Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutPW Boyd Gate House Exterior PaintingITEM
1.
2.
3.
4.
5.
City of San Rafael + California
Form of Agreement For
Boyd Gate House -Exterior Paint
City Project No. 11310
This Agreement is made and entered into this JG 111 day of tJDIlt:t1BeR..~~~ and between the City of
San Rafael (hereinafter called "City") and Fotios 1. Tsiglieris, doing business as Metro Structural Painting.
(hereinafter called "Contractor"). Witnesseth, that the City and the Contractor, for the considerations hereinafter
named, agree as follows:
1-Scope ofthe Work
The Contractor hereby agrees to furnish all of the materials and all of the equipment and labor necessary, and to
perform all of the work described in the plans and specifications for the project entitled: Boyd Gate House -
Exterior Painting City Project No . 11310, all in accordance with the Specifications and Contract Documents dated
September 2017, which are hereby made a part of this Agreement.
11-Time of Completion
(a) The work to be performed under this Contract shall be commenced within Five (5) Working Days after the
date of written notice by the City to the Contractor to proceed.
(b) All work shall be completed, including all punch list work, within Sixty (60) Working Days and with
such extensions of time as are provided for in the General Provisions.
III -Liquidated Damages
It is agreed that, if all the work required by the contract is not finished or completed within the number of working
days as set forth in the contract, damage will be sustained by the City, and that it is and will be impracticable and
extremely difficult to ascertain and determine the actual damage which the City will sustain in the event of and by
reason of such delay; and it is therefore agreed that the Contractor will pay to the City, the sum ofSlOO for each and
every calendar day's delay in finishing the work in excess of the number of working days prescribed above; and the
Contractor agrees to pay said liquidated damages herein provided for, and further agrees that the City may deduct
the amount thereof from any moneys due or that may become due the Contractor under the contract.
IV -The Contract Sum
The City shall pay to the Contractor for the performance of the Contract the amounts determined for the total
number of each of the units of work in the following schedule completed at the unit price stated. The number of
units contained in this schedule is approximate only, and the final payment shall be made for the actual number of
units that are incorporated in or made necessary by the work covered by the Contract.
DESCRIPTION ESTIMATED UNIT UNIT TOTAL
QUANTITY PRICE PRICE
Mobilization (Not to exceed 3% of the Base Bid) LS @ 0 0
ScaffoldinglLifts 1 LS @ 7,500 7,500
Power Washing LS @ 1,600 1,600
PrimerlPaint LS @ 54,650 54,650
Wood Rot Repair (Allowance up to maximum value) @ $20,000 $20,000
Page 1 of3
GRAND TOTAL BID $83,750
v -Progress Payments
(a) On not later than the 6th day of every month the Public Works Department shaH prepare and submit an estimate
covering the total quantities under each item of work that have been completed from the start of the job up to
and including the 25th day of the preceding month, and the value of the work so completed determined in
accordance with the schedule of unit prices for such items together with such supporting evidence as may be
required by the City and/or Contractor.
(b) As soon as possible after the preparation of the estimate, the City shaH, after deducting previous payments
made, pay to the Contractor 95% of the amount of the estimate as approved by the Public Works Department.
(c) The Contractor may elect to receive 100% of payments due under the contract from time to time, without
retention of any portion of the payment by the public agency, by depositing securities of equivalent value with
the public agency in accordance with the provisions of Section 22300 of the Public Contract Code. Such
securities, if deposited by the Contractor, shaH be valued by the City's Finance Director, whose decision on
valuation of the securities shall be final.
VI -Acceptance and Final Payment
(a) Upon receipt of written notice that the work is ready for final inspection and acceptance, the Engineer shall
within 5 days make such inspection, and when he finds the work acceptable under the Contract and the
Contract fully performed, he will promptly issue a Notice of Completion, over his own signature, stating that
the work required by this Contract has been completed and is accepted by him under the terms and conditions
thereof, and the entire balance found to be due the Contractor, including the retained percentage, shaH be paid
to the Contractor by the City within 15 days after the expiration of 35 days following the date of recordation of
said Notice of Completion.
(b) Before final payment is due the Contractor shaH submit evidence satisfactory to the Engineer that all payrolls,
material biIls, and other indebtedness connected with work have been paid, except that in case of disputed
indebtedness or liens the Contractor may submit in lieu of evidence of payment a surety bond satismctory to
the City guaranteeing payment of all such disputed amounts when adjudicated in cases where such payment has
not already been guaranteed by surety bond.
(c) Contractor shall provide a "Defective Material and Workmanship Bond" for 50% of the Contract Price, before
the final payment will be made.
(d) The making and acceptance of the final payment shall constitute a waiver of all claims by the City, other than
those arising from any of the following: (1) unsettled liens; (2) faulty work appearing within 12 months after
final payment; (3) requirements of the specifications; or (4) manufacturers' guarantees. It shaH also constitute
a waiver of all claims by the Contractor, except those previously made and still unsettled.
(e) If after the work has been substantially completed, full completion thereof is materially delayed through no
mult of the Contractor, and the Engineer so certifies, the City shall, upon certificate of the Engineer, and
without terminating the Contract, make payment of the balance due for that portion of the work fully completed
and accepted.
Such payment shall be made under the terms and conditions governing final payment, except that it shall not
constitute a waiver of claims.
VII -Assignment of Warranties; Waiver of Subrogation
(a) Contractor hereby assigns to City all warranties, guarantees, or similar benefits such as insurance, provided
by or reasonably obtainable from the manumcturers or suppliers of equipment, material or fixtures that Contractor
has installed or provided in connection with the work performed under this Agreement.
(b) Contractor hereby agrees to waive and arrange by contract for its subcontractors to waive any subrogation
rights which any insurer of Contractor or its subcontractors might otherwise acquire in connection with the insurer's
payment to Contractor or its subcontractors of any insured loss with respect to work performed under this
Agreement. Contractor further agrees to obtain and to arrange for its subcontractors to obtain for City's benefit any
endorsements from insurers that may be necessary to effect such waiver of subrogation. Specifically, any worker's
Page 2 of3
compensation insurance policies of the Contractor or its subcontractors shall be endorsed with a waiver of
subrogation in favor of City for any work performed by Contractor or its subcontractors under this Agreement, and
copies of such endorsements shall be provided to City.
IN WITNESS WHEREOF, City and Contractor have caused their authorized representatives to execute
this Agreement the day and year first written above.
ATTEST:
Esther C. Beirne
City Clerk
APPROVED AS TO FORM:
RO~!1. ~,~ l it> ofF€"
City Attorney
File No.: 06.01.220
CITY OF SAN RAFAEL:
Page 3 of3
'.'
PERFORMANCE BOND
Bond Number: 63409189
KNOW ALL PERSONS BY THESE PRESENTS, That we F otios Tsiglieris dba Metro Structural
Painting ~
1012 Crestwood Dr, South San Francisco, CA 94080
referred to as the Princ ipal, and WESTERN SURETY COMPANY
as Surety, are held and firmly bound unto City of San Rafael
10K
, hereinafter
, hereinafter
referred to as the Obligee, in the sum of Eighty Three Thousa nd Seven Hundred Fifty and 00 /100
Dollars ($ 83, 750 . 00 ), for the payment of which we bind ourselves, our legal representatives, successors
and assigns, jointly and severally, firmly by these presents .
WHEREAS, Principal has entered into a contract with Obligee, dated the 24th day of
2017 ,for PAINT I NG
October
NOW, THEREFORE, if the Principal shall faithfully perform such contract or shall indemnify and save harmless
the Obligee from all cost and damage by reason of Principal's failure so to do, then this obligation shall be null
and void; otherwise it shall remain in full force and effect.
ANY PROCEEDING, legal or equitable, under this Bond may be instituted in any court of competent jurisdiction in
the location in which the work or part of the work is located and shall be instituted within two years after
Contractor Default or within two years after the Contractor ceased working or within two years after the Surety
refuses or fails to perform its obligations under this Bond, whichever occurs first. If the provisions of this
Paragraph are void or prohibited by law, the minimum period of limitation available to sureties as a defense in the
jurisdiction of the suit shall be applicable.
NO RIGHT OF ACTION shall accrue on this Bond to or for the use of any person or corporation other than the
Obligee named herein or the heirs, executors, administrators or successors Obligee .
SIGNED, SEALED AND DATED this
By
Form F4597
2017 "--.
WESTERN SURETY COMPANY
(Surety)
Manmohan
(Seal)
PAYMENT BOND
Bond Number: 63409189
KNOW ALL PERSONS BY THESE PRESENTS, That we Fotios Tsiglie r is dba Metro Structural
Painting of
1012 Crestwood Dr, South San Francisco, CA 94080 , hereinafter
referred to as the Principal, and WESTERN SURETY COMPANY
as Surety, are held and firmly bound unto City of San Rafael
:Qt , hereinafter
referred to as the Obligee, in the sum of Eighty Three Thous a nd Seven Hu ndred Fifty and 00/100
Dollars ($ 83, 750 . 00 ), for the payment of which we bind ourselves, our legal representatives, successors
and assigns, jointly and severally, firmly by these presents.
WHEREAS, Principal has entered into a contract with Obligee, dated 24th day of October
2017 ,for PAINTING
copy of which contract is by reference made a part hereof.
NOW, THEREFORE, if Principal shall, in accordance with applicable Statutes, promptly make payment to all
persons supplying labor and material in the prosecution of the work provided for in said contract, and any and all
duly authorized modifications of said contract that may hereafter be made, notice of which modifications to Surety
being waived, then this obligation to be void; otherwise to remain in full force and effect.
No suit or action shall be commenced hereunder
(a) After the expiration of one (1) year following the date on which Principal ceased work on said contract it
being understood, however, that if any limitation embodied in this bond is prohibited by any law controlling
the construction hereof such limitation shall be deemed to be amended so as to be equal to the minimum
period of limitation permitted by such law.
(b) Other than in a state court of competent jurisdiction in and for the county or other political subdivision of
the state in which the project, or any part thereof, is situated, or in the United States District Court for the
district in which the project, or any part thereof, is situated, and not elsewhere.
The amount of this bond shall be reduced by and to the extent of any payment or payments made in good faith
hereunder.
SIGNED, SEALED AND DATED this 2nd day of
By
Form F8578
WE STERN SURETY COMPANY
(Surety)
(Seal)
Manmohan
l, ~L!.Loo.I~
Kapur Attorney-i n-FaGI
Western Surety Company
POWER OF ATTORNEY -CERTIFIED COPY
Bond No. 63409189
Know All Men By These Presents, that WESTERN SURETY COMPANY, a corporation duly organized and existing under the
laws of the State of South Dakota, and having its principal office in Sioux Falls, South Dakota (the "Company"), does by these presents
make, constitute and appoint Manmohan ... K...,a",pt::-"u",r~ __ _
its true and lawful attorney(s)·in·fact, with full power and authority hereby conferred, to execute, acknowledge and deliver for and on
its behalf as Surety, bonds for :
Principal: Fotios Tsig1ieris dba Metro Structural Painting
Obligee: City of San Rafael
Amount: $1,000,0 0 0.00
and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the Vice President, sealed with the
corporate seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said attorney(s)·in ·
fact may do within the above stated limitations. Said appointment is made under and by authority of the following bylaw of Western
Surety Company which remains in full force and effect.
"Section 7. All bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation shall be executed in the
corporate name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President or by such
other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the
Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of
the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other
obligations of the corporation . The signature of any such officer and the corporate seal may be printed by facsimile."
If Bond No. 6.l4D.!U.a9. is not issued on or before midnight of N ovembe r 1 s t f. 2018 ,all
authority conferred in this Power of Attorney shall expire and terminate.
In Witness Whereof, Western Surety Company has caused these presents to be signed by its Vice President, Paul T . Brunat, and
its corporate seal to be affixed this nd. day of liovembe r 2017
STATE OF SOUTH DAKOTA
COUNTY OF MINNEHAHA
On this 2 n'd day of N Qyemb~.I , in the year 2017 , before me, a notary public, personally appeared
Paul T. Brunat, who being to me duly sworn, acknowledged that he signed the above Power of Attorney as the aforesaid officer of
WESTERN SURETY COMPANY and acknowledged said instrument to be the voluntary act and deed of said corporation. -+~~~~~~~~~~~~~~~~~~~~~~~~+
$ J. MOHR $ CJ ~~NOTARYPUBLIC~~ .~""""'-o---o~
t SOUTH DAKOTA t Notary Public· South Dakota
t t
+~~~~~~~~~~~~~~~~~~~~~~~+
My Commission Expires June 23, 2021
I the undersigned officer of Western Surety Company, a stock corporation of the State of South Dakota, do hereby certify that the
attached Power of Attorney is in full force and effect and is irrevocable, and furthermore, that Section 7 of the bylaws of the Company
as set forth in the Power of Attorney is now in force.
In testimony whereof, I have hereunto set my hand and seal of Western Surety Company this
November 2017
2nd day of
To validate bond authenticity, go to www.cnasurety.com > Owner/Obligee Services> Validate Bond Coverage.
Form F5306·10·2017
-
ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY)
~ 11102/2017
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 22~~~CT MIKE KAPUR
MIKE KAPUR INSURANCE AGENCY rlJgNJo Extl : (650l 692-1161 I FAX iA/C No): (6501 692-483 ~
~oMDA~~SS : lIli~e~aDural .r.:. lail.cDm -1799 BA YSHORE HWY STE 108 INSURER(S) AFFORDING COVERAGE NAIC# -BURLINGAME CA 94010 INSURER A : SECURITY NATIONAL INSURANCE COMPANY 19 87.9
INSURED INSURER B : UN ITED FINANCIAL CASUALTY COMPANY FOTIOS 10ANNIS TSIGLIERIS ---
DBA : METRO STRUCTURAL PAINTING INSURERC : ---
1012 CRESTWOOD DRIVE INSURER 0 : ---
SO SAN FRANCISCO CA 94080 INSURER E :
INSURER F:
COVERAGES CERTIFICATE NUMBER' REVISION NUMBER'
THIS IS TO CERTIFY THAT THE PO LI CIES OF INSURANCE LISTED BELOW HAV E BEEN ISSUED TO THE INS URED NAMED ABOVE FOR THE POLIC Y PERIOD
IND ICAT ED . NOTWITHSTAND ING ANY REQU IREMEN T, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEC T TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN , THE INSURANCE AFFORDED BY TH E POLIC IES DESCRIBED HERE IN IS SUBJECT TO ALL THE TERMS,
EXCLUS IO NS AND CONDITIONS OF SUCH POLIC IES . LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I ~f: I TYPE OF INSURANCE I ~~~i = POLICY NUMBER 1 1~~Mg~) 1 1~~Mg~~-LIMITS
A
B
GENERAL LIABILITY
(-
~ .~MMERC I AL GENERAL LIAB ILITY
I------.-J CLAIMS-MADE IKl OCCUR
I------
I---
GEN 'L AGGREGATE LIMIT APP LI ES PER ' rxl POLICY n P~g 0 LOC
AUTOMOBILE LIABI LI TY
-
ANY AUTO I-AL L OWNED 'X SCHEDULED AUTOS AUTOS I---I---NON-OWNED HIRED AUTOS -I---AUTOS
ii
li li
I-UMBRELLA LlAB H OCCUR i i
EXCESS LlAB CLAI MS-MADE
DED I I RETENT IO N S
WORKERS COMPENSAnON
AND EMPLOYERS' LIABILITY Y / N
ANY PROPR IETOR /PARTNER /EXECUTIVE D r-
OFFICE/MEMBER EXCLUDED? N / A I
(Mandatory in NH)
If yes, deScribel ~~er : bRlnw
ii
NA115049701
03823488-1
EACH OCCU RR ENCE S 1,000 ,000 --~~~~~H?E~~~~~nce ) s 100_000 -
MED EXP (An},.!'ne person ) s 5,000
03/22/2017 03/22/2018 PERSONAL & ADV INJU RY S 1,000,000 -
~ERAL AGGREGATE S 2 ,000 ,000
PRODUCTS -COMP/OP AGG S 1,000,000
s
E~~b~~~I ?INGLE LI MIT .§. 1.000 ,000 __ _
BOD ILY INJURY (P er person) S -
06/20/2017 06/20/2018 hB"°irD;nIL~Y;yIN",J"U,,Ry....-.-(p,.;er"a_cc_i d_en_t)-t-s _______ 1
r~?~~~d~t~AMAGE S rs
~C H OCCUc.:Ro.:RE"'N.:.:C:.::E'----_-+S'__
AGGREGATE S
I I we STATU -_ I IOTH -f----1_TORY _Ll MIN L....l ER _
S
E.L EACH ACC IDENT S
E.L. DISEASE -EA EMPLOYEE S
E.L. DISEASE -POLICY LI MIT S
DESCRIPTION OF OPERA nONS / LOCA nONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
ADDITIONAL INSUREDS: THE CITY OF SAN RAFAEL, ITS OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS
CERTIFICATE HOLDER CANCELLATION
CITY OF SAN RAFAEL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
1400 FIFTH AVE ACCORDANCE WITH THE POLICY PROVISIONS.
SAN RAFAEL, CA 94901 AUTHORIZED REPRESEN!ATIVE
I
M~~ ~~V
© 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
BLANKET ADDITIONAL INSUREDS -
OWNERS, LESSEES OR CONTRACTORS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Policy Number: NAl1504970 1 Endorsement Effective: 1113 /2017 12:01 a.m.
Named Insured count=igned)J llf{2J2~
FOnOS IOANNIS TSIGLIERIS
rvtETRO STRUCTURAL PAINTING
SCHEDULE
Name of Person or Organization:
THE CITY OF SAN RAFAEL, ITS OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS
1400 FIFTH AVE
SAN RAFAEL CA 9490
Location:
1400 FIFTH AVE, SAN RAFAEL CA94901
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
A. Section II -Who Is An Insured is amended to include as an insured the person or
organization shown in the Schedule, but only to the extent that the person or organization
shown in the Schedule is held liable for your acts or omissions arising out of your ongoing
operations performed for that insured.
B. With respect to the insurance afforded to these additional insureds, the following exclusion is
added:
2. Exclusions
This insurance does not apply to "bodily injury" or "property damage" occurring after:
(1) All work, including materials, parts or equipment furnished in connection with such
work, on the project (other than service, maintenance or repairs) to be performed by
or on behalf of the additional insured(s) at the site of the covered operations has been
completed; or
(2) That portion of "your work" out of which the injury or damage arises has been put to
its intended use by any person or organization other than another contractor or
subcontractor engaged in performing operations for a principal as a part of the same
project.
C. The words "you" and "your" refer to the Named Insured shown in the Declarations.
D. "Your work" means work or operations performed by you or on your behalf; and materials, parts
or equipment furnished in connection with such work or operations.
Primary \XI ording
If required by written contract or agreement: Such insurance as is afforded by this policy shall be primary
insurance, and any insurance or self-insurance maintained by the above additional insured(s) shall be excess of
the insurance afforded to the named insured and shall not contribute to it.
49-01080711 May Include Copyrighted Material of Insurance Services Offices, Inc. Page 1 of 1
Used with permission
Waiver of Subrogation
If required by written contract or agreement: We waive any right of recovery we may have against an entity
that is an additional insured per the terms of this endorsement because of payments we make for injury or
damage arising out of "your work" done under a contract with that person or organization.
Page 2 of 2 © ISO Properties, Inc.. 2000 49-0108 07 11
POLICYHOLDER COpy
STATE
.. ~( .... MP~N':'lA , I~)N
Nr,LRA.NCE
P.O. BOX 8192, PLEASANTON, CA 94588
FUND
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE: 11-05-2017
CITY OF SAN RAFAEL
111 MORPHEW ST
SAN RAFAEL CA 94901-5508
NA
GROUP:
POLICY NUMBER: 9071980-2017
CERTIFICATE 10: 19
CERTIFICATE EXPIRES: 10-01-2018
10-01-2017/10-01-2018
~OB:BOYD GATE HOUSE PAINTING
1125 B STREET
SAN RAFAEL
CA 94901
This is to certify that we have issued a valid Work.ers' Compensation insurance policy in a form apprdved by the
California Insurance Commissioner to the employer named below for the policy period indicated
This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer.
We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded
by the policy listed herein. Notwithstanding any requirement. term or condition of any contract or other document
with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance
afforded by the policy described herein is subject to all the terms, exclusions. and conditions. of such policy.
~/e:t! £/ tL_ x:l!L~
Authorized Representative President and CEO
UNLESS INDICATED OTHERWISE BY ENDORSEMENT, COVERAGE UNDER THIS POLICY EXCLUDES THE FOLLOWING:
THOSE NAMED IN THE POLICY DECLARATIONS AS AN INDIVIDUAL EMPLOYER OR A HUSBAND AND WIFE EMPLOYER;
EMPLOYEES COVERED ON A COMPREHENSIVE PERSONAL LIABILITY INSURANCE POLICY ALSO AFFORDING
CALIFORNIA WORKERS' COMPENSATION BENEFITS; EMPLOYEES EXCLUDED UNDER CALIFORNIA WORKERS'
COMPENSATION LAW.
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE.
ENDORSEMENT 62065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10-01-2014 IS
ATTACHED TO AND FORMS A PART OF THIS POLICY.
EMPLOYER
TSIGLIERIS, FOTIOS IOANNIS DBA: METRO NA
STRUCTURAL PAINTING
1012 CRESTWOOD DR
SOUTH SAN FRANCISCO CA 94080
[P1M,HO]
(REV.7-2014) PRINTED 11-05-2017
NA
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: Cindy Ray
Extension: x5326
Project Name: Boyd Gate House -Exterior Painting
Contractor Name: Metro Structural Painting
Contractor's Contact: Fotios I. Tsiglieris
Contact's Email: fotiosIOI@yahoo.com
Step RESPONSIBLE DESCRIPTION
DEPARTMENT
1 Project Manager a. Email PINS Introductory Notice to Contractor
b. Email contract (in Word) & attachments to City
Atty c/o Laraine.Gittens@cityofsanrafael.org
2 City Attorney a. Review, revise, and comment on draft agreement
and return to Project Manager
b. Confirm insurance requirements, create Job on
PINS, send PINS insurance notice to contractor
3 Project Manager Forward three (3) originals of final agreement to
contractor for their signature
4 Project Manager When necessary, * contractor-signed agreement
agendized for Council approval
*PSA > $20,000; or Purchase> $35,000; or
Public Works Contract> $125,000
Date of Council approval
PRINT CONTINUE ROUTING PROCESS WITH HARD COPY
5 Project Manager Forward signed original agreements to City
Attorney with printed copy of this routing form
6 City Attorney Review and approve hard copy of signed
agreement
7 City Attorney Review and approve insurance in PINS, and bonds
(for Public Works Contracts J:f:
8 City Manager / Mayor Agreement executed by Council authorized official
9 City Clerk Attest signatures, retains original agreement and
forwards copies to Project Manager
COMPLETED
DATE
10/17/2017
10/17/2017
10/24/2017
10/24/2017
10/24/2017
~ N/A
Or
Click here to
enter a date.
11/6/17
~111 ~ {Ic
II)r;;}t,
( (,f[/(/
I t-Ib~ 1"1
REVIEWER
Check/Initial
~ CR
~ LAG
~ LAG
0 CR
0 CR
0 CR
~
~
~
'-.JL,I
~g
~
-t-(>u '3J9..~p~we a<L ~
-W ~. ~ 0""'" O~G.b