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Home My WebLink AboutVAN HORN FLOORING INSTALLATION; 2012-03-06; PEM574PUBLIC WORKS LETTER OF AGREEiVIENT PEIVI574 This letter will serve as an agreement between Van Horn Flooring Installation, an interior finishing Contractor (Contractor) and the City of Carlsbad (City). The Contractor will provide all equipment, material and labor necessary to remove old wall coverings, prepare, prime and install new wall coverings in three offices at City Hall, per the Contractor's proposal dated January 20, 2012 and City specifications, for a sum not to exceed Three-thousand, Five-hundred and Seventeen dollars ($)3,517.00. This work is to be completed within 15 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 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 indirectiy 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 Csaieyse^ons 1265i^-^^-Sieq.. and Carlsbad Municipal Code Sections 3.32.025, et seq. /^^/^m\t ^C^^^^^nit 6. The Contractor hereby acknowledges that debarment by another jurisdiction is grounds/or^ the Cit/^0f€3rlsbad to disqualify the Contractor from participating in contract bidding. iniC^2ZLinit 1 ~ 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) By:. (Sign Here) (E-mail Acfclress) By: ' (Sign Here) l^^/o^^/^^o,€^ ^yf^^-^A Cc^ (Contractor's License Number) (Print Name and Title) (Print Name and Title) 3 A//^ Datfe Department Head (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: RONALD R. BALL, City Attorney BY: Bfep'uty CitfAttVney ^ Revised 9/28/00 CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of 5^^^0 p\ t^^) ^ ^ ^ »J ' ^ ' (HerHfiscrt name and titleof the ol personally appeared fC/^.m^^tip \/Qy^ V^D^H who proved to me on the basis of satisfactory evidence to be the personJO whose nameof is/are subscribed to the within instrument and acknowledged to me that he/sh6/tj;iey executed the same in his/JwJf/tbdr authorized capacity,4iegT, and that by his/befmi»if signaturo^JiJ on the instrument the persop(^), or the entity upon behalf of which the person(^ acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws ofthe State of Califomia that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature ofNotary PubTic (Notary Seal) i*iriMMkAHfci*^^eMaiAA4p4HdiAidMiH MELISSA PUfNTES Commission # 19061741 Notary Pubtic - Ctliforrtia 1 \3imB&f County * 1 i^y Comm. Expires Oct 3. 20141 1 ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM /Iny acknowledgment completed in Califomia must contain verbiage exactly as appears above in the notary section or a separate acknowledgment form must be properfy completed and attached to that document. The only exception is if a document is to be recorded outside of Califomia. 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 Califomia (i.e. certifying the authorized capacity ofthe signer). Please check the document carefulfy for proper notarial wording and attach this form if required. DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description of Attached document) (Title or description of attached document continued) Number of Pages Document DateC^/ I ^ (Additional information) CAPM JITY CLAIMED BY THE SIGNER %/ Individual (s) • Corporate Officer (Title) • Partner(s) • Attomey-in-Fact • Trustee(s) • Other • 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. The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public). Print the name(s) of document signer(s) who personally appear at the time of notarization. Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. Wshe/theyr is /aw) or circling the correct forms. Failure to correctly indicate this information may lead to rejection of document recording. The notary seal impression must be clear and photographically reproducible. 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 notaiy 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, Secretaiy). Securely attach this document to the signed document 2008 Version CAPA vl2.10.07 800-873-9865 www.NotaryClasses.com 01/24/2012 15:05 FAX ilOOl Van Horn Flooring Installation 1030 Nordahl Road Escondido, CA 92026 Proposal Date Proposal # 1/20/2012 0010 Name / Address City ofCarlsbad 1635 Faraday AVE Corlsbod, CA. 92008-7314 Project City Hall Description Qty Rate Total Quantity 8 S/R Ronald Ball Remove old wall covering from walls. Prep and i»-ime walb with primer /sealer. Install new wall covering Quantity 6 S/R JaneMobald Remove old wall covering from wall. Prep and prime walls with primer/ sealer. InstaU new wall covering Quantity 4 S/R Ronald Kemp Remove old wall covering Irom waits. Prep and prime walls with primer/sealer. Install new wall covering Price includes all materials and laber. All of thc products arc to be installed to thc manufacturers specifications 3,517.00 3,517.00 0.00 0.00 Ifs been a pleasure working with you! Total $3,517.00