HomeMy WebLinkAboutAmerican Asphalt Company (3)AGREEMENT
THIS AGREEMENT is made and entered into on the d-4'Aday of A)0"✓, 2010 by
and between the TOWN OF LOS ALTOS HILLS (hereinafter referred to as "TOWN")
and American Asphalt Repair & Resurfacing Co.., Inc. (hereinafter referred to as
"CONTRACTOR")_ In consideration of their mutual covenants, the parties hereto agree
as follows:
CONTRACTOR.
materials:
Furnish and contruct seven asphalt concrete ramps along La
Paloma Road
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 November 18, 2010
3. TERMS. The services and/or materials furnished under this Agreement shall
commence 12/01/2010 and shall be completed by 12/03/2010, 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 Six thousand three
hundred dollars and zero cents ($6,300.00) 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
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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
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Updated 4123710
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 ordinarycourse 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
short form
Updated 4123!10
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:
Richard Chiu
Public Works Director
Town of Los Altos Hills By.
26379 Fremont Road Sig a�turre'� �j� Date
Los Altos Hills, CA 94022 �r-fol y
Print name, Title
TOWN OF LOS ALTOS HIL S:
By:
Carl Cahill, City Manager Date
Town of Los Altos Hills Page 4 of 4
Short form
Updated 4123150
24200 Clawiter Road
p. 0. Box 3367
Hayward, CA 94540
License No. 439591
Date: 11118/2010
AI%6,
American Asphalt
Repair & Resurfacing Co., Inc.
Proposal & Contract
Tel: 510-723-0280
Toll Free: 800-541-5559
Fax: 510-723-0292
Proposal #: 1-34953
Estimator: Steve Murphy
Client: City of Los Altos Hills Project: Paloma Road Ramps
John Chau Los Altos Hills, CA
26379 Fremont Road jchau@losaltoshilis-ca.gov
Los Altos Hills, CA 94022
(650)773-0449
PAYMENT TO BEMADEASFOLLOWS: INET iJYVlV a■yrrir.�.r..■■moi
As a California Contractor work is warranted against failure due to poor workmanship or faulty material, for a period of i year:
However, we will offer a THREE-YEAR .WARRANTY provided payment is made per terms. Non-payment per terms voids the
extended warranty.
ACCEPTANCE OF PROPOSAL All the terms and conditions set forth on the reverse side of this Proposal and Contract are
incorporated herein by reference and have been read and understood by the undersigned. The above prices, specifications and condi-
tions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Prices quoted are valid for 30 days.
re Date
American Asphalt Signature Date
Authorized Customer Signa
W-9
Request for Taxpayer
Give form to the
1 orm
(Rev. October 2007)
identification Number and Certification
requester. Do not
Department of the Treasury
send to the IRS.
Internal Revenue Service
Name (as shown on your income tax return)
American Asphalt Repair and Resurfacing Co., Inc.
Business name, If different from above
C
0
d e
Check appropriate box: ❑ Individual/Sole proprietor ✓❑ Corporation ❑ Partnership
Exempt
❑
�
❑ Limited Ileblll corn n .Enter the tax classification (D -disregarded girded entl C=cor oration, P=partnership) ► ._.____
fY company, (D e9 ty, P P p)
payee
`o
❑ Other (see Instructions) Do -
suite no.)
Requester's name and address (optional)
Address (number, street, and apt. or
Address
a a
24200 Clawlter Road
w
City, state, and ZIP code
M
Hayward, CA 94545
List account number(s) here (optional)
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), 1f you do not have a number, see How to get a TIN on page 3. or
Note. If the account is in more than one name, see the chart on page 4 for guidelines on whoseEmployer Identification number
number to enter. 94 ; 2914200
Certification
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 diva ds on your tax return_ For real estate transactions, item 2 does not apply_
For mortgage interest paid, acquisition or abandon m 0 s d p perty, cancellation of debt, contributions to an individual retirement
arrangement (IRA), and generally, payments other the interest dl idends, you are not required to sign the Certification, but you must
provide your correct TIN. Sag the Instructions on pag 4.
SignIs
Signature or y Date ► v I l ([� l ��
Here u. arson ►
General Instructibns
Section references are to the Internal Rbw ue Code unless
otherwise noted.
Purpose of Form
A person who is required to file an information return with the
IRS must obtain your correct taxpayer identification number (TIN)
to report, for example, income paid to you, real estate
transactions, mortgage interest you paid, acquisition or
abandonment of secured property, cancellation of debt, or
contributions you made to an IRA.
Use Form W-9 only if you are a U.S. person (including a
resident alien), to provide your correct TIN to the person
requesting it (the requester) and, when applicable, to:
1. Certify that the TIN you are giving is correct (or you are
waiting for a number to be issued),
2. Certify that you are not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a U.S.
exempt payee. If applicable, you are also certifying that as a
U.S. person, your allocable share of any partnership income from
a U.S. trade or business is not subject to the withholding tax on
foreign partners' share of effectively connected income.
Note. If a requester gives you a form other than Form W-9 to
request your TIN, you must use the requester's form if it is
substantially similar to this Form W-9.
Definition of a U.S. person. For federal tax purposes, 'you are
considered a U -S. person if you are:
• An Individual who is a U.S. citizen or U.S. resident alien,
• A partnership, corporation, company, or association created or
organized in the United States or under the laws of the United
States,
• An estate (other than a foreign estate), or
• A domestic trust (as defined in Regulations section
301.7701-7).
Special rules for partnerships. Partnerships that conduct a
trade or business in the United States are generally required to
pay a withholding tax on any foreign partners' share of income
from such business. Further, In certain cases where a Form W-9
has not been received, a partnership is required to presume that
a partner is a foreign person, and pay the withholding tax_
Therefore, if you are a U.S. person that is a partner in a
partnership conducting a trade or business in the United States,
provide Form W-9 to the partnership to establish your U.S.
status and avoid withholding on your share of partnership
income.
The person who gives Form W-9 to the partnership for
purposes of establishing its U.S. status and avoiding withholding
on its allocable share of net income from the partnership
conducting a trade or business in the United States is in the
following cases:
The U.S. owner of a disregarded entity and not the entity,
Cat. No. 10231X
Form W-8 (Rev. 10-20o7)