Loading...
Villalobos and Assoc Contract.pdfCity of Gilroy Agreement/Contract Tracking Today’s Date: February 8, 2024 Your Name: Marco Martinez Contract Type: Services over $5k - Contractor - NO ENG OR DESIGN Phone Number: 669-437-1906 (mobile) 408-846-0292 (office) Contract Effective Date: (Date contract goes into effect) Click here to enter a date. Contract Expiration Date: Until Project Completion Contractor / Consultant Name: (if an individual’s name, format as last name, first name) Villalobos & Associates 645 Rucker Avenue Gilroy, CA 95020 Taxpayer ID: 81-2278813 Contractor’s License #: 1017098 Signer’s Name/Title: Tranquilino Villalobos/ President Contract Subject: (no more than 100 characters) FY24 Annual Citywide Curb Ramp Project No. 24-PW-286 Contract Amount: (Total Amount of contract. If no amount, leave blank) $104,130.00 By submitting this form, I confirm this information is complete: Date of Contract Contractor/Consultant name and complete address Terms of the agreement (start date, completion date or “until project completion”, cap of compensation to be paid) Scope of Services, Terms of Payment, Milestone Schedule and exhibit(s) attached Taxpayer ID or Social Security # and Contractors License # if applicable Contractor/Consultant signer’s name and title City Administrator or Department Head Name, City Clerk (Attest), City Attorney (Approved as to Form) Routing Steps for Electronic Signature Risk Manager City Attorney Approval As to Form City Administrator or Department Head City Clerk Attestation DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E 24PW1174 TYPE OF PROCURMENT DOLLAR THRESHOLD / SIGNING AUTHORITY STAFF LEVEL DEPARTMENT HEAD CITY ADMINISTRATOR COUNCIL APPROVAL $0-$999.99 $1,000-$49,999.99 $50,000-$99,999.99 $100,000-Above EQUIPMENT /SUPPLIES/ MATERIALS Furniture, hoses, parts, pipe manholes, office supplies, fuel, tools, PPE items, etc… • Vendor selection at discretion of staff Payment Method Purchase Card or Payment Request (if vendor does not accept credit cards) • Informal bid/quotation – 3 quotes (verbal or written) • Purchasing Summary form w/ Purchasing Approval • Purchase Requisition Payment Method Purchase Order* • Informal bid/quotation – 3 written quotes • Purchasing Summary form w/ City Administrator Approval • Purchase Requisition Payment Method Purchase Order • Formal Bid • Advertisement • Council Approval • Purchase Requisition signed by City Administrator Payment Method Purchase Order GENERAL SERVICES Janitorial, landscape maintenance, equipment repair, installation, graffiti abatement, service inspections, uniform cleaning, etc… • Vendor selection at discretion of staff • May require insurance documents depending on scope/ nature of work Payment Method Purchase Card (if incorporated) Signed Payment Request (if so proprietor or partner) • Informal bid/quotation – 3 quotes (verbal or written) • Purchasing Summary form w/ Department Head Approval • Standard Agreement • Purchase Requisition Payment Method Purchase Order* • Informal Bid/RFP quotation – 3 written quotes • Purchasing Summary form w/ City Administrator Approval • Standard Agreement • Purchase Requisition Payment Method Purchase Order • Formal Bid/RFP/RFQ • Advertisement • Council Approval • Standard Agreement • Purchase Requisition Payment Method Purchase Order PROFESSIONAL SERVICES Consultants, architects, designers, auditors, etc... • Vendor selection at the discretion of staff • Purchase Summary Form w/ Purchasing Approval • Standard Agreement signed by Department Head • Purchase Requisition Payment Method Purchase Order • RFP/RFQ to at least 3 consultants • Purchase Summary Form w/ Department Head Approval • Standard Agreement • Purchase Requisition Payment Method Purchase Order • RFP/RFQ to a list of consultants • Evaluation Spreadsheet w/ City Administrator Approval • Standard Agreement • Purchase Requisition Payment Method Purchase Order • Formal RFP/RFQ • Advertisement • Council Approval • Standard Agreement signed by City Administrator • Purchase Requisition Payment Method Purchase Order DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E Interim City Clerk DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME: CONTACT (A/C, No): FAX E-MAIL ADDRESS: PRODUCER (A/C, No, Ext): PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT ER OTH- STATUTE PER LIMITS(MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) POLICY EFF POLICY NUMBERTYPE OF INSURANCELTR INSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY Gilroy CA 95020 7351 Rosanna Street City of Gilroy Evidence of Coverage City of Gilroy is listed as certificate holder. Blanket waiver of subrogation is provided per the attached endorsement. Project: FY24 Citywide Curb Ramp Project 24-PW-286 1,000,000 1,000,000 1,000,000 8 02/05/202502/05/2024WSA 5075948 00YYA 27847INSURANCE CO OF THE WEST 95011-0001CACAMPBELL PO BOX 110004 Villalobos & Associates kharvey@gritlyinsurance.com (951) 691-1617 Kevin Harvey 92562CAMurrieta Suite 215 25109 Jefferson Ave. Gritly Insurance Services, Inc 2/7/2024 DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E DocuSign Envelope ID: 593BF095-A69B-4575-8378-BA20A020C26E