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HomeMy WebLinkAboutAgr 2002-08-09 (Questa Consulting) AGREEMENT BETWEEN THE TOWN OF TIBURON AND QUESTA ENGINEERING CORPORA TION FOR PROFRSSIONAL SERVICES oft. c"""~ &H~f- THIS AGREEMENT, made and entered this ~ day of ~2002, by and between the TOWN OF TIBURON, a political subdivision of the State of California, hereinafter called "Town," and Questa Consulting Corporation, hereinafter referred to as "Consultant," RECIT ALS A. The Town is the recipient of a San Francisco Bay Trail Planning Grant, administered by the Association of Bay Area Governments (ABAG), to study the feasibility of bicycle and pedestrian improvements along Trestle Glen Boulevard. Accordingl,y, the Town followed grant guidelines to solicit proposals from qualified consultants to perform the study. B. Consultant selection was approved by the ABAG grant administrator. C. Consultant possesses the skills, experience, ability, background, certification(s) and knowledge to provide the services described in Consultant's Work Program dated June 24, 2002, attached as Exhibit A C'Services"). D. The parties wish to contract for the Consultant to provide the Services set forth herein. AGREEMENT 1. Scope of Consultant Services. Consultant shall perform the Services as set forth in Exhibit A. The Town must authorize in writing any Additional Services. 2. Compensation. Consultant's compensation for the Services shall be as set forth in Exhibit A. Consultant shall submit monthly invoices for payment based on the percentage of Services completed. 3. Time of Performance. The Schedule for Consultant's performance shall be as set forth in Exhibit A. 4. Standard of Work; Indemnitv. Consultant shall perform the services in a skillful and professional manner compatible with the usual, customary standard of Consultant's profession. Consultant shall indemnify, defend and hold Town harmless from and against claims, liabilities, suits, loss, cost, expense and damages (collectively, "Claims and Losses") to the extent that such Claims and Losses arise from Consultant's negligent act or omission or willful misconduct in performing the Services pursuant to this Agreement. In the event that other parties are found to share responsibility for the Claims and Losses due to their negligent act or omission or willful misconduct, Consultant's liability under this paragraph shall not exceed its proportionate share of responsibility for the Claims and Losses relati ve to such other parties. 5. Consultant as Independent Contractor. Consultant (including its agents and employees) is not an agent or employee of the Town. Consultant is an independent contractor not subject to the direction and control of the Town. Without limiting the foregoing, ConsultanCshall maintain complete control of its operations and personnel and shall be solely liable and responsible to pay all required salaries, wages, expenses, taxes and other obligations, including, but not limited to, withholding and Social Security. 6. Audit of Books and Records. Town may, in its sole discretion, undertake an independent audit and/or evaluation of the Consultant's records and accounts of expenditures and activities of Consultant's performance under this Agreement at Town's own expense. All such records shall be maintained for period of at least three years after the termination of this Agreement. Consultant shall furnish all items necessary in the Town's discretion to complete said audit and/or evaluation subject to restrictions on confidentiality limited to expenditure or receipt of program funds, and program quality. 7. Insurance. Consultant shall maintain insurance as set forth below. A. Comprehensive General Liability: Combined single limit of $1,000,000 for each single occurrence for bodily injury, personal injury and property damages; umbrella policy raising the limit to $2,000,000. B. Comprehensive Automobile Liability: Combined single limit of $1,000,000 for each single occurrence for bodily injury and property damages; umbrella policy raising the limit to $2,000,000. C. Consultants Professional Liability: Combined single limit of $250,000 for each single occurrence for protection against claims alleging negligent acts, errors and omISSIons. D. Workers' Compensation Coverage: As required by the laws of the State of California. E. The insurance required under paragraphs A and B, above, shall be endorsed with language covering the Town, its officials, officers, employees, agents and volunteers. Such coverage shall be primary insurance to the Town, its officials, officers, employees, agents and volunteers and shall act as though a separate policy had been written for each. Any failure to comply with the reporting requirements of the policies shall not affect coverage provided to the Town, its officials, officers, employees, agents and volunteers. F. The insurance required by this Paragraph shall not be suspended, voided, canceled or reduced in coverage or in limits except after the Town has received thirty days written notice. G. Evidence of compliance with the insurance and endorsement requirements of this Paragraph shall be subject to the approval of the Town Attorney. 8. Ownership of Documents; Re-Use; Indemnity. All plans, studies, documents and other writings prepared for and by Consultant, his officers, employees and agents and subcontractors in the course of performing the Services shall be the property of Town and Town shall have the sole right to use such materials in its discretion without further compensation to Consultant or to any other party. Consultant shall, upon request, provide such materials to Town. Town acknowledges that such documents prepared pursuant to this Agreement are intended for use only in connection with Services set forth herein. Consultant makes no representation that said documents are suitable for re-use on any other project or on any expansion of Consultant Services. Any such re-use by Town without specific written approval by Consultant shall be at Town's sole risk. Town shall indemnify and hold Consultant harmless from all claims, losses, damages and expenses, including attorneys fees, that may arise from Town's unauthorized re-use of said documents for another project or for any expansion of Consultant Services. 9. Interest of Consultant. Consultant covenants and represents that he does not have any economic interest and shall not acquire any economic interest, direct or indirect, in the area covered by this Agreement that would be affected in any manner or degree by the performance of the Services. Consultant further covenants and represents that in the performance of its duties, no person having any such interest shall perform any services under this Agreement. Consultant will comply with the Town's Conflict of Interest code. 10. Licenses. Consultant represents and warrants to Town that he has all licenses, permits, qualifications, insurance and approvals of whatsoever nature that are legally required of Consultant to practice his profession. Consultant represents and warrants to Town that they shall, at their sole cost and expense, keep in effect or obtain at all times during the term of this Agreement, any licenses, permits, insurance and approvals that are legally required of Consultant to practice his profession. 11. Contract Term; Termination of Contract. It is expressly understood that either party may terminate this Agreement without cause upon ten (10) days written notice of termination to the other party. In event of termination, Consultant shall deliver to the Town copies of all finished and unfinished surveys, studies, documents, computer disks, and/or reports pertaining to the Services. Consultant shall be entitled to receive just and equitable compensation for any satisfactory work completed as determined by the Town. 12. Stop Work Order. Town may at any time, by written notice to Consultant ("Stop Work Order"), require Consultant to stop or suspend performance of the Services, in whole or in part, for a period of up to ninety days after such notice is delivered to Consultant. Upon receipt of the Stop Work Order, Consultant shall immediately comply therewith and take all reasonable steps to minimize the incurrence of costs allocable to the Services covered by the Stop Work Order during the period of work stoppage. Within ninety days of the delivery of the Stop Work Order, or such later time as may be agreed to by the parties, Town shall either (a) cancel the Stop Work Order; (b) cancel those the authorization for those Services covered by the Stop Work Order; or (c) terminate this Agreement as provided in Paragraph 11. Consultant shall resume work upon the cancellation of the Stop Work Order. To the extent that the Stop Work Order results in a documentable increase in the cost of performing the Services or the time required for such performance, Consultant shall receive an equitable adjustment in compensation. 13. Discrimination. In the performance of the terms of this Agreement, Consultant shall not engage in nor permit others he may employ to engage in discrimination in the employment of such persons based on race, color, religion, sex, sexual preference, age, or handicapped conditions. 14. Mediation. The parties will make a good faith attempt to resolve any disputes arising from this Agreement through mediation prior to initiating litigation. The, parties shall mutually agree upon a mediator and shall share the costs of mediation equally. If the parties are unable to agree upon a mediator, the dispute shall be submitted to JAMSIENDISPUTE ("JAMS") or its successor in interest. JAMS shall provide the parties with the names of five qualified mediators. Each party shall have the option to strike two of the five mediators selected by JAMS and the mediator thereafter remaining shall hear the dispute. 15. Miscellaneous. A. Governing Law. The laws of the State of California shall govern this Agreement. B. Severability. If any provision of this Agreement is found to be invalid or unenforceable, the validity and enforceability of the remaining portions shall not be affected unless the effect thereof would materially change the economic burden on either party. C. Successors in Interest; Assignment. This Agreement shall be binding on the assigns and successors in interest to both parties. Neither party may assign their obligations under this Agreement without the written consent of the other party. D. Entire Agreement; Amendment. This Agreement represents the entire Agreement between the parties. This Agreement may only be amended in writing. 16. This Agreement includes the following Exhibit, which are attached hereto and incorporated herein by reference: Exhibit A Work Program IN WITNESS WHEREOF the parties hereto have caused their duly authorized representatives to execute this Agreement the day and year above written. QUESTA ENGINEERING CORPORATION By: ---a-tle~ (p~ 9/?/t) L By: ALEX D. McINTYR Town Manager APPROVED AS TO FORM: NN R. DANFORTH Town Attorney EXHIBIT A QUEST A ENGINEERING CORPORATION CIVIL, ENVIRONMENTAL, & WATER RESOURCES ENGINEERS 1220 Brickyard Cove Road, Pt. Richmond, CA 94806 phone (510)236-6114 fax (510)236-2423 June 24, 2002 Mr. Patrick Echols, P.E. Director of Public Works/Town Engineer Town of Tiburon 1505 Tiburon Blvd. Tiburon, CA 94920 Re: Work Program Trail/Bikeway Design and Environmental Impact Services, Trestle Glen Boulevard Dear Mr. Echols: Enclosed please find a revised Scope of Work and Work Program for the TraiUBikeway Design and Environmental Impact Services, Trestle Glen Boulevard. This segment will identify options for improving the Bay Trail Connector between Tiburon Boulevard and Paradise Drive. As discussed in our recent meeting, we have revised the Work Scope to focus on the essential tasks to get this trail segment completed, and have provided an updated schedule for your consideration. Please review the proposed scope and call me if you have any questions regarding this scope. Sincerely, Jeffrey H. Peters Principal 1.0 Overview and Summary This project is to complete a trail/bikeway design and preliminary environmental services along a 0.7- mile stretch of Trestle Glen Boulevard in Tiburon, with possible extension to the segment of Paradise Drive between Trestle Glen and the Corte Madera town limit. This trail connection will utilize road widening, pullouts, and possible separated trail sections to provide access that is dedicated for bicycle and pedestrian use, and separated from vehicular traffic where feasible. The final design will likely need to underground a roadside ditch, and possible construct a retaining wall to stabilize hillslopes if the tow of the slope needs to be cut into to widen the trail shoulder. The intent of the project is to improve the pedestrian and bicycle safety for trail users crossing from Bay Trail segments on the south side of the Tiburon peninsula to the north side, with a connection to the Richardson Bay Multi-Use Trail. The Bay Trail is a "planned recreational corridor that, when complete, will encircle San Francisco and San Pablo Bays with a continuous 400-mile network of bicycling and hiking trails "( ABAG). The study will determine the preferred alignment and infrastructure necessary to accommodate this section of the Bay Trail; resolve possible safety and access conflicts between vehicular and pedestrian/bicycle traffic; examine environmental constraints, including geologic hazards, wetland crossings and other sensitive areas. The study will include: · Identification of a preferred Bay Trail alignment; · Report identifying trail alignment alternatives, design elements, cross sections and other issues, such as sensitive areas, structural needs and trail use conflicts · Preliminary geotechnical and structural engineering studies to support design of any shoulder widening and toe support retaining structure needs · Topographic survey and preliminary design documents, including alignment alternatives, improvements, cross sections, and structures · Preliminary cost estimates for improvements necessary to develop the trail, needed easements/access control, and any associated structures (grading, drainage and paving, signage, fences, retaining walls, etc) needed to complete the trail. 2.0 Detailed W ork Scope/Additional Services The following tasks will be completed as part of the Trestle Glen Study: Task 1: Data Gathering And Preliminary Analysis Topographic Survey . We will prepare a site topographic map with elevations, fence lines, trees, utilities, overhead wires, existing pavement, and other features will be surveyed. We will indicate property boundaries, easements, assessor's parcel numbers and other survey information. JL Engineering, Licensed Land Surveyors, will complete this task. Existing Conditions. We will prepare an overview and description of the site conditions, including existing access, identification of conflicts, hazards or sensitive environmental areas. This section will also identify potential wetlands conflicts. (This task does not include formal wetland delineation or special status species protocol surveys, but will identify the need for additional work, if appropriate.) Task 2: Evaluate Planned Development Adjacent to Trail Preliminary Meeting. We will meet with Town staff to gather preliminary information regarding projected land use adjacent to the trail alignment, management needs, desired outcomes, implementation timelines and other issues. As part of this task, we will review eXIstmg and proposed traffic recommendations for pedestrian improvements at Tiburon Blvd. to provide a safe connection to Blackie's Pasture and trail links to the south. Detailed traffic analysis or review by a Traffic Engineer is not included in this task. Task 2.1 Advisory Committee. We will conduct a workshop to solicit ideas to incorporate into the trail route, including assistance with the selection of a committee to review preliminary trail alignments and provide input on pedestrian and bicycle access needs. Based on our meeting of June 12, 2002, we anticipate a potential working group might include: . One representative from Tiburon' s BP AC . One representative from ABAG Bay Trail . Two neighborhood HOA representatives . One representative from Marin County Bicycle Coalition . One representative from Tiburon Peninsula Foundation . One at-large representative (possible a Town Council member?) The actual composition of the group will be reviewed and approved by Town staff. We assume that Town staff will provide meeting notices and mailings to residents and advisory committee members. We will prepare meeting agendas, coordinate and facilitate meetings, and provide information to interested parties. At the preliminary workshop, we anticipate that we will provide general information regarding potential trail alignments, and may identify some preliminary route options. We will utilize input received from this meeting, as well as consultation with staff to define a recommended trail route. We anticipate that formation of the advisory committee will be concurrent with Task 1, while the actual workshop will be held following completion of preliminary survey information, as well as Task 2.2, so that workshop participants can evaluate feasible alternatives. Task 2.2 Property Line Evaluation. We will evaluate available information regarding property ownership along the alignment, supplemented with information from survey work completed as part of Task 1. This will be utilized to determine preliminary information regarding ownership, use and easement conflicts, needed right of way acquisition, and other potential land use or acquisition issues. We will review existing subdivision plans and available Town documents for possible easements that exist to provide an alternative alignment, and/or local links to neighborhoods and the Tiburon Ridge Trail. Task 3:Prepare CEQA Initial Study Environmental Assessment We will perform an initial environmental analysis, and complete the CEQA Initial Study checklist for the project. The study will identify potential environmental impacts and project options, with recommendations for further analysis in focused areas if needed. Task 3.1 Preliminary Geotechnical Evaluation. This task includes a preliminary investigation for CEQA compliance and initial project design, including literature review, review of available geologic and geotechnical reports, field air photo analysis, site field mapping and hand auguring of selected sites. Note: Deep drilling and laboratory analysis is proposed as an additional service. This task will be completed concurrent with Tasks 1 and 2. Task 3.2 Preliminary Structural Report. This task includes review of the preliminary geotechnical recommendations, site visit, coordination and preliminary design of structural components such as retaining walls; trail cross sections, berms, fills, etc. This task will be completed as needed during the study by Oakley and Oakley, Structural Engineers, as well as any detailed structural design and specifications for the project. Note: Tasks 3.1 and 3.2 do not include machine drilling, substantial laboratory testing or detailed design related to landslide repair or specialized design of structures for problems identified as part of the preliminary investigations. These services can be completed as an extra service. Task 4: Preliminary Plan, Preferred Trail Alignment We will prepare a preferred trail alignment for review with Town staff, ABAG, and the advisory committee. The plan will include the elements detailed in the following subtasks, including trail route, typical cross sections, proposed pullouts, structural elements, lighting, landscaping etc. Task 4.1 Preliminary Plans and Specifications. The preliminary plans will include the recommended precise alignment and detailed descriptions of project elements. Plan specifications will include description of project elements in suitable detail for preliminary cost estimation purposes, but not necessarily sufficiently detailed for project bidding. Preparation of a detailed Engineer's estimate for bidding purposes, detailed specifications and implementation administration can be provided as an extra serVIce. Task 4.2 Design Elements. The plans will include articulation of trail and roadway surface and width, typical pavement sections, delineation of separated trail areas, and any structural elements such as retaining walls. Task 4.3 Landscape Master Plan. We will prepare a landscape master plan for the project, utilizing low maintenance, native plant materials where feasible to improve adjacent habitat conditions. We currently anticipate that extensive landscaping will not be included, but will focus on selective plantings to mitigate disturbed areas and provide screening. Detailed landscape and irrigation plans and specifications suitable for bidding purposes can be prepared as an extra service. Task 4.4 Lighting Master Plan. We will prepare a master lighting plan that articulates the type of lighting proposed, locations, and other design recommendations. We currently anticipate that lighting is not a priority, and may be provided as needed in limited areas. Detailed electrical design is not proposed. Task 4.5 Signage and Street Furnishings. We will provide recommendations for signage (including Bay Trail identification), site furnishings such as benches and bicycle racks, kiosks or interpretive elements identified as part of the design and planning for the trail. Task 5: Preliminary Cost Estimates We will prepare a preliminary cost estimate for the project, utilizing cost data from similar projects to determine project unit costs. This task will include exploration of grant funding opportunities, phasing, and inclusion as a requirement of adjacent development. Task 6: Identify Regulatory Requirements We will determine regulatory permits needed for project development, interim project opportunities, costs associated with permit preparation and processing, and schedule for obtaining the permits. Task 7: Town Council Presentation We will present the completed project and CEQA documents to the Tiburon Town Council for review and approval. Deliverables: We will provide both hard copies and electronic files as requested in the RFP, including: . Two trail alignment maps, minimum 24" x 36', two sets of blue lines, one set of Mylar, and one AutoCAD 2000 drawing file . Reproducible trail map at 11 x 17" . Trail report, including background analysis and project elements . Site plan with record property boundaries, easements, owners, APN's, etc. . Preliminary engineering plans including grading, site improvements, etc. . Cost estimate and phasing plan . Completed CEQA checklist. 3.0 Meetings and Schedule We are prepared to commence work following award of contract in June 2002. We anticipate the general schedule to follow the outline presented in the RFP, with most work to occur during the summer and fall of 2002 and Council presentation in November 2002. Public Meetings: 1. Kickoff Workshop to Review Preliminary Data, Week of August 5, 2002 2. Meeting with Advisory Committee to Review Preliminary Design Week of September 9, 2002 3. Progress Meeting to Review Preliminary Design, Town Council Week of October 16, 2002 4. Town Council Presentation, Recommended Design November 20, 2002 Interim meetings with staff and selected stakeholders are expected and will be completed as part of individual project tasks. Additional public workshops may be held if needed, as an extra service, or budget reallocation. Schedule: Target Completion Work Product Budget Task Task 1: Data Gathering And $15,000.00 Preliminary Analysis 1.1 Topographic Survey July 1- 31, 2002 Survey Drawings $10,000.00 1.2 Existing Conditions July 1- 31, 2002 Preliminary 5,000.00 Report/Dra wing Task 2: Evaluate Planned $4,000.00 Development Adjacent to Trail 2.1 Advisory Committee July 1- August 9,2002 Workshop and $2,000.00 (Meetine 1) Minutes 2.2 Property Line Evaluation July I-August 9, 2002 Preliminary $2,000.00 Report/Dra wing Task 3 $15,000.00 Prepare CEQA Initial Study Initial Study $5,500.00 Environmental Assessment Checklist 3.1 Preliminary Geotechnical July 1-31,2002 Preliminary Report $6,800.00 Evaluation 3.2 Preliminary Structural Report. As needed Preliminary Report, 2,700.00 as needed $18,000.00 Task 4: Preliminary Plan, Preferred Trail Alignment August I-Sept. 13, 2002 AutoCAD Drawings/ $13,000.00 4.1 Preliminary Plans and Meeting Specifications (Meetine 2) September 9-N ovember 8, Drawings/ Report $2,100.00 4.2 Design Elements 2002 September 9-November 8, Drawings/ Report $1,100.00 4.3 Landscape Master Plan 2002 September 9-November 8, Drawings/ Report $1,000.00 4.4 Lighting Master Plan 2002 September 9-November 8, Drawings/ Report 800.00 4.5 Signage and Street Furnishings 2002 July I-November 8,2002 Report/Meeting 5,000.00 Task 5: Preliminary Cost Estimates (Meeting 3) Task 6: Identify Regulatory July I-November 8, 2002 Report 2,000.00 Requirements Task 7: Town Council Presentation November 20, 2002 Meeting 1,000.00 (Meetin24) Total $60,000.00 ACORD", CERTIFICATE OF LIABILITY INSURANCI;uE~~~lJH I DATE (MM/DD/YY) 09/19/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Diablo Valley Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1936 Linda Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 23143 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pleasant Hill CA 94523 Phone: 925-686-9535 Fax:925-686-9315 INSURERS AFFORDING COVERAGE INSURED INSURER A: Zurich INSURER B: Safeco/American States Ins Co ~uesta Engineering Corp. INSURER c: CNA ttn: Joe Smiell P.O. Box 356 INSURER D: Point Richmond CA 94807 I INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER b2~If~if,~Bw{'YE P6'.H~1~~rJ~rl.}?N LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $2,000,000 - A X COMMERCIAL GENERAL UA9:UTY PAS38845278 09/10/02 09/10/03 FIRE DAMAGE (Anyone firt::) $2,000,000 - o CLAIMS MADE [!] OCCUR - MED EXP (Anyone person) $10,000 PERSONAL & ADV INJURY $2,000,000 - GENERALAGGRE~ATE $4,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $4,000,000 Xl n PRO- nLOC X POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $1,000,000 B X ANY AUTO 02CC86704050 10/01/02 10/01/03 (Ea accident) - ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (Per person) - HIRED AUTOS BODILY INJURY - $ NON-OWNED AUTOS (Per accident) - - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ~ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $2,000,000 A [J OCCUR D CLAIMS MADE PAS38845278 09/10/02 09/10/03 AGGREGATE $ $ R DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I t'5R~ld~YTS I IOJ~- . EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER C Professional Liab. AEA004312784 08/01/02 08/01/03 Limit: $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION TIBUR-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ..l..L DAYS WRITTEN Town of Tiburon NonCE TO THE CERTIRCATE HOLDER NAMED TO~, BUT FAILURE TO DO SO SHALL Attn: Patrick Echols, P.E. Dir of Public Works/Town Eng 00 OBLIGATION OR LIABILITY OF ANY KIND ON HE INSURER, ITS AGENTS OR 1505 Tiburon Boulevard REPRES NTATIVES. .I Tiburon CA 94920 ~( l=D REPRESENTATIVE ~ .y~/ ) I V tJ f ~ ~A .A p~ ACORD 25-S (7/97) rJ~ I @ACORD CORPORATION 1988