220 East Mountain View Street, Suite A • Barstow, California 92311-2839 Telephone: (760) 255-5121 • Fax: (760) 256-1417 • www.barstowca.org February 3, 2022
Delta Electric LLC
17007 Strawberry Pine Court
Santa Clarita, CA 91387
Attn: Rolando Estevez
Subject: PROJECT NO. 2021 - 05 – Generator Replacement at the Fire District Station 363 Dear Mr. Serna:
We are pleased to inform you that the City Council, at the meeting of December 20, 2021, awarded the Contract for the above referenced project to your firm, based on your submitted bid of $61,200.00.
Attached is a copy of the contract documents, please print an additional three (3) agreements and submit all four agreements with original signatures. Additionally, provided in triplicate, a copy of payment bond, faithful performance bond, maintenance bond and insurance documents. A fully executed copy of the contract will be returned to you.
Please be advised that Barstow Municipal Code 5.04.030 requires any person, firm or corporation; whether as principal or agent, employer or employee, or in any manner whatsoever to conduct, engage in transact or operate any business, within the corporate limits of the city, to first obtain a business license from the city and make payment of the license fees provided herein. (Ord. 597/1 (part), 1988). A Business License Application is included in the mailing. Please call (760) 255- 5151 for the proper fee amount. The business license application and payment of fees shall be completed and returned to the City prior to commencement of the project.
Prior to the Pre-construction meeting, the City must submit a completed “Contractor Information Form”, a fully completed Contracts documents including contractor’s certifications, and bond certificates. A pre-construction has been attentively scheduled for February 15, 2022.
We are looking forward to working with your firm on this project. If you have any questions or need additional information, please contact Engineering Services Division at (760) 255-5156 Sincerely,
Domingo D. Gonzales
Domingo D. Gonzales
Engineering Services Administer
ARTICLES OF AGREEMENT
GENERATOR REPLACEMENT AT THE FIRE DISTRICT STATION 363PROJECT NO. 2021-05, AGREEMENT
IN THE CITY OF BARSTOW, CALIFORNIA
THIS GENERATOR REPLACEMENT AT THE FIRE DISTRICT STATION 363, PROJECT NO. 2021-05, AGREEMENT (“AGREEMENT”) is made and entered into for the above-stated project this 20th day of December, 2022, BY AND BETWEEN the City of Barstow, a municipal corporation, hereafter designated as “CITY”, and CONTRACTOR’S BUSINESS NAME, a Delta Electric, LLC a California corporation, hereafter designated as “CONTRACTOR.” WITNESSETH that CITY and CONTRACTOR have mutually agreed as follows:
ARTICLE I: Contract Documents
The contract documents for the GENERATOR REPLACEMENT AT THE FIRE DISTRICT STATION 363, PROJECT NO. 2021-05, shall consist of the Notice Inviting Sealed Bids, Instructions To Bidders, Bid Proposal, Bid Schedule, Standard Specifications, Special Provisions, and all referenced specifications, details, standard drawings, and appendices; together with two signed copies of the AGREEMENT, two signed copies of required bonds; one copy of the insurance certificates, permits, notices, and affidavits; and also including any and all addenda or supplemental agreements clarifying, amending, or extending the work contemplated as may be required to ensure its completion in an acceptable manner (collectively referred to herein as the “Contract Documents”). All, of the provisions of the Contract Documents are made a part hereof as though fully set forth herein.
ARTICLE II: Scope of Work
For and in consideration of the payments and agreements to be made and performed by CITY, CONTRACTOR agrees to furnish all materials and equipment and perform all work required for the above-stated project, and to fulfill all other obligations as set forth in the aforesaid contract documents.
CITY hereby employs CONTRACTOR to provide the materials, do the work, and fulfill the obligations according to the terms and conditions herein contained and referred to, for the prices aforesaid, and hereby contracts to pay the same at the time, in the manner, and upon the conditions set forth in this AGREEMENT.
In entering into a public works contract or a subcontract to supply goods, services, or materials pursuant to this AGREEMENT, CONTRACTOR offers and agrees to assign to the awarding body all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Sec. 15) or under the Cartwright Act (Chapter 2 (Section 16700, et seq.) of Part 2 of Division 7 of the Business and Professions Code), arising from purchases of goods, services, or materials pursuant to the public works contract or the subcontract. This assignment shall be made and become effective at the time the awarding body tenders final payment to the contractor, without further acknowledgment by the parties.
ARTICLE III: Compensation
A. CONTRACTOR agrees to receive and accept the prices set forth in the Bid Proposal and Bid Schedule as full compensation for furnishing all materials, performing all work, and fulfilling all obligations hereunder. In no event shall the total compensation and costs payable to CONTRACTOR under this Agreement exceed the sum of Dollars ($61,200.00) unless specifically approved in advance and in writing by CITY.
Such compensation shall cover all expenses, losses, damages, and consequences arising out of the nature of the work during its progress or prior to its acceptance including those for well and faithfully completing the work and the whole thereof in the manner and time specified in the aforesaid contract documents; and also including those arising from actions of the elements, unforeseen difficulties or obstructions encountered in the prosecution of the work, suspension or discontinuance of the work, and all other unknowns or risks of any description connected with the work.
B. This AGREEMENT is subject to the provisions of Article 1.7 (commencing at Section 20104.50) of Division 2, Part 3 of the Public Contract Code regarding prompt payment of contractors by local governments. Article 1.7 mandates certain procedures for the payment of undisputed and properly submitted payment requests within 30 days after receipt, for the review of payment requests, for notice to the contractor of improper payment requests, and provides for the payment of interest on progress payment requests which are not timely made in accordance with this Article. This AGREEMENT hereby incorporates the provisions of Article 1.7 as though fully set forth herein.
C. At the request and expense of CONTRACTOR, securities equivalent to the amount withheld shall be deposited with CITY, or with a state or federally chartered bank in this state as the escrow agent, who shall then pay those moneys to CONTRACTOR upon CITY’s confirmation of CONTRACTOR’S satisfactory completion of this AGREEMENT. At any time during the term of this AGREEMENT CONTRACTOR may, at its own expense, substitute securities for funds otherwise withheld as retention (or the retained percentage) in accordance with Public Contract Code § 22300.
ARTICLE IV: Time for Completion
CONTRACTOR agrees to commence construction of the Work of Improvement within fifteen (15) days after issuance of a Notice to Proceed, and to continue in a diligent and workman-like manner without interruption, and to complete the construction thereof within 15 working days from the date the Notice to Proceed is issued to order equipment. 57-57 weeks for Manufacturing and Delivery and 15 working days for construction and installation at site.
ARTICLE V: Time is of the Essence
Time is of the essence of this AGREEMENT, and it is agreed that it would be impracticable or extremely difficult to ascertain the extent of actual loss or damage which the CITY will sustain by reason of any delay in the performance of this AGREEMENT. It is, therefore, agreed that CONTRACTOR will pay as liquidated damages to the CITY the following sum: Five Hundred Dollars ($500.00) for each day’s delay beyond the time herein prescribed for finishing work. If liquidated damages are not paid, as designated by the CITY, the CITY may deduct the amount thereof from any money due or that may become due the CONTRACTOR under this AGREEMENT in addition to any other remedy available to CITY. The CONTRACTOR shall not be assessed liquidated damages for any delay caused by the failure of a public utility to relocate or remove an existing utility required for the performance of this AGREEMENT.
ARTICLE VI: Labor Code
CITY and CONTRACTOR acknowledge that this AGREEMENT is subject to the provisions of Division 2, Part 7, Chapter 1 (commencing with Section 1720) of the California Labor Code relating to public works and public agencies and agree to be bound by all the provisions thereof as though set forth fully herein. Full compensation for conforming to the requirements of the Labor Code and with other Federal, State, and local laws related to labor, and rules, regulations and ordinances which apply to any work performed pursuant to this AGREEMENT is included in the price for all contract items of work involved.
This AGREEMENT is further subject to prevailing wage law, including, but not limited to, the following:
A. The CONTRACTOR shall pay the prevailing wage rates for all work performed under the AGREEMENT. When any craft or classification is omitted from the general prevailing wage determinations, the CONTRACTOR shall pay the wage rate of the craft or classification most closely related to the omitted classification. The CONTRACTOR shall forfeit as a penalty to CITY $200.00 or any greater penalty provided in the Labor Code for each Calendar Day, or portion thereof, for each worker paid less than the prevailing wage rates for any work done under the AGREEMENT in violation of the provisions of the Labor Code whether such worker is employed in the execution of the work by CONTRACTOR or by any Subcontractor under CONTRACTOR.
In addition, CONTRACTOR shall pay each worker the difference between such prevailing wage rates and the amount paid to each worker for each Calendar Day, or portion thereof, for which each worker was paid less than the prevailing wage rate.
B. CONTRACTOR shall comply with the provisions of Labor Code Section 1777.5 concerning the employment of apprentices on public works projects, and further agrees that CONTRACTOR is responsible for compliance with Section 1777.5 by all, of its subcontractors.
C. Pursuant to Labor Code § 1725.5, CONTRACTOR and any subcontractor must be registered with the California Department of Industrial Relations for any bid proposal submitted on or after March 1, 2015, and for any contract for public work entered, into on or after April 1, 2015. Further, this project is subject to compliance monitoring and enforcement by the Department of Industrial Relations.
D. Pursuant to Labor Code § 1776, CONTRACTOR and any subcontractor shall keep accurate payroll records, showing the name, address, social security number, work classification, straight time and overtime hours worked each day and week, and the actual per diem wages paid to each journeyman, apprentice, worker, or other employee employed by him or her in connection with this AGREEMENT for a minimum of three (3) years, or for any longer period required by law, from the date of final payment to CONTRACTOR under this Agreement. Each payroll record shall contain or be verified by a written declaration that it is made under penalty of perjury, stating both of the following: (1) The information contained in the payroll record is true and correct; and (2) The employer has complied with the requirements of Labor Code §§ 1811, and 1815 for any work performed by his or her employees on the public works project. The payroll records enumerated under subdivision (a) shall be certified and shall be available for inspection at all reasonable hours as required by Labor Code § 1776. In addition, pursuant to Government Code Section 8546.7, all such documents and this Agreement shall be subject to the examination and audit of the State Auditor, at the request of CITY or as part of any audit of CITY, for a period of three (3) years after final payment under the Agreement.
E. This AGREEMENT is further subject to 8-hour workday and wage and hour penalty law, including, but not limited to, Labor Code Sections 1810 and 1813, as well as California nondiscrimination laws, as follows:
CONTRACTOR shall strictly adhere to the provisions of the Labor Code regarding the 8-hour day and the 40-hour week, overtime, Saturday, Sunday and holiday work and nondiscrimination on the basis, of race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, marital status, sex, or sexual orientation, except as provided in Section 12940 of the Government Code. Pursuant to the provisions of the Labor Code, eight hours’ labor shall constitute a legal day’s work. Work performed by CONTRACTOR’s employees in excess, of eight hours per day, and 40 hours during any one week, must include compensation for all hours worked in excess, of eight hours per day, or 40 hours during any one week, at not less than one and onehalf times the basic rate of pay. CONTRACTOR shall forfeit as a penalty to CITY $25.00 or any greater penalty set forth in the Labor Code for each worker employed in the execution of the work by CONTRACTOR or by any Subcontractor of CONTRACTOR, for each Calendar Day during which such worker is required or permitted to work more than eight hours in one Calendar Day or more than 40 hours in any one calendar week in violation of the Labor Code.
F. This AGREEMENT is subject to Public Contract Code Section 6109: CONTRACTOR shall be prohibited from performing work on this project with a subcontractor who is ineligible to perform work on the project pursuant to Sections 1777.1 or 1777.7 of the Labor Code.
ARTICLE VII: Work Site Conditions
A. In compliance with and pursuant to Government Code Section 4215, CITY shall assume the responsibility, as between the parties to this AGREEMENT, for the timely removal, relocation, or protection of existing main- or trunk-line utility facilities located on the site of any construction project that is a subject of this AGREEMENT, if such utilities are not identified by CITY in the plans and specifications made a part of the invitation for bids. The AGREEMENT documents shall include provisions to compensate CONTRACTOR for the costs of locating, repairing damage not due to the failure of CONTRACTOR to exercise reasonable care, and removing or relocating such utility facilities not indicated in the plans and specifications with reasonable accuracy, and for equipment on the project necessarily idled during such work. CONTRACTOR shall not be assessed liquidated damages for delay in completion of the project when such delay was caused by the failure of CITY or the owner of the utility to provide for removal or relocation of such utility facilities.
B. To the extent that the work requires trenches in excess of five feet (5’) and is estimated to cost more than $25,000, prior to any excavation, CONTRACTOR must provide the CITY, or a registered civil or structural engineer employed by the CITY to whom authority to accept has been delegated, a detailed plan showing the design of shoring, bracing, sloping, or other provisions to be made for worker protection from the hazard of caving ground during the excavation of such trench or trenches. If such plan varies from the shoring system standards, the plan shall be prepared by a registered civil or structural engineer. Nothing in this section shall be deemed to allow the use of a shoring, sloping, or protective system less effective than that required by the Construction Safety Orders.
C. This AGREEMENT is further subject to Public Contract Code Section 7104 with regard, to any trenches deeper than four feet (4’) involved in the proposed work as follows:
CONTRACTOR shall promptly, and before the following conditions are disturbed, notify CITY, in writing, of any:
(1) Material that CONTRACTOR believes may be material that is hazardous waste, as defined in Section 25117 of the Health and Safety Code, which is required to be removed to a Class I, Class II, or Class III disposal site in accordance with provisions of existing law. (2) Subsurface or latent physical conditions at the site differing from those indicated by all available information provided prior to the deadline for submission of bids. (3) Unknown physical conditions at the site of any unusual nature, different materially from those ordinarily encountered and generally recognized as inherent in work of the character provided for in the contract.
CITY shall promptly investigate the conditions, and if it finds that the conditions do materially so differ, or involve hazardous waste, and cause a decrease or increase in CONTRACTOR’s cost of, or the time required for, performance of any part of the work, CITY shall issue a change order under the procedures described in this AGREEMENT.
In the event a dispute arises between CITY and CONTRACTOR whether the conditions materially differ, or involve hazardous waste, or cause a decrease or increase in CONTRACTOR’s cost of, or time required for, performance of any part of the work, CONTRACTOR shall not be excused from any scheduled completion date provided in the AGREEMENT but shall proceed with all work to be performed under the contract. CONTRACTOR shall retain any, and all rights provided either by contract or by law which pertain to the resolution of disputes and protests between the contracting parties.
ARTICLE VIII: Insurance
A. With respect to performance of work under this AGREEMENT, CONTRACTOR shall maintain, and shall require all of its’ subcontractors to maintain, insurance as required by Section E “Standard Specifications” of the Contract Documents.
B. This AGREEMENT is further subject to Workers’ Compensation obligations, including, but not limited to, California Labor Code Sections 1860 and 1861 as follows:
CONTRACTOR shall take out and maintain, during the life of this contract, Worker’s Compensation Insurance for all of CONTRACTOR’s employees employed at the site of improvement; and, if any work is sublet, CONTRACTOR shall require the subcontractor similarly to provide Worker’s Compensation Insurance for all, of the latter’s employees, unless such employees are covered by the protection afforded by CONTRACTOR. CONTRACTOR and any of CONTRACTOR’s subcontractors shall be required to provide CITY with a written statement acknowledging its obligation to secure payment of Worker’s Compensation Insurance as required by Labor Code § 1861; to wit: ‘I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ compensation or to undertake self-insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract.’ If any class of employees engaged in work under this AGREEMENT at the site of the Project is not protected under any Worker’s Compensation law, CONTRACTOR shall provide and shall cause each subcontractor to provide adequate insurance for the protection of employees not otherwise protected. CONTRACTOR shall indemnify and hold harmless CITY for any damage resulting from failure of either CONTRACTOR or any subcontractor to take out or maintain such insurance.
ARTICLE IX: Indemnification
To the fullest extent permitted by law, CONTRACTOR shall, at its sole cost and expense, fully defend, indemnify and hold harmless CITY, its authorized representatives and their respective subsidiaries, affiliates, members, directors, officers, employees and agents (collectively, the “Indemnitees”) from and against any and all claims, actions, demands, costs, judgments, liens, penalties, liabilities, damages, losses, and expenses, including but not limited to any fees of accountants, attorneys or other professionals (collectively “Liabilities”), arising out of, in connection with, resulting from or related to, any alleged act, omission, fault or negligence of CONTRACTOR, CONTRACTOR’s Representative, or any of its officers, agents, employees, Subcontractors or Suppliers, or any person or organization directly or indirectly employed by any of them (Collectively, the “Indemnitors”), in connection with or relating to or claimed to be in connection with or relating to the work performed under this AGREEMENT. CONTRACTOR shall not be entitled to any refund of attorneys’ fees, defense costs or expenses in the event, that it is adjudicated to have been non-negligent.
CONTRACTOR shall not be required to defend or indemnify CITY for liabilities caused by the sole active negligence or willful misconduct of the CITY.
If CONTRACTOR is a joint venture or partnership, each venturer or partner shall be jointly and severally liable for any, and all, of the duties and obligations of CONTRACTOR that are assumed under or arise out of this AGREEMENT. Each of such venturers or partners waives notice of the breach or non-performance of any undertaking or obligation of CONTRACTOR contained in, resulting from, or assumed under this AGREEMENT, and the failure to give any such notice shall not affect or impair such venturer’s or partner’s joint and several liabilities hereunder.
ARTICLE X: Binding Affect
CITY and CONTRACTOR each binds itself, its partners, successors, assigns, and legal representatives to the other party hereto and to its partners, successors, assigns, and legal representatives in respect of all covenants, agreements, and obligations contained in the Contract Documents. This AGREEMENT is not assignable nor the performance of either party's duties delegable without the prior written consent of the other party. Any attempted or purported assignment or delegation of any of the rights of obligations of either party without the prior written consent of the other shall be void and of no force and effect.
ARTICLE XI: Dispute Resolution
A. Any court action arising out of this AGREEMENT shall be filed in the San Bernardino County Superior Court. Any alternative dispute resolution proceeding arising out of this AGREEMENT shall be heard in the City of Los Angeles or the City of Barstow, California.
B. CITY shall have full authority to compromise or otherwise settle any claim relating to this AGREEMENT or any part hereof at any time. CITY shall provide timely notification to CONTRACTOR of the receipt of any third-party claim relating to this AGREEMENT. CITY shall be entitled to recover its reasonable costs incurred in providing the notification required by this section.
C. This AGREEMENT is further subject to the provisions of Article 1.5 (commencing at Section 20104) of Division 2, Part 3 of the Public Contract Code regarding the resolution of public works claims of less than $375,000. Article 1.5 mandates certain procedures for the filing of claims and supporting documentation by Contractor, for the response to such claims by the City, for a mandatory meet and confer conference upon the request of Contractor, for mandatory nonbinding mediation in the event litigation is commenced, and for mandatory judicial arbitration upon the parties’ failure to resolve the dispute through mediation. This AGREEMENT hereby incorporates the provisions of Article 1.5 as though fully set forth herein.
D. In the event of a dispute between the parties arising out of the terms of this AGREEMENT, including any action brought to declare the rights granted herein or to enforce any of the terms of this AGREEMENT, the party prevailing in such dispute shall not be entitled to attorneys’ fees from the other party. This provision takes precedence over any conflicting provision in any of the documents which are incorporated herein by reference.
ARTICLE XII: Independent Contractor
CONTRACTOR is and shall at all, times remain as to CITY, a wholly independent contractor.
Neither CITY nor any of its agents shall have control of the conduct of CONTRACTOR or any of CONTRACTOR's employees, except as herein set forth. CONTRACTOR shall not at any time or in any manner represent that it or any of its agents or employees are in any manner agents or employees of CITY.
ARTICLE XIII: Taxes
CONTRACTOR is responsible for paying all retail, sales and use, transportation, export, import, special or other taxes and duties applicable to, and assessable against any work, materials, equipment, services, processes, and operations incidental to or involved in this AGREEMENT.
The CONTRACTOR is responsible for ascertaining and arranging to pay them. The prices established in this AGREEMENT shall include compensation for any taxes the CONTRACTOR is required to pay by laws and regulations in effect as of the execution of this AGREEMENT.
ARTICLE XIV: Notices
All notices and communications shall be sent in writing to the parties at the following addresses:
AGENCY: Domingo Gonzales CONTRACTOR Rolando Estevez
AGENCY NAME: CITY OF BARSTOW CONTRACTOR’S
BUSINESS NAME:
Delta Electric LLC
Mailing Street Address 220 E. Mountain View St.,
Ste. A
Mailing Street Address: 17007 Strawberry Pine Ct.
City, State, Zip Code: Barstow, CA 92311 City, State Zip Code: Santa Clarita, CA 91387 ARTICLE XV: Entire Agreement
This AGREEMENT supersedes any, and all other agreements, either oral or written, between the parties and contains all, of the covenants and agreements between the parties pertaining to the work of improvements described herein. Each party to this AGREEMENT acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein, and that any other agreement, statements or promise not contained in this AGREEMENT shall not be valid or binding. Any modification of this AGREEMENT will be effective only if signed by the party to be charged.
The benefits and obligations of this AGREEMENT shall inure to and be binding upon the representatives, agents, partners, heirs, successors and assigns of the parties hereto. This AGREEMENT shall be construed pursuant to the laws of the State of California.
ARTICLE XVI: Authority to Contract
The signatories hereto represent that they are authorized to sign on behalf of the respective parties they represent and are competent to do so, and each of the parties hereto hereby irrevocably waives any, and all rights to challenge signatures on these bases.
ARTICLE XVII: General Provisions
A. All reports, documents, or other written material (“written products” herein) developed by CONTRACTOR in the performance of this Agreement shall be and remain the property of CITY without restriction or limitation upon its use or dissemination by CITY. CONTRACTOR may take and retain copies of such written products as desired, but no such written products shall be the subject of a copyright application by CONTRACTOR.
B. In the performance of this Agreement, CONTRACTOR shall not discriminate against any employee, subcontractor, or applicant for employment because of race, color, creed, religion, sex, marital status, sexual orientation, national origin, ancestry, age, physical or mental disability, medical condition, or any other unlawful basis.
C. The captions appearing at the commencement of the sections hereof, and in any paragraph thereof, are descriptive only and for convenience in reference, to this Agreement.
Should there be any conflict between such heading, and the section or paragraph at the head of which it appears, the section or paragraph hereof, as the case, may be, and not such heading, shall control and govern in the construction of this Agreement. Masculine or feminine pronouns shall be substituted for the neuter form and vice versa, and the plural shall be substituted for the singular form and vice versa, in any place or places herein in which the context requires such substitution(s).
D. The waiver by CITY or CONTRACTOR of any breach of any term, covenant or condition herein contained shall not be deemed to be a waiver of such term, covenant, or condition or of any subsequent breach of the same or any other term, covenant or condition herein contained.
No term, covenant or condition of this Agreement shall be deemed to have been waived by CITY or CONTRACTOR unless in writing.
E. Each right, power and remedy provided for herein or now or hereafter existing at law, in equity, by statute, or otherwise shall be cumulative and shall be in addition to every other right, power, or remedy provided for herein or now or hereafter existing at law, in equity, by statute, or otherwise. The exercise, the commencement of the exercise, or the forbearance of the exercise by any party of any one or more of such rights, powers or remedies shall not preclude the simultaneous or later exercise by such party of any of all, of such other rights, powers, or remedies.
F. CONTRACTOR shall maintain any, and all ledgers, books of account, invoices, vouchers, canceled checks, and other records or documents evidencing or relating to charges for services or expenditures and disbursements charged to CITY under this Agreement for a minimum of three (3) years, or for any longer period required by law, from the date of final payment to CONTRACTOR under this Agreement. All such documents shall be made available for inspection, audit, and/or copying at any time during regular business hours, upon oral or written request of CITY. In addition, pursuant to Government Code Section 8546.7, if the amount of public funds expended under this Agreement exceeds ten thousand dollars, all such documents and this Agreement shall be subject to the examination and audit of the State Auditor, at the request of CITY or as part of any audit of CITY, for a period of three (3) years after final payment under the Agreement.
ARTICLE XVIII: Completion Procedures
When the CONTRACTOR has completed the Work of Improvement described in this AGREEMENT, the CONTRACTOR shall notify the City Engineer or Public Works Director. The City Engineer or Public Works Director, in accordance with the terms of this AGREEMENT more specifically set forth in the Standard Specifications, shall inspect the work, review the punch-list with CONTRACTOR, and any outstanding change orders and claims for payment.
CONTRACTOR shall submit any, and all claims for payment and shall sign the CITY’S “Waiver of Additional Claims” form prior to the City Engineer or Public Works Director presenting the Work for Council approval and acceptance.
IN WITNESS WHEREOF the parties hereto for themselves, their heirs, executors, administrators, successors, and assigns do hereby agree to the full performance of the covenants herein contained and have caused this AGREEMENT to be executed in duplicate by setting hereunto their names, titles, hands, and seals this ____ day of ____________, 2022.
CONTRACTOR:
Contractor’s Business Name
Contractor’s Sign Name, Title
Contractor's License No.
Subscribed and sworn to (or affirmed) before me this
day of , 20 by
Date Month Year
(1) ,
Name of Signer
proved to me on the basis, of satisfactory evidence to be the person who appeared before me.
Signature
Public of Notary Public
(Place Notary Seal Above)
CITY: ______________________________ __________
Mayor of the Date
City of Barstow
ATTESTED: ______________________________ __________
City Clerk of the Date
City of Barstow
APPROVED AS
TO FORM: ______________________________ __________
City Attorney of the Date
City of Barstow
(EXECUTE IN TRIPLICATE)
PAYMENT BOND
GENERATOR REPLACEMENT AT THE FIRE DISTRICT STATION 363
PROJECT NO. 2021-05
IN THE CITY OF BARSTOW, CALIFORNIA
WHEREAS, the City of Barstow, as CITY, has awarded to ____________________, as CONTRACTOR, a contract for the above-stated project:
AND WHEREAS, CONTRACTOR is required to furnish a bond in connection with the contract, to secure the payment of claims of laborers, mechanics, material persons, and other persons as provided by law:
NOW THEREFORE, we, the undersigned CONTRACTOR and SURETY, are held and firmly bound unto CITY in the sum of ____________________________ OF ______________________________ Dollars ($__________________) which is one hundred percent (100%) of the total contract amount for the above-stated project, for which payment well and truly to be made we bind ourselves, our heirs, executors and administrators, successors and assigns, jointly and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION IS SUCH that if CONTRACTOR, its heirs, executors, administrators, successors, assigns or subcontractors, shall fail to pay any of the persons named in Civil Code Section 9100, or amounts due under the Unemployment Insurance Code with respect to work or labor withheld, and paid over to the Employment Development Department from the wages of employees of the CONTRACTOR and its subcontractors pursuant to Section l3020 of the Unemployment Insurance Code, with respect to such work and labor, that the surety or sureties herein will pay for the same in an amount not exceeding the sum specified in this bond, otherwise the above obligation shall be void. In case suit is brought upon this bond, SURETY will pay a reasonable attorneys' fees to the plaintiffs and CITY in an amount to be fixed by the court.
This bond shall inure to the benefit to any of the persons named in Civil Code Section 9100 as to give a right of action to such persons or their assigns in any suit brought upon this bond.
The SURETY hereby stipulates and agrees that no change, extension of time, alteration, or addition to the terms of the contract or the specifications accompanying it shall in any manner affect SURETY’s obligations on this bond. The SURETY hereby waives notice of any such change, extension, alteration, or addition and hereby waives the requirements of Section 2845 of the Civil Code as a condition precedent to any remedies CITY may have.
IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seals this day of
________________, 2021.
Contractor*
Surety*
*Provide CONTRACTOR and SURETY name, address and telephone number and the name, title, address and telephone number for the respective authorized representatives. Power of Attorney must be attached.
Subscribed and sworn to this___ day of _____________________, 201_.
NOTARY PUBLIC........................................................................................ (SEAL) (EXECUTE IN TRIPLICATE)
FAITHFUL PERFORMANCE BOND
GENERATOR REPLACEMENT AT THE FIRE DISTRICT STATION 363
PROJECT NO. 2021-05
IN THE CITY OF BARSTOW, CALIFORNIA
KNOW ALL PERSONS BY THESE PRESENTS That ________________________, hereinafter referred to as “CONTRACTOR” as PRINCIPAL, and _______________________________, a corporation duly organized and doing business under and by virtue of the laws of the State of California and duly licensed for the purpose of making, guaranteeing, or becoming sole surety upon bonds or undertakings as Surety, are held and firmly bound unto the CITY OF BARSTOW, CALIFORNIA, hereinafter referred to as the "CITY" in the sum of _____________________________ Dollars ($_______________; which is one hundred percent (100%) of the total contract amount for the above stated project; lawful money of the United States of America for the payment of which sum, well and truly to be made, we bind ourselves, our heirs, executors, administrators, assigns and successors, jointly and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH, that whereas CONTRACTOR has been awarded and is about to enter into a Contract with CITY to perform all work required pursuant to the contract documents for the project entitled: GENERATOR REPLACEMENT AT THE FIRE DISTRICT STATION 363, PROJECT NO. 2021-05 CONTRACT which Contract is by this reference incorporated herein and is required by CITY to give this Bond in connection with the execution of the Contract.
NOW, THEREFORE, if CONTRACTOR and his or her Subcontractors shall well and truly do and perform all the covenants and obligations of the Contract on his part to be done and performed at the times and in the manner specified herein including compliance with all Contract specifications and quality requirements, then this obligation shall be null and void, otherwise it shall be and remain in full force and effect.
PROVIDED, that any alterations in the work to be done, or in the material to be furnished, which may be made pursuant to the terms of the Contract, shall not in any way release CONTRACTOR or the Surety thereunder, nor shall any extensions of time granted under the provisions of the Contract release either CONTRACTOR or said Surety, and notice of such alterations of extensions of the Contract is hereby waived by said Surety.
In the event suit is brought upon this Bond by CITY and judgment is recovered, said Surety shall pay all costs incurred by CITY in such suit, including a reasonable attorney's fee to be fixed by the Court.
IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seals this _____day of _____________, 2021.
Contractor* Contractor’s Sign Name, Title
SURETY*………………………………………….
Contractor’s Business Name
……………………………………………
Mailing Street Address
……………………………………………
City, State, Zip Code
…………………………………………… Telephone #
……………………………………………
*Provide CONTRACTOR and SURETY name, address and telephone number and the name, title, address and telephone number for the respective authorized representatives. Power of Attorney must be attached.
Subscribed and sworn to this___ day of ______________, 2021.
NOTARY PUBLIC........................................................................................ (SEAL) (EXECUTE IN TRIPLICATE)
MAINTENANCE BOND
GENERATOR REPLACEMENT AT THE FIRE DISTRICT STATION 363
PROJECT NO. 2021-05
IN THE CITY OF BARSTOW, CALIFORNIA
KNOW ALL PERSONS BY THESE PRESENTS THAT WHEREAS, the City of Barstow, as CITY has awarded to _____________________, as CONTRACTOR, a contract for the abovestated project.
AND WHEREAS, CONTRACTOR is required to furnish a bond in connection with the contract guaranteeing maintenance thereof:
NOW, THEREFORE, we, the undersigned CONTRACTOR and SURETY, are held firmly bound unto CITY in the sum of ___________________Dollars $_______________, which is fifty percent (50%) of the total contract amount for the above-stated project to be paid to CITY, its successors and assigns, for which payment well and truly to be made, we bind ourselves, our heirs, executors and administrators, successors and assigns, jointly and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH that if CONTRACTOR shall remedy without cost to CITY any defects which may develop during a period of one (1) year from the date of recordation of the Notice of Completion of the work performed under the contract, provided such defects are caused by defective or inferior materials or work, then this obligation shall be void; otherwise, it shall be and remain in full force and effect. In case suit is brought upon this bond, SURETY will pay a reasonable attorneys’ fees to the CITY in an amount to be fixed by the court.
IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seals this____ day of ___________ , 201_.
Contractor* Contractor’s Sign Name, Title
Contractor’s Business Name
Mailing Street Address
City, State, Zip Code
Telephone #
SURETY* ______________________________________________
______________________________________________
______________________________________________
______________________________________________
*Provide CONTRACTOR and SURETY name, address and telephone number and the name, title, address, and telephone number for the respective authorized representatives. Powers of Attorney must be attached.
Subscribed and sworn to this....... day of ..........................., 201_.
NOTARY PUBLIC........................................................................................ (SEAL) (EXECUTE IN TRIPLICATE)
WORKERS’ COMPENSATION INSURANCE CERTIFICATE
The Contractor shall execute the following form as required by the California Labor Code, Sections 1860 and 1861:
I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers’ compensation or to undertake self-insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract.
DATE: ______________________.
(Contractor)
By:
(Signature)
(Title)
Attest:
By:
(Signature)
(Title)
Note: See Section 7 Responsibility of the Contractor, Paragraph 7-3 of the Standard Specifications for insurance carrier rating requirements.
ENDORSEMENTS TO INSURANCE POLICY
Name of Insurance Company:
Policy Number:
Effective Date:
The following endorsements are hereby incorporated by reference onto the attached Certificate of Insurance as though fully set forth thereon:
1. The naming of an additional insured as herein provided shall not affect any recovery to which such additional insured would be entitled under this policy if not named as such additional insured, and
2. The additional insured named herein shall not be held liable for any premium or expense of any nature on this policy or any extensions thereof, and
3. The additional insured named herein shall not by reason of being so named be considered a member of any mutual insurance company for any purpose whatsoever, and
4. The provisions of the policy will not be changed, suspended, canceled, or otherwise terminated as to the interest of the additional insured named herein without first giving such additional insured twenty (20) days written notice.
5. Any other insurance held by the additional insured shall not be required to contribute anything toward any loss or expense covered by the insurance, which is referred to by this certificate.
6. The company provided insurance for this certificate is a company licensed to do business in the State of California with a Best’s rating of A+ VIII or greater.
It is agreed that the City of Barstow, its officers and employees, are included as Additional Insured.
Authorized Insurance Agent
Date:
STATEMENT REGARDING INSURANCE COVERAGE
GENERATOR REPLACEMENT AT THE FIRE DISTRICT STATION 363
PROJECT NO. 2021-05
IN THE CITY OF BARSTOW, CALIFORNIA
The undersigned representative of Bidder hereby certifies that he/she has reviewed the insurance coverage requirements specified in 7-3 LIABILITY INSURANCE of Section E, Standard Specifications. Should Bidder be awarded the contract for the work, the undersigned further certifies that Bidder can meet all of these specification requirements for insurance including insurance coverage of his/her subcontractors.
NAME OF BIDDER: .......................................................................................................
MAILING ADDRESS: ....................................................................................................... ....................................................................................................... .......................................................................................................
AUTHORIZED SIGNATURE: .......................................................................................................
TITLE: .......................................................................................................
DATE: .......................................................................................................
STATEMENT REGARDING THE CONTRACTOR'S LICENSING LAWS
GENERATOR REPLACEMENT AT THE FIRE DISTRICT STATION 363
PROJECT NO. 2021-05
IN THE CITY OF BARSTOW, CALIFORNIA
[Business & Professions Code § 7028.15]
[Public Contract Code § 20103.5]
I, the undersigned, certify that I am aware of the following provisions of California law and that I, or the entity on whose behalf this certification is given, hold a currently valid California contractor's license as set forth below:
Business & Professions Code § 7028.15:
a) It is a misdemeanor for any person to submit a bid to a public City in engage in the business or act in the capacity of a contractor within this state without having a license therefor, except in any of the following cases:
(1) The person is particularly exempted from this chapter. (2) The bid is submitted on a state project governed by Section 10164 of the Public Contract Code or on any local City project governed by Section 20104 [now § 20103.5] of the Public Contract Code.
b) If a person has been previously convicted of the offense described in this section, the court shall impose a fine of 20 percent of the price of the contract under which the unlicensed person performed contracting work, or four thousand five hundred dollars ($4,500), whichever is greater, or imprisonment in the county jail for not less than 10 days nor more than six months, or both.
In the event the person performing the contracting work has agreed to furnish materials and labor on an hourly basis, "the price of the contract" for the purposes of this subdivision means the aggregate sum of the cost of materials and labor furnished and the cost of completing the work to be performed.
c) This section shall not apply to a joint venture license, as required by Section 7029.1.
However, at the time of making a bid as a joint venture, each person submitting the bid shall be subject to this section with respect to his/her individual licenser. d) This section shall not affect the right or ability of a licensed architect, land surveyor, or registered professional engineer to form joint ventures with licensed contractors to render services within the scope of their respective practices. e) Unless one of the foregoing exceptions applies, a bid submitted to a public City by a contractor who is not licensed in accordance with this chapter shall be considered nonresponsive and shall be rejected by the public City. Unless one of the foregoing exceptions applies, a local public City shall, before awarding a contract or issuing a purchase order, verify that the contractor was properly licensed when the contractor submitted the bid. Notwithstanding any other provision of law, unless one of the foregoing exceptions applies, the registrar may issue a citation to any public officer or employee of a public entity who knowingly awards a contract or issues a purchase order to a contractor who is not licensed pursuant to this chapter. The amount, of civil penalties, appeal, and finality of such citations shall be subject to Sections 7028.7 to 7028.13, inclusive. Any contract awarded to, or any purchase order issued to, as contractor who is not licensed pursuant to this chapter is void.
f) Any compliance or noncompliance with subdivision (e) of this section, as added by Chapter 863 of the Statutes of 1989, shall not invalidate any contract or bid awarded by a public City during which time that subdivision was in effect.
g) A public employee or officer shall not be subject to a citation pursuant to this section if the public employee, officer, or employing City made an inquiry to the board for the purposes of verifying the license status of any person or contractor and the board failed to respond to the inquiry within three business days. For purposes of this section, a telephone response by the board shall be deemed sufficient.
Public Contract Code § 20103.5:
In all contracts subject to this part where federal funds are involved, no bid submitted shall be invalidated by the failure of the bidder to be licensed in accordance with the laws of this state.
However, at the time the contract is awarded, the contractor shall be properly licensed in accordance with the laws of this state. The first payment for work or material under any contract shall not be made unless and until the Registrar of Contractors verifies to the City that the records of the Contractors' State License Board indicate that the contractor was properly licensed at the time the contract was awarded. Any bidder or contractor not so licensed shall be subject to all legal penalties imposed by law, including, but not limited to, any appropriate disciplinary action by the Contractors' State License Board. The City shall include a statement to that effect in the standard form of pre-qualification questionnaire and financial statement. Failure of the bidder to obtain proper and adequate licensing for an award of a contract shall constitute a failure to execute the contract and shall result in the forfeiture of the security of the bidder.
Contractor’s License Number: _____________________________________________ License Expiration Date: _____________________________________________ Authorized Signature: _____________________________________________ Date: _____________________________________________
BUILDING DEPARTMENT
BUILDING PERMIT APPLICATION
APPLICANT INFORMATION
APPLICANT’S NAME PROPERTY OWNER TENANT CONTRACTOR ENGINEER/ARCHITECT OTHER:_________________ TELEPHONE NUMBER ( ) -
IF APPLICANT IS A BUSINESS, PLEASE LIST THE PRIMARY CONTACT TELEPHONE NUMBER ( ) -
EMAIL ADDRESS
APPLICANT’S PHYSICAL ADDRESS CITY STATE ZIP
APPLICANT’S MAILING ADDRESS Same as Physical Address CITY STATE ZIP PROPERTY OWNER(S) INFORMATION SAME AS APPLICANT INFORMATION
PROPERTY OWNER(S) NAME TELEPHONE NUMBER
( ) -
PROPERTY OWNER’S PHYSICAL ADDRESS CITY STATE ZIP
PROPERTY OWNER’S MAILING ADDRESS Same as Physical Address CITY STATE ZIP
CONTRACTOR INFORMATION
CONTRACTOR’S NAME STATE LICENSE # CLASSIFICATION EXPIRATION
ADDRESS CITY STATE ZIP
PHONE NUMBER
( ) -
FAX NUMBER
( ) -
EMAIL ADDRESS
WORKER’S COMPENSATION CARRIER (INCLUDE COPY OF CERTIFICATE) POLICY # EXPIRATION
PROJECT INFORMATION
PROJECT ADDRESS RESIDENTIAL COMMERCIAL ASSESSOR’S PARCEL NUMBER (APN) CHECK ALL WHICH APPLY:
NEW BUILDING ADDITION ALTERATION BLOCK WALL
DEMOLITION FIREPLACE FOUNDATION ONLY SIGN
SWIMMING POOL/SPA FIRE REPAIR REROOF SQ. FT. PLUMBING GRADING ELECTRICAL DECK/PATIO COVER MECHANICAL
OTHER:
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PERMIT NO. B - -___ __
PLEASE BE SURE THAT FRONT SIDE IS COMPLETED. THANK YOU.
PROJECT INFORMATION (CONTINUED)
EXISTING: Floor Area _________sq. ft. Garage:____________ Other: _____ # of Units:___________ PROPOSED: Floor Area _________sq. ft. Garage:____________ Other: _____ # of Units:___________ SETBACKS: Front: Rear: Left: Right:
# of Bedrooms: # of Bathrooms: Total # of Rooms:
Lot Size: Lot Dimension: Lot Coverage %:
DESCRIPTION OF WORK:
RENOVATION, REPAIR AND PAINTING (RRP) RULE
1. Was property constructed prior to 1978? YES NO
If yes, please answer questions 2 and 3. If no, proceed to Construction Valuation Section.
2. Is property one of the following?
Residential Home (Single or Multi-family) Child Care Facility Pre-School No, property is not any of the above. Skip question #3. Proceed to Construction Valuation Section.
3. The United States Environmental Protection Agency’s (EPA’s) Renovation, Repair and Painting Rule (RRP) requires contractors whose work disturbs paint in a pre-1978 residence, child care facility or pre-school to be RRP-certified firm. This also applies to rental property owners and property managers who do the paint-disturbing work themselves or through their employees. Failure to comply with the RRP Rule may result in enforcement action by the EPA.
An EPA lead-safe certified Renovator will be responsible for this project.
Certified Firm Name:_________________________________ Firm Certification No.: _______________________ There will be no disturbance of lead-based paint in the performance of work to which this permit is being issued.
I, as property owner and occupant, am not required to comply with the RRP as I will be doing the work myself on the residence in which I reside. (This does not apply to rental properties) CONSTRUCTION VALUATION: $
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:
I certify that I have read this application and state the information provided is true and correct. I agree to comply with all State laws and City ordinances relating to the construction to which this permit is issued. I authorize the City of Barstow‘s Building Department representative(s) to enter upon the property for which this building permit is issued for the purpose of conducting related inspections.
SIGNATURE PRINTED NAME DATE
For Office Use Only
DATE APPLICATION RECEIVED APPROVED BY
Revised January 2017
BUSINESS LICENSE APPLICATION
OUT OF TOWN BUSINESS
Community Development Department
220 E. Mountain View St., Suite A • Barstow, CA 92311
Phone: (760) 255-5161
BUSINESS INFORMATION
BUSINESS NAME TYPE OF OWNERSHIP
Corporation Partnership Limited Partnership
Limited Liability Co. (LLC) Trust
Limited Liability Partnership (LLP)
Sole Proprietorship (ID#*__________________)
* Social Security, California Driver’s License, California ID, Individual Taxpayer ID, or Municipal ID Number
Non-Profit Organization (Provide Copy of IRS Exemption)
ADDITIONAL BUSINESS NAMES (DOING BUSINESS AS (DBA))
BUSINESS ADDRESS SUITE BUSINESS PHONE NUMBER
( )
CITY STATE ZIP CODE BUSINESS FAX NUMBER
( )
ADDRESS FOR SERVICE OF PROCESS Same As Business Address SUITE E-MAIL ADDRESS CITY STATE ZIP BUSINESS’ WEB ADDRESS
FEDERAL EMPLOYER ID (FEIN)
(Example: XX-XXXXXX)
N/A
STATE EMPLOYER ID (EDD #)
(Example: XXX-XXXX-X)
N/A
STATE SALES TAX NO.
(A.K.A. RESALE NO.)
N/A
OWNER INFORMATION
LIST RESIDENCE ADDRESS, PHONE, TITLE AND DRIVER’S LICENSE NUMBER OF OWNER, PRESIDENT, PARTNER, CEO, CFO, ETC.
IF NECESSARY, PLEASE ATTACH A LIST OF ADDITIONAL OWNERS.
LAST NAME FIRST NAME TITLE
SERVICE OF PROCESS ADDRESS CITY STATE ZIP
PHONE NUMBER
( )
DRIVER’S LICENSE / ID NUMBER STATE OF DRIVER LICENSE / ID ISSUANCE
STATE LICENSED BUSINESSES & DESCRIPTION OF BUSINESS
STATE LICENSE TYPE STATE LICENSE NUMBER CLASSIFICATION NO(S). (If Appl.) EXPIRATION DATE WORKERS’ COMPENSATION ACKNOWLEDGEMENT
I UNDERSTAND THAT UNDER CALIFORNIA LAW, I AM REQUIRED TO CARRY WORKERS’ COMPENSATION INSURANCE FOR MY EMPLOYEES AT ALL TIMES.
I HAVE AND WILL MAINTAIN THE NECESSARY WORKER’S COMPENSATION INSURANCE AS REQUIRED BY THE STATE OF CALIFORNIA. PLEASE LIST # OF EMPLOYEES:_________________________ I HAVE NO EMPLOYEES AT THIS TIME, BUT UNDERSTAND THAT IF I EMPLOY ANY PERSON(S) I MUST IMMEDIATELY OBTAIN THE NECESSARY WORKERS’ COMPENSATION COVERAGE REQUIRED BY CALFORNIA LAW.
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STORMWATER DISCHARGE COMPLIANCE (SENATE BILL 205)
Effective January 1, 2020, The State of California requires that prior to issuance and/or renewal of a business license, applicants provide specified information, under penalty of perjury, including, among other things, the Standard Industrial Classification (SIC) Code for cities/counties to determine whether business activity(ies) fall into one of the regulated categories of the Industrial Stormwater General Permit required by the State Water Resources Control Board and whether a Water Discharge Identification (WDID) Number is required.
The City of Barstow CANNOT issue a business license without the SIC Code. To find out your SIC Code, visit http://naics.com.
SIC CODE: NAICS CODE: WDID # (If applicable):
N/A
DISABILITY ACCESS
UNDER FEDERAL AND STATE LAW, COMPLIANCE WITH DISABILITY ACCESS LAWS IS A SERIOUS AND SIGNIFICANT RESPONSBILITY THAT APPLIES TO ALL CALIFORNIA BUILDING OWNERS AND TENANTS WITH BUILDINGS OPEN TO THE PUBLIC. YOU MAY OBTAIN INFORMATION ABOUT YOUR LEGAL OBLIGATIONS AND HOW TO COMPLY WITH DISABILITY ACCESS LAWS AT THE FOLLOWING AGENCIES:
• DIVISION OF THE STATE ARCHITECT: www.dgs.ca.gov/dsa/Home.aspx • DEPARTMENT OF REHABILITATION: www.rehab.cahwnet.gov/
• CALIFORNIA COMMISSION ON DISABILITY ACCESS: www.ccda.ca.gov/
APPLICATION SUBMITTAL REQUIREMENTS AND ACKNOWLEDGEMENT
THE FOLLOWING DOCUMENT(S) SHALL BE SUBMITTED TO THE CITY OF BARSTOW AS PART OF THE BUSINESS LICENSE APPLICATION SUBMITTAL:
COMPLETED AND SIGNED CITY OF BARSTOW BUSINESS LICENSE APPLICATION PAYMENT OF FEES
COPY OF A VALID GOVERNMENT ISSUE IDENTIFICATION OF THE BUSINESS OWNER, OFFICER OR AUTHORIZED
AGENT MAKING APPLICATION FOR A CITY OF BARSTOW BUSINESS LICENSE COPY OF STATE AGENCY ISSUED LICENSE
IF AN AGENT COMPLETES THIS APPLICATION, A LETTER OF AUTHORIZATION IS REQUIRED. PLEASE NOTE: A COPY
OF A GOVERNMENT-ISSUED IDENTIFICATION OF THE PERSON WHO IS GRANTING THE AUTHORIZATION (BUSINESS OWNER OR OFFICER) MUST ACCOMPANY THE AUTHORIZATION FORM.
SUBMITTAL OF A BUSINESS LICENSE APPLICATION AND PAYMENT OF FEE(S) DOES NOT CONSTITUTE AN APPROVAL OF A LICENSE TO OPERATE A BUSINESS. NO BUSINESS SHALL OPERATE UNTIL THE BUSINESS LICENSE HAS BEEN APPROVED AND ISSUED BY THE CITY OF BARSTOW. BY SIGNING BELOW, I HEREBY DECLARE UNDER PENALTY OF PERJURY THAT THE INFORMATION PROVIDED ON THIS APPLICATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE:
SIGNATURE PRINTED NAME DATE
BUSINESS NAME
COMPUTATION OF FEES
A. ANNUAL FEE (As per Title 5 of the Barstow Municipal Code). Please contact (760) 255-5161 for fee. $___________________________ B. DISABILITY ACCESS $ 4.00__ _
• On September 19, 2012, Governor Brown signed into law Senate Bill 1186, which adds a state fee of $4.00 on any applicant for a local business license or renewal effective January 1, 2018. This fee will be required from all new business licenses or renewals. The purpose of the fee is to provide a funding source for increased disability access and compliance with construction-related accessibility requirements and to develop educational resources for businesses in order to facilitate compliance with the federal and state disability laws.
C. BUSINESS LICENSE PROCESSING ($40) AND TECHNOLOGY ($5) FEES $__________45.00__________ D. TOTAL FEE (ADD LINES A+B+C = TOTAL FEE) $___________________________