HomeMy WebLinkAboutVan Horn Flooring Installation; 2011-12-23; PEM568PUBLIC WORKS
LETTER OF AGREEMENT
PEM568
This letter will serve as an agreement between Van Horn Flooring Installation, a Flooring
installation (Contractor) and the City of Carlsbad (City). The Contractor will provide all
equipment, material and labor necessary to remove the existing flooring, prep and install
Armstrong Connection Corlon vinyl flooring in the Oak Trailer, per the Contractor's proposal
dated October 22, 2011 and City specifications, for a sum not to exceed Two-Thousand and
Nine-hundred and Forty-four dollars ($)2,944.00. This work is to be completed within ten (10)
calendar 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 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 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 five hundred thousand dollars ($500,000) each, unless a lower
amount is approved by the City Attorney or the City Manager. Said policies shall name the
City of Carlsbad as a co-insured or additional insured. Insurance is to be placed with insurers
that have (1) a rating in the most recent Best's Key Rating guide of at least A-:V, and (2) are
admitted and authorized to transact the business of insurance in the State of California by the
Insurance Commissioner. 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,t_^ctions 126607 6b|seq.. and Cartsbad
Municipal Code Sections 3.32.025, et seq. fj^^B.,~. ffrit *C^^j^/7 init
6. The Contractor hereby acknowledges that debarment by another jurisdiction is grounjls^fer
the City pfG^FIsbad to disqualify the Contractor from participating in contract bidding.'
ihttv-^^^^^^nit
Revised 9/28/00
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.
8. The City of Carlsbad is a Charter City. Carlsbad Municipal Code Section 3.28.130
supersedes the provisions of the California Labor Code when the public work is not a
statewide concern. Payment of prevailing wages is at contractor's discretion.
TO INDICATE ACCEPTANCE OF THIS AGREEMENT, PLEASE SIGN IN THE SPACE BELOW
AND RETURN TO:
Bob Richardson PEM, Facilities 405 Oak Ave Carlsbad. CA 92008
(Project Mgr) (Department)
Van Horn Flooring Installation
(Name of Contractor)
(Address)
(Contractor's License Number)
(Sign Here)
"E-mail Address)
(Print Name and Title)
/ 5- h--^ (I
Department Head Date '
(Proper notarial acknowledgment of execution by Contractor must be attached.
Chaftfhirti, presielent or vice-^^^ 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:
RONALD R. BALL, City Attorney
So- Attached_For Official Notaiy
BY:
Deputy City Attorney^
Revised 9/28/00
CALIFORNIA ALL-PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
State of California
County of'%,rA<^ Dlt^tD
On^(IjvtolOM'Ibeforeme, VY^PU^V^^ 1PA>^(\\(f% OC^Ic^^y VVN^ilC ,
(Here insert name and title of the officer)
personally appeared Krn{^CM/^ \J r\ \] Qr ^ ~ -
who proved to me on the basis of satisfactory evidence to be the persor^) whose name(S) is/are subscribed to
the within instrument and acknowledged to me that he/ah^Zthej^executed the same in his/her/thgif authorized
capacity(i€s), and that by his/itdTtJieif signature^3n the instrument the person(^, or the entity upon behalf of
which the personj^ acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and offic
Signature of Notary Public
(Notary Seal)
> ^ MELISSA FUENTE8
Commission # 1906741
Notary Public - California
San Diego CouAty |
Comm. Expires Oct 3.20141
1
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
(Title or description of attached document)
(Title or description of attached document continued)
Number of Pages ^ Document Date ^Z^'
(Additional information)
CAPACITY CLAIMED BY THE SIGNER
1^Individual (s)
• Corporate Officer
(Title)
• Partner(s)
• Attorney-in-Fact
• Trustee(s)
• Other
INSTRUCTIONS FOR COMPLETING THIS FORM
Any acknowledgment completed in California must contain verbiage exactly as
appears above in the notary section or a separate acknowledgment form must be
property completed and attached to that document. The only exception is if a
document is lo be recorded outside of California. In such instances, any alternative
acknowledgment verbiage as may be printed on such a document so long as the
verbiage does not require the notary to do something that is illegal for a notary in
California (i.e. certifying the authorized capacity of the signer). Please check Ihe
document carefully for proper notarial wording and attach this form if required.
• State and County information must be the State and County where the document
signer(s) personally appeared before the notary public for acknowledgment.
• Date of notarization must be the date that the signer(s) personally appeared which
must also be the same date the acknowledgment is completed.
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commission followed by a comma and then your title (notary public).
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Impression must not cover text or lines. If seal impression smudges, re-seal if a
sufficient area permits, otherwise complete a different acknowledgment form.
• Signature of the notary public must match the signature on file with the office of
the county clerk.
<' Additional information Is not required but could help to ensure this
acknowledgment is not misused or attached to a different document.
• Indicate title or type of attached document, number of pages and date.
• Indicate the capacity claimed by the signer. If the claimed capacity is a
corporate officer, indicate the title (i.e. CEO, CFO, Secretary).
• Securely attach this document to the signed document
2008 Version CAPA vl2.10.07 800-873-9865 www.NotaryClasses.com
Van Horn Flooring Installation
1030 Nordahl Road
Escondido, CA 92026
Invoice
Date Invoice #
10/22/2011 2234
Bill To
City of Carlsbad
1635 Faraday AVE
Carlsbad, CA. 92008-7314
P.O. No. Terms Project
0001 Net 15 Ock Avenue Trailer
Quantity Description Rate Amount
Remove existing vinyl, if necessary,in mens restroom.prep floor.
Fitmish and install Armstrong Connection Corlon, color 88700 Anthracite,comraercial
vinyl with
6 inch self cove.
Heat weld seams withW0646 weld rod Vinyl to be installed with Armstrong S599
Adhesive.
All of the products are to be installed to the manufacturer's specifications
2,944.00 2,944.00
Please remit to above address.
Total $2,944.00