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HomeMy WebLinkAboutContracts & Agreements_18-2020LICENSE AGREEMENT THIS LICENSE AGREEMENT ("Agreement") is made and entered into this 4th day of February, 2020 ("Effective Date") by and between the City of Redlands, a municipal corporation ("Licensor") and W. Wood & Associates Development, Inc. ("Licensee"). Licensor and Licensee are sometimes individually referred to herein as a "Party" and, together, as the "Parties." RECITALS WHEREAS, Licensor is the fee simple owner of certain real property located in the City of Redlands commonly identified as county of San Bernardino Assessor's Parcel No. 0169-321- 03-0000 (the "Property), and certain adjacent public right- of -way (the "Right -of -Way), both of which are more particularly described and shown on Exhibit "A," which is attached hereto and incorporated herein by this reference; and WHEREAS, Licensee desires to enter upon the Right -of -Way and Property, from time to time in accordance with the provisions this Agreement, to construct, at no cost to Licensor, a decomposed granite pedestrian trail (the "Trail") on the Property; and WHEREAS, Licensor desires to grant Licensee a non-exclusive, revocable license to enter upon the Right -of -Way and Property and construct the Trail on the Property on the terms and conditions hereinafter set forth; NOW, THEREFORE, in consideration of the mutual promises contained herein, the City of Redlands and W. Wood & Associates Development Group, Inc. agree as follows: Section 1. Recitals. The foregoing Recitals are true and correct and incorporated herein by this reference. Section 2. Grant of License. Licensor hereby grants to Licensee, and its employees and agents, a non-exclusive, revocable license to enter upon and use, as the case may be, subject to all of the terms and conditions hereof, the Right -of -Way and Property for the construction of the Trail. All activities of Licensee undertaken in connection with Licensee's construction of the Trail shall be performed in accordance with all applicable federal, state, and local laws. Licensee acknowledges and agrees that Licensee shall be financially obligated and responsible for all costs associated in connection with its construction of the Trail. Section 3. Term. The term of this Agreement shall commence on its Effective Date and end on October 3, 2020, unless earlier terminated as may be provided for herein. Section 4. Plans and Specifications. Licensee shall construct the Trail in accordance with the written plans and specifications provided to City, copies of which are attached hereto as Exhibit `B" which is attached hereto and incorporated herein by this reference, and on file in City's Facilities and Community Services Department. L:IcaldjmlAgreementslw. wood Associates Development License Agreement 2.4.20.doc.jn Section 5. Compliance with California Labor Code. Licensee acknowledges that Licensee's construction of the Trail, while permitted by Licensor to be undertaken on the Property by Licensee, is a privately funded project with no financial contribution by Licensor, and the determination of whether California Labor Code prevailing wage laws, and other applicable California Labor Code provisions applicable to "public work" projects (as defined by California Labor Code section 1720 et seq.) are applicable to Licensee's construction of the Trail, and Licensee's compliance therewith, shall be made solely by Licensee. Licensee expressly agrees Licensor shall have no responsibility, obligation or liability therefor. Section 6. Notice of Entry. Licensee shall provide at least one day's prior written notice to Licensor of the dates on which Licensee desires to enter upon the Right -of -Way and Property. Section 7. Possession and Condition of Property Not Warranted. Licensor does not warrant or represent that the Right -of -Way or Property is suitable for Licensee's entry upon or construction of the Trail, or for any other purpose, and Licensee agrees to enter and use, as the case may be, the Property in its "as is" condition, and construct the Trail on the Property at its own risk. Licensee shall not seek to hold Licensor for responsible or liable for any claim of damages, restitution, or other relief by Licensee or any other entity or person in connection with such entry or construction. Section S. OwnershiD of Trail. Upon Licensee's completion and Licensor's written acceptance of the Trail, Licensor shall be the owner of the Trail and shall be solely responsible for the maintenance and repair of the Trail at Licensor's sole cost. Section 9. Termination. This Agreement may be terminated by Licensor, for any reason and in its sole discretion, upon ten (10) days prior written notice to Licensee; provided, however, in the event Licensor determines that the public health, safety, or welfare is jeopardized, or that Licensee is in material breach of this Agreement, Licensor in its sole discretion may provide written notice to Licensee to immediately suspend Licensee's performance of its obligations under this Agreement, or terminate this Agreement. Section 10. Notice. Any notice or other communication required, or which may be given, pursuant to this Agreement, shall be in writing. Any such notice shall be deemed delivered (i) on the date of delivery in person; (ii) five (5) days after deposit in first class registered mail, with return receipt requested; (iii) on the actual delivery date if deposited with an overnight courier; or (iv) on the date sent by facsimile or email, if confirmed with a copy sent contemporaneously by first class, certified, registered or express mail; in each case properly posted and fully prepaid to the appropriate address set forth below, or such other address as a Party may provide notice in accordance with this section: Licensor Licensee Chris Boatman, Director Woody Wood, CEO Facilities and Community Services Dept. W. Wood & Associates Development, Inc. 35 Cajon Street, Ste. 222 PO Box 3612 PO Box 3005 (mailing) San Bernardino, CA 92413 2 L:1ca\djm\Agreements\W. Wood Associates Development License Agreement 2.4.20.doc jn Redlands, CA 92373 wwood644@gmail.com cboatman@cityofredlands.org 951-830-1835 909-798-7655 Section 11. Indemnification of Licensor. Licensee, and any subcontractors or agents of Licensee performing construction work on the Right -of -Way or Property for Licensee in connection with this Agreement, shall defend, indemnify and hold Licensor free and harmless from and against all liability, loss, damage, costs or expenses (including attorneys' fees and court costs) arising from, or as the result of, the death of any person or any personal injury, accident, claim, loss or damage whatsoever caused to any person or to the property of any person, or any responsibility or liability resulting from or in any way connected with Licensee's entry onto the Right -of -Way or Property, and/or construction of the Trail. Licensee shall be responsible for ensuring its subcontractors' and agents', if any, compliance with the requirements of this Section 11. This Section 11, and the obligations described herein, shall survive the expiration and/or any earlier termination of the Agreement. Section 12. Insurance. Insurance required by this Agreement shall be maintained by Licensee throughout the term of this License. Licensee shall not perform any work on the Property unless and until the required insurance listed below is obtained by Licensee. Licensee shall provide City with certificates of insurance and endorsements evidencing such insurance prior to Licensee's entry onto the Right -of -Way or Property. Insurance policies shall include a provision prohibiting cancellation or modification of the policy except upon thirty (30) days prior written notice to City. A. Workers' Compensation and Employer's Liability insurance in the amount that meets statutory requirements with an insurance carrier acceptable to City, or certification to City that Licensee is self -insured or exempt from the workers' compensation laws of the State of California. Licensee shall provide City with Exhibit "C," titled "Workers' Compensation Insurance Certification," which is attached hereto and incorporated herein by this reference. B. Licensee shall secure and maintain comprehensive general liability insurance with carriers acceptable to City. Minimum coverage of One Million Dollars ($1,000,000) per occurrence and Two Million Dollars ($2,000,000) aggregate for public liability, property damage and personal injury is required. City shall be named as an additional insured and such insurance shall be primary and non-contributing to any insurance or self-insurance maintained by City. C. Licensee shall secure and maintain business auto liability coverage, with minimum limits of One Million Dollars ($1,000,000) per occurrence, combined single limit bodily injury liability and property damage liability. This coverage shall include all Licensee owned vehicles used in connection with Licensee's provision of the Services, hired and non - owned vehicles, and employee non -ownership vehicles. City shall be named as an additional insured and such insurance shall be primary and non-contributing to any insurance or self- insurance maintained by City. 3 L:1ca\djm\Agreements\W. wood Associates Development License Agreement 2.4.20.doc jn Section 13. Independent Contractor Status. Licensee is for all purposes under this Agreement an independent contractor and shall perform the Services as an independent contractor. Neither City nor any of its agents shall have control over the conduct of Licensee or Licensee's employees, except as herein set forth. Licensee shall supply all necessary tools and instrumentalities required to perform the Services. Assigned personnel employed by Licensee are for its account only, and in no event shall Licensee or personnel retained by it be deemed to have been employed by City or engaged by City for the account of, or on behalf of City. Licensee shall have no authority, express or implied, to act on behalf of City in any capacity whatsoever as an agent, nor shall Licensee have any authority, express or implied, to bind City to any obligation. Section 14. Assignment. The license granted by this Agreement is personal to Licensee. Licensee shall not assign its rights under this Agreement except upon the prior written consent of Licensor, which may be granted or withheld in Licensor's sole discretion. Any assignment or attempted assignment of the license granted by this Agreement without the prior written consent of Licensor may, in the sole discretion of Licensor, result in the immediate termination of this Agreement. Section 15. Entire Agreement/Amendment. The making, execution and delivery of this Agreement by Licensee has not been induced by any representations, statements, warranties or agreements other than those herein expressed. This Agreement embodies the entire agreement and understanding of the Parties, and there are no other agreements or understandings, written or oral, in effect between the Parties relating to the grant of this license. This Agreement may be amended or modified only by a written instrument signed by the Parties. Section 16. Attorneys' Fees. In the event any action is commenced to enforce or interpret the terms or provisions of this Agreement, the prevailing Party in any such action, in addition to any costs and other relief granted, shall be entitled to recover its reasonable attorneys' fees, including fees for use of in-house counsel by a Party. Section 17. Counter arts. This Agreement may be signed in counterpart or duplicate copies, and any signed counterpart or duplicate copy shall be equivalent to a signed original for all purposes. 4 L:Icaldjm\Agreements\W. Wood Associates Development License Agreement 2.4.20.doc.jn IN WITNESS WHEREOF, the Parties have executed this Agreement as of the date first written above. LICENSOR: CITY OF REDLANDS By: Paul W. Foster, Mayor ATTEST: J e Donaldson, City Clerk LICENSEE: W. WOOD & ASSOCIATES DEVELOPMENT, INC By: Woody W od, CEO LAcaldjm\AgreementslW. Wood Associates Development License Agreement 2.4.20.doc.jn STREET 9.4RON� MT P4 A�GENERAL No7'c^3_ r ZZ � aanhu�' ,•.lam' :of ...�e sr.¢ v M� ciw:e.i d �� `w+. ro�a rma rwaw*c fx um+ n.nrwn�w ..a�rc.+s .rcA Myx.w.¢.s.vi .x .sasc �a e�-s.rtc.w'»vro.ov wr;wrow:1mm- .mac n�ax� dim w+.x.•v, mx xaNx.. as .vm.r..,•,c.xa• r2 T.cm.�nn rt..n- ni rt wa fw � _ tlAr).f t ! m��vnP T'wu.vo vas rw+vuS a+rn ENGk7EEA'8 NOTICE wc..00 w ra R..s. -Fl wM�� _ aL. ad 111 w+aGlmtt MM�iF�tgamn� rl�rtl 0.l��x �+�lx�icr�A'r� ev[ frs>i �1� iwti w Mu h�sH u••svw s�„.n�¢ fxvNv] n tv[ o-f CONSTRUCTION PLANS FOR ZANJA TRAIL AND GREENWA Y PARK, PHASE 2 CITY OF REDLANDS, CA CDN3TFIUOT I'll NOTES OUANMIEs ONS[TE (PARKING LOT IMPROVEMEMT51 QN .�)•.fY•). uftil �.+ca.i ..rrt Nf. Q rw -unL irJ. � M �f••Y •1lR'f�wR�LvaG [s+f x. wcst4t Q'] smniw.:t p,.p prvc M. 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In �» _- lfin.c_vsx;rne�..r .r +Mrr.>unk ox R��+I�� [•s:ve ®mmesr�,-.x un aa.l ;alozs� su..a.,rwsra W n•.is°�ro K Nfia "' w.�,n n wo win n R. i iwrwrw iusrcr.w w rn naa�or n.rm s a i�.�c c , ewwa, �RNM w.�2t vwe .c. r. t.�na sxnc. rs w�ul mM �fv�e H�rxt ([wivryi eirm rry� � fHMs)�ic uryt • � w.[...w A rryn r m K aMa d lim d errv�x a�aw ev m, ox...< srxn.w er.o•.-r r x>- � L� f6� S[Il kifA e/ QpOQOppp POD ELEVATION NEW I CITY OF REDLANDS Paaecr ue. s rat e r u rvrro vFu �rc r rn rt s eierGrr „rztp �m es C-t 0 i Y P SS � E � ro 'a E STREET IMPROVEMENFS O.rr.+ xo .rrar [.mwa rn.r xa awor r.nrn r .x.o,.xr sys .rm av+rn CD.— m.-Nnr'k, .' ai,: rtr ssnut fuo-c zrsJ Inwn:«i n�:,r.r x:•uar ur xz-tx smarm wrr ID7—xnz rD.+r x t�Wri n^ �Tr.r vrr.•u�. m w.ts cx�Y � p tawrnn r erw,r .� e..ca.r rn>c-zruxn¢ "�"vuriuus,mx.�uvnou..¢¢�+n rc�.� rar+»Rrr..xx r,w .�.-rs mrR .xMn .�-. s.¢n rci.n ivexvn � u` Maio rwv rne. �:R. o..a..- w.c:.w `,'vw`.mmwvxriuriui-a .i �uxwn.r.�x>a�'rsw's mwr xa cram. assn�r�w �M�as�r .a �ru rr.x r¢:,,rc x vcr m� �.�rc�� �.r�v..e.m rmr.rAr+r.e oeo-o-nr..x.s+wdn ra:�srnur.«ar ®:•.wc rrvac .w asrst n as .w a+n. 4�r..n..cr _w nw. x� � sv .,v.��x •r-. !r u: s:tJ[n+surr ro vrr va.-�rck uc aw+-r! t,4 c:rerr¢u, r �t..rX rewnz tzs.+c•.:::aNrc fm�c vrtre,*.car _z-4 fg)n5+xr Sn lIDaTpr rrni:rwr [ra ..- Yx .ir-1 n¢ uv..p YfJ,Gr[as �.v�rx�w can r n [ti SIMs e � S,� U \ h ONSITE (PAR!(ING CoT lMPROVEAIEMSI p.t.a, t,:rcnr ®mr mre� CD., cc>..�p i ,,.;..rxc.cra su w..:rt cwt >n ra�.r> n, rmrc vrvu•.« uc ®p c•ru.,,nr.,:c;.�ra,rx=r .«rrls.a. Pa•¢>'cxs CITY OF REOLANOS . ® ryot.r riv, xz rs¢alte r„r,rz xc, ZANJA TRA�dnP EENMPARK, PROOJECT Na... =Y__ r � rc cmx pE za45REEx CiJ C�iSCT�- fi-pSSIiMIOT M N �P can e5 ✓[a ar GI r ONSMT (PARKING LOTIMPROVEMENTS (] rYMcf m rp.q Da (+) rC Qv �I�w.c J�cIM�'+++ bid veeniura+.� �ay.rj (e)Cxl ®� ni/ au cmcin �s ttl sroa n wpssa,n su rxtL rt. wo.c OFFSITE STREETfMPROVEMENTS p s.nv ,a. uu ns.rc rant+ raa m i�r: a p'A'txUw ]a . a n� c v :tm'"ucs nu:.ws n m..c:ic. a acaz aauvY . m"r ,�w uc. d rwr r sin.xc te rcrr.rr n.. m+us.im c..x� mc�],.rcr r 5.<. ac �rc rsd-carwx.e, yo.c rRNu� :..i +-n a rnrsrN a.c....ac mrw ru m s.n mv.c,, .wrra� ua�m[r.c ..��xn.�axc rafr cu xnrufn 77 p e]�i.ur su ar_s ea .:.-u ix .ra:a ..o mm. n rrs� Ixc ®mvxorcr � iwc. r:c tfr.]r 1,�,-e.kWY wrIX t t cs�s .ro xlY[ rrt .aq nssr1�uaW _ IWnH n�.( N• .I r.0 its nM�i`S sLG.45. ns:+4 ®rpsrtsr .....t [bdns I•G[r tnn.-r. rzo.o'wlr.tt W[to r^w.rs[ a� wo {pnr� r.svc .w4s.r .-o awx ..I..AY v.T ror c-,.�:xcrw n IIOfr:rc .r n.r. » rrrwre rairter n se.s ®[asrwxr! xt caws av9 hnl. K. hv.e sru rTv. ®v.0. ®vS �"r �`m«;• 5�. � r�rr, ru,-r-�ir,:x.:r.r �irr�,�„ ®mui rrffi rlwv.k( psr✓n lsv..' a.. —1. , tea..— - •o�,CUW F 4 — — .ran v wi � anrrup .eaa� rnn WAS CURB -C P F .y_J—^.viim P... fi CUM DETA ''Ar - CURD RAMP CITY OF REOLANtiS j ZMJA TFPA ANp GNEEHWAY PAPLK PHASE 2 PRwEGTNI. " : A6OTJ01dLL UETARS FOR S TAER[TAlfO S.TJM'JWf M As'EULUTPI/�N � e[er mi[nntc cn s 36 m: as G12 ONSITC (E8RKING LOT IMPROVEMENTS) pw u CD—." W. CC QD OFFSUE.(STREETIMPROVEMEAMMS 431 L) i V TD- =11 cc all 6.z 7- fm , m affl% DUAL7- - MMLS cfry OF REDLANDS 1't ZAUJA TRAIL AM GREEMAY PAM, P-5 E 2 PRWUCT N. In PURR C161L-E- C�ME! kW AhD-SVVMA , �- r-, MCCT-C=l� tq CASE? 'Ggo- --------------- AR /Tii, rM. � 1¢ 9- OFFSI7E S7ftEE71hIPROVEMENTS milk rs--cwC Mr.w�r lsrCthS�)f+s v.sr CD T--- OS.+r cw a ur.nt xm nw,c-r n. cmFc rxvux++ rD vu m r..erne+ a�..Kr .cc mr,Kn raeo-c-iareaK. y...c rHvrnw. aR .+v-V rcwv faasl rr�-a.+w my tw m v.: ®nxi Iic+i ter, -a ua�r-v t»�.nrx w sGn aIIc.anw r.r�snr m cvn,..s e' nar.cr ztt�.v fsao-c-.nua xsstr txr ran w u,lnne m <.sn:aun rc: xrir...'a•.sa� n.e ow,r W tua r c>.a[tt Mr cn2[a uco'aT u2 m wrp rxxt. U m.cl �iaa Pwwx a.vr snr m e3.s.nmw > m a ®✓ate ®t+ar nwe ..o�eme. � arreu arrr t gpr>a fifart iniN �i IX. cr�d.il�ws: o� rtvw� �nc..c irn. um ITy�aKan KusR um nYmcY Im'+s w saw C9r.s _ u_ av�.A � niv i-vrti srt� ova •no wNm�i e�ri 4b �A++'a' �nr lira: araNn. r'wc rarrru+e.i wi-.) ®a]ui rt �� f � s nr�l vru ;rta atiN� -� _ _ Y > � a AC7l� c AEI �ID�6@ih4Z�739 M111tF]tl-016 � ev uas com AaTas Awu E ONSlTE lPARIflNG LOtIAIPROVEM1IEN7S QO,K..mmr�ro >:rm can ct..r. c.wtiRa ®.¢ �'d) • r.s'Ihrnmu: arc>ir�i .K u:.y. ®se.o rw. Rro-cvul �µ xrv:ss twua a.�rrn mugo.ln.•ow[i Pe � YNcl.0 r.rNc ® srrr loan "xr�. W«ar tr>. J�_ e � rs mixn MID D E S 16 N CITY OF RE13LANOS LANJA TRAIL AND OREENNlAY PARK PHASE E PRQIECTNa Cp -.4S tOFRIAAOiEAIENT ALAk d In ti oIJ lll---------------------------°"��""------------ ��s���� ' ---'`-----------^~"��°�------------�— | ' N � | ' | | | cm Mm CITY OF REDLANDS EROSION CONTROL PLAN ZANJA TRAIL AND GREENWAY PARK, PHASE 2 CITY OF REDLANDS, CA EROSION CCHTROL NOTES A A.1 1 111.1211 'I,' T!, STABILIZED CONSTRUCTION ENTRANCE IUD) WNSTRUCTION REFERENCE NOTES QUANTITIES LEGENA LEGEND E.] CITYOF REOLANDS ZANJA TRAIL ANO 09EEIMAY PARK PRASE 2 PROJECTU.. nko.p Is on ,a ,o N [] s�w,:�..[w_l.a.d..A —► CITY OF REDLANDS � T1 M1a Vs�kR.L x�ars.rs ZNIAT ILAND ORFE"AV PAM PFASE I E PROJECTNe. i ... — [ 4., ucs uu u-rnw.u. .y ERWIq/COtt1Roi.PW1 N _ C) p �' Es�nE0 U6fn s�9[xveadi G`F �rweE,,�=ro ."_. ....,�. O_ [ co 2 o oos iC,lREiOT 13�....... ... a.. v 1p`♦ cfq..E�h �G2.1 N i sEcnou AA e.ncwEstEoum 2ANJA TRAR AND GREENWAY PARK, PHASE 2 PROJECT No. nuury Ws rgttKEl xL2.ra:c tisi. IYtJnSCJSE O�+hOlt'�RA1t �t GCS sEcnoN cc 3 surM:cT soo,nlu caoves I IPnCKnrG PtAx,l S I ' j try u.v PxmuCSxxCCx _wun:q. _ I I nus>ur�eu.to+-wnt.nams ��; A-1 ski® SCMA(rP' cw+Lo�c 4cE'IOIG,a CW�. aETracA�E�a�i txC�uaoFs ntwt. �w�rrv•ma 4�ens u.ax �cr.E��Ncr wa, w I ecurruxs.Eef» ZANJA TMIL AND GNEEFW mva® TJ p •••••••'_- c �E t••�v G,N65GWE GPAC _ r•crcrnw[ xE, sl>f S.'[ss CONSTRUCTION LEGEND Aiwa L-z vl s[f i t P£r^i ; Sir �� mr .iE axi [mLvwnn]nu:,irowwfPt.]A,Ax ija m'o ngi[ns lPrrEu]a, E6riP+C10P r6 r]ntE.rHAn� saiipr-0roawrCqu�Or �Lm EA�urru�.pY.[LV: mfwtu.nvi � E � L,.. d [�rnoa �rlF��rF-0�I v:�tl Sf£Cnx sr _ � ��KE pCwEv� LP.avN4�a+� sici. 41L Ye E.�Rt��r4. 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(\ 71A l5HRVS"11TINO 6 lCCrrtJ vur9r]A /gIa0.CE . raL �D� s ('' rJwwlrrim R r C rr.eue➢plueE ° C aumt uuLc«urca 1� o �f�R�JrRra a n:.rdeirogfe:ierE. �w:., 40 GRQVNa COVER SAMPLE OEfA1L 0--.1— o��.�,. aL�nW i d EHL aEMENT P IM �O 0 O m ® O Q Wraevuvc u�w^ � tarn - � 4f-svp ' � O 5•����,�,Ha5t5.q;.L � -- PQi7©0❑ Cau`�i�E :°,� 6i vyv4 p�.G m i !tl i ❑ 1� �� pi »b ixMwA_Cch[a _ © V"f YRIAt KR Q� ¢ xve.vrp �np."e �' f pp sr +ru�tw"*en rhea a U�.xess vl rmR wu p s•�Rxe a=cu 1 Fi�,nw^f IHm ear:,e:.�,s,+He s � u � vusE m.mrrevn.mscx f°u'niusia �. D R orxrnrl,Ravu.E.s mralEoaR � ,rvvc.sa �axnmtomfuene ` w ,J'.�w � � `aU p rr�-e�wnna ID io e�dis.'w`u"�""H«.`➢'umcs'."` �� � lusxssveo..�.v:fx � p wsaa�w."=v�E,�mmuRscu�cl c ca ar � �"c. Guuireowvcc �o Q uo��w"" u`xo.ic�.h lroEru Piv u��nu`:i es°n°1vnc � pwran uwrw Q rvHSM wtfECRtu arzgGMrawc'µyf wzhwn bmcsmE cREr.a'fh Ef �— ® Plc Huifr2 f 4t pEp 50.[ova"[RVY'.L_HWL - FiKi wKM �K�wwwrawmau«.e«.'ArfH �Huu[[liiap�EH ip�4�ce �aea£MK k Old E( I n5`IAYlarq.{ cE�fRC(yvRiM¢rR L•�i Lu=%vAHS1wW"t ru 2 TYPICALDg1PCONTROLVALVE W FOR RECYCLED WATEq " '' BOASTER PUMP e in" 3 w LI O EE£L? 4 TYPfOAi DRIPUNE REQUIREMENTS 6 RECYCUDWATER DRIPAIR REUEF VALVE IN OCIE CD o ...2 ., rrrrTT ,„.� x rmw vi�i£nESC,a� vEs mcrL hE` e>n.err�u��wii ����lil� ��� Pyrs PfEY�Reo L+.Cnt_wERttSfCr, C"- 6 RECYCLEOIYATEq FU15q VALVE ASSEMBLY EXHIBIT t t C't WORKERS' COMPENSATION INSURANCE CERTIFICATION Every employer, except the State, shall secure the payment of compensation in one or more of the following ways: (a) By being insured against liability to pay compensation by one or more insurers duly authorized to write compensation insurance in this State. (b) By securing from the Director of Industrial Relations, a certificate of consent to self -insure, either as an individual employer, or as one employer in a group of employers, which may be given upon furnishing proof satisfactory to the Director of Industrial Relations of ability to self -insure and to pay any compensation that may become due to his or her employees. CHECK ONE lI am aware of the provisions of Section 3700 of the Labor Code which requires every pioyer to be insured against liability for Workers' Compensation or to undertake self- insurance in accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance of the work and activities required or permitted under this Agreement. (Labor Code § 1861). I affirm that at all times, in performing the work and activities required or permitted under this Agreement, I shall not employ any person in any manner such that I become subject to the workers' compensation laws of California. However, at any time, if I employ any person such that I become subject to the workers' compensation laws of California, immediately I shall provide the City with a certificate of consent to self -insure, or a certification of workers' compensation insurance. I certify under penalty of perjury under the laws of the State of California that the information and representations made in this certificate are true and correct. W. Wood & Associates Development, Inc. Date: By: Y Woody Wood, CEO L:1ca\djmlAgreements\W. Wood Associates Development License Agreement 2.4.20.doc.jn