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