HomeMy WebLinkAboutCM Marin History Museum Use Agreement
1
AGREEMENT BETWEEN THE CITY OF SAN RAFAEL AND
THE MARIN HISTORY MUSEUM
THIS AGREEMENT is made and entered into October 1, 2025 (“Effective Date”)
by and between the CITY OF SAN RAFAEL, hereinafter referred to as “City” and
the MARIN HISTORY MUSEUM, a 501(C)3 Non-Profit Organization, hereinafter
referred to as “MHM”.
RECITALS
WHEREAS, the City is the owner of certain real property in the City of San
Rafael, commonly referred to as Assessor’s Parcel No. 011-131-03 (hereinafter
“City Parcel”); and
WHEREAS, from 2002 to present, the City has leased, from time to time, to
Licensee, a portion of the City Parcel, commonly known as the “Boyd Gate
House” at 1125 B Street, San Rafael, CA, referred to as the Boyd Gate House,
with the most recent tenancy subject to the “Lease Agreement between the City of
San Rafael and the Marin History Museum” dated July 1, 2021, (referred to as the
“Lease”); and
WHEREAS, MHM has a collection of some 20,000 artifacts and 200,000
historic photographs and volumes of county scholarship, oral history and only -in-
Marin curiosities, which is the basis for its public programs including exhibits,
lectures, walks and classroom activities, and serves as a critical resource for
authors, historians, students and other researchers (referred to herein as “MHM
Operations”); and
WHEREAS, allowing for MHM Operations at the Boyd Gate House would
be beneficial to the public health and welfare in that it would facilitate encourage
and promote MHM’s public programs and service as a resource to celebrate the
traditions, innovations, and creativity of the people of Marin County and to provide
activity within the San Rafael downtown area; and
WHEREAS, to allow for MHM’s continued operations at the Boyd Gate
House and to expand public programs at the Falkirk Mansion, the parties desire to
terminate the lease and enter into this Agreement to provide for greater flexibility
for the Parties.
Now, therefore, the City and MHM hereby agree as follows:
Docusign Envelope ID: 701277A5-B2A4-4FFC-9AF2-47774ACE91A3
2
AGREEMENT
Section 1: Status of Lease
The parties agree that for due consideration, which is hereby
acknowledged, upon execution of this agreement, the Lease is hereby
terminated by mutual agreement. Each party hereto this Agreement hereby
releases, waives, and discharges the other party, including its officers, directors,
employees, agents, successors and assigns, from any and all claims, demands,
obligations, liabilities, causes of action, and damages, including any relocation
assistance, arising out of the termination of the Lease. Each party expressly
waives any and all rights under Section 1542 of the California Civil Code, which
provides:
A general release does not extend to claims that the creditor or
releasing party does not know or suspect to exist in his or her favor
at the time of executing the release and that, if known by him or her,
would have materially affected his or her settlement with the debtor
or released party.
Section 2: Duties and Responsibilities of City
2.1 License for Boyd Gate House
2.1.1 In consideration of the benefit to the City and/ or its residents
generally, as described above, subject to the terms and conditions stated herein,
the City grants to MHM, an exclusive license (hereinafter “ Boyd Gate House
License”) for Boyd Gate House for the limited purposes described herein and for
no other purpose. The term of the license shall be for the term of this Agreement.
2.1.2 MHM understands, acknowledges and agrees that the grant of this
License does not convey any interest in real property, and that the License is
personal to MHM.
2.1.3 The City grants License to MHM for the limited purpose of MHM
Operations. MHM understands, acknowledges and agrees that this license to use
the Boyd Gate House is for this sole purpose and for no other purpose. MHM’S
use of Boyd Gate House for any other purpose, without the prior written consent
of the City, shall automatically terminate this License.
2.1.4 The City grants this Boyd Gate House License subject to any and
all licenses, leases, easements, conditions, restrictions, covenants,
encumbrances, liens and claims of title which may affect the Boyd Gate House as
of the effective date of this Agreem ent and to the City’s right to maintain the City
Property, including the Boyd Gate House. The City reserves the right to use Boyd
Gate House in any manner, provided that such use does not unreasonably
Docusign Envelope ID: 701277A5-B2A4-4FFC-9AF2-47774ACE91A3
3
interfere with MHM’s rights granted herein. The City agrees to cooperate with
MHM in the exercise of the City’s right to use Boyd Gate House.
2.1.5 Conditions of License
a. The City reserves the right to modify or change MHM use of
space based on program needs.
b. MHM shall be responsible for providing all equipment,
furnishings, materials, supplies and personnel necessary for the
management and operation of MHM Operations at Boyd Gate House.
c. All City personnel that the City assigns to assist the MHM
programs shall be employees of the City and, as such, shall be completely
under the direction, control, and responsibility of the City.
d. MHM shall provide custodial services, maintenance,
computers, telephones, and utilities for the MHM Operations at the
Boyd Gate Gouse, at no cost to the City.
e. MHM shall conduct MHM Operations at the Boyd Gate
House and fulfill its duties and responsibilities as set forth in Section 3.
Section 3. Duties and Responsibilities of MHM
3.1 MHM is and shall operate as a self-governing, non-profit organization
with elected officers and members.
3.2 MHM membership is open to all persons regardless of gender, sexual
orientation, creed, religion, race, residency, physical ability, or national origin.
3.3 For the benefit of the City and its residents, MHM Operations shall
include :
3.3.1 City Hall Display. Installation of a quarterly exhibit of
images from MHM’s collection that reflect San Rafael history.
3.3.2 Historical Talks. MHM will include as part of its annual
Speaker Series at least one public event about San Rafael’s history over
the last 151 years, held at the San Rafael Public Library.
3.3.3 City Collateral Support. Assistance to the City in creating
content for brochures, signage, etc. related to MHM Operations at Boyd
Gate House.
3.3.4 Archival Image Access. MHM will waive all usage fees for
images from its collection for City civic projects.
Docusign Envelope ID: 701277A5-B2A4-4FFC-9AF2-47774ACE91A3
4
3.3.5 Self-Guide Tour Creation. MHM will create a tri-fold flyer
about the Falkirk Mansion to be distributed at the location.
3.3.6 Plaque Tour Research. Creation of a virtual tour that is
similar to the one in the City of Petaluma, where visitors use their mobile
phones to scan QR codes to access webpages with content about historic
buildings, landmarks, or neighborhoods. These codes can be displayed in
windows or on small signs attached to parking meters or light poles. The
content (text, photos, etc.) will be provided by MHM. This could be
expanded to include the interior of the Falkirk Mansion. All of this content
can also be arranged for viewing on a dedicated website.
3.4 MHM shall coordinate with designated City staff regarding matters
concerning the operation of the MHM Operations at the Boyd Gate House.
3.5 All MHM personnel and volunteers coordinated by the MHM shall be
completely under the direction, control and responsibility of the MHM. MHM is
solely responsible for furnishing its own personnel and volunteers to produce
programs, services, and activities. MHM is not authorized to offer fee-based
activities, classes or programs instructed by third-party contractors, outside
organizations, or individuals not associated with the MHM at Boyd Gate House.
3.6 MHM shall, at its sole cost, provide independent supplies, materials,
equipment, and all consumable materials necessary for the conduct of MHM
Operations, its programs, services, activities, and events.
3.7 Equipment (not including computers/monitors, modems/routers,
loaned or leased equipment, or items that are part of MHM’s collection), and
furnishings purchased by the MHM expressly for use at the Boyd Gate House
shall become permanent property of the Boyd Gate House and shall be shared
with other individuals, groups and organizations utilizing the Boyd Gate House for
other activities, with permission of the MHM during the term of th is and any
subsequent agreements between the City and the MHM. MHM shall permit other
individuals, groups and organizations to access a computer set up for the
purposes of conducting historical research at the Boyd Gate House.
3.8 MHM shall abide by and follow all policies, procedures, rules and
regulations set forth by the City for the administration and operation when
fulfilling its duties at locations other than the Boyd Gate House.
Section 4. Compensation
4.1 The City agrees that there are no fees due to the City for the activities
and use of the Boyd Gate House described in this Agreement, unless the
Agreement requires otherwise.
Docusign Envelope ID: 701277A5-B2A4-4FFC-9AF2-47774ACE91A3
5
4.2 MHM agrees to pay fees, to be agreed upon by the parties in advance
of any assignment, for City personnel assigned to support MHM activities at the
Boyd Gate House.
4.3 MHM agrees that the City will not furnish personnel assigned to
coordinate or direct MHM programs as part of this Agreement. MHM agrees to
furnish their own personnel, at its own expense, to coordinate MHM programs.
Section 5. Reports and Audits
By March 1st of each year, MHM shall provide to the City a comprehensive
status report describing all organized activities conducted and supervised during
the previous year at Boyd Gate House. MHM shall provide to the Assistant City
Manager, or their designee, a copy of its annual financial statement as regularly
prepared.
Section 6. Term
This Agreement shall commence on the date written above and shall expire three
years from the Effective Date. This Agreement may be extended for three (3)
additional one (1) year terms based on mutual satisfaction and agreement to
terms.
Section 7. Termination of Agreement
7.1 Discretionary. Either party may terminate this Agreement without
cause upon ninety ( 90) days written notice mailed or personally delivered to
the other party.
7.2 Cause. Either party may terminate this Agreement for cause upon
fifteen (15) days written notice mailed or personally delivered to the other party,
and the notified party's failure to cure or correct the cause of the termination, to
the reasonable satisfaction of the party giving such notice, within such fifteen (15)
days' time period.
7.3 Effect of Termination. Upon receipt of notice of termination, neither
party shall incur additional obligations under any provision of this Agreement
without the prior written consent of the other. City shall cooperate with MHM for
the safe temporary storage and access to the Boyd Gate House to allow for the
orderly removal of MHM’s collection pieces and equipment.
7.4 Return of Documents. Upon termination, any and all City
documents or materials provided to MHM and any and all of MHM's documents
and materials prepared for or relating to the performance of its duties under this
Docusign Envelope ID: 701277A5-B2A4-4FFC-9AF2-47774ACE91A3
6
Agreement, shall be delivered to the City as soon as possible, but not later than
thirty (30) days after termination.
Section 8 Indemnification
8.1 MHM shall, to the fullest extent permitted by law, indemnify, release,
defend with counsel approved by the City, and hold harmless the City, its
officers, agents, employees and volunteers (collectively, the "City
Indemnitees"), from and against any claim, demand, suit, judgment, loss, liability
or expense of any kind, including but not limited to attorney's fees, expert fees
and all other costs and fees of litigation, (collectively "Claims"), arising out of
MHM's performance of its obligations or conduct of its operations under this
Agreement. MHM '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 MHM '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 MHM's work or work product by the City or any of
its directors, officers or employees shall not relieve or reduce MHM's
indemnification obligations. In the event the City Indemnitees are made a party
to any action, lawsuit, or other adversarial proceeding arising from MHM'S
performance of or operations under this Agreement, MHM shall provide a
defense to the City Indemnitees or at the City’s option reimburse the City
Indemnitees their costs of defense, including reasonable attorneys' fees, incurred
in defense of such claims.
8.2 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.
Section 9. Insurance.
9.1 Scope of Coverage. During the term of this Agreement, MHM shall
maintain, at no expense to the City, the following insurance policies:
a) A commercial general liability insurance policy in the minimum amount
of one million dollars ($1,000,000) per occurrence/two million dollars
($2,000,000) aggregate, for death, bodily injury, personal injury, or property
damage.
b) An automobile liability (owned, non-owned, and hired vehicles)
insurance policy in the minimum amount of one million dollars ($1,000,000)
dollars per occurrence.
Docusign Envelope ID: 701277A5-B2A4-4FFC-9AF2-47774ACE91A3
7
c) If any licensed professional performs any of the services required to be
performed under this Agreement, a professional liability insurance policy in the
minimum amount of one million dollars ($1,000,000) per occurrence/two million
dollars ($2,000,000) aggregate, to cover any claims arising out of the MHM's
performance of services under this Agreement. Where MHM is a professional not
required to have a professional license, The City reserves the right to require
MHM to provide professional liability insurance pursuant to this section.
d) If it employs any person, MHM shall maintain worker's 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. MHM's worker's
compensation insurance shall be specifically endorsed to waive any right of
subrogation against The City.
9.2 Other Insurance Requirements. The insurance coverage required
of the MHM in this section, shall also meet the following requirements:
a) Except for professional liability insurance or worker's 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.
b) The additional insured coverage under MHM's insurance policies shall
be "primary and non-contributory" with respect to any insurance or
coverage maintained by The City and shall not call upon The City's
insurance or self- insurance coverage for any contribution. The
"primary and non-contributory" coverage in MHM's policies shall be at
least as broad as ISO form CG20 01 04 13.
c) Except for professional liability insurance or worker's compensation
insurance, the insurance policies shall include, in their text or by
endorsement, coverage for contractual liability and personal injury.
d) By execution of this Agreement, MHM hereby grants to the City a
waiver of any right to subrogation which any insurer of MHM may
acquire against the City by virtue of the payment of any loss under
such insurance. MHM agrees to obtain any endorsement that may be
necessary to affect this waiver of subrogation, but this provision
applies regardless of whether or not the City has received a waiver
of subrogation endorsement from the insurer.
e) 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.
Docusign Envelope ID: 701277A5-B2A4-4FFC-9AF2-47774ACE91A3
8
f) The insurance policies shall provide for a retroactive date of placement
coinciding with the effective date of this Agreement.
g) 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 the City (if agreed to in a written
contract or agreement) before the City's own insurance or self-
insurance shall be called upon to protect it as a named insured.
h) 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 The 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 MHM under this agreement.
i) The insurance policies shall provide that the insurance carrier shall not
cancel, terminate or otherwise modify the terms and conditions of said
insurance policies except upon ten (10) days written notice to the
Assistant City Manager.
9.3 Deductibles and SIR's. Any deductibles or self-insured retentions in
MHM' insurance policies must be declared to and approved by the City’s Risk
Manager, and shall not reduce the limits of liability. Policies containing any self -
insured retention (SIR) provision shall provide or be endorsed to provide that the
SIR may be satisfied by either the named insured or the City or other additional
insured party. At the City's option, the deductibles or self- insured retentions with
respect to the City shall be reduced or eliminated to the City's satisfaction, or
MHM shall procure a bond guaranteeing payment of losses and related
investigations, claims administration, attorney's fees and defense expenses.
9.4 Proof of Insurance. MHM shall provide to the City’s Project Manager
all of the following: (1) Certificates of Insurance evidencing the insurance
coverage required in this Agreement; (2) a copy of the policy declaration page
and/or endorsement page listing all policy endorsements for the commercial
general liability policy, and (3) excerpts of policy language or specific
endorsements evidencing the other insurance requirements set forth in this
Agreement. The City reserves the right to obtain a full certified copy of any
Docusign Envelope ID: 701277A5-B2A4-4FFC-9AF2-47774ACE91A3
9
insurance policy and endorsements from MHM. Failure to exercise this right shall
not constitute a waiver of the right to exercise it later. The insurance shall be
approved as to form and sufficiency by the City’s Risk Manager.
Section 10. Possessory Interest.
MHM recognizes and understands that this Agreement may create a Possessory
interest subject to property taxation and that MHM may be subject to the
payment of property taxes levied on such interest.
Section 11. Independent Contractor.
It is understood and agreed that MHM, its employees, agents and volunteers, in
performance of the duties and obligations under this Agreement, shall act as and
shall be an independent contractor and not an agent or employee of the City. As
such, MHM, its employees, agents and volunteers shall obtain no rights or
benefits, which accrue to the City employees. MHM expressly waives any
claims it, its employees, agents, or volunteers may have to any such rights or
benefits.
Section 12. Assignment: No Third Party Beneficiaries.
12.1 MHM shall not assign or transfer any interest in this Agreement, nor
its duties and obligations under this Agreement, without the prior written consent
of the City, and any attempt by MHM to so assign this Agreement, or any
rights, duties or obligations arising hereunder, shall be void and of no effect.
12.2 Neither party shall assign or transfer its rights to enforce any part of
this Agreement. The obligation of the City and the obligations of the MHM stated
in this Agreement are not intended to, and do not, create any rights to any other
person or entity which such person or entity would not otherwise have in the
absence of this Agreement.
Section 13: Compliance With All Laws & Non-discrimination.
MHM shall comply with all applicable laws, ordinances, codes and regulations of
the State, Federal and local governments in the performance of its duties and
obligations under this Agreement. MHM shall not discriminate, in any way against
any person on the basis of age, sex, race, color, creed, religion, sexual
orientation, physical ability, or national origin in connection with or related to the
performance of this Agreement. MHM shall release, defend, indemnify, and hold
harmless the 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.
Section 14. Authority.
Docusign Envelope ID: 701277A5-B2A4-4FFC-9AF2-47774ACE91A3
10
14.1 Each party represents that it has duly approved the signing of this
Agreement and has duly authorized the person named below to sign this
Agreement on its behalf in accordance with applicable law. Each such named
person personally warrants that he/she has such approval and authority.
14.2 Minor variations in the provision of services pursuant to this
Agreement may be made with written concurrence by the Assistant City Manager
and MHM. With this exception, this Agreement may only be modified by a written
amendment executed by the parties to this Agreement.
Section 15. Waiver.
MHM understands and agrees that waiver by the City of any breach or violation
of any term or condition of this Agreement shall not be deemed to be a waiver of
any other term or condition contained herein or a waiver of any subsequent
breach or violation of the same or any other term or condition. The acceptance
by the City of the performance of any duty or obligation by MHM shall not be
deemed to be a waiver of any term or condition of this Agreement.
Section 16. Notices.
All notices and other communications required or permitted to be given under this
Agreement shall be in writing and shall be personally served or mailed, postage
prepaid, addressed to the responsive parties as follows:
To The City:
Assistant City Manager
1400 Fifth Street
San Rafael, CA 94901
To MHM:
Marin History Museum P.O. Box 150727 San Rafael, CA 94915
Notice shall be deemed effective on the date personally delivered or, if mailed,
upon deposit in the mail, properly addressed and with required postage.
Section 17. Whole Agreement.
17.1 The terms and conditions of this Agreement, all exhibits attached,
and all documents expressly incorporated by reference, represent the entire
Agreement of the parties with respect to the subject matter of this Agreement.
Docusign Envelope ID: 701277A5-B2A4-4FFC-9AF2-47774ACE91A3
11
17.2 This written Agreement shall supersede any and all prior
agreements, oral or written, regarding the subject matter between the MHM and
the City.
17.3 No other agreement, promise or statement, written or oral, relating
to the subject matter of this Agreement, shall be valid or binding, except by way
of a written amendment to this Agreement.
17.4 If any conflicts arise between the terms and conditions of this
Agreement, and the terms and conditions of the attached exhibits or the
documents expressly incorporated by reference, the terms and conditions of this
Agreement shall control.
Section 18. Set-Off Against Debts.
MHM agrees that City may deduct from any payment due to MHM under this
Agreement, any monies which MHM owes the City under any ordinance,
agreement, contract or resolution for any unpaid taxes, fees, licenses,
assessments, unpaid checks or other amounts.
Section 19. Attorney's Fees.
The prevailing party in any action brought to enforce the terms and conditions of
this Agreement, or arising out of the performance of this Agreement, may recover
its reasonable costs (including claims administration) and attorney's fees
expended in connection with such action.
Section 20. Survival of Terms.
Any terms of this Agreement that by their nature extend beyond the term (or
termination) of this Agreement shall remain in effect until fulfilled and shall apply
to both Parties' respective successors and assigns.
Section 21. Applicable Law.
The laws of the State of California shall govern this Agreement.
Section 22. Counterparts and Electronic Signature.
This Agreement may be executed 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: 701277A5-B2A4-4FFC-9AF2-47774ACE91A3
12
IN WITNESS WHEREOF the parties hereto have executed this written
AGREEMENT the day and year first above written.
MARIN HISTORY MUSEUM
______________________ Date:______________________
Heather McPhail Sridharan,
President, Board of Directors
CITY OF SAN RAFAEL
____________________ Date:______________________
Cristine Alilovich, City Manager
ATTEST
_________________________ Date:_______________________
Lindsay Lara, City Clerk
APPROVED AS TO FORM:
_________________________ Date:________________________
Andrea Visveshwara,
Chief Assistant City Attorney
Docusign Envelope ID: 701277A5-B2A4-4FFC-9AF2-47774ACE91A3
September 9, 2025
September 9, 2025
October 16, 2025
October 21, 2025
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
9/2/2025
Marin History Museum
X
X
Heather McPhail Sridharan mcphail.sridharan@gmail.com
John Stefanski
City Manager's Office
Docusign Envelope ID: 701277A5-B2A4-4FFC-9AF2-47774ACE91A3
Certificate Of Completion
Envelope Id: 701277A5-B2A4-4FFC-9AF2-47774ACE91A3 Status: Completed
Subject: DocuSign: Use Agreement Marin History Museum
Source Envelope:
Document Pages: 13 Signatures: 4 Envelope Originator:
Certificate Pages: 5 Initials: 4 Walter Gonzalez
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
111 Morphew St
San Rafael, CA 94901
Walter.Gonzalez@cityofsanrafael.org
IP Address: 71.204.171.173
Record Tracking
Status: Original
9/5/2025 2:06:07 PM
Holder: Walter Gonzalez
Walter.Gonzalez@cityofsanrafael.org
Location: DocuSign
Signer Events Signature Timestamp
John Stefanski
John.Stefanski@cityofsanrafael.org
City Manager
City of San Rafael
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 199.88.113.8
Sent: 9/5/2025 4:18:20 PM
Viewed: 9/8/2025 8:53:10 AM
Signed: 9/8/2025 8:54:01 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: 9/8/2025 8:54:02 AM
Viewed: 9/8/2025 10:29:07 AM
Signed: 9/8/2025 10:29:19 AM
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: 9/8/2025 8:54:03 AM
Viewed: 9/9/2025 10:04:09 AM
Signed: 9/9/2025 10:07:11 AM
Electronic Record and Signature Disclosure:
Accepted: 9/9/2025 10:04:09 AM
ID: d20851d3-4b99-4867-a3c5-7d79f08fb3fc
Heather Mcphail Sridharan
mcphail.sridharan@gmail.com
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 104.176.5.196
Sent: 9/9/2025 10:07:14 AM
Viewed: 9/9/2025 1:19:03 PM
Signed: 9/9/2025 1:19:12 PM
Electronic Record and Signature Disclosure:
Accepted: 9/9/2025 1:19:03 PM
ID: efd62b30-aa6e-4adc-bd12-7024b7037732
Signer Events Signature Timestamp
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: 9/9/2025 1:19:15 PM
Viewed: 9/9/2025 1:27:02 PM
Signed: 9/9/2025 1:27:41 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Heather Davis
Heather.Davis@cityofsanrafael.org
Risk Manager
City of San Rafael
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 12.220.152.68
Sent: 9/9/2025 1:19:15 PM
Viewed: 9/19/2025 3:06:10 PM
Signed: 10/15/2025 5:02:50 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:
2600:1010:b00b:f3dd:7c77:8f5b:4f49:b4ea
Signed using mobile
Sent: 10/15/2025 5:02:52 PM
Viewed: 10/16/2025 4:22:54 PM
Signed: 10/16/2025 4:23:04 PM
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: 10/16/2025 4:23:07 PM
Viewed: 10/21/2025 11:58:34 AM
Signed: 10/21/2025 11:58:40 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: 9/5/2025 3:55:41 PM
Viewed: 9/5/2025 4:15:10 PM
Completed: 9/5/2025 4:18:19 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 9/5/2025 3:55:41 PM
Certified Delivered Security Checked 10/21/2025 11:58:34 AM
Signing Complete Security Checked 10/21/2025 11:58:40 AM
Completed Security Checked 10/21/2025 11:58:40 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, Heather Mcphail Sridharan, 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.