HomeMy WebLinkAboutContracts & Agreements_148-2026AGREEMENT TO PERFORM PROFESSIONAL SERVICES
This agreement for the provision of construction quality assurance services for the
California Street Landfill Phase 5 Expansion ("Agreement") is made and entered in this 21s' day
of July, 2026 ("Effective Date"), by and between the City of Redlands, a municipal corporation
("City") and Geologic Associates, Inc., a California corporation ("Consultant"). City and
Consultant are sometimes individually referred to herein as a "Party" and, together, as the
"Parties." In consideration of the mutual promises contained herein, City and Consultant agree as
follows:
ARTICLE 1 — ENGAGEMENT OF CONSULTANT
1.1 City hereby engages Consultant to provide construction quality assurance services for the
California Street Landfill Phase 5 Expansion services for City (the "Services").
1.2 The Services shall be performed by Consultant in a professional manner, and Consultant
represents that it has the skill and the professional expertise necessary to provide the
Services to City at a level of competency presently maintained by other practicing
professional consultants in the industry providing like and similar types of Services.
ARTICLE 2 — SERVICES OF CONSULTANT
2.1 The Services that Consultant shall perform are more particularly described in Exhibit "A,"
titled "Scope of Services," which is attached hereto and incorporated herein by this
reference.
2.2 Consultant shall comply with applicable federal, state and local laws and regulations in the
performance of this Agreement including, but not limited to, any applicable State
prevailing wage laws.
ARTICLE 3 — RESPONSIBILITIES OF CITY
3.1 City designates Tabitha Crocker, Facilities and Community Services Director, as City's
representative with respect to performance of the Services, and such person shall have the
authority to transmit instructions, receive information, interpret and define City's policies
and decisions with respect to performance of the Services.
ARTICLE 4 — PERFORMANCE OF SERVICES
4.1 The term of this Agreement shall be for a period of two hundred ten days (210) days
commencing as of the Effective Date, unless terminated earlier as provided herein.
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4.2 If Consultant's Services include deliverable electronic visual presentation materials, such
materials shall be delivered in a form, and made available to City, consistent with City
Council -adopted policy for the same. It shall be the obligation of Consultant to obtain a
copy of such policy from City staff.
ARTICLE 5 — PAYMENTS TO CONSULTANT
5.1 Total compensation for Consultant's performance of the Services shall not exceed the
amount of Five Hundred Ninety -Eight Thousand Eighteen Dollars and Eighty -Seven Cents
($598,018.87). City shall pay Consultant on a time and materials basis up to the not to
exceed amount in accordance with Exhibit `B," titled "Fee Schedule" which is attached
hereto and incorporated herein by reference.
5.2 Consultant shall submit monthly invoices to City describing the Services performed during
the preceding month. Consultant's invoices shall include a brief description of the Services
performed, the dates the Services were performed, the number of hours spent and by whom,
and a description of reimbursable expenses related to the Services. City shall pay
Consultant no later than thirty (30) days after receipt and approval by City of Consultant's
invoice.
5.3 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 electronic mail transmission (including PDF), 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:
CITY:
City Clerk
City of Redlands
35 Cajon Street
P.O. Box 3005 (mailing)
Redlands, CA 92373
jdonaldson@cityofredlands.org
Phone: (909) 798-7531
CONSULTANT:
Caleb Miller, Project Manager
Geologic Associates, Inc.
2777 East Guasti Road
Ontario, CA 91761
r,miller@geo-logic.com
(909)626-2282
ARTICLE 6 — INSURANCE AND INDEMNIFICATION
6.1 The following insurance coverage required by this Agreement shall be maintained by
Consultant for the duration of its performance of the Services. Consultant shall not perform
any Services unless and until the required insurance listed below is obtained by Consultant.
Consultant shall provide City with certificates of insurance and endorsements evidencing
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such insurance prior to commencement of the Services. 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 Consultant is self -insured or exempt from the workers' compensation laws of
the State of California. Consultant shall execute and provide City with Exhibit "C,"
titled "Workers' Compensation Insurance Certification," which is attached hereto and
incorporated herein by this reference, prior to performance of the Services.
B. Comprehensive General Liability insurance with carriers acceptable to City in the
minimum amount 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. Consultant shall secure and maintain professional liability insurance throughout the
term of this Agreement in the amount of One Million Dollars ($1,000,000) per claim
made.
D. 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 Consultant owned vehicles used in
connection with Consultant'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.
E. Consultant is expressly prohibited from assigning or subcontracting any of the Services
without the prior written consent of City. In the event of mutual agreement by the
Parties to assign or subcontract a portion of the Services, Consultant shall add such
assignee or subcontractor as an additional insured to the insurance policies required
hereby and provide City with the insurance endorsements prior to any Services being
performed by the assignee or subcontractor.
6.2 Consultant shall defend, indemnify and hold harmless City and its elected and appointed
officials, employees and agents from and against any and all claims, losses or liability,
including attorneys' fees, arising from injury or death to persons or damage to property
occasioned by any negligent act or omission by, or the willful misconduct of, Consultant,
or its officers, employees and agents in performing the Services.
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ARTICLE 7 — CONFLICTS OF INTEREST
7.1 Consultant covenants and represents that it does not have any investment or interest in any
real property that may be the subject of this Agreement or any other source of income,
interest in real property or investment that would be affected in any manner or degree by
the performance of Consultant's Services. Consultant further covenants and represents that
in the performance of its duties hereunder, no person having any such interest shall perform
any Services under this Agreement.
7.2 Consultant agrees it is not a designated employee within the meaning of the Political
Reform Act because Consultant:
A. Does not make a governmental decision whether to:
(i) approve a rate, rule or regulation, or adopt or enforce a City law;
(H) issue, deny, suspend or revoke any City permit, license, application,
certification, approval, order or similar authorization or entitlement;
(iii) authorize City to enter into, modify or renew a contract;
(iv) grant City approval to a contract that requires City approval and to which
City is a party, or to the specifications for such a contract;
(v) grant City approval to a plan, design, report, study or similar item;
(vi) adopt, or grant City approval of, policies, standards or guidelines for City
or for any subdivision thereof.
B. Does not serve in a staff capacity with City and in that capacity, participate in
making a governmental decision or otherwise perform the same or substantially the
same duties for City that would otherwise be performed by an individual holding a
position specified in City's Conflict of Interest Code under Government Code
section 87302.
7.3 In the event City determines that Consultant must disclose its financial interests, Consultant
shall complete and file a Fair Political Practices Commission Form 700, Statement of
Economic Interests, with the City Clerk's office pursuant to the written instructions
provided by the City Clerk.
ARTICLE 8 — GENERAL CONSIDERATIONS
8.1 In the event any action is commenced to enforce or interpret any of the terms or conditions
of this Agreement the prevailing Party shall, in addition to any costs and other relief, be
entitled to the recovery of its reasonable attorneys' fees, including fees for the use of in-
house counsel by a Party.
8.2 Consultant shall not assign any of the Services, except with the prior written approval of
City and in strict compliance with the terms and conditions of this Agreement. Any
assignment or attempted assignment without such prior written consent may, in the sole
discretion of City, result in City's immediate termination of this Agreement.
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8.3 Consultant is for all purposes under this Agreement an independent contractor and shall
perform the Services as an independent contractor. Neither City nor any its agents shall
have control over the conduct of Consultant or Consultant's employees, except as herein
set forth. Consultant shall supply all necessary tools and instrumentalities required to
perform the Services. Assigned personnel employed by Consultant are for its account only,
and in no event shall Consultant 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. Consultant
shall have no authority, express or implied, to act on behalf of City in any capacity
whatsoever as an agent, nor shall Consultant have any authority, express or implied, to bind
City to any obligation.
8.4 This Agreement may be terminated by City, in its sole discretion, by providing not less
than five (5) days prior written notice to Consultant of City's intent to terminate. If this
Agreement is terminated by City, an adjustment to Consultant's compensation shall be
made, but (1) no amount shall be allowed for anticipated profit or unperformed Services,
and (2) any payment due Consultant at the time of termination may be adjusted to the extent
of any additional costs to City occasioned by any default by Consultant. Upon receipt of a
termination notice, Consultant shall immediately discontinue its provision of the Services
and, within five (5) days of the date of the termination notice, deliver or otherwise make
available to City, copies (in both hard copy and electronic form, where applicable) of
project related data, design calculations, drawings, specifications, reports, estimates,
summaries and such other information and materials as may have been accumulated by
Consultant in performing the Services. Consultant shall be compensated on a pro-rata basis
for Services completed up to the date of termination.
8.5 Consultant shall maintain books, ledgers, invoices, accounts and other records and
documents evidencing costs and expenses related to the Services for a period of three (3)
years, or for any longer period required by law, from the date of final payment to Consultant
pursuant to this Agreement. Such books shall be available at reasonable times for
examination by City at the office of Consultant.
8.6 This Agreement, including the Exhibits incorporated herein by reference, represents the
entire agreement and understanding between the Parties as to the matters contained herein,
and any prior negotiations, written proposals or verbal agreements relating to such matters
are superseded by this Agreement. Except as otherwise provided for herein, any
amendment to this Agreement shall be in writing, approved by City and signed by City and
Consultant.
8.7 This Agreement shall be governed by and construed in accordance with the laws of the
State of California, without regard to its conflicts of laws provisions. The Parties agree that
all actions or proceedings arising in connection with this Agreement shall be tried and
litigated only in the state courts located in San Bernardino County, California, and the
federal courts located in Riverside County, California.
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8.8 If one or more of the sentences, clauses, paragraphs or sections contained in this Agreement
is declared invalid, void or unenforceable by a court of competent jurisdiction, the same
shall be deemed severable from the remainder of this Agreement and shall not affect,
impair or invalidate the remaining sentences, clauses, paragraphs or sections contained
herein, unless to do so would deprive a Party of a material benefit of its bargain under this
Agreement.
IN WITNESS WHEREOF, duly authorized representatives of City and Consultant have
signed in confirmation of this Agreement.
CITY OF REDLANDS
By:
Mario Saucedo, Mayor
ATTEST:
J nne Donaldson, City Clerk
GEOLOGIC ASSOCIATES, INC.
By: 4-
Caleb Miller, Project Manager
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EXHIBIT "A"
SCOPE OF SERVICES
Consultant's Construction Quality Assurance (CQA) services during the California Street Landfill
Phase 5 composite liner installation will include the following tasks:
• Mobilize field and laboratory equipment
• Attend weekly, daily, and special meetings
• Prepare daily and weekly construction reports
• Perform certification of subgrade
• Evaluate low permeability on -site materials
• CQA for engineered fill placement
• CQA for low permeability soil layer
• CQA for geosynthetics installation
• CQA for leachate collection and removal system (LCRS)
• CQA for operations soil layer placement
• CQA for liner leak detection survey
• Conduct CQA testing and prepare data reports
• Participate in weekly meetings with the Contractor, City and agencies
• Assist with review of as -built plans
• Prepare final CQA report
The following provides a description of the specific CQA tasks outlined above
Mobilize Field and Laboratory Equipment
Consultant will provide and furnish a field office/laboratory trailer. The trailer will be equipped
with the appropriate testing equipment to allow our CQA Monitor to perform conformance tests
on the soil materials for sieve analysis (D-6913), Atterberg limits (D-4318), soil classification (D-
2488), moisture -density relationships (D-1557), and moisture content (D-2216), as applicable. The
trailer will be used to store our nuclear density gauge that will be used for testing of the required
in -place densities and moistures (D-6938). In addition, sand cone density tests (D-1556) will be
conducted to correlate the results of the nuclear gauge tests. Consultant is capable of running all
required earthworks tests on site with the exception of laboratory hydraulic conductivity tests for
the low permeability soil layer materials. These tests will be performed at the Anaheim Grass
Valley laboratory.
Attend Weekly, Daily, and Special Meetings
Consultant's CQA Monitor will attend all daily, weekly, and special meetings that take place at
the site. Our CQA Monitor will keep minutes and distribute them to all designated personnel. Our
Project Manager and/or Assistant Project Manager will attend all meetings in person or via phone.
For costing purposes, we have assumed one site visit per month by our Project Manager or his
designee.
Prepare Daily and Weekly Construction Reports
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Consultant CQA Monitor will prepare a daily record of all construction activities at the site. This
daily report will be used by the CQA Monitor to prepare weekly reports, which will be submitted
to the Project Manager and the City. Along with the daily reports, Consultant will fill out inspection
data sheets for any inspection activity or test procedure. In order to visually document the work
progress and any problems that may occur, Consultant will keep a photographic log on all
activities.
At a minimum, Consultant daily reports will include (if applicable) the following information:
time on site, equipment on site, weather conditions, problems/solutions, number and results of
tests, results or comments on any other CQA activities, and photo -documentation. Weekly reports
summarizing all CQA functions will be submitted to the Project Manager and the City.
Additionally, daily reports will be uploaded to a cloud -based site for access by those given
permission.
Evaluation of Low Permeability On -Site Material
Prior to placement of the low permeability layer, Consultant's CQA Monitor will observe that the
material is suitable for a low permeability layer by performing pre -construction testing as specified
in the CQWA Plan. All testing will be conducted in accordance with the approved CQA Plan.
Engineered Fill Placement CQA
Engineered fill materials will be tested for compacted moisture and density using a nuclear density
gauge. Samples for oven -dried moisture content tests will be retrieved adjacent to the nuclear
density tests to verify moisture contents of the engineered fill. In addition, modified Proctor tests
(D-1557) will be performed to ensure that the proper compaction curves are being used. Our
Monitors will observe the placement of the engineered fill for proper compaction procedures, lift
thickness, and materials used.
Low Permeability Soil Layer Placement CQA
Prior to constructing the low permeability soil layer, the Contractor will construct two test pads
(approximately 40-feet wide by 80-feet long by 1-foot thick). The purpose of the test pads is to
demonstrate that the proposed equipment and construction methodology can achieve the
compaction, moisture content, and hydraulic conductivity required by the Specifications. The 1-
foot thick low permeability soil layer will be constructed in a minimum of two lifts. Upon
completion of the test pad and achieving all CQA testing requirements, the Contractor will then
be able to proceed with construction of the low permeability soil layer, using the same equipment
and methodology that was used to construct the test pad.
During construction of the low permeability soil layer, our CQA Monitor will perform the
following CQA tasks:
• Observe that the previously compacted lift is scarified
• Observe that the maximum compacted lift thickness was adhered to by the Contractor
• Observe that the proper amount of bentonite is added to the existing soils
• Observe placement of low permeability soil layer was constructed using the same methods
and equipment that were used for the low permeability soil layer test pad
• Perform the tests per the CQA plan
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Leachate Collection & Removal System CQA
Prior to the placement of the LCRS drainage gravel, Consultant's CQA Monitor will perform
evaluation testing on the material to check that the material is in accordance with the
Specifications. During the installation of the drainage material, the CQA Monitor will visually
inspect the lift thickness, record any damage to the underlying geosynthetics, and document
compliance with the Phase 5 Construction Specifications.
Operations Soil Layer Placement CQA
Following completion and acceptance of the geomembrane, geocomposite, LCRS gravel, and filter
geotextile, the CQA Monitor will observe the placement of the operations layer. The CQA Monitor
will visually inspect the operations soil layer material, measure lift thickness, record any damage
to the underlying geosynthetics, and document compliance with the Phase 5 Construction
Specifications.
After the operations layer has been place, the CQA Monitor will observe the layer for low spots
or depressions, areas of damage or improper compaction, areas of excessive erosion, irregularities,
or protrusions. All testing of the operations later will follow the CQA Plan requirements.
Geosynthetic Installation CQA
GCL Installation. Prior to installation, conformance testing of the GCL will be performed. Due
to the nature of GCL, the proper sampling and handling of the material is critical to successful
test results. All GCL sampling and conformance tests will be conducted by TRI. All testing will
be performed in accordance with the Phase 5 Construction Specifications and appropriate test
method. With conformance test results meeting the required values, Consultant's CQA Monitor
will verify acceptability prior to the placement of the GCL. In addition, Consultant and the
Contractor will verify in writing that the soil liner or subgrade is acceptable for placement of
geosynthetic materials. Our CQA Monitor will also ensure that all surveys have been performed.
During placement, the CQA Monitor will observe that the GCL has not been damaged or
deteriorated since previous acceptance. The CQA Monitor will continuously monitor and
observe the specified overlapping of each panel. The Contractor or CQA Monitor will place an
identification number on each of the GCL panels.
The CQA Monitor will establish a chart demonstrating correspondence of panel placement, roll
numbers, certification reports, and panel numbers. Continuous visual observation in accordance
with the CQA Plan will be maintained throughout the placement and installation of the GCL.
Geomembrane Installation. Conformance sampling of the geomembrane will be performed prior
to installation. The materials will be tested in accordance with the CQA Plan and Phase 5
Construction Specifications. All geomembrane sampling and conformance tests will be
conducted by TRI. All testing will be performed in accordance with the specifications and
appropriate test methods.
Following inspection and acceptance of the geomembrane, receipt of the MQC certificates, and
passing conformance tests from TRI. The contractor may begin deployment of the
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geomembrane. The CQA Monitor will observe that the geomembrane is deployed according to
Phase 5 Construction Specifications and that the material is not damaged during placement.
Consultant's CQA Monitor will observe the testing of the seaming equipment and the trial welds.
No seaming can take place until each welder has passed the trial weld and is approved to begin
work. We will ensure that all seaming is in accordance with the Phase 5 Construction
Specifications and the CQA Plan and that no seaming takes place above or below the given
temperature requirements. In general, the nondestructive testing of seams will be visually
observed by the CQA Monitor, and all of the results will be recorded on the geomembrane and
on the proper documentation form.
For destructive tests, Consultant's CQA Monitor will direct the Contractor to take samples every
500 linear feet in locations selected by the CQA Monitor. Additional samples may be necessary
if the integrity of the seam looks suspect, weather conditions change, there is wrinkling in the
area, or there are a high number of failures in the shear and peel tests.
Upon completion of the geomembrane installations, the CQA Monitor will complete a final
inspection. The purpose of the inspection is to identify areas that are damaged or have wrinkles
or folded material. Once the geomembrane has been accepted, leak detection and remaining
geosynthetics or LCRS installation may begin.
Geotextile and Geocomposite Installation. As with the geomembrane installation, the inspection
activities for the various geotextiles and geocomposite will be divided into categories consisting
of delivery, conformance testing, installation, field testing and repairs, and final inspection.
Conformance sampling of the geotextile and geocomposite will be performed prior to
installation. All conformance tests will be performed by TRI in accordance with the Phase 5
Construction Specifications and appropriate test method.
Prior to geotextile and geocomposite placement, Consultant's CQA Monitor will verify grades
and make sure the underlying surface has been prepared and accepted for placement. During
installation of the geotextiles and geocomposites, the CQA Monitor will inspect the overlap and
seaming process for panels.
The CQA Monitor will inspect the geotextile and geocomposite for defects, needles, and other
foreign materials, which could damage underlying or overlying materials or could result in the
improper function of the system. Consultant will also ensure that the Contractor does not
participate in activities that could damage the materials before, during, or after deployment.
Conduct CQA Testing and Prepare Data Reports
Inspection data sheets will be filled out for any inspection activity or test procedure. These data
sheets will include, but not be limited to, nuclear compaction test data, field density summary,
sand cone density summary, sieve analysis, modified Proctor compaction test, Atterberg limits
test data, subgrade acceptance, geosynthetic receiving logs, deployment logs, seaming logs,
repair logs, destructive seam test data, and daily construction reports. To visually document the
work progress and problems that may occur, Consultant will keep a photographic log on all
activities.
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Electric Leak Location Survey
Consultant will conduct an Electric Leak Location Survey (ELLS) on the primary geomembrane
and over the operations layer. Consultant provides in-house ELLS services and is very familiar
with ASTM and field requirements needed to provide a successful survey. In addition, because
of Consultant's performing the ELLS, the CQA Monitor can advise the Contractor during
construction about items that will help provide a successful survey (i.e., adequate moisture in the
operations layer and leaving the perimeter geomembrane exposed).
Construction Completion and Final Construction Report
Final completion and acceptance. Once the project is substantially completed, Consultant's CQA
Monitor will schedule a walk -though with the City to create a "punch list" of incomplete items to
submit to the City. Consultant's CQA Monitor will work with the Contractor in resolving the
items on the punch list. Upon completion of the items, Consultant will submit a statement of
completion to the City.
Preparation of Draft and Final Reports. At the completion of the construction activities,
Consultant's CQA officer/ project manager will prepare and sign a final CQA report. A draft
report will be submitted to the City upon completion of the construction project. Upon receipt of
the City's comments, a final report will be submitted to the City. The final report will consist of a
summary of the construction activities, modifications to the design, if any, project CQA field and
laboratory test procedures, photographic log, and a compilation of all of the project CQA
documentation in an organized report format. In addition, the test -result template created and
maintained throughout the project will be included showing that the specified requirements were
met. Any comments from the regulatory agencies on the work performed by Consultant will be
addressed and/or changed in the final report.
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EXHIBIT'B"
FEESCHEDULE
PROFESSIONAL STAFF
Principal Professiona III...................................................................
Principal Professional II..................................................................
Principal Professional I...................................................................
Senior Professtonal III.......................................................................
Senior Professional II .............................................
Senior Professional I ..............................................
Project Professional III ............................................
Project Professional II ............................................
Project Professional I .............................................
Staff Professional III ................................................
Staff Professional Il...............................................
Staff Professional I .................................................
Principal Technician .................................................
Managing Technician .................................................
Laboratory Manager ...................................................
TechnicianIV ........................................................
........................................................w ,..
........................................................ $215.00/hour
......................................................... $199.00/hour
........................................................ $18 6.00/hour
........................................................ $175.00/hour
......................................................... $159.00/hour
........................................................$149.00/hour
................ $176.00/hour
Technician III.....................................................................................................................
TechnicianII..................................................................................................................$113.00/hour
TechnicianI...................................................................................................................$105.00/hour
CADD/GIS/Database Manager III..................................................................................$148.00/hour
CADD/GIS/Database Manager II..................................................................................$138.00/hour
CADD/GIS/Database Manager I....................................................................................$120.00/hour
GISSpecialist....................................................................................................................
$158.00/hour
CADDDesigner................................................................................................................
$149.00/hour
Senior Technical Editor.....................................................................................................
$148.00/hour
TechnicalEditor.....................................................................................................................
$125.00/hour
ProjectAssistant III...........................................................................................................
$135.00/hour
ProjectAssistant II.........................................................................................................$115.00/hour
ProjectAssistant I..........................................................................................................$95.00/hour
EXPENSES
Airfare, car rental, cab, bus, parking.............................................................................. Actual cost
Lodging, meals, phone ....................................................Actual cost or negotiated per diem rates
Mileage
PersonalVehicle............................................................................................ Prevailing IRS rates
Company Vehicle
DailyRate.................................................................................... $120/day + actual gas cost
Half day rate............................................................................ $65/half day + actual gas cost
Mileage.................................................................................................. Prevailing IRS rates
Subcontractors/temporary service personnel............................................................... Actual cost
Computers, specialized software, and communications ........... Special services at additional cost
Equipment
Rentals (e.g., environmental monitors)................................................................ Actual cost
Fabrication in shop.................................................................................Labor plus materials
Misc. field equipment and supplies..................................................................... Actual cost
Meters, gauges, and monitors ...............................Separate schedule available upon request
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EXHIBIT "C"
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
✓ I am aware of the provisions of Section 3700 of the Labor Code which requires every
employer 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 arc true and correct.
GEOLOGIC ASSOCIATES, INC.
By: Date:
Caleb Miller, Project Manager
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