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PW Street Resurfacing 2018-2019 ProjectReviewed and approved for signature Contract administrator: /t,)� K Estimator: RS VP Estimating: Tom Barr 7/22/19 City of San Rafael ♦ California Form of Agreement for Street Resurfacing 2018-2019 This Agreement is made and entered into this 19 day of July 2019 by and between the City of San Rafael (hereinafter called City) and Ghilotti Bros. Inc., (hereinafter called Contractor). Witnesseth, that the City and the Contractor, for the considerations hereinafter named, agree as follows: 1- Scope of the Work The Contractor hereby agrees to furnish all of the materials and all of the equipment and labor necessary, and to perform all of the work described in the specifications for the project entitled: Street Resurfacing 2018-2019, City Project No. 11366, all in accordance with the requirements and provisions of the "Specifications and Contract Documents for Street Resurfacing 2018-2019" dated June 2018, which are hereby made a part of this Agreement. The liability insurance provided to City by Contractor under this contract shall be primary and excess of any other insurance available to the City. Il- Time of Completion (a) The work to be performed under this Contract shall be commenced within Five (5) Working Days after the date of written notice by the City to the Contractor to proceed. (b) All work shall be completed, including all punchlist work, within Sixty (60) Workine Days and with such extensions of time as are provided for in the General Provisions. III - Liquidated Damages It is agreed that, if all the work required by the contract is not finished or completed within the number of working days as set forth in the contract, damage will be sustained by the City, and that it is and will be impracticable and extremely difficult to ascertain and determine the actual damage which the City will sustain in the event of and by reason of such delay; and it is therefore agreed that the Contractor will pay to the City, the sum of $500 for each and every calendar day's delay in finishing the work in excess of the number of working days prescribed above; and the Contractor agrees to pay said liquidated damages herein provided for, and further agrees that the City may deduct the amount thereof from any moneys due or that may become due the Contractor under the contract. IV - The Contract Sum The City shall pay to the Contractor for the performance of the Contract the amounts determined for the total number of each of the units of work in the following schedule completed at the unit price stated. The number of units contained in this schedule ' approximate only, and the final payment shall be made for the actual number of units that are incorporat in Vmade necessary by the work covered by the Contract. The total Contract amount shall not exceed $2,763,088.00, any additional units not specifically enumerated in this Contract, that are incoroporated in or made necessary by work covered by the Contract must be requested and approved in writing as an addendum to this Contract. ITEM DESCRIPTION ESTIMATED QUANTITY UNIT UNIT PRICE TOTAL PRICE 1 Mobilization (3%) 1 LS @ $78,000.00 — $78,000 2 Signs and Traffic Control 1 LS @ $212,678.00 — $212,678 3 Clearing and Grubbing 1 LS @ $80,000.00 $80,000 4 Minor Concrete - Minor Structures AGREEMENT-] r n_ - A L ITEM DESCRIPTION a. Type 'A' Curb and Gutter b. 4" PCC Sidewalk c. Curb Ramp - Case C 5 Full Width Grinding** 6 Hot Mix Asphalt a. Full Depth AC at Curb Ramps b. Deep Lift Patching c. Asphalt Concrete Overlay d. Asphalt Concrete Overlay with Reinforcing Fibers 7 Micro -Surfacing and Slurry Seal a. Micro -Surfacing** b. Slurry Seal** 8 Adjust Existing Facility to Grade a. Adjust Manhole Castings b. Adjust Water Valve Cover (Roadway Only) c. Adjust Gas Valve Cover (Roadway Only) d. Adjust Monument e. Adjust Sewer Rodhole 9 Striping and Pavement Markings a. Detail 2 b. Detail 9 c. Detail 22 d. Detail 27B e. Detail 31 f. Detail 38 g. Detail 39 h. Detail 40 ESTIMATED UNIT UNIT TOTAL QUANTITY PRICE PRICE 150 LF @ $70.00 = $10,500 350 SF @ $17.00 = $5,950 2 EA @ $4,900.00 = $9,800 460,000 SF @ $0.55 - $253,000 20 TON @ $475.00 _ $9,500 1,020 TON @ $280.00 _ $285,600 2,000 TON @ $153.00 _ $306,000 5,460 TON @ $163.00 $889,980 25,600 SY @ $2.90 $74,240 8,500 SY @ $3.46 $29,410 40 EA @ _ $1,300.00 _ _ $52,000 120 EA @ $70.00 - $8,400 15 EA @ $930.00 $13,950 10 EA @ $850.00 - $8,500 12 EA @ $800.00 = $9,600 500 LF @ $1.00 - $500 7,500 LF @ $1.00 $7,500 9,500 LF @ $2.50 - $23,750 1,000 LF @ $1.50 - $1,500 4,500 LF @ $5.00 $22,500 4,130 LF @ $2.00 $8,260 18,500 LF @ $1.50 = $27,750 200 LF @ $3.00 $600 AGREEMENT -2 ITEM DESCRIPTION ESTIMATED UNIT UNIT TOTAL QUANTITY PRICE PRICE i. Pavement Markings 36,000 SF @ $4.00 — $144,000 j. Green Bike Lane 1,600 SF @ $19.00 — $30,400 k. Red Curb 1,000 LF @ $2.50 — $2,500 10 Traffic Signal Detector Loops a. Type A Detector Loop 27 EA @ $345.00 — $9,315 b. Type D Detector Loop 9 EA @ $345.00 — $3,105 BA Micro -surface Andersen from Simms to CMSA (Bid Alternate #1) BA1 Micro -surfacing 26,000 SY @ $2.90 — $75,400 BA2 Striping and Pavement Markings a. Detail 22 2,600 LF @ $2.50 — $6,500 b. Detail 31 3,800 LF @ $5.00 - $19,000 c. Detail 38 700 LF @ $2.00 $1,400 d. Detail 39 20,000 LF @ $1.50 = $30,000 e. Pavement Markings (Thermoplastic) 3,000 SF @ $4.00 $12,000 GRAND TOTAL BID $2,763,088 V - Progress Payments (a) On not later than the 6th day of every month the Public Works Department shall prepare and submit an estimate covering the total quantities under each item of work that have been completed from the start of the job up to and including the 25th day of the preceding month, and the value of the work so completed determined in accordance with the schedule of unit prices for such items together with such supporting evidence as may be required by the City and/or Contractor. (b) As soon as possible after the preparation of the estimate, the City shall, after deducting previous payments made, pay to the Contractor 95% of the amount of the estimate as approved by the Public Works Department. (c) The Contractor may elect to receive 100% of payments due under the contract from time to time, without retention of any portion of the payment by the public agency, by depositing securities of equivalent value with the public agency in accordance with the provisions of Section 22300 of the Public Contract Code. Such securities, if deposited by the Contractor, shall be valued by the City's Finance Director, whose decision on valuation of the securities shall be final. VI - Acceptance and Final Payment (a) Upon receipt of written notice that the work is ready for final inspection and acceptance, the City Engineer shall within 5 days make such inspection, and when he finds the work acceptable under the Contract and the Contract fully performed, he will promptly issue a Notice of Completion, over his own signature, stating that the work required by this Contract has been completed and is accepted by him under the terms and conditions thereof, and the entire balance found to be due the Contractor, including the retained percentage, shall be paid to the Contractor by the City within 15 days after the expiration of 35 days following the date of recordation of said Notice of Completion. (b) Before final payment is due the Contractor shall submit evidence satisfactory to the City Engineer that all payrolls, material bills, and other indebtedness connected with work have been paid, except that in case of AGREEMENT -3 disputed indebtedness or liens the Contractor may submit in lieu of evidence of payment a surety bond satisfactory to the City guaranteeing payment of all such disputed amounts when adjudicated in cases where such payment has not already been guaranteed by surety bond. (c) Contractor shall provide a "Defective Material and Workmanship Bond" for 50% of the Contract Price, before the final payment will be made. (d) The making and acceptance of the final payment shall constitute a waiver of all claims by the City, other than those arising from any of the following: (1) unsettled liens; (2) faulty work appearing within 12 months after final payment; (3) requirements of the specifications; or (4) manufacturers' guarantees. It shall also constitute a waiver of all claims by the Contractor, except those previously made and still unsettled. (e) If after the work has been substantially completed, full completion thereof is materially delayed through no fault of the Contractor, and the City Engineer so certifies, the City shall, upon certificate of the City Engineer, and without terminating the Contract, make payment of the balance due for that portion of the work fully completed and accepted. Such payment shall be made under the terms and conditions governing final payment, except that it shall not constitute a waiver of claims. VII - Assignment of Warranties; Waiver of Subrogation (a) Contractor hereby assigns to City all warranties, guarantees, or similar benefits such as insurance, provided by or reasonably obtainable from the manufacturers or suppliers of equipment, material or fixtures that Contractor has installed or provided in connection with the work performed under this Agreement. (b) Contractor hereby agrees to waive and arrange by contract for its subcontractors to waive any subrogation rights which any insurer of Contractor or its subcontractors might otherwise acquire in connection with the insurer's payment to Contractor or its subcontractors of any insured loss with respect to work performed under this Agreement. Contractor further agrees to obtain and to arrange for its subcontractors to obtain for City's benefit any endorsements from insurers that may be necessary to effect such waiver of subrogation. Specifically, any worker's compensation insurance policies of the Contractor or its subcontractors shall be endorsed with a waiver of subrogation in favor of City for any work performed by Contractor or its subcontractors under this Agreement, and copies of such endorsements shall be provided to City. IN WITNESS WHEREOF, City and Contractor have caused their authorized representatives to execute this Agreement the day and year first written above. CITY OF SAN RAFAEL: r_ J4 Schu - Ci Man ger ATTEST: Lindsay Lara City Clerk Ghilotti Bros. Inc. By: Printed Name Officer: Michael M. Ghilotti Title: President AGREEMENT -4 APPROVED AS TO FORM: FFT- Robert F. psteiia City Attorney File No. 16.06.91 and, Printed Name of Officer: Daniel Y. Chin Title: Chief Financial Officer FEW tiC :UMphlirm Contract Bond Public Work California KNOW ALL MEN BY THESE PRESENTS: 6 THE HARTFORD. Hartford Plaza, Hartford, Connecticut 06115 Duplicate Original Bond Executed in Triplicate PERFORMANCE BOND Bond No. .57BCSID8385 Premium Charge $19.159. That we, Ghilotti Bros., Inc. as Principal, and the Hartford Fire Insurance Company a Corporation organized and existing under the laws of the State of Connecticut and authorized to transact surety business in the State of California, as Surety, are held and firmly bound unto City of San Rafael in the sum of Two Million Seven Hundred Sixty Three Thousand Eighty Eight & 00/100 — Dollars ($ 2,763,088.00 ) lawful money of the United States of America, for the payment whereof, well and tru y to be made, we hereby bind ourselves, our heirs, exec- utors, administrators, successors and assigns jointly and severally, firmly by these presents. , SIGNED, sealed with our seals, and dated this 12th day of . ....August....2019 ...._, .. ............. .-14- , , . The condition of the foregoing obligation is such that, whereas the above bounden Principal has entered Into a contract dated.. ....... . July 19th, 2019 Cit of San Rafael -}9 ,with said . Y to do and perform the following work, to -wit: Street Resurfacing 2018-2019, City Project No. 11366 The Surely, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of lheContract Documents or to the Project to be performed thereunder shall in any way affect its obligations 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 Documents or to the Project NO W, TH EREFORE, if the above -bounden Principal shall well and truly perform or cause to be performed, each and all of the requirements and obligations of said contract to be performed by said Principal, as in said contract set forth, then this bond shall be null and void: other- wise It shall remain in full force and effect. Ghilotti Bros., Inc. Principe Michael M. Ghilotti, President / Treasurer \_�// /Hartford Fire Insurance Company By rK.L.....1`.. (SEAL) Attorney-in-fact Kelly Hollemann Form S-3665-1 (HF) Printed In U.S.A. CALIFORNIA CERTIFICATE OF ACKNOWLEDGMENT A notary ublic or other officer completing this certificate verifies only the identity o� the Individual who signed the document to which this certificate Is attached, and not the truthfulness, accuracy, or validity of that document, State of California ) County of Marin ) On Auqust 14, 2019 before me, Deborah Petersen, Notary Public (here insert name and title of the officer) personally appeared Michael M. Ghilotti, President who proved to me on the basis of satisfactory evidence to be the person(s) whose name(* is/are subscribed to the within instrument and acknowledged to me that he/shefthey executed the same in his/herhtreir authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(t) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the— - - State of California that the foregoing paragraph is true and correct. _DEBORAH PETERS COMM, #2211932 z Notary Publlc • California a z Marin County WITNESS my hand and official seal. _ mutt, Expires Aug. 284 2021' Signature (Seal) Optional Information Although the information In this section is not required by law, it could prevent fraudulent removal and reattachment of this acknowledgment to an unauthorized document and may prove useful to persons relying on the attached document. Description of Attached Document The preceding Certificate of Acknowledgment is attached to a document titled/for the purpose of containing pages, and dated The signer(s) capacity or authority is/are as: ❑ Individual(s) ❑ Attorney -in Fact EJ Corporate Officer(s) President Title(s) ❑ Guardian/Conservator ❑ Partner - Limited/General ❑ Trustee(s) ❑ Other-. representing: Ghilotti Bros., Inc. _ Names) of Person(s) or Entity(les) Signer is Representing Method of signer Identification Proved to me on the basis of satisfactory evidence: Morm(s) of Identification 0 credible witness(es) Notarial event is detailed in notary journal on: Page II Entry H Notary contact: Debbie Petersen Other 415.256.2239 ❑ AdditionalSigner(s) ❑ Slgner(s)Thumbprint(s) 0 Copyright 2007-2016 Notary Rotary, Inc PO Box 41400, Des Moines, IA 50311-0507. All Rights Reserved. Item Number 101772 Please contact your Author zed Reseller to purchase copies of this form CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 :rxsyc.car.�rrx�cccec�r,�c�rcr,�rrcror.�c:�rdr�rzrtc,�res�czrercarcrcr�r�-r,��cer�sa:c�.r,.z�r•r�_r„�r„�c�i A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of _ ._ _Marin On 0LA k LU S'4' kl, 24 N before me, _ ....... Date personally appeared J. DeLuca, Notary Public _ Here Insert Name and Title of the Officer Kelly Holtemann Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/af& subscribed to the within instrument and acknowledged to me that he/she/" executed the same in his/her/their authorized capacity(ies), and that by h6ftr/their signature(e) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. J. DELUCA _ = Notary Public - California -'� Marin County z Commission, # 2166061 n t� My Comm. Expires Oct 24, 2020 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document:.... _ __. Document Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): f1 Partner — n Limited ❑ General ❑ Individual 1? Attorne ' act F-1 Trustee ian or Conservator L., Other: _ Signer I presenting: miner's Name: I I Corporate Officer — Title(s): _ 171 Partner — 1-1 Limited n General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 02014 National Notary Association • www.NationalNotary.org - 1 -800 -US NOTARY (1-800-876-6827) Item #5907 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Name: WOODRUFF SAWYER & COMPANY Agency Code: 57-554795 0 Hartford Fire Insurance Company, a corporation duly organized under the laws of the State of Connecticut 0 Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Accident and Indemnity Company, a corporation duly organized under the laws of the State of Connecticut Hartford Underwriters Insurance Company, a corporation duly organized under the laws of the State of Connecticut O Twin City Fire Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois, a corporation duly organized under the laws of the State of Illinois Hartford Insurance Company of the Midwest, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut, (hereinafter collectively referred to as the "Companies") do hereby make, constitute and appoint, up to the amount of Unlimited : Nerissa S. Bartolome, Alicia Dass, Joan DeLuca, Roger C. Dickinson, Patrick F Diebel, Valerie Garcia, Nancy L. Hamilton, Kelly Holtemann, Thomas E. Hughes, Stanley D. Loar, Mark M. Munekawa, Sara Ridge, Yvonne Roncagliolo, Charles R. Shoemaker of SAN FRANCISCO, California their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by ®, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on May 6, 2015 the Companies have caused these presents to be signed by its Senior Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. TY I 1�ti .it rw l qy py4•'� .J % o .�1yq .�� � �rea•.r� rii i a X04 � � ? :t�VeL �. _ 3 Thtr �:r.A..`:�r••*�rM•rtr• { '�`+rtrAv.irn!r•vt�: • �•�•Iri�� �r';'o;�•l'tYt,•Tvri91e ; iei t!bilrU•� t•2•�a• John Gray, Assistant Secretary M. Ross Fisher, Senior Vice President STATE OF CONN ECTICUT ss. Hartford COUNTY OF HARTFORD I On this 5th day of January, 2018, before me personally came M. Ross Fisher, to me known, who being by me duly sworn, did depose and say: that he resides in the County of Hartford, State of Connecticut; that he is the Senior Vice President of the Companies, the corporations described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. 0 7C��i-E:cEtiti / Kathleen T. Maynard Notary Public CERTIFICATE My Commission Expires July 31, 2021 I, the undersigned, Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is still in full force effective as of August 12th, 2019 Signed and sealed at the City of Hartford. �+ �r�kt �°� r yxF^itrs,yJ' tiya,"�'� .+��►"�•-"R."�tii C �r�Mr a 18 979 i 10�'r = � r �1� �i-'��,r�tpuet.�� ^F t�+•�OY 67 • • e�t�: • � E „ f . �+ r'>>nnmr�!` •��rb► tp79�e � a�tN,1872 '? 79Y9 • �>,�.:� '4•tN IF � to • a `tti•ari rims•' ��y\'`•fCa,soi.' r — Kevin Heckman, Assistant Vice President -'ak 2018 Direct Inquiries/Claims to: THE HARTFORD BOND, T-12 POWER OF ATTORNEY HartfOne ord, Conne ticut06155 Bond.ClaimsCcDthehartford.com cal1: 888-266-3488 or fax: 860-757-5835 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Name: WOODRUFF SAWYER & COMPANY Agency Code: 57-554795 0 Hartford Fire Insurance Company, a corporation duly organized under the laws of the State of Connecticut 0 Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Accident and Indemnity Company, a corporation duly organized under the laws of the State of Connecticut Hartford Underwriters Insurance Company, a corporation duly organized under the laws of the State of Connecticut O Twin City Fire Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois, a corporation duly organized under the laws of the State of Illinois Hartford Insurance Company of the Midwest, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut, (hereinafter collectively referred to as the "Companies") do hereby make, constitute and appoint, up to the amount of Unlimited : Nerissa S. Bartolome, Alicia Dass, Joan DeLuca, Roger C. Dickinson, Patrick F Diebel, Valerie Garcia, Nancy L. Hamilton, Kelly Holtemann, Thomas E. Hughes, Stanley D. Loar, Mark M. Munekawa, Sara Ridge, Yvonne Roncagliolo, Charles R. Shoemaker of SAN FRANCISCO, California their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by ®, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on May 6, 2015 the Companies have caused these presents to be signed by its Senior Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. TY I 1�ti .it rw l qy py4•'� .J % o .�1yq .�� � �rea•.r� rii i a X04 � � ? :t�VeL �. _ 3 Thtr �:r.A..`:�r••*�rM•rtr• { '�`+rtrAv.irn!r•vt�: • �•�•Iri�� �r';'o;�•l'tYt,•Tvri91e ; iei t!bilrU•� t•2•�a• John Gray, Assistant Secretary M. Ross Fisher, Senior Vice President STATE OF CONN ECTICUT ss. Hartford COUNTY OF HARTFORD I On this 5th day of January, 2018, before me personally came M. Ross Fisher, to me known, who being by me duly sworn, did depose and say: that he resides in the County of Hartford, State of Connecticut; that he is the Senior Vice President of the Companies, the corporations described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. 0 7C��i-E:cEtiti / Kathleen T. Maynard Notary Public CERTIFICATE My Commission Expires July 31, 2021 I, the undersigned, Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is still in full force effective as of August 12th, 2019 Signed and sealed at the City of Hartford. �+ �r�kt �°� r yxF^itrs,yJ' tiya,"�'� .+��►"�•-"R."�tii C �r�Mr a 18 979 i 10�'r = � r �1� �i-'��,r�tpuet.�� ^F t�+•�OY 67 • • e�t�: • � E „ f . �+ r'>>nnmr�!` •��rb► tp79�e � a�tN,1872 '? 79Y9 • �>,�.:� '4•tN IF � to • a `tti•ari rims•' ��y\'`•fCa,soi.' r — Kevin Heckman, Assistant Vice President -'ak 2018 Contract Bond Public Work — California KNOW ALL MEN BY THESE PRESENTS: That we, XTHE HARTFORD Duplicate Original Bond Executed in Triplicate LABOR AND MATERIAL PAYMENT BOND Bond No .... 576CSID8385 Premium Charge Included In Premium Charged for Performance Bond Ghilotti Bros., Inc. as Principal, ......................................................................................................................... and.........Hartford,Fira IOur�Ope, ................. a Corporation organized and existing under the laws of the Slate of Connecticut and authorized to transact surety business in the Slate of California, as Surety, are held and firmly bound unto the State of California for the use and benefit of the State Treasurer at, ex officio treasurer and custodian of the Unemployment Fund and any and all materialmen, persons, companies or corporations furnishing materials, provisions, provender or other supplies used In, upon, for or about the perform• ance of the work contracted to be executed or performed under the contract hereinafter mentioned, and all persons, companies or corporations renting or hiring teams, or Implements or machinery, for or contributing to said work to be done and all persons performing work or labor upon the same and a I persons supplying both work and materials as aforesaid, in the sum of .................................................................................................. Two Million Seven Hundred Sixty Three Thousand Eighty Eight & 00I100 — 2,763,088.00 ........illi ............... ................................................................................................................ Dollars ($ilii ilii. ................... . ). lawful money of the United States of America, for the payment whereof well and truly to be made. we hereby bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. SIGNED, sealed with our seals and dated this........................us..12th .......................... day ol........,.............Aug.....t,............2019.................... . ._._ ....... , 19-. ... ... The condition of the loregoing obligation is such that, whereas the above -bounden Principal has entered into a contract, dated... July 19th, 2019 ..-49- I with....................City of San Rafael ...................................................................................................................................................................... to do and perform the following work to wit - Street Resurfacing 2018-2019, City Project No. 11366 The Surely, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract Documents or to the Project to be performed thereunder shall in any way affect its obligations 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 Documents or to the Project NOW THEREFORE, it the shove -bounden Principal, or.........................Ghilotti Bros., Inc. ................................ sub-contraclor, fails to pay for any materiels, provisions, provender or other supplies or teams used In, upon for or about the performance of the work contracted to be done under said contract, or for any work or labor done thereon of any kind, or for amounts due under the Unemployment Insurance Act with respect to such work, the Surety on this bond will pay the some in an amount not exceeding the sum specified in this bond, and, also, In case suit is brought upon this bond, a reasonable attorney's fee to be fixed by the Court and to be laxed as costs and to be included to the judgment therein rendered; PROVIDED that this bond is filed by the Principal to comply with the provisions of Chapter 7, Title XV of the Civ I Code of California and other applicable provisions of said Tills XV relating to Public Work and ;lability hereunder is subject to the provisions of said sectio and acts amendatory thereof, and sections of other codes of the State of California referred to therein and acts amendatory thereof. Ghllotlt Bros, (m. ........ .............`........... ................... ....................... SEAL) Principal Michael M. Ghilotli, President I Treasurer ...... .............. Hsi rffg. d.Firf..{gpuranpe,Company........_................ , By �1J .. .............. �................. ......... (SEAL) Allamayln feet Kelly Hol(emann Form S-3674-3 Printed in U S A CALIFORNIA CERTIFICATE OF ACKNOWLEDGMENT LA otary public or other officer completing this certificate verifies only the identity of individual who signed the document to which this certificate is attached, and not truthfulness, accuracy, or validity of that document. State of California County of __Marin on August 14, 2019 before me, Deborah Petersen Notary Public (here insert name and title of the officer) personally appeared Michael M. Ghilotti, President who proved to me on the basis of satisfactory evidence to be the person(5) whose name(* is/ate subscribed to the within instrument and acknowledged to me that he/sheA+wy executed the same in his/he'*'reir authorized capacity(ies-), and that by his/herftheir signature(s) on the instrument the person(g), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature DEBORAH PETERSEN cc�MMr 42211932 o a Notafi► Publit • California o Z f:ln county ( omfil. €ri iris AtA. 28, 2021 (Seal) Optional Information Although the information In this section is not required by law, it could prevent fraudulent removal and reattachment of this acknowledgment to an unauthorized document and may prove useful to persons relying on the attached document. Description of Attached Document The preceding Certificate of Acknowledgment is attached to a document titled/for the purpose of containing pages, and dated The signer(s) capacity or authority is/are as: ❑ Individual(s) ❑ Attorney -•n Fact [7�CorporateOfficer(s) President Title(s) ❑ Guardian/Conservator ❑ Partner - Limited/General ❑ Trustee(s) ❑ Other: representing: Ghilotti Bros., Inc_._ Name(s) of Persons) or Entity(les) Signer Is Representing Method of Signer Identification Proved to me on the basis of satisfactory evidence: M-rm(s) of dentlficatlon 0 credible w tness(es) Notarial event is detailed in notary journal on: Page It Entry H Notary contact: Debbie Petersen Other 415.256.2239 ❑ AdditionalSigner(s) ❑ Signer(s)Thumbprint(s) 0 Copyright 2007 2016 Notary Rotary, Inc. PO Box 41400, Des Moines, IA 50311-0507 All Rights Reserved Item Number 101772 Please contact your Authorized Reseller to purchase copies of this form. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 :`GS`GL`.Pd"C. e��ik^C�.CC[�d����'b'�S�.GiSfiid.'i.L`i��iLi�6i•,G'S�.Cid'�iC'.:�iG'i',S'GAY'.L-i'.GYM.L�.Gi��.`C.f'isG'i�iG'��:i•�?�GS:CwLii�('�•'•Y�SS A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of Marin _ ) On OLAAU S � 1 Z` 2-b lel before me, Date J. DeLuca, Notary Public Here Insert Name and Title of the Officer personally appeared Kelly Holtemann Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/•ar& subscribed to the within instrument and acknowledged to me that he/she/" executed the same in his/her/their authorized capacity(ies), and that by hWherAheir signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. J. DEL CA Notary Public California z Marin County n Z " Commission # 2166061 My Comm. Expires Oct 24, 2020 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature _ Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: _._..... _ ..... .. Document Number of Pages: Signer(s) Other Than Named Above: Capacity(les) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): n Partner — n Limited �l General ❑ Individual I Attorne ' act ❑ Trustee ian or Conservator ❑ Other: _ Signer I presenting: Signer's Name: I j Corporate Officer — Title(s): _ n Partner — n Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 02014 National Notary Association • www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Name: WOODRUFF SAWYER & COMPANY Agency Code: 57-554795 X� Hartford Fire Insurance Company, a corporation duly organized under the laws of the State of Connecticut 0 Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State of Indiana 0 Hartford Accident and Indemnity Company, a corporation duly organized under the laws of the State of Connecticut Hartford Underwriters Insurance Company, a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois, a corporation duly organized under the laws of the State of Illinois Hartford Insurance Company of the Midwest, a corporation duly organized under the laws of the State of Indiana O Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut, (hereinafter collectively referred to as the "Companies") do hereby make, constitute and appoint, up to the amount of Unlimited : Nerissa S. Bartolome, Alicia Dass, Joan DeLuca, Roger C. Dickinson, Patrick R Diebel, Valerie Garcia, Nancy L. Hamilton, Kelly Holtemann, Thomas E. Hughes, Stanley D. Loar, Mark M. Munekawa, Sara Ridge, Yvonne Roncagliolo, Charles R. Shoemaker of SAN FRANCISCO, California their true and lawful Attomey(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by ®, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on May 6, 2015 the Companies have caused these presents to be signed by its Senior Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. taW i al .x� r �. 4 ��rt�--r •.ct•.re.rt : s 104 r lL+t�V•a�+ ^- 3 prA�7Y i� 1887 � e F,= R F-pt�- • 7a- n f '�►; � :Ar •+c ~ ' F '�l..r,n../` • h•tN• t„-; tp79�; F amt tp79 � c �� I979 ♦ �:�..•� �huia• �IA��aaa • �'`i •'trnei5' `rin.•.t�' l�t�?ird`. Ik e John Gray, Assistant Secretary STATE OF CONNECTICUT SS. Hartford COUNTY OF HARTFORD )) M. Ross Fisher, Senior Vice President On this 5th day of January, 2018, before me personally came M. Ross Fisher, to me known, who being by me duly sworn, did depose and say: that he resides in the County of Hartford, State of Connecticut; that he is the Senior Vice President of the Companies, the corporations described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. 4 �aNT A�/y r �� ;' �tie%.f,er�v`. � �llw�-,•� iii. ♦ �K• R Kathleen T. Maynard Notary Public CERTIFICATE My Commission Expires July 31, 2021 I, the undersigned, Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is still in full force effective as of August 12th, 2019 Signed and sealed at the City of Hartford. es�rr atty i......Mrte,i L 0�-` 1867 eL y Kevin Heckman, Assistant Vice President PCA.- i@ Direct Inquiries/Claims to: THE HARTFORD BOND, T-12 POWER OF ATTORNEY HartfOne ord, Conne ticut06155 Bond.Claims(cDthehartford.com call: 888-266-3488 or fax: 860-757-5835 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Name: WOODRUFF SAWYER & COMPANY Agency Code: 57-554795 X� Hartford Fire Insurance Company, a corporation duly organized under the laws of the State of Connecticut 0 Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State of Indiana 0 Hartford Accident and Indemnity Company, a corporation duly organized under the laws of the State of Connecticut Hartford Underwriters Insurance Company, a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois, a corporation duly organized under the laws of the State of Illinois Hartford Insurance Company of the Midwest, a corporation duly organized under the laws of the State of Indiana O Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut, (hereinafter collectively referred to as the "Companies") do hereby make, constitute and appoint, up to the amount of Unlimited : Nerissa S. Bartolome, Alicia Dass, Joan DeLuca, Roger C. Dickinson, Patrick R Diebel, Valerie Garcia, Nancy L. Hamilton, Kelly Holtemann, Thomas E. Hughes, Stanley D. Loar, Mark M. Munekawa, Sara Ridge, Yvonne Roncagliolo, Charles R. Shoemaker of SAN FRANCISCO, California their true and lawful Attomey(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by ®, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on May 6, 2015 the Companies have caused these presents to be signed by its Senior Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. taW i al .x� r �. 4 ��rt�--r •.ct•.re.rt : s 104 r lL+t�V•a�+ ^- 3 prA�7Y i� 1887 � e F,= R F-pt�- • 7a- n f '�►; � :Ar •+c ~ ' F '�l..r,n../` • h•tN• t„-; tp79�; F amt tp79 � c �� I979 ♦ �:�..•� �huia• �IA��aaa • �'`i •'trnei5' `rin.•.t�' l�t�?ird`. Ik e John Gray, Assistant Secretary STATE OF CONNECTICUT SS. Hartford COUNTY OF HARTFORD )) M. Ross Fisher, Senior Vice President On this 5th day of January, 2018, before me personally came M. Ross Fisher, to me known, who being by me duly sworn, did depose and say: that he resides in the County of Hartford, State of Connecticut; that he is the Senior Vice President of the Companies, the corporations described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. 4 �aNT A�/y r �� ;' �tie%.f,er�v`. � �llw�-,•� iii. ♦ �K• R Kathleen T. Maynard Notary Public CERTIFICATE My Commission Expires July 31, 2021 I, the undersigned, Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is still in full force effective as of August 12th, 2019 Signed and sealed at the City of Hartford. es�rr atty i......Mrte,i L 0�-` 1867 eL y Kevin Heckman, Assistant Vice President PCA.- i@ Contract Bond Public Work California KNOW ALL MEN BY THESE PRESENTS - 4:_ THE HARTFORD. Hartford Plaza, Hartford, Connecticut 06115 Duplicate Original Bond Executed in Triplicate PERFORMANCE BOND Bond No. 57BCSID8385 Premium Charge $1.9,1.59... That we, Ghilotti Bros., Inc. as Principal, and the Hartford Fire Insurance Company , a Corporation organized and existing under the laws of the State of Connecticut and authorized to transact surety business in the State of California, as Surety, are held and firm'y bound unto City of. San Rafael.... . in the sum of Two Million Seven Hundred Sixty Three Thousand Eighty Eight & 00/100 -- Dollars ($ 2, . 763,088.00 . ), lawful money of the United States of America, for the payment whereof, well and truly to be made, we hereby bind ourselves, our heirs, exec- utors, administrators, successors and assigns. jointly and severally, firmly by these presents. SIGNED, sealed with our seals, and dated this 12th day of .. August, 2019 44 - The condition of the foregoing obligation is such that, whereas the above bounden Principal has entered Into a contract dated.. July 19th, 201919 with said City of San Rafael to do and perform the following work, to -wit: Street Resurfacing 2018-2019, City Project No. 11366 The Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or add'.lion to the terms of lheContracl Documents or to the Project to be performed thereunder shall in any way affect its obligations 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 Documents or to the Project. NOW, THEREFORE, if the above -bounden Principal shall well and truly perform, or cause to be performed, each and all of the requirements and obligations of said contract to be performed by said Principal, as in said contract set forth, then this bond shall be null and void:. other- wise It shall remain in full force and effect. Ghilotti Bros., Inc. Y .. Principal (SEAL) Michael M. Ghilotti, President / Treasurer Hartford Fire Innsuurra/nce Company BY....... ..0 L4L 17T L (SEAL) Attorney-in-fact Kelly Holtemann Form 5-3665-1 (HF) Printed In U.S.A. CALIFORNIA CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of Marin ) On _August 14, 2019 before me, Deborah Petersen, Notary Public (here insert name and title of the officer) personally appeared Michael M. Ghilotti, President I U who proved to me on the basis of satisfactory evidence to be the person(g) whose name(* is/are subscribed to the within instrument and acknowledged to me that he/sheAhey executed the same in his/herftheit' authorized capacity(ies), and that by his/herftl•teir signature(!-) on the instrument the person(sr), or the entity upon behalf of which the person(a) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS my hand and official seal. Signature DEBORAH PETERSEN COMM. #2211932 z °� Notary Public • California o Z Marin County Comm. Ex ire! 2a, 2021 (Seal) Optional Information Although the information In this section is not required by law, it could prevent fraudulent removal and reattachment of this acknowledgment to an unauthorized document and may prove useful to persons relying on the attached document. Description of Attached Document The preceding Certificate of Acknowledgment is attached to a document titled/for the purpose of containing pages, and dated _ The signer(s) capacity or authority is/are as: ❑ Individual(s) ❑ Attorney in Fact [7) Corporate Officer(s) President , Titles) Guardian/Conservator ❑ Partner - Limited/General ❑ Trustee(s) ❑ Other- representing: ther representing: Ghilotti Bros, Inc. _ _ Name(s] of Person(s) or Entity(les) Signer Is Representing Method of Signer Identification Proved to me on the basis of satisfactory evidence: (Yjorm(s) of Identification 0 credible witness(es) Notarial event is detailed in notary journal on: Page It Entry N Notary contact: Debbie Petersen Other 415.256.2239 ❑ AdditionalSigner(s) ❑ Signer(s)Thumbprint(s) 0 Copyright 2007-2016 Notary Rotary, Inc. PO Box 41400, Des Moines, IA 50311-0507. All Rights Reserved Item Number 101772 Please contact your Authorized Reseller to purchase copies of this form CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 :`Cry.SSS:S�CC.�C'.L'.C'>Li.�'df'.C�vr.Y'S�}Ci'•£7SvGQ.fiaLY'.Qf'.CC.LYY6iy'GY�.GY',tit'Y.'R?C.Li'tiY'�2.Y5G'f)C7C.CfSL��'iG`i�iGC)G'%'GuS`�:i',fi'��4�i'�Yi '•.t -^C• LCf:C�iS:C.Cai`ufat'k:S'.L A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of _. _. _ Marin On QA,(dtAtS+ ( 2-1 U 19 before me, Date personally appeared J. DeLuca, Notary Public Here Insert Name and Title of the Officer Kelly Holtemann Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/ar& subscribed to the within instrument and acknowledged to me that h&she/#My executed the same in hWher/their authorized capacity(les), and that by his/her/#-heif signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Place Notary Seal Above I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Signature of Notary Public OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: O Corporate Officer — Title(s): ❑ Partner — ❑ Limited F1 General ❑ Individual I ' Attorne " ac ❑ Trustee tan or Conservator ❑ Other: __ Signer I presenting: Signer's Name: Corporate Officer — Title(s): Partner — 1-1 Limited ❑ General Individual ❑ Attorney in Fact Trustee ❑ Guardian or Conservator Other: Signer Is Representing: �c,�:c.�x:c:�,�s:�.�c:z;�:c;•c:.cxx,�.�ccx:<,�c_:cex.�c.�z�.c.�,�c.�c-�,�cxJc,�x;cx:t.�.u.�cx;tx=c.�x:cslz�v�-t.�c.�uAu:�z,�c^r=�,�=c,�?c;�ec: 02014 National Notary Association - www.NationalNotary.org - 1 -800 -US NOTARY (1-800-876-6827) Item #5907 J J. DELUCA j (Votary Public - California Marin County <~ j, i Conrnissi0r, ;r 2166061 D _MY Conn. Expires Oct 24, 2020 Place Notary Seal Above I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Signature of Notary Public OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: O Corporate Officer — Title(s): ❑ Partner — ❑ Limited F1 General ❑ Individual I ' Attorne " ac ❑ Trustee tan or Conservator ❑ Other: __ Signer I presenting: Signer's Name: Corporate Officer — Title(s): Partner — 1-1 Limited ❑ General Individual ❑ Attorney in Fact Trustee ❑ Guardian or Conservator Other: Signer Is Representing: �c,�:c.�x:c:�,�s:�.�c:z;�:c;•c:.cxx,�.�ccx:<,�c_:cex.�c.�z�.c.�,�c.�c-�,�cxJc,�x;cx:t.�.u.�cx;tx=c.�x:cslz�v�-t.�c.�uAu:�z,�c^r=�,�=c,�?c;�ec: 02014 National Notary Association - www.NationalNotary.org - 1 -800 -US NOTARY (1-800-876-6827) Item #5907 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Name: WOODRUFF SAWYER & COMPANY Agency Code:__5 7 - 554795 FX I Hartford Fire Insurance Company, a corporation duly organized under the laws of the State of Connecticut Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State of Indiana 0 Hartford Accident and Indemnity Company, a corporation duly organized under the laws of the State of Connecticut Hartford Underwriters Insurance Company, a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois, a corporation duly organized under the laws ofthe State of Illinois Hartford Insurance Company of the Midwest, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut, (hereinafter collectively referred to as the "Companies") do hereby make, constitute and appoint, up to the amount of Unlimited : Nerissa S. Bartolome, Alicia Dass, Joan DeLuca, Roger C. Dickinson, Patrick R Diebel, Valerie Garcia, Nancy L. Hamilton, Kelly Holtemann, Thomas E. Hughes, Stanley D. Loar, Mark M. Munekawa, Sara Ridge, Yvonne Roncagliolo, Charles R. Shoemaker of SAN FRANCISCO, California their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by ®, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on May 6, 2015 the Companies have caused these presents to be signed by its Senior Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. .�%�Y1Y 71y4 �e+0irr tr ��,'trs.yl ,"�•�.,y ��+M•�V q r a `rr96"'W. E 10�'r 7v�f•T fr ' 'got _.F SOY 'r �►� :�,• •F '�� �rrr,M1lrl; • �••Ntl' tr :�. ie E •"t Z97 4 f� 1919 f �:j..:.' 1, 4•�qN Ip •� rf ► .,�tll,•oy15/•� rIr1U�' • \•f(j�• John Gray, Assistant Secretary M. Ross Fisher, Senior Vice President STATE OF CONNECTICUT ss. Hartford COUNTY OF HARTFORD On this 5th day of January, 2018, before me personally came M. Ross Fisher, to me known, who being by me duly sworn, did depose and say: that he resides in the County of Hartford, State of Connecticut; that he is the Senior Vice President of the Companies, the corporations described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. rani "r+r f �� f Kathleen T. Maynard Notary Public CERTIFICATE My Commission Expires July 31, 2021 I, the undersigned, Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is still in full force effective as of August 12th, 2019 Signed and sealed at the City of Hartford. ,Itrs t q �rO•� ?•.r rN•.Eu4'. i a �Q� n f�putt. ��, C� .F0Y 1567 � • • ,'o; • 513. • :•_ � w' �a; a 7 ,rrr, • •tM� ' - 10 9 ret ! 0 r at 0s., 3 --� - • 4�--w '4 .t !� 0;:.:, 7 :- i:_\ ._• 1979 Kevin Heckman, Assistant Vice President KR A_ :k Direct Inquiries/Claims to: THE HARTFORD BOND, T-12 POWER OF ATTORNEY HartfOne ord, Conne ticut06155 Bond.Claims(cbthehartford.com call: 888-266-3488 or fax: 860-757-5835 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Name: WOODRUFF SAWYER & COMPANY Agency Code:__5 7 - 554795 FX I Hartford Fire Insurance Company, a corporation duly organized under the laws of the State of Connecticut Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State of Indiana 0 Hartford Accident and Indemnity Company, a corporation duly organized under the laws of the State of Connecticut Hartford Underwriters Insurance Company, a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois, a corporation duly organized under the laws ofthe State of Illinois Hartford Insurance Company of the Midwest, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut, (hereinafter collectively referred to as the "Companies") do hereby make, constitute and appoint, up to the amount of Unlimited : Nerissa S. Bartolome, Alicia Dass, Joan DeLuca, Roger C. Dickinson, Patrick R Diebel, Valerie Garcia, Nancy L. Hamilton, Kelly Holtemann, Thomas E. Hughes, Stanley D. Loar, Mark M. Munekawa, Sara Ridge, Yvonne Roncagliolo, Charles R. Shoemaker of SAN FRANCISCO, California their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by ®, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on May 6, 2015 the Companies have caused these presents to be signed by its Senior Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. .�%�Y1Y 71y4 �e+0irr tr ��,'trs.yl ,"�•�.,y ��+M•�V q r a `rr96"'W. E 10�'r 7v�f•T fr ' 'got _.F SOY 'r �►� :�,• •F '�� �rrr,M1lrl; • �••Ntl' tr :�. ie E •"t Z97 4 f� 1919 f �:j..:.' 1, 4•�qN Ip •� rf ► .,�tll,•oy15/•� rIr1U�' • \•f(j�• John Gray, Assistant Secretary M. Ross Fisher, Senior Vice President STATE OF CONNECTICUT ss. Hartford COUNTY OF HARTFORD On this 5th day of January, 2018, before me personally came M. Ross Fisher, to me known, who being by me duly sworn, did depose and say: that he resides in the County of Hartford, State of Connecticut; that he is the Senior Vice President of the Companies, the corporations described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. rani "r+r f �� f Kathleen T. Maynard Notary Public CERTIFICATE My Commission Expires July 31, 2021 I, the undersigned, Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is still in full force effective as of August 12th, 2019 Signed and sealed at the City of Hartford. ,Itrs t q �rO•� ?•.r rN•.Eu4'. i a �Q� n f�putt. ��, C� .F0Y 1567 � • • ,'o; • 513. • :•_ � w' �a; a 7 ,rrr, • •tM� ' - 10 9 ret ! 0 r at 0s., 3 --� - • 4�--w '4 .t !� 0;:.:, 7 :- i:_\ ._• 1979 Kevin Heckman, Assistant Vice President KR A_ :k Contract Bond Public Work — California KNOW ALL MEN BY THESE PRESENTS' That we, Jk THE HARTFORD Duplicate Original Bond Executed in Triplicate LABOR AND MATERIAL PAYMENT BOND Bond No..,57BCSID8386 ...... Premium Charge Included In Premium Charged for Performance Bond Ghilotti Bros., Inc. ............... as Principal, ............. Bros., .....,.................................................................... and ....... Hartford, Fire IOsuraOpe, Cornparly„ ............ ..................... a Corporation organized and existing under the laws of the State of Connecticut and authorized to transact surety business In the State of California, as Surety, are held and firmly bound unto the State of California for the use and benefit of the State Treasurer as ex officio treasurer and custodian of the Unemployment Fund and any and all materialmen, persons, companies or corporations furnishing materials, provisions, provender or other supplies used in, upon, for or about the perform- ance of the work contracted to be executed or performed under the contract hereinafter mentioned, and all persons, companies or corporations renting or hiring teams, or Implements or machinery, for or contributing to said work to be done, and all persons performing work or labor upon the same and all persons supplying both work and materials as aforesaid, in the sum of..................................................................................................... Two Million Seven Hundred Sixty Three Thousand Eighty Eight & 00/100 — 2,763,088.00 .......................................................................................................................................Dollars($................................................}. lawful money of the United States of America, for the payment whereof well and truly to be made, we hereby bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. SIGNED, sealed with our seals and dated This..............................12th .......... ....... day ol...,........... ....Au..g.....ust.., .. 2019 ............. ........ ...................... 19 ...... The condition of the foregoing obligation is such that, whereas the above -bounden Principal has entered into a contract, dated... July 19th: 2019 ............. ......... with ........... ........... City of San Rafael....--............-._.-................... ..................... ... .............................................................................................................................................................. to do and perform the following work, to wit: Street Resurfacing 2018-2019, City Project No. 11366 The Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract Documents or to the Project to be performed thereunder shall in any way affect its obligations 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 Documents or to the Project NOW THEREFORE, it the shove -bounden Principal, or.........................Ghilotti Bros., Inc .............................. sub -contractor, fails to pay for any materials, provisions, provender or other supplies or teams, used In, upon, for or about the performance of the work contracted to be done under said contract, or for any work or labor done thereon of any kind, or for amounts due under the Unemployment Insurance Act with respect to such work, the Surety on this bond will pay the same. in an amount not exceeding the sum specified In this bond, and, also, In case suit is brought upon this bond, a reasonable attorney's fee to be fixed by the Court and to be taxed as costs and to be included in the judgment therein rendered; PROVIDED that this bond is filed by the Principal to comply with the provisions of Chapter 7, Title XV of the Civ I Code of California and other applicable provisions of said Title XV relating to Public Work and 'lability hereunder is subject to the provisions of said section and acts amendatory thereof, and sections of other codes of the State of California referred to therein and acts amendatory thereof. Ghilottl Bros, Inr_ ................ } Principe Michael M. Ghilotti, President I Treasurer .....................HB�Qfd..Fit:� �tlrurance,CornpanY......................... r L (SEAL) PJy.........................._............................. } Atlorneyin4aet 1 Kelly Holtemann Form S-3574-3 Printed in LI S A CALIFORNIA CERTIFICATE OF ACKNOWLEDGMENT A notary public or other, officer completing this certificate verifies only the identity of the Individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of _Marin _ ) on August 14, 2019 before me, Deborah Petersen, Notary Public (here Insert name and title of the officer) personally appeared Michael M. Ghilotti, President who proved to me on the basis of satisfactory evidence to be the person(s) whose names} is/afe subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/herfthreitr authorized capacity(itt), and that by his/heritheir signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.. WITNESS my hand and official seal. Signature r'AIMZ' % DEBORAH PETERSEN COMM, #2211932 z Notary Public • California o Marin County Comm, Expires . 28, 2021 (Seal) Optional Information Although the information in this section is not required by law, it could prevent fraudulent removal and reattachment of this acknowledgment to an unauthorized document and may prove useful to persons relying on the attached document. Description of Attached Document The preceding Certificate of Acknowledgment is attached to a document titled/for the purpose of containing pages, and dated The signer(s) capacity or authority is/are as: ❑ Individual(s) ❑ Attorney :n Fact [ -*Corporate Officer(s) President Title(s) ❑ Guard an/Conservator ❑ Partner - L mited/General ❑ Trustee(s) ❑ Other: representing: Ghilotti Bros. Inc. Name(s) of Person(s) or Entity(les) Signer Is Representing Method of Signer Identification Proved to me on the basis of satisfactory ev dente: CYJorm(s) of dentification r) credible w tness(es) Notarial event is detailed in notary journal on: Page if Entry 8 Notary contact: Debbie Petersen Other 415.256.2239 Additional Signer(s) ❑ Signer(s) Thumbprint(s) El 0 Copyright 2007-2016 Notary Rotary, Inc. PO Box 41400, Des Moines, IA 50311-0507. All Rights Reserved. Item Number 101772. Please contact your Authorized Reseller to purchase copies of this form. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Marin On CW!%i.S'- i U lq before me, Date personally appeared DeLuca, Notary Public Hen: Insert Name and Title of the Officer Kelly Holtemann Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/ar& subscribed to the within instrument and acknowledged to me that He/she/they executed the same in hWher/flieir authorized capacity(les), and that by his/her/theif signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signat m J Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): F-1 Partner — F] Limited ❑ General ❑ Individual I ' Attorne ' ac ❑ Trustee ian or Conservator ❑ Other: _ Signer I presenting: 8fgner's Name: i i Corporate Officer — Title(s): F1 Partner — n Limited F1 General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 02014 National Notary Association • www-NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 J. DELUCA f Notary Public -California _; •-;,^�� Marin County Commissior. 21GGOG1 fvly �,— COMM. E;; 2020 � —_ Aires Oct 2A, i, I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signat m J Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): F-1 Partner — F] Limited ❑ General ❑ Individual I ' Attorne ' ac ❑ Trustee ian or Conservator ❑ Other: _ Signer I presenting: 8fgner's Name: i i Corporate Officer — Title(s): F1 Partner — n Limited F1 General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 02014 National Notary Association • www-NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Name: WOODRUFF SAWYER & COMPANY Agency Code: 57-554795 0 Hartford Fire Insurance Company, a corporation duly organized under the laws of the State of Connecticut 0 Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Accident and Indemnity Company, a corporation duly organized under the laws of the State of Connecticut Hartford Underwriters Insurance Company, a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois, a corporation duly organized under the laws of the State of Illinois Hartford Insurance Company of the Midwest, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut, (hereinafter collectively referred to as the "Companies") do hereby make, constitute and appoint, up to the amount of Unlimited : Nerissa S. Bartolome, Alicia Dass, Joan DeLuca, Roger C. Dickinson, Patrick R Diebel, Valerie Garcia, Nancy L. Hamilton, Kelly Holtemann, Thomas E. Hughes, Stanley D. Loar, Mark M. Munekawa, Sara Ridge, Yvonne Roncagliolo, Charles R. Shoemaker of SAN FRANCISCO, California their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by ®, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on May 6, 2015 the Companies have caused these presents to be signed by its Senior Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. o • 1*87 ZZ ,�R� •���'brwavN r '�,�`+li�cnPe•r..rrnel.paaw4/1 ` : :• ••0R•I4MIi :�:.trvrv+f•�rr-l•r0-a°.)1■;tetr�'�70ueL 03/ ,�+;` 3 ,.w1o9o7•9" :. • John Gray, Assistant Secretary M. Ross Fisher, Senior Vice President STATE OF CONNECTICUT ss. Hartford COUNTY OF HARTFORD ) On this 5th day of January, 2018, before me personally came M. Ross Fisher, to me known, who being by me duly swom, did depose and say: that he resides in the County of Hartford, State of Connecticut; that he is the Senior Vice President of the Companies, the corporations described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. `vr{r "r�r tic�i.lrc.ti. ♦ ��• R Kathleen T. Maynard Notary Public CERTIFICATE My Commission Expires July 31, 2021 I, the undersigned, Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is still in full force effective as of August 12th, 2019 Signed and sealed at the City of Hartford. rruW imogq tt "ptrs e • `, 199 arir : a ►0� r I �� r�tvup„�c. `. 3 Raosott •+ ` � 1967 ., ' • i`of 1pg9 F` ice: • r� • tea•► Ar •�' 'r �t �*� •r.. .�: y _ :: Iy79 � • 1979 • } a.. � � ��•P � law • r •�rva'ru•oK `r•Crru•' M�Z�r3`• Kevin Heckman, Assistant Vice President POA 2018 Direct Inquiries/Claims to: THE HARTFORD BOND, T-12 POWER OF ATTORNEY HartfOne ord, Conne tcut06155 Bond.Claims(d_)thehartford.com call. 888-266-3488 or fax: 860-757-5835 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Name: WOODRUFF SAWYER & COMPANY Agency Code: 57-554795 0 Hartford Fire Insurance Company, a corporation duly organized under the laws of the State of Connecticut 0 Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Accident and Indemnity Company, a corporation duly organized under the laws of the State of Connecticut Hartford Underwriters Insurance Company, a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois, a corporation duly organized under the laws of the State of Illinois Hartford Insurance Company of the Midwest, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut, (hereinafter collectively referred to as the "Companies") do hereby make, constitute and appoint, up to the amount of Unlimited : Nerissa S. Bartolome, Alicia Dass, Joan DeLuca, Roger C. Dickinson, Patrick R Diebel, Valerie Garcia, Nancy L. Hamilton, Kelly Holtemann, Thomas E. Hughes, Stanley D. Loar, Mark M. Munekawa, Sara Ridge, Yvonne Roncagliolo, Charles R. Shoemaker of SAN FRANCISCO, California their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by ®, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on May 6, 2015 the Companies have caused these presents to be signed by its Senior Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. o • 1*87 ZZ ,�R� •���'brwavN r '�,�`+li�cnPe•r..rrnel.paaw4/1 ` : :• ••0R•I4MIi :�:.trvrv+f•�rr-l•r0-a°.)1■;tetr�'�70ueL 03/ ,�+;` 3 ,.w1o9o7•9" :. • John Gray, Assistant Secretary M. Ross Fisher, Senior Vice President STATE OF CONNECTICUT ss. Hartford COUNTY OF HARTFORD ) On this 5th day of January, 2018, before me personally came M. Ross Fisher, to me known, who being by me duly swom, did depose and say: that he resides in the County of Hartford, State of Connecticut; that he is the Senior Vice President of the Companies, the corporations described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. `vr{r "r�r tic�i.lrc.ti. ♦ ��• R Kathleen T. Maynard Notary Public CERTIFICATE My Commission Expires July 31, 2021 I, the undersigned, Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is still in full force effective as of August 12th, 2019 Signed and sealed at the City of Hartford. rruW imogq tt "ptrs e • `, 199 arir : a ►0� r I �� r�tvup„�c. `. 3 Raosott •+ ` � 1967 ., ' • i`of 1pg9 F` ice: • r� • tea•► Ar •�' 'r �t �*� •r.. .�: y _ :: Iy79 � • 1979 • } a.. � � ��•P � law • r •�rva'ru•oK `r•Crru•' M�Z�r3`• Kevin Heckman, Assistant Vice President POA 2018 CONTRACT ROUTING FORM INSTRUCTIONS: Use this cover sheet to circulate all contracts for review and approval in the order shown below. TO BE COMPLETED BY INITIATING DEPARTMENT PROJECT MANAGER: Contracting Department: Public Works Project Manager: Shawn Graf Extension: 5347 Contractor Name: Ghilotti Bros Contractor's Contact: Dennis Huette Contact's Email: dennish@ghilottibros.com ❑ FPPC: Check if Contractor/Consultant must file Form 700 S T RESPONSIBLE DESCRIPTION COMPLETED REVIEWER Public Works Contract > $125,000 DEPARTMENT Date of Council approval DATE Check/Initial 1 Project Manager a. Email PINS Introductory Notice to Contractor Q Forward signed original agreements to City SG SG b. Email contract (in Word) & attachments to City City Attorney SG Atty c/o Laraine.Gittens@cityofsanrafael.org agreement Review and approve insurance in PINS , and bonds Q 2 City Attorney + a. Review, revise, and comment on draft agreement 7/15/2019 ❑ for Public Works Contracts and return to Project Manager ❑ City Manager/ Mayor City Clerk Agreement executed by Council authorized official Attest signatures, retains original agreement and b. Confirm insurance requirements, create Job on 9 p Z PINS, send PINS insurance notice to contractor forwards copies to Project Manager 3 Project Manager Forward three (3) originals of final agreement to 7/16/2019 ❑x contractor for their signature SG F4 Project Manager When necessary, * contractor -signed agreement ❑ N/A agendized for Council approval *PSA > $20,000; or Purchase > $35,000; or Or ❑X Public Works Contract > $125,000 PRINT Project Manager Date of Council approval 7/15/2019 SG CONTINUE ROUTING PROCESS WITH HARD COPY 8/5/2019 5 Forward signed original agreements to City SG Attorney with printed copy of this routing form Review and approve hard copy of signed 6 City Attorney agreement Review and approve insurance in PINS , and bonds 7 City Attorney 71 141 for Public Works Contracts j 4 8 City Manager/ Mayor City Clerk Agreement executed by Council authorized official Attest signatures, retains original agreement and /G 9 p Z forwards copies to Project Manager 0'Z to,