HomeMy WebLinkAboutLR City's Smart Locker System
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CITY OF SAN RAFAEL
GENERAL SERVICES CONTRACT
This General Services contract (“Contract”) is entered into by and between the
City of San Rafael (“City”) and Lyngsoe Systems, Inc. (“Contractor”), a Maryland
Corporation, for work on the City’s Smart Locker System (“Project”), and is effective on
____________________ (“Effective Date”).
The parties agree as follows:
1. Scope of Work. Contractor will perform and provide all labor, materials,
equipment, supplies, transportation, and any and all other items or services necessary
to perform and complete the work required for the Project (“Work”), as specified in
Exhibit A, Scope of Work, and according to the terms and conditions of this Contract,
including all attachments to the Contract and any other documents and statutes
incorporated by reference. To the extent that any attachment contains provisions that
conflict or are inconsistent with the terms set forth in the body of this Contract, the
Contract terms will control.
1.1 Subcontractors. Contractor acknowledges that it has listed all
subcontractors it will subcontract with to complete the Work in Exhibit D,
Subcontractor List.
1.2 Contractor’s License. The Work requires a valid California contractor’s
license for the following classification(s): N/A.
2. Contract Documents. The Contract Documents incorporated into this Contract
include and are comprised of all of the documents listed below:
2.1 Contract;
2.2 Addenda, if any;
2.3 Exhibit A – Scope of Work;
2.4 Exhibit B – Insurance Requirements;
2.5 Exhibit C – General Terms and Conditions;
2.6 Exhibit D – Subcontractor List.
3. Contract Price. As full and complete compensation for Contractor’s timely
performance and completion of the Work in strict accordance with the terms and
conditions of the Contract Documents, City will pay Contractor in accordance with the
rates and or prices set forth in Exhibit A up to the not to exceed amount of $52,078.89
(the “Contract Price”), for all of Contractor’s direct and indirect costs to perform the
Work, including all labor, materials, supplies, equipment, taxes, insurance, bonds and
all overhead costs, in accordance with the payment provisions contained herein.
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3.1 Annual Rate Increases. Contractor shall not increase its rates throughout
the Term of this Contract, except that upon 60 day written notice, Contractor may adjust
its rates no more than once annually at a maximum amount equal to the percentage
change through December in the prior calendar year to the consumer price index
(“CPI”) for California, All Urban Consumers, San Francisco-Oakland-San Jose areas,
not to exceed five percent (5%).
3.2 Payment. Contractor must submit an invoice on the first day of each month
during the Performance Time, defined in Section 4 below, and/or upon completion, for
the Work performed during the preceding month, itemizing labor, materials, equipment
and any incidental costs incurred. Contractor warrants that title to all work, materials
and equipment incorporated into the Work will pass to City free of any claims, liens, or
encumbrances upon payment to Contractor.
4. Term of Contract. This Contract becomes effective upon the date listed as
"Effective Date" and shall remain in effect until the completion of all obligations of both
Parties hereto, or five (5) years from the Effective Date, whichever comes first, unless
terminated or amended as provided herein.
4.1 Performance Time. Contractor will fully complete the Work within 90 days for
installation and within five (5) years for support services, as further defined in Exhibit A
Scope of Work, from the date the City authorizes Contractor to proceed with the Work
(“Performance Time”).
5. Liquidated Damages. If Contractor fails to complete the Work within the
Performance Time, Contractor must pay liquidated damages in the amount of $0 per
day for each day of unexcused delay in completion.
6. Standard of Care. All Work must be provided in a manner that meets or exceeds
the standard of care applicable to the same type of work in the City of San Rafael.
Contractor must promptly correct, at Contractor’s sole expense, any Work that the City
determines is deficient or defective.
7. Permits and Licenses. Contractor, at its sole expense, must obtain and
maintain during the term of this Contract, all appropriate permits, certificates and
licenses including, but not limited to, the required California contractor’s license
provided in Section 1.
8. Indemnification. Contractor will indemnify, defend with counsel acceptable to
City, and hold harmless to the full extent permitted by law, City, its governing body,
officers, agents, employees, and volunteers (the “Indemnitees”) from and against any
and all liability, demands, loss, damage, claims, settlements, expenses, and costs
(including, without limitation, attorneys’ fees, expert witness fees, and costs and fees of
litigation) (collectively, “Liability”) of every nature arising out of or in connection with the
acts or omissions of Contractor, its employees, subcontractors, representatives, or
agents in performing the Work or failing to comply with any obligation of Contractor
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under this Contract, except such Liability caused by the active negligence, sole
negligence, or willful misconduct of an Indemnitee. This indemnification obligation is not
limited by any limitation on the amount or type of damages or compensation payable
under Workers’ Compensation or other employee benefit acts, or by insurance
coverage limits, and will survive the expiration or early termination of this Contract.
9. Insurance. Contractor will, at all times under this Contract, procure and maintain
in full force and effect the insurance coverage provided in Exhibit B, Insurance
Requirements, at no cost to City.
10. Labor Code Compliance. Unless the Contract Price is $1,000 or less, the
Contract is subject to all applicable requirements of Chapter 1 of Part 7 of Division 2 of
the Labor Code, beginning at section 1720, and the related regulations, including but
not limited to requirements pertaining to wages, working hours and workers’
compensation insurance. Contractor must also post all job site notices required by laws
or regulations pursuant to Labor Code section 1771.4.
10.1 Prevailing Wages. Each worker performing Work under this Contract that
is covered under Labor Code section 1720 or 1720.9, must be paid at a rate not less
than the prevailing wage as defined in sections 1771 and 1774 of the Labor Code. The
prevailing wage rates are on file with the City Engineer’s office and are available online
at http://www.dir.ca.gov/DLSR. Pursuant to Labor Code section 1775, Contractor and
any subcontractor will forfeit to City as a penalty up to $200 for each calendar day, or
portion of a day, for each worker paid less than the applicable prevailing wage rate, in
addition to paying each worker the difference between the applicable wage rate and the
amount actually paid.
10.2 Working Day. Pursuant to Labor Code section 1810, eight hours of labor
consists of a legal day’s work. Pursuant to Labor Code section 1813, Contractor will
forfeit to City as a penalty the sum of $25 for each day during which a worker employed
by Contractor or any subcontractor is required or permitted to work more than eight
hours during any one calendar day, or more than 40 hours per calendar week, unless
such workers are paid overtime wages under Labor Code section 1815. All Work must
be carried out during regular City working days and hours unless otherwise specified in
Exhibit A or authorized in writing by City.
10.3 Payroll Records. Contractor and its subcontractors must maintain certified
payroll records in compliance with Labor Code sections 1776 and 1812, and all
implementing regulations promulgated by the Department of Industrial Relations (“DIR”).
For each payroll record, Contractor and its subcontractors must certify under penalty of
perjury that the information in the record is true and correct, and that it has complied
with the requirements of Labor Code sections 1771, 1811, and 1815. Unless the
Contract Price is under $25,000, Contractor must electronically submit certified payroll
records to the Labor Commissioner as required under California law and regulations.
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10.4 Apprentices. If the Contract Price is $30,000 or more, Contractor must
comply with the apprenticeship requirements in Labor Code section 1777.5.
10.5 DIR Monitoring, Enforcement, and Registration. This Project is subject
to compliance monitoring and enforcement by the DIR pursuant to Labor Code section
1725.5, and, subject to the exception set forth below, Contractor and any
subcontractors must be registered with the DIR to perform public works projects. The
registration requirements of Labor Code section 1725.5 do not apply if the Contract
Price is for under $25,000.
11. Workers’ Compensation Certification. Under Labor Code section 1861, by
signing this Contract, Contractor certifies as follows: “I am aware of the provisions of
Labor Code section 3700 which require every employer to be insured against liability for
workers’ compensation or to undertake self-insurance in accordance with the provisions
of that code, and I will comply with such provisions before commencing the performance
of the Work on this Contract.”
12. Termination.
12.1 Termination for Convenience. City reserves the right to terminate all or
part of the Contract for convenience upon written notice to Contractor. Upon receipt of
such notice, Contractor must: immediately stop the Work, including under any terms or
conditions that may be specified in the notice; comply with City’s instructions to protect
the completed Work and materials; and use its best efforts to minimize further costs. In
the event of City’s termination for convenience, Contractor waives any claim for
damages, including for loss of anticipated profits from the Project. If City terminates the
Contract for convenience, City will only owe Contractor payment for the Work
satisfactorily performed before Contract termination, as well as five percent of the total
value of the Work performed as of the date of notice of termination or five percent of the
value of the Work yet to be completed, whichever is less, which is deemed to cover all
overhead and profit to date.
12.2 Termination for Default. The City may terminate this Contract for cause
for any material default. Contractor may be deemed in default for a material breach of or
inability to perform the Contract, including Contractor’s refusal or failure to supply
sufficient skilled workers, proper materials, or equipment to perform the Work within the
Performance Time; refusal or failure to make prompt payment to its employees,
subcontractors, or suppliers or to correct rejected work; disregard of laws, regulations,
ordinances, rules, or orders of any public agency with jurisdiction over the Project; lack
of financial capacity to complete the Work within the Performance Time; or responsibility
for any other material breach of the Contract requirements. If City terminates the
Contract for cause, City will only owe Contractor payment for the Work satisfactorily
performed before Contract termination.
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13. Dispute Resolution. Any dispute arising under or related to this Contract is
subject to the dispute resolution procedures of Public Contract Code sections 9204 and
20104 et. seq., which are incorporated by reference.
14. Warranty. Contractor guarantees and warrants the Work and the materials used
or provided for the Project for a period of one year, beginning upon City’s acceptance of
the Work for the Project as complete (“Warranty Period”). During the Warranty Period,
upon notice from the City of any defect in the Work or the materials, Contractor must, at
its sole expense, promptly repair or replace the defective Work or materials, including
repair or replacement of any other Work or materials that is or are displaced or
damaged during the warranty work, excepting any damage resulting from ordinary wear
and tear.
15. Worksite Conditions.
15.1 Clean and Safe. Contractor must maintain the Work site and staging and
storage areas in a clean and neat condition and must ensure it is safe and secure. On a
daily basis Contractor must remove and properly dispose of debris and waste materials
from the Work site.
15.2 Inspection. Contractor will make the Work accessible at all times for
inspection by the City.
15.3 Hazardous Materials. Unless otherwise specified in the Contract
documents, this Contract does not include the removal, handling, or disturbance of any
asbestos or other hazardous materials, as identified by any federal, state, or local law or
regulation. If Contractor encounters materials on the Project site that Contractor
reasonably believes to be asbestos or other hazardous materials, and the asbestos or
other hazardous materials have not been rendered harmless, Contractor may continue
Work in unaffected areas reasonably believed to be safe, but must immediately cease
Work on the area affected and report the condition to City. No asbestos, asbestos-
containing products or other hazardous materials may be used in performance of the
Work.
15.4 Utilities, Trenching and Excavation. As required by Government Code
section 4215, if, during the performance of the Work, Contractor discovers utility
facilities not identified by City in the Contract documents, Contractor must immediately
provide written notice to City and the utility. In performing any excavations or trenching
work, Contractor must comply with all applicable operator requirements in Government
Code sections 4216 through 4216.5. If the trenching or excavation extends deeper than
four feet below the surface, then it must also comply with Public Contract Code section
7104.
16. Assignment of Unfair Business Practice Claims. Under Public Contract Code
section 7103.5, Contractor and its subcontractors agree to assign to City all rights, title,
and interest in and to all causes of action it may have under section 4 of the Clayton Act
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(15 U.S.C. section 15) or under the Cartwright Act (Chapter 2 (commencing with section
16700) of Part 2 of Division 7 of the Business and Professions Code), arising from
purchases of goods, services, or materials pursuant to the Contract or any subcontract.
This assignment will be effective at the time City tenders final payment to Contractor,
without further acknowledgement by the parties.
17. Notice. Any notice, billing, or payment required by or pursuant to the Contract
documents must be made in writing, signed, dated and sent to the other party by
personal delivery, U.S. Mail, a reliable overnight delivery service, or by email as a PDF
(or comparable) file. Notice is deemed effective upon delivery unless otherwise
specified. Notice for each party must be given as follows:
To CITY’s Representative:
Daniel Avalos
1100 E St
San Rafael, CA 94901
To CONTRACTOR’s Representative:
Cory McCoy
1664 Bowman’s Farm Rd, Suite 109
Frederick, MD 21701
18. General Terms and Conditions. This Contract includes, and the Contractor
agrees to comply with the City’s General Terms and Conditions, which are set forth in
Exhibit C, attached hereto and incorporated by reference.
[Signatures are on the following page.]
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The parties agree to this Contract as witnessed by the signatures 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: _____________________________
Contractor’s California License Number(s)
and Expiration Date(s) (required under
Section 7 of the Contract):
___________________________________
___________________________________
Exhibit A: Scope of Work and Bid Proposal
Exhibit B: Insurance Requirements
Exhibit C: General Terms and Conditions
Exhibit D: Subcontractor List
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Cory McCoy
Lyngsoe Systems
President
Neil Gillott
Director of Engineering
Lyngsoe Systems
Chief Assistant City Attorney
Andrea Visveshwara
Cristine Alilovich
City Manager
September 13, 2025
City Clerk
Lindsay Lara
EXHIBIT A
SCOPE OF WORK
This is an Exhibit attached to and made a part of the Contract by and between
Contractor, also referred to herein as Lyngsoe Systems, and the City providing for
the referenced services. The Scope of Work includes:
1. Description of the Work:
1.1 Description:
In preparation for the temporary closure of the Pickleweed Branch of the San
Rafael Public Library for renovations in September 2025, Lyngsoe Systems will
install a locker system at the Albert J. Boro Community Center to ensure continued
community access to requested library materials. The Community Center houses
the Pickleweed Branch and will serve as the installation site for the lockers. The
system will consist of 35 individual locker units and will be installed indoors;
however, the modules have the capability to be relocated or installed outdoors if
needed. The locker units will be wrapped in a custom graphic designed by staff
from the City of San Rafael.
2. Specific Tasks:
As part of the Scope of Work, the Contractor shall perform the following tasks and
deliver the following:
Total Pricing Summary Table
Quantity Description unit price extended price
1 Outdoor Locker Control Module 11 lockers $16,513.00 $16,513.00
1 Outdoor Locker Add-On Module 24 lockers $13,114.00 $13,114.00
30 Count of single size lockers
2 Count of two tall lockers
2 Count of three tall lockers
1 Count of four tall lockers
yes Graphic Wrap $2,810.00 $2,810.00
1 Project startup existing customer $2,117.00 $2,117.00
1 Installation Services and Training $3,406.00 $3,406.00
Discount ($3,700.00)
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Quantity Description unit price extended price
1 Year 1 SAAS and support pricing included $0.00
1 Year 2 SAAS and support pricing $3,036.80 $3,036.80
1 Year 3 SAAS and support pricing $3,127.90 $3,127.90
1 Year 4 SAAS and support pricing $3,221.74 $3,221.74
1 Year 5 SAAS and support pricing $3,318.39 $3,318.39
Subtotal $12,704.84
Tax 0.00% $0.00
Total $12,704.84
1 SPECIFICATION
1.1 Capacity and dimensions
Capacity
• Control module has up to 20 compartments
• Addon module has up to 24 compartments
Standard Locker size
• depth = 22.5”
• width = 13.5”
• height = 4.8” (double, triple and quadruple heights apply this number)
Subtotal $34,260.00
shipping $1,945.00 $1,945.00
Tax (to be calculated on install
address) 9.25% $3,169.05
1 Locker System with 35 total lockers Total $39,374.05
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Each single compartment has room for approximately 8-12 standard sized books.
1.2 Dimensions of both control and addon modules
• height = 82.25” – 83.75” (88.75” is required clearance from ceiling)
• width = 39” (42” for wall clearance)
• depth = 23.875” (25.375” depth clearance from wall required)
1.3 Enclosure materials
• Powder coated sheet metal, St37.2
• The smart locker can be installed outside under the large roof which shall
efficiently protect the smart locker against inclement weather conditions such as
rain, snow etc.
• Multiple locker sizes available but will reduce the number of lockers proportionally.
1.4 Enclosure colors
Colors Available are Antique Bronze, Black, Dark Bronze, Gold Speck (pictured above),
Postal Grey, Sandstone, Silver Speck and White (pictured above).
1.5 Power supply and communication
• Power supply near location (preferably directly behind) 120V single phase.
• Ethernet via LAN RJ45 (preferably directly behind)
1.6 User interface
GUI in English, Spanish, Chinese, Japanese, Korean, Vietnamese, Russian. Additional
languages can be added through locker configuration
1.7 Patron identification
The Patron-ID is always identified using a barcode. Manually entering in barcode number
on touchscreen is also possible
1.8 Notification of operators
The Smart-Locker dashboard will show the number of occupied lockers, the number of
empty lockers, and the number of lockers with expired items.
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1.9 Humid Climate Kit
Optional kit removes humidity from locker compartments
1.10 Branding/Wrap Services
Custom wrap and branding modifications are not only available but also encouraged.
2 NOT INCLUDED IN LYNGSOE SYSTEMS SCOPE OF SOLUTION
Owner’s Responsibilities
a) Provide any necessary modifications, permits and/or licenses.
b) A site preparation document will be provided at project kickoff and site must meet
these preparation requirements
c) Provide power to a location near the lockers (per site preparation document) 120V
single phase. A dedicated circuit is recommended.
d) Provide 1 network drop to a location near the lockers (per site preparation
document) per locker for communication and support.
e) Provide necessary SIP license/connections to library host ILS
f) Allow for TeamViewer or site-to-site VPN (IPSEC) for commissioning and ongoing
hotline support. Additional details contained in LS Remote Customer Support
document
g) Design for graphical wrap if purchased.
h) Provide a clear path for access to and from the installation site for personnel and
equipment.
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i) Provide secure, dry, convenient storage for equipment, tools and materials used
on site.
j) Provide adequate working space for the installation crew.
k) Provide lighting for installation at the location where the work is to be performed.
l) Provide parking and restroom facilities.
m) If special lift equipment is required, Lyngsoe Systems must have access to a ramp
door.
n) Areas of installation to be broom swept by other contractors prior to the start of
Lyngsoe Systems installation.
o) Provide no later than the scheduled start of installation date, the installation site
free and clear and ready for Lyngsoe Systems to begin installation. Lyngsoe
Systems acknowledges that some degree of facility construction may be underway
during installation. The Purchaser acknowledges its responsibility to minimize
possible resulting disruptions to Lyngsoe Systems’ installation process.
3 LEAD TIME
Smart Locker estimated lead time: 10 weeks
4 LYNGSOE SUPPORT SERVICE”
When beneficial use of the lockers starts, a 1 -year support period commences with
access to the Lyngsoe Support Services. Free unlimited remote hotline service, in
English language, is included in the 1 -year warranty period, along with a 1-year part
warranty.
After expiration of the warranty period, the customer will be charged a fee equal to quoted
price or 8% of the total contract amount per year, invoicing will be once per year in first
time on the date the warranty expires. Lyngsoe Support Service fee inclu des Hotline
access, and software patches e.g., due to Windows updates, not change in functionality
or changes in the SIP2 interface.
Further Support and Service Agreements can be supplied and quoted upon request.
System issues deemed not mechanical, or software related (i.e.: vandalism, damage due
to neglect, or unauthorized modifications) will be subject to a service charge TBD
4.1 Hotline
• If a customer is unable to remedy a problem that renders the system not functional,
the Lyngsoe Systems Hotline can be contacted 24 hours a day.
• Within 15 minutes of receiving the call, hotline engineers will start troubleshooting
the system and supporting the Customer. This will be done by telephone and
TeamViewer or VPN connection. Establishing a support connection to the
Customer will be done prior to initial equipment delivery but according to Lyngsoe
Systems specifications outlined in the project phase.
• Hotline is not available on 24th, 25th and 31st December and 1st January unless
other arrangements are made.
4.2 Part to Site
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• In the case where a system part, is needed and the customer is covered by
Lyngsoe Systems extended parts warranty, Hotline will ship required part via next
day courier, and customer can replace with the remote assistance of Hotline.
• In the case where a part is needed, and the customer does not have part warranty
Lyngsoe Systems will need a purchase order to proceed with issuing the part.
4.3 Technician on Site
• If the Customer requests a technician to come on site, Lyngsoe Systems will send
a technician to site within the shortest possible reasonable response time, subject
to the restrictions outlined below. The Customer must supply a purchase order
when ordering Technician-On-Site and costs are invoiced according to the rates
below.
o If a Technician-On-Site is required and the decision to do this is made within
Lyngsoe Systems normal opening hours (8:00am – 4:30pm Monday
through Friday EST), the technician will commence their journey
immediately. Outside of normal opening hours a technician will commence
their journey before 12 noon the following weekday.
• For a Technician-On-Site visit the system must be made fully available for the
technician.
Valid from January 1, 2025, to December 31, 2025
Hourly Rates
(USD)
Normal Hours Overtime
Hours
Travel Hours Holiday Hours
Service Engineer 165.00 247.50 165.00 330.00
Software
Engineer
171.00 256.50 171.00 342.00
Normal hours are from 8:00am to 4:30pm local time
Travel Expenses are charged according to invoice
Hotel and Meal Allowances are charged according to current per diem rates
5 Warranty
Seller warrants that (a) the Equipment shall be free from all liens, charges or
encumbrances, except any lien of the Seller in respect of any unpaid portion of the
Purchase Price; (b) the Equipment shall be free from defects in material and
workmanship and shall conform to the provisions and specifications of the Agreement;
and (c) the Equipment shall be new and of a quality consistent with the Seller's usual and
normal production. Seller shall, at its option, repair or replace (replacement parts to be
shipped F.O.B. Seller's factory) any defective Equipment or component thereof, provided,
however, that Seller is given written notice of any defect during the warranty period.
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Unless otherwise stated in the Proposal, the warranty period shall commence on the date
on which Seller tenders the Equipment to Buyer for commercial use and shall terminate
one year thereafter. Buyer shall give Seller prompt written notice of any claim un der the
foregoing Warranty and permit Seller to inspect the Equipment to verify the defect or
nonconformity. Failure of Buyer to give Seller such notice and opportunity to inspect shall
relieve Seller of all obligations with respect to such claims. Buyer's remedies and Seller's
obligations in connection with any claim made under this warranty shall be limited to
repair or, at Seller's option, replacement of the Equipment or part thereof which is found
to be defective. Labor performed at the Worksite regarding warranty claims is not
included in this warranty. Buyer shall be responsible for the normal maintenance and
repair of the Equipment and shall perform the same in accordance with generally
accepted maintenance procedures or such other procedures as are s et forth in
maintenance and repair manuals provided by Seller to Buyer. Seller shall not be
responsible for and shall not be obligated to pay or to reimburse Buyer for (a) any
Equipment or repairs performed on the Equipment by third parties except for mutu ally
agreed subcontractors; (b) any materials furnished by third parties for use in connection
with the Equipment if the same was undertaken or furnished without mutual prior written
consent; or (c) any loss or damage arising from improper operation, maint enance of the
Equipment or ordinary wear and tear. This warranty does not apply to any Equipment
components or software not manufactured by Seller, and Buyer's sole warranty with
respect to such items shall be that of the manufacturer. The foregoing warran ties shall
be Buyer’s sole and exclusive remedy.
THIS WARRANTY COMPRISES THE SOLE AND ENTIRE WARRANTY PERTAINING
TO THE WORK SOLD BY SELLER, AND
SELLER MAKES NO OTHER WARRANTY, GUARANTEE, OR REPRESENTATION OF
ANY KIND WHATSOEVER PERTAINING
TO THE SYSTEM. ALL OTHER WARRANTIES, INCLUDING BUT NOT LIMITED TO
MERCHANTABILITY AND FITNESS FOR PARTICULAR PURPOSE, WHETHER
EXPRESS, IMPLIED, OR ARISING BY OPERATION OF LAW, TRADE USAGE OR
COURSE OF DEALING, ARE HEREBY EXPRESSLY DISCLAIMED BY SELLER.
– END OF EXHIBIT A –
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EXHIBIT B
INSURANCE REQUIREMENTS
Contractor will, at all times under this Contract, procure and maintain in full force and
effect the insurance coverage required in this Exhibit B to cover the activities of
Contractor and any subcontractors relating to or arising from performance of the Work.
Each policy must be issued by a company licensed to do business in California, and
with a strength and size rating from A.M. Best Company of A-VIII or better. Contractor
must provide City with certificates of insurance and required endorsements as evidence
of coverage with the executed Contract, or through the PINSAdvantage website
https://www.pinsadvantage.com/ upon request by the City, and before the City
authorizes Contractor to proceed with the Work.
1. Workers’ Compensation. Statutory coverage is required by the California
Workers’ Compensation Insurance and Safety Act. If Contractor is self-insured, it must
provide its duly authorized Certificate of Permission to Self-Insure. In addition,
Contractor must provide employer’s liability insurance with limits of no less than one
million dollars ($1,000,000) per accident for bodily injury or disease.
2. Liability. Commercial General Liability (“CGL”) insurance issued on an
occurrence basis, including coverage for liability arising from Contractor’s or its
subcontractor’s acts or omissions in performing the Work, including Contractor’s
protected coverage, blanket contractual, products and completed operations, broad
form property damage, vehicular coverage, and employer’s non-ownership liability
coverage, with limits of at least $1,000,000 per occurrence and $2,000,000 general
aggregate.
3. Automotive. Commercial automotive liability coverage for owned, non-owned
and hired vehicles must provide coverage of at least $1,000,000 combined single limit
per accident for bodily injury, death, or property damage.
4. Subrogation Waiver. Each required policy must include an endorsement that
the insurer waives any right of subrogation it may have against the City or the City’s
insurers.
5. Required Endorsements. The CGL policy and the automotive liability policy
must include the following specific endorsements:
(a) The City, including its Council, officials, officers, employees, agents,
volunteers and consultants (collectively, “Additional Insured”) must be named
as an additional insured for all liability arising out of the operations by or on
behalf of the named insured, and the policy must protect the Additional
Insured against any and all liability for personal injury, death or property
damage or destruction arising directly or indirectly in the performance of the
Contract.
Docusign Envelope ID: 3B636957-9B8C-4E33-BBEB-145E2981A08E
v. Feb 2025 Exhibit B-2
(b) The inclusion of more than one insured will not operate to impair the
rights of one insured against another, and the coverages afforded will apply
as though separate policies have been issued to each insured.
(c) The insurance provided is primary and no insurance held or owned by
City may be called upon to contribute to a loss (“primary and non-
contributory”).
(d) Any umbrella or excess insurance must contain or be endorsed to
contain a provision that such coverage will also apply on a primary or non-
contributory basis for the benefit of City before the City’s own insurance or
self-insurance will be called upon to protect it as a named insured.
(e) This policy does not exclude explosion, collapse, underground
excavation hazard, or removal of lateral support.
Failure to comply with these requirements shall be considered a material breach of
contract.
Docusign Envelope ID: 3B636957-9B8C-4E33-BBEB-145E2981A08E
v. Feb 2025 Exhibit C-1
EXHIBIT C
GENERAL TERMS AND CONDITIONS
1. COMPLIANCE WITH ALL LAWS.
Contractor 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 Contract. Contractor shall perform all work under this Contract in accordance with
these laws, ordinances, codes and regulations. Contractor 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.
2. PROVISIONS DEEMED INSERTED.
Every provision of law required to be inserted in the Contract is deemed to be
inserted, and the Contract will be construed and enforced as though such provision has
been included. If it is discovered that through mistake or otherwise that any required
provision was not inserted, or not correctly inserted, the Contract will be deemed amended
accordingly.
3. SEVERABILITY.
If any provision of the Contract documents, or portion of a provision, is determined
to be illegal, invalid, or unenforceable, the remaining provisions of the Contract documents
will remain in full force and effect.
4. OWNERSHIP OF DOCUMENTS.
The written documents and materials prepared by the Contractor in connection with
the performance of its duties under this Contract, shall be the sole property of City. City
may use said property for any purpose, including projects not contemplated by this Contract.
5. INSPECTION AND AUDIT.
Upon reasonable notice, Contractor shall make available to City, or its agent, for
inspection and audit, all documents and materials maintained by Contractor in connection
with its performance of its duties under this Contract. Contractor shall fully cooperate with
City or its agent in any such audit or inspection. Contractor shall maintain all Project-
related records for a period of three (3) years from completion of the work.
6. ASSIGNABILITY.
The parties agree that they shall not assign or transfer any interest in this Contract
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 Contract or any rights, duties
Docusign Envelope ID: 3B636957-9B8C-4E33-BBEB-145E2981A08E
v. Feb 2025 Exhibit C-2
or obligations arising hereunder shall be void and of no effect.
7. WORKERS' COMPENSATION.
Contractor certifies that it is aware of the provisions of the Labor Code of the State
of California which require every employer to be insured against liability for workers'
compensation or to undertake self-insurance in accordance with the provisions of that Code,
and Contractor certifies that it will comply with such provisions before commencing the
performance of the work of this contract.
8. NONDISCRIMINATION.
Contractor shall not discriminate, in any way, against any person on the basis of
sex, race, color, religion, ancestry, national origin, ethnic group identification, age, mental
disability, physical disability, medical condition, genetic information, marital status, or
sexual orientation in connection with or related to the performance of its duties and
obligations under this Contract.
9. NO THIRD PARTY BENEFICIARIES.
City and Contractor do not intend, by any provision of this Contract, to create in any
third party, any benefit or right owed by one party, under the terms and conditions of this
Contract, to the other party.
10. INDEPENDENT CONTRACTOR.
For the purposes, and for the duration, of this Contract, Contractor, its officers,
agents and employees shall act in the capacity of an Independent Contractor, and not as
employees of the City. Contractor and City expressly intend and agree that the status of
Contractor, its officers, agents and employees be that of an Independent Contractor and
not that of an employee of City.
11. ENTIRE CONTRACT -- AMENDMENTS.
A. The terms and conditions of this Contract, all exhibits attached, and all
documents expressly incorporated by reference, represent the entire Contract of the parties
with respect to the subject matter of this Contract.
B. This written Contract shall supersede any and all prior contracts, oral or
written, regarding the subject matter between the Contractor and the City.
C. No other agreement, promise or statement, written or oral, relating to the
subject matter of this Contract, shall be valid or binding, except by way of a written
amendment to this Contract.
D. The terms and conditions of this Contract shall not be altered or modified
Docusign Envelope ID: 3B636957-9B8C-4E33-BBEB-145E2981A08E
v. Feb 2025 Exhibit C-3
except by a written amendment to this Contract signed by the Contractor and the City.
E. If any conflicts arise between the terms and conditions of this Contract, and
the terms and conditions of the attached exhibits or the documents expressly incorporated
by reference, the terms and conditions of this Contract shall control.
12. SET-OFF AGAINST DEBTS.
Contractor agrees that City may deduct from any payment due to Contractor under
this Contract, any monies which Contractor owes City under any ordinance, agreement,
contract or resolution for any unpaid taxes, fees, licenses, assessments, unpaid checks or
other amounts.
13. WAIVERS.
The waiver by either party of any breach or violation of any term, covenant or
condition of this Contract, 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 Contract, 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 Contract or any applicable law, ordinance or regulation.
14. CITY BUSINESS LICENSE / OTHER TAXES.
Contractor shall obtain and maintain during the duration of this Contract, a City
business license as required by the San Rafael Municipal Code, and Contractor 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 Contract, until Contractor has provided City with
a completed Internal Revenue Service Form W-9 (Request for Taxpayer Identification
Number and Certification).
15. SURVIVAL OF TERMS.
Any terms of this Contract that by their nature extend beyond the term (or termination)
of this Contract shall remain in effect until fulfilled and shall apply to both Parties’ respective
successors and assigns.
16. GOVERNING LAW.
This Contract shall be deemed to have been executed in the County of Marin,
California. The formation, interpretation and performance of this Contract shall be
governed by the laws of the State of California, excluding its conflict of laws rules. Any
suit or action initiated by either party shall be brought in the County of Marin, California
unless the parties agree otherwise in a written amendment to this Contract.
Docusign Envelope ID: 3B636957-9B8C-4E33-BBEB-145E2981A08E
v. Feb 2025 Exhibit C-4
17. CONFLICT OF INTEREST.
Contractor, its employees, subcontractors and agents, may not have, maintain or
acquire a conflict of interest in relation to this Contract in violation of any City ordinance or
policy or in violation of any California law, including under Government Code section 1090
et seq. and under the Political Reform Act as set forth in Government Code section 81000
et seq. and its accompanying regulations. Any violation of this Section constitutes a material
breach of the Contract.
18. AUTHORIZATION.
Each individual signing above warrants that they are authorized to do so by the party
that they represent, and that this Contract is legally binding on that party. If Contractor is a
corporation, signatures from two officers of the corporation are required pursuant to
California Corporation Code section 313.
19. COUNTERPARTS AND ELECTRONIC SIGNATURE.
This Contract 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: 3B636957-9B8C-4E33-BBEB-145E2981A08E
v. Feb 2025 Exhibit D
EXHIBIT D
SUBCONTRACTOR LIST
Contractor hereby certifies that each and every Subcontractor that will perform a portion
of the Work in an amount in excess of one-half of 1% of the total Contract Price, is
provided below along with a description of the Work, the name of the Subcontractor, its
California contractor license number, the location of its place of business, its DIR
registration number, and the portion of the Work that the Subcontractor is performing
based on a percentage of the total Contract Price.
DESCRIPTION
OF WORK
SUBCONTR
ACTOR
NAME
CALIFORNIA
CONTRACT
OR LICENSE
NO.
LOCATION
OF
BUSINESS
DIR
REG.
NO.
PERCENT
OF
WORK
END OF SUBCONTRACTOR LIST
Docusign Envelope ID: 3B636957-9B8C-4E33-BBEB-145E2981A08E
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
Project Manager Email PINS insurance request to Contractor ☐
City Attorney’s Office Review, revise as needed, and approve agreement as to
form
Department Director Review and approve agreement
Risk Management 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:
City Council Date: ☐ ___________________ or ☐ Not applicable
☐ FPPC: Check if Contractor must file Form 700
Library and Recreation
X
CLM@Lyngsoesystems.com
X
Lyngsoe Systems Inc.
Daniel Avalos
Cory McCoy
Docusign Envelope ID: 3B636957-9B8C-4E33-BBEB-145E2981A08E
Certificate Of Completion
Envelope Id: 3B636957-9B8C-4E33-BBEB-145E2981A08E Status: Completed
Subject: DocuSign: General Services with Lyngsoe Systems for a Smart Lockers
Source Envelope:
Document Pages: 22 Signatures: 5 Envelope Originator:
Certificate Pages: 6 Initials: 4 Daniel Avalos
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
111 Morphew St
San Rafael, CA 94901
daniela@cityofsanrafael.org
IP Address: 209.129.65.29
Record Tracking
Status: Original
7/1/2025 10:47:36 AM
Holder: Daniel Avalos
daniela@cityofsanrafael.org
Location: DocuSign
Status: Original
7/11/2025 4:28:02 PM
Holder: Nataly Torres
NatalyT@cityofsanrafael.org
Location: DocuSign
Status: Original
8/1/2025 5:13:02 PM
Holder: Daniel Avalos
Daniel.Avalos@cityofsanrafael.org
Location: DocuSign
Signer Events Signature Timestamp
Nataly Torres
nataly.torres@cityofsanrafael.org
Administrative Analyst
City of San Rafael
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 199.88.113.8
Sent: 7/18/2025 10:25:34 AM
Resent: 7/23/2025 11:24:47 AM
Viewed: 7/23/2025 11:28:15 AM
Signed: 7/23/2025 11:30:25 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Catherine Quffa
catherine.quffa@cityofsanrafael.org
Library & Recreation Director
San Rafael Public Library
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 199.88.89.34
Sent: 7/18/2025 10:25:34 AM
Viewed: 7/18/2025 11:50:12 AM
Signed: 7/18/2025 11:51:47 AM
Electronic Record and Signature Disclosure:
Accepted: 7/18/2025 11:50:12 AM
ID: 305eae4c-fd7f-4fdf-9645-05c64833f9a4
Van Bach
Van.Bach@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: 7/18/2025 10:25:35 AM
Resent: 8/4/2025 10:59:00 AM
Viewed: 8/4/2025 11:48:55 AM
Signed: 8/4/2025 11:51:18 AM
Electronic Record and Signature Disclosure:
Accepted: 8/1/2025 9:52:16 AM
ID: 99fec1c2-216b-4f34-bec8-2e7fc0a007c6
Cory McCoy
CLM@Lyngsoesystems.com
President
Lyngsoe Systems
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 107.0.28.14
Sent: 8/4/2025 11:51:21 AM
Viewed: 8/4/2025 12:21:32 PM
Signed: 8/6/2025 10:12:02 AM
Signer Events Signature Timestamp
Electronic Record and Signature Disclosure:
Accepted: 8/4/2025 12:21:32 PM
ID: 6c4d9883-4a04-4456-a049-68e86a26b327
Neil Gillott
NTG@Lyngsoesystems.com
Director of Engineering
Lyngsoe Systems
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 108.56.162.108
Sent: 8/6/2025 10:12:05 AM
Viewed: 8/8/2025 10:37:31 AM
Signed: 8/8/2025 10:38:28 AM
Electronic Record and Signature Disclosure:
Accepted: 8/8/2025 10:37:31 AM
ID: 0bb48450-ef02-4794-9b8c-30d60c3fcc88
Andrea Visveshwara
Andrea.Visveshwara@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: 8/8/2025 10:38:32 AM
Viewed: 8/11/2025 8:20:49 AM
Signed: 8/11/2025 8:21:21 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Nataly Torres
Nataly.Torres@cityofsanrafael.org
Legal Assistant
City of San Rafael
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 199.88.113.8
Sent: 8/8/2025 10:38:32 AM
Viewed: 9/12/2025 1:00:53 PM
Signed: 9/12/2025 1:00:59 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Cristine Alilovich
Cristine.Alilovich@cityofsanrafael.org
City Manager
City of San Rafael
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address:
2601:645:e82:6d80:403d:cdea:1f3e:781e
Sent: 9/12/2025 1:01:02 PM
Viewed: 9/13/2025 11:06:45 AM
Signed: 9/13/2025 11:07:40 AM
Electronic Record and Signature Disclosure:
Accepted: 8/8/2025 5:50:59 PM
ID: 92734b64-c5dc-4308-af7f-b0f4b9ffd306
Lindsay Lara
Lindsay.Lara@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: 9/13/2025 11:07:44 AM
Viewed: 9/15/2025 1:41:23 PM
Signed: 9/15/2025 1:41:31 PM
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: 7/1/2025 2:25:24 PM
Viewed: 7/7/2025 3:24:52 PM
Completed: 7/7/2025 4:33:56 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Andrea Visveshwara
andreav@cityofsanrafael.org
Chief Assistant City Attorney
City of San Rafael
Security Level: Email, Account Authentication
(None)
Using IP Address: 199.88.113.8
Sent: 7/7/2025 4:33:57 PM
Viewed: 7/9/2025 9:20:05 AM
Completed: 7/18/2025 10:25:33 AM
Freeform Signing
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Daniel Avalos
daniela@cityofsanrafael.org
City of San Rafael
Security Level: Email, Account Authentication
(None)
Sent: 7/11/2025 4:28:02 PM
Resent: 9/15/2025 1:41:34 PM
Viewed: 7/11/2025 4:28:02 PM
Signed: 7/11/2025 4:28:02 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 7/1/2025 2:25:24 PM
Envelope Updated Security Checked 7/7/2025 4:33:56 PM
Envelope Updated Security Checked 7/7/2025 4:33:56 PM
Envelope Updated Security Checked 7/7/2025 4:33:56 PM
Envelope Updated Security Checked 7/7/2025 4:33:56 PM
Envelope Updated Security Checked 7/7/2025 4:33:56 PM
Envelope Updated Security Checked 7/16/2025 11:11:00 AM
Envelope Updated Security Checked 7/16/2025 11:11:00 AM
Envelope Updated Security Checked 7/16/2025 11:11:00 AM
Envelope Updated Security Checked 7/16/2025 11:11:01 AM
Envelope Updated Security Checked 7/16/2025 11:11:01 AM
Envelope Updated Security Checked 7/16/2025 11:11:01 AM
Envelope Updated Security Checked 7/16/2025 11:11:01 AM
Envelope Updated Security Checked 7/23/2025 11:24:46 AM
Envelope Updated Security Checked 8/1/2025 5:12:05 PM
Envelope Updated Security Checked 8/1/2025 5:12:05 PM
Envelope Updated Security Checked 8/1/2025 5:12:05 PM
Envelope Updated Security Checked 8/4/2025 10:59:00 AM
Certified Delivered Security Checked 9/15/2025 1:41:23 PM
Envelope Summary Events Status Timestamps
Signing Complete Security Checked 9/15/2025 1:41:31 PM
Completed Security Checked 9/15/2025 1:41:31 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, City of San Rafael (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 City of San Rafael:
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: city.clerk@cityofsanrafael.org
To advise City of San Rafael 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 city.clerk@cityofsanrafael.org and in the body of such request you must state: your
Electronic Record and Signature Disclosure created on: 5/22/2025 12:46:43 PM
Parties agreed to: Catherine Quffa, Van Bach, Cory McCoy, Neil Gillott, Cristine Alilovich
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 City of San Rafael
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 city.clerk@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 City of San Rafael
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 city.clerk@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 City of San Rafael 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 City of San Rafael during the course of your relationship with City of
San Rafael.