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Home My WebLink AboutM. Sandoval ArchitectsAGREEMENT THIS AGREEMENT is made and entered into on the 6th day of April, 2020 by and between the TOWN OF LOS ALTOS HILLS (hereinafter referred to as "TOWN") and M. Sandoval Architects, Inc. (hereinafter referred to as "CONTRACTOR"). In consideration of their mutual covenants, the parties hereto agree as follows: 1. CONTRACTOR. materials: Architectural Design and Construction Services for Phase 1 of the Town Hall Addiiton Project. Shall provide or furnish the following specified services and/or 2. EXHIBITS. The following attached exhibits are hereby incorporated into and made a part of this Agreement: Proposal from CONTRACTOR dated February 12, 2020 3. TERMS. The services and/or materials furnished under this Agreement shall commence April 6, 2020 and shall be completed by April 6, 2021, unless terminated pursuant to Section 5(f). 4. COMPENSATION. For the full performance of this Agreement: a. TOWN shall pay CONTRACTOR an amount not to exceed Thirty thousand three hundred thirty five dollars and zero cents ($30,335.00) within thirty (30) days following receipt of invoice and completion/delivery of services/goods as detailed in Sections 1, 2, and 3 of this Agreement and only upon satisfactory delivery/completion of goods/services in a manner consistent with professional/industry standards for the area in which CONTRACTOR operates. TOWN is not responsible for paying for any work done by CONTRACTOR or any subcontractor above and beyond the not to exceed amount. b. Town shall not reimburse for any of CONTRACTOR's costs or expenses to deliver any services/goods. Town shall not be responsible for any interest or late charges on any payments from Town to CONTRACTOR. c. CONTRACTOR is responsible for monitoring its own forces/employees/agents/ subcontractors to ensure delivery of goods/services within the terms of this Agreement. TOWN will not accept or compensate CONTRACTOR for incomplete goods/services. Town of Los Altos Hills Page 1 of 4 snort tom 5. GENERAL TERMS AND CONDITIONS. a. HOLD HARMLESS. CONTRACTOR agrees to indemnify, defend and hold harmless the TOWN, its officers, agents and employees from any and all demands, claims or liability of personal injury (including death) and property damage of any nature, caused by or arising out of the performance of CONTRACTOR under this Agreement. With regard to CONTRACTOR'S work product, CONTRACTOR agrees to indemnify, defend and hold harmless the TOWN, its officers, agents and employees from any and all demands, claims or liability of any nature to the extent caused by the negligent performance of CONTRACTOR under this Agreement. b. INSURANCE. CONTRACTOR shall file with the TOWN a certificate of insurance before commencing any services under this Agreement as follows: WORKERS COMPENSATION INSURANCE: Minimum statutory limits. ii. COMMERCIAL GENERAL LIABILITY AND PROPERTY DAMAGE INSURANCE: General Liability and Property Damage Combined. $1,000,000.00 per occurrence including comprehensive form, personal injury, broad form personal damage, contractual and premises/operation, all on an occurrence basis. If an aggregate limit exists, it shall apply separately or be no less than two (2) times the occurrence limit. iii. AUTOMOBILE INSURANCE: $1,000,000.00 per occurrence. iv. ERRORS AND OMISSIONS INSURANCE: $1,000,000.00 aggregate. v. NOTICE OF CANCELLATION: The City requires 30 days written notice of cancellation. Additionally, the notice statement on the certificate should not include the wording "endeavor to" or "but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives." vi. CERTIFICATE OF INSURANCE: Prior to commencement of services, evidence of insurance coverage must be shown by a properly executed certificate of insurance and It shall name "The Town of Los Altos Hills, its elective and appointed officers, employees, and volunteers" as additional insureds. vii. To prevent delay and ensure compliance with this Agreement, the insurance certificates and endorsements must be submitted to: Town of Los Altos Hills 26379 Fremont Road Los Altos Hills, CA 94022 Town of Los Altos Hills Page 2 of 4 Short form Updated 4/23/10 c. NON-DISCRIMINATION. No discrimination shall be made in the employment of persons under this Agreement because of the race, color, national origin, age, ancestry, religion or sex of such person. d. INTEREST OF CONTRACTOR. It is understood and agreed that this Agreement is not a contract of employment and does not create an employer-employee relationship between the TOWN and CONTRACTOR. At all times CONTRACTOR shall be an independent contractor and CONTRACTOR is not authorized to bind the TOWN to any contracts or other obligations without the express written consent of the TOWN. In executing this Agreement, CONTRACTOR certifies that no one who has or will have any financial interest under this Agreement is an officer or employee of TOWN. e. CHANGES. This Agreement shall not be assigned or transferred without advance written consent of the TOWN. No changes or variations of any kind are authorized without the written consent of the City Manager. This Agreement may only be amended by a written instrument signed by both parties. f. TERMINATION. This Agreement may be terminated by TOWN upon seven (7) days written notice to CONTRACTOR. Monies owed for work satisfactorily completed shall be paid to CONTRACTOR within 14 days of termination. g. RECORDS. All reports, data, maps, models, charts, studies, surveys, calculations, photographs, memoranda, plans, studies, specifications, records, files, or any other documents or materials, in electronic or any other form, that are prepared or obtained pursuant to this Agreement and that relate' to the matters covered hereunder shall be the property of the TOWN. CONTRACTOR hereby agrees to deliver those documents to the TOWN at any time upon demand of the TOWN. It is understood and agreed that the documents and other materials, including but not limited to those described above, prepared pursuant to this Agreement are prepared specifically for the TOWN and are not necessarily suitable for any future or other use. Failure by CONTRACTOR to deliver these documents to the TOWN within a reasonable time period or as specified by the TOWN shall be a material breach of this Agreement. TOWN and CONTRACTOR agree that until final approval by TOWN, all data, plans, specifications, reports and other documents are preliminary drafts not kept by the TOWN in the ordinary course of business and will not be disclosed to third parties without prior written consent of both parties. All work products submitted to the TOWN pursuant to this Agreement shall be deemed a "work for hire." Upon submission of any work for hire pursuant to this Agreement, and acceptance by the TOWN as complete, non- exclusive title to copyright of said work for hire shall transfer to the TOWN. The compensation recited in Section 4 shall be deemed to be sufficient consideration for said transfer of copyright. CONTRACTOR retains the right to use any project records, documents and materials for marketing of their professional services. Town of Los Altos Hills Page 3 of 4 shat ram h. ENTIRE AGREEMENT. This Agreement represents the entire agreement between the Parties. Any ambiguities or disputed terms between this Agreement and any attached Exhibits shall be interpreted according to the language in this Agreement and not the Exhibits. 6. INVOICING. Send all invoices to the contract coordinator at the address below. This Agreement shall become effective upon its approval and execution by TOWN. In witness whereof, the parties have executed this Agreement the day and year first written above. CONTRACT COORDINATOR and representative for TOWN: CONTRACTOR: Zachary Dahl Planning Director Town of Los Altos Hills By: 26379 Fremont Road ignat a> Date Los Altos Hills, CA 94022 HA Vk '��&Tj�. Print name, Title TOWN OF ;LOSALTOS H LS: 20 By: Carl Cahill, City Manager D e Town of Los Altos Hills Page 4 of 4 shat tam M. SANDOVAL ARCHITECTS, INC. PROPOSAL FOR DESIGN AND CONSTRUCTION SERVICES 1.0 PROJECT DESCRIPTION A. The Los Altos Hills Town Hall Expansion- Phase 1: The scope of services requested are limited to the design and consulting support services that may be needed for the conversion of the existing covered outdoor patio space (approximately 435 square feet), into a new conference room space. This new room addition is to utilize the previously approved conceptual design drawings prepared by Duxbury/McIntosh, which were approved by the City Anc Council in November 2019—subject to any minor plan changes that may be MS approved by the Town. 145 Core Madera To%%n anter =404 2.0 BASIC SERVICES Coate Madera, Calilornia 94925 A. Architectural Design and Consulting Services Peninsula and South Bad Region Phone:65o.941.8048 1. Services under this discipline category are to include general consulting Far 650.941.8069 and support services (as identified below), which are to include meetings San Francisco. Marin and with the Staff, along with time that may be required to coordinate the North Bad Region work prepared by the other consultants for this Project—during the course of the Project's development, permitting, bidding, and Phone. 415.924.7059 construction process; Fax: 415.9247,629 msaiimsandovalarchitects.con, 2. Prepare Construction Documents for the above Project, which are to Nx\cn nrsandmalarchitects.corn include the drawings, specifications and other related documents that set forth in complete detail the requirements for the construction and bidding of the Project. These drawings include but not necessarily are limited to the following: • Cover Sheet with Project Data, Referenced Building Codes, Abbreviations, Symbols, Vicinity Map, and Index to the Drawings, Project Data, Tabulations, along with a brief description of the construction work requested under the building permit application • Partial Site Plan identifying the accessible path of travel to the main entry points of the building affected by the proposed new construction work • Occupancy load calculations and exit plan for the added conference space • Partial building floor and reflected ceiling plans, sections, details specifications, and schedules Architecture - Historic Preservation - Design Proposal for Design and Construction Services Town of Los Altos Hills —Town Hall Expansion — Phase 1 Date: February 12, 2020 Page: 1 M. SANDOVAL ARCHITECTS, INC. • Respond to plan check comments and update drawings and specifications as required • Provide all documentation necessary for a complete bid package, and provide support during the bidding and contractor selection process • Rough in for Security system for door access control, door monitoring and alarm, and CCN cameras • Rough in for telephone and data system • Respond to plan check comments and update drawings and specifications as required Provide all documentation necessary for a complete bid package, and provide support during the bidding and contractor selection process. C. Mechanical Engineering Design and Consulting Services 1. Services under this discipline category are to include general consulting and support services (as identified below), and as necessary to complete the following mechanical drawings, specifications: Architecture - Historic Preservation - Design Proposal for Design and Construction Services Town of Los Altos Hills —Town Hall Expansion — Phase 1 Date: February 12, 2020 Page: 2 B. Electrical Engineering Design and Consulting Services 1. Services under this discipline category are to include general consulting and support services (as identified below), and as needed to prepare the Ine. following electrical drawings and specifications: ,� M x • Prepare power and lighting design for new conference room 14�; Corte Madera Tor n Center =404 • Exterior lighting upgrade is limited to the exterior doors of the new Cone Madera_ California 94925 conference room Peninsula and South Bar Reeion Phone. 650 .941.804 • Prepare point by point calculation for the full out of outdoor lighting Fax: 650.941.8069 • Design of the lighting control to comply with Title 24 San Francisco_ Marin and North Ba% Reeion Prepare Title 24 calculation and submittal Phone: 415.924.7059 Fax: 41592-4.76229 • Design the fire alarm with system manual pull station and audio/visual ntsadm:ando,alarchitects.com alarm for the new space xx-%�u. msando\,alarehitects.com Electrical load calculation and Schematic single line diagram Prepare • Rough in for Security system for door access control, door monitoring and alarm, and CCN cameras • Rough in for telephone and data system • Respond to plan check comments and update drawings and specifications as required Provide all documentation necessary for a complete bid package, and provide support during the bidding and contractor selection process. C. Mechanical Engineering Design and Consulting Services 1. Services under this discipline category are to include general consulting and support services (as identified below), and as necessary to complete the following mechanical drawings, specifications: Architecture - Historic Preservation - Design Proposal for Design and Construction Services Town of Los Altos Hills —Town Hall Expansion — Phase 1 Date: February 12, 2020 Page: 2 M. SANDOVAL ARCHITECTS, INC. • HVAC load calculations • Determining if the new conference room can be connected to building's existing HVAC system or requires an independent system; based on calculated HVAC load and existing building HVAC system excess capacity • Design a new split system if there is no adequate existing building HVAC system excess capacity i lc MS • Design an air distribution system for new space • New air distribution system will be connected to the existing building - HVAC system if there will be adequate excess HVAC capacity 145 Corte Madera To%%n Center =404 Corte Madera. California 94915 • Title 24 calculations Peninsula and South BaN Region Phone: 650.941.8048 • Respond to plan check comments and update drawings and Fa.: (00.911.8069 specifications as required San Francisco. Marin and • Provide all documentation necessary for a complete bid package, and North Ba% Region provide support during the bidding and contractor selection process Phone: a 15.921.7059 Fax: 410.924.7629 D. Plumbing Engineering Design and Consulting Services msa n m,mndnn alarchitects.com 1. Services under this discipline category are to include general consulting ,,,,,, tnsandmalarehitee,.co and support services (as identified below), and as necessary to complete the following mechanical drawings, specifications: • Design of condensation drain for the new AC unit, If required • Provide design build criteria to rearrange existing sprinkler heads to provide proper coverage for the new conference room • Respond to plan check comments and update drawings and specifications as required • Provide all documentation necessary for a complete bid package, and provide support during the bidding and contractor selection process 3.0 GENERAL ASSUMPTIONS A. This proposal is based on the assumption that only one (1) site visit will be required to correlate the design documents provided by the Town with actual conditions at the Project's site; .-architecture - Historic Preservation - Design Proposal for Design and Construction Services Town of Los Altos Hilis—Town Hall Expansion — Phase 1 Date: February 12, 2020 Page: 3 M. SANDOVAL ARCHITECTS, INC. B. This proposal also assumes that the all interior materials and finishes for the new conference space will match visual appearance the materials and finishes used in the larger adjoining conference room area located within the Council Chambers; C. We anticipate that the development of all design drawings and specifications for this Project to take a total of ten (10) weeks to complete. We also assume there is to be only one (1) design scheme released for bidding purposes; lnc. D. It is assumed we will be responsible for preparing four (4) progress submittals at 30%, 60%. 90% in addition to the final plans and specifications in a ".pdf" digital format for the Town's use with this Project; W Cone Madera Tmcn Censer =40a E. This proposal assumes the design team may be required to attend up to two Cone Madera. Califimtia 9492 (2) initial design meetings (4 hours in total) with Staff, in addition to two (2) Peninsula and South Bac Region progress meetings (4 hours in total), during the initial development of the Phone: 6A0.941.8048 Project; Fax: eio.941.so69 F. We assume the Town will require five (5) wet stamped and signed drawings San Francisco_ Marin and and specifications so it may submit this material to their third -party plan North Ba, Region checker's review (See Exclusions listed below); Phone: 4l .924.%09 Fax: 41�.924.7629 G. In addition to the hours we have allotted to complete the various tasks listed msa2 nsanancaiarcnilects.com above, we have also added the following number of hours under Construction Support (CS) for these activities: e t .msando alarchilects.cnnt • Response to Request for Information (18 hours in total) • Review Shop Drawings (7 hours in total) • Bulletins and other correspondence as required (16 hours in total) • Attend one (1) final site visit to review the Contractor's prepared punch list, and to perform other close out procedures required for this Project 4.0 EXCLUSIONS A. The following services, fees, and expenses are excluded from this proposal: • All expenses for postage, mailing, copies, printing and other reproduction expenses • Structural engineering design services, acoustical engineering services, civil and land survey engineering services, geotechnical services, Architecture - Historic Preservation - Design Proposal for Design and Construction Services Town of Los Altos Hills — Town Hall Expansion — Phase 1 Date: February 12, 2020 Page: 4 M. SANDOVAL ARCHITECTS, INC. landscape architecture, planting and irrigation design plans, interior design and furniture selection services • Computer renderings and/or other similar illustrations • Design of A/V systems, paging and sound masking, project construction estimates • Special testing and/or laboratory analysis of materials, or other hazardous chemicals if found during the course of the Project's construction process Inc. • Labor and expense to have an electrician verify the existing panel circuity and lighting control configurations (if required). We estimate that this lay Chrte'�ladera To%Nn Center x404 may require a half of day at current prevailing wage rate for an individual electrician Corte Madera. California 9.19'? Peninsula and South Bav Region . Labor and expenses to have a general contractor visually confirm that the Phone 6i0.941.8048 existing building's slab waterproofing membrane does extend below the Fax: 650.941.8069 outdoor patio slab (if required). We anticipate some localized excavation San Francisco. Marin and will be needed along the westerly edge of the patio foundation along the current pathway, and may require a minimum of a half of day at the North Ba% Reeion current prevailing wage rate for both a general contractor and two Plume: 415.924.7059 construction laborers Pas: 415.92-1.7629 msa&tnsandoralarehitects.coil, 5.0 ALTERNATIVE AND OPTIONAL ENGINEERING DESIGN SERVICES �c%N �N . msandovalarch itects. conn A. The following are not included, but will be glad to provide these service as additional scope to the scope above: 1. Arc flash calculations and labels. 2. WiFi access points. 3. Outdoor/parking lot lighting. 4. Value engineering. 6.0 OTHER CONSIDERATIONS A. During our initial walkthrough of the Project with Steve Padovan, Principal Planner with the Town we discussed the possibility of the following plan changes that may enhance the overall functionality and use of the new proposed conference room space. These changes discussed are as follows: 1. Instead of installing the five full height windows as diagramed on Sheet A- 201, Figure 1: West Elevation, provide a lower half -wall with windows Architecture - Historic Preservation - Design Proposal for Design and Construction Services Town of Los Altos Hills—Town Hall Expansion — Phase 1 Date: February 12, 2020 Page: 5 M. SANDOVAL ARCHITECTS, INC. above. In doing so, this would allow for the placement of electrical, telephone, and data wiring within this lower wall that could increasing the flexibility and use of this new space. 2. Another suggestion discussed was to flip the proposed position the new exit door illustrated on Sheet A-201, Figure 4: North Elevation, and set its wall plane so it aligns with south wall of the existing electrical room. In making this slight adjustment, the existing electrical room continues to retain its required service access door to the outside, without interfering with the clearance needed for the new conference room's north exit tt,c. door. 7.0 COMPENSATION 14i Corte Madera Tows Center -40I A. Compensation shall be based on the above scope of work and assumptions Corte Madera. California 9492i and as follows: Peninsula and South 13a\ Region Design Construction Support (CS) Pltonc: 6';0.941.8048 Architectural: $8,900 $2,800 F o.c�4 Electrical: $9,350 $2,530 San Francisco. Marin and Mechanical: $9,185 $2,420 North Ba\ Region Phone: 41�;.924.70i9 Total: $27,435 $7,750 Fax:4Fax: 4 t i.9_4.�e29 1lra .924 76larchitect>.con, B. Reimbursable Expenses: (not included in the above) We estimate all reimbursable expenses for this Project to be no more than eco -\N msandovalarchitects. coil, $2,900 (Refer to the attached Fee Schedule We want to thank you for offering us the opportunity to present this proposal for design and construction services for your consideration. If you have any follow up questions, or may require any additional material, please don't hesitate to contact us directly. Very truly yours, I Mark Sandoval, AIA President M. SANDOVAL ARCHITECTS, INC. Phone: 650.941.8048 Email: msan msandovalarchitects.com Architecture - Historic Preservation - Design Proposal for Design and Construction Services Town of Los Altos Hills —Town Hall Expansion — Phase 1 Date: February 12, 2020 Page: 6 W J 0 W m U w MSA" 14 -; Corte Madera Toxon Center =404 Corte Madera. California 94915 Peninsula and South Ba} Region Phone: 650 941.8048 Fax: 6 0.941.8069 San Francisco, Marin and Noilh Bac Region Phone: 41 ?.924.70-39 Fax: 41 >,924.7629 rasa thi andovalarchitects.com cc�c t ntsandovalarchitects.cora M. SANDOVAL ARCHITECTS, INC. FEE SCHEDULE The compensation for work performed and on personnel services including any incurring expenses, will be established using the following rates: PERSONNEL SERVICES Principal Architect Draftsperson/Technical Level I Clerical/Technical Level II Principal Engineer Senior Engineer Project Engineer Engineer II Engineer I Designer $190.00/Hour $100.00/1 -lou r $95.00/Hour $200.00/Hour* $190.00/Hour* $170.00/Hour* $155.00/Hour* $140.00/Hour* $130.00/Hour* *Added design of consulting professional services beyond those specifically outlined under 7.0 COMPENSATION above shall be charged at their actual cost plus 15% Overtime 1.25 X the above base rate Holiday/Sundayl.5 X the above base rate OUT -OF -OFFICE EXPENSES Project incurred out of pocket expenses, which represent payable to the Architect, shall be charged at the actual cost of the expenses plus 25%. These expenses may include, but shall not be limited to, computer services; reproduction services; cost for postage, freight, subsistence, commercial travel, and long distance communications; and fees for permits, filings, applications, bonds, etc. IN -OFFICE EXPENSES Drafting supplies and reproduction materials provided from stock will be charged at the following rates: .architecture - Historic Preservation - Design Proposal for Design and Construction Services Town of Los Altos Hills- Town Hall Expansion — Phase 1 Date: February 12, 2020 Page: 1 M. SANDOVAL ARCHITECTS, INC. Computer plotting: $10.00 ea. per prints (24"x36") Photocopies: $.25 (81/2" x 11" or Legal) MISCELLANEOUS EXPENSES All Client approved project related travel expenses beyond a 25 -mile radius from our office shall be invoiced for cost plus 10%. Mileage expenses shall be charged at a rate of $0.65 per mile for distances beyond a 50- mile radius from our office MS AI THIS SCHEDULE IS SUBJECT TO PERIODIC REVISION 14� Corte Madera Toxon Center =404 Corte Madera_ C'alilornia 94925 Peninsula and South Bac Region Phone: 00.94t.9048 Fax: 60.941.8069 San Francisco_ Mann and North Bac Region Phone: 41 i.924.7059 Fax: 415 924.7629 msa'iemsando\alarchitects.com %%N\ \\.msandocalarchiteet,.coin Architecture - Historic Preservation - Design Proposal for Design and Construction Services Town of Los Altos Hills- Town Hall Expansion — Phase 1 Date: February 12, 2020 Page: 2 SANDO.1 OP ID: AD ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) TYPE OF INSURANCE 04/06/2020 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. IMPORTANT: N the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. N SUBROGATION IS WAIVED, subject to the teras 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). PRODUCER Freidin INS Ins. Services A Freidin, LLC 985 University Ave. Suits 37 Los Gatos CA 95032 A Freidin, LLC CONTANAME CT Van A. Freidin W. E :408.860-9238 1 nI�C No): 408.660-9286 E-MAIL AD • van@sexton-froidin.com INSURER(S) AFFORDING COVERAGE NAIC S INSURER A : U.S. Specialty Ins. Co. SZS61079427 USS1829221 INSURED M. Sandoval Architects Mark Sandoval INSURER B: Liberty Mutual Inwnw" 10036 INSURER C , 145 Corte Madera Town Cntr 404 Corte Madera, CA 94925 INSURER D INSURER E t X AmhwmtaProwe IN F; GEN'L AGGREGATE LIMIT APPLIES PER: POLICY Fx-j PRO LOC CUVtKAUItb CERTIFICATE NUMBER' RFVISInN NIIURFR- 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. NSR L TYPE OF INSURANCE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE POLICY NUMBER POLI EFF POLICY EXP LIMITS B A GENERAL LIABIUTY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE XI OCCUR Y SZS61079427 USS1829221 03/26/2019 11/21/2019 03/26/2021 11/13/2020 EACH OCCURRENCE $ 1,000, PREMISES Ea occurrence $ 260,0001 MED EXP (My one person) $ 6,000 PERSONAL a ADV INJURY $ 110001 X AmhwmtaProwe GENERALAGGREGATE $ 2,00,00( GEN'L AGGREGATE LIMIT APPLIES PER: POLICY Fx-j PRO LOC PRODUCTS • COMPICP AOG $ 2,000,00( a 1100010 AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS AUTOS SCHEDULED HIRED AUTOS q�Tp WNED OMBINED SINGLE LIMIT Ea accitlent u BODILY INJURY (Per person) $ALL BODILY INJURY (Per accident) $ ~� P R A 16 G $ $ UMBRELLA LJAB EXCESS LIMB HOCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ D I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVENIA OFFICERIMEMBER EXCLUDED? (Mandatory in NH) H Yes, describe under OrRIMOF OPE TI S below EXEMPT NO EMPLOYEEES SAT OTH- YI ER E.L. EACH ACCIDENT $ El, DISEASE - EA EMPLOYE $ E.L. DI EASE •POLICY LIMIT A E80 USS1829221 11/21/2019 11/21/2020 Occ 11000, Ago 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remana Schedule, H more $pooe is required) The Town of Los Altos bills, its elective and appointed officers, employees, and volunteers are named Additional Insureds. 30 day notice of Cancellation CERTIFICATE HOLbER cANCFI I ATInN LOSALHI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE MMILL BE DELIVERED IN Town of Los Altos Hills ACCORDANCE I MITH THE POLICY PROVISIONS. 26379 Fremont Rd AUTHORIZED REPRESENTATIVE A Freidin, LLC Los Altos Hills, CA 94022 ®1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ACOR" CERTIFICATE OF LIABILITY INSURANCE 16..� DATE(MMIDDIYYYY) TYPE OF INSURANCE 04/07/2020 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. 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). PRODUCER CONTACT Oscar Curiel NAME: StatE,°&rRl Oscar Curiel, State Farm Agent ao No Ext): 4158929161 FAX, No): 8339051736 1683 Novato Blvd E-MAILADDRESS: support@insurebayarea.com Suite 6 INSURERS AFFORDING COVERAGE NAIC # INSURER A: State Farm Mutual Automobile Insurance Company 25178 Novato CA 94947 INSURED INSURER B INSURER C : $ Mark Sandoval INSURER D: 509 Seymour St INSURER E: Napa CA 94559 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NIIMBFR- 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. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF IMMIDDIYYYYI POLICY EXP (MM/DDfYYYY)LIMITS AUTHORIZED REPRESENTATIVE 26379 Fremont Road COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY JECT LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AOWNED AUTOMOBILE LIABILITY ANY AUTO SCHEDULEDAUTOAUTOS HIREDS ONLY NON -OWNED AUTOS ONLY AUTOS ONLY Y Y 188 5852-BO6-05 2110974-F11-05 444 7083-EO8-05 02/06/2020 02/06/2020 02/06/2020 08/06/2020 08/06/2020 08/06/2020 Ee aBINEeDtsINGLE LIMIT g 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY Per accident $ ) PROPERTY DAMAGE Per accident $ Medical Payments $ 5,000 UMBRELLA LIAB EXCESS LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PEROTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 1001486 132849.12 03-16-2016 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Los Altos Hills AUTHORIZED REPRESENTATIVE 26379 Fremont Road Los Altos Hills CA 94022 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 1001486 132849.12 03-16-2016 Farm ■fl W9 Request for Taxpayer Give form to the (Rev_ October 2007) Identification Number and Certification requester. Do not Cvparrnenl of rn:, Treiury send to the IRS. Inwrol Rownue Serwo Name (as shown on your income tax return) N M. SANDOVAL ARCHITECTS, INC. ID _ (3 Business name. ff different from above m G Check appropriate box: ❑ Individuamole proprietor K Corporation C PartnersNp Exempt -2 ❑ Limited liabird company. Enter the tax classification D�iere9ardad anti ty, C=tor oration, P --partnership) . _ ___ _ payee 0 LJ Other (see insructione) ► -- - d c Address (number, street, and apt. or suite no.) Requester's name and address (optional) 145 CORTE MADERA TOWN CENTER #404 Town ofLos Altos Hills v City, state, and Zip code 26379 Fremotd Road C RTE MADERA CA 94925 Las Altos Hills, CA 9i_1022 _ m List account number(s) here (optionali N Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 to avoid Social security number backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, It is your employer identification number (EIN). If you do not have a number, see How to get a 77N on page 3. or Note. ff the account is in more than one name, see the chart on page 4 for guidelines on whose i Employ8j fya gyj�tAnbar number to enter. / � U1.3S // `yJ' Under penalties of perjury, I certify that: 1. The number shown on this form Is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that i am no longer subject to backup withholding, and 3. 1 am a U.S. citizen or other U.S. person (defined below). Certification Instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all Interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must provide your correct TIN. See the 'nstru0 ns on page 4. Sign -A of 1 / '1 r f 1 Here i U.S. person Date ► 7 General lnstructionS Definition of a U.S. person. `For federal tax purposes, you are ` Section references are to the Internal Revenue Code unless considered a U.S. person if you are: otherwise noted. . An individual who is a U.S citizen or U -S. resident alien. • A partnership, corporation, company, or association created or Purpose of Form organized in the United States or under the laws of the United A person who is required to file an information return with the States. IRS must obtain your correct taxpayer identification number (TIN) a An estate (other than a foreign estate), or to report, for example, income paid to you, real estate • A domestic trust (as defined in Regulations section transactions, mortgage interest you paid, acquisition or 301.7701-7). abandonment of secured property, cancellation of debt, or contributions you made to an IRA. m Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to Use Form lyou it you are a U.S. arson (including a N Y P ( 9 pay a withholding tax on any foreign partners' share of income resident alien), to provide your correct TIN to the person from such business. Further, in certain cases where a Form W-9 requesting it (the requester) and, when applicable, to: has not been received, a partnership is required to presume that 1 _ Certify that the TIN you are giving is correct (or you are a partner is a foreign person, and pay the withholding tax. wading for a number to be issued). Therefore, if you are a U -S. person that is a partner in a 2. Certify that you are not subject to backup withholding, or Partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. 3. Claim exemption from backup withholding if you are a U.S. status and avoid withholding on your share of partnership exempt payee. If applicable, you are also certifying that as a income_ U.S. person, your allocable share of any partnership income from The person who gives Form W-9 to the partnership for a U.S. trade or business is not subject to the withholding tax on purposes of establishing its U.S. status and avoiding withholding foreign partners' share of effectively connected income. on its allocable share of net income from the partnership Note. If a requester gives you a form other than Form W-9 to conducting a trade or business in the United States is in the request your TIN, you must use the requester's form if it is following cases: substantially similar to this Form W-9. a The U.S. owner of a disregarded entity and not the entity, Cat. No. 10231X Form W-9 (Rev. 10.2007)