DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4
CONTRACTOR AGREEMENT
THIS CONTRACTORAGREEMENT("Agreement")is entered into this 2LL day of fM&y-cVn 20^Vby and between the CITY OF ALAMEDA, a municipal corporation(the "City"), and CHRISP COMPANY, a California corporation, whose address is 43650 Osgood Road, Fremont California, ("Contractor"), in reference to the following:
RECITALS:
A. The City is a municipal corporation duly organized and validly existing under the laws of the State of California with the power to carry on its business as it is now being conducted under the statutes of the State of California and the Charter of the City.
B. The City is in need of the following services: furnishing all labor, tools, equipment, materials, except as hereinspecilied; doing all work associated with maintenance or improvements to existing signs, sign posts, and striping; and providing proper pedestrian and traffic control, including placement of temporary no parking signs when necessary'. City staff issued a formal bid on February 3, 2022, after a submittal period of 21 days received 3 of timely submitted bids, and the bids were opened on February 3, 2022. Staff reviewed the bids and selected the lowest responsive and responsible bidder.
C. Contractor possesses the skill, experience, ability, background, certification and knowledge to provide the services described in this Agreement on the terms and conditions described herein.
D. City and Contractor desire to enter into an agreement for roadway improvements which include pavement markers, traffic paint and signs, upon the terms and conditions herein.
NOW, THEREFORE, in consideration of the forgoing, which are incorporated herein by reference, and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows:
1. TERM:
The term of this Agreement shall commence on the first day of April 2022, and shall terminate on the thirty-first day of March 2025, unless terminated earlier as set forth herein.
2. SERVICES TO BE PERFORMED:
Contractor agrees, at its own cost and expense, to furnish all labor, tools, equipment, materials, except as otherwise specilied, and to do all work strictly in accordance with the Specifications, Special Provisions and Plans, which Specifications, Special Provisions and Plans are hereby referred to and expressly made a part hereof with the same force and effect as if the same were fully incorporated herein. Contractor acknowledges that the work plan included in Exhibit A is tentative and docs not commit the City to request Contractor to perform all tasks included therein.
CHRISP COMPANY 1 P.W. No 10-21-35
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DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4
3. COMPENSATION TOCONTRACTOR:
Contractorshallbe compensated for servicesperformedpursuantto this Agreement in the amount and manner set forth in Contractor's bid, which is attached hereto as Exhibit A and incorporatedhereinby this reference. Paymentwill be madein the same mannerthatclaimsof a like characterare paidby the City, with checks drawn on the treasuryof the City.
Paymentwill be madeby the City in thefollowingmanner:Onthe first day ofeachmonth, Contractor shall submit a written estimate of the total amount of work done the previous month.
However, the City reserves the right to adjust budget within and between tasks. Pricing and accounting of chargesare to be accordingto the bid packet pricing, unless mutually agreedto in writing.
Payment shallbe made for 95% of the value of the work completed as determined by the City. The City shall retain 5% of the value of the work as partial security for the completion of the work by Contractor. Retained amounts shall be paid to Contractor within sixty days of acceptanceby the City of the project. Paymentshallnot be construedas acceptanceof defective work. No interestwill be paid to Contractoron retained funds.
Total compensation for work, 15 percent contingency, and total not to exceed per year is provided in the table below. The three year total not to exceed amount is $723,727. Use of contingency shall be for items of work outside the original scope and requires prior written authorization by the City.
TERM:
FROM
TERM:
TO CONTRACT
TOTAL
COMPENSATION CONTINGENCY
*fQTAyi©T-fo ;
.-... EXCEED
4/1/2022 3/31/2023 Yearl $ 191.607.55 $ 28,741 $ 220,349 4/1/2023 3/31/2024 Year 2 $ 209,235.44 $ 31,385 $ 240,620 4/1/2024 3/31/2025 Year 3 $ 228,485.11 $ 34,273 $ 262,758 GRAND TOTAL $ 629,328.10 $ 94,399 $ 723,727
At the beginningofthe secondand third yearsofthe contact,the unit priceswill be adjusted by the Construction Cost Index for the San FranciscoBay Area as reported in the Engineering News Record for the previous calendar year for the trade(s) associated with the services or tasks.
Prompt PaymentOfWithheld Funds To Subcontractors:The City shall hold retainage from the prime contractor and shall, as determined by the City, make prompt and regular incremental acceptances of portions of the contract work and pay retainage to the prime contractor based on these acceptances. The prime contractor or subcontractor shall return all monies withheld in retention from all subcontractorswithin 30 days after receiving payment for work satisfactorily completed and accepted by the City, including incremental acceptancesof portions of the contract work. Any delay or postponement of payment may take place only for good cause and with the City's prior written approval. Any violation of these provisions shall subject the violating prime contractor to the penalties, sanctions, and other remedies specified in Section 7108.5 of the California Business Professions Code. This requirement shall not be construed to limit or impair CHRISPCOMPANY 2 P.W.No. 10-21-35
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DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 any contractual,administrativeorjudicial remediesotherwiseavailableto theprimecontractoror subcontractorin the event of a dispute involving(a) late paymentor nonpaymentby the prime contractor,(b) deficientsubcontractorperformance,or (c)noncomplianceby asubcontractorwith the contract, including but not limited to remedies under California Public Contract Code Section 9204. This clause applies to both DBE and non-DBE subcontractors.
4. TIME IS OF THE ESSENCE:
Contractorandthe Cityagreethattime is of theessenceregardingtheperformanceof this Agreement.
It is agreed by the parties to this Agreement that if all the work called for under the Agreementis notcompletedbeforeor uponthe expirationof thetime limitas set forth in Paragraph 1 above, damage will be sustained by the City, and it is and will be impracticable to determine the actual damage which the City will sustain in the eventofand by reasonofsuch delay. It is therefore agreed that Contractorwill pay the City the sumof NINE HUNDREDDOLLARS($900)per day as liquidateddamagesfor each and every day's delaybeyondthe timeprescribedto completethe work; and Contractoragrees to pay suchliquidateddamagesas herein provided, and in case the same are not paid, agrees that the City may deduct the amount thereof from any money due or that may become due Contractor under the Agreement.
It is further agreed that in case the work called for under the Agreement is not finishedand completed in all parts and requirements within the time specified, the City shall have the right to extend the time for completion or not, as may seem best to serve the interest ofthe City; and if the City decides to extend the time limit for the completion of the Agreement, it shall further have the right to charge Contractor, his or her heirs, assigns or sureties, and to deduct from the final payment for the work, all or any part, as it may deem proper, of the actual costs and overhead expenses which are directly chargeable to the Agreement, and which accrue during the period of such extensions.
Contractor shall not be assessed with liquidated damages during any delay in the completion of the work caused by an act of God or of the public enemy, acts of the City, fire, flood, epidemic, quarantine restriction, strikes, freight embargoes, and unusually severe weather or delays of subcontractors due to such causes; provided that Contractor shall, within one (1) day from the beginningof such delay, notify the City in writing of the causesof delay. The City shall ascertain the facts in good faith and the extent of the delay, and itsfindingsof the facts thereon shall be final and conclusive.
5. STANDARD OF CARE:
Contractor agrees to perform all services and work hereunder in a manner commensurate with the prevailing standards of like professionals in the San Francisco Bay Area and agrees that all services and work shall be performed by qualified and experienced personnel who are not employed by the City nor have any contractual relationship with the City.
6. INDEPENDENT PARTIES:
Contractor hereby declares that it is engaged as an independent business and it agrees to performits servicesas anindependentcontractor. Themannerand meansof conductingthe work are under the control of Contractor, except to the extent they arc limited by statute, rule or CHRISPCOMPANY 3 P.W. No, 10-21-35
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DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 regulationand the express terms of this Agreement. No civil service status or other right of employmentwill be acquiredby virtueof Contractor'sservicesand work. None of thebenefits provided by the City to its employees,includingbut not limited to unemploymentinsurance, workers'compensationplans,vacationandsickleaveareavailablefromtheCitytoContractor,its employees,subcontractors,suppliersor agents. Deductionsshall not be made for anystate or federal taxes, FICA payments,PERS payments,or other purposesnormallyassociatedwith an employer-employeerelationshipfrom any fees due Contractor. Paymentsof theabove items, if required, are the responsibility of Contractor.
7. IMMIGRATION REFORM AND CONTROL ACT QRCA):
Contractor assumes any and all responsibilityfor verifying the identity and employment authorizationof all of itsemployeesperformingworkhereunder,pursuantto allapplicableIRCA or otherfederal,or staterules andregulations. Contractorshall indemnify,defend(withcounsel acceptableto the City) and hold the Cityharmlessfrom and againstany loss, damage,liability, costs or expensesarising from any noncomplianceof thisprovisionby Contractor.
8. NON-DISCRIMINATION:
Consistentwith City's policy and state andfederallaw thatharassmentand discrimination are unacceptable employer/employee conduct, neither Contractor nor Contractor's employee, agents, subcontractors or suppliers shall harass or discriminate against any job applicant, City employee, or any person on the basisofany kindofany statutorily(federal, state or local) protected class, including but not limited to race, religious creed, color, nationalorigin, ancestry, physical disability (including HIV and AIDS), mental disability, medical condition (e.g.. cancer), genetic information,marital status, sex, gender, gender identity,genderexpression, age, sexual orientation, pregnancy, political affiliation, military and veteran status or legitimate union activities. Contractor agrees that any violations of this provision shall constitute a material breach of this Agreement.
9. HOLD HARMLESS:
Contractor shall indemnify, defend (with counsel acceptable to the City) and hold harmless the City, its City Council, boards, commissions, officials, employees, agents and volunteers ("Indemnitees") from and against any and all loss, damages, liability, obligations, claims, suits, judgments, costs and expenses whatsoever, including reasonable attorneys' fees and costs of litigation ("Claims"), arising from or in any manner connected to Contractor's performance of its obligations under this agreementor out of the operations conducted by Contractor, including the City's active or passive negligence EXCEPT for such loss or damage arising from the active negligence or willful misconduct of the City. If Claims are filed against Indemnitees which allege negligence, recklessness or willful misconduct on behalf of the Contractor, Contractor shall have no right of reimbursementagainst Indemnitees for the costs of defense even if negligence is not found on the part of Contractor.
Contractor's obligationto indemnify,defendand holdharmless Indemnitiesshall expressly survive the expirationor early terminationof this Agreement.
CHRISPCOMPANY 4 P.W,No,10-21-35
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DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4
10. INSURANCE:
On or before the commencement of the terms of this Agreement, Contractor shall furnish the City's Risk Managerwith certificates showing the type, amount, classof operationscovered, effective dates anddates of expirationof insurancecoveragein compliancewith paragraphs10A, B, C and D. Such certificates, which do not limit Contractor's indemnification, shall also contain substantially the following statement: "Should any of the above insurance covered by this certificatebe canceledor coveragereducedbefore the expirationdatethereof, the insureraffording coverage shall provide thirty (30) days advance written notice to the City of Alameda, Attention:
Risk Manager.'1
Contractor shall maintain in force at all times during the performance of this Agreement all appropriate coverage of insurance required by this Agreement with an insurance company licensedto offer insurancebusiness in the StateofCaliforniawith a currentA.M. Best's ratingof no less than A:VII or Standard & Poor's Rating (if rated) of at least BBB unless otherwise acceptable to the City. Endorsements naming the City, its City Council, boards, commissions, officials, employees, agents and volunteers as additional insured shall be submitted with the insurance certificates.
A. COVERAGE:
Contractor shall maintaininsurance coverage and limits at least as broadas:
(1) Workers' Compensation:
Statutory coverage as required by the State of California. (2) Liability:
Commercial general liability coverage in the following minimum limits:
Bodily Injury: S1,000,000 each occurrence
S2,000,000 aggregate - all other
Property Damage: S1,000,000 each occurrence
S2,000,000 aggregate
If submitted, combined single limit policy with per occurrence limits in the amounts of $2,000,000 and aggregate limits in the amounts of $4,000,000 will be considered equivalent to the required minimum limits shown above. Additional Insured Endorsement naming the City, its City Council, boards, commissions, officials, employees, agents, and volunteers is required. (3) Automotive:
Comprehensive automobile liability coverage (any auto) in the following minimum limits:
Bodily injury: $1,000,000 each occurrence
Property Damage: $ 1,000,000 each occurrence
or
Combined Single Limit: $2,000,000 each occurrence
CHRISPCOMPANY 5 P.W.No.10-21-35
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DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 Additional Insured Endorsement naming the City, its City Council, boards, commissions, officials, employees, agents, and volunteers is required. (4) Pollution Prevention:
Legal liability required for hazardous materials excavation in the amount of $2,000,000 each occurrence. Additional Insured Endorsement naming the City, its City Council, boards, commissions, officials, employees, agents, and volunteers is required.
(5) Builders Risk:
Insurance utilizing an "All Risk" (Special Perils) coverage form, with limits equal to the completed value ofthe project and no coinsurance penalty provisions.
The coverage and limits shall be (1) the minimum coverage and limits specified in this Agreement; or (2) the broader coverage and maximum limits of the coverage carried by or availableto the Contractor;whichever is greater.Any insuranceproceeds in excess of or broader than the minimum required coverage and/or minimum required limits, which are applicable to a given loss, shall be available to the City.
B. SUBROGATION WAIVER:
Contractor hereby agrees to waive rights of subrogation which any insurer of Contractor may acquire from Contractor by virtue of the payment of any loss. Contractor agrees to obtain any endorsement that may be necessary to affect this waiver of subrogation, but this provision applies regardless of whether the City has received a waiver of subrogation endorsement from the insurer. The Workers' Compensationpolicy shallbe endorsedwith a waiver of subrogationin favor of the City for all work performed by the Contractor,its employees, agents and subcontractors* C. FAILURE TO SECURE:
If Contractor at any time during the term hereof should fail to secure or maintain the foregoing insurance, the City shall be permitted to obtain such insurance in Contractor's name or as an agent of Contractor and shall be compensated by Contractor for the costs of the insurance premiums at the maximum rate permitted by law and computed from the date written notice is received that the premiums have not been paid.
E. ADDITIONAL INSURED:
City, its City Council, boards,commissions, officials, employees andvolunteers shall be named as an additional insured under all insurance coverages, except worker's compensation insurance. The naming of an additional insured shall not affect any recovery to which such additional insured would be entitled under this policy if not named as such additional insured. An additional insured named herein shall not be held liable for any premium, deductible portion of any loss, or expense of any natureon this policy or any extension thereof. Any other insurance held by an additionalinsured shall not be required to contributeanything toward any loss or expense coveredby the insuranceprovidedby this policy. The additionalinsuredcoverageunder the Contractor's policy shall be primary and non-contributory and will not seek contribution from the City's insurance or self-insurance.
CHRISPCOMPANY 6 P.W. No. 10-21-35
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DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 E, SUFFICIENCY OF INSURANCE:
Contractor shall furnish the following bonds from a bonding company acceptable to the City's Risk Manager. Faithful Performance Bond and Labor and Material Bond are only required for work over $25,000. Therefore, those estimates that are under $25,000 will not need to budget for the bond premiums and those estimates over $25,000 will need to be sure to budget for the bond premiums.
The insurance limits required by the City are not represented as being sufficient to protect Contractor, Contractor is advised to consult Contractor's insurance broker to detennine adequate coverage for Contractor.
11. BONDS:
Contractor shall furnish the following bonds from a bonding company acceptable to the City's Risk Manager:
A. Faithful Performance: A bond in the amount of 100% of the total contract price guaranteeing the faithful performance of this contract, and B, Labor and Materials: A bond for labor and materials in the amount of 100% of the total contract price.
12. PROHIBITION AGAINST TRANSFERS:
Contractor shall not assign, sublease, hypothecate, or transfer this Agreement, or any interest therein, directly or indirectly, by operation of law or otherwise, without prior written consent of the City Manager, Any attempt to do so without said consent shall be null and void, and any assignee, sublessee, hypothecate or transferee shall acquire no right or interest by reason ofsuch attempted assignment, hypothecation or transfer. However, Contractor's claims for money from the City under thisAgreementmay be assigned to a bank, trust company or otherfinancial institution without prior written consent. Written notice of such assignment shall be promptly furnished to the City by Contractor.
The sale, assignment, transfer or other disposition of any of the issued and outstanding capital stock of Contractor, or of the interest of any general partner or joint venturer or syndicate member or cotenant, ifContractor is a partnership or joint venture or syndicate or cotenancy, which shall result in changing the control of Contractor, shall be construed as an assignment of this Agreement.Control meansfifty percent (50%)or moreof the voting powerof the corporation.
13. SUBCONTRACTOR APPROVAL:
Unless prior written consent from the City is obtained, only those people and subcontractors whose names are listed in Contractor's bid shall be used in the performanceof this Agreement.
Requestsfor additionalsubcontractingshall besubmittedin writing,describingthe scope of work to be subcontractedand the name of the proposedsubcontractor. Such request shall set forth the total price or hourly rates used in preparing estimated costs for the subcontractor's services. Approval of the subcontractor may, at the option of the City, be issued in the form of a Work Order.
CHRISPCOMPANY 7 P.W. No. 10-21-35
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DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 In the event that Contractor employs subcontractors, such subcontractors shall be required to furnish proofof workers' compensation insuranceand shall also be required to carry general and automobile liability insurance in reasonable conformity to the insurance carried by Contractor. In addition, any work or servicessubcontractedhereunder shall be subject to each provisionof this Agreement.
14. PERMITS AND LICENSES:
Contractor,at its sole expense, shall obtain and maintainduring the termof this Agreement, all appropriate permits, certificates and licenses, including a City Business License that may be required in connection with the performance of services and work hereunder.
15. REPORTS:
Each and every report, draft, work product, map, record and other document reproduced, prepared or caused to be prepared by Contractor pursuant to or in connection with this Agreement shall be the exclusive property of the City.
No report, information nor other data given to or prepared or assembled by Contractor pursuant to this Agreement shall be made available to any individual or organization by Contractor without prior approval by the City.
Contractor shall, at such time and in such form as the City may require, furnish reports concerning the status of services and work required under this Agreement.
16. RECORDS:
Contractor shall maintain complete and accurate records with respect to sales, costs, expenses, receipts and other such information required by the City that relate to the performance of services and work under this Agreement.
Contractor shall maintain adequate records of services and work provided in sufficient detail to permit an evaluation of services and work. All such records shall be maintained in accordance with generally accepted accounting principles and shall be clearly identified and readily accessible. Contractor shall provide free access to such books and records to the representatives of the City or its designees at all proper times, and gives the City the right to examine and audit same, and to make transcripts therefrom as necessary, and to allow inspection of all work, data, documents, proceedings and activities related to this Agreement. Such records, together with supporting documents, shall be kept separate from other documents and records and shall be maintained for a period of three (3) years after receipt of final payment If supplemental examination or audit of the records is necessary due to concerns raised by the City's preliminary examination or audit of records, and the City's supplemental examination or audit of the records discloses a failure to adhere to appropriate internal financial controls, or other breach of contract or failure to act in good faith, then Contractor shall reimburse the City for all reasonable costs and expenses associated with the supplemental examination or audit.
17. NOTICES:
All notices, demands, requests or approvals to be given under this Agreement shall be given in writing and conclusively shall be deemed served when delivered personally or on the second CHRISPCOMPANY 8 P.W, No.10-21-35
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DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 business day after the deposit thereof in the United States Mail, postage prepaid, registered or certified, addressed as hereinafter provided.
All notices, demands, requests, or approvals from Contractor to the City shall be addressed to the City at:
City of Alameda
Public Works Department
950 W. Mall Square, Suite 110
Alameda, CA 94501
ATTENTION: Alan Ta, Assistant Engineer
Ph: (510)747-7946
Email: [email protected]
All notices, demands, requests, or approvals from the City to Contractor shall be addressed to Contractor at:
Chrisp Company
P.O. Box 1368
Fremont, CA 94538-0136
ATTENTION: David Morris, Executive Vice President
Ph: (510)656-2840
Email: [email protected]
18. SAFETY:
Contractor will be solely and completely responsible for conditions of all vehicles owned or operated by Contractor, including the safety of all persons and property during performance of the services and work under this Agreement, This requirement will apply continuously and not be limited to normal working hours. In addition, Contractor will comply with all safety provisions in conformance with U.S. Department of Labor Occupational Safety and Health Act, any equivalent state law, and all other applicable federal, state, county and local laws, ordinances, codes, and any regulations that may be detailed in other partsofthe Agreement. Where any ofthese are in conflict, the more stringent requirements will be followed. Contractor's failure to thoroughly familiarize itself with the aforementioned safety provisions will not relieve it from compliance with the obligations and penalties set forth herein.
Contractor will immediately notify the City's Risk Manager within 24 hours of any incident of death, serious personal injury or substantial property damage that occurs in connection with the performance of this Agreement. Contractor will promptly submit to the City a written report of all incidents that occur in connection with this Agreement. This report must include the following information: (i) name and address of injured or deceased person(s); (ii) name and address of Contractor's employee(s) involved in the incident; (Hi)name and address of Contractor's liability insurance carrier; (iv) a detailed description of the incident; and (v) a police report.
19. LAWS TO BE OBSERVED:
Contractor shall comply with all applicable laws, state, federal, and all ordinances, rules and regulations enacted or issued by City, In addition, Contractor shall keep himself fully CHRISPCOMPANY 9 P.W.No. 10-21-35
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DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 informed of all existing and future state and federal laws and all municipal ordinances and regulations of the City which in any manner affect those engaged or employed in the work, or the materials used in the work, or which in any way affect the conduct of the work, and of all such orders and decrees of bodies or tribunals having any jurisdiction or authority over the same.
20. DEPARTMENT OF INDUSTRIAL RELATIONS COMPLIANCE AND
PREVAILING WAGE REQUIREMENTS ON PUBLIC WORKS PROJECTS:
Effective January 1,2015, no Contractor or Subcontractor may be listed on a bid proposal for a public works project (submitted after March 1, 2015) unless registered with the Department of Industrial Relations pursuant to Labor Code Section 1725.5 (with the limited exceptions from this requirement for bid purposed only under Labor Code Section 1771.1(a)). Register at https://efiling.dir.ca.gov/PWCR
No Contractor or Subcontractor may be awarded a contract for public work on a public works project (awarded on or after April 1, 2015) unless registered with the Department of Industrial Relations pursuant to Labor Code Section 1725.5.
This project is subject to compliance monitoring and enforcement by the Department of Industrial Relations.
The Prime Contractor is required to post job site notices prescribed by regulations. See 8 Calif Code Regulation §16451(d).
Effective April 1, 2015, All Contractors and Subcontractors must furnish electronic certified payroll records directly to the Labor Commissioner at:
https://apps.dir.ca.gov/ecpr/das/altlogin
21. HOURS OF LABOR:
As provided in Article 3 (commencing at § 1810), Chapter 1, Part 7, Division 2 of the Labor Code, eight (8) hoursof labor shall constitute a legalday's work. The time ofservice ofany worker employed at any time by Contractor or by any subcontractor on any subcontract under this Agreement, upon the work or upon any part ofthe work contemplated by this Agreement, is limited and restricted to eight (8) hours during any one calendar day and forty (40) hours during any one calendar week, except as hereinafter provided. Notwithstanding the provision hereinabove set forth, work performed by employeesof Contractor in excessof eight (8) hours per day and forty (40) hours during any one week shall be permitted upon this public work, provided that the employees' compensation for all hours worked in excessof eight (8) hours per day at not less than one and one-half (1-1/2) times the basic rate of pay.
Contractor shall pay the City a penalty of Twenty-five Dollars ($25.00) for each worker employed in the execution of this Agreement by Contractor, or by any subcontractor, for each calendar day during which such worker is required or permitted to work more than eight (8) hours in anycalendardayand forty(40) hoursin any one(I) calendarweek,inviolation ofthe provisions of Article 3 (commencing at § 1810), Chapter 1, Part 7, Division 2 of the Labor Code, unless compensation for the workers so employed by Contractor is not less than one andone-half (1-1/2) times the basic rate of pay for all hours workedin excess of eight (8) hours per day.
CHRISPCOMPANY 10 P.W. No, 10-21-35
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DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 Holiday and overtime work, when permitted by law, shall be paid for at a rate of at least one andone-half (1!4)times the above specified rate ofperdiemwages, unless otherwise specified.
Holidaysshall be defined in the CollectiveBargainingContractapplicableto each particularcraft, classification, or type of worker employed.
22. APPRENTICES:
Attention is directed to the provisions in Sections 1777.5 and 1777.6of the Labor Code concerningtheemploymentof apprenticesby Contractoror anysubcontractorunderit oncontracts greaterthan $30,000or 20workingdays* Contractorandany subcontractorunderit shall comply with the requirements of Sections 1777.5 and 1777.6 in the employment of apprentices.
Section 1777.5of the Labor Code requires Contractor or subcontractor employing workers in any apprenticeableoccupation to apply to the joint apprenticeshipcommittee nearest the siteof the public works project, and which administersthe apprenticeshipprogram in that trade, for a certificate of approval, if they have not previously applied and are covered by the local apprenticeship standards.
Contractor is required to make contributions to funds established for the administration of apprenticeship programs if: (1) Contractor employs registered apprentices or journeymen in any apprenticeabletrade on such contracts andif other contractorson the public works site are making such contributions; or (2) if Contractor is not a signatory to an apprenticeship fund and if the funds administrator is unable to accept Contractor' required contribution. Contractor or subcontractor shall pay a like amount to the California Apprenticeship Council.
Information relative to apprenticeship standards, wage schedules, and other requirements may be obtained from the Director of Industrial Relations, ex-officio the Administrator of Apprenticeship, San Francisco, California, or from the Division of Apprenticeship Standards and its branch offices.
23. LABOR DISCRIMINATION:
No discriminationshall be made in theemploymentof persons upon public works because of the race, color, sex,religion, age, nationalorigin, sexual orientationor physical disabilityof such persons and every Contractor for public works violating this section is subject to all the penalties imposed for a violationof the provisionsof the Labor Code, and, in particular, Section 1735,
24. REGISTRATION OF CONTRACTORS:
Before submitting bids, contractors shall be licensed in accordance with the provisions of Chapter 9, Division 3, of the Business and Professional Code of the State of California.
25. URBAN RUNOFF MANAGEMENT:
Contractor shall avoid creating excess dust when breaking asphalt or concrete and during excavation and grading. If water is used for dust control, contractor shall use as little as necessary.
Contractor shall take all steps necessary to keep wash water outof the streets, gutters and storm drains.
Contractorshall develop and implementerosion and sedimentcontrol to prevent pollution of storm drains. Such control includes but is not limited to:
CHRISPCOMPANY 11 P.W,No.10-21-35
Sign & Stripping Maintenance FY2021/2024 Version 2021-02-10 \VCHFtL£\Cro<ups\pubworks\cipV960l1Sogn &StripingMaintenanceFY21-24V5Construc4ton\AgreernenttS«gn&StripingMaintenanceFY21-24 Agreement - v03.docx
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 a. Use storm drain inlet protection devices such as sand bag barriers, filter fabric fences, block and gravel filters. (Block storm drain inlets prior to the startofthe rainy season (October 15), on site de-watering activities and saw-cutting activities; shovel or vacuum saw-cut slurry and remove from the site).
b. Cover exposed piles of soil or construction material with plastic sheeting. All construction materials must be stored in containers.
c. Sweep and remove all materials from paved surfaces that drain to streets, gutters and stormdrainspriorto rainas wellas atthe endofthe eachworkday. Atthe completion of the project, the street shall be washed and the wash water shall be collected and disposed of offsite in an appropriate location.
d. After breaking old pavement, Contractor shall remove all debris to avoid contact with rainfall or runoff.
e. Contractor shall maintain a clean work area by removing trash, litter, and debris at the end of each workday. Contractorshall also clean up any leaks, drips, and other spills as they occur.
The objectiveis to ensurethat the City and Countyof AlamedaCounty-WideClean Water Program is adequately enforced. These controls should be implemented prior to the start of construction, up-graded as required, maintained during construction phases to provide adequate protection, and removed at the end of construction.
These recommendations are intended to be used in conjunction with the State's Best Management Practices Municipal and Construction Handbooks, local program guidance materials from municipalities, Section 7.1.01 of the Standard Specifications and any other appropriate documents on storm water quality controls for construction.
Failure to comply with this program will result in the issuance of noncompliance notices, citations, project stop orders or fines. The fine for noncompliance of the above program is two hundred and fifty dollars ($250.00) per occurrence per day. The State under the Federal Clean Water Act can also impose a fine on the contractor, pursuant toCal. Water Code §13385.
26. COMPLIANCE WITH MARSH CRUST ORDINANCE:
Contractor shall perform all excavation work in compliance with the City's Marsh Crust Ordinance as set forth at Section13-56ofthe Municipal Code. Prior to performing any excavation work, Contractorshall verify with the BuildingOfficial whetherthe excavationwork is subject to the Marsh Crust Ordinance. Contractor shall apply for and obtain permits from Building Services on projects deemed to be subject to the Marsh Crust Ordinance,
27. COMPLIANCE WITH THE CITY'S INTEGRATED PEST MANAGEMENT POLICY:
Contractor shall follow the requirements of the City's Integrated Pest Management (IPM) Policyto ensure the City is in compliancewith its MunicipalRegional StormwaterNPDES Permit, Order No.R2-2009-0074,issuedby the San Francisco Bay Regional Water Quality Control Board.
CHRISPCOMPANY 12 P.W. No.10-21-35
Sign &StrippingMamtenance FY202U2024 Version 2021-02-10 \\CHFlLF\Gfoups\pubworkslclp\96011Scgn&StripingMaintenanceFY21-24V5ConstructloMAgreemenlSSogn&StripingMaintenanceFY21-24 Agreement - v03.docx
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 Contractorshall use the mostcurrentIPM technologiesavailableto ensurethe long-term prevention or suppression of pest problems and to minimize negative impacts on the environment, non-targetorganisms, and human health for the control or management of pests in andaroundCity buildingsand facilities,parks and golf courses,urban landscape areas,rights-of-way, and other Cityproperties.
Contractorwill considerthe City IPM Policy's hierarchyof optionsor alternativeslisted below, in the followingorderbefore recommendingthe use of or applyingany pesticide on City property: (1)
a. No controls (e.g. toleratingthe pest infestation, use of resistant plant varieties or allowing normal life cycle of weeds);
b. Physical or mechanical controls (e.g. hand labor,mowing, exclusion); c. Cultural controls (e.g. mulching, disking, alternative vegetation) and good housekeeping (e.g. cleaning desk area);
d. Biological controls (e.g.,naturalenemies or predators); e. Reduced-riskchemical controls(e.g., soapsor oils);and f. Other chemical controls.
Priorto applyingchemicalcontrolsContractorshallcompleteachecklist for the City's pre- approval that explains why a chemical control is necessary. For annual contracts that require regular application of chemical controls the contractor shall submit one checklist priorto the initiationof the projectdemonstratingthat the hierarchyhasbeen reviewed and no other options exist. (See Exhibit C). Additionally, Contractor shall provide documentation to theCity's project managerof the implementation of the IPM techniques hierarchy described in theCity's IPM Policy,
O Contractorshallavoid the useofthe following pesticidesthatthreatenwaterquality,human health and the environment:
a. Acute Toxicity Category I chemicals as identified by the Environmental Protection Agency (EPA);
b. Organophosphate pesticides (e.g., those containing Diazinon, chlorpyrifos or malathion);
c. Pyrethroids (bifenthrin, cyfluthrin, beta-cyfluthrin, cypermethrin, deltamethrin, esfenvalerate,lambda-cyhalothrin,permethrin,andtralomethrin),carbamates(e.g., carbaryl), and fipronil; and
d. Copper-based pesticides unless their use is judicious, other approaches and techniques have been considered, and the threat of impact to water quality is prevented.
Contractorshall sign the ContractorVerification Form (attachedas Exhibit B) indicating the intentto implement the City's IPM Policy, andreturna signedcopy to theCity's project manager.
Contractor shall provide to the City's project manager an annual report of all pesticide usage in support of City operations including pesticide name, active ingredient(s), target pest(s), the total amounts used and the reasons for any increase in use of any pesticide.
CHRISPCOMPANY 13 P.W,No. 10-21-35
Sign &Stripping Maintenance FY2021 /2024 Version 2021 -02-10 \\CHFILE\Gro«ups\pubworksVcip\&6011Sign &StripingMaintenance FY21-24\5 Conslruetion\Agfeernent\S«gnA StripingMaintenance FY21-24 Agreement - vQS.docx
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 Contractor shall provide a copy of any current IPM certifications(s)to the City's project manager prior to initiation of the service work.
A copy of the City's IPM Policy may beobtained from the City's project managerand is also on file with the City Clerk.
If thisAgreementpertains to the useofany items listedabove. Contractorwill need tofill out and send in the Contractor VerificationForm and Contractor CheckList. ADD EXHIBITB
IF PEST CONTROL
28. PURCHASES OF MINED MATERIALS REQUIREMENT:
Contractor shall ensure that all purchases of mined materials such as construction aggregate,sandand gravel,crushedstone,roadbase,fillmaterials,andanyother mineralmaterials must originate from a surface mining operation identifiedon the AB3098 List per the Surface Mining and Reclamation Act of 1975 (SMARA).
Within five days of award of contract, Contractorshall submit a report to the City which lists the intended suppliers for the above materials and demonstrates that the suppliers are in compliance with the SMARA requirements. The AB3098 List is maintained by the Department of Conservation's Office of Mine Reclamation (OMR) and can be viewed at:
wwwxonservationxa.gov/OMR/ab 3098 list/index.htm. Note that the list changesperiodically and should be reviewed accordingly.
29. TERMINATION:
In the event Contractor fails or refuses to perform any of the provisions hereof at the time and in the manner required hereunder, Contractor shall be deemed in default in the performance ofthis Agreement. If such default is not cured withina periodoftwo (2) businessdays after receipt by Contractorfrom the Cityof written notice of default, specifyingthe natureof such default and the stepsnecessaryto curesuch default,the CitymayterminatetheAgreementforthwithby giving to Contractor written notice thereof.
The City shall have the option,at its solediscretionand withoutcause, of terminatingthis Agreementby giving seven (7) days' prior written notice to Contractor as provided herein. Upon termination of this Agreement, each party shall pay to the other party that portion of compensation specified in this Agreement that is earned and unpaid prior to the effective date of termination.
30. ATTORNEYS' FEES:
In the event of the bringing of any action or suit by a party hereto against the other party by reason of any breach of any covenants, conditions, obligation or provision arising out of this Agreement,the prevailingparty shall be entitled to recoverfrom thenon-prevailingparty allof its costs and expenses of the action or suit, including reasonable attorneys' fees, experts' fees, all court costs and other costs of action incurred by the prevailing party in connection with the prosecution or defense of such action and enforcing or establishing its rights hereunder (whether or not such action is prosecuted to a judgment). For the purposes of this Agreement, reasonable fees ofattorneys ofthe Alameda City Attorney's office shall be based on the fees regularly charged by private attorneys with the equivalent number of years of experience in the subject matter area CHRISPCOMPANY 14 P.W. No. 10-21-35
Sign &Stripping Maintenance FY2021/2024 Version 2021 -02-10 \\CHFILF\Groups\pubworkslclp\96011S«gn&Striping MaintenanceFY21-24\5ConstructicmVAgreement'i&gn&StripingMaintenance FY21-24 Agreement - v03.docx
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 of the law for which the services were rendered who practice in Alameda County in law firms with approximately the same number of attorneys as employed by the Alameda City Attorney's Office. 31, PCC SECTION 9204 SUMMARY - CLAIMS SUBMITTED BETWEEN 01-01-2017 AND 01-01-2027.:
Notwithstanding anything else to the contrary stated in the Information For Bidders (Formal Bid) or the Contract Documents, all claims, regardless of dollar amount, submitted between January 1, 2017 and January 1,2027 shall be governed by PCC Section 9204 and this section.
The following provisions and procedures shall apply:
A. For the purposes of this section, the term "Claim", "Contractor", "mediation", "Public Entity" "Public works project" and "Subcontractor" shall have the meaning provided for in PCC Section 9204.
B. Contractor shall submit each Claim (whether for a time extension, payment for money or damages) in writing and in compliance with PCC Section 9204. Contractor must include reasonable documentation to support each claim.
C. Upon receipt ofa Claim, the City shall conduct a reasonable review and respond in writing within 45 days of receipt and shall identify in a written statement what portions of the claim are disputed and undisputed. Undisputed portions of the Claim shall be process and paid within 60 days of the written statement. Undisputed amounts not paid in a timely manner shall bear interest at 7% per annum. The City and Contractor may mutually agree to extend the 45 day response time.
D. If the City needs approval from the City Council to provide a written statement, the 45 days may be extended to 3 days following the next duly noticed public meeting pursuant to PCC Section 9204(d)(1)(C).
E. If the City fails to timely respond to a Claim or if Contractor disputes the City's response, Contractor may submit a written demand for an informal meet and confer conference with the City to settle the issues in dispute. The demand must be sent via registered or certified mail, return receipt requested. Upon receipt, the City shall schedule the conference within 30 days, F. Within 10business days following the informal meet and confer conference, the City shall submit to Contractor a written statement describing any issues remaining in dispute and that portion which is undisputed. Undisputed portions of the Claim shall be process and paid within 60 days of the written statement. Undisputed amounts not paid in a timely manner shall bear interest at 7% per annum. The issues remaining in dispute shall be submitted to non-binding mediation. If the City and Contractormutually agree on a mediator, each party shall pay equal portions of all associated costs. If within 10 business days, the City and Contractor cannot agree on a mediator, each party shall select a mediator (paying all costs associated with their selected mediator), and those mediators shall select a qualified neutral third party to mediate the disputed issues. The City and Contractor shall pay equal portions ofall associated costs of such third party mediator.
CHRISPCOMPANY 15 P.W.No. 10-21-35
Sign & Stripping Maintenance FY2021/2024 Version 2021 -02-10 \VCHFIL£\Croups\pubworks\cip\d6011Segn&StripingMaintenanceFY21-24V5Constructlon\A$reementiS«gn&StripingMaintenanceFY21-24 Agreement - v03.docx
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 G. Unless otherwise agreed by the City and Contractor, any mediation conducted hereunder shall excuse any further obligation under Public Contract Code Section 20104.4 to mediate after litigation has commenced.
H. The City reserves all rights and remedies that it has pursuant to the Construction Contract, plans and specification, at law or in equity which are not in conflict with PCC 9204.
This Section shall be automatically extended if legislation is lawfully passed which extends the terms of Public Contract Code Section 9204 beyond January 1, 2027.
32. CONFLICT OF LAW:
This Agreement shall be interpreted under, and enforced by the laws of the State of California excepting any choice of law rules which may direct the application of laws of another jurisdiction. The Agreement and obligations of the parties are subject to all valid laws, orders, rules, and regulationsof the authorities having jurisdiction over thisAgreement (or the successors of those authorities.) Any suits brought pursuant to this Agreement shall be filed with the courts of the County of Alameda, State ofCalifornia.
33. ADVERTISEMENT:
Contractor shall not post, exhibit, display or allow to be posted, exhibited, displayed any signs, advertising, show bills, lithographs, posters or cardsof any kind pertaining to the services performed under this Agreement unless priorwritten approvalhas been secured from the City to do otherwise.
34. WAIVER:
A waiver by City of any breachof any term, covenant, or condition contained herein, shall not be deemed to be a waiver of any subsequent breach of the same or any other term, covenant, or condition contained herein, whether of the same or a different character,
35. INTEGRATED CONTRACT:
This Agreement represents the full and complete understanding of every kind or nature whatsoever between the parties hereto, and all preliminary negotiations and agreements of whatsoever kind or nature are merged herein. No verbal agreement or implied covenant shall be held to vary the provisions hereof. Any modification of this Agreement will be effective only by written execution signed by both the City and Contractor.
36. INSERTED PROVISIONS:
Each provision and clause required by law to be inserted into the Agreement shall be deemed to be enacted herein, and the Agreement shall be read and enforced as though each were included herein. If through mistake or otherwise, any such provision is not inserted or is not correctly inserted, the Agreement shall be amended to make such insertion on application by either party.
37. CAPTIONS:
The captions in this Agreement are for convenience only, are not a part of the Agreement and in no way affect, limit or amplify the terms or provisions of this Agreement.
CHRISPCOMPANY 16 P.W. No. 10-21-35
Sign & Stripping Maintenance FY2021 /2024 Version 2021 -02-10 ttCHFIL&\Croup$\pubwofkstelpt96011Sign &Striping Maintenance FY2t-24\5 Constnjtfion\Agreem6nttS«gn &Striping Maintenance FY21-24 Agreement - v03.doc*
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4
38. COUNTERPARTS:
This Agreementmay be executedin any numberof counterparts(includingby fax, PDF, DocuSign,or other electronicmeans),each of which shall be deemedan original, but all of which shall constitute one and the same instrument.
39. SIGNATORY:
By signing this Agreement, each signatory warrants and represents that he/she executed this Agreement in his/her authorized capacity and that by his/her signature on this Agreement, he/she or the entity upon behalfof which he/she acted, executed this Agreement.
40. CONTROLLING AGREEMENT:
In the eventof a conflict betweenthe terms and conditionsofthis Agreement (as amended, supplemented, restated or otherwise modified from time to time) and any other terms and conditionswherever contained, including,without limitation,terms and conditions includedwithin exhibits,the terms and conditionsof this Agreementshall control and be primary. _DS 41. HEALTH AND SAFETY REQUIREMENTS,
(Ml Contractoracknowledgesthat the City shall have the right to impose, at the City'ssole discretion, requirements that it deems are necessary to protect the health and safety of the City's employees, residents, and visitors. Contractor agrees to comply with all such requirements, including, but not limited to, mandatory vaccinations, the use of personal protective equipment (e.g. masks), physical distancing, and health screenings. Contractor also agrees to make available to the City, at the City's request, records to demonstrate Contractor's compliance with this Section. [See Certification of Compliance attached.]
[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]
CHRISPCOMPANY 17 P.W. No.10-21-35
Sign &Stripping Maintenance FY2021/2024 Version 2021-02-10 \\CHFILE\Groups\pubworks\cip\96011 Sign & Striping Maintenance FY21-24\5 Construction\Agreement\Sign & Striping Maintenance FY21-24 Agreement - v03.docx
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 IN WITNESS WHEREOF, the parties have caused the Agreement to be executed on the day and year first above written.
CHRISP COMPANY
a California Corporation
DocuS4gji«d by
rT.-anrrnmc.!
David L. Morris
Executive Vice President
—- DMM9tgMd by
—taaBiagBaei
Tammic Allison
Secretary
Contractor License No. 374600
DIRNo. 1000000306
CITY OF ALAMEDA,,
a municipal corporate
RECOMMENDED FOR APPROVAL
[>ocu5«gn*d by
Erin Smith
Public Works Director
APPROVED AS TO FORM:
City Attorney
s DocuSigned by:
*- 765025E39B18464...
Len Asianian
Assistant City Attorney
CHRISP COMPANY 18 P.W. No. 10-21-35
Sign &Stopping Maintenance FY2021/2024 Version 2021-02-10 ViCHFILE'>Graups'.pubworks'idp''96011S^n &StripingMaintenanceFY21-24i5Construc1ion'.Agreenier>ttSign&StripingMaintenanceFY21-24 Agreement - uOS.docx
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 City of Alameda • California
Certification of Compliance
With the City of Alameda's Vaccination Requirement
The Cityof Alameda("City")requiresall individualswho performwork for the City to befully vaccinated1againstCOVID-19. All serviceprovidersand contractorsfor the City mustsign the following statementcertifyingcompliancewith this requirement.
By signingbelow,Icertifythat all ofour personnelwho are performingwork for the Cityare fully vaccinatedagainstCOVID-19. I also acknowledgethat the City reservesthe rightto reviewany relevantrecordsto demonstrateourcompliancewith thisrequirement.
I declareunderpenaltyof perjurythat the foregoingis true and correct.
CHRISPCOMPANY Date: 2/15/2022
DocuSIgnod by:
-F7F8E1FEB91S435..,
By: David L. Morris
Its Executive Vice President
1 For the purposesofthis CertificationofCompliance,an individualis consideredto be fully vaccinatediftwo weekshave passedsincetheirseconddose ina 2-doseseries(such as thePfizerorModernavaccines)orif two weekshave passedsincereceivingtheirsingle-dosevaccine(such as Johnson&Johnson'sJanssenvaccine).
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 III DDKjr. CK/2'3? CDM?Ah>^ PROPOSAL FOR PW 10-21-35
5-1 BID SCHEDULE FOR SIGN & STRIPING MAINTENANCE FY 2021-2024 TO: CITY COUNCIL. CITY OF ALAMEDA, CALIFORNIA
The undersignedBidder declares that Bidder has carefully examined the Project Manual, and is satisfiedas to the Held conditionsthe Bidder will encounter.The Bidder proposes to furnish all materials, labor andequipment and to do all Work required to completethe Work in accordance with the ProjectManual, for thepricesset forth in the followingschedule(includingallapplicable taxes):
Bid
Item Description Unit Quantity Unit Price Total Price
1 Mobilization LS I
5,000.°° %QDO°*
-1
Traffic and Pedestrian Control LS 1 j%Ddd.o> i%ooo-°*
Lead Compliance Plan LS 1 fySOO.C0 1, 5QO. oZ>
4 Rcstripe/lnstall Typical Approach! :s
4.01 Restripe/Install Approach A EA 13 23?*° 3,055.°°
4.02 Restripe/Install Approach B EA 34 t/SD. °° JXSM***
4.03 Restripe/Install Approach C EA 2 1,206.°* MOO. <*•
4.04 Restripe/Install Approach D EA 0 5,1^/5 ^ 0
4.05 Restripe/Install Approach R EA 1 ns. °° ii€P°
4.06 Restripe/Install Approach F EA 15 /, ozo. °° 157300.0*
4.07 Restripe/Install Approach G EA 6 2,SDO.COI5f00b.>^
4.08 Restripe/Install Approach H EA 10 315* 3,456- *>
4.09 Restripe/Install Approach 1 LA 4 9'7T.* 3,9oO.°°
4.10 Restripe/Install Approach J EA 4 2,550.® q,*JD0,&
4.11 Restripe/Install Approach K EA 15 b'tS.^ ID, i2S. #>
4.12 Restripe/Install Approach I. EA I
2,2.00.°° 15, WD.0*
4.13 Restripe/Install Approach M EA 3 lt395<» Vjsrs:*5
5 REMOVAL OF STRIPING, MAR K.IINGS, AND REE LECTORS
5,01 Remove. Pavement Marking SF 174 5.°° 52Z ^
5.02 Remove. 12" Wide Stripe LP 0 3. °° 0
5.03 Remove. K" Wide Stripe LP 0 3,00 0
5.04 Remove. 6" Wide Stripe LP 0 3.°° 0
5.05 Remove. 4" Wide Stripe LP 100 2 OO Zbo,*>
Sign &Striping Maintenance FY2021-2024 14 Ven oaNwtmba2021 CITil I''T>r,ijr;-,p,i*-,-.Drk5C!p',|'.'UII Si.;r.d Stnpsq MaineeaaBeeFY2I-KJ Dtago/I Projocl MamuA&pi& Stripii^pMaintwoaoceFY2I-M Project V-mur' - Fna&doex DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 BIDDER: (Lrlg|S>P CflMfrW? PROPOSAL FOR PW 10-21-35
5.06 Remove. Detail 2 - Yellow
Centerline
LF 250 LZD 500. ^
5.07 Remove, Detail 9 - Lane Line LF 0 Z*0 0
5.08 Remove. Detail 21 - No Passing
Zones
LF 0
2~.^ P
5.09 Remove. Detail 22 - No Passing
Zones
LF 105
/,*> /zc.00
5.10 Remove. Detail 23 - No Passing
Zones Markers
LF 0
z.*» /*
5.11 Remove. Detail 24 - Left Edge Line LF 0 2.*° ^
5.12 Remove. Detail 25 - Left Edge Line LF 0 ZZV 0
5.13 Remove. Detail 25A - Left Edge
Line
LF 0
z;2-0 p
5.14 Remove. Detail 27B - Right Edge
Line
LF 0 zzo p
5.15 Remove. Detail 27C - Right Edge
Line Extension
LF 0
Z™ p
5.16 Remove. Detail 28 - Median
Islands
LF 0
3.H0 p
5.17 Remove. Detail 29 - Median
Islands
LF 0
3*° A
5.18 Remove. Detail 32 - Two-way Left-
Turn Lane
LF 0
3*> 0
5.19 Remove. Detail 36 - Exit Ramp
Neutral Area
LF 0
Z,zc> P
5.20 Remove. Detail 36B - Entrance
Ramp Neutral Area
LF 0
Z7*° 0
5.21 Remove. Detail 37B - Lane Drop
Markings
LF 0
2-7*> J*
5.22 Remove. Detail 38 - Channelization
Line
LF 0
2.*° f
5.23 Remove. Detail 39 - Bike Lane
(Non-Skid)
LF 0
Z7D p
5.24 Remove. Detail 39A - Bike Lane
Intersection Line (Non-Skid)
LF 0 zzz> 0
Sign&StripingMaintenanceFY2021-2024 15 v«stonsomber2031 V.CIinLfrGrwew'puiwmkycip'WMl Sinn &StrprncMainlcnim*FV3I-24**Dcvifri I P"«|«» Mutual-Sup& SinpimjMxaiscnjuceFV2I-24ProjectMutual •Final doc* DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 BIDDER: LiMArlXt>Mi>A/d<? PROPOSAL FOR P\\ 10-21-35
5.25 Remove. Detail 40 - 1 ane Line
Extension
1.1 0
ZP* 0
5.26 Remove. Detail 40A - Alternate to
Detail 40
LF 0
Z?* 0
5.27 Remove. Detail 41 -Centerline
Extension
LF 1)
z?° &
5.28 Remove. Detail 41A - Alternate to
Detail 41
LF 0
zzo\ p
6 PAINTING OF STRIPING AND MARKINGS
6.01 Paint. Curb Painting 1 L 0 s.°° P
6.02 Paint. Parking Ts or l.'s LA 0 £l.°° &
7 INSTALLATION OF THERMOPLASTIC STRIPING AND MARKINGS
7.01 Install Blue Marker for Fire
Hydrants
FA 0
2&.*° &
7.02 Thermo. Parking Ts or L's LA 0 2350 0
7.03 Thermo. Bike Lane Markings &
Arrows (Non-Skid)
SI 179
-7 b° i, su>. i°
7.04 Thermo. Pavement Marking SI 604 SJ'>~ 3,231 ^°
7.05 Thermo. 12" Wide Stripe LI 26 LjSJ JZ4. *°
7.06 ' Thermo.8" Wide Stripe LF 0 V.23> _£
7.07 Thermo. 6" Wide Stripe LF 998 /,&5" i(lhlP°
7.0S Thermo. 4" Wide Stripe LF 0 J?.V0 <?
7.09 Thermo. Detail 2 - Yellow
Centerline
LF 3210 }zo $,9r$z.°°
7.10 Thermo. Detail 9 - Lane Line LF 1475 j/l.'O i, 710. <*
7.11 Thermo. Detail 21 - No Passing
Zones
LI 0 j ^0
p
7.12 Thermo. Detail 22 - No Passing
Zones
LF 3650 _ _30O IDASo. *
7.13 Thermo. Detail 23 - No Passing
Zones Markers
LF 0
J 00
P
7.14 Thermo. Detail 24 - Left Edge Line LF 0 Z.**>\ 0
7.15 Thermo. Detail 25 - Lett Edge Line II 0 Z.w>\ ft
Sign &Striping Maintenance IV :nj 1-:u:4 16 v=rswi> * - : :
riO II Eih.niy- IIS - -! nptnfl Muniman pFY2I-1W OkstgjtflPmtpeci WaauaJ S Si !I '- 21-2J Ftneq MummI t -. :
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 ClUUxf Co,BIDDER:Ul^\f iJOMPAfO^ PROPOSAL FOR PW 10-21-35
7.16 Thermo. Detail 25A - Left Edge
Line
LF 0
*.*> 0
7.17 Thermo. Detail27B - Right Edge
Line
LF ! 1885
/.*> ztz(<>zr
7.18 Thermo. Detail 27C - Right Edge
Line Extension
LF 0 zjo 0
7.19 Thermo. Detail 28 - Median Islands LF 0
57,K> <?
7.20 Thermo. Detail 29 - Median Islands LF 75
$.&> HSSfi0
7.21 Thermo. Detail 32 - Two-way Left-
Turn Lane
LF 0
£.*> ?
7.22 Thermo. Detail 36 - Exit Ramp
Neutral Area
LF 0
3^ 0 \
7.23 Thermo. Detail 36B - Entrance
Ramp Neutral Area
LF 0
3.** 0
7.24 Thermo. Detail 37B - Lane Drop
Markings
LF 0
3.*° P
7.25 Thermo. Detail 38 - Channelization
Line
LF 310
Z.^ %z\. *°
7.26 Thermo. Detail 39 - Bike Fane
(Non-Skid)
LF 12980
Z.*> 3ZLVZ.50
7.27 Thermo. Detail 39A - Bike Lane
Intersection Line (Non-Skid)
LF 1005
ZP* 2,"763.7S
7.28 Thermo. Detail 40 - Lane Line
Extension
LF 0
S.°° ^
7.29 Thermo. Detail 40A ♦ Alternate to
Detail 40
LF 0
3.°° 0
7.30 ;Thermo, Detail 41 - Centerline
Extension
LF 105
Z.°° 2io.°°
7.31 Thermo. Detail 41A - Alternate to
Detail 41
LF 0
3.°* $>
7.32 InstallGreen Hike Markings
(methyl mcthacrylate marking)
SF 0
0 /{?.°° 0
7.33 Install Street Bond San Diego Buff
Color
SF
ZO.°° P
Sign &StriplingMaintenance FY2021-2024 I? %-«*»%****** sai V.niPBUJ''tiim«w'p»A»MMki'ciu''WiJ?tI StunIkSmcufigMsuweiwnciitV2l»«iH)«wf.n I ft-u^w* VUmprtSrfgr £ Sfcnpir^ \awn6(}n.«*:«HMl M ffttftutStxtmtSl- Paul. Ax* DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 JMi^ CBIDDER: IM&^P U/WA V PROPOSAL FOR »'H 10-21-35
8 SIGN AND SIGN POST WORK
8.01 Place Temporal) No ParkingSigns
on Barricades (blank temporary No
Parkingsigns will be provided b\
the C ily>
EA 38
Sy-0* 2,(^0oC
8.02 Install Uni-Slrut Post in Pavement FA 0 3ZD.** 0
8.03 Install Uni-Slrut Post in Soil FA 0 300.& 0
8.04 Install Wooden Sign Post in
Pavement. Wooden Sign Post to be
provided by City.
EA (i
zzo.00 0
8.05 Install Wooden Sign Post in Soil.
Wooden Sign Post to be provided
by City.
EA 0
m.°0 0
8.06 Sign Post Extension EA 0 jib «x>^ 0
8.07 Remove Sign Post EA 0
SS.°° 0
8.08 Replace Stop/Yield Sign EA 7 Z25<x> L5-75-.00
8.09 Remove Sign/Plaque EA 0 u>.°° 0
8.10 Relocate Sign/Plaque EA 2
$5~.°° llDca
8.11 Install Sl-I School Sign EA 0 T5~S7&> P
8.12 Install Various Plaques for School
Zone Signs
FA 0
/SO.00 0
8.13 InstallSign/Plaque EA 1 / 2-5 <» /2S.&0
8.1-1 Install K7! Bollard EA 0 <&>& 0
8.15 Remove existing K7I Bollard and
reinstall same K71 Bollard
EA 0
4JO.00 d>
TOTAL BID 111,(,07.^ x
Entire Work. Bids are required for the entire Work, includingthealternativebid items if any. The amount of the bid for the purposesof theaward will be the total of theamount of allthe base bid items. The Cit) will determinewhich additionalalternate(s).ifany, will be awarded.All itemsare based on an "in place" condition.
1..nit price and total. Hie Biddershall set forth for each unit basisitem of Work a unit price and a total for the item, and for each lump sum item a total for the item, all in clearly legible figures in the respectivespaces providedlor this purpose.In the case of unit basisitems, the amountset forth under the "total" column shall be the extension of the unit price bid on the basis of the estimated quantity for the item.
Sign &Smping Maintenance I V 2021-2021 IS Vmm •
"(llllll 1in«.|. | tlW ' Ul' .' .. ,, ... V ,,, i n . I V: t J I I IX'.j :u I IV.;-.! \l . j' " " DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 ACORD® CERTIFICATEOF LIABILITYINSURANCE
DATE (MM/DD/YYYY)
2/10/2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
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).
PRODUCER
Arthur J. Gallagher & Co.
2121 N. California Blvd., Suite 350
Walnut Creek CA 94596
INSURED
Chrisp Company
43650 Osgood Road
Fremont CA 94539
Licensed 0726293
CLIENT CODE: CHRICOM-02
name?CT CertificateDepartment
SflgwW 925-299-1112
E-MAIL
address: [email protected]
INSURER(S) AFFORDING COVERAGE
insurer a : Starr Indemnity & Liability Company
INSURER F
!a/c.No):925-953-6270
NAIC#
38318
COVERAGES CERTIFICATE NUMBER: 1866821400 REVISION NUMBER:
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR TYPE OF INSURANCE
ADDL
INSD
SUBR
WYD POLICY NUMBER
POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY) LIMITS
A X COMMERCIAL GENERAL LIABILITY Y Y 1000025834211 12/1/2021 12/1/2022 EACH OCCURRENCE $2,000,000
CLAIMS-MADE X OCCUR
DAMAGE TO RENTED
PREMISES (Ea occurrence) $100,000
MED EXP (Any one person) $5,000
X DED/OCC PERSONAL & ADV INJURY $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 X policy| | Sect I |loc
OTHER:
PRODUCTS - COMP/OP AGG $4,000,000
$
A AUTOMOBILE LIABILITY Y Y 1000198720211 12/1/2021 12/1/2022 COMBINED SINGLE LIMIT (Ea accident) $2,000,000
X
X
ANY AUTO BODILY INJURY (Per person) $
OWNED
AUTOS ONLY
HIRED
AUTOS ONLY X
SCHEDULED
AUTOS
NON-OWNED
AUTOS ONLY
BODILY INJURY (Per accident) $
PROPERTY DAMAGE
(Per accident) $
$
A
X
UMBRELLA LIAB
EXCESS LIAB
X OCCUR
CLAIMS-MADE
1000587463211 12/1/2021 12/1/2022 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000
DED X RETENTIONS mnnn $
A WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE rTTl
OFFICER/MEMBEREXCLUDED? N
(Mandatoryin NH) ' '
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
Y 1000004442 12/1/2021 12/1/2022 X PER
STATUTE
OTH
ER
E.L EACH ACCIDENT $1,000,000
E.L DISEASE - EA EMPLOYEE $1,000,000
E.L. DISEASE - POLICY LIMIT $1,000,000
[SEE ATTACHED SUPPL. PAGE]
DESCRIPTIONOFOPERATIONS/ LOCATIONS/ VEHICLES (ACORD101,AdditionalRemarks Schedule, may be attachedif more space isrequired) Chrisp Job #: 10A.22.515 | Client Job#: P.W. 10-21-35 | Contracts P.W. 10-21-35.
RE: Sign & Striping Maintenance FY 2021-2024. Alameda, CA ADDITIONALINSURED(S):The Cityof Alameda, its City Council, boards, commissions, officers, employees, agents, officialsand volunteers.
Noticeof Cancellation:The Producerwill endeavor to mail30 days writtennoticeto the CertificateHoldernamed on the certificateif any policylisted on the certificateis cancelled priorto the expirationdate. Failureto do so shall impose no obligationor liabilityof any kind upon the Produceror otherwise alterthe policyterms. DocuSiflnadby:
L±~ <W~ 2/24/2022
\_A18104AA188C4CD...
CERTIFICATE HOLDER CANCELLATION
City of Alameda
Attn: Public Works Department
950 W. Mall Square, Suite 110
Alameda CA 94501-7558
i
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Pf\
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 Starr Indemnity & LiabilityCompany
Dallas, TX 1-866-519-2522
ADDITIONAL INSURED- OWNERS, LESSEES OR
CONTRACTORS - COMPLETED OPERATIONS
Policy Number: 1000025834211 Effective Date: 12/01/2021 Named Insured: Chrisp Company
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
SCHEDULE
NAME OF ADDITIONAL INSURED PERSON OR ORGANIZATION:
AS REQUIRED PER WRITTEN CONTRACT
LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS:
AS REQUIRED PER WRITTEN CONTRACT
ADDITIONAL PREMIUM:
(If No entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.)
SECTION II - WHO IS AN INSURED is amended to include as an insured; The person or organization shown in the Schedule, but only with respect to liability arising out of "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products- completed operations hazard".
All other terms and conditions remain unchanged.
OG 185 (04/12) Page 1 of 1
Copyright © C. V. Starr & Company and Starr Indemnity & Liability Company. All rights reserved.
Includes copyrighted material of ISO Properties, Inc., used with its permission.
DocuSign Envelope ID:0360B591-A4DF-4021-935A-7491AA7C3EB4 Starr Indemnity & Liability Company
Dallas, TX 1-866-519-2522
ADDITIONAL INSURED- OWNERS, LESSEES, OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
Policy Number: 1000025834211 Effective Date: 12/01/2021 Named Insured: Chrisp Company
Thisendorsement modifiesinsuranceprovidedunderthe following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
SCHEDULE
NAME OF PERSON OR ORGANIZATION: AS REQUIRED PER WRITTEN CONTRACT (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.)
A. SECTION II -WHO IS AN INSURED is amended to include as an insured; The person or organization shown in the schedule, but only with respect to liability arising out of your ongoing operations performed for that additional insured.
B. With respect to the insurance afforded to these additional insureds, SECTION I -
COVERAGES, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. -Exclusions, is amended to include the following additional exclusion; This insurance does not apply to "bodily injury" or "property damage" occurring after:
(1) all work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed; or,
(2) that portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project.
All other terms and conditions remain unchanged.
OG 180 (04/12) Page 1 of 1
Copyright © C. V. Starr & Company and Starr Indemnity & Liability Company. All rights reserved.
Includes copyrighted material of ISO Properties, Inc., used with its permission.
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 Starr Indemnity & LiabilityCompany
Dallas, TX 1-866-519-2522
Primary and Non-Contributory Condition
Policy Number: 1000025834211 Effective Date: 12/01/2021 Named Insured: Chrisp Company
This endorsement modifies insurance provided under the:
Commercial General Liability Coverage Part
A. SECTION IV - CONDITIONS, condition 4. Other Insurance is amended as follows:
1. The following is added to paragraph 4.a. of the Other Insurance condition:
This insurance is primary insurance as respects our coverage to the additional insured, where the written contract or written agreement requires that this insurance be primary and non-contributory. In that event, we will not seek contribution from any other insurance policy available to the additional insured on which the additional insured is a Named Insured.
ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED.
Signed for STARR INDEMNITY & LIABILITY COMPANY
Steve Blakey, President ) NehemiahE. Ginsburg,GeneralCounsel OG 107 (04/11) Pagel of1
Copyright © C. V. Starr & Company and Starr Indemnity & Liability Company. All rights reserved.
Includes copyrighted material of ISO Properties, Inc., used with its permission.
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 POLICY NUMBER: 1000025834211 COMMERCIALGENERAL LIABILITY CG 24 04 05 09
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Person Or Organization:
Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
The following is added to Paragraph 8. Transfer Of
Rights Of Recovery Against Others To Us of Section
IV - Conditions:
We waive any right of recovery we may have against the
person or organization shown in the Schedule above
because of payments we make for injury or damage
arising out of your ongoing operations or "your work"
done under a contract with that person or organization
and included in the "products-completed operations
hazard". This waiver applies only to the person or
organization shown in the Schedule above.
CG 24 04 05 09 ©InsuranceServicesOffice, Inc., 2008 Page1of-j DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 Starr Indemnity & LiabilityCompany
Dallas, TX 1-866-519-2522
Additional Insured - Where Required Underwritten
Contract or Written Agreement Endorsement
Policy Number: 1000198720211 Effective Date: 12/01/2021at 12:01 A.M.
Named Insured: Chrisp Company
This endorsement modifies the insurance coverage form(s) listed below that have been purchased by you and evidenced as such on the declarations page. Please read the endorsement and respective policy(ies) carefully.
Business Auto Coverage Form
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
It is hereby agreed that SECTION II - COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1.
Who Is An Insured, is amended to include the following:
d. Any person or organization whom you become obligated to include as an additional insured under this policy, as a result of any written contract or written agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto". However, the insurance provided will not exceed the lesser of:
(1) The coverage and/or limits of this policy, or
(2) The coverage and/or limits required by said written contract or written agreement.
Allother terms and conditions of this Policy remain unchanged.
Signed for STARR INDEMNITY & LIABILITY COMPANY
>ve Blakey, Presidentand-*'Steve Blakey, President and-*' Nehemiah E. Ginsburg,GeneralCounsel Chief Executive Officer
SICA 1016 (04/14) Page l ofl
Copyright© Starr Indemnity & Liability Company. All rights reserved.
Includes copyrighted material of ISO Properties, Inc., used with its permission.
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 Starr Indemnity & Liability Company
Dallas, TX 1-866-519-2522
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
INSURANCE PRIMARY AS TO CERTAIN
ADDITIONAL INSUREDS
Policy Number: 1000198720211 Effective Date: 12/01/2021 at 12:01 AM Named Insured: Chrisp Company
This policy is amended as follows:
BUSINESS AUTO COVERAGE FORM
Section IV - Business Auto Conditions, B., General Conditions, 5., Other Insurance, c, is amended by the addition of the following sentence:
The insurance afforded under this policy to an additional insured will apply as primary insurance for such additional insured where so required under an agreement executed prior to the date of accident. We will not ask any insurer that has issued other insurance to such additional insured to contribute to the settlement of loss arising out of such accident.
All other terms and conditions remain unchanged.
Signed for STARR INDEMNITY & LIABILITY COMPANY
sve Blakey, President ancK/Steve Blakey, President and--' Nehemiah E.Glnsburg, General Cotfnsel Chief Executive Officer
SICA 1017 (02/12) Page 1 of 1
Copyright © C. V.Starr & Company and Starr Indemnity & Liability Company. All rights reserved.
Includes copyrighted material of ISO Properties, Inc., used with its permission.
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 POLICY NUMBER: 1000198720211 COMMERCIAL AUTO
CA 04 44 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
This endorsement changes the policyeffective on the inception date of the policy unless another date is indicated below.
Named Insured: Chrisp Company
Endorsement Effective Date: 12/01/2021
SCHEDULE
Name(s) Of Person(s) Or Organization(s):
Where required by written contract or written agreement.
Informationrequired to complete this Schedule, ifnot shown above, will be shown in the Declarations.
The Transfer Of Rights Of Recovery Against
Others To Us condition does not apply to the
person(s) or organization(s) shown in the Schedule,
but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with
that person or organization.
CA 04 4410 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04-84)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule.
The additional premium for this endorsement shall be 2 .0% of the California workers' compensation premium otherwise due on such remuneration.
Schedule
Person or Organization Job Description
Where required by contract
Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss.
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The informationbelow is requiredonly when this endorsement is issued subsequent to preparationof the policy.) EndorsementEffective: 12/01/2021 Policy No.: 1000004442 EndorsementNo.:
Insured:Chrisp Company Premium:
InsuranceCompany: Starr Indemnity & LiabilityCompany Countersignedby:
WC 04 03 06
(Ed. 04-84) Page 1 of 1
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4
SUPPLEMENT TO CERTIFICATE OF INSURANCE
NAME OF INSURED: chrisp Company
Additional Information:
GENERAL LIABILITY:
* Additional Insured if required by written contract per attached Form OG185(04/12)and OG 180(04/12) * Coverage is Primary/Non-Contributoryif requiredby written contract per attached OG107(04/11) * Waiver of Subrogation if required by written contract per attached Form CG 24040509 AUTOMOBILE LIABILITY:
* Additional Insured if required by written contract per attached Form SICA1016(04/14) * Coverage is Primary if required by written contract per attached Form SICA1017(02/12) * Waiver of Subrogation if required by written contract per attached Form CA04 441013 WORKERS' COMPENSATION:
* Covered States: California, Nevada, Oregon
* Waiver of Subrogation if required by written contract per Form WC040306 UMBRELLA LIABILITY:
* Underlying: General Liability, Automobile Liability, and Employer's Liability SUPP (05/04)
DATE
03/02/2014
DocuSign Envelope ID:0360B591-A4DF-4021-935A-7491AA7C3EB4
PERFORMANCE BOND
Contract No.: 10-21-35
Bond No.: 57BCSIT2357
Premium: $7,508.00
KNOW ALL PERSONSBYTHESE PRESENTS, EffectiveDate of Bond:April 1. 2022 THATWHEREAS,the City of Alameda,("City"as the primaryObligee)has awardedto ChrispCompany ("Principal"). P.W. No. 10-21-35 (as
amendedfrom time totime, the "Contract"),which Contractisspecificallyincorporated by referencein this bond, for Sign &StripingMaintenanceFY 2021 -2024 Project(the "Project");
ANDWHEREAS,it is one of the conditionsof the Contractthatthesepresentsshall be executed;
NOW THEREFORE,we the undersignedPrincipaland HartfordFire InsuranceCompany (the "Surety"),an admittedsuretyinsurerin the Stateof
California,are held and firmly bound unto theCity, in the sum of SevenHundredTwentyThreeThousandSevenHundredTwentySeven and 00/100— Dollars($ 723.727.00 ). we bind ourselves,our heirs,
executorsand administrators,successorsand assigns,jointlyand severallyfirmly by these presents.
THE CONDITIONOFTHIS OBLIGATIONIS SUCH THAT:
1. The Contractis incorporatedby referencein this Bond. Unlessthe context otherwiserequires,capitalizedterms used but not separatelydefined in this Bond have the meaninggiven to them in the Contract.
2 If the Principal,or its heirs,executors,administrators,successorsor assigns, shall in all thingsstandto and abideby and well and trulykeepand performall covenantsconditions,agreements,obligationsand work under the Contract, includingany and allamendments,supplements,and alterationsmade to the Contractas thereinprovided onPrincipal'spartto be kept and performedat the time and in the mannerthereinspecified,and shall indemnify,defendand save harmlessthe City and all otherIndemnifiedPartiesas thereinstipulated,then this obligationshall becomeand be null and void; otherwise,it shall be and remain in full force and effect.
3. This Bond shall coverthe costto performall the obligationsof the Principal pursuant to the Contract.
Form of Performance Bond
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 4 The obligationscoveredby this Bond specificallyincludethe performanceofeachand everyobligationofPrincipalundertheContractincludingits liabilityfor LiquidatedDamagesand warrantiesas specifiedin the Contract,but not to exceedthe BondedSum.
5. The Suretyagreesthat no change,extensionof time, alterations,additions, omissionsor othermodificationsof the terms ofany ofthe Contract,or in the work to be performedwith respectto the Project,or in the specificationsor plans, or any changeor modificationof any terms ofpaymentor extensionof time for any paymentpertainingor relating to any of the Contract, or any rescissionor attemptedrescissionof this Bond,solely due to acts of Principal,or any fraud practicedby any other person otherthan theCity seekingto recoverfrom this Bond, shall in any way affectits obligationson this Bond,and it hereby waives notice of such changes, extensionof time, alterations,additions, omissions or other modifications.
6. The Surety agrees that payments made to contractorsand suppliersto satisfyclaimson the paymentbond do not reducethe Surety'slegalobligationsunderthisBond Paymentsmadeto contractorsor suppliersunderany agreementwherethe Suretyhasarrangedfor completionoftheworkto satisfythis Bondwill notbe consideredpayment bond claims.
7. WheneverPrincipalis in defaultunderthe Contract,providedthatthe City is notthen in materialdefaultunderthe Contract,the Suretyshall promptly:
(a) remedy such default, or
(b) completethe work and perform the obligationscovered by this Bond in accordancewith theterms and conditionsofthe Contractthen in effect,or (c) select a contractoror contractorsto complete all work and perform allobligations covered by this Bond for which a notice to proceed has been issued in accordancewiththetermsand conditionsofthe Contract,usingacontractoror contractors approvedby the City (provided,however,that the Suretymay not selectPrincipalor any affiliateofPrincipaltocompletethe work and performthe obligationsfor and on behalfofthe Suretywithoutthe City'sexpresswrittenconsent,in its sole discretion),arrangefor a contractthatcontainssubstantiallythe sametermsand conditionsofthe Contractbetween such contractoror contractorsandthe City, and make availableaswork progresses(even though there should be a default or a successionof defaults under such contract or contractsof completionarrangedunderthis paragraph)sufficientfunds to pay the cost ofcompletionless the unpaid balance of the Contract Price; but not exceeding,including othercostsand damagesfor which the Suretyis liable hereunder,the Bonded Sum.
8. If Surety does not proceed as provided in Paragraph7 of this Bond with reasonablepromptness,Suretyshall be deemedto be in defaulton this Bond fifteendaysafter receiptof an additionalwritten noticefrom the City to SuretydemandingthatSuretyperformitsobligationsunderthis Bond, and the City shallbe entitledto enforceany remedy available to the City.
Form of Performance Bond
]
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4
9. The guaranteescontainedhereinshallsurviveFinalAcceptanceofthe Work calledfor in the Contractwith respectto thoseobligationsof Principalwhich survivesuch Final Acceptance.
IN WITNESSWHEREOF,we have hereuntoset our handsand sealson this 14th day of February 20 22
Correspondenceorclaimsrelatingtothis Bond
should be sent to the Surety (or Sureties at the
following address:
HartfordFire Insurance Company
101 Montgomery Street, Suite 2700
San Franciso,CA 94104
TlammieAllison,Secretafy
(Principal'sname, title, and signature)
Surety
HartfordFire Insurance Company
BviMisty R.Ttemie, Attorney-in-Fact
Attorney-in-Fact
NOTE: Signaturesofthoseexecutingfor the Suretymust be properly acknowledged, and a Power of Attorneyattached.
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 Anotarypublicorotherofficercompletingthis certificateverifiesonly theidentityoftheindividualwho signedthe documenttowhich this certificateisattached,and not the truthfulness,accuracyorvalidity of that document.
CALIFORNIA ALL PURPOSE ACKNOWLEDGEMENT
STATE OF CALIFORNIA )
)ss.
COUNTY OF )
On beforeme,. _ , a notary
public, personallyappeared ,who proved
to me onthe basis ofsatisfactoryevidenceto be theperson(s)whosename(s)is/aresubscribed to the within instrumentand acknowledged to me that he/she/they executed the same in his/her/theirauthorizedcapacity(ies),and thatby his/her/theirsignature(s)onthe instrumentthe person(s),orthe entityupon behalfofwhich the person(s)acted,executedthe instrument.
IcertifyunderPENALTYOF PERJURYunderthe laws oftheStateof Californiathatthe foregoing paragraph is true and correct.
WITNESS my hand and officialseal.
Signature (Seal)
Form of Performance Bond
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of Contra Costa J
On ^ck>bfiJtfkm\% 7MJ?' beforeme, GillianC. Bhaskaran,Notary Public ZJ (insert name and title of the officer}(insert name and title of the officer) personally appeared
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/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s),orthe entity upon behalfof whichthe person(s) acted, executed the instrument.
Icertifyunder PENALTYOF PERJURYunderthe lawsof the State of Californiathatthe foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Misty R. Hemje
JL^—t'-M+h^m*Signature
0—adhMAMfl-_AMdftM-fci
GILLIANC. BHASKARAN
NotaryPublic •California
ContraCostaCounty
Commission # 2354657
Am#
gggv commission**J34« / w
SgB^My Comm. ExpiresMay 13. 2025 I
w*WFm*mFmp*m^*^B*m*w*mp+
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 CALIFORNIAALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE §1189
Anotary public or otherofficercompletingthis certificateverifiesonly the identityof the individualwho signedthe documenttowhichthiscertificateis attached,and not thetruthfulness,accuracy,or validityof thatdocument.
State of California
lameda
County of.
On.
Date
personally appeared
02/15/22 .beforeme, KayUkes -NotaryPublic
Here InsertName and We of the Officer
Tammie Allison-Secretary
Name(s)ofSignerfs)
who proved to me on the basis of satisfactoryevidenceto be the person(s) whose name(s) is/are subscribedto thewithin instrumentand acknowledgedto me that he/she/theyexecutedthesame in his/her/theirauthorizedcapacity(ies),andthatby his/her/theirsignature®on theInstrumentthe person®, ortheentityupon behalfof whichtheperson(s)acted,executedthe instrument.
IcertifyunderPENALTYOF PERJURYunderthe laws
of the State of Californiathat the foregoing paragraph
Is true and correct.
WITNESSmy hand and officialseal.
A
Signature.
KAY UKES
COMM. #2269999 |NOTARYPUBUC-CALIFORNIAg
ALAMEDACOUNTY g
s ^jhb^ My Comm.Exp.Jan.1,2023 gSiimiiiiiiiiiiiiiuuiiiitiiiiiuiiiiiitittiiiiiiittiiiiiiiiitiiiitiiifiitiinHiiiiiiB igna\irecJltSignal Notary Public Place Notary Seal Above
OPTIONAL
Though this sectionis optional,completingthis informationcan deteralterationofthe documentor fraudulentreattachment of this form to an unintended document Description of Attached Document
Title or Type of Document: Document Date:
Number of Pages: Signer® Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
D Corporate Officer - Title(s): _
Partner - n Limited D General
D Individual D Attorney in Fact
Trustee i i Guardian or Conservator
[II Other:
Signer Is Representing:
Signer's Name: —
D Corporate Officer - Title(s):
Partner- Limited General
r ] Individual D Attorney in Fact
H Trustee Guardian or Conservator
Other:
Signer Is Representing:
©2014 NationalNotaryAssociation•www.NationalNotary.org•1-800-USNOTARY(1-800-876-6827) Item #5907 DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4
POWEROF ATTORNEY
DirectInquiries/Claimsto:
THE HARTFORD
BOND, T-11
One Hartford Plaza
Hartford,Connecticut 06155
Bond.Clalm?@thehartforrir^m
call:888-266-3488orfax: 860-757-5835
ARTHUR J GALLAGHER & CC INS BRK CA
KNOW ALL PERSONSBY THESE PRESENTSTHAT: Agency Name:
Agency Code:fy 1 u __ ^ *m»wy uooe; a Z-554532
pH Hartfod2SS „7 PanV' aC0,P0R,ti0ndU'y 0r8anizcdunderthe laws »fthe Stateof.ndiana H Itata b*^rZlZ«r ^ 8COrP°rati0ndU'y °rganiZedUndCr ,he laws °f*•^teofConnecticutH H^lrir' T ^ "COrPOn"i0n^ °r8ani2edUnder <he « <>f- Stateof.ndianaH 1^d„7anC^°mPany°f",in0,S--orationdU,yorganizedundertne.awsof.heStateofnnnois i __ ,. ' ~~r—*~. uutjr ^gan^ca unaer cuelaws ot the State of Florida TXZS^^*™"* <**"*"**«»"™» to as the Coynes )do herebymake, consttuteand appoint Re^eatLc.B^C0k;Kg LF; SSffiinrgbSSl^H":****' "^ 0'C°™"< ^inBhaskaran, Susan M. Exline, Misty ta r ir JT' *' ^rounian, GillianOrtega of SAN FRANCISCO, California B"ttany Kavan, Thuyduong Le, Julia ^ *^ -r-hanone isnamedabove, to sign «s name aS sureties,on,y asnaturethereof,on behalfofthe Companiesin th*b_£eXJ^ contractsand other written instrumentsihtheexecutingor guaranteeingbondsand undertaKingsrequiredSSSnX^oSZ^^^^^^ *"""*^ have causeSe^ - "*» of the Companieson May 23, 2016 the CompaniesSSr^-.Further'pureuantto ReM'««°"^ * ^retoaffixed,duly attestedby Its Assistantand w.ll be bound by any mechanicallyappliedsignatured"Jp^^S^fS^ComPan,esherebyunambiguouslyaffirmthat they are helby WiggiraShelbyWiggins,AssistantSecretary
Lake Mary
STATE OF FLORIDA
COUNTY OF SEMINOLE
executedthe above instrument:that (s)he knows meseasofthVa*SSt S? f, ofItneB.ComPanies-«» corporationsdescribedin and which •>£'#':ovw
(T^^kT^jCU/Ai
Joelle L. LaPierre,Assistant Vice President
v Jessica Ciccone
My Commission HH 122280
Expires June 20, 2025expires junc .«, jluzs
Signedand sealedin Lake Mary, Florida. '
<£"
^
Keith D. Dozois. Assistant Vice President
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 Labor and Materials Bond
ContractNo.: 1°-21-35 \j
RnnHNIn 57BCSIT2357
PremiumIncludedin PerformanceBond
KNOW ALL PERSONSBYTHESE PRESENTS, EffectiveDate of Bond. April 1,2022 THATWHEREAS,the City of Alameda("the City" as the primaryoblfeee)hwabided to ChrisnCompany ^^P'lContract(as amendedfrom time to time, the "Contract)for the Sign &StripingMaintenanceFY 2021-2024 (the "Project);
ANDWHEREAS,it is one of the conditionsof the Contractthatthesepresentsshall be executed;
NOW THEREFORE,we the undersignedPrincipaland HartfordFire InsuranceCompany .(the"Surety"),an admittedsurety^^^Sg^!£S!!SS&
are held and firmly bound unto the City, in the sum ofTwmrvswanana op/im Dollarsf$tow/an ). we bind ourselves,our heirs,successors,executors, administrators,and assigns,jointlyand severallyfirmly by these presents.
THE CONDITIONOF THIS OBLIGATIONIS SUCH THAT:
1 The Contractis incorporatedby referencein this Bond. Unless the context otherwiserequires,capitalizedterms used but not separatelydefined \n this^Bond havethe meaning given to them in the Contract.If said Principal,or its subcontractors,or theirrespectiveheirs,executors,administrators,successorsor assigns,shallfail to pay. (a) any of the personsnamed in CaliforniaCivil Code section9100 involvedinprosecutionof the Work, including the design and engineeringservices or construction services, as providedfor in the Contract,or
M anv amountsdue under the UnemploymentInsuranceCode, with respectto work or laborperformedby such claimantunderthe Contractor subcontracts,or (c) any amounts required to be deducted, withheld, and paid over to theFranchiseTax Board from the wages of employeesof the Principaland its subcontractors pursuant
Form of Payment Bond
I
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 to Revenueand TaxationCode Section18662et seq.with respectto suchwork and labor, or
(d) anyone requiredto be paid by law,
then the Surety herein shall pay for the same, in an aggregate amount not exceedingthe sum specifiedin this Bond, otherwisethe above obligationshall benull and void. In case suit is broughtupon this Bond, the Suretywill pay reasonableattorney'sfee to be fixed by the court.
2. This Bond shallinuretothe benefitof anyofthe personsnamedin CivilCode section9100 or anyonerequiredto be paid by law underthe Contractsoas to give a right ofactionto such personsor theirassignsin any suit broughtupon this Bond.
3. The Suretyagreesthat no change,extensionoftime, alterations,additions, omissions or other modificationsof the terms of the Contract, or in the work to be performedwith respectto the Project,or in the specificationsor plans, or any changeor modificationofany terms of paymentor extensionoftime for any paymentpertainingor relatingto the Contract,or any rescissionor attemptedrescissionofthis Bond, solelydue to acts of Principal,or any fraud practicedby any other person Other than the claimant seekingto recoverfrom this Bond, shall in any way affectIts obligationson this Bond, and it hereby waives notice of such changes, extension of time, alterations, additions, omissions or other modifications.
4. This Bond shall cover all paymentobligationsunderthe Contract.
Form of Payment Bond
G-5
DocuSign Envelope ID:0360B591-A4DF-4021-935A-7491AA7C3EB4 IN WITNESSWHEREOF,we have hereuntoset our hands and sealson this 14th day of February .20 22 . (
Correspondenceor claims relating to this Bond
should be sent to the Surety (or Sureties at the
following address:
Hartford Fire Insurance Company
101 MontgomeryStreet, Suite 2700
San Francisco, CA 94104
Tammie Allison, Secretary
(Principal'sname, title, and signature)
Surety
Hartford Fire Insurance CompanyHartford Fire Insurance Qomps iy-WistyR.Hemje,Attom*y-fr>FBy:Misty R. Hemje,Morft&y-fr>Fact Attorney-in-Fact
NOTE: Signaturesof thoseexecutingfor the Suretymust be properlyacknowledged, and a Power of Attorney attached.
Form of Payment Bond
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 A notarypublicor otherofficercompletingthis certificateverifiesonly the identityofthe individualwho signed the document to which this certificateisattached,andnot the truthfulness,accuracyor validityofthat document.
CALIFORNIA ALL PURPOSE ACKNOWLEDGEMENT
STATE OF CALIFORNIA )
)ss.
COUNTY OF )
On before me, . a notary
public, personallyappeared . whoproved
to me on the basis ofsatisfactoryevidenceto be the person(s)whose name(s) is/aresubscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/theirauthorizedcapacity(ies),and that byhis/her/theirsignature(s)on the instrumentthe person(s),orthe entityupon behalfof whichthe person(s)acted, executed the instrument.
Icertifyunder PENALTYOF PERJURYunderthe laws of the State ofCaliforniathatthe foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Signature _ (Seal)
Form of Payment Bond
-\
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4
ACKNOWLEDGMENT
A notary publicor other officercompletingthis
certificateverifies only the identity of the individual who signed the document to whichthiscertificateis
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of Contra Costa _)
On fohfMflfl) l^f20^ beforeme'
Gillian C. Bhaskaran, Notary Public
(insert name and title of the officer)
Misty R. Hemjepersonally appeared _ _.
who provedto meon the basisofsatisfactoryevidenceto bethe person(s)whosename(s)is/are subscribedto thewithininstrumentand acknowledgedto me that he/she/they executed the same in his/her/theirauthorizedcapacity(ies),and that by his/her/theirsignature(s)on the instrumentthe person(s),or theentityupon behalfofwhich the person(s)acted,executedtheinstrument.
IcertifyunderPENALTYOF PERJURYunderthe laws ofthe StateofCaliforniathatthe foregoing paragraph is true and correct.
WITNESS my hand and officialseal.
Signature. J^^LsCtfU* (Seal)
— — r
GILLIANC BHASKARAN
NotaryPublic -California
Contra Costa County i
Commission12354657 jf
Comm. ExpiresMay 13, 2025 I
mmmmmi
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4 CALIFORNIAALL-PURPOSEACKNOWLEDGMENT CIVIL CODE §1189
Anotary public or other officercompletingthis certificateverifiesonly the identityof the todMdualwho signedthedocumentto whichthiscertificateis attached,and not thetruthfulness,accuracy,or validityof thatdocument.
State of California ,
Alameda
County of
On
Date
personally appeared
02/15/22 .beforeme, Kay Ukes -NotaryPublic
Here InsertName and Title of the Officer
Tammie Allison-Secretary
Name(s)ofSignerfs)
who proved to me on the basis of satisfactoryevidence to be the persons) whoseJ™4^«»subscribedto the within instrumentand acknowledgedto me that hefeheAheyexecutedMhm-inhis/her/theirauthorizedcapacities),and thatby his/her/theirsignature®on theinstrumenttheperson(s), or the entityupon behalfof which the person(s)acted,executedthe instrument IcertifyunderPENALTYOF PERJURYunderthelaws
of the State ofCaliforniathat the foregoingparagraph
is true and correct.
BiiiiiniiiiiiiHniiiiiiiiiniiiitiiiiiiiiiiiiiiiiiiiiiiiiiniiiiiiinniiimtiiiiiinB m ^&*, KAY UKES I
COMM.#2269999 I
NOTARYPUBLIC-CALIFORNIA *
ALAMEDACOUNTY g
= ^_^ MyComm. Exp. Jan.1,2023 i
HllllliilllllilllllltlllllllltlUlillllllllillllllilllllllllllllltllllllllllllllilHIIIlf WITNESSmy hand andofficialseal.
Signature.
Sihnaturhof NotaryPublic
Place Notary Seal Above
OPTIONAL
Though this sectionis optional,completingthis informationcan deteralterationof the documentor fraudulentreattachmentof this form toan unintendeddocument Description of Attached Document
Title or Type of Document: _ _
Number of Pages: Signer® Other Than Named Above:
Document Date:
Capacity(ies)Claimed by Signer(s)
Signer's Name: Signer's Name:.
]Corporate Officer- Title(s):. _
LJPartner- Limited DGeneral
n Individual D Attorney in Fact
i ! Trustee Q Guardian or Conservator
C Other:
[j Corporate Officer- Title(s):_ __
[) Partner- C)Limited D General
D Individual Attorney in Fact
D Trustee n Guardian or Conservator
Other:
Signer Is Representing: Signer Is Representing:
DocuSign Envelope ID: 0360B591-A4DF-4021-935A-7491AA7C3EB4
POWER OF ATTORNEY
Direct Inquiries/Claims to:
THE HARTFORD
BOND.T-11
One Hartford Plaza
Hartford, Connecticut 06155
[email protected]
call:888-266^488 or fax: 860-757^835
KNOW ALLPERSONSBYTHESE PRESENTSTHAT: AgencyName: Arthur j Gallagher &co ins brk ca Agency Code: 57-554532
Jx—| HartfordFire InsuranceCompany,acorporationduly organizedunderthe laws ofthe StateofConnecticut fS—| HartfordCasualtyInsuranceCompany,acorporationduly organizedunderthe laws ofthe StateofIndiana pri HartfordAccidentand IndemnityCompany,acorporationdulyorganizedunderthe laws ofthe StateofConnecticut | 1HartfordUnderwritersInsuranceCompany,acorporationdutyorganizedunderthe laws ofthe StateofConnecticut [ [twinCity Fire InsuranceCompany,acorporationdulyorganizedunderthe laws ofthe StateofIndiana | 1HartfordInsuranceCompanyof Illinois,acorporationduly organizedunderthe laws ofthe StateofIllinois | 1HartfordInsuranceCompanyof the Midwest,acorporationdulyorganizedunderthe laws ofthe StateofIndiana | 1HartfordinsuranceCompanyofthe Southeast,acorporationduly organizedunderthe laws ofthe StateofFlorida havingtheirhome officein Hartford,Connecticut,(hereinaftercollectivelyreferredto as the -Companies")do herebymake, constituteana appoint, up to the amount of Unlimited : ,-Mr.^^ii Ko^-inVirginia L. Black, Brian F. Cooper, Susan Hecker, M. Moody, Maureen O'Connell, Kevinll Janet C Roio Betty L. Tolentino, Robert P. Wrixon, K. Zerounian, GillianBhaskaran, Susan M.Lline, Misty R. Hemje, Brittany Kavan, Thuyduong Le, Julia Ortega of SAN FRANCISCO, California
S5^££mJ* bondsand undertakingsrequiredor permittedin any actionsor proceed.ngsallowedby law and will be bound by any mechanicallyappliedsignaturesappliedto this Powerof Attorney.
ShelbyWiggins,AssistantSecretary
STATEOFFLORIDA t
ss. Lake Mary
(s)he resides in SeminoleCounty.Stateof Florida; that (s)he .AteAssistantVice *^^Jg%g£J& Smentare such corporateseals; i
'# v»%'
Joelle L. LaPierre,Assistant vice President
\I JessicaCiccone
MyCommissionHH 122280
ExpiresJune 20.2025
Signed and sealedin Lake Mary, Florida.
Keith D. Dozois,AssistantVice President