HomeMy WebLinkAboutPW Sanitary Sewer Lateral Replacement:1 Rnq
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' DEPARTMENT OF
i PUBLIC WORKS
Contact Public Works: 415-485-3355
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Agreement for Sanitary Sewer Lateral Replacement
This Agreement is entered into on L�5 ,?,—(u -2011 by and between the City of San
Rafael, a municipal corporation ("City"), Ghilotti Construction Company (-Contractor), and
Mikol Davis and Carolyn Rosenblatt, the owner(s) of the real property located at 54 McNear Drive San
Rafael, California ("Owner").
Whereas, the City has offered to replace the sanitary sewer lateral connecting Owner's property to the
public sanitary sewer system, and cost share with the owners of the real property. and
Whereas, Owner agreed to contribute to the cost-sharing for the work at the rate of Fifty percent (50`Yo)
of the total cost but in no event to exceed S12,500 00;
Now, therefore, City, Contractor and Owner agree as follows
Owner hereby requests the Contractor to replace the sanitary sewer lateral at 54 McNear Drive. and
will provide Contractor with all access needed for such work Owner acknowledges that the Contractor
will invoice the City for such work on Owner's property, and that City will bill Owner for those costs
following completion of the work Owner agrees to pay 50 percent of the cost for the work (not to
exceed S12,500.00) within 30 days of receipt of the City's invoice.
Owner acknowledges and agrees that installation, maintenance and care of the sanitary sewer lateral is
solely the responsibility of Owner, and nothing in this Agreement is intended to or shall be deemed to
alter Owner's responsibilities and liabilities for such installation, maintenance of care in the future or to
create any duty on the part of City to assume or perform such obligations other than as set forth herein.
Acceptance of Proposal and Agreement: Owner specifically agrees the specifications and conditions
of this Agreement are satisfactory and are hereby accepted. The Contractor is authorized to do the
work as specified, and Owner will make payment to City as outlined above. The undersigned Owners
represent that helshelthey are the only owners of the property referenced above. or if not that
helshelthey is/are duly authorized to execute this Agreement on behalf of all property owners.
Contractor Signature, by
Property Owner Signature
Property Owner Name
Date:
[signature and titiel
�r. r'T �471
, Date:
Property Owner Phone/Email: Ct G'<<Cf1'� (r� GZ bt •L�� Y►�1, LLQ C:E- l v
Y second property owner (optIn
Property Owner Signature. Date
Property Owner Name: ML -(c0 L L�11, LS
Page Z of 2
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8 DEPARTMENT OF
PUBLIC WORKS
Contact Public Works 415-485-3355
www cityofsanrafael.oralcontactDP��'
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greement is received by the City
City of San Rafael, by: Date:
Jim chutz, Ci Manager
Copy of frrta d agreement (with 'ty signature) will be sent to the property owner.
Page 2 of 2
.a far lS�
SIA* DEPARTMENT OF
PUBLIC WORKS
Contact Public Works 415-485-3355
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vrY1rv.cit ofsanrafaei or isidewaiks
Agreement for Sanitary Sewer Lateral Replacement
This Agreement is entered into on 5L_ D 12_& , 2011 , by and between the City of San
Rafael, a municipal corporation ("City"), Ghilotti Construction Company (`Contractor'), and
Mikol Davis and Carolyn Rosenblatt, the owner(s) of the real property located at 54 McNear Drive, San
Rafael, California ("Owner").
Whereas, the City has offered to replace the sanitary sewer lateral connecting Owner's property to the
public sanitary sewer system, and cost share with the owners of the real property; and
Whereas, Owner agreed to contribute to the cost-sharing for the work. at the rate of Fifty percent (50%)
of the total cost but in no event to exceed S12,500.00;
Now, therefore, City, Contractor and Owner agree as follows
Owner hereby requests the Contractor to replace the sanitary sewer lateral at 54 McNear Drive, and
will provide Contractor with all access needed for such work. Owner acknowledges that the Contractor
will invoice the City for such work on Owner's property, and that City will bill Owner for those costs
following completion of the work. Owner agrees to pay 50 percent of the cost for the work (not to
exceed S12,500.00) within 30 days of receipt of the City s invoice.
Owner acknowledges and agrees that installation maintenance and care of the sanitary sewer lateral is
solely the responsibility of Owner, and nothing in this Agreement is intended to or shall be deemed to
alter Owner's responsibilities and liabilities for such installation, maintenance of care in the future or to
create any duty on the part of City to assume or perform such obligations other than as set forth herein.
Acceptance of Proposal and Agreement: Owner specifically agrees the specifications and conditions
of this Agreement are satisfactory and are hereby accepted. The Contractor is authorized to do the
work as specified, and Owner will make payment to City as outlined above. The undersigned Owners
represent that he/shelthey are the only owners of the property referenced above, or if not that
he/shelthey is/are duly authorized to execute this Agreement on behalf of all property owners
Contractor Signature. by
Date -
[signature and frtlej
Property Owner Signature t i' '.. ICE : iT %�C Date:
Property Owner Name L' ! 'Lj_ J (��Cn��,vG�y�^-2� t ,mkDe_
1JA��
Property Owner Phone/Email: C (al' es%oa ����1_l1yyLLt, C E V► V
If second property owner (oph n
Property Owner Signature. Date_ �
Property Owner Name: AA L-(( O 1�1L iS
Page 1 of 2
R4f�41f'.
DEPARTMENT OF
PUBLIC WORKS
Contact Public Works: 415-485-3355
wane eityofsanrafael.orcfcontactDPW
vomv cityofsanrafael.orcisid-awalks
Seal n bet nr Tete after agreement is received by the City
City of San Rafael: by: Date:
Ji Sc utz, Ci Manager
Copy of final sig greement (withAfty signature) will be sent to the property owner.
Page 2 of 2
4v hn/S..
DEPARTMENT OF
= PUBLIC WORKS
Contact Public Works 415.485.3355
�w_CII oFsanrafael orq/contactDF'• -,-
v41rw cnYofsanrafaat orq; sidewalks
Agreement for Sanitary Sewer Lateral Replacement
This Agreement is entered into on FP_b 20117 . by and between the City of San
Rafael, a municipal corporation ("City"), Ghilotti Construction Company (`Contractor'), and
Mikol Davis and Carolyn Rosenblatt, the owner(s) of the real property located at 54 McNear Drive, San
Rafael, California ("Owner").
Whereas, the City has offered to replace the sanitary sewer lateral connecting Owner's property to the
public sanitary sewer system, and cost share with the owners of the real property: and
Whereas, Owner agreed to contribute to the cost-sharing for the work. at the rate of Fifty percent 15014,)
of the total cost but in no event to exceed S12.500.00:
Now, therefore, City, Contractor and Owner agree as follows
Owner hereby requests the Contractor to replace the sanitary sewer lateral at 54 McNear Drive, and
will provide Contractor with all access needed for such work Owner acknowledges that the Contractor
will Invoice the City for such work on Owner's property, and that City will bill Owner for those costs
following completion of the work Owner agrees to pay 50 percent of the cost for the work (not to
exceed S12,500.00) within 30 days of receipt of the City's invoice
Owner acknowledges and agrees that Installation, maintenance and care of the sanitary sewer lateral is
solely the responsibility of Owner, and nothing in this Agreement is intended to or shall be deemed to
alter Owner's responsibilities and liabilities For such installation, maintenance of care in the future or to
create any duty on the part of City to assume or perform such obligations other than as set forth herein.
Acceptance of Proposal and Agreement: Owner specifically agrees the specifications and conditions
of this Agreement are satisfactory and are hereby acct pled. The Contractor Is authorized to do the
work as specified, and Owner will make payment to City as outlined above. The undersigned Owners
represent that he/she/they are the only owners of the property referenced above, or if not. that
helshe/they is/are duly authorized to execute this Agreement on behalf of all property owners.
Contractor Signature, by P27o r' -'e f 04gWate- Z,CS T Cit,
[sign a ura`and Title]
Property Owner Signature: Date:Cj
Property Owner Name: 6iWziM.N���
Property Owner Phone/Email: t Yyllftt! . (&V-p�/
Ij
If second property owner (opti n
Property Owner Signature: Date. �- _
Property Owner Name: PIA L C"OL L, , DAV Lta /
Page i of 2
4rT. nvt�(
r1 '• DEPARTMENT OF
PUBLIC WORKS
Contact Public Works. 415-485-3355
+a om atyufsanraFael.oie/contactDPW
mrw ablofsanrafael arclsidewalks
sect'All bel m tete after agreement Is received by the City r
City of San Rafael, by: Date:
A Sc Utz, C1 Manager
Copy of final sig agreement (wit ' y signature) will be sent to the property owner
Page 2 of 2
CONTRACT
CONTRACT ROUTING FORM
INSTRUCTIONS: Use this cover sheet to circulate all contracts for review and approval in the order shown below.
TO BE COMPLETED BY INITIATING DEPARTMENT PROJECT MANAGER:
Contracting Department: Public Works
Project Manager: Shawn Graf
Extension: 5347
Contractor Name: Dr. Mikol Davis
Contractor's Contact: 415-250-7380
Contact's Email: drmikol@comcast.net
❑ FPPC: Check if Contractor/Consultant must file Form 700
Step
RESPONSIBLE
DESCRIPTION
COMPLETED
REVIEWER
DEPARTMENT
a. Email PINS Introductory Notice to Contractor
DATE
Check/Initial
1
Project Manager
Click here to
❑
enter a date.
b. Email contract (in Word) & attachments to City
1/7/2019
SG
Atty c/o Laraine.Gittens@cityofsanrafael.org
2
City Attorney
a. Review, revise, and comment on draft agreement
2/7/2019
® LG
and return to Project Manager
2/7/2019
® N/A
b. Confirm insurance requirements, create Job on
PINS, send PINS insurance notice to contractor
Forward three (3) originals of final agreement to
2/8/2019
3
Project Manager
Project Manager
contractor for their signature
When necessary, * contractor -signed agreement
® N/A
4
agendized for Council approval
*PSA > $75,000; or Purchase > $75,000; or
Or
Public Works Contract > $175,000
Click here to
SG
Date of Council approval
enter a date.
PRINT
CONTINUE ROUTING PROCESS WITH HARD COPY
5
Project Manager
Forward signed original agreements to City
2/26/2019
SG
City Attorney
Attorney with printed copy of this routing form
6
Review and approve hard copy of signed
agreement
Review and approve insurance in PINS, and bonds
7
City Attorney
11A
(for Public Works Contracts)
8
City Manager/ Mayor
City Clerk
Agreement executed by Council authorized official
3 l
9
Attest signatures, retains original agreement and
forwards copies to Project Manager
3