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HomeMy WebLinkAboutPW Canal District Double Fiberized ResurfacingCITY 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
VSS International, Inc. ("Contractor"), a corporatio , for work on the City's Canal District Double Fiberized
Resurfacing ("Project"), and is effective on 2W"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 f3i�cisv.
2.6 Exhibit C — Noncollusion Declaration;
2.7 Exhibit D— W (Pt
2.8 Exhibit E — Sri W [N
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 $167,047.85 (the "Contract Price") for all of Contractor's direct and indirect costs to
perform the Work, including all labor, materials, supplies, equipment, taxes, insurance, bonds and all
overhead costs, in accordance with the payment provisions contained herein.
3.1 Payment. Contractor must submit an invoice on the first day of each month during the
Contract Time, defined in Section 4 below, and/or upon completion, for the Work performed during the
preceding month, itemizing labor, materials, equipment and any incidental costs incurred. Contractor
warrants that title to all work, materials and equipment incorporated into the Work will pass to City free of
any claims, liens, or encumbrances upon payment to Contractor.
3.2 Payment and Performance Bonds. If the Contract Price is over $25,000, then Contractor
must provide City with a payment bond and a performance bond using the bond forms included in this
Contract as Exhibit B, Bond Forms, and submit the bonds with the executed Contract. Each bond must
be issued by a surety admitted in California. If an issuing surety cancels a bond or becomes insolvent,
Contractor must provide a substitute bond from a surety acceptable to City within seven days after written
notice from City. If Contractor fails to substitute an acceptable surety within the specified time, City may,
in its sole discretion and without prior notice to Contractor, purchase such bond(s) at Contractor's
expense and deduct the cost from payments otherwise due to Contractor, or terminate the Contract.
Canal District Double Fiberized Resurfacing Up to $200,000 Contract
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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-VIII or better. Contractor
must provide City with certificates of insurance and required endorsements as evidence of coverage with
the executed Contract, or through the PINSAdvantage website https://www.pinsadvantage.com/ upon
request by the City, and before the City authorizes Contractor to proceed with the Work.
9.1 Workers' Compensation. Statutory coverage is required by the California Workers'
Compensation Insurance and Safety Act. If Contractor is self -insured, it must provide its duly authorized
Certificate of Permission to Self -Insure. In addition, Contractor must provide employer's liability insurance
with limits of no less than one million dollars ($1,000,000) per accident for bodily injury or disease.
9.2 Liability. Commercial General Liability ("CGL") insurance issued on an occurrence basis,
including coverage for liability arising from Contractor's or its subcontractor's acts or omissions in
performing the Work, including Contractor's protected coverage, blanket contractual, products and
completed operations, broad form property damage, vehicular coverage, and employer's non -ownership
liability coverage, with limits of at least $1,000,000 per occurrence and $2,000,000 general aggregate.
9.3 Automotive. Commercial automotive liability coverage for owned, non -owned and hired
vehicles must provide coverage of at least $1,000,000 combined single limit per accident for bodily injury,
death, or property damage.
9.4 Subrogation Waiver. Each required policy must include an endorsement that the insurer
waives any right of subrogation it may have against the City or the City's insurers.
Canal District Double Fiberized Resurfacing Up to $200,000 Contract
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9.5 Required Endorsements. The CGL policy and the automotive liability policy must include
the following specific endorsements:
(1) The City, including its Council, officials, officers, employees, agents, volunteers and
consultants (collectively, "Additional Insured") must be named as an additional insured for all
liability arising out of the operations by or on behalf of the named insured, and the policy
must protect the Additional Insured against any and all liability for personal injury, death or
property damage or destruction arising directly or indirectly in the performance of the
Contract.
(2) The inclusion of more than one insured will not operate to impair the rights of one
insured against another, and the coverages afforded will apply as though separate policies
have been issued to each insured.
(3) The insurance provided is primary and no insurance held or owned by City may be
called upon to contribute to a loss ("primary and non-contributory").
(4) Any umbrella or excess insurance must contain or be endorsed to contain a provision
that such coverage will also apply on a primary or non-contributory basis for the benefit of
City before the City's own insurance or self-insurance will be called upon to protect it as a
named insured.
(5) This policy does not exclude explosion, collapse, underground excavation hazard, or
removal of lateral support.
10. Labor Code Compliance. Unless the Contract Price is $1,000 or less, the Contract is subject to
all applicable requirements of Chapter 1 of Part 7 of Division 2 of the Labor Code, beginning at section
1720, and the related regulations, including but not limited to requirements pertaining to wages, working
hours and workers' compensation insurance. Contractor must also post all job site notices required by
laws or regulations pursuant to Labor Code section 1771.4.
10.1 Prevailing Wages. Each worker performing Work under this Contract that is covered under
Labor Code section 1720 or 1720.9, must be paid at a rate not less than the prevailing wage as defined in
sections 1771 and 1774 of the Labor Code. The prevailing wage rates are on file with the City Engineer's
office and are available online at http://www.dir.ca.gov/DLSR. Pursuant to Labor Code section 1775,
Contractor and any subcontractor will forfeit to City as a penalty up to $200 for each calendar day, or
portion of a day, for each worker paid less than the applicable prevailing wage rate, in addition to paying
each worker the difference between the applicable wage rate and the amount actually paid.
10.2 Working Day. Pursuant to Labor Code section 1810, eight hours of labor consists of a
legal day's work. Pursuant to Labor Code section 1813, Contractor will forfeit to City as a penalty the sum
of $25 for each day during which a worker employed by Contractor or any subcontractor is required or
permitted to work more than eight hours during any one calendar day, or more than 40 hours per
calendar week, unless such workers are paid overtime wages under Labor Code section 1815. All Work
must be carried out during regular City working days and hours unless otherwise specified in Exhibit A or
authorized in writing by City.
10.3 Payroll Records. Contractor and its subcontractors must maintain certified payroll records
in compliance with Labor Code sections 1776 and 1812, and all implementing regulations promulgated by
the Department of Industrial Relations ("DIR"). For each payroll record, Contractor and its subcontractors
must certify under penalty of perjury that the information in the record is true and correct, and that it has
complied with the requirements of Labor Code sections 1771, 1811, and 1815. Unless the Contract Price
Canal District Double Fiberized Resurfacing Up to $200,000 Contract
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Approved by City Attorney, dated 03/28/2022
is under $25,000, Contractor must electronically submit certified payroll records to the Labor
Commissioner as required under California law and regulations.
10.4 Apprentices. If the Contract Price is $30,000 or more, Contractor must comply with the
apprenticeship requirements in Labor Code section 1777.5.
10.5 DIR Monitoring, Enforcement, and Registration. This Project is subject to compliance
monitoring and enforcement by the DIR pursuant to Labor Code section 1725.5, and, subject to the
exception set forth below, Contractor and any subcontractors must be registered with the DIR to perform
public works projects. The registration requirements of Labor Code section 1725.5 do not apply if the
Contract Price is for under $25,000.
11. Workers' Compensation Certification. Under Labor Code section 1861, by signing this
Contract, Contractor certifies as follows: "I am aware of the provisions of Labor Code section 3700 which
require every employer to be insured against liability for workers' compensation or to undertake self-
insurance in accordance with the provisions of that code, and I will comply with such provisions before
commencing the performance of the Work on this Contract."
12. Termination.
12.1 Termination for Convenience. City reserves the right to terminate all or part of the
Contract for convenience upon written notice to Contractor. Upon receipt of such notice, Contractor must
immediately stop the Work, including under any terms or conditions that may be specified in the notice;
comply with City's instructions to protect the completed Work and materials; and use its best efforts to
minimize further costs. In the event of City's termination for convenience, Contractor waives any claim for
damages, including for loss of anticipated profits from the Project. If City terminates the Contract for
convenience, City will only owe Contractor payment for the Work satisfactorily performed before Contract
termination, as well as five percent of the total value of the Work performed as of the date of notice of
termination or five percent of the value of the Work yet to be completed, whichever is less, which is
deemed to cover all overhead and profit to date.
12.2 Termination for Default. The City may terminate this Contract for cause for any material
default. Contractor may be deemed in default for a material breach of or inability to perform the Contract,
including Contractor's refusal or failure to supply sufficient skilled workers, proper materials, or equipment
to perform the Work within the Contract Time; refusal or failure to make prompt payment to its employees,
subcontractors, or suppliers or to correct rejected work; disregard of laws, regulations, ordinances, rules,
or orders of any public agency with jurisdiction over the Project; lack of financial capacity to complete the
Work within the Contract Time; or responsibility for any other material breach of the Contract
requirements. If City terminates the Contract for cause, City will only owe Contractor payment for the
Work satisfactorily performed before Contract termination.
13. Dispute Resolution. Any dispute arising under or related to this Contract is subject to the
dispute resolution procedures of Public Contract Code sections 9401 and 20104 et. seq., which are
incorporated by reference.
14. Waiver. A waiver by City of any breach of any term, covenant, or condition in this Contract will
not be deemed a waiver of any subsequent breach of the same or any other term, covenant, or condition
contained herein, regardless of the character of any such breach.
15. Warranty. Contractor guarantees and warrants the Work and the materials used or provided for
the Project for a period of one year, beginning upon City's acceptance of the Work for the Project as
complete ("Warranty Period"). During the Warranty Period, upon notice from the City of any defect in the
Work or the materials, Contractor must, at its sole expense, promptly repair or replace the defective Work
Canal District Double Fiberized Resurfacing Up to $200,000 Contract
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Approved by City Attorney, dated 03/28/2022
or materials, including repair or replacement of any other Work or materials that is or are displaced or
damaged during the warranty work, excepting any damage resulting from ordinary wear and tear.
16. Worksite Conditions.
16.1 Clean and Safe. Contractor must maintain the Work site and staging and storage areas in
a clean and neat condition and must ensure it is safe and secure. On a daily basis the Contractor must
remove and properly dispose of debris and waste materials from the Work site.
16.2 Inspection. Contractor will make the Work accessible at all times for inspection by the City
16.3 Hazardous Materials. Unless otherwise specified in the Contract documents, this Contract
does not include the removal, handling, or disturbance of any asbestos or other hazardous materials, as
identified by any federal, state, or local law or regulation. If Contractor encounters materials on the
Project site that Contractor reasonably believes to be asbestos or other hazardous materials, and the
asbestos or other hazardous materials have not been rendered harmless, Contractor may continue Work
in unaffected areas reasonably believed to be safe, but must immediately cease Work on the area
affected and report the condition to City. No asbestos, asbestos -containing products or other hazardous
materials may be used in performance of the Work.
16.4 Utilities, Trenching and Excavation. As required by Government Code section 4215, if,
during the performance of the Work, Contractor discovers utility facilities not identified by City in the
Contract documents, Contractor must immediately provide written notice to City and the utility. In
performing any excavations or trenching work, Contractor must comply with all applicable operator
requirements in Government Code sections 4216 through 4216.5. If the trenching or excavation extends
deeper than four feet below the surface, then it must also comply with Public Contract Code section 7104.
17. Records. Unless otherwise specified in Exhibit A, Contractor must maintain and update a
separate set of as -built drawings while the Work is being performed, showing changes from the Work as
planned in Exhibit A, or any drawings incorporated into this Contract. The as -built drawings must be
updated as changes occur, on a daily basis if necessary.
18. Conflicts of Interest. Contractor, its employees, subcontractors and agents, may not have,
maintain or acquire a conflict of interest in relation to this Contract in violation of any City ordinance or
policy or in violation of any California law, including under Government Code section 1090 et seq. and
under the Political Reform Act as set forth in Government Code section 81000 et seq. and its
accompanying regulations. Any violation of this Section constitutes a material breach of the Contract.
19. Non -Discrimination. No discrimination will be made in the employment of persons under this
Contract because of the race, color, national origin, ancestry, religion, gender or sexual orientation of
such person.
20. Independent Contractor. City and Contractor intend that Contractor will perform the Work under
this Contract as an independent contractor. Contractor is solely responsible for its means and methods in
performing the Work. Contractor is not an employee of City and is not entitled to participate in health,
retirement or any other employee benefits from City.
21. Assignment of Unfair Business Practice Claims. Under Public Contract Code section 7103.5,
Contractor and its subcontractors agree to assign to City all rights, title, and interest in and to all causes
of action it may have under section 4 of the Clayton Act (15 U.S.C. section 15) or under the Cartwright
Act (Chapter 2 (commencing with section 16700) of Part 2 of Division 7 of the Business and Professions
Code), arising from purchases of goods, services, or materials pursuant to the Contract or any
subcontract. This assignment will be effective at the time City tenders final payment to Contractor,
without further acknowledgement by the parties.
Canal District Double Fiberized Resurfacing Up to $200,000 Contract
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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, Public Works Director
Email: April.Miller@cityofsanrafael.org
Contractor:
Name: VSS International, Inc.
Address: 3785 Channel Drive
City/State/Zip: West Sacramento, CA 95691
Phone: (916)373-1500
Attn: Jon James
Email: jon.james@slurry.com
23. General Provisions.
23.1 Compliance with All Laws. Contractor will comply with all applicable federal, state, and
local laws and regulations including, but not limited to, unemployment insurance benefits, FICA laws,
conflict of interest laws, and local ordinances. Work may only be performed by qualified and experienced
workers who are not employed by the City and who do not have any contractual relationship with City,
with the exception of this Contract.
23.2 Provisions Deemed Inserted. Every provision of law required to be inserted in the
Contract is deemed to be inserted, and the Contract will be construed and enforced as though such
provision has been included. If it is discovered that through mistake or otherwise that any required
provision was not inserted, or not correctly inserted, the Contract will be deemed amended accordingly.
23.3 Assignment and Successors. Contractor may not assign its rights or obligations under
this Contract, in part or in whole, without City's written consent. This Contract is binding on Contractor's
and City's lawful heirs, successors and permitted assigns.
23.4 Third Party Beneficiaries. There are no intended third -party beneficiaries to this Contract.
23.5 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
Canal District Double Fiberized Resurfacing 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.]
Canal District Double Fiberized Resurfacing
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: )
sl I'
C R I S ALILOVICH, City Manager
Date:
Attest:
LINDSAY LA A, City Clerk
j Date:
CONTRACTOR: VSS International,
Business Name
Inc.
Appr)4vAd as to
ROBERI)K EP�SnTE�INV,,jCity Attorney
Date:
s/ Seal:
Jeff Roberts I Senior Vice President
Name/Title
Date: 6/1 /2023
s/
Jordan X. R
Name/Title
If I Secretary / Treasurer
Date: 6/1 /2'023
%9 A G C I3 3t ZS
Contractor's alifornia Lic nse 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
END OF CONTRACT
Canal District Double Fiberized Resurfacing
Approved by City Attorney, dated 03/28/2022
Up to $200,000 Contract
Page 8
Exhibit A
SCOPE OF WORK
Canal District Double Fiberized Resurfacing Up to $200,000 Contract
Scope of Work
Approved by City Attorney, dated 03/28/2022
Exhibit A
qwmm
111TERr1AT1011AI-
Bid Date:
2/13/2023
Estimator:
Jon James
Project Name:
Double Fiberized Resurfacing
Email:
jon.james@slurry.com
Project City:
San Rafael
Phone:
(916) 416-6061
Project State:
CA
DIR #:
1000001231
ITEM #
DESCRIPTION
UNIT
QUANTITY
UNIT PRICE
TOTAL
1
Mob
LS
1
$ 7,500.00
$7,500.00
2
Double Fiberized Resurfacing T2 Fiber over T3 Fiber
SF
110.033
$ 1.45
$159,547.85
$0.00
$0.00
$0.00
Note: Includes local water source. If VSS has to secure water other than local source owner to pay $2500 $187,047.85
INCLUSIONS: 1 Mobilization, additional mobilizations at $15,000
Pre -Cleaning by sweeper only, additional cleaning by change order
Traffic control for VSS work only (Maximum of 2 Technicians, excluding pilot car), based on 'temporary' full road closures and Misc Splits
Previous mix design and previous calibrations
VSS work to be applied between 7AM and 7PM weekdays
Work to be accomplished up to no more than 3 consecutive day(s). Additional days at $15,000
Work must be scheduled 4 weeks in advance to assure crew availability
Quote valid for 10 days, return signed to secure price and schedule
Includes local prevailing wage rates, should federal rates apply additional charges will occur
Posting & Notifiying
Rolling
EXCLUSIONS: Any work not described above is specifically excluded.
Traffic control plan, lane closure and or splitting of streets
Construction area signs, portable message boards, arrow boards, light towers
SWPPP/WPCP, permits, testing, QA-QC plan & inspection, new calibrations, test strip
Bond @ .5% ($5.00/$1,000.00), any special fees/training not limited to TERO, railroad and/or environmental trainings $7,500 ea.
Pavement repairs, crack weeding, cleaning or sealing, tree trimming
Permanent or temporary stripe/marker - removal, replacement, protection, or referencing
Side-walk/driveway cleaning and or blowing
Responsibility for any water ponding (surface treatment to follow existing grade) or power steering tears
Prime contractor to provide staging area within 1 mile of work, with water supply, water meter, portable toilet and wash station.
If VSS is required to locate staging area, VSS will invoice prime $4,500.00 for securing staging area plus actual costs for water meter, toilet & wash station
Survey, corner records and adjustment of monuments/utilities/manholes of any kind
OCIP & CCIP insurance, longshoreman, community work force or project labor agreements
NOTES: Materials associated with this quote ARE based on price index fluctuations adjustments
per the project specifications and will be invoiced or credited monthly and are subjects to subcontractor's
payment terms. Please call for different pricing if the opposite condition is required for your bid.
All work described above is based on estimated quantities and shall be a minimum, overruns to be paid at the unit price.
VSSI may require a cold weather release form for any resurfacing operations needed for late or early season work in cooler weather climates
Acceptance of bid/proposal accepts these stipulations regardless of requirements by owner.
Retention to be paid within 60 days of completion of our work
This proposal, when accepted by Purchaser, constitues a binding contract between the parties hereto, incorporating each and every one of the provisions of the
Conditions of Sale on the reverse side hereof.
Accepted:
Coamctor/Finn
8y.
MWhwindRepmsmueNo. o,,,,,
VSS International is an Open Shop Contractor and will not become signatory to any labor agreements.
3785 CHANNEL DRIVE • WEST SACRAMENTO, CA 95691, USA • PHONE (916) 373-1500 • FAX NO. (916) 373-0183
CA LICENSE NO. 293727A • NV LICENSE NO.014802A • OR LICENSE NO. 65821• AZ ROC 285579
ID LICENSE 13304-AAA-4(47) • WA LICENSE NO, VSSIN11875JW
PAVETEPIT Tf411'ITEr1f=1 10E SPECIRLISTS
— CONDITION OF SALE —
1 ) In California contractors are required by law to be licensed and regulated by the Contractor's State License Board, Any questions concerning a
contractor may be referred to the registrar of the board whose address is: Contractor's State License Board, P.O. Box 26999, Sacramento,
California 95826.
2) For work in the state of Nevada: Section 108.2394 of the Nevada revised Statutes, a part of the Mechanics Lien Law of the State of Nevada, requires for your information and
protection from hidden liens, that each person or other legal entity which supplies materials to or performs work or services on a construction project, other than one who
performs only labor, shall deliver to the owner a notice of the material supplied or the work of service performed. You may receive such notices in connection with the
construction project which you propose to undertake.
3) The performance and/or delivery shall commence not later than as specified on the front page. In the event of delays caused by Purchaser beyond this date, cost increases (if
any) shall be charged to Purchaser's account.
4) All orders are subject to acceptance at the seller's general offices at P.O. Box 981330, West Sacramento, California 95798.
5) The seller shall not be liable for failure of performance or failure or delay in delivery by reason of any contingency beyond the seller's reasonable control.
6) Unless it shall expressly be agreed thereto in writing, the seller shall not be responsible for the operation and results of any technical advice in connection with the design,
installation or use of the product sold hereunder.
7) It is agreed that no promises, agreements or understandings have been made other than contained herein; that no agent has any authority to obligate the seller to any terms
or conditions not herein expressed unless seller approves of in writing.
8) All payments are to be made by the purchaser to the seller's office location noted on the front page. All accounts are due and payable as stated on reverse side under terms.
Our Finance Charge on past due accounts is a fixed amount of 2 % per month on the principal balance due which is equal to an Annual Percentage Rate of 24%.
9) In the event of nonpayment of past due accounts, the entire amount of both principal and interest accrued at such time shall become due, payable and collectable without
notice at the option of the seller. The purchaser agrees to pay reasonable attorney's fees incurred, with or without legal action, in collecting the past due account together with
all court costs involved.
10) This agreement shall be deemed to have been entered into in the State of California, and all questions of the validity, interpretation, or performance of any of its terms, or any
rights or obligations of the parties to this agreement shall be governed by California law.
11) Any controversy between the parties to this agreement involving this construction, application or performance of any of the terms, provisions or conditions of this agreement,
shall, on the written request of either party served on the other, be submitted to arbitration, and such arbitration shall comply with and be governed by the provisions of the
California Arbitration Act, Sections 1280 through 1294.2 of the California Code of Civil Procedure. The parties shall each appoint one person to hear and determine the
dispute and, if they are unable to agree, then the two persons so chosen shall select a third impartial arbitrator whose decision shall be final and conclusive upon both parties.
The cost of arbitration shall be borne by the losing party, or in such proportions as the arbitrator shall decide.
12) This contract contains the entire agreement between the parties concerning the rights granted and the obligations assumed in this contract. Any oral representations or
modifications concerning this contract shall be of no force or effect, except for a subsequent modification in writing signed by the parties.
13) If any action at law or in equity is necessary to enforce or interpret the terms of this agreement, the prevailing party shall be entitled to reasonable attorney's fees, costs,
expert's fees, and necessary disbursements in addition to any other relief to which such party may be entitled.
14) Failure of the seller to enforce any of these conditions or to exercise any right shall in no way affect such rights and no failure shall be construed as a waiver in respect to
other or future occurrences.
15) Seller will submit progress estimates for work actually completed at the end of each month, and Purchaser will pay 90 % of the invoice amount due within ten (10) days after
receipt of such billing. The amounts so paid shall be deducted from the final billing after completion of all work.
16) You, as owner or tenant, have the right to require the contractor to have a performance and payment bond or funding control. An additional charge of % % will be added to the
bid amount to cover this cost if requested.
17) The intended use of sealcoating and resurfacing materials is to resurface existing asphalt pavements. They are not intended to remove surface variations which
may hold water, change existing drainage patterns, restore badly cracked or broken base pavement, or permanently seal cracks subject to base movement.
Cracks sealed and filled may open again.
18) VSS International will not be responsible for damage to any underground utilities, unless said utilities are specifically marked with depths on a furnished blue
print. VSS International will also not be responsible for surface drainage on new or existing pavement unless said surfaces have a minimum of 1%% slope to
drains.
19) The purchaser by signing this contract hereby declares that the pavement and subgrade to be repaired or sealed is structurally sound enough to support the
weight of repair and seal coating equipment. Failure or damage to pavement as a result of inadequate structural support of VSS International's equipment is the
responsibility of the purchaser.
Accepted: Accepted:
Contractor/Firm VSS Intemational, Inc.
By By
Authorized Representative/Owner
I
Date: Date:
Exhibit B
BONDFORMS
Required for contracts over $25, 000.
Canal District Double Fiberized Resurfacing Up to $200,000 Contract
Bond Forms
Approved by City Attorney, dated 03/28/2022
EXECUTED IN TRIPLICATE
Bond No. 30189556
Performance Bond Premium: $ 501.00
City of San Rafael ("City") and VSS International, Inc. ("Contractor") have entered into a contract, dated
May 31 , 20 23 ("Contract") for work on the City's Canal District Double Fiberized
Resurfacing ("Project"). The Contract is incorporated by reference into this Performance Bond ("Bond").
General. Under this Bond, Contractor as Principal and Western Surety Company I its
surety ("Surety"), are bound to City as obligee for an amount not less than $167.047.8�*
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. *One Hundred Sixty -Seven Thousand
Forty -Seven and 85/100 Dollars
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.
Application of Contract Balance. Upon making a demand on this Bond for completion of the
Work prior to acceptance of the Project, City will make the Contract Balance available to Surety for
completion of the Work under the Contract. For purposes of this provision, the Contract Balance is
defined as the total amount payable by City to Contractor as the Compensation minus amounts
already paid to Contractor, and minus any liquidated damages, credits, or backcharges to which
City is entitled under the terms of the Contract.
4. Contractor Default. Upon written notification from City that Contractor is in default under the
Contract, time being of the essence, Surety must act within seven calendar days of receipt of the
notice to remedy the default through one of the following courses of action:
4.1 Arrange for completion of the Work under the Contract by Contractor, with City's consent,
but only if Contractor is in default solely due to its financial inability to complete the Work;
4.2 Arrange for completion of the Work under the Contract by a qualified contractor
acceptable to City, and secured by performance and payment bonds issued by an admitted
surety as required by the Contract documents, at Surety's expense; or
4.3 Waive its right to complete the Work under the Contract and reimburse City the amount
of City's costs to have the remaining services completed.
5. Surety Default. If Surety defaults on its obligations under the Bond, City will be entitled to recover
all costs it incurs due to Surety's default, including legal, design professional, or delay costs.
6. Notice. Notice to Surety must be given or made in writing and sent to the Surety via personal
delivery, U.S. Mail, or a reliable overnight delivery service, or by email as a PDF (or comparable)
file. Notice is deemed effective upon delivery unless otherwise specified. Notice for the Surety
must be given as follows:
Canal District Double Fiberized Resurfacing Up to $200,000 Contract
Performance Bond
Approved by City Attorney, dated 03/28/2022
Attn: Steve Passerine
Address: 2010 Crow Canyon Place, Suite 320
City/State/Zip: San Ramon, CA 94583
Phone: (925)884-2286
Fax: (650)378-4361
Email: spasserine(&,,andreini.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 May 31
20 23 . Three identical counterparts of this Bond, each of which is deemed an original for all
purposes, are hereby executed and submitted.
SURETY: Western Surety Company
Business Name
s/ e�
Shawndrae N Johnston, Attorney -in -Fact
Name/Title [print]
(Attach Acknowledgment with Notary Seal and Power of Attorney)
CONTRACTOR: VSS International, Inc.
Busin ame
s/
Jeff Roberts, Senio Vice Pr en
Name/Title
s/
Jordan Reed, Trefisurer
Name/Title
AP4ROBERT
Y CITY:
;1
s/1 I
EPSTEIN,Cibj Attorney
END OF PERFORMANCE BOND
ITS
Date
Canal District Double Fiberized Resurfacing Up to $200,000 Contract
Performance Bond
Approved by City Attorney, dated 03/28/2022
CALIFORNIA NOTARY ACKNOWLEDGEMENT
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 Yolo
On Mav 31, 2023 before me, Laura Wicklander, Notary Public (insert name and
title of the officer), personally appeared Jeff Roberts 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.
LAURA WICKLANDER
Notary P:.biic - California
Yolo County >
Commission # 2379737
Signature (Seal) My Comm. Expires Oct 23. 2025
CALIFORNIA NOTARY ACKNOWLEDGEMENT
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 Yolo
On May 31, 2023 before me, Laura Wicklander, Notary Public (insert name and
title of the officer), personally appeared Jordan X. Reed 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.
LAURA WICXLANOER
t� 0%v
Notary P_biic • Ca:iforiiaYom CoLnriSignature `/ (Seal)Commission ; 2379737
Comm. Expires Oct 23. 2025
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
On MAY 3 1 2023
Date
personally appeared
before me, K Hummel
Shawndrae N. Johnston
Here Insert Name and Title of the Officer
Name(s) 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.
it
'.
K. HUMMEL
COMM. #2358812
NOTARY PUBLIC • CAUFORNIA
CONTRA COSTA COUNTY
I
MY COMM. EXP. MAY 24, 2025 '
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
Signature of Notary Public
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:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer is Representing:
02019 National Notary Association
Number of Pages:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer is Representing:
Western Surety Company
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT
Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation
having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make,
constitute and appoint
Steven N Passerine, Kathleen E Earle, Doreen Green, Shawndrae N Johnston, Individually
of San Ramon, CA, its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds,
undertakings and other obligatory instruments of similar nature
- In Unlimited Amounts -
and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said
Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by
the shareholders of the corporation.
In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto
affixed on this 4th day of November, 2022.
y
WESTERN SURETY COMPANY
it E 7'}c
A� O.,P°gq)�ss
°L�D�c ';:ul T Bruflat, Vice President
State of South Dakota I
ss
County of Minnehaha
On this 4th day of November, 2022, before me personally came Paul T. Bruflat, to me known, who, being by me duly sworn, did depose and say: that
he resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which executed
the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant
to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be
the act and deed of said corporation.
My commission expires M. BENT
March 2, 2026 sourK °AKors
M. Bent, Notary Public
CERTIFICATE
I, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power ofAttorney hereinabove set forth is still in force,
and further certify that the By -Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name
and affixed the seal of the said corporation this 31 st day of May, 2023
Suacry
WESTERN SURETY COMPANY
N�4f ^�sfi
fWi =
�%M OAK
L. Nelson, Assistant Secretary
Form F4280-7-2012
Go to www.cnasurety.com > Owner / Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity.
Authorizing By -Law
ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY
This Power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted by the shareholders
of the Company.
Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the
corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other
officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may
appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The
corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation.
The signature of any such officer and the corporate seal may be printed by facsimile.
EXECUTED IN TRIPLICATE
Bond No. 30189556
Payment Bond Premium: Included in
Performance Bond
City of San Rafael ("City") and VSS International, Inc. ("Contractor") have entered into a
contract, dated May 31 . 2023 ("Contract") for work on the City's Canal District
Double Fiberized Resurfacing ("Project"). The Contract is incorporated by reference into this
Payment Bond ("Bond").
General. Under this Bond, Contractor as principal and Western Surety Company
its surety ("Surety"), are bound to City as obligee in an amount not less than
,167,017.85* under California Civil Code sections 9550, et Seq. *One Hundred Sixty -Seven Thousand
Forty -Seven and 85/100 Dollars
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: Steve Passerine
Address: 2010 Crow Canyon Place, Suite 320
City/State/Zip: San Ramon. CA 94583
Phone: (925) 884-2286
Fax: (650) 378-4361
Email: spasserine a,andreini.com
6. Law and Venue. This Bond will be governed by California law, and any dispute pursuant
to this Bond will be venued in the Superior Court of Marin County, and no other place.
Surety will be responsible for City's attorneys' fees and costs in any action to enforce the
provisions of this Bond.
Canal District Double Fiberized Resurfacing Up to $200,000 Contract
Payment Bond
Approved by City Attorney, dated 03/28/2022
7. Effective Date; Execution. This Bond is entered into and is effective on May 31
2023. Three identical counterparts of this Bond, each of which is deemed an original for all
purposes, are hereby executed and submitted.
SURETY: Western Suretv Companv _
Business Name
Shawndrae N Johnston, Attorney -in -Fact
Name/Title
(Attach Acknowledgment with Notary Seal and Power of Attorney)
CONTRACTOR: VSS International, Inc.
Business Name
s/
MIROberts, Senio Vice P sident
Name/Title
s/
Jordan Reed, Treaprer
Name/Title
APPROV BY CITY:
s/ (�u J L�
ROBERT . EPSTEIN, Attorney
END OF PAYMENT BOND
(j I z-z.
Date
Canal District Double Fiberized Resurfacing Up to $200,000 Contract
Payment Bond
Approved by City Attorney, dated 03/28/2022
CALIFORNIA NOTARY ACKNOWLEDGEMENT
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 Yolo
On May 31, 2023 before me, Laura Wicklander. Notary Public (insert name and
title of the officer), personally appeared Jeff Roberts 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.
LAURA WICKLANDER
. _ Nbtar, P biic - Caiifornia
=1 C, � �- Yolo CoLnCJ
Signature (Seal) M� COmmission ; 2379737
Comm
Expires Oct 23. 2025
CALIFORNIA NOTARY ACKNOWLEDGEMENT
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 Yolo
On May 31, 2023 before me, Laura Wicklander, Notary Public (insert name and
title of the officer), personally appeared Jordan X. Reed 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.
-Y= I LALAA WICKLANDER
Notary P;:biic - California
� �� � Commission ; 2379737
Signature �� (Seal) ti=� MY Comm. Expires Oct 23, Z025
1
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
On
MAY 3 1 2023
Date
personally appeared
before me, K Hummel
Here Insert Name and Title of the Officer
Shawndrae N. Johnston
Name(s) 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.
i r K. HUMMEL
_^. ' COMM. #2358812
j NOTARY PUBLIC • CALIFORNIA
~ �' CONTRA COSTA COUNTY
` MY COMM. EXP. MAY 24. 2025 I
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
Signature of Notary Public
r%nrlr%kl A 1
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:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer is Representing:
02019 National Notary Association
Number of Pages: _
Signer's Name:
❑ Corporate Officer — Title(s): _
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer is Representing'
Western Surety Company
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT
Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation
having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make,
constitute and appoint
Steven N Passerine, Kathleen E Earle, Doreen Green, Shawndrae N Johnston, Individually
of San Ramon, CA, its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds,
undertakings and other obligatory instruments of similar nature
- In Unlimited Amounts -
and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said
Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by
the shareholders of the corporation
In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto
affixed on this 4th day of November, 2022.
Ery WESTERN SURETY COMPANY
0
ovv0Rq�O
aul T. Bruflat, Vice President
State of South Dakota
County of Minnehaha I
ss
On this 4th day of November, 2022, before me personally came Paul T. Bruflat, to me known, who, being by me duly sworn, did depose and say: that
he resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which executed
the above instnunent; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant
to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be
the act and deed of said corporation.
My commission expires """"""" ""` `
M. BENT
`(RNOTMY PUBLIC / `
March 2, 2026 SOUTH onKOTn
M. Bent, Notary Public
CERTIFICATE
I, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attomey hereinabove set forth is still in force,
and further certify that the By -Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name
and affixed the seal of the said corporation this 31 st day of May, 2023.
�aErro; WESTERN SURETY COMPANY
S.0 AV
4, d?:
a'cOL►pi�C d' �
L. Nelson, Assistant Secretary
Foam F4280-7-2012
Go to www.cnasurety.com > Owner / Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity.
Authorizing By -Law
ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY
This Power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted by the shareholders
of the Company.
Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the
corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other
officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may
appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The
corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation.
The signature of any such officer and the corporate seal may be printed by facsimile.
No. 3472
STATE OF CALIFORNIA
DEPARTMENT OF INSURANCE
SAN FRANCISCO
Amended
Certificate of Authority
THIS IS TO CERTIFY, That, pursuant to the Insurance Code of the State of California,
Western Surety Company
of Sioux Falls, South Dakota, organized under the laws of South Dakota, subject to its Articles of
Incorporation or otherfundamental organizational documents, is hereby authorized to transact within this
State, subject to all provisions of this Certificate, thefollowing classes of insurance:
Surety and Liability
as such classes are now or may hereafter be defined in the Insurance Laws of the State of California.
THIS CERTIFICATE. is expressly conditioned upon the holder hereof now and hereafter being in
full compliance with all, and not in violation of any, of the applicable laws and lawful requirements made
under authority of the laws of the State of California as long as such laws orrequirements are in effect and
applicable, and as such laws and requirements now are, or may hereafter be changed or amended.
IN WITNESS WHEREOF, effective as of the 21st day of March, 1975, I
• have hereunto set my hand and caused my official seal to be affixed
this 21st day of March, 1975.
Fee $25.00 WESLEY J. KINDER
Insurance Commissioner
Rec. No. 61589
Filed 10-4-74 By Wallace W. Scales
Deputy
Certification
I, the undersigned Insurance Commissioner of the State of California, do hereby certify that I have
compared the above copy of Certificate of Authority with the duplicate of original now on file in my office,
and that the same is a full, true, and correct transcript thereof, and of the whole ofsaid duplicate, and said
Certificate of Authority is now in full force and effect.
INWITNESS WHEREOF, I have set my hand and caused my off cial seal to
be affixed this 2nd day of December, 2016.
Dave Jones
Insurance Commissioner
By
ag�il IIrr Z
Bid Bond Nt I P�
("Bidder") has submitted a d,
dated 20 ("Bid"), to the City of San Rafael ("City") for ork on
the ("Project"). Under this duly executed bid bond ("Bid Bond"), Bidder as Pr' cipal and
its surety ("Surety"), are bound to City as obligee in tie penal sum
of ten percent of the maximum amount of the Bid (the "Bond Sum"). Bidder and Surety bid themselves
and their respective heirs, executors, administrators, successors and assigns, jointly anci severally, as
follows:
1. 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 Award to Bidder, Bidder must
submit to City the following: 7
2.1 Contract. The executed Contract, using the form provi ed by City in the Project contract
documents ("Contract Documents");
2.2 Payment Bond. A payment bond for 100% of th aximum Contract Price, executed by a
surety licensed to do business in the State of C fornia using the Payment Bond form
included with the Contract Documents;
2.3 Performance Bond. A performance bond or 100% of the maximum Contract Price,
executed by a surety licensed to do busi ss in the State of California using the Performance
Bond form included with the Contract D cuments; and
2.4 Insurance. The insurance certifica (s) and endorsement(s) required by the Contract
Documents, and any other docu nts required by the Instructions to Bidders or Notice of
Award.
Enforcement. If Bidder fails to ex ute the Contract and to submit the bonds and insurance
certificates as required by the Co tract 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 Sup6tv as follows:
Attn:
Address:
City/State/Zip:
Phone:
Fax:
Email
4. Duration and aiver. If Bidder fulfills its obligations under Section 2, above, then this obligation
will I null a void; otherwise it will remain in full force and effect for 60 days following the bid
opening or til this Bid Bond is returned to Bidder, whichever occurs first. Surety waives the
provisions f Civil Code §§ 2819 and 2845.
[Signatures are on the following page.]
Canal District Double Fiberized Resurfacing
Up to $200,000 Contract
Bid Bond
Approved by City Attorney, dated 3/28/2020
NfP
This Bid Bond is entered into and effective on .20
Canal District Double Fiberized Resurfacing Up to $200,000 Contract
Bid Bond
Approved by City Attorney, dated 3/28/2020
Exhibit C
NONCOLLUSION DECLARATION
TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID
The undersigned declares:
I am the Jeff Roberts, Senior Vicftlgg dent VSS Intemational, Inc.
[business name], the party making the foregoing bid.
The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company,
association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has
not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has
not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in
a sham bid, or to refrain from bidding. The bidder has not in any manner, directly or indirectly, sought by
agreement, communication, or conference with anyone to fix the bid price of the bidder or any other
bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All
statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid
price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, to
any corporation, partnership, company, association, organization, bid depository, or to any member or
agent thereof, to effectuate a collusive or sham bid, and has not paid and will not pay, any person or
entity for such purpose.
This declaration is intended to comply with California Public Contract Code § 7106 and Title 23 U.S.0 §
112.
1 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 LoIt ['to23 [date], at
\-Qt%k �u r� vwwhO [city], j 1A [state].
s/ C----- -
Jeff Roberts, Senio Vice esident
Name [print]
END OF NONCOLLUSION DECLARATION
Canal District Double Fiberized Resurfacing Up to $200,000 Contract
Noncollusion Declaration
Approved by City Attorney, dated 3/28/2022
N I �
Exhibit D
BID SCHEDULE
This d Schedule must be completed in ink and included with the sealed Bid Proposal. Pricing must be
provide for each Bid Item as indicated. Items marked "(SW)" are Specialty Work that must be performed
by a quali ' d Subcontractor. The lump sum or unit cost for each item must be inclusive of all costs, whether
direct or in ect, including profit and overhead. The sum of all amounts entered in the "Extended Total
Amount' colu must be identical to the Base Bid price entered in Section 1 of the Bid Proposal form.
AL = Allowance CF = Cubic Feet CY = Cubic Yard EA = Each LB = Pounds
LF = Linear Foot LS = Lump Sum SF = Square Feet TON = Ton (2000 lbs.)
BID
ITEM
NO.
ITEM DES CRI ION
EST. QTY.
UNIT
UNIT
COST
EXTENDED
TOTAL AMOUNT
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 er ered in
Section 1 of the Bid Proposal form.
Canal District Double Fiberized Resurfacing
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
N lR
Name and Title
Name and Title
License # xpi
registratio
Phone
Contact Email
,20
ration Date, and Classification
n#
Addenda. Bidder agrees that it has c.oiifirmed 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 foj'any reason. Bidder specifically acknowledges receipt of the following
addenda:
Addendum: D Received: Addendum: Date Received:
#01 #05
#02 #06
#03 #07
#04 #08
END OF BID SCHEDULE
Canal District Double Fiberized Resurfacing Up to $200,000 Contract
Bid Schedule
Approved by City Attorney, dated 3/28/2022
H /P
Exhibit E
SUBCONTRACTOR LIST
For each Subcontractor that will perform a portion of the Work in an amount in excess oyone-half of 1 %
of the bidder's total Contract Price,' the bidder must list a description of the Work, the flame of the
Subcontractor, its California contractor license number, the location of its place of b6siness, its DIR
registration number, and the portion of the Work that the Subcontractor is 7��
ng based on a
percentage of the Base Bid price.
DESCRIPTION T
OF WORK
SUBCONTRACTOR
NAME
CALIFORNIA
CONTRACTOR
LICENSE NO.
LOCATION OF
BUSINESS
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.
Canal District Double Fiberized Resurfacing Up to $200,000 Contract
Subcontractor List
Approved by City Attorney, dated 3/28/2022
EXECUTED IN TRIPLICATE
Bond No. 30189556
Performance Bond Premium: $ 501.00
City of San Rafael ("City") and VSS International, Inc. ("Contractor") have entered into a contract, dated
May 31 , 20 23 ("Contract") for work on the City's Canal District Double Fiberized
Resurfacing ("Project"). The Contract is incorporated by reference into this Performance Bond ("Bond").
1. General. Under this Bond, Contractor as Principal and Western Surety Companv , its
surety ("Surety"), are bound to City as obligee for an amount not less than $167.047.85*
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. *One Hundred Sixty -Seven Thousand
Forty -Seven and 85/100 Dollars
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.
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.
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:
Canal District Double Fiberized Resurfacing
Approved by City Attorney, dated 03/28/2022
Up to $200,000 Contract
Performance Bond
Attn: Steve Passerine
Address: 2010 Crow Canyon Place, Suite 320
City/State/Zip: San Ramon, CA 94583
Phone: (925)884-2286
Fax: (650)378-4361
Email: spasserine(candreini.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 May 31
20 23 . Three identical counterparts of this Bond, each of which is deemed an original for all
purposes, are hereby executed and submitted.
SURETY: Western Surety Company
Business Name
s/14-
Shawndrae N Johnston, Attorney -in -Fact
Name/Title [print]
(Attach Acknowledgment with Notary Seal and Power of Attorney)
CONTRACTOR: VSS International, Inc.
,Busi�ss Na
7-,,�
s/
Jeff Roberts, Senior ice President
Name/Title
s/
Jordan Reed, Treasurer
Name/Title
APPRO ED BY CITY:
s/
ROBE EPSTEIN, Vity Attorney Date
END OF PERFORMANCE BOND
Canal District Double Fiberized Resurfacing
Approved by City Attorney, dated 03/28/2022
Up to $200,000 Contract
Performance Bond
CALIFORNIA NOTARY ACKNOWLEDGEMENT
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 Yolo
On May 31, 2023 before me, Laura Wicklander, Notary Public (insert name and
title of the officer), personally appeared Jeff Roberts _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
LAI RA WICKLavCER
Notary Ptbiic
l�'d �• � • California
Signature (Seal) Cs nty
Yolo Couommission x 1379737
My Cor„rn. Expires Oct 13. 1015 r
CALIFORNIA NOTARY ACKNOWLEDGEMENT
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 Yolo
On May 31, 2023 before me, Laura Wicklander, Notary Public (insert name and
title of the officer), personally appeared Jordan X. Reed 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.
' y= Lary bliCKLANDER
Notary Public -California
'fib I Y010 County
Commission ; 2379737
Signature- My Comm. Expires OCt 23. 2025 r
� (Seal) P�
CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189
t!:).21�.3:�..'�.,.:7..#k�33.A.w"`:1':1:._.....#a:AS.�',J..:.._L..�t_ti.•.)..=:-:i3�a.;`..�_�-`,%ct+:.'; _.._ .�.. r �.':�; -'� cC.: _ � ,. _ . _ - ,
A notary public or other officer completing this certificate verifies onlythe identityofthe 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 MAY 3 1?n?3 before me,
Date
personally appeared
Shawndrae N. Johnston
K Hummel
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(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.
------------------
K. HUMMEL
c ey •. `
COW. #2358812
NOTARY PMr- • CALWORN1A y
CONTRA COSTA COUNTY
MY COMM. EXP. MAY 21, 2025
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 � / / 1111'%W�11
Signature of Notary Public
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:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer is Representing:
02019 National Notary Association
Number of Pages.
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
n Other:
Signer is Representing:
Western Surety Company
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT
Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation
having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make,
constitute and appoint
Steven N Passerine, Kathleen E Earle, Doreen Green, Shawndrae N Johnston, Individually
of San Ramon, CA, its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds,
undertakings and other obligatory instruments of similar nature
- In Unlimited Amounts -
and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said
Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by
the shareholders of the corporation.
In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto
affixed on this 4th day of November, 2022.
s�aci, WESTERN SURETY COMPANY
_AQ4o oOgq�A D
%S %,
fl en 1p
b�►ry ppKC.o°
`.• ' 'aul T. Bruflat, Vice President
State of South Dakota
County of Minnehaha I
ss
On this 4th day of November, 2022, before me personally came Paul T Bruflat, to me known, who, being by me duly sworn, did depose and say: that
he resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which executed
the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant
to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be
the act and deed of said corporation.
My commission expires '"""`"""`""``"""""""'
M.BENT
i NOTARY PUDLIC'
March 2, 2026 SOUTH DAKOTA SUl
M. Bent, Notary Public
CERTIFICATE
I, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force,
and further certify that the By -Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name
and affixed the seal ofthe said corporation this 31st day of May, 2023.
WESTERN SURETY COMPANY
�Q'Q•POgq �.i�= 1
k,4Ujti� pµO�•`
L. Nelson, Assistant Secretary
Form F4280-7-2012
Go to www.cnasurety.com > Owner / Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity.
Authorizing By -Law
ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY
This Power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted by the shareholders
of the Company.
Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the
corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other
officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may
appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The
corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation.
The signature of any such officer and the corporate seal may be printed by facsimile.
EXECUTED IN TRIPLICATE
Bond No. 30189556
Payment Bond Premium: Included in
Performance Bond
City of San Rafael ("City") and VSS International, Inc. ("Contractor") have entered into a
contract, dated May 31 2023 ("Contract") for work on the City's Canal District
Double Fiberized Resurfacing ("Project"). The Contract is incorporated by reference into this
Payment Bond ("Bond").
1. General. Under this Bond, Contractor as principal and Western Surety Company
its surety ("Surety"), are bound to City as obligee in an amount not less than
g 167.047.85* under California Civil Code sections 9550, et Seq. *One Hundred Sixty -Seven Thousand
Forty -Seven and 851100 Dollars
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: Steve Passerine
Address: 2010 Crow Canyon Place, Suite 320
City/State/Zip: San Ramon, CA 94583
Phone: (925) 884-2286
Fax: (650) 378-4361
Email: spasserine(n-,andreini.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.
Canal District Double Fiberized Resurfacing Up to $200,000 Contract
Payment Bond
Approved by City Attorney, dated 03/28/2022
7. Effective Date; Execution. This Bond is entered into and is effective on May 31
2023. Three identical counterparts of this Bond, each of which is deemed an original for all
purposes, are hereby executed and submitted.
SURETY: Western Surety Company
Business Name
Shawndrae N Johnston, Attorney -in -Fact
Name/Title
(Attach Acknowledgment with Notary Seal and Power of Attorney)
CONTRACTOR: VSS International, Inc.
s Name
s/
10,
Jeff Roberts, Senior ice President
Name/Title
s/
Jordan Reed, Treasurer
Name/Title
APPROV BY CI
s/
ROBERT . EPSTEIN, C Attorney
END OF PAYMENT BOND
Date
Canal District Double Fiberized Resurfacing Up to $200,000 Contract
Payment Bond
Approved by City Attorney, dated 03/28/2022
CALIFORNIA NOTARY ACKNOWLEDGEMENT
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 Yolo
On May 31, 2023 before me, Laura Wicklander. Notary Public (insert name and
title of the officer), personally appeared Jeff Roberts 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.
11
LAL:RAR WICKLAN DER
= �= Notary P,-biic . Caiifornia
Yoio County
Signature - (Seal) ti� ,.' Commission ; 2379737
My Comm. Expires Oct 23. 2025
CALIFORNIA NOTARY ACKNOWLEDGEMENT
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 Yolo
On May 31, 2023 before me, Laura Wicklander, Notary Public (insert name and
title of the officer), personally appeared Jordan X. Reed 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.
'C: •�• „ LAURA WICKLANDER `
Notary P-biic • CaHornia l
YDIo Cocnty
Commission ; 2379737
Signature (Seal) My Comm, Expires act 23. 2025
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 CostaMAY 9g
3 2n23 K Hummel
On before me, ,
Here Insert Name and Title of the Officer
Date
personally appeared
Shawndrae N. Johnston
Name(s) 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.
K. HUMMEL IE
a ; �: '
COMM.02358812
" m `
R
NOTARY PUBLIC • CALIFORNIA �
CONTRA COSTA COUNTY
lMY
COMM. EXP. MAY 24, 2025 if
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
Signature of Notary Public
e%nr1e%k1 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:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer is Representing:
02019 National Notary Association
Number of Pages:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer is Representing:
Western Surety Company
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT
Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation
having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue ofthe signature and seal herein affixed hereby make,
constitute and appoint
Steven N Passerine, Kathleen E Earle, Doreen Green, Shawndrae N Johnston, Individually
of San Ramon, CA, its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds,
undertakings and other obligatory instruments of similar nature
- In Unlimited Amounts -
and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said
Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed
This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by
the shareholders of the corporation.
In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto
affixed on this 4th day of November, 2022.
„.•,.•
�.�suaEry •.,
WESTERN SURETY COMPANY
y�?4oQ,POgq�� D
.�Tp
—_—
aul T. Bmflat, Vice President
State of South Dakota County of Minnehaha
I ss
On this 4th day of November, 2022, before me personally came Paul T. Bruflat, to me known, who, being by me duly sworn, did depose and say: that
he resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which executed
the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant
to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be
the act and deed of said corporation.
My commission expires
M. BENT
r+oam PUBLIC(M;
March 2 2026 SOUTH onKorn ;
M. Bent, Notary Public
CERTIFICATE
I, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force,
and further certify that the By -Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name
and affixed the seal of the said corporation this 31 st day of May, 2023.
�S�aer WESTERN SURETY COMPANY
ia�
w f400. 4rf�rl
S[A.T
�TM DAµ� •°'
L Nelson, Assistant Secretary
Form F4280-7-2012
Go to www.cnasurety•com > Owner / Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity.
Authorizing By -Law
ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY
This Power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted by the shareholders
of the Company.
Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the
corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other
officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may
appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The
corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation.
The signature of any such officer and the corporate seal may be printed by facsimile.
No. 3472
STATE OF CALIFORNIA
DEPARTMENT OF INSURANCE
SAN FRANCISCO
Amended
Certificate of Authority
THIS IS TO CERTIFY, That, pursuant to the Insurance Code of the State of California,
Western Surety Company
of Sioux Falls, South Dakota, organized under the laws of South Dakota, subject to its Articles of
Incorporation or otherfundamental organizational documents, is hereby authorizedto transact within this
State, subject to all provisions of this Certificate, thefollowing classes of insurance:
Surety and Liability
as such classes are now or may hereafter be defined in the Insurance Laws of the State of California.
THIS CERTIFICATE. is expressly conditioned upon the holder hereof now and hereafter being in
full compliance with all, and not in violation of any, of the applicable laws and lawful requirements made
under authority of the laws of the State of California as long as such laws or requirements are in effect and
applicable, and as such laws and requirements now are, or may hereafter be changed or amended.
IN WITNESS WHEREOF, effective as of the 21st day of March, 197.5, I
• have hereunto set my hand and caused my official seal to be affixed
this 21st day of March, 1975.
Fee $25.00 WESLEY J. KINDER
Insurance Commissioner
Rec. No. 61589
Filed 10-4-74 By Wallace W. Scales
Deputy
Certification
I, the undersigned Insurance Commissioner of the State of California, do hereby certify that I have
compared the above copy of Certificate ofAuthority with the duplicate of original now on f le in my office,
and that the same is a full, trite, and correct transcript thereof, and of the whole of said duplicate, and said
Certificate of Authority is now in full force and effect.
IN WITNESS WHEREOF, I have set my hand and caused my official seal to
be affixed this 2nd day of December, 2016.
Dave Jones
111surance commissioner
By �glia
tierr z
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: VSS International, Inc.
Contractor's Contact: Jon James Contact's Email: jon.james@slurry.com
❑ FPPC: Check if Contractor/Consultant must file Form 700
Step
RESPONSIBLE
DESCRIPTION
COMPLETED
REVIEWER
DEPARTMENT
DATE
Check/Initial
1
Project Manager
a. Email PINS Introductory Notice to Contractor
Click here to
❑
enter a date-
b. Email contract (in Word) and attachments to City
5/30/2023
Attorney c/o Laraine.Gittens@cityofsanrafael.org
❑X NT
2
City Attorney
a. Review, revise, and comment on draft agreement
5/30/2023
and return to Project Manager
5/30/2023
Cx1 NT
b. Confirm insurance requirements, create Job on
Department Director
PINS, send PINS insurance notice to contractor
5/30/2023
C NT
3
Approval of final agreement form to send to
© AM
contractor
4
Project Manager
Forward three (3) originals of final agreement to
5/30/2023
ZI
contractor for their signature
5
Project Manager
When necessary, contractor -signed agreement
❑X N/A
agendized for City Council approval *
*City Council approval required for Professional Services
7
Agreements and purchases of goods and services that exceed
Or
$75,000; and for Public Works Contracts that exceed $175,000
Click here to
PRINT
Project Manager
Date of City Council approval
enter a date.
CONTINUE ROUTING PROCESS WITH HARD COPY
6
Forward signed original agreements to City
6/7/2023
NT
City Attorney
Attorney with printed copy of this routing form
7
Review and approve hard copy of signed
��?j
agreement
Review and approve insurance in PINS , and bonds
l
8
City Attorney
(for Public Works Contracts)
9
City Manager / Mayor
Agreement executed by City Council authorized
official
10
City Clerk
Attest signatures, retains original agreement and
v `�
forwards copies to Project Manager
,d