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HomeMy WebLinkAboutPW Jacoby Street Grinding and Paving ProjectCITY OF SAN RAFAEL Department of Public Works 111 Morphew Street San Rafael, CA 94901 Public Works Contract for Projects up to $200,000 This public works contract ("Contract") is entered into by and between the City of San Rafael ("City") and Ghilotti Bros., Inc. ("Contractor"), a corporation, for work on the City's Jacoby Street Grinding and Paving ("Project"), and is effective on�, 20,2�,g"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-12 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 $59,953 (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. Jacoby Street Grinding and Paving Up to $200,000 Contract Page 1 Approved by City Attorney, dated 03/28/2022 4. Time for Completion. Contractor will fully complete the Work within 6 months 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-Vill or better. Contractor must provide City with certificates of insurance and required endorsements as evidence of coverage with the executed Contract, or through the PINSAdvantage website https://www.pinsadvantage.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. Jacoby Street Grinding and Paving Up to $200,000 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 Jacoby Street Grinding and Paving Up to $200,000 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 Jacoby Street Grinding and Paving Up to $200,000 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. Jacoby Street Grinding and Paving Up to $200,000 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) 485-3409 Attn: April Miller, Director of Public Works Email: April.Miller@cityofsanrafael.org Contractor: Name: Ghilotti Bros., Inc. Address: 525 Jacoby Street City/State/Zip: San Rafael, CA 94901 Phone: (415)454-7011 Attn: Matt Valceschini Email: 415-722-0037 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. 23.5 Governing Law and Venue. This Contract will be governed by California law and venue will be in the Superior Court of Marin County, and no other place. 23.6 Amendment. No amendment or modification of this Contract will be binding unless it is in a writing duly authorized and signed by the parties to this Contract. 23.7 Integration; Severability. This Contract and the Contract documents incorporated herein, including authorized amendments or change orders thereto, constitute the final, complete, and exclusive terms of the agreement between City and Contractor. If any provision of the Contract documents, or portion of a provision, is determined to be illegal, invalid, or unenforceable, the remaining provisions of the Contract documents will remain in full force and effect. 23.8 Authorization. Each individual signing below warrants that he or she is authorized to do so by the party that he or she represents, and that this Contract is legally binding on that party. If Contractor Jacoby Street Grinding and Paving Up to $200,000 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.] Jacoby Street Grinding and Paving Approved by City Attorney, dated 03/28/2022 Up to $200,000 Contract Page 7 The parties agree to this Contract as witnessed by the signatures below: CITY: s/ j! CRISTINE ALILOVICH, City Manager Date: l Attest: S/ LINDSAY LARA, City Clerk Date: CONTRACTOR: Ghilotti Bros., Inc. Business Name Michael M. Ghilotti, President Name/Title Date: s/ O�iKI eA C,In� 11 Name/Title Date: �k 12�k l `rJ 132128, 12/31 /23 Approv9ps to form: s/ 0 cv� ROBERT F. 'J I , Cit torney Date: tom' 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 Jacoby Street Grinding and Paving END OF CONTRACT Approved by City Attorney, dated 03/28/2022 Up to $200,000 Contract Page 8 Exhibit A SCOPE OF WORK Jacoby Street Grinding and Paving Approved by City Attorney, dated 03/28/2022 Up to $200,000 Contract Scope of Work ����oTTi BRos • SAtJ RAFAEL Exhibit A General Engineering Contractors — Excavating. Paving, Grading, Concrete, Underground 525 JACOBY STREET • SAN RAFAEL, CA 94901 • TELEPHONE (415) 454-7011 • Fax (415) 454-8376 STATE CONTRACTORS LICENSE# 132128 PROPOSAL Proposal Submitted to: City of San Rafael Date: 05-08-2023 Attention: April Miller Phone: 415-725-9354 Address: Jacoby Street, San Rafael, CA 94901 Job Name: I Job Location: Jacoby Street, San Rafael Email Address: april.miller@cityofsanrafael.orR The scope of work and conditions are as follows: Site Work as follows: See Description on Page 3 EXCLUSIONS: Standard exclusions: fees; permits; engineering; testing; layout; disposal of hazardous materials; re -testing; bonds; licenses; items not specifically mentioned in this proposal; responsibility for having the area free from parked cars on days of our operations; if tree roots are encountered within our grade they will be scratched down only to the extent that they are in the new grade of improvement, Ghilotti Bros. assumes no responsibility of any damage to the trees; any tree root over 3 inches in diameter shall be removed on a rental time & material basis; (Other): DISCLAIMER OF RESPONSIBILITY: Engineering design; Adequacy of existing subgrade, base or pavements; Removal & replacement of unsuitable subgrade material, any unsuitable material to be removed and replaced shall be on a rental time and material basis; Concrete or pavement settlement, cracks, or discoloration of concrete or asphalt; Damage to underground facilities, moving or relocating existing utility lines that may interfere with the placement of new work, any work required to be done on a rental time & material basis. Note: The drainage pattern that you have after this work will be essentially the same pattern as you have now. If resurfacing pavement and the pavement area does not drain properly now, it will probably not drain properly after the pavement repairs and resurfacing, any asphalt pavement surface with less than 2% cross slope will most likely have bird baths or water standingl Additional fees will apply if existing asphalt to be removed contains Petromat or other fabric interlayer membranes, or any concrete is thicker than 6 inches thick or contains steel or wire mesh; please be advised that concrete can crack after installation; We hereby proposal to furnish material and labor limited to the above work for the sum of: $59,953 Payment to be made as follows: $1,000 upon signing of contract; 100% balance upon completion of our work as invoiced. If project requires longer than 30 days to complete, Progress payments shall be made for 100% of the work performed during that 30-day period as evidenced by invoice. This proposal subject to our approval of financial arrangements or fund set aside. Pagel of 3 't11. egos • sp,N RAFAE/t General Engineering Contractors — Excavating, Paving, Grading, Concrete, Underground 525 JACOBY STREET • SAN RAFAEL, CA 94901 • TELEPHONE (415) 454-7011 • Fax (415) 454-8376 STATE CONTRACTORS LICENSE# 132128 In the event that it becomes necessary for Contractor, by lien or other action, to enforce collection of any amount payable by Buyer hereunder, Buyer agrees to pay Contractor all expenses, including interest and attorney's fees, incurred in the institution and prosecution of such action. Invoices are due and payable when rendered. If, after a period of 30 days, said invoice remains unpaid, a Service Charge will be added to the unpaid balance at the rate of 1.5% per month (Annual Percentage Rate 18%) from the date of invoice until paid. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above the estimate. All agreements are contingent upon strikes, accidents or delays beyond our control. Our workers are fully covered by Worker's Compensation Insurance, and we carry current General Liability Insurance. A two -week process of contract and planning before work is started, unless otherwise agreed. Matt Valceschini Date: 05-08-2023 ACCEPTANCE OF PROPOSAL: If the above prices, terms and conditions are satisfactory please contact Matt Valceschini at mattvPgbi1914.com or (415)722-0037 (cell) and a contract will be issued for this project. Signature: Contractors are required by law to be licensed and regulated by the Contractors' State License Board. Any questions concerning the responsibilities of a contractor may be referred to the Registrar of the Board: Contractors' State License Board, 9835 Goethe Road, Sacramento, CA (P.O. Box 26000, Sacramento, CA 95826), or www.cslb.ca.gov Over 109 yearn - Fa4nay ownecL Page 2 of 3 ' r l OVER 100 YEARS General Engineering Contractors — Excavating, Paving, Grading, Concrete, Underground 525 JACOBY STREET • SAN RAFAEL, CA 94901 . TELEPHONE (415) 454-7011 • Fax (415) 454-8376 STATE CONTRACTORS LICENSE# 132128 Description of Work 1. Grind out 8,350 sqft of the most dilapidated areas on Jacoby Street. 2. There are multiple areas we have identified. The first area is when you enter Jacoby Street from Anderson, the second is when you enter the self -storage across from 525 Jacoby Street. 3. Then will address other bad areas. 4. Grind out 4", compact subgrade, then pave back 4" asphalt in 2 lifts. 5. The work will be done at night, we will schedule with Marin Sanitary to let them know what day. Page 3 of 3 Exhibit B BONDFORMS Required for contracts over $25, 000. Jacoby Street Grinding and Paving Up to $200,000 Contract Bond Forms Approved by City Attorney, dated 03/28/2022 Executed in Triplicate Performance Bond Bond No. 57BCSJA7848 Premium: $565.00 City of San Rafael ("City") and Ghilotti Bros., Inc. ("Contractor") have entered into a contract, dated . 20 23 ("Contract") for work on the Jacoby Street Grinding and Paving ("Project"). The Contract is incorporated by reference into this Performance Bond ("Bond"). 1. General. Under this Bond, Contractor as Principal and Hartford Fire Insurance Company its surety ("Surety"), are bound to City as obligee for an amount not less than S 59,953.00 By executing this Bond, Contractor and Surety bind themselves and their respective heirs, executors, administrators, successors and assigns, jointly and severally, to the provisions of this Bond. 2. Surety's Obligations; Waiver. If Contractor fully performs its obligations under the Contract, including its warranty obligations under the Contract, Surety's obligations under this Bond will become null and void upon City's acceptance of the Project, provided Contractor has timely provided a warranty bond as required under the Contract. Otherwise Surety's obligations will remain in full force and effect until expiration of the one year warranty period under the Contract. Surety waives any requirement to be notified of and further consents to any alterations to the Contract made under the applicable provisions of the Contract documents, including changes to the scope of Work or extensions of time for performance of Work under the Contract. Surety waives the provisions of Civil Code sections 2819 and 2845. 3. Application of Contract Balance. Upon making a demand on this Bond for completion of the Work prior to acceptance of the Project, City will make the Contract Balance available to Surety for completion of the Work under the Contract. For purposes of this provision, the Contract Balance is defined as the total amount payable by City to Contractor as the Compensation minus amounts already paid to Contractor, and minus any liquidated damages, credits, or backcharges to which City is entitled under the terms of the Contract. 4. Contractor Default. Upon written notification from City that Contractor is in default under the Contract, time being of the essence, Surety must act within seven calendar days of receipt of the notice to remedy the default through one of the following courses of action: 4.1 Arrange for completion of the Work under the Contract by Contractor, with City's consent, but only if Contractor is in default solely due to its financial inability to complete the Work; 4.2 Arrange for completion of the Work under the Contract by a qualified contractor acceptable to City, and secured by performance and payment bonds issued by an admitted surety as required by the Contract documents, at Surety's expense; or 4.3 Waive its right to complete the Work under the Contract and reimburse City the amount of City's costs to have the remaining services completed. 5. Surety Default. If Surety defaults on its obligations under the Bond, City will be entitled to recover all costs it incurs due to Surety's default, including legal, design professional, or delay costs. 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: Jacoby Street Grinding and Paving Approved by City Attorney, dated 03/28/2022 Up to $200,000 Contract Performance Bond Bond No. 57BCSJA7848 Attn: Keith Lovitt Address: One Pointe Drive, 6th Fioor City/State/Zip: Brea, CA 92821 Phone: 415-836-4848 Fax: 866-780-9956 Email keith.lovittD-thehartford.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 June 26 20 23 . Three identical counterparts of this Bond, each of which is deemed an original for all purposes, are hereby executed and submitted. SURETY: Hartford Fire Insurance Company Business Name sl Yvonne Roncagliolo, Attorney -in -Fact Name/Title [print] (Attach Acknowledgment with Notary Seal and Power of Attorney) C( s/ PAtI10 04A1 V &- / CA/i (sue �57ri-&747m— Namefritle s/ Thomas G. Barr NarQNSI Operating Officer APPROVED BY CITY: ROBEI,T,F. EPSTEIN City Attorney Jacoby Street Grinding and Paving 7//9/s,z, Date END OF PERFORMANCE BOND Approved by City Attorney, dated 03/28/2022 Up to $200,000 Contract Performance Bond 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 Marin On 6/27/23 before me, Natalia Kataoka, Notary Public (insert name and title of the officer) personally appeared Dave Cantor who proved to me on the basis of sa is ac ory evidence to be the persons w ose names) is a� 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. Signature N� (Seal) NATALIA KATAOKA Notary Public - California Marin CountyCommission *my 9 2309562 Comm. Expires Oct 20, 2021 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 Marin On 6/28/23 before me, Natalia Kataoka, Notary Public (insert name and title of the officer) personally appeared Thomas G. Barr who proved to me on the basis of satisfactory evidence to be the person(s) whose names 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. �" •' NATALIA KATAOKA C; Notary Public • California = Marin Count Commission P 2309562 lay Ccmni Expires Oct 20, 2023 j Signature (Seal) 1• CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 �f . .. .. - �ysi�tiiJ�'.; >LFS?,�'�i". -. - .cw��t%i�fii4c."tif sN�9.`'c.':'�f�3k'.iFi�c�3:T�ceS.?7�k�fYr�fi£1c."n•;Y, f.:JxiE::t4'" i.�• 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 1 County of Contra Costa )} On to 2 (O - ,) Q r2 71 before me, Date personally appeared Yvonne Roncagliolo -- Christina Parsons, Notary Public Here Insert Name and Title of the Officer Nome(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(;' whose name( is/a•Fe subscribed to the within instrument and acknowledged to me that fie/she/tkray executed the same in his/her/tl-e& authorized capacityks), and that by hWher/#yeir signature(gon the instrument the person(.; or the entity upon behalf of which the person(} acted, executed the instrument. =A11!11Il',Aj1!j�RRSONS21050 ZZ � aliforniaountyMeb. 10, 2024 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 010-3A061 X Signature of Notary Public OPTIONAL 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: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Yvonne Roncagliolo ❑ Corporate Officer - Title(s): ❑ Partner - ❑ Limited ❑ General ❑ Individual W Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: Number of Pages: Sign ' Name: ❑ Corpora fficer - Title(s): ❑ Partner - ❑ +ed ❑ General ❑ Individual ❑ Trustee ❑ Other: Signer is Representing: QAttorney in Fact ❑ G-i a�ian or Conservator KiYn -•.?` :5:, YF'>-I:r` - VTS'F:.'r'=TS: `y :.:.��> - - :ri:E . -",, :£.,.it.,,.�E'Ff.`r`,<, ,.:i'sL�.�.� ";:�•: _ .:ici.^ �iii..�.�rfi�::i.��.,... .,...�... .,...�.,,u;:...—'i:�:� ��. _ — .. <... .;� �o.�.L:�.:.8,'i"�� _ 02018 National Notary Association Direct Inquiries/Claims to: THE HARTFORD BOND, T-11 POWER OF ATTORNEY HartfOne Haford Plaza ord, Connet cut06155 Bond. Claims;a�lhehartford. com call: 888-266-MB or fax: 860-757-5835 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Name: WOODRUFF SAWYER & COMPANY Agency Code: 5 7- 5 54 7 9 5 0 Hartford Fire Insurance Company, a corporation duly organized under the laws of the State of Connecticut Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Accident and Indemnity Company, a corporation duly organized under the laws of the State of Connecticut Hartford Underwriters Insurance Company, a corporation duly organized under the laws ofthe State of Connecticut Twin City Fire Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois, a corporation duly organized under the laws of the State of Illinois O Hartford Insurance Company of the Midwest, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut, (hereinafter collectively referred to as the "Companies") do hereby make, constitute and appoint, up to the amount of Unlimited : Nerissa S. Bartolome, Alicia Dass, Joan DeLuca, Patrick R Diebel, Andrew S. Holloway, Kelly Holtemann, Thomas E. Hughes, Mark M. Munekawa, Zachary V. Overbay, Christina Parsons, Rossio Polio, Karen Rhodes, Yvonne Roncagliolo, Charles R. Shoemaker, Valerie Takeuchi , Peter Tam of SAN FRANCISCO, California their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by E, and to execute, seat and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on May 23, 2016 the Companies have caused these presents to be signed by its Assistant Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. �V yy)� .'rh ;NM•IIu; F LQOi• ~ in'�� i� .��'4 ass-�i �f I"� ggg :o•• s' trey fi •[. F_- ?� i • _ , �.. �.�ar �• • �•+uM► E' 1 f to f G 7 0 Shelby Wiggins, Assistant Secretary Joelle L. LaPierre, Assistant Vice President STATE OF FLORIDA ss. Lake Mary COUNTY OF SEMINOLE On this 20th day of May, 2021, before me personally came Joelle LaPierre, to me known, who being by me duly sworn, did depose and say: that (s)he resides in Seminole County, State of Florida, that (s)he is the Assistant Vice President of the Companies the corporations described in and which executed the above instrument; that (s)he knows the seals of the said corporations. that the seals affixed to the said instrument are such corporate seals: that they were so affixed by authority of the Boards of Directors of said corporations and that (s)he signed his/her name thereto by like authority. yam; Jessica Ciccone ` N: • .fMy Commission HH 122280 Expires June 20, 2025 I, the undersigned, Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is still in full force effective as of June 26, 2023 Signed and sealed in Lake Mary, Florida. Keith D. Dozois, Assistant Vice President Executed in Triplicate Bond No. 57BCSJA7848 Premium: Included in Perf. Bond Payment Bond City of San Rafael ("City") and Ghilotti Bros.. Inc. ("Contractor") have entered into a contract, dated , 20 23 ("Contract") for work on the Jacoby Street Grinding and Paving ('Project"). The Contract is incorporated by reference into this Payment Bond ("Bond"). 1. General. Under this Bond, Contractor as principal and Hartford Fire Insurance Company its surety ("Surety"), are bound to City as obligee in an amount not less than S 59,953.00 . under California Civil Code sections 9550, et seq. 2. Surety's Obligation. If Contractor or any of its subcontractors fails to pay any of the persons named in California Civil Code section 9100 amounts due under the Unemployment Insurance Code with respect to work or labor performed under the Contract, or for any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of Contractor and its subcontractors, under California Unemployment Insurance Code section 13020, with respect to the work and labor, then Surety will pay for the same. 3. Beneficiaries. This Bond inures to the benefit of any of the persons named in California Civil Code section 9100, so as to give a right of action to those persons or their assigns in any suit brought upon this Bond. Contractor must promptly provide a copy of this Bond upon request by any person with legal rights under this Bond. 4. Duration. If Contractor promptly makes payment of all sums for all labor, materials, and equipment furnished for use in the performance of the Work required by the Contract, in conformance with the time requirements set forth in the Contract and as required by California law, Surety's obligations under this Bond will be null and void. Otherwise, Surety's obligations will remain in full force and effect. 5. Waivers. Surety waives any requirement to be notified of alterations to the Contract or extensions of time for performance of the Work under the Contract. Surety waives the provisions of Civil Code sections 2819 and 2845. City waives requirement of a new bond for any supplemental contract under Civil Code section 9550. Any notice to Surety may be given in the manner specified in the Contract and delivered or transmitted to Surety as follows: Attn Keith L.ovitt Address: One Pointe Drive. 6th Floor City/State/Zip: Brea CA 92821 Phone: 415-836-4848 Fax: 866-780-9956 Email: keith.lovitt@thehartford.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. Jacoby Street Grinding and Paving Approved by City Attorney, dated 03/28/2022 up 10 ycuu, uuu Vvl Ill Q\.l Payment Bond Bond No. 57BCSJA7848 7. Effective Date; Execution. This Bond is entered into and is effective on June 26 20 23. Three identical counterparts of this Bond, each of which is deemed an original for all purposes, are hereby executed and submitted. SURETY Hartford Fire Insurance Company Business Name Yvonne Roncagliolo, Attorney -in -Fact Name/Title (Attach Acknowledgment with Notary Seal and Power of Attorney) C( s/ Name/Title Thomas G. Barr, P.E. l�4�ief /lr�er�j+ ^ �lffin.�r Name/Title APPROV BY CITY: sl ROBERT . EPSTEIN, ty Attorney END OF PAYMENT BOND Jacoby Street Grinding and Paving Approved by City Attorney, dated 03/28/2022 Date Up to $200,000 Contract Payment Bond 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 Marin On 6/28/23 before me, Natalia Kataoka, Notary Public (insert name and title of the officer) personally appeared Thomas G. Barr 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. Signature (Seal) *my NATALIA KATAOKAtarNoy Public - CaliforniaMarin County Commission P 2309562f 31-V� - Comm. Expires Oct 20, 2023'' 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 Marin On 6/27/23 before me, Natalia Kataoka, Notary Public (insert name and title of the officer) personally appeared Dave Cantor 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. Signature (Seal) NATALIA KATAOKA �1 Notary Public - California l Marin County s Commission k 2309562 My Comm. Expires Oct 20, 2023 j CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 19ta NovS:cvLZ. e FS 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 Contra Costa � On (O ' (O ' 9 a ,-13 before me, Christina Parsons, Notary Public Date Here Insert Name and Title of the Officer personally appeared Yvonne Roncagliolo - Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the personal whose name( is/ar-e subscribed to the within instrument and acknowledged to me that Ise/she/thQy executed the same in his/her/their authorized capacity4esj, and that by H+s/her/# w4r signature*on the instrument the person(.; or the entity upon behalf of which the personal acted, executed the instrument. CHRISTINA PARSONS COMM. #2321050 z ..� a c. Notary Public • California z! Contra Costa County M Comm. Expires Feb. 10, 2024 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 UwQuff Signature of Notary Public - OPTIONAL -- - Completing this information can deter alteration of the document or fraudulent reattachment of this form to on unintended document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Yvonne Roncagliolo ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual (4 Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: _ Signer is Representing: Number of Pages: Sign ' Name: ❑ Corpora fficer — Title(s): ❑ Partner — ❑bm4.ecl ❑ General ❑ Individual Attorney in Fact El Trustee ❑ G ian or Conservator ❑ Other: _ Signer is Representing: �if;;.?:ir`��nr€s€:;r:�'i3�'•si:,�n.',..ii=u��s;L.;:�i�ut �� n�'.', ©2018 National Notary Association . t;rii�:??:�:��^ ;t!;r-;F'^.::i':i's:£:i.:, � bs'��=ssTi�:nY+,S?::;ks�a�ra'szr,•3 Direct Inquiries/Claims to: THE HARTFORD POWER OF ATTORNEY BONDectic One Hartford Plaza Hartford, Connecticut 06155 Bond.Claims(&theharlford.com call: 888-266-MB or fax: 860-757-5835 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Name: WOODRUFF SAWYER & COMPANY Agency Code: 57-554795 0 Hartford Fire Insurance Company, a corporation duly organized under the laws of the State of Connecticut 0 Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State of Indiana 0 Hartford Accident and Indemnity Company, a corporation duly organized under the laws of the State of Connecticut Hartford underwriters Insurance Company, a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois, a corporation duly organized under the laws of the State of Illinois 0 Hartford Insurance Company of the Midwest, a corporation duly organized under the laws of the State of Indiana O Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut, (hereinafter collectively referred to as the "Companies") do hereby make, constitute and appoint, up to the amount of Unlimited : Nerissa S. Bartolome, Alicia Dass, Joan DeLuca, Patrick R Diebel, Andrew S. Holloway, Kelly Holtemann, Thomas E. Hughes, Mark M. Munekawa, Zachary V. Overbay, Christina Parsons, Rossio Polio, Karen Rhodes, Yvonne Roncagliolo, Charles R. Shoemaker, Valerie Takeuchi , Peter Tam of SAN FRANCISCO, California their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by ®, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on May 23, 2016 the Companies have caused these presents to be signed by its Assistant Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Flower of Attorney. tt �rW �r�f �.c t as•'L4� 9_is(�,•'`A'��r�,.`,•/;`I-•: s p,/rr°urto 10 7 0 - 17 9 + V Shelby Wiggins, Assistant Secretary Joelle L. LaPierre, Assistant Vice President STATE OF FLORIDA ss. Lake Mary COUNTY OF SEMINOLE On this 20th day of May, 2021, before me personally came Joelle LaPierre, to me known, who being by me duly sworn, did depose and say: that (s)he resides in Seminole County. State of Florida: that (s)he is the Assistant Vice President of the Companies, the corporations described in and which executed the above instrument: that (s)he knows the seals of the said corporations: that the seals affixed to the said instrument are such corporate seals: that they were so affixed by authority of the Boards of Directors of said corporations and that (s)he signed his/her name thereto by like authority. r;.• •Cf` JCssica Ciccone j, }•„oa•' Nly Commission tilt 122280 Fvi,cs Jnnc'o. 2025 I, the undersigned, Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is still in full force effective as of June 26, 2023 Signed and sealed in Lake Mary, Florida. ��ytr,� l- ip�� r �v � .t,'trs ,• tlOY� �t u,y4 - .deYyA 9 �M•.. .. � s•..n.rrn . � L V a t g _�a`�a 'Jr� '.% �i • s • Keith D. Dozols, Assistant Vice President Executed in Triplicate Performance Bond Bond No. 578CSJA7848 Premium: $565.00 City of San Rafael ("City") and Ghilotti Bros., Inc. ("Contractor") have entered into a contract, dated 20 23 ("Contract") for work on the Jacoby Street Grinding and Paving ("Project"), The Contract is incorporated by reference into this Performance Bond ("Bond"). 1. General. Under this Bond, Contractor as Principal and Hartford Fire Insurance Company its surety ("Surety"), are bound to City as obligee for an amount not less than $ 59,953.00 By executing this Bond, Contractor and Surety bind themselves and their respective heirs, executors, administrators, successors and assigns, jointly and severally, to the provisions of this Bond. 2. Surety's Obligations; Waiver. If Contractor fully performs its obligations under the Contract, including its warranty obligations under the Contract, Surety's obligations under this Bond will become null and void upon City's acceptance of the Project, provided Contractor has timely provided a warranty bond as required under the Contract. Otherwise Surety's obligations will remain in full force and effect until expiration of the one year warranty period under the Contract. Surety waives any requirement to be notified of and further consents to any alterations to the Contract made under the applicable provisions of the Contract documents, including changes to the scope of Work or extensions of time for performance of Work under the Contract. Surety waives the provisions of Civil Code sections 2819 and 2845. 3. Application of Contract Balance. Upon making a demand on this Bond for completion of the Work prior to acceptance of the Project, City will make the Contract Balance available to Surety for completion of the Work under the Contract For purposes of this provision, the Contract Balance is defined as the total amount payable by City to Contractor as the Compensation minus amounts already paid to Contractor, and minus any liquidated damages, credits, or backcharges to which City is entitled under the terms of the Contract. 4. Contractor Default. Upon written notification from City that Contractor is in default under the Contract, time being of the essence, Surety must act within seven calendar days of receipt of the notice to remedy the default through one of the following courses of action: 4.1 Arrange for completion of the Work under the Contract by Contractor, with City's consent, but only if Contractor is in default solely due to its financial inability to complete the Work; 4.2 Arrange for completion of the Work under the Contract by a qualified contractor acceptable to City, and secured by performance and payment bonds issued by an admitted surety as required by the Contract documents, at Surety's expense; or 4.3 Waive its right to complete the Work under the Contract and reimburse City the amount of City's costs to have the remaining services completed. 5. Surety Default. If Surety defaults on its obligations under the Bond, City will be entitled to recover all costs it incurs due to Surety's default, including legal, design professional, or delay costs. 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: Jacoby Street Grinding and Paving Approved by City Attorney, dated 03/28/2022 Up to $200,000 Contract Performance Bond Bond No. 57BCSJA7848 Attn: Keith Lovitt Address: One Pointe Drive, 6th Floor City/State/Zip: Brea, CA 92821 Phone: 415-8364848 Fax: 866-780-9956 Email: keith.lovitt@thehartford.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 June 26 20 23 . Three identical counterparts of this Bond, each of which is deemed an original for all purposes, are hereby executed and submitted. SURETY: Hartford Fire Insurance Company Business Name s/ Yvonne Roncagliolo, Attorney -in -Fact Name/Title [print] (Attach Acknowledgment with Notary Seal and Power of Attorney) C/IWrOA!'TnD• !]hilni4iRrnc Inn s/ s/ APZROB Y CITY: s/ TEIN, (lio Attorney Chief Operatlna Offirpr Name/Title Jacoby Street Grinding and Paving END OF PERFORMANCE BOND Approved by City Attorney, dated 03/28/2022 1 2� Date Up to $200,000 Contract Performance Bond 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 Marin On 6/27/23 before me, Natalia Kataoka, Notary Public (insert name and title of the officer) personally appeared Dave Cantor _ who proved to me on a basis o 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. Signature (Seal) NATALIA KATAOKA Notary Public • California LL c. �'• c Marin County Commission 12309562 r My Comm. Expires Oct 20, 2023 1� 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 Marin On 6/28/23 before me, Natalia Kataoka, Notary Public (insert name and title of the officer) personally appeared Thomas G. Barr who proved to me on the basis of satisfactory evl ence o . e 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. Signature (Seal) _'�, NATALIA NATAOKA Notary Public - California %' = Marin County ° Commission 9 2309562 [ `'`�•� My Comm. Expires Oct 20, 2023 V CALIFORNIA ACKNOWLEDGMENT 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 County of Contra Costa 2 On �O eP & � 10a,3 before me, Date personally appeared Yvonne Roncagliolo -- Christina Parsons, Notary Public Here Insert Name and Title of the Officer Nome(s) of Signer(s) ------------------------------------- who proved to me on the basis of satisfactory evidence to be the person(:) whose name( is/aye subscribed to the within instrument and acknowledged to me that he/she/thQy executed the same in his/herA4& authorized capacity4es), and that by Hs/her*teir signature ss on the instrument the person* or the entity upon behalf of which the personoF acted, executed the instrument. CHRISTINA PARSONS I certify under PENALTY OF PERJURY under the amyCOMM. #2321050 z laws of the State of California that the foregoing zNotary Public • California o paragraph is true and correct. Contra Costa County Comm. Ex ires Feb. 10, 2024 WITNESS my hand and official seal. Signature Place Notary Seal and/or Stamp Above Signature of Notary Public - — OPTIONAL 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: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Yvonne Roncaglio_lo ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual M Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: _ 02018 National Notary Association Number of Pages: Sign ' Name; _ ❑ Corpora fficer — Title(s): ❑ Partner — ❑ ed ❑ General ❑ Individual ❑ Trustee ❑ Other: Signer is Representing: QAttorney in Fact ❑ Qai:dian or Conservator Direct Inquiries/Claims to: THE HARTFORD POWER OF ATTORNEY BONDectic One Hartford Plaza Hartford, Connecticut 06155 Bond.Claims(a�_thehartford.com call: 888-266-3488 or fax: 860-757-5835 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Name: WOODRUFF SAWYER & COMPANY Agency Code: 57-554795 Hartford Fire Insurance Company, a corporation duly organized under the laws of the State of Connecticut 0 Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State of Indiana O Hartford Accident and Indemnity Company, a corporation duly organized under the laws of the State of Connecticut Hartford Underwriters Insurance Company, a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois, a corporation duly organized under the laws of the State of Illinois Hartford Insurance Company of the Midwest, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut, (hereinafter collectively referred to as the "Companies") do hereby make, constitute and appoint, up to the amount of Unlimited : Nerissa S. Bartolome, Alicia Dass, Joan DeLuca, Patrick R Diebel, Andrew S. Holloway, Kelly Holtemann, Thomas E. Hughes, Mark M. Munekawa, Zachary V. Overbay, Christina Parsons, Rossio Polio, Karen Rhodes, Yvonne Roncagliolo, Charles R. Shoemaker, Valerie Takeuchi , Peter Tam of SAN FRANCISCO, California their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by ®, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on May 23, 2016 the Companies have caused these presents to be signed by its Assistant Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Flower of Attorney. �Ty:�� �'�/ ✓t'} is ,.e•l��f' �Y •t•�4 ��•.�,'` - $ �,L �uArr R, �•iuw►t� �:'•. t979 `:i Il t lD7or 7979 9,OL06�0� PX4,,, Shelby Wiggins, Assistant Secretary Joelle L. LaPierre, Assistant Vice President STATE OF FLORIDA ss. Lake Mary COUNTY OF SEMINOLE On this 20th day of May, 2021, before me personally came Joelle LaPierre, to me known, who being by me duly swom, did depose and say: that (s)he resides in Seminole County, State of Florida; that (s)he is the Assistant Vice President of the Companies, the corporations described in and which executed the above instrument; that (s)he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that (s)he signed his/her name thereto by like authority. = Jcssicm Ciccone �. MyCommissiouHH 122280 ' - Expires Junc 20, 2025 I, the undersigned, Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is still in full force effective as of June 26, 2 02 3 Signed and sealed in Lake Mary, Florida. r ,�... 4aur► � 1:1, 1D T9� �% �� ID7= 79T9 Keith D. Dozols, Assistant Vice President Executed in Triplicate Bond No. 57BCSJA7848 Premium: Included in Perf. Bond Payment Bond City of San Rafael ("City") and Ghilotti Bros., Inc. ("Contractor") have entered into a contract, dated , 20 23 ("Contract") for work on the Jacoby Street Grinding and Paving ("Project"). The Contract is incorporated by reference into this Payment Bond ("Bond"). 1. General. Under this Bond, Contractor as principal and Hartford Fire Insurance Company its surety ("Surety"), are bound to City as obligee in an amount not less than $ 59,953.00 . under California Civil Code sections 9550, et seq. 2. Surety's Obligation. If Contractor or any of its subcontractors fails to pay any of the persons named in California Civil Code section 9100 amounts due under the Unemployment Insurance Code with respect to work or labor performed under the Contract, or for any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of Contractor and its subcontractors, under California Unemployment Insurance Code section 13020, with respect to the work and labor, then Surety will pay for the same. 3. Beneficiaries. This Bond inures to the benefit of any of the persons named in California Civil Code section 9100, so as to give a right of action to those persons or their assigns in any suit brought upon this Bond. Contractor must promptly provide a copy of this Bond upon request by any person with legal rights under this Bond. 4. Duration. If Contractor promptly makes payment of all sums for all labor, materials, and equipment furnished for use in the performance of the Work required by the Contract, in conformance with the time requirements set forth in the Contract and as required by California law, Surety's obligations under this Bond will be null and void. Otherwise, Surety's obligations will remain in full force and effect. 5. Waivers. Surety waives any requirement to be notified of alterations to the Contract or extensions of time for performance of the Work under the Contract. Surety waives the provisions of Civil Code sections 2819 and 2845. City waives requirement of a new bond for any supplemental contract under Civil Code section 9550. Any notice to Surety may be given in the manner specified in the Contract and delivered or transmitted to Surety as follows: Attn: Keith Lovitt Address: One Pointe Drive. 6th Floor City/State/Zip Brea_ CA 92821 Phone: 415-836-4848 Fax: 866-780-9956 Email. keitli.lovitt@thehartford.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. Jacoby Street Grinding and Paving Approved by City Attorney, dated 03/28/2022 Up to $200,000 Contract Payment Bond Bond No. 57BCSJA7848 Effective Date; Execution. This Bond is entered into and is effective on June 26 20 23. Three identical counterparts of this Bond, each of which is deemed an original for all purposes, are hereby executed and submitted. SURETY: Hartford Fire Insurance Corn Business Name sl Yvonne Roncagliolo, Attorney -in -Fact Name/Title (Attach Acknowledgment with Notary Seal and Power of Attorney) C( sl ,52,i0 Gait/` 2 Name/Title Thomas G. Barr, P.E. Chief Operating Officer Name/Title APPROVED BY CITY: l� s/ ROBER7.-EPSTEIN, CyAttorney END OF PAYMENT BOND Jacoby Street Grinding and Paving Approved by City Attorney, dated 03/28/2022 Date Up to $200,000 Contract Payment Bond 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 Marin On 6/28/23 before me, Natalia Kataoka, Notary Public (insert name and title of the officer) personally appeared Thomas G. Barr , who proved to me on the basis of satisfactory evidence to be the person(s) whose names 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. Signature (Seal) ° NATALIA KATAOKA Notary Public . California Wrin County Commission k 2309562 `'' °• My Comm. Expires Oct 20, 2023 j 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 Marin On 6/27/23 before me, Natalia Kataoka, Notary Public (insert name and title of the officer) personally appeared Dave Cantor who proved to me on the basis ot satisfactory evidence to be the person(s) w1iose names 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. Signature (Seal) NATALIA KATAOKA Notary Public - California L'. = Marin County Commission k 2309562 �•; o.•` My Comm. Expires Oct 20, 2023 j CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 �fVj1.ri .3:f 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 Contra Costa On e� before me, Christina Parsons, Notary Public Date Here Insert Name and Title of the Officer personally appeared Yvonne Roncagliolo --------------- --------------------------------------------------------------- Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(4 whose name( is/afe subscribed to the within instrument and acknowledged to me that Ifie/she/thy executed the same in Fr /her/tht4F authorized capacity(ies), and that by kris/her/#heir signature( you the instrument the persong or the entity upon behalf of which the person(sj acted, executed the instrument. CHRISTINA PARSONS p w COMM. #2321050 z ( W v Notary Public . California o z Contra Costa County M Comm. Expires Feb. 10, 2024 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 _ okwwy Signature of Notary Public -- — ---- OPTIONAL — - - 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: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Yvonne Roncagliolo ❑ Corporate Officer - Title(s): ❑ Partner - ❑ Limited ❑ General ❑ Individual N Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: 02018 National Notary Association Number of Pages: Sign Name; ❑ Corpora fficer - Title(s): ❑ Partner - ❑ ed ❑ General ❑ Individual Attorney in Fact ❑ Trustee ❑ G an or Conservator ❑ Other: Signer is Representing: Direct Inquiries/Claims to: THE HARTFORD POWER OF ATTORNEY BONDectic One Hartford Plaza Hartford, Connecticut 06155 Bond Claims(a)thehartford.com call. 888-2663488 or fax: 860-757-5835 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Name: WOODRUFF SAWYER & COMPANY A enc Code: 57-554795 Hartford Fire Insurance Company, a corporation duly organized under the laws of the State of Connecticut 0 Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State of Indiana 0 Hartford Accident and Indemnity Company, a corporation duly organized under the laws of the State of Connecticut O Hartford Underwriters Insurance Company, a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois, a corporation duly organized under the laws of the State of Illinois Hartford Insurance Company of the Midwest, a corporation duly organized under the laws of the State of Indiana O Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut, (hereinafter collectively referred to as the "Companies") do hereby make, constitute and appoint, up to the amount of Unlimited : Nerissa S. Bartolome, Alicia Dass, Joan DeLuca, Patrick R Diebel, Andrew S. Holloway, Kelly Holtemann, Thomas E. Hughes, Mark M. Munekawa, Zachary V. Overbay, Christina Parsons, Rossio Polio, Karen Rhodes, Yvonne Roncagliolo, Charles R. Shoemaker, Valerie Takeuchi , Peter Tam of SAN FRANCISCO, California their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one 1s named above. to sign its name as surety(ies) only as delineated above by 0, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof. on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on May 23, 2016 the Companies have caused these presents to be signed by its Assistant Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary Further, pursuant to Resolution of the Board of Directors of the Companies. the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. . I'-•,..' �� 9 r �,, �YB•7•`., • ••ux►t;r : ID79 ?� fD7� 17 •? 2979 Shelby Wiggins, Assistant Secretary Joelle L. LaPierre, Assistant Vice President STATE OF FLORIDA SS. Lake Mary COUNTY OF SEMINOLE On this 20th day of May, 2021. before me personally came Joelle LaPierre. to me known, who being by me duly sworn, did depose and say: that (s)he resides in Seminole County, State of Florida; that (s)he is the Assistant Vice President of the Companies, the corporations described in and which executed the above instrument, that (s)he knows the seals of the said corporations, that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that (s)he signed hisfher name thereto by like authority. Jessica Cicconc sty Comnussim 11H 122280 E%p,res June 20. 2025 I, the undersigned, Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is still in full force effective as of June 26, 2023 Signed and sealed in Lake Mary, Florida. 9 I'.,`' !+ w`,';�� ... - �,•ia�� r k 1G7Q 9 i 1970if 7979 Keith D. Dozois, Assistant Vice President Exhibit C NONCOLLUSION DECLARATION TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID The undersigned declares: I am the [title] of __ [business name], the party making the foregoing bid. The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or to refrain from bidding. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid and will not pay, any person or entity for such purpose. This declaration is intended to comply with California Public Contract Code § 7106 and Title 23 U.S.0 § 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], at [city], [state]. s/ Name [print] END OF NONCOLLUSION DECLARATION Jacoby Street Grinding and Paving Approved by City Attorney, dated 3/28/2022 Up to $200,000 Contract Noncollusion Declaration 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.) TOTAL BASE BID: Items 1 through inclusive: S 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. Jacoby Street Grinding and Paving Up to $200,000 Contract Bid Schedule Approved by City Attorney, dated 3/28/2022 This Bid Proposal is hereby submitted on s/ s/ Company Name Address City, State, Zip Contact Name 20 Name and Title Name and Title License #, Expiration Date, and Classification DIR Registration # Phone Contact Email Addenda. Bidder agrees that it has confirmed receipt of or access to, and reviewed, all addenda issued for this Bid. Bidder waives any claims it might have against the City based on its failure to receive, access, or 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 Jacoby Street Grinding and Paving END OF BID SCHEDULE Approved by City Attorney, dated 3/28/2022 Up to $200,000 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 OF WORK SUBCONTRACTOR NAME CALIFORNIA LOCATION OF CONTRACTOR BUSINESS LICENSE NO. DIR REG. NO. PERCENT OF WORK END OF SUBCONTRACTOR LIST ' For street or highway construction this requirement applies to any subcontract of $10,000 or more. Jacoby Street Grinding and Paving Up to $200,000 Contract Subcontractor List Approved by City Attorney, dated 3/28/2022 RAPq� 1 � s 2 o lY WITH P c^ 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 April Miller) Extension: 3353 Contractor Name: Ghilotti Bros. Inc. Contractor's Contact: Matt Valceschini Contact's Email: matty@gbi1914.com ❑ FPPC: Check if Contractor/Consultant must file Form 700 Step RESPONSIBLE DESCRIPTION COMPLETED REVIEWER DEPARTMENT DATE Check/Initial a. Email PINS Introductory Notice to Contractor ❑ 1 Project Manager Click here to enter a date. b. Email contract (in Word) and attachments to City 6/23/2023 Attorney c/o Laraine.Gittens@cityofsanrafael.org MINT 2 City Attorney a. Review, revise, and comment on draft agreement 6/23/2023 and return to Project Manager 6/23/2023 ❑X NT b. Confirm insurance requirements, create Job on PINS, send PINS insurance notice to contractor ❑X NT 3 Department Director Approval of final agreement form to send to © AM 6/23/2023 contractor 4 Project Manager Forward three (3) originals of final agreement to 0 6/23/2023 contractor for their signature 0 N/A 5 Project Manager When necessary, contractor -signed agreement agendized for City Council approval * *City Council approval required for Professional Services Agreements and purchases of goods and services that exceed Or $75,000; and for Public Works Contracts that exceed $175,000 Click here to Date of City Council approval enter a date. PRINT CONTINUE ROUTING PROCESS WITH HARD COPY 6 Project Manager Forward signed original agreements to City 7/13/2023 NT City Attorney Attorney with printed copy of this routing form 7 Review and approve hard copy of signed . Cc City Attorney agreement Review and approve insurance in PINS , and bonds 8 "� -11 fn � n „ (S(i (for Public Works Contracts) I 9 City Manager / Mayor Agreement executed by City Council authorized�� ) _ official / 10 City Clerk Attest signatures, retains original agreement and t forwards copies to Project Manager�- / / 614—