, #103
DANVILLE CA 94506 REP NTATIVES.
AUTMOStMD E N
S ruder urance A enc
ACORD 25-S(7197) CACORD CORPORATION 19