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HomeMy WebLinkAboutPW Rotary Manor Culvert Replacement ProjectContract
This public works contract ("Contract") is entered into by and between the City of San Rafael
("City") and Maggiora and Ghilotti, Inc. ("Contractor"), for work on the Rotary Manor Culvert
Replacement Project ("Project").
The parties agree as follows:
Award of Contract. In response to the Notice Inviting Bids, Contrac r has submitted
Bid Proposal to perform the Work to construct the Project. On 20, City
authorized award of this Contract to Contractor for the amount set f rt in Section 4, elow.
Contract Documents. The Contract Documents incorporated into this Contract include
and are comprised of all of the documents listed below. The definitions provided in Article 1
of the General Conditions apply to all of the Contract Documents, including this Contract.
2.1
Notice Inviting Bids;
2.2
Instructions to Bidders;
2.3
Addenda, if any;
2.4
Bid Proposal and attachments thereto;
2.5
Contract;
2.6
Payment and Performance Bonds;
2.7
General Conditions;
2.8
Special Conditions;
2.9
Project Plans and Specifications;
2.10
Change Orders, if any;
2.11
Notice of Potential Award;
2.12
Notice to Proceed;
Contractor's Obligations. Contractor will perform all of the Work required for the Project,
as specified in the Contract Documents. Contractor must provide, furnish, and supply all
things necessary and incidental for the timely performance and completion of the Work,
including all necessary labor, materials, supplies, tools, equipment, transportation, onsite
facilities, and utilities, unless otherwise specified in the Contract Documents. Contractor
must use its best efforts to diligently prosecute and complete the Work in a professional
and expeditious manner and to meet or exceed the performance standards required by the
Contract Documents.
4. Payment. 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 $778,700 ("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
in the General Conditions.
5. Time for Completion. Contractor will fully complete the Work for the Project, meeting all
requirements for Final Completion, within 90 working days from the commencement date
given in the Notice to Proceed ("Contract Time"). By signing below, Contractor expressly
waives any claim for delayed early completion.
6. Liquidated Damages. As further specified in Section 5.4 of the General Conditions, if
Contractor fails to complete the Work within the Contract Time, City will assess liquidated
damages in the amount of $3,600 per day for each day of unexcused delay in achieving
Rotary Manor Culvert Replacement 2022 Form CONTRACT
Project #11371 Page 1
Final Completion, and such liquidated damages may be deducted from City's payments
due or to become due to Contractor under this Contract.
7. Labor Code Compliance.
7.1 General. This Contract is subject to all applicable requirements of Chapter 1 of
Part 7 of Division 2 of the Labor Code, including requirements pertaining to wages,
working hours and workers' compensation insurance, as further specified in Article
9 of the General Conditions.
7.2 Prevailing Wages. This Project is subject to the prevailing wage requirements
applicable to the locality in which the Work is to be performed for each craft,
classification or type of worker needed to perform the Work, including employer
payments for health and welfare, pension, vacation, apprenticeship and similar
purposes. Copies of these prevailing rates are available online at
http://www.dir.ca.gov/DLSR.
7.3 DIR Registration. City may not enter into the Contract with a bidder without proof
that the bidder and its Subcontractors are registered with the California Department
of Industrial Relations to perform public work pursuant to Labor Code § 1725.5,
subject to limited legal exceptions.
8. Workers' Compensation Certification. Pursuant to Labor Code § 1861, by signing this
Contract, Contractor certifies as follows: "I am aware of the provisions of Labor Code §
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."
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 requirement, or in violation of any California law, including Government
Code § 1090 et seq., or the Political Reform Act, as set forth in Government Code § 81000
et seq. and its accompanying regulations. Any violation of this Section constitutes a
material breach of the Contract.
10. Independent Contractor. Contractor is an independent contractor under this Contract and
will have control of the Work and the means and methods by which it is performed. Contractor
and its Subcontractors are not employees of City and are not entitled to participate in any health,
retirement, or any other employee benefits from City.
11. 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 file. Notice is deemed
effective upon delivery, except that service by U.S. Mail is deemed effective on the second
working day after deposit for delivery. Notice for each party must be given as follows:
City:
City of San Rafael
Department of Public Works
111 Morphew Street
San Rafael, CA 94901
Attn: Theo Sanchez, Associate Civil Engineer
theo.sanchez6c�cityofsanrafael.org
Rotary Manor Culvert Replacement 2022 Form CONTRACT
Project #11371 Page 2
Contractor:
Name: Maggiora and Ghilotti, Inc
Address: 555 DuBois St
City/State/Zip: San Rafael, CA 94901
Phone: (415)459-3965
Attn: Gary Ghilotti
Email: garyna maggiora-ghilotti.com
Copy to: Matt Petray, mattna,maggiora-ghilotti.com
12. General Provisions.
12.1 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.
12.2 Third Party Beneficiaries. There are no intended third party beneficiaries to this
Contract.
12.3 Governing Law and Venue. This Contract will be governed by California law and
venue will be in the Marin County Superior Court, and no other place. Contractor
waives any right it may have pursuant to Code of Civil Procedure § 394, to file a
motion to transfer any action arising from or relating to this Contract to a venue
outside of Marin County, California.
12.4 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.
12.5 Integration. 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.
12.6 Severability. If any provision of the Contract Documents is determined to be
illegal, invalid, or unenforceable, in whole or in part, the remaining provisions of the
Contract Documents will remain in full force and effect.
12.7 Iran Contracting Act. If the Contract Price exceeds $1,000,000, Contractor
certifies, by signing below, that it is not identified on a list created under the Iran
Contracting Act, Public Contract Code § 2200 et seq. (the "Act"), as a person
engaging in investment activities in Iran, as defined in the Act, or is otherwise
expressly exempt under the Act.
12.8 Authorization. Each individual signing below warrants that he or she is authorized
to do so by the party that he or she represents, and that this Contract is legally
binding on that party. If Contractor is a corporation, signatures from two officers of
the corporation are required pursuant to California Corporation Code § 313.
Rotary Manor Culvert Replacement 2022 Form CONTRACT
Project #11371 Page 3
12
The parties agree to this Contract as witnessed by the signatures below:
CITY:
s/
CRISTIN OVICH, City Manager
Date: S/ 3 /_7 ;!
Attest:
s/
LINDSAY LAR City7;?
Date:
G,q�., �Lq Cq- ?:i,g..S .
Name, Title
Date: c'U-Z2L-Z.0Z3
Seco S nature (S a lion 12.8):
s/
14 OTT-1
Name, Title
Date: -7 - ZS- LO-Z'Z
Approve -as to form:
s/
ROBERT It. STEIN, Ci Attorney
Date: v�
ZZIo-1 Cp"1 _'�1311 Z 5
Contractor's California License Number(s) and Expiration Date(s)
END OF CONTRACT
Rotary Manor Culvert Replacement 2022 Form
Project #11371
CONTRACT
Page 4
r
General Info
Total:
$778,700.00
Number
Rotary Manor Culvert
Replacement
Deadline
06/28/2023 11:00 AM PDT
Vendor
Maggiora & Ghilotti, Inc.
Submitted
06/28/2023 10:21 AM PDT
Signed by
Juan Trejo Account Holder
Juan Trejo
Opened
06/28/2023 11:00 AM PDT By
theo.sanchez@cityofsanrafael.org
ATTACHMENT LIST
Plans 20230526.pdf (15.6 MB)
Specs 20230621.pdf (15.8 MB)
Exhibit A
Description
The City of San Rafael is inviting bids for its Rotary Manor Culvert Replacement
project. The project is located at 1821 Fifth Ave in San Rafael and consists of
replacement of an arch corrugated metal pipe culvert with a cast -in -place concrete box
culvert and rehabilitation of the affected property grounds
Engineer Estimate: $600k
Allows zero unit prices and labor
No
Allows negative unit prices and labor
No
Addendum #1 20230530.pdf (63.7 KB)
Addendum #2 20230621.pdf (4.46 MB)
Addendum #3 20230621.pdf (350 KB)
BID PROPOSAL
("Bidder") *
Maggiora & Ghilotti, Inc.
Page 1 of 9
07/14/2023
hereby submits this Bid Proposal to the City of San Rafael ("City") for the above -referenced project ("Project') in response to the
Notice Inviting Bids and in accordance with the Contract Documents referenced in the Notice.
1. Base Bid. Bidder proposes to perform and fully complete the Work for the Project as specified in the Contract Documents,
within the time required for full completion of the Work, including all labor, materials, supplies, and equipment and all other direct
or indirect costs including, but not limited to, taxes, insurance and all overhead for the following price ('Base Bid"):
$778,700.00
2. 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 (click "+" to add
addenda. Type "N/A" if no addenda have been issued):
Addendum #: *
Addendum Date: *
May 30,2023
2. 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 (click "+" to add
addenda. Type "N/A" if no addenda have been issued): 1
Addendum #: *
Addendum Date: *
June 21, 2023
2. 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 reasori. Bidder specifically acknowledges receipt of the following addenda (click "+" to add
addenda. Type "N/A" if no addenda have been issued): 2
Addendum #: *
Addendum Date: *
June 21,2023
Page 2 of 9 07/14/2023
3. Bidder's Certifications and Warranties. By signing and submitting this Bid Proposal, Bidder certifies and warrants the
following:
3.1 Examination of Contract Documents. Bidder has thoroughly examined the Contract Documents and represents that,
to the best of Bidder's knowledge, there are no errors, omissions, or discrepancies in the Contract Documents, subject to
the limitations of Public Contract Code§ 1104.
3.2 Examination of Project Site. Bidder has had the opportunity to examine the Project site and local conditions at the
Project location.
3.3 Bidder Responsibility. Bidder is a responsible bidder, with the necessary ability, capacity, experience, skill,
qualifications, workforce, equipment, and resources to perform or cause the Work to be performed in accordance with the
Contract Documents and within the Contract Time.
3.4 Responsibility for Bid. Bidder has carefully reviewed this Bid Proposal and is solely responsible for any errors or
omissions contained in its completed Bid. All statements and information provided in this Bid Proposal and enclosures are
true and correct to the best of Bidder's knowledge.
3.5 Nondiscrimination. In preparing this Bid, the Bidder has not engaged in discrimination against any prospective or
present employee or Subcontractor on grounds of race, color, ancestry, national origin, ethnicity, religion, sex, sexual
orientation, age, disability, or marital status.
3.6 Iran Contracting Act. If the Contract Price exceeds $1,000,000, Bidder is not identified on a list created under the
Iran Contracting Act, Public Contract Code § 2200 et seq. (the "Act"), as a person engaging in investment activities in Iran,
as defined in the Act, or is otherwise expressly exempt under the Act.
4. Award of Contract. By signing and submitting this Bid Proposal, Bidder agrees that if Bidder is awarded the Contract for the
Project, within ten days following issuance of the Notice of Award to Bidder, Bidder will do all of the following:
4.1 Execute Contract. Enter into the Contract with City in accordance with the terms of this Bid Proposal, by signing and
submitting to City the Contract prepared by City using the form included with the Contract Documents;
4.2 Submit Required Bonds. Submit to City a payment bond and a performance bond, each for 100% of the Contract
Price, using the bond forms provided and in accordance with the requirements of the Contract Documents; and
4.3 Insurance Requirements. Submit to City the insurance certificate(s) and endorsement(s) as required by the Contract
Documents.
Page 3 of 9 07/14/2023
This Bid Proposal is hereby submitted on [Date]
6/22/2023
s/ *
Gary Ghilotti
Name and Title
Gary Ghilotti, President
s/ *
Scott Ghilotti
Name and Title
Scott Ghilotti, Vice President
Company Name *
Maggiora & Ghilotti, Inc.
License #, Expiration Date, and Class
226767, 3/31/2025, A
Address *
555 Du Bois St, San Rafael, CA 94901-3965
DIR Registration #
1000007991
City, State, Zip
94901
Phone
(415) 459-8640
Contact Name *
Matt Petray
Contact Email
mattt@maggiora-ghilotti.com
END OF BID PROPOSAL
Page 4 of 9 07/14/2023
BID SCHEDULE - DIRECTIONS
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 LF = Linear Foot CF = Cubic Feet LS = Lump Sum CY = Cubic Yard SF = Square Feet EA = Each TON
= Ton (2000lbs)
LB = Pounds
BID SCHEDULE
Bid Item No. Item Description
1
Traffic Control System
2
Remove Corrugated Metal Pipe Arch Culvert
3
Cut and Remove Asbestos -Cement Pipe
4
Sawcut and Select Demolition of Endwall
5
Remove Asphalt Concrete
6
Remove Storm Drain Inlet
7
Remove Chainlink Fencing
8
Tree and Environmental Protective Fencing
9
Clearing and Grubbing
10
Dewatering
11
Excavation
12
Structure and Select Fill
$778,700.00
Est Qty. Unit Unit Cost Extension
1.00
LS
$2,000.00
$2,000.00
1.00
LS
$10,600.00
$10,600.00
40.00
LF
$200.00
$8,000.00
1.00
LS
$15,000.00
$15,000.00
200.00
SY
$30.00
$6,000.00
1.00
EA
$4,000.00
$4,000.00
70.00
LF
$35.00
$2,450.00
320.00
LF
$10.00
$3,200.00
1.00
LS
$51,000.00
$51,000.00
1.00
LS
$55,000.00
$55,000.00
460.00
CY
$150.00
$69,000.00
340.00
CY
$260.00
$88,400.00
Total: $778,700.00
Page 5 of 9 07/14/2023
Bid Item No.
Item Description
Est Qty.
Unit
Unit Cost
Extension
13
Controlled Low -Strength Material (CLSM)
30.00
CY
$400.00
$12,000.00
14
Planting Soil Fill
40.00
CY
$215.00
$8,600.00
15
Soil Off -haul
140.00
CY
$80.00
$11,200.00
16
Erosion Control
1.00
LS
$4,200.00
$4,200.00
17
Aggregate Base
35.00
CY
$600.00
$21,000.00
18
Asphalt Concrete
32.00
TONS
$450.00
$14,400.00
19
Trench Bracing and Shoring
1.00
LS
$62,000.00
$62,000.00
20
Concrete Box Culvert
42.00
CY
$2,700.00
$113,400.00
21
Surface Preparation of Existing Box Culvert
1.00
LS
$10,000.00
$10,000.00
22
Connection of New Box Culvert to Existing Endwall
1.00
LS
$5,000.00
$5,000.00
23
Drainage Structure, 36"x48" Drop Inlet
1.00
EA
$14,000.00
$14,000.00
24
Storm Drain Pipe, 12" PVC
8.00
LF
$1,000.00
$8,000.00
25
Minor Concrete, Pad with Inset Commemorative Pavers
130.00
SF
$85.00
$11,050.00
26
Chain Link Fence, 6' tall
70.00
LF
$145.00
$10,150.00
27
Landscaping
4,100.00
SF
$8.00
$32,800.00
28
Irrigation System
1.00
LS
$38,950.00
$38,950.00
29
Redwood Arbor and Gate
1.00
LS
$12,300.00
$12,300.00
30
Mobilization
1.00
LS
$75,000.00
$75,000.00
Total: $778,700.00
SUBCONTRACTOR LIST - INSTRUCTIONS
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,[1] 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.
Page 6 of 9 07/14/2023
[1] For street or highway construction this requirement applies to any subcontract of $10,000 or more
SUBCONTRACTOR LIST
Description
Subcontractor Name
California Contractor
Location of
DIR Reg
Percent of
of Work
License Number
Business
No.
Work
Landscape &
Neary Landscape Inc.
814207
Cotati CA
1000002998
8.5
Irrigation
Rebar
Camblin Steel Service
218839
Roseville CA
1000003852
2.7
Inc.
Fence &
Arbor
Able Fence
409607
Petaluma CA
1000005997
2.7
Tree Removal
Kingsborough Atlas
679146
Santa Rosa CA
1000006559
Tree Surgery, Inc.
.9
Suryvey
nicquini & Passanno,
NA
Santa Rosa CA
NA
.9
NON -COLLUSION DECLARATION
TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID
The undersigned declares
I am the
President
of: *
Maggiora & Ghilotti, Inc.
the party making the foregoing bid
The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization,
or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any
other bidder to put in a false or sham bid. The bidder has not directly or indirectly colluded, conspired, connived, or agreed with
Page 7 of 9 07/14/2023
any bidder or anyone else to put in a sham bid, or to refrain from bidding. The bidder has not in any manner, directly or indirectly,
sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix
any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true.
The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or
divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository,
or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid and will not pay, any person or entity
for such purpose.
This declaration is intended to comply with California Public Contract Code § 7106 and Title 23 U.S.0 § 112.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this
declaration is executed on
[date], * [city] * [state] *
6/22/2023 San Rafael California
[7I agree that my digital or electronic signature applies to this form
Name *
Gary Ghilotti
Bid Security
As a guarantee that, if awarded the Contract, Bidder will perform its obligations under Section 4 above, Bidder is enclosing bid
security in the amount of ten percent of its maximum bid amount in one of the following forms (select one). Upload a scan of the
paper bid security.
Within ten calendar days following City's issuance of the Notice of Award to the apparent low bidder, the bidder must submit
original hardcopies of the payment and performance bonds to City as specified in the Contract Documents using the bond forms
included in the Contract Documents.
Guarantee Method *
Paper Bid Security, Cashier's
Check, or Certified Check:
Paper Bid Security, Cashier's Check, or Certified Check:
Page 8 of 9 07/14/2023
Confirmation: *
A bid security, using the Bid Security form included with the Contract Documents, payable to City and executed by a surety
licensed to do business in the State of California.
REQUIRED DOCUMENTS LIST
Name Omission Terms Submitted File
Scan of Bond Forms
Upload scan of bond forms. The originals will I am verifying my bid security electronically. 20230620161224769.pdf
only be request of the apparent low bidder
1 Required Document
Page 9 of 9 07/14/2023
Bid Bond
Maggiora & Ghilotti, Inc. ("Bidder") has submitted a bid,
dated June 22nd , 20 23 ("Bid"), to City of San Rafael ("City") for work on the
Rotary Manor Culvert Replacement Project ("Project'). Under this duly executed bid bond ("Bid Bond"),
Bidder as Principal and The Ohio Casualty Insurance Comoany , its surety ("Surety"). are bound to City as
obligee in the penal sum of ten percent of the maximum amount of the Bid (the "Bond Sum"). Bidder and
Surety bind themselves and their respective heirs, executors, administrators, successors and assigns,
jointly and severally, as follows:
General. If Bidder is awarded the Contract for the Project, Bidder will enter into the Contract with
City in accordance with the terms of the Bid.
2. Submittals. Within ten days following issuance of the Notice of Potential Award to Bidder, Bidder
must submit to City the following
2.1 Contract. The executed Contract, using the form provided by City in the Project contract
documents ("Contract Documents");
2.2 Payment Bond. A payment bond for 100% of the maximum Contract Price, executed by a
surety licensed to do business in the State of California using the Payment Bond form
included with the Contract Documents;
2.3 Performance Bond. A performance bond for 100% of the maximum Contract Price,
executed by a surety licensed to do business in the State of California using the Performance
Bond form included with the Contract Documents; and
2.4 Insurance. The insurance certificate(s) and endorsements) required by the Contract
Documents, and any other documents required by the Instructions to Bidders or Notice of
Potential Award.
3. Enforcement. If Bidder fails to execute the Contract and to submit the bonds and insurance
certificates as required by the Contract Documents, Surety guarantees that Bidder forfeits the Bond
Sum to City. Any notice to Surety may be given in the manner specified in the Contract and
delivered or transmitted to Surety as follows:
Attn
Liberty Mutual Surety - Claims
Address:
1001 41h Ave Ste 3800
City/State/Zip. Seattle WA 98154
Phone:
206-473-6210
Fax:
866-548-6337 _
Email
hosd@libertymutual.com
4. Duration and Waiver. If Bidder fulfills its obligations under Section 2, above, then this obligation
will be null and void; otherwise, it will remain in full force and effect for 60 days following the bid
opening or until this Bid Bond is returned to Bidder, whichever occurs first. Surety waives the
provisions of Civil Code §§ 2819 and 2845.
[Signatures are on the following page.]
Rotary Manor Culvert Replacement 2022 Form BID BOND
Project #11371 Page 13
This Bid Bond is entered into and effective on June 14 , 20 23
SURETY:
The Ohia;Casualty Insurance Company
6us�ineSs�lJame
S%
Ji I Seymour, Attor -In-Fact
Name, Title
Date
June 14, 2023
(Attach Acknowledgment with Notary Seal and Power of Attorney)
BIDDER:
Maggiora Ghilotti, I : r
Business Name
sl
Name, Title
Date
END OF BID BOND
June 14, 2023
Rotary Manor Culvert Replacement 2022 Form BID BOND
Project #11371 Page 14
This Power of Attorney limits the acts of those named herein, and they have no authority to
bind the Company except in the manner and to the extent herein stated.
Liberty Liberty Mutual Insurance Company
Mutual- The Ohio Casualty Insurance Company Certificate No: 8205618-976005
SURETY West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: Thal The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the Slate of New Hampshire, that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized
under the laws of the Stale of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Brianna
Ramalici; Jenny Hagemann; Jill Seymour; Paul Ramatici; Tom Griffith
all of the city of Petaluma stale of CA each individually if there be more than one named, its true and lawful attorney -in -fact to make,
execute, seal, acknowledge and deliver, for and on its behalf as surely and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance
of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper
persons
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 20th day of lvlay , 2021 .
on
a�
c
m
`m State of PENNSYLVANIA
R County of MONTGOMERY ss
Liberty Mutual Insurance Company
P� INS& P'SY INS& d INS&,44 The Ohio Casualty Insurance Company
��oa�OR+,o'�(� �J`�o+'�Oi►+��y VP'0+1n West American Insurance Company
1912 b o 0 1919 W 1991
rdpl'�9+CMU`'Q da yOs~M.1}IP=~Q�DO 'i �g010" a3
►•N� BY:
David M. Carey, Assistant Secretary
" On this 20th da of fyla 2021 before me personally appeared David M. Care who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance
o Y y P Y PP Y, 9 ry rty
0 m Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes
0) > therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
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IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal al King of Prussia. Pennsylvania, on the day and year first above written
sa PAST
rTeresa
Commonwealth of Pennsylvania - Notary Seal
Paslella, Notary Public
Montgomery County'',,
tTF
My commission expires March 28, 2026
By:
w
��iTy PV©
Commission number 1126044
Teresa Pasteila. Notary Public
U—:ccf —f,' naAssoo+:unerNolades
This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual
Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows:
ARTICLE IV — OFFICERS; Section 12. Power of Attorney
Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the
President may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety
any and all undertakings, bonds, recognizances and other surety obligations Such altomeys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall
have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation When so executed, such
instruments shall be as binding as if signed by the President and attested to by the Secretary Any power or authority granted to any representative or altomey-in-fact under the
provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority
ARTICLE XIII — Execution of Contracts: Section 5 Surety Bonds and Undertakings
Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe,
shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surely any and all undertakings,
bonds, recognizances and other surety obligations. Such altomeys-in-fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the
Company by their signature and execution of any such instruments and to attach thereto the seal of the Company When so executed such instruments shall be as binding as if
signed by the president and attested by the secretary.
Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such allomeys-in-
fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surely
obligations
Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance, Company, and West American Insurance Company do
hereby certify that the original power of attorney of which the foregoing is a full, [rue and correct copy of the Po.yer of Altomey executed by said Companies, is in full force and effect and
has not been revoked. ,
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this L �1ay of—Ju—&_, :WZ3
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ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of Sonoma
On,, .0 to l y P'02;-�_ before me, Victoria Espinoza - Notary Public
(insert name and title of the officer)
personally appeared Jill Seymour
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal. vitro tlA ESPINOZA
Notary Public - California
Sonoma County
Commission p 2433136
'1Y/� My Comm. Expires Jan 2, 2027
Signature �LG�U L(.7i� �.S�O�i/Y1�d��t,�- (Seal)
CALIFORNIA ACKNOWLEDGMENT
;CfiR+..: . � - ,•Itrfly�+' «,�:oaf=;•:,i,,:r .;:•;�:,,,:o:
CIVIL CODE § 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document
to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California l
County of Mare J}
On 51JrU 22. )6 2023 before me, (l AI 0 CICA e N PUIo\i C,
Date Here Insert dome and Title o the Officer
personally appeared
of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their
authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity
upon behalf of which the person(s) acted, executed the instrument.
ELIZABETH PAIGE SHOCKLEY ,_
COMM. #2421819 m
WNOTARY PUBLIC -CALIFORNIA ?�
MARIN COUNTY
Aty Comm. Expires Oct. 16, 2028
Place Notary Seal and/or Stamp Above
I certify under PENALTY OF PERJURY under the
laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Signature
S' nature of tary Public
A ATIA\I A I
Completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document: �1 G� �JOYId
Document Date: SQy\e 220C(0 202:5 Number of Pages: q _
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: Y11
KCorporate Officer — Tit e(s): P1re5l"It
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer is Representing:
©2019 National Notary Association
Signer's Name:
❑ Corporate Officer— Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer is Representing:
Bond Number: 070214212
Premium: $3,703.00
Performance Bond
The City of San Rafael ("City") and Maggiora and Ghilotti, Inc. ("Contractor") have entered into a
contract for work on the Rotary Manor Culvert Replacement Project ("Project"). The Contract is
incorporated by reference into this Performance Bond ("Bond").
1. General. Under this Bond, Contractor as principal and The Ohio Casually Insurance Company ,
its surety ("Surety"), are bound to City as obligee for an amount not less than
$ 778,700.00 to ensure Contractor's faithful performance of its obligations under
the Contract. This Bond is binding on the respective successors, assigns, owners, heirs, or
executors of Surety and Contractor,
2. Surety's Obligations. Surety's obligations are co -extensive with Contractor's obligations
under the Contract. 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. Otherwise, Surety's obligations will remain in full force and effect.
3. Waiver. 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 §§ 2819 and 2845.
4. 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
Contract Price 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.
5. Contractor Default. Upon written notification from City of Contractor's termination for
default under Article 13 of the Contract General Conditions, time being of the essence,
Surety must act within the time specified in Article 13 to remedy the default through one of
the following courses of action:
5.1 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;
5.2 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
5.3 Waive its right to complete the Work under the Contract and reimburse City the
amount of City's costs to have the remaining Work completed.
6. 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.
7. Notice. Any notice to Surety may be given in the manner specified in the Contract and
sent to Surety as follows:
Attn Liberty Mutual Surety -Claims Dept.
Rotary Manor Culvert Replacement 2022 Form PERFORMANCE BOND
Project #11371 Page 7
Address: 1001 4th Ave Ste 3800
City/State/Zip: Seattle WA 98154
Phone: 206-473-6210
Fax: 866-548-6337
Email: hosciAlibertymutual com
Law and Venue. This Bond will be governed by California law, and venue for any dispute
pursuant to this Bond will be in the Marin County Superior Court, 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.
Effective Date; Execution. This Bond is entered into and effective on
July 21, 1 20 23.
SURETY:
The Ohio Casualty Insurance Company
Business; Name
sl I � mowr�
Date
Jill Seymour, Attorn y-In-Fact
Name, Title
(Attach Acknowledgment with Notary Seal and Power of Attorney)
CONTRACTOR:
Maggior & Ghilotti, Inc.
Business Na
s/ I roil
Name, Title Gaf
PmsWnt
APP VED BY CITY:
, �- i � . C&
s/
ROBE PSTEI City Attorney
Date
Julv 21, 2023
July 21, 2023
,�I -9--1 -2, -�
Date
END OF PERFORMANCE BOND
Rotary Manor Culvert Replacement 2022 Form PERFORMANCE BOND
Project #11371 Page 8
This Power of Attorney limits the acts of those named herein, and they have no authority to
bind the Company except in the manner and to the extent herein stated.
Liberty Liberty Mutual Insurance Company
Mutual. The Ohio Casualty Insurance Company Certificate No: 8205618-976005
SURETY West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized
under the laws of the State of Indiana (herein collectively called the "Companies*). pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Brtanna
Ranr,nlcl; Jenny I lagemann; Jill Seymour; Paul Ranlatici: Tom Gtillith
all of the city of Petaluma state of CA each individually if there be more than one named, its true and lawful attorney -in -fact to make,
execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance
of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper
persons.
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 20th day of May , 2021 .
Liberty Mutual Insurance Company
INSu� POSY INSGR \NSug4 The Ohio Casualty Insurance Company
A`�Pt,°AOOR�rF yC+ yJ°n°O"t+�R'9yO C'� \P BNX oa°O't WTF'n West American Insurance Company
� �L O to
1912c/ o Z 1919 o s 1991 0
d�yssgCHt15" •LD 1AMP5`�
By: /
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David M. Carey, Assistant Secretary
c`6 State of PENNSYLVANIA
C. County of MONTGOMERY ss
o On this 20th day of May 2021 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance
Yc6 Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes
> therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
c6
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written.
(6p N 0P PAST
dL WQ�� "O'�rIF�l,,�<� Tee'rresaa Pa Cella, Notary P blicllitf Or Pennsylvania -Notary Seal
O
O .�.. OF My
County v
My commission expires March 28, 2025 B
C Commission number 1126044 y'
o'.��G member, PEnnfyNdniJ AszocuGm of N.lares Teresa Pastella, Notary Public
This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual
0 Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows:
ARTICLE IV — OFFICERS: Section 12. Power of Attorney.
o Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the
President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety
C any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, shall
o ` have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such
Z U instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney -in -fact under the
provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority.
ARTICLE XIII — Execution of Contracts: Section 5. Surety Bonds and Undertakings.
Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe,
shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings,
bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the
Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if
signed by the president and attested by the secretary.
Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys -in -
fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety
obligations
Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do
hereby certify that the original power of attomey of which the foregoing is a full, true and correct copy of the Power of Ftftonley executed by said Companies, is in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companie§ Ih'r,;(,2� day offJ f,/�, /�—,t���f
N. \NSUp �tY INSG 1i:S /p v �"
=`OPPOlpycJRPOq�r'OPyyc+ pP°qlF l•F �% /
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d�ej' c*ue��dD o�y� Renee C. Llewellyn. Assistant Secretary
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ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of Sonoma
On IJ��9,IS o a`� before me, Jenny Anne Hagemann - Notary Public
T
L) (insert name and title of the officer)
personally appeared Jill Seymour
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
"- JENNY ANNE HAGS AANN
Notary Public Cadfor-na
WITNESS my hand and official seal. '�_ Sonoma County
1 Commission = 2362502 IF
Signat a (j V ,1 I�(/�P �6((Seal)
Bond Number: 070214212
Premium Included in Performance Bond
Payment Bond
The City of San Rafael ("City") and Maggiora and Ghilotti, Inc. ("Contractor") have entered into a
contract for work on the Rotary Manor Culvert Replacement Project ("Project"). The Contract is
incorporated by reference into this Payment Bond ("Bond").
1. General. Under this Bond, Contractor as principal and The Ohio Casualty Insurance Company
its surety ("Surety"), are bound to City as obligee in an amount not less than
$ 778.700.00 , under California Civil Code § 9550 et seq., to ensure payment to
authorized claimants. This Bond is binding on the respective successors, assigns, owners,
heirs, or executors of Surety and Contractor.
2. Surety's Obligation. If Contractor or any of its Subcontractors fails to pay a person
authorized in California Civil Code § 9100 to assert a claim against a payment bond, any
amounts due under the Unemployment Insurance Code with respect to work or labor
performed under the Contract, or 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 § 13020
with respect to the work and labor, then Surety will pay the obligation.
3. Beneficiaries. This Bond inures to the benefit of any of the persons named in California
Civil Code § 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 §§ 2819 and 2845. City waives the requirement of a new bond for
any supplemental contract under Civil Code § 9550. Any notice to Surety may be given in
the manner specified in the Contract and delivered or transmitted to Surety as follows:
Attn Libertv Mutual Surety -Claims Dept.
Address: 1001 4th Ave Ste 3800
City/State/Zip' geattle wa AM i4
Phone: na_471_F91n _
Email. hosclelihertvmutual.eom
6. Law and Venue. This Bond will be governed by California law, and venue for any dispute
pursuant to this Bond will be in the Marin County Superior Court, 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.
[Signatures are on the following page.]
Rotary Manor Culvert Replacement 2022 Form PAYMENT BOND
Project #11371 Page 5
7. Effective Date; Execution. This Bond is entered into and is effective on July 21,
20 23 .
SURETY:
The Ohio Casualty Insurance Company
Business Name
s/
J : Seymour, Attomey- -Fact
Name, Title
Date
(Attach Acknowledgment with Notary Seal and Power of Attorney)
CONTRACTOR:
Maggiora & Ghilotti. Inc.
Business Name
C
s/
Name, Title
Gary Ghibt6
President
APPRO D BY CITY:
sl - � I pjau
ROBER STEIN, Cj y Atto! i Bey
Date
END OF PAYMENT BOND
Rotary Manor Culvert Replacement 2022 Form
Project #11371
July 21, 2023
July 21, 2023
2t--v -z' 2--)
Date
PAYMENT BOND
Page 6
This Power of Attorney limits the acts of those named herein, and they have no authority to
bind the Company except in the manner and to the extent herein stated.
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Mutual
SURETY
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company
West American Insurance Company
POWER OF ATTORNEY
Certificate No: 8205618-976005
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized
under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Brianna
Ramatici; Jenny Hagemann; Jill Seymour; Paul Ramatici; Tom Griffith
all of the city o1 Petaluma state of CA each individually if there be more than one named, its true and lawful attorney -in -fact to make,
execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds. recognizances and other surety obligations, in pursuance
of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper
persons.
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 20th day of May , 2021 .
Liberty Mutual Insurance Company
P� 1Nsup9 P'tv INS& a INSUgq The Ohio Casualty Insurance Company
�J 4oaPORaf� Y� yJ�4oaPos4`�9yn �PaoaPORRQnyC� West American Insurance Company
J 3 o n+ Q o p r o f
1912 0 0 1919 f 1991
dJ1'Ss4CNU5" .dal' y0 ryHAMV'�",aD �s �NOIANr •aD �� !N� N U
By:
David M Carey, Assistant Secretary CT
of PENNSYLVANIA — :3
N of MONTGOMERY E
On this 20th day of May , 2021 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance
a�
Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes
Q
therein contained by signing on behalf of the corporations by himself as a duly authorized officer-
>
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written.
; M
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Q�4 �rpNWr F! Commonwealth of Pennsylvania - Notary Seal
Teresa Pastella, Notary Public ; 4D
1' V Montgomery County �2C
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My commission expires March 2025
B044
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4 ��e Commission number 112604
Disc"vS1'L`19' Member, Pennsylvania Association of Notaries Teresa Pastella, Notary Public
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This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual
Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows:
ARTICLE IV — OFFICERS: Section 12. Power of Attorney.
Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the
President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety
any and all undertakings, bonds, recognizances and other surety obligations. Such attomeys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall
have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such
instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attomey-in-fact under the
provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority.
ARTICLE XIII — Execution of Contracts: Section 5. Surety Bonds and Undertakings.
Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe,
shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings,
bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the
Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if
signed by the president and attested by the secretary.
Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attomeys-in-
fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety
obligations.
Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual insurznce Company, and West American Insurance Company do
hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 624 day off
P� 1NSUN POSY INSU� NX 1NSUga �—
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us.�aD so�yN,MPs Nda 'e "10100' cis By Renee C. Llewellyn, Assistant Secretary
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ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of Sonoma
On J 1, before me, Jenny Anne Hagemann - Notary Public
TI (insert name and title of the officer)
personally appeared Jill Seymour
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
++ JENNY ANNE HAGEAIANN
.. Notary Public • California
Sonoma County
WITNESS my hand and official seal. Commission 4 2362502
•.... My Comm. Expires Jun 24, 2025
SignatLKel 994) Vl(Seal)
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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: Nataly Torres (for Theo Sanchez) Extension: 3353
Contractor Name: Maggiora and Ghilotti, Inc.
Contractor's Contact: Gary Ghilotti Contact's Email: gary@maggiora-ghilotti.com
❑ FPPC: Check if Contractor/Consultant must file Form 700
Step RESPONSIBLE DESCRIPTION COMPLETED
DEPARTMENT
1 Project Manager a. Email PINS Introductory Notice to Contractor
b. Email contract (in Word) and attachments to City
Attorney c/o Laraine.Gittens@cityofsanrafael.org
2
City Attorney
a. Review, revise, and comment on draft agreement
and return to Project Manager
b. Confirm insurance requirements, create Job on
Department Director
PINS, send PINS insurance notice to contractor
3
Approval of final agreement form to send to
Project Manager
contractor
Forward three (3) originals of final agreement to
4
contractor for their signature
When necessary, contractor -signed agreement
5
Project Manager
agendized for City Council approval *
*City Council approval required for Professional Services
Agreements and purchases of goods and services that exceed
$75,000; and for Public Works Contracts that exceed $175,000
Date of City Council approval
PRINT CONTINUE ROUTING PROCESS WITH HARD COPY
6 Project Manager Forward signed original agreements to City
Attorney with printed copy of this routing form
7 City Attorney Review and approve hard copy of signed
agreement
8 City Attorney Review and approve insurance in PINS , and bonds
(for Public Works Contracts)
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
DATE
Click here to
enter a date.
7/18/2023
7/18/2023
7/18/2023
7/20/2023
7/20/2023
❑ N/A
Or
7/10/2023
7/31/2023
REVIEWER
Check/Initial
El
❑X NT
❑X NT
NT
❑X AM
IXI
NT