HomeMy WebLinkAboutPW Service Level Agreement; Task Order No. 154; 2nd & Irwin St Surveying Services
v. Feb 2025 Page 1
City of San Rafael
SERVICE LEVEL AGREEMENT
DATED _______________________
WITH ______________________________________
TASK ORDER NO. ____
Subject title: __________________________________________________
Task Order Amount: $_____________
THIS TASK ORDER is entered into by and between the City of San Rafael, a
municipal corporation ("City"), and ______________________________ ("Contractor"),
and is effective on ____________________.
RECITALS
A. The City and Contractor have entered into a Service Level Agreement
("Contract") under which Contractor has agreed to perform certain contract services for
the City; and
B. Pursuant to the terms of the Contract, the City wishes Contractor to
perform certain tasks as set forth in this Task Order, which constitute the Work;
NOW, THEREFORE, City and Contractor agree as follows:
CONTRACT
1. Scope of Work. Contractor shall provide any and all of the work set forth in
Exhibit A of this Task Order, as directed by the City.
_______________________ shall be the Project Manager for Contractor for this Task
Order. Additional contract services may be performed by other Contractor staff with
prior notice and approval by City.
a. City's duties. The City will:
(1) Determine the scope of work, as set forth in Exhibit A.
(2) Make available work plans and specifications and other City data related
to the Work, including full information as to the City's requirements.
(3) Designate _____________________________ as the person at the City
responsible for monitoring performance under this Task Order.
2nd & Irwin Right of Way Mapping
CSWST2
18,010
July 22, 2025
December 10, 2024
Josh Woelbing
CSWST2
154
Margaret Kavanaugh-Lynch
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L8.0044.T154
City of San Rafael Service Level Agreement
Task Order
v. Feb 2025 Page 2
b. Contractor duties. The Contractor will:
(1) Provide and perform tasks identified in Exhibit A, Scope of Work.
(2) Provide miscellaneous services related to the Work and not stipulated
elsewhere in this Task Order, when requested by the City in writing. A
Task Order Amendment is required if these additional services cannot be
performed within the Task Order budget.
2. Date of completion; Work hours estimate; Cost estimate and budget; Fee
schedule:
Costs are not-to-exceed $_________ for this Task Order. See Exhibit A, Scope of Work.
3. Authorization to proceed.
The City will give Contractor authorization to proceed with the Work specified in this Task
Order only after Contractor submits updated insurance certificates and endorsements, in
accordance with the Contract.
4. Service Level Agreement terms; Conflicts.
Except as expressly otherwise provided herein, all terms of the Contract shall apply to
Contractor in the performance of work pursuant to this Task Order. If there is a conflict
between this Task Order and the Contract, this Task Order shall control.
4. Amendment of Task Order; Conflicts.
Except as provided in Section 1(b)(2) above, this Task Order may not be modified
except by an Amended Task Order executed and approved in the same manner as the
Task Order.
5. Signatures.
The parties have executed this Task Order, as of the date first written above.
18,010
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City of San Rafael Service Level Agreement
Task Order
v. Feb 2025 Page 3
CITY OF SAN RAFAEL:
_________________________________
________________________________,
_________________________________
Executed on:_______________________
APPROVED AS TO FORM:
Office of the City Attorney
_________________________________
________________________________,
_________________________________
ATTEST:
City Clerk
_________________________________
________________________________,
_________________________________
CONTRACTOR:
__________________________________
By: ____________________________
Name: ____________________________
Title: ____________________________
[If Contractor is a corporation, second
corporate officer signature required]
__________________________________
By: ____________________________
Name: ____________________________
Title: _____________________________
Exhibits:
A Scope of work, time of completion, work hours estimate, cost estimate and
budget, and fee schedule (Contractor's current hourly rate) as approved in
Service Level Agreement and subsequent yearly updates.
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CSW Stuber Stroeh Engineering Group, Inc.
President/CEO
Robert Stevens
CFO
Linda Schmid
Linda Schmid
Chief Assistant City Attorney
Andrea Visveshwara
April Miller
Public Works Director
September 8, 2025
Lindsay Lara
City Clerk
EXHIBIT A
SCOPE OF WORK
This is an Exhibit attached to, and made a part of the Contract by and between
Contractor and the City providing for the referenced services. The Scope of Work
includes:
1. Description of the Work:
1.1 Description: CSWST2 will provide surveying services for 2nd Street &
Irwin Street, including a boundary survey, right of way mapping, and filing a Record
of Survey.
2. Specific Tasks:
As part of the Scope of Work, the Contractor shall perform the following tasks:
2.1 Task 1 – TITLE RESEARCH FOR SECOND AND IRWIN STREET IN
VICINITY: CSWST2 will engage a title company to research right of way at Second
Street and Irwin street in this area. CSWST2 requested a cost for this service and
they provided a quote of $3,000 for an accurate report with hyperlinks. CSWST2
have currently requested the title company if they can prepare a title report of just
the 700 Irwin property at a reduced cost. Typically, a title report of a single lot
would be in the $800 range. CSWST2 have not heard back as of yet, but if this can
be achieved then the cost for this item could go down significantly and the City
would only be invoiced for the sub-consultant cost with no mark up by CSWST2.
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2.2 Task 2 – BOUNDARY SURVEY: CSW|ST2 will conduct a boundary
survey of a portion of Second Street and Irwin Street at the frontage of 700 Irwin.
CSWST2 will search the public record and unrecorded documents as necessary
for proper due diligence. Once research is complete CSWST2 will prepare
boundary calculations based on record information and calculate monument
positions to aid our field crew. These search calculations will aid our field crew in
locating monuments as quickly and efficiently as possible. CSWST2 have also
engaged a title company to locate right of way takes and other property
modifications over the years. See scope of work item 1 above.
Once all calculations are completed and our field crew is setup CSWST2 will
mobilize on site to begin the reconnaissance phase. In this phase CSWST2 will
search the perimeter of the property and adjoining properties if necessary to locate
monuments and boundary evidence that control the locations of the property lines
in question. CSWST2 typically require two days in the field for this phase.
After the recon phase is complete CSWST2 then export all collected field data and
analyze the evidence. During this phase CSWST2 are looking at evidence
hierarchy, orders of importance and boundary principals to resolve any errors.
Once boundary resolution is complete CSWST2 will then begin preparing a Record
of Survey that depicts found evidence, their location in reference to one another,
and how any ambiguities were resolved.
2.3 Task 3 – RECORD OF SURVEY PER STATE LAW: CSW|ST2 will
prepare a Record of Survey per state law, specifically, 8762 of the Professional
Land Surveyors’ Act. This Record of Survey will be prepared on an 18”x26” sheet
and show all necessary information to retrace the survey CSWST2 performed and
describe the process, what CSWST2 did, and contains bearings, distances and
ties for future retracement. The Record of Survey will be marked preliminary and
submitted to Marin County Public Works for review. CSWST2 anticipate needing 1
to 2 rounds of review comments on technical review prior to recording.
2.4 Task 4 – GOVERNMENT FEES: Marin County Public Works charges
$664 to review a Record of Survey, but since this is being done for the
City the review fee is waived entirely. The Recorder does not waive the recording
fee however, and it is $86 for a single page, and an additional $2 per page.
CSWST2 are predicting a two page Record of Survey map that will be a recording
cost of $88.
DELIVERABLES
Contractor’s deliverables under the Contract are enunciated throughout the Contract and
include but are not limited to the following:
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1. Project Deliverables:
1. Title report of 700 Irwin
2. Boundary Survey in PDF format
3. Record of Survey on 18” x 26” sheet
METHOD OF PAYMENT
Subject to the terms and conditions of this Contract, Contractor shall be paid on a basis
set forth herein by the checked boxes below:
☐ A fixed fee for the work performed
☒ An hourly rate for the work performed based on the following hourly rate s:
SCHEDULE
CSWST2 will conduct the work in approximately 3-4 weeks.
– END OF EXHIBIT A –
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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
joshw@cswst2.com
X
Community and Economic Development
Josh Woelbing
CSWST2
Shannon Mackle (for Margaret Kavanaugh-Lynch)
X
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Adaptive Solutions for Resilient Designs
504 Redwood Boulevard, Suite 310
Novato, CA 94947
415.883.9850
www.cswst2.com
Berkeley | Novato | Petaluma | Pleasanton | Redwood City | Richmond
Date: July 21, 2025
File: 2500145.50
Christina Ratcliffe, AICP sent via email: Christina.Ratcliffe@cityofsanrafael.org
Planning Consultant
1400 5th Ave, Top Floor
San Rafael, CA 94901
SUBJECT: SAN RAFAEL 2ND AND IRWIN RIGHT OF WAY MAPPING
Dear Christina:
CSW/ST2 appreciates the opportunity to present our proposal for a boundary survey, right of way mapping
and filing a Record of Survey for a portion of the 2nd street and Irwin street right of way in San Rafael. The
boundary survey will focus on the right of way at the frontage of 700 Irwin property for 2nd street and Irwin
street.
We present our proposed scope of services, schedule, and compensation as follows:
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SCOPE OF SERVICES
A. TITLE RESEARCH FOR SECOND AND IRWIN STREET IN VICINITY
CSWST2 will engage a title company to research right of way at Second Street and Irwin street in this area.
We requested a cost for this service and they provided a quote of $3,000 for an accurate report with
hyperlinks. We have currently requested the title company if they can prepare a title report of just the 700
Irwin property at a reduced cost. Typically a title report of a single lot would be in the $800 range. We have
no heard back as of yet, but if this can be achieved then the cost for this item could go down significantly
and the City would only be invoiced for the sub-consultant cost with no mark up by CSWST2.
B. BOUNDARY SURVEY
CSW|ST2 will conduct a boundary survey of a portion of Second Street and Irwin Street at the frontage of
700 Irwin. We will searched the public record and unrecorded documents as necessary for proper due
diligence. Once research is complete we will prepare boundary calculations based on record information
and calculate monument positions to aid our field crew. These search calculations will aid our field crew in
locating monuments as quickly and efficiently as possible. We have also engaged a title company to locate
right of way takes and other property modifications over the years. See scope of work item A above.
Once all calculations are completed and our field crew is setup we will mobilize on site to begin the
reconnaissance phase. In this phase we will search the perimeter of the property and adjoining properties
if necessary to locate monuments and boundary evidence that control the locations of the property lines in
question. We typically require two days in the field for this phase.
After the recon phase is complete we then export all collected field data and analyze the evidence. During
this phase we are looking at evidence hierarchy, orders of importance and boundary principals to resolve
any errors. Once boundary resolution is complete we will then begin preparing a Record of Survey that
depicts found evidence, their location in reference to one another, and how any ambiguities were resolved.
C. RECORD OF SURVEY PER STATE LAW
CSW|ST2 will prepare a Record of Survey per state law, specifically, 8762 of the Professional Land Surveyors’
Act. This Record of Survey will be prepared on an 18”x26” sheet and show all necessary information to
retrace the survey we performed and describe the process, what we did, and contains bearings, distances
and ties for future retracement. The Record of Survey will be marked preliminary and submitted to Marin
County Public Works for review. We anticipate needing 1 to 2 rounds of review comments on technical
review prior to recording.
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D. GOVERNMENT FEES
Marin County Public Works charges $664 to review a Record of Survey, but since this is being done for the
City the review fee is waived entirely. The Recorder does not waive the recording fee however and it is $86
for a single page, and an additional $2 per page. We are predicting a two page Record of Survey map that
will be a recording cost of $88
SCHEDULE
CSW/ST2 can begin work immediately after receiving approval. The following summarizes our anticipated
delivery schedule:
Notice to Proceed July 21
Boundary Research July 22-25
Mobilize field recon July 28 through 31st
Boundary resolution August 1st through 4th
Update Exhibits and
Record of Survey
August 11th or 12th
We are predicting needing roughly 2.5 to 3.5 weeks.
COMPENSATION
CSW/ST2 agrees to provide the services described above on a time and expense basis, in accordance with
our current Hourly Rates and Billing Policy, a copy of which is enclosed. Please allow a total not to exceed
fee of $18,010 and summarized in the following budgets per task:
Task Description Cost
A.Title Company – Title Research $3,000
B.Boundary Survey $10,602
C.Record of Survey $4,320
D.Government recording fee $88
TOTAL A-D $18,010
Reimbursables included
CLIENT TO PROVIDE
The following is a list of items to be provided to us in order to perform the above Scope of Services:
• Executed Contract
• Project Manager to serve as single point of contact
• Access to the site
• Payment of all Government, Agency or other fees
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ASSUMPTIONS
In preparation of this scope of work, we have made the following assumptions.
ADDITIONAL SERVICES
CSW|ST2 agrees to perform all of the items listed in the Scope of Services. However the following items are
excluded from the Scope of Services of this contract. They may be added at the request of the Owner as a
revision to this proposal, or under a future proposal or amendment. Fees for these services will be billed
on a time and expense basis, in accordance with our then current Hourly Rates and Billing Policy, with a
budget estimate provided or for a fixed fee based upon a defined scope of work. Additional items CSW|ST2
can provide include (but are not limited to):
• Setting monuments
SERVICES AND STANDARD OF CARE
CSW/ST2’s services shall be limited to those expressly set forth above. We shall have no other obligations
or responsibilities for the project except as agreed to in writing, or as provided in this agreement. CSW/ST2’s
services shall be provided consistent with, and limited to, the standard of care applicable to such services.
CSW/ST2 shall provide its services consistent with the professional skill and care ordinarily provided by
consultants practicing in the same or similar locality under the same or similar circumstances.
CSW|ST2 provides services for a variety of agencies and clientele in this vicinity. To our knowledge, none
present a conflict of interest to our serving on this project team. If you have specific concerns, please call
and I will provide any additionally required information.
Thank you for the opportunity in supporting the development of your project. We look forward to working
with you and your team. If I can provide any additional information, please contact me at (707) 479-5112
or by email at joshw@cswst2.com.
Sincerely,
CSW/ST2
Josh Woelbing
Senior Project Manager / Survey Manager
P.L.S. #9387
s.U.A.S. Remote Pilot #4117625
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City of San Rafael Service Level Agreement
Rev. Jan. 2023 Page 1 of 8
SERVICE LEVEL AGREEMENT
BY AND BETWEEN
THE CITY OF SAN RAFAEL
AND
CSWST2
For Professional Services
THIS AGREEMENT is entered into as of ______________ (“Effective Date”) between the City
of San Rafael, a California municipal corporation (“City”), and CSWST2 (“Consultant”). The City and
Consultant may be referred to individually as a “party” or collectively as the “parties”.
RECITALS
A. The City wishes to contract for the provision of professional services, as described in
individual “Task Orders” to be issued by the City during the Term of this Agreement.
B. Consultant represents that it, and its subcontractors, if any, have the professional
qualifications, expertise, and necessary licenses and desire to provide professional services of the quality
and type which meet objectives and requirements of the City and that are within the scope of services to
be performed under this Agreement.
NOW, THEREFORE, in consideration of the terms and conditions contained in this Agreement,
the City and Consultant agree as follows:
AGREEMENT
1. Services. Subject to the terms and conditions set forth in this Agreement, Consultant shall
provide the professional services, to include civil engineering, landscape architectural design, and
surveying services, as requested and described in a Task Order issued for such services by the City, and
shall coordinate activities so the project that is the subject of each Task Order is completed according to
the City’s requirements.
a. Task Orders. It is understood and agreed that each Task Order shall list the scope
of services to be performed, the schedule for performance, any special conditions, and the form,
amount, and conditions of compensation for services. A Task Order is effective only when
signed by authorized representatives of Consultant and the City. The City shall designate a
Project Manager who shall be fully acquainted with the project and have authority within the
limits of City policy to render decisions promptly. Each Task Order, when issued, shall become a
part of and incorporated into this Agreement.
The City will cooperate with Consultant and provide reasonable access to the site. Upon
written request, the City shall provide all reasonably available information including reports,
preliminary plans, maps, surveys, and other related information regarding its requirements for a
project that is the subject of a Task Order. Consultant may reasonably rely on the accuracy and
completeness of the information provided.
Dec 10, 2024
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City of San Rafael Service Level Agreement
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b. Performance. Consultant shall perform the services described in the Task Order.
The time of performance of the services under this Agreement is important to the City, and all
time deadlines identified in the Task Order shall be strictly construed.
2. Compensation and Payment.
a. Compensation. As consideration for services, City agrees to pay Consultant, and
Consultant agrees to accept from City as full compensation for the services, a fee that does not
exceed the total budgeted amount detailed in each Task Order. Each Task Order may reflect
either a fixed fee amount or an hourly rate. The rates shall include all direct and indirect charges
to each Task Order, except as noted in the Task Order. Consultant may not adjust their hourly rate
schedule more than once annually, such adjustment to be approved by the City in Task Order(s).
b. Payment. Consultant shall bill City monthly, and City agrees to pay the invoice
within 30 days of receipt. Each payment shall be for the invoiced amount, with no retention.
3. Term; Termination.
a. Term. The term of this Agreement shall be three (3) years beginning on the
Effective Date of this Agreement.
b. Termination. Either party may terminate the Agreement by giving seven days
written notice to the other party. If City sends a termination notice, Consultant shall stop work at
the stage directed by the City, and shall deliver all drawings, specifications, and documentation
developed as of that time. Consultant shall accept as full payment either: (i) if the Task Order
indicated an hourly rate, payment based on the hours worked up to the time of termination; or (ii)
if the Task Order indicated a fixed fee, a pro-rata share of the total Agreement based on the
portion of work actually performed.
4. Professional Efforts; Responsible Personnel. Consultant shall perform all services
required under this Agreement in the manner and according to the standards observed by a competent Bay
Area practitioner of the profession in which Consultant is engaged. All products that Consultant delivers
to City shall conform to the standards of quality normally observed by a person practicing in Consultant’s
profession. The City shall be the sole judge as to whether the product of the Consultant is satisfactory.
Consultant shall be liable and, upon demand, shall reimburse City for additional costs incurred by the
City as a result of Consultant’s errors or omissions. Consultant makes no other warranty, express or
implied.
Consultant represents that it and its employees are fully qualified to perform the services under
this Agreement. Consultant represents and warrants to the City that Consultant has, and at all times during
the performance of this Agreement shall maintain, all licenses, permits, qualifications, and approvals that
are required for Consultant to practice Consultant’s profession. Consultant shall assign only competent
personnel to perform services under this Agreement. If the City, in its sole discretion, at any time, desires
the removal of any person or persons assigned by Consultant to perform services under this Agreement,
Consultant shall remove any such person immediately upon receiving notice from the City.
Consultant shall, at its sole cost, expense, and liability, furnish all facilities and equipment that
may be required for furnishing services under this Agreement.
5. Independent Contractor. Consultant, its agents, employees and independent contractors are
and shall at all times remain, as to the City, wholly independent contractors. Neither the City nor any of
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City of San Rafael Service Level Agreement
Rev. Jan. 2023 Page 3 of 8
its officers or employees shall have any control over the manner by which the Consultant performs this
Agreement and shall only dictate the results of the performance. Consultant shall not represent that
Consultant, or its agents, employees or independent contractors, are agents or employees of the City.
Consultant is responsible for the payment of all taxes, workers’ compensation insurance and
unemployment insurance. Consultant shall obtain no rights to retirement benefits or other benefits that
accrue to City’s employees, and Consultant hereby waives any claim it may have to any such rights.
Except as the City may specify in writing, Consultant shall have no authority, express or implied,
to act on behalf of the City or to bind the City to any obligation.
6. Interest of Consultant. Consultant (including principals, associates and professional
employees) covenants and represents that it does not now have any investment or interest in real property
and shall not acquire any interest, direct or indirect, in the geographical areas likely to be covered by this
Agreement, or any other source of income, interest in real property or investment that would be affected
in any manner or degree by the performance of Consultant’s services under this Agreement. Consultant
further covenants and represents that, in the performance of its duties, no person having any such interest
shall perform any services under this Agreement.
If Consultant is determined to be a “Consultant” or a “designated employee” within the meaning
of the Political Reform Act, Consultant will comply with the requirements of that Act by submitting a
Statement of Economic Interest Form 700. (2 Cal. Code of Regs.§18701(a)(2).)
7. Accounting Records. The Consultant agrees to maintain all records and other evidence
pertaining to costs incurred and work performed under this Agreement and shall make them available at
the Consultant’s office during the Agreement period and thereafter for a period of three years from the
date of receipt of final payment.
8. Ownership of Documents and Data. All data, maps, photographs, and other material
collected or prepared under this Agreement, and all documents of any type developed or obtained by
Consultant in the performance of this Agreement, shall become the property of the City. Any re-use of
designs without Consultant's written authorization will be at the City's risk.
9. Indemnification.
a. Except as otherwise provided in subparagraph b., 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 “Liabilities”), 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, Consultant shall provide a defense to the City Indemnitees or at
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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
Indemnitees from and against any Liabilities, 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.
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.
10. Insurance. Consultant shall procure and maintain at its sole cost for the duration of this
Agreement the following insurance:
a. Minimum Scope of Insurance. Coverage shall be at least as broad as:
(1) Insurance Services Office Commercial General Liability coverage
(“occurrence” form CG 0001).
(2) Insurance Services Office form number CA 0001 covering Automobile
Liability, code 1 (any auto).
(3) Workers’ Compensation insurance as required by the Labor Code of the
State of California and Employers Liability insurance.
(4) Errors and omissions/Professional liability insurance for all design
professionals such as architects, landscape architects or engineers.
b. Minimum Limits of Insurance. Consultant shall maintain policy limits of no less
than:
(1) Commercial General Liability: $1,000,000 per occurrence/$2,000,000
aggregate, for death, bodily injury, personal injury, or property damage.
(2) Automobile Liability: $1,000,000 combined single limit per accident for
bodily injury and property damage.
(3) Workers’ Compensation and Employers Liability: 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
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insurance shall be specifically endorsed to waive any right of subrogation against
the City.
(4) Errors and Omissions/Professional Liability: $1,000,000 per
occurrence/$2,000,000 aggregate.
c. Deductibles and Self-Insured Retention. Any deductibles or self-insured
retention must be declared to and approved by the City. At the option of the City, either: the
insurer shall reduce or eliminate such deductibles or self-insured retention as respects the City, its
officers, officials, employees and volunteers; or Consultant shall procure a bond guaranteeing
payment of losses and related investigations, claim administration and defense expenses.
d. Other Insurance Requirements. The insurance coverage required of Consultant
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 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.
Docusign Envelope ID: 8A9E04A6-8A70-4150-BFD5-F51FF6455099
City of San Rafael Service Level Agreement
Rev. Jan. 2023 Page 6 of 8
(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.
e. Acceptability of Insurers. Insurance is to be placed with insurers with a Best’s
rating of no less than A: VII.
f. Verification of Coverage. Consultant shall furnish the City with certificates of
insurance and with original endorsements effecting coverage required by this clause. The
certificates and endorsements for each insurance policy are to be signed by a person authorized
by that insurer to bind coverage on its behalf. All certificates and endorsements are to be
received and approved by the City before work commences. The City reserves the right to
require complete certified copies of all required insurance policies, at any time.
11. Miscellaneous provisions.
a. Notice. Any notice to be given under this Agreement shall be given by enclosing
it in a sealed envelope, first-class postage prepaid, and depositing it in the United States mail,
addressed to the party at the following address. Notice shall be deemed received three business
days after mailing, or upon personal delivery.
CITY: City of San Rafael
Attn: Joanna Kwok, Public Works Assistant Director
111 Morphew Street
San Rafael, CA 94901
CONSULTANT: CSWST2
Attn: Robert Stevens
504 Redwood Blvd, Suite 310
Novato, CA 94947
b. Assignment. This Agreement contemplates the personal services of Consultant
and its employees and it is understood by both parties that a substantial inducement to City for
entering into this Agreement was, and is, the professional reputation and competence of
Consultant. Consultant shall not assign or otherwise transfer any rights or obligations under this
Agreement without the prior written consent of the City.
c. Business License. Consultant shall obtain a City business license before
beginning work under this Agreement.
d. Prohibited Interests. No officer or employee of the City shall have any direct
financial interest in this Agreement. This Agreement shall be voidable at the option of the City if
this provision is violated.
Docusign Envelope ID: 8A9E04A6-8A70-4150-BFD5-F51FF6455099
City of San Rafael Service Level Agreement
Rev. Jan. 2023 Page 7 of 8
e. Governing Law; Litigation Expenses. California law shall govern this
Agreement. Any action to enforce or interpret this Agreement shall be brought in a court of
competent jurisdiction in the County of Marin, California.
f. Incorporation. The Preamble, the Recitals, Exhibits, and Task Orders issued
hereunder are incorporated into this Agreement by this reference. If there is a conflict between
the body of this Agreement and an exhibit prepared by Consultant, the body of the Agreement
shall control.
g. Severability. Should any part of this Agreement be declared unconstitutional,
invalid, or beyond the authority of either party to enter into or carry out, such decision shall not
affect the validity of the remainder of this Agreement, which shall continue in full force and
effect; provided that, the remainder of this Agreement can, absent the excised portion, be
reasonably interpreted to give effect to the intentions of the parties.
h. Authority. All parties executing this Agreement represent and warrant that they
are authorized to do so.
i. Entire Agreement; Amendments. This Agreement is the entire Agreement
between the parties and supersedes all prior negotiations, representations, or agreements, whether
written or oral. This Agreement may be amended only by written agreement signed by both
parties.
j. Non-waiver. A party's waiver of any term shall not be deemed a continuing
waiver or a waiver of any other term.
k. Counterparts. This Agreement may be executed in counterparts.
[Signatures are on the following page.]
Docusign Envelope ID: 8A9E04A6-8A70-4150-BFD5-F51FF6455099
City of San Rafael Service Level Agreement
Rev. Jan. 2023 Page 8 of 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: ____________________________
Robert Stevens (Dec 10, 2024 09:52 PST)
Robert Stevens
Robert Stevens
President/CEO
CSWST2
ind Sc#(id (Dec 10, 2024 10:01 PST)
2LnGD SFKPLG
CSWST2
ind Sc#(id
C#ie! in nci ' O!!icer
Robert ѵ E+stein (Dec 10, 2024 14:тт PST)
Robert , +SsteLn
Cristine 'i'ovic# (Dec 10, 2024 20:4ц PST)
)rLstLne 'OLOovLFK
renn 0r(i (!or) (Dec 11, 2024 0ц:тц PST)
(rennD 4XrPL Ior
Docusign Envelope ID: 8A9E04A6-8A70-4150-BFD5-F51FF6455099
CSWST2.com
Adaptive Solutions. Resilient Designs. Engineering ∙ Urban Planning ∙ Land Surveying ∙ Landscape Architecture
CSWST2 BILLING RATE SCHEDULE
Effective January 1, 2025 – December 31, 2025
ENGINEERING SERVICES HOURLY RATES
SURVEYING SERVICES HOURLY RATES
OTHER PROFESSIONAL SERVICES HOURLY RATES
Principal $ 277.00
Associate Principal $ 252.00
Senior Project Manager $ 247.00
Project Manager $ 233.00
Sr. Landscape Architect $ 177.00
Landscape Architect $ 161.00
Construction Manager $ 242.00
Resident Engineer $ 233.00
Field Engineer $ 200.00
Technical Writer $ 142.00
Graphic Illustrator $ 135.00
Project Assistant $ 104.00
All expenses for transportation (mileage, bridge fare, etc.) will be
charged at the Internal Revenue Service rate plus 10%.
Filing fees, checking fees, prints, and other outside costs (such as
agency submittal/permit fees etc.) will be charged at cost, plus
service charges at the rate of 10%.
Billing will be monthly net 30 days.
Senior Engineer $ 207.00
Engineer I, II, III $ 148.00 - $ 180.00 - $ 200.00
Engineer Technician $ 135.00
Engineer Assistant $ 104.00
Senior Surveyor $ 207.00
Surveyor I, II, III $ 148.00 - $ 180.00 - $ 200.00
Survey Technician $ 135.00
Survey Assistant $ 104.00
Two-Person Survey Party $ 350.00
Survey Party Chief $ 227.00
Survey Chainman $ 124.00
Survey Apprentice $ 115.00
Aerial Drone Surveyor $ 224.00
Docusign Envelope ID: 8A9E04A6-8A70-4150-BFD5-F51FF6455099
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.
11/14/2024
☐
☒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
12/2/2024 ☒ 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 Joanna Kwok) Extension: 3353
Contractor Name: CSW/Stuber-Stroeh Engineering Group Inc.
Contractor’s Contact: Robert Stevens Contact’s Email: rstevens@cswst2.com.
☐ FPPC: Check if Contractor/Consultant must file Form 700
Docusign Envelope ID: 8A9E04A6-8A70-4150-BFD5-F51FF6455099
CSW 2023 SLA - Civil, Surveying, Landscape
Architecture
Final Audit Report 2024-12-11
Created:2024-12-09
By:Shannon Mackle (shannon.mackle@cityofsanrafael.org)
Status:Signed
Transaction ID:CBJCHBCAABAADRK4I4xw9j8vV0E8iT3q-JRckc2BKifF
"CSW 2023 SLA - Civil, Surveying, Landscape Architecture" Hist
ory
Document created by Shannon Mackle (shannon.mackle@cityofsanrafael.org)
2024-12-09 - 11:33:22 PM GMT- IP address: 199.88.113.8
Document emailed to Denise Hartman (dhartman@cswst2.com) for signature
2024-12-09 - 11:37:16 PM GMT
Email viewed by Denise Hartman (dhartman@cswst2.com)
2024-12-10 - 5:46:04 PM GMT- IP address: 98.207.128.39
Signer Denise Hartman (dhartman@cswst2.com) entered name at signing as Robert Stevens
2024-12-10 - 5:52:24 PM GMT- IP address: 98.207.128.39
Document e-signed by Robert Stevens (dhartman@cswst2.com)
Signature Date: 2024-12-10 - 5:52:26 PM GMT - Time Source: server- IP address: 98.207.128.39
Document emailed to lschmid@cswst2.com for signature
2024-12-10 - 5:52:28 PM GMT
Email viewed by lschmid@cswst2.com
2024-12-10 - 6:01:07 PM GMT- IP address: 99.165.196.121
Signer lschmid@cswst2.com entered name at signing as Linda Schmid
2024-12-10 - 6:01:42 PM GMT- IP address: 99.165.196.121
Document e-signed by Linda Schmid (lschmid@cswst2.com)
Signature Date: 2024-12-10 - 6:01:44 PM GMT - Time Source: server- IP address: 99.165.196.121
Document emailed to Laraine Gittens (laraine.gittens@cityofsanrafael.org) for approval
2024-12-10 - 6:01:46 PM GMT
Docusign Envelope ID: 8A9E04A6-8A70-4150-BFD5-F51FF6455099
Email viewed by Laraine Gittens (laraine.gittens@cityofsanrafael.org)
2024-12-10 - 7:13:37 PM GMT- IP address: 104.47.65.254
Document approved by Laraine Gittens (laraine.gittens@cityofsanrafael.org)
Approval Date: 2024-12-10 - 7:15:20 PM GMT - Time Source: server- IP address: 199.88.113.8
Document emailed to rob.epstein@cityofsanrafael.org for signature
2024-12-10 - 7:15:22 PM GMT
Email viewed by rob.epstein@cityofsanrafael.org
2024-12-10 - 10:33:01 PM GMT- IP address: 24.5.134.43
Signer rob.epstein@cityofsanrafael.org entered name at signing as Robert F. Epstein
2024-12-10 - 10:33:18 PM GMT- IP address: 24.5.134.43
Document e-signed by Robert F. Epstein (rob.epstein@cityofsanrafael.org)
Signature Date: 2024-12-10 - 10:33:20 PM GMT - Time Source: server- IP address: 24.5.134.43
Document emailed to city.clerk@cityofsanrafael.org for approval
2024-12-10 - 10:33:22 PM GMT
Email viewed by city.clerk@cityofsanrafael.org
2024-12-10 - 11:12:15 PM GMT- IP address: 104.47.64.254
Signer city.clerk@cityofsanrafael.org entered name at signing as Brenna Nurmi
2024-12-10 - 11:12:23 PM GMT- IP address: 199.88.113.8
Document approved by Brenna Nurmi (city.clerk@cityofsanrafael.org)
Approval Date: 2024-12-10 - 11:12:25 PM GMT - Time Source: server- IP address: 199.88.113.8
Document emailed to cristine.alilovich@cityofsanrafael.org for signature
2024-12-10 - 11:12:28 PM GMT
Email viewed by cristine.alilovich@cityofsanrafael.org
2024-12-11 - 4:47:35 AM GMT- IP address: 104.47.64.254
Signer cristine.alilovich@cityofsanrafael.org entered name at signing as Cristine Alilovich
2024-12-11 - 4:47:53 AM GMT- IP address: 71.198.110.147
Document e-signed by Cristine Alilovich (cristine.alilovich@cityofsanrafael.org)
Signature Date: 2024-12-11 - 4:47:55 AM GMT - Time Source: server- IP address: 71.198.110.147
Document emailed to city.clerk@cityofsanrafael.org for signature
2024-12-11 - 4:47:57 AM GMT
Email viewed by city.clerk@cityofsanrafael.org
2024-12-11 - 3:37:26 PM GMT- IP address: 104.47.65.254
Docusign Envelope ID: 8A9E04A6-8A70-4150-BFD5-F51FF6455099
Signer city.clerk@cityofsanrafael.org entered name at signing as Brenna Nurmi (for)
2024-12-11 - 3:37:38 PM GMT- IP address: 199.88.113.8
Document e-signed by Brenna Nurmi (for) (city.clerk@cityofsanrafael.org)
Signature Date: 2024-12-11 - 3:37:40 PM GMT - Time Source: server- IP address: 199.88.113.8
Agreement completed.
2024-12-11 - 3:37:40 PM GMT
Docusign Envelope ID: 8A9E04A6-8A70-4150-BFD5-F51FF6455099
Certificate Of Completion
Envelope Id: 8A9E04A6-8A70-4150-BFD5-F51FF6455099 Status: Completed
Subject: DocuSign: Task Order with CSWST2 for 2nd & Irwin St Surveying Services
Source Envelope:
Document Pages: 24 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)
111 Morphew St
San Rafael, CA 94901
Shannon.Mackle@cityofsanrafael.org
IP Address: 199.88.89.34
Record Tracking
Status: Original
8/29/2025 8:51:37 AM
Holder: Shannon Mackle
Shannon.Mackle@cityofsanrafael.org
Location: DocuSign
Signer Events Signature Timestamp
Micah Hinkle
Micah.Hinkle@cityofsanrafael.org
Community & Econ Dev. Director
City of San Rafael
Security Level: Email, Account Authentication
(None)
Signature Adoption: Drawn on Device
Using IP Address: 71.202.184.137
Sent: 8/29/2025 2:11:14 PM
Viewed: 8/29/2025 2:58:09 PM
Signed: 8/29/2025 2:58:21 PM
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: 8/29/2025 2:58:23 PM
Viewed: 8/29/2025 2:59:26 PM
Signed: 8/29/2025 2:59:36 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Van Bach
Van.Bach@cityofsanrafael.org
Signing Group: Finance
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 199.88.113.8
Sent: 8/29/2025 2:58:24 PM
Viewed: 9/2/2025 10:43:41 AM
Signed: 9/2/2025 11:01:07 AM
Electronic Record and Signature Disclosure:
Accepted: 9/2/2025 10:43:41 AM
ID: 6b7e57b5-6ed0-48ff-b0bd-315c24a84d6a
Robert Stevens
rstevens@cswst2.com
President/CEO
CSW Stuber Stroeh Engineering Group, Inc.
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 68.255.153.233
Sent: 9/2/2025 11:01:10 AM
Viewed: 9/4/2025 11:09:19 AM
Signed: 9/4/2025 11:36:23 AM
Electronic Record and Signature Disclosure:
Accepted: 9/4/2025 11:09:19 AM
ID: 5d73f6ae-2b49-492f-8df5-1970d4ab1300
Signer Events Signature Timestamp
Linda Schmid
lschmid@cswst2.com
CFO
Linda Schmid
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 68.255.153.233
Sent: 9/4/2025 11:36:27 AM
Viewed: 9/4/2025 12:24:22 PM
Signed: 9/4/2025 12:24:37 PM
Electronic Record and Signature Disclosure:
Accepted: 9/4/2025 12:24:22 PM
ID: b18686ff-0ed4-48be-82b2-b42be8e037cd
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: 9/4/2025 12:24:39 PM
Viewed: 9/4/2025 12:43:05 PM
Signed: 9/4/2025 12:43:20 PM
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: 9/4/2025 12:24:39 PM
Viewed: 9/4/2025 12:29:49 PM
Signed: 9/4/2025 12:29:56 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
April Miller
April.Miller@cityofsanrafael.org
Public Works Director
Security Level: Email, Account Authentication
(None)Signature Adoption: Uploaded Signature Image
Using IP Address: 199.88.89.34
Sent: 9/4/2025 12:43:24 PM
Resent: 9/8/2025 7:20:53 AM
Viewed: 9/8/2025 8:36:58 AM
Signed: 9/8/2025 8:37:18 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
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: 9/8/2025 8:37:21 AM
Viewed: 9/9/2025 11:04:23 AM
Signed: 9/9/2025 11:04:43 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Nataly Torres
Nataly.Torres@cityofsanrafael.org
Legal Assistant
City of San Rafael
Security Level: Email, Account Authentication
(None)
Using IP Address: 199.88.113.8
Sent: 8/29/2025 11:01:32 AM
Viewed: 8/29/2025 2:08:57 PM
Completed: 8/29/2025 2:11:13 PM
Electronic Record and Signature Disclosure:
Editor Delivery Events Status Timestamp
Not Offered via Docusign
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Ariel Gutierrez
Ariel.Gutierrez@cityofsanrafael.org
City of San Rafael
Security Level: Email, Account Authentication
(None)
Sent: 9/9/2025 11:04:47 AM
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 8/29/2025 11:01:32 AM
Envelope Updated Security Checked 9/8/2025 7:20:52 AM
Envelope Updated Security Checked 9/8/2025 7:20:52 AM
Envelope Updated Security Checked 9/8/2025 7:20:52 AM
Certified Delivered Security Checked 9/9/2025 11:04:23 AM
Signing Complete Security Checked 9/9/2025 11:04:43 AM
Completed Security Checked 9/9/2025 11:04:47 AM
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: Van Bach, Robert Stevens, Linda Schmid
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
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consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-
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By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that:
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Until or unless you notify City of San Rafael as described above, you consent to receive exclusively through
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