HomeMy WebLinkAboutPW PG&E EV Fleet Program Application Support Services; L8.0009.A2
v. Feb 2025 Page 1
AMENDMENT TO CONTRACT
BY AND BETWEEN
THE CITY OF SAN RAFAEL AND ________________________________
FOR ________________________________________________________
Original Contract Execution Date: ________________,
Contract No._______________________
Amendment No. ___
THE ABOVE-NAMED CONTRACT is hereby amended by the parties as set
forth herein by the checked boxes below and is effective on _____________________.
☐ SCOPE OF WORK: The Scope of Work is hereby amended in Exhibit A-__,
attached hereto and incorporated by reference.
☐ COMPENSATION: The parties agree to increase the not-to-exceed amount by
$____________, and to increase the total not-to-exceed amount under the Contract to
$_________________.
☐ TERM OF CONTRACT: For Contractor to perform the additional or amended
work described herein, the term of this Contract shall be extended to
______________________.
Except as specifically amended herein, all other provisions, terms and obligations
of the Contract between the parties shall remain valid and shall be in full force.
20,930
X
PG&E EV FLEET PROGRAM APPLICATION SUPPORT SERVICES
X
N/A
NV5 CONSULTANTS, INC.
August 26, 2024
63,430
For City Clerk use only: Exp. 1/31/26
2
2
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
May 19, 2025
L8.0009.A2
v. Feb 2025 Page 2
IN WITNESS WHEREOF, the parties have executed this Amendment on the day,
month, and year first specified below.
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: _____________________________
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
Brent Johnson
Brent Johnson
Vice President, Clean Transportation
Tom Williard
Tom Williard
Vice PresidentChief Assistant City Attorney
Andrea Visveshwara
City Manager
May 19, 2025
Cristine Alilovich
Lindsay Lara
City Clerk
EXHIBIT A - 2
SCOPE OF WORK AMENDED
The Parties hereby agree to amend the Scope of Work to add the following work:
1.Additional or Amended Services:
Based on the Contractor’s proposal submitted on May 6, 2025, Contractor shall
perform the following:
1.1 Task 1 – Continue to provide ongoing coordination with PG&E EV Fleet
Program as-needed to advance the City's applications [extended timeline].
1.2 Task 2 – Assist with identifying, applying for, and managing additional
grants, incentives, and rebates for EVs and EV infrastructure.
1.3 Task 3 – Assist in procuring indicative pricing/quotes from CaaS entities.
1.4 Task 4 – Draft a high-level, order-of-magnitude engineer’s estimate for
each of the included sites comparing City-funded vs. CaaS options.
DELIVERABLES
The Scope of Work is amended to add the following:
2.Project Deliverables:
2.1 Ongoing Utility coordination.
2.1 High-level, OoM engineer’s cost estimate for each of the included
project sites comparing City-funded vs. CaaS options.
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
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:
Shannon Mackle (for Jonathan Schellin)
NV5 Consultants, Inc
Public Works
Gabriel Emunah Gabriel.Emunah@nv5.com
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City of San Rafael | EV Fleet Planning and Program Assistance | 5980823-2306601.01 NV5.COM | 1
Task Order EV Fleet Planning and Program Assistance
Project # 5980823-2306601.01
This Task Order is pursuant to the Professional Services Agreement (“PSA”) between NV5
Consultants, Inc. (“NV5”) and The City of San Rafael (“CLIENT”).
This Task Order must be mutually executed before work is commenced.
This task order has been amended to reflect extended scope from the original task order language.
This task order language supersedes the existing task order for project 2306601.01. New language
is highlighted in bold/italic text, and removed language is stricken through.
Project Name EV Fleet Planning and Program Assistance
Client The City of San Rafael
Project Location San Rafael, CA
Estimated Start Date August 2024
Estimated End Date August 2025
Amendment #2 Fee Total of Amendment #2: $20,930 T&M NTE
Total Fees Total of All Tasks: $63,430 ($25,000 Fixed Fee; $38,430 T&M NTE)
PROJECT CONTACTS
NV5 CITY OF SAN RAFAEL
Name: Brent Johnson, PE, LEED AP Name: Jonathan Schellin
Title: Principal Title: Deputy Director of Public Works
Email: brent.johnson@nv5.com Email: jonathan.schellin@cityofsanrafael.org
Phone: 415-851-9076 Phone: 415-485-3354
Address: 101 Lucas Valley Rd, #302
San Rafael, CA 94973
Address: 111 Morphew Street
San Rafael, CA 94901
PROJECT OVERVIEW
This task order outlines NV5’s support with applying for and managing the PG&E EV Fleet Program
for three CLIENT sites. CLIENT is seeking to transition its fleet to electric vehicles (EVs) to meet
regulatory requirements and City goals. CLIENT’s fleet is comprised of approximately 65 fleet
vehicles (“white fleet”) including police patrol cars, maintenance and service vehicles, and
administrative vehicles housed at three main sites – Department of Public Works, City Hall, and
Public Safety. CLIENT has existing EV’s in their fleet and has near-term and ongoing purchases
planned.
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The following is an outline of the tasks NV5 will perform to support the CLIENT. A detailed Scope of
Work follows outlining our efforts:
1) PG&E EV Fleet Program Assistance
- Collect data required for PG&E EV Fleet applications.
- Review CLIENT’s EV transition plans and suitable charging equipment.
- Develop concepts for each site sufficient for application to utility program
- Engage with PG&E to review selected equipment, siting, and proposed power levels.
- Prepare and assist CLIENT with submittal of application.
- Provide ongoing support with EV Fleet process [extended].
- Assist CLIENT with identifying, applying for, and managing additional grants, incentives, and
rebates for EVs and EV Infrastructure.
- Assist CLIENT in procuring indicative pricing from CaaS entities.
- Draft a high-level, order-of-magnitude engineer’s estimates for the included sites comparing
City-funded vs. CaaS options.
SCOPE OF WORK
Task 1 PG&E EV Fleet Program Assistance
Assist CLIENT with preparing, submitting, and ongoing management of PG&E EV Fleet application for
three (3) CLIENT sites. This task includes selecting charging equipment and power levels and
developing a preliminary concept of the behind-the-meter (BTM) charging equipment at the three
sites. An optional task is included to assist with other grant and incentive applications for vehicles
and/or infrastructure.
1.1 Conduct a kickoff meeting to define goals and objectives, identify assumptions and
constraints, and outline the data and input required from CLIENT.
1.2 Collect site details from CLIENT, including any available as-built information and studies.
1.3 In collaboration with CLIENT, define fleet transition schedule aligned with PG&E
requirements (5-years). Review longer-range transition plan with CLIENT (10-year) to
explore infrastructure phasing and trunk infrastructure needs.
1.4 Review EVSE and control software options with CLIENT suitable for vehicles to be charged.
Assist CLIENT with selecting appropriate EVSE for PG&E application (on PG&E approved
list, appropriate power levels).
1.5 Visit sites, review existing electrical infrastructure and site improvements, review preferred
siting with CLIENT.
1.6 Develop Electric Vehicle Supply Equipment (EVSE) concept plan sufficient for EV Fleet
application. Identify preferred switchgear and dispenser siting.
1.7 Engage with EV Fleet representative and review preliminary concept and details of
application. Adjust application assumptions as-needed based on conversations with PG&E.
1.8 Prepare EV Fleet application in coordination with CLIENT and submit to PG&E. With support
from NV5, CLIENT is responsible for submitting the application to PG&E or delegating
responsibility to NV5 to handle on their behalf.
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1.9 Continue to provide ongoing coordination with PG&E EV Fleet program as-needed to
advance the CLIENT’s applications [extended]. Assumes approximately 20-hours of
support time through August 2025.
1.10 Assist CLIENT with identifying, applying for, and managing additional grants, incentives,
and rebates for EVs and EV Infrastructure. Assumes approximately 25-hours of support
time.
1.11 Assist CLIENT in procuring quotes from Charging-as-a-Service (CaaS) entities in order to
inform CLIENT contracting structure(s) decision-making processes. Assumes
approximately 15-hours of support time.
1.12 Draft a high-level, order-of-magnitude, engineer’s estimate for each project inclusive of
estimated CAPEX and OPEX line items for City-funded and CaaS options to support CLIENT
contracting structure(s) decision-making processes. Assumes approximately 20-hours of
support time.
Site Visits: One for site inspection.
SCHEDULE AND DELIVERABLES
Task Start Date End Date Deliverables
1 PG&E EV Fleet
Application
Assistance
August 2024 August 2025 − PG&E EV Fleet application
documents
− Ongoing Utility coordination
PROJECT REQUIREMENTS AND ASSUMPTIONS
1. Travel to CLIENT sites per site visit assumptions outlined in Scope of Services. Project travel
generally assumes one representative per visit unless otherwise noted. Additional travel beyond
the trips listed may require additional budget.
2. Assumes schedule listed. Delays or extension of the assumed schedule outside of NV5’s control
may require additional fees.
3. All deliverables will be provided in electronic format.
4. Site information/data, including as-builts, will be made available to NV5 as needed.
5. Scope of work excludes any detailed EV transition planning for CLIENT. CLIENT will provide 5-
year vehicle purchase plan sufficient for PG&E EV Fleet application and any review of transition
beyond 5-years will be high-level. NV5 can develop a detailed fleet transition plan and capital
plan aligned with CARB regulations and CLIENT goals under a separate scope and budget.
6. If needed for high-level planning, fleet data will be made available by CLIENT as-needed.
7. Assumes NV5 will coordinate fleet data collection with a single CLIENT point of contact.
8. Scope does not include any due diligence beyond visual inspection of facilities and review of as-
built drawings. Scope explicitly excludes detailed review/modification of existing electrical
infrastructure, load studies, and topographic/underground survey.
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
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9. EVSE assumed to be supplied from new electrical service implemented under the PG&E EV
Fleet Program.
10. Scope in this task order does not include design services, detailed design of facilities,
construction drawings, engineer of record stamping, or permitting. Concept drawing will be
schematic and sufficient for PG&E EV Fleet application.
11. Up to two iterations of the preliminary concept based on CLIENT feedback. Additional requested
revisions, decision changes, or introduction of new data may require additional budget.
12. CLIENT will provide necessary staff support for timely response to questions, reviews, decisions,
and data requests.
13. Amended budget assumes a separate task order with additional scope and budget will be
executed to support CLIENT project procurement, design, implementation, and commissioning
efforts.
FEE AND PAYMENT SCHEDULES
The Task fees listed in this section are based on anticipated workload for the scope set forth in this
Task Order. NV5 has set a fixed fee for the initial applications, with a Time and Materials, Not-to-
Exceed (T&M, NTE) budget for any follow-on support with the EV Fleet application or other grant and
incentive programs as-shown in the table below.
FEE TABLE
Task Fixed Fee T&M NTE Amendment
#2 Total Fee
1.1 Initial EV Fleet
Applications (3 sites) $25,000 $25,000
1.2 Ongoing EV Fleet
Application Support $17,500 $20,930 $38,430
TOTAL: $25,000 $17,500 $20,930 $63,430
HOURLY FEE SCHEDULE
T&M work is billed at the hourly rates listed below for project work completed through December 31,
2025. Updated hourly fees will be provided by NV5 as necessary prior to each new calendar year.
NV5 will not exceed project NTE limits without the consent of CLIENT.
BILLING AND PAYMENT TERMS
NV5 invoices monthly with terms of Net 30.
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
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REIMBURSABLE EXPENSES
Fees assume all deliverable materials for the project will be provided digitally. Printed copies of
documents will be billed at cost plus 10%. For time and materials fee structure projects, all
reasonable and ordinary expenses are reimbursable at cost plus 10%.
TRAVEL COSTS
No travel costs are anticipated for this scope of work.
SUBCONSULTANT FEES
No subconsultants are anticipated for this scope of work. If a subconsultant becomes necessary and
is approved by CLIENT, subconsultant fees will be passed through at cost plus 15%.
IN WITNESS WHEREOF, authorized representatives of both NV5 and CLIENT have executed this
agreement as of the date set forth below.
NV5 City of San Rafael
Name: Brent Johnson, PE, LEED AP Name:
Title: Principal Title:
Date: 05/06/2025 Date:
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HOURLY RATE TABLE
Title 2024 2025
Subject Matter Expert $430 $450
Principal $325 $340
Associate Principal $290 $305
Project Manager IV $270 $285
Construction Manager III $265 $280
Design Engineer (PE) III $260 $275
Engineer/Data Scientist III $255 $270
Project Manager III $250 $265
Design Engineer (PE) II $245 $255
Construction Manager II $240 $250
Project Manager II $235 $245
Project Engineer/Specialist V $223 $235
Design Engineer (PE) I $200 $205
Engineer/Data Scientist II $220 $230
Construction Manager I $210 $220
Project Manager I $215 $225
Project Engineer/Specialist IV $205 $215
Sr. Analyst/Technician $195 $205
Designer III $188 $195
Project Engineer/Specialist III $188 $195
Engineer/Data Scientist I $185 $195
Associate Project Manager $205 $215
Assistant Project Manager $175 $185
Analyst/Technician $165 $175
Designer II $164 $170
Project Engineer/Specialist II $164 $170
Sr. Project Coordinator $155 $165
Project Engineer/Specialist I $147 $155
Project Coordinator $145 $150
Designer I $140 $145
Intern $125 $130
Drafter II $123 $130
Drafter I $106 $110
Project Administrator $100 $105
Sr. CAD Operator $100 $105
CAD Operator $85 $90
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
1
FIRST AMENDMENT TO THE PROFESSIONAL SERVICES AGREEMENT WITH
NV5 CONSULTANTS, INC. FOR PG&E EV FLEET PROGRAM APPLICATION
SUPPORT SERVICES
THIS FIRST AMENDMENT to the Professional Services Agreement by and between
the CITY OF SAN RAFAEL (hereinafter “CITY”), and NV5 CONSULTANTS, INC.
(hereinafter “CONSULTANT”), is made and entered into as of _______________________.
RECITALS
WHEREAS, the CITY and CONSULTANT entered into a Professional Services
Agreement dated August 26, 2024 to perform professional services in connection with CITY’S
PG&E EV Fleet Program Application Support Services, for an amount not to exceed $35,000
(the “Agreement”); and
WHEREAS, under the terms of the Agreement, the Term of the Agreement was to
expire on August 26,2025; however CITY and CONSULTANT, agreed informally that the
Term of the Agreement would be extended, and now wish to ratify and memorialize that
extension; and
WHEREAS, CITY requires additional professional services from the CONSULTANT,
and the CONSULTANT is willing to provide such services.
AMENDMENT TO AGREEMENT
NOW, THEREFORE, the parties hereby agree to amend the Agreement as follows:
1. Article I of the Agreement, entitled “SERVICES TO BE PROVIDED” is hereby
amended to include the additional services set forth in CONSULTANT’s proposal
attached to this First Amendment as Exhibit A and incorporated herein by
reference.
2. Article II of the Agreement, entitled “COMPENSATION” is hereby amended to
include additional compensation payable to CONSULTANT for the services
described in Exhibit A to this First Amendment, on a fixed fee and time and
materials basis in accordance with the Exhibit A, in a not-to-exceed amount of
$7,500 and to change the total not-to-exceed amount under the Agreement to
$42,500.
Dec 18, 2024
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
2
3. Article III of the Agreement, entitled “TERM OF AGREEMENT” is hereby
amended to extend the Agreement term to January 31, 2026.
4. Except as specifically amended herein, all of the other provisions, terms and
obligations of the Agreement between the parties shall remain valid and shall be in
full force.
IN WITNESS WHEREOF, the parties have executed this First Amendment on the day,
month, and year first above written.
CITY OF SAN RAFAEL CONSULTANT
______________________________ By:______________________________
CRISTINE ALILOVICH, City Manager
Name:____________________________
Title:_____________________________
ATTEST:
[If Consultant is a corporation, add signature of
second corporate officer]
______________________________
LINDSAY LARA, City Clerk
By:_____________________________
APPROVED AS TO FORM: Name:____________________________
Title:_____________________________
______________________________
ROBERT F. EPSTEIN, City Attorney
B Johnson (Dec 9, 2024 10:10 PST)
B Johnson
Vice President, Clean Transportation
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Vice President
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Robert F. Epstein
n"ela Cѵ o inson Pinon (Dec 1ч, 2024 1т:1т PST)
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Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
City of San Rafael | EV Fleet Planning and Program Assistance | 5980823-2306601.01 NV5.COM | 1
Task Order EV Fleet Planning and Program Assistance
Project # 5980823-2306601.01
This Task Order is pursuant to the Professional Services Agreement (“PSA”) between NV5 Consultants,
Inc. (“NV5”) and The City of San Rafael (“CLIENT”).
This Task Order must be mutually executed before work is commenced.
Project Name EV Fleet Planning and Program Assistance
Client The City of San Rafael
Project Location San Rafael, CA
Estimated Start Date August 2024
Estimated End Date January 2026
Amendment #1 Fee Total Amendment Fee: $7,500 ($5,000 Fixed Fee; $2,500 T&M NTE)
Total Fees Total of All Tasks: $42,500 ($25,000 Fixed Fee; $17,500 T&M NTE)
PROJECT CONTACTS
NV5 CITY OF SAN RAFAEL
Name: Brent Johnson, PE, LEED AP Name: Jonathan Schellin
Title: Principal Title: Deputy Director of Public Works
Email: brent.johnson@nv5.com Email: jonathan.schellin@cityofsanrafael.org
Phone: 415-851-9076 Phone: 415-485-3354
Address: 101 Lucas Valley Rd, #302
San Rafael, CA 94973
Address: 111 Morphew Street
San Rafael, CA 94901
PROJECT OVERVIEW
This task order outlines NV5’s support with applying for and managing the PG&E EV Fleet Program
for three CLIENT sites. CLIENT is seeking to transition its fleet to electric vehicles (EVs) to meet
regulatory requirements and City goals. CLIENT’s fleet is comprised of approximately 65 fleet
vehicles (“white fleet”) including police patrol cars, maintenance and service vehicles, and
administrative vehicles housed at three main sites – Department of Public Works, City Hall, and
Public Safety. CLIENT has existing EV’s in their fleet and has near-term and ongoing purchases
planned.
The following is an outline of the tasks NV5 will perform to support the CLIENT. A detailed Scope of
Work follows outlining our efforts:
Exhibit A
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1) PG&E EV Fleet Program Assistance
- Collect data required for PG&E EV Fleet applications.
- Review City’s EV transition plans and suitable charging equipment.
- Develop concepts for each site sufficient for application to utility program
- Engage with PG&E to review selected equipment, siting, and proposed power levels.
- Prepare and assist City with submittal of application.
- Provide ongoing support with EV Fleet process.
SCOPE OF WORK
Task 1 PG&E EV Fleet Program Assistance
Assist CLIENT with preparing, submitting, and ongoing management of PG&E EV Fleet application for
three (3) CLIENT sites. This task includes selecting charging equipment and power levels and
developing a preliminary concept of the behind-the-meter (BTM) charging equipment at the three
sites. An optional task is included to assist with other grant and incentive applications for vehicles
and/or infrastructure.
1.1 Conduct a kickoff meeting to define goals and objectives, identify assumptions and
constraints, and outline the data and input required from CLIENT.
1.2 Collect site details from CLIENT, including any available as-built information and studies.
1.3 In collaboration with CLIENT, define fleet transition schedule aligned with PG&E
requirements (5-years). Review longer-range transition plan with CLIENT (10-year) to
explore infrastructure phasing and trunk infrastructure needs.
1.4 Review EVSE and control software options with CLIENT suitable for vehicles to be charged.
Assist CLIENT with selecting appropriate EVSE for PG&E application (on PG&E approved
list, appropriate power levels).
1.5 Visit sites, review existing electrical infrastructure and site improvements, review preferred
siting with CLIENT.
1.6 Develop Electric Vehicle Supply Equipment (EVSE) concept plan sufficient for EV Fleet
application. Identify preferred switchgear and dispenser siting.
1.7 Engage with EV Fleet representative and review preliminary concept and details of
application. Adjust application assumptions as-needed based on conversations with PG&E.
1.8 Prepare EV Fleet application in coordination with CLIENT and submit to PG&E. With support
from NV5, CLIENT is responsible for submitting the application to PG&E or delegating
responsibility to NV5 to handle on their behalf.
1.9 Provide ongoing coordination with PG&E EV Fleet program as-needed to advance the City’s
applications.
1.10 OPTIONAL: Assist CLIENT with identifying, applying for, and managing additional grants,
incentives, and rebates for EVs and EV Infrastructure.
Site Visits: One for site inspection.
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SCHEDULE AND DELIVERABLES
Task Start Date End Date Deliverables
1 PG&E EV Fleet
Application
Assistance
August 2024 January 2026 − PG&E EV Fleet application
documents
− Ongoing Utility coordination
PROJECT REQUIREMENTS AND ASSUMPTIONS
1. Travel to CITY sites per site visit assumptions outlined in Scope of Services. Project travel generally
assumes one representative per visit unless otherwise noted. Additional travel beyond the trips
listed may require additional budget.
2. Assumes schedule listed. Delays or extension of the assumed schedule outside of NV5’s control may
require additional fees.
3. All deliverables will be provided in electronic format.
4. Site information/data, including as-builts, will be made available to NV5 as needed.
5. Scope of work excludes any detailed EV transition planning for CLIENT. CLIENT will provide 5-year
vehicle purchase plan sufficient for PG&E EV Fleet application and any review of transition beyond 5-
years will be high-level. NV5 can develop a detailed fleet transition plan and capital plan aligned
with CARB regulations and CLIENT goals under a separate scope and budget.
6. If needed for high-level planning, fleet data will be made available by CLIENT as-needed.
7. Assumes NV5 will coordinate fleet data collection with a single CITY or CLIENT point of contact.
8. Scope does not include any due diligence beyond visual inspection of facilities and review of as-built
drawings. Scope explicitly excludes detailed review/modification of existing electrical infrastructure,
load studies, and topographic/underground survey.
9. EVSE assumed to be supplied from new electrical service implemented under the PG&E EV Fleet
Program.
10. Scope in this task order does not include design services, detailed design of facilities, construction
drawings, engineer of record stamping, or permitting. Concept drawing will be schematic and
sufficient for PG&E EV Fleet application.
11. Up to two iterations of the preliminary concept based on CITY/CLIENT feedback. Additional
requested revisions, decision changes, or introduction of new data may require additional budget.
12. CLIENT/CITY will provide necessary staff support for timely response to questions, reviews,
decisions, and data requests.
FEE AND PAYMENT SCHEDULES
The Task fees listed in this section are based on anticipated workload for the scope set forth in this Task
Order. NV5 has set a fixed fee for the initial applications, with a Time and Materials, Not-to-Exceed (T&M,
NTE) budget for any follow-on support with the EV Fleet application or other grant and incentive programs
as-shown in the table below.
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FIXED FEE TASK TABLE
Task Fixed Fee T&M NTE Amendment
#1 Total Fee
1.1 Initial EV Fleet Applications (3 sites) $20,000 $5,000 $25,000
1.2 Ongoing EV Fleet Application Support $15,000 $2,500 $17,500
Total $20,000 $15,000 $7,500 $42,500
HOURLY FEE SCHEDULE
T&M work is billed at the hourly rates listed below for project work completed through December 31,
2025. Updated hourly fees will be provided by Sage as necessary prior to each new calendar year.
SAGE will not exceed project NTE limits without the consent of CLIENT.
BILLING AND PAYMENT TERMS
NV5 invoices monthly with terms of Net 30.
REIMBURSABLE EXPENSES
Fees assume all deliverable materials for the project will be provided digitally. Printed copies of
documents will be billed at cost plus 10%. For time and materials fee structure projects, all
reasonable and ordinary expenses are reimbursable at cost plus 10%.
TRAVEL COSTS
No travel costs are anticipated for this scope of work.
SUBCONSULTANT FEES
No subconsultants are anticipated for this scope of work. If a subconsultant becomes necessary and
is approved by CLIENT, subconsultant fees will be passed through at cost plus 15%.
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
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Title 2024 2025
Subject Matter Expert $430 $450
Principal $325 $340
Associate Principal $290 $305
Project Manager IV $270 $285
Construction Manager III $265 $280
Design Engineer (PE) III $260 $275
Engineer/Data Scientist III $255 $270
Project Manager III $250 $265
Design Engineer (PE) II $245 $255
Construction Manager II $240 $250
Project Manager II $235 $245
Project Engineer/Specialist V $223 $235
Design Engineer (PE) I $200 $205
Engineer/Data Scientist II $220 $230
Construction Manager I $210 $220
Project Manager I $215 $225
Project Engineer/Specialist IV $205 $215
Sr. Analyst/Technician $195 $205
Designer III $188 $195
Project Engineer/Specialist III $188 $195
Engineer/Data Scientist I $185 $195
Associate Project Manager $205 $215
Assistant Project Manager $175 $185
Analyst/Technician $165 $175
Designer II $164 $170
Project Engineer/Specialist II $164 $170
Sr. Project Coordinator $155 $165
Project Engineer/Specialist I $147 $155
Project Coordinator $145 $150
Designer I $140 $145
Intern $125 $130
Drafter II $123 $130
Drafter I $106 $110
Project Administrator $100 $105
Sr. CAD Operator $100 $105
CAD Operator $85 $90
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
City of San Rafael | EV Fleet Planning and Program Assistance | 5980823-2306601.01 NV5.COM | 6
IN WITNESS WHEREOF, authorized representatives of both NV5 and CLIENT have executed this
agreement as of the date set forth below.
NV5 Client
Name: Brent Johnson, PE, LEED AP Name:
Title: Principal Title:
Date: Date:
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
CONTRACT ROUTING FORM
INSTRUCTIONS: Use this cover sheet to circulate all contracts for review and approval in the order shown below.
Step RESPONSIBLE
DEPARTMENT
DESCRIPTION COMPLETED
DATE
REVIEWER
Check/Initial
1 Project Manager
a. Email PINS Introductory Notice to Contractor
b. Email contract (in Word) and attachments to City
Attorney c/o Laraine.Gittens@cityofsanrafael.org
N/A
11/18/2024
☒
☒SM
2 City Attorney
a. Review, revise, and comment on draft agreement
and return to Project Manager
b. Confirm insurance requirements, create Job on
PINS, send PINS insurance notice to contractor
11/22/2024
11/22/2024
☒ NT
☒ NT
3 Department Director Approval of final agreement form to send to
contractor
12/6/2024 ☒ AM
4 Project Manager
Forward three (3) originals of final agreement to
contractor for their signature
12/9/2024 ☒
5 Project Manager When necessary, contractor-signed agreement
agendized for City Council approval *
*City Council approval required for Professional Services
Agreements and purchases of goods and services that exceed
$75,000; and for Public Works Contracts that exceed $175,000
Date of City Council approval
☒ N/A
Or
Click here to
enter a date.
☐
PRINT CONTINUE ROUTING PROCESS WITH HARD COPY
6 Project Manager Forward signed original agreements to City
Attorney with printed copy of this routing form
7 City Attorney Review and approve hard copy of signed
agreement
8 City Attorney Review and approve insurance in PINS , and bonds
(for Public Works Contracts)
9 City Manager / Mayor Agreement executed by City Council authorized
official
10 City Clerk Attest signatures, retains original agreement and
forwards copies to Project Manager
TO BE COMPLETED BY INITIATING DEPARTMENT PROJECT MANAGER:
Contracting Department: Public Works
Project Manager: Shannon Mackle (for Jonathan Schellin) Extension: 3353
Contractor Name: NV5 Consultants, Inc
Contractor’s Contact: Brent Johnson Contact’s Email: brent.johnson@nv5.com
☐ FPPC: Check if Contractor/Consultant must file Form 700
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
Amendment - PG&E EV Fleet Program
Assistance - NV5
Final Audit Report 2024-12-18
Created:2024-12-09
By:Shannon Mackle (shannon.mackle@cityofsanrafael.org)
Status:Signed
Transaction ID:CBJCHBCAABAAr3Y2yHkNrSeZOmKUL5aeifGBbVzLD_jH
"Amendment - PG&E EV Fleet Program Assistance - NV5" Histo
ry
Document created by Shannon Mackle (shannon.mackle@cityofsanrafael.org)
2024-12-09 - 5:57:01 PM GMT- IP address: 199.88.89.34
Document emailed to brent.johnson@nv5.com for signature
2024-12-09 - 5:58:33 PM GMT
Email viewed by brent.johnson@nv5.com
2024-12-09 - 6:07:41 PM GMT- IP address: 142.254.126.227
Signer brent.johnson@nv5.com entered name at signing as B Johnson
2024-12-09 - 6:09:59 PM GMT- IP address: 142.254.126.227
Document e-signed by B Johnson (brent.johnson@nv5.com)
Signature Date: 2024-12-09 - 6:10:01 PM GMT - Time Source: server- IP address: 142.254.126.227
Document emailed to tom.williard@nv5.com for signature
2024-12-09 - 6:10:03 PM GMT
Email viewed by tom.williard@nv5.com
2024-12-09 - 9:28:04 PM GMT- IP address: 172.226.3.180
Email viewed by tom.williard@nv5.com
2024-12-17 - 6:41:47 PM GMT- IP address: 172.226.212.3
Signer tom.williard@nv5.com entered name at signing as Thomas C. Williard
2024-12-17 - 7:12:20 PM GMT- IP address: 99.106.168.163
Document e-signed by Thomas C. Williard (tom.williard@nv5.com)
Signature Date: 2024-12-17 - 7:12:22 PM GMT - Time Source: server- IP address: 99.106.168.163
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
Document emailed to Laraine Gittens (laraine.gittens@cityofsanrafael.org) for approval
2024-12-17 - 7:12:25 PM GMT
Email viewed by Laraine Gittens (laraine.gittens@cityofsanrafael.org)
2024-12-17 - 7:28:25 PM GMT- IP address: 104.47.64.254
Document approved by Laraine Gittens (laraine.gittens@cityofsanrafael.org)
Approval Date: 2024-12-17 - 7:32:30 PM GMT - Time Source: server- IP address: 199.88.113.8
Document emailed to rob.epstein@cityofsanrafael.org for signature
2024-12-17 - 7:32:39 PM GMT
Email viewed by rob.epstein@cityofsanrafael.org
2024-12-17 - 7:36:20 PM GMT- IP address: 73.202.77.173
Signer rob.epstein@cityofsanrafael.org entered name at signing as Robert F. Epstein
2024-12-17 - 7:36:34 PM GMT- IP address: 73.202.77.173
Document e-signed by Robert F. Epstein (rob.epstein@cityofsanrafael.org)
Signature Date: 2024-12-17 - 7:36:36 PM GMT - Time Source: server- IP address: 73.202.77.173
Document emailed to city.clerk@cityofsanrafael.org for approval
2024-12-17 - 7:36:38 PM GMT
Email viewed by city.clerk@cityofsanrafael.org
2024-12-17 - 8:33:29 PM GMT- IP address: 104.47.65.254
Signer city.clerk@cityofsanrafael.org entered name at signing as Brenna Nurmi
2024-12-17 - 8:33:36 PM GMT- IP address: 199.88.113.8
Document approved by Brenna Nurmi (city.clerk@cityofsanrafael.org)
Approval Date: 2024-12-17 - 8:33:38 PM GMT - Time Source: server- IP address: 199.88.113.8
Document emailed to cristine.alilovich@cityofsanrafael.org for signature
2024-12-17 - 8:33:40 PM GMT
Shannon Mackle (shannon.mackle@cityofsanrafael.org) added alternate signer John Stefanski
(john.stefanski@cityofsanrafael.org). The original signer cristine.alilovich@cityofsanrafael.org can still sign.
2024-12-18 - 5:25:11 PM GMT- IP address: 69.181.69.46
Document emailed to John Stefanski (john.stefanski@cityofsanrafael.org) for signature
2024-12-18 - 5:25:11 PM GMT
Email viewed by John Stefanski (john.stefanski@cityofsanrafael.org)
2024-12-18 - 5:38:10 PM GMT- IP address: 174.227.162.71
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
Shannon Mackle (shannon.mackle@cityofsanrafael.org) added alternate signer
angela.robinsonpinon@cityofsanrafael.org. The original signer cristine.alilovich@cityofsanrafael.org can still
sign.
2024-12-18 - 9:11:22 PM GMT- IP address: 69.181.69.46
Document emailed to angela.robinsonpinon@cityofsanrafael.org for signature
2024-12-18 - 9:11:23 PM GMT
Email viewed by angela.robinsonpinon@cityofsanrafael.org
2024-12-18 - 9:13:17 PM GMT- IP address: 199.88.113.8
Signer angela.robinsonpinon@cityofsanrafael.org entered name at signing as Angela C. Robinson Pinon
2024-12-18 - 9:13:52 PM GMT- IP address: 199.88.113.8
Document e-signed by Angela C. Robinson Pinon (angela.robinsonpinon@cityofsanrafael.org)
Signature Date: 2024-12-18 - 9:13:55 PM GMT - Time Source: server- IP address: 199.88.113.8
Document emailed to city.clerk@cityofsanrafael.org for signature
2024-12-18 - 9:13:57 PM GMT
Email viewed by city.clerk@cityofsanrafael.org
2024-12-18 - 9:22:55 PM GMT- IP address: 104.47.65.254
Signer city.clerk@cityofsanrafael.org entered name at signing as Brenna Nurmi (for)
2024-12-18 - 9:23:07 PM GMT- IP address: 199.88.113.8
Document e-signed by Brenna Nurmi (for) (city.clerk@cityofsanrafael.org)
Signature Date: 2024-12-18 - 9:23:09 PM GMT - Time Source: server- IP address: 199.88.113.8
Agreement completed.
2024-12-18 - 9:23:09 PM GMT
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
Rev. 08.22 1
AGREEMENT FOR PROFESSIONAL SERVICES
BY AND BETWEEN
THE CITY OF SAN RAFAEL
AND
NV5 CONSULTANTS, INC.
FOR PG&E EV FLEET PROGRAM APPLICATION SUPPORT SERVICES
This Agreement is made and entered into as of ________________________ (the “Effective
Date”), by and between the CITY OF SAN RAFAEL, a chartered California municipal corporation
(hereinafter "CITY"), and NV5 CONSULTANTS, INC., a Minnesota corporation (hereinafter
"CONSULTANT"). CITY and CONSULTANT may be referred to individually as a “Party” or
collectively as the “Parties” or the “Parties to this Agreement.”
RECITALS
A. CITY desires to secure professional services more fully described in this
Agreement, at Exhibit A, entitled “SCOPE OF SERVICES”; and
B. CONSULTANT represents that it, and its subcontractors, if any, have the
professional qualifications, expertise, and necessary licenses and desire to provide certain goods
and/or required services of the quality and type which meet objectives and requirements of CITY;
and
C. The Parties have specified herein the terms and conditions under which such
services will be provided and paid for.
NOW, THEREFORE, the parties hereby agree as follows:
AGREEMENT
1. SERVICES TO BE PROVIDED.
Except as otherwise may be expressly specified in this Agreement, CONSULTANT shall
furnish all technical and professional services, including labor, material, equipment,
transportation, supervision and expertise (collectively referred to as “Services”) to satisfactorily
complete the work required by CITY at its sole risk and expense. Services to be provided to CITY
are more fully described in Exhibit A entitled “SCOPE OF SERVICES.” CONSULTANT
acknowledges that the execution of this Agreement by CITY is predicated upon representations
made by CONSULTANT in that certain proposal, dated July 25, 2024 (“Proposal”) set forth in
Exhibit A, which constitutes the basis for this Agreement.
2. COMPENSATION.
In consideration for CONSULTANT’s performance of Services, CITY shall pay
CONSULTANT for all materials provided and services rendered by CONSULTANT a fixed fee
in the amount of $20,000 for the initial EV fleet applications and a not to exceed amount of $15,000
Aug 26, 2024
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
v 08.22 2
for ongoing application support and assistance, as further described in Exhibit A, for a total
amount not to exceed $35,000.
CONSULTANT will bill City on a monthly basis for Services provided by
CONSULTANT during the preceding month, subject to verification by CITY. CITY will pay
CONSULTANT within thirty (30) days of City’s receipt of invoice.
3. TERM OF AGREEMENT.
Unless otherwise set forth in this Agreement or unless this paragraph is subsequently
modified by a written amendment to this Agreement, the term of this Agreement shall begin on
the Effective Date of this Agreement and terminate on one (1) year from the Effective Date.
4. PROJECT COORDINATION.
A. CITY’S Project Manager. Jonathan Schellin is hereby designated the PROJECT
MANAGER for the CITY and said PROJECT MANAGER shall supervise all aspects of the progress
and execution of this Agreement.
B. CONSULTANT’S Project Director. CONSULTANT shall assign a single
PROJECT DIRECTOR to have overall responsibility for the progress and execution of this
Agreement for CONSULTANT. Brent Johnson is hereby designated as the PROJECT DIRECTOR
for CONSULTANT. Should circumstances or conditions subsequent to the execution of this
Agreement require a substitute PROJECT DIRECTOR, for any reason, the CONSULTANT shall
notify the CITY within ten (10) business days of the substitution.
5. TERMINATION.
A. Discretionary. Either party may terminate this Agreement without cause upon thirty
(30) days written notice mailed or personally delivered to the other party.
B. Cause. Either party may terminate this Agreement for cause upon fifteen (15) days
written notice mailed or personally delivered to the other party, and the notified party's failure to cure
or correct the cause of the termination, to the reasonable satisfaction of the party giving such notice,
within such fifteen (15) day time period.
C. Effect of Termination. Upon receipt of notice of termination, neither party shall
incur additional obligations under any provision of this Agreement without the prior written consent
of the other.
D. Return of Documents. Upon termination, any and all CITY documents or materials
provided to CONSULTANT and any and all of CONSULTANT's documents and materials
prepared for or relating to the performance of its duties under this Agreement, shall be delivered to
CITY as soon as possible, but not later than thirty (30) days after termination.
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
v 08.22 3
6. OWNERSHIP OF DOCUMENTS.
The written documents and materials prepared by the CONSULTANT in connection with
the performance of its duties under this Agreement, shall be the sole property of CITY. CITY may
use said property for any purpose, including projects not contemplated by this Agreement.
7. INSPECTION AND AUDIT.
Upon reasonable notice, CONSULTANT shall make available to CITY, or its agent, for
inspection and audit, all documents and materials maintained by CONSULTANT in connection with
its performance of its duties under this Agreement. CONSULTANT shall fully cooperate with CITY
or its agent in any such audit or inspection.
8. ASSIGNABILITY.
The parties agree that they shall not assign or transfer any interest in this Agreement nor the
performance of any of their respective obligations hereunder, without the prior written consent of the
other party, and any attempt to so assign this Agreement or any rights, duties or obligations arising
hereunder shall be void and of no effect.
9. INSURANCE REQUIREMENTS.
During the term of this Agreement, and for any time period set forth in Exhibit B,
CONSULTANT shall procure and maintain in full force and effect, at no cost to CITY insurance
policies with respect to employees and vehicles assigned to the performance of Services under this
Agreement with coverage amounts, required endorsements, certificates of insurance, and coverage
verifications as defined in Exhibit B.
10. INDEMNIFICATION.
A. Except as otherwise provided in subparagraph B of this section, CONSULTANT
shall, to the fullest extent permitted by law, indemnify, release, defend with counsel approved by
CITY, and hold harmless CITY, its officers, agents, employees and volunteers (collectively, the
“City Indemnitees”), from and against any claim, demand, suit, judgment, loss, liability or
expense of any kind, including but not limited to attorney's fees, expert fees and all other costs and
fees of litigation, (collectively “CLAIMS”), arising out of CONSULTANT’S performance of its
obligations or conduct of its operations under this Agreement. The CONSULTANT's obligations
apply regardless of whether or not a liability is caused or contributed to by the active or passive
negligence of the City Indemnitees. However, to the extent that liability is caused by the active
negligence or willful misconduct of the City Indemnitees, the CONSULTANT's indemnification
obligation shall be reduced in proportion to the City Indemnitees’ share of liability for the active
negligence or willful misconduct. In addition, the acceptance or approval of the
CONSULTANT’s work or work product by the CITY or any of its directors, officers or
employees shall not relieve or reduce the CONSULTANT’s indemnification obligations. In the
event the City Indemnitees are made a party to any action, lawsuit, or other adversarial proceeding
arising from CONSULTANT’S performance of or operations under this Agreement,
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
v 08.22 4
CONSULTANT shall provide a defense to the City Indemnitees or at CITY’S option reimburse
the City Indemnitees their costs of defense, including reasonable attorneys’ fees, incurred in
defense of such claims.
B. Where the services to be provided by CONSULTANT under this Agreement are
design professional services to be performed by a design professional as that term is defined under
Civil Code Section 2782.8, then, to the extent permitted by law including without limitation, Civil
Code sections 2782, 2782.6 and 2782.8, CONSULTANT shall indemnify and hold harmless the
CITY and its officers, officials, and employees (collectively City Indemnitees) from and against
damages, liabilities or costs (including incidental damages, Court costs, reasonable attorney’s fees
as may be determined by the Court, litigation expenses and fees of expert witnesses incurred in
connection therewith and costs of investigation) to the extent they are caused by the negligence,
recklessness, or willful misconduct of CONSULTANT, or any subconsultants, or subcontractor
or anyone directly or indirectly employed by them, or anyone for whom they are legally liable
(collectively Liabilities). Such obligation to hold harmless and indemnify any indemnity shall not
apply to the extent that such Liabilities are caused in part by the negligence or willful misconduct
of such City Indemnitee.
C. The defense and indemnification obligations of this Agreement are undertaken in
addition to, and shall not in any way be limited by, the insurance obligations contained in this
Agreement, and shall survive the termination or completion of this Agreement for the full period
of time allowed by law.
11. NONDISCRIMINATION.
CONSULTANT shall not discriminate, in any way, against any person on the basis of age,
sex, race, color, religion, ancestry, national origin or disability in connection with or related to the
performance of its duties and obligations under this Agreement.
12. COMPLIANCE WITH ALL LAWS.
CONSULTANT shall observe and comply with all applicable federal, state and local laws,
ordinances, codes and regulations, in the performance of its duties and obligations under this
Agreement. CONSULTANT shall perform all services under this Agreement in accordance with
these laws, ordinances, codes and regulations. CONSULTANT shall release, defend, indemnify and
hold harmless CITY, its officers, agents and employees from any and all damages, liabilities,
penalties, fines and all other consequences from any noncompliance or violation of any laws,
ordinances, codes or regulations.
13. NO THIRD PARTY BENEFICIARIES.
CITY and CONSULTANT do not intend, by any provision of this Agreement, to create in
any third party, any benefit or right owed by one party, under the terms and conditions of this
Agreement, to the other party.
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
v 08.22 5
14. NOTICES.
All notices and other communications required or permitted to be given under this Agreement,
including any notice of change of address, shall be in writing and given by personal delivery, or
deposited with the United States Postal Service, postage prepaid, addressed to the parties intended to
be notified. Notice shall be deemed given as of the date of personal delivery, or if mailed, upon the
date of deposit with the United States Postal Service. Notice shall be given as follows:
To CITY’s Project Manager:
Jonathan Schellin, Deputy Director of Public
Works
111 Morphew Street
San Rafael, CA 94901
To CONSULTANT’s Project Director:
Brent Johnson, Principal
101 Lucas Valley Rd, #302
San Rafael, CA 94973
15. INDEPENDENT CONTRACTOR.
For the purposes, and for the duration, of this Agreement, CONSULTANT, its officers,
agents and employees shall act in the capacity of an Independent Contractor, and not as employees of
the CITY. CONSULTANT and CITY expressly intend and agree that the status of
CONSULTANT, its officers, agents and employees be that of an Independent Contractor and not
that of an employee of CITY.
16. ENTIRE AGREEMENT -- AMENDMENTS.
A. The terms and conditions of this Agreement, all exhibits attached, and all documents
expressly incorporated by reference, represent the entire Agreement of the parties with respect to the
subject matter of this Agreement.
B. This written Agreement shall supersede any and all prior agreements, oral or written,
regarding the subject matter between the CONSULTANT and the CITY.
C. No other agreement, promise or statement, written or oral, relating to the subject
matter of this Agreement, shall be valid or binding, except by way of a written amendment to this
Agreement.
D. The terms and conditions of this Agreement shall not be altered or modified except
by a written amendment to this Agreement signed by the CONSULTANT and the CITY.
E. If any conflicts arise between the terms and conditions of this Agreement, and the
terms and conditions of the attached exhibits or the documents expressly incorporated by reference,
the terms and conditions of this Agreement shall control.
17. SET-OFF AGAINST DEBTS.
CONSULTANT agrees that CITY may deduct from any payment due to CONSULTANT
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
v 08.22 6
under this Agreement, any monies which CONSULTANT owes CITY under any ordinance,
agreement, contract or resolution for any unpaid taxes, fees, licenses, assessments, unpaid checks or
other amounts.
18. WAIVERS.
The waiver by either party of any breach or violation of any term, covenant or condition of
this Agreement, or of any ordinance, law or regulation, shall not be deemed to be a waiver of any
other term, covenant, condition, ordinance, law or regulation, or of any subsequent breach or violation
of the same or other term, covenant, condition, ordinance, law or regulation. The subsequent
acceptance by either party of any fee, performance, or other consideration which may become due or
owing under this Agreement, shall not be deemed to be a waiver of any preceding breach or violation
by the other party of any term, condition, covenant of this Agreement or any applicable law, ordinance
or regulation.
19. COSTS AND ATTORNEY'S FEES.
The prevailing party in any action brought to enforce the terms and conditions of this
Agreement, or arising out of the performance of this Agreement, may recover its reasonable costs
(including claims administration) and attorney's fees expended in connection with such action.
20. CITY BUSINESS LICENSE / OTHER TAXES.
CONSULTANT shall obtain and maintain during the duration of this Agreement, a CITY
business license as required by the San Rafael Municipal Code, and CONSULTANT shall pay any
and all state and federal taxes and any other applicable taxes. CITY shall not be required to pay for
any work performed under this Agreement, until CONSULTANT has provided CITY with a
completed Internal Revenue Service Form W-9 (Request for Taxpayer Identification Number and
Certification).
21. SURVIVAL OF TERMS.
Any terms of this Agreement that by their nature extend beyond the term (or termination) of
this Agreement shall remain in effect until fulfilled and shall apply to both Parties’ respective
successors and assigns.
22. APPLICABLE LAW.
The laws of the State of California shall govern this Agreement.
23. COUNTERPARTS AND ELECTRONIC SIGNATURE.
This Agreement may be executed by electronic signature and in any number of counterparts,
each of which shall be deemed an original, but all of which together shall constitute one document.
Counterpart signature pages may be delivered by telecopier, email or other means of electronic
transmission.
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
v 08.22 7
[Signatures are on the following page.]
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
v 08.22 8
IN WITNESS WHEREOF, the parties have executed this Agreement as of the day, month
and year first above written.
CITY OF SAN RAFAEL:
_________________________________
CRISTINE ALILOVICH, City Manager
APPROVED AS TO FORM:
Office of the City Attorney
_________________________________
By: ROBERT F. EPSTEIN, City Attorney
ATTEST:
City Clerk
_________________________________
LINDSAY LARA, City Clerk
CONSULTANT:
__________________________________
By: ____________________________
Name: ____________________________
Title: ____________________________
[If CONSULTANT is a corporation, add
signature of second corporate officer]
__________________________________
By: ____________________________
Name: ____________________________
Title: ____________________________
Brent Johnson (Aug 22, 2024 15:46 PDT)
Brent Johnson
NV5 Consultants, Inc.
Brent Johnson
Vice President, Clean Transportation
Tho(as C. illiard (Aug 2т, 2024 0ш:4ц PDT)
:hoPDs ) =LOOLDrG
NV5 Consultants, Inc.
Tho(as C. illiard
Vice President
o ert . pstein (Aug 2т, 2024 15:4ш PDT)
8oEert , +SsteLn
Cristine Alilo1ich (Aug 26, 2024 20:2ц PDT)
)rLstLne 'OLOoYLFh
Brenna Nur(i (!or) (Aug 2ц, 2024 0ц:т4 PDT)
BrennD 4XrPL Ior
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
Rev. 08.22 A-1
EXHIBIT A
SCOPE OF SERVICES
The Services to be performed for CITY by CONSULTANT under this Agreement are more fully
described in CONSULTANT’s proposal, which is attached to this Exhibit A.
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
City of San Rafael | EV Fleet Planning and Program Assistance | P59822-2206601.00 NV5.COM | 1
Task Order PG&E EV Fleet Application Assistance
Project # P59823-2306601.00
This Task Order is pursuant to the Professional Services Agreement (“PSA”) between NV5 Consultants,
Inc. (“NV5”) and The City of San Rafael (“CLIENT”).
This Task Order must be mutually executed before work is commenced.
Project Name PG&E EV Fleet Application Assistance
Client The City of San Rafael
Project Location San Rafael, CA
Estimated Start Date August 2024
Estimated End Date July 2025
Estimated Fees $35,000 ($20,000 Fixed Fee; $15,000 T&M NTE)
PROJECT CONTACTS
NV5 CITY OF SAN RAFAEL
Name: Brent Johnson, PE, LEED AP Name: Jonathan Schellin
Title: Principal Title: Deputy Director of Public Works
Email: brent.johnson@nv5.com Email: jonathan.schellin@cityofsanrafael.org
Phone: 415-851-9076 Phone: 415-485-3354
Address: 101 Lucas Valley Rd, #302
San Rafael, CA 94973
Address: 111 Morphew Street
San Rafael, CA 94901
PROJECT OVERVIEW
This task order outlines NV5’s support with applying for and managing the PG&E EV Fleet Program
for two CLIENT sites. CLIENT is seeking to transition its fleet to electric vehicles (EVs) to meet
regulatory requirements and City goals. CLIENT’s fleet is comprised of approximately 65 fleet
vehicles (“white fleet”) including police patrol cars, maintenance and service vehicles, and
administrative vehicles housed at two main sites – Department of Public Works and City Hall/Public
Safety. CLIENT has existing EV’s in their fleet and has near-term and ongoing purchases planned.
The following is an outline of the tasks NV5 will perform to support the CLIENT. A detailed Scope of
Work follows outlining our efforts:
Exhibit A
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
City of San Rafael | EV Fleet Planning and Program Assistance | P59822-2206601.00 NV5.COM | 2
1) PG&E EV Fleet Program Assistance
- Collect data required for PG&E EV Fleet applications.
- Review City’s EV transition plans and suitable charging equipment.
- Develop concepts for each site sufficient for application to utility program
- Engage with PG&E to review selected equipment, siting, and proposed power levels.
- Prepare and assist City with submittal of application.
- Provide ongoing support with EV Fleet process.
- Optional: Assist CLIENT to pursue and manage additional grants and incentives.
SCOPE OF WORK
Task 1 PG&E EV Fleet Program Assistance
Assist CLIENT with preparing, submitting, and ongoing management of PG&E EV Fleet application for
two (2) CLIENT sites. This task includes selecting charging equipment and power levels and
developing a preliminary concept of the behind-the-meter (BTM) charging equipment at the two sites.
An optional task is included to assist with other grant and incentive applications for vehicles and/or
infrastructure.
1.1 Conduct a kickoff meeting to define goals and objectives, identify assumptions and
constraints, and outline the data and input required from CLIENT.
1.2 Collect site details from CLIENT, including any available as-built information and studies.
1.3 In collaboration with CLIENT, define fleet transition schedule aligned with PG&E
requirements (5-years). Review longer-range transition plan with CLIENT (10-year) to
explore infrastructure phasing and trunk infrastructure needs.
1.4 Review EVSE and control software options with CLIENT suitable for vehicles to be charged.
Assist CLIENT with selecting appropriate EVSE for PG&E application (on PG&E approved
list, appropriate power levels).
1.5 Visit sites, review existing electrical infrastructure and site improvements, review preferred
siting with CLIENT.
1.6 Develop Electric Vehicle Supply Equipment (EVSE) concept plan sufficient for EV Fleet
application. Identify preferred switchgear and dispenser siting.
1.7 Engage with EV Fleet representative and review preliminary concept and details of
application. Adjust application assumptions as-needed based on conversations with PG&E.
1.8 Prepare EV Fleet application in coordination with CLIENT and submit to PG&E. With support
from NV5, CLIENT is responsible for submitting the application to PG&E or delegating
responsibility to NV5 to handle on their behalf.
1.9 Provide ongoing coordination with PG&E EV Fleet program as-needed to advance the City’s
applications.
1.10 OPTIONAL: Assist CLIENT with identifying, applying for, and managing additional grants,
incentives, and rebates for EVs and EV Infrastructure.
Site Visits: One for site inspection.
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
City of San Rafael | EV Fleet Planning and Program Assistance | P59822-2206601.00 NV5.COM | 3
SCHEDULE AND DELIVERABLES
Task Start Date End Date Deliverables
1 PG&E EV Fleet
Application
Assistance
August 2024 July 2025 - PG&E EV Fleet application
documents
- Ongoing Utility coordination
NV5 anticipates EV Fleet applications can be completed and submitted within one month of NTP,
dependent on City decision processes and PG&E EV Fleet availability to meet prior to applications
submission. Additional time in the schedule noted above is for ongoing support with EV Fleet
process as-needed.
PROJECT REQUIREMENTS AND ASSUMPTIONS
1. Travel to CITY sites per site visit assumptions outlined in Scope of Services. Project travel generally
assumes one representative per visit unless otherwise noted. Additional travel beyond the trips
listed may require additional budget.
2. Assumes schedule listed. Delays or extension of the assumed schedule outside of NV5’s control may
require additional fees.
3. All deliverables will be provided in electronic format.
4. Site information/data, including as-builts, will be made available to NV5 as needed.
5. Scope of work excludes any detailed EV transition planning for CLIENT. CLIENT will provide 5-year
vehicle purchase plan sufficient for PG&E EV Fleet application and any review of transition beyond 5-
years will be high-level. NV5 can develop a detailed fleet transition plan and capital plan aligned
with CARB regulations and CLIENT goals under a separate scope and budget.
6. If needed for high-level planning, fleet data will be made available by CLIENT as-needed..
7. Assumes NV5 will coordinate fleet data collection with a single CITY or CLIENT point of contact.
8. Scope does not include any due diligence beyond visual inspection of facilities and review of as-built
drawings. Scope explicitly excludes detailed review/modification of existing electrical infrastructure,
load studies, and topographic/underground survey.
9. EVSE assumed to be supplied from new electrical service implemented under the PG&E EV Fleet
Program.
10. Scope in this task order does not include design services, detailed design of facilities, construction
drawings, engineer of record stamping, or permitting. Concept drawing will be schematic and
sufficient for PG&E EV Fleet application.
11. Up to two iterations of the preliminary concept based on CITY/CLIENT feedback. Additional
requested revisions, decision changes, or introduction of new data may require additional budget.
12. CLIENT/CITY will provide necessary staff support for timely response to questions, reviews,
decisions, and data requests.
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
City of San Rafael | EV Fleet Planning and Program Assistance | P59822-2206601.00 NV5.COM | 4
FEE AND PAYMENT SCHEDULES
The Task fees listed in this section are based on anticipated workload for the scope set forth in this Task
Order. NV5 has set a fixed fee for the initial applications, with a Time and Materials, Not-to-Exceed (T&M,
NTE) budget for any follow-on support with the EV Fleet application or other grant and incentive programs
as-shown in the table below.
FIXED FEE TASK TABLE
Task Fixed Fee T&M NTE Total Fee
1.1 Initial EV Fleet Applications (2 sites, $10,000/site) $20,000 $20,000
1.2 Ongoing EV Fleet Application Support &
As-Needed Assistance with Other Grants/Incentives $15,000 $15,000
Total $20,000 $15,000 $35,000
HOURLY FEE SCHEDULE
T&M work is billed at the hourly rates listed below for project work completed through December 31,
2025. Updated hourly fees will be provided by Sage as necessary prior to each new calendar year.
SAGE will not exceed project NTE limits without the consent of CLIENT.
BILLING AND PAYMENT TERMS
NV5 invoices monthly with terms of Net 30.
REIMBURSABLE EXPENSES
Fees assume all deliverable materials for the project will be provided digitally. Printed copies of
documents will be billed at cost plus 10%. For time and materials fee structure projects, all
reasonable and ordinary expenses are reimbursable at cost plus 10%.
TRAVEL COSTS
No travel costs are anticipated for this scope of work.
SUBCONSULTANT FEES
No subconsultants are anticipated for this scope of work. If a subconsultant becomes necessary and
is approved by CLIENT, subconsultant fees will be passed through at cost plus 15%.
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
City of San Rafael | EV Fleet Planning and Program Assistance | P59822-2206601.00 NV5.COM | 5
Title 2024 2025
Subject Matter Expert $430 $450
Principal $325 $340
Associate Principal $290 $305
Project Manager IV $270 $285
Construction Manager III $265 $280
Design Engineer (PE) III $260 $275
Engineer/Data Scientist III $255 $270
Project Manager III $250 $265
Design Engineer (PE) II $245 $255
Construction Manager II $240 $250
Project Manager II $235 $245
Project Engineer/Specialist V $223 $235
Design Engineer (PE) I $200 $205
Engineer/Data Scientist II $220 $230
Construction Manager I $210 $220
Project Manager I $215 $225
Project Engineer/Specialist IV $205 $215
Sr. Analyst/Technician $195 $205
Designer III $188 $195
Project Engineer/Specialist III $188 $195
Engineer/Data Scientist I $185 $195
Associate Project Manager $205 $215
Assistant Project Manager $175 $185
Analyst/Technician $165 $175
Designer II $164 $170
Project Engineer/Specialist II $164 $170
Sr. Project Coordinator $155 $165
Project Engineer/Specialist I $147 $155
Project Coordinator $145 $150
Designer I $140 $145
Intern $125 $130
Drafter II $123 $130
Drafter I $106 $110
Project Administrator $100 $105
Sr. CAD Operator $100 $105
CAD Operator $85 $90
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
City of San Rafael | EV Fleet Planning and Program Assistance | P59822-2206601.00 NV5.COM | 6
IN WITNESS WHEREOF, authorized representatives of both NV5 and CLIENT have executed this
agreement as of the date set forth below.
NV5 Client
Name: Brent Johnson, PE, LEED AP Name:
Title: Principal Title:
Date: Date:
7/25/2024
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
Rev. 08.22 B-1
EXHIBIT B
INSURANCE REQUIREMENTS
During the term of this Agreement, and for any time period set forth below,
CONSULTANT shall procure and maintain in full force and effect, at no cost to CITY insurance
policies with respect to employees and vehicles assigned to the performance of Services under this
Agreement with coverage amounts, required endorsements, certificates of insurance, and coverage
verifications as defined in this Exhibit B.
A. Scope of Coverage. During the term of this Agreement, CONSULTANT shall
maintain, at no expense to CITY, the following insurance policies:
1. Commercial general liability. A commercial general liability insurance
policy in the minimum amount of one million dollars ($1,000,000) per occurrence/two million dollars
($2,000,000) aggregate, for death, bodily injury, personal injury, or property damage.
2. Automobile liability. An automobile liability (owned, non-owned, and hired
vehicles) insurance policy in the minimum amount of one million dollars ($1,000,000) per
occurrence.
3. Professional liability. If any licensed professional performs any of the
services required to be performed under this Agreement, a professional liability insurance policy in
the minimum amount of one million dollars ($1,000,000) per occurrence/two million dollars
($2,000,000) aggregate, to cover any claims arising out of the CONSULTANT's performance of
services under this Agreement. Where CONSULTANT is a professional not required to have a
professional license, CITY reserves the right to require CONSULTANT to provide professional
liability insurance pursuant to this section.
4. Workers’ compensation. If it employs any person, CONSULTANT shall
maintain workers’ compensation insurance, as required by the State of California, with statutory
limits, and employer’s liability insurance with limits of no less than one million dollars
($1,000,000) per accident for bodily injury or disease. CONSULTANT’s workers’ compensation
insurance shall be specifically endorsed to waive any right of subrogation against CITY.
B. Other Insurance Requirements. The insurance coverage required of the
CONSULTANT in subparagraph A of this section above shall also meet the following requirements:
1. Except for professional liability insurance or workers’ compensation
insurance, the insurance policies shall be specifically endorsed to include the CITY, its officers,
agents, employees, and volunteers, as additional insureds (for both ongoing and completed
operations) under the policies.
2. The additional insured coverage under CONSULTANT’s insurance policies
shall be “primary and noncontributory” with respect to any insurance or coverage maintained by
CITY and shall not call upon CITY's insurance or self-insurance coverage for any contribution. The
“primary and noncontributory” coverage in CONSULTANT’S policies shall be at least as broad as
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
v 08.22 B-2
ISO form CG20 01 04 13.
3. Except for professional liability insurance or workers’ compensation
insurance, the insurance policies shall include, in their text or by endorsement, coverage for
contractual liability and personal injury.
4. By execution of this Agreement, CONSULTANT hereby grants to CITY
a waiver of any right to subrogation which any insurer of CONSULTANT may acquire against
CITY by virtue of the payment of any loss under such insurance. CONSULTANT agrees to
obtain any endorsement that may be necessary to effect this waiver of subrogation, but this
provision applies regardless of whether or not CITY has received a waiver of subrogation
endorsement from the insurer.
5. If the insurance is written on a Claims Made Form, then, following termination
of this Agreement, said insurance coverage shall survive for a period of not less than five years.
6. The insurance policies shall provide for a retroactive date of placement
coinciding with the Effective Date of this Agreement.
7. The limits of insurance required in this Agreement may be satisfied by a
combination of primary and umbrella or excess insurance. Any umbrella or excess insurance shall
contain or be endorsed to contain a provision that such coverage shall also apply on a primary and
noncontributory basis for the benefit of CITY (if agreed to in a written contract or agreement) before
CITY’S own insurance or self-insurance shall be called upon to protect it as a named insured.
8. It shall be a requirement under this Agreement that any available insurance
proceeds broader than or in excess of the specified minimum insurance coverage requirements and/or
limits shall be available to CITY or any other additional insured party. Furthermore, the requirements
for coverage and limits shall be: (1) the minimum coverage and limits specified in this Agreement; or
(2) the broader coverage and maximum limits of coverage of any insurance policy or proceeds
available to the named insured; whichever is greater. No representation is made that the minimum
insurance requirements of this Agreement are sufficient to cover the obligations of the
CONSULTANT under this Agreement.
9. CONSULTANT agrees to ensure that subcontractors, and any other party
involved with the Services, who is brought onto or involved in the performance of the Services by
CONSULTANT, provide the same minimum insurance coverage required of CONSULTANT,
except as with respect to limits. CONSULTANT agrees to monitor and review all such coverage
and assumes all responsibility for ensuring that such coverage is provided in conformity with the
requirements of this Agreement. CONSUTLANT agrees that upon request by CITY, all
agreements with, and insurance compliance documents provided by, such subcontractors and
others engaged in the performance of Services will be submitted to CITY for review.
10. CONSULTANT agrees to be responsible for ensuring that no contract used
by any party involved in any way with the Services reserves the right to charge CITY or
CONSULTANT for the cost of additional insurance coverage required by this Agreement. Any
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
v 08.22 B-3
such provisions are to be deleted with reference to CITY. It is not the intent of CITY to reimburse
any third party for the cost of complying with these requirements. There shall be no recourse
against CITY for payment of premiums or other amounts with respect thereto.
C. Deductibles and SIR’s. Any deductibles or self-insured retentions in
CONSULTANT's insurance policies must be declared to and approved by the CITY and shall not
reduce the limits of liability. Policies containing any self-insured retention (SIR) provision shall
provide or be endorsed to provide that the SIR may be satisfied by either the named insured or CITY
or other additional insured party. At CITY's option, the deductibles or self-insured retentions with
respect to CITY shall be reduced or eliminated to CITY's satisfaction, or CONSULTANT shall
procure a bond guaranteeing payment of losses and related investigations, claims administration,
attorney’s fees and defense expenses.
D. Proof of Insurance. CONSULTANT shall provide to the PROJECT MANAGER
all of the following: (1) Certificates of Insurance evidencing the insurance coverage required in this
Agreement; (2) a copy of the policy declaration page and/or endorsement page listing all policy
endorsements for the commercial general liability policy, and (3) excerpts of policy language or
specific endorsements evidencing the other insurance requirements set forth in this Agreement.
CITY reserves the right to obtain a full certified copy of any insurance policy and endorsements from
CONSULTANT. Failure to exercise this right shall not constitute a waiver of the right to exercise it
later. The insurance shall be approved as to form and sufficiency by the CITY.
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
PSA - PG&E EV Fleet Program Application
Assistance
Final Audit Report 2024-08-23
Created:2024-08-22
By:Shannon Mackle (shannon.mackle@cityofsanrafael.org)
Status:Signed
Transaction ID:CBJCHBCAABAAKBqK_9FZ6z-kIrVAk8NHJGbEyd6suloI
"PSA - PG&E EV Fleet Program Application Assistance" History
Document created by Shannon Mackle (shannon.mackle@cityofsanrafael.org)
2024-08-22 - 9:05:30 PM GMT- IP address: 199.88.89.34
Document emailed to brent.johnson@nv5.com for signature
2024-08-22 - 9:08:53 PM GMT
Email viewed by brent.johnson@nv5.com
2024-08-22 - 9:39:54 PM GMT- IP address: 168.151.51.209
Signer brent.johnson@nv5.com entered name at signing as Brent Johnson
2024-08-22 - 10:46:44 PM GMT- IP address: 142.254.126.227
Document e-signed by Brent Johnson (brent.johnson@nv5.com)
Signature Date: 2024-08-22 - 10:46:46 PM GMT - Time Source: server- IP address: 142.254.126.227
Document emailed to tom.williard@nv5.com for signature
2024-08-22 - 10:46:47 PM GMT
Email viewed by tom.williard@nv5.com
2024-08-23 - 4:43:41 PM GMT- IP address: 162.251.124.78
Signer tom.williard@nv5.com entered name at signing as Thomas C. Williard
2024-08-23 - 4:47:24 PM GMT- IP address: 162.251.124.78
Document e-signed by Thomas C. Williard (tom.williard@nv5.com)
Signature Date: 2024-08-23 - 4:47:26 PM GMT - Time Source: server- IP address: 162.251.124.78
Agreement completed.
2024-08-23 - 4:47:26 PM GMT
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
CONTRACT ROUTING FORM
INSTRUCTIONS: Use this cover sheet to circulate all contracts for review and approval in the order shown below.
Step RESPONSIBLE
DEPARTMENT
DESCRIPTION COMPLETED
DATE
REVIEWER
Check/Initial
1 Project Manager
a. Email PINS Introductory Notice to Contractor
b. Email contract (in Word) and attachments to City
Attorney c/o Laraine.Gittens@cityofsanrafael.org
Click here to
enter a date.
7/30/2024
☐
☒SM
2 City Attorney
a. Review, revise, and comment on draft agreement
and return to Project Manager
b. Confirm insurance requirements, create Job on
PINS, send PINS insurance notice to contractor
8/22/2024
8/22/2024
☒ NT
☒ NT
3 Department Director Approval of final agreement form to send to
contractor
8/22/2024 ☒ AM
4 Project Manager
Forward three (3) originals of final agreement to
contractor for their signature
8/22/2024 ☒
5 Project Manager When necessary, contractor-signed agreement
agendized for City Council approval *
*City Council approval required for Professional Services
Agreements and purchases of goods and services that exceed
$75,000; and for Public Works Contracts that exceed $175,000
Date of City Council approval
☒ N/A
Or
Click here to
enter a date.
☐
PRINT CONTINUE ROUTING PROCESS WITH HARD COPY
6 Project Manager Forward signed original agreements to City
Attorney with printed copy of this routing form
8/23/24 SM
7 City Attorney Review and approve hard copy of signed
agreement
8 City Attorney Review and approve insurance in PINS , and bonds
(for Public Works Contracts)
9 City Manager / Mayor Agreement executed by City Council authorized
official
10 City Clerk Attest signatures, retains original agreement and
forwards copies to Project Manager
TO BE COMPLETED BY INITIATING DEPARTMENT PROJECT MANAGER:
Contracting Department: Public Works
Project Manager: Shannon Mackle (for Jonathan Schellin) Extension: 3353
Contractor Name: NV5, Inc
Contractor’s Contact: Brent Johnson Contact’s Email: brent.johnson@nv5.com
☐ FPPC: Check if Contractor/Consultant must file Form 700
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
PSA - NV5 Consultants, Inc. - PG&E EV Fleet
Program Application Support Services
Final Audit Report 2024-08-27
Created:2024-08-23
By:Nataly Torres (nataly.torres@cityofsanrafael.org)
Status:Signed
Transaction ID:CBJCHBCAABAAGxxY8SdViY9Raj9CtDLbyVJUf2vgZSfq
"PSA - NV5 Consultants, Inc. - PG&E EV Fleet Program Applicat
ion Support Services" History
Document created by Nataly Torres (nataly.torres@cityofsanrafael.org)
2024-08-23 - 6:30:35 PM GMT- IP address: 99.145.194.25
Document emailed to rob.epstein@cityofsanrafael.org for signature
2024-08-23 - 6:33:13 PM GMT
Email viewed by rob.epstein@cityofsanrafael.org
2024-08-23 - 10:48:49 PM GMT- IP address: 104.28.124.163
Signer rob.epstein@cityofsanrafael.org entered name at signing as Robert F. Epstein
2024-08-23 - 10:49:12 PM GMT- IP address: 104.28.123.164
Document e-signed by Robert F. Epstein (rob.epstein@cityofsanrafael.org)
Signature Date: 2024-08-23 - 10:49:14 PM GMT - Time Source: server- IP address: 104.28.123.164
Document emailed to city.clerk@cityofsanrafael.org for approval
2024-08-23 - 10:49:15 PM GMT
Email viewed by city.clerk@cityofsanrafael.org
2024-08-26 - 3:44:56 PM GMT- IP address: 67.169.52.201
Signer city.clerk@cityofsanrafael.org entered name at signing as Brenna Nurmi
2024-08-26 - 4:39:52 PM GMT- IP address: 199.88.113.8
Document approved by Brenna Nurmi (city.clerk@cityofsanrafael.org)
Approval Date: 2024-08-26 - 4:39:54 PM GMT - Time Source: server- IP address: 199.88.113.8
Document emailed to cristine.alilovich@cityofsanrafael.org for signature
2024-08-26 - 4:39:56 PM GMT
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
Email viewed by cristine.alilovich@cityofsanrafael.org
2024-08-27 - 3:26:50 AM GMT- IP address: 104.47.65.254
Signer cristine.alilovich@cityofsanrafael.org entered name at signing as Cristine Alilovich
2024-08-27 - 3:27:08 AM GMT- IP address: 76.103.109.159
Document e-signed by Cristine Alilovich (cristine.alilovich@cityofsanrafael.org)
Signature Date: 2024-08-27 - 3:27:10 AM GMT - Time Source: server- IP address: 76.103.109.159
Document emailed to city.clerk@cityofsanrafael.org for signature
2024-08-27 - 3:27:12 AM GMT
Email viewed by city.clerk@cityofsanrafael.org
2024-08-27 - 2:34:28 PM GMT- IP address: 104.47.64.254
Signer city.clerk@cityofsanrafael.org entered name at signing as Brenna Nurmi (for)
2024-08-27 - 2:34:47 PM GMT- IP address: 199.88.113.8
Document e-signed by Brenna Nurmi (for) (city.clerk@cityofsanrafael.org)
Signature Date: 2024-08-27 - 2:34:49 PM GMT - Time Source: server- IP address: 199.88.113.8
Agreement completed.
2024-08-27 - 2:34:49 PM GMT
Docusign Envelope ID: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534
Certificate Of Completion
Envelope Id: 3A8595ED-39C4-4D6F-91F4-6D8EFA7CB534 Status: Completed
Subject: DocuSign: 2nd Amendment with NV5, Inc for PG&E EV Fleet Program Assistance
Source Envelope:
Document Pages: 44 Signatures: 5 Envelope Originator:
Certificate Pages: 5 Initials: 4 Shannon Mackle
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
shannonm@cityofsanrafael.org
IP Address: 10.101.81.73
Record Tracking
Status: Original
4/28/2025 3:23:54 PM
Holder: Shannon Mackle
shannonm@cityofsanrafael.org
Location: DocuSign
Signer Events Signature Timestamp
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: 5/14/2025 12:15:12 PM
Viewed: 5/14/2025 12:15:32 PM
Signed: 5/14/2025 12:15:43 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
April Miller
aprilm@cityofsanrafael.org
Public Works Director
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address:
2601:645:e7c:a540:e07c:129c:9754:e535
Signed using mobile
Sent: 5/14/2025 12:15:46 PM
Viewed: 5/16/2025 6:16:21 AM
Signed: 5/16/2025 6:16:38 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Van Bach
vanb@cityofsanrafael.org
Accounting Manager
City of San Rafael
Signing Group: Finance
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 199.88.113.8
Sent: 5/14/2025 12:15:46 PM
Viewed: 5/14/2025 12:32:21 PM
Signed: 5/14/2025 12:41:35 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Brent Johnson
brent.johnson@nv5.com
Vice President, Clean Transportation
Brent Johnson
Security Level: Email, Account Authentication
(None)
Signature Adoption: Uploaded Signature Image
Using IP Address: 104.229.69.179
Signed using mobile
Sent: 5/16/2025 6:16:40 AM
Viewed: 5/16/2025 9:18:56 AM
Signed: 5/16/2025 9:20:32 AM
Electronic Record and Signature Disclosure:
Accepted: 5/16/2025 9:18:56 AM
ID: e6083c1c-e938-4ab4-8fb8-1a45ecf32f2a
Signer Events Signature Timestamp
Tom Williard
tom.williard@nv5.com
Vice President
Tom Williard
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 99.106.168.163
Sent: 5/16/2025 9:20:34 AM
Viewed: 5/16/2025 9:23:11 AM
Signed: 5/16/2025 9:25:22 AM
Electronic Record and Signature Disclosure:
Accepted: 5/16/2025 9:23:11 AM
ID: 0d78500c-f708-4474-899b-9ac69758fd26
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:
2600:1702:1c20:f230:e577:1c20:13e7:80fc
Sent: 5/16/2025 9:25:24 AM
Viewed: 5/16/2025 11:00:47 AM
Signed: 5/16/2025 11:02:03 AM
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:
2600:1700:9750:3df0:c5a1:a114:b70a:91ea
Sent: 5/16/2025 9:25:24 AM
Viewed: 5/16/2025 11:39:19 AM
Signed: 5/16/2025 11:40:09 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:
2600:1010:b07a:fc44:7988:c0c2:2731:ae0e
Signed using mobile
Sent: 5/16/2025 11:40:12 AM
Viewed: 5/19/2025 2:26:08 PM
Signed: 5/19/2025 2:26:36 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: 5/19/2025 2:26:39 PM
Viewed: 5/20/2025 11:26:13 AM
Signed: 5/20/2025 11:27:42 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status 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: 5/12/2025 11:19:16 AM
Viewed: 5/13/2025 4:04:50 PM
Completed: 5/14/2025 12:15:10 PM
Electronic Record and Signature Disclosure:
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: 5/14/2025 12:15:47 PM
Viewed: 5/14/2025 12:16:11 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 5/12/2025 11:19:16 AM
Envelope Updated Security Checked 5/12/2025 1:30:44 PM
Envelope Updated Security Checked 5/13/2025 9:05:43 AM
Envelope Updated Security Checked 5/14/2025 9:52:04 AM
Envelope Updated Security Checked 5/14/2025 12:15:11 PM
Envelope Updated Security Checked 5/14/2025 12:15:11 PM
Envelope Updated Security Checked 5/14/2025 12:15:11 PM
Certified Delivered Security Checked 5/20/2025 11:26:13 AM
Signing Complete Security Checked 5/20/2025 11:27:42 AM
Completed Security Checked 5/20/2025 11:27:42 AM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, JONATHAN SCHELLIN (we, us or Company) may be required by law to provide to you certain
written notices or disclosures. Described below are the terms and conditions for providing to you such notices and
disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and
if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature
Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records
and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.
Getting paper copies
At any time, you may request from us a paper copy of any record provided or made available electronically to you by us.
You will have the ability to download and print documents we send to you through the DocuSign system during and
immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a
limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to
send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may
request delivery of such paper copies from us by following the procedure described below.
Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us
that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your
decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and
disclosures electronically is described below.
Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can
complete certain steps in transactions with you and delivering services to you because we will need first to send the
required notices or disclosures to you in paper format, and then wait until we receive back from you your
acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the
DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from
us.
All notices and disclosures will be sent to you electronically
Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you
through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents
that are required to be provided or made available to you during the course of our relationship with you. To reduce the
chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and
disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the
disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with
this process, please let us know as described below. Please also see the paragraph immediately above that describes the
consequences of your electing not to receive delivery of the notices and disclosures electronically from us.
How to contact JONATHAN SCHELLIN:
You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies
of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as
follows: To contact us by email send messages to: pwadmin@cityofsanrafael.org
To advise JONATHAN SCHELLIN of your new email address
To let us know of a change in your email address where we should send notices and disclosures electronically to you, you
must send an email message to us at pwadmin@cityofsanrafael.org and in the body of such request you must state: your
Electronic Record and Signature Disclosure created on: 12/6/2024 9:45:43 AM
Parties agreed to: Brent Johnson, Tom Williard
previous email address, your new email address. We do not require any other information from you to change your email
address.
If you created a DocuSign account, you may update it with your new email address through your account preferences.
To request paper copies from JONATHAN SCHELLIN
To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically,
you must send us an email to pwadmin@cityofsanrafael.org and in the body of such request you must state your email
address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any.
To withdraw your consent with JONATHAN SCHELLIN
To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:
i. decline to sign a document from within your signing session, and on the subsequent page, select the check-box
indicating you wish to withdraw your consent, or you may;
ii. send us an email to pwadmin@cityofsanrafael.org and in the body of such request you must state your email, full
name, mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The
consequences of your withdrawing consent for online documents will be that transactions may take a longer time to
process..
Required hardware and software
The minimum system requirements for using the DocuSign system may change over time. The current system
requirements are found here: https://support.docusign.com/guides/signer-guide-signing-system-requirements.
Acknowledging your access and consent to receive and sign documents electronically
To confirm to us that you can access this information electronically, which will be similar to other electronic notices and
disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on
paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to
an email address where you will be able to print on paper or save it for your future reference and access. Further, if you
consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-
box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.
By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that:
You can access and read this Electronic Record and Signature Disclosure; and
You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and
Disclosure to a location where you can print it, for future reference and access; and
Until or unless you notify JONATHAN SCHELLIN as described above, you consent to receive exclusively through
electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required
to be provided or made available to you by JONATHAN SCHELLIN during the course of your relationship with
JONATHAN SCHELLIN.