No preview available
HomeMy WebLinkAboutPW Caltrans Construction Quality Assurance ProgramAGREEMENT FOR PROFESSIONAL SERVICES FOR THE CITY OF SAN RAFAEL CALTRANS CONSTRUCTION QUALTIY ASSURANCE PROGRAM (QAP) This Agreement is made and entered into thisG' J day of l/ Gbh , 2e, by and between the CITY OF SAN RAFAEL (hereinafter "CITY"), and MARK THOMAS & COMPANY, INC. (hereinafter "CONSULTANT"). RECITALS WHEREAS, the CITY has determined that civil engineering services are required for the development of a Construction Quality Assurance Program (QAP) in compliance with the Caltrans Local Assistance Procedures Manual; and WHEREAS, the CONSULTANT has agreed to render such services; AGREEMENT NOW, THEREFORE, the parties hereby agree as follows: PROJECT COORDINATION. A. CITY'S Project Manager. Shawn Graf is hereby designated the PROJECT MANAGER for the CITY and said PROJECT MANAGER shall supervise all aspects of the progress and execution of this Agreement. B. CONSULTANT'S Project Director. CONSULTANT shall assign a single PROJECT DIRECTOR to have overall responsibility for the progress and execution of this Agreement for CONSULTANT. Daniel Blomquist is hereby designated as the PROJECT DIRECTOR for CONSULTANT. Should circumstances or conditions subsequent to the execution of this Agreement require a substitute PROJECT DIRECTOR, for any reason, the CONSULTANT shall notify the CITY within ten (10) business days of the substitution. 2. DUTIES OF CONSULTANT. CONSULTANT shall perform the duties and/or provide services outlined in CONSULTANT's proposal dated December 16, 2020, marked as Exhibit A, attached hereto and incorporated herein. DUTIES OF CITY. CITY shall pay the compensation as provided in Paragraph 4, and perform the duties as described in Exhibit A. 4. COMPENSATION. For the full performance of the services described herein by CONSULTANT, CITY shall pay CONSULTANT on a fixed fee basis for services rendered in Exhibit A, for a total contract amount not to exceed $6,642. Payment will be made monthly upon receipt by PROJECT MANAGER of itemized invoices submitted by CONSULTANT. 5. TERM OF AGREEMENT. The term of this Agreement shall be for one (1) year commencing upon date of execution of this agreement. Upon mutual agreement of the parties, and subject to the approval of the City Manager the term of this Agreement may be extended for an additional period of up to one (1) year. 6. TERMINATION. A. Discretionary. Either party may terminate this Agreement without cause upon thirty (30) days written notice mailed or personally delivered to the other party. B. Cause. Either party may terminate this Agreement for cause upon fifteen (15) days written notice mailed or personally delivered to the other party, and the notified party's failure to cure or correct the cause of the termination, to the reasonable satisfaction of the party giving such notice, within such fifteen (15) day time period. C. Effect of Termination. Upon receipt of notice of termination, neither party shall incur additional obligations under any provision of this Agreement without the prior written consent of the other. D. Return of Documents. Upon termination, any and all CITY documents or materials provided to CONSULTANT and any and all of CONSULTANT's documents and materials prepared for or relating to the performance of its duties under this Agreement, shall be delivered to CITY as soon as possible, but not later than thirty (30) days after termination. 7. OWNERSI-IIP OF DOCUMENTS. The written documents and materials prepared by the CONSULTANT in connection with the performance of its duties under this Agreement, shall be the sole property of CITY. CITY may use said property for any purpose, including projects not contemplated by this Agreement. 8. INSPECTION AND AUDIT. Upon reasonable notice, CONSULTANT shall make available to CITY, or its agent, for inspection and audit, all documents and materials maintained by CONSULTANT in connection with Revised 1/29 2020 its performance of its duties under this Agreement. CONSULTANT shall fully cooperate with CITY or its agent in any such audit or inspection. 9. ASSIGNABILITY. The parties agree that they shall not assign or transfer any interest in this Agreement nor the performance of any of their respective obligations hereunder, without the prior written consent of the other party, and any attempt to so assign this Agreement or any rights, duties or obligations arising hereunder shall be void and of no effect. 10. INSURANCE. A. Scope of Coverage. During the term of this Agreement, CONSULTANT shall maintain, at no expense to CITY, the following insurance policies: 1. A commercial general liability insurance policy in the minimum amount of one million dollars ($1,000,000) per occurrence/two million dollars ($2,000,000) aggregate, for death, bodily injury, personal injury, or property damage. 2. An automobile liability (owned, non -owned, and hired vehicles) insurance policy in the minimum amount of one million dollars ($1,000,000) dollars per occurrence. 3. If any licensed professional performs any of the services required to be performed under this Agreement, a professional liability insurance policy in the minimum amount of one million dollars ($1,000,000) per occurrence/two million dollars ($2,000,000) aggregate, to cover any claims arising out of the CONSULTANT's performance of services under this Agreement. Where CONSULTANT is a professional not required to have a professional license, CITY reserves the right to require CONSULTANT to provide professional liability insurance pursuant to this section. 4. If it employs any person, CONSULTANT shall maintain worker's compensation insurance, as required by the State of California, with statutory limits, and employer's liability insurance with limits of no less than one million dollars ($1,000,000) per accident for bodily injury or disease. CONSULTANT's worker's compensation insurance shall be specifically endorsed to waive any right of subrogation against CITY. B. Other Insurance Requirements. The insurance coverage required of the CONSULTANT in subparagraph A of this section above shall also meet the following requirements: 1. Except for professional liability insurance or worker's compensation insurance, the insurance policies shall be specifically endorsed to include the CITY, its officers, agents, employees, and volunteers, as additional insureds (for both ongoing and completed operations) under the policies. 2. The additional insured coverage under CONSULTANT'S insurance policies shall be "primary and noncontributory" with respect to any insurance or coverage maintained by Revised 1/29 2020 CITY and shall not call upon CITY's insurance or self-insurance coverage for any contribution. The "primary and noncontributory" coverage in CONSULTANT'S policies shall be at least as broad as ISO form CG20 0104 13. 3. Except for professional insurance, the insurance policies shall include, contractual liability and personal injury. liability insurance or worker's compensation in their text or by endorsement, coverage for 4. By execution of this Agreement, CONSULTANT hereby grants to CITY a waiver of any right to subrogation which any insurer of CONSULTANT may acquire against CITY by virtue of the payment of any loss under such insurance. CONSULTANT agrees to obtain any endorsement that may be necessary to effect this waiver of subrogation, but this provision applies regardless of whether or not CITY has received a waiver of subrogation endorsement from the insurer. 5. If the insurance is written on a Claims Made Form, then, following termination of this Agreement, said insurance coverage shall survive for a period of not less than five years. 6. The insurance policies shall provide for a retroactive date of placement coinciding with the effective date of this Agreement. 7. The limits of insurance required in this Agreement may be satisfied by a combination of primary and umbrella or excess insurance. Any umbrella or excess insurance shall contain or be endorsed to contain a provision that such coverage shall also apply on a primary and noncontributory basis for the benefit of CITY (if agreed to in a written contract or agreement) before CITY'S own insurance or self-insurance shall be called upon to protect it as a named insured. 8. It shall be a requirement under this Agreement that any available insurance proceeds broader than or in excess of the specified minimum insurance coverage requirements and/or limits shall be available to CITY or any other additional insured party. Furthermore, the requirements for coverage and limits shall be: (1) the minimum coverage and limits specified in this Agreement; or (2) the broader coverage and maximum limits of coverage of any insurance policy or' proceeds available to the named insured; whichever is greater. No representation is made that the minimum Insurance requirements of this agreement are sufficient to cover the obligations of the CONSULTANT under this agreement. C. Deductibles and SIR'S. Any deductibles or self-insured retentions in CONSULTANT's insurance policies must be declared to and approved by the PROJECT MANAGER and City Attorney and shall not reduce the limits of liability. Policies containing any self-insured retention (SIR) provision shall provide or be endorsed to provide that the SIR may be satisfied by either the named insured or CITY or other additional insured party. At CITY's option, the deductibles or self-insured retentions with respect to CITY shall be reduced or eliminated to CITY's satisfaction, or CONSULTANT shall procure a bond guaranteeing payment of losses and related investigations, claims administration, attorney's fees and defense expenses. D. Proof of Insurance. CONSULTANT shall provide to the PROJECT MANAGER Revised 1/29/2020 or CITY'S City Attorney all of the following: (1) Certificates of Insurance evidencing the insurance coverage required in this Agreement; (2) a copy of the policy declaration page and/or endorsement page listing all policy endorsements for the commercial general liability policy, and (3) excerpts of policy language or specific endorsements evidencing the other insurance requirements set forth in this Agreement. CITY reserves the right to obtain a full certified copy of any insurance policy and endorsements from CONSULTANT. Failure to exercise this right shall not constitute a waiver of the right to exercise it later. The insurance shall be approved as to form and sufficiency by PROJECT MANAGER and the City Attorney. 11. INDEMNIFICATION. A. Except as otherwise provided in Paragraph B., CONSULTANT shall, to the fullest extent permitted by law, indemnify, release, defend with counsel approved by CITY, and hold harmless CITY, its officers, agents, employees and volunteers (collectively, the "City Indemnitees"), from and against any claim, demand, suit, judgment, loss, liability or expense of any kind, including but not limited to attorney's fees, expert fees and all other costs and fees of litigation, (collectively "CLAIMS"), arising out of CONSULTANT'S performance of its obligations or conduct of its operations under this Agreement. The CONSULTANT's obligations apply regardless of whether or not a liability is caused or contributed to by the active or passive negligence of the City Indemnitees. However, to the extent that liability is caused by the active negligence or willful misconduct of the City Indemnitees, the CONSULTANT's indemnification obligation shall be reduced in proportion to the City Indemnitees' share of liability for the active negligence or willful misconduct. In addition, the acceptance or approval of the CONSULTANT's work or work product by the CITY or any of its directors, officers or employees shall not relieve or reduce the CONSULTANT's indemnification obligations. In the event the City Indemnitees are made a party to any action, lawsuit, or other adversarial proceeding arising from CONSULTANT'S performance of or operations under this Agreement, CONSULTANT shall provide a defense to the City Indemnitees or at CITY'S option reimburse the City Indemnitees their costs of defense, including reasonable attorneys' fees, incurred in defense of such claims. B. Where the services to be provided by CONSULTANT under this Agreement are design professional services to be performed by a design professional as that term is defined under Civil Code Section 2782.8, then, to the extent permitted by law including without limitation, Civil Code sections 2782, 2782.6 and 2782.8, CONSULTANT shall indemnify and hold harmless the CITY and its officers, officials, and employees (collectively City Indemnitees) from and against damages, liabilities or costs (including incidental damages. Court costs, reasonable attorney's fees as may be determined by the Court, litigation expenses and fees of expert witnesses incurred in connection therewith and costs of investigation) to the extent they are caused by the negligence, recklessness, or willful misconduct of CONSULTANT, or any subconsultants, or subcontractor or anyone directly or indirectly employed by them, or anyone for whom they are legally liable (collectively Liabilities). Such obligation to hold harmless and indemnify any indemnity shall not apply to the extent that such Liabilities are caused in part by the negligence or willful misconduct of such City Indemnitee. C. The defense and indemnification obligations of this Agreement are undertaken in Revised 1/29 2020 addition to, and shall not in any way be limited by, the insurance obligations contained in this Agreement, and shall survive the termination or completion of this Agreement for the full period of time allowed by law. 12. NONDISCRIMINATION. CONSULTANT shall not discriminate, in any way, against any person on the basis of age, sex, race, color, religion, ancestry, national origin or disability in connection with or related to the performance of its duties and obligations under this Agreement. 13. COMPLIANCE WITH ALL LAWS. CONSULTANT shall observe and comply with all applicable federal, state and local laws, ordinances, codes and regulations, in the performance of its duties and obligations under this Agreement. CONSULTANT shall perform all services under this Agreement in accordance with these laws, ordinances, codes and regulations. CONSULTANT shall release, defend, indemnify and hold harmless CITY, its officers, agents and employees from any and all damages, liabilities, penalties, fines and all other consequences from any noncompliance or violation of any laws, ordinances, codes or regulations. 14. NO THIRD PARTY BENEFICIARIES. CITY and CONSULTANT do not intend, by any provision of this Agreement, to create in any third party, any benefit or right owed by one party, under the terms and conditions of this Agreement, to the other party. 15. NOTICES. All notices and other communications required or permitted to be given under this Agreement, including any notice of change of address, shall be in writing and given by personal delivery, or deposited with the United States Postal Service, postage prepaid, addressed to the parties intended to be notified. Notice shall be deemed given as of the date of personal delivery, or if mailed, upon the date of deposit with the United States Postal Service. Notice shall be given as follows: TO CITY's Project Manager: Shawn Graf City of San Rafael 111 Morphew St San Rafael, CA 94901 TO CONSULTANT's Project Director: Daniel Blomquist 2290 North First St San Jose, CA 95131 16. INDEPENDENT CONTRACTOR. For the purposes, and for the duration, of this Agreement, CONSULTANT, its officers, agents and employees shall act in the capacity of an Independent Contractor, and not as employees of Revised 1/29 2020 the CITY. CONSULTANT and CITY expressly intend and agree that the status of CONSULTANT, its officers, agents and employees be that of an Independent Contractor and not that of an employee of CITY. 17. ENTIRE AGREEMENT -- AMENDMENTS. A. The terms and conditions of this Agreement, all exhibits attached, and all documents expressly incorporated by reference, represent the entire Agreement of the parties with respect to the subject matter of this Agreement. B. This written Agreement shall supersede any and all prior agreements, oral or written, regarding the subject matter between the CONSULTANT and the CITY. C. No other agreement, promise or statement, written or oral, relating to the subject matter of this Agreement, shall be valid or binding, except by way of a written amendment to this Agreement. D. The terms and conditions of this Agreement shall not be altered or modified except by a written amendment to this Agreement signed by the CONSULTANT and the CITY. E. If any conflicts arise between the terms and conditions of this Agreement, and the terms and conditions of the attached exhibits or the documents expressly incorporated by reference, the terms and conditions of this Agreement shall control. 18. SET-OFF AGAINST DEBTS. CONSULTANT agrees that CITY may deduct from any payment due to CONSULTANT under this Agreement, any monies which CONSULTANT owes CITY under any ordinance, agreement, contract or resolution for any unpaid taxes, fees, licenses, assessments, unpaid checks or other amounts. 19. WAIVERS. The waiver by either party of any breach or violation of any term, covenant or condition of this Agreement, or of any ordinance, law or regulation, shall not be deemed to be a waiver of any other term, covenant, condition, ordinance, law or regulation, or of any subsequent breach or violation of the same or other term, covenant, condition, ordinance, law or regulation. The subsequent acceptance by either party of any fee, performance, or other consideration which may become due or owing under this Agreement, shall not be deemed to be a waiver of any preceding breach or violation by the other party of any term, condition, covenant of this Agreement or any applicable law, ordinance or regulation. 20. COSTS AND ATTORNEY'S FEES. The prevailing party in any action brought to enforce the terns and conditions of this Agreement, or arising out of the perfonmance of this Agreement, may recover its reasonable costs Revised 1/292020 (including claims administration) and attorney's fees expended in connection with such action. 21. CITY BUSINESS LICENSE / OTHER TAXES. CONSULTANT shall obtain and maintain during the duration of this Agreement, a CITY business license as required by the San Rafael Municipal Code CONSULTANT shall pay any and all state and federal taxes and any other applicable taxes. CITY shall not be required to pay for any work performed under this Agreement, until CONSULTANT has provided CITY with a completed Internal Revenue Service Form W-9 (Request for Taxpayer Identification Number and Certification). 22. SURVIVAL OF TERMS. Any terms of this Agreement that by their nature extend beyond the term (or termination) of this Agreement shall remain in effect until fulfilled and shall apply to both Parties' respective successors and assigns. 23. APPLICABLE LAW. The laws of the State of California shall govern this Agreement. 24. COUNTERPARTS AND ELECTRONIC SIGNATURE. This Agreement may be executed by electronic signature and in any number of counterparts, each of which shall be deemed an original, but all of which together shall constitute one document. Counterpart signature pages may be delivered by telecopier, email or other means of electronic transmission. IN WITNESS WHEREOF, the parties have executed this Agreement as of the day, month and year first above written. CITY OF SAN RAFAEL SCS TZ, C nager ATTEST: /1r LINDSAY LARA, City Clerk Revised 1/29/2020 CONSULTANT By: Name: iyiglia Title: Vice President [If CONSULTANT is a corporation, add signature of second corporate officer] A APPROVED AS TO FORM: u.t : ...� Title: Secretary Lco.- in ROBERT F. EPSTEIN, City Attorney Revised 1/29 2020 Exhibit A LZ MARK THOMAS December 16, 2020 Hunter Young, PE City of San Rafael 1400 5th Avenue San Rafael, CA 94901 RE: Proposal for City of San Rafael Construction QAP Dear Hunter: Mark Thomas is pleased submit this proposal under our on-call contract civil engineering services for the development of a Construction Quality Assurance Program (QAP) for the City of San Rafael. The document will describe the materials sampling and testing program for City construction projects. Scope of Services Plan Development Mark Thomas will provide develop a Construction QAP for the City of San Rafael in compliance with the Caltrans QAP template and in compliance with the Caltrans Local Assistance Procedures Manual. The QAP is anticipated to have a level of detail and list of submittals that is consistent with the attached Construction QAP for the City of Rocklin. DELIVERABLES • Develop the QAP • Refine after City Review • Refine after Caltrans Review • Deliver final electronic copy of the Construction QAP for City use. Mark Thomas fee for the work will be as shown in the attached Rate Schedule. MARICTHOMAS.COM � December 15, 2020 Fee Estimate Develop Plan, Incorporate City and Caltrans Review Comments $5,382 Project Coordinator $1,260 Total $6,642 Assumptions / Exclusions • One Review by City • One Review by Caltrans • Electronic Submittal of Document (no printing) Thank you for the opportunity to provide this proposal for the development of a Construction QAP. Please give me a call if you need any additional information or have any questions regarding this proposal. Sincerely, MARK THOMAS Daniel Blomquist, PE Project Manager Attachment: Construction Quality Assurance Plan for the City of Rocklin MARKTHOMAS.COM I �T 1 1L•A•r` . �� ENGINEERING DIVISION -1. ft F:i►ls I Tableof Contents..........................................................................................................................................1 1.0 INTRODUCTION.................................................................................................................................1 1.1 Purpose and Scope........................................................................................................................1 2.0 APPLICABILITY...................................................................................................................................1 3.0 APPROVAL.........................................................................................................................................1 4.0 TESTING REQUIRED...........................................................................................................................2 4.1 Acceptance Testing.......................................................................................................................2 4.2 Timing............................................................................................................................................2 4.3 Test Methods................................................................................................................................ 2 4.4 Frequency......................................................................................................................................2 4.5 Tests to be Performed.................................................................................................................. 2 4.6 Test Result Reporting Guidelines..................................................................................................2 4.7 Summary Logs...............................................................................................................................2 4.8 Minor Quantities...........................................................................................................................3 4.9 Re-testing......................................................................................................................................3 5.0 INDEPENDENT ASSURANCE SAMPLING AND TESTING(IAST)...........................................................3 5.1 Applicability...................................................................................................................................3 5.2 IAST Testers................................................................................................................................... 4 5.3 Frequency of IAST.........................................................................................................................4 5.4 Procedure for Dispute Resolution.................................................................................................4 6.0 TESTING OF MANUFACTURED AND ASSEMBLED MATERIALS..........................................................4 6.1 Certificate of Compliance..............................................................................................................4 6.2 Applicable Materials..................................................................................................................... 5 6.3 Source Inspection..........................................................................................................................5 6.4 Documentation............................................................................................................................. 5 6.5 Re-Testing..................................................................................................................................... 5 7.0 COORDINATING SAMPLING AND MATERIAL TESTING......................................................................5 7.1 Construction Documents.................................................................................................................... 5 7.2 Sampling and Testing Options............................................................................................................5 7.3 Engineer in Charge..............................................................................................................................6 7.4 Contractor Influence...........................................................................................................................6 7.5 Certification of Laboratory Personnel.................................................................................................6 7.6 Laboratory Equipment Calibration......................................................................................................6 7.7 Records................................................................................................................................................6 7.8 Project Certification............................................................................................................................ 6 APPENDIXA...................................................................................................................................................8 APPENDIXB.................................................................................................................................................11 Table 6-2.3 Materials Accepted by Certificate of Compliance (1 of 7) ....................................................12 Table 6-2.3 Materials Accepted by Certificate of Compliance (2 of 7) ....................................................13 Table 6-2.3 Materials Accepted by Certificate of Compliance (3 of 7) ....................................................14 Table 6-2.3 Materials Accepted by Certificate of Compliance (4 of 7) ....................................................15 Table 6-2.3 Materials Accepted by Certificate of Compliance (5 of 7) ....................................................16 Table 6-2.3 Materials Accepted by Certificate of Compliance (6 of 7) ....................................................17 Table 6-2.3 Materials Accepted by Certificate of Compliance (7 of 7) ....................................................18 ROCKLIN CALIFORNIA CONSTRUCTION QUALITY ASSURANCE PROGRAM 1.0 INTRODUCTION This document presents the Quality Assurance Program guidelines for the City of Rocklin's Engineering Division of the Public Services Department and Community Development Department (City). 1.1 PURPOSE AND SCOPE This Quality Assurance Program (CAP) is a sampling and testing program that will provide assurance that the materials and workmanship incorporated into the City's construction projects are in conformance with the contract specifications. This program should be updated every five years or more frequent if there are changes of the testing frequencies or to the tests themselves. The following elements of the CLAP are procedures for: • Acceptance Testing (AT) • Independent Assurance Sampling and Testing (IAST) • Testing of Manufactured Materials This CLAP applies to Federally funded City projects off the National Highway System (NHS) and off the State Highway System (SHS). On -NHS Projects On -NHS projects are governed by Caltrans' FHWA-approved QAP, found in Section 16.11 of the 2018 Local Assistance Procedures Manual (LAPM), Chapter 16. Off -NHS Projects Off -NHS Federally funded projects are governed by the procedures of this City of Rocklin CLAP. Its use is mandatory for Federal -aid projects and is recommended for other City street and highway projects. This local QAP is based upon the requirements for local QAP's contained in the aforementioned Section 16.11 of the LAPM and the Caltrans QAP Manual. This local QAP has been approved by the City Engineer, who is a registered Civil Engineer. It shall be kept on file and available for review. APPROVED BY: Keith R. Jukes, P.E. C86269 Expires: 3/31/2019 DATE: 6/26/2018 TITLE: Associate Civil Engineer, City of Rocklin 1 ROCKLIN CALIFORNIA General This local QAP describes procedures for three types of required testing. 4.1 ACCEPTANCE TESTING This Section provides procedures for regular testing of materials entering a construction project to verify that the materials, or products, comply with contract specifications or standards. 4.2 TIMING Sampling should begin as soon as materials are placed on a project. Testing should be performed promptly to enable data evaluation and necessary measures to be taken by the Resident Engineer (RE) and contractor. 4.3 TEST METHODS Both California and American Society of Testing and Materials (ASTM) test methods are acceptable. 4.4 FREQUENCY Sampling and testing shall occur in accordance with the attached frequency tables (Appendix A). The tables are intended as a guide: the actual quality of materials tested may justify decreasing or increasing the frequency of subsequent similar samples and tests. 4.5 TESTS TO BE PERFORMED The tests to be performed shall be in accordance with Caltrans Standard Specifications as modified by the project Special Provisions, except as modified in writing by the Director of Public Works. As a guideline, the following tests comprise a minimum scope for commonly used materials: • Aggregate Base: Sieve Analysis, Sand Equivalent, R -Value, and Durability for each new source. • Aggregate Sub -base: Sieve Analysis, Sand Equivalent, and R -Value • Asphalt Concrete: Maximum Density, In -Place Density (relative compaction) at the site. • Concrete: Compressive Strength, minimum of three cylinders per sample. 4.6 TEST RESULT REPORTING GUIDELINES Results should be submitted to the RE within five (5) working days of sampling, or as dictated by the construction schedule. Results may be expedited by transmitting via fax, telephone, or email. 4.7 SUMMARY LOGS 2 ROCKLIN CALIFORNIA Materials Testing Summary Logs shall be maintained by the Resident Engineer (RE) for each material requiring multiple sampling and testing. Log data shall include date, time, station location, test sample depth, approximate quantity of sample material, test result, and tester. 4.8 MINOR QUANTITIES Relatively minor quantities of materials from a known reliable source may be accepted with testing if: • The RE performs visual examination of materials, or • The manufacturer or supplier certifies that the material furnished complies with specification requirements. Such records of acceptance shall be placed in the RE's project files with related inspection notes. Examples of maximum "minor" quantities" include (From LAPM 16.11): • Aggregates used for other than Portland cement concrete: 100 tons per day or 500 tons per project. • Bituminous mixtures: 50 tons per day or 500 tons per project • Paint: 20 gallons per project • Non -reinforced or clay pipe: 100 linear feet 4.9 RE -TESTING Failing test results require re -testing to isolate the failed area. The log summary shall cross reference the re -test to the initial failed test. 5.0 INDEPENDENT ASSURANCE SAMPLING AND TESTING (IAST) Definition The purpose of these procedures is to verify that Acceptance Testing is being performed correctly and reliably, and to ensure that equipment is properly calibrated. 5.1 APPLICABILITY IAST procedures are required for federally funded projects on and off the National Highway System (NHS). For on - NHS projects LAPM 16.11 procedures apply. For off -NHS projects, the City will verify that its consultant 3 ROCKLIN CALIFORNIA laboratory's QAP includes IAST procedures for "testing the testers". IAST procedures are optional, and may be required at the discretion of the Public Services Director, for non -federally funded projects. 5.2 IAST TESTERS Only persons holding an Independent Assurance Sampler Tester Certificate may perform IAST. These may include individually certified Caltrans or City Residential Engineers (RE), laboratory personnel of consultant testers. Testers shall be free of conflict of interest if also performing other testing work. 5.3 FREQUENCY OF IAST The IAST frequency shall be as specified in the consultant laboratory's QAP for each project where IAST is required. 5.4 PROCEDURE FOR DISPUTE RESOLUTION Dispute resolution refers to the process of denial, suspension, revocation, appeals, and reinstatement of an IA person, an acceptance sampler and tester, or a laboratory. If the contractor or member of a private laboratory has a dispute with the City involving a quality assurance item, a manager from the City shall be selected to review the dispute. The Resident Engineer and/or IA person and the party in dispute will submit his/her substantiating paperwork to the management person, within 10 days after requested to do so. In some cases, one or more meetings may be needed to resolve disputes. Within a 30 -day period, the City management person should try to resolve the dispute, based on the evidence presented. Appeals by the contractor, Resident Engineer, the IA person, or acceptance sampler and tester may be made after the final decision by the City's management person. The person making the appeal should be directed to contact the District Local Assistance Engineer no more than 14 days after receiving written notice of the final decision by the City management person. The District Local Assistance Engineer will head up the appeal process. Again, evidence will be presented and a final decision should be made within 30 days after receipt of the appeal. For additional guidelines concerning the dispute resolution process, refer to Caltrans IA Manual. 6.0 TESTING OF MANUFACTURED AND ASSEMBLED MATERIALS Definition This section provides methods for inspecting, accepting and testing materials that are manufactured or prefabricated off the project site. 6.1 CERTIFICATE OF COMPLIANCE The City may accept manufactured products, materials, or assemblies if accompanied by a Certificate of Compliance (COC), provided they do not involve structural integrity or safety to the public. Such Certificate shall be 4 r Alf ROCKLIN CALIFORNIA signed by the manufacturer and shall state that materials and workmanship conform in all respects to the project specifications for the material. 6.2 APPLICABLE MATERIALS Contract documents shall specify that materials require a Certificate of Compliance (or optional Source Inspection). Materials Accepted by Certificate of Compliance are listed in Appendix B of this CLAP. 6.3 SOURCE INSPECTION As an alternative to a Certificate of Compliance, the City or its consultant, may perform a Source Inspection in accordance with LAPM 16.11. Caltrans no longer provides source inspection for projects off the State Highway System (SHS). 6.4 DOCUMENTATION The COC must be furnished before the material is incorporated into the work and must include: • Project Number • Certified material lot number matching lot tags affixed or stenciled to the released materials • Manufacturer's signature • A statement that the material complies with the specifications of the contract All materials accepted on the basis of a signed COC shall be documented in the inspector's daily reports. The Resident Engineer shall ensure that COC's are furnished with material deliveries and are kept in the RE's project file. 6.5 RE -TESTING Manufactured products, materials or assemblies used on the basis of a Certificate of compliance may be sampled again at the job site and tested at any time during the life of the contract. Items found not in conformance with contract requirements must be rejected whether in place or not. 7.1 CONSTRUCTION DOCUMENTS The City does not provide its own testing and inspection of materials. Provisions for such services shall be arranged prior to advertising a project and addressed appropriately in the construction documents. 7.2 SAMPLING AND TESTING OPTIONS The City may select from the following sources to perform sampling and testing: 5 ROCKLIN CALIFORNIA • Another agency's laboratory • Caltrans' laboratory • Private consultant laboratory 7.3 ENGINEER IN CHARGE All laboratories shall be under the responsible engineering management of a California registered professional engineer who shall verify results of tests performed under their supervision. 7.4 CONTRACTOR INFLUENCE The contractor shall not select or exercise any authority over the laboratory utilized. 7.5 CERTIFICATION OF LABORATORY PERSONNEL The following certification requirements shall apply: ■ Current certification is required for the following sampling and testing personnel: construction management/inspection, City, consultant laboratory and their sub -consultants. • For off -NHS projects, certification of personnel for AT and IAST shall be either Caltrans or similar certification acceptable to the Public Services Director. • Certificates for personnel on a project shall be retained in the Resident Engineer's (RE) project files. • Sampling and testing by an uncertified person is acceptable upon assurance by the RE that the uncertified person is competent to perform the work. 7.6 LABORATORY EQUIPMENT CALIBRATION The City shall obtain documentation of consultant laboratory's calibration of its equipment in accordance with LAPM 16.11 and nationally recognized calibration standards. The laboratory is responsible for performing the calibrations and providing such records to the City. Calibration of laboratory equipment (E.g. sand cones, scales, moisture tests, slump cones, air meters) shall occur on regular, appropriate intervals not exceeding one year. 7.7 RECORDS City's QAP and consultant's CWP material record of samples and tests, material releases, and certificates of compliance for a project shall be incorporated into the RE's project files. For Federally funded projects, records shall be retained for a period of three (3) years. 7.8 PROJECT CERTIFICATION 6 ROCKLIN CALIFORNIA Upon project completion, the RE shall complete and sign a "Materials Certificate" (Caltrans LAPM Exhibit 17-G). The Certificate shall be retained in the project construction files. All non -conforming materials must be explained and justified on the Certificate. 7 ACCEPTANCE SAMPLING AND TESTING FREQUENCIES Portland Cement Concrete (PCC) Materials to Sample Size Sampling/Testing Frequency Typical Test Description or be Sampled or Methods Comments Tested Freshly Mixed Approx. 150 ob. When tests are required, take at least ASTM C172, Concrete (or 1 cu. Ft.) near one sample for each 500 to 1000 cubic C685 (Sampling) mixer discharge yards (CY) of PCC CTM 539 Freshly Mixed Approx. 150 ob. On projects with 500 CY or more test ASTM C143 Slump Test Concrete (or 1 cu. Ft.) near at least on sample per job. (Testing) mixer discharge Freshly Mixed Approx. 150 ob. On projects with 500 CY or more test ASTM C360 Ball Penetration Concrete (or 1 cu. Ft.) near at least on sample per job. (Testing) mixer discharge Freshly Mixed Approx. 150 ob. On projects with 500 CY or more test ASTM C231 Air content Concrete (or 1 cu. Ft.) near at least on sample per job. CTM 504 (Testing) mixer discharge Freshly Mixed Approx. 150 ob. Fabricate at least three (3) concrete ASTM C39 Fabricate 6"x12' Concrete (or 1 cu. Ft.) near cylinders per sample. Test for CTM 521 cylinders. Test at 7 (Testing) mixer discharge compressive strength at least once for days, and 28 days. each 500 to 1000 CY of structural concrete. Soils and Aggregates Materials to Sample Size Sampling/Testing Frequency Typical Test Description or be Sampled or Methods Comments Tested Aggregate One 50 Ib. Take one sample for every 500 to 1000 ASTM D75 Random sampling (Sampling) sample tons of material CTM 125 Fine One 50 Ib. Take one sample for every 500 to 1000 ASTM C128 Specific Gravity Aggregates sample tons of material CTM 208 (Testing) Fine One 50 Ib. Take one sample for every 500 to 1000 ASTM C128 Bulk Specific Aggregates sample tons of material CTM 207 Gravity and (Testing) absorption Course One 50 Ib. Take one sample for every 500 to 1000 CTM 206 Cleanness Aggregate sample tons of material (Testing) Course One 50 Ib. Take one sample for every 500 to 1000 ASTM C127 Specific Gravity Aggregate sample tons of material CTM 227 and Absorption (Testing) Soils and One 50 Ib. Take one sample for every 500 to 1000 ASTM C136 Sieve analysis Aggregates sample tons of material CTM 202 (Testing) Soils and One 50 Ib. Take one sample for every 500 to 1000 ASTM D2419 Sand Equivalent Aggregates sample tons of material CTM 217 (Testing) Soils and One 50 Ib. Take one sample for every 500 to 1000 ASTM D3744 Durability Index Aggregates sample tons of material CTM 229 (Testing) Soils and One 50 Ib. Take one sample for every 500 to 1000 ASTM D2844 R—Value Aggregates sample tons of material CTM 301 (Testing) Soils and One random Take one sample for every 500 to 1000 ASTM D2922 Field Density using Aggregates location for every tons of material CTM 231 a nuclear gage (Testing) 2500 sq. ft. Soils and One random Take one sample for every 500 to 1000 ASTM D3017 Water content Aggregates location for every tons of material CTM 231 using a nuclear (Testing) 2500 sq. ft. gage Soils and One (1) 50 Ib. Take one sample for every 500 to 1000 ASTM D1557 Maximum density Aggregates sample tons of material and optimum (Testing) I I moisture content Asphalt Concrete Materials to Sample Size Sampling/Testing Frequency Typical Test Description or be Sampled or Methods Comments Tested Asphalt Obtain one (1) Obtain one sample at the asphalt ASTM D75, --- Concrete 30 -Ib. sample concrete plant for each 5000 tons of D140, D979 (Sampling) each day of asphalt concrete placed CTM 125 production Asphalt Obtain one (1) At least one sample for each 5000 tons ASTM D1188, Maximum density Concrete 30 -Ib. sample of asphalt concrete placed D1560, and relative (Testing) each day of D1561, compaction production D5361 CTM 304 Asphalt Obtain one (1) At least one sample for each 5000 tons ASTM C117, Gradation Concrete 30 -Ib. sample of asphalt concrete placed D2172 (Testing) each day of production Asphalt Sample any test One test for every 1000 tons of asphalt ASTM D2950 Field density by Concrete location concrete placed CTM 375 nuclear gage (random) Asphalt One (1) 10 -Ib. One sample per day ASTM D1560, Stability Concrete sample D1561 CTM 366 10 CONSTRUCTION MATERIALS ACCEPTED BY A CERTIFICATE OF COMPLIANCE 11 From Exhibit 16-T (2018 LAPM) TABLE 6-2.3 MATERIALS ACCEPTED BY CERTIFICATE OF COMPLIANCE (1 OF 7) Material/Product Remarks (Including Requirements for Additional Back -Up Information Required with Certificate of Compliance) Asphalt Certificate of compliance must include the following: 1. Shipment number and shipment date. 2. Source refinery, consignee, and destination. Asphaltic emulsion 3. Type and description of material with specific gravity and quantity. 4. Contract or purchase order number. 5. Signature by the manufacturer of the material and a statement that the material complies with the contract. Asbestos cement pipe Asbestos sheet packing Asphalt modifier Test results required with each truck load. Asphalt rubber joint sealant A certified test report of the results for the required tests performed within 12 months before the proposed use. Backer rods Must include manufacturer's statement of compatibility with the joint sealant to be used. Barbed Wire Blast cleaning material Bonding Material Brick Cable -type restrainers Certificate of compliance must be submitted with a copy of each required Lock nuts test report. Cast iron pipe Cast iron manhole rings and covers Chemical adhesive for bonding tie bars and dowel bars in concrete pavement Chemical adhesive for structures Certificate of compliance must state compliance with ICBO AC 58 and Caltrans. Augmentation/Revisions to ICBO AC 58. Concrete Certificate of compliance from the manufacturer must certify that the Admixture admixture furnished is the same as that previously authorized or the authorized materials list. Certificate of compliance must include the source name and location. If the cementitious material is delivered directly to the job site, the certificate of compliance must be signed by the cementitious material supplier. Concrete If the cementitious material is used in ready -mixed concrete, the certificate of Cementitious material compliance must be signed by the concrete manufacturer. If blended cement is used, the certificate of compliance must include a statement signed by the blended cement supplier that shows the actual percentage of SCM, by weight, in the blend. Certificate of compliance must include: Concrete 1. Test results for the tests specified in Section 90-1.01D(6) [90-7.01B] of Curing compound the Standard Specifications. 2. Certification that the material was tested within 12 months before use. Before placing minor concrete from a source not previously used on the Concrete contract, a certificate of compliance stating that the minor concrete to be Minor concrete furnished complies with the contract requirements, including the specified minimum cementitious material content. Ceramic tile Chain link fencing and railing Certificate required for protective coating system. Concrete anchorage devices 12 TABLE 6-2.3 MATERIALS ACCEPTED BY CERTIFICATE OF COMPLIANCE (2 OF 7) Material/Product Remarks (Including Requirements for Additional Back - Up Information Required with Certificate of Concrete pipe Certificate of compliance must: Circular reinforced direct design 1. Be signed by the manufacturer's quality control representative. method 2• State that all materials and workmanship comply with the specifications and authorized shop drawings. Copper pipe Corrugated metal pipe Certificate of compliance must include: 1. Manufacturer's name 2. Production location 3. Product brand or trade name 4. Product designation Crack sealant 5. Batch or lot number 6. Crack treatment material type 7. Contractor or subcontractor name 8. Contract number 9. Lot size 10. Shipment date 11. Manufacturer's signature Crash cushions Crumb rubber modifier Test results required with each truck load. Culvert markers Certificate of compliance required for: Delineators 1. Metal target plates 2. Enamel coating 3. Retroreflective sheeting Dowel bar baskets Drop inlet grates and frames Drain tile Drip irrigation line Elastomeric Bearing Pads Plain Certified test results for the elastomer. Elastomeric Bearing Pads Steel- Certified test results. reinforced Electrical Certificates of compliance is required for: Battery back-up system • External cabinet • Batteries Electrical Conductor Electrical Conduit(galvanized andplastic) Electrical Equipment Electrical Pull boxes concrete andplastic) Electrical Service cabinets 13 TABLE 6-2.3 MATERIALS ACCEPTED BY CERTIFICATE OF COMPLIANCE (3 OF 7) Material/Product Remarks (Including Requirements for Additional Back -Up Information Required with Certificate of Compliance) Certificate of compliance is required for • Straw • Fiber • RECP • Fasteners Certificate of compliance with attachments are required for: • Tackifier • Bonded fiber matrix • Polymer -stabilized fiber matrix Certificates of compliance attachments include: 1. Material Safety Data Sheet. Erosion control 2. Product label. 3. List of applicable nonvisible pollutant indicators for soil amendment and stabilization products as shown in the table titled "Pollutant Testing Guidance Table" in the Caltrans Construction Site Monitoring Program Guidance Manual. 4. Report of acute and chronic toxicity tests on aquatic organisms conforming to EPA methods. 5. List of ingredients, including chemical formulation. 6. Properties of polyacrylamide in tackifier including (1) percent purity by weight, (2) percent active content, (3) average molecular weight, and (4) charge density. Epoxy Epoxy powder coating for dowel bars and tie bars Expansion joint filler Fiberglass pipe Certificate of compliance must be submitted with laboratory test results. If PVC coating is shown, a suitable UV resistance additive must be Gabions blended with the PVC and the additive must be shown on the certificate of compliance. Certificate of compliance must certify that the drain produces the specified flow rate. The certificate must be accompanied by a flow Geocomposite drain capability graph for the geocomposite drain showing flow rates and the externally applied pressures and hydraulic gradients. Verification must be by an authorized laboratory for the flow capability ra h. Geosynthetics Test sample representing each lot and minimum average roll value. Glass beads Glue laminated timbers and decking Guide markers Irrigation hose Certificate of compliance required for: Irrigation pipe • Polyethylene pipe. • Plastic pipe supply line for pipe with wall thickness of the bell less than the specified minimum wall thickness of the pipe. Joint filler material Joint seals (Type A and AL) Certified test report for each batch of sealant. 14 TABLE 6-2.3 MATERIALS ACCEPTED BY CERTIFICATE OF COMPLIANCE (4 OF 7) Material/Product Remarks (Including Requirements for Additional Back -Up Information Required with Certificate of Compliance) Joint seal (Type B) Certificate of compliance required for: • Elastomeric joint seal • Lubricant -adhesive Certificate of compliance must be submitted with certified test report for each lot of elastomeric joint seal and lubricant -adhesive. Test reports must include the seal movement rating, the manufacturer's minimum uncompressed width, and test results. Joint seal assemblies with a For alternative joint seal assemblies, a certificate of compliance must be movement rating of 4 inches or less submitted for each shipment of joint seal materials. The certificate must state that the materials and fabrication involved comply with the specifications and the data submitted in obtaining the authorization for the alternative joint seal assembly. Joint seal assemblies with a movement rating over 4 inches Lime Certificate of compliance must include a statement certifying the lime furnished is the same as on the authorized material source list. Certificate of compliance for each reel of PVC strip must include: 1. Name of manufacturer Machine spiral wound PVC 2. Plant location pipeliners 3. Date of manufacture and shift 4. Cell classification 5. Unit mass 6. Average pipeliner stiffness and profile type Certificate of compliance required for: Markers 1. Metal target plates 2. Enamel coating 3. Retroreflective sheeting Certificate of compliance required for: Masonry block 1. Concrete masonry units 2. Aggregate for grout 3. Grout Micro surfacing emulsion Mulch Open steel flooring and grating Overside drains Certificate of compliance based on steel materials, aluminum materials or plastic materials. Parking area seal material Pavement markers Pavement marking Paint or thermoplastic Plastic lumber Laboratory test report. Plastic traffic drums Certificate of compliance must include average pipe stiffness, resin material cell classification, and date of manufacture. Plastic pipe for drainage For corrugated polyethylene pipe, manufacturer's copy of plant audits and test results from the National Transportation Products Evaluation Program for the current cycle of testing for each pipe diameter furnished. Portable changeable message sign Precast concrete Certificate of compliance must be signed by the precast concrete Cementitious material used in product manufacturer. recast concrete products 15 TABLE 6-2.3 MATERIALS ACCEPTED BY CERTIFICATE OF COMPLIANCE (S OF 7) Material/Product Remarks (Including Requirements for Additional Back -Up Information Required with Certificate of Compliance) Precast concrete Certificate of compliance must signed by the manufacturer's QC Box culverts representative for each shipment. Precast raised traffic bars Preformed compression seal for concrete pavement Preformed membrane sheet Must include type of sheet and the conditioner or primer application rates. Certificate of compliance is required for each delivery of aggregate, cementitious material, and admixtures used for calibration tests. Rapid strength concrete The certificate of compliance must state that the source of the materials used for the calibration tests is the same source as to be used for the tanned work. You may request that the contractor submits with certificate of compliance: Reinforcement 1. Copy of the certified mill test report for each heat and size of reinforcing steel showing physical and chemical analysis. 2. Two copies of a list of all reinforcement before starting reinforcement placement. Certificate of compliance for each shipment of epoxy -coated reinforcement must be submitted with: Reinforcement 1. Certification that the coated reinforcement complies with ASTM A Epoxy -coated 775/A 775M for bar reinforcement or ASTM A 884/A 884M, Class A, Type 1, for wire reinforcement 2. All certifications specified in ASTM A 775/A 775M for bar reinforcement or ASTM A 884/A 884M for wire reinforcement. Certificate of compliance for each shipment of epoxy -coated prefabricated reinforcement must be submitted with: Reinforcement 1. Certification that the coated reinforcement complies with ASTM A Epoxy -coated prefabricated 934/A 934M for bar reinforcement or ASTM A 884/A 884M Class A, reinforcement Type 2 for wire reinforcement. 2. All certifications specified in ASTM A 934/A 934M for bar reinforcement or ASTM A 884/A 884M for wire reinforcement. Reinforcement Certificate of compliance for the patching material must include Epoxy -coating patching materials certification that the patching material is compatible with the epoxy -powder to be used. Certificate of compliance for each shipment of headed bar reinforcement must be submitted with: Reinforcement 1. Mill test reports for the: Headed bar 1.1. Bar reinforcement 1.2. Head material 2. Production test reports 3. Daily production logs Certificate of compliance for each shipment of splice material must be submitted with: 1. Type or series identification of the splice material, including tracking information for traceability. Reinforcement 2. Grade and size number of reinforcement to be spliced. Splicing 3. Statement that the splice material complies with the type of mechanical splice on the authorized material list. 4. For resistance -butt -welded material: 4.1. Heat number 4.2. Lot number 4.3. Mill certificates 16 TABLE 6-2.3 MATERIALS ACCEPTED BY CERTIFICATE OF COMPLIANCE (6 OF 7) Material/Product Remarks (Including Requirements for Additional Back -Up Information Required with Certificate of Compliance) Sheet metal Certificates of compliance required for: 1. Aluminum sheeting Sign panels 2• Retroreflective sheeting 3. Screened -process colors 4. Nonreflective, opaque, black film 5. Protective-oveday film Silicone joint sealant A certified test report of the results for the required tests performed within 12 months before the proposed use. Slotted edge drain Snow poles Snow plow deflectors polyethylene material Soil amendment Steel crib wall Sheet metal Certificates of compliance required for: 1. Aluminum sheeting Sign panels 2• Retroreflective sheeting 3. Screened -process colors 4. Nonreflective, opaque, black film 5. Protective-oveday film Silicone joint sealant A certified test report of the results for the required tests performed within 12 months before the proposed use. Slotted edge drain Snow poles Snow plow deflectors polyethylene material Soil amendment Steel crib wall The certificate of compliance must be signed by the plant's QC representative. The QC representative must be on record with the Department's Office of Structural Materials. certificate of compliance must include: 1. Statement that all materials and workmanship incorporated in the work and all required tests and inspections of this work have been performed as described. Steel pipe piles 2. Certified mill test reports for each heat number of steel pipe piles being furnished. 3, Test reports for tensile, chemical, and any specified non-destructive test (NDT). 4. Test reports must be based on test samples taken from the base metal, steel, coil or from the manufactured or fabricated piles. 5. Calculated carbon equivalent. The carbon equivalent may be shown on the mill test report. Steel sheet piling Certificate of compliance required for: 1. Structural metal plate pipe Structural plate culverts 2. Arches 3. Pipe arches 4. Metal liner plate pipe 17 TABLE 6-2.3 MATERIALS ACCEPTED BY CERTIFICATE OF COMPLIANCE (7 OF 7) Material/Product Remarks (Including Requirements for Additional Back -Up Information Required with Certificate of Compliance) Certificate of compliance must include: 1. Test reports for tensile, chemical, and any specified NDT. Test samples must be taken from the base metal, steel, or from the manufactured or Structural shape steel piles fabricated pile. 2. A statement that all materials and workmanship incorporated in the work and all required tests and inspections of this work have been performed as described. Structural composite lumber used in falsework Structural steel thermal spray coat Wire feedstock Styrofoam filler Subsurface drain Certificate of compliance required for: Temporary concrete washout • Gravel -filled bag • Plastic liner Certificate of compliance required for: Temporary fence (Type ESA) • High visibility fabric • Safety caps for metal posts Certificate of compliance required for: • Fiber roll • Safety cap for metal posts Temporary linear sediment barrier • Silt fence fabric • Sediment filter bag • Foam barrier • Gravel -filled bag fabric Temporary railing (Type K) Thermoplastic Tie bars Tie bar baskets Timber products (treated and Certificate of compliance for timber and lumber must state the species of untreated) the material to be shipped and include a certified grading report. If treated, certified treating report. Threaded tie bar splice couplers Traffic stripe Paint or thermoplastic Turf sod Certificate of compliance required for: Underdrains • Type of pipe • Tubing • Fitting Waterproofing fabric Waterstop Certificate of compliance for waterstop material must state compliance with 6 of Army Corps of Engineers CRD -C 572. Welded wire fabric -paragraph Wire mesh fencing 18 C-)p,� R•4 F��! 1 �, yc ,lrWITH E'�y 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: Iman Kayani for SG Contractor Name: Mark Thomas and Company, Inc. Contractor's Contact: Daniel Blomquist Extension: 3352 Contact's Email: dblomquist@markthomas.com ❑ FPPC: Check if Contractor/Consultant must file Form 700 Step RESPONSIBLE DESCRIPTION COMPLETED REVIEWER DEPARTMENT DATE Check/Initial 1 Project Manager a. Email PINS Introductory Notice to Contractor Click nerc to ❑ C11wr .. datc. b. Email contract (in Word) and attachments to City 1/8/2021 Attorney c/o Laraine.Gittens@cityofsanrafael.org ❑X IKK 2 City Attorney a. Review, revise, and comment on draft agreement 1/11/2021 © LG and return to Project Manager 1/11/2021 ❑X LG b. Confirm insurance requirements, create Job on PINS, send PINS insurance notice to contractor 3 Department Director Approval of final agreement form to send to 1/11/2021 ❑x BG contractor 4 Project Manager Forward three (3) originals of final agreement to 1/11/2021 ❑X IKK contractor for their signature 5 Project Manager When necessary, contractor -signed agreement ❑X N/A agendized for City Council approval * *City Council approval required for Professional Services ❑X IKK Agreements and purchases of goods and services that exceed Or $75,000; and for Public Works Contracts that exceed $175,000 Click here to Date of City Council approval enter a date. PRINT CONTINUE ROUTING PROCESS WITH HARD COPY 6 Project Manager Forward signed original agreements to City 1/13/2021 IKK Attorney with printed copy of this routing form 7 City Attorney Review and approve hard copy of signed /A r /?tz 0, agreement I / , 8 City Attorney Review and approve insurance in PINS, and bonds (for Public Works Contracts) 9%20/�� 9 City Manager/ Mayor Agreement executed by City Council authorized r L� 4I official J 10 City Clerk Attest signatures, retains original agreement and forwards copies to Project Manager �"b�-f