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Home My WebLink AboutPW B Street Culvert Replacement Projectm i �+ May 13, 2022 Theo Sanchez City of San Rafael 111 Morphew St SAN RAFAEL CA 94901 RE: Contract ID: 1255155: B St Culvert Replacement Project Dear Theo Sanchez Enclosed are gas and/or electric agreements for your project located at: 496 B STREET, SAN RAFAEL, 94901 This letter summarizes the agreements for this project. Non -Refundable Payment � olof cation / Rearrangement Costs _ _ $9,633.49 (Less Credit (Engineering Advance, etc.) TOTAL ** $9,633.49 TOTAL PAYMENT DUE $9,633.49 Refundable Option* $0.0 $0.0 $0.00 OR * Only applies to Rule 15 Refundable Amounts. Amount shown is less credit for associated Applicant work. *" The Income Tax Component of Contribution (ITCC) is included in the above charges when applicable. 50% Discount Option* $0.0 $0.0 $0.00 $9,633.49 Changes to the agreement, either to any of the terms or to the amount owing, are not permitted, and any change or interlineations voids the agreement. The payment of any amount less than the full amount shown will be deposited by PG&E, but PG&E will not begin any work on this contract until the amount is paid in full. The contract shall be deemed effective the date a fully executed copy is received by PG&E. Please allow 0 days from PG&E's receipt of the Agreement for construction to commence. If the agreement is not returned to PG&E within 90 days of the date of this letter, the proposed agreement is canceled and PG&E may need to re -estimate the job. PG&E is committed to providing timely and efficient service and we look forward to continuing to work with you on this and future projects. Should you have any questions regarding these contracts, please contact your project manager David Brown at 415 257- 3428 or DMBQ@pge.com. To complete your contract ONLINE ■ Follow the instructions provided with your electronic contract • Submit payment at pge.com/contractpayments Sincerely, Brenna D]nTVR0\\atl Brenna Donnellan Supervisor, Service Planning 123033333E To complete your contract BY MAIL ■ Make checks payable to: PGE or Pacific Gas and Electric ■ Complete, sign and retain one copy of the agreement for your records ■ Complete, sign and return one copy of the agreement with your payment to: PG&E CFM/PPC DEPARTMENT PO BOX 997340 Sacramento, CA 95899-7340 Ref: Contract ID: 1255155: 496 B STREET, SAN RAFAEL, 94901 CITY of SAN RAFAEL, A Government Agency (Applicant) has requested PACIFIC GAS AND ELECTRIC COMPANY, a California corporation (PG&E), to perform the tariff schedule related work as located and described in paragraph 3 herein. PG&E agrees to perform the requested work and furnish all necessary labor, equipment, materials and related facilities required therefor, subject to the following conditions: 1. Whenever part or all of the requested work is to be furnished or performed upon property other than that of Applicant, Applicant shall first procure from such owners all necessary rights-of-way and/or permits in a form satisfactory to PG&E and without cost to it. Applicant shall indemnify and hold harmless PG&E, its officers, agents and employees, against all loss, damage, expense and liability resulting from injury to or death of any person, including but not limited to, employees of PG&E, Applicant or any third party, or for the loss, destruction or damage to property, including, but not limited to property of PG&E, Applicant or any third party, arising out of or in any way connected with the performance of this agreement, however caused, except to the extent caused by the active negligence or willful misconduct of PG&E, its officers, agents and employees. Applicant will, on PG&E's request, defend any suit asserting a claim covered by this indemnity. Applicant will pay all costs that may be incurred by PG&E in enforcing this indemnity, including reasonable attorneys' fees. 3. The location and requested work are described as follows: (Describe in detail the materials and facilities to be furnished and/or work to be performed by PG&E. If more space is required, use other side and attach any necessary drawings as Exhibits A, B, C, etc): LOCATION: 496 B STREET SAN RAFAEL, 94901 DESCRIPTION OF WORK: PG&E to support utility ole during storm drain replacement around pole. Engineering & Administrative Cost Value of Applicant Design Work Additional Applicant Design Plan Checks Facilities (Cable, Transformers / Gas Pipe) Trench, Conduits & Substructures Tie -In / Meters Trench Permits & Land Rights Inspection Fees Sub Total plus ITCC @ 0.0% Electric 0.0% Gas plus Non Taxable Work D.0405055 Line Extension Costs - Residential D.0405055 Line Extension Costs - Non -Residential less Value of Relocation Applicant Design Work less Work Provide by Applicant less Salvage Total Payment 123033333E Pacific Gas and Electric Company DISTRIBUTION: REFERENCES: $2,791.16 Agreement to Perform f_J APPLICANT (Original) Notification # 123033333 (+) Tariff Schedule Related Work $0.00 DIVISION (Original) Contract # 1255155 I (+) Q ACCTG. SVCS. ERR -PM # 45271125 � $0.00 (+) $0.00 GRR-PM # CITY of SAN RAFAEL, A Government Agency (Applicant) has requested PACIFIC GAS AND ELECTRIC COMPANY, a California corporation (PG&E), to perform the tariff schedule related work as located and described in paragraph 3 herein. PG&E agrees to perform the requested work and furnish all necessary labor, equipment, materials and related facilities required therefor, subject to the following conditions: 1. Whenever part or all of the requested work is to be furnished or performed upon property other than that of Applicant, Applicant shall first procure from such owners all necessary rights-of-way and/or permits in a form satisfactory to PG&E and without cost to it. Applicant shall indemnify and hold harmless PG&E, its officers, agents and employees, against all loss, damage, expense and liability resulting from injury to or death of any person, including but not limited to, employees of PG&E, Applicant or any third party, or for the loss, destruction or damage to property, including, but not limited to property of PG&E, Applicant or any third party, arising out of or in any way connected with the performance of this agreement, however caused, except to the extent caused by the active negligence or willful misconduct of PG&E, its officers, agents and employees. Applicant will, on PG&E's request, defend any suit asserting a claim covered by this indemnity. Applicant will pay all costs that may be incurred by PG&E in enforcing this indemnity, including reasonable attorneys' fees. 3. The location and requested work are described as follows: (Describe in detail the materials and facilities to be furnished and/or work to be performed by PG&E. If more space is required, use other side and attach any necessary drawings as Exhibits A, B, C, etc): LOCATION: 496 B STREET SAN RAFAEL, 94901 DESCRIPTION OF WORK: PG&E to support utility ole during storm drain replacement around pole. Engineering & Administrative Cost Value of Applicant Design Work Additional Applicant Design Plan Checks Facilities (Cable, Transformers / Gas Pipe) Trench, Conduits & Substructures Tie -In / Meters Trench Permits & Land Rights Inspection Fees Sub Total plus ITCC @ 0.0% Electric 0.0% Gas plus Non Taxable Work D.0405055 Line Extension Costs - Residential D.0405055 Line Extension Costs - Non -Residential less Value of Relocation Applicant Design Work less Work Provide by Applicant less Salvage Total Payment 123033333E Page 1 of 2 62-4527 (Rev 1/91) Service Planning Advice No. 1633 -G/1342 -E Effective 4/02/91 Automated document, Preliminary Statement, Part A Electric Gas $2,791.16 $0.00 (+) $0.00 $0.00 (+) $0.00 $0.00 (+) $0.00 $0.00 (+) $0.00 $0.00 (+) $6,842.33 $0.00 (+) $0.00 $0.00 (+) $0.00 $0.00 (_) $9,633.49 $0.00 (+) $0.00 $0.00 (+) $0.00 $0.00 (+) $0.00 $0.00 (+) $0.00 $0.00 (-) $0.00 $0.00 (-) $0.00 $0.00 (..) $0.00 $0.00 (_) $9,633.49 $0.00 Page 1 of 2 62-4527 (Rev 1/91) Service Planning Advice No. 1633 -G/1342 -E Effective 4/02/91 Automated document, Preliminary Statement, Part A 4. Applicant shall pay to PG&E, promptly upon demand by PG&E, as the complete contract price hereunder, the sum of Nine Thousand Six Hundred Thirty -Three Dollars And Forty -Nine Cents ($9,633.49) Upon completion of requested work, ownership shall vest in: L XI PG&E Applicant Executed this ~, day of ��1�a Z CITY of SAN RAFAEL, A Government Agency plicant By: Ui S hutz PrinUTypelName PACIFIC GAS & ELECTRIC COMPANY By: Brenna Doane\\an Brenna Donnellan Title: 12-�"" )!�r Title Mailing Address: 111 Morphew St SAN RAFAEL, CA 94901 Supervisor, Service Planning Page 2 of 2 62-4527 (Rev 1/91) Service Planning Advice No. 1633 -G/1342 -E Effective 4/02/91 123033333E Automated document, Preliminary Statement, Part A