HomeMy WebLinkAbout92-011 Paboojian, Dennis 92-011 PABOOJIAN, DENNIS
AMkA
JEWON of Cuperti»D
10300 Torre Avenue F.O. Sox 580
Cupertino,CA 95014-3255 Cupertino,CA 95015-0580
(408) 252-4505
FAX; (408)252-0753
July 27, 1992
Dennis Paboojian
21989 Lindy Lane
Cupexti..no, CA 95014
DdNtOVE MENT AQ2EMNT
We are enclosing to you for your files one (1) copy of the . nent by
and between the City of Cupertino and Deruds Pabooji.an, which has been
fully executed by City Officials, along with one (1) copy of Resolution
No. 8711, which was enacted by the City Council of the City of Cupertino,
at their regular meeting of Monday, July 20, 1992.
Sincerely,
DOROM CORNEL S s
CITY CLERK
CITY OF CUPERTINO
DC/so
encl.
cc: Depart m.it of Public Works
RESOILLYrION NO. 8711
A RESOLUTION OF 7HE CITY COLR CIL OF THE CITY OF CUPERTM
APPROVING FINAL PLAN FOR THE IMPROVEMENT OF PROPERTY
LOCATED ON LA,IDY LANE; DEVEEIJJPER, DEWIS PAHOCJIAN,
AUTMUZING THE CITY ENGROM TO SIGN THE FINAL PLAN;
AND ALMiORIZING FMDCWICOI OF ACTT IN CM4NEXTICN IMtMTH
WHEREAS, there ha, been presented to the City Council for approval of
the final plan for the inprovement of property located on Lindy Lane by
Dennis Paboojian; and
WHEREAS, there has been presented to the City Council a proposed
agrewmt for the construction of streets, curbs, gutters, sidewalks, and
for other improvements, and good and sufficient bonds, fees, and deposits
as set forth in Exhibit "A" having been presented for the faithf»1
performance of said work and the carrying out of said agreemnt; and said
plan, agreement, and bonds having been approved by the City Attorney;
NOW, THEREFORE, BE IT RESOLVED THAT said final plan for the
improvement of property on Lindy Lane be and the same is, hereby,
approved; and the City Engineer is herety authorized to sigm said final
plan; and the Mayor and the City Clerk are hereby authorized to execute
the agreement herein referred to on behalf of the City of Cupertino.
PASSED AND ADOP M at a regular meeting of the City Council of the
City of Cupertino this 20*h day of July , 1992, by the
following vote:
Vote Members of the City Council
AYES: Dean, Goldman, Koppel, Szabo, Sorensen
NOES: None
Age: None
ABSTAIN: None
v
RF.SOL TPICV NO. 8711
EXHIBIT "A"
DEVEUQ*QW: Single-Family Property LTprovement
Dennis Paboojian
LOWICK: Lindy Iane
A. Faithful Performance Bond: $10,836.00
TEN THOUSAND EIGHT HUNDRED THIRTY SIX AND 00/100 DOLLARS
B. Labor and Material Bond: $10,836.00
TEN THOUSAND EIGHT HUNDRED THIRTY SIX AND 00/100 DOLLARS
C. Checking and Inspection Fee: $ 541.80
FIVE HUNDRED FORTY CNE AND 80/100 DOLLARS
D. Indirect City Egxmes: $ 81.27
EIGR1!Y CNE AND 27/100 DOLLARS
E. Developnmt Maintenance Deposit: $ 500.00
FIVE HUNDRED AND 00/100 DOLLARS
F. Storm Drainage Fee: N/A
G. One Year Posner Cost: N/A
H. Street Trees: By Developer
I. Map Checking Fee: N/A
J. Park Fee: Zone II Acct # 480-416-022 N/A
R. {dater Main Reimbarsement Fee: N/A
L. Maps and/or Dvpr+ovement Plans As specified in Item
No. 23 of agrmmt
AGREEMENT
ICY I1NE
APN #356-25-023
This AGREEMENT made and entered into this 24th day
of June 19 9 2 -, by and between the CI'�Y OF
CUPERTINO, a municipal corporation of the State of California, hereinafter
designated as CITY, and DENNIS PAHOOJIAN hereinafter designated as
DEVELOPER.
WITNESSETH
WHEREAS, THE DEVELOPER has made application to the CITY for a
BTIIDING PERMIT to construct and maintain lUnMINING MUL hereinafter
referred to as "Project".
WHEREAS, CITY hereby approves the improvement plans and specif.�.:.atiorLs
prepared for the Project by MARVIN IBC a true copy of which
improvement plans and specifications are on file in the office of the City
Engineer of Cupertino; and
WHEREAS, the same are incorporated herein by reference, the same as
though set out in full;
NOW, ZIMU3EDRE, said improvement plans and specifications shall be
hereinafter called the "Plans", and the work to be done under the Plans
shall be called the "Work".
1 File: 51,540
WHEREAS, pursuant to the provisions of this AGRELMENT, the CITY hereby
established the amounts of Bonds, Fees, and Deposits as set forth in the
following schedule:
StI-ODULE OF BONDS, FEES AND DEPOSITS
Street_ Improvement Category
PART A. Faithful Perfon&-ice Bond: $10,836.00
PART B. Labcr and Material Bond: $10,836.00
PART C. Checking and Inspection Fee: $ 541.80
ART D. Indirect City ems: $ 81.27
PART E. Development Maintenance Deposit: $ 500.00
PART F. Storm Drainage Fee: N/A
PART G. One Year Power Cost: N/A
PART H. Streot Trees: By Developer N/A
PART I. Map Checking Fee: N/A
PART J. Park Fee: ZONE: II N/A
ACCT#:480-416-022
PART K. Water Main Reimbursement Fee: N/A
PART L. Maps and/or Improvement Plans
As Specified in Item #23
2 File: 51,540
NOW, TfiUREPORE, IT IS HEMY MUIVALLY AGREED by and between the
parties hereto as follows, TO WIT:
1. DEDICATION
A. The DEVELOPER offers to d-a-licate the real property shown on
E>chibi.t "A", which is attached hereto and .;jade a part hereof by
reference. Said dedicated property shall be free and clear of all
liens or encumbrances except those which the CITY shall waive in
writing. The DEVELOPER agrees not to revoke said offer of dedication,
and to keep said offer open until the CITY accepts offer by
resolution.
B. W)n execution of this AGREEMENT the DEVELOPER agrees to deliver
a properly executed ,rant deed to the CITY of the real property
described .in Exhibit "A", and such other execlted conveyances, or
instruments necessary to convey clear title as herein required. The
DEVELOPER shall provide, at the DEVELOPER'S sole cost and expense, to
the City:
(1) A preliminary title report issued by a title insuratuDe
company relating to the property offered for dedication.
(2 A standard policy of title insurance issued by a title
insurance company and insuring the CITY in the sum of: N/A,
and which shall show said property free and clear of all
liens or encumbrances except those as the CITY shall
expressly waive in writing; said policy shall be furnished
at the time of acceptance of dedication and recordation of
deed.
C. Upon the condition precedent that the DEVELOPER shall perform
each and every covenant and condition of this AGRE M&W-, the CITY
agrees to adept said real property offered for dedication.
2. INSTALLATION OF WORK
It is further agreed that:
A. The DE'VELOPEfi'. shall install and complete. the Work within one (1)
year from the date of execution of this AGREEMENT, or such longer
period as may be specifically authorized in writing by the City
Engineer. In the Event the DEVELOPER fails or refuses to complete the
Work within the specified period of time, the CITY., at its sole
option, shall be authorized to complete the Work, in whatever manner
the CITY shall decide. In the event the CITY completes the Work, the
CITY may recover any and all costs incurred thereby from the DEVELOPER
or the DEVELOPER'S surety or both.
B. The DEVELOPER shall install and complete the Work in a good and
workmanlike manner in accordance with the plans as approved by the
City Engineer of Cupertino. The Work shall be done in accordance with
existing ordinances and resolutions of the CITY and in accordance with
all plans, specifications, standards, sizes, lines, and grades
approved by the City Engineer. The Work shall be done in accordance
with all State and County Statutes applicable hereto. The decision of
the City Engineer shall be final as to whether any material or
workmanship meets the standards, specifications, plans, sizes lines
and grades as set forth.
3
C. It is further agreed that the Work shall be done in accordance
with the most current Standard Specifications of the Department of
Public Works, California Department of Transportation, State of
California, and in aaoordanoe with the specifications of the Cupertino
Sanitary District wt.-ere applicable.
Wherever the words "State" or "California Division of Highways" are
mentioned in the State Specifications, it shall be considered as
referring to the CITY of Cupertino; also wherever the "Director" or
"Director of Public Works" is mentioned, it shall be considered as
referring to the City Engineer.
In case of conflict between the State Specifications and the
specifications of the CITY, and/or the Cupertino Sanitary District,
the specifications of the CITY and or the Cupertino Sanitary District
shall take precedence over and be used in lieu of such conflicting
portions.
3. EXCAVATION PEA^
It is further agreed that the DEVELOPER shall comply with Section
Three of Ordinance No. 130 of the CITY by obtaining ar, excavation
permit from the City Engineer before the commencement of any
excavation in, on, or under the surface of any existing public street,
lane, alley, sidewalk, or other public place. It is further agreed
that the DEVELOPER shall notify the City Engineer of the exact date
and time when the proposed excavation is to commence.
4. QUITCL UM DEED
It is further agreed that the DEVELOPER, when requested by the CITY,
shall quitclaim all his rights and interests in, and shall grant to
CITY authorization to extract water from the underground strata lying
beneath said project and DEVELOPER agrees to execute a "Quitclaim Deed
and Authorization" in favor of CITY, when presented to him for
signature.
5. BONDS AND OTHER SECURITY
A. Upon the execution of this AGREEMENT, the DEVELOPER shall file
with the CITY a faithful performance bond to assure his full and
faithful performance of this AGREEMENT. The penal sum of said
faithful performance bond shall be the full cost of any payment to be
made under this AGREEMFNr, the value of any land agreed to be
dedicated, and any improvements are to be made under this AGREEMENT.
In the event that improvements are to be made under this AGRMMU,
the DEVELOPER shall, in addition to said faithful performance, f?.le
with the CITY a labor and materials bond in a penal sum adequate to
assure full payment of all labor and materials required to construct
said improvements. The amount of said bonds shall be as designated by
the City Engineer. Said bonds shall be executed by a surety company
authorized to transact a surety business in the State of California
and must be approved by the City Attorney as to form and by the City
Engineer as to sufficiency. In the event that the DEVELOPER shall
fail faithfully to perform the covenants and conditions of this
AGREEMENT, or to make any payment, or any dedication of land, or any
improvements herein required, the CITY shall call an the surety to
perform this AGREEMENT or otherwise indemnify the CITY for the
DEVELOPER'S failure to so do.
4
B. In lieu of a surety barxd, the DEVEIDPER may elect to secure this
AGREEMENP by depositing with the CITY:
1. Cash; or,
2. A cashier's check, or a certified check payable to the order
of the City of Cupertino; or,
3. A certificate of deposit, or instrtment of credit meeting
the requirements of GOVernment Code Section 66499 (b) or
(c) .
C. The amount of said cash, checks, certificate of deposit, or
instrument of credit shall be as designated by the City Engineer, and
shall be the equivalent to that which would have been required had the
DEVELOPER furnished the CITY with a surety bond. In the event that
the DEVELOPER shall fail faithfully to perform the covenants and
conditions of this ACREEMENT, or to make &ny payment, or any
dedication of lard, or any h gzovements hereLa required, the Cm may
apply the proceeds of said security thereto.
D. No release of surety bond, cash deper-it, check, or certificate of
deposit, shall be made except upon approval of the City Council.
1. Schedule for bond and insurance release for paper bonds are
as follows:
A. Release of 90 percent of the faithful performance bond
upon acceptance by City Council
B. Release of the remaining 10 percent of the performance
bowl at one year from acceptance after all deficiencies have
been corrected and in the absence of any claim agairist such
bond.
C. Release of the entire labor and material bond at six
months from acceptance after all deficiencies have been
corrected and in the absence of any claim against such bond.
D. Liability insurance, provided by the developer to hold
the City harmless in the event of liability arising from the
project, to be retired at the end of one year if all
deficiencies have been corrected and in the absence of any
claim against such insurance.
2. Schedule for Bond and Insurance Release for Cash, CD,
Set-Aside Letter are as Follows:
A. Release of 45% of bond upon acceptance by City Council.
B. Release of additional 45% at six months from acceptance
after all deficiencies have been corrected and in the
absence of any claim against such bond.
C. Release of remaining 10% at one year from date of
acceptance after all deficiencies have been corrected and in
the absence of any claim against such bond.
5
D. Release of the liability insurance, provided by the
developer, or contractor to hold the City harmless in the
event of liability arising from the subject project, at the
end of one year if all deficiencies have been corrected and
in the absence of any claims against such insurance.
E. No interest shall be paid ors any security deposited with
the CITY.
6. a 1lXK1.'3G AND INSPECTION FEE
It is further agreed that DEVELOPER shall pay any and all necessary
direct expenses for inspection, checking, etc. , incurred by CITY in
connection with said Project, and that DEVELOPER shall have deposited
with CITY, prior to execution of this AGREEMENT, the amount as set
forth herein at Page 2 (Part C.) . Should construction cost Crary
materially from the estimate from which said sum is calculated, the
City Engineer shall notify DEVELOPER of any additional sum due and
owing as a result thereof.
7. INDIRECT EXPENSES
It is further agreed that DEVELOPER shall pay to CITY, prior to
execution of this AGREEMENT, indirect expense allocable to processing
these improvements, the amount as set forth herein at Page 2 (Part D) .
8. MAP CEBUCII3G FEE
It is further agreed that the DEVELOPER shall deposit with CITY,
prior to execution of this AGREEMENT, for office checking of final
map and field checking of street monuments, in compliance with Section
4:1 of Ordinance No. 47 (Revised 12/04/61) of CITY, the amount as set
forth herein at Page 2 (Part I) .
9. DEVELOPMENT ?%INTENANCE DEPOSIT
It is further agreed that the DEVELOPER shall pay to the CITY, prior
to execution of this AGREEMENT, the amount set forth herein at Page 2
(Part E) as a development maintenance deposit to insure proper dust
control and cleaning during the construction period. The development
maintenance deposit may be utilized for repairs of defects and
imperfections arising out of or due to faulty workmanship and/or
materials appearing in said work, during the period until release of
the surety bonds or other security permitted under paragraph 5.B by
the CITY.
Should the DEVELOPER complete the required repairs to the entire
satisfaction of the CITY, the unused balance will be returned after
the release of the surety bond or other security permitted under
paragraph 5.B.
10. STORM DRAINAGE FEE
It is further agreed that the DEVELOPER shall deposit with the CITY,
prior to execution of this AC,RM04T, a storm drainage charge in
connection with the said Project in accordance with the requirements
established in Resolution 4422, March 21, 1977, in the amount as set
forth herein at Page 2 (Part F) .
6
il. WATER MAIN E)TENSION DEPOSIT
The DEVELOPER further agrees to depc,sit with the CITY those monies
required to comply with "Policy on Water Main Extensions Work and
Deposits" dated 9/30/77. The deposit shall be held by the CITY until
said monies are needed to implement improvements outlined by the
Director of Public Works or improvements outlined within the adopted
Water Master Plan.
The amount shown herein at Part K, Page 2, shall be the full amount
due.
12. ONE YEAR POWER COST
It is further agreed that the DEVELOPER shall pay to the CITY prior to
execution of this AGR ', the amount as set forth herein at Page 2
(Part G) , which amount represents the power cost for street lights for
one year.
13. 'IHE INSTALLATION OF STREET TREES
It is further agreed that the DEVELOPER sh-::l, at such time as deemed
appropriate by the City Engineer, plant street trees in conformance
with the Standards of the City of Cupertino. Variety of tree shall be
selected from the City approved list.
14. PARK FEES
It is further agreed that the DEVELOPER shall pay such fees and/or
dedicate such land to the CITY, prior to exec;.:tion, as is required
within Section 18-1.602 Park Land Dedication, Cupertino Municipal
Code, and which is further stipulated under Part J, Page 2 herein.Fees
are also in accordance with action adopted by the City Council on
March 19, 1991 and Chapter 14.05 or Section 18-1.602 of the Cupertino
Municipal Code.
15. MA�ANCE OF WORK
It is further agreed that the DEVELOPER shall maintain the Work until
all deficiencies in the Work are corrected to conform to the Plans and
the City Standards and Specifications for the Work. The DEVELOPER
shall, upon written notice thereof, inmedi.ately repair or replace,
without cost or obligation to the City of Cupertino, and to the entire
satisfaction of said CITY, all defects and imperfections arising out
of or due to faulty workmanship and/or materials appearing in said
Work.
16. SANITARY DISIRICT
It is further agreed that the DEVELOPER shall file with CITY, upon
execution of this AGRERY01r, a letter from the Cupertino Sanitary
District stating that the DEVELOPER has entered into a separate
AST with the said District to install sanitary sewers to serve
all lots within said Project and stating that a bond to irm:re full
and faithful performance of the construction of the said -iniitary
sewers and to insure maintenance of said sanitary sewer in conformance
with the provisions as set forth in Paragraph 15 above has been filed.
7
17. GOVERNMENT OODE
It is further agreed that DEVELOPER shall file with CITY, upon
execution of this AGREEMEW, substantial evidence that all
provisions of Section 66493, Article 8, Chapter 4 of the Government
Code, pertaining to special assessments or bonds, have been died
with.
18. CENTRAL FIRE DISTRICT
It is further agreed that the DEVELOPER shall file with the C TY,
upon execution of this Ate, a letter from the Central Fire
Protection District of Santa Clara County; stating that the
DEVEOPER has entered into an Air with said District to
install fire hydrants to serve said Project and stating that all
necessary fees have been deposited with said District to insure.
installation and five (5) year rental fee of said hydrants.
19. PACIFIC GAS AND ELECTRIC/PACIFIC BELL
It is further agreed that the DEVELOPER shall pay to Pacific Gas
and Electric Company and/or to PACIFIC BELL Company any and all fees
required for installation of overhead and/or underground wiring
circuits to all electroliers within said property and any and all
fees required for undergrounding as provided in Ordinance No. 331 of
CITY when DEVELOPER2 is notified by either the City Engineer or the
Pacific Gas and Electric Company and/or PACIFIC BELL Ccwpany that
said fees are due and payable.
20. EASEMENTS AND RIGHT-OF-WAY
It is further agreed that any easement and right-of-way necessary
for completion of the Project shall be acquired by the DEVELOPER at
his own cost and expense.
It is provided, however, that in the event eminent domain
proceedings are required the CITY for the purpose of securing said
easement and right--of-way, that the DEVELOPER shall deposit with
CM a sine covering the reasonable market value of the land proposed
to be taken and to be included in said sum shall be a reasonable
allavrance for severance damages, if any. It is further provided
that in addition thereto, such sums as may be required for legal
fees and costs, engineering, and other incidental costs in such
reasonable amounts as the CITY may require shall be deposited with
the City of Cupertino.
21. HOLD HA OKESS
It is further agreed that, wing with the performance of -the
Work by the DEVELOPER or his contractor and continuing until the
completion of the maintenance of the Work, the DEVELOPER shall
indemnify, hold harmless and defend the CITY from and against any or
all loss, cost, expense, damage or liability, or cli-im thereof,
occasioned by or in any way whatsoever arising out of the
performance or nonperformance of the Work or the negligence or
willful misconduct of the DEVELOPER or the DEVELOPER'S agents,
employees and independent contractors, except to the extent any of
8
the foregoing is caused by the negligence or willful misconduct of the
-City or the City's agents, employees and independent contractors.
22. INSURANCE
It is further agreed that: The DEVELOPER shall cake out, or shall
require any contractor engaged to perform the Work to take out, rnd
maintain at all times during the performance and maintenance of the
Work called for or required to be done hereunder, a policy of
insurance naming the CITY artd members of the City Council of the City
of Cupertino individually and collectively, and the officers, agents
and employees of the City individually and collectively, as it; .ored.
Said separate policy shall provide bodily injury and prcpe,-tty dan,-A,2
coverage to the foregoing named C3'I'Y and individuals covering all the
Work performed by, for, or on behalf of said DEVELOPER. Both bodily
injury and property damage insurance mu:;t be on an occurrence basis;
and said policy or policies shall provide that the coverage afforded
thereby shall be primary cxverage to the full limit of liability
stated in the declarations, and if the city, its members of the. City
Council individually and collectively, ..and the officers, agents, and
employees of the CITY, individually and collectively, have other
insurance against the loss covered by said policy or policies, that
other insurance shall be excess insuranae only.
The insurance carrier shall provide proof of their ratings. All
ratings shall be a minimum of "Best A-7" in accordance with ABAG
policies.
A. Each of said policies of insurance shall provide coverage in the
following minimum amounts: For bodily injury, $100,000 each person;
$300,000 each occurrence, property damage, $50,000 on account of any
one occurrence with an aggregate limit of not less than $200,000.
B. The DEVELOPER shall file with the City Engineer at or prior to
the time of execution of this AGREEMENT by the DEVELOPER such evidence
of said foregoing policy or policies of insurance as shall be
satisfactory to said City Engineer. Each such policy or policies
shall bear an endorsement precluding the cancellation or reduction in
coverage without giving the City Engineer at least ten (10) days
advance notice thereof. The City shall be shown as additionally
insured on a separate "Additional Insurjd Owners, Lessees or
Contractors" (Form A) or (Form B) Endorsement provided all-:-q with the
evidence of said foregoing policy of policies of Insurance
C. In the event that the Project covered herein should be mutually
situated in or affect the area of jurisdiction of a separate
municipality or political subdivision of the State of California, the
policies of insurance required herein and above shall co-name such
municipality or political subdivision and the provision set forth
herein and above for the protection of the CITY shall equally apply to
municipality and political subdivision.
23. MAPS AND/OR nWFVVEKERr PLANS
It is further agrees] that the CITY shall obtain the following map
and/or plans at the DEVELOPER'S expense:
9
A. A mylar sepia and seven (7) prints of fully executed parcel
map.
B. A mylar sepia and ten (10) prints of fully executed
jirprovevent plans.
C. A direct duplicating silver negative microfilm aperture
card of all executed iu%mxNement plans and map.
The DEVELOPER agrees to pay the CM fra;n the development maintenance
deposit the cost for, all prints of plans and map required under Item
23.
24. SUCCESSORS
This AGRE'EmENr shall bind the heirs, adnimustrators, executors,
sucoessor, assignee and transferees of the DEVELOPER. The assignment
of this AGREEMERT shall not be made without approval by the City
Council of the City of Cupertino.
10
STATE OF CALIFORNIA )
) ss.
COUNTY OF SANTA CLARA )
Ong,?� `; �r'lr , 19 `', before,me,, a Notary Public for the State of
California, personaliy appeared `, ,-,r,i rt r�',z.f!�.� , personally known
to me/proved to me on the basis of satisfactory evidencd`to be the person whose name
is subscribed to the within instrument, and he/she acknowledged to me that he/she
executed the same.
IN WITNESS WHEREOF, I have hereunto set 1ny hand and affixed my official
seal.
[SEAL] Notary Public
State of California
OFFICIAL NOTARY SEAL
ar Xc JOAN RICHMOND
y NagPUNIc—C&OWft
SANTA CLARA COUNTY
My Comm.EXOM OCT23,1995
.f
IN WI'INESS WHEREDF, CITY has catmed its n.me to be hereunto aff ixed by
its Mayor and City Clerk, thersunto duly authorized by resolution of the
City Council and said DEVELOPER has hereunto caused his name to be affixed
the day and year first above written.
CITY OF CUPFRTIM:
i
Approved: as to form: �}
Mayor•
City Attorney City Cler
DEVELOPER:
i i l
1
t
Notary Acknowledgment Required
Exhibit A Attached
OFFICIAL NOTARY SEAL
JOAN RICHMONQ
UNTY
(9MY
SWANT Pam!� forma
Comm.Expires OCT 23,59g,5 /
11
CITY OF CUPERTINO
INTERDEPARTMENTAL Date JULY 21, 1992
To CITY CLERK _ _ From PUBLIC WORKS--SUMI
❑ Information MESSAGE:— DENNIS PABOOJIAN -- LINDY LANE (CC 7/20/92)
❑ Implement 1. THREE SETS OF AGREEMENT FOR PROCESSING.
❑ Investigate
❑ Discuss 2 CERTIFICATE OF INSURANCE, 7/15192 (Insured. Debc,or Corp.)
❑ See me 3. BOND, BANK OF AMERICA TIME DEPOSIT RECEIPT
❑ Reply (ON FILE IN FINANCE) —
_ sm _
attach.
Reply: Dennis Pabooj ian _
21989 Lindy Lane
— CupertinV,
SIGNED: DATE
Forward part 7 Retain part 2
Foe BATE IMWDO"
7/15/92
PRODUCIER
THIS CERTFICATE IS ISSUED AS A MATTER OF a V=MTION ONLY AND CONRM
NO Dempsey Insurance Service, Inc. XMW OR ALTER THE E BY SHIXDER.THIS � BELO DOES W.
P.O. AMEND,
P.O. Box 6210 -- --
San Jose, California 95150 COMPANIES AFFONDING COVERAGE
COMPANY A Monticello Insurance Company
LETTER O'�P y
COMPANY
INSURED +—�~ LETTER
Dehcor Corporation COMPANY
LETTER A
21625 Stevens Creek Blvd --
Cupertino, California 95014 COMPANY D JUL f
LETTER
COMPANY
LETTER
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDtCATF_D.
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 CONDI-
TIONS OF SUCH POLICIES.
CO TYPE OF INSURANCE--�-' POLICY NUMBER IC{EEFEC 'E pity Exf;Hy Ilpp� LIABILITY LIMITS IN THOUSANDS
LTR DATE IMM1L'D0,'YY1 CAIE NWDOIM EACN- AGGREGATE
GENERAL LIABILITY — - OCCURRENCE
BODILY
X COMPREHENSIVE FORM WJURY $ is
PREMISESIOPERATIONS
UNDERGROUND DAMAGETM
A EXPLOSION&COLLAPSE HAZARD ML2 72 698 9/12/9.1 9/12/92 $ $_
PRODUCTS/COMPLETED OPERATIONS
CONTRACTUAL l BI&PD
INDEPENDENT CONTRACTORS I COMBINED $ 1,000 $ 1,000,
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY ( PERSONAL INJURY $
AUTOMOBILE LIABILITY
iN )HY
ANY AUTO I !PER PER,Al $
ALL OWNED AUTOS(PRIV PASS) MY
HA
ALL OWNED AUTOS PRHJRPASSM1) I (PfR^WDENP, $
HIRED AUTOS I PROPERT-Y I
NON-MVNEO AUTOS I DAMAGE $
GARAGE LIABILITY — +
BI 6 PDy
COMBINED $
EXCESS LIABILITY —�-�--
UMBRELLA FORM `COMBINED $ $
OTHER THAN UMBRELLA FORM
WORKERS'COMPENSATION STATUTORY `Q.
AND $ (EACH ACCIDENT)
EMPLOYERS'LIABILITY I I $ (DISEASE POLICY LIMA)
$ (DISEASE-EACH EMPLOYEE)
OTHER
DESCRIPTION OF OPERATIONSft.00ATIONSIVEHICLES1SPIECIAL ITEMS
The certificateholder is named as: additional insured.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES QE CANCELLED BEFORE THE Mt-
Cit of Cupertino PIRLATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Y P MAIL
10 DAYS WWr EN NOTICE TO THE O00I1IRCATE HDLOER NAWD TO THE
Attn: Hermi Bachua/Planning Dept. LEFT,BUT FAILURE SUCH NOTICE SHAU 1 0
TIONORLIABtLnY
OF ANY KRdD ATIVES.
10300 Torre Avenue AUTHORIZED
A. am
JUL. 16 '92 12:42 DEMPSEY INS SERVICE 408-9e5-0930 ; P.2/2
' • INSURED: DEBCOR CO"ORALION
AGENT: ' DRMPSEY INS. SERV., INC.
POLICY NUMBER: ML272698 COMMERCIAL GENERAL LIASILI '
7/16/92
• THIS ENDORSEMENT CHANCES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED- OWNERS, LESSEES or
CONTRACTORS (Form A)
This endorsement modifies insurance provided under the following: '
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
SCHEDULE ,
i+
Name of Person or Organization(Add ltlonal.Insured): Locgtlon of I
The` City and members of the City Council and_ the City Covered,Operations
of Cupertino individually and collectively and the Officer, All Cali.foradia
Agents and employees of the City individually and
collectively Operat
Premium Basle Rates Advance Premium I
Bodily Injury and (Per
Property Damage Liability Coat $1000 of coat) $ i
To Be Determined To Be Determined To Be Determi ned
Total AJvanee Premium* $
. i
(If no entry appears above,information required to complete this endorsement will be shown in+the Declaration j
as applicable to this endorsement.)
1.' WHO IS AN INSURED (Section 11) is amended to. (a) All work on the project (other than +
include as an insured the person or organization service, maintenance, or.repairs) t
(called"additional insured")shown in the Sched- be performed by orlon behalf of the .
ule but only with respect to liability arising out of: additional insureds)at the site of the
A. "Your work" for the additional insured(s) at covered operationsi has been com-
the location designated above, or pleted; or
B, Acts or omissions of the additional, nsure' d(s) (b) That portion of "your work" out of 4
in connection with their general supervision which the injury or damage arises has
of "your work" at the location shown In the been put to its intended use by any
Schedule. person or organization other than an- +i
other contractor or subcontractor
2. With respect to the insurance afforded these addi•' engaged it performing operations for
tional insureds.the following additional provisions a principal as a part of the same
apply: project. I
A. None of the exclusions under Covera a A. (3) "Bodily injury" or "property. damage"
except exclusions (a). (d). (e), (f). (h21. (i), arising out of any act or omission of the i
and(m), apply to this insurance. additional insureo(s) or any of their em- j
Bt Additional Exclusions. This insurance does pioyees, other than the general supervi-
not apply to: sion of work performed for the additional !
;(1) "Bodily injury" or "property damage insured(s)by you.
for which the additional insured(s) are (4) "Property damage" to:
obligated to pay damages by reason of (a) Property owned,useil or occupied by i
the assumption of liability in a contract or or rented to the additional insured(s);
agreement.This exclusion does not apply (b) Property in the care,custody,or con-
to liab�tity for damages that the additional 4rol of the eddltlonef insured(s) or :
insured(s) would have in the absence-of over which the additional Insured(s)
the Contract or agreement. are for any purpose exercising phys- . .
(2) "Bodily injury" or "property damage" ical control; or
occurring after: '
(c) "Your work" for the additional In-
sured(s).
.CG 2669 1185 Copyright. Insurance Services Office. Inc., 1984 '