HomeMy WebLinkAboutPW Dominican/Black Canyon Neighborhood Landscape Proj.Agenda Item No: 11
Meeting Date: May 18, 2009
SAN RAFAEL CITY COUNCIL AGENDA REPORT
Department: Public rI J
Prepared by-rDe-ireAgp4rfludtieWo''rk-s
City Manager Approval:
(JC)
File No. 16.06.228
SUBJECT: REPORT OF BID OPENING AND RESOLUTION AWARDING THE CONTRACT
FOR DOMINICAN / BLACK CANYON NEIGHBORHOOD LANDSCAPE
PROJECT, PROJECT NO. 11059, TO FIELDSTONE CONSTRUCTION CO., IN
THE AMOUNT OF $63,536.
RECOMMENDATION:
Adopt resolution.
BACKGROUND:
In 1971, Caltrans planned to landscape the area east of the Central San Rafael Highway 101
corridor adjacent to Belle and Villa Avenues. The project was never constructed due to lack of
funds. The current sound wall was constructed in 1986. Once again a planned landscape
project was abandoned because funds were diverted to another project.
This project is strongly supported by the residents of the Dominican Black Canyon
neighborhoods who have been forced to live with the impact of this incomplete project for the
past 38 years and tirelessly worked to make this project happen.
A Grant application to fund 90% of an estimated total cost of $128,000 was approved by
Caltrans on October 28, 2004. However Caltrans High Occupancy Vehicle Project has delayed
this landscape project for years while Caltrans decided whether they would relocate the sound
wall or not. On February 23, 2009 Caltrans approved encroachment permit for construction of
this project. This project plans were reviewed and approved by MMWD. Bids for Dominican /
Black Canyon Neighborhood Landscape Project were opened on April 28, 2009.
ANALYSIS:
Design for this project has been prepared by Abey Arnold and Associates, revised and
approved by Caltrans, Marin Municipal Water District, City of San Rafael Parks and Public
Works. Design elements include adding new plants and irrigation to existing planting areas on
FOR CITY CLERK ONLY
File No.: t4 - 1' 10017
Council Meeting: S1 iS(01
Disposition: RC--S01,V?IO,J J* Pok;r44
RL.. USED #11
SAN RAFAEL CITY COUNCIL AGENDA REPORT / Page: 2
the east side of the Highway 101 sound wall. The two primary areas are along Belle Avenue
and Villa Avenue. A secondary planting area is at the elbow of Elm Street. The design intent is
to screen and soften views of the existing sound wall as well as improvement on the overall
streetscape character.
The following is a list of the Engineer's Estimate and the bids received:
Engineer's Estimate $116,050.00
1. Fieldstone Construction Co. $ 63,536.00
2. Watkin & Bortolussi, Inc. $ 99,226.00
3. Haford ARC $145,419.10
4. Neary Landscape, Inc. $196,050.00
Refer to the attached Bid Summary Sheet for complete details on Unit and Total Prices of Items.
FISCAL IMPACT:
The total projected cost for this prosect is as follows:
Category -Eden Expense Code
Amount
Note(s)
Design -01
$18,110
Abey Arnold and Associates
Construction -02
$63,536
Lowest bid
Construction -02
$6,353
10% Contingency
Construction Management -03
In -House
Land Acquisition -04
Site Testing -05
Furniture and Equipment -06
Supplies and Services -07
Personnel -08
Water Meter - 99
$11,700
Three (3) meters at $3,900 each.
Construction Inspection -99
In -House
Total Projected Cost
$99,699.00
Source
Amount Note(s)
Caltrans EEMP
$89,729.10
City Match
$9,969.90
Total Available Funds
$99,699.00
OPTIONS:
The Engineer's Estimate was $116,050. Fieldstone Construction Co. with a bid of $63,536 is the
lowest and responsible bidder for this project. The City Council may reject all bids, but staff
does not recommend this option, since the bids reviewed are very competitive and well within
current construction costs.
ACTION REQUIRED:
Staff recommends that the City Council adopt the resolution awarding the contract to Fieldstone
Construction Co. in the amount of $63,536.
Enclosures (2)
1. Bid Summary
2. Resolution
SAN RAFAEL CITY COUNCIL AGENDA REPORT / Page: 2
the east side of the Highway 101 sound wall. The two primary areas are along Belle Avenue
and Villa Avenue. A secondary planting area is at the elbow of Elm Street. The design intent is
to screen and soften views of the existing sound wall as well as improvement on the overall
streetscape character.
The following is a list of the Engineer's Estimate and the bids received:
Engineer's Estimate $116,050.00
1. Fieldstone Construction Co. $ 63,536.00
2. Watkin & Bortolussi, Inc. $ 99,226.00
3. Haford ARC $145,419.10
4. Neary Landscape, Inc. $196,050.00
Refer to the attached Bid Summary Sheet for complete details on Unit and Total Prices of
Items.
FISCAL IMPACT:
The total projected cost for this project is as follows:
Category -Eden Expense Code
Amount
Note(s)
Design -01
$18,110 ,
Abey Arnold and Associates
Construction -02
$63,536
Lowest bid
Construction -02
$6,353
10% Contingency
Construction Management -03
In -House
Land Acquisition -04
Site Testing -05
Furniture and Equipment -06
Supplies and Services -07
Personnel -08
Water Meter - 99
$11,700
Three (3) meters at $3,900 each.
Construction Inspection -99
In -House
Total Projected Cost
$99,699.00
We request that the Council approve 88,000.00 for the project, from the following funding
source(s):
Source
Amount Note(s)
Caltrans EEMP
$89,729.10
City Match
$9,969.90
Total Available Funds
$99,699.00
OPTIONS:
The Engineer's Estimate as $116,050. Fieldstone Construction Co. with a bid of $63,536 is
the lowest and responsib bidder for this project. The City Council may reject all bids, but staff
does not recommend t is option, since the bids reviewed are very competitive and well within
current construction c sts.
ACTION REQUIR
Staff recommends that the City Council adopt the resolution awarding the contract to Fieldstone
Construction Co. in the amount of $63,536.
Enclosures (2)
1. Bid Summary
2. Resolution
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RESOLUTION NO. 12744
REPORT ON BID OPENING AND RESOLUTION AWARDING THE CONTRACT
FOR DOMINICAN / BLACK CANYON NEIGHBORI°IOOD LANDSCAPE PROJECT,
PROJECT NO. 11059, TO FIELDSTONE CONSTRUCTION CO., IN THE AMOUNT
OF $63,536.
WHEREAS, on the 28`h day of April, 2009, pursuant to due and legal notice
published in the manner provided by law, inviting sealed bids for 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:
"DOMINICAN / BLACK CANYON NEIGHBORHOOD LANDSCAPE PROJECT"
PROJECT NO. 11059
in accordance with the plans and specifications therefore on file in the office of said City
Clerk; and
WHEREAS, the work designated on the Dominican / Black Canyon
Neighborhood Landscape Project Contract Documents is eligible to be funded utilizing
Caltrans Environmental Enhancement and Mitigation Program (EEMP) funds; and
WHEREAS, the bid of Fieldstone Construction Co. 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 therefore;
NOW, THEREFORE, BE IT RESOLVED by the Council of the City of San
Rafael, that the bid of Fieldstone Construction Co. is hereby accepted at said prices and
that the contract for said work is hereby awarded to Fieldstone Construction Co.
'U/
4, h 11v
IT IS FURTHER ORDERED AND RESOLVED, that the City Manager of
said City be authorized and directed to execute a contract with Fieldstone
Construction Co. for said work, in a form approved by the City Attorney, and to
return the bidders bond upon the execution of said contract.
RESOLVED FURTHER, that the Council does hereby authorize the
Director of Public Works 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, City 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 18th day of May, 2009,
by the following vote, to wit:
AYES: COUNCIL MEMBERS: Brockbank, Connolly, Heller, Miller & Mayor Boro
NOES: COUNCIL MEMBERS: None
ABSENT: COUNCIL MEMBERS: None
ESTHER C. BEIRNE, City Clerk
File No. 16.06.228
City of San Rafael ♦ California
Form of Contract Agreement
For
Dominican / Black Canyon Neighborhood Landscape
Proi ect No. 11059
This Agreement is made and entered into this 18 day of May 2009 by and between the City of
San Rafael (hereinafter called City) and Fieldstone Construction Co. (hereinafter called
Contractor). Witnesseth, that the City and the Contractor, for the considerations hereinafter
named, agree as follows:
lI - 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: Dominican / Black Canyon Neighborhood Landscape, Project No.
11059, 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 the City by the contractor under this agreement shall be
primary and in excess of any other insurance available to the City.
III- Time of Completion
(a) The work to be performed under this Contract shall be commenced within five (5)
CALENDAR DAYS after the date of written notice by the City to the Contractor to
proceed.
(b) Complete the work within 35 Working Days, after the date of such notice and with such
extensions of time as are provided for in the General Conditions.
111I - Liquidated Damages
It is agreed that, if all the work required by the contract is not finished or completed within the
number of working 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 $500 for each and every calendar 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.
1V - 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.
NO. ITEM QUANTI UNIT UNIT TOTAL PRICE
TY S PRICE
1. Mobilization & 1 LS @ $2,966.00 = $2,966.00
Traffic Control
... ... ... ... ... ... ... ... ... ...
2. Clearing and 1 LS @ $1,000.00 = $1,000.00
Grubbing ........ .......
3. Asphaltic Concrete 870 LF @ $6.00 $5,220.00
Dike
4. Irrigation System 1 LS @ $27,545.00 = $27,545.00
$0.25 $5,000.00
5. Soil Preparation 20,000 SF
6. Planting and 1 LS @ $21,805.00 = $21,805.00
Maintenance
GRAND TOTAL BID $63,536.00
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). On not later than the 15th day of the month, the City shall, after deducting previous
payments made, pay to the Contractor 90% 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 Contractr, shall be valued by the City's Finance Director, whose
decision on valuation of the securities shall be final.
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 ftilly 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 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:
Esther C. Beirne
City Clerk
APPROVED AS TO FORM:
R rt F Epstein
City Attorney
File No.: 16.01.228
CITY OF SAN RAFAEL:
K,PM I acal�
Ke ordhoff
City Ma ager I U
• •-
ff
or . n�,{�. e,•;�
enerafEnguteerang &Lan&cape Contractors
915Faugh t err:
Santa Rosa, CA 95403
MAYOR
CITY OF SAN RAFAEL Albert J. Boro
COUNCIL MEMBERS
el Department of Greg Brockbank
Public Works Damon Connolly
Cyr Miller
Barbara Heller
INSURANCE REQUIREMENTS SHEET
SUBJECT: WORKERS' COMPENSATION AND PUBLIC LIABILITY
PROPERTY DAMAGE INSURANCE (PUBLIC WORKS CONTRACTS)
The City of San Rafael requires that all Contractors and Subcontractors performing work under
a Public Works contract with the City, carry workers' compensation insurance, public liability
insurance and property damage insurance. The public liability insurance and property damage
insurance shall insure the City, its elective and appointive Boards, Commissions, Officers,
Agents and Employees, as follows:
Public Liability: Not less than $1,000,000.00 per person and
$5,000,000.00 for one occurrence.
Property Damage: Not less than $1,000,000.00 for one occurrence.
The required insurance may be provided by a separate policy insuring the City, its elective and
appointive Boards, Commissions, Officers, Agents and Employees or, if the contractor already
has insurance, he may provide the City with the required insurance by submitting a certificate
of insurance and a standard form of additional insured endorsement. For this latter purpose,
the City will accept the following:
"IT IS HEREBY UNDERSTOOD AND AGREED THAT THE CITY OF SAN RAFAEL,
its officers, agents and employees, are additional insureds hereunder but only as
respects liability arising out of the land and/or property and/or work described
in the Public Works contract for the project entitled, Dominican / Black Canyon
Neighborhood Landscape Project, Project No. 11059 between the City of San
Rafael and Fieldstone Construction Co. for the work and the improvements
described therein."
The contractor shall provide satisfactory evidence to the City that the required liability
insurance is primary and excess of any other insurance available to the City.
Evidence of satisfactory insurance must be furnished to the City at the time of the execution of
the Public Works contract together with evidence that the insurance carrier will not cancel or
reduce the coverage of the policy without first giving the City at least thirty (30) days prior
notice. Such notice shall be sent to:
CITY OF SAN RAFAEL
DEPARTMENT OF PUBLIC WORKS
P. O. BOX 151560
SAN RAFAEL, CA 94915-1560
REVISED 4/21/09
File No: 16.01.228
CITY OF
Mayor
Albert J. Boro
Council Members
Greg Brockbank
Damon Connolly
Barbara Heller
Cyr N. Miller
PUBLIC WORKS - ADMIN/ENGINEERING: (415) 485-3355 FAX: (415) 485-3334
May 19, 2009
Fieldstone Construction Co.
Gil Labrocherie
5915 Faught Rd.
Fanta Rosa Ca 95403
Gentl
16.01.228
DOMINICAN / BLACK CANYON NEIGHBORHOOD LANDSCAPE PROJECT
PROJECT NO. 11059
The San R; ifael City Council on May 18, 2009 awarded the referenced contract to your firm for
the low bid o.$63,536-00.
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
1. 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
Furnish a Faithful Performance Bond in the sum of $63,536.00.
2. Furnish a Labor and Materials Bond in the sum of $63,536.00.
3. Date the Bonds May 18, 2008 since the Agreement will be dated May 18, 2008
4. The description of work in both bonds should be "Dominican / Black Canyon
Neighborhood Landscape Project"
Page Two
111 Morphew Street, P. O. Box 151560, San Rafael, CA 94915-1560
5. The Obligee on both Bonds must be the City of San Rafael.
6. Please give your bonding company a copy of this letter as a guide.
7. Send the bonds in duplicate to our office.
INSURANCE
1. 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 carrier a copy of this letter as a guide.
4. The liability insurance provided to the City by the contractor shall be primary and in
excess of any other insurance available to the City.
Should you, your bonding company, or your insurance carrier have any questions, please contact
our Engineer at 485-3355.
Sincerely yours,
i�
JOEL CAMACHO
Civil Engineer
JC:dw
Enclosures (4): 3 Agreements
1 Insurance Requirements Sheet
cc: Nader Mansourian, Assistant Public Works Director
Parviz Mokhtari, Interim Public Works Director
111 Morphew Street, P. O. Box 151560, San Rafael, CA 94915-1560
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
1
City Attorney
Review, revise, and comment on draft
a reement.
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;
Ci
bonds, and insurance certificates and
f/ el
endorsements.
5
City Manager / Mayor r or
Agreement executed by Council authorized
rr Xi
Department Head
official.
V
6
City Clerk
City Clerk attests signatures, retains original
agreement and forwards copies to the
contracting department.
To be completed by Contracting Department:
4 � �Af � f w���
Project Manager.- '.,,"( C r�..�� Project Name
Agendized for Cit ouncil Meeting of (if necessary):,.
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 $20,000 on a cumulative basis.
FIELDCONSI
ACORD,M CERTIFICATL- OF LIABILITY INSUR*-.�JCE
DATE 5/20/2(MM/D0/YYYY)
009
PRODUCER Commercial Lines - (707) 769-2900
Wells Fargo of California Insurance Services Inc.
1039 N. McDowell Blvd.
Petaluma, CA 94954-1173
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
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC #
INSURED Fieldstone Construction Company
5915 Faught Rd
Santa Rosa CA 95403
INSURER A. Interstate Fire $ Casualty Co. 22829
INSURER B Mt. Hawley Insurance Company 37974
INSURER C.
INSURER D
INSURER E.
COVERAGES
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.
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDD/YY
POLICY EXPIRATION
DATE MM/DDIYY
LIMITS
A
San Rafael, CA 94915-1560
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
LIC1000483
01/26/2009
01/26/2010
EACH OCCURRENCE $ 1,000,000
DAMAGE TO RENTED $ 100,000
MED EXP (Any one person) $ 5,000
CLAIMS MADE Fx_1 OCCUR
PERSONAL & ADV INJURY $ 1,000,000
X BI/PD Ded $2,000
GENERAL AGGREGATE $ 2,000,000
KEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG $ 2,000,000
POLICY PRO LOC
JECT
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident) $
BODILY INJURY
(Per person) $
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident) $
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT $
OTHER THAN EA ACC $
ANY AUTO
AUTO ONLY: AGG $
B
EXCESS/UMBRELLA LIABILITY
EMX0310907
01/26/2009
01/26/2010
EACH OCCURRENCE $ 1,000,000
AGGREGATE $ 1,000,000
X OCCUR FICLAIMS MADE
$
DEDUCTIBLE
$
RETENTION $
WC STATU• OTW
WORKERS COMPENSATION ANDLIMITS
I I FR
E L. EACH ACCIDENT $
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
E.L. DISEASE EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT $
If yes, describe under
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CG 20 10 10 01 RE: Dominican/Black Canyon Neighbourhood Landscape Project, Project No. 11059
It is hereby understood and agreed that the City of San Rafael, its officers, agents and employees are additional insured hereunder but only as respects
liability arising out of the land and/or property and/or work described in the Public Works Contract for the project entitled, Dominican/Black Canyon
Neighborhood Landscape Project, Project No. 11059 between the City of San Rafael and Fieldstone Construction
CERTIFICATE HOLDER GANGtLLA I IUN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
City of San Rafael
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Dept. of Public Works
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
PO Box 151560
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE n /►�`� /
San Rafael, CA 94915-1560
er•nRn �� ronn�/nal c e 546234 n ACORD CORPORATION 198E
(This certificate reDlaces certificate# 546233 issued on 5/20/2009)
DESCRIPTIONS (Continued from Page 1)
Co. for the work and the improvements described therein per attached endorsement referenced above. Coverage is primary per policy form.
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25-S (2001/08) 2 of 2 #S915260/M915043
POLICY NUMBER: LIC1000483
COMMERCIAL GENERAL LIABILITY
CG 20 10 10 01
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
SCHEDULE
Name of Person or Organization: City of San Rafael
Dept. of Public Works
PO Box 151560
San Rafael, CA 94915-1560
(If no entry appears above, information required to complete this endorsement will be shown in the
Declarations as applicable to this endorsement.)
A. Section II WHO IS AN INSURED is
(1) All work, including materials, parts or
amended to include as an insured the
equipment furnished in connection with
person or organization shown in the
such work, on the project (other than
Schedule, but only with respect to
services, maintenance or repairs) to be
liability arising out your ongoing
performed on or on behalf of the additional
operations performed for that insured.
insured(s) at the site of the covered
B. With respect to the insurance afforded
operations has been completed; or
to these additional insureds, the
following is added:
(2) That portion of "your work" out of which the
injury or damage arises has been put to its
2. Exclusions
intended use by any person or
This insurance does not apply to "bodily
organization other than another contractor
injury" or "property damage occurring
or subcontractor engaged in performing
after:
operations for a principal as a part of the
same project.
C�e�[iTi[�I�TiI
Premium: $1,641.00 ISSUED WITH (3) ORIGNIALS
PERFORMANCE TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
BOND Hartford, Connecticut 06183
(Public Work)
Bond No.: 105040362
KNOW ALL BY THESE PRESENTS, That we, Fieldstone Construction Company , as Principal, and
Travelers Casualty and Surety Company of America, a Connecticut corporation, as Surety, are held and firmly
0l' PA9.M19.nCv�`HodrS ThnRaoalars(Deptoo Dollars slic l($ 63,536.00 ) for thhelp yment whereof said Principal and
Surety bind themselves, jointly and severally, as provided herein.
WHEREAS, Principal has entered into a contract with Obligee dated May 18, 2009 for
Dominican/Black Canyon Neighborhood Landscape # 11059, San Rafael, CA - Landscape & Irrigation ("Contract")
NOW, THEREFORE, the condition of this obligation is such that if Principal shall perform the Construction Work
to be done under the Contract, then this obligation shall be null and void; otherwise to remain in full force and
effect. Surety's obligations hereunder shall not arise unless Principal is in default under the Contract for failing to
perform the Construction Work, and has been declared by Obligee to be in default under the Contract for failing
to perform the Construction Work; and Obligee has performed its obligations under the Contract. In such event,
Surety shall have a reasonable period of time to:
1. Upon entering into an acceptable written takeover agreement with Obligee, undertake to
perform and complete the Construction Work to be done under the Contract; or
2. Obtain bids or negotiated proposals from qualified contractors for a contract for completion of
the Construction Work to be done under the Contract, arrange for a contract to be prepared for execution by
Obligee and contractor, to be secured with performance and payment bonds executed by a qualified surety; or
3. Waive its right to perform or complete the Construction Work pursuant to paragraphs 1 and 2
above, and with reasonable promptness under the circumstances: (a) After investigation, determine the amount
for which it may be liable to the Obligee and, as soon as practicable after the amount is determined, tender
payment therefor to the Obligee; or (b) Deny liability in whole or in part and notify the Obligee citing reasons
therefor.
4. The Contract balance, as defined below, shall be credited against the reasonable construction
cost of completing the Construction Work to be performed under the Contract. If completed by Obligee pursuant
to paragraphs 2 or 3 above, and the reasonable construction cost exceeds the Contract balance, Surety shall
pay to Obligee such excess, but in no event shall the aggregate liability of Surety exceed the amount of this
bond. If Surety completes the Construction Work pursuant to paragraph 1 above, that portion of the Contract
balance as may be required to complete the Construction Work to be done under the Contract and to reimburse
Surety for its outlays shall be paid to Surety at the times and in the manner as said sums would have been
payable to Principal had there been no default under the Contract; provided, however, that to the extent that
Surety's outlays exceed the Contract balance paid to Surety by Obligee, Surety shall be entitled to a dollar for
dollar reduction of its liability under this bond, and Surety's aggregate liability shall not exceed the penal sum of
this bond. The term "Contract balance," as used in the paragraph, shall mean the total amount payable by
Obligee under the Contract and any amendments thereto, less the amounts properly paid by Obligee to Principal
under the Contract. The term "Construction Work" as used herein shall mean the providing all labor and/or
material necessary to complete Principal's scope of work under the Contract. Notwithstanding any language in
the Contract to the contrary, the Contract balance shall not be reduced or set off on account of any obligation,
contractual or otherwise, except the reasonable construction cost incurred in completing the Construction Work.
5. Any suit by Obligee under this bond must be instituted before the earlier of: (a) the expiration of
one year from the date of substantial completion of the Construction Work, or (b) one year after Principal ceased
performing the Construction Work under the Contract, excluding warranty work. If this bond is provided to
comply with bond statutes in the location where the Construction Work is being performed, and the bond statutes
contain a statute of limitations for suits on the performance bond, then the limitation period set forth herein shall
Performance Bond — Page 1 of 2
5. This bond is provided to comply with a statutory or other legal requirement for performing
construction contracts for public owners in the location where the construction work is being
performed. Except as provided in paragraph 3 above, all provisions in the bond which are in addition
to or differ from those statutory or legal requirements shall be read out of this bond, and all pertinent
statutes and other legal requirements shall be read into the bond. This bond is a statutory bond, not
a common law bond.
Signed this 18th day of May , 2009
Fieldstone Construction Company
(Principal)
0" 1 P
"w
By: ALY
Gil Labr cherie
—"4.
Travelers Casualty and Surety Company of America
By: �..� ... —
Catherine A. Pinney , Attorney -in -Fact
Payment Bond — Page 2 of 2
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
STATE OF CALIFORNIA
County of Sonoma
On May 18, 2009 before me, Nancy L. Wallis, Notary Public
Date Here Insert Name and Title of the Officer
personally appeared Catherine A. Pinney _ a.
Name(s) of Signer(s)
ol
NANCY L. WALLIS
COMM. #1811395
U NOTARY PUBLIC -CALIFORNIA
Z SONOMACOUNTY
My Comm. Expires Aug. 28. 2012
who proved to me on the basis of sfactory evidence to
be the persopKwhose na I re subscrib o the
within instrument and acknowled� me that h s hey
executed the sa hi � eir authorized capacl ,
and that by hi�eir atuce*) fSn the instrument the
perso , ort ntity upon behalf of which the persgD(a)—
actecT, 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 m and and official se I.
Signature
Place Notary Seal Above S gn ture ofy Public
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:-----
❑ Individual
❑ Corporate Officer—Title(s):
❑ Partner— ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Number of Pages:
Signer's Name:
❑ Individual
❑ Corporate Officer—Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
0 2007 National Notary Association • 9350 De Soto Ave., P.O. Box 2402 • Chatsworth, CA 91313-2402 • www.NationalNotary.org Item 45907 Reorder: Call Tall -Free 1-600-876-6627
PAYMENT BOND TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
(Public Work) Hartford, Connecticut 06183
Bond No.: 105040362
KNOW ALL BY THESE PRESENTS, That we, Fieldstone Construction Company , as Principal, and
Travelers Casualty and Surety Company of America, a Connecticut corporation, as Surety, are held
and firmly bound unto City of San Rafael (Dept of Public Works) , as Obligee, in the sum of
Sixty Five Thousand Six Hundred Thirty Five Dollars and 00/100 U.S. Dollars ($65,635.00 ) for the payment
whereof said Principal and Surety bind themselves, jointly and severally, as provided herein.
WHEREAS, Principal has entered into a contract with Obligee, dated May 18, 2009 for
Dominican/Black Canyon Neighborhood Landscape # 11059, San Rafael, CA - Landscape & Irrigation ("Contract").
NOW, THEREFORE, the condition of this obligation is such that if Principal shall promptly make
payment to all Claimants as hereinafter defined for all labor and material actually used, consumed or
incorporated in the performance of the construction work to be performed under the Contract, then
this obligation shall be void; otherwise to remain in full force and effect, subject, however, to the
following conditions:
1. A Claimant is defined as one other than Obligee having a contract with Principal or with a
direct subcontractor of Principal to supply labor and/or materials and said labor and/or materials are
actually used, consumed or incorporated in the performance of the construction work under the
Contract.
I.
2. Principal and Surety hereby jointly and severally agree with Obligee that every Claimant as
herein defined who has not been paid in full before the expiration of a period of ninety (90) days after
the date on which the last of such Claimant's work or labor was done or performed or materials were
furnished by such Claimant, may bring suit on this bond, prosecute the suit to final judgment for the
amount due under Claimant's contract for the labor and/or materials supplied by the Claimant which
were used, consumed or incorporated in the performance of the work, and have execution thereon;
provided, however, that a Claimant having a direct contractual relationship with a subcontractor of
Principal shall have a right of action on this bond only if said Claimant notifies Surety in writing of its
claim within ninety (90) days from the date on which said Claimant did or performed the last labor
and/or materials for which the claim is made. Obligee shall not be liable for the payment of any costs
or expenses of any such suit.
3. No suit or action shall be commenced hereunder by any Claimant:
a. After the expiration of the earlier of: (1) one year after the day on which Claimant last
supplied the labor and/or materials for which the claim is made; or (2) the limitation period set
forth in the public works bond statutes, if any, in the location where the construction work is
being performed. Any limitation contained in this bond which is prohibited by any law
controlling in the state where the suit is filed shall be deemed to be amended so as to be equal
to the minimum period of limitation permitted by the law of that state, and said period of
limitation shall be deemed to have accrued and shall commence to run on the day Claimant
last supplied the labor and/or materials for which the claim is made; and
b. Other than in a state court of competent jurisdiction in the county or other political
subdivision of the state in which the project, or any part thereof, is situated, or in the United
States District Court for the district in which the project, or any part thereof, is situated, and not
elsewhere.
4. The amount of this bond shall be reduced by and to the extent of any payment or payments
made in good faith hereunder. Surety's liability hereunder is limited, singly, or in the aggregate, to the
penal sum of the bond set forth herein.
Payment Bond — Page 1 of 2
be read out of this bond and the statute of limitation set forth in the bond statutes shall be read into this bond. If
the limitation set forth in this bond is void or prohibited by law, the minimum period of limitation available to
sureties as a defense in the jurisdiction of the suit shall be applicable, and said period of limitation shall be
deemed to have accrued and shall commence to run no later than the earlier of (y) the date of substantial
completion of the Construction Work, or (z) the date Principal ceased performing Construction Work, excluding
warranty work.
6. No suit or action shall be commenced hereunder other than in a court of competent jurisdiction
in the county or other political subdivision of the state in which the project, or any part thereof, is situated, or in
the United States District Court for the district in which the project, or any part thereof, is situated, and not
elsewhere.
7. This bond shall not afford coverage for any liability of Principal for tortious acts, whether or not
said liability is direct or is imposed by the Contract, and shall not serve as or be a substitute for or supplemental
to any liability or other insurance required by the Contract. No right of action shall accrue on this bond to or for
the use of any person or entity other than the named Obligee.
8. This bond is provided to comply with applicable statutory or other legal requirement for
performing construction contracts for public owners in the location where the Construction Work is being
performed. Except as provided in paragraph 5 above, all provisions in the bond which are in addition to or differ
from applicable statutory or legal requirements shall be read out of this bond, and all pertinent statutes and other
legal requirements shall be read into the bond.
Signed this 18th day of May , 2009
Fieldstone Construction Company
(Principal)
By:�uG/
Gil Labroc Brie
i
Travelers Casualty and Surety Company of America
By: ...v
Catherine A. Pinney , Attorney-in-Fct
Performance Bond — Page 2 of 2
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
STATE OF CALIFORNIA
County of Sonoma }
On May 18, 2009 before me, Nancy L. Wallis, Not Public ,
Date Here Insert Name and Title of the Officer
personally appeared Catherine A Pinney_
Name(s) of Signer(s)
A- 9h Its a lhwNw&l
NANCY L. WALLIS
COMM. ;`1811396
(� NOTARY PUBLIC - CALIFORNIA ;,UZ *' �j SONOMA COUNTY
,t�
14 My Comm. Explros Aug. 26, 2012
Place Notary Seal Above
who proved to me on the basis ofsatisfactory evidence to
be the persoy(ej'Whose name I re subscrib�the
within instrument and ackn edged to me that h she hey
executed the sa hi er eir authorized cap y(4&)—,
and that b hi� eir turg(.&)-bn the instrument the
personor t ntity upon behalf of which the persqu(ej'
acted, executed the instrument.
certify under PENALTY OF PERJURY under the laws of
the State of California that the foregoing paragraph is true
and correct.
Witness my nd and official seal.
Signature� W
Sig at a of Notar blic
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name
❑ Individual
❑ Corporate Officer —Title (s):_
❑ Partner— ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Number of Pages:
Signer's Name:
❑ Individual
❑ Corporate Officer—Title(s)..............
❑ Partner — ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
V 2007 National Notary Assobation - 9350 De Soto Ave., P.O. Box 2402 - Chatsworth, CA 91313-2402 - www.NationalNotary.org Item #5907 Reorder: Call Toll -Free 1-800-676-6627
WARNIp-HIS POWER OF ATTORNEY IS INVALID WITHOUTTHEr BORDER ......................... . ......... . .................. .................. .... ... . . ... .... . .
AM POWER OF ATTORNEY
TRAVELERSFarmington Casualty Company St, Paul Guardian Insurance Company
Fidelity and Guaranty Insurance Company St. Paul Mercury Insurance Company
Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company
Seaboard Surety Company Travelers Casualty and Surety Company of America
St, Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
Attorney -In Fact No.. 220020
Certificate No. 002929784
KNOW AIJ, MEN BY THESE PRESENTS: That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York, that St. Paul
Fire and Marine Insurance Company, SL Paul Guardian Insurance Company and St. Paul Mercury Insurance Company are corporations duly organized under the laws
of the State of Minnesota, that Farmington Casualty Company, Travelers Casualty and Surety Company, and Travelers Casualty and Surety Company of America are
corporations duly organized under the laws of the State of Connecticut, that United States Fidelity and Guaranty Company is a corporation duly organized under the
laws of the State of Maryland, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and
Guaranty Insurance Underwriters, Inc. is a corporation duly organized under the laws of the State of Wisc-onsin (herein collectively called the "Companies"), and that
the Companies do hereby make, constitute and appoint
Catherine A. Pinney, Bruce G. Okirepkie, and Nancy L. Wallis
of the City of _P211111111M , State of their true and lawful Attorney(s) -in Tact,
each in thei useparate capacity if rune th art one is narned above, to sign, execute, seal and acknowledge any and lull bonds, recogru zances, , condit ionat under taki ngs and
other writings, obligatory in the nature thereof on behalf of the Companies in flicir business of guanameerqg the fidelity offtersons, guaranteeing the performance of
contracts and executing or guaraiite6ng bonds arid undertakings retimired ou pennitted in anyactions or proceedings rutlowred by law.
IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 9th
day of, April 2009
Farmington Casualty Company
Fidelity and Guaranty Insurance Company
Fidelity and Guarantl, Insurance UuderwdLu,,4, Inc.
Seaboard Surety Company
Ct. Paul Fire and Marine Insurance Company
St, Paul Guardian Insurance Company
St, Paul Mercury Insurance Company
Travelers Casualty and Surety Company
Travelers Casualty and Surety Company of America
United States Fidelity and Guaranty Company
State of Connetiicra k.
City of Hartford
By7
/icomv�t-Thorn[nan, kroor lice President"
I
On this the 9th clay of , rH 2009 , before, me personally appeared George W. Thonipson, who acknowledged
himself to be the -----------------
e Senior Vice President. of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters,
Inc., Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers
Casualty and Surety Company, Travelers Casualty and Surety Company of Ainerica, and United States Fidelity and Guaranty Company, and that he, as such, being
authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himselfas a duly authorized officer.
In Witness Whereof, I hereunto set my hand and official seal.
?� OWD�
.00 *
OLINMy Commission expires the 30th day of June, 2011. Tetreault, Notary Public
CW
58440-5-07 Printed in U.S.A.
WARNING: MIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
WARNW 6 F:=� A T ifVlEwVi§
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards or Directors of Farmington Casualty Company, FMejity
and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., Seaboard Surety Company, SL Paul Fire and Marine Insurance Company,
St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of
America, and United States Fidelity and Guaranty Company, which resolutions are now in full force and effect, reading as follows:
RESOLVED 'that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice
President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in. -Fact and Agents to act for and on behalf
of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the
Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any
o1' said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may
delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy
thereof is filed in the office of the Secretary; and it is
FURTHER RESOIXED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking
shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice
President, amy Second Vice President, the Treasurer, any Assistant' Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the
Coinpany'sseai by a Secretary or Assistant secretary, or (b) duly executed (under seal, if required) by one or more Attorneys -in -Fact and Agents pursuant to the power
prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is
FURTHER RESOLVED, that the signature of each of the following officers:: President, any Executive Vice President, any Senior Vice President, any Vice President,
any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any power of attorney or to any
cortific,aie icianing thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only of executing and attesting bonds
and underutkmgs and other writings obligatory in the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall
be vand and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the
tlornpwrin the ftnure with respect to any bond or understanding to which it is attached,
1, Kori M.Johanson, the undersigned, Assistant Secretary, of Farmington Casuafty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance
Underwriters, Inc., Seaboard Surety Company, SL Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St, Paul Mercury Insurance
Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Cornpany of America, and United States Fidelity and Guaranty Company do hereby
certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is in full force and effect and has not been
revoked,
IN 'I'ESTIMONY WHEREOF, I have hereunto set irau,y hanrl and affixed the seals of said Companies dris .18t.11 day of Ma.
y
. . . ......... 20
�Kofi M. Johans(. AssistantSecrNary.
Ib vee Hy the authenticity of this Power of Attorney, call 1-800-421-3880 or contact us at www.travelersbond.com. Please refer to the Attorney -In -Fact number, the
above named individuals and the details of the bond to which the power is attached.
CITY OF SAN RAFAEL
ROUTING SLIP / APPROVAL FORM
INSTRUCTIONS: USE THIS FORM WITH EACH SUBMITTAL OF A CONTRACT, AGREEMENT,
ORDINANCE OR RESOLUTION BEFORE APPROVAL BY COUNCIL / AGENCY.
SRRA / SRCC AGENDA ITEM NO. //
DATE OF MEETING: May 18, 2009
FROM: Joel Camacho
DEPARTMENT: Public Works
DATE: 5/12/09
TITLE OF DOCUMENT:
REPORT OF BID OPENING AND RESOLUTION AWARDING THE CONTRACT FOR DOMINICAN /
BLACK CANYON NEIGHBORHOOD LANDSCAPE PROJECT, PROJECT NO. 11059, TO FIELDSTONE
CONSTRUCTI.QN-9., IN THE AMOUNT OF $63,536.
*** *** *** *** *** *** *** *** *** *** *** *** *** ***
(LOWER HALF OF FORM FOR APPROVALS ONLY)
APPROVD AS COUNCIL / AGENCY APPROVED AS TO FORM:
AGN ITEM:
x
a6 r (signature) City Attorney (signature)
NOT APPROVED
REMARKS:
File No.: 16.01.228