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HomeMy WebLinkAboutO.Nelson & Son (19)i MWASUMMUMMOIFT111# A IbVWVA t 1R. IY provide. Shall following services .. w tiY rovide and Install 72' long metal guard rail to extend existing guard rail on Elena Road. 2. E&HJBM. The following attached exhibits are hereby Incorporated a part of this Agreement: Proposal from CONTRACTOR dated June 16, 2017 U'. services and/or materials furnished under a Agreement shall commence and shall be completed by unless terminated pursuant to Section 6 CONTRACTORa. TOWN shall pay amount exceed thousand .. F hundred thirty-sIx dollars and Zero cents .00) within thirtyAlve (36) days ,,. - *ods w detailed 3 of this Agreement and only upon satisfactory delivery/completion of goods/servic,es consistent . professional/industry jarea In which CONTRACTOR operates, for any work done by CONTRACTOR ' Y beyond 'the notto exceed b. Town shall riot Le for any of i AIF. shalldeliver any selvicestgoods. Town CONTRACTORcharges on any payments from Town to CONTRACTOR, Agreement.subcontractors to ensure delivery of goods/services within the terms of this Incomplete w Tovin of Los ultras Hills Page I AD( 4 CONTRACTORa. HOLD HARMLES& defend harmless Its agents and employees demands, claims or M personal causeddamage of any nature, arising out of the performance CONTRACTOR under this ent. With regard to CONTRACTOR'S work i9 y agrees Indemnify, defend and hold harmless the officers,TOWN, Its employees demands, natureliability of any to the extent caused by : performance beforeCONTRACTOR Linder this Agreement, b. INSURANCE. CONTRACTOR shall file with the TOWN a certificate of Insurance this Agreement as follows: 1. WORKERS COMPENSATION statutory It, COMMERCIAL GENERAL LIABILITY INSURANCE: General Liability and Property $1,000,000-00 #0occurrence Including comprehensive form, personal Injury, broad form personal damage, contractual and promisesloperation, all on an occurrence basis, If an aggregate limit exists, It shall apply separately or no less than two (2) times the occurrence ;;111,1111152 111 Illyy ligill 11111 111 111111} CERTIFICATE i rto commencement of services, evidence of Insurance coverage must be shown by a properly executed t of insurance and : shall u of s Altos Hills, Its elective and appointed officers, employees, volunteers"oInsureds, Alifillfhffx�T=l •C # Fremont26379 Road Los Altos Hills, CA 94022 "%pan of Los Alters Hills Page 2 of 4 W1 to m al V6,0W VV nue; } r UpAIM 3.17 pa Town of Lm Allu Hillo Bagga 3 of 4 Mlw excAl5d vw me med 3 med h. ENTIRE AGREEMENT. This Agreement represents the entire agreement between the Parties. d<».2» ^1or disputed terms between this Agreement and any attached Exhibits shall be Interpreted according to the language In this Agreement and not the Exhibits, ZJFZUMII IIIMill I EM MEMEM This Agreement shall become effective upon Its approval and execution by TOWN, In witness whereof, the parties have executed ©,A . _ e day and year first written above. representative for TOWN: Allen Chen Public Works Director *rown t.< t»! ©,= 26379 Fremont Road Los Altos Hills, CA 94022 ..�� \2.� . Town of Los Altos Kills A#4«4 tkIt towned 115,00 vor fuftl updval 3 17-014 O. XeCson c� Son, Inc. General Engineers 3345 Tripp Road Woodside, CA 94062 (650) 851-3600 Email: onsdigs@sbcglobal.net Proposal and Contract # 30 DATE: June 16, 2017 TO: Town of Los Altos Hills Attn: John Chau Hereafter "Contractor", telephone (650) 947-2516 fax (650) 941-3160; O. Nelson & Son, Inc. hereafter "Sub -contractor", propose(s) to furnish all materials and perform labor necessary to complete the following: Re: Elena Rd near Taffe Rd Los Altos Hills, CA 1). To provide and install 72' of guard rail to extend existing on Elena Rd. Post set in Dirt. $ 9,936. Prevailing wage job This proposal is valid until June 30, 2017 and if accepted on or before that date, work will commence ap- proximately on upon request and will be substantially completed approximately dans subject to delays caused by acts of God, stormy weather, uncontrollable labor trouble, or unforeseen contingencies. If any payment is not made when due, Contractor may suspend work on the job until such time as all pay- ments due have been made. A failure to make payment for a period in excess of 30 days from the due date shall be deemed a material breach of this contract. Respectfully Submitted, ACCEPTANCE o. Neison & Son, InC. You are hereby authorized to furnish materials and labor By 3345 Tripp Woodside, CA 94062 (650) 851-3600 Office .(65o) 851-5714 FAX required to complete the work in this Proposal, for which I / We agree to pay the Contract price mentioned in this Proposal, and according to the terms . I / We have read and agree to the provisions contained herein, and in any attachments hereto, which are made part hereof and are described as By Datei Contractor's State License #A307071 Authorized Signature Form Y11-9 Request for Taxpayer Give form to the (Rev. October 2007) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS. Internal Revenue Service Nance (as shown on your income tax return) N N aBusiness name, if different from above c a Check appropriate box: ❑ Individual/Sole proprietor ❑ Corporation ❑ Partnership Limited liability Enter El` Exempt 2 company. the tax classification (D=disregarded entity, C=corporation, P=partnership) _______ ❑ o # ❑ Other (see instructions) ► payee c Address (number, street, and apt. or suite no.) Requester's'name and address (optional) a !� Town of Los Altos Hills City, state, and ZIP code y o. 28379 Fremont Road Los Altos Hills, CA 94422 e List account numbers) here (optional) J� 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 TIN on page 3. or Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose Employer identification number number to enter. 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 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 instructions on page 4. Sign SignatAre of Here U.S. person ► Date 0, General Instructions Section references are to the Internal Revenue 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: s The U.S. owner of a disregarded entity and not the entity Cat. No. 10231X Form W-9 (Rev. 10-2007)