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Job No.:
Subcontract No.:
Cost Code:
Vendor No.:
number
number
number
number
AGREEMENT made this date day of month, year (hereinafter Agreement or Subcontract) between
Swinerton Builders (Contractor)
street address
city, state, zip
Attn: project manager
Phone:
number
Fax:
number
Email:
project manager email address
and
Subcontractor Name (Subcontractor)
street address
city, state, zip
Attn: contact name
Phone:
number
Fax:
number
Email:
contact email address
For Subcontractor to perform work as described in Item B below for the following Project:
Project is:
project name
project address
Owner:
owner's name
owner's address
Architect:
architect's name
architect's address
Contractor and Subcontractor (the Parties) agree as set forth below:
A. Except for modifications and change orders issued after execution of this Agreement, the Subcontract
Documents, consist of the following documents, all of which are either attached hereto as Attachments
or are hereby incorporated by this reference and made a part hereof as follows:
Page 1 of 21
SUBCONTRACT AGREEMENT
CALIFORNIA FORM
date
MBE/WBE/DVBE
Construction Program
date
date
K Subcontract Modifications
date
L Prevailing Wage
date
D Contract Recapitulation
date
E Billing Procedures
date
date
date
date
date
date
date
Quality Management
Requirements
date
date
Project Schedule
2.
date
date
The Prime Contract No. number, owner name & date, the following Amendments to the Prime
Contract number & date or N/A and all documents incorporated therein including, but not limited to,
drawings and specifications. An index of the Prime Contract Documents is attached hereto as
Attachment B. (Attachment B is not applicable for this Agreement ).
B. Subcontractor shall execute the following scope of work (Work) in accordance with the Subcontract
Documents generally described as:
Brief description of scope of work (Scope of Work continues on Attachment C)
C. Contractor shall pay Subcontractor for performance of the Work the stipulated sum of
written amount dollars ($
) (Subcontract Sum) subject to additions and deletions and retention as
provided in the Subcontract Documents.
D. Subcontractor shall provide 100% Performance and Payment Bonds, pursuant to Terms and Conditions
Yes
No
E. Subcontractor shall provide certified payroll
Yes
Page 2 of 21
No
SUBCONTRACT AGREEMENT
CALIFORNIA FORM
SUBCONTRACTOR NAME
SUBCONTRACTOR NAME
By:
By:
Name, Title
Name/Title
Name, Title
Name/Title
ACORD
PRODUCER
Name of
Subcontractor
(It should
match the
name as
written in the
Subcontract)
COMPANY
A
Subcontractor
COMPANY
B
Indemnity Insurance
COMPANY
C
State Fund
COMPANY
D
Phone No.
800-999-5368
INSURED
08/02/01
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
PERIOD INDICATED, NOTW ITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W ITH RESPECT
TO W HICH THE 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 SHOW N MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)
GENERAL LIABILITY
Claims Made
or Modified
Occurrence
is not
acceptable
CLAIMS MADE
123456789
08/01/06
08/01/07
OCCUR
LIMITS
GENERAL AGGREGATE
1,000,000
1,000,000
50,000
5,000
1,000,000
AUTOMOBILE LIABILITY
$
$
PROPERTY DAMAGE
234567891
08/01/06
08/01/07
2,000,000
1,000,000
EACH OCCURRENCE
ANY AUTO
ALL OW NED AUTOS
SCHEDULED AUTOS
X
X
HIRED AUTO
NON-OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
456789123
UMBRELLA FORM
08/01/06
08/01/07
Current dates
are required
AGGREGATE
1,000,000
1,000,000
1,000,000
This section
is to
evidence
Professional
Liability or
Pollution
Liability if
required
This section
should
reference the
job number,
project name,
and/or location
THE PROPRIETOR/
PARTNERS/EXECUTIVE
OFFICERS ARE:
X
INCL
345678912
08/01/06
08/01/07
W C STATUTORY LIMITS
OTHER
EL EACH ACCIDENT
EXCL
EL DISEASE - POLICY LIMIT
EL DISEASE - EA EMPLOYEE
1,000,000
1,000,000
OTHER
General Liability - Certificate Holder is an Additional Insured per attached Form CG 20 10 11 85.
RE: Job Name: Project Job No. 13054043
CERTIFICATE HOLDER
CANCELLATION
0000000
Swinerton Builders
DAYS W RITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
Page 21 of 21
The totals in
each box
should be at
least $1 million
Signed by the
Broker only
This wording
should be Xd
out
POLICY NUMBER :
N AMED I NSURED :
SCHEDULE
Name of Person or Organization:
Swinerton Builders, its parent and
affiliated companies; Owner; other
parties as required by Owner and/or
necessitated by construction activities
(If no entry appears above, information required to complete this endorsement will be shown in the
Declarations as applicable to this endorsement.)
This is where the
Additional Insureds
should be listed
exactly as noted here
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.
It is further agreed that such insurance as is afforded by this policy for the benefit
of the above Additional Insured(s) shall be primary insurance as respects any
claim, loss or liability arising out of the Named Insureds operations, and any
other insurance maintained by the Additional Insured(s) shall be excess and
non-contributory with the insurance provided hereunder.
It is agreed that the above policy contains a standard cross liability or severability
of interest clause.
CG 20 10 11 85
BOND NO.
PREMIUM
Exhibit A-2
SIGNATURE
NAME/TITLE:
SURETY:
SIGNATURE
NAME/TITLE:
day of
FOR THE
PROJECT NAME
Presented By:
Responsibility
Subcontractor
subcontractors.
Subcontractor
Gallagher
Subcontractor
Lower-tier
subcontractor
Swinerton
Subcontractor
Gallagher
Contract Location:
Todays Date:
Business Address:
FRINGE BENEFITS
In order that the proper Fringe Benefits rates can be verified when checking payrolls on the above contract, the
hourly rates for fringe benefits, subsistence and/or travel allowance payment made for employees on the various
classes of work are tabulated below.
Classification:
Effective Date:
Subsistence or Travel Pay:
$
Health &
$
PAID TO:
Name:
Welfare
Address:
Pension
PAID TO:
Name:
Address:
Vacation/
Holiday
PAID TO:
Name:
Address:
Training
$
and/or Other
PAID TO:
Name:
Address:
FRINGE BENEFITS
Classification:
Effective Date:
Health &
Welfare
PAID TO:
Name:
Address:
Pension
PAID TO:
Name:
Address:
Vacation/
Holiday
PAID TO:
Name:
Address:
Training
$
and/or Other
PAID TO:
Name:
Address:
FRINGE BENEFITS
Classification:
Effective Date:
Health &
Welfare
PAID TO:
Name:
Address:
Pension
PAID TO:
Name:
Address:
Vacation/
Holiday
PAID TO:
Name:
Address:
Training
$
and/or Other
PAID TO:
Name:
Address:
Supplemental statements must be submitted during the progress of work should a change in rate of any of the
classifications be made.
Submitted: Contractor/Subcontractor
By: Name/Title