HomeMy WebLinkAboutStatewide Stripes Inc; 2020-03-19; PWL20-1075FACRBARA ENGLESON
DOC# 2020-0473818
110101110101011011101101110111111011111111111101111
Aug 21, 2020 09:46 AM
OFFICIAL RECORDS
Ernest J. Dronenburg, Jr.,
SAN DIEGO COUNTY RECORDER
FEES: $0.00 (SB2 Atkins: $0.00)
PAGES: 1
RECORDED REQUESTED BY
CITY OF CARLSBAD
AND WHEN RECORDED PLEASE
MAIL TO:
City Clerk
City of Carlsbad
1200 Carlsbad Village Drive
Carlsbad, California 92008
Space above this line for Recorder's use.
PARCEL NO: 209-050-26-00
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 April 20, 2020.
6. The name of the contractor for such work or improvement is Statewide Stripes, 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. PWL20-1075FAC, Contract Name, Installation of
Safety Bollards at the Safety Training Center.
8. The street address of said property is 5750 Orion Street, in the City of Carlsbad.
CITY OF CARLSBAD
Geoff Patnoe, Assistant City Manager
VERIFICATION OF CITY CLERK
I, the undersigned, say:
I am the City Clerk of the City of Carlsbad, 1200 Carlsbad Village Drive, Carlsbad, California, 92008; the
City Manager of said City on (-- -1_ , 20,3-0, accepted the above described
work as completed and ordered t at a Notice of Completion be filed.
I declare under penalty of perjury that the foregoing is true and correct.
Executed on
(
S_tf-4%g-- C1-20 7-iat Carlsbad, California.
CITY OF CARLSBAD
City Clerk
CITY OF CARLSBAD
ACCEPTANCE OF PUBLIC IMPROVEMENTS
COMPLETION OF PUBLIC IMPROVEMENTS
Statewide Stripes, Inc. has completed the contract work required for Project No. PWL20-
1075FAC, Installation of Safety Bollards at the Safety Training Center. City forces have inspected
the work and found it to be satisfactory. The work consisted of:
IMPROVEMENTS VALUE
Installation of Safety Bollards at the Safety Training $1,850.00
Center
CERTIFICATION OF COMPLETION OF IMPROVEMENTS
c_74.4 4\V‘J\k,\ A L7*2-02.-0
John Maashoff, Public Works Man,ager Date
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.
Geoff Patnoe, Assistant City Manager Date
APPROVED AS TO FORM:
CELIA BREWER, City Attorney
By:
As istant City Attorney
PWL20-1075FAC
Installation of Safety Bollards
at the Safety Training Center - 1 - City Attorney Approved 2/29/2016
CITY OF CARLSBAD
PUBLIC WORKS LETTER OF AGREEMENT
INSTALLATION OF SAFETY BOLLARDS AT THE SAFETY TRAINING CENTER
This letter will serve as an agreement between Statewide Stripes, Inc., a California corporation (Contractor)
and the City of Carlsbad (City). The Contractor will provide all equipment, material and labor necessary to
install permanent bollards at the Safety Training Center, per Exhibit A, B and City specifications, for a sum
not to exceed one thousand eight hundred fifty dollars ($1,850). This work is to be completed within seven
(7) working days after issuance of a Purchase Order.
ADDITIONAL REQUIREMENTS
1. City of Carlsbad Business License.
2. The Contractor shall assume the defense of, pay all expenses of defense, and indemnify and hold
harmless the City, and its agents, officers, officials, employees, and volunteers 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 this Contract or work; or from any failure or alleged failure of the
contractor to comply with any applicable law, rules or regulations including those relating to safety and
health; except for loss or damage which was caused solely by the active negligence of the City; and
from any and all claims, loss, damage, injury and liability, howsoever the same may be caused, resulting
directly or indirectly from the nature of the work covered by this Contract, unless the loss or damage
was caused solely by the active negligence of the City. The expenses of defense include all costs and
expenses, including attorney’s fees for litigation, arbitration, or other dispute resolution method.
3. Contractor shall furnish policies of general liability insurance, automobile liability insurance and a
combined policy of workers compensation and Employers’ Liability in an insurable amount of not less
than one million dollars ($1,000,000) each, unless a lower amount is approved by the Risk Manager or
the City Manager. Said 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. Insurance is 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. Proof of all such insurance shall be given by filing certificates of
insurance with contracting department prior to the signing of the contract by the City.
4. The Contractor shall be aware of and comply with all Federal, State, County and City Statues,
Ordinances and Regulations, including Workers Compensation laws (Division 4 California Labor Code)
and the “Immigration Reform and Control Act of 1986” (8USC, Sections 1101 through 1525), to include
but not limited to, verifying the eligibility for employment of all agents, employees, subcontractors and
consultants that are included in this Contract.
5. The Contractor may be subject to civil penalties for the filing of false claims as set forth in the California
False Claims Act, Government Code sections 12650, et seq., and Carlsbad Municipal Code Sections
3.32.025, et seq. __________ init __________ init
6. The Contractor hereby acknowledges that debarment by another jurisdiction is grounds for the City of
Carlsbad to disqualify the Contractor from participating in contract bidding. _______ init _______ init
7. 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.
DocuSign Envelope ID: 9E29ADF4-76A9-4DAF-9B91-9A49AE65A8F5
PWL20-1075FAC
Installation of Safety Bollards
at the Safety Training Center - 2 - City Attorney Approved 2/29/2016
8. 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 the Section 1770, 1773
and 1773.1 of the California Labor Code. Pursuant to Section 1773.2 of the California Labor code, a
current copy of 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 the
execution of the work covered by this Letter of Agreement. 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.
9. City Contact: Jason Kennedy, 760-931-2236
Contractor Contact: Adam Orellana, 858-560-6887
CONTRACTOR
STATEWIDE STRIPES, INC., a California
corporation
CITY OF CARLSBAD, a municipal corporation of
the State of California
P.O. Box 600710
San Diego, CA 92160-0710
P: 858-560-6887
adam@statewidestripes.com
By: By:
(sign here)
Jason McElveny/
Vice-President & Secretary
Paz Gomez, Deputy City Manager,
Public Works, as authorized by the City Manager
(print name/title)
By: Dated:
(sign here)
(print name/title)
(Proper notarial acknowledgment of execution by Contractor must be attached.
Chairman, president or vice-president and secretary, assistant secretary, CFO or assistant treasurer
must sign for corporations. 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:
Assistant City Attorney
DocuSign Envelope ID: 9E29ADF4-76A9-4DAF-9B91-9A49AE65A8F5
March 19, 2020
PWL20-1075FAC
Installation of Safety Bollards
at the Safety Training Center - 3 - City Attorney Approved 2/29/2016
EXHIBIT A
INSTALLATION OF SAFETY BOLLARDS AT THE SAFETY TRAINING CENTER
SCOPE OF WORK AND FEE
Contractor will install two (2) galvanized 4-inch permanent bollards per San Diego Regional Standard
Drawing #WM-04 Type A. Safety bollards will be installed around the gas meter that services the Carlsbad
Safety Training Center located at 5750 Orion Street, Carlsbad, CA 92010. Contractor will be required to
contact Dig Alert prior to the start of the project.
ITEM
NO.
DESCRIPTION QTY UNIT OF
MEASURE
UNIT
PRICE
PRICE
1
Supply and Install two (2) 4-inch galvanized
Safety Bollards at main gas meter at Orion
Street main entrance to Safety Training Center.
1 LS $1,850 $1,850
TOTAL* $1,850
*Includes taxes, fees, expenses and all other costs.
DocuSign Envelope ID: 9E29ADF4-76A9-4DAF-9B91-9A49AE65A8F5
PWL20-1075FAC
Exhibit BDocuSign Envelope ID: 9E29ADF4-76A9-4DAF-9B91-9A49AE65A8F5
See below
ILT4050311,CGD246 0419 forms attached.
Re: SWS Job # 3131, Project Name: Thermoplastic, Installations at Various Crosswalks, Contract #: PWM20-858GS.
The General Liability policy includes an automatic additional insured endorsement that provides additional insured status to the City of Carlsbad only when
there is a written contract that requires such status, and only with regard to work performed by or on behalf of the named insured.
The Excess/Umbrella coverage limits are in addition to those provided by general liability coverage. The Workers Compensation policy provides a Blanket
Waiver of Subrogation in favor of the same, only when there is a written agreement that requires such status, and only with regard to work performed by or
on behalf of the named insured. The general & auto liability and workers comp policiesincludean automatic status endorsement providing that 30 days
STATESTR8
2/26/2020
Paulette Studybaker
Commercial Lines - (916) 589-8000 916.883.0650
USI Insurance Services LLC - CA Lic#: 0G11911 paulette.studybaker@usi.com
10940 White Rock Rd, 2nd FL
Rancho Cordova, CA 95670 Travelers Indemnity Co. of Connecticut 25682
Travelers Property Casualty Co of America 25674
Statewide Stripes Inc.
P.O. Box 600710
San Diego CA 92160
14838902
XA X CO6K540018TCT20 1,000,00003/01/2020 03/01/2021
X 300,000
5,000
1,000,000
2,000,000
X 2,000,000
PD Ded Per Occurance 2,500
B 8108L4794762026G 03/01/2020 03/01/2021 1,000,000
X
X X
XB CUP7K1613172026 03/01/2020 03/01/2021 9,000,000
X 9,000,000
B X UB009M763376 01/01/2020 01/01/2021 X
1,000,000
Y 1,000,000
1,000,000
City of Carlsbad/CMWD
c/o EXIGIS Insurance Compliance Services
P.O. Box 4668 - ECM #35050
New York, NY 10163-4668
Additional Remarks Schedule (Continued from Page 1)
Additional Remarks Schedule-Con't
Client Code: STATESTR8 SID: 14838902
notice of cancellation and will be given to the Certificate Holder by the Insurance Carrier where required by written agreement. Per Project aggregate limit
apples as respects general liability.
This certificate replaces the certificate issued 1/7/19 which is null and void.
CO6K540018TCT20
8108L4794762026G