HomeMy WebLinkAboutPW Loch Lomond Marina Janitorial Services
City Attorney Form, July 2023 Page 1
SERVICES CONTRACT
BY AND BETWEEN
THE CITY OF SAN RAFAEL
AND
SHM LOCH LOMOND, LLC
FOR LOCH LOMOND MARINA JANITORIAL SERVICES
This contract (“Contract”) is entered into by and between the City of San Rafael (“City”) and SHM
Loch Lomond, LLC (“Contractor”), a Delaware Limited Liability Company, for work on the City’s Loch
Lomond Marina Janitorial Services (“Project”), and is effective on ____________________ (“Effective
Date”).
The parties agree as follows:
1. Scope of Work. Contractor will perform and provide all labor, materials, equipment, supplies,
transportation, and any and all other items or services necessary to perform and complete the work
required for the Project (“Work”), as specified in Exhibit A, Scope of Work, and according to the terms
and conditions of this Contract, including all attachments to the Contract and any other documents and
statutes incorporated by reference. To the extent that any attachment contains provisions that conflict or
are inconsistent with the terms set forth in the body of this Contract, the Contract terms will control.
2. Contract Documents. The Contract Documents incorporated into this Contract include and are
comprised of all of the documents listed below:
2.1 Contract;
2.2 Addenda, if any;
2.3 Exhibit A – Scope of Work;
2.4 Exhibit B – Insurance Requirements.
3. Contract Price. As full and complete compensation for Contractor’s timely performance and
completion of the Work in strict accordance with the terms and conditions of the Contract Documents, City
will pay Contractor a not to exceed amount of $28,000 (the “Contract Price”), for all of Contractor’s direct
and indirect costs to perform the Work, including all labor, materials, supplies, equipment, taxes,
insurance, and all overhead costs, in accordance with Contractor’s Bid Proposal set forth in Exhibit A
and the payment provisions contained herein.
3.1 Payment. Contractor will bill City on a monthly basis for Services provided by Contractor
during the preceding month, subject to verification by City. City will pay Contractor within thirty (30) days
of City’s receipt of invoice.
4. Term of Agreement. Unless otherwise set forth in this Agreement or unless this paragraph is
subsequently modified by a written amendment to this Agreement, the term of this Agreement shall begin
on August 1, 2025 and terminate on June 30, 2026. At the City’s election, the Contract may be extended
for a period not to exceed one (1) year.
5. Standard of Care. All Work must be provided in a manner that meets or exceeds the standard of
care applicable to the same type of work in the City of San Rafael. Contractor must promptly correct, at
Contractor’s sole expense, any Work that the City determines is deficient or defective. Failure to correct
deficient care within a timely matter of City providing notice to Contractor, or multiple failures to meet the
standard of care can result in termination for default.
6. Permits and Licenses. Contractor, at its sole expense, must obtain and maintain during the term
of this Contract, all appropriate permits, certificates and licenses including, but not limited to a City
business license.
August 1, 2025
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2025.0100
City Attorney Form, July 2023 Page 2
7. Indemnification. Contractor will indemnify, defend with counsel acceptable to City, and hold
harmless to the full extent permitted by law, City, its governing body, officers, agents, employees, and
volunteers (the “Indemnitees”) from and against any and all liability, demands, loss, damage, claims,
settlements, expenses, and costs (including, without limitation, attorneys’ fees, expert witness fees, and
costs and fees of litigation) (collectively, “Liability”) of every nature arising out of or in connection with the
acts or omissions of Contractor, its employees, subcontractors, representatives, or agents in performing
the Work or failing to comply with any obligation of Contractor under this Contract, except such Liability
caused by the active negligence, sole negligence, or willful misconduct of an Indemnitee. This
indemnification obligation is not limited by any limitation on the amount or type of damages or
compensation payable under Workers’ Compensation or other employee benefit acts, or by insurance
coverage limits, and will survive the expiration or early termination of this Contract.
8. Insurance. Contractor will, at all times under this Contract, procure and maintain in full force and
effect the insurance coverage provided in Exhibit B, Insurance Requirements, at no cost to City.
9. Termination.
9.1 Termination for Convenience. City reserves the right to terminate all or part of the Contract
for convenience upon written notice to Contractor. Upon receipt of such notice, Contractor must:
immediately stop the Work, including under any terms or conditions that may be specified in the notice;
comply with City’s instructions to protect the completed Work and materials; and use its best efforts to
minimize further costs. In the event of City’s termination for convenience, Contractor waives any claim for
damages, including for loss of anticipated profits from the Project. If City terminates the Contract for
convenience, City will only owe Contractor payment for the Work satisfactorily performed before Contract
termination, as well as five percent of the total value of the Work performed as of the date of notice of
termination or five percent of the value of the Work yet to be completed, whichever is less, which is
deemed to cover all overhead and profit to date.
9.2 Termination for Default. The City may terminate this Contract for cause for any material
default. Contractor may be deemed in default for a material breach of or inability to perform the Contract,
including Contractor’s refusal or failure to supply sufficient skilled workers, proper materials, or equipment
to perform the Work within the Contract Time; refusal or failure to make prompt payment to its employees,
subcontractors, or suppliers or to correct rejected work; disregard of laws, regulations, ordinances, rules,
or orders of any public agency with jurisdiction over the Project; lack of financial capacity to complete the
Work within the Contract Time; or responsibility for any other material breach of the Contract
requirements. If City terminates the Contract for cause, City will only owe Contractor payment for the
Work satisfactorily performed before Contract termination.
10. Dispute Resolution. Any dispute arising under or related to this Contract is subject to the dispute
resolution procedures of Public Contract Code sections 9401 and 20104 et. seq., which are incorporated
by reference.
11. Waiver. A waiver by City of any breach of any term, covenant, or condition in this Contract will
not be deemed a waiver of any subsequent breach of the same or any other term, covenant, or condition
contained herein, regardless of the character of any such breach.
12. Warranty. Contractor guarantees and warrants the Work and the materials used or provided for
the Project for a period of one year, beginning upon City’s acceptance of the Work for the Project as
complete (“Warranty Period”). During the Warranty Period, upon notice from the City of any defect in the
Work or the materials, Contractor must, at its sole expense, promptly repair or replace the defective Work
or materials, including repair or replacement of any other Work or materials that is or are displaced or
damaged during the warranty work, excepting any damage resulting from ordinary wear and tear.
13. Worksite Conditions.
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13.1 Clean and Safe. Contractor must maintain the Work site and staging and storage areas in a
clean and neat condition and must ensure it is safe and secure. On a daily basis Contractor must remove
and properly dispose of debris and waste materials from the Work site.
13.2 Inspection. Contractor will make the Work accessible at all times for inspection by the City.
13.3 Hazardous Materials. Unless otherwise specified in the Contract documents, this Contract
does not include the removal, handling, or disturbance of any asbestos or other hazardous materials, as
identified by any federal, state, or local law or regulation. If Contractor encounters materials on the Project
site that Contractor reasonably believes to be asbestos or other hazardous materials, and the asbestos or
other hazardous materials have not been rendered harmless, Contractor may continue Work in
unaffected areas reasonably believed to be safe, but must immediately cease Work on the area affected
and report the condition to City. No asbestos, asbestos-containing products or other hazardous materials
may be used in performance of the Work.
14. Conflicts of Interest. Contractor, its employees, subcontractors and agents, may not have,
maintain or acquire a conflict of interest in relation to this Contract in violation of any City ordinance or
policy or in violation of any California law, including under Government Code section 1090 et seq. and
under the Political Reform Act as set forth in Government Code section 81000 et seq. and its
accompanying regulations. Any violation of this Section constitutes a material breach of the Contract.
15. Non-Discrimination. No discrimination will be made in the employment of persons under this
Contract because of the race, color, national origin, ancestry, religion, gender or sexual orientation of
such person.
16. Independent Contractor. City and Contractor intend that Contractor will perform the Work under
this Contract as an independent contractor. Contractor is solely responsible for its means and methods in
performing the Work. Contractor is not an employee of City and is not entitled to participate in health,
retirement or any other employee benefits from City.
17. Assignment of Unfair Business Practice Claims. Under Public Contract Code section 7103.5,
Contractor and its subcontractors agree to assign to City all rights, title, and interest in and to all causes
of action it may have under section 4 of the Clayton Act (15 U.S.C. section 15) or under the Cartwright
Act (Chapter 2 (commencing with section 16700) of Part 2 of Division 7 of the Business and Professions
Code), arising from purchases of goods, services, or materials pursuant to the Contract or any
subcontract. This assignment will be effective at the time City tenders final payment to Contractor, without
further acknowledgement by the parties.
18. Notice. Any notice, billing, or payment required by or pursuant to the Contract documents must
be made in writing, signed, dated and sent to the other party by personal delivery, U.S. Mail, a reliable
overnight delivery service, or by email as a PDF (or comparable) file. Notice is deemed effective upon
delivery unless otherwise specified. Notice for each party must be given as follows:
To CITY’s Representative:
Ryan Montes
Operations & Maintenance Manager
111 Morphew Street
San Rafael, CA 94901
To CONTRACTOR’s Representative:
Patrick Lopez
General Manager
110 Loch Lomond Dr,
San Rafael, CA 94901
19. General Provisions.
19.1 Compliance with All Laws. Contractor will comply with all applicable federal, state, and
local laws and regulations including, but not limited to, unemployment insurance benefits, FICA laws,
conflict of interest laws, and local ordinances. Work may only be performed by qualified and experienced
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workers who are not employed by the City and who do not have any contractual relationship with City,
with the exception of this Contract.
19.2 Provisions Deemed Inserted. Every provision of law required to be inserted in the
Contract is deemed to be inserted, and the Contract will be construed and enforced as though such
provision has been included. If it is discovered that through mistake or otherwise that any required
provision was not inserted, or not correctly inserted, the Contract will be deemed amended accordingly.
19.3 Assignment and Successors. Contractor may not assign its rights or obligations under
this Contract, in part or in whole, without City’s written consent. This Contract is binding on Contractor’s
and City’s lawful heirs, successors and permitted assigns.
19.4 Third Party Beneficiaries. There are no intended third-party beneficiaries to this Contract.
19.5 Governing Law and Venue. This Contract will be governed by California law and venue
will be in the Superior Court of Marin County, and no other place.
19.6 Amendment. No amendment or modification of this Contract will be binding unless it is in a
writing duly authorized and signed by the parties to this Contract.
19.7 Integration; Severability. This Contract and the Contract documents incorporated herein,
including authorized amendments or change orders thereto, constitute the final, complete, and exclusive
terms of the agreement between City and Contractor. If any provision of the Contract documents, or
portion of a provision, is determined to be illegal, invalid, or unenforceable, the remaining provisions of
the Contract documents will remain in full force and effect.
19.8 Authorization. Each individual signing below warrants that he or she is authorized to do so
by the party that he or she represents, and that this Contract is legally binding on that party. If Contractor
is a corporation, signatures from two officers of the corporation are required pursuant to California
Corporation Code section 313.
19.9 Counterparts and Electronic Signature. This Agreement may be executed by electronic
signature and in any number of counterparts, each of which shall be deemed an original, but all of which
together shall constitute one document. Counterpart signature pages may be delivered by telecopier,
email or other means of electronic transmission.
[Signatures are on the following page.]
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The parties agree to this Contract as witnessed by the signatures below:
CITY OF SAN RAFAEL:
_________________________________
CRISTINE ALILOVICH, City Manager
APPROVED AS TO FORM:
Office of the City Attorney
_________________________________
By: ANDREA VISVESHWARA,
Chief Assistant City Attorney
ATTEST:
City Clerk
_________________________________
LINDSAY LARA, City Clerk
CONTRACTOR:
__________________________________
By: ____________________________
Name: ____________________________
Title: ____________________________
__________________________________
By: ____________________________
Name: ____________________________
Title: _____________________________
Exhibit A: Scope of Work
Exhibit B: Insurance Requirements
Executed on:
Docusign Envelope ID: 12AFCB9D-D71C-48D8-8936-CA666917C294
Garrett McKinney
Regional Vice President - West Coast North
Safe Harbor Loch Lomond, LLCNovember 25, 2025
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: SHM Loch Lomond, LLC will provide routine janitorial
services in the public areas of the Loch Lomond Marina.
2. Specific Tasks:
As part of the Scope of Work, the Contractor shall perform the following tasks:
2.1 Task 1 – Garbage:
All public garbage cans shall be emptied and bags replaced. The garbage
locations are shown on the map below. The garbage cans around Andy’s Market
are not part of this maintenance contract and shall be maintained by the market.
Note: There is no vehicle access to the garbage cans and dog bags located on the
east jetty. Please see map for reference.
A dumpster shall be located within the service area for the trash to be placed. It will
not be required to haul trash off-site. The dumpster will be in a locked area, and a
key will be provided to contractor.
Refill and replace dog bags provided with garbage cans as needed. Dog bag
stations located on the map below.
2.2 Task 2 – Public Restrooms:
Maintain cleanliness of public restrooms. Service shall include washing down floors
and walls, cleaning toilet, sink and mirror. Location of restrooms located on the
map below.
Empty refuse cans within restrooms and restock paper products as needed.
Clean and inspect sump at public restroom with sanitary service.
The active restroom facility located on the east side of the parking facility will need
to be serviced by a pumping truck. This service may be subcontracted out and
does not need to be performed by the maintenance contractor directly.
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2.3 Task 3 – Fish Cleaning Station:
Clean and service the fish cleaning station, including removal of waste.
DELIVERABLES
Contractor’s deliverables under the Contract are enunciated throughout the Contract and
include but are not limited to the following:
1. Project Deliverables:
1. Contractor shall leave service area free of any debris, litter or excess
supplies.
2. Provide supplies including toilet paper, paper hand towels, trash bags,
dog bags and cleaning supplies as part of service.
METHOD OF PAYMENT
Subject to the terms and conditions of this Contract, for the tasks described above,
compensation will be on a time and materials basis based on the following rates:
Garbage Service: $61.83
Restroom Service: $61.83
Fish Cleaning Station: $61.83
Cost per day of service: $185.50
Monthly cost for 3 days per week of service for all items above: $2,226
SCHEDULE
The number of service days shall be three (3) days per week. The days
will be determined by the City’s Project Manager. The City may add
additional days of service if budget allows.
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– END OF EXHIBIT A –
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________________________________________________________________________________________________
City Attorney Form, July 2023 Exhibit B
Exhibit B
INSURANCE REQUIREMENTS
Contractor will, at all times under this Contract, procure and maintain in full force and effect the insurance
coverage required in this Exhibit B to cover the activities of Contractor and any subcontractors relating to
or arising from performance of the Work. Each policy must be issued by a company licensed to do
business in California, and with a strength and size rating from A.M. Best Company of A-VIII or better.
Contractor must provide City with certificates of insurance and required endorsements as evidence of
coverage with the executed Contract, or through the PINSAdvantage website
https://www.pinsadvantage.com/ upon request by the City, and before the City authorizes Contractor to
proceed with the Work.
1. Workers’ Compensation. Statutory coverage is required by the California Workers’
Compensation Insurance and Safety Act. If Contractor is self-insured, it must provide its duly authorized
Certificate of Permission to Self-Insure. In addition, Contractor must provide employer’s liability insurance
with limits of no less than one million dollars ($1,000,000) per accident for bodily injury or disease.
2. Liability. Commercial General Liability (“CGL”) insurance issued on an occurrence basis,
including coverage for liability arising from Contractor’s or its subcontractor’s acts or omissions in
performing the Work, including Contractor’s protected coverage, blanket contractual, products and
completed operations, broad form property damage, vehicular coverage, and employer’s non-ownership
liability coverage, with limits of at least $1,000,000 per occurrence and $2,000,000 general aggregate.
3. Automotive. Commercial automotive liability coverage for owned, non-owned and hired
vehicles must provide coverage of at least $1,000,000 combined single limit per accident for bodily injury,
death, or property damage.
4. Subrogation Waiver. Each required policy must include an endorsement that the insurer
waives any right of subrogation it may have against the City or the City’s insurers.
5. Required Endorsements. The CGL policy and the automotive liability policy must include the
following specific endorsements:
(a) The City, including its Council, officials, officers, employees, agents, volunteers and
consultants (collectively, “Additional Insured”) must be named as an additional insured for all
liability arising out of the operations by or on behalf of the named insured, and the policy
must protect the Additional Insured against any and all liability for personal injury, death or
property damage or destruction arising directly or indirectly in the performance of the
Contract.
(b) The inclusion of more than one insured will not operate to impair the rights of one
insured against another, and the coverages afforded will apply as though separate policies
have been issued to each insured.
(c) The insurance provided is primary and no insurance held or owned by City may be
called upon to contribute to a loss (“primary and non-contributory”).
(d) Any umbrella or excess insurance must contain or be endorsed to contain a provision
that such coverage will also apply on a primary or non-contributory basis for the benefit of
City before the City’s own insurance or self-insurance will be called upon to protect it as a
named insured.
(e) This policy does not exclude explosion, collapse, underground excavation hazard, or
removal of lateral support.
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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
X
Patrick Lopez plopez@shmarinas.com
Public Works
Shannon Mackle (for Aaron Tubbs)
SHM Loch Lomond
X
Docusign Envelope ID: 12AFCB9D-D71C-48D8-8936-CA666917C294
Certificate Of Completion
Envelope Id: 12AFCB9D-D71C-48D8-8936-CA666917C294 Status: Completed
Subject: DocuSign: General Services with Safe Harbors for Loch Lomond Marina Janitorial Services
Source Envelope:
Document Pages: 10 Signatures: 4 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
11/4/2025 9:23:03 AM
Holder: Shannon Mackle
Shannon.Mackle@cityofsanrafael.org
Location: DocuSign
Signer Events Signature Timestamp
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: 11/5/2025 3:10:08 PM
Viewed: 11/5/2025 4:26:02 PM
Signed: 11/5/2025 4:26:12 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: 11/5/2025 4:26:13 PM
Viewed: 11/6/2025 9:26:49 AM
Signed: 11/6/2025 9:26:58 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: 11/5/2025 4:26:13 PM
Viewed: 11/5/2025 4:37:06 PM
Signed: 11/5/2025 4:41:04 PM
Electronic Record and Signature Disclosure:
Accepted: 11/5/2025 4:37:06 PM
ID: 7ee1ac2b-a09b-47cf-b27d-4565d43c6caf
Garrett McKinney
gmckinney@shmarinas.com
Regional Vice President - West Coast North
Safe Harbor Loch Lomond, LLC
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 155.190.3.6
Sent: 11/6/2025 9:27:00 AM
Resent: 11/6/2025 10:08:52 AM
Viewed: 11/6/2025 10:19:23 AM
Signed: 11/10/2025 2:31:31 PM
Electronic Record and Signature Disclosure:
Accepted: 11/6/2025 10:19:23 AM
ID: d8dec8d2-5849-4440-bfa7-d318fa1f989d
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: 11/10/2025 2:31:32 PM
Viewed: 11/17/2025 7:06:44 PM
Signed: 11/17/2025 7:07:06 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: 199.88.113.8
Sent: 11/10/2025 2:31:33 PM
Viewed: 11/14/2025 8:45:47 AM
Signed: 11/25/2025 12:40:39 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: 209.214.137.130
Sent: 11/25/2025 12:40:41 PM
Viewed: 11/25/2025 3:21:32 PM
Signed: 11/25/2025 3:21:38 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: 11/25/2025 3:21:41 PM
Viewed: 12/1/2025 12:48:14 PM
Signed: 12/1/2025 12:49:10 PM
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:
2600:1700:9750:3df0:ca9:581c:7600:d967
Sent: 11/5/2025 3:03:12 PM
Viewed: 11/5/2025 3:05:49 PM
Completed: 11/5/2025 3:10:07 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 11/5/2025 3:03:12 PM
Envelope Updated Security Checked 11/5/2025 3:10:07 PM
Envelope Updated Security Checked 11/5/2025 3:10:07 PM
Envelope Updated Security Checked 11/5/2025 3:10:07 PM
Envelope Updated Security Checked 11/5/2025 3:10:07 PM
Envelope Updated Security Checked 11/5/2025 3:10:07 PM
Envelope Updated Security Checked 11/6/2025 10:08:51 AM
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Certified Delivered Security Checked 12/1/2025 12:48:14 PM
Signing Complete Security Checked 12/1/2025 12:49:10 PM
Completed Security Checked 12/1/2025 12:49:10 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
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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, Garrett McKinney, 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.