HomeMy WebLinkAboutPW Reimbursement Agreement fro 703 3rdv.062625
INDEMNITY AND REIMBURSEMENT AGREEMENT
This Indemnity and Reimbursement Agreement (“Agreement”) is made and entered into
as of ____________________, by and between the City of San Rafael (“City”), a
California municipal corporation, and ________________________________________
(“Applicant”), a ___________________________________. The City and the Applicant
are referred to herein individually as a “Party” and collectively as the “Parties.”
RECITALS
This Agreement is made with respect to the following facts:
A. The Applicant has submitted or intends to submit an application to the City for the
review, approval, and/or processing of a project (the “Project”) under the jurisdiction of
one or more City departments, including but not limited to Community and Economic
Development, Public Works, Fire, Police, or other divisions of the City.
B. The Project may require the City to engage staff, consultants, attorneys, and other
resources to perform activities such as application review, plan evaluation, compliance
analysis, site inspection, permitting, and other related tasks.
C. The City will incur various direct and indirect costs in connection with the review and
processing of the Project.
D. The City requires Developer to provide a deposit prior to work taking place, and
reimburse the City when a deposit was not provided or does not cover all of its costs in
connection with processing the Project, including but not limited to: legal fees, staff time,
and consultant costs incurred in connection with the Project Approvals; and any third-
party litigation costs incurred as a result of processing of the Project .
E. The Parties wish to establish the terms and conditions of such reimbursement
obligation.
AGREEMENT
NOW, THEREFORE, in consideration of the foregoing recitals and for other good and
valuable consideration, the Parties hereby agree as follows:
1. Purpose of Agreement
The purpose of this Agreement is to establish the Applicant’s obligation to reimburse the
City for all costs, including but not limited to staff time, consultant fees, legal fees,
administrative expenses, and related costs incurred by the City in connectio n with the
review, approval, and/or processing of the Project. This Agreement applies to Projects
San Rafael Multifamily LLC
Delaware LLC
Docusign Envelope ID: 6BA1966E-304B-4B73-BD72-72A6FF73D4E7
September 22, 2025
2025.0051
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under the jurisdiction of any City department or division, including but not limited to
Public Works, Community and Economic Development, Fire, Police, and others.
2. Deposit Requirements
a. Initial Deposit: At the time of submitting the Project application, the Applicant
shall deposit with the City the amount of $___________ (“Initial Deposit”), to be
held in a City-managed account to cover Eligible Costs.
b. Replenishment of Deposit: If the unexpended balance of the deposit falls
below $__________, the City shall notify the Applicant in writing and require
additional funds within ten (10) business days.
c. Accounting and Reconciliation: The City shall maintain detailed records of
charges against the deposit and provide the Applicant with a final accounting upon
completion of the Project, or in conjunction with a request for a replenishment, or
termination of this Agreement. Any unused balance will be refunded to the
Applicant without interest.
d. Failure to Replenish: Failure to replenish the deposit as required may result in
cessation of Project processing as outlined in Section 7, and forfeiture of remaining
funds up to the amount of incurred costs plus the administrative fees.
3. Applicant Reimbursement Obligations
The Applicant agrees to reimburse the City for all reasonable costs incurred in
connection with the Project (collectively, “Eligible Costs”), excluding those costs covered
by a flat permit fee if applicable, regardless of whether the Project is ultimately
approved. Eligible Costs include but are not limited to:
a. City Staff Time: Fully burdened hourly rates for City staff involved in
processing the Project application, conducting inspections, attending meetings,
and related activities.
b. Consultant Fees: Fees and expenses of external consultants engaged by the
City to provide specialized expertise, technical reviews, or other services related
to the Project.
c. Legal Fees and Costs: Costs associated with legal review, drafting
agreements, and defending any legal challenges to the Project or its approvals.
d. Permit and Implementation Costs: Costs incurred in issuing permits,
conducting compliance checks, or implementing Project-related requirements.
e. Appeals
10000
23000
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f. State-mandated costs
g. Administrative Fees: An administrative surcharge up to the amount allowed in
the City of San Rafael Master Fee Schedule applied to external consultant and
legal services to cover the City’s contract administration and oversight costs.
4. Payment of Costs
In the event a deposit does not fully cover all related costs or is not established prior to
work starting, as set forth in Section 2. Deposit Requirements, reimbursement of all
applicable costs shall be required as follows:
a. Invoicing: The City shall provide itemized invoices to the Applicant detailing
the Eligible Costs incurred during each billing period.
b. Payment Due Date: The Applicant shall pay the City for each invoice in full
within thirty (30) calendar days of receipt.
c. Late Payments: Applicant acknowledges that the late payment of any Costs
will cause City to incur additional costs, including administration and collection
costs and processing and accounting of expenses (“Delinquency Costs”). If City
has not received payment of all Costs within forty-five (45) calendar days of
being provided the itemized invoices, the Invoice payment is considered overdue,
and Applicant shall immediately be charged a late charge of five percent (5%) of
the delinquent amount. City and Applicant recognize that the expenses that City
shall suffer as a result of Applicant’s failure to make timely payments is difficult to
ascertain and agree that said five percent (5%) late charge represents a
reasonable estimate of the Delinquency Costs that would be incurred by City.
City’s acceptance of any such late charge does not equate with a waiver of
Applicant’s default with respect to the overdue amount or prevent City from
exercising any rights and remedies available under this Agreement.
5. Indemnity
Applicant shall, to the greatest extent authorized by law, defend (with counsel of City’s
choosing), indemnify, and hold harmless the City, its officials, employees, volunteers
and agents from and against any and all loss, liability, expenses, claims, cost s
(including reasonable attorneys’ fees), suits and damages of every kind nature, and
description, directly or indirectly arising from the Project, including any third party legal
challenge to the processing or approval of the Project, the implementation of the
Project, or the implementation of this Agreement. Applicant may defend against any
such third party legal challenge as a Real Party in Interest using counsel of Applicant’s
choice, and Applicant and City agree to cooperate in the joint defense of any legal
challenge to the processing or approval of the Project or the implementation of this
Docusign Envelope ID: 6BA1966E-304B-4B73-BD72-72A6FF73D4E7
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Agreement. Applicant’s indemnity obligations under this Section 5 shall survive the
expiration or termination of this Agreement.
6. No Commitment as to Future Approvals
Nothing in this Agreement shall be construed as a commitment to grant or issue any
preliminary or formal approvals in connection with the Project. Applicant agrees that it
shall remain obligated to pay all Costs, regardless of whether any aspect of the Pro ject
is approved.
7. Cessation of Processing
The City may suspend or cease processing the Project if:
a. The Applicant fails to pay an invoice within thirty (30) calendar days; or
b. The Applicant fails to replenish the deposit as required under Section 2. The
Applicant acknowledges that the City shall not be liable for delays resulting from
cessation of processing due to non-payment.
8. Termination
This Agreement may be terminated by either Party upon thirty (30) days’ written notice.
Upon termination, the Applicant shall remain responsible for reimbursing all Eligible
Costs incurred up to the termination date.
9.Integration Clause
This Agreement constitutes the full, final, complete and entire agreement between the
parties with respect to the subject matter of this Agreement, and there are no other
terms, obligations, covenants, representations, statements, or conditions except as s et
forth in this Agreement. No change or amendment to this Agreement will be effective
unless in writing and signed by the parties to this Agreement. This Agreement
supersedes all prior agreements between the parties with respect to the subject matter
of this Agreement.
10. CEQA Processing
If applicable, Applicant acknowledges and agrees that the City is the lead agency under
CEQA, that the environmental review document(s), including but not limited to, an Initial
Study, Environmental Impact Report (including project or program level review,
supplemental EIR, subsequent EIR, or addendum), mitigated negative declaration,
negative declaration, and/or notice of exemption, must reflect City’s independent
Docusign Envelope ID: 6BA1966E-304B-4B73-BD72-72A6FF73D4E7
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judgment and that City retains full discretion with respect to all findings to be made in
connection therewith.
11. Successors and Assigns
Neither Party may assign and/or transfer any interest in this Agreement without the prior
written consent of the other Party hereto. This Agreement shall be binding upon the
parties hereto and their respective heirs, legal representatives, successors and a ssigns.
9. General Provisions
a. Severability: If any provision of this Agreement is found to be invalid, the
remaining provisions shall remain in full force and effect.
b. Governing Law: This Agreement shall be governed by and construed in
accordance with the laws of the State of California. Any suit or action initiated by
any party shall be brought in the County of Marin, California.
c. Notices: All notices required under this Agreement shall be delivered to the
following addresses:
City of San Rafael
Name: _____________________________
Title: ______________________________
Address: ___________________________
___________________________________
Applicant
Name: _____________________________
Title: _______________________________
Address: ____________________________
____________________________________
Irvine, CA 92614
4 Park Plaza, Suite 1700
President
Ariel Gutierrez
San Rafael, CA 94901
Sr Management Analyst II
Kenneth McCarren
1400 Fifth Avenue
Docusign Envelope ID: 6BA1966E-304B-4B73-BD72-72A6FF73D4E7
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IN WITNESS WHEREOF, the Parties have executed this Agreement as of the day,
month and year first above written.
CITY OF SAN RAFAEL:
_________________________________
________________________________,
_________________________________
Executed on:_______________________
APPROVED AS TO FORM:
Office of the City Attorney
_________________________________
________________________________,
_________________________________
APPLICANT:
__________________________________
By: ____________________________
Name: ____________________________
Title: ____________________________
[If Applicant is a corporation, second
corporate officer signature required]
__________________________________
By: ____________________________
Name: ____________________________
Title: _____________________________
Docusign Envelope ID: 6BA1966E-304B-4B73-BD72-72A6FF73D4E7
Chief Assistant City Attorney
Andrea Visveshwara
Kenneth McCarren
President
Kenneth McCarren
September 22, 2025
Micah Hinkle
Community & Econ Dev. Director
CONTRACT ROUTING FORM
INSTRUCTIONS: Use this cover sheet to circulate all contracts for review and approval in the order shown
below.
RESPONSIBLE PARTY DESCRIPTION COMPLETED
DPW Confirm agreement is not a duplicate
Finance Confirm project number
TO BE COMPLETED BY INITIATING DEPARTMENT PROJECT MANAGER:
Contracting Department:
Project Manager:
Contractor Name:
Contractor’s Contact: Contact’s Email:
Ron Mertzel
Ariel Gutierrez
Community and Economic Development
ronmertzel@mbk.com
San Rafael Multifamily LLC
Docusign Envelope ID: 6BA1966E-304B-4B73-BD72-72A6FF73D4E7
D55703THIR
Certificate Of Completion
Envelope Id: 6BA1966E-304B-4B73-BD72-72A6FF73D4E7 Status: Completed
Subject: Docusign: Indemnity and Reimbursement Agreement with San Rafael Multifamily LLC
Source Envelope:
Document Pages: 7 Signatures: 3 Envelope Originator:
Certificate Pages: 4 Initials: 1 Ariel Gutierrez
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
111 Morphew St
San Rafael, CA 94901
Ariel.Gutierrez@cityofsanrafael.org
IP Address: 2001:5a8:46c6:5
Record Tracking
Status: Original
9/12/2025 3:21:03 PM
Holder: Ariel Gutierrez
Ariel.Gutierrez@cityofsanrafael.org
Location: DocuSign
Signer Events Signature Timestamp
Joanna Kwok
joannak@cityofsanrafael.org
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address:
2001:5a8:6ef:cd00:59cd:7d7b:fe88:260d
Signed using mobile
Sent: 9/12/2025 3:26:55 PM
Resent: 9/18/2025 8:54:10 AM
Viewed: 9/18/2025 8:55:48 AM
Signed: 9/18/2025 8:56:27 AM
Electronic Record and Signature Disclosure:
Accepted: 9/16/2025 10:50:04 AM
ID: 9781a340-4532-4173-b9d7-dc54fce30fed
Van Bach
Van.Bach@cityofsanrafael.org
Signing Group: Finance
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 199.88.113.8
Sent: 9/18/2025 8:56:29 AM
Viewed: 9/22/2025 9:55:31 AM
Signed: 9/22/2025 9:57:13 AM
Electronic Record and Signature Disclosure:
Accepted: 9/22/2025 9:55:30 AM
ID: eb617182-c8fc-49dd-82a7-164d5f84f584
Andrea Visveshwara
andreav@cityofsanrafael.org
Chief Assistant City Attorney
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 199.88.113.8
Sent: 9/22/2025 9:57:14 AM
Viewed: 9/22/2025 1:08:23 PM
Signed: 9/22/2025 1:08:35 PM
Electronic Record and Signature Disclosure:
Accepted: 9/22/2025 1:08:23 PM
ID: 32e4a055-7f31-48f1-8d99-cb8a5c2d4d55
Kenneth McCarren
KennethMcCarren@mbk.com
President
Kenneth McCarren
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 65.60.75.90
Sent: 9/22/2025 1:08:37 PM
Viewed: 9/22/2025 1:44:51 PM
Signed: 9/22/2025 1:45:09 PM
Electronic Record and Signature Disclosure:
Accepted: 9/22/2025 1:44:51 PM
ID: ceaa0c3a-a73a-4b37-975c-74e306746cb4
Signer Events Signature Timestamp
Micah Hinkle
micahh@cityofsanrafael.org
Community & Econ Dev. Director
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 71.202.184.137
Sent: 9/22/2025 1:45:13 PM
Viewed: 9/22/2025 2:48:20 PM
Signed: 9/22/2025 2:49:05 PM
Electronic Record and Signature Disclosure:
Accepted: 9/22/2025 2:48:20 PM
ID: 819f5d30-4792-4dea-8b1c-4c4f06828700
Brenna Nurmi
Brenna.Nurmi@cityofsanrafael.org
Deputy City Clerk
City of San Rafael
Signing Group: City Clerk
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 199.88.113.8
Sent: 9/22/2025 2:49:08 PM
Viewed: 9/25/2025 9:00:47 AM
Signed: 9/25/2025 9:02:00 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Ron Mertzel
ronmertzel@mbk.com
Security Level: Email, Account Authentication
(None)
Sent: 9/22/2025 1:45:11 PM
Viewed: 9/22/2025 2:28:09 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 9/12/2025 3:26:55 PM
Certified Delivered Security Checked 9/25/2025 9:00:47 AM
Signing Complete Security Checked 9/25/2025 9:02:00 AM
Completed Security Checked 9/25/2025 9:02:00 AM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
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Electronic Record and Signature Disclosure created on: 5/22/2025 12:46:43 PM
Parties agreed to: Joanna Kwok, Van Bach, Andrea Visveshwara, Kenneth McCarren, Micah Hinkle
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