HomeMy WebLinkAboutC2009-168 - 4/14/2009 - NA
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A G R E E M E N T
TAE STATE OF TERA3 §
COUNTY OF NUECES §
TAIS AG4FT is entered into this APRIL day of 14TA, 2009,
by and between the CITY OF CORPUS CARISTI of the County of Nueces,
State of Texas, acting through its duly authorized City Manager,
termed in the Contract Documents as "City," and RCM Constructors,
Inc. termed in the Contract Documents as "Contractor," upon these
terms, performable in Nueces County, Texas:
In consideration of the payment of $285,000.00 by City and
other obligations of City as set out herein, Contractor will
construct and complete certain improvements described as follows:
SANITARY SEWER AND STORM gPPaTER MANAOLE RING 6
COVER ADJUSTMENT FY 2008-2009
RENEWAL AGREEMENT - PROJECT NO. 7433
(TOTAL AMOUNT: $285,000.00)
according to the attached Plans and Specifications in a good and
workmanlike manner for the prices and conditions set out in their
attached bid proposal supplying at their expense such materials,
services, labor and insurance as required by the attached Contract
Documents, including overseeing the entire job. The Contract
Documents include this Agreement, the bid proposal and
instructions, plans and specifications, including all maps, plats,
blueprints, and other drawings, the Performance and Payment bonds,
addenda, and related documents all of which constitute the contract
for this project and are made a part hereof.
2009-168
04/14/09
Agreement
RCM Constructors Page 1 of 2
~C
RCM Conshudors, Inc. Phone 361-299-1191
P.O. Box 9338 Fax: 361-299-1201
Corpus Christi, Texas 78469
March 26, 2009
Attention: Felix Ocanas
RE: Sanitary Sewer 8 Storm Water Manhole Ring & Cover adjustment FY 2007-2008 contract #7396
Scope OF WORK
RCM CoNSrnucTats, INC. herein proposes to furnish all labor, materials, equipmerrt, and services
necessary to provide a price quote for the one year contract renewal of the above referenced contract.
PRICE PROPOSAL
The price proposal is for the sanitary sewer and storm water manholes ring 8 cover adjustment
Item # Item Description Qty Unit UnR Price Total
A-1 Part A-Base BM Sanitary Sewer 73 EA S 1,365.00 S >~,~.00
A-2 RIR of pavement, pavement repair 14 SY S 25.00 S 350.00
B-1 Part B- Base Bid Storm Water 148 EA S 1,260.00 S 183,960.00
B-2 RIR of pavement, pavement repair 41.8 SY E 25.00 S 1045.00
Total E 285,000.00
QUOTATION INCLUSIONS
~ Certificate of insurance with standard coverage.
~ Removal and disposal of concrete debris
~ Standard one year warranty.
~ Perfomwnce and Payment Bond
QuoTAnoN EXCLUSIOrIS
Not included in the price stated in this proposal are vests associated with the items listed bebw. These
items, "rf needed or found to be applicable, would be provided by RCM Constnx~ors at your additional
cost; or would be furnished by others, at your direction, at no cost to RCM CoNSrnucTOas, INC.
~ Please note that if any hazardous or toxic materials are encountered during the project
the Owner wiH be responsible for the removal and disposal of the materials.
We appreciate the confidence you have in RCM Constructors, Inc., and we are looking foniward in
working with you on this project
If you have any questions or require additional information, please call me on 361-815-5858.
Offered by
RCM CoNSntucrorts. INC.
~~-L,Wi i/~~
Rolando Mendoza
The Contractor will commence work within ten (10) calendar
days from date they receive written work order and will complete
same within 365 CALENDAR DAYS after construction is begun.
Should Contractor default, Contractor may be liable for liquidated
damages as set forth in the Contract Documents.
City will pay Contractor in current funds for performance of
the contract in accordance with the Contract Documents as the work
progresses.
Signed in 4 parts at Corpus Christi, Texas on the date shown
above.
ATTEST:
City Secretary
CITY O~~FIl CORPUS CBRISTI
By: C/jK.o- ~ rn
Oscar Martinez
Assistant City Manager
APPROVED AS TO LEGAL FO
By:~ f~
Asst. City Attorney
AT S (If rpor~~n)
(Seal Below)
(Note: If Person signiag for
corporation is not President,
attach copy of authorization
to sign)
By:
Pete Anaya~ . E
Director of Engineering Services
CONTRACTOR
RCM Co Dru tors In .
BY' ~//C~~a`' // s~,~.
Title: NY'c6~d~t,./fi
P.O. Box 9338
(Address)
Corpus Christi, TIC 78469
(City) (State)(ZIP)
361/299-1191 * 361/299-1201
(Phone) (Fax)
Agreement
Page 2 of 2
P E R F O R M A N C E B
BOND NO. 58650268
STATE OF TEXAS §
COUNTY OF NUECES §
KNOW ALL BY THESE PRESENTS:
THAT RCM Constructors, Inc. of NUECES County, Texas,
hereinafter called "Principal", and wssTERN SURETY COMPANY a
corporation organized under the laws of the State of souTx DAKOTA ,
and duly authorized to do business in the State of Texas,
hereinafter called "Surety", are held and firmly bound unto the
City of Corpus Christi, a municipal corporation of Nueces County,
Texas, hereinafter called "City", in the penal sum of TWO HUNDRED
EIGHTY-FIVE THOUSAND AND NO/100($285,000.00) DOLLARS, lawful money
of the United States, to be paid in Nueces County, Texas, for the
payment of which sum well and truly to be made we bind ourselves,
our heirs, executors, administrators and successors, jointly and
severally, firmly by these presents:
THE CONDITION OF THIS OBLIGATION IS SUCH THAT: Whereas, the
principal entered into a certain contract with the City of Corpus
Christi, dated the 14TH of APRIL 20 09 a copy of which is
hereto attached and made a part hereof, for the construction of:
SANITARY SEWER AND STORM WATER MANHOLE RING &
COVER ADJUSTMENT FY 2008-2009
RENEWAL AGREEMENT - PROJECT NO. 7433
(TOTAL BASE BID: $285,000.00)
NOW, THEREFORE, if the principal shall faithfully perform said
work in accordance with the plans, specifications and contract
documents, including any changes, extensions, or guaranties, and if
the principal shall repair and/or replace all defects due to faulty
materials and/or workmanship that appear within a period of one (1)
year from the date of completion and acceptance of improvements by
the City, then this obligation shall be void; otherwise to remain
in full force and effect.
PROVIDED FURTHER, that if any legal action be filed on this
bond, venue shall lie in Nueces County, Texas.
And that said surety for value received hereby stipulates that
no change, extension of time, alteration or addition to the terms
of the contract, or to the work performed thereunder, or the plans,
specifications, drawings, etc., accompanying the same shall in
anywise affect its obligation on this bond, and it does hereby
waive notice of any such change, extension of time, alteration or
addition to the terms of the contract, or to the work to be
performed thereunder.
Performance Bond
Page 1 of 2
This bond is given to meet the requirements of Article 5160,
Vernon's Civil Statutes of Texas, and other applicable statutes of
the State of Texas.
The undersigned agent is hereby designated by the Surety
herein as the Agent Resident in Nueces County to whom any requisite
notices may be delivered and on whom service of process may be had
in matters arising out of such suretyship, as provided by Art.
7.19-1, Vernon's Texas Insurance Code.
IN WITNESS WHEREOF, this instrument is executed in 4 copies,
each one of which shall be deemed an original, this the 17TH
day Of APRIL 2~ 09
PRINCIPAL
ATTEST
secretary
CHARLES WEBB
SURETY
WESTERN SURETY COMPANY
`.
The Resident Agent of the Surety in Nueces County, Texas, for
delivery of notice and service of process is:
Agency:
Contact Person:
Address:
Phone Number:
SWANTNER & GORDON INSURANCE AGENCY
MARY ELLEN MOORS
P.O. BOX 870
f'nRpi1S f,F1R TGTT, TEXAS 78403
(NOTE: Date of Performance Bond must not be prior to date of contra ct)(Revised 9/02)
Performance Bond
Page 2 of 2
ROLANDO MENDOZA, PRESIDENT
(Print Name & Title)
MARY ELLEN MOORE
(Print Name)
P A Y M E N T B O N
BOND NO. 58650268
STATE OF TEXAS §
COUNTY OF NUECES ~
KNOW ALL BY THESE PRESENTS:
THAT RCM Constructors, Inc. of NUECES County, Texas,
hereinafter called "Principal", and WESTERN SORETY COMPANY ,
a corporation organized under the laws of the State of sovTx DAKOTA ,
and duly authorized to do business in the State of Texas,
hereinafter called "Surety", are held and firmly bound unto the
City of Corpus Christi, a municipal corporation of Nueces County,
Texas, hereinafter called "City", and unto all persons, firms and
corporations supplying labor and materials in prosecution of the
work referred to in the attached contract, in the penal sum of TWO
HUNDRED EIGHTY-FIVE THOUSAND AND NO/100($285,000.00) DOLLARS,
lawful money of the United States, to be paid in Nueces County,
Texas, for the payment of which sum well and truly to be made we
bind ourselves, our heirs, executors, administrators and
successors, jointly and severally, firmly by these presents:
THE CONDITION OF THIS OBLIGATION IS SUCH THAT: Whereas, the
principal entered into a certain contract with the City of Corpus
Christi, dated the 14TH day APRIL 20 09 a copy of which is
hereto attached and made a part hereof, for the construction of:
SANITARY SEWER AND STORM WATER MANHOLE RING &
COVER ADJUSTMENT E'7C 2008-2009
RENEWAL AGREEMENT - PROJECT N0.7433
(TOTAL BASE BID: $285,000.00)
NOW, THEREFORE, if the principal shall faithfully perform its
duties and make prompt payment to all persons, firms,
subcontractors, corporations and claimants supplying labor and
material in the prosecution of the work provided for in said
contract and any and all duly authorized modification of said
contract that may hereinafter be made, notice of which modification
to the surety is hereby expressly waived, then this obligation
shall be void; otherwise to remain in full force and effect.
PROVIDED FURTHER, that if any legal action be filed upon this
bond, venue shall lie in Nueces County, Texas.
And that said surety for value received hereby stipulates that
no change, extension of time, alteration or addition to the terms
of the contract, or to the work performed thereunder, or the plans,
specifications, drawings, etc., accompanying the same shall in
anywise affect its obligation on this bond, and it does hereby
waive notice of any such change, extension of time, alteration or
addition to the terms of the contract, or to the work to be
performed thereunder.
Payment Bond
Page 1 of 2
This bond is given to meet the requirements of Article 5160,
Vernon's Civil Statutes of Texas, and other applicable statutes of
the State of Texas. The terms "Claimant", "Labor" and "Material",
as used herein are in accordance with and as defined in said
Article.
The undersigned agent is hereby designated by the Surety
herein as the Agent Resident in Nueces County to whom any requisite
notices may be delivered and on whom service of process may be had
in matters arising out of such suretyship, as provided by Art.
7.19-1, Vernon's Texas Insurance Code.
IN WITNESS WHEREOF, this instrument is executed in 4 copies,
each one of which shall be deemed an original, this the 17Tx
day Of APRIL 2~ 09 .
PRINCIPAL
RCM CONST&UCTORS. INC.
By:
ROLANDO MENDOZA, PRESIDENT
Print Name & Title)
ATTEST ,`'//.~/~^'/J~
Secretary
CHARLES WEBB
(Print Name)
SURETY
WESTERN SURETY COMPANY
The Resident Agent of the Surety in Nueces County, Texas, for
delivery of notice and service of process is:
Ag@nCy: SWANTNER & GORDON INSURANCE AGENCY
COpn~~taCt P@rsOII: MARY ELLEN MOORE
IfYLLLeBS: D_(1_ PlIY St']D
__ ___ -
CnRPTiS C'HRTSTI. TEXAS 78403
Phone Number: 361-883-1711
(NOTE: Date of Payment Bond must not be prior to date of contract) (Revised 9/02)
Payment Bond
Page 2 of 2
Western Surety Company
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT
Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakom corporation, is a duly organized and existing coryoration
having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby
make, constitute and appoint
R M Lee, Mary Ellen Moore, H M Cantwell, Amy Shumate, Tami J Duncan, Individually
of Corpus Christi, TX, its we and lawful Attorney(s)-in-Fact with full power and authority hereby conferted to sign, seal and execute for and on its behalf
bonds, undertakings and other obligatory inswments of similar nature
- In Unlimited Amounts -
and to bind it thereby as fully and to the same extent as if such inswments were signed by a duly authorized officer of the corporation and all the acts of said
Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed.
This Power oC Attorney is made and executed pursuant to and by authority of the By-Law printed on the reverse hereof, duly adopted, as indicated, by
the shareholders of the corporation.
In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Senior Vice President and its corporate seal to
be hereto affixed on this lath day of October, 2008.
ern WESTERN SURETY COMPANY
t~~o eaRa~<
'r'4 f a ~~
~T4~y! Y /
°"~ Paul . Bmflat, Senior Vice President
Slate of Sauth Dakota 1
I ss
Counry of Minnehaha
On [his 13th day of October, 2008, before me personally came Paul T. Bruflat, to me known, who, being by me duly sworn, did depose and say: that
he resides in the City of Sioux Falls, Smte of South Dakota; that he is the Senior Vice President of WESTERN SURETY COMPANY described in and
which executed the above inswment; that he knows the seal of said corporation; that the seal affixed to the said inswment is such corporate seal; that it was
so affixed pursuant to authority given by the Board of Directors of said corporation and than he signed his name thereto pursuant to like authority, and
acknowledges same to be the act and deed of said corporation.
My commission expires ~\44444444444444444444444
D. KRELL
November 30, 20(2 i~NOfARY PUBLIC SEAL `~'/ e 1
~ SOUTN DAKOTA + (\~-IV~I ./~[/J/•~
14M44444444444444444444 ~
D. Krell, No Public
CERTIFICATE
I, L. Nelsoq Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Atlomey hereinabove set forth is still in
force, and further certify that the By-Law of the wrporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed
my name and affixed the seal of the said corporation this 17TH day of APRIL 2009
',+r"1Fi}~,= WESTERN SURETY COMPANY
eoaRt. sa
/ ~ L. Nelson, Assistant Secretary
Form E4260-09-06
~~
Western Surety Company
Figure: 28 TAC §1.601(a)(3)
1 IMPORTANT NOTICE
To obtain information or make a complaint:
2 You may contact Western Surety Company at
605-336-0850.
AVISO IMPORTANTE
Para obtener information o para someter una queja:
Puede comunicarse con Western Surety Company al
605-336-0850.
3 You may call Western Surety Company's Toll-free
telephone number for information or to make a
complaint at:
1-800-331-6053
4 You may also write to Western Surety Company
at
P.O. Box 5077
Sioux Falls, SD 57117-5077
5 You may contact the Texas Department of
Insurance to obtain information on companies,
coverages, rights or complaints at:
1-800-252-3439
6 You may write the Texas Department of
Insurance:
P.O. Box 149104
Austin, TX 78714-9104
Fax: (512) 475-1771
Web: http://www.tdi.state.tx.us
E-Mail: ConsumerProtection@tdi.state.tx.us
7 PREMIUM OR CLAIM DISPUTES:
Should you have a dispute concerning your
premium or about a claim you should contact
Western Surety Company first. If the dispute is not
resolved, you may contact the Texas Department
of Insurance.
8 ATTACH THIS NOTICE TO YOUR POLICY:
This notice is for information only and does not
become a part or condition of the attached
document.
Usted puede Ilamar al numero de telefono gratis de
Western Surety Company's para information o para
someter una queja al:
1-800-331-6053
Usted tambien puede escribir a Western Surety
Company:
P.O. Box 5077
Sioux Fails, SD 57117-5077
Puede comunicarse con el Departamento de Seguros
de Texas para obtener information acerca de
companias, coberturas, derechos o quejas al:
1-800-252-3439
Puede escribir al Departamento de Seguros de
Texas:
P.O. Box 149104
Austin, TX 78714-9104
Fax: (512) 475-1771
Web: http://www.tdi.state.tx.us
E-Mail: ConsumerProtection@tdi.state.tx.us
DISPUTAS SOBRE PRIMAS O RECLAMOS:
Si tiene una disputa concerniente a su prima o a
un reclamo, debe comunicarse con el Western
Surety Company primero. $i no se resuelve la
disputa, puede entonces comunicarse con el
departamento (TDI).
UNA ESTE AVISO A SU POLIZA: Este aviso es
solo para proposito de information y no se
convierte en parte o condition del documento
adjunto.
Form 7929-4-2008
CITY OF CORPUS CHRISTI
DISCLOSURE OF INTERESTS
City of Corpus Christi Ordinance 17112, as amended, requires all persons or firms seeking to do business with the City to
provide the following information. Every question must be answered. If the question is not applicable, answer with "NA".
FIRM NAME: RCM Constructors. Inc.
STREET P.O. Box 9338 / CITY: Corpus Christi. TX ZIP: 78469
FIRM is: 1. Corporation [b 2. Partnership ^ 3. Sole Owner ^ 4. Association ^
5. Other ^
DISCLOSURE QUESTIONS
If additional space is necessary, please use the reverse side of this page or attach separate sheet.
1. State the names of each "employee" of the City of Corpus Christi having an "ownership interest" constkuting 3%or
more of the ownership in the above named "firm".
Name \~ Job Title and City Department (if known)
. 1
~r
2. State the names of each "official" of the City of Corpus Christi having an "ownership Interest" constituting 3°k or
more of the ownership in the above na ed "firm".
Name Title
3. State the names of each "board member" of the City of Corpus Christi having an "ownership interest" constituting
3% or more of the ownership in the above named "flrm".
Name \~ Board, Commission or Committee
4. State the names of each employee or officer of a "consultant" for the City of Corpus Christi who worked on any
matter related to the subject of this contract and has an "ownership interest" constituting 3% or more of the
ownership in the above named °flrm"
Name ~ Consultant
CERTIFICATE
I certify that all information provided is true and correct as of the date of this statement, that I have not
knowingly withheld disclosure of any information requested; and that supplemental statements will be promptly
submitted to the City of Cows Christi, Texas as changes occur. n ,/
Certifying Person: f'~O/Q N ~ ~C ~d z~ Title: /"trams ~~«/''
(Type or Print)
Signature of Certifying Person: +~X "~ N ~~~6~"'w~ Date: T ~02 a . Q
DEFINITIONS
a. "Board Member°. A member of any board, commission or committee appointed by the City Council of the City of
Corpus Christi, Texas.
b. "Employee". Any person employed by the City of Corpus Christi, Texas, either on a full or part time basis, but not as
an independent contractor.
c. ^Firm^. Any entity operated for economic gain, whether professional, industrial or commercial and whether
established to produce or deal with a product or service, including but not limited to, entities operated in the form of
sole proprietorship, as self-employed person, partnership, corporation, joint stock company, joint venture,
receivership or trust and entities which, for purposes of taxation, are treated as non-profit organizations.
d. "Official". The Mayor, members of the City Council, City Manager, Deputy City Manager, Assistant City Managers,
Department and Division Heads and Municipal Court Judges of the City of Corpus Christi, Texas.
e. ^Ownership Interest". Legal or equitable interest, whether actually or constructively held, in a firm, including when
such interest is held through an agent, trust, estate or holding entity. "Constructively held" refers to holding or control
established through voting trusts, proxies or special terms of venture or partnership agreements.
f. "Consultant". Any person or firm, such as engineers and architects, hired by the City of Corpus Christi for the
purpose of professional consultation and recommendation.
AC1~RD CERTIFICATE OF LIABILITY INSURANCE OP ID MYDA DATE(MMIDD/YYYV)
RCMCOCI 04 17 09
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Swantner b Gordon Ins Agcy-CC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO Sox 870 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Corpus Christi TX 78403-0870
Phone:361-883-1711 Fax:361-844-0101 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Mid COntlnent CaSUalt CO 23418
INSURER B: RBUI Indemnit COIB an 22314
RCM Constructors, InC. ~
Attn: Rolando Mendoza INSURER C: Taxac Mutual Insurance Company 22945
P.O. SOX 9338 INSURER D:
Corpus Christi TX 78469
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR
MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBIECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS.
LTR NSR TYPE OF INSU NCE POLICY NUMBER DATE MMIDDM- GATE MMIDDM' LIMITS
GENEMLLIABILITV EACH OCCURRENCE $S,000,OOO
A X COMMERCIAL GENERALLIABILITV 04GL000724091 07/18/08 07/18/09 PREMISES Eaocturance $ 100,000
CLAIMS MADE ~ OCCUR / MED EXP (Anyone person) $ Excluded
/ PERSONAL&ADV INJURY $1,000,000
GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000
X POLICY PRO LOC
JECT
A AUT OMOBILE LUIBILITY
ANV AUTO
04CA002762789
07~1B~DB
D7~1B~D9
COMBINEOSINGLELIMIT
(Ee eccitlent)
s1,DDD,DDO/
X ALL OW NEDAUTOS
SCHEDULED AUTOS /
~
BODILY INJURY
(Per person)
$
X
X HIRED AUTOS
NON-0WNED AUTOS BODILY INJURY
(Per aecitlenl)
$
PROPERTY DAMAGE $
(Per accitlenl)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANV AUTO OTHER THAN EA ACC $
AUTO ONLY: qGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 1 , OOO , OOO
H X OCCUR ~CLAIMSMADE NHN045257 07/18/08 07/18/09 AGGREGATE $1,000 OOD
$
DEDUCTIBLE / $
X RETENTION $lO OOO $
WORKERS COMPENSATION AND X TORY LIMITS ER
`, EMPLOVERS'LIABILITY
ECUTIVE
w TSF0001119432 07/19/08 07/19/09 E.L. EACH ACCIDENT $SOO,000
OFFICER/MEM ER EXCLUDE
~~ E.L. DISEASE-EA EMPLOYEE $SOO,000
It yyes, tlesaibe antler
SPECIAL PROVISIONS below
~
E.L. DISEASE-POLICY LIMIT
$5D0 000
OTHER
DESC RIPTION OF OPERATIONS /LOCATIONS /VEHIC LES /EXCLUSIONS ADDED BV ENDORSE MENT I SPECIAL PRO VISIONS
Project: Sanitary Sewer S Storm Water Manhole Ring S Cover Adjustment
FY 2008-2009 / Project No. 7433
Additional Insured as required by written insured contract applicable to
General Liability S Auto Liability. See Attached Endorsements.
CERTIFICATE HOLDER CANCELLATION
L.IL.L._L.0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E%PIRATION
DATE THEREOF, THE ISSUING INSURER~WILL ENDEAVOR TO MAIL lO DAYS WRITTEN
City OP COrpllS Chri3tl NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SMALL
Engineering SerV1Ce3 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Contract Administrator ~
P. ~. BOR 9277 REPRESENTATIVES.
COrpUB C'hrlatl TX 78469-9277 AU ORRED RE ENTA7IVE /
25 (2007/08)
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
7S l9M~ 100.\
COMMERCIAL GENERAL LIABILITY
CG 20 10 10 Ol
THIS ENDORSEMENT CHANGES THE POLICY -PLEASE READ IT CAREFULLY
ADDITIONAL INSURED -OWNERS, LESSEES OR
CONTRACTORS -SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
/ COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
City of Corpus Christi
Department of Engineering Services
Attn: Contract Administrator
P. O. Box 9277
Corpus Christi, Texas 78469-9277
(If no entry appears above, information required to complete this endorsement will be shown in the
Declaration as applicable to this endorsement.)
A. Section II -Who Is An Insured 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 ongoing operations
performed for that insured.
B. With respect to the insurance afforded to these additional insureds, the following exclusion is
added:
2. Exclusions
This insurance does not apply to "bodily injury" or property damage" occurring after:
(1) All work, including materials, parts or equipment furnished in connection with such work, on
the project (other than service, maintenance or repairs) to be performed by or on behalf of the
additional insureds) at the site of the covered operations has been completed; or
(2) That portion of "your work" out of which the injury or damage arises has been put to its
intended use by any person or organization other than another contractor or subcontractor
engaged in performing operations for a principal as part of the same project
CG 20 10 10 01
04GL000724091 /
Insured: RCM Constructors, Inc. Pol #
Effective: 07/18/09
~~~ ~
Randal M. Lee
Managing Partner
Title:
Authorized Representative
TE 99 O1B
ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
l
BUSINESS AUTO COVERAGE
FORM
GARAGE COVERAGE FORM
TRUCKERS COVERAGE
FORM
This endorsement changes the policy effective on the inception date of the policy unless another date is
indicated below:
Endorsement Effective Policv Number
07/18/09 04CA002762789
Named Insured
`
RCM Constructors, Ino, Countersigned by =•a...-
(Authorized Representative)
The provisions and exclusions that apply to LIABILITY COVERAGE also apply to this endorsement.
Additional Insured:
City of Corpus Christi
Dept. Of Engineering Services
/ Attn: Contract Administrator
l P. O. Box 9277
Corpus Christi, TX 78469-9277
is an insured, but only with respect to legal responsibility for acts or omissions of a person for whom
Liability Coverage is afforded under this policy.
The additional insured is not required to pay for any premiums stated in the policy or earned from
the policy. Any return premium and any dividend, if applicable, declared by us shall be paid to you.
You are authorized to act for the additional insured in all matters pertaining to this insurance.
We will mail the additional insured notice of any cancellation of this policy. If the cancellation is by
us, we will give ten days notice to the additional insured.
The additional insured will retain any right of recovery as a claimant under this policy.
FORM TE 99 O1B - ADDITIONAL INSURED
Texas Standard Automobile Endorsement
Prescribed by March 19,1992 ATTACHMENT 2
20F2
COMMERCIAL GENERAL LIABILITY
CG 02 OS Ol 96
THIS ENDORSEMENT CHANGES THE POLICY -PLEASE READ IT CAREFULLY
TEXAS CHANGES -AMENDMENT OF CANCELLATION
PROVISIONS OR COVERAGE CHANGE
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
/ LIQUOR LIABILITY COVERAGE PART
OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART
PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART
RAILROAD PROTECTIVE LIABILITY COVERAGE PART
In the event of cancellation or material change that reduces or restricts the insurance afforded by this
Coverage Part, we agree to mail prior written notice of cancellation or material change to:
SCHEDULE
City of Corpus Christi
Dept. Of Engineering Services
/ Attn: Contract Administrator
P. O. Box 9277
Corpus Christi, TX 78469-9277
Number of days advance notice: THIRTY (30)
Named Insured: RCM Constructors, Inc.
Policy Number: 04GL000724091
Effective Date of This
Endorsement:
Name (Printed)
Title (Printed):
R. M. Lee
07/18/09
Managing Partner
ATTACHMENT3
CG0205 (01/96) 1 OF 3
TE 02 02A
CANCELLATION PROVISION OR COVERAGE CHANGE ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE
FORM
GARAGE COVERAGE FORM
TRUCKERS COVERAGE
This endorsement changes the policy effective on the inception date of the policy unless another date is
indicated below:
Endorsement Effective Policv Number
07/18/09 ~ 04CA002762789
Named Insured ~~~^°'
RCM Constructors, Inc. ~ Countersigned bye"°°'°°°~
(Authorized Representative)
/ THIRTY (30) days before this policy is canceled or materially changed to reduce or restrict coverage
C we will mail notice of the cancellation or change to:
City of Corpus Christi
Dept. Of Engineering Services
Attn: Contract Administrator
P. O. Box 9277
Corpus Christi, TX 78469-9277
Name (Printed):
Title (Printed):
R. M. Lee
Managing Partner
FORM TE 02 02A - CANCELLATION PROVISION OR COVERAGE CHANGE ENDORSEMENT
Texas Standard Automobile
Endorsement
(Ed. Effective 3/92)
ATTACHMENT3
20F3
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 42 06 Ol
(ED. 7-85)
TEXAS NOTICE OF MATERIAL CHANGE ENDORSEMENT
This endorsement applies only to the insurance provided by the policy because Texas is shown in
item 3.A. of the Information Page.
In the event of cancellation or other material change of the policy, we will mail advance notice to the
person or organization named in the Schedule. The number of days advance notice is shown in the
Schedule.
This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
Number of days advance notice: 30
2. Notice will be mailed to:
City of Corpus Christi
Department of Engineering Services /
Attn: Contract Administrator l
P O Box 9277
Corpus Christi, TX 78469-9277
This endorsement changes the policy to which it is attached and is effective on the date issued unless
otherwise stated. (The information below is required only when this endorsement is issued subsequent to
preparation of the policy.)
l
Endorsement Effective: 07/18/09 Policy No. TSF0001119432 Endorsement No. 1
Insured RCM Constructors, Inc. / Premium $0.00
Insurance Company Texas Mutual Ins. Co. Countersigned ~"~
By:
WC 42 06 O1 Name (Printed): R. M. Lee
(Ed. 7-84) Title (Printed): Managing Partner
ATTACHMENT3
30F3