No preview available
HomeMy WebLinkAboutPW Canal Sidewalk Shaving 2022CITY 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 works contract ("Contract") is entered into by and between the City of San Rafael ("City") and Precision Emprise, LLC. DBA Precision Concrete Cutting ("Contr ctor"), an LLC, for work on the City's Canal Sidewalk Shaving 2022 ("Project"), and is effective on 11 , 20174"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-61 2. Contract Documents. The Contract Documents incorporated into this Contract include and are comprised of all of the documents listed below: 2.1 Notice Inviting Bids; 2.2 Contract; 2.3 Addenda, if any; 2.4 Exhibit A — Scope of Work; 2.5 Exhibit B — Payment, Performance, and Bid Bonds; 2.6 Exhibit C — Noncollusion Declaration; 2.7 Exhibit D — Bid Schedule; 2.8 Exhibit E — Subcontractor List. 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 $57,939.16 (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 title to 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. Canal Sidewalk Shaving 2022 Up to $175,000 Contract Page 1 Approved by City Attorney, dated 03/28/2022 4. Time for Completion. Contractor will fully complete the Work within 1 year 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 acts or omissions of Contractor, its employees, subcontractors, representatives, or agents in performing the Work of failing to comply with any obligation of Contractor under this Contract, except such Liability caused by the active negligence, sole negligence, or willful misconduct of an Indemnitee. This indemnification obligation is not limited by any limitation on the amount or type of damages or compensation payable 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 littIRs:!/www,pinsadvantace.com/ 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. Canal Sidewalk Shaving 2022 Up to $175,000 Contract 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) This policy does 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 each worker the difference between the applicable wage rate and the amount actually paid. 10.2 Working 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 Canal Sidewalk Shaving 2022 Up to $175,000 Contract Page 3 Approved by City Attorney, dated 03/28/2022 is under $25,000, Contractor must electronically submit certified payroll records to the Labor Commissioner as required under California law and regulations. 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; comply with City's 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 Work 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 Canal Sidewalk Shaving 2022 Up to $175,000 Contract Page 4 Approved by City Attorney, dated 03/28/2022 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. 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 excavations 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 deeper 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 accompanying regulations. Any violation of this Section constitutes a material breach of the Contract. 19. 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, without further acknowledgement by the parties. Canal Sidewalk Shaving 2022 Up to $175,000 Contract Page 5 Approved by City Attorney, dated 03/28/2022 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 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: 111 Morphew Street City/State/Zip: San Rafael, CA 94901 Phone: (415) 725-1166 Attn: JC Agcaoili Email: johnaCcityofsanrafael.org Contractor: Name: Precision Emprise, LLC. DBA Precision Concrete Cutting Address: 417 Harrison Street City/State/Zip: Oakland, CA 94607 Phone: (650) 867-8657 Attn: Joseph Ortega Email: jortega®pccnorcal.com 23. General Provisions. 23.1 Compliance with All Laws. Contractor will comply with all applicable federal, state, and local 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 this 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 Third Party Beneficiaries. There are no intended third -party beneficiaries to this Contract. 23.6 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 Canal Sidewalk Shaving 2022 Up to $175,000 Contract Page 6 Approved by City Attorney, dated 03/28/2022 is a corporation, signatures from two officers of the corporation are required pursuant to California Corporation Code section 313. [Signatures are on the following page.] Canal Sidewalk Shaving 2022 Approved by City Attorney, dated 03/28/2022 Up to $175,000 Contract Page 7 The parties agree to this Contract as witnessed by the signatures below: CITY: s/ 1 JIMrHT�!� M� Date:Z Attest: s/ LINDSAY LARA, City Clerk Date: 11--1 S - 7,0 ZZ Approve t's, to form: sl ROBERT . EPS iN, CI A torney Date: JV CONTRACTOI `'� R:4.�w"� Psi �y C �S O Vi (11`l`C'r6 Date: ,k i s I 1�� sl Name/Title Date: ,. tt� 37 ( '2zq2— G Seal: 1.-0 17 1�-3L, 1Z Contractor's California License Number(s) and Expiration Date(s) Exhibit A: Scope of Work Exhibit B: Bond Forms Exhibit C: Noncollusion Declaration Exhibit D: Bid Schedule Exhibit E: Subcontractor List Canal Sidewalk Shaving 2022 END OF CONTRACT Approved by City Attorney, dated 03/28/2022 Up to $175,000 Contract Page 8 Canal Sidewalk Shaving 2022 Exhibit A SCOPE OF WORK Approved by City Attorney, dated 03/28/2022 Up to $175,000 Contract Scope of Work Exhibit B BOND FORMS Required for contracts over $25,000. Canal Sidewalk Shaving 2022 Approved by City Attorney, dated 03/28/2022 Up to $175,000 Contract Bond Forms 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 Foot LS = Lump Sum SF = Square Feet TON = Ton (2000 lbs.) BID ITEM UNIT EXTENDED NO. ITEM DESCRIPTION EST. QTY. UNIT COST TOTAL AMOUNT TOTAL BASE BID: Items 1 through inclusive: 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. Canal Sidewalk Shaving 2022 Up to $175,000 Contract Bid Schedule Approved by City Attorney, dated 3/28/2022 This td Prap al is hereby submitted on .T s/ s/ Company Name Address City, State, Contact Name 20— Name and Title 3 -1 z 1\110179/c-(01 License #, Expiration D te, dnd Classi ication 1o0005j-72 `7 DIR Registration # (9So — 57c� `f30-5 Phone Contact Emai 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 review any addenda for any reason. Bidder specifically acknowledges receipt of the following addenda: Addendum: Date Received: Addendum: Date Received: #01 #05 _ #02 #06 #03 #07 #04 #08 Canal Sidewalk Shaving 2022 END OF BID SCHEDULE Approved by City Attorney, dated 3/28/2022 Up to $175,000 Contract Bid Schedule Exhibit E SUBCONTRACTOR LIST For each Subcontractor that will perform a portion of the Work in an amount in excess of one-half of 1 % of the bidder's total Contract Price,' the bidder must list a description of the Work, the name of the Subcontractor, its California contractor license number, the location of its place of business, its DIR registration number, and the portion of the Work that the Subcontractor is performing based on a percentage of the Base Bid price. DESCRIPTION SUBCONTRACTOR I CALIFORNIA LOCATION OF DIR REG. NO. PERCENT OF WORK NAME CONTRACTOR BUSINESS OF LICENSE NO. WORK END OF SUBCONTRACTOR LIST ' For street or highway construction this requirement applies to any subcontract of $10,000 or more. Canal Sidewalk Shaving M Approved by City Attorney, dated 3/28/2022 Up to $175,000 Contract Subcontractor List Date 9/9/22 PROPOSAL FOR "NOT TO EXCEED" AGREEMENT BETWEEN THE CITY OF SAN RAFAEL AND PRECISION CONCRETE CUTTING (PCC) OVERVIEW Uneven sidewalks caused by ground settling and tree roots cause a potential hazard to pedestrians. Displaced sidewalks cause problems for both public and private entities in the form of trip and fall liability exposure, It is proposed that the City of San Rafael and PCC enter into an agreement whereby PCC will assess, and repair sidewalks as identified and requested by City staff. The price for these services shall not exceed the dollar amount and quantity defined in the "Proposal Detail' section below. BACKGROUND INFORMATION ON PRECISION CONCRETE CUTTING PCC has been assessing and repairing sidewalks since 1990. The company performs work throughout the United States and with dozens of cities in California. PCC is the leader in sidewalk asset management. We specialize in assessing sidewalk infrastructure and repairing uneven sidewalks. Our unique saw -cutting method for correcting off -set sidewalk panels leaves behind ADA compliant results for a fraction of the cost of new concrete. Our clients benefit from detailed GIS maps that allow them to create a GIS database to cost effectively manage their sidewalk infrastructure. ASSESSMENT SERVICES PCC technicians will walk every panel in the project area and visually assess potential tripping hazards and damage. PCC will provide a GIS compatible report that list each location identified including a photo, exact location, off -set height and square foot amount for replacement locations. PROPRIETARY MOBILE PHONE SOFTWARE PCC has developed proprietary mobile software useable across multiple platforms (Android, iPhone, iPad, Smart Phone, etc.) • Provides GPS Coordinates — Integrates with GIS systems • Mapping — Provides detailed location data plotted with Google Maps • Detailed Reporting — Provides specific and detailed data on measurements for every trip hazard • Addresses — The software gives the address and longitude / latitude of each trip hazard location • Additional Data - Records other data, e.g. spalling, cracks, replacements or other data you need • Sidewalk Asset Management — PCC offers complete sidewalk asset management PROPRIETARY AND PATENT D REPAIR METHOD To Date, PCC has been awarded 8 patents by the US Patent and Trademark Office on our trip hazard removal equipment and process. The following is each patent description and number where they can be reviewed on the US Patent office web site — 1. 6,827,074- Hub and blade combination patent 2. 6,896,604 - Dust hood patent 3. 7,000,606 - Cutting apparatus and broadening patent 4. 7,143,760 - Method patent Precision Emprise, LLC 1 CSL13 # 1032474 1 417 Harrison St, Oakland, CA 94607 1 Tel 650-867-8657 1 Fax 650-240-3866 1 contact® PCCNorCal.com RIB 5. 7,201,644 - Variations and broadening patent 6. 7,402,095 - Extended methods patent 7. 9,759,559 -Stand up measuring gauge digitized readout 8. 9,494,407 - Stand up measuring gauge PROPOSAL DETAILS Contract amount: Total charge for services rendered shall not exceed $$57,939.16 Billing Units: Services are billed in "Inch Feet". An inch foot is calculated by measuring the average height of the sidewalk off -set and multiplying this average by the length of the cut. Example: A sidewalk off -set on a 4 -foot wide sidewalk that consists of a 0.5" rise on one side, and tapers down to a zero rise on the other is calculated as follows: 0.5" +0" x 4ft = 1 inch -foot 2 Unlit Price for sidewalk shaving: 40.48 per inch -foot. Streets with Sidewalks to be repaired: Canal 821.53 $33,419.89 Kerner 506.68 $18,366.97 Medway 169.72 $6,152.30 LIMITATIONS PCC removes only those trip hazards specifically requested or approved by customers, and therefore makes no guarantee or representation that areas are free of trip hazards after the work is completed. It is our customers' responsibility to provide proper access and PCC assumes no liability for trip hazards that cannot be repaired due to parked vehicles or other obstacles preventing safe and practical access. In such cases, PGC returns once to attempt completion of repairs that could not be completed the first time. Additionally, it is recognized that after completion of the work, the concrete trip hazards may and frequently do continue to move naturally over time due to roots, water, freezing, pipes, and other natural or man-made causes, PCC is not responsible for movement or changes in the sidewalk and is not liable for any related claims, losses, damages or liabilities thereto pertaining. Precision Concrete Cutting does not provide concrete removal and replacement Precision Concrete Cutting is committed to providing the highest quality service to our customers. Should you have any questions or comments, please do not hesitate to contact us. PCC Representative: YOUR REPRESENTATIVE: Joseph Ortega 1.4 Precision Emprise, LLC i CSLB # 1032474 1417 Harrison St, Oakland, CA 94607 1 Tel 650-867-8657 1 Fax 650-240-3866 1 contact@PCCNorCal.com e� caxe� c�nxs 5. 7,201,644 - Variations and broadening patent 6. 7,402,095 - Extended methods patent 7. 9,759,559 - Stand up measuring gauge digitized readout 8. 9,494,407 -Stand up measuring gauge PROPOSAL DETAILS Contract amount: Total charge for services rendered shall not exceed $$57,939.16 Billing Units: Services are billed in "Inch Feet". An inch foot is calculated by measuring the average height of the sidewalk off -set and multiplying this average by the length of the out. Example: A sidewalk off -set on a 4 -foot wide sidewalk that consists of a 05' rise on one side, and tapers down to a zero rise on the other is calculated as follows: 0.5" +0" x 4ft = 1 inch -foot 2 Unit Price for sidewalk shaving: 40.48 per inch -foot. Streets with Sidewalks to be repaired: Canal 821.53 $33,419.89 Kerner 506,68 $18,366.97 Medway 169.72 $6,152.30 LIMITATIONS PCC removes only those trip hazards specifically requested or approved by customers, and therefore makes no guarantee or representation that areas are free of trip hazards after the work is completed. It is our customers' responsibility to provide proper access and PCC assumes no liability for trip hazards that cannot be repaired due to parked vehicles or other obstacles preventing safe and practical access. In such cases, PCC returns once to attempt completion of repairs that could not be completed the first time. Additionally, it is recognized that after completion of the work, the concrete trip hazards may and frequently do continue to move naturally over time due to roots, water, freezing, pipes, and other natural or man-made causes. PCC is not responsible for movement or changes in the sidewalk and is not liable for any related claims, losses, damages or liabilities thereto pertaining. Precision Concrete Cutting does not provide concrete removal and replacement Precision Concrete Cutting is committed to providing the highest quality service to our customers. Should you have any questions or comments, please do not hesitate to contact us. PCC Representative: YOUR REPRESENTATIVE: Joseph Ortega FE Precision Emprise, LLC i CSLB # 1032474 1 417 Harrison St, Oakland, CA 94607 1 Tel 650-867-8657 1 Fax 650-240-3866 1 contact@PCCNorCal.com P.BECISIIN CBNCREIE C�iTIN6 pfF■ [OSTl6MEFL [�Ot CONTACT: ADDREM CR3' / aPr P7FOFIf t PROPEIM LOO6T10N t 3-1.171.1-10 Rah:C.RalNlaghhorh0od 2022 CllyuFSanj ClyoFS.n Rafae rya n montes U Morphew St, San W hal, CA 94901 (415) 485-3373 Medway (glae) CSL9 NIOU474 417 H.rrIa9R Street Oakland, CA 94607 Joeeph Ortega lortega40PCCnormI.mm 650-5764303 - Cell 650-240-3856-F. SIDEWALK REPAIR DETAILED REPORT TawaSt. 1[r9.7E im fa t 169.8 m $ mcu Qtiwn: FEC1LHD.WW-WAIw2ry Sw-swmaik C$W-< yr$Wa 1. mV. oft -ay, 156e6BStet Red IbR4m and Reptw ATTN.4hitrm3oo 0Ga0ld Gdrd OC -01d 4M AP-Asph4h Peeeh ASKUTF AtFm ft 1411 W.W-Cwned tOl Lan-sIa6llftwmimmer MVCAR•MOve Car MVLrNthurTmvel Na M -$f4. L.01h [r.r WRude len411aW C aootU4a4 RiA$gn 110-Pnttr4 Anr Rl4ir. roto F.tl 1eH 90 C01 Co+ all "I'llyaarla.} 1E3 5 41,1et[ M tg.k*M M Wd`w W:On Ike Y 7L -G,i k00 7-00 k N 0.eNL977 •I. �Y x1m 86 w(ww,' RL:7w ML+1n' .-Lrtt IMyny 707 4 2.5 37.96461868 -122.5082016 136 Medway Rd :On Bebiedam SL At crack 0.63 0.63 $25A3 709 0 0 37.9644Hef •1025061177 4A 8J twt:vrdy M, P Bt .6a. SL 0109 OA NACLO 9 0.00 000 50.0 708 t 9L1M?1i -17il0 -% 1h 12.6w ed ta+ un.e.te Y NOct 55.40 6100 Y-'Utl 710 4 4 3r-•fiGFSST •122-517530[ 10 Medway Rd :On Belvedere SL LCUT 1-50 1.50 $m.oz 711 5 4 37.96459961 -122.5078659 136 Medway Rd :On Belvedere SL LCLR ATCURB 1.25 1.25 $50.85 712 0 0 37.96436749 •1218910073 tin lb MkdgwAd ton B41vedom S. CURB DAMAG90 34 0.00 0.00 SOA 713 6 5 37.96457291 -122.5078351 1. Medway Rd :On Belvedere SC LCUr 1.88 1.118 $76.28 714 e. 3 37.96451187 -122.50783 136 Medway Rd :On Belvedere SL LCUr 075 0.75 $30.51 715 6 4 37 9645462 -122.5078276 35 Medway Rd: On Belvedere St. XCIJr LCIUr 1.50 1.50 $61.02 716 6 3 37.96455383 •122.507707136 Medway Rd: On Belved-SL XOlr 1.13 1.13 $45.77 717 B 6 37.96451187 -122.5078279 136 Medway Rd :On Belvedere SL LM XCUr 3.00 3.00 $122.04 718 5 16 37.96452332 -122.5077971 106 Medey Rd :On Belvedere SC %CTff 5.00 5.00 $203.40 719 4 4 37.96445084 -122.507682 136 Medway Rd: On Belvedere St. 1.00 1.00 $40.68 720 12 4 37.9644779 -122.507690A 86 Medway Rd: On Salvedere St ATCURB 3.00 3.00 $122.4 821 5 32 37.96467541 -122.5092751 155 Medway Rd ; On Mill St. ATCURB 10.00 10.00 $406 67 822 9 6.5 37.96476746 -122.509353 155 Medway Rd : On MAI St. 3.56 3.66 $14874 W 0 0 B7,90791152 32LSOPM tR3SA9.dwNv Rdrpl RrontS. SB 0.00 0.00 $900 1078 0 0 37.0683701 427.80" RR W Lkdamjmt On Cold 9L84109 OYMMTO 19 040 0.00 $040 i 1080 0 0 V,96.3BL62 -122.MVIM 14R95 Medwev Rd r On CMNI Lk CASDAMABEO 10 0.00 moo $0.00 1081 9 85 37.96524048 .122.5085144 05 Medway Rd :On Canal Sc LCUr 0.78 4.78 $19450 1082 7 3 37.96522141 -122.508461 95 Medway Rd :On moat St LM L31 1.31 $53.39 1262 5 1 a 37.96344316 -122.5097427 '[062 Ranclaco Blvd m Medway Rd : CUR BOUT 2.50 2.50 $101.70 1263 7 6.5 37.96376419 -122.5095062 26 Medway Rd : ILUT CURBCU 2.84 2.85 $115.68 1264 7 9 3T,Sd17Mp31 -111. WV 30726 Medway Rd: LC Ur 3.94 3.94 17905 tH3 b 9 if.Nlde •17 9913Mr+y RdlT9LiCpIr2R iURCA PZP 0.90 19 1266 0 B i1.M 1TLtlS: -122. hW. 50 Medway Rd : ATCUR B 4.00 4.00 1267 8 4,5 37.96422195 -122.5091629.50 Medw.y Rd : ATCUR B XM 225 2.25 $91.53 1268 9 4 97.9643058. -122.1090-1150 Medway Rd : CUR-- %CUr LCVT 2.15 2.25 $9153 1269 9 3.5 37.96429443 -122.500079 .50 Medway Rd: -- 1.97 1.97 $87.9 1270 e 2 37.96430678 -122.508994 '50 Medway Rd: XCLT 050 0.50 52034 1271 B 9 37.96429825 .122 5089951 50 Medway Rd : X= 450 4.50 $183.06 1272 7 6 37.96434784 .122.5067951 Im Medway Rd : ATCURB 2.63 2.63 5106.79 1273 8 6 37.96439283 422.5067526 110 Medway Rd: 3.00 100 $122.04 1274 11 14 37.96984375 -122.509689§ 115 Medway Rd: ATCURB 9.63 9,63 $391.55 113 8 6I-, L2LSOeE lA6 IS Medway Rd tATCURB 100 3.00 $122.04 1276 30 4 37.96476653 422.5081785 SS Medway Rd: ATCUR B 2.50 2.50 $101.70 1277 6 2 37.86459961 -122.5080396 65 Medway Rd :At BwO t. ILUT 1.25 1.75 550.85 1278 5 3 37.96457672 .122.5008501 65 Medway Rd t At Bmg t ICUr 5.31 1.31 $53.39 Date created - 9/9/2022 1 of 12 Es qwD�- . P,RECIRDN RDXCRETF UTTING Date created - 9/9/2022 2 of 12 m0©;19 = Medway : CURBLOJT Date created - 9/9/2022 2 of 12 P,RE6II - I SIOM CINC IREF8 OUSTONRIL O/C: CON7ACT; ADDRESS: Cm / ITP: PHONE: (PROPERTY LOCATIONS 3.2.22AJAO City ofSen Rafael Canal Nleghborheod 2022 CAy OF San Rafael ryan mon tea 11 Morphew St, San Rebel, CA 94901 (415)405-3373 Kerner(Green) PmdgomCwrKTeteC .141 CSLB#1032474 417 Harrison Street Oakland, CA 94607 Joseph Ortega (ortega®PCCnoraLoom 650 -576 -4303 -Cell 550 -240 -3866 -Fez SIDEWALK REPAIR DETAILED REPORT a In r. St16.i0 ase $OA86 ■ 52 TL54 2.533375 LEG1ND:ww-wAk.w 5W-6davvaKr CSW -CRY Slde % UA16we�y GS-Gtrer gad %FL- Rrmove and Replam ATTN,4Mmr Ion OG,OId GTIm$ OC -Oki Cut AP.Aapbab Patch ASKLIF•Ai0oli Cm XCUTdrrasaed Ldr LCUTAlab Viera[wmet BTVCA6M"C4r PmVLwPa6ofir8vd X.. M.KMr. JJkefl4 L.npn (Feet) Lr8K4e l-Wg "-Vry ALA$%Ai BJw Rev. ARs Pm9e. -.1h lav Irdt19K+.1 u. De. ramp 32 5 4.5 37.9610294 -122.5020441 1.41 1.41 $57.21 33 5 55.5 37.96162033 -122.502037 qH M.fro fAl1 CM:Bdlre NdIAWLABDANGER 17.34 17.34 $705.5e 34 4 71 37.96153259 -122.5023193 d301ECrt1bd IATCUIBDANGM 17.75 17.75 $722.07 52 B 32.5 37.96159219 422 501503 3270 Kerner Blvd on Kellum Blvd i aJRBCUr 16.25 16.25 $683.01 53 5 365 1 37.96158210 -122.5013351.3270 Kerner Blvd on Bell- Blvd: Q1RBCUr SSA] 13,43 $464.01 54 4 3 37.96158981 -122.5013275 3270 Ke- Blvd on Kellum Blvd: 075 0.75 $30.51 55 6 5.5 37.9616127 -322.50125119 :3270 Kerner Blvd m vellum Blvd ATCURB 2.06 2.06 $83.90 79 4 23.5 37.96217720 -122.5019830 7324 Kerner elvd:ATCURB 5.86 5.88 $239.00 80 . 40.5 37.96232224 -122.5019913 :3326 Kerner Blvd :ATCURB 10.13 10.13 5411.89 m 0 0 87.116240771 -IUJO1O44F gI&WKerner filled -curls demt6W. 5 0,00 0.00 sox BI 6 11 37.96325684 -122.5018397.3438 Kemer Blud:ATCURB 4.13 4.13 $167.81 m 7 0.5 37.96346282 -122.5017395 3946 Kerner Blvd : CURBOJr 0. 39 0.38 $15.26 84 8 17 37.96349716 -122.5017524 :3446 Kenner Blvd : ATCURB 8.50 &50 $345.70 BS 32 32 37.9637413 -122.5016556 :1502 Kerner Blvd : ATCURB 24.00 24.00 $97631 A [ u u%zPo&cii 112- t,J= wmem A. -ma Ott ox 1.7.00 R 4 a Er,BRlRn1 e, --:,t fieri sikr: Vee lwt"- 00C ?z SO oO 88 7 36.5 37.9639&544 122.5014954 '3532 Kemer Blvd : ATCURB 15.97 15.97 $64961 89 0 2&5 37.96477.9 11250106131193.fi1a--: Gn Kerner Blvd. A -e. 14.25 14.25 $579.69 90 5 22 37.96494293 -12250108343620 Kernr INd 1 ATCLRD 6.813 6.08 $279.6 91 6 25.5 37.96499252 422-501011. U. Kerner Blvd : ATCURB 9.56 956 $389.00 92 6 10.5 37.96530005 -12250091557620 Kerner Blvd : ATCURB 3.94 3.94 516018 93 0 0 37.953270 4ILS008M RRS636KwwShd:9ebch1pped. 16 NDD 0.00 94 0 0 07.9053472 -122.MM IIR3S88Kena8Md109bDPnMed 10.5 0.00 0.00 $0.00 95 0 0 37.96556838 •12LSOOKa03 IiR3536Ksmm1Kvd!Odb DwApd.A190wm Ordn 6.75 600 0.00 $0.00 96 4 6 37.9654007 -122 500&545 8644 Kerner Blvd : ATCURB 150 1.50 $61.02 97 4 2.5 37.96554184 -1225007477 1644 Kerner MIW! 111. 0.63 0.63 $25.43 98 5 B 37.9659162 -12250045333702 Kerner Blvd : ATCURB 1.88 1.83 $7610 99 0 0 37,96683581 422.9004545 RR 57W KwRS BIud:OJRBgAA4A0g0 0.75 NOD 0.00 $0.01 100 4 15 37.95592331 .122.5004040 :5702 Kerner Blvd : ATCURB 3.75 3.75 $152.55 101 6 12 37.96596146 .122.5004113704 Kemer Blvd : ATCURB 4.50 4.50 $183.06 102 6 25 3r.96E02531 :72 IW12fe.37D4Kerner Blvd:ATCURB 9.38 9.39 53,4:311 103 _ n-f4044q- •17270011107 -1.'1C eras Kss :.7we O4Ke4a .00 Ca W.Oo 104 4 9 31.966.535 :225001 DOI b730 Kerner Blvd: CURBCUT XCUr 2.25 2,25 99:,1 105 4 &5 37.966465 .122.5001520 :3730 Kerner Blvd: ATCURB XM 2.13 213 $95AS 106 4 &5 17.olr5B57 •:7::641453730 Kerner Blvd:CURBCIJr KCUr 2.13 2.13 5R-43 Jul ■ [. 3Ll.mdft4A 1A-SDp 57202''r!am, YA mww DAYAWO OW NOS TOB 5 1 145 1 ]'+.45652372 •1775 .271 :3730 Kerner SO; ATCURB 4.53 4.53 7180.33 19e P 0 9Y$a@K4611 IV-.SDWN N 1% ST408.er. 0604 NMI A45D8 M lax• ?r2 W -m 110 7 30 Ii. gm R- ODb -S]]-5[0`12293740 Kerner -: CURBCUT 4.39 4.38 12911, - - i'.Maa1 [e :7]a.:.-r5e4 ",!-r. ee- u...e7.mead 1" Date created - 9/9/2022 3 of 12 p1Rrc►s►ok co�reRrrlr c►►rr►k� NP mWir.L.Joh ]610.41.,] ]F-) Ymde wn1ROd4 Oewlptlen RBR6AFt Beloit Wd- AN. Md.. meh Put h4rto Nr COR Det. InA1e1 112 4 11.5 37.95672021 -122.4999647 71750 Kerner Nvd: CURBDR XCUr 2.98 2.89 $116.96 113 4 4 37.96672@1 .122.5000387 3750 Kerner Blvd :ATCURB XCL f 1.00 100 $40.66 HA • 4 N.9�4' w1 .;].M9byy A^ -N rM Wr. I"; a -m v}:MW 11 49p $2-0 115 4 4.5 37.95706771 -122.4999.66:1170 Kerne Blvd: CURBOJf Into Slur 1.41 1.41 $57.21 116 4 0.5 37.96712494 -122,4999093'1770 Kerner Blvd: CURBOfr LCUr 0.22 0.22 $0.96 117 4 9 37.96711731 -122.4998327 13770 Kerner Blvd : ATCURB LQfr 2.25 2.25 $91.53 118 4 16 37.96717451 -122.49987031070 Kerner Blvd : ATCURB 4.00 4,00 $162.71 119 D 0 97.9675903 42;AM1v2 RR 730 Nd fit fOnKemfHVd.9169 2 I 66 0.00 0.00 40.ac 120 4 10.5 37.96766281 -222A99610975 C-1 St: On Kerner Blvd. ATCURB 2.63 2.63 $106.79 121 4 8 37.9577461 .122.4995949 .15 C-1 St: On Kerner Blvd. ATCUPB 2,00 2,00 $81.36 122 4 4 37.9677840 -122.499591:15 Cend St: On Kem er Blvd 1.50 1,50 $61.01 113 4 6 37.96794891 .122.4996414 n05 OnBl St: On Kem a BIW. ATCURB XCUT 1-50 1.50 $61.01 124 4 3 37.9679412 .122,4996946 905 Cend St: On Kerner BIW. CURBCUr XCt 0.75 0,75 $30.51 125 0 0 97.2679107 .122A695719 AR 105 trW St: On Kemw BNL. CURB D9T%W 6.25 0.00 CA, $0.06 126 5 43.5 37.96786025 -122A996941 L 05 Onel St: On Kerner Blvd. ATOJRB 13,59 1359 S552.9S 127 5 9 37.96779107 -122,4997711 111-1 St: On Kerner Blvd. ATCURB 1.61 2,81 $114A1 129 5 4 37.96775055 -122.4997864 4105 -.1 St: On Kerner BI W. 1.25 1.25 $50.81 sa a n >�96 Ju2,r:dst.A.rr1a1..1.sr�taL-KAL9nteaxl rD dee .� � 130 0 0 37.9675254 422A9990W1tRA7779WRIW119dtC11RBDA6%GEb 4 0.00 0.60 4D.1 131 6 3.5 37.96728134 -122.SOD0076 :1777 Kerner Blvd 1.91 1,31 $53.36 131 0 0 37.2673W41 -112.WBOM7 AR 8777 KWnr Blvtltglr0 Q116i9d 5.5 0.00 0.00 50.0 113 0 0 37.9677642 -072.49991031MBJT1 Ewr14r Mvd:&l R9dt9d 16 moo 0.00 .t 134 8 25 37.96718979 -022.19757 Kerner Blvd :ATCURB 12.50 1250 $508,50 133 0 0 37.9671096 -127AMM ARB737Ka BI6d:Orrbd&N%,9d 10 0.00 0.00 $CA 136 B 4 37.96711349 -127.4989161 8757 Kerner 81ud : CP OC 3.75 3.75 $152.55 137 5 2.5 37.9670524E -122.5 11757 Kerner Blvd : 0.78 0.78 $31.71 138 0 1 0 37.96706811 422. lin B797RWttr Wvd:CLIR9OAAWE0 015 0.00 0.00 90.0 139 0 0 97.96701Bt1 -021.9W26) RR B7371Wnr Nvd: 2IF69 dmn@O 16 0.0 0.00 $0. 140 5 21 37.96693802 -122.5001297 '1737 Kerner BIW :ATCURB 6.56 6.56 5266.96 141 0 0 37.96110 -I&SO2 I4486723Remr 81vdlCWOANDSLABOWA0ED 40.5 0.00 0W 90 142 0 0 87.960M094 422.4W7901 OR 1729 RWMr BNd t 6h10 DAMAGED 405 CW 0.W 60.0 145 0 0 37AM051 47y6 MM111A 6725 KWRer&W1RAB MWN, RAISED. 78 OW OA 40 149 9 14.5 37,96871677 -122.5002289:1725 Kerner 611 :CURSCUr XCL7r 9.16 9.16 $331,80 150 4 4 37.96639257 .122.5003736 :1721 Kerne Bbd: 1.00 1.00 540. 151 4 11 37,96634674 -122,5003730 71721 Kerner Blvd:OJPBOJf LCUT 2,75 2.75 $111,87 152 6 0.5 37.9663314 .122.500351 9721 Kerner BIW : CURECUF LCUT 0.34 0.34 $13,91 153 7 4 37.96631621 -122.5003967 :1717 Kerner Blvd: 1.75 1.75 $71,19 154 0 0 37.99032313 -07LlOOIW1 DR 5717 XtmW ev9: 0,ISCAM"10 10 0.00 O.W 50.00 151 - L W&Wr2 Inv *4, Oka -FAA 137 - aPP :AC NW 119 4 Flall"AW 7171 Will 4~ow."Nun t4ml7 19C D.SO 35m 151 2 G 2f.1:91 d/0 30 3:2:1SMI ArW11t 'n Ger o.6,.a 01 OAAMAO 0.90 D. V, 90 339 7 77,96}6!161 471-SOWsA JRq Spry ow-,W%n 431 "W !' 1.H 5 117-9568471 'I n.%Q41;1t'- 1Kd 4erew ld-.eH14 6A7 D^2 160 4 15 37.96590505 -122.5007615 1705 Kerner BIW :On Kerner Blvd. ATCURB 3.75 3.75 5152.55 161 D O 311.2657542"! 7.2657592 -112.001191 RR1D 1w4mA R tOA RerrWr9lv4 CURB LNA910ED 15.23 0.00 0.00 $9.00 162 9 4 37.96572495 -122.5008621'10 SmtmeSt: On Kerner Blvd. 2.25 1.25 $91.53 163 7 24 1 37.96967917 -121.500801110 Son -S[: On Xemer Blvd. ATCURB 10.50 1050 $427.14 Date created - 9/9/2022 4 of 12 PRECISION CONCRETE CUFTINO' No. Mamht, t4941re.1 Length IFWI wthude Len@tude Deau". RBRSAFt Garen Pitt- Ahar PlCura Inah Hat MR to Cut COLI DeN InU 164 4 4 37.96564107 -121500869810 Sonorna St: On Kerner Blvd. 1.00 SAO $4068 165 4 13 37.96535873 -122.5009857 )Sonoma St;On Kemer Blvd.CURBCUr 315 3.25 $132.21 166 4 25 37.96536636 .122.SO09B42 )Son- St: On Kemer Blvd. KCUT 063 o,63 $25A1 167 3 ] 1 37.96534729 -122.5DD976E 9 S-orn, R:On Kerner Blvd. XCUr 0-19 0.19 $7.63 168 6 12.5 37.9652671 -122.5DO991895ontmeSt: On Kemer BNd. ATCURB 4.69 4.69 1 $190,69 169 0 0 37.2631480 •122.3011AR360KWor*vdli2b6okan 13 1100 0,00 50 170 4 4 37.96405159 -122.5011392 14 Fdrr-On St Kemar Blvd. 1,25 1.25 $50.85 171 0 0 97.96470701 •122.SMISI RR147drfntOR St RYmI" CLRB DAMAGED 5,25 0.00 AM 50A0 3R C b 06471+4 17'7-3iLiW !M tl o. 1. it I pnE rru'" At WK 5.x !tC u.Oy 173 4 4 3796425629 -122.501564 23 Fd rfm: On St Kemer Blvd, 1.25 1.25 $50.81 174 5 3 37.9641761 -122.5DI6098 23 Fdrfw On St Kenner Blvd. 094 0.94 $38.14 175 4 4 37.9641532S -122.5016174 23 Fdrfet; On St Kerner Blvd. 1.00 1.00 $40.6 176 0 0 37,96412277 •f27.5W6lk M237a4170t;009tKA0npr BhM.8lA49 DAMABE0. RAISED, 106 0.00 0.00 $O.W 177 8 33.5 37.96396255 -122.5017014)525 Kemor Fhd:ATCURB 16.75 16.75 $681.39 178 0 0 $7.888019 •1213%741211R 1523 Keine OW I KAO RN569 AND DAM6ED 20 O.W moo 50,00 411 Z q p •fIZi 7C1 F7'1%iRi W+++AYed:ARE} P90 [DQ sow 4b CD 17.81f778a 471-7rJ1CY1 6171 W,�MrFOeIL 6Di OSr S:M SBS 4 7.5 37.96320724 -122.5020523 3421 Kerner Blvd:AoWW 10 LEE $76.2 182 11 2.8 37.9631M77 .122.502059914U[ -lq LULff 1.93 1.93 $78.31 163 4 115 37.9631424 -122,502DB203411 Kerner Blvd: XCUf I[Ur 0.39 0.38 $15.26 3B4 13 205 37.96313095 -122.502DB28 3411 Ker -r Blvd :0.TCUR6 LCUi 16,66 16.65 $67758 10 4 0.5 37.96330W6 -122.5020676 3411 Kerner Blvd: CURBCUr LCUr 0.25 0.25 $10.17 1-6 4 10 37.96306992 -122.5020523 3411 Kerner Blvd ; ATCURB L Lrr 250 2.50 $101 70 LID 0 0 rr-Hu-LHS ::1f@f 157ol'N 1W a4e.r MA; ttki otoo 2.00 fA Iw •D u4u9rA7 e.i27P1fa11 91y2 oMtre• wd:44y eM a 90 !o. 189 o o 37,16231- 121701277 RA 1720 K"t, 0W 45th& CLUA4:0 1s DAO Moo 50 100 o 0 37.MI802 421.50217 71R3828Kwaw0lvd:0A8DAMAGED S.3 0.00 om SOHO 191 5 9,5 37.9620285 -122.502121 3301 Kerner Blvd; ATCURB 2.97 2.97 $22077 192 2 2.5 37.9617691 .1225019816 3301 Kemer8vd:XCL7r 0.31 0.31 512.71 193 1 4 1 3.5 1 37.96175385 -122,50192263301 Kerner Blvd: XCUr LCUr 00 0.0 $35.60 194 5 16 37.96177292 -122.50196083301 Kerner Blvd:CURBNfLC17r 6.00 6.00 $24400 195 6 12 37.96175385 -222.5D199893301 Kerner Blvd; ATCURB =T 450 4.50 $183,06 196 5 4.5 3T.9f•t75395 :72.50194. 3301 Kerner Blvd: LCUr 141 1.41 557.21 888• i •0 27.88MU -jZL3k4HR AMOW grew• 0rs11 DO% MOA11h Y UrAR119L( LMR& Ofe7 [.:C kA.70 396 11 60 87.y 37m! -]224WIl1Y 3525 Korner Blvd : On Novato St. CURBC �- 41.25 41.25 51,67805 397 4 2.5 37,96373361 .122.502037 3525 Kerner Blvd:On N.1 -SC 0.63 0.63 $25.43 398 4 3.5 37.96382141 122,5020-2 3525 Kerner Blvd : On Novato St. 0.0 0.0 $35.60 399 9 15 37.96387482 -122.5021896 :1525 Kerner Blvd :On Novato SL CURBr37r 844 844 $343.24 400 5 4,5 17.95397M I •1223022131 3525 Mrner Blvd ; On Novato SL 1.97 1.97 581. W 4qt 1 7 4n -%VM 15773 ft+M*W Or lem@WU ELLU Sop ^0' L -KL 488 4 4 37.89721772 -022,502410." 3411 Kerner Blvd :On larl Wur St 175 1,75 51:.15 487 6 7.5 37.96282959 -122502388 4411 Kerner Blvd: On Larkspur SL ATCURB kLrr 201 2.81 $114A] 40 4 3 37.562B3e12 •:2]y0;410Y 3411 Kerner Blvd: On larkspur SL ICUr 0.75 075 $13 5, i 47. 4157RY71f mTN gas m4. DO 6" 9 11 r4'K1 Cao OOP $M 49D S 40.5 37,96i&A61 :72-59144.4 '411 Kemer BlVd:On Larkspur Sc ATCURB 12.66 :: 86 55'--+ W. 491 4 16 37.9529097 -121.502578! :1411 Kerner Blvd : On Lmkspur St. AT"B 400 4.00 $162,72 492 5 1 37.9628791 -122.50259[ !411 Kerner Blvd ; On Larkwur St. CURBCL7r XCL7f 2.19 2.19 $0.99 Date created - 9/9/2022 5 of 12 L2raEcis+ex rC8ANh�� e mrs Ne. Nat Nt. IyBeftn3 LrMRh (F.) Lnnuda Lanplud D...Wl. RlkRbgPt Babn Ndura ARr pdtun IMM1 Fant InFt to Cut TOR Dna 1nM141 642 0 0 37.86164703 4224DM:RR SW Kerner Blur: Dn Bdwdeto tCURB DAMAGE 0.75 0.00 0.00 $0.00 643 5 1 37.96155548 -122.5026779 3301 Kerner Blvd i On Belvedere R. LM 0.94 094 $38.14 644 3 3.5 37.%155167 -122.5026932.3301 Kerner Blvd: On Belvedere SL Atcredt LOlJf 06 066 $2670 645 6 17.5 37.96160507 -122.5026779 3301 Kerner Blvd: On Belvedere 5t. Parallel Oat 6.56 6.56 $26696 646 4 2 37.%162796 -122.5027313 3301 Kerner Blvd :On Belvedere SL LOJr 0.50 0.50 $20.34 647 6 30 37.96162031 422.5026855 3301 Kemer Blvd :On Belvedere SL LQJTXCUr CURBOJr 3.75 3.75 $152.55 648 36 8 37.95152796 .122 5027541 3301 Kerner pW : On Belvedere St XQJr ATCURB &00 &DO $325M 649 6 8 37.96167755 -122.5027618.3301 Kerner pvd : On Belvedere 5L XCLJT CURBCLrr 3.00 3.00 $122.04 650 0 0 97.88167755 d2t502760.5 qP BM KtmarpW:On edvadarre St SIA&DAMAGEDAT f1BWERLB) ZR 000 0.00 $0.00 1360 0 0 37.8648&351 d22.3011282 N=N RR4939WeWR7to Kama 9vdt Slab broken 4 0.00 0.00 50.00 1361 10 Il 37.96710581 421.5000458 ADDON ADDON 3757 K4mr11d:CWBWT MVCM 7.50 7.50 $305.10 1362 10 0.5 37.96705676 -1225001068 UMM3757 Krttr Blvd: CU1ROJr MNCM 0.63 0.63 $25.03 1363 B 7 37.96707535 -122.5000687 0000N37P M'ea• RW !A:CRIAN At 35o 3.50 $142.31 1364 B 14 37.96702194 -122.5000687 AODON 6757 N r B3ed:CURBNr MVCM 7.00 7.DO $284.76 1365 3 37.96704481 -122 5OD1144 ADDON 3737 Kerner Blvd : 1.25 1.25 $5023 1F" 0. 1 .9 &N.2a1{1267 -Llt2PPIBlI r=ft Ai7N U121yritr 4W 7 tW62[ AtraR6 Ftvde Pio 05 " 1367 7 3 1 37.%681976 -1125002213 ADDON 3725 Kerner Blvd: 1.31 1.31 $53.39 1368 6 0.5 37.966381B9 -122.5004349ADDON BM V- Blvd: CURWff MVCAK 0.34 0.34 $13.98 1369 6 3 37.96572876 -121.5D08SSAO06%1DSomvnakcn KdaarpW; 1.13 1.13 $4577 ]370 7 5 37.%571732 -1225009003 ADDON SO Salam St- Kerner Blvd :OIRBCUT 4.0 4.00 919&31 1371 6 7 37.96417999 -122.5016479 I... .. m Finn■W:A7G8R. 3.05 3.06 5124511 1417 5 1 37.96383667 -122.5=216:ADDON 3525 Kemer Blvd on Novato SC CURKC LCLJr necte W Ilse 396. 0.31 0.31 $12 71 1418 4 3.5 37.96399243 -121.5024064 .4DDON 3525 Kerner 91vd an Nov-SCATQIRB LM 0.88 0.88 $35.60 1419 4 0.5 37.%399307 -122.5024185 .4 DON 3525 Kerner Blvd on N- SL CURBCLR LCLfr 0.19 019 $7.63 1448 4 4 37.96166992 422.5027008 ADDON 3301 Kerner Blvd on Belvedere St : Paallel Q t 1.00 1.00 $90.61 1449 46.5 37.%164322 -122.5026779 ADDON 3301 Kerner pvd on Belvedere St: ATCURB LCUT nacre W line W. 1.63 1.63 $66.11 Date created - 9/9/2022 6 of 12 pAECrsrnH CAIYCAETE CUTTINA iREFill •CUSTOMER: C/0: CONTACT: .ADDRESS: •CITY/2¢P: (PHONE: (PROPERTY LOCATION: 3.2.22 AJAO Chy afSan Rafael Canal NleBhborhaod 2022 Chy of Sen Repel ryas montes 11 Morphew5t, San Rafael, CA 94901 (415) 485-3373 Canal (RED) Pr W Jeq COritr ab tss[det CSLBK3032474 417 Harrison Street Oakhnd, CA 94607 ]-ph Ortega Jortegat$PCCnoml mm 650-576-4303 - Cell 650 -240 -3066 -Fax SIDEWALK REPAIR DETAILEDRTPORT n, cIMNso 821.53 @L53 0 0¢ 533,,1394!9 4,107656 LEGEND:WW-Walnvwy SW -Sidewalk CSW-City5ld-lks VW-DdvewaV GB•CGlttereed PAR-Removeand Replace ATTN+AttenbOn OC -Old Gdnd OC=Old CLn AP•Asphah Patch ASPCUI-Asphah Cut KCUt-Cm.edlih LCUT-SlahlAeratcorner MVCAR=Move Car PTRVL=PathafTmvel He. M.M. 1/8 vlln,) Length IFW) tathude Lanld4ub Deterlptlen RRRSgR 110-RCurt Afar RGlva Ineh FW InFt to Cut Cott n¢a rxlpxl 120 4 10.5 37.96766281 -122.4996109 75 Canal SI; On Kemer Blvd. ATCURB 2.63 2.63 $106.78 121 4 8 37.9677461 -1224995949 :FS Canal St: On Kemer Blvd. ATCURB 2.00 2.00 $81.36 122 4 4 37.96]] -1224995 ;75 Canal St; On Kerner Blvd. 1.50 1.50 $61.02 123 4 1 6 1 37.96794831 -122.4996414 ;105 Canal St:On Kemer Blvd. ATCURB XCUT 1.50 1.50 $61.02 124 4 3 37.9679412 -122.4996948 ;LOS Canal SI: on Kemer Blvd. O1R8CU1 XCLrr 0.75 0.75 $30.51 126 5 43.5 37.96708323 -122.4996 :LOS Canal S,: On Kemer Bvd. ATCURB 13.59 13.59 $552 99 127 5 9 37.96778107 -122.4997711 :LOS Ural St: 0, Kemer B'vd. ATCURB 2.81 2.61 S114A1 128 5 4 37.9677505 -1224997864 :105 Canal St: On Kemer Bvd. 1.25 1,25 $50.85 701 4 1 4 1 37,96731561 -122.4979171:55 Canal St: On Bahl, Way. 1.25 1.25 $5085 289 6 12 1 37,9667205 -122.503219 .1BB Canal St: On Smdna St ATCURB 4.50 4.50 $183.06 292 6 30 37.96672521 -122 50341 211 Canal St; On Smma SL At ON LO7r 6.75 875 5274 59 293 4 3 37.96677017 -122 5033IN 1211 Canal 51: On Sondra St LOUT 075 0.75 $30,51 295 4 2-5 37.9667511 -1215033493811 Canal St: On Smdna St At DW 0.78 0.78 $31.78 296 5 11 37.96654129 -122 503112F ill Canal 5t: On Smdna St, ATCURB 4.13 4.13 $167.81 348 4 4 37.96612167 -122.5040811 819 Canal St:O, Fdrfax SL LCLR 1.00 1.00 $40.68 349 4 55 31.96612167 12250405 ;119 Card 5t: On Fdrfax St. ICL7r ATO1RB 2.41 2,41 $97.89 350 4 24 37, 96BI6364 -122504091819 Canal 51: On Fdrfax St. CU118CUr LCLJr 6.00 6.00 $244.Off 351 4 4 37,9661021 -122.5041122 US Canal St: On Fdrfax St. LCUr 1.25 1.25 $50.81 352 4 19 37.9662284 -121.5043564 219 Cane( St; On Fdrfax St. CUR9CUr 4.75 4.75 $193.23 353 4 4 37.9653581 -122.504394§ 819 Canal 51: On Fdrfax St. 1-00 1.00 $40.6 354 12 30 37.96830471 -122.5043791 AS Canal St:On Fdrfax SL ATCURB 2438 2438 $991.50 355 4 9 37.95617889 -122,5045395255 Canal5t:On Fdrfax St ATCURB 181 2181 $114.41 356 5 BS 37.95616364 .122.5044022 :155 Canal 51: On Fdrfax St. CURBCIJf 2.66 2.66 $10&06 358 6 &5 37.9659996 -122,5041801855 Canal St: On Farfm St. ATCURB 3.19 3.19 5129.67 359 6 23 37.96596909 .122.5040054255 and St: On Fdrfax St. At Wha'c Psdl el Gt 863 8.63 $350.89 430 5 4 37.96557996 -122.50526411275 Canal St; On Novato St 1.50 1.50 $6101 431 6 4 37.96567533 -122.5054016 275 Canal St: Dn Nova(0 St 1.75 1.75 $71.19 432 4 24 37,96571731 .122,5055466:!75Canal St: On Novato St ATCURB 6.00 6.00 $244.01 435 5 &5 37.96565241 -122-5055923 301 Canal St:On Novato Sr. CURBOlr 2.66 2.66 $108.06 437 5 2.5 37.96561813 -122.5054626 301 Canal St; On Novato 5t 0.78 0.18 $31.7 554 4 8,5 37.96517181 -122.50 6492 6 1149 Cared St: On Larkspur St. ATCL FtB 2.13 2.13 58606 565 4 2 37,96511071 -122 M65536 349 Canal St: On W I pW SL XCIJr 0.50 0.50 $20.34 565 5 2 37.96506119 -122 5055918 349 Canal St: 0, SL XCUr 0,63 0.63 $25.41 567 5 4 37-96515656 .122 5067291 1149 final S,: On L rk pur St 1.25 1.25 $50%5 569 5 22.5 37.9651413 .122.5067825 949 Canal St: On Larkspur 51 CLIRBCUr 7.03 7.03 S286.01 569 4 3 37,9651941 .122.5068359 US Canal 9t; On larkspur SC 0.75 0-15 $30.51 570 14 45 37,96525955 -122.5068511 1149 Canal St: On Lwkww St 5.06 5.06 $205.94 573 5 &5 37.96533201 -1225068359:153 Canal St: On Larkspur 51. ATCURB LOUT XCUT 2.66 2.66 $108.01 572 4 1 37,96529007 .122.506912I 353 Canal St: On Lvkspur St LCUr XM 025 0.25 $10.17 573 14 3 37.96529380 -122.5069046 353 Canal St:On 1ad45pur St. XCL]r 2.63 2.63 $106.71 Date created - 9/9/2022 7 of 12 PBfGlSID GDIYGRETE G[!TTlHG 353 final St; On Ledapw SL CURBCLM XCUT 353 anal 51: On Larkspw St . XCU 353 Gnel St On Larkspur St.. XCUr 355 rand St On Lary pw. ATCURB 355 Canal St: 0n Larbpur. ATCURB 50 Canal St: ATCURB 50 Card $t: At Pauh 75 C-1 St: Storm Drdn Slab LCLT 1'S Canal St; Storm Drdn Slab LOUT 1'S Canal St: Storm Drdn Slab. LCUr :09 Canal St: CURBCU Wit Canal St: CURB0.7 LCUr 108 anal Sc: CURBOJT LCUr 108 Land St: STORM DRAIN SLAB LC -T 108 morel St: STORM DRAIN SLAB LM LOB conal St; STORM DRAIN SLAB LC 108 Canal St: CURSCUT LCUr 120 Canal St: ATCURB 120 Ond St:ATCURB LCUr 120 Canal St: LCUT SA—dfl R :On Cmel St ATCURB ILUr 5 Amdri R :On Cand St LCL T XCUr SAmdR R: On Can at St XCUT SAmdR Pl :On Cana St Lal 5 A—IR PI :On Cand St LL XCU 5alr, PI :On Card SC LCUr At -1, O Amd0 PI :On Gnd SL XCUr 1,34 C-9 St: ATCURB Capd CI: On Card St ATCURB is Canal St: XCur • end St: XCLT A Canal St: At Pooh Portofino Rd :On Canal SL CURBCLT P,Wfino Rd :On Card St. ATCURB Po .nno Rd :On Canal St. ATCURB LCVT XCUT Portofino Rd :On Card St. At track LCUr Portofino Rd :On Calal St. CURBCUr XCUT LCUr Portofino Rd: On Card St, ILUr 10 conal Sc: LCLR 10 CBnal St: LCUr ATCURB 10 conal Sr: At Patch. LCUr 20 Onal St : LCUr XCUT LO Q—I St: XCUT W Canal 51: CLIA[ B— RIRSgft I Balon Pldwa I Aft- RIGma Em Date created - 9/9/2022 8 of 12 PREC1S1dIY C�HCRFTf CUTT1Nb Date created - 9/9/2022 9 of 12 Qui®�� ' ' � ��■������ATCUR Date created - 9/9/2022 9 of 12 PRECISION CONCRETE CUTTING Date created - 9/9/2022 10 of 12 MOM== Mom== ... ���m��■�■ Mom== , :. : ���®®■®m■r■ �mo�� 1111 ����s���■■ MMMM=15111111111,ATCUII��� Mom== ioo■■■�����o� Mom== ��■����o■ M0©= Date created - 9/9/2022 10 of 12 PREc�s�ox Un1YURfiE CU�1'11VC Date created - 9/9/2022 11 of 12 '111 �11 112 ATCUIII M©©=� . t�IMNlMMIMMEM■ MU®=I Date created - 9/9/2022 11 of 12 ILP.BECISIBN VCOACRFlE �iilN6 Date created - 9/9/2022 12 of 12 ®©■�� ... .....���®.. Mom== ADWN56P-11,1-.....�®®®.■� mom= Date created - 9/9/2022 12 of 12 ' Issued in Duplicate Bond No. 800144676 Payment Bond City of San Rafael ("City") and Precision Emprise, LLC. DBA Precision Concrete Cutting ("Contractor") have entered into a contract, dated , 20 22 ("Contract") for work on the Canal Sidewalk Shaving 2022 ("Project"). The Contract is incorporated by reference into this Payment Bond ("Bond"). General. Under this Bond, Contractor as principal and Atlantic Specialty Insurance Company its surety ("Surety"), are bound to City as obligee in an amount not less than 57,939.16 , 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 noted 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: Daryl Casale Address: 230 W. Monroe St. Suite 2810 City/State/Zip: Chicago, LL 60606 Phone: 312-821-4742 Fax: 781-332-7969 Email: dcasale(dintactinsurance.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. Canal Sidewalk Shaving 2022 Approved by City Attomey, dated 03/28/2022 Up to $175,000 Contract Payment Bond 7. Effective Date; Execution. This Bond is entered into and is effective on November 21 20 22 Three identical counterparts of this Bond, each of which is deemed an original for all purposes, are hereby executed and submitted. SURETY: Atlantic Specialty Insurance Company Business Name N,„,,,,R,,,, r ��jY ....... c S/ I .y: SEAL 'int 1966 Fo' :as William Reidinger, Attorney -in -Fact Name/Title (Attach Acknowledgment with Notary Seal and Power of Attorney) Precision Emprise, LLC dba Precision Concrete Cutting ness Name 6c"CL — �� Name/Title s/ t� X21- kze C -E® Name/Title APPR0 BY CITY: } r s/ ROBERT PSTEIN, C' homey Canal Sidewalk Shaving 2022 END OF PAYMENT BOND Approved by City Attomey, dated 03/28/2022 -1/1 -rL- Date Up to $175,000 Contract Payment Bond State of ...Illinois ..................... County of .DuPage ..................... ss.: On this ......21st ..day of... NQY=bPT.... 2022 .., before me Surety Company personally appeared... William Reidinger.. . .............. to be known, Acknowledgment: whom being by me duly sworn, did depose and say: that he/she resides .........................................................I that he/she is the. Attorney In Fact ...Of. ... Atlantic Apeeialty. ................. Insurance Company , the corporation described in and which executed the annexed instrument; that he/she knows the corporate seal of said corporation that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation; that he/she signed his/her name thereto by like order; and that the liabilities of said corporation do not exceed its assets as ascertained in the manner provided by law. Notary PublicgiZdfoirt-he above County and State.. .... 07/24/2023 My commission expires.. OFFCK SEAL JOSEPH HALLERAN NOTARY Ply - STATE OF A.UWS MY OOWAISSM EVRESA7 240 �ltaCt INSURANCE Power of Attorney Surety Bond No: 800144676 Principal: Precision Emprise LLC dba Precision Concrete Cutting Obligee: City of San Rafael KNOW ALL MEN BY THESE PRESENTS, that ATLANTIC SPECIALTY INSURANCE COMPANY, a New York oorporation with its principal office in Plymouth, Minnesota, does hereby constitute and appoint , each individually if there be more than one named, its true and lawful Attorney -in -Fact, to make, execute, seal and deliver, for and on its behalf as surety, any and all bonds, recognizarces, contracts of indemnity, and all other writings obligatory in the nature thereof; provided that no bond or undertaking executed under this authority shall exceed in amount the sum of: sixty million dollars ($60AW,000) and the execution of such bonds, r«agrflza ccs, contracts of indemnity, and all other writings obligatory in the nature thereof in pursuance of these presents, shall be as binding upon said Company as if they had been fully signed by an authorized officer of the Co nhpany and sealed with the Company seal. Ibis Power of Attorney is made and executed by authority of the following resolutions ::duptrd by the Board of Directors of ATLANTIC SPECIALTY INSURANCE COMPANY on the twenty-fifth day of September, 2012: Resolved That the President, any Senior Vice President or Vice -President (each an "Authorized Office may execute for and in behalf of the Company any and all bonds, rccugnix,Ut[ts, contracts of indemnity, and all other writings obligatory in the nature thereof, and affix the seal of the Company thereto: and that the Authorized Officer may appoint and authorize an Attomey-in-Fact to execute on behalf of the Company any and all such instruments and to affix the Company seal thereto; and that the Authorized Officer may at any time remove any such Attorney -in -Fact and revoke all power and authority given to any such Attomey-in- Fact. Resolved: That the Attomey-m-Fact may be given full power and authority to execute for and in the name and on behalf of the Company any and all bonds, recobmixances, contracts of indemnity, and all other writings obligatory in the nature thereof, and any such instrument executed by any such Attomey-in-Fact shall be as binding upon the Company as if signed and sealed by an Authorized Officer and, further, the Attorney -in -Fact is hereby authorized to verify any affidavit required to be attached to bonds, recog n i zance s, contracts of indemnity, and all other writings obligatory in the nature thereof. This power of attorney is signed and sealed by facsimile under the authority of the following Resolution adopted by the Board of Directors of ATLANTIC SPECIALTY INSURANCE COMPANY on the twenty-fifth day of September, 2012: Resolved: That the signature of an Authorized Officer, the signature of the Secretary or the Assistant Secretary, and the Company seal may be affixed by facsimile to any power of attorney or to any certificate relating thereto a ppo i a ti n g an Attorney -in -Fact for purposes only of executing and sealing any bond, undertaking, recognizance or other written obligation in the nature thereof, and any such signature and seal where so used, being hereby adopted by the Company as the original sigauunC of such officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though manually affixed. IN WITNESS WHEREOF, ATLANTIC SPECIALTY INSURANCE COMPANY has caused these presents to be signed by an Authorized Officer and the seal of the Company to be affixed this fifth day of March, 2020. S+l dY �, ar : 4 f .n- • L SEAL .01 t, ; 1988 � By STATE OF MINNESOTA W v• yb Paul J. Brehm, Senior Vice President HENNEPIN COUNTY1r.. On this fifth day of March, 2020, before me personally came Paul J. Brehm, Senior Vice President of ATLANTIC SPECLALTY INSURANCE COMPANY, to me personally known to be the individual and officer described in and who executed the preceding instrument, and he acknowledged the execution of the same, and being by me duly sworn, that be is the said officer of the Company aforesaid, and that the seal affixed to the preceding instrument is the seal of said Company and that the said seal and the signature as such officer was duly affixed and subscribed to the said instrument by the authority and at the direction of the Company. AUSON DUN NASH-TROUT WTAffFU IIC•MHMiMTA My Commission Explros January S1, 2028 Notary Public 1, the undersigned, Assistant Secretary of ATLANTIC SPECIALTY INSURANCE COMPANY, a New York Corporation, do hereby certify teat the foregoing power of attorney is in full force and has not been revoked, and the resolutions set forth above are now in force. Signed and sealed. Dated 21St day of November. 2022 r aRlr+c t 1986 a Y'•, Com-- vii' Christopher V. Jerry, Seactary Issued in Duplicate Bond No. 800144676 Performance Bond City of San Rafael ("City") and Precision Emprise, LLC. DBA Precision Concrete Cutting ("Contractor") have entered into a contract, dated , 20 22 ("Contract") for work on the Canal Sidewalk Shaving 2022 ("Project"). The Contract is incorporated by reference into this Performance Bond ("Bond"). Atlantic Specialty Insurance Company 1. General. Under this Bond, Contractor as Principal and , its surety ("Surety'), are bound to City as obligee for an amount not less than $ 57,939.16 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: Canal Sidewalk Shaving 2022 Approved by City Attomey, dated 03/28/2022 Up to $175,000 Contract Performance Bond Attn: Daryl Casale Address: 2.3U W. Monroe St. Suite 2810 City/State/Zip Chicago, IL 60606 Phone: 31 Fax: ' 332-7969 Email: casae intactinsurance.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 November 21 20 22. Three identical counterparts of this Bond, each of which is deemed an original for all purposes, are hereby executed and submitted. SURETY: Atlantic Specialty Insurance Company Business Name Name/Title [print] (Attach Acknowledgment with Notary Seal and Power of Attorney) in Emprise, LLC dba Precision Concrete Cutting Name r� s/ C U C.E Name/Title APPROVED BY CITY: 1 s/ ROBEPSTEE ,Cityomey Canal Sidewalk Shaving 2022 ............ °v ¢�G �pp40�rE'�yn SEAL 1966 'a "ybj�1'r YOQ�aa �.xSNu"NP Wmu-- Date END OF PERFORMANCE BOND Approved by City Attomey, dated 03/28/2022 Up to $175,000 Contract Performance Bond State of ., Illinois County of .age ..................... ss.: On this ......?1st day o£ ... NQy=bPT.... 2022 .., before me Surety Company personally appeared... William Reid WgT............... to be known, Acknowledgment: whom being by me duly sworn, did depose and say: that he/she resides at.... $gbPaiiburv,..1L ........................................................ . that he/she is the .Attorney In Fact ....... o f ... Atlantic Specialty . ............ . .. . Insurance Company ., the corporation described in and which executed the annexed instrument; that he/she knows the corporate seal of said corporation that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation; that he/she signed his/her name thereto by like order; and that the liabilities of said corporation do not exceed its assets as ascertained in the manner provided by law. . . ........................................... Notary Publici and for the above County and State. My commission expires ................................. OFFM SEAL JOSEPH HALLERAN NOTARY PUBW - STATE OF WJNOIS MY 0OWSSION E S:071240 10 �t�et Power of Attorney IRSn RA1iCE Surety Bond No: 800144676 Principal: Precision Emprise LLC dba Precision Concrete Cutting obligee: City of San Rafael KNOW ALL MEN BY THESE PRESENTS, that ATLANTIC SPECIALTY INSURANCE COMPANY, a New York corpnnt;on with its principal office in Plymouth, Minnesota, does hereby constitute and appoint: William Re idi nger , each individually if there be more than one named, its true and lawful Attomey-in -Fact, to make, execute, seal and deliver, for and on its behalf as surety, any and all bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof; provided thal no bond or undertaking executed under this authority shall exceed in amount the sum of: silty mfflkn dollars (S60i000,000) and the execution of such bonds, recognizances, contracts of in !mini ty, and all other writings obligatory in the nature thereof in pursuance of these presents, shall be as binding upon said Company as if they had been fully signed by an authorized officer of the Company and sealed with the Compa n Y seal. This Power of Attorney is made and executed by authority of the following resolutions adopted by the Board of Directors of ATLANTIC SPECIALTY INSURANCE COMPANY on the twenty-fifth day of September, 2012: Resolved: That the President, any Senior Vice President or Vice -President (each an "Authorized Officers may execute for and in behalf of the Company any and all bonds, recognizances, contracts of indemnity, and all other writings o5ligatory in the nature thereof, and affix the seal of the Company thereto; and that the Authorized Officer may appoint and authorize an Attorney -in -Fact to execute on behalf of the Coin pang any and all such instruments and to affix the Company seal thereto; and that the Authorized Officer may at any time remove any such Attorney -in -Fact and revoke all power and authority given to any such Attomey-in- Fact. Resolved: That the Anomey-in-Fact may be given full power and authority to execute for and in the name and on behalf of the Company any and all bonds, re,:ognir_unces, contracts of indemnity, and all other writings obligatory in the nature thereof, and any such instrument executed by any such Attorney -in -Fact shall be as binding upon the Company as if signed and sealed by an Authorized Officer and, further, the Attorney -in -Fact is herby authorized to verify any affidavit inquired to be attached to bonds, recugniz?_nces, contracts of indemnity, and all other writings obligatory in the nature thereof. This power of attorney is signed and sealed by facsimile under the authority of the following Resolution adopted by the Board of Directors of ATLANTIC SPECIALTY INSURANCE COMPANY on the twenty-fifth day of September, 2012: Resolved: That the signature of an Authorized Officer, the signature of the Secretary or the Assistant Secretary, and the Company seal may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing an Attomey-in-Fad for purposes only of executing and sealing any bond, undcrt king, recoor other written obligation in the nature [hc rcot. and any such signature and seal where so used, being hereby adopted by the Com pany as the original signature of such officer and the original seal of the Company, to be valid and bindiiig upon the Company with the same force and effect as though manually affixul. IN WITNESS WHEREOF, ATLANTIC SPECIALTY INSURANCE COMPANY has caused time presents to be signed by an Authorized Officer and the seal of the Company to be affixed this fifth day of March, 2020. On this fifth day of March, 2020, before me personally came Paul J. Brehm, Senior Vice President of ATLANTIC SPECIALTY INSURANCE COMPANY, to me personally known to be the individual and officer described in and who executed the preceding instrument, and he acknowledged the execution of the same, and being by me duly sworn, that he is the said officer of the Company aforesaid, and that the seal affixed to the preceding instrument is the seal of said Company and that the said seal and the signature as such officer was duly affixed and subscribed to the said instrument by the authority and at the d imct ion of the Company. E DWAR NASH�TWYPUBLIC •MINNESOTAmmission ExpiresIDnuary 31.2026 Notary Public 1, the undersigned, Assistant Secretary of ATLANTIC SPECIALTY INSURANCE COMPANY, a New York Corpormino, do hereby certify that the foregoing power of attorney is in full force and has not been revoked, and the resolutions set forth above are now in force. Signed and sealed. nansd 21st day of November, 2022 �,-ENN y: SEAL �. V `p 1908 ¢° 117 Christopher 1 1 t Ni, Christopher V. Jerry, Secretary CpRPOR3)ic-. q3 SE4L ^_ By (( STATE OF MINNESOTA tiy:j w wQ�'sa� Paul J. Brehm, Senior Vice President HENNEPIN COUNTY On this fifth day of March, 2020, before me personally came Paul J. Brehm, Senior Vice President of ATLANTIC SPECIALTY INSURANCE COMPANY, to me personally known to be the individual and officer described in and who executed the preceding instrument, and he acknowledged the execution of the same, and being by me duly sworn, that he is the said officer of the Company aforesaid, and that the seal affixed to the preceding instrument is the seal of said Company and that the said seal and the signature as such officer was duly affixed and subscribed to the said instrument by the authority and at the d imct ion of the Company. E DWAR NASH�TWYPUBLIC •MINNESOTAmmission ExpiresIDnuary 31.2026 Notary Public 1, the undersigned, Assistant Secretary of ATLANTIC SPECIALTY INSURANCE COMPANY, a New York Corpormino, do hereby certify that the foregoing power of attorney is in full force and has not been revoked, and the resolutions set forth above are now in force. Signed and sealed. nansd 21st day of November, 2022 �,-ENN y: SEAL �. V `p 1908 ¢° 117 Christopher 1 1 t Ni, Christopher V. Jerry, Secretary Bond No. 800144676 Payment Bond City of San Rafael ("City") and Precision Emprise, LLC. DBA Precision Concrete Cutting ("Contractor") have entered into a contract, dated , 20 22 ("Contract") for work on the Canal Sidewalk Shaving 2022 ("Project"). The Contract is incorporated by reference into this Payment Bond ("Bond"). 1. General. Under this Bond, Contractor as principal and Atlantic Specialty Insurance Company its surety ("Surety"), are bound to City as obligee in an amount not less than $ 57,939.16 , 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: Daryl Casale Address: 23U W. Monroe St. Suite 281U City/State/Zip: tnlcagO, IL 6060 Phone: 312-821-4742 Fax: 781-332-7969 Email: dcasale(Dintactinsurance.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. Canal Sidewalk Shaving 2022 Approved by City Attomey, dated 03/28/2022 Up to $175,000 Contract Payment Bond 7. Effective Date; Execution. This Bond is entered into and is effective on November 21 20 22 Three identical counterparts of this Bond, each of which is deemed an original for all purposes, are hereby executed and submitted. SURETY: Atlantic Specialty Insurance Company Business Name s/ AG William Reidinger, Attorney -in -Fact Name/Title (Attach Acknowledgment with Notary Seal and Power of Attorney) ion Emprise, LLC dba Precision Concrete Cutting s Name s/ 11MR: KYAW11ELI0,M Name/Title s/ Name/Title S/ 1 r����4 RO EPSTEI , City Attorney Date Canal Sidewalk Shaving 2022 END OF PAYMENT BOND Approved by City Attomey, dated 03/28/2022 Up to $175,000 Contract Payment Bond Bond No. 800144676 Performance Bond City of San Rafael ('City") and Precision Emprise, LLC. DBA Precision Concrete Cutting ("Contractor") have entered into a contract, dated , 20 22 ("Contract") for work on the Canal Sidewalk Shaving 2022 ("Project"). The Contract is incorporated by reference into this Performance Bond ("Bond"). Atlantic Specialty 1. General. Under this Bond, Contractor as Principal and Insurance Comps _its surety ("Surety"), are bound to City as obligee for an amount not less than $ � 39•� 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: Canal Sidewalk Shaving 2022 Approved by City Attorney, dated 03/28/2022 Up to $175,000 Contract Performance Bond Attn: Daryl Casale Address: 230 W. Monroe St. Suite 2810 City/State/ZiChicago, 11- 60606 Phone: 312-821-4142 Fax:1-332-'/909 Email: casae mtactmsurance.com 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 November 21 20 22. Three identical counterparts of this Bond, each of which is deemed an original for all purposes, are hereby executed and submitted. SURETY: Atlantic Specialty Insurance Company Business Name s/ William Reidinger, Attorney -in -Fact Name/Title [print] (Attach Acknowledgment with Notary Seal and Power of Attorney) CONTRACTOR: s/ Name/Title s/ Name/Title Precision Emprise, LLC dba Precision Concrete Cutting Business Name APPRO ED BY CIT - s/ r 1�12-f ROBE 1=. ELPSTTIN, dit Attorney Date END OF PERFORMANCE BOND Canal Sidewalk Shaving 2022 Approved by City Attorney, dated 03/28/2022 Up to $175,000 Contract Performance Bond State of ...Illinois ...................... County of .DuPage.. On this ......21st ...day of.... Noypmbpr.... 2022 .., before me Surety personally appeared... William Reidinger................. to be known, Company Acknowledgment: whom being by me duly sworn, did depose and say: that he/she resides at.... $QbP >nbwg IL .......................................................... that he/she is the. Attorney In Fact ....... o f ... atlantic .�peciplty. ................. Insurance Company . the corporation described in and which executed the annexed instrument; that he/she knows the corporate seal of said corporation that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation; that he/she signed his/her name thereto by like order; and that the liabilities of said corporation do not exceed its assets as ascertained in the manner provided by law. .......Notary PublicNin and for the above County and State. 07/24/2023 Mycommission expires ................................. =HALLERAN NOTAINOISMY C7l240 intact INSURANC! Power of Attorney Surety Bond No: 800144676 Principal: Precision Emprise LLC dba Precision Concrete Cutting obtigee: City of San Rafael KNOW ALL MEN BY THESE PRESENTS, that ATLANTIC SPECIALTY INSURANCE COMPANY, a New York curpontion with its principal office in Plymouth, Minnesota, does hereby constitute and appoint: William Reid Inger , each individually if there be more than one named, its true and lawful Attorney -in -Fact, to make, execute, seal and deliver, for and on its behalf as surety, any and all bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof; provided that no bond or undertaking executed under this authority shall exceed in amount the sum of: sixty million dollars ($60,0001000) and the execution of such bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof in pursuance of these presents, shall be as binding upon said Company as if they had been fully signed by an authorized officer of the Company and sealed with the Company seal. This Power of Attorney is made and executed by authority of the following resolutions adopted by the Board of Directors of ATLANTIC SPECIALTY INSURANCE COMPANY on the twenty-fifth day of September, 2012: Resolved: That the President, any Senior Vice President or Vice -President (each an "Authorized Officer') may execute for and in behalf of the Company any and all bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof, and affix the seal of the Company thereto; and that the Authorized Officer may appoint and authorize an Attomey-in-Fact to execute on behalf of the Company any and all such instruments and to affix the Company seal thereto; and that the Authorized Officer may at any time remove any such Attomey-in-Fact and revoke all power and authority given to any such Attomey-in- Fact. Resolved: That the Attorney -in -Fact may be given full power and authority to execute for and in the name and on behalf of the Company any and all bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof, and any such instrument executed by any such Attorney -in -Fact shall be as binding upon the Company as if signed and sealed by an Authorized Officer and, further, the Attorney -in -Fart is hereby authorized to verify any affidavit required to be attached to bonds, recognizances, contracts of indemnity, and all other writings obligatory in the nature thereof. This power of attorney is signed and sealed by facsimile under the authority of the following Resolution adopted by the Board of Directors of ATLANTIC SPECIALTY INSURANCE COMPANY on the twenty-fifth day of September, 2012: Resolved: That the signature of an Authorized Officer, the signature of the Secretary or the Assistant Secretary, and the Company seal maybe affixed by facsimile to any power of attorney or to any certificate relating thereto appointing an Attorney -in -Fact for purposes only of executing and seating any bond, undertaking, recognizance or other written obligation in the nature thereof, and any such signature and seal where so used, being hereby adopted by the Company as the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though manually affixed. IN WITNESS WHEREOF, ATLANTIC SPECIALTY INSURANCE COMPANY has caused these presents to be signed by an Authorized Officer and the seal of the Company to be affixed this fifth day of March, 2020. ,�SY tMg�9 s—rv:GO�ORIIE:� EALL . v 5986 :t7' By I STATE OF MINNESOTA HENNEPIN COUNTY Paul J. Brehm, Senior Vice President tr On this fifth day of March, 2020, before me personally came Paul J. Brehm, Senior Vice President of ATLANTIC SPECIALTY INSURANCE COMPANY, to me personally known to be the individual and officer described in and who executed the preceding instrument, and he acknowledged the execution of the same, and being by me duly swom, that he is the said officer of the Company aforesaid, and that the seal affixed to the preceding instrument is the seal of said Company and that the said seal and the signature as such officer was duly affixed and subscribed to the said instrument by the authority and at the direction of the Company. AUSON DWAH HASH-TMWW NOTARYPUBLIC•INMN 307A My Commlealon Expires January 31,2026 15MA4 �f Notary Public 1, the undersigned, Assistant Secretary of ATLANTIC SPECIALTY INSURANCE COMPANY, a New York Corporation, do hereby certify that the foregoing power of attorney is in full force and has not been revoked, and the resolutions set forth above are now in force. Signed and sealed. Dated 21St day of November, 2022 . LZY 114gG e ; GpR90it♦; d w; SEAL! .0j r'•, 'ley, yaw}+yam Christopher V. Jerry, Secretary A� �® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDlYYYY) 11/2/2022 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER incline Insurance Services, Inc. 510 Myrtle Ave, Suite 203 South San Francisco CA 94080 CONTACT NAME_ Crystal McFarland AIiCNE FAX EXI), 650.413-7522 No : 650-413-7524 a MaIL AiJORESS• crystal@inciineinr.uranice.com INSURER(S) AFFORDING COVERAGE NAIC# BKW64590220 INSURER A: West American Insurance Company 44393 4/30/2023 INSURED PRECEMP-01 INSURER B: StarStone National Insurance Company 25496 Precision Emprise, LLC, Precision Emprise Inc., Dba: Precision Concrete Cutting 335 Beach Rd INSURER C. Preferred Professional Insurance Company 36234 INSURER D: Underwriters at Lloyd's, London 15792 INSURER E: Infinity Select Insurance Company 20260 Burlingame CA 94010 INSURER F; MED EXP Wy one person) $ 5,000 COVERAGES CERTIFICATE NUMBER: 1 8551 21 439 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 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. INSR LTR TYPEOF INSURANCE RC:��ic!'EF'. INcn ¢YV . POLICY NUMBER POLICY EFF MM/DD/YYY POLICY EXP MAN f]IYYYY LIMITS A X COMMERCIALGENERALLIABILITY Y Y BKW64590220 4/30/2022 4/30/2023 EACH OCCURRENCE $1,000,000 CLAIMS-MADEOCCUR DAMAGE TO RENTED PREMISE EMISES Ea occurrence) $ 100,000 MED EXP Wy one person) $ 5,000 PERSONAL & ADV INJURY $1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- JECT El LOC P1 PRODUCTS-COMP/OP AGG $2,000,000 $ OTHER: AUTOMOBILE LIABILITY Y 504610177685001 7/25/2022 7/25/2023 COMBINEDE Ea accide SI $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLYAUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY BODILY INJURY (Per accident) $ AMAG Per accident $ B UMBRELLALIAB X OCCUR N77924220ALI 4/30/2022 4/30/2023 EACH OCCURRENCE $2,000.000 AGGREGATE $ 2,000,000 X EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN YN Y ON12761-01 4/30/2022 4!30/2023 07H - .X STATUTE ER E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED?Li (Mandatory In NH) /A E.L. DISEASE - EA EMPLOYEE $1.000.000 E.L. DISEASE - POLICY LIMIT $1.000.000 0 yes, describe under DESCRIPTION OF OPERATIONS below D D POLLUTION LIABILITY PROFESSIONAL LIABILITY ANE5144179 ANE5144179 4/30/2022 4/30/2022 4/30/2023 4/30/2023 EACH OCC: $1,000,000 AGG: $1,000,000 EACH OCC: $1,000,000 AGG: $1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) LoanlProject #: PW -1'1032020, The Clty of San Rafael, its officers, agents, employees and volunteers are named as Additional Insured with regard to General Uab11ity when required by written contract per the attached endorsement forms CG 88 10 04 13 R CG 85 83 04'13, Primary and Noncontributory wording applies In favor of Addttlonal Insured with regard to General Liability when required by written contract per the attached endorsement form CG 88 10 04 13. Waiver of Subrogation applies in favor of Additional Insured to General Liabili Automobile Liability Workers Compensation when req ulred by written contract the attached with regard y, and per endorsement forms CG 8810 D413. 50461SWF01 and WC ON 04 WS A (Ed. 01-19). f:FRTII=V^.CTI= wni r1Fr7 r.ANC:FI I ATIC)N :c: 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of San Rafael 1400 Fifth Ave AUTHORI7EDREPRESENTATIVE San Rafael CA 94901 :c: 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD I Policy No.: BKW64590220 COMMERCIAL GENERAL LIABILITY CG 88 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY EXTENSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART INDEX SUBJECT PAGE NON -OWNED AIRCRAFT 2 NON -OWNED WATERCRAFT 2 PROPERTY DAMAGE LIABILITY -ELEVATORS 2 EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) 2 MEDICAL PAYMENTS EXTENSION 3 EXTENSION OF SUPPLEMENTARY PAYMENTS - COVERAGES A AND B 3 ADDITIONAL INSUREDS - BY CONTRACT, AGREEMENT OR PERMIT 3 PRIMARY AND NON-CONTRIBUTORY- ADDITIONAL INSURED EXTENSION 5 ADDITIONAL INSUREDS -EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" 6 WHO IS AN INSURED - INCIDENTAL MEDICAL ERRORS/MALPRACTICE AND WHO IS AN INSURED - FELLOW EMPLOYEE EXTENSION - MANAGEMENT EMPLOYEES 6 NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES 7 FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES 7 KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT 7 LIBERALIZATION CLAUSE 7 BODILY INJURY REDEFINED 7 EXTENDED PROPERTY DAMAGE 8 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - 8 WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU ® 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 8 With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement. A. NON -OWNED AIRCRAFT Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liability, exclusion g. Aircraft, Auto Or Watercraft does not apply to an aircraft provided: 1. It is not owned by any insured; 2. It is hired, chartered or loaned with a trained paid crew; 3. The pilot in command holds a currently effective certificate, issued by the duly constituted authority of the United States of America or Canada, designating her or him a commercial or airline pilot; and 4. It is not being used to carry persons or property for a charge. However, the insurance afforded by this provision does not apply if there is available to the insured other valid and collectible insurance, whether primary, excess (other than insurance written to apply specifically in excess of this policy), contingent or on any other basis, that would also apply to the loss covered under this provision. B. NON -OWNED WATERCRAFT Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liability, Subparagraph (2) of exclusion g. Aircraft, Auto Or Watercraft is replaced by the following: This exclusion does not apply to: (2) A watercraft you do not own that is: (a) Less than 52 feet long; and (b) Not being used to carry persons or property for a charge. C. PROPERTY DAMAGE LIABILITY -ELEVATORS 1. Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liabil- ity, Subparagraphs (3), (4) and (6) of exclusion j. Damage To Property do not apply if such "property damage" results from the use of elevators. For the purpose of this provision, elevators do not include vehicle lifts. Vehicle lifts are lifts or hoists used in automobile service or repair operations. 2. The following is added to Section IV - Commercial General Liability Conditions, Condition 4. Other Insurance, Paragraph b. Excess Insurance: The insurance afforded by this provision of this endorsement is excess over any property insurance, whether primary, excess, contingent or on any other basis. D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) If Damage To Premises Rented To You is not otherwise excluded from this Coverage Part: 1. Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury and Property Damage Liability: a. The fourth from the last paragraph of exclusion j. Damage To Property is replaced by the follow- ing: Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire, lightning, explosion, smoke, or leakage from an automatic fire protection system) to: (i) Premises rented to you for a period of 7 or fewer consecutive days; or (ii) Contents that you rent or lease as part of a premises rental or lease agreement for a period of more than 7 days. Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" to contents of premises rented to you for a period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described in Section III - Limits of Insurance. ® 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 8 b. The last paragraph of subsection 2. Exclusions is replaced by the following: Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III - Limits Of Insurance. 2. Paragraph 6. under Section III - Limits Of Insurance is replaced by the following: 6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to: a. Any one premise: (1) While rented to you; or (2) While rented to you or temporarily occupied by you with permission of the owner for damage by fire, lightning, explosion, smoke or leakage from automatic protection sys- tems; or b. Contents that you rent or lease as part of a premises rental or lease agreement. 3. As regards coverage provided by this provision D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) - Paragraph 9.a. of Definitions is replaced with the following: 9.a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion, smoke, or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with the permission of the owner, or for damage to contents of such premises that are included in your premises rental or lease agreement, is not an "insured contract". E. MEDICAL PAYMENTS EXTENSION If Coverage C Medical Payments is not otherwise excluded, the Medical Payments provided by this policy are amended as follows: Under Paragraph 1. Insuring Agreement of Section 1 - Coverage C - Medical Payments, Subparagraph (b) of Paragraph a. is replaced by the following: (b) The expenses are incurred and reported within three years of the date of the accident; and F. EXTENSION OF SUPPLEMENTARY PAYMENTS - COVERAGES A AND B 1. Under Supplementary Payments - Coverages A and B, Paragraph 1.b. is replaced by the following: b. Up to $3,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 2. Paragraph 1.d. is replaced by the following: d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work. 8 G. ADDITIONAL INSUREDS -BY CONTRACT, AGREEMENT OR PERMIT 1. Paragraph 2. under Section II - Who Is An Insured is amended to include as an insured any person or organization whom you have agreed to add as an additional insured in a written contract, written agreement or permit. Such person or organization is an additional insured but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused in whole or in part by: a. Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of your on going operations for the additional insured that are the subject of the written contract or written agreement provided that the "bodily injury" or "property damage" occurs, or the "per- sonal and advertising injury" is committed, subsequent to the signing of such written contract or written agreement; or ® 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 3 of 8 b. Premises or facilities rented by you or used by you; or c. The maintenance, operation or use by you of equipment rented or leased to you by such person or organization; or d. Operations performed by you or on your behalf for which the state or political subdivision has issued a permit subject to the following additional provisions: (1) This insurance does not apply to "bodily injury", "property damage", or "personal and ad- vertising injury" arising out of the operations performed for the state or political subdivision; (2) This insurance does not apply to "bodily injury" or "property damage" included within the "completed operations hazard". (3) Insurance applies to premises you own, rent, or control but only with respect to the following hazards: (a) The existence, maintenance, repair, construction, erection, or removal of advertising ® signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners, or decorations and similar expo- sures; or (b) The construction, erection, or removal of elevators; or (c) The ownership, maintenance, or use of any elevators covered by this insurance. 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 insur- ance 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. With respect to Paragraph 1.a. above, a person's or organization's status as an additional insured under this endorsement ends when: (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 (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. With respect to Paragraph 1.b. above, a person's or organization's status as an additional insured under this endorsement ends when their written contract or written agreement with you for such premises or facilities ends. With respects to Paragraph 1.c. above, this insurance does not apply to any "occurrence" which takes place after the equipment rental or lease agreement has expired or you have returned such equipment to the lessor. rL The insurance provided by this endorsement applies only if the written contract or written agreement is signed prior to the "bodily injury" or "property damage". We have no duty to defend an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured as required in Paragraph b. of Condition 2. Duties In the Event Of Occurrence, Offense, Claim Or Suit under Section IV - Commercial General Liability Condi- tions. ® 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 4 of 8 2. With respect to the insurance provided by this endorsement, the following are added to Paragraph 2. Exclusions under Section I - Coverage A - Bodily Injury And Property Damage Liability: This insurance does not apply to: a. "Bodily injury" or "property damage" arising from the sole negligence of the additional insured. b. "Bodily injury" or "property damage" that occurs prior to you commencing operations at the location where such "bodily injury" or "property damage" occurs. c. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the render- ing of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occur- rence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render, any professional architectural, engineering or surveying services. d. "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 (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. e. Any person or organization specifically designated as an additional insured for ongoing operations by a separate ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS endorsement is- sued by us and made a part of this policy. 3. 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: a. Required by the contract or agreement; or b. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declaratio ns. H. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED EXTENSION This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. Condition 4. Other Insurance of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amend- ed as follows: a. The following is added to Paragraph a. Primary Insurance: If an additional insured's policy has an Other Insurance provision making its policy excess, and you have agreed in a written contract or written agreement to provide the additional insured coverage on a primary and noncontributory basis, this policy shall be primary and we will not seek contribution from the additional insured's policy for damages we cover. ® 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 5 of 8 b. The following is added to Paragraph b. Excess Insurance: When a written contract or written agreement, other than a premises lease, facilities rental contract or agreement, an equipment rental or lease contract or agreement, or permit issued by a state or political subdivision between you and an additional insured does not require this insurance to be primary or primary and non-contributory, this insurance is excess over any other insurance for which the addi- tional insured is designated as a Named Insured. Regardless of the written agreement between you and an additional insured, this insurance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured on other policies. I. ADDITIONAL INSUREDS -EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. n 1. The following is added to Condition 2. Duties In The Event Of Occurrence, Offense, Claim or Suit: IIS An additional insured under this endorsement will as soon as practicable: a. Give written notice of an "occurrence" or an offense that may result in a claim or "suit" under this insurance to us; o m� b. Tender the defense and indemnity of any claim or "suit" to all insurers whom also have insurance available to the additional insured; and c. Agree to make available any other insurance which the additional insured has for a loss we cover under this Coverage Part. d. We have no duty to defend or indemnify an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured. 2. The limits of insurance applicable to the additional insured are those specified in a written contract or written agreement or the limits of insurance as stated in the Declarations of this policy and defined in Section III - Limits of Insurance of this policy, whichever are less. These limits are inclusive of and not in addition to the limits of insurance available under this policy. J. WHO IS AN INSURED -INCIDENTAL MEDICAL ERRORS/ MALPRACTICE WHO IS AN INSURED - FELLOW EMPLOYEE EXTENSION - MANAGEMENT EMPLOYEES Paragraph 2.a.(1) of Section II - Who Is An Insured is replaced with the following: (1) "Bodily injury" or "personal and advertising injury": (a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability company), to a co -"employee" while in the course of his or her employ- ment or performing duties related to the conduct of your business, or to your other "volunteer workers" while performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co -"employee" or "volunteer worker" as a consequence of Paragraph (1) (a) above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraphs (1) (a) or (b) above; or (d) Arising out of his or her providing or failing to provide professional health care services. However, if you are not in the business of providing professional health care services or providing profes- sional health care personnel to others, or if coverage for providing professional health care ser- vices is not otherwise excluded by separate endorsement, this provision (Paragraph (d)) does not apply. Paragraphs (a) and (b) above do not apply to "bodily injury" or "personal and advertising injury" caused by an "employee" who is acting in a supervisory capacity for you. Supervisory capacity as used herein means the "employee's" job responsibilities assigned by you, includes the direct supervision of other "employ- ees" of yours. However, none of these "employees" are insureds for "bodily injury" or "personal and 0 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 6 of 8 advertising injury" arising out of their willful conduct, which is defined as the purposeful or willful intent to cause "bodily injury" or "personal and advertising injury", or caused in whole or in part by their intoxica- tion by liquor or controlled substances, The coverage provided by provision J. is excess over any other valid and collectable insurance available to your "employee". K. NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES Paragraph 3. of Section II - Who Is An Insured is replaced by the following: 3. Any organization you newly acquire or form and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only until the expiration of the policy period in which the entity was acquired or formed by you; b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. d. Records and descriptions of operations must be maintained by the first Named Insured. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations or qualifies as an insured under this provision. L. FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES Under Section IV - Commercial General Liability Conditions, the following is added to Condition 6. Repre- sentations: Your failure to disclose all hazards or prior 'occurrences" existing as of the inception date of the policy shalt not prejudice the coverage afforded by this policy provided such failure to disclose all hazards or prior "occurrences" is not intentional. M. KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT Under Section IV - Commercial General Liability Conditions, the following is added to Condition 2. Duties In The Event of Occurrence, Offense, Claim Or Suit: Knowledge of an "occurrence", offense, claim or "suit" by an agent, servant or "employee- of any insured shall not in itself constitute knowledge of the insured unless an insured listed under Paragraph 1. of Section II - Who Is An Insured or a person who has been designated by them to receive reports of "occurrences", offenses, claims or "suits" shall have received such notice from the agent, servant or "employee". N. LIBERALIZATION CLAUSE If we revise this Commercial General Liability Extension Endorsement to provide more coverage without additional premium charge, your policy will automatically provide the coverage as of the day the revision is effective in your state. O. BODILY INJURY REDEFINED Under Section V - Definitions, Definition 3. is replaced by the following: 3. 'Bodily Injury" means physical injury, sickness or disease sustained by a person. This includes mental anguish, mental injury, shock, fright or death that results from such physical injury, sick- ness or disease. ® 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 7 of 8 P. EXTENDED PROPERTY DAMAGE Exclusion a. of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY is replaced by the following: a. Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. Q. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU Under Section IV - Commercial General Liability Conditions, the following is added to Condition 8. Trans- fer Of Rights Of Recovery Against Others To Us: i= s We waive any right of recovery we may have against a person or organization because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard" s provided: 1. You and that person or organization have agreed in writing in a contract or agreement that you waive such rights against that person or organization; and $ i 2. The injury or damage occurs subsequent to the execution of the written contract or written agree- ment. i� E ® 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 8 of 8 Policy No.: BKW64590220 COMMERCIAL GENERAL LIABILITY CG 85 83 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED CONTRACTORS - PRODUCTS/COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Paragraph 2. under Section II — Who Is An Insured is amended to include as an insured any person or organization whom you have agreed to add as an additional insured in a written contract or written agreement. Such person or organization is an additional insured but only with respect to liability for "bodily injury" or "property damage": 1. Caused by `your work" performed for that additional insured that is the subject of the written contract or written agreement; and 2. Included in the "products -completed operations hazard". However: a) The insurance afforded to such additional insured only applies to the extent permitted by law; and b) 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 The insurance provided by this endorsement applies only if the written contract or written agreement is signed prior to the "bodily injury" or "property damage". We have no duty to defend an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured as required in Paragraph b. of Condition 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit under Section IV — Commercial General Liability Conditions. B. With respect to the insurance provided by this endorsement, the following are added to Paragraph 2. Exclusions under Section I — Coverage A — Bodily Injury And Property Damage Liability: This insurance does not apply to: "Bodily injury" or "property damage" that occurs prior to you commencing operations at the location where such "bodily injury" or "property damage" occurs. 2. "Bodily injury" or "property damage" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services including: a. The preparing, approving or failure to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawing and specifications; and b. Supervisory, inspection, architectural or engineering activities. © 2013 Liberty Mutual Insurance CG 85 83 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 2 C. With respect to the insurance afforded by this endorsement, exclusion I. Damage To Your Work of Paragraph 2. Exclusions under Section I — Coverage A — Bodily Injury And Property Damage Liability is replaced by the following: I. Damage To Your Work "Property damage" to `your work" arising out of it or any part of it and included in the "products - completed operations hazard". D. With respect to the insurance afforded to these additional insureds, the following is added to Section II — 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 contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declaration. whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. E. With respect to the insurance afforded by this endorsement, Section IV — Commercial General Liability Conditions is amended as follows: 1. The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claims Or Suit: An additional insured under this endorsement will as soon as practicable: a. Give written notice of an "occurrence" or an offense that may result in a claim or "suit" under this insurance to us; b. Tender the defense and indemnity of any claim or "suit" to all insurers whom also have insurance available to the additional insured; and C. Agree to make available any other insurance which the additional insured has for a loss we cover under this Coverage Part. d. We have no duty to defend or indemnify an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured. 2. Paragraph 4. of Section IV — Commercial General Liability Conditions is amended as follows: a. The following is added to Paragraph a. Primary Insurance: If an additional insured's policy has an Other Insurance provision making its policy excess, and you have agreed in a written contract or written agreement to provide the additional insured coverage on a primary and noncontributory basis, this policy shall be primary and we will not seek contribution from the additional insured's policy for damages we cover. b. The following is added to Paragraph b. Excess Insurance: When a written contract or written agreement, other than a premises lease, facilities rental contract or agreement, an equipment rental or lease contract or agreement, or permit issued by a state or political subdivision between you and an additional insured does not require this insurance to be primary or primary and non-contributory, this insurance is excess over any other insurance for which the additional insured is designated as a Named Insured. Regardless of the written agreement between you and an additional insured, this insurance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured on other policies. © 2013 Liberty Mutual Insurance CG 85 83 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 2 Infinity Commercial Auto 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Underwritten by: Infinity Select Insurance Company Customer Service: (800) 722-3391 Claims Service: (800) 334-1661 WAIVER OF SUBROGATION 'opy To Policy ID Number Expiration Date 504-61017-7685-001 07/25/2023 12:01 a.m. THE CITY OF SAN RAFAEL ITS OFFICERS Named Insured AGENTS EMPLOYEES AND VOLUNTEERS 1400 FIFTH AVE Precision Emprise, LLC SAN RAFAEL CA 94901 This endorsement is attached to and forms a part of the listed policy. No changes will be effective prior to the time changes are requested. In return for your premium payment shown below, we agree that our rights of subrogation or rights of recovery under the policy will not apply against the following person or organization: The City of San Rafael, its officers, (name of person or organization) Additional premium in the amount of $25 termination of this endorsement or the policy. All other policy provisions remain unchanged. ADDL INSURED COPY will be retained by us regardless of any early AMEND DATE: 11/01/2022 50461 SWF01 ENDORSEMENT: 1-22 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC ON 04WSA (Ed. 01-19) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA 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. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. Blanket Waiver: The additional premium for this endorsement shall be 2% of the California workers' compensation premium otherwise due on such remuneration, Specific Waiver: The additional premium for this endorsement shall be 5% of the California workers' compensation premium otherwise due on such remuneration, Schedule Person or Organization Job Description Blanket Waiver of Subrogation As respects to all CA jobs performed by the named insured during the policy period where by written contract a waiver of subrogation is required prior to the commencement of work. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: 04130/2022 Insured Precision Emprise, LLC, Precision Emprise Inc., Dba: Precision Concrete Cutting Print Date: 2/8/2022 Policy No.: ON12761-01 Endorsement No.: Insurance Company Preferred Professional Insurance Company Countersigned By O RAF2 y TY� �'VITH p, CONTRACT ROUTING FORM INSTRUCTIONS: Use this cover sheet to circulate all contracts for review and approval in the order shown below. TO BE COMPLETED BY INITIATING DEPARTMENT PROJECT MANAGER: Contracting Department: Public Works Project Manager: Stephen Acker (for JC) Extension: 3354 Contractor Name: Precision Concrete Cutting Contractor's Contact: Joseph Ortega Contact's Email: jortega@pccnorcal.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 Chck here to ❑ enter a date. b. Email contract (in Word) and attachments to City 10/3/2022 Attorney c/o Laraine.Gittens@cityofsanrafael.org NSA 2 City Attorney a. Review, revise, and comment on draft agreement 10/18/2022 and return to Project Manager 10/18/2022 ❑X GC b. Confirm insurance requirements, create Job on PINS, send PINS insurance notice to contractor ❑X GC_ 3 Department Director Approval of final agreement form to send to 10/31/2022 X❑ AM contractor Project Manager Forward three (3) originals of final agreement to 4 11/1/2022 contractor for their signature 5 Project Manager When necessary, contractor -signed agreement ❑X N/A agendized for City Council approval * *City Council approval required for Professional Services Agreements and purchases of goods and services that exceed Or $75,000; and for Public Works Contracts that exceed $175,000 C!irl< here to Date of City Council approval e°Ter a date. PRINT CONTINUE ROUTING PROCESS WITH HARD COPY 6 Project Manager Forward signed original agreements to City 11/9/2022 NT City Attorney Attorney with printed copy of this routing form _ 7 Review and approve hard copy of signed agreement 8 City Attorney Review and approve insurance in PINS , and bonds (for Public Works Contracts) l I 9 City Manager/ Mayor Agreement executed by City Council authorized official 10 City Clerk Attest signatures, retains original agreement and forwards copies to Project Manager