HomeMy WebLinkAboutPW SRTS Belle Ave at Coleman School ProjectnCrry 01
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Agenda Item No: 3 e.
Meeting Date: April 2, 2012
SAN RAFAEL CITY COUNCIL AGENDA REPORT
Department: Public Works
Prepared by: 'l- ) C!4
City Manager Approva
Public Works Director (HY)
File No.: 18.10.18
SUBJECT: A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN
RAFAEL AWARDING A CONTRACT FOR THE BELLE AVENUE
PEDESTRIAN IMPROVEMENTS AT COLEMAN ELEMENTARY
SCHOOL, CITY PROJECT NO. 11175, TO COASTSIDE CONCRETE IN
THE AMOUNT OF $176,190.00.
I ILI014/707h0101019049[110
Staff recommends that the City Council adopt the resolution awarding the contract to Coastside
Concrete in the amount of $176,190.00 for the base bid and alternate bid item 1.
Safe Routes to School (SR2S) is a state funded program that is intended to improve the safety of
children between kindergarten and twelfth grade, including those with disabilities, and encourage
them to walk and bike to school. In August 2009, the City was notified that its proposal to
construct pedestrian improvements on Belle Avenue in front of Coleman Elementary School was
approved for funding.
The City has coordinated with Coleman Elementary School representatives and officials to
determine the improvements needed. The proposed improvements include construction of a
raised crosswalk, ADA compliant curb ramps, sidewalk widening, installation of safety lighting,
and installation of high visibility signing and striping. The bid alternative involves
improvements to an existing drainage system. The design of the project was completed by City
of San Rafael Department of Public Works engineering staff.
On February 6, 2012, the City Council adopted the plans and specifications and authorized the
City Clerk to call for bids. The project was advertised in accordance with San Rafael's Municipal
Code and policies on February 13, 2012, and sealed bids were publicly opened and read aloud on
March 20, 2012 at 10:30 AM. The base bid was used for comparison of prices and award of the
contract. The engineer's estimate was $211,000 for the base bid. The engineer's estimate for
alternate bid item I was $6,000. The following five base bids were received:
FOR CITY CLERK ONLY
File No.:
Council Meeting:
Disposition: Ra 5� D� &-,, r,
SAN RAFAEL CITY COUNCIL AGENDA REPORT / Page: 2
NAME OF BIDDER
AMOUNT
Coastside Concrete
$168,690.00
Team Ghilotti, Inc.
$199,235.00
Ghilotti Brothers, Inc.
$217,348.50
Ghilotti Construction Company
$217,711.00
W.R. Forde Associates
$224,325.00
ANALYSIS:
The low base bid from Coastside Concrete of $168,690.00 plus the bid alternative of $7,500.00
falls within the allocated project budget.
FISCAL IMPACT:
To date, a total of $6,514.77 has been charged to this project to collect topographic survey and
for plan and specification reproduction. The remaining project expenses include the construction
to be performed by Coastside Concrete and a recommended contingency of approximately 14%
for construction resulting in a total construction cost of $202,000 and a total project cost of
$208,514.77. The following table summarizes the costs which are associated with this project:
Cat gory -Eden Expense Code
Amount
Notes
Already Charged Expenses
Design and Consultation -01
$4,700.00
Topographic Survey
Supplies & Services -07
$1,814.77
Reproduction of Plans and Specifications
Already Charged Expenses
Subtotal
$6,514.77
Remaining Expenses
Construction -02
$168,690.00
Base Bid Contract Amount
$7,500.00
Alternate Bid Item I Contract Amount
$25,810.00
Contingency
Remaining Expenses Subtotal
$202,000.00
Total Project Cost
1 $208,514.77
OPTIONS:
The Council may choose not to award the contract and direct staff to rebid the project.
ACTION REQUIRED:
Adopt resolution awarding contract to Coastside Concrete in the amount of $176,190.00.
Enclosures
1. Resolution
2. Agreement
RESOLUTION NO. 13320
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN RAFAEL
AWARDING A CONTRACT FOR THE BELLE AVENUE PEDESTRIAN
IMPROVEMENTS AT COLEMAN ELEMENTARY SCHOOL, CITY PROJECT NO.
11175, TO COASTSIDE CONCRETE IN THE AMOUNT OF $176,190.00.
WHEREAS, on the 201h day of March, 2012, pursuant to due and legal notice published
in the manner provided by law, inviting sealed bids or proposals for the work hereinafter
mentioned, as more fully appears from the Affidavit of Publication thereof on file in the office of
the City Clerk of the City of San Rafael, California, the City Clerk of said City did publicly open,
examine, and declare all sealed bids or proposals for doing the following work in said City, to
wit:
"Belle Avenue Pedestrian Improvements at Coleman Elementary School"
City Project No. 11175
In accordance with the plans and specifications therefore on file in the office of said City Clerk,
and
WHEREAS, the bid of Coastside Concrete at the unit prices stated in its bid was and is
the lowest and best bid for said work and said bidder is the lowest responsible bidder.
NOW, THEREFORE, BE IT RESOLVED by the Council of the City of San Rafael,
that the bid of Coastside Concrete is hereby accepted at said unit prices and that the contract for
said work and improvements is hereby awarded to Coastside Concrete at the unit prices
mentioned in said bid.
IT IS FURTHER ORDERED AND RESOLVED that the Public Works Director and
the City Clerk of said City be authorized and directed to execute a contract with Coastside
Concrete in a form approved by the City Attorney, for said work and to return the bidder's bond
upon the execution of said contract.
RESOLVED, FURTHER, that the Public Works Director is hereby authorized to take
any and all such actions and make changes as may be necessary to accomplish the purpose of this
resolution.
I, ESTHER C. BEIRNE, Clerk of the City of San Rafael, hereby certify that the
foregoing resolution was duly and regularly introduced and adopted at a regular meeting of the
Council of said City held on the 2nd day of April, 2012 by the following vote, to wit:
AYES: COUNCILMEMBERS: Connolly, Heller, Levine, McCullough & Mayor Phillips
NOES: COUNCILMEMBERS: None
ABSENT: COUNCILMEMBERS: None
ESTHER C. BEIRNE, City Clerk
File No.: 18.10.18
P %
City of San Rafael ♦ California
Form of Contract Agreement
for
Belle Avenue Pedestrian Improvements at Coleman Elementary School
Citv Project No. 11175
This Agreement is made and entered into this 2nd day of April, 2012 by and between the City of San
Rafael (hereinafter called City) and Coastside Concrete (hereinafter called Contractor). Witnesseth,
that the City and the Contractor, for the considerations hereinafter named, agree as follows:
I - Scope of the Work
The Contractor hereby agrees to furnish all of the materials and all of the equipment and labor necessary,
and to perform all of the work shown on the plans and described in the specifications for the project
entitled: Belle Avenue Pedestrian Improvements at Coleman Elementary School, City Project No.
11175, all in accordance with the requirements and provisions of the Contract Documents as defined in
the General Conditions which are hereby made a part of this Agreement. The liability insurance provided
to City by Contractor under this contract shall be primary with respect to any other insurance available to
the City.
II - Time of Completion
(a) The work to be performed under this Contract shall be commenced within FIVE (5) WORKING
DAYS after the date of written notice by the City to the Contractor to proceed.
(b) All work, including punchlist items, shall be completed within THIRTY (30) WORKING DAYS
and with such extensions of time as are provided for in the General Conditions.
III - Liquidated Damages
It is agreed that, if all the work required by the contract is not finished or completed within the number of
calendar days as set forth in the contract, damage will be sustained by the City, and that it is and will be
impracticable and extremely difficult to ascertain and determine the actual damage which the City will
sustain in the event of and by reason of such delay; and it is therefore agreed that the Contractor will pay
to the City, the sum of $1,000 for each and every working day's delay in finishing the work in excess of
the number of working days prescribed above; and the Contractor agrees to pay said liquidated damages
herein provided for, and further agrees that the City may deduct the amount thereof from any moneys due
or that may become due the Contractor under the contract.
IV - The Contract Sum
The City shall pay to the Contractor for the performance of the Contract the amounts determined for the
total number of each of the units of work in the following schedule completed at the unit price stated.
The number of units contained in this schedule is approximate only, and the final payment shall be made
for the actual number of units that are incorporated in or made necessary by the work covered by the
Contract.
ITEM
NO.
DESCRIPTION
ESTIMATED
QUANTITY UNIT
UNIT
PRICE
TOTAL
PRICE
BASE BID
1.
Signs and Traffic Control
j 1 LS
53,500.00 (
53,500.00
2.
Construction Staking
r
i 1 i LS
S5,000.00 ;
55,000.00
3.
Clearing and Grubbing
1 I LS
57,500.00
57,500.00
ITEM
NO.
DESCRIPTION
ESTIMATED
QUANTITY
UNIT
UNIT
PRICE
TOTAL
PRICE
BASE BID
(CONTINUED)
4.
Minor Concrete — Minor Structures
a. Type A Curb & Gutter
305
LF
$30.00
$9,150.00
b. Type E Curb (6" Max. Height)
20
LF
$28.00
$560.00
c. 4 -inch Thick PCC Sidewalk
2,100
SF
$10.00
$21,000.00
d. Curb Ramp — Case A
5
EA
$2,000.00
$10,000.00
e. Curb Ramp — Case CM
2
EA
$2,500.00
$5,000.00
f. Curb Ramp — Case G
3
EA
$2,250.00
$6,750.00
g. Valley Gutter
1,025
SF
$10.00
$10,250.00
h. Type D Catch Basin
3
EA
$1,000.00
$3,000.00 `
i. Type A Manhole
I
EA
$3,000.00
$3,000.00
5.
Asphalt Concrete
108
TON
$185.00
$19,980.00
6.
Asphalt Concrete Raised Crosswalk
1
LS
$4,500.00
$4,500.00
7.
Reinforced Concrete Pipe
155
LF
$100.00
$15,500.00
8.
Sanitary Sewer Improvements
1
LS
$6,500.00
$6,500.00
9.
Pipe Gate
I
LS
$2,500.00
$2,500.00
10.
Adjust Existing Facilities to Grade
I
LS
$2,500.00
$2,500.00
H.
Safety Lighting
1
LS
$7,500.00
$7,500.00
12.
Signs and Striping
1
LS
$25,000.00
$25,000.00
SUBTOTAL BASE BID
$168,690.00
ALTERNATE BID ITEM 1
1.
Storm Drain Improvements
1
LS
$7,500.00
$7,500.00
SUBTOTAL ALTERNATE BID ITEM 1
$7,500.00
$7,500.00
GRAND TOTAL
$176,190.00
V - Progress Payments
(a) On not later than the 6th day of every month the Public Works Department shall prepare and submit
an estimate covering the total quantities under each item of work that have been completed from the
start of the job up to and including the 25th day of the preceding month, and the value of the work so
completed determined in accordance with the schedule of unit prices for such items together with
such supporting evidence as may be required by the City and/or Contractor.
(b) As soon as possible after the preparation of the estimate, the City shall, after deducting previous
payments made, pay to the Contractor 95% of the amount of the estimate as approved by the Public
Works Department.
(c) Final payment of all moneys due shall be made within 15 days after the expiration of 35 days
following the filing of the notice of completion and acceptance of the work by the Public Works
Department.
(d) The Contractor may elect to receive 100° of payments due under the contract from time to time,
without retention of any portion of the payment by the public agency, by depositing securities of
equivalent value with the public agency in accordance with the provisions of Section 4590 of the
Government Code. Such securities, if deposited by the Contractor, shall be valued by the City's
Finance Director, whose decision on valuation of the securities shall be final.
im"
VI - Acceptance and Final Payment
(a) Upon receipt of written notice that the work is ready for final inspection and acceptance, the Engineer
shall within 5 days make such inspection, and when he finds the work acceptable under the Contract
and the Contract fully performed, he will promptly issue a Notice of Completion, over his own
signature, stating that the work required by this Contract has been completed and is accepted by him
under the terms and conditions thereof, and the entire balance found to be due the Contractor,
including the retained percentage, shall be paid to the Contractor by the City within 15 days after the
expiration of 35 days following the date of recordation of said Notice of Completion.
(b) Before final payment is due the Contractor shall submit evidence satisfactory to the Engineer that all
payrolls, material bills, and other indebtedness connected with work have been paid, except that in
case of disputed indebtedness or liens the Contractor may submit in lieu of evidence of payment a
surety bond satisfactory to the City guaranteeing payment of all such disputed amounts when
adjudicated in cases where such payment has not already been guaranteed by surety bond.
(c) The Contractor shall provide a "Defective Material and Workmanship Bond" for 50% of the Contract
Price, before the final payment will be made.
(d) The making and acceptance of the final payment shall constitute a waiver of all claims by the City,
other than those arising from any of the following: (1) unsettled liens; (2) faulty work appearing
within 12 months after final payment; (3) requirements of the specifications; or (4) manufacturers'
guarantees. It shall also constitute a waiver of all claims by the Contractor, except those previously
made and still unsettled.
(e) If after the work has been substantially completed, full completion thereof is materially delayed
through no fault of the Contractor, and the Engineer so certifies, the City shall, upon certificate of the
L,
Engineer, and without terminating the Contract, make payment of the balance due for that portion of
the work fully completed and accepted.
Such payment shall be made under the terms and conditions governing final payment, except that it shall
not constitute a waiver of claims.
IN WITNESS WHEREOF, City and Contractor have caused their authorized representatives to execute
this Agreement the day and year first written above.
ATTEST:
,4
Esther C Beirne
City Clerk
CITY OF SAN RAFAEL:
Nader Mansourian
Public Works Director
APPROVED AS TO FORM: CONTRACTOR:
LU
Robert F. Epstein For: Coastside Concrete
City Attorney
File No.: 18.10.18
N
H CC
I I L
Public Works — Payment
COASTSIDE CONCRETE
1000908015
INCLD IN PERF. BOND
- as Principal, and
AMERICAN CONTRACTORS INDEMNITY COMPANY, a Corporation organized and existing under
the laws of the State of California, and authorized to transact a general surety business in the State of CA
as Surety, are held and firmly bound unto THE CITY OF SAN RAFAEL
, as Obligee, in the sum of ONE HUNDRED
SEVENTY SIX THOUSAND ONE HUNDRED NINETY & NO/100 Dollars ($ 170,1 X0.00 lawful money of
the United States of America, for the payment whereof, well and truly to be made, we hereby bind ourselves,
our heirs, executors, administrators, successors and assigns, Jointly and severally, firmly by these presents.
APRIL 2_2012
BELLE AVENUTF PEDESTRIAN IMPROVEMENTS AT COLEMAN ELEI'IdENTARY SCHOOL - /2012
PROJECT NO. 11175
NOW, THEREFORE, if the above -bounden Principal shall faithfully pay all laborers, mechanics, subcontractors,
materialmen and all persons who shall supply such person or persons, or subcontractors, with materials and supplies
for the carrying on of such work, then this bond shall be null and void-, otherwise it shall remain in ful force and effect.
Signed, sealed and dated this
Principal
By
COPi.STSIDE CONCRETE
11TI-I day of
2012
AMERICAN CONTRACTORS INDEMNITY COMPANY
0 at(N 4, AEPI Attomev-in-Fact
CALIFORNIA ALL-PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
State of California
County of Sacramento
4-11-2012
On
before me, VICKY TROYAN, NOTARY PUBLIC
(Here insert name and title of the officer)
personally appeared NHUNG H. SAEPHAN
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to
the within instrument and acknowledged to me that he/she/thy, executed the same in his/her/thee authorized
capacityO, and that by /her/thy signature(s) on the instrument the person(&), or the entity upon behalf of
which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
Signature of Notary P li
VICKY TROY N
517
€1
I ImI E
UNTY 0
f i p1 ES R , 201.4
(Notary Seal)
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
(Title or description of attached document)
(Title or description of attached document continued)
Number of Pages Document Date
(Additional information)
CAPACITY CLAIMED BY THE SIGNER
❑
Individual (s)
❑
Corporate Officer
(Title)
❑
Partner(s)
9
Attorney -in -Fact
❑
Trustee(s)
❑
Other
2008 Version CAPA v1210.07 800-873-4865 www.NotaryClasses.com
INSTRUCTIONS FOR COMPLETING THIS FORM
Any acknowledgment completed in California must contain verbiage exactly as
appears above in the notary section or a separate acknowledgment form must be
properly completed and attached to that document. The only exception is if a
document is to be recorded outside of California. In such instances, any alternative
acknowledgment verbiage as may be printed on such a document so long as the
verbiage does not require the notary to do something that is illegal for a notary in
California (i.e. certifying the authorized capacity of the signer). Please check the
document carefully for proper notarial wording and attach this form f required.
• State and County information must be the State and County where the document
signer(s) personally appeared before the notary public for acknowledgment.
• Date of notarization must be the date that the signer(s) personally appeared which
must also be the same date the acknowledgment is completed.
• The notary public must print his or her name as it appears within his or her
commission followed by a comma and then your title (notary public).
• Print the name(s) of document signer(s) who personally appear at the time of
notarization.
• Indicate the correct singular or plural forms by crossing off incorrect forms (i.e,
he/she/t#ey- is /a+e ) or circling the correct forms. Failure to correctly indicate this
information may lead to rejection of document recording.
• The notary seal impression must be clear and photographically reproducible.
Impression must not cover text or lines. If seal impression smudges, re -seal if a
sufficient area permits, otherwise complete a different acknowledgment form.
• Signature of the notary public must match the signature on file with the office of
the county clerk.
Additional information is not required but could help to ensure this
acknowledgment is not misused or attached to a different document.
Indicate title or type of attached document, number of pages and date.
Indicate the capacity claimed by the signer. If the claimed capacity is a
corporate officer, indicate the title (i.e. CEO, CFO, Secretary).
• Securely attach this document to the signed document
Public Works — Performance
0 011111!ii jii111111111� 1�1:159
Bond No, 1000908015
Premium: S 4,524M
COASTSIDF CONCRETE
. as Principal, and
AMERICAN CONTRACTORS INDEMNITY COMPANY, a corporation organized and existing under
the laws of the State of California, and authorized to transact a general surety business in the State of CA
as Surety, are held and firmly bound unto THE CITY OF SAN RAFAEL
, as Obligee, in the sum of ONE HUNDRED
SEVENTY SIX'FH(-)IJS.A-ND ONE, HUNDRED NINETY& NO/100 Dollars ($ 176,190,00 l lawful money of
the United States of America, for the payment whereof, well and truly to be made, we hereby bind ourselves,
our heirs, executors, administrators, successors and assigns, Jointly and severally, firmly by these presents.
APRIL 2, 2012
BELLE AVENUE PEDESTRIAN IMPROVEMENTS AT COLEMAN ELEMENTARY SCHOOL -20 12
PROJECT N.O. 11175
NOW, THEREFORE, If the above -bounden Principal shall -well and truly perform or cause to be performed,
"the works under the contract," then this bond shall be null and void; otherwise it shall remain in full force and
effect.
Signed, sealed and dated this I ITH day of
COASTSIDF', CONCRFTE
Principal
By
MINN
APRIL
2012
:
A, NKIRSA W Attornev in Fact
HCC57Z2NBG410
L
CERTIFICATE OF ACKNOWLEDGMENT
State of California
County of Sacramento
4-11-2012
On
before me, PICKY TROYAN, NOTARY PUBLIC
(Here insert name and title of the officer)
personally appeared NHUNG H. SAEPHAN
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to
the within instrument and acknowledged to me that he/she/dwy executed the same in hi-s/herftck authorized
capacity(ies), and that by hi-s/her/tl signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
is true and correct.
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
(Title or description of attached document)
(Title or description of attached document continued)
Number of Pages Document Date
(Additional information)
CAPACITY CLAIMED BY THE SIGNER
El Individual (s)
El Corporate Officer
(Title)
CI Partner(s)
fir Attorney -in -Fact
0 Trustee(s)
❑ Other
2008 Version CAPA 02.10.07 800-873-9865 wAvwNotar-vCiasses.com
INSTRUCTIONS FOR COMPLETING THIS FORM
Any acknowledgment completed in California must contain verbiage exactly as
appears above in the notary section or a separate acknowledgment form must be
properly completed and attached to that document. The only exception is if a
document is to be recorded outside of California. In such instances, any alternative
acknowledgment verbiage as may be printed on such a document so long as the
verbiage does not require the notary to do something that is illegal for a notary in
California (i.e. certifying the authorized capacity of the signer). Please check the
document carefully for proper notarial wording and attach this form if required.
• State and County information must be the State and County where the document
signer(s) personally appeared before the notary public for acknowledgment.
• Date of notarization must be the date that the signer(s) personally appeared which
must also be the same date the acknowledgment is completed.
• The notary public must print his or her name as it appears within his or her
commission followed by a comma and then your title (notary public).
• Print the name(s) of document signer(s) who personally appear at the time of
notarization.
• Indicate the correct singular or plural forms by crossing off incorrect forms (i.e.
heisheft4ey- is faire ) or circling the correct forms. Failure to correctly indicate this
information may lead to rejection of document recording.
• The notary seal impression must be clear and photographically reproducible_
Impression must not cover text or lines. If seal impression smudges, re -seal if a
sufficient area permits, otherwise complete a different acknowledgment form.
• Signature of the notary public must match the signature on file with the office of
the county clerk.
Additional information is not required but could help to ensure this
acknowledgment is not misused or attached to a different document.
Indicate title or type of attached document, number of pages and date.
Indicate the capacity claimed by the signer. If the claimed capacity is a
corporate officer, indicate the title (i.e. CEO, CFO, Secretary).
• Securely attach this document to the signed document
POWER OF ATTORNEY
AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY
UNITED STATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY
KNOW ALL MEN BY THESE PRESENTS: That American Contractors Indemnity Company, a California corporation, Texas
Bonding Company, an assumed name of American Contractors Indemnity Company, United States Surety Company, a Maryland
corporation and U.S. Specialty Insurance Company, a Texas corporation (collectively, the "Companies"), do by these presents make,
constitute and appoint:
Eric J. Fedors, Sheryl Smith, Elizabeth A. Juarez, Nhung H. Saephan, Katy Travis, Vicky Troyan,
or Daren Eiseman of Sacramento, California
its true and lawful Attomey(s)-in-fact, each in their separate capacity if more than one is named above, with full power and authority
hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings
or other instruments or contracts of suretyship to include riders, amendments, and consents of surety, providing the bond
penalty does not exceed *****Three Million***** Dollars ($ **3,000,000.00** .
This Power of Attorney shall expire without further action on March 18, 2015. This Power of Attorney is granted under and by
authority of the following resolutions adopted by the Boards of Directors of the Companies:
Be it Resolved, that the President, any Vice -President, any Assistant Vice -President, any Secretary or any Assistant Secretary shall be and is hereby vested with full
power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject to the following
provisions:
Attorney -in -Fact may be given full power and authority for and in the name of and on behalf ofthe Company, to execute, acknowledge and deliver, any and all bonds,
recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings, including any and all consents for the release of retained
percentages and/or final estimates on engineering and construction contracts, and any and all notices and documents canceling or terminating the Company's liability
thereunder, and any such instruments so executed by any such Attomey-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected
by the Corporate Secretary.
Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating
thereto by facsimile, and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to
any bond or undertaking to which it is attached.
IN WITNESS WHEREOF, The Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this
3rd day of October, 2011.
AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY
UNITED STATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY
Corporate Seals
9
T
SEAQ L
Daniel P. Aguilar, Vice President
State of Californi of
County of Los Angeles SS:
, rd
On this -) day of October, 2011, before me, Deborah Reese, a notary public, personally appeared Daniel P. Aguilar, Vice President of
American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance
Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument
and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal. 0000H REESE
I owriftostw# # 19"M
Signature (Seal) kou" putift - cwonft
Low Aftqfts C"atf
1, Jeannie Lee, Assistant Secretary of American Contractors Indemnity Company, Texas Bonding Company, United States Surety
Company and U.S. Specialty Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power
of Attorney, executed by said Companies, which is still in full force and effect; furthermore, the resolutions of the Boards of Directors,
set out in the Power of Attorney are in full force and effect.
In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Los Angeles, California this -113-H-_ day
of APRIL 2012
T
Corporate Seals
3t'fig
Bond No. 1000908015 Jeannie Lee, sistant Secretary
Agency NO. 9010
XO CERTIFICATE OF LIABILITY INSURANCE
DATE
-ORP.
04/09/2012
PRODUCER
ARTHUR E . SCHIEFFER & SON
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
338 Center Street
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
P.O.Box 515
Healdsburg CA 95448 -
GENERAL LIABILITY
INSURED
I INSURER A. ALLIED INSURANCE
INSURER B HARTFORD UNDERWRITERS INSURANCE COMPANY
COASTSIDE CONCRETE
INSURER C,
2160 W. HEARN AVE
INSURER D
INSURER E:
SANTA ROSA CA 95407-
C:()VFRAf.FC
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,
THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR
LTR
TYPEOF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DD1YY
POLICY EXPIRATION
DATE MM/DD/YY
LIMITS
A
GENERAL LIABILITY
ACP7800992990
12/04/2011
12/04/2012
EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Any one fire) $ 50,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FX] OCCUR
(
% /
/ /
MED EXP (Any one person) $ 5,000
PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
PRODUCTS - COMP/OP AGG $ 2,000,000
POLICY JECOT LOC
B
AUTOMOBILE
LIABILITY
57UFCZN4102
01/15/2012
01/15/2013
COMBINED SINGLE LIMIT
X
ANY AUTO
(Ea accident) $ 1,000,000
BODILY INJURY
ALL OWNED AUTOS
/ /
/ /
SCHEDULED AUTOS
(Per person) $
BODILY INJURY
HIRED AUTOS
/ /
/ /
NON -OWNED AUTOS
(Per accident) $
PROPERTY DAMAGE
(Per accident) $
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT $
OTHER THAN EA ACC $
ANY AUTO
/ /
/ /
AUTO ONLY: AGO $
EXCESS LIABILITY
/ /
/ /
EACH OCCURRENCE $
AGGREGATE $
OCCUR CLAIMS MADE
$
$
DEDUCTIBLE
/ %
% /
$
RETENTION $
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
57WECVV0751
05/01/2011
05/01/2012
TORYLIMITS OER
E.L. EACH ACCIDENT $ 1,000,000
E.L. DISEASE - EA EMPLOYEE $ 1,000,000
E.L. DISEASE -POLICY LIMIT $ 1,000,000
OTHER
j
j
DESCRIPTION OF OPERATIONSiLOCATIONSNEHICLESiEXCLUSIONS ADDED BY ENDORSEMENTiSPECIAL PROVISIONS
THE CITY OF SAN RAFAEL AND MARIN COUNTY, ITS OFFICERS, AGENTS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED AS
RESPECTS GENERAL LIABILITY. INCLUDES PRIMARY AND NON—CONTRIBUTORY WORDING,
PROJECT: BELLE AVENUE PEDESTRIAN IMPROVEMENTS AT COLEMAN ELEMENTARY SCHOOL — PROJECT #11175
CFRTIFICATF HOI_DFR i X i AnnmriNAt INSt}RFn INCIIRFR I FTTFR CANCELLATION
ACORD 25-S (7197) O ACORD CORPORATION 1988
0-1- INS025S (9910).05 ELECTRONIC LASER FORMS.. INC. - (800)327-0545 Page 1 of 2
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
CITY OF SAN RAFAEL
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
P.O. BOX 151560
INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHO ZED NTATIV
SAN RAFAEL CA 94915-1560
ACORD 25-S (7197) O ACORD CORPORATION 1988
0-1- INS025S (9910).05 ELECTRONIC LASER FORMS.. INC. - (800)327-0545 Page 1 of 2
CG70 57 (03-96)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS -- SCHEDULED
PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULED
Name Of Person Or Organization: CITY OF SAN RAFAEL AND MARINE COUNTY, ITS
OFFICERS, AGENTS AND EMPLOYEES
Project Name: BELLE AVENUE PEDESTRIAN IMPROVEMENTS
Project Location: COLEMAN ELEMENTARY SCHOOL
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as
applicable to this endorsement.)
WHO IS AN INSURED (SECTION 11) is amended to include as an insured the person or organization
shown in the Schedule, but only with respect to acts or omissions of the named insured in connection
with the named insured's ongoing operations.
As respects coverage provided by this endorsement to the person or organization shown in the schedule,
coverage does not apply to "bodily injury" to an "employee" of the named insured.
Primary Clause: It is understood and agreed that this insurance is primary insurance and any other
insurance maintained by the additional insured shall be excess only and not contributing with this
insurance, but only with respects to liability arising out of "your work" for that insured by or for you.
CG70 57
April 4, 2012
MAYOR GARY O. PHILLIPS
VICE MAYOR MARC LEVINE
COUNCILMEMBER DAMON CONNOLLY
COUNCILMEMBER BARBARA HILLER
COUNCILMER9BER ANDREW CUYUGAN MC:CL. LLOL GII
PUBLIC WORKS DEPARTMENT: (415)485-3355 FAX: (415)485-3334
Nader A4ansourian, Director of Public Works
File No.: 18.10.18
Coastside Concrete
2160 W. Hearn Avenue
Santa Rosa, CA 95407
Re: BELLE AVENUE PEDESTRIAN IMPROVEMENTS
AT COLEMAN ELEMENTARY SCHOOL - 2012
PROJECT NO: 11175
Gentlemen:
The San Rafael City Council on April 2, 2012 awarded the referenced contract to your firm for
the low bid of $176,190.00.
Enclosed are the original and two copies of the project agreement which you are required to
execute within five (5) days from receipt of this letter. Please take the following steps:
AGREEMENT
Execute all three copies. NOTE: If you are a corporation, two signatures are required;
one by the Chairman of the Board, the President or any Vice President, AND one by the
Secretary, Assistant Secretary, Chief Financial Officer or any Assistant Treasurer.
Alternatively, you may provide a corporate resolution stating that the individual who
signs is authorized to bind the corporation.
2. Return all three copies to us. You will receive a fully executed copy later.
BONDS
1. Furnish a Faithful Performance Bond in the sum of $176,190.00.
2. Furnish a Labor and Materials Bond in the sum of $176,190.00.
3. Date the Bonds -- since the Agreement will be dated April 2.2012.
4. The description of work in both bonds should be "Belle Avenue Pedestrian
Improvements at Coleman Elementary School".
5. The Obligee on both Bonds must be the City of San Rafael.
I 1 I MORPHEW STREET - PO Box 151560, SAN RAFAEL, CA 94915-1560
bb'G4W.CITY0FSANR AFAEL.ORG
Page Two
6. Please give your bonding company a copy of this letter as a guide.
7. Send the bonds in duplicate to our office.
INSURANCE
Furnish Certificates of Insurance as provided in the specifications and as described on the
enclosed "Insurance Requirements Sheet", including Workers' Compensation, Public
Liability, and Property Damage. The required insurance may be provided by a separate
policy or certificate of insurance insuring the City for public liability and property
damage. The required cross -liability endorsement MUST READ EXACTLY AS
STATED on the enclosed Insurance Requirement Sheet. Be sure to attach the
endorsement to your insurance certificate. That portion of the cancellation clause
pertaining to "Failure of the insurance company to mail notice of cancellation imposing
no obligation or liability upon the company" must be deleted from the certificate of
insurance. Please cross out and initial the deleted portion.
2. Send the Insurance Certificates in duplicate to our office.
3. Please give your insurance nsurance carrier a copy of this letter as a guide.
Should you, your bonding company, or your insurance carrier have any questions, please contact
our Engineer at 485-3355.
Sincerely yours,
Leslie Blomquist
Associate Civil Engineer
LB:dw
Enclosures (4): 3 Agreements
I Insurance Requirements Sheet
cc: Project Engineer
PROFESSIONAL SERVICES AGREEMENT/CONTRACT
COMPLETION CHECKLIST AND ROUTING SLIP
Below is the process for getting your professional services agreements/contracts finalized and
executed. Please attach this "Completion Checklist and Routing Slip" to the front of your
contract as you circulate it for review and signatures. Please use this form for all professional
services agreements/contracts (not Just those requiring City Council approval).
This process should occur in the order presented below.
Step
Responsible
Description
Completion
Department
—
, Date
I
City Attorney
Review, revise, and comment on draft
a regiment.
2
Contracting Department
Forward final agreement to contractor for
their signature. Obtain at least two signed
originals from contractor.
3
Contracting Department
Agendize contractor -signed agreement for
Council approval, if Council approval
necessary (as defined by City Attorney/City
Ordinance*).
4
City Attorney
Review and approve form of agreement;
7 2—
bonds, and insurance certificates and
endorsements.
5
City Manager / Mayor 1 or
Agreement executed by Council authorized
Dep irtment Head
official.
6
City Clerk
City Clerk attests signatures, retains original
agreement and forwards copies to the
contracting deoartment.
To be completed by Contracting Department:
Project Manager: Project Name:
Agendized for City Council Meetlnc,,, of (if necessary):
I
If you have questions on this process, please contact the City Attorney's Office at 485-3080.
* Council approval is required if contract is over 520,000 on a cumulative basis.