HomeMy WebLinkAboutPW Service Level Agreement; Task Order No. 111.1; Acting Traffic Engineer Services
v. Feb 2025 Page 1
City of San Rafael
SERVICE LEVEL AGREEMENT
DATED ____________________
WITH __________________________________________
TASK ORDER NO. _____
(Amendment to Task Order No. ____ Executed on___________________)
Subject Title: __________________________________________________
Amendment Amount: $___________
THIS AMENDMENT TO TASK ORDER No. ____ is effective on
___________________, between the City of San Rafael, a municipal corporation
("City"), and _____________________________________, ("Contractor").
AGREEMENT TO AMEND TASK ORDER
1. Section 1 entitled “Scope of Work” (as may be referred to as “Scope of Services”
in the original Task Order), is hereby amended as set forth in Exhibit A-__ of this Task
Order Amendment.
2. Section 2 entitled “Date of completion; Work hours estimate; Cost estimate and
budget; Fee schedule” is hereby amended to include the additional work, work hours
estimate, cost estimate and budget set forth in Exhibit A-___, for an amount not to exceed
$______________, changing the total not to exceed amount under the Task Order to
$___________________.
3. Except as specifically amended herein, all of the other provisions, terms and
obligations of the Task Order shall remain valid and shall be in full force.
4. Signatures. The parties have executed this Amendment as of the date first
written above.
111
Parametrix, Inc.
20,000
1
NOVEMBER 3, 2023
65,000
111
PARAMETRIX, INC.
1
Acting City Traffic Engineer Services
111.1
March 22, 2024
20,000
Docusign Envelope ID: 220048E5-B8E8-4C53-85EE-AB510D81E3D1
April 28, 2025
L8.0001.T111.A1
City of San Rafael Service Level Agreement
Amendment to Task Order
v. Feb 2025 Page 2
CITY OF SAN RAFAEL:
_________________________________
________________________________,
_________________________________
Executed on:_______________________
APPROVED AS TO FORM:
Office of the City Attorney
_________________________________
________________________________,
_________________________________
ATTEST:
City Clerk
_________________________________
________________________________,
_________________________________
CONTRACTOR:
__________________________________
By: _______________________________
Name: ____________________________
Title: ____________________________
[If Contractor is a corporation, second
corporate officer signature required]
__________________________________
By: _______________________________
Name: ____________________________
Title: _____________________________
Exhibits:
A-__ – Scope of W ork Amended 1
Docusign Envelope ID: 220048E5-B8E8-4C53-85EE-AB510D81E3D1
David Parisi
Parametrix, Inc.
Principal Consultant
Parametrix, Inc.
Senior Vice President
Nathan Johnson
Chief Assistant City Attorney
Andrea Visveshwara
April 28, 2025
Cristine Alilovich
City Manager
Lindsay Lara
City Clerk
EXHIBIT A - 1
SCOPE OF WORK AMENDED
The Parties hereby agree to amend the Scope of Work as follows:
SCHEDULE
Contractor will continue to provide the tasks as stated in Exhibit A of Task Order 111.
To allow Contractor sufficient time to complete the tasks, the duration of the Task Order
is extended through February 28, 2026.
METHOD OF PAYMENT
Subject to the Terms and Conditions of this Contract, beginning on the Effective Date of
this Task Order Amendment, the Contractor’s hourly rates are as follows:
Docusign Envelope ID: 220048E5-B8E8-4C53-85EE-AB510D81E3D1
DELIVERABLES
The Scope of Work is amended to add the following:
1. Project Deliverables:
1.1 Meeting agenda, materials, and/or minutes
1.2 Recommendations via memo or email
1.3 Review comments via exhibit and/or email
1.4 Recommendations via memo or email and attendance at field visits as
necessary
Docusign Envelope ID: 220048E5-B8E8-4C53-85EE-AB510D81E3D1
CONTRACT ROUTING FORM
INSTRUCTIONS: Use this cover sheet to circulate all contracts for review and approval in the order shown
below.
All following documents are attached as reference material.
RESPONSIBLE PARTY DESCRIPTION COMPLETED
City Attorney’s Office Review, revise as needed, and approve agreement as to
form
Department Director Review and approve agreement
Risk Management
Email PINS insurance request to Contractor
Confirm insurance documentation is complete
Finance Review and sign off on funding availability
TO BE COMPLETED BY INITIATING DEPARTMENT PROJECT MANAGER:
Contracting Department:
Project Manager:
Contractor Name:
Contractor’s Contact: Contact’s Email: dparisi@parametrix.comDavid Parisi
Parametrix, Inc
Shannon Mackle (for Joanna Kwok)
Public Works
Docusign Envelope ID: 220048E5-B8E8-4C53-85EE-AB510D81E3D1
3/22/24
Docusign Envelope ID: 220048E5-B8E8-4C53-85EE-AB510D81E3D1
Docusign Envelope ID: 220048E5-B8E8-4C53-85EE-AB510D81E3D1
Docusign Envelope ID: 220048E5-B8E8-4C53-85EE-AB510D81E3D1
Docusign Envelope ID: 220048E5-B8E8-4C53-85EE-AB510D81E3D1
Docusign Envelope ID: 220048E5-B8E8-4C53-85EE-AB510D81E3D1
Docusign Envelope ID: 220048E5-B8E8-4C53-85EE-AB510D81E3D1
Certificate Of Completion
Envelope Id: 220048E5-B8E8-4C53-85EE-AB510D81E3D1 Status: Completed
Subject: DocuSign: Task Order Amendment with Parametrix for Acting City Traffic Engineer Services
Source Envelope:
Document Pages: 11 Signatures: 5 Envelope Originator:
Certificate Pages: 6 Initials: 4 Shannon Mackle
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
shannonm@cityofsanrafael.org
IP Address: 69.181.69.46
Record Tracking
Status: Original
3/13/2025 2:40:28 PM
Holder: Shannon Mackle
shannonm@cityofsanrafael.org
Location: DocuSign
Signer Events Signature Timestamp
Andrea Visveshwara
Andrea.Visveshwara@cityofsanrafael.org
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 199.88.113.8
Sent: 4/23/2025 2:57:22 PM
Viewed: 4/24/2025 8:39:08 AM
Signed: 4/24/2025 8:39:35 AM
Electronic Record and Signature Disclosure:
Accepted: 4/24/2025 8:39:08 AM
ID: 43548ec2-8bda-4ab2-9f66-0d26b82dcfec
April Miller
aprilm@cityofsanrafael.org
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 199.88.89.34
Sent: 4/24/2025 8:39:39 AM
Viewed: 4/24/2025 8:53:57 AM
Signed: 4/24/2025 8:54:09 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Van Bach
vanb@cityofsanrafael.org
Accounting Manager
City of San Rafael
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 199.88.113.8
Sent: 4/24/2025 8:39:39 AM
Viewed: 4/24/2025 2:25:26 PM
Signed: 4/24/2025 2:29:04 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
David Parisi
dparisi@parametrix.com
Principal Consultant
Parametrix, Inc.
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 12.219.157.70
Sent: 4/24/2025 2:29:08 PM
Viewed: 4/24/2025 2:31:29 PM
Signed: 4/24/2025 2:33:08 PM
Electronic Record and Signature Disclosure:
Accepted: 4/24/2025 2:31:29 PM
ID: 1423c806-a1c1-4c67-85c5-1e24c799a224
Signer Events Signature Timestamp
Nathan Johnson
njohnson@parametrix.com
Senior Vice President
Parametrix, Inc.
Security Level: Email, Account Authentication
(None)
Signature Adoption: Drawn on Device
Using IP Address: 72.199.13.91
Signed using mobile
Sent: 4/24/2025 2:33:11 PM
Viewed: 4/26/2025 6:52:14 AM
Signed: 4/26/2025 6:53:02 AM
Electronic Record and Signature Disclosure:
Accepted: 4/26/2025 6:52:14 AM
ID: 4be04a6f-3bd1-4bb4-84f3-6c91131b06b4
Andrea Visveshwara
andreav@cityofsanrafael.org
Chief Assistant City Attorney
City of San Rafael
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 199.88.113.8
Sent: 4/26/2025 6:53:06 AM
Viewed: 4/28/2025 2:52:09 PM
Signed: 4/28/2025 2:52:28 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Nataly Torres
NatalyT@cityofsanrafael.org
Administrative Analyst
City of San Rafael
Signing Group: City Attorney's Office
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 199.88.113.8
Sent: 4/26/2025 6:53:06 AM
Viewed: 4/28/2025 9:34:10 AM
Signed: 4/28/2025 9:36:00 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Cristine Alilovich
cristinea@cityofsanrafael.org
City Manager
City of San Rafael
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 12.205.53.66
Sent: 4/28/2025 2:52:30 PM
Viewed: 4/28/2025 3:16:19 PM
Signed: 4/28/2025 3:16:27 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Lindsay Lara
lindsayl@cityofsanrafael.org
City Clerk
City of San Rafael
Signing Group: City Clerk
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 199.88.113.8
Sent: 4/28/2025 3:16:30 PM
Viewed: 4/29/2025 2:01:55 PM
Signed: 4/30/2025 12:02:14 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Nataly Torres
natalyt@cityofsanrafael.org
Administrative Analyst
City of San Rafael
Security Level: Email, Account Authentication
(None)
Using IP Address: 199.88.113.8
Sent: 3/18/2025 2:37:45 PM
Viewed: 3/18/2025 3:34:12 PM
Completed: 4/23/2025 2:54:22 PM
Electronic Record and Signature Disclosure:
Editor Delivery Events Status Timestamp
Not Offered via Docusign
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Nataly Torres
NatalyT@cityofsanrafael.org
Administrative Analyst
City of San Rafael
Signing Group: City Attorney's Office
Security Level: Email, Account Authentication
(None)
Using IP Address: 199.88.113.8
Sent: 4/24/2025 8:39:39 AM
Viewed: 4/24/2025 9:20:04 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
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Witness Events Signature Timestamp
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Electronic Record and Signature Disclosure created on: 12/6/2024 9:45:43 AM
Parties agreed to: Andrea Visveshwara, David Parisi, Nathan Johnson
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