HomeMy WebLinkAboutPalomar Flooring Inc; 2020-03-25; PWM20-1057FACRECORDED REQUESTED BY
CITY OF CARLSBAD
AND WHEN RECORDED PLEASE
MAIL TO:
City Clerk
City of Carlsbad
1200 Carlsbad Village Drive
Carlsbad, California 92008
DOC# 2020-0310941
111111111111 lllll 111111111111111 lllll lllll lllll lllll lllll lllll 11111111
Jun 16, 2020 01:19 PM
OFFICIAL RECORDS
Ernest J. Dronenburg, Jr,
SAN DIEGO COUNrY RECORDER
FEES SO 00 (S82 Atkins $0.00)
PAGES 2
Space above this line for Recorder's use.
PARCEL NO: 204-100-06-00
NOTICE OF COMPLETION
Notice is hereby given that:
1. The undersigned is owner of the interest or estate stated below in the property hereinafter described.
2. The full names of the undersigned are City of Carlsbad, a municipal corporation.
3. The full address of the undersigned is 1200 Carlsbad Village Drive, Carlsbad, California 92008.
4. The nature of the title of the undersigned is: In fee.
5. A work or improvement on the property hereinafter described was completed on May 21, 2020.
6. The name of the contractor for such work or improvement is Palomar Flooring, Inc.
7. The property on which said work or improvement was completed is in the City of Carlsbad, County of San Diego,
State of California, and is described as follows: Project No. PWM20-1057FAC, Project Name: Senior Center Four-
Room Floor Renovation.
8. The street address of said property is 799 Pine Ave, Carlsbad, CA 92008, in the City of Carlsbad.
CITY ?f CARLSBAD --
/!r ;·~ LC, '", )_7GeoU Po+n,e I A6$-f.
/" Scott Chadwick, City Manager C, tj
VERIFICATION OF CITY CLERK Nonoje(
I, the undersigned, say:
I am the City Clerk of the City of Carlsbad,, /200 Carlsbad Village Drive, Carlsbad, California, 92008; the
City Manager of said City on lo q , 20 d0, accepted the above described
work as completed and ordered that a Notice of Completion be filed.
I declare under penalty of perjury that the foregoing is true and correct.
Executed on __ /,...,/1-_q _ _,, 20 :)~ at Carlsbad, California.
i
CITY OF CARLSBAD
r, ~ l-/ed6C G,rne 2 r DtPuhj
'ffl BARBARA ENGLESON · C, I fJ
City Clerk C ) t 1~
Q:\Pubhc Works\General Services\Agreements & Contracts\Palomar Flooring\Senior Center Four-Room Floor Renovation -PWM20-1057FAC\4. NOC\2.NOC -
Senior Center Four-Room Floor Renovation -PWM20-1057FAC.docx
CITY OF CARLSBAD
ACCEPTANCE OF PUBLIC IMPROVEMENTS
COMPLETION OF PUBLIC IMPROVEMENTS
Palomar Flooring, Inc. has completed the contract work required for PWM20-1057FAC ~ Senior
Center Four-Room Floor Renovation. City forces have inspected the work and found it to be
satisfactory. The work consisted of:
IMPROVEMENTS
Floor renovation.
VALUE
$50 983
CITY MANAGER'S ACCEPTANCE OF PUBLIC IMPROVEMENTS
The construction of the above described contract is deemed complete and hereby accepted. The
City Clerk is hereby authorized to record the Notice of Completion and release the bonds in
accordance with State Law and City Ordinances.
The City of Carlsbad is hereby directed to commence maintaining the above described
improvements.
,L fjµ; \~ -. beoll /'ofnoe , A65~ ,J Scott Chadwick, City Managef ' Date 7
APPROVED AS TO FORM:
O:\Publlt Woool\G.,neral Se<Viees\Ag,e<>menls IL ContraclS\Polom•r Floo,ing\Sen!or CM!or Four-Room Floor Renov!llion • PWM20,1057FAC\4. NOC\3.APl • Senior Center Four.
Room Floor Renm,auon -PWM2tJ.1057FAC.docx
DocuSign Envelope ID: 484719E9-0927-4F86-BC75-FCAEC7CB9B9B
25th March
CITY OF CARLSBAD
MINOR PUBLIC WORKS CONTRACT
SENIOR CENTER FOUR-ROOM FLOOR RENOVATION
PWM20-1057FAC
This agreement is made on the ______ day of ___________ , 2020, by the City
of Carlsbad, California, a municipal corporation, (hereinafter called "City"), and Palomar Flooring, Inc., a
California corporation whose principal place of business is 8525 Camino Santa Fe #F, San Diego, CA
92121 (hereinafter called "Contractor").
City and Contractor agree as follows:
DESCRIPTION OF WORK. Contractor shall perform all work specified in the Contract documents for the
project described by these Contract Documents (hereinafter called "Project").
PROVISIONS OF LABOR AND MATERIALS. · Contractor shall provide all labor, materials, tools,
equipment, and personnel to perform the work specified by the Contract Documents unless excepted
elsewhere in this Contract.
CONTRACT DOCUMENTS. The Contract Documents consist of this Contract, exhibits to this Contract,
Contractor's Proposal, the Plans and Specifications, the General Provisions, addendum(s) to said Plans
and Specifications, and all proper amendments and changes made thereto in accordance with this Contract
or the Plans and Specifications, all of which are incorporated herein by this reference. When in conflict,
this Contract will supersede terms and conditions in the Contractor's proposal.
LABOR. Contractor will employ only skilled workers and abide by all State laws and City of Carlsbad
Ordinances governing labor.
GUARANTEE. Contractor guarantees all labor and materials furnished and agrees to complete the Project
in accordance with directions and subject to inspection approval and acceptance by: Brian Bacardi
(City Project Manager).
WAGE RATES. The general prevailing rate of wages for each craft or type of worker needed to execute
the Contract shall be those as determined by the Director of Industrial Relations pursuant to Sections 1770,
1773 and 1773.1 of the Labor Code. Pursuant to Section 1773.2 of the Labor Code, a current copy of the
applicable wage rates is on file in the Office of the City Engineer. Contractor shall not pay less than the said
specified prevailing rates of wages to all workers employed by him or her in execution of the Contract.
Contractor shall be responsible for insuring compliance with provisions of section 1777.5 of the Labor Code
and section 4100 et seq. of the Public Contracts Code, "Subletting and Subcontracting Fair Practices Act."
The City Engineer is the City's "duly authorized officer" for the purposes of section 4107 and 4107.5.
The provisions of Part 7, Chapter 1, of the Labor Code commencing with section 1720 shall apply to the
Contract for work.
A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the
requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract
for public work, unless currently registered and qualified to perform public work pursuant to Section 1725.5.
This project is subject to compliance monitoring and enforcement by the Department of Industrial Relations.
Contractor and any subcontractors shall comply with Section 1776 of the California Labor Code, which
generally requires keeping accurate payroll records, verifying and certifying payroll records, and making
them available for inspection. Contractor shall require any subcontractors to comply with Section 1776.
FALSE CLAIMS. Contractor hereby agrees that any contract claim submitted to the City must be asserted
as part of the contract process as set forth in this agreement and not in anticipation of litigation or in
conjunction with litigation.
Senior Center Four-Room Floor Renovation Page 1 of 9 City Attorney Approved 1/25/2019
DocuSign Envelope ID: 484719E9-0927-4F86-BC75-FCAEC7CB9B9B
PWM20-1057FAC
Contractor acknowledges that California Government Code sections 12650 et seq., the False Claims Act,
provides for civil penalties where a person knowingly submits a false claim to a public entity. These
provisions include false claims made with deliberate ignorance of the false information or in reckless
disregard of the truth or falsity of the information.
The provisions of Carlsbad Municipal Code sections 3.32.025, 3.32.026, 3.32.027 and 3.32.028 pertaining
to false claims are incorporated herein by reference.
Contractor hereby acknowledges that the filing of a false claim may subject the Contractor to an
administrative debarment proceeding wherein the contractor may be prevented from further bidding on
public contracts for a period of up to five years and that debarment by another jurisdiction is grounds for
the City of Carlsbad to disqualify the Contractor or subcont ctor from participating in contract bidding.
Signature:
Print Name:
REQUIRED INSURANCE. The successful contractor shall provide to the City of Carlsbad, a Certification
of Commercial General Liability and Property Damage Insurance and a Certificate of Workers'
Compensation Insurance indicating coverage in a form approved by the California Insurance Commission.
The certificates shall indicate coverage during the period of the contract and must be furnished to the City
prior to the start of work. The minimum limits of liability insurance are to be placed with California admitted
insurers that have a current Best's Key Rating of not less than "A-:VII"; OR with a surplus line insurer on
the State of California's List of Approved Surplus Line Insurers (LASLI) with a rating in the latest Best's Key
Rating Guide of at least "A:X"; OR an alien non-admitted insurer listed by the National Association of
Insurance Commissioners (NAIC) latest quarterly listings report.
Commercial General Liability Insurance of Injuries including accidental death, to any one person in an
amount not less than ........ $1 ,000,000
Subject to the same limit for each person on account of one accident in an amount not less than
....... $1 ,000,000
Property damage insurance in an amount of not less than ........ $1 ,000,000
Automobile Liability Insurance in the amount of $1 ,000,000 combined single limit per accident for bodily
injury and property damage. In addition, the auto policy must cover any vehicle used in the performance of
the contract, used onsite or offsite, whether owned, non -owned or hired, and whether scheduled or non-
scheduled. The automobile insurance certificate must state the coverage is for "any auto" and cannot be
limited in any manner.
The above policies shall have non-cancellation clauses providing that thirty (30) days written notice shall
be given to the City prior to such cancellation.
The policies shall name the City of Carlsbad as an additional insured. The full limits available to the named
insured shall also be available and applicable to the City as an additional insured .
WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY. Workers' Compensation limits as
required by the California Labor Code. Workers' Compensation will not be required if Contractor has no
employees and provides, to City's satisfaction, a declaration stating this.
BUSINESS LICENSE. The Contractor and all subcontractors are required to have and maintain a valid
City of Carlsbad Business License for the duration of the contract.
INDEMNITY. The Contractor shall assume the defense of, pay all expenses of defense, and indemnify and
hold harmless the City, and its officers and employees, from all claims, loss, damage, injury and liability of
every kind, nature and description, directly or indirectly arising from or in connection with the performance
of the Contract or work; or from any failure or alleged failure of Contractor to comply with any applicable
Senior Center Four-Room Floor Renovation Page 2 of 9 City Attorney Approved 1/25/2019
DocuSign Envelope ID: 484719E9-0927-4F86-BC75-FCAEC7CB9B9B
PWM20-1057FAC
law, rules or regulations including those related to safety and health; and from any and all claims, loss,
damages, injury and liability, howsoever the same may be caused, resulting directly or indirectly from the
nature of the work covered by the Contract, except for loss or damage caused by the sole or active
negligence or willful misconduct of the City. The expenses of defense include all costs and expenses
including attorneys' fees for litigation, arbitration, or other dispute resolution method.
JURISDICTION. The Contractor agrees and hereby stipulates that the proper venue and jurisdiction for
resolution of any disputes between the parties arising out of this agreement is San Diego County,
California.
Start Work: Contractor agrees to start within ten (10) working days after receipt of Notice to Proceed.
Completion: Contractor agrees to complete work within forty-five (45) working days after receipt of Notice
to Proceed.
CONTRACTOR'S INFORMATION.
Ill
Ill
Ill
Ill
Ill
Ill
Ill
Palomar Flooring, Inc.
(name of Contractor)
984058
(Contractor's license number)
C-15 6/30/2021
(license class. and exp. date)
1000025735
(DIR registration number)
6/30/2020
(DIR registration exp. date)
Senior Center Four-Room Floor Renovation Page 3 of 9
8525 Camino Santa Fe #F
(street address)
San Diego, CA 92121
(city/state/zip)
858-457-1122
(telephone no.)
858-457-1188
(fax no.)
carey@palomarfloors.com
(e-mail address)
City Attorney Approved 1/25/2019
DocuSign Envelope ID: 484719E9-0927-4F86-BC75-FCAEC7CB9B9B
PWM20-1057FAC
AUTHORITY. The individuals executing this Agreement and the instruments referenced in it on behalf of
Contractor each represent and warrant that they have the legal power, right and actual authority to bind
Contractor to the terms and conditions of this Agreement.
CONTRACTOR
PALOMAR FLOORING, INC.,
a California corpor tion
B ·
(sign here)
2l/;uµ :701,%~ O,e 0·1 oer1+-
(print name/title)'
By:
l~~:t_ (sign here)
A().•~\ S:,h"'a.,u,b.t.,t +-&c..re.--+v. . .rv
(print name/title) 1 /
CITY OF CARLSBAD, a municipal corporation
of the State of California
By:
Jlr, &ei
Paz Gomez, Deputy City Manager, Public
Works, as authorized by the City Manager
If required by City, proper notarial acknowledgment of execution by Contractor must be attached . If a
corporation, Agreement must be signed by one corporate officer from each of the following two groups:
Group A
Chairman,
President, or
Vice-President
Group B
Secretary,
Assistant Secretary,
CFO or Assistant Treasurer
Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under
corporate seal empowering the officer(s) signing to bind the corporation.
APPROVED AS TO FORM :
CELIA A BREWER, City Attorney
BY: 20,., lk,,..?
Assistant City Attorney
Senior Center Four-Room Floor Renovation Page 4 of 9 City Attorney Approved 1/25/2019
DocuSign Envelope ID: 484719E9-0927-4F86-BC75-FCAEC7CB9B9B
PWM20-1057FAC
EXHIBIT A
LISTING OF SUBCONTRACTORS BY GENERAL CONTRACTOR
Set forth below is the full name and location of the place of business of each sub-contractor whom the
Contractor proposes to subcontract portions of the Project in excess of one-half of one percent of the total
bid, and the portion of the Project which will be done by each sub-contractor for each subcontract.
NOTE: The Contractor understands that if it fails to specify a sub-contractor for any portion of the Project
to be performed under the contract in excess of one-half of one percent of the bid, the contractor
shall be deemed to have agreed to perform such portion, and that the Contractor shall not be
permitted to sublet or subcontract that portion of the work, except in cases of public emergency or
necessity, and then only after a finding, reduced in writing as a public record of the Awarding
Authority, setting forth the facts constituting the emergency or necessity in accordance with the
provisions of the Subletting and Subcontracting Fair Practices Act (Section 4100 et seq. of the
California Public Contract Code).
If no subcontractors are to be employed on the project, enter the word "NONE."
SUBCONTRACTORS
Portion of Project to Business Name and Address DIR Registration License No., %of
be Subcontracted No. Classification & Total
Expiration Date Contract
rvv~ n-
Total % Subcontracted:
The Contractor must perform no less than fifty percent (50%) of the work with its own forces.
Senior Center Four-Room Floor Renovation Page 5 of 9 City Attorney Approved 1/25/2019
DocuSign Envelope ID: 484719E9-0927-4F86-BC75-FCAEC7CB9B9B
PWM20-1057FAC
EXH IBIT B
Senior Center Four-Room Floor Renovation
Contractor will remove existing Luxury Vinyl Tile (LVT), existing base, and all substrate material and replace
with new glue down LVT (or equivilant) and 4" rubber base in four rooms at the Carlsbad Senior Center (Art
Room, Auditorium, Billiards Room and Computer Room-see Exhibit D), located at 799 Pine Avenue .
Contractor will provide all labor and materials required to install new LVT and rubber base in four Senior
Center rooms as scheduled by the Contract Administrator. Work includes but is not limited to:
• moisture and alkalinity testing of all four room floors
• recycling of original floor material removed from rooms
• grinding, patching, skim coating and leveling all floors (to match L VT manufacturer's
standards) using :
1. MVR/Leveling system (Sika MB moisture barrier)
2. Sika Primer 02 EZ and Sika Level-225 (or equivalent products), up to¼" thick
3. Pressure sensitive Metroflor adhesive (or equivalent)
4. New LVT (Metrofloor's Deja New San Marcos Oak DN1445101 or 108, color to be
determined)
5. New 4" Jonsonite rubber base (or equivalent), (color to be determined)
• matching new transitions at floor changes
• saving and re-using existing wood quarter-round in the Billiards Room
• movement and replacement of pool tables (all other furniture will be moved by city staff).
All products used during as part of this contract shall be use as directed by the manufactures specifications.
Contractor will provide one (1) box for every fifty (50) of LVT installed and ten (10) linear feet for every five
hundred (500) linear feet (or fraction of) of rubber base installed.
Contractor will clean-up all work spaces after each day of work/installation.
JOB QUOTATION
ITEM UNIT QTY DESCRIPTION PRICE
NO.
1 LS 1 Art Room (approximately 906.24 SF) $9,685.95
2 LS 1 Auditorium (approximately 2,300.53 SF) $23,437.45
3 LS 1 Billiards Room (approximately 569 .86 SF) $7,619.49
4 LS 1 Computer Lab (approximately 768.60 SF) $8,560.99
5 LS 1 Labor and Materials Bond $1,679.12
TOTAL* $50,983.00
*Includes taxes, fees, expenses and all other costs.
Senior Center Four-Room Floor Renovation Page 6 of 9 City Attorney Approved 1/25/2019
DocuSign Envelope ID: 484719E9-0927-4F86-BC75-FCAEC7CB9B9B
PWM20-1057FAC
EXHIBIT C Bond Number: 32S613415
LABOR AND MATERIALS BOND
WHEREAS, the City Council of the City of Carlsbad, State of California, has awarded to Palomar Flooring,
Inc., a California corporation (hereinafter designated as the "Principal"), a Contract for:
SENIOR CENTER FLOOR RENOVATION
CONTRACT NO. 4738
in the City of Carlsbad, in strict conformity with the drawings and specifications, and other Contract
Documents now on file in the Office of the City Clerk of the City of Carlsbad and all of which are incorporated
herein by this reference.
WHEREAS, Principal has executed or is about to execute said Contract and the terms thereof require the
furnishing of a bond, providing that if Principal or any of its subcontractors shall fail to pay for any materials,
provisions, provender or other supplies or teams used in , upon or about the performance of the work agreed
to be done, or for any work or labor done thereon of any kind, the Surety on this bond will pay the same to
the extent hereinafter set forth.
NOW, THEREFORE, WE, Palomar Flooring, Inc., as Principal, (hereinafter designated as the "Contractor"),
and The Ohio Casualty Insurance Company as Surety, are held firmly
bound unto the City of Carlsbad in the sum of fifty thousand nine hundred eighty three Dollars ($50,983),
said sum being an amount equal to: One hundred percent (100%) of the total amount payable under the
terms of the Contract by the City of Carlsbad, and for which payment well and truly to be made we bind
ourselves, our heirs, executors and administrators, successors, or assigns, jointly and severally, firmly by
these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH that if the Contractor or his/her subcontractors fail to
pay for any materials, provisions, provender, supplies, or teams used in, upon, for, or about the performance
of the work contracted to be done, or for any other work or labor thereon of any kind, consistent with
California Civil Code section 9100, or for amounts due under the Unemployment Insurance Code with
respect to the work or labor performed under this Contract, or for any amounts required to be deducted,
withheld, and paid over to the Employment Development Department from the vyages of employees of the
contractor and subcontractors pursuant to section 13020 of the Unemployment Insurance Code with
respect to the work and labor, that the Surety will pay for the same, and, also, in case suit is brought upon
the bond, reasonable attorney's fees, to be fixed by the court consistent with California Civil Code section
9554.
This bond shall inure to the benefit of any of the persons named in California Civil Code section 9100, so
as to give a right of action to those persons or their assigns in any suit brought upon the bond.
Surety stipulates and agrees that no change, extension of time, alteration or addition to the terms of the
Contract, or to the work to be performed hereunder or the specifications accompanying the same shall
affect its obligations on this bond , and it does hereby waive notice of any change, extension of time,
alterations or addition to the terms of the contract or to the work or to the specifications.
Senior Center Four-Room Floor Renovation Page 7 of 9 City Attorney Approved 1/25/2019
DocuSign Envelope ID: 484719E9-0927-4F86-BC75-FCAEC7CB9B9B
\
PWM2O-105 7FAC
In the event that Contractor is an individual, it is agreed that the death of any such Contractor shall not
exonerate the Surety from its obligations under this bond.
SIGNED AND SEALED, this __ 2_0_th ____ day of March 20 20 ' --
_P_a_lo_m_a_r_F_l_oo_r_in~g~,_l_nc _______ (SEAL)
(Principal)
By: ____________ _
(Signature)
The Ohio Casualty Insurance Company (SEAL)
(Surety)
(SEAL AND NOTARIAL ACKNOWLEDGEMENT OF SURETY -ATTACH ATTORNEY-IN-FACT
CERTIFICATE)
APPROVED AS TO FORM:
CELIA A. BREWER
City Attorney
By: '20., ~?
Assistant City Attorney
Senior Center Four-Room Floor Renovation Page 8 of9 City Attorney Approved 1/25/2019
DocuSign Envelope ID: 484719E9-0927-4F86-BC75-FCAEC7CB9B9B
<Ii (1)
$ C:
This Power of Attorney limits the acts of those named herein, and tpey have no authority to bind the Company except in the manner and to the extent herein stated.
The Ohio Casualty Insurance Company
POWER OF ATTORNEY
Surety Bond Number:=3=2~5~6~1~3~4~1~5~-----Principal: Palomar Flooring, Inc
Bond Amount: ($50,983.00 )Fifty Thousand Nine Hundred Eighty-three Dollars And Zero Cents
KNOW ALL PERSONS BY THESE PRESENTS: that The Ohio Casualty Insurance Company, a corporation duly organized under the laws of the State of New Hampshire (herein
collectively called the "Company"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, _T_o_n~y_K_a_tz_d_o_n_1 ____________ _
all in the city of Valley Center , state of CA each individually if there be more than one named, its true and lawful attorney-in-fact to make, execute,
seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of
these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Company in their own proper
persons.
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Company and the corporate seal of the Company has been affixed
thereto this~ day of September , ~-
The Ohio Casualty Insurance Company
David M. Carey, Assistant Secretary
, cu STATE OF PENNSYLVANIA € ~ COUNTY OF MONTGOMERY ss
l!! Cl
~ ~ On this ~ day of September , 2016 , before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of The Ohio
~ iii Casualty Insurance Company and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the ~ .:: corporations by himself as duly authorized officer.
..!!! ~ g ~ IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written.
.2 l!!
<11" 0
... (1) o,....
C: cu " ...
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Teresa Pastella, Notary Public
Upper Merion Twp., Montgomery County
My Commission Expires March 28, 2021
Member, Pennsylvama Assoc1allon or Notaries
By:~~
Teresa Pastella, Notary Public (1) ... Cl U> cu (1) e>; ~ £1 This Power of Attorney is made and executed pursuant to and by authority of the following By-law and Authorizations of The Ohio Casualty Insurance Company, which is now in full
E ai force and effect reading as follows: ...... 0 CU .......
"C >-ARTICLE IV -OFFICERS -Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and
~ g subject to such limitation as the Chairman or the President may prescribe, shall appoint such attorneys-in-fact, as may be necessary to act in behalf of the Corporation to make,
;: l!! execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and olher surety obligations. Such attorneys-in-fact, subject to the limitations set
~ :i forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and executed, such instruments shall be as binding as if signed by the
u President and attested to by the Secretary. Any power or authority granted to any representative or attorney-in-fact under the provisions of this article may be revoked at any time by
the Board, the Chairman, the President or by the officer or officers granting such power or authority.
Certificate of Designation -The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such
attorneys-in-fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances
and other surety obligations.
Authorization -By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of
the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the
Company with lhe same force anq effect as though manually affixed.
I, Renee C. Llewellyn, the undersigned, Assistant Secretary, of The Ohio Casualty Insurance Company do hereby certify that the original power of attorney of which the foregoing is a
full, true and correct copy of the Power of Attorney executed by said Company, is in full force and effect and has not been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Company this __ 2_0_th __ day of ____ M_a_rc_·h _____ 2_0_20 __
//-~
By:=-'~-~~~~~~~~--------Renee C. Llewellyn, Assistant Secretary
POAOutputOC
M (.D
(.D N I ~ ~ 00 00 . 00>-00 cu "C = U) cu (/) u<11 >.c: (1)•-c: (/) ... ::I 0.0 :i:: >, <( C: .... cu
0 C: ... 0 ;1-ocn a.W
.!!! E .c: Cl. ... 0 ..,_M 0 ..
~r--·-"C "C C: = cu
~E
(1) cu .c:o -o Eco ...
·-C: .... (1) C: (1)
8~ 0 a,
l-.0
DocuSign Envelope ID: 484719E9-0927-4F86-BC75-FCAEC7CB9B9B
PWM20-1057FAC
In the event that Contractor is an individual, it is agreed that the death of any such Contractor shall not
exonerate the Surety from its obligations under this bond.
SIGNED AND SEALED, this . /~ day of -----'711----'-_/I..__-/Z-_C_h _____ _,, 2o_z_o_·
_/_~· tt_-l_-o_l11_1_q/2__f-_7_ct?_f'~t~/U~G __ (SEAL)
(Principal)
By~{,_u~ (ii?n-i
___________ (SEAL)
(Surety)
By: ____________ _
(Signature)
(SEAL AND NOTARIAL ACKNOWLEDGEMENT OF SURETY-ATTACH ATTORNEY-IN-FACT
CERTIFICATE)
APPROVED AS TO FORM:
CELIA A BREWER
City Attorney
By: r;2o., ~?
Assistant City Attorney
Senior Center Four-Room Floor Renovation Page 8 of 9 City Attorney Approved 1/25/2019
DocuSign Envelope ID: 484719E9-0927-4F86-BC75-FCAEC7CB9B9B
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 S,CA..-" 'I),·-eso
before me, 'b;:). N~}--<:1-.
(i sert name and title of the office
personally appeared Vv\ Qi(lc lv\0v:tti, QJ.J.J ;.:!o h ,A .. --S.o n
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/sMeftt-tey-executed the same in
his/l'lerftheif authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Signature __ '})~--"-+-\')~·T'_· _N.._··_'~--e_t_b_{_CJ_iL_, __ _
\ (Seal)
DocuSign Envelope ID: 484719E9-0927-4F86-BC75-FCAEC7CB9B9B
PWM20-1057FAC
EXHIBITD
Senior Center Four-Room Floor Renovation Locations
Senior Center Four-Room Floor Renovation Page 9 of 9
j
SENIOR CENTER
PINE AVENUE
FIRST FLOOR