No preview available
HomeMy WebLinkAboutPW Public Safety Center Demolition1� SAN RAFAEL Agenda Item No: 5.c THE CITY WITH A MISSION Meeting Date: August 21, 2017 SAN RAFAEL CITY COUNCIL AGENDA REPORT Department: Public Works S\ i - Prepared by: Bill Guerin, City Manager Approval: Director of Public Works File No.: 06.01.XXX TOPIC: DEMOLITION FOR NEW PUBLIC SAFETY CENTER SUBJECT: RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN RAFAEL AWARDING A CONSTRUCTION CONTRACT TO CVE CONTRACTING GROUP, INC., DBA CENTRAL VALLEY ENVIRONMENTAL, FOR THE CITY OF SAN RAFAEL PUBLIC SAFETY CENTER DEMOLITION PROJECT, PROJECT NO. 11291 (BID OPENING TUESDAY JULY 25TH 2017), IN AN AMOUNT OF $937,000 RECOMMENDATION: Staff recommends that the City Council adopt the resolution to accept the bid from CVE Contracting Group, Inc. doing business as Central Valley Environmental ("CVE") and execute an agreement for CVE to provide services for the demolition and site preparation of the new Public Safety Center. BACKGROUND: The City hired Mary McGrath Architects and Kitchell Construction Management in 2014 to design and manage the construction of the City's Essential Facilities program consisting of two new fire stations, a new Public Safety Center, and improvements to multiple other essential facilities within the City. Since that time, staff has made significant progress in delivering the program including the design of both Fire Stations 52 and 57, the demolition of the two existing facilities, the award of a construction contract for the two new fire stations, and the near completion of the design for the Public Safety Center. Staff is asking the Council to approve the next step in our essential facilities program, the demolition and excavation of the future Public Safety Center (PSC) site. The site currently occupied by the existing Fire Stations 51, 1313 Fifth Street, the Parking Services Building and an adjacent public parking lot are the site for the new PSC. The design for the PSC project has been approved by the Design Review Board and the Planning Commission. The final design is nearly complete and the City's building official is currently reviewing the final construction documents for approval. In order to ensure that the site is ready for the construction of the new PSC, the demolition and excavation needs to be completed first in order to ensure that any unknown underground issues are identified and removed. FOR CITY CLERK ONLY File No.: 4-1-710x12-22 Council Meeting: 08/21/2017 Disposition: Resolution 14381 SAN RAFAEL CITY COUNCIL AGENDA REPORT / Pa2e: 2 The demolition and excavation for the PSC project was advertised in accordance with San Rafael's Municipal Code on June 28, 2017. The engineer's estimate was $955,000. On July 25, 2017 at 2:00 pm the following bid was received: NAME OF BIDDER AMOUNT Central Valley Environmental $937,000 ANALYSIS: The Department of Public Works and Kitchell, the City's Construction Project Management firm, have reviewed the bid document and find it to be complete and in compliance. The City's construction estimating firm, Lee Saylor Associates also performed an analysis of the submitted bid, which fully accounted for the current market rate. After the bid opening, the project management team met with CVE to discuss the proposed work and identified several areas where project savings can be realized. The team negotiated a $95,000 deductive change order from CVE, removing de -watering ($20,000), selective demolition (deconstruction) ($55,000) and additional savings ($20,000). Dewatering is not required because the excavation will be limited to work above the water table. Selective demolition will be contracted for separately, using a small business contractor, Grey Industries that will salvage historic/cultural items from Fire Station #51 which will be stored and saved until the new PSC is completed. The items to be salvaged include the following: o Spiral Staircase o Fire Pole with Eagle top o Garage doors — salvage 2 of the best of 4 o Exterior "SRFD" iron railing on the front elevation of the building o Knob/ tube Electrical box o Fire Bell o Placards / Signage / Red Lights o Flag Pole o Brick Grey Industries will also provide selective demolition at 1313 Fifth Street including approximately 20 wood framed windows, the vintage interior and exterior doors, and a portion of the wood siding. The City Council is asked under a subsequent agenda item to consider this $95,000 deductive change - order from the CVE to reduce the demolition and excavation project cost. City staff is negotiating with a Gray Industries, Inc., a local small salvage contractor, and the selective demolition will be accomplished just prior to, or during, the time in which CVE mobilizes for the full demolition of the site. Removal of these specialty items will allow CVE to expeditiously demolish the remaining structures. The contract with Grey industries has not been finalized but staff expects to award a contract of not more than $15,000 to $20,000 that represents a significant savings from the $55,000 removed from CVE's contract. The selective demolition will be funded through a sustainability grant not to exceed $30,000. PUBLIC OUTREACH: City staff from Community Development, Public Works, the Fire Department, and the City Manager's Office participated in public outreach to neighbors and other interested parties at a community meeting on August 20, 2017. For more information on public outreach, please see the Essential Facilities Public Input webpage at www.citvofsanrafael.orci/departments/facilities/ which also includes the project -specific communications plan. SAN RAFAEL CITY COUNCIL AGENDA REPORT / Page: 3 FISCAL IMPACT: This project is supported by Measure E revenues in the City's General Fund. The City is using a combination of accumulated funds and anticipated, future bond proceeds to support this contract. Funding Source Funding Source Amount Note(s) Original Budget Amount Measure E $983,850 Total Available Funds $983,850 Expenses Category -Eden Expense Code I Amount I Note(s) Demolition & Excavation Construction Contract Construction -02 $937,000 (CVE) $42,100 Demolition and Excavation Contingency (5%)* Total Expenses $979,100 * Staff requests that a change -order contingency of 5 percent of the contract value be added to the construction budget to address unforeseen conditions and other changes requested by the contractor or required by the City. Such change -orders will be administered and approved by the Facility Subcommittee or its expressed designees. Note: Upon execution of this contract, staff will ask the City Council to consider a deductive change order to the CVE contract in the amount of $95,000. If approved by Council, the total value of the CVE contract will be $842,000 ($937,000-$95,000). With the addition of five percent contingency, the total not to exceed amount of the demolition and excavation contract will be $884,100. OPTIONS: 1. Adopt the resolution awarding the contract to CVE in the amount of $937,000. If this option is chosen, demolition and excavation will commence as soon as possible. 2. Do not award the contract and direct staff to rebid the project. If this option is chosen, rebidding will delay construction and could incur additional costs should the revised bids come in higher. ACTION REQUIRED: Adopt the resolution awarding the construction contract to CVE in the amount of $937,000. ATTACHMENTS: 1. Resolution 2. Central Valley Environmental Bid RESOLUTION NO. 14381 RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN RAFAEL AWARDING A CONSTRUCTION CONTRACT TO CVE CONTRACTING GROUP, INC., DBA CENTRAL VALLEY ENVIRONMENTAL, FOR THE CITY OF SAN RAFAEL PUBLIC SAFETY CENTER DEMOLITION PROJECT, PROJECT NO. 11291, IN THE AMOUNT OF $937,000 WHEREAS, on the 25th day of July, 2017, pursuant to due and legal notice published in the manner provided by law, inviting sealed bids or proposals for the work hereinafter mentioned, as more fully appears from the Affidavit of Publication thereof on file in the office of the City Clerk of the City of San Rafael, California, the City Clerk of said City did publicly open, examine, and declare all sealed bids or proposals for doing the following work in said City, to wit: "Essential Facilities Demolition Project — Public Safety Center" City Project No. 11291 in accordance with the plans and specifications therefore on file in the office of said City Clerk; and WHEREAS, only a single bid was received, from CVE Contracting Group, Inc., doing business as Central Valley Environmental (hereafter, "Central Valley Environmental"); City Staff has reviewed the bid proposal of $937,000 from Central Valley Environmental, and find it to be complete and in compliance with the contract documents; and WHEREAS, the bid specifications for the project specify that the award of the agreement for the project shall be awarded to the lowest responsible and responsive bidder, and WHEREAS, Central Valley Environmental is the lowest responsible and responsive bidder for the aforementioned project; and WHEREAS, there are sufficient funds in the Measure E — Public Safety Improvements fund to support this contract. 1 NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF SAN RAFAEL RESOLVES as follows: 1. The bid from Central Valley Environmental is hereby accepted at the unit prices stated in its bid, and the agreement for Essential Facilities Demolition Project — "Public Safety Center" is hereby awarded to Central Valley Environmental. 2. The City Manager and the City Clerk are authorized and directed to execute an agreement for the aforementioned project with Central Valley Environmental, subject to final approval as to form by the City Attorney, in the amount of $937,000, and to return the bidder's bond upon the execution of the agreement. 3. A change -order contingency of 5 percent of the contract value is hereby added to the construction budget to address unforeseen conditions and other changes requested by the contractor or required by the City. Such change -orders may be administered and approved by the City Council Facility Sub -Committee or its expressed designees. 4. Funds totaling $983,850 have been appropriated for City Project No. 11291 from the Measure E- Public Safety Improvements. I, ESTHER C. BEIRNE, Clerk of the City of San Rafael, hereby certify that the foregoing Resolution was duly and regularly introduced and adopted at a regular meeting of the City Council of said City held on Monday, the 2I st day of August, 2017 by the following vote, to wit: AYES: COUNCILMEMBERS: Bushey, Gamblin, McCullough and Mayor Phillips NOES: COUNCILMEMBERS: None ABSENT: COUNCILMEMBERS: Colin A-- Je&4_r ESTHER C. BEIRNE, City Clerk 2 00 5213 - AGREEMENT THIS AGREEMENT, dated this 6 day of 9 , 2017, by and between CVE Contracting Group Inc., d/b/al Central Valley Environmental whose place of business is located at: 4263 N. Selland Ave., Fresno, CA 93722 ("Contractor"), and the CITY OF SAN RAFAEL (sometimes referred to herein as "Owner") acting under and by virtue of the authority vested in the City of San Rafael by the laws of the State of California. WHEREAS, City of San Rafael, by its Resolution No. 4381 adopted on the 21 st day of August, awarded to Contractor the following contract: CITY OF SAN RAFAEL ESSENTIAL FACILITIES DEMOLITION PROJECT — PUBLIC SAFETY CENTER NOW, THEREFORE, in consideration of the mutual covenants hereinafter set forth, Contractor and City of San Rafael agree as follows: Article 1. Work 1.1 Contractor shall complete all Work specified in the Contract Documents, in accordance with the Specifications, Drawings, and all other terms and conditions of the Contract Documents. Article 2. City of San Rafael Representative and Construction Manager 2.1 City of San Rafael has designated Bill Guerin Director of Public Works to act as City of San Rafael Representative(s), who will represent City of San Rafael in performing City of San Rafael duties and responsibilities and exercising City of San Rafael rights and authorities in Contract Documents. City of San Rafael may change the individual(s) acting as City of San Rafael Representative(s), or delegate one or more specific functions to one or more specific City of San Rafael Representatives, including without limitation engineering, architectural, inspection and general administrative functions, at any time with notice and without liability to Contractor. Each City of San Rafael Representative is the beneficiary of all Contractor obligations to City of San Rafael, including without limitation, all releases and indemnities. 2.2 City of San Rafael has designated Kitchell to act as Construction Manager (CM). City of San Rafael may assign all or part of the City of San Rafael Representative's rights, responsibilities and duties to Construction Manager. City of San Rafael may change the identity of the Construction Manager at any time with notice and without liability to Contractor. 2.3 All notices or demands to City of San Rafael under the Contract Documents shall be submitted to the City of San Rafael 's Representative at: Kitchell — Jamie Milliner, Project Manager c/o The City of San Rafael, 1400 Fifth Avenue San Rafael, CA 94901 or to such other person(s) and address(es) as City of San Rafael shall provide to Contractor. Article 3. Contract Time and Liquidated Damages 3.1 Contract Time. City of San Rafael AGREEMENT 00 52 13 - 1 of 5 Essential Facilities Demolition Project— Public Safety Center The Notice to Proceed is tentatively set to be issued on September 11, 2017. Contractor shall immediately apply for necessary approvals and permits, prepare required documents and submittals, and mobilize personnel and equipment to commence the City of San Rafael Work within 10 calendar days from the date when the Notice to Proceed is issued. City of San Rafael reserves the right to modify or alter the Commencement Date of the Work. Contractor shall achieve Final Completion of the entire Work within 84 calendar days from the date of Notice to Proceed. 3.2 Liquidated Dama4es. City of San Rafael and Contractor recognize that time is of the essence of this Agreement and that City of San Rafael will suffer financial loss in the form of contract administration expenses (such as project management and consultant expenses), if all or any part of the Work is not completed including consequential loss of use and disruption of normal operations within the times specified above, plus any extensions thereof allowed in accordance with the Contract Documents. Consistent with Article 15 and 16 of Section 00 72 13 (General Conditions), Contractor and City of San Rafael agree that because of the nature of the Project, it would be impractical or extremely difficult to fix the amount of actual damages incurred by City of San Rafael because of a delay in completion of all or any part of the Work. Accordingly, City of San Rafael and Contractor agree that as liquidated damages for delay, Contractor shall pay City of San Rafael: 3.2.1 $500.00 (Five Hundred Dollars) per day for each calendar day that expires after the time specified herein for the Contractor to achieve Final Completion of the entire Project as indicated in Section 00 31 13 (Preliminary Construction Schedule). These measures of liquidated damages shall apply cumulatively and except as provided below, shall be presumed to be the damages suffered by City of San Rafael resulting from delay in completion of the Work. 3.3 Liquidated damages for damages as a result of delays shall cover administrative, overhead, interest on bonds, and general loss of public use damages suffered by City of San Rafael as a result of delay or costs of substitute facilities. Liquidated damages shall not cover the cost of completion of the Work, damages resulting from defective Work, lost revenues or damages suffered by others who then seek to recover their damages from City of San Rafael (for example, delay claims of other contractors, subcontractors, tenants, or other third -parties), and defense costs thereof. Article 4. Contract Sum 4.1 City of San Rafael shall pay Contractor the Contract Sum for completion of Work in accordance with Contract Documents as follows: NINE HUNDRED AND THIRTY-SEVEN THOUSAND AND NO/100 DOLLARS $937,000.00 Article 5. Contractor's Representations In order to induce City of San Rafael to enter into this Agreement, Contractor makes the following representations and warranties: City of San Rafael AGREEMENT 00 52 13 - 2 of 5 Essential Facilities Demolition Project— Public Safety Center 5.1 Contractor has visited the Site and has examined thoroughly and understood the nature and extent of the Contract Documents, Work, Site, locality, actual conditions, as -built conditions, and all local conditions, and federal, state and local laws and regulations that in any manner may affect cost, progress, performance or furnishing of Work or which relate to any aspect of the means, methods, techniques, sequences or procedures of construction to be employed by Contractor and safety precautions and programs incident thereto. 5.2 Contractor has given City of San Rafael prompt written notice of all conflicts, errors, ambiguities, or discrepancies that it has discovered in or among the Contract Documents and the written resolution thereof through Addenda issued by City of San Rafael is acceptable to Contractor. 5.3 Contractor is duly organized, existing and in good standing under applicable state law, is duly qualified to conduct business in the State of California, is registered with the Department of Industrial Relations and qualified to perform public work pursuant to Section 1725.5 of the Labor Code. 5.4 Contractor has duly authorized the execution, delivery and performance of this Agreement, the other Contract Documents and the Work to be performed herein. 5.5 Contractor has listed the following Subcontractors pursuant to the Subcontractor Listing Law, California Public Contracting Code §4100 et seq. in Section 00430: See Attachment 1 incorporated herein by reference. Article 6. Contract Documents 6.1 Contract Documents consist of the following documents, including all changes, addenda, and modifications thereto: The entirety of Division 00, including: Section 00 51 00 Notice of Award Section 00 52 13 Agreement Section 00 55 00 Notice to Proceed Section 00 65 19 Agreement and Release of Any and All Claims Section 00 65 36 Guaranty Section 00 72 13 General Conditions Section 00 73 00 Special Conditions Section 00 91 13 Addenda The entirety of Specification Division 01 through Division 33, including: Drawings dated June 20, 2017 and Specifications as attached and referred. 6.2 The Contract Documents may only be amended, modified or supplemented as provided in Section 00 72 13 (General Conditions). Article 7. Miscellaneous 7.1 Terms used in this Agreement are defined in Section 00 72 13 (General Conditions) and Section 0142 00 (References) and will have the meaning indicated therein. 7.2 It is understood and agreed that in no instance are the persons signing this Agreement for or on behalf of City of San Rafael or acting as an employee, agent, or representative of City of San Rafael, liable on this Agreement or any of the Contract Documents, or upon any warranty of authority, or otherwise, and it is further understood and agreed that liability of the City of San Rafael is limited and confined to such liability as authorized or imposed by the Contract Documents or applicable law. City of San Rafael AGREEMENT 00 52 13 - 3 of 5 Essential Facilities Demolition Project — Public Safety Center 7.3 Contractor shall not assign any portion of the Contract Documents, and may subcontract portions of the Contract Documents only in compliance with the Subcontractor Listing Law, California Public Contracting Code §4100 et seq. 7.4 In entering into a public works contract or a subcontract to supply goods, services or materials pursuant to a public works contract, Contractor or Subcontractor offers and agrees to assign to the awarding body all rights, title and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. §15) or under the Cartwright Act (Chapter 2 [commencing with Section 16700] of Part 2 of Division 7 of the Business and Professions Code), arising from purchases of goods, services or materials pursuant to the public works contract or the subcontract. This assignment shall be made and become effective at the time City of San Rafael tenders final payment to Contractor, without further acknowledgment by the parties. 7.5 Copies of the general prevailing rates of per diem wages for each craft, classification, or type of worker needed to execute the Contract, as determined by Director of the State of California Department of Industrial Relations, are deemed included in the Contract Documents by reference and on file at City of San Rafael office, and shall be made available to any interested party on request. Pursuant to Section 1861 of the Labor Code, Contractor represents that it is aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers' compensation or to undertake self-insurance in accordance with the provisions of that Code, and Contractor shall comply with such provisions before commencing the performance of the Work of the Contract Documents. 7.6 Contractor and each of Contractor's subcontractors agree to complete and verify construction reports on a form prescribed by the Division of the State Architect and to file the reports no less than quarterly during construction as required by Title 24; at the completion of the Work; at the suspension of work for a period of more than one month; whenever the services of Contractor or any of Contractor's subcontractors are terminated for any reason; and at any time a special verified report is required by the Division of the State Architect. 7.7 Should any part, term or provision of this Agreement or any of the Contract Documents, or any document required herein or therein to be executed or delivered, be declared invalid, void or unenforceable, all remaining parts, terms and provisions shall remain in full force and effect and shall in no way be invalidated, impaired or affected thereby. If the provisions of any law causing such invalidity, illegality or unenforceability may be waived, they are hereby waived to the end that this Agreement and the Contract Documents may be deemed valid and binding agreements, enforceable in accordance with their terms to the greatest extent permitted by applicable law. In the event any provision not otherwise included in the Contract Documents is required to be included by any applicable law, that provision is deemed included herein by this reference (or, if such provision is required to be included in any particular portion of the Contract Documents, that provision is deemed included in that portion). 7.8 This Agreement and the Contract Documents shall be deemed to have been entered into in the County of Marin, State of California, and governed in all respects by California law (excluding choice of law rules). The exclusive venue for all disputes or litigation hereunder shall be in Marin County. Both parties hereby waive their rights under California Code of Civil Procedure Section 394 to file a motion to transfer any action or proceeding arising out of the Contract Documents to another venue. IN WITNESS WHEREOF the parties have executed this Agreement in quadruplicate the day and year first above written. OWNER: CONTRACTOR: CVE Contracting Group, Inc. DBA Central Valley CITY OF SAN RAFAEL Environmental - Tim Williamson [Contractor's name] City of San Rafael AGREEMENT 00 52 13 - 4 of 5 Essential Facilities Demolition Project— Public Safety Center By: M Ji S\ch City M age Attest: � e-- '24, z� Esther C Beirne, City Clerk Approve as to form: ` Q Robert F. Epstein, City Ati orney By: Signature President / CEO Title -END OF SECTION - City of San Rafael AGREEMENT 00 52 13 - 5 of 5 Essential Facilities Demolition Project— Public Safety Center 00 65 36 - GUARANTY TO THE CITY OF SAN RAFAEL for construction of City of San Rafael Essential Facilities Demolition Project — Public Safety Center The undersigned guarantees all construction performed on this Projects and also guarantees all material and equipment incorporated therein. Contractor hereby grants to City of San Rafael for a period of one year following the date of Final Completion, or such longer period specified in the Contract Documents, its unconditional warranty of the quality and adequacy of all of the Work including, without limitation, all labor, materials and equipment provided by Contractor and its Subcontractors of all tiers in connection with the Work. Neither final payment nor use or occupancy of the Work performed by the Contractor shall constitute an acceptance of Work not done in accordance with this Guaranty or relieve Contractor of liability in respect to any express warranties or responsibilities for faulty materials or workmanship. Contractor shall remedy any defects in the Work and pay for any damage resulting therefrom, which shall appear within one year, or longer if specified, from the date of Final Completion. If within one year after the date of Final Completion, or such longer period of time as may be prescribed by laws or regulations, or by the terms of Contract Documents, any Work is found to be defective, Contractor shall promptly, without cost to City of San Rafael and in accordance with City of San Rafael written instructions, correct such defective Work. Contractor shall remove any defective Work rejected by City of San Rafael and replace it with Work that is not defective, and satisfactorily correct or remove and replace any damage to other Work or the work of others resulting therefrom. If Contractor fails to promptly comply with the terms of such instructions, or in an emergency where delay would cause serious risk of loss or damage, City of San Rafael may have the defective Work corrected or the rejected Work removed and replaced. Contractor shall pay for all claims, costs, losses and damages caused by or resulting from such removal and replacement. Where Contractor fails to correct defective Work, or defects are discovered outside the correction period, City of San Rafael shall have all rights and remedies granted by law. Inspection of the Work shall not relieve Contractor of any of its obligations under the Contract Documents. Even though equipment, materials, or Work required to be provided under the Contract Documents have been inspected, accepted, and estimated for payment, Contractor shall, at its own expense, replace or repair any such equipment, material, or Work found to be defective or otherwise not to comply with the requirements of the Contract Documents up to the end of the guaranty period. All abbreviations and definitions of terms used in this Agreement shall have the meanings set forth in the Contract Documents, including, without means of limitation, Section 014200 (References and Definitions). The foregoing Guaranty is in addition to any other warranties of Contractor contained in the Contract Documents, and not in lieu of, any and all other liability imposed on Contractor under the Contract Documents and at law with respect to Contractor's duties, obligations, and performance under the Contract Documents. In the event of any conflict or inconsistency between the terms of this Guaranty and any warranty or obligation of the Contractor under the Contract Documents or at law, such inconsistency or conflict shall be resolved in favor of the higher level of obligation of the Contractor. CVE Contracting Group, Inc. DBA Central Valley Environmental 4263 N Selland Ave. F' Address Fresno, Ca. 93722 Sig ature City/State/Zip Tim Williamson - President 9/6/2017 Name and Title Date -END OF SECTION - City of San Rafael GUARANTY 00 65 36 - 1 of 1 Essential Facilities Demolition Project — Public Safety Center Bond No.: 106732975 Premium: $13,953.00 00 6113 - CONSTRUCTION PERFORMANCE BOND THIS CONSTRUCTION PERFORMANCE BOND ('Bond") is dated 9/7/2017 , is in the penal sum of Nine Hundred Thirtv Seven Thousand Dollars and 00/100 [which is one hundred percent of the Contract Price], and is entered into by and between the parties listed below to ensure the faithful performance of the Construction Contract listed below. This Bond consists of this page and the Bond Terms and Conditions, paragraphs 1 through 12, attached to this page. Any singular reference to **SEE BELOW** ("Contractor"), Travelers Casualtv and Suretv Companv of America ("Surety"), City of San Rafael ("City of San Rafael") or other party shall be considered plural where applicable. **CVE Contracting Group, Inc. dba Central Valley Environmental** CONTRACTOR: SURETY: CVE Contracting Group, Inc. dba Central Valley Environmental Travelers Casualtv and Suretv Comoanv of America Name 4263 N. Selland Ave. Address Fresno, CA 93722 City/State/Zip CONSTRUCTION CONTRACT: Name 11070 White Rock Road, Ste. 130 Principal Place of Business Rancho Cordova, CA 95670 City/State/Zip CITY OF SAN RAFAEL, Essential Facilities Demolition Project — Public Safety Center Located at 1400 51' Avenue, San Rafael, California, 94901 DATED September 6 2017 in the Amount of $ $937.000.00 (the "Penal Sum") CONTRACTOR AS PRINCIPAL SURETY TravelerFLC;ualty and Suret Company of America Company: (Corp. Seal) Company: (Corp. CVE Contractin Group, Inc. d entral Valley Environmental _ � Signature..__. Signature: Named Title: AA �I1%�Name and Title: QQdyLy go,Attornev-in-Fact Q BOND TERMS AND CONDITIONS 1. Contractor and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors and assigns to City of San Rafael for the complete and proper performance of the Construction Contract, which is incorporated herein by reference. If Contractor completely and properly performs all of its obligations under the Construction Contract, Surety and Contractor shall have no obligation under this Bond. 3. If there is no City of San Rafael Default, Surety's obligation under this Bond shall arise after: 3.1 City of San Rafael has declared a Contractor Default under the Construction Contract pursuant to the terms of the Construction Contract; and 3.2 City of San Rafael has agreed to pay the Balance of the Contract Sum: City of San Rafael CONSTRUCTION PERFORMANCE BOND 00 61 13 - 1 of 4 Essential Facilities Demolition Project — Public Safety Center 3.2.1 To Surety in accordance with the terms of this Bond and the Construction Contract; or 3.2.2 To a contractor selected to perform the Construction Contract in accordance with the terms of this Bond and the Construction Contract. 4. When City of San Rafael has satisfied the conditions of paragraph 3, Surety shall promptly (within 30 days) and at Surety's expense elect to take one of the following actions: 4.1 Arrange for Contractor, with consent of City of San Rafael, to perform and complete the Construction Contract (but City of San Rafael may withhold consent, in which case the Surety must elect an option described in paragraphs 4.2, 4.3 or 4.4, below); or 4.2 Undertake to perform and complete the Construction Contract itself, through its agents or through independent contractors; provided, that Surety may not select Contractor as its agent or independent contractor without City of San Rafael consent; or 4.3 Undertake to perform and complete the Construction Contract by obtaining bids from qualified contractors acceptable to City of San Rafael for a contract for performance and completion of the Construction Contract, and, upon determination by City of San Rafael of the lowest responsible bidder, arrange for a contract to be prepared for execution by City of San Rafael and the contractor selected with City of San Rafael concurrence, to be secured with performance and payment bonds executed by a qualified surety equivalent to the bonds issued on the Construction Contract; and, if Surety's obligations defined in paragraph 6, below, exceed the Balance of the Contract Sum, then Surety shall pay to City of San Rafael the amount of such excess; or 4.4 Waive its right to perform and complete, arrange for completion, or obtain a new contractor and with reasonable promptness under the circumstances, and, after investigation and consultation with City of San Rafael, determine in good faith its monetary obligation to City of San Rafael under paragraph 6, below, for the performance and completion of the Construction Contract and, as soon as practicable after the amount is determined, tender payment therefore to City of San Rafael with full explanation of the payment's calculation. If City of San Rafael accepts Surety's tender under this paragraph 4.4, City of San Rafael may still hold Surety liable for future damages then unknown or unliquidated resulting from the Contractor Default. If City of San Rafael disputes the amount of Surety's tender under this paragraph 4.4, City of San Rafael may exercise all remedies available to it at law to enforce Surety's liability under paragraph 6, below. 5. If Surety does not proceed as provided in paragraph 4, above, then Surety shall be deemed to be in default on this Bond ten days after receipt of an additional written notice from City of San Rafael to Surety demanding that Surety perform its obligations under this Bond. At all times City of San Rafael shall be entitled to enforce any remedy available to City of San Rafael at law or under the Construction Contract including, without limitation, and by way of example only, rights to perform work, protect work, mitigate damages, and advance critical work to mitigate schedule delay, or coordinate work with other consultants or contractors. 6. Surety's monetary obligation under this Bond is limited by the Amount of this Bond identified herein as the Penal Sum. This monetary obligation shall augment the Balance of the Contract Sum. Subject to these limits, Surety's obligations under this Bond are commensurate with the obligations of Contractor under the Construction Contract. Surety's obligations shall include, but are not limited to: 6.1 The responsibilities of Contractor under the Construction Contract for completion of the Construction Contract and correction of defective work; City of San Rafael CONSTRUCTION PERFORMANCE BOND 0061 13 - 2 of 4 Essential Facilities Demolition Project — Public Safety Center 6.2 The responsibilities of Contractor under the Construction Contract to pay liquidated damages, and for damages for which no liquidated damages are specified in the Construction Contract, actual damages caused by non-performance of the Construction Contract including, but not limited to, all valid and proper back charges, offsets, payments, indemnities, or other damages; 6.3 Additional legal, design professional and delay costs resulting from Contractor Default or resulting from the actions or failure to act of the Surety under paragraph 4, above (but excluding attorney's fees incurred to enforce this Bond). No right of action shall accrue on this Bond to any person or entity other than City of San Rafael or its successors or assigns. Surety hereby waives notice of any change, alteration or addition to the Construction Contract or to related subcontracts, purchase orders and other obligations, including changes of time. Surety consents to all terms of the Construction Contract, including provisions on changes to the Contract. No extension of time, change, alteration, modification, deletion, or addition to the Contract Documents, or of the work required there under, shall release or exonerate Surety on this Bond or in any way affect the obligations of Surety on this Bond. Any proceeding, legal or equitable, under this Bond shall be instituted in the courts of the County of Marin. Communications from City of San Rafael to Surety under paragraph 3.1 of this Bond shall be deemed to include the necessary agreements under paragraph 3.2 of this Bond unless expressly stated otherwise. 10. All notices to Surety or Contractor shall be mailed or delivered (at the address set forth on the signature page of this Bond), and all notices to City of San Rafael shall be mailed or delivered as provided in Section 00 52 13 (Agreement). Actual receipt of notice by Surety, City of San Rafael or Contractor, however accomplished, shall be sufficient compliance as of the date received at the foregoing addresses. 11. Any provision in this Bond conflicting with any statutory or regulatory requirement shall be deemed deleted here from and provisions conforming to such statutory requirement shall be deemed incorporated herein. 12. Definitions. 12.1 Balance of the Contract Sum: The total amount payable by City of San Rafael to Contractor pursuant to the terms of the Construction Contract after all proper adjustments have been made under the Construction Contract, for example, deductions for progress payments made, and increases/decreases for approved modifications to the Construction Contract. 12.2 Construction Contract: The agreement between City of San Rafael and Contractor identified on the signature page of this Bond, including all Contract Documents and changes thereto. 12.3 Contractor Default: Material failure of Contractor, which has neither been remedied nor waived, to perform or otherwise to comply with the terms of the Construction Contract including, but not limited to, "default" or any other condition allowing a termination for cause as provided in Section 00 72 13 (General Conditions). 12.4 City of San Rafael Default: Material failure of City of San Rafael, which has neither been remedied nor waived, to pay Contractor progress payments due under the Construction Contract or to perform other material terms of the Construction Contract, if such failure is the cause of the asserted Contractor Default and is sufficient to justify Contractor termination of the Construction Contract. City of San Rafael CONSTRUCTION PERFORMANCE BOND 0061 13 - 3 of 4 Essential Facilities Demolition Project — Public Safety Center -END OF SECTION - City of San Rafael CONSTRUCTION PERFORMANCE BOND 0061 13 - 4 of 4 Essential Facilities Demolition Project — Public Safety Center 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 ) ss County of Fresno ) On �i , before me, Bonnie Gonzalez, Notary Public, personally appeared Cody Lvman , who proved to me on the basis of satisfactory evidence to be the persons} whose name{4 is/afe subscribed to the within instrument and acknowledged to me that he/she/theyexecuted the same in his/4efA4e4f authorized capacity�e4, and that by his/heF/theFF signature4&} on the instrument the person{}, or the entity upon behalf of which the persont4 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. BONNIE GONZALEZ NOTARY PUBLIC - CALIFORNIA COMMISSION # 2202238 FRESNO COUNTY aN Y^ My Comm. Exp. July 12, 2021 (Seal) Signaturre�� Bonni'Xonzalez, Notary Publ 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 On \ before me, \ ev-,�i L-Rwc-AP �� y �l'�bl ��'C Date Helie Inert Name a Title of the Officer personally appeared r l` M �J�J i k �1 G\msr)( Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(4 whose name(Sf is/a* subscribed to the within instrument and acknowledged to me that he/sy<WtIWy executed the same in his/h*/th,<ir authorized capacity(), and that by his/hXtr/tl it signatureWon the instrument the person*, or the entity upon behalf of which the personK 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. TIFFANY L. FAKEY Commission * 2139413 iNotary Public - California Z Sign ture Z Fresno County Signa t of Notary Public Mr Comm. Expires Jan 7, 2020 1 I 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 Date: Signer(s) Other Than Named Above Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — Limited General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator '—' Other: Signer Is Representing: Number of Pages: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — Limited General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator F Other: Signer Is Representing: ��.�w•-cw�;cw�ct=���-��-�.w�c���.�<-%`.�-..�.�.�c�www��.a���c;�.w�.c.�-v��www�:`c.�,�.ws ©2016 National Notary Association • www.NationalNotary.org - 1 -800 -US NOTARY (1-800-876-6827) Item #5907 WARNING: THIS POWER OF ATTORNEY IS INVALID WIYHOIJT THE RED BORDER Imo. POWER OF ATTORNEY TRAVELERS1 Farmington Casualty Company St. Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company of America St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St. Paul Guardian Insurance Company Attorney -In Fact No. 2227966 Certificate No. 006955708 KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc., is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint John C. Day, Steven P. Edwards, Lyn Genito, Bonnie Gonzalez, and Cody Lyman of the City of Fresno , State of California , their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory 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, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 25th day of August 2016 State of Connecticut City of Hartford ss. Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc St. Paul Fire and Marine Insurance Company St. Paul Guardian Insurance Company St. Paul Mercury Insurance Company Travelers Casualty and Surely Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company <tl- OR �s 4,: •..--... y11 O' 1951 sen ` �vSSAI.n � w CONN. n s cau� e 1896 ie:..�n By� D Robert L. Raney, Senior Vice President On this the 25th day of August 2016 before me personally appeared Robert L. Ramey, who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company. Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. G•T� In Witness Whereof, I hereunto set my hand and official seal. ilpTAJ? W w"_ 1. V� My Commission expires the 30th day of June, 2021. AIIBUG # Marie C. Tetrr„\,lt, Notaq Public ft 58440-5-16 Printed in U.S.A. WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company, Fidelity ! and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, which resolutions are now in full force and effect, reading as follows: i RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. 1, Kevin E. Hughes, the undersigned, Assistant Secretary, of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company 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 in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this day of c� /���' 20 L �(sr . Kevin E. Hughes, Assistant Sec tary GFS(l,�t yY F1RE y. O�1N �„^N•.i'`\ JPy INSUgq �JR�SY gkOS �Fyp wy(�, c.S-. �fY� =O31982 O '�9%7 ='�'r' "{ i f a ' a HANTFOPD, < 1 FY{RIF'pN0. r 1951 N'� • 5 E A L °o : �'•�y`�SBAL:'e ry � RN �i � a.r� F d......_• 'L f a . �sy � To verify the authenticity of this Power of Attorney, call 1-800-421-3880 or contact us at www.travelersbond.com. Please refer to the Attorney -In -Fact number, the above-named individuals and the details of the bond to which the power is attached. WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER Bond No.. 106732975 Premium. Included in Performance Bond 00 6116 - CONSTRUCTION LABOR AND MATERIAL PAYMENT BOND THIS CONSTRUCTION LABOR AND MATERIAL PAYMENT BOND ('Bond") is dated 9/7/2017 is in the penal sum of Nine Hundred Thirtv Seven Thousand Dollars and 00/100 [one hundred percent of the Contract Price], and is entered into by and between the parties listed below to ensure the payment of claimants under the Construction Contract listed below. This Bond consists of this page and the Bond Terms and Conditions, paragraphs 1 through 13, attached to this page. Any singular reference to * SEE BELOW" ("Contractor"), Travelers Casualty and Surety Company of America ("Surety"), the City of San Rafael ("City of San Rafael") or other party shall be considered plural where applicable. "CVE Contracting Group, Inc. dba Central Valley Environmental" CONTRACTOR: SURETY: CVE Contractinq Group, Inc. dba Central Valley Environmental Travelers Casualty and Surety Company of America Name Name 426Pllanri Avp Address Fresno, CA 93722 City/State/Zip CONSTRUCTION CONTRACT: 11070 White Rock Road, Ste. 130 Principal Place of Business Rancho Cordova, CA 95670 City/State/Zip City of San Rafael Essential Facilities Demolition Project — Public Safety Center at San Rafael, California. DATED September 2017 in the Amount of $ $937.000.00 (the "Penal Sum") CONTRACTOR AS PRINCIPAL SURETY Travelers. sualty and Surety Company of America Company: (Corp. Seal) Company: (Corp. al) CVE ContractingGroup. Inc. dba.�entral Valley Environmental Signature:�Signature: Naand Title: M l a m-rOrt Name and Title: Codv L an. A nev-in-Fact A" BOND TERMS AND CONDITIONS Contractor and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors and assigns to City of San Rafael and to Claimants, to pay for labor, materials and equipment furnished for use in the performance of the Construction Contract, which is incorporated herein by reference. With respect to City of San Rafael, this obligation shall be null and void if Contractor: 2.1 Promptly makes payment, directly or indirectly, for all sums due Claimants; and 2.2 Defends, indemnifies and holds harmless City of San Rafael from all claims, demands, liens or suits by any person or entity who furnished labor, materials or equipment for use in the performance of the Construction Contact, provided City of San Rafael has promptly notified Contractor and Surety (at the address set forth on the signature page of this Bond) of any claims, demands, liens or suits and tendered defense of such claims, demands, liens or suits to Contractor and Surety, and provided there is no City of San Rafael Default. City of San Rafael CONSTRUCTION LABOR AND MATERIAL PAYMENT BOND 00 61 16 - 1 of 3 Essential Facilities Demolition Project — Public Safety Center With respect to Claimants, this obligation shall be null and void if Contractor promptly makes payment, directly or indirectly through its Subcontractors, for all sums due Claimants. If Contractor or its Subcontractors, however, fail to pay any of the persons named in Section 8004 of the California Civil Code, or amounts due under the Unemployment Insurance Code with respect to Work or labor performed under the Contract, or for any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of Contractor or Subcontractors pursuant to Section 13020 of the Unemployment Insurance Code, with respect to such Work and labor, then Surety shall pay for the same, and also, in case suit is brought upon this Bond, a reasonable attorney's fee, to be fixed by the court. 4. Consistent with the California law, Civil Code §8000, et seq., Surety shall have no obligation to Claimants under this Bond unless the Claimant has satisfied all applicable notice requirements. 5. Surety's total obligation shall not exceed the amount of this Bond, and the amount of this Bond shall be credited for any payments made in good faith by Surety under this Bond. 6. Amounts due Contractor under the Construction Contract shall be applied first to satisfy claims, if any, under any Construction Performance Bond and second, to satisfy obligations of Contractor and Surety under this Bond. 7. City of San Rafael shall not be liable for payment of any costs, expenses, or attorney's fees of any Claimant under this Bond, and shall have under this Bond no obligations to make payments to, give notices on behalf of, or otherwise have obligations to Claimants under this Bond. 8. Surety hereby waives notice of any change, including changes of time, to the Construction Contract or to related subcontracts, purchase orders and other obligations. Surety further hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Construction Contract, or to the Work to be performed there under, or materials or equipment to be furnished there under or the Specifications accompanying the same, shall in any way affect its obligations under this Bond, and it does hereby waive any requirement of notice or any such change, extension of time, alteration or addition to the terms of the Construction Contract or to the Work or to the Specifications or any other changes. Suit against Surety on this Bond may be brought by any Claimant, or its assigns, at any time after the Claimant has furnished the last of the labor or materials, or both, but, per Civil Code §9558, must be commenced before the expiration of six months after the period in which stop notices may be filed as provided in Civil Code §8508. 10. All notices to Surety or Contractor shall be mailed or delivered (at the address set forth on the signature page of this Bond), and all notices to City of San Rafael shall be mailed or delivered as provided in Section 00 52 13 (Agreement). Actual receipt of notice by Surety, City of San Rafael or Contractor, however accomplished, shall be sufficient compliance as of the date received at the foregoing addresses. 11. This Bond has been furnished to comply with the California Law including, but not limited to, Civil Code §9500, et seq. Any provision in this Bond conflicting with said statutory requirements shall be deemed deleted here from and provisions conforming to such statutory or other legal requirements shall be deemed incorporated herein. The intent is that this Bond shall be construed as a statutory bond and not as a common law bond. 12. Upon request by any person or entity appearing to be a potential beneficiary of this Bond, Contractor shall promptly furnish a copy of this Bond or shall permit a copy to be made. 13. Definitions. City of San Rafael CONSTRUCTION LABOR AND MATERIAL PAYMENT BOND 0061 16 - 2 of 3 Essential Facilities Demolition Project — Public Safety Center 13.1 Claimant: An individual or entity having a direct contract with Contractor or with a Subcontractor of Contractor to furnish labor, materials or equipment for use in the performance of the Contract, as further defined in California Civil Code §8004. The intent of this Bond shall be to include without limitation in the terms 'labor, materials or equipment" that part of water, gas, power, light, heat, oil, gasoline, telephone service or rental equipment used in the Construction Contract, architectural and engineering services required for performance of the Work of Contractor and Contractor's Subcontractors, and all other items for which a stop notice might be asserted. 13.2 Construction Contract: The agreement between City of San Rafael and Contractor identified on the signature page of this Bond, including all Contract Documents and changes thereto. 13.3 City of San Rafael Default: Material failure of City of San Rafael Administrative Office, which has neither been remedied nor waived, to pay the Contractor as required by the Construction Contract, provided that failure is the cause of the failure of Contractor to pay the Claimants and is sufficient to justify termination of the Construction Contract. -END OF SECTION - City of San Rafael CONSTRUCTION LABOR AND MATERIAL PAYMENT BOND 0061 16 - 3 of 3 Essential Facilities Demolition Project — Public Safety Center 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 ) ss County of Fresno ) On '9��/ZD/ijr­ before me, Bonnie Gonzalez, Notary Public, personally appeared Codv Lvman , who proved to me on the basis of satisfactory evidence to be the person whose name{4 is/-a� subscribed to the within instrument and acknowledged to me that he/she/theyexecuted the same in his/h,.% authorized capacitykie4, and that by his/#ef/theif signaturek4 on the instrument the personk4, or the entity upon behalf of which the person{s4 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. BONNIE GONZALEZ ` NOTARY PUBLIC - CALIFORNIA y ® COMMISSION # 2202238 • FRESNO COUNTY N` My Comm. Exp. July 12. 2021 (Seal) Signature Bonnie onzalez, Notary Public CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 �-. n7r_VX 4 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 On C�Abefore me, \ ���_ IAC ,i'7�� Date ��. r Insert•• Name a itle of th icer personally appeared � l.J� J t' (( ! Cl /1(190r) Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person*_whose name(* is/ate subscribed to the within instrument and acknowledged to me that he/sib/thdy executed the same in his/fir/th rr authorized capacity6s), and that by his/*r/ttWr signature('N'Un the instrument the person(, or the entity upon behalf of which the persor�*) 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. Sign ture ` Signat e otary 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 Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator n Other: Signer Is Representing: Number of Pages: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: ©2016 National Notary Association - www.NationalNotary.org - 1 -800 -US NOTARY (1-800-876-6827) Item #5907 TIFFANY L. PARLEY AnkCommission # 2139413 < Notary Public - California = z = Fresno County M� Comm. Expires Jan 7. 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. Sign ture ` Signat e otary 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 Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator n Other: Signer Is Representing: Number of Pages: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: ©2016 National Notary Association - www.NationalNotary.org - 1 -800 -US NOTARY (1-800-876-6827) Item #5907 WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER -;Ak POWER OF ATTORNEY TRAVELERSJ Farmington Casualty Company St. Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company of America St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St. Paul Guardian Insurance Company Attorney -In Fact No. 227966 Certificate No. 006955706 KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Insurance Company. St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters. Inc., is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint John C. Day, Steven P. Edwards, Lyn Genito, Bonnie Gonzalez, and Cody Lyman of the City of Fresno ­ , State of__._ California , their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory 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 proceedin,s allowed by law. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 25th day of August 2016 Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. St. Paul Fire and Marine Insurance Company St. Paul. Guardian Insurance Company St. Paul Mercury Insurance Company Travelers Casualty and Surely Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company ❑ o�°�Lr �. ,.t�°"'°''y G �� >P ffff��@i �.yy �c.: .L'. p � 4 r pS 982' O Si 7� PiCOggpRAttaL m fJfL�pr�R��� :WrG�RPONAl�::�j.i u i (HAHfFOf�, S c� SERL.o, v=.SEAL:: W CONN. o '\'•,. bey � tiN, ! � ti>�r, iee ec yv'-•... ...+p•PJ i'yp-�. ,,:de >` ,ea f !`'� �O-• `tan,,,M:,w� 'yaS,.` Ate! \s�_... r•" 1 �a �+ � AtN� State of Connecticut City of Hartford ss. By: Robert L. Raney, Senior Vice President On this the 25th day of August 2016 before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. G•T� In Witness Whereof, I hereunto set my hand and official seal. t1QAr My Commission expires the 30th day of June, 2021. t4 '0l/81Marie C. Tetreault, Notary Public 58440-5-16 Printed in U.S.A. WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER .tl This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, which resolutions are now in full force and effect, reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof' is tiled in the office of the Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary, of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company 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 in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this �� day of ��^' �L—� 20 A Kevin E. Hughes, Assistant Sec��tary ,�JG,'�,AYS U.I�T-y`N""' �,• ' �F\A� ' �D��µ I_ GN �AP{ INSU.Vq SJR FF' 4Np S ��yp L� rcT . 3 imm 9 `oi w NnrtrFoeo, R0. 1696 G . �+ 195 N $GAL 'o asCONN. n CONN c NO•� �tSEAL;'3 s... �..:.. Edi Fa+°e \",y �•� �r+i� ��3'1 AtN To verify the authenticity of this Power of Attorney, call 1-800-421-3880 or contact us at www.travelersbond.com. Please refer to the Attorney -In -Fact number, the above-named individuals and the details of the bond to which the power is attached. WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER CVECONT-01 EBARTSCH ACORO D/YYYY) E (MMID CERTIFICATE OF LIABILITY INSURANCE DATE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Elaine Bartsch Fresno CSG-Alliant Insurance Services, Inc.iI H NE Ext): IFA (AIC, No): 9 E. River Park Place East Ste 310 I E-MAIL Fresno, CA 93720 I ADDRESS: ebartsch@alliant.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Arch Specialty Insurance Company 21199 INSURED INSURER B: Zurich American Insurance Company 16535 CVE Contracting Group, Inc. DBA: Central Valley I INSURER C Environmental 4263 N. Selland Avenue I INSURER D: Fresno, CA 93722 I INSURER E: I INSURER F: I COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADUL SUBM POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDIYYYYI (MMIDDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY `EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE M OCCUR X X 12EMPOS30403 08/01/2017 08/01/20181 DAMAGE TU RENTED PREMISES (Ea occurrence) S 50,0001 MED EXP (Any one person) $ 5,0001 PERSONAL 8 ADV INJURY S 1,000,0001 GEN'L AGGREGATE LIMIT APPLIES PER I GENERAL AGGREGATE $ 2,000,0001 POLICY M JECT F LOC I PRODUCTS - COMP/OP AGG 5 2,000,0001 X I OTHER applies to GL only POLL PROF LIAB S 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT CO accident) S 1,000,000 _ B X ANY AUTO X X BAP017629303 08/0112017 08/01/2018 1 BODILY INJURY (Per person) S ALL OWNED SCHEDULED 1 BODILY INJURY (Per accident) 5 AUTOS AUTOS NON -OWNED PROPERTY DAMAGE S _ HIRED AUTOS AUTOS (Peraccident) S UMBRELLA LIABOCCUR EACH OCCURRENCE S 8,000,000 A X EXCESS LIAR CLAIMS -MADE X X 12EMX0560701 08/01/2017 08/01/2018 I AGGREGATE S 1 DED I I RETENTION $ Aggregate S 8,000,000 WORKERS COMPENSATIONX I STATUTE I I ETPER H AND EMPLOYERS' LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE YINN / A OFFICER/MEMBER EXCLUDED? X WC018075002 08/0112017 08/01/2018 I E.L. EACH ACCIDENT S 1,000,0001 (Mandatory In NH) I E.L. DISEASE - EA EMPLOYEE S 1,000,0001 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 1f more space Is required) RE: Essential Facilities Demolition Project -Public Safety Center, 1039 C Street, San Rafael, CA - Fire Station 51, Community Development Blue House & Parking Enforcement Office Trailer City of San Rafael, its officers, agents, employees and volunteers; the State of California; Construction Manager(s); Project Manager(s), Inspector(s) and Architect(s) are included as additional insureds per policy forms attached. Excess Liability coverage is following form over General Liability, Pollution Liability, Automobile Liability, and Employer's Liability coverages. Endorsement(s) Attached: General Liability Additional Insured including Completed Operations and Primary SEE ATTACHED ACORD 101 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ci of San Rafael THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City ACCORDANCE WITH THE POLICY PROVISIONS. c/o Jamie Milliner 1400 Fifth Avenue San Rafael, CA 94901 AUTHORIZED REPRESENTATIVE @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CVECONT-01 EBARTSCH LOC #: 1 _ ACORO ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMEDINSURED Fresno CSG-Alliant Insurance Services, Inc. CVE Contracting Group, Inc. DBA: Central Valley Environmental 4263 N. Selland Avenue POLICY NUMBER Fresno, CA 93722 SEE PAGE 1 CARRIER NAIC CODE SEE PAGE 1 SEE P 1 EFFECTIVE DATE: SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/LocationsNehicies: General Liability Waiver of Subrogation Automobile Liability Additional Insured Automobile Liability Primary Automobile Liability Waiver of Subrogation Workers' Compensation Waiver of Subrogation Cancellation Provisions ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 33 NOTIFICATION TO OTHERS OF CANCELLATION ENDORSEMENT This endorsement is used to add the following to Part Six of the policy. PART SIX CONDITIONS A. If we cancel this policy by written notice to you for any reason other than nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below. Notification to such person or organization will be provided at least 10 days prior to the effective date of the cancellation, as advised in our notice to you, or the longer number of days notice if indicated in the Schedule below. B. If we cancel this policy by written notice to you for nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. C. If notice as described in Paragraphs A. or B. of this endorsement is mailed, proof of mailing will be sufficient proof of such notice. SCHEDULE Name and Address of Other Person(s) / Number of Days Notice: Organization (s): City of San Rafael Attn: Eric Davis 30 1400 Fifth Avenue San Rafael, CA 94901 All other terms and conditions of this policy remain unchanged. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsemt EEff ctive 08/1/2017 Poli ��NN WC018075002 Endorsement No. Insured nE 8ontracting Group, Inc. dba: CentraMR&y Environmental Premium $ Insurance Company Zurich American Insurance Company WC 99 06 33 (Ed. 05-10) Includes copyrighted material of National Council on Compensation Insurance, Inc. with its permission. Page 1 of 1 WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement, effective on August 1, 2017 at 12:01 A.M. standard time, forms a part of (DATE) Policy No. WC018075002 Endorsement No. of the Zurich American Insurance Company (NAME OF INSURANCE COMPANY) issued to CVE Contracting Group, Inc. dba: Central Valley Environmental; CVE NB Contracting Group, Inc. dba: Central Valley Environmental ALLIANT INSURANCE SERVICES, INC. Premium (if any) $ Authorized Representative We have the right to recover our payments from anyone liable for an injury covered by this policy We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 0.0% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON OR ORGANIZATION. WC 252 (4-84) WC 04 03 06 (Ed. 4-84) Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF SUBROGATION- SPECIFIC PERSON OR ORGANIZATION ENDORSEMENT This endorsement modifies insurance provided under the Environmental Multiline Policy In consideration of the premium charged, it is hereby agreed that SECTION V, Conditions, paragraph 13. Subrogation is amended to include the following: We agree to waive this right of subrogation against the person or organization shown in the Schedule below to the extent that you had, prior to an OCCURRENCE or CLAIM, a written agreement to waive such rights. Schedule Name of Person or Organization: ANY PERSON OR ORGANIZATION FOR WHOM YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. THE WRITTEN CONTRACT MUST BE EFFECTIVE PRIOR TO THE DATE OF THE LOSS OCCURRENCE. All other terms and conditions of this Policy remain unchanged. Policy Number: 12 EMP 05304 03 Named Insured: CVE CONTRACTING GROUP, INC.; CVE NB CONTRACTING GROUP, INC. DBA CENTRAL VALLEY ENVIRONMENTAL This endorsement is effective on the inception date of this Policy unless otherwise stated herein: Endorsement Effective Date: 8/1/2017 00 EMP0052 00 05 04 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY NOTICE OF CANCELLATION OR MATERIAL CHANGE This endorsement modifies insurance provided under the Environmental Multiline Policy In consideration of the premium charged, it is hereby agreed that the Policy is amended by the following additions: 1. The following is added to Section V, COMMON CONDITIONS: We shall provide 30 days written notice (except 10 days for non payment of premium) prior to a MATERIAL CHANGE OF POLICY TERMS or Cancellation of the Policy to CITY OF SAN RAFAEL 1400 FIFTH AVENUE SAN RAFAEL. CA 94901 2. The following is added to Section VII, DEFINITIONS: MATERIAL CHANGE OF POLICY TERMS means a change of the Declarations regarding: a. A change in the POLICY PERIOD, or b. A removal of a Coverage Section, or c. A removal of any Named Insured or Insured specifically identified by name in the policy, or d. A reduction of the amount of Limits of Liability, which reduction is not the result of payment of CLAIMS or CLAIM EXPENSES, or e. A reduction in the amount of the Policy Aggregate, which reduction is not the result of payment of CLAIMS or CLAIM EXPENSES. All other terms and conditions of this Policy remain unchanged. Issued By: Arch Specialty Insurance Company AdditionalPremium: EndorsementNumber: Policy Number: 12 EMP 0530403 Named Insured: CVE CONTRACTING GROUP, INC.; CVE NB CONTRACTING GROUP, INC. D/B/A CENTRAL VALLEY ENVIRONMENTAL This endorsement is effective on the inception date of this Policy unless otherwise stated herein: Endorsement Effective Date: 8/1/2017 00 EMP0068 00 08 04 Page 1 of 1 INSURED: CVE Contracting Group, Inc. dba: Central Valley Environmental; CVE NB Contracting Group, Inc. dba: Central Valley Environmental POLICY NUMBER: BAP017629303 COMMERCIAL AUTO TERM: 8/1/2017 to 8/1/2018 CA 04 44 9013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: CVE Contracting Group, Inc. Endorsement Effective Date: 08/01/2017 SCHEDULE Names) Of Person(s) Or Organization(s): Any person or organization to whom or which you are required to provide additional insured status or additional insured status on a primary, non-contributory basis, in a written contract or written agreement executed prior to loss, except where such contract or agreement is prohibited by law. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the 'loss" under a contract with that person or organization. CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Wolters Kluwer Financial Services I Uniform Forms'" INSURED: CVE Contracting Group, Inc. dba Central Valley Environmental CVE NB Contracting Group, Inc. dba Central Valley Environmental POLICY #BAP017629303 TERM: 8/1/2017 to 8/1/2018 4. Loss Payment — Physical Damage Coverages At our option, we may: a. Pay for, repair or replace damaged or stolen property; b. Return the stolen property, at our expense. We will pay for any damage that results to the "auto" from the theft; or c. Take all or any part of the damaged or stolen property at an agreed or appraised value. If we pay for the "loss", our payment will include the applicable sales tax for the damaged or stolen property. 5. Transfer Of Rights Of Recovery Against Others To Us If any person or organization to or for whom we make payment under this Coverage Form has rights to recover damages from another, those rights are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after "accident" or "loss" to impair them. B. General Conditions 1. Bankruptcy Bankruptcy or insolvency of the "insured" or the "insured's" estate will not relieve us of any obligations under this Coverage Form. 2. Concealment, Misrepresentation Or Fraud This Coverage Form is void in any case of fraud by you at any time as it relates to this Coverage Form. It is also void if you or any other "insured", at any time, intentionally conceals or misrepresents a material fact concerning: a. This Coverage Form; b. The covered "auto"; c. Your interest in the covered "auto'; or d. A claim under this Coverage Form. 3. Liberalization If we revise this Coverage Form to provide more coverage without additional premium charge, your policy will automatically provide the additional coverage as of the day the revision is effective in your state. 4. No Benefit To Bailee — Physical Damage Coverages We will not recognize any assignment or grant any coverage for the benefit of any person or organization holding, storing or transporting property for a fee regardless of any other provision of this Coverage Form. 5. Other Insurance a. For any covered "auto" you own, this Coverage Form provides primary insurance. For any covered "auto" you don't own, the insurance provided by this Coverage Form is excess over any other collectible insurance. However, while a covered "auto" which is a "trailer" is connected to another vehicle, the Covered Autos Liability Coverage this Coverage Form provides for the "trailer" is: (1) Excess while it is connected to a motor vehicle you do not own; or (2) Primary while it is connected to a covered "auto" you own. b. For Hired Auto Physical Damage Coverage, any covered "auto" you lease, hire, rent or borrow is deemed to be a covered "auto" you own. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". c. Regardless of the provisions of Paragraph a. above, this Coverage Form's Covered —� Autos Liability Coverage is primary for any liability assumed under an "insured contract". d. When this Coverage Form and any other Coverage Form or policy covers on the same basis, either excess or primary, we will pay only our share. Our share is the proportion that the Limit of Insurance of our Coverage Form bears to the total of the limits of all the Coverage Forms and policies covering on the same basis. 6. Premium Audit a. The estimated premium for this Coverage Form is based on the exposures you told us you would have when this policy began. We will compute the final premium due when we determine your actual exposures. The estimated total premium will be credited against the final premium due and the first Named Insured will be billed for the balance, if any. The due date for the final premium or retrospective premium is the date shown as the due date on the bill. If the estimated total premium exceeds the final premium due, the first Named Insured will get a refund. b. If this policy is issued for more than one year, the premium for this Coverage Form will be computed annually based on our rates or premiums in effect at the beginning of each year of the policy. CA 00 01 10 13 © Insurance Services Office, Inc., 2011 Page 9 of 12 a Notification to Others of Cancellation ZURICH Policy No. I Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add'I. Prem Return Prem. BAP017629303 08/01/2017 08/01/2018 08/11/2017 78971-000 INSURED: CVE Contracting Group, Inc. dba: Central Valley Environmental THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial Automobile Coverage Part A. If we cancel this Coverage Part by written notice to the first Named Insured for any reason other than nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation: 1. To the name and address corresponding to each person or organization shown in the Schedule below; and 2. At least 10 days prior to the effective date of the cancellation, as advised in our notice to the first Named Insured, or the longer number of days notice if indicated in the Schedule below. B. If we cancel this Coverage Part by written notice to the first Named Insured for nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. C. If notice as described in Paragraphs A. or B. of this endorsement is mailed, proof of mailing will be sufficient proof of such notice. SCHEDULE Name and Address of Other Person(s) / Organization(s): City of San Rafael Attn: Eric Davis 1400 Fifth Avenue San Rafael, CA 94901 All other terms and conditions of this policy remain unchanged. Number of Days Notice: 30 U -CA -812-A CW (05/10) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED/ PRIMARY COVERAGE INCLUDING COMPLETED OPERATIONS (COVERAGES A, B, D & F) This endorsement modifies insurance provided under the Environmental Multiline Policy It is agreed that Section III - WHO IS AN INSURED is amended to include the following: Under Coverages A,B,D and F the person or organization shown in the schedule below shall be an Additional Insured, but only to the extent liability arises out of YOUR WORK for that Additional Insured and not due to any actual or alleged independent liability of said Additional Insured. This Endorsement does not apply to BODILY INJURY or PROPERTY DAMAGE arising out of the sole negligence or willful conduct of, or for defects in design furnished by the Additional Insured. With respect to the coverage afforded to the Additional Insured, this insurance is primary and non- contributory, and our obligations are not affected by any other insurance carried by such Additional Insured whether primary, excess, contingent or on any other basis. This Endorsement does not increase the Company's limits of liability as specified in the Declarations of this policy. Additional Insured: ANY PERSON OR ORGANIZATION FOR WHOM YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. THE WRITTEN CONTRACT MUST BE EFFECTIVE PRIOR TO THE DATE OF THE LOSS OCCURRENCE. All other terms and conditions of this Policy remain unchanged. Policy Number: 12 EMP 05304 03 Named Insured: CVE CONTRACTING GROUP, INC.; CVE NB CONTRACTING GROUP, INC. DBA CENTRAL VALLEY ENVIRONMENTAL This endorsement is effective on the inception date of this Policy unless otherwise stated herein: Endorsement Effective Date: 8/1/2017 00 EMP0101 00 01 14 1 of 1 INSURED: CVE Contracting Group, Inc. dba: Central Valley Environmental; CVE NB Contracting Group, Inc. dba: Central Valley Environmental TERM: 8/1/17 to 8/1/18 POLICY NUMBER: BAP017629303 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi, fied by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective: 8/1/2017 Countersigned By: ALLIANT INSURANCE SERVICES, INC. 1 Named Insured: CVE Contracting Group, Inc. (Authorized Representative) SCHEDULE Name of Person(s) or Organization(s): Any person or organization to whom or which you are required to provide additional insured status or additional insured status on a primary, non-contributory basis, in a written contract or written agreement executed prior to loss, except where such contract or agreement is prohibited by law. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section Il of the Coverage Form. Copyright, Hawaii Insurance Bureau, Inc., 1999 Includes copyrighted material of the Insurance Services Office Inc., with its permission CA 1028 (2-99) CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1999 Page 1 of 1 Ti"�"r�' _ .moi- �i ^�i�A�4tlL•l Vfi A Rp -4F M4 lin A, it mt ` o HISTORIC SWITCH BOARD PUBLIC SAFETY CENTER DEMOLITION EXHIBIT 2 BELL UPSTAIRS- BY POOL TABLE PUBLIC SAFETY CENTER DEMOLITION EXHIBIT ■ FIRE POLE ALL PARTS & ACCESSORIES PUBLIC SAFETY CENTER DEMOLITION EXHIBIT 4 1. DOOR & HARDWARE, PAIR OF DOORS 2 IN BEST CONDITION, PROCESS PER HAZIVIAT REPORT PRO IR TO SALVAGING TO THE CITY v PUBLIC SAFETY CENTER DEMOLITION EXHIBIT 5 p: '4 1. DOOR & HARDWARE, PAIR OF DOORS 2 IN BEST CONDITION, PROCESS PER HAZIVIAT REPORT PRO IR TO SALVAGING TO THE CITY v PUBLIC SAFETY CENTER DEMOLITION EXHIBIT 5 m HISTORIC BELL PUBLIC SAFETY CENTER DEMOLITION EXHIBIT 6 CORBELS(FIVE) PUBLIC SAFETY CENTER DEMOLITION EXHIBIT r ,' +55• �:y��?!'.'f' ` �r �...i�+"'+. ��1A�,n3";;•:�'i :,yy�r�-i!3y.. :.,. �'%!��..��y.,�.s� >sy -,-FLl2- "P- A . . �` - y "I � a PLAQUE PUBLIC SAFETY CENTER DEMOLITION EXHIBIT 9 m TELEPHONE BOX, SIGN & LAMP I F4 PUBLIC SAFETY CENTER DEMOLITION EXHIBIT 10 ® SPIRAL STAIR ALL PARTS & ACCESSORIES PUBLIC SAFETY CENTER DEMOLITION EXHIBIT 11 kA � S r. i N . � �h' 3�,AiS1 � �. {•'' j �kQ .Lys 4 L Y �; FF •i �- R �` +� a�t�,w � Stti� � Jf v� s'cr�, s x �le`'i�.r,•"i ""�'�.� . �7 xi �� ��`?•`'�s "£f F- �G'. �r'�i faP x`44 �: �' 7'"x ]a r{r ,r F r.� -.�..t s � f ER• Wig: s x S IN ^' 1 • � !e �'` • ,rylnyr r :S �r^"� � �y''�•d �' 7 , � f 3'. al n. •.u� n s 5- r, a FA; s i �S t� 1 ' ■ LAMP @ FIRE PLOLE PUBLIC SAFETY CENTER DEMOLITION EXHIBIT 13 "ij;.'?xxe 3 � •�• � : of :k.+r7•"u,.�i'Y F•eL $ i::. �N Mv y._. ■ LAMP @ FIRE PLOLE PUBLIC SAFETY CENTER DEMOLITION EXHIBIT 13 ti� .. f.. .�: /�+ . �•; �� �� ��K .. F, ��� �� �� - { w� _, w' 5 �:.5 f `'�: F .. ;'•�• - { �: �,:i`. -.:: .gid .; i c': '� ,' � u, x.: _ _ ";� <' ! :,l.. �- ` ,r �; Y,r l REDWOOD AT ATTIC SALVAGE ALL(29) BEAMS @ MIN- 16'-0" LENTH• FOR FIRE DEPARTMENT= TO BUILD LARGE KITCHEN TABLE PUBLIC SAFETY CENTER DEMOLITION EXHIBIT 16 r k i .� •Nx ... i lyy-eT l REDWOOD AT ATTIC SALVAGE ALL(29) BEAMS @ MIN- 16'-0" LENTH• FOR FIRE DEPARTMENT= TO BUILD LARGE KITCHEN TABLE PUBLIC SAFETY CENTER DEMOLITION EXHIBIT 16 r l REDWOOD AT ATTIC SALVAGE ALL(29) BEAMS @ MIN- 16'-0" LENTH• FOR FIRE DEPARTMENT= TO BUILD LARGE KITCHEN TABLE PUBLIC SAFETY CENTER DEMOLITION EXHIBIT 16 I WHITE CABINETS AT DAY ROOM SAVE TWO, OWNER TO SELECT PUBLIC SAFETY CENTER DEMOLITION EXHIBIT 17 r f � r � r I d I WHITE CABINETS AT DAY ROOM SAVE TWO, OWNER TO SELECT PUBLIC SAFETY CENTER DEMOLITION EXHIBIT 17 .1 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: Department of Public Works Project Manager: Jorge Meza Extension: 916-661-0039 Project Name: Public Safety Center Demolition Project Certificate of Insurance / Performance Bond / Construction Labor and Material Payment Bond / Agreement / Guaranty Contractor Name: f VE Contractor's Contact: Tim Williamson – President / Tiffany Farley – Corp Secretary Contact's Email: timwecvecorv.com; tiffanyf evecormcom; Step RESPONSIBLE DESCRIPTION COMPLETED REVIEWER DEPARTMENT DATE Check/Initial 1 Project Manager a. Email PINS Introductory Notice to Contractor Click here to enter a date. N CR b. Email contract (in Word) & attachments to City Atty c/o Laraine.Gittens@cityofsanrafael.org 9/5/2017 2 City Attorney a. Review, revise, and comment on draft agreement '' 1 j )e tn 1� LAG and return to Project Manager _n. ciat b. Confirm insurance requirements, create Job on ® LAG PINS, send PINS insurance notice to contractor,1/ t U. W iPVc date. 3 Project Manager Forward three (3) originals of final agreement to ❑ CR contractor for their signature 4 Project Manager When necessary, * contractor -signed agreement N N/A agendized for Council approval *PSA > $20,000; or Purchase > $35,000; or Or ❑ CR Public Works Contract > $125,000 Click here to Date of Council approval enter a date. PRINT CONTINUE R. dNG PROCESS WITH HARD COPY 5 Project Manager Forward signed original agreements to City ❑ CR Attorney with printed copy of this routing form 6 City Attorney Review and approve hard copy of signed /� f agreement 7 City Attorney Review and approve insurance in PINS, and bondsQ�— (for Public Works Contracts) 8 City Manager/ Mayor Agreement executed by Council authorized official q I/ 9 City Clerk Attest signatures, retains original agreement and forwards copies to Project Manager 00 43 93 - BID SUBMITTAL CHECKLIST 1.1 BID INFORMATION A. Bidder: CVE Contracting Group Inc. dba Central Valley Environmental B. Prime Contract: C. Project Name: City of San Rafael Essential Facilities Demolition Project— Public Safety Center D. Project Location: 1309 5w Avenue, San Rafael, CA 94901 E. Owner: City of San Rafael, F. Architect: Mary McGrath Architects H. Construction Manager: Kitchell 1.2 BIDDER'S CHECKLIST A. In an effort to assist the Bidder in properly completing all documentation required, the following checklist is provided for the Bidder's convenience. The Bidder is solely responsible for verifying compliance with bid submittal requirements. B. Attach this completed checklist to the outside of the Submittal envelope. ® Used the Bid Form provided in the ProjectManual section 00 41 13. Prepared the Bid Form as required by the Instructions to Bidders. Indicate on the Bid Form any Addenda received. [ren Bidder Registration and Safety Experience Form u Verified that the Bidder can provide Certificates of Insurance in the amounts indicated. [V] Safety Experience Form ® Non -Collusion Affidavit ® Bidders Certifications [y� Base Bid Breakdown EZ Proposed Subcontractors List 00 43 36 Attached to the Bid Form: Bid Bond OR a certified check for the amount required. Bid envelope shows name and address of the Bidder.' Bid. envelope shows the Bidder's Contractor's License Number. Bid envelope shows name of Project being bid. ® Bid envelope shows name of Prime Contract being bid, if applicable. ® Bid envelope shows time and day of Bid Opening. Bond Accompaning Bid Section 00 4313. -END OF SECTION - City of San Rafael BID SUBMITTAL CHECKLIST 00 43 93 -1 of 1 Essential Facilities Demolition Project - Public Safety Center 00 41 13 - BID FORM To be submitted as part of bid by the time and date specified in Section 00 21 13 (Instructions to Bidders), paragraph 1. CITY OF SAN RAFAEL, ESSENTIAL FACILITIES DEMOLITION PROJECT— PUBLIC SAFETY CENTER THIS BID IS SUBMITTED BY: CVE Contracting Group Inc. dba Central Valley Environmental (Firm/Company Name) Re: CITY OF SAN RAFAEL, ESSENTIAL FACILITIES DEMOLITION PROJECT— PUBLIC SAFETY CENTER The undersigned Bidder proposes and agrees, if this Bid is accepted, to enter into an agreement with the City of San Rafael for the City of San Rafael, Essential Facilities Demolition Project — Public Safety Center (Project) in the form included in the Contract Documents, Section 00 52 13 (Agreement), to perform and furnish all Work as specified or indicated in the Contract Documents for the Contract Sum and within the Contract Time indicated in this Bid and in accordance with all other terms and conditions of the Contract Documents. 2. Bidder accepts all of the terms and conditions of the Contract Documents, Section 00 11 16 (Invitation to Bids), and Section 00 21 13 (Instructions to Bidders), including, without limitation, those dealing with the disposition of Bid Security. This Bid will remain subject to acceptance for 90 Days after the day of Bid opening. 3. In submitting this Bid, Bidder represents: (a) Bidder has examined all of the Contract Documents and the following Addenda (receipt of all of which is hereby acknowledged). (b) Bidder has visited the Site and performed tasks, reviews, examinations, and analysis and given notices, regarding the Project and the Site, as set forth in Section 00 52 13 (Agreement), Article 5. (c) Bidder has received and examined copies of the geotechnical data, existing conditions and hazardous material surveys listed in Section 00 31 00. (d) Bidder has given City of San Rafael notice of all conflicts, errors, ambiguities, or discrepancies that it has discovered in or among the Contract Documents, geotechnical City of San Rafael BID FORM 00 41 13 - 1 of 4 Essential Facilities Demolition Project - Public Safety Center data, existing conditions and hazardous material surveys, and actual conditions. The written resolution thereof through Addenda issued by City of San Rafael is acceptable to Contractor. 4. Based on the foregoing, Bidder proposes and agrees to fully perform the Work within the time stated and in strict accordance with the Contract Documents for the following sums of money listed in the following Schedule of Bid Prices: SCHEDULE OF BID PRICES All Bid items must be filled in completely. Section 01 10 00 (Summary of Work) describes the scope of work to be performed under this contract. Section 0127 00 (Unit Price) describes the scope of work to establish unit prices. Quote in figures only, unless words are specifically requested. Bid Prices: ITEM DESCRIPTION 1. Base Bid: All Work for the Public Safety Center per the contract documents. Grand Total Base Bid Price: Grand Total Base Bid Price: DESCRIPTION BID PRICE G1 31�►000 ov (Words) BID PRICE ITEM 1. Alternate No. 1: Second ,n) Story Patio Double Doors fG�� to be salvaged at FS 51 2. Alternate No. 2 — 20 wood frame double hung windows to be salvaged at Blue House 3. Alternate No. 3-2400 square feet of wood lap siding to be salvaged at the Blue House 4. Alternate No. 4 —Vintage Doors Interior/ Exterior to be salvaged at the Blue House ,15'060 5. The low bidder will be determined by the Grand Total Base Bid Price for the Demolition of the Public Safety Center Alternate pricing will be presented to the San Rafael City Council at the time of contract approval. City of San Rafael City Council will determine which of the alternates (if any) they will select and add to the Project. City of San Rafael BID FORM 0041 13 - 2 of 4 Essential Facilities Demolition Project - Public Safety Center Unit Price No. 1 (Backfill for all 2 -sites) per section 01 27 00 $ 1 � Cubic Yard Unit Price No. 2 (Excavation and Off -haul for all 2 -sites) per section 0127 00 $�'7Cubic Yard Unit Price No. 3 (Import Fill for all 2 -sites) per section 0127 00 F/Thousand -leUbic Yard Unit Price No. 4 (Dewatering) per section 0127 00 $ f ' Gallons 6. The undersigned Bidder understands that City of San Rafael reserves the right to reject this Bid. The undersigned Bidder acknowledges that City of San Rafael reserves the right to include any or none of the alternates in the contract. 7. If written notice of the acceptance of this Bid, hereinafter referred to as Notice of Award, is mailed or delivered to the undersigned Bidder within the time described in paragraph 2 of this Section 00 41 13 or at any other time thereafter before it is withdrawn, the undersigned Bidder will execute and deliver the documents required by Section 00 21 13 (Instructions to Bidders) within the times specified therein. These documents include, but are not limited to, Section 00 52 13 (Agreement), Section 00 61 13 (Construction Performance Bond), and Section 00 61 16 (Construction Labor and Material Payment Bond). 8. Notice of Award or request for additional information may be addressed to the undersigned Bidder at the address set forth below. 9. The undersigned Bidder herewith encloses cash, a cashier's check, or certified check of or on a responsible bank in the United States, or a corporate surety bond furnished by a surety authorized to do a surety business in the State of California, in form specified in Section 00 21 13 (Instructions to Bidders), in the amount of ten percent (10%) of the Total Bid Price and made payable to "City of San Rafael". 10. The undersigned Bidder agrees to commence Work under the Contract Documents on the date established in Section 00 52 13 (Agreement) and to complete all work within the time specified in Section 00 52 13 (Agreement). The undersigned Bidder acknowledges that City of San Rafael has reserved the right to delay or modify the commencement date. The undersigned Bidder further acknowledges City of San Rafael has reserved the right to perform independent work at the Site, the extent of such work may not be determined until after the opening of the Bids, and that the undersigned Bidder will be required to cooperate with such other work in accordance with the requirements of the Contract Documents. 11. The undersigned Bidder agrees that, in accordance with Section 00 72 13 (General Conditions) and Section 00 73 00 (Supplementary Conditions), liquidated damages for failure to complete all Work in the Contract within the time specified shall be as set forth in Section 00 52 13 (Agreement). 12. The names of all persons interested in the foregoing Bid as principals are: (IMPORTANT NOTICE: If Bidder or other interested person is a corporation, give the legal name of corporation, state where incorporated, and names of president and secretary thereof; if a partnership, give name of the firm and names of all individual co-partners composing the firm; if Bidder or other interested person is an individual, give first and last names in full). NAME OF BIDDER: CVE Contracting Group Inc. dba Central Valley Environmental Licensed in accordance with the act for the registration of Contractors, and with DIR Number: 1000001553 License Number: 913083 Expiration: 04/30/2018 City of San Rafael BID FORM 0041 13 - 3 of 4 Essential Facilities Demolition Project - Public Safety Center Where Incorporated, if applicable California Tim Williamson, President Principals I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Sil ature of Bidder NOTE: If Bidder is a corporation, set forth the legal name of the corporation together with the signature of the officer or officers authorized to sign contracts on behalf of the corporation. If Bidder is a partnership, set forth the name of the firm together with the signature of the partner or partners authorized to sign contracts on behalf of the partnership. Business Address: Officers authorized to sign contracts: Telephone Number(s): Fax Number(s): E -Mail address: Federal ID Number: Date of Bid: 4263 N. Selland Ave. Fresno, CA 93722 Tim Williamson - President Tiffany Farlev - Corporate Secretary 559-222-1122 559-222-1147 timw@cvecorp.com, tiffanyf@cvecorp.com 45-4137958 07/25/2017 -END OF SECTION - City of San Rafael BID FORM 0041 13 - 4 of 4 Essential Facilities Demolition Project - Public Safety Center 00 43 13 - BOND ACCOMPANYING BID KNOW ALL BY THESE PRESET a Contracting Group, Inc. That the undersigned rdba Central Valley EnvironmeltAls Principal and the undersigned as Surety are held and finely bound unto City of SAN RAFAEL ( City of San Rafael), as oblige, In the penal sum of r Ten Percent of Amount Bid ) Dollars IS 0% of Bid I lawful money of the United States of America be' at least ten percent (10%) of the aggregate amount of said Principal r**SEE BELOW'* I's base Bid plus accepted Alternates, for the payment of which, well and truly to be made, we bind ourselves, our successors, executors, administrators, and assigns, jointly and severally, firmly by these presents. WHEREAS, the said Principal Is submitting a Bid for, CITY of SAN RAFAEL, ESSENTIAL FACILITIES DEMOLITION PROJECT- PUBLIC SAFETY CENTER (Project). THE CONDITION OF THIS OBLIGATION IS SUCH that if the Bid submitted by the said Principal be accepted and the Contract be awarded to said Principal and said Principal shall within the required periods enter into the Contract so awarded and provide the required Construction'Performance Bond, Construction Labor and Material Payment Bond, Insurance certificates, and all other endorsements, fomes, and documents required under Section 002113 (instructions to Bidders), then this obligation for the Bid Bond shall be void, otherwise to remain in full force and effect. IN WITNESS WHEREOF, the above bound parties have executed this instrument this f 14th 1 day of r lulv 1, 2017. (Corporate Seat) CVE Contracting Group, Inc. db rth Valle environmental By Principal Travelers Casualty and Surety Company of America Surety (Corporate Seat) BY kvL_111 Cody Lyman 16,�, Alorney in Fact -END OF SECTION- **CVE Contracting Group, Inc. dba Central Valley Environmental** City of San Rafael BOND ACCOMPANYING BID 00 43 13 - 1 of 1 Essential Facilities Demolition Project— Public Safety Center 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 ) ss County of Fresno ) On -7//,/ ho/ -7- . before me, Bonnie Gonzalez, Notary Public, personally appeared Codv Lvman , who proved to me on the basis of satisfactory evidence to be the persona) whose name(4 is/aFe subscribed to the within instrument and acknowledged to me that he/&keA4ey executed the same in his/4e4theif authorized capacity(ie4, and that by his/herAhe*F signature s} on the instrument the person(4, or the entity upon behalf of which the person(4 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. BONNIE GONZALEZ NOTARY PUBLIC • CALIFORNIA 3 m COMMISSION M 2202238 �E • .x FRESNO COUNTY My Comm. EXP. July 12, 2021 Signature. (Seal) Bonnie donzalez, Notary Public 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 Calif (� ) County of ! " � ;zn J l� PcbOn -Z% before me,�1� Date I e @rt Name no T' of the Offi er personally appeared ' \ C4 Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(k whose name} is/a)ir subscribed to the within instrumeVt and acknowledged t e that he/se/tFf�4i executed the same in his/hKt/tKir authorized capacity(n and that kLy his/$ter/VrW signature( n thb instrument the person - or a entity upon behalf of whic t e person acted, executed the in ument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. TIFFANY L. FARLEY WITdatur)j hand and official seal. Commission M 2139413 a • Notary Puolic •California _ ` Fresno County Sig jPAA MY Comm. Expires Jan 7, 2020 I ignature 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 Date: Signer(s) Other Than Named Above: Capacity(les) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Number of Pages: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: POWER OF ATTORNEY `TRAVELERS` Farmington Casualty Company St. Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company of America St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St. Paul Guardian Insurance Company ARorney-In Fact No. Certificate No. 006955647 227966 KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, SL Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, SL Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc., is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint John C. Day, Steven P. Edwards, Lyn Genito, Bonnie Gonzalez, and Cody Lyman of the City o' Fresno _ _ , State of California , thew true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory 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, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 25th day of August 2016 Farmington Casualty Company Fidelity and Guaranty; Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. St. Paul Fire and Marine Insurance Company St. Paul Guardian Insurance Company St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casually and Surety Company of America United States Fidelity and Guaranty Company G/.SU.rYA y,..iY <y Oy \OK..�NSG /Cy HSUO� PFY AMO �,1YI..� ? _yppqL �`. O ty ,✓m,' 6 OSPOgAI i W/ '_ 04 p 9 4� r`� nCNnrrca4rro £ aF' .., nr fcoNPOPn>�:,�5` 1982 0 •- - �1 avMm�J> $` 1977 1951 a n�o SEA. -%IS ;n` `x" S �e tees wxxA°' p r nM T�' �R�NCF Sq AM�a� ,�'Nvn ....'Ndo �F . �AY7 AINSr" State of Connecticut City of Hartford ss. Robert L. Raney, Senior Vice President On this the 25th day of August 2016 before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, SL Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. p,TET In Witness Whereof, I hereunto set my hand and official sealk1QT*AH My Commission expires the 30th day of June, 2021. * p(reblp i c 4Ar fid` 58440-5-16 Printed in U.S.A. WARNING: THIS POWER OF ATTORNEY Marie C. Tetreault, Notary Public 00 43 16 - WORK TO BE PERFORMED BY BIDDER Each Bidder shall provide complete and accurate information in the form below regarding the portions of the work which the Bidder intends to complete with its own forces. The failure of any Bidder to provide complete and accurate information in the following form may render the Bid Proposal of such Bidder to be nonresponsive and rejected. This Page of the Bid proposal may be reproduced as necessary to identify all portion of the Work which the Bidder intends to perform with its own forces. Portion of Work to be Performed by the Dollar Value of Portion of Work to be Performed Bidder's Own Forces by the Bidder's Own Forces (Describe by reference to Plan Sheets or Specifications Sections; Limit Information on Each Line to Discrete Portions of the Work) ©t &VU tro �0 ev It oa0vv d �� ov Zee, dDD°% Name of Bidder �r5` �a\J l/pAyyGy�1 awl -END OF SECTION - City of San Rafael WORK TO BE PERFORMED BY BIDDER 00 43 16 - 1 of 1 Essential Facilities Demolition Project— Public Safety Center 00 43 36 - PROPOSED SUBCONTRACTORS LIST Bidder submits the following information as to the subcontractors Bidder intends to employ if awarded the Contract. Pursuant to California Public Contracting Code, Section 4100 at. seq., the following list gives the name, business address, and portion of work (description of work to be done) for each subcontractor that will be used in the work if the bidder is awarded the Contract. (Additional supporting data may be attached to this page.) Each page shall be sequentially numbered, and headed "Proposed Subcontractors" and shall be signed. Name and location of the place of business of each subcontractor who will perform work or labor or render service to the prime contractor in or about the construction of the work or the improvement, or a subcontractor licensed by the State of California who, under subcontract of the prime contractor, specially fabricates and installs portions of the work or improvements according to detailed drawings contained in the plans and specifications in an amount in excess of one-half of one percent (0.5%) of the general contractor's total bid. Contractor will not be permitted to change this listing without prior written approval of the Owner. If the bidder fails to stipulate a subcontractor for any portion of the work under this contract, it shall be understood that the Contractor will perform such work without subcontracting the same, and they will not be permitted to subcontract said work without prior written approval of the Owner. Contractor will be required to show a sample of the proposed subcontract to the owner prior to executing any subcontracts. The Owner will require that each subcontract have a provision where the subcontractor is assignable to the Owner. The percentage of work, labor, or services which will be done or rendered by each subcontractor shall be provided by the Contractor Full Name of Subcontractor, Address Description of Work: Subcontractor's License and Telephone Number Reference To Bid Items No. CVE Demolition Inc. Demolition and Removal of Debris 905631 905631 35500 Ss. W�eltVj Road, ern is}}} CA 95385 >rort f ` 1 JB 76 7z&!SN VleChi- iI - City of San Rafael PROPOSED SUBCONTRACTORS LIST Essential Facilities Demolition Project— Public Safety Center 0148346r �X>(2w,of�00(� Vvr �a.�t7 (Mat 004336-1 oft i (Bidder to attach additional sheets if necessary) -END OF SECTION - City of San Rafael PROPOSED SUBCONTRACTORS LIST 00 43 36 - 2 of 2 Essential Facilities Demolition Project — Public Safety Center CERTIFICATION OF PREVAILING WAGE RATES AND RECORDS By my signature hereunder, as CONTRACTOR, I certify, that I am aware of the provisions of Section 1773 of the Labor Code which requires the payment of prevailing wage on public projects. Also, that the CONTRACTOR and any subcontractors under the Contractor shall comply with Section 1776, regarding wage records, and with Section 1777.5, regarding the employment and training of apprentices, of the Labor Code. It is the CONTRACTOR'S responsibility to ensure compliance by any and all subcontractors performing work under this Contract. The information below applies to the above five sections. BIDOER'S SIGNATURE Name of Bidder CVE Contracting Group Inc. dba Central Valley Environmental Signed by (printed) Tim Williamson Title President Dated 0712512017 -END OF SECTION - City of San Rafael BIDDER CERTIFICATIONS 0045 30 - 2 of 2 Essential Facilities Demolition Project— Public Safety Center 00 45 30 BIDDER CERTIFICATIONS TO BE EXECUTED BY ALL BIDDERS ANDSUBMITTED WITH BID CERTIFICATE OF NON-DISCRIMINATION On behalf of the bidder making this Bid, the undersigned certifies that there will be no discrimination in employment with regard to race, color, religion, sex, sexual orientation, disability or national origin; that all federal, state, and local directives and executive orders regarding non-discrimination in employment will be complied with; and that the principle of equal opportunity in employment will be demonstrated positively and aggressively. BIDrWR'S SIGNATURE STATEMENT OF CONVICTIONS "I hereby swear, under penalty of perjury, that no more than one final, un -appealable finding of contempt of court by a Federal Court has been issued against me within the past two years because of failure to comply with an order of a Federal Court to comply with an order of the National Labor Relations Board." BID�fE `S SIGNATURE PREVIOUS DISQUALIFICATIONS "I hereby swear, under penalty of perjury, that the below indicated bidder, any officer of such bidder, or any employee of such bidder who has a proprietary interest in such bidder, has never been disqualified, removed or otherwise prevented from bidding on, or completing a Federal, State, or local government project because of a violation of law or a safety regulation except as indicated on the separate sheet attached hereto entitled "Previous Disqualifications." If such exceptions are attached, please explain the circumstances. BIDDSIVS SIGNATURE CERTIFICATION OF WORKER'S COMPENSATION INSURANCE By my signature hereunder, as CONTRACTOR, I certify that I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be Insured against liability for worker's compensation or to undertake self-insurance in accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance of the work of this Contract. BID&ER'S SIGNATURE City of San Rafael BIDDER CERTIFICATIONS 0045 30 -1 of 2 Essential Facilities Demolition Project— Public Safety Center 00 45 11 - BIDDER REGISTRATION AND SAFETY EXPERIENCE FORM INSTRUCTIONS In order to register to undertake work for the City of San Rafael Bidder must provide the following: 1) Fill out this registration form completely; do not leave blanks. 2) Provide certificates of insurance complying with insurance noted in General Conditions 00 72 13 Section 13 Insurance and Bonds. INDEPENDENT CONTRACTOR REGISTRATION Contractor's License #: 913083 Date: 04/30/2018 Fed I.D. # 45-4137958 Full Corporate Name of Company: CVE Contracting Group Inc. dba Central Valley Environmental Street Address: 4263 N. Selland Ave.. Fresno CA 95722 Mailing Address: 4263 N. Selland Ave.. Fresno CA 95722 Phone: 559-222-1122 Fax: 559-222-1147 Name of Principal Contact: C:i_ tv of San Rnfaal Fssanital Fnnilitiaa nemolitinn Proient - Pi iblic Safety Center Type of Business: Sole Proprietor Partnership Non -Profit 501 C3 Corporation Other (please explain 1 City of San Rafael REGISTRATION AND SAFETY EXPERIENCE FORM 00 45 11 - 1 of Essential Facilities Demolition Project — Public Safety Center A.M. Best Rating: SAFETY EXPERIENCE The following statements as to safety experience of Bidder are submitted with Bid, as part thereof, and Bidder guarantees the truthfulness and accuracy of the information. 1. List Bidder's Interstate Experience Modification Rate for the last three years. 2016: 127% 2015: 130% 2014: 139% 2. Use Bidder's last years Cal/OSHA 200 log to fill in the following: a. Number of lost workday cases b. Number of medical treatment cases c. Number of fatalities 3. Employee hours worked last year 67,940.5 4. State the name of Bidder's safety engineer/manager or Site Safety Officer: Gilbert Sandoval, Superintendent Attach a resume or outline of this individual's safety and health qualifications and experience. BIDDER CERTIFIES, UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA, THAT THE FOREGOING INFORMATION IS CURRENT AND ACCURATE AND AUTHORIZES THE CITY OF SAN RAFAEL AND ITS AGENTS AND REPRESENTATIVES TO OBTAIN A CREDIT REPORT AW/OR VERIFY ANY OF THE ABOVE INFORMATION. SIGNATURE 7/20/17 DATE -END OF SECTION - City of San Rafael REGISTRATION AND SAFETY EXPERIENCE FORM 00 45 11 - 4 of 4 Essential Facilities Demolition Project— Public Safety Center ILLIt•�'r�ti _ . L►ECENT NVIVALLEYRONMENTAL _Y Gilbert Sandoval, Superintendent 4263 North Selland Ave, Fresno CA 93722 Phone: 559-978-1497 Email: gilberts@cvecorp.com EXPERIENCE Central Valley Environmental, Fresno CA, 93722 5/1/2013 to present 5/2013 —4/2016: Performed in role of Foreman with related labor and project management in all areas of Asbestos, Mold and Lead Abatement. Experience includes running large scale projects for the Government, State, Public and Private Entities. 4/2016 -Present: Perform role of Superintendent overseeing all laborers and work being performed under the direction of our Foremen, Leadmen and Laborers on all/every type of Asbestos, Mold and Lead Abatement projects. Restoration Management Companv, Fresno, CA, 93721 11/2010 — 4/30/2013 Asbestos, Mold & Water Technician for a major restoration company. I was part of the castratrophe team that was sent to New Jersey after Hurricane Sandy. Duties include demolition & the remediation of asbestos & mold. Also conduct moisture inspections and the setting up of drying equipment for the purpose of drying out the structures. I am Asbestos and WRT certified. CERTIFICATIONS AHERA Certified Asbestos Removal Supervisor/Contractor CDPH Certified Lead Removal Worker OSHA 10 Department of Transportation - Haz Mat Endorsement 00 45 53 - BASE BID BREAKDOWN ALL Bidders announced at the bid opening shall deliver to the City of San Rafael, c/o the Project Manager, Jamie Milliner, the form below within two (2) working days after the bid opening date and time. Bid Breakdowns received late may be cause for disqualification of Bidders as non-responsive. Each line shall be filled in completely. Leaving blank lines or combining lines may be considered non-responsive. The undersigned, doing business under the firm name of. CVE Contracting Group Inc. dba Central Valley Environmental having submitted a Bid in accordance with the Invitation to Bid and Instructions to Bidders in the following amount; Grand Total Base Bid: ($ is herewith providing the required Base Bid Breakdown as follows: Item Work to be Performed for Public Safety Center 01 Site Parkinq 02 Fire Station 51 03 Blue House 04 Parking Services 05 Hazmat 06 Temporary fencing (to remain in place) 07 Sound Barrier/ Curtain (to remain in place) 08 General Conditions 09 Bonds/insurance 10 Fee/Overhead & Profit Total Cost for Demolition OTHER TOTAL BASE BID: Subcontractor Or Bidder -END OF SECTION - Dollars Dollar Value of Portion of Work to be Performed City of San Rafael BASE BID BREAKDOWN 004553-1 of 7 Essential Facilities Demolition Project— Public Safety Center 00 45 19 - NON -COLLUSION AFFIDAVIT PUBLIC CONTRACT CODE §7106 NON -COLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID STATE OF CALIFORNIA ) ss. COUNTY OF Fresno ) Tim Williamson 1, being first duly sworn, deposes and says that he or she is President [Office of Affiant] of CVE Contracting Group, Inc., dba Central Valley Environmental [Name of Bidder], the party making the foregoing Bid, that the Bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the Bid is genuine and not collusive or sham; that Bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham Bid, and has not directly or indirectly colluded, conspired, connived or agreed with any bidder or anyone else to put in a sham Bid, or that anyone shall refrain from bidding, and that the Bidder has not in any manner, directly or indirectly, sought by agreement, communication or conference with anyone to fix the Bid price of Bidder or any other bidder, or to fix any overhead, profit or cost element of the Bid price, or of that of any other bidder, or to secure any advantage against the City of San Rafael, or anyone interested in the proposed contract; that all statements contained in the Bid are true; and further, that Bidder has not, directly or indirectly, submitted its Bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, Bid depository, or to any member or agent thereof to effectuate a collusive or sham Bid. Executed under penalty of perjury under the laws of the State of California: CVE Contracting Group, Inc., dba Central Valley Environmental (Name of Bidder) r (Signal re of Principal) Subscribed and sworn before me This 20th day of July 204 i Notary Public of the Stated My Commission exp I_ . crtr o TIFFANY L. FAHLEY Commission 4r 2139413 Z • Notary Public - California Fresno County c lit� Comm. Expires Jen 7, 2020 (If Bidder is a partnership or a joint venture, this affidavit must be signed and sworn to by every member of the partnership or venture.) (If Bidder [including any partner or venturer of a partnership or joint venture] is a corporation, this affidavit must be signed by the Chairman, President, or Vice President and by the Secretary, Assistant Secretary, Chief Financial Officer, or Assistant Treasurer.) (If Bidder's affidavit on this form is made outside the State of California, the official position of the person taking such affidavit shall be certified according to law.) -END OF SECTION - City of San Rafael NON -COLLUSION AFFIDAVIT 00 45 19 - 1 of 1 Essential Facilities Demolition Project— Public Safety Center INSURANCE Workers' Compensation: Carrier: See attached proof of insurance and related information requested Address: Phone and Fax: Policy Number: General Liability: Carrier: Address: Phone and Fax: Policy Number: Automotive Liability: Carrier: Address: Phone and Fax: Policy Number: Policy Limit $: A.M. Best Rating: City of San Rafael REGISTRATION AND SAFETY EXPERIENCE FORM 00 45 11 - 2 of 4 Essential Facilities Demolition Project— Public Safety Center INSURANCE Workers' Compensation: Carrier: Zurich American Insurance Company Address: 11290 Pyrites Way #200, Rancho Cordova, CA 95670 Phone and Fax: 916-636-0811 Policy Number: WC018075001 General Liability: Carrier: Arch Specialty Insurance Company NAIC#21199 Address: 13841 Southwest Highway, Orland Park, IL 60462-1354 Phone and Fax: 559-374-3560/559-374-3697 Policy Number: 12EMP05300400 Automotive Liability: Carrier: Zurich American Insurance Company Address: See above Phone and Fax: See above Policy Number: BAP01769302 Policy Limit $: 1,000.000 A.M. Best Rating: A+ XV All -Risk Course of Construction: Carrier: N/A Address: Phone and Fax: Policy Number: Policy Limit $: A.M. Best Rating: Professional Liability (if applicable): Carrier: Arch Specialty Insurance Company NAIC#21199 Address: See above Phone and Fax: See above Policy Number: 12EMP0530402 Policy Limit $: 1,000,000 A.M. Best Rating: A+ IX Environmental Impairment Liability (if applicable): Carrier: Arch Specialty Insurance Company NAIC#21199 Address: See above Phone and Fax: See above Policy Number: 12EMX0560700 Policy Limit $: 1,000,000 ___+, CVECONT-01 EBARTSCH ACODI " CERTIFICATE OF LIABILITY INSURANCE DAT8(MMIDD6 ) tllwTHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to l the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Elaine Bartsch NAME: Fresno CSG-Alliant Insurance Services, Inc. PHONE FAX 9 E. River Park Place East Ste 310 A/c No Ext), IANC. No): Eebartschalliant.com -MAIL _ Fresno, CA 93720 ADDRESS: _ INSURER(S) AFFORDING COVERAGE NAIC# _ INSURERA:Arch Specialty Insurance Company 21199 INSURED INSURERB:Zurich American Insurance Company 16535 CVE Contracting Group, Inc. DBA: Central Valley 1 INSURERC: Environmental 3443 W. Gettysburg INSURER 0: - Fresno, CA 93722 INSURER E: _ I INSURER F; COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH RTHIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH-'OLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY 'AID CLAIMS INSRTypE OF INSURANCE ADDLSUBR POLICYEFF POLICYEEP LIMITS LTR INSD WVO POLICY NUMBER IMMIDD/YYYY) (MMIDDA'Y" A 7MERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0001 ❑X 12EMP0530402 08/0112016108101/2017—OTWACE TO HEN I EU 50000 CLAIMS -MADE OCCUR PREMISES fEa ocoJrrencel $ r MED EXP (Any one person) $ 6,000 PERSONAL B ADV INJURY $ 1,000,0001 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY jEO � LOC PRODUCTS-COMP/OP AGO $ 2,000,00 OTHER:applies to GL only POLL PROF LIAB $ 1,000,00 AUTOMOBILE LIABILITY GOMBINED SINULE LIMIT $ 1,000 0001 fEa accitlentl r B %t ANY AUTO BAP017629302 08/0112016 08101/2017 BODILY INJURY (Per person) $ 1 ALL OWNED SCHEUTODULED BODILY INJURY (Per accident) $ AUTOS NON -OWNED PROPER-ZDAMAGE $ _ HIRED AUTOS AUTOS Per accltlentl UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 4,000,000 /{ X EXCESS LIAB H CLAIMS -MADE 12EMX0560700 08/01/2016 08/01/2017 AGGREGATE $ 4,000,000 DED RETENTION$ $ j WORKERS COMPENSATION X STATUTE I ERH AND EMPLOYERSLIABILITYYIN WC018075001 08/01/2016 08/01/2017 Ei EACH ACCIDENT $ 1,000,0001 B OFFICER RIETOR/PARTNER/EXECUTIVE ❑ N/A (Mandatory In N R EXCLUOED4 (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (I CORD 101, Additional Remarks Schedule, maybe attached if more space Is required) RE: For Information Purposes Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Information Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD IftSAN RAFAEL STAFF REPORT APPROVAL THE CITY WITH AMISSION ROUTING SLIP Staff Report Author: Bill Guerin Date of Meeting: 08/21/2017 Department: Public Works Topic: CITY OF SAN RAFAEL ESSENTIAL FACILITIES DEMOLITION PROJECT — PUBLIC SAFETY CENTER Subject: RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN RAFAEL AWARDING A CONSTRUCTION CONTRACT TO CVE CONTRACTING GROUP, DBA CENTRAL VALLEY ENVIRONMENTAL FOR THE CITY OF SAN RAFAEL PUBLIC SAFETY DEMOLITION PROJECT, PROJECT NO. 11291 (BID OPENING TUESDAY JULY 25TH 2017), IN AN AMOUNT OF $937,000 Type: (check all that apply) ❑ Consent Calendar ❑ Public Hearing ❑ Discussion Item x❑ Resolution ❑ Ordinance ❑ Professional Services Agreement ❑ Informational Report *If PSA, City Attorney approval is required prior to start of staff report approval process Was agenda item publicly noticed? ❑ Yes ❑No Date noticed: Due Date Responsibility Description DEPARTMENT REVIEW FRIDAY Director Director approves staff noon report is ready for ACM, 8/4 City Attorney & Finance review. MONDAY morning 8/7 FRIDAY noon 8/11 MONDAY morning 8/14 Assistant City Manager City Attorney Finance CONTENT REVIEW ACM, City Attorney & Finance will review items, make edits using track changes and ask questions using comments. Items will be returned to the author by end of day Wednesday. ❑Mailed ❑Site posted ❑Marin IJ Completed Date 8/7/2017 8/8/2017 8/8/2017 8/14/2017 DEPARTMENT REVISIONS Author Author revises the report Click here to based on comments enter a date. receives and produces a final version (all track changes and comments removed) by Friday at Initial / Comment ❑X BG 0 RW 0 LG 0 Minor addition to appropriate in RESOMB 0 noon. ACM, CITY ATTORNEY, FINANCE FINAL APPROVAL Assistant City Manager ACM, City Attorney & Click here to Finance will check to see enter a date. their comments were 0 City Attorney adequately addressed and 8/14/2017 LG sign -off for the City Manager to conduct the 8/14/2017 0 Finance final review. VB TUES City Manager Final review and approval Click here to noon enter a date. 8/15