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Home My WebLink AboutPW Parking Box Safety ProjectCITY OF SAN RAFAEL Department of Public Works 111 Morphew Avenue San Rafael, CA 94901 Public Works Contract for Projects up to $175,000 This public worl-s contract ("Contract") is entered into by and between the City of San Rafael ("City'') and Bayside Stripe and Seal, Inc. ("Contractor"), a California corporation, for work on the City's Parking Box Safety Project ("Project"), and is effective on 2022 ("Effective Date"). The parties agree as follows: 1. Scope of Work. Contractor will perform and provide all labor, materials, equipment, supplies, transportation, and any and all other items or services necessary to perform and complete the work required for the Project ("Work"), as specified in Exhibit A, Scope of Work, and according to the terms and conditions of this Contract, including all attachments to the Contract and any other documents and statutes incorporated by reference. To the extent that any attachment contains provisions that conflict or are inconsistent with the terms set forth in the body of this Contract, the Contract terms will control. This Project requires a valid California contractor's license for the following classification(s): C-37,22 ... Contract Documents. The Contract Documents incorporated into this Contract include and are cc,mprised of all of the documents listed below: 2.1 4ice Inviting Bids; 2.2 Contract; 2.3 Addenda, if any; 2.4 Exhibit A — Scope of Work; 2.5 Exhibit B — Bond Forms 2.6 Exhibit C — Noncollusion Declaration; 2.7 Exhibit D — Bid Schedule: 3. Contract Price. As full and complete compensation for Contractor's timely performance and completion of the Work in strict accordance with the terms and conditions of the Contract Documents, City will pay Contractor up to $91,732 (the "Contract Price") for all of Contractor's direct and indirect costs to perform the Work, including all labor, materials, supplies, equipment, taxes, insurance, bonds and all overhead costs, in accordance with the payment provisions contained herein. 3.1 Payment. Contractor must submit an invoice on the first day of each month during the Contract Time, defined in Section 4 below, and/or upon completion, for the Work performed during the preceding month, itemizing labor. materials, equipment and any incidental costs incurred. Contractor warrants that tit', ';) all work, materials and equipment incorporated into the Work will pass to City free of any claims, liens, or encumbrances upon payment to Contractor. 3.2 Payment and Performance Bonds. If the Contract Price is over $25,000, then Contractor must provide City with a payment bond and a performance bond using the bond forms included in this Contract as Exhibit B, Bond Forms, and submit the bonds with the executed Contract. Each bond must be issued by a surety admitted in California. If an issuing surety cancels a bond or becomes insolvent, Contractor must provide a substitute bond from a surety acceptable to City within seven days after written notice from City. If Contractor fails to substitute an acceptable surety within the specified time, City may, in its sole discretion and without prior notice to Contractor, purchase such bond(s) at Contractor's expense and deduct the cost from payments otherwise due to Contractor, or terminate the Contract. <enter project name> Up to $175,000 Contract City Project #: <enter proj no.> Page 1 Approved by City Attorney, dated 0312812022 4. Time for Completion. Contractor will fully complete the Work within 40 days from the date the City authorizes Contractor to proceed with the Work ("Contract Time"). 5. Liquidated Damages. If Contractor fails to complete the Work within the Contract Time, Contractor must pay liquidated damages in the amount of $500 per day for each day of unexcused delay in completion. 6. Standard of Care. All Work must be provided in a manner that meets or exceeds the standard of care applicable to the same type of work in the City of San Rafael. Contractor must promptly correct, at Contractor's sole expense, any Work that the City determines is deficient or defective. 7. Permits and Licenses. Contractor, at its sole expense, must obtain and maintain during the term of this Contract, all appropriate permits, certificates and licenses including, but not limited to, the required California contractor's license and a City business license. 8. Indemnification. Contractor will indemnify, defend with counsel acceptable to City, and hold harmless to the full extent permitted by law, City, its governing body, officers, agents, employees, and volunteers (the "Indemnitees") from and against any and all liability, demands, loss, damage, claims, settlements, expenses, and costs (including, without limitation, attorney fees, expert witness fees, and costs and fees of litigation) (collectively, "Liability") of every nature arising out of or in connection with the hots or omissions of Contractor, its employees, subcontractors, representatives, or agents in performing t ie Work of failing to comply with any obligation of Contractor under this Contract, except such Liability caused by the active negligence, ,.:ie negligence, or willful misconduct of an Indemnitee. This indemnification obligation is not lirnited by any limitation on the amount or type of damages or cot-ipensation pa�,able under Workers' Compensation or other employee benefit acts, or by insurance coverage limits, and will survive the expiration or early termination of this Contract. City will notify Contractor of any third -party claim pursuant to Public Contract Code section 9201. 9. Insurance. Contractor will, at all times under this Contract, maintain the insurance coverage required in this section to cover the activities of Contractor and any subcontractors relating to or arising from performance of the Work. Each policy must be issued by a company licensed to do business in California, and with a strength and size rating from A.M. Best Company of A -VIII or better. Contractor must provide City with certificates of insurance and required endorsements as evidence of coverage with the executed Contract, or through the PINSAdvantage website https://www.pinsadvantage.cam/ upon request by the City, and before the City authorizes Contractor to proceed with the Work. 9.1 Workers' Compensation. Statutory coverage is required by the California Workers' Compensation Insurance and Safety Act. If Contractor is self-insured, it must provide its duly authorized Certificate of Permission to Self -Insure. In addition, Contractor must provide employer's liability insurance with limits of no less than one million dollars ($1,000,000) per accident for bodily injury or disease. 9.2 Liability. Commercial General Liability ("CGL") insurance issued on an occurrence basis, including coverage for liability arising from Contractor's or its subcontractor's acts or omissions in performing the Work, including Contractor's protected coverage, blanket contractual, products and completed operations, broad form property damage, vehicular coverage, and employer's non -ownership liability coverage, with limits of at least $1,000,000 per occurrence and $2,000,000 general aggregate. 9.3 Automotive. Commercial automotive liability coverage for owned, non -owned and hired vehicles must provide coverage of at least $1,000,000 combined single limit per accident for bodily injury, death, or property damage. 9.4 Subrogation Waiver. Each required policy must include an endorsement that the insurer waives any right of subrogation it may have against the City or the City's insurers. <enter project name> Up to $175,000 Contract City Project #: <enter proj no.> Page 2 Approved by City Attorney, dated 03/28/2022 9.5 Required Endorsements. The CGL policy and the automotive liability policy must include the following specific endorsements: (1) The City, including its Council, officials, officers, employees, agents, volunteers and consultants (collectively, "Additional Insured") must be named as an additional insured for all liability arising out of the operations by or on behalf of the named insured, and the policy must protect the Additional Insured against any and all liability for personal injury, death or property damage or destruction arising directly or indirectly in the performance of the Contract. (2) The inclusion of more than one insured will not operate to impair the rights of one insured against another, and the coverages afforded will apply as though separate policies have been issued to each insured. (3) The insurance provided is primary and no insurance held or owned by City may be called upon to contribute to a loss ("primary and non-contributory"). (4) Any umbrella or excess insurance must contain or be endorsed to contain a provision that such coverage will also apply on a primary or non-contributory basis for the benefit of City before the City's own insurance or self-insurance will be called upon to protect it as a named insured. (5) 'his policy doe:• not exclude explosion, collapse, underground excavation hazard, or removal of lateral support. 10. Labor Code Compliance. Unless the Contract Price is $1,000 or less, the Contract is subject to all applicable requirements of Chapter 1 of Part 7 of Division 2 of the Labor Code, beginning at section 1720, and the related regulations, including but not limited to requirements pertaining to wages, working hours and workers' compensation insurance. Contractor must also post all job site notices required by laws or regulations pursuant to Labor Code section 1771.4. 10.1 Prevailing Wages. Each worker performing Work under this Contract that is covered under Labor Code section 1720 or 1720.9, must be paid at a rate not less than the prevailing wage as defined in sections 1771 and 1774 of the Labor Code. The prevailing wage rates are on file with the City Engineer's office and are available online at http://www.dir.ca.gov/DLSR. Pursuant to Labor Code section 1775, Contractor and any subcontractor will forfeit to City as a penalty up to $200 for each calendar day, or portion of a day, for each worker paid less than the applicable prevailing wage rate, in addition to paying E ach worker the difference betweF-n the applicable wage rate and the amount actually paid. 10.2 We -king Day. Pursuant to Labor Code section 1810, eight hours of labor consists of a legal day's work. Pursuant to Labor Code section 1813, Contractor will forfeit to City as a penalty the sum of $25 for each day during which a worker employed by Contractor or any subcontractor is required or permitted to work more than eight hours during any one calendar day, or more than 40 hours per calendar week, unless such workers are paid overtime wages under Labor Code section 1815. All Work must be carried out during regular City working days and hours unless otherwise specified in Exhibit A or authorized in writing by City. 10.3 Payroll Records. Contractor and its subcontractors must maintain certified payroll records in compliance with Labor Code sections 1776 and 1812, and all implementing regulations promulgated by the Department of Industrial Relations ("DIR"). For each payroll record, Contractor and its subcontractors must certify under penalty of perjury that the information in the record is true and correct, and that it has complied with the requirements of Labor Code sections 1771, 1811, and 1815. Unless the Contract Price is under $25,000, Contractor must electronically submit certified payroll records to the Labor Commissioner as required under California law and regulations. <enter project name> Up to $175,000 Contract City Project #: <.__r:rer proj no.> Page 3 Approved by City Attorney, dated 03/28/2022 10.4 Apprentices. If the Contract Price is $30,000 or more, Contractor must comply with the apprenticeship requirements in Labor Code section 1777.5. 10.5 DIR Monitoring, Enforcement, and Registration. This Project is subject to compliance monitoring and enforcement by the DIR pursuant to Labor Code section 1725.5, and, subject to the exception set forth below, Contractor and any subcontractors must be registered with the DIR to perform public works projects. The registration requirements of Labor Code section 1725.5 do not apply if the Contract Price is for under $25,000. 11. Workers' Compensation Certification. Under Labor Code section 1861, by signing this Contract, Contractor certifies as follows: "I am aware of the provisions of Labor Code section 3700 which require every employer to be insured against liability for workers' compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the Work on this Contract." 12. Termination. 12.1 Termination for Convenience. City reserves the right to terminate all or part of the Contract for convenience upon written notice to Contractor. Upon receipt of such notice, Contractor must: immediately stop the Work, including under any terms or conditions that may be specified in the notice; co�.Iply with Citv'C instructions to protect the completed Work and materials; and use its best efforts to minimize further costs. In the event of City's termination for convenience, Contractor waives any claim for damages, including for loss of anticipated profits from the Project. If City terminates the Contract for convenience, City will only owe Contractor payment for the Work satisfactorily performed before Contract termination, as well as five percent of the total value of the Work performed as of the date of notice of termination or five percent of the value of the Work yet to be completed, whichever is less, which is deemed to cover all overhead and profit to date. 12.2 Termination for Default. The City may terminate this Contract for cause for any material default. Contractor may be deemed in default for a material breach of or inability to perform the Contract, including Contractor's refusal or failure to supply sufficient skilled workers, proper materials, or equipment to perform the Work within the Contract Time; refusal or failure to make prompt payment to its employees, subcontractors, or suppliers or to correct rejected work; disregard of laws, regulations, ordinances, rules, or orders of any public agency with jurisdiction over the Project; lack of financial capacity to complete the `:'fork within the Contract Time; or responsibility for any other material breach of the Contract requirements. If City terminates the Contract for cause, City will only owe Contractor payment for the Work satisfactorily performed before Contract termination. 13. Dispute Resolution. Any dispute arising under or related to this Contract is subject to the dispute resolution procedures of Public Contract Code sections 9401 and 20104 et. seq., which are incorporated by reference. 14. Waiver. A waiver by City of any breach of any term, covenant, or condition in this Contract will not be deemed a waiver of any subsequent breach of the same or any other term, covenant, or condition contained herein, regardless of the character of any such breach. 15. Warranty. Contractor guarantees and warrants the Work and the materials used or provided for the Project for a period of one year, beginning upon City's acceptance of the Work for the Project as complete ("Warranty Period"). During the Warranty Period, upon notice from the City of any defect in the Work or the materials, Contractor must, at its sole expense, promptly repair or replace the defective Work or materials, including repair or replacement of any other Work or materials that is or are displaced or damaged during the warranty work, excepting any damage resulting from ordinary wear and tear. <enter project is _v:, 3> Up to $175,000 Contract City Project #: <enter proj no.> Page 4 Approved by City Attorney, dated 03/28/2022 16. Worksite Conditions. 16.1 Clean and Safe, Contractor must maintain the Work site and staging and storage areas in a clean and neat condition and must ensure it is safe and secure. On a daily basis the Contractor must remove and properly dispose of debris and waste materials from the Work site. 16.2 Inspection. Contractor will make the Work accessible at all times for inspection by the City. 16.3 Hazardous Materials. Unless otherwise specified in the Contract documents, this Contract does not include the removal, handling, or disturbance of any asbestos or other hazardous materials, as identified by any federal, state, or local law or regulation. If Contractor encounters materials on the Project site that Contractor reasonably believes to be asbestos or other hazardous materials, and the asbestos or other hazardous materials have not been rendered harmless, Contractor may continue Work in unaffected areas reasonably believed to be safe, but must immediately cease Work on the area affected and report the condition to City. No asbestos, asbestos -containing products or other hazardous materials may be used in performance of the Work. 16.4 Utilities, Trenching and Excavation. As required by Government Code section 4215, if, during the performance of the Work, Contractor discovers utility facilities not identified by City in the Contract documents, Contractor must immediately provide written notice to City and the utility. In performing any, :�x-:-avations or trenching work, Contractor must comply with all applicable operator requirements in Government Code sections 4216 through 4216.5. If the trenching or excavation extends dee,)er than four feet below the surface, then it must also comply with Public Contract Code section 7104. 17. Records. Unless otherwise specified in Exhibit A, Contractor must maintain and update a separate set of as -built drawings while the Work is being performed, showing changes from the Work as planned in Exhibit A, or any drawings incorporated into this Contract. The as -built drawings must be updated as changes occur, on a daily basis if necessary. 18. Conflicts of Interest. Contractor, its employees, subcontractors and agents, may not have, maintain or acquire a conflict of interest in relation to this Contract in violation of any City ordinance or policy or in violation of any California law, including under Government Code section 1090 et seq. and under the Political Reform Act as set forth in Government Code section 81000 et seq. and its ccompanying regulations. Any violation of this Section constitutes a material breach of the Contract. 16. Non -Discrimination. No discrimination will be made in the employment of persons under this Contract because of the race, color, national origin, ancestry, religion, gender or sexual orientation of such person. 20. Independent Contractor. City and Contractor intend that Contractor will perform the Work under this Contract as an independent contractor. Contractor is solely responsible for its means and methods in performing the Work. Contractor is not an employee of City and is not entitled to participate in health, retirement or any other employee benefits from City. 21. Assignment of Unfair Business Practice Claims. Under Public Contract Code section 7103.5, Contractor and its subcontractors agree to assign to City all rights, title, and interest in and to all causes of action it may have under section 4 of the Clayton Act (15 U.S.C. section 15) or under the Cartwright Act (Chapter 2 (commencing with section 16700) of Part 2 of Division 7 of the Business and Professions Code), arising from purchases of goods, services, or materials pursuant to the Contract or any subcontract. This assignment will be effective at the time City tenders final payment to Contractor, v!ithout further acknowledgement by the parties. 22. Notice. Any notice, billing, or payment required by or pursuant to the Contract documents must be made in writing, signed, dated and sent to the other party by personal delivery, U.S. Mail, a reliable <enter project name> Up to $175,000 Contract City Project #: <enter proj no.> Page 5 Approved by City Attorney, dated 03/28/2022 overnight delivery service, or by email as a PDF (or comparable) file. Notice is deemed effective upon delivery unless otherwise specified. Notice for each party must be given as follows: City: Address: 1375 Fifth Avenue City/State/Zip: San Rafael, CA 94901 Phone: (415) 485-3025 Attn: Mary Ellen Skramstad, Wildfire Mitigation Project Manager Email: mary.skramstadic`�r cityofsanrafael.orq Contractor: Name: Address: City/State/Zip: Phone: Attn: Email: Bayside Stripe and Seal P.O. Box 703 Petaluma, CA 94953 (707) 765-2871 Ramy Mughannam ramy(d)bays idessi.com 23. General "rovisions. 23.1 Compliance with All Laws. Contractor will comply with all applicable federal, state, and iocai laws and regulations including, but not limited to, unemployment insurance benefits, FICA laws, conflict of interest laws, and local ordinances. Work may only be performed by qualified and experienced workers who are not employed by the City and who do not have any contractual relationship with City, with the exception of this Contract. 23.2 Provisions Deemed Inserted. Every provision of law required to be inserted in the Contract is deemed to be inserted, and the Contract will be construed and enforced as though such provision has been included. If it is discovered that through mistake or otherwise that any required provision was not inserted. or not correctly inserted, the Contract will be deemed amended accordingly. 23.3 Assignment and Successors. Contractor may not assign its rights or obligations under Lhis Contract, in part or in whole, without City's written consent. This Contract is binding on Contractor's and City's lawful heirs, successors and permitted assigns. 23.4 Th -d Party Beneficiaries. There are no intended third -party beneficiaries to this Contract. 23.5 Governing Law and Venue. This Contract will be governed by California law and venue will be in the Superior Court of Marin County, and no other place. 23.6 Amendment. No amendment or modification of this Contract will be binding unless it is in a writing duly authorized and signed by the parties to this Contract. 23.7 Integration; Severability. This Contract and the Contract documents incorporated herein, including authorized amendments or change orders thereto, constitute the final, complete, and exclusive terms of the agreement between City and Contractor. If any provision of the Contract documents, or portion of a provision, is determined to be illegal, invalid, or unenforceable, the remaining provisions of the Contract documents will remain in full force and effect. 23.8 Authorization. Each individual signing below warrants that he or she is authorized to do so by the party that he or she represents, and that this Contract is legally binding on that party. If Contractor is a corporation, signatures from two officers of the corporation are required pursuant to California Corporation Cod:; section 313. <enter project name> City Project #: <enter proj no.> Approved by City Attorney, dated 03/28/2022 Up to $175,000 Contract Page 6 <enter project name> City Project #: <enter proj no.> [Signatures are on the following page.] Approved by City Attorney, dated 03/2812022 Up to $175,000 Contract Page 7 The parties agree to this Contract as witnessed by the signatures below: CITY: pro _ -d. as to form: s/- IIM S UTZ City Manage ROB T F. EPSTEIN, City A orney Date: ''!`�r Date:�/- Attest: /{ LINDSAY i_ARA, Ci y Clerk Da_ -a 1 q - CQhIT + P: Bayside Stripe and Sea[. Inc. Business Name �r�,i�� rr,ir► - P iame/Title+ J '.gate: l ] 5 s,'' Narna/Title Date: I I (d 1• Contractor's California Lice a Number(s) and Expiration Date(s) Exhibit A: Scope of Work "-xhibit B: Bond Forms F,xhibit C: Noncollusion Declaration Exhibit D: Bid Schedule E: hibit E: Subcontractor List END OF CONTRACT <enter project name> Up to $175,000 Contract City Project #: <enter proj no.> Page 8 Approved by City Attorney, dated 0312812022 Exhibit A SCOPE OF WORK <enter project name> Up to $175,000 Contract City Project #: <enter proj no> Scope of Work Approved by City Attorney, dated 0312812022 P.O. Box 703 I i Date 6/28/2022 Page 1 of 2 I f I I Petaluma, CA. 94953 Project Name San Rafael Parking Box Safety Project I STRIPE & SEAL 707-765-2871 Phone Project No. 707-765-2773 Fax Location: San Rafael, CA Revised ramv@bayside__ _gm Estimator: Ramy Mughannam C-32,27lk#883985,DIR#Sa0001757, Bonding rate@2.0%.Under$5Million inGrossSales Quotation 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 Notf Item I Description UOM Quantity Price Per Total New Poles: Furnish & Install new 2" Galvanized pole w/ sleeve (106+68) EA 174 $ 225.00 $ 39,150.00 12" x 18" single sided sign (109+45) EA 154 $ 75.00 $ 11,550.00 12" x 18" double sided sign (17+1) EA 18 $ 100.00 $ 1,800.00 18" x 24" single sided sign (17+14) EA 31 $ 100.00 $ 3,100.00 18" x 24" double sided sign (17+35) EA 52 $ 125.00 $ 6,500.00 W14-2 Sign: EA 1 $ 225.00 $ 225.00 Sign removal & Discard (36+9) EA 45 $ 10.00 $ 450.00 Pole Removal EA 7 $ 50.00 $ 350.00 4" parking boxes (2622+1840) LF 4462 $ 1.50 $ 6,693.00 Red curb painting (368+29) LF 397 $ 3.50 $ 1,389.50 Install New sign onto existing pole (49+26) EA 75 $ 75.00 $ 5,625.00 Install new sign onto new pole (106+68) EA 174 $ 25.00 $ 4,350.00 Install new double sided sign w/ L bracket on pale (34+36) EA 70 $ 125.00 $ 8,750.00 Bonds (Payment & Performance Bonds) LS 1 $ 1,800.00 $ 1,800.00 Posting for "No Parking" by city I This Proposal is per plans & specs. ITotal $ 91,732.50 • Quote includes all Comments, Stipulations & Exclusions found on Page #2 • Any alteration or deviations from the above specifications involving extra cost will be executed only upon written orders & will be an extra charge (CCO) 1 P.O. Bcx 703 Page 2 of 2 1 Petaluma, CA. 94953 I 707-765-2871 Phone STRIPE & SEAL 707-765-2773 Fax Stipulations & Comments • We are Signatory to Laborers Union • Twenty 20 WORKING days minimum notice needed with each move -in. Schedule will be mutual!y agreed upon based on our existing scheduled work backlog., There are no guarantees that we'll be able to meet GC's schedule. Preliminary schedule is required prior to contract execution. BSSI WILL NOT BE CHARGED Liquidated Damages due to scheduling issue or time over -run that were not caused by BSSi, especially when schedule is not agreed upon. If BSSI is scheduled or she final counted work day. BSSI will not be liable if Lor some pnForeseen reason the single day becomes two. if our scheduled move -in iE-ancelled due to weather, we will only return on our next available opening. ■ BSSI will not be responsible for LD's due to weather re -scheduling, • Note: Thispropasal will Eye valid for 30 Days & be All-inclusive unless agreed upon prior to bid time. BSSI RESERVES THE RIGHT TO WITHDRAW PROPOSAL IF WRITTEN ACCEPTANCE IS NOT RECEIVED WITHIN THE TIME ALLOWED 30 DAYS), NO EXCEPTIONSI • Payment for Work Performed shall be made within 40 Days, or it will constitute our legal right to cease all operations until paid. • Above proposal includes Traffic Control for our portion only unless specifically stated otherwise. • Work areas with -in project striping limits, are to be clean, clear & have unobstructed access for BSSI work • Proposal is based One (1) move-in(s). Additional move -ins will be billed at $3,500.00 each. Reducin mive-ins does not change pricing. increasing does pricing **40 RETENTION TO BE TAKEN ON CONTRACTS LESS THAN $6,000.00 EXCLUSIONS • Pern,its, Fees, or Bonds • Surveying ■ Crack Sealing, Herbicide, Asphalt patching Rolling, or post sweeping • Heavy Cleaning, Pressure Washing, Dirt Removal • Traffic Control Plans, Traffic Police, Detours or CMS ■ Sealing of asphalt (or concrete) after striping removal • SWPPP/WPCP • Temp. Striping after paving or slurry sealing or another operations unless specifically agreed upon • Construction area signs • Parking restriction Signage (Posting). BSSI to inform if needed prior to move -in • Primary Liability Ins. Greater than $2,000,000, Railroad or Hoz. Insurance • OCIP/WRAP Insurance & associated fees/cost • Notifying or any form of residential/business outreach • Removal of concrete curing material prior to Thermoplastic/Paint/Marking installation • Removal of Temporary tape or Floppies that do not interfere with permanent striping ■ All Safety Training, Roilroad Training, Badging, Orientation Training, or Drug testing. If required, shall be paid on T & M • Mast -Arm Signage, illuminated signage • GC to provide existing striping grindings stockpile location if striping is removed for testing. No exceptions • Existing Striping removal. • Lead Compliance Plan • BSSI will use existing crew members for all work. BSSI exempts our work from hiring goals. Quotation (including inclusions & Exclusions) MUST become part of any contract or purchase order, and cannot be superseded by any other terms of the agreement Verbal or Electronic _Agreement _to pricing above, binds Contractor or owner to terms & conditions of this Quote. Exhibit B BONDFORMS Required fof• contracts over $25, 000. <enter project name> City Project #: <enter proj no.> Approved by City Attorney, dated 0312812022 Up to $175,000 Contract Payment Bond Exhibit C NONCOLLUSION DECLARATION TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID The undersigned declares I am the President [title] of Bayside Stripe and Seal. Inc. [business name], the party making the foregoing bid. The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or to refrain from bidding. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid and will not pay, any person or entity for such purpose. This declaration is intended to comply with California Public Contract Code § 7106 and Title 23 U.S.0 § 12. 1 declare p r of perjury under the laws of t e ate of California that the foregoing is true and correct anh , i. of is executed on 3 -*I- [date], at Petaluma [city], CA [state]. _Ram Mug nnam �� 1 Name [print] END OF NONCOLLUSION DECLARATION <enter project name> Up to $175,000 Contract City Project #: <enter proj no.> Noncollusion Declaration Approved by City Attorney, dated 3/28/2022 Exhibit D BID SCHEDULE This Bid Schedule must be completed in ink and included with the sealed Bid Proposal. Pricing must be provided for each Bid Item as indicated. Items marked "(SW)" are Specialty Work that must be performed by a qualified Subcontractor. The lump sum or unit cost for each item must be inclusive of all costs, whether direct or indirect, including profit and overhead. The sum of all amounts entered in the "Extended Total Amount" column must be identical to the Base Bid price entered in Section 1 of the Bid Proposal form. AL = Allowance CF = Cubic Feet CY = Cubic Yard EA = Each LB = Pounds LF = Linear Foc.. LS = Lump Sum SF = Square Feet TON = Ton (2000 lbs.) BID ITEM NO. ITEM DESCRIPTION EST. QTY. UNIT UNIT COST EXTENDED TOTAL AMOUNT 1 New poles 174 EA $225.00 $39,150.00 2 12" x 18" single sided sin 154 EA $75.00 $11.550.00 3 12" x 18" single sided si n 18 EA $100.00 $1,800.00 4 18" x 24" single sided sin 31 EA $100.00 $3,100.00 5 18" x 24" single sided sin 52 EA , $125.00 $6,500.00 6 W14-2 sin 1 EA $225.00 $225.00 7 Sign P,,moval and Disposal 45 EA $10.00 $450.00 a Pole Removal 7 EA $50.00 $350.00 9 4" parking boxes 4462 LF $1.50 $6,693.00 10 Red Curbing painting 397 LF $3.50 $1,389.50 11 Install new sign onto existing pole 75 EA $75.00 $5,625.00 12 Install new si n onto new pole 174 EA $25.00 $4,350.00 13 Install new double sided sign w/ L bracket on pole 70 EA $125.00 $8,750.00 Bonds mt &performance) 1 LS $1,800.00 $1,800.00 TOTAL BASE BID: Items 1 through 13 inclusive: $ 91,732.50 Note. The amount entered as the "Total Base Bid" should be identical to the Base Bid amount entered in Section 1 of the Bid Proposal form. 'enter project name> City Project #: <enter proj no.> %pproved by City Attorney, dated 3/28/2022 Up to $175,000 Contract Subcontractor List TI - s/ s/ Bayside Stripe and Seal Inc. Company Name P.O. BOX 70 Address Petaluma, CA. 94953 City, State, Zip Ramy Mughannam Contact Name 3, 2022 Name id Titl 1� � IfcLL �1j�1GtnVi�Vk- G' fKl��"-' Name and Titie _883985 5-31-24C32 License #, Expiration Date, and Classification 1000001757 DIR Registration # 707-765-2871 Phone ramy@baysideessi.com Contact Email Addenda. Bidder agrees that it has confirmed receipt of or access to, and reviewed, all addenda issued for this Bid. Bidder waives any claims it might have against the City based on its failure to receive, access, or reviP,, -Rny addenda for any reason. Bidder specifically acknowledges receipt of the following add,mda: Addendum: Date Received: #01 #02 #03 #04 -.enter project name> City Project #: <enter proj no.> Addendum: #05 #06 #07 #08 END OF BID SCHEDULE Approved by City Attorney, dated 3/28/2022 Date Received: Up to $175,000 Contract Subcontractor List Performance Bond Bond Number:14L000497 Premium: $3,500.00 City of 6an Rafael ("City") and Bayside Stripe & Seal, Inc. �("Contractor") have entered into a contract, dated 7 S 20rt ��Contract") for work on the $ arkEng Box ("Project"). The Contract is incorporated by reference into this Performance Bond ("Bond"). 1. General. Under this Bond, Contractor as Principal and The Ohio Casualty Insurance Company its surety ("Surety"), are bound to City as obligee for an amount not less than $ 175,000.00 . By executing this Bond, Contractor and Surety bind themselves and their respective heirs, executors, administrators, successors and assigns, jointly and severally, to the provisions of this Bond. 2. Surety's Obligations; Waiver. If Contractor fully performs its obligations under the Contract, including its warranty obligations under the Contract, Surety's obligations under this Bond will become null and void upon City's acceptance of the Project, provided Contractor has timely provided a warranty bond as required under the Contract. Otherwise Surety's obligations will remain in full force and effect until expiration of the one year warranty period under the Contract. Surety waives any requirement to be notified of and further consents to any alterations to the Contract made under the applicable provisions of the Contract documents, including changes to the scope of Work or extensions of time for performance of Work under the Contract. Surety waives the provisions of Civil Code sections 2819 and 2845. 3. Application of Contract Balance. Upon making a demand on this Bond for completion of the Work prior to acceptance of the Project, City will make the Contract Balance available to Surety for completion of the Work under the Contract. For purposes of this provision, the Contract Balance is defined as the total amount payable by City to Contractor as the Compensation minus amounts already paid to Contractor, and minus any liquidated damages, credits, or backcharges to which City is entitled under the terms of the Contract. 4. Contractor Default. Upon written notification from City that Contractor is in default under the Contract, time being of the essence, Surety must act within seven calendar days of receipt of the notice to remedy the default through one of the following courses of action: 4.1 Arrange for completion of the Work under the Contract by Contractor, with City's consent, but only if Contractor is in default solely due to its financial inability to complete the Work; 4.2 Arrange for completion of the Work under the Contract by a qualified contractor acceptable to City, and secured by performance and payment bonds issued by an admitted surety as required by the Contract documents, at Surety's expense; or 4.3 Waive its right to complete the Work under the Contract and reimburse City the amount of City's costs to have the remaining services completed. 5. Surety Default. If Surety defaults on its obligations under the Bond, City will be entitled to recover all costs it incurs due to Surety's default, including legal, design professional, or delay costs. 6. Notice. Notice to Surety must be given or made in writing and sent to the Surety via personal delivery, U.S. Mail, or a reliable overnight delivery service, or by email as a PDF (or comparable) file. Notice is deemed effective upon delivery unless otherwise specified. Notice for the Surety must be given as follows: <enter project name> Up to $175,000 Contract City Project #: <enter proj no.> Performance Bond Approved by City Attorney, dated 03/2812022 Attn: Liberty Mutual Surety - Claims Dept Address: 1001 4th Ave Ste 3800 City/State/Zip: Seattle WA 98154 Phone: 206-473-6210 Fax: 866-548-6837 Email: hoscl@libertymutual.com 7. Law and Venue. This Bond will be governed by California law, and any dispute pursuant to this Bond will be venued in the Superior Court of Marin County, and no other place. Surety will be responsible for City's attorneys' fees and costs in any action to enforce the provisions of this Bond. 8. Effective Date; Execution. This Bond is entered into and effective on July 15 20 22. Three identical counterparts of this Bond, each of which is deemed an original for all purposes, are hereby executed and submitted. SURETY: The Ohio Casualty Insurance Company Business Name s/ Jill Seymour, Attorney -In -Pact Name/Title [print] (Attach Acknowledgment with Notary Seal and Power of Attorney) CONT OR: Bayside Stripe & Seal, Inc. i Business Name 1 s/ Ramy Mughannam, President Namip/Title s/ Name/Title APPROVED BY CITY: s/ OW -Ji 0" ROBEPT F. EPSTEIN, City Attorney Date END OF PERFORMANCE BOND <enter project name> Up to $175,000 Contract City Project #: <enter proj no.> Performance Bond Approved by City Attorney, dated 03/28/2022 This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. Liberty Liberty Mutual Insurance Company Mutual. The Ohio Casualty Insurance Company Certificate No: 8205618-976005 SURETY West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, 136anna Ramatici; Jenny Hagemann; Jill Seymour; Paul Ramatici; Tom Griffith all of the city of Petaluma state of CA each individually if there be more than one named, its true and lawful attorney-in-fact to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 20th day of May 2021 Liberty Mutual Insurance Company P4 tusuRR �-,V IHS&, IxsuR� The Ohio Casualty Insurance Company r 9y VPS°�POf�r �C, West American Insurance Company 3a sn $ �a m a b 1n 1912 0 D 1919 0 1991 0 D / N tL� 'gACM�SC i� 'hRMP`� da YS �N(11AriP da, ((( W 0 C: 017 * �� Hyl * ?N 3,14 * t BY M David M. Carey, Assistant Secretary W State of PENNSYLVANIA F County of MONTGOMERY ss 0 oF6 a`> > a� m _-a 0(D Qj O O a) C: co 0) N t>3 � O. C E 6 o � U ca c > O L O` Z0 On this 20th day of May 2021 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance I U r:tr Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes'rL therein contained by signing on behalf of the corporations by himself as a duly authorized officer. @� IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written. ;�` PAST Fe Commonwealth of Pennsylvania - Notary Seal ti C� Teresa Pastella, Notary Public OF — Montgomery County My commission expires March 28, 2025 By. Commission number 1126044 Membcr, PennsMnia A%sxip4on of Notarms �aRY PVA This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: ARTICLE IV — OFFICERS: Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney-in-fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. ARTICLE XIII — Execution of Contracts: Section 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys -in - fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked. ��yy IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this �'6ay of _J P4 tN5[rgq p�,XV INS& � IHSUZ r+a c°Rror�q� yCs o -i`1 cpav°ry�r y2 -VP4°Rv0 yCr Fa v °a M3 Ra sn Y 1912 g 0 o y 1919 0 1991 0 rds+�'8acauab s° ��yaMvg'' aa� By: Renee C. Llewellyn, Assistant Secreta 8j7 * �[; dy1 t•� * �� yn• ry LMS -12873 LMIC OCIC WAIC Multi Cc 02/21 IN• E E O � O o O N ao 0 N l M �00 00 n� c� �CU O U C om Q� `ov 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 Sonoma On before me, Melissa Martinoni - Notary Public (insert name and title of the officer) personally appeared Sill Seymour who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their 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(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 hapd and official seal. MEI.153A MARIE AiARriNdNl COMM. #2355892 Z t a ;"` Notary Public - California X 5anoma County 117 Comm, Ex ires Apr. 28, 2025 Signature (Seal) Bond Number: 14L000497 Premium Included in Performance Bond Payment Bond City of San Rafael ("Ci ") and Bayside Stripe & Seal, Inc. ("Contractor") have entered into a contract, dated , 20,L,�-4 Contract") for work on the City's Parking Box Safety Project ("Project"). The Contract is incorporated by reference into this Payment Bond ("Bond"). 1. General. Under this Bond, Contractor as principal and The Ohio Casualty Insurance Company, its surety ("Surety"), are bound to City as obligee in an amount not less than $ 17.5,000.00 , under California Civil Code sections 9550, et seq. 2. Surety's Obligation. If Contractor or any of its subcontractors fails to pay any of the persons named in California Civil Code section 9100 amounts due under the Unemployment Insurance Code with respect to work or labor performed under the Contract, or for any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of Contractor and its subcontractors, under California Unemployment Insurance Code section 13020, with respect to the work and labor, then Surety will pay for the same. 3. Beneficiaries. This Bond inures to the benefit of any of the persons named in California Civil Code section 9100, so as to give a right of action to those persons or their assigns in any suit brought upon this Bond. Contractor must promptly provide a copy of this Bond upon request by any person with legal rights under this Bond. 4. Duration. If Contractor promptly makes payment of all sums for all labor, materials, and equipment furnished for use in the performance of the Work required by the Contract, in conformance with the time requirements set forth in the Contract and as required by California law, Surety's obligations under this Bond will be null and void. Otherwise, Surety's obligations will remain in full force and effect. 5. Waivers. Surety waives any requirement to be notified of alterations to the Contract or extensions of time for performance of the Work under the Contract. Surety waives the provisions of Civil Code sections 2819 and 2845. City waives requirement of a new bond for any supplemental contract under Civil Code section 9550. Any notice to Surety may be given in the manner specified in the Contract and delivered or transmitted to Surety as follows: Attn- Liberty Mutual Surety - Claims Dept Address: 1001 4th Street Ste 950 City/State/Zip: San Francisco CA 94111 Phone: 206-473-6210 Fax: 866-548-6837 Email: hosc! libert mutual.com 6. Law and Venue. This Bond will be governed by California law, and any dispute pursuant to this Bond will be venued in the Superior Court of Marin County, and no other place. Surety will be responsible for City's attorneys' fees and costs in any action to enforce the provisions of this Bond. <enter project name> Up to $175,000 Contract City Project #: <enter proj no.> Payment Bond Approved by City Attorney, dated 03/28/2022 7. Effective Date; Execution. This Bond is entered into and is effective on July 15, , 20 22. Three identical counterparts of this Bond, each of which is deemed an original for all purposes, are hereby executed and submitted. SURETY: The Ohio Casualty Insurance Company Business Name s/ Jill Seymour, Attorney -In -Fact Name/Title (Attach Acknowledgment with Notary Seal and Power of Attorney) Bayside Stripe & Seal, Inc. Business Name s/ Ramy Mughannam, President Name/Title s/ Name/Title APPR VED BY CITY: s/ 0 J A� I ROBE T F. EPSTEIN, City Attorney <enter project name> City Project #: <enter proj no.> END OF PAYMENT BOND u 1�4 ( zz- Date Approved by City Attorney, dated 03/28/2022 Up to $175,000 Contract Payment Bond This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. - Libe+rtx Liberty Mutual Insurance Company Mutual. The Ohio Casualty Insurance Company Certificate No: 8205618-976005 SURETY West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Mianna Ramatici; Jenny Hagemann; Jill Seymour; Paul Ramatici; Tom Griffith all of the City of Petaluma state of CA each individually if there be more than one named, its true and lawful attorney-in-fact to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 20th day of May 2021 Liberty Mutual Insurance Company 4 Irtstl� 4qY INSO INs[I�o9The Ohio Casualty Insurance Company �JA�a1xPO+�,q'yc y�4�aaPORvr�y �Aan`�ORPr.C+ West American Insurance Company as sp `a a �q m tu 1912 a 1919 0 19 1991 � �a1 SAC HSS ,dD p SHA raP`�a db� Ys '�+°intra da� � N O David M. Carey, Assistant Secretary t`>s State of PENNSYLVANIA ss r County of MONTGOMERY c E On this 20th day of May 2021 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance m a Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes 72 therein contained by signing on behalf of the corporations by himself as a duly authorized officer. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written. O o 4`'A 0 24W CommowreallhOfFemmsylvam�e-Notayseal d �oaw �e r Teresa Paslella, Notary Public O FU p] OF Montgomery County My commission expires March 28, 2025 By. ��Q O d Commission number 1126044 -- = - a7 Man',W. Pemnayl"rflj AgSptYy *n of NotVes ere5a Fastetla, NOlary Public Q O CRY P o 0 This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual 3 E •S Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: 0 N Cl) L .9? ARTICLE IV—OFFICERS: Section 12. Power of Attorney. °O Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the -0 o President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety CO any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, shall -0 � have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such v m Z U instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney-in-fact under the provisions of this article may be revoked at any time by the Beard, the Chairman, the President or by the officer or officers granting such power or authority. 0.2 ARTICLE XIII — Execution of Contracts: Section 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys -in - fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 16!�day of IHSUrp4 �vSY IN$v lN5U� a°pPDgy �yCi 1912 -0 1919 1991 n g, �ICNvg�aaD ��y�hA MA`+�,aL �S M'111Am� .fib Renee C. Llewellyn, Assistant Secretary LMS -12873 LMIC OCIC WAIC Multi Cc 02/21 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 Sonoma Orl -J(l_LA 1 �20a-a _ before me, Melissa Martinoni - Notary Public C (insert name and title of the officer) personally appeared Jill Seymour who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their 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(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 se . Signature (Seal) MELISSA MARIE MARTINONI COMM. #2355892 z ,% ids Notary Public - California z z " Sonoma County o MX Comm. Expires Apr. 28, 2025 i A , a DATE/YYYY) �"• CERTIFICATE OF LIABILITY INSURANCE 7/15/2015/zo22 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer riglits to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT VIII Seymour Don Ramatici Insurance, Inc. P"°NE 707-782-9200 ext 136 Fa No:707-782-9300 731A Southpoint Boulevard EMAIL `tXtl. Petaluma CA 94954 ADDRESS: Jillramaticilns.COm INSURER(S) AFFORDING COVERAGE NAIC # INSURED Bayside Stripe & Seal, Inc. PO Box 703 Petaluma CA 94953 0449871INSURER A: GuideOne National Insurance Co 14115t BAYSSTR-01 INSURER B: GuideOne Mutual Insurance Camp 15032 Y INSURER C; State Compensation Insurance F 35076 $ EACH OCCURRENCE $1,000.000 INSURER D: Tokio Marine Specialty Insuran 23850 INSURER E; Westchester Surplus Lines Insu 10172 E.L. DISEASE-POUCYLIMIT INSURER F: COVERAGES CERTIFICATE NUMBER: 800167847 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLI(:Y PERIUU INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SR ADDTYPE OF INSURANCE INSD SVBR PoLiCY NUMBER MMIDDY EFF POLICY P LIMITS TR A X COMMERCIAL GENERAL LIABILITY Y Y 70KI01075-00 5/4/2022 5/4/2023 EACH OCCURRENCE $1,000,000 CLAIMS -MADE Fx� OCCUR PREMISES P Qccurcence1 $ 100,000 $5.000 PD Ded MED EXP [Anyone rson $ 5,000 per Occurrence PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 2,00D,000 JECT POLICY � PRO- LOC PRODUCTS - COMP/OP AGG $ 2.DDO. 000 P__..__ Lmted Pollution $ 100,000 B AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED Y Y 70K101075-00 $ EACH OCCURRENCE $1,000.000 AGGREGATE $ 1,000.00C AUTOS ONLY AUTOS E.L. DISEASE-POUCYLIMIT 51,000,000 5/4/2022 5/4/2023 X HIREDX NON -OWNED 5/4/2022 5/4/2023 Each Condition/Aggr 2,000,000 AUTOS ONLY AUTOS ONLY Pollution Ded 5,000 A UMBRELLA LIAB X OCCUR Y 70E100012-00 X EXCESS LIAB CLAIMS MADE OED I I RETENTION S C WORKERS COMPENSATION Y 925351722 AND EMPLOYERS' LIABILITY Y I N ANYPROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBE R EXCLUDED? Y NIA (Mandatory In NH) If yyes, dascnbe under DESCRV[ON OF OPERATIONS below D 2nd Layer Excess PUBB13396 E Pollution Llabiiity G28317918 002 5/412022 5/4/2022 51412023 5/4/2023 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ per accident) $ EACH OCCURRENCE $1,000.000 AGGREGATE $ 1,000.00C 5/4/2022 1 5/4/2023 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace is required) Re: Public Works Projects Contract for Projects up to $175,000 It is agreed that The City of San Rafael, its Council, officials, officers, employees, agents, volunteers and consultants (Collectively, 'Additional Insured") are listed as additional insureds on a primary & noncontribUtDry basis with regard to general liability performs CG2010(12119) CG2037(12/19) and with regard to auto liability performs GOCAA12003(07/20) & CA0449(11116y-Primary & Nan -contributory CG2404 12/19 -GL Waiver CA0444 10/13 -Auto Waiver 10217 07114 -WC Waiver PICEX001 5/13-Exess Add iticnat Insured CERTIFICATE HOLDER CANCELLATION City of San Rafael 111 Morphew Avenue San Rafael CA 94901 USA ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD E.L. EACH ACCIDENT $ 1.000,000 E.L- DISEASE - EA EMPLOYEE $1,000,ODD E.L. DISEASE-POUCYLIMIT 51,000,000 5/4/2022 5/4/2023 Excess Limit 3,000,000 5/4/2022 5/4/2023 Each Condition/Aggr 2,000,000 Pollution Ded 5,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace is required) Re: Public Works Projects Contract for Projects up to $175,000 It is agreed that The City of San Rafael, its Council, officials, officers, employees, agents, volunteers and consultants (Collectively, 'Additional Insured") are listed as additional insureds on a primary & noncontribUtDry basis with regard to general liability performs CG2010(12119) CG2037(12/19) and with regard to auto liability performs GOCAA12003(07/20) & CA0449(11116y-Primary & Nan -contributory CG2404 12/19 -GL Waiver CA0444 10/13 -Auto Waiver 10217 07114 -WC Waiver PICEX001 5/13-Exess Add iticnat Insured CERTIFICATE HOLDER CANCELLATION City of San Rafael 111 Morphew Avenue San Rafael CA 94901 USA ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 70K10107500 COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 (Blkt) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization s Locations Of Covered O erations Blanket as required by written contract and effective Primary Insurance applies: It is agreed that such during the policy period as stated on the policy insurance as is afforded by this policy for the declarations. benefit of the additional insured shown shall be primary insurance, and any other insurance maintained by the additional insured(s) shall be excess and noncontributory as respects any claim, loss or liability allegedly arising out of the operations of the named insured or its subcontractors, provided however that this insurance will not apply to any claim loss or liability which is determined to be solely the result of the additional insured's negligence or solely the additional insured's responsibility. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to 2. if coverage provided to the additional insured is include as an additional insured the person(s) or required by a contract or agreement, the organizations) shown in the Schedule, but only insurance afforded to such additional insured with respect to liability for "bodily injury", "property will not be broader than that which you are damage" or "personal and advertising injury" required by the contract or agreement to caused, in whole or in part, by: provide for such additional insured. 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1, All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or CG 2010 12 19 (Blkt) 0 Insurance Services Office, Inc., 2018 Page 1 of 2 2. That portion of "your work" out of which the injury or damage arises has been put to its Intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance, whichever is less. This endorsement shall applicable limits of insurance. not increase the Page 2 of 2 ® insurance Services Office, Inc., 2018 CG 2010 12 19 (Blkt) POLICY NUMBER: 70K10107500 00 00 CA COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 (Blkt) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Blanket as required by written contract and Primary insurance applies: It is agreed that such effective during the policy period as stated on the insurance as is afforded by this policy for the policy declarations. benefit of the additional Insured shown shall be primary insurance, and any other Insurance maintained by the additional Insured(s) shall be excess and noncontributory as respects any claim, loss or liability allegedly arising out of the operations of the named insured, provided however that this insurance will not apply to any claim loss or liability which is determined to be solely the result of the additional insured's negligence or solely the additional insured's responsibility. This insurance also does not apply to any structure Intended to be occupied as a private residence, not including apartments. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who is An Insured is amended to include as an additional insured the person(s) or organizationts) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. if coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or CG 20 37 12 19 (Blkt) 0 Insurance Services Office, Inc., 2018 Page 1 of 2 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 0 Insurance Services Office, Inc., 2018 CG 20 37 12 19 (BlkQ POLICY NUMBER: 70K10107500 00 00 CA COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 (Blkt) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): Blanket as required by written contract and effective during the policy period as stated on the policy declarations. Information required to complete this Schedule if not shown above will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 (Blkt) © Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: 70K10107500 COMMERCIAL AUTO GO CA All 2003 (07 20) (Blkt) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement effective I GuideOne Mutual Insurance Company flamed Insured Bayside Stripe & Seal, Inc. (Authorized Representative) WHO IS AN INSURED (under Section II — Liability Coverage, A.1) is amended to include as an "insured" the person or organization shown in the Schedule with respect to the operation, maintenance, or use of a covered "auto" you own if: 1) You are obligated to add that person or organization, as an additional insured to this policy by: a. an expressed provision of an "insured contract", or written agreement; or b. an expressed condition of a written permit issued to you by a governmental or public authority; and 2) The "bodily injury" or "property damage" is caused by an "accident" which takes place after: a. You executed the "insured contract" or written agreement; or b. The permit has been issued to you. SCHEDULE Blanket as required by an expressed provision of an "insured contract", or written agreement; or an expressed condition of a written permit issued to you by a governmental or public authority and effective during the policy period as stated on the policy declarations. GO CA Al 2003 (07 20) (Blkt) Page 1 of 1 Policy Number: '701<10107500 COMMERCIAL AUTO CA 04 49 11 16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance — Primary And Excess Insurance Provisions in the Motor Carrier Coverage Form and supersedes any provision to the contrary: This Coverage Form's Covered Autos Liabiiity Coverage is primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that: 1. Such "insured" is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such "insured". B. The following is added to the Other Insurance Condition in the Auto Dealers Coverage Form and supersedes any provision to the contrary: This Coverage Form's Covered Autos Liability Coverage and General Liability Coverages are primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that: 1. Such "insured" is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other Insurance available to such "insured". CA 04 49 11 16 © Insurance Services Office, Inc., 2016 Page 1 of 1 'POLICY'NUMBER: 70K10107500 COMMERCIAL AUTO CA 04 44 10 13 (AutoBlktWaiver) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Bayside Stripe & Seal, Inc. Endorsement Effective Date: 05/04/2022 SCHEDULE Name(s) Of Person(s) Or Organization(s): Blanket where required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 10 13 (AutoBlktWaiver) © Insurance Services Office, Inc., 2011 Page 1 of 1 POLICY NUMBER: PUB813396 PIC-EXS-001 (05/13) (2) Our right and duty to defend ends when we have used up the applicable limit of insurance in the payment of judgments or settlements under this policy. However, if the policy of "controlling underlying insurance" specifies that limits are reduced by defense expenses, our right and duty to defend ends when we have used rip the applicable limit of insurance in the payment of defense expenses, judgments or settlements under this policy. b. This insurance applies to "injury or damage" that is subject to an applicable "retained limit." If any other limit, such as a sublimit, is specified in the "controlling underlying insurance," this insurance does not apply to "injury or damage" arising out of that exposure unless that limit is specified in the Declarations under the Schedule of "controlling underlying insurance." c. If the "controlling underlying insurance" requires, for a particular claim, that the "injury or damage" occur during its policy period in order for that coverage to apply, then this insurance will only apply to that "injury or damage" if it occurs during the policy period of this policy. If the "controlling underlying insurance" requires that the "event" causing the particular "injury or damage" takes place during its policy period in order for that coverage to apply, then this insurance will apply to the claim only if the "event" causing that "injury or damage" takes place during the policy period of this policy. d. Any additional insured under any policy of "controlling underlying insurance" will automatically be an additional insured under this policy. if coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance required by the contract, less any amounts payable by any "controlling underlying insurance." Additional insured coverage provided by this insurance will not be broader than coverage provided by the "controlling underlying insurance." e. This insurance applies to "Injury or damage" only if, prior to the policy period, no insured listed under the WHO IS AN INSURED Section in any "controlling underlying insurance" and no employee authorized by you to give or receive notice of an occurrence or claim, knew that the "injury or damage" had occurred, in whole or in part. if such a listed insured or authorized employee knew, prior to the policy period, that the "injury or damage" occurred, then any continuation, change or resumption of such "injuryor damage" during or after the policy period will be deemed to have been known prior to the policy period. f. "Injury or damage" which occurs during the policy period and was not, prior to the policy period, known to have occurred by any insured listed under the WHO IS AN INSURED Section in any "controlling underlying insurance," or by any employee authorized by you to give or receive notice of an occurrence or claim, includes any continuation, change or resumption of that "injury or damage" after the end of the policy period. g. "Injury or damage" will be deemed to have been known to have occurred at the earliest time when any insured listed under the WHO IS AN INSURED Section in any "controlling underlying insurance" or any employee authorized by you to give or receive notice of an occurrence or claim: (1) Reports all, or any part, of the "injury or damage" to us or any other insurer; (2) Receives a written or verbal demand or claim for damages because of the "injury or damage"; or (3) Becomes aware by any other means that "injury or damage" has occurred or has begun to occur. Page 2 of 12 includes copyrighted material of Insurance Services Office, Inc., with permission. ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION BLANKET BASIS BROKER COPY HOME OFFICE SAN FRANCISCO EFFECTIVE MAY 4, 2022 AT 12.01 A.M. ALL EFFECTIVE DATES ARE AND EXPIRING MAY 4, 2023 AT 12.01 A.M. AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME BAYSIDE STRIPE & SEAL INC PO BOX 703 PETALUMA, CA 94953 WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE LIABLE FOR AN INJURY COVERED BY THIS POLICY. WE WILL NOT ENFORCE OUR RIGHT AGAINST THE PERSON OR ORGANIZATION NAMED IN THE SCHEDULE. 9253517-22 RENEWAL NA 7-37-59-07 PAGE 1 OF 1 THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.00% OF THE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR ORGANIZATION ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER JOB DESCRIPTION BLANKET WAIVER OF SUBROGATION NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: MAY 5, 2022 2 5 7 2 Af1THORIZED REPRESENT IVE PRESIDENT AND CEO SCIF FORM 10217 (REV.7.2014) OLD DP 217 P.O. Box 703 Date 6/28/2022 Page 1 of 2 P7 I Petaluma, CA. 94953 Project Name San Rafael Parking Box Safety Project 1R 707-765-2871 Phone Project No. i 707-765-2773 Fax Location: San Rafael, CA Revised ram 0baysidessi.com Estimator: RamyMughannam C-32 27 tir #883985 DIR #1000001757, Bondin tute.P LI M6 Under $5 Million in Gross Sales 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 Not Quotation Item Description UOM Quantity Price Per Total New Poles: Furnish & Install new 2" Galvanized pole w/ sleeve (106+68) EA 174 $ 225.00 $ 39,150.00 12" x 18" single sided sign (109+45) EA 154 $ 75.00 $ 11,550.00 12" x 18" double sided sign (17+1) EA 18 $ 100.00 $ 1,800.00 18" x 24" single sided sign (17+14) EA 31 $ 100.00 $ 3,100.00 18" x 24" double sided sign (17+35) EA 52 $ 125.00 $ 6,500.00 W14-2 Sign: EA 1 $ 225.00 $ 225.00 Sign removal & Discard (36+9) EA 45 $ 10.00 $ 450.00 Pole Removal EA 7 $ 50.00 $ 350.00 4" parking boxes (2622+1840) LF 4462 $ 1.50 $ 6,693.00 Red curb painting (368+29) LF 397 $ 3.50 $ 1,389.50 Install New sign onto existing pole (49+26) EA 75 $ 75.00 $ 5,625.00 Install new sign onto new pole (106+68) EA 174 $ 25.00 $ 4,350.00 Install new double sided sign w/ L bracket on pole (34+36) EA 70 $ 125.00 $ 8,750.00 Bonds (Payment & Performance Bonds) LS 1 $ 1,800.00 $ 1,800.00 Posting for "No Parking" by city This Proposal is per plans & specs. JTotal 91,732.50 • Quote includes all Comments, Stipulations & Exclusions found on Page #2 • Any alteration or deviations from the above specifications involving extra cost will be executed only upon written orders & will be an extra charge (CCO) P.O. Box 703 Page 2 of 2 Petaluma, CA. 94953 i I 707-765-2871 Phone i 707-765-2773 Fax Stipulations & Comments • We are Signatory to Laborers Union • Twenty 20 WORKING days minimum notice needed with each move -in. Schedule will be mutual!y agreed upon based on our existing scheduled work backlo . There are no guarantees that we'll be able to meet GC's schedule. PrelfmFnnry schedule is re uired rior to contract execution. BSSI WILL NOT BE CHARGED Liquidated Damages due to scheduling issue or time over -run that were not caused by BSS!, especially when schedule is nota reed upon. if BSSI is scheduled for the final counted work day. BSSI will not be liable if for some unforeseen reason the single day becomes two. If our scheduled move -in is cancelled due to weather, we will only return on our next available opening. • BSSI will not be responsible for LD's due to weather re -scheduling. • Note: This proposal will be valid for 30 Days & be All-inclusive unless agreed upon prior to bid time. BSSI RESERVES THE RIGHT TO WITHDRAW PROPOSAL IF WRITTEN ACCEPTANCE 15 NOT RECEIVED WITHIN THE TIME ALLOWED 30 DAYS . NO EXCEPTIONS! ■ Payment for Work Performed shall be made within 40 Days, or it will constitute our legal right to cease all operations until paid. • Above proposal includes Traffic Control for our portion only unless specifically stated otherwise. • Work areas with -in project striping limits, are to be clean, clear & have unobstructed access for BSSI work • Proposal is based One Y move -ins . Additional move -ins will be billed at $3,500,00 each. Reducing move -ins does not chane pricing. increasing does ricin **NO RETENTION TO BE TAKEN ON CONTRACTS LESS THAN $6,000.00 EXCLUSIONS ■ Permits, Fees, or Bonds • Surveying • Crack Sealing, Herbicide, Asphalt patching Rolling, or post sweeping • Heavy Cleaning, Pressure Washing, Dirt Removal • Traffic Control Plans, Traffic Police, Detours or CMS • Sealing of asphalt (or concrete) after striping removal • SWPPP/WPCP • Temp. Striping after paving or slurry sealing or another operations unless specifically agreed upon • Construction area signs ■ Parking restriction Signage (Posting). BSSI to inform if needed prior to move -in • Primary Liability Ins. Greater than $2,000,000, Railroad or Haz. Insurance • OCIP/WRAP Insurance & associated fees/cost • Notifying or any form of residential/business outreach • Removal of concrete curing material prior to Thermoplastic/Paint/Marking installation • Removal of Temporary tape or Floppies that do not interfere with permanent striping • All Safety Training, Railroad Training, Badging, Orientation Training, or Drug testing. If required, shall be paid on T & M • Mast -Arm Signage, illuminated signage • GC to provide existing striping grindings stockpile location if striping is removed for testing. No exceptions • Existing Striping removal. • Lead Compliance Plan • BSSI will use existing crew members for all work. BSSI exempts our work from hiring goals. Quotation fincludin q Inclusions & Exclusionsi MUST become part of any contract or purchase order, and cannot be superseded by any other terms of the agreement Verbal or Electronic Agreement to pricing above binds Contractor or owner to terms & conditions of this quote. �� RAP q�� til a z s 0 F �. C , WITH 0 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: Fire Project Manager: Mary Ellen Skramstad and Calvin Shrader Extension: 3457 Contractor Name: Bayside Stripe and Seal Contractor's Contact: Ramy Mughannam Contact's Email: ramy@baysidessi.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 5/18/2022 6/6/2022 City Attorney 3 I Department Director b. Email contract (in Word) and attachments to City Attorney c/o Laraine.Gittens@cityofsanrafael.org a. Review, revise, and comment on draft agreement and return to Project Manager b. Confirm insurance requirements, create Job on PINS, send PINS insurance notice to contractor Approval of final agreement form to send to contractor 4 Project Manager Forward three (3) originals of final agreement to contractor for their signature 5 Project Manager When necessary, contractor -signed agreement agendized for City Council approval * *City Council approval required for Professional Services Agreements and purchases of goods and services that exceed $75,000; and for Public Works Contracts that exceed $175,000 Date of City Council approval PRINT CONTINUE ROUTING PROCESS WITH HARD COPY 6 Project Manager Forward signed original agreements to City Attorney with printed copy of this routing form 7 City Attorney Review and approve hard copy of signed agreement 8 City Attorney Review and approve insurance in PINS, and bonds (for Public Works Contracts) City Manager / Mayor Agreement executed by City Council authorized _official 10 City Clerk Attest signatures, retains original agreement and forwards copies to Project Manager 7/18/2022 MS 711x 1 I-tll (Ic. 6/16/2022 6/16/2022 © GC ® GC 7/7/2022 ® �( 7/7/2022 ❑ N/A El Or Click here to enter a date. 7/18/2022 MS 711x 1 I-tll (Ic.