PENINSULA CORRIDOR JOINT POWERS BOARD
SERVICE AGREEMENT
FOR PCJPB USE ONLY
PUC No. SPECIAL DESIGNATION
(Location, Bridge No., Etc.) Sheet 1 of 1
County Main Mile Post
Estimated Amount Preliminary Job No. Lease Audit No. PCJPB PROJECT No.
TO BE PLACED ON ALL CORRESPONDENCE
Est. Start Date Est. Completion Date Treasury Dept. receipt of funds confirmation Date: Ck #: By:
Project Title:
Project Purpose:
Company or Funding Agency (Applicant): Contact Person Regarding Billings:
Name:
Address:
City/State/Zip:
Accounts Payable Address: Phone:
Fax:
E-mail Address:
THE APPLICANT AGREES TO REIMBURSE THE PENINSULA CORRIDOR JOINT POWERS BOARD (PCJPB) FOR ALL ACTUAL COSTS IN
PROVIDING THE SERVICES AND MATERIALS TO T HIS PROJECT (INCLUDING APPLICABLE GENERAL AND ADMINISTRATIVE OVERHEAD COSTS). AN ESTIMATE OF THOSE COSTS IS PROVIDED BELOW. APPLICANT ACKNOWLEDGES THAT ALL PCJPB EXPENSES DESCRIBED IN THE CATEGORIES LISTED BELOW WHICH ARE RELATED TO THE PROJECT ARE REIMBUR SABLE. PAYMENT FOR PROJECTS WITH ESTIMATED COST OF LESS THAN $100,000 OR THAT ARE PROJECTED TO BE COMPLETED IN 90 DAYS OR LESS ARE DUE TO PCJPB BEFORE PROJECT WORK BEGINS. THE PCJPB WILL NOT AUTHORIZE WORK ON THIS PROJECT UNTIL THIS AGREEMENT IS EXECUTED AND PREPAYMENT HAS BEEN RECEIVED. PAYMENT OPTIONS (I.E. ESCROW ACCOUNT, SCHEDULED PRE -PAYMENTS, LETTER OF CREDIT ETC.) FOR PROJECTS LASTING MORE THAN 90 DAYS AND COSTING MORE THAN $100,000 MUST BE PRE -ARRANGED WITH, AND APPROVED BY, PCJPB’S CHIEF FINANCIAL OFFICER (OR THEIR DESIGNEE). BILLINGS UNDER THIS AGREEMENT ARE DUE 30 DAYS FOLLOWING DATE OF INVOICE. ANY AMOUNT DUE TO PCJPB THAT IS NOT PAID, OR CONTESTED IN WRITING, BY THE DUE DATE SHALL BEAR INTEREST AT THE RATE OF 1.5% PER MONTH, COMPOUNDED MONTHLY, FROM THE DUE DATE.
Estimate Includes, but is not limited to:
1. PCJPB Flagging Costs and/or Signal Locator as necessary: Approximately $2,000.00 per flagger per day.
2. PCJPB engineering review, document preparation, processing fees, OSI Oversight etc.: Approximately $180 per hour, as required.
3. PCJPB administrative and legal review costs: As required.
The estimated reimbursable cost of the work to be performed for this project through the PCJPB is: $59,440.00 The estimated length of project is: 291 day(s) Railroad Protective Liability Insurance (RRPLI) will also be required and is not included in this cost estimate. RRPLI may be paid for through the PCJPB, to protect the PCJPB and its member agencies. (For estimated cost please phone En gineering Department Construction Manager listed below)
PENINSULA CORRIDOR JOINT POWERS BOARD APPLICANT
1) 1)
(Acting COO) (Date) (Authorized Representative) (Date)
2) N/A
(Approved as to Form - Counsel) (Date) (Title or Position)
3) 2)
*(Chief Financial Officer) (Date) *(Authorized Budget Officer) signature indicates (Date) availability of budgeted funds in the amount specified above
RETURN ORIGINAL TO:
Peninsula Corridor Joint Powers Board (Title or Position) Engineering Department attn.: Lou Tolentino
1250 San Carlos Ave., San Carlos, CA 94070-1306
(650) 508-7796 FAX (650) 508-7967 *Not required if prepayment received Rev. 12/13/2021