Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
All American Asphalt - 2004-05-03 (2)
0iffCity of Huntington Beach INTER -DEPARTMENT COMMMUNICATION HUNTINGTON BEACH TO: THOSE LISTED HEREON FROM: f Eric Chadonne, Construction Manager DATE: January 4, 2005 SUBJECT: Retention Release Payment Company Name: All American Asphalt Company Address: P.O. Box 2229 City, State and Zip Code: Corona, CA 92878-2229 Phone Number: (951) 736-7600 Business License Number.A 016726 Local Address: NfA Notice of Completion Date:August 19. 2004 Contract Purpose: Retention Release for Cash Contracts 1158 & 1159, Street Rehab. Project The conformed copy of the Notice of Completion for the above contract has been filed. The thirty-five (35) day waiting period has elapsed or will elapse before payment is made. Processing of the retention payment is recommended so long as no stop notices or outstanding invoices are on file with the City. certify that no stop notices are on f t ect at this time. t/� rrs Date Robert F. Beardsley, Public Works Director I certify that there are no outstanding invoice on file. Date a Freidenrich, City Treasurer I certify that no stop notices are on file on the subject contract, and that a guaranty bond has been filed with this office. /) City Clerk retention release memo.doc 1/4/2005 3:21 PM 01/03f2005 23.11 7143741573 CHB ENG 'AGE 02/03 AIM City of Huntington Bosch Department of Public Works 2000 Again StreSVP,O. Box 190 Huntington Search, CA 92t3R18 Subject• Certification of Compliance With Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 Gentlemen: The urlderslgnsd; contractor on: Qt ��/�Ay� �/r) ,� �I r �\5r. ►�/ Q� ^�/ Aye r/y hereby certrtiees that all laborers, maclunics, apprentloas, bjalneas, vwatchmen 1 nd guards employed by him of by any subcontractor petfomdog work under the contract on the project have been paW wages at rates not less than thoee required by the contr tct provislons, and that the wont performed by each such laborer, roomnic, appmri tcx or trainee confom®d to the classifications set forth In the contract or training progr im provisions applicable to the wage rate paid. APPROVID Ots TO FORM A -AMM CRY Aster Srdi��o � G'!b►A�koeeq I Z�`iF�a'3 p..1Wwm plashmftC Aoon1 doe 01/03/2005 23 it 7143741573 F r. 'Arai: 03/ 0. I DE�QN QF TISFA Ob1 OF GIIi&MA state" 1. I am the general contractor for the City of Huntington Beach, as to the project ma e fully described in the public works contract entitled: e4d. 6c / ,k 4&, trVt ,eve. ee 1 and dated C%tL. 2. All workers end persons employed, aA firms suppMnil materials, and a dl eubcontraciors for the above-mendonad project have been pair in full. 3. The following are e11het disputed claims, or Items m connection w(th Notices o Withhold, which have been filed under the provisions of the statutes of this State of California: (if none, state "NONS") ffi*�- I dedare under penalty of perjury that the foregoing is true and cori®ct. Executed at OX/O on this �day of 20ja�F 9:(Nb UP%CYd1=fM5hOM1dM pm=dm e13 -AO fans i of ContrscW APPROL'GlyAS TO FORM TFhR McMATH, OWAiken r �Avh► C'd!y >�}-L —boa • .s'd �l PLEASE COMPLETE THIS INFORMATION RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: WHEN RECORDED MAIL TO: CITY OF HUNTINGTON BEACH Attn: Robert A. Martinez P.O. Box 190 — 2000 Main Street Huntington Beach, CA 92848 Recorded in Official Records, Orange County Tom Daly, Clerk-Recorder !illll!Ifilll!i!Illrlll!IIIII!IIII!IIII!!IIIIIIII(III�!IIIIIIIII!!!!�IiNO FEE 2004000754163 02:19pm 08119104 100 91 N12 1 0.00 0.00 0.00 0 00 0.00 0.00 0.00 0.00 'I THIS SPACE FOR RECORDER'S USE ONLY TITLE OF DOCUMENT: NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN by the City of Huntington Beach, owner in fee, 2000 Main Street, Huntington Beach, CA 92648, that the contract heretofore awarded to All American Asphalt who was the company thereon for doing the following I work to -wit: GRAHAM STREET; CC-1158 AND WARNER AVENUE IMPROVEMENTS; CC-1159 That said work was completed August 2, 2004 by said company according to plans and specifications and to the satisfaction of the City Engineer of the City of. Huntington Beach and that said work was accepted by the Director of Public Works on 1� January 29, 2004, per City Council Resolution No. 2003-70 adopted October 6, 2003. That upon said contract Fidelity and Deposit Company of Maryland was surety for the bond given by the said company as required by law. This document is solely for -the official business of -the City of Huntington Beach, as contemplated under Government Code Section 6103 and should be recorded fres of charge. Dated at Huntington Beach, California, this August 16, 2004. i A n� N Director of Public Works or City Engineer City of Huntington Beach, California STATE OF CALIFORNIA) County of Orange ) ss: City of Huntington Beach ) I, the undersigned, say: I am an Agent of the City of Huntington Beach, owner in fee, in the foregoing NOTICE OF COMPLETION. I have read said NOTICE OF COMPLETION and know the contents thereof; the same Is true of my knowledge. I declare under penalty of perjury that the foregoing is true and correct, and that said NOTIC F COMPLETION was duty and regularly ordered to be recorded in the Office of the County Recorder of O e County. Dated at Huntington Beach, California, this August 16, 2004. Director of Public Works or City Engineer City of Huntington Beach, California THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) p.059-TITLE PAGE (R7195) PROOF OF PUBLICATION STATE OF CALIFORNIA) . ) SS. County of Orange ) am a Citizen of the United States and a resident of the County aforesaid; I am over the age of eighteen years, and not a party to or interested in the below entitled matter. i, am a principal clerk of the HUNTINGTON BEACH INDEPENDENT, a newspaper of general circulation, printed and published in the City of Huntington Beach, County of Orange, State of California, and that attached Notice is a true and complete copy as was printed and published in the Huntington Beach and Fountain Valley issues of said newspaper to wit the issue(s) of: March 18, 2004 March 25, 2004 April 1, 2004 I declare, under penalty of perjury, that the foregoing is true and correct. Executed on April_1 2004_ at Costa Mesa, California. Signature MOtit'E iMIN16 . ' SEW RIS CC-11SUCc 11511 Notice is hereby given that sealed bids wul be received by the City of Huntington Beach at the office of the City Clerk at City Hall, 2000 Main Sheet. Huntington Beach. CA 92648. until the hour o1 2..00 PM on April 6, 2004, at which time bids will be opened publicly and read aloud in the Council Chambers for the GRAHAM ST. CC-11SE L WARNER AVE. CC-1139 RENA- 111tIJTATION IMPROVE- MENTS in the City of A set of plans, spacl- fications, and contract documents may, be obtained starting Mardi 19, 2004 at City Hall, Deportment at' Public Works upon receipt of a non-refundable fee of S45.00, isales tax Included. If picked up or S65.00 if mailed. Each bid shall be made on the Proposal Form provided in the contract documents, end shall be accompanied by a tor. titled or cashiers check or a bid bond for not less than 10% of the amount of the bid, made payable to the City of Huntington Beach. The Contractor shall, In the performance of the work and Improvements, conform to the -Labor Code of the : State of California and other Laws of the State of California applicable thereto, with the ex- ception only of such variations that may be required under the special statutes pursu- ant to which proceedings hereunder are talon and which have not been superseded by the Provisions of the Labor Code.. Preference to labor shall be given only in the manner provided by law. I : No bid shall be con- sidered unless it is made On a form furnished by the City of Huntington Beach, Department of Public works, and is' made in accordance with the provisions of the proposal requirements. bath bidder most be licensed and also prequalified as required by law. . The City Council of the City of Huntington Beach reserves the right to reject any or an bids. By order of the City Council of the City of Huntington Beach. Cali- fornia the 16th of June 2003. . ; Cerado tererkway C11Clerk of Am Cty of Hu fingten Beach 2= Main Street. (114) S36-S421 Published Huntington Beach Independent March 18. 2S. April 1. J2004 033.304 A �• We �rR'■M 119 Commitnu.111. q;J) ily 8: vNiun 5inco- I8190 August 18, 2004 City of Huntington Beach 2000 Main Street Huntington Beach, CA. 92648 Attn: David Verone, Project Manager Fidelity and Deposit Company of Maryland Corporate Center Suite 700 225 South take Avenue Pasadena, California 91101 S CT: ALL AMERICAN ASPHALT GRAHAM ST.CC1158 & WARNER AVE, CC1159 Gentlemen: We have issued Bond No. 087 27 480 on behalf of All American Asphalt covering the following project, Graham Street Rehabilitation & Warner Avenue Rehabilitation, Cash Contracts 1158 & 1159.. Fidelity and Deposit Company of Maryland hereby consents to the Release of Retention Funds on the above captioned project. Very M.-Tibia, Attorney -in -Fact y and Deposit Company of Maryland Toll Free: 800-870-1796 M Power of Attorney FIDELITY AND DEPOSIT COMPANY OF MARYLAND KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corporation of the State of Maryland, by 111. P. HAMMOND. Vice President, and L. L. GOUCHER. Assistant Secretary, in Pursuance of authority granted by Article VI, Section 2. of the By -Laws of said Company. w set forth on the reverse side hereof and are hereby certified to tw in full force and effect on the date hereof d •s 'nate, constitute and appoint Owen M. BROWN, of Anaheim. California, its true and lawf •y-w.F to make, execute, seal and deliver, for, and on its twhalf as surety. and as its act and 1 n kings, and the 1 l�� execution of such hands or undertakings in pursuan •p �. 4 -'IS µ�i1� �n said Company, as fully and amply, to all intents and purposes, as if tht: txc rate' 2 �1 red by the regularly elected officers of the Company at its office in Bai �y� �htr ��. his power of attorney revokes that issued on behalf of Owen M. DR. ,� ate � The said Assistant Section 2, of the By- rvrtify'ilwt the extract set firth on the reverse side hereof is a true copy of Article VI, and is now in force. IN WITNESS WFItIZZ0F, the said Vicc-President and Assistant Secretary have hereunto subscribed their names and affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COIMPANY OF MARYLAND, this I 1 th day of February, A.D. 2003. ATTEST: I sp ft 01 FIDELITY AND DEPOSIT COMPANY OF MARYLAND L L Goucher Assistant Secretary AL A 11amnrand Vice President State of Maryland ss: �'City of Baltimore -.On this I lth day of February, A.D. 2003. before the subscriber. a Notary Public of the State of Maryland, duly commissioned and qualified, came M. P. HANINIOND. Vice President. and L. L. GOUCHER, Assistant Secretary of the -FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to he the individuals and officers dcscribcd in and oho executed the preceding instrument. and they each acknowledged the execution of the same, and teeing by me duly sworn, severally and each for himself deposeth and saith. that they are the said officers of the Company aforesaid. and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. YfW Sandra Lynn Alooney Nnraty Public My Commission Expires: January 1, 2004 POA-F 012-4160 %` - L U EXTRACT FROM BY-LAWS OF FIDELITY AND DEPOSIT COMPANY OF MARYLAND "Article VI, Section 2. The Chairman of the Board, or the President, or any Executive Vicc-President. or any of the Senior Vicc-Presidents or Vicc-Presidents specially authorized so to do by the Board of Directors or by the Executive Committee, shall have power, by and with the concurrence of the Secretary or any one of the Assistant Secretaries, to appoint Resident Vicc-Presidents, Assistant Vicc-Presidents and Attorneys -in -Fact as the business of the Company may require. or to authorize any person or persons to execute on behalf of the Company any bonds, undertaking, rccognizances, stipulations. policies, contracts, agreements, deeds, and releases and assignments of judgements, decrees. mortgages and instruments in the nature of mortgages —.and to affix the seat of the Company thereto. " CERTIFICATE 1, the undersigned, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate. and I do further certify that the Vice -President who executed the said Power of Attorney was one of the additional Vicc-Presidents specially authorized by the Board of Directors to appoint any Attorney -in -Fact as provided in Article Vl. Section 2, of the By -Laws of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the I Qth day of May. 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vicc-President. Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall he valid and binding upon the Company with the same force and effect as though manually affixed." IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate scat of the said Company, this 18th day of August 2004 ` _ - l Assismite Secrewry U ALL AMERICAN ASS HALT ALL AMERICAN AGGREGATES P.O. BOX 2229, CORONA, CA 92878-2229 STATE CONTRACTORS LICENSE N267073-A August 20, 2004 Mr. David Verone City of Huntington Beach Department of Public Works 2000 Main St. Huntington Beach, CA 92648 RE: Authorization from surety to release retention funds SUBJ: Warner Ave. (Springdale St. to Graham St.) CC 1159 & Graham St. (Warner Ave. to Heil Ave.) CC1158 Dear Mr. Verone: Enclosed, please find authorization letter from our surety company, authorizing the City to release our retention funds. If you should have any questions, please feel free to contact our project manager, John Peterson at (909) 736-7600, x202 I. Thank you. Sincerely, Tennille Morris Public Works Administrator TELEPHONE: 909-736-7600 • FAX: 909-739-4671 RECEIVED BY: r7og (Name %Q^ (Date) V _ CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office after signingldating CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: Shari, reidenrich, City Treasurer FROM: �� / 7-s�- .L)! ��r� / Cr I /�'1 L &7t/< DATE: SUBJECT: Bond Acceptance i have received the bonds for -ALL622LA11111,i) 29SLA 6- (Company Name) ' Faithful Performance Bond No. Labor and Material Bond No. Monument Bond No. Maintenance Bond No. y�L Aa �ff 7- a 7 Re: Tract No. CC No. s9 MSC No. A&I Approved .Agenda item No. (Council Approval Date) City Cleric Vault No.. #27 gloltowuplbondlett AOC o D Fidelity and Deposit Company of Maryland Home Office: P.O. Box 1227, Baltimore, MD 2I203-1227 FAITHFUL PERFORMANCE BOND Bond No. PUBLIC WORK (The premium charged on this bond is S 2.187.00 ' ; being at the rate of S 4.00 _ _ per thousand of the contract price) KNOW ALL MEN BY THESE PRESENTS: 087 27 480 THAT, WHEREAS the CITY OF HUNTINGTON BEACH Executed in Three (3) Parts State of California, entered into a contract dated I , , with ALL AMERICAN ASPHALT hereinafter designated as the "Principal," for the work described as follows: Graham Street Rehabilitation & Warner Avenue Rehabilitation, Cash Contracts 1158 & l 159 (This Bond also guarantees the work fora period of one (1) year after the City's acceptance thereof.) ; and WHEREAS, the said Principal is required under the terms of said contract to furnish a bond for the faithful performance of said contract. NOW, THEREFORE, We, the Principal, and FIDELITY AND DEPOSIT COMPANY OF MARYL.AND, a corporation organized and existing under the laws of the State of Maryland, and duly authorized to transact business under the laws of the State of California, as Surety, are held and firmly bound unto , the City of Huntington Beach in the penal sum of ***SeeBelow. Dollars (S 546,840.85 ), lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally, firmly by thesepresents. ***FIVE HUNDRED FORTY SIX THOUSAND, EIGHT HUNDRED FORTY AND 85/I00ths ($546,840.65) DOLLARS THE CONDITION OF THIS OBLIGATION IS SUCH, That, if the above bounden Principal, his or its heirs, executors, administrators, successors or assigns, shall in all things stand to and abide by, and well and truly keep and perform the covenants, conditions and agreements in the said contract and any alteration thereof rnade as therein provided, on his or their part, to be kept and performed at the time and in the manner therein specified, and in all respects according, to their true intent and meaning, and shall indemnify and save harmless the City of }Iuntin ton Beach its officers and agents, as therein stipulated, then this obligation shall become null and void; otherwise it shall be and remain in full force and virtue. And the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the contract or to the work to be performed thereunder or the specifications accompanying the same shall in any wise affect its obligations on this bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the contract or to the work or to the specifications. IN WITNESS WHEREOF, We have hereunto set our hands and seals this 26th day of ApM - _ - .2004 ROVED AS TO FOLkl- 7 '1'1101bM-cQGRA1H, City Atto-ey P9n 10o 1 CA0201 f ALL AMERICAN ASPHALT BY:1101571Z,e Ze� ROBERT B FIDELITY AND DEPO By EN M. BR IDER,I rcipal Atrarrrre.V-in-Fact CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of ORANGE ss. I' On 4 2 6-04 , before me, BARBARA J. BENDER Dab Name and Mb of oftw M..' W* ow. Ndry pt6w) personally appeared OWEN M. BROWN Namata) d sip-0) O M1ARBW J. 394M Coetfr�utpn # IWW'49I CrangecMirliv Noby P Aft - Cdwrarda YComnt.80=Ad 1 20D4 wca NdM sta Abwa to be the person(jo whose. name(j) isjM subscribed to the, within Instrument and acknowledged to me that helmsexecuted the same in his!liaffixtQC authorized capacity(>W, and that by him signature(* on the Instrument the personal, or the entity upon behalf of which the persono OPTIONAL Though the 6dannatian below Is not requfied by law. a may prove valuable to persons relyMg on fhe document and could paved fraudulent removal and reaftachment of this form to another docarnenL Description of Attached Document Title or Type of Document PF.RFnRMANCE BOND NO. 087 27 480 Document Date: 4-26-04 Signer(s) Other Than Named Above: Number of Pages: ONE (1) ALL AMERICAN ASPHALT Capaclty(ies) Claimed by Signer Signer's Name: OWEN M. BROWN 78ftrnnib ❑ Individual . ❑ Corporate Officer—, Tille(s): ❑ Partner — ❑ Limited ❑ General XKKAttomey in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other. Signer Is Representing: FIDELITY AND DEPOSIT COMPANY OF HARYtAND a 1999 Na*M W" A••o*ftn - 9= Do Sob Aw. P.O. Bat 2402 - C a0mo ft CA 91313-2402 - wwanaftna noarya9 Plod. No. 69W Rt1md•r. Cal Tb4Fm 14 0OW54M CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Riverside SS. On April 28, 2004 before me, Tennille Morris, Notary Public, Date Name and Title of Officer Personally appeared Robert Bradley Name(s) of Signer(s) ft "'al TENNILLE MORRIS Commission # 1374628 m Notary Public — California_ Z Riverside County My Comm. E0e5Sep 13, 2006 OPTIONAL X personally known to me _proved to me on the basis of satisfactory evidence to be the personA whose nameA Isere subscribed to the within instrument and acknowledged to me that helshe/4hey executed the same in his mnl7etrauthorized capacityMi5r, and that by histhedd?eir— signatureon the instrument the person or, the entity upon behalf of which the person) acted, executed the instrument. WITNESS my hand and official seal, Signature of Notary Public Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document Title or Type of Document: Faithful Performance Bond Document Date: April 26, 2004 Number of Pages: 1 Signers) Other Than Named Above: Fidelity and Deposit Company of Maryland Signer's Name: Individual XCorporate Officer Title(s): Vice President _Partner- Limited _General _Attorney -in -Fact Trustee _Guardian or Conservator Other: Signer is Representing: All American Asphalt Top of thumb her C- c C C C C C o Fidelity and Deposit Company of Maryland Home Office: P.O. Box 1227, Baltimore, MD 21203-1227 Bond No. PAYMENT BOND PUBLIC WORK Section 3247-3252 inclusive, Civil code) (Premium included in Faithful Performance Bond) 087 27 480 KNOW ALL MEN BY THESE PRESENT: That, Whereas City of Huntington Beach Executed in Three (3) Parts has awarded '^ All American Asphalt as Principal, a contract for the work described as follows: Graham Street Rehabilitation & Warner Avenue Rehabilitation, Cash Contracts 1158 & 1159 AND WHEREAS, said Principal is required ad to furnish a bond in connection with said contract, to secure the payment of claims of laborers, mechanics, materialmen, and other persons as provided by law: NOW, THEREFORE, We the undersigned Principal and Surety are held and firmly bound unto the City of Huntington Beach in the amount required by law, the sum of Five Hundred Forty Six Thousand, Eight Hundred Forty & 85/100ths-------------------------------- Dollars (S 546,840.85 ) for which payment well and truly be made we bind ourselves, our heirs, executors and administrators, successors and assigns, jointly and severally, firmly by these nwao»4o THE CONDITION OF THIS OBLIGATION IS SUCH, That if said Principal, his or its heirs, executors, administrators, successors or assigns, or subcontractors, shall fail to pay any of the persons named in Civil Code Section 3181, or amounts due under the Unemployment's Insurance Act with respect to work or labor performed by any such claimant, or for any amounts required to be deducted, withheld, and paid over the Employment Development Department from the wages of employees of the principals and his subcontractors pursuant to section 13020 of the Unemployment Insurance Code, with respect to such work and labor, that the Surety or Sureties herein will pay for the same in the amount not exceeding the sum specified in this bond, otherwise the above obligation shall be void. In case suit is brought upon this bond, the said surety will pay a reasonable attorney's fee to be fixed by the court. AP ROVED A TO FORM: PAY71001CA0601f i IFER McGRATH. Cirl, Af-rr,rj In witness Whereof, We have hereunto set our hand and seals this 26th day of April , 2004 All American Asphalt Principal By: OBERT BRADLEY, VIC RESIDENT FIDELITY AND DEPOSIT C Y ND By - en M. Bro , Attorney -In -Fact APRO�VED AS 'TO FORM: 14 574/A j�ti1FER McGRATH, CityAttorr- CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of ORANGE On 4-26-04 .before me,BARBARA J. BENDER oue preen WW T& a Omar (6.9- *Jam Doe. Noary PUWC') personally appeared OWEN M. BRDIWN Pbw Nobly Sed Above N:��• 01` : • gyp• 1 (� • p�pP• • c :.a O.��o:.�p�:•J • e to be the personW whose. name0j) isjM subscribed to the. within instrument and acknowledged to me that he/00tMexecuted the same in his/lenfhW authorized capacity, and that by him signature(aj on the instrument the personald, or the entity upon behalf of which the persono act xecuted the instrument. SS 4 hand afidNo seal. OPTIONAL 9W"ht^Nn'" Pubb Though the lhfonnaM n bebw /s not requkd by low, A may prove va%mNe to persons relying on the doc unxW and codd prevent bauduleW mmova► and reattachment of this lam to anaffiw docum iL Description of Attached Document Title or Type of Document: PAYMENT BOND NO. 087 27 480 Document -Date: 4-26-04 Number of Pages: TWO (2) ' Signer(s) Other Than Named Above: ALL AMERICAN ASPHALT Capacity(ies) Claimed by Signer Signer's Name: OWEN M. BROWN ❑ individual ❑ Corporate Offter r Trle(s): 17 ❑ Partner — ❑ Limited ❑ General XiGC Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other. Signer Is Representing: FIDELITY AND DEPOSIT COMPANY OF MMULAND 0 ins Na*" Notary Anodetlon • 9= De SOW A•e., P.O. ON 24M • C1r1•soNL CA 21313.240 - "wAoftae "ag prod NO. no Remea: W Tob*m 14004M4W 0 5ZURICH THIS IMPORTANT DISCLOSURE NOTICE IS PART OF YOUR BOND Fidelity and Deposit Company of Maryland, Colonial American Casualty and Surety Company, Zurich American Insurance Company, and American Guarantee and Liability Insurance Company are making the following informational disclosures in compliance with The Terrorism Risk Insurance Act of 2002. No action is required on your part. Disclosure of Terrorism Premium The premium charge for risk of loss resulting from acts of terrorism (as defined in the Act) under this bond is $ waived . This amount is reflected in the total premium for this bond. Disclosure of Availability of Coverage for Terrorism Losses As required by the Terrorism Risk Insurance Act of 2002, we have made available to you coverage for losses resulting from acts of terrorism (as defined in the Act) with terms, amounts, and limitations that do not differ materially as those for losses arising from events other than acts of terrorism. Disclosure of Federal Share of Insurance Company's Terrorism Losses The Terrorism Risk Insurance Act of 2002 establishes a mechanism by which the United States government will share in insurance company losses resulting from acts of terrorism (as defined in the Act) after a insurance company has paid losses in excess of an annual aggregate deductible. For 2002, the insurance company deductible is I% of direct earned premium in the prior Sear; for 2003, 7% of direct earned premium in the' prior year; for 2004, 10% of direct earned premium in the prior year, and for 2005, 15% of direct earned premium in the prior year. The federal share of an insurance company's losses above its deductible is 90%. In the event the United States government participates in losses, the United States government may direct insurance companies to collect a terrorism surcharge from policyholders. The Act does not currently provide for insurance industry or United States government participation in terrorism losses that exceed $100 billion in any one calendar year. Definition of Act of Terrorism The Terrorism Risk Insurance Act defines "act of terrorism" as any act that is certified by the Secretary of the Treasury, in concurrence with the Secretary of State and the Attorney General of the United States: . to be an act of terrorism; 2. to be a violent act or an act that is dangerous to human life, property or infrastructure; . . 3. , to have resulted in damage within the United States, or outside of the United States in the case of an air carrier (as defined in section 40102 of title 49, United 17 States Code) or a United States flag vessel (or a vessel based principally in the United States, on which United States income tax is paid and whose insurance coverage is subject to regulation in the United States), or the premises of a United States mission; and 4. to have been committed by an individual or individuals acting on behalf of any foreign person or foreign interest as part of an efTort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. But, no act shall be certified by the Secretary as an act of terrorism if the act is committed as part of the course of a war declared by Congress (except for workers' compensation) or property and casualty insurance losses resulting from the act, in the aggregate, do not exceed $5,000,000. These disclosures are informational only and do not modify your bond or affect your rights under the bond. Copyright Zurich American Insurance Company 2003 Power of Attorney FIDELITY AND DEPOSIT COMPANY OF MARYLAND KNOW ALL MEN BY THESE PRESENT'S: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corporation of the State of Maryland. by M. P. HAMMOND. Vice President, and L. L. GOUCHER, Assistant Secretary, in pursuance of authority granted by Article VI, Section 2, of the By -Laws of said Company, w kl set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof d s fir t .nate. constitute and appoint Owen M. BRONN N, of Anaheim, California, its true and lawfoy a � �y- . to snake, execute, seal and deliver, for, and on its behalf as surety, and as its act and �•, do s,�rtt`�ooftpa'ny, nbs and the execution of such bonds or undertakings in pursuance of these fbe'as►� as fully and amply, to all intents and purposes, as if they had o �y f9 nitclrto ,�tlse regularly elected officers of the Company at its office in BaItim !E l" iY wit rcfi_ rt vs power of attorney revokes that issued on behalf of Owen M. BRO%%'N x6 �t ZZ'JlV. The said Assistant t the extract set forth on the reverse side hereof is a tare copy of Article VI. Section 2, of the By- , v any, and is now in force. IN WITNESS WI E OF, the said Vice -President and Assistant Secretary have hereunto subscribed their names and affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 1 Ith day of February. A.D. 2003. ATTEST: '�0 0irps�i • N r^11 ` State of Maryland iss: City of Baltimore FIDELITY AND DEPOSIT COMPANY OF MARYLAND By : L L Goucher Assistant Secretary. . Al. P. Hammond Vice President On this I Ith day of February, A.D. 2003. before the subscriber. a Notary Public of the State of Maryland, duly commissioned and qualified, came M. P. FIAON MON'D, Vice President, and L. L. GOUCHER. Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND. to me personally known to be the individuals and officers described in and who executed the preceding instrument, and they each acknowledged the execution of the same, and bein' by me duly sworn, severally and each for himself deposeth and saith, that they are the said officers of the Company aforesaid. and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. cam-LApj Sandra Unn Mooney Noran• Public My Commission Expires: January 1, 2004 POAT 012.4160 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Riverside ss. On 6nril 28, 2004 before me. Tennille Morris, Notary Public, Date Name and Tide of Officer Personally appeared Robert Bradle Names) of Signer(s) OTENNUE MORRIS Commission 8 1374628 W Notory Pubilc , Californiai Riverside County CommEOesSep I3,2M6� OPTIONAL 2S personally known to me _proved to me on the basis of satisfactory evidence to be the personA whose nameA L-Jaff3ubscribetl to the within lrfstrument and acknowledged to me that helsheAheY executed the same in histherAheirauthorized capaatyf*st, and that by h1m4mNtfretr signatureA on the instrument the person or, the a dty upon behalf of which the personY acted, executed the Instrument. WITNESS my hand and official seat. Signature of Notary Public Though the Information below Is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document Title or Type of Document: Payment Bond Q Document Date: Aaril 26, 2004 Number of Pages'zsN SignexbtherThan Named Above: Fidetity,and Deaosit ComQanyof Maryland Signet's Name: Individual XCorporate Officer Titles): Vice President Partner- Limited General Attomey-In-Fact ! Trustee Guardian or conservator Other: Signer is Representing: All American Asphalt Top of thumb here CITY OF HUNTINGTON BEACH 2000 MAIN STREET CALIEORNIA 92648 OFFICE OF THE CITY CLERK COHMEBROCKWAY May 10, 2004 CITY CLERK All American Asphalt P. O. Box 2229 Corona, CA 92878-2229 ATTN: Mr. Robert Bradley Re: Graham Street Rehabilitation — CC-1158 Warner Avenue Rehabilitation — CC-1159 The City Council awarded the bid to your company for the above referenced project. Enclosed is a copy of the executed contract with the City of Huntington Beach. A Declaration of Satisfaction of Claims and a Certificate of Compliance form must be returned to this office after the_proiect is completed but prior to the release of retention funds. In addition, the following item must also be on file, with this office before the City can release any retention funds: A warranty bond guaranteeing the final amount of work and materials for one year.' If your performance bond does not include specific wording for a one-year warranty, then a rider or separate bond must be submitted. Should you have any questions or concerns regarding the enclosures or items that must be on file in this office prior to release of retention funds, please call the Public Works Department at 536-5432. Sincerely, Connie Brockway, MMC/ City Clerk CB:pe cc: Robert F. Beardsley, Public Works Director Enclosures: Copy of Contract including Proposal Copies of insurancetbonds Declaration of Satisfaction Certificate of Compliance Bid Bond (original) g: toliampkashccntzashom-aetter.doc (Tetephonc 71"36-52V) I DECLARATION OF SATISFACTION OF CLAIMS (Name of Contractor) state: 1. 1 am the general contractor for the City of Huntington Beach, as to the project more fully described in the public works contract entitled: i and dated 2. All workers and persons employed, all firms supplying materials, and all subcontractors for the above -mentioned project have been paid in full. 3. The following are either disputed claims, or items in connection with Notices to Withhold, which have been filed under the provisions of the statutes of the State of California: (if none, state "NONE") I declare under penalty of perjury that the foregoing is true and correct. Executed at (Location) g:followuplcashcont\cashcon2.doc procedure #15 on this day of , 20_. (Signature of Contractor) APPROVEDA,Q, TO FORM aL' N1FER M�GRATH, QtyAuornry arab Sutton 121 eputy City Att�asy City of Huntington Beach' Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach, CA 92648 Subject: Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 Gentlemen: The undersigned, contractor on: Project No. Me hereby certifies that all laborers, mechanics, apprentices, trainees, watchmen and guards employed by him or by any subcontractor performing work under the contract on the project have been paid wages at rates not less than those required by the contract provisions, and that the work performed by each such laborer, mechanic, apprentice or trainee conformed to the classifications set forth in the contract or training program provisions applicable to the wage rate paid. (Signature and Title) APPROVED AS TO FORM ;JEJFER MCGRATH, CttyAttoraey an Sutton City Attonuey 1 zl y / on g:followup\cashcont\cashcon 1.doc procedure #14 C .....:. ...:.......v..,.:.DATE o DnY�ERiF�CAtEFNSURAhCEZs n. pRODUCER Caleo Iris Brokers A Agent /3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR llc. No. 0829370 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 500 City Pkwy Nest, Sts. *500 COMPANIES AFFORDING COVERAGE Orange CA 92868-2948 COMPANY (7141 937-1824 A Westchester Surplus Lines Cc INSURED COMPANY j��j�j All American Asphalt L� "'_ I"� B Hartford Fire Insurance Co. COMPANYCorona, PO Box 2229 /") �v CA 22878-2229 `� L.0 / u C Great American Insurance to COMPANY Eagle Pacific Insurance Co. 'COVERAGES{x .:.,. Y THIS 15 TO CERTIFY THAT THEPOLICIES OF INSURANCELISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THEPOLICY PERIOD INDICATED,NOTWITHSTANDINGANYREOUIREMENT.TERMOR CONDITION OF ANYCONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICHTHIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LT1I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE TTATE (MMIODIYY) POLICY EXPIRATION OATS {MMIODlYY) LIMITTS Ai OENERALLIASLFtY SLV777017 8101103 $101104 GENERAL AGGREGATE S 2.000,000 PRODUCTS-COMP/OP AGO S 2.000,000 X COMMERCIAL GENERAL LIABILITY ADDITIONAL INSURED B CLAIMS MADE C OCCUR PRIMARY WORDING APPLIES PERSONAL It ADV INJURY S 1.000.000 EACH OCCURRENCE S 1.000,000 OWNER'S a CONTRACTORSPROT ONLY IF REQUIRED BY FIRE DAMAGE (Any one fire) S 50,00D CONTRACT MIED EXP (Any one person) S B AUTOMOBLEUABLfTY 72UENOKS491 K2 9101103 9101104 COMBINED SINGLE LIMIT S X ANY AUTO 11000.000 BODILY INJURY (Per person) S ALL OWNED AUTOS SCHEMED AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJUIRY (Par accident} : PROPERTY DAMAGE S Hi AOELIASLTTY AUTO ONLY • EA ACCIDENT S ANY AUTO NIA OTHER THAN AUTO ONLY: E EACH ACCIDENT IS S AGGREGATE C EXCESBLIABLITY TUE5950076 8101103 8101104 EACH OCCLsRIrENCE $ 10,000,000 AGGREGATE S 10.000,000 UMBRELLA FORM I I X OTHER THAN UMBRELLA FORM S a WORKERS COMPENSATION AND 1S03147463 6108103 6/08104 X STATUTORY LIMJFS EMPLOYERS'LTABLITY EACH ACCIDENT S 1.000,000 THE PROPRIETOR/ INCx PARTNERS/EXECUTIVE DISEASE • POLICY LIMIT S T,000,000 DISEASE• EACH EMPLOYEE S 110OO.000 OFFICERS ARE: ExCL OTHER NIA DESCRIPTION OF OPERATiONSA.00AT1ONs,VEHICUSIIPECIALFMMs RE: Graham Street Rehabilitation. CC1158 StPL 5181 (142) from Warner Ave. to Hell Ave. 010 days notice for nonpayment of premium 2explau7a' se ;CERTIFICATE HOLDER.; .;. v.. ty.� .... .. .h Jk-n .WrvIYAYJ'MY.:lixM1Y ��M{'x-nimirs.:-.o.M1V.ViM1ei `CANCELLATEON< V:>[•;,,. ;: .. -. ... 1S1�.41.W.nV-Y✓�]Lq:NO. rv:-ti+%-k.lti1k'�hlAi�:viX14[dL.00h94.Y"'bir.:xvgCO2 JriM:ti SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE City of Huntington Bosch PROV D TO FORK EXPIRATION DATE THEREOF, THE ISSUINQ COMPANY WILL ENOONNONIx40 N&L Risk Managemsnt Division 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LIFT, Attn: David V. Verona. / B7DfXgB1YY11>f100(Y14tl0YUOlr>VOOxIfYMKY1O(xNJLOfd{111i7N1X701KxiXX1(kExN1cY1N9d(Nfn(l(% 2000 Main Street , NiF R rIC+;i T CA AtbwommmmmumcmiewxoNm(xxlacxlUomfxlO(olll Huntington Beach, CA 92648 AUTHOAiZEDREPRISENTATiVE FF. ACORD 25•S 3193 ..... .. k :.... ::::...... .•:.. ' ` .... .....: ......... ., .:.. ....... ,. , .: = ©11CORD CORPORATION 1993 CERTIFICATE: 199/001/ 02558 POLICY NUMBER: GLW 777017 INSURED: All American Asphalt COMMERCIAL GENERAL LIABILITY EFFECTIVE: 8/1/03 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: City of Huntington Beach, its officers, elected or appointed officials, employees, agents, and volunteers Project Graham Street Rehabilitation — CC158 STPL 5181 (142) from Warner Ave. to Heil Ave. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. It is agreed that such insurance as afforded by this policy for the benefit of the additional insured shall be primary insurance as respects any claim, loss, liability arising directly or indirectly from the insureds operations and any other insurance maintained by the additional insured shall be noncontributory with the insurance provided hereunder. CG 20 10 11 85 OCopyright, Insurance Services Office, Inc., 1984 endorse2mpd COMMRRCiAL AUTO BusiNF-ss AUTO COVE -RAGE FORM detl�lne ��' domes Arid various provisions In this polfcY restrict mverage, Read the entire Policy t�re11if1Y to Wcfdg what is and is ne, covered. * aura' Icier to the Named Inaurod shown to gibe Deceratlons. The Throughout this policy the words You" and' Refet SECTION V "we", "us" and "our" rerar to the Company pcovldlng this tnsuranca. clal meaning. Other words and phrases that appear In quotd3n marks have 13EFiNITIONS. ITEM TWO of MR DaclaMtlons shrews the "edtae that giro cowered "autos" for each of your coverages. The following numerical ay nbols describe the "autos" that may be covered "Autos". "i'Iha symbdfs entered next to s coveraeo on the Declaratlons daslgnate the Only "autos" that are acvered "autce. A. DESCRIPTION OfCGVER7=D AUTO DESIGNATION SYMBOLS SYMBOL DESCRIPTION I = ANY "AUTO", 2 x OWNED "AUTOS" ONLY. Only those *autos" you mm (and for Uablllty Cover4gs arty f"trallere" you don`t own whiete attsMad to power unite you aam). This includes than *aortas" you aaqulre ownership of after the policy begins. 3 0 OWNED PRIVATE PASSENGER "AUTOS" ONLY. Only the private passenger Oautoa" you own. This Includes those pdvats passenger "autrss" you aoguim ownership of after the policy begins, 4 *OWNED "AI.ITOs" OTHER THAN PRIVATE PASSENGER "AUTOS" ONLY. Only those "autos" you awn that am r►o of the pdvr w prassanger type (end for Llabiray Coverage any "trsllsrs" Mat you don't oven whRe attached to Power unite You awn). This Includes those aWOV" not of the private passenger type you acguirm oweherehip Ofafter this policy beghs. " OWNED "AWOS- SUBJECT TO HQFAULT. Only those *arstae" you awn that are required to have' No -Fault beneffts in the IWO where they ere llcenaed Or principally garaged. This IrholucieS those %Lgos" you.acquim awnershlp of after the pallcy b8ains provtcled they are mquirsd to have No -Pauli berterlta In the sMte where they era itaensad Orprinelpelly garaged. CA Oe? 01 12 es CarnVrinm 1nQ4ff'Af11yo SEC: ON I - COVERRD ALMS g OWNSD "ALMO:I" $ZJIgr-T 74 A COMPULRORY UNIN81JR0 MOTORISTS bROW u41111•. Othly those "autos" you � VS 13oansed Or the I ip In 2m Stated sm M d to have and c �t�rrecaUnllnwffed Milorw Oo10rsgs. u1r$ This lncktdes fhcsra o wine Pro ad a vnemnip of after the Po oY unlit they are subjaat to the lama staete momriste saorom ���v 'A". ANY 7 ■ SPECO AI.t.Y those •autoe" descllbed in M TWO Of tfie oeciaremw for which a' pmmium ch0is shown (and far LIAM Caverltp � few ycu don't own white jachad to shy POW unit desawd in r= ' 'm=. p ow HIRED .AUTWO ONLY. 10* MGM "Autoe" you lease, hire, rent Or bamw. This does W Include shy °auto" YOU tam, hime Mrtrhere 4 or ba raw from any of your emptoyses t• P or me3mbem of their hOuselialds. e • NONOWNED "ALrroB" ONLY. Only than "autne you do not on, 10M, hIFS, rent Of Dorm that arc WW In WWcolon With your brslnesa. This Includes "AutW owned by your emptoyeas or peifrism or meMbom Of their ho;tsaltOU iwt only whits used In your businaas or your Pomona I affairs. OWNED AV= YoU A=LURB AFTER THE POLICylim(UNs B. aro entered next to a aoYerape In ITEM TWO of the DWamUoRe{ then you have COV=98 for "nlrtns'f th4t you Acg1rir9 Of the im deawlW Wthe -Mithelttddr of tns pafloy Wod. Wof �Ow pounds 1. �'roiiere" ith tl II�d crtpaoitY travel QR publlo 2. But, ff symb.2l 7 Is entered next to a ooversga In or low desM a Prime thf � ITEM TWO of the Declarations, an auto You acquire will be a covered "auto" for that roads. merit' µe}tQe being ��� or coverage only If: �. towedemoble 9 OD towed by a mvarod "autC". a.' We already saver all "air IO that you 0%%n ny "auto" you da hst aWn witlla used with the for that coverage cor It vmsd replaces that had ,auto" 3. erMission of its humor as a temporary you previously su all On that Ia coverage; mild suba for a tad °ate Y out of aenrlae beo�lusm of [fs: b. You tail us within 30 days niter you segntre It that you went us to cover it for that a. Breakdown; coverage, b. Repair; C. CERTAIN TRAILERS, M©B1L1+ EQUIPMENT AND C. serAcing; TF-MPORARY BIUBBTITLJTE AUTOS d. �s ; [it 1f Liability Covarepe Is provided by this Coverage Csuatiari Form, the following types of vehicles are also covered "autos" fer t.Iabl lty Coverage: sECTION iI - LIA131LM COVERAGE A. COVERAGE We will pay all sums an "Insured" legally must pay as damages because of "bodily Injury" or "property damega" to whloh thla Insurance applies, caused by an "acoldsnt" and resuitina from the ownarshlp, malntsnAnce or. use of a covered auto". Ws will also Pay all sunns an "Insured" legally must .PAY es a "covered pollution cost or expense" to which this Insurance applies, caused by an "accident" and resulting from the mnersHp, maintenance or usa of Covered "autos". Howmr, we will Only pay for the "covered pollution cost or expense" If there Is either "badlly Injury" or "PmPOrtY damaBa" to which this Insurance applies that Is caused by the same "accident'. We have the dgrit and duty to defend any "tn:surad" against a "suit" asking for such damages or a "novared pcllullon ocst or manse*. However, we have no duty le defend $ny "Insured" against a "cult asoldrig dam4gaa far "bodily rr ury" or apply. tr a M4215" to which this Insuren-me aces not apply, Wa may Invaatlgatcs and settle any claim or salt Or, we consider appropriate. dofyRd or settle Our duty to ends whin the Llablllly Coverage Limit of lnsuranoe hen been exhausted by payment Cf judgrnants oreettlemart.. Page 2 of it 9. WHO 15 AN INSUROD The fbiloWng are *Insureds"" A. You for any severed "auto". b. Anyone elan whae LWng ya permission a covemd *auto" You or bom w execept: (iI The ar+mer or ate re or Do=a OW fmm oarrerati m TM you h;ucmpeon chase not AM* If tuts covnrad "aerie" is a "badlee oonnecW to li ammd *aaW you mO. M Yaw oif ths wvmd MR** Is wned QamplaYse marmot Of hla Orharhauaahold. (a) eomearte using a covered "Auto" while he or she to wo ft in a btA1os9 of Selina, neiv *91 MPWV. pelft or staring vautce unless that bownses is yours. (4) Anyone ether fhen your empfayeas, parmere, a ieaaaa or bormor or any of their Qrrlplayees, Vag 4 aorriw rig pilAperty to or from vered'�etltop Copylight, Insurance BervIcesDffke, Ino:.1A93 0%& we w. Mq .., (8) A partner of yours for a COVOred'auto" owned by film or her er a mmber of Ns or her household. C. Anyone llabla for the conduct of in "Insured" dsaelaad abova but only to the extent of that liability. 2. COVERADE EXTENSIONS a. Supplementary Payments. In Addition to the Limit of Insurance, Kro will pay for the "Insured": (t) All expenses we Incur, (2) Up to 4250 for cast of ball bonds (Including bonds for related traffic low vlala#lons) required because of an "accident" we rovar. We do not have to furnlsh these boncls, (3) Tho Cost of hands to release attsohments in sny "suit'' we defend, but only for Mond amounts within our Umft of Insurance. (4) Alf ram sanable expenses Incurred by the "lnsurdd" at our request, Including getual loss of earning up to $100 a day becactse of time off from warn. (5) Al! oasts tetxsd againat the "fnsuW In any "cult" we defend. (9) All Interest on the tuft amount of any judpmern that accrues after entry of the JudgMent In any *suit" we defend, but our duty to pay Int®rest ends when we have paid, Offered to pay or dapos&W In oaurt the Part of the judgment that is +vlthIn our I.rmtt of Insuranca. b, ouf,"of-ante Caysreea Emnalons. White a covarad "Arian Ie away from the st$te Marla !t Is licensed we w1ff: (1) IncreaseLIabbty theyerI-lmlt of Insurance for gLr}alfeonege3 0 moat the umlts lar# ;� a compurwy or rinanclar fOsPonafblllty law of file jur(sdlctl3n I mwham trio cove "auto" 11 being treed. 9Wenslon doe& not a 1 or r!mlts aPeflltleaf PP y to the Seveminp motor carriers o � any law or praparty.passengers CA 00 of 42 90 gg(1tA and (z) Provlds the mlitttmmn such as ha ON of other Wrlga, fault, required of ou#•c"� �� d by ;a judootlon where tt o "auto" Is Grog used. oflae for We Will not pay 11wa Inam khan of these the some eleme� of 140 b Aids ntions. E. FXCL W10N& This insurmrue does not apply to arN of IUD faitawing; t. EXPECTED OR INTWED INJURY "Eodlll► *r? or opr'opq dames w"cted or intended from the atendOnt Of the eln6'Md"- coNTRACWAL L abfllty anumed urAer aIW 00*8ct or agraement out this wntulrton doss not 2pply to 118bffV fbr damages: a. Asurnscl in a odd► et or etMement that lr3 arr, "iammw oonhaP prevldad Ma 'tM41Y INurY" or "Proles dan1%R ocaufe subsequent to the eoasm*4 of the contract "agrenmert or b. not the "ins our would owe M the absance of the oarlh'rio1 or 4910811IN . a. WORIMM' COMP!» MTIcN Any obtlgatton tar which the 'insures or the 89nauiWe" her may be held lable under mW W~ corripenudon, dlwIft bang or unemployment compmattlan Isar or any stmllsr law. 4. EMPLOYEE 1NDt:1NINIRCAi10A( AND EMPLOYER% UABit N Bodily N1rsy" to: a Ah employee at the jW IM419 01A of and In the course of employment by ou ''l=rsd", or b. 7 1re sPo'"' child. P"A bn*fir or afs* of that ampl�p Its a pamOnph it. above. cansegrlenoar Of COPY094t, insurance Servlces Offlce. Inc., ige3 h. ( Kempen, Fnsuranoa Companies IMPORTANT CONCERNING YOUR UNDER NOTICE TOGAGEEMET NATIONAL INDEMNITY COMPANY Insurance Policy (the "Policy") to which this notice applies: insurer (the "Company"): Eagle Pacific Insurance Company Policy Inception Date: 06/0812003 Policy No.: 1S0312463 Named Insured (the "Insured"): All American Asphalt (A Corp) The Notice Inception Date Is 06/08/2003 For value received, National Indemnity Company (hereinafter referred to as "National Indemnity") agrees that In the event the Company does not pay amounts otherwise payable under the Policy as a result of a court of competent jurisdiction or the state insurance regulatory auMorky In the Company's domiciliary state ("insurance regulatory authority") Issuing an order finding such Company to be Insolvent or entering an order to the Company which legally prohibits the Company from paying Policy amounts otherwise payable because of the Company's financial condition, then National Indemnity will pay on behalf of the Company 100% of any amount payable by the Company under the Policy that has not been previously paid by the Company, subject always to the other terms, conditions, exclusions and limitations of the Policy. National Indemnity will make such payment directly to the Insured (or to Its mortgagees, assfgnees or loss payees, as their interests may appear) in the event of first -party coverages, or directly to the claimant or claimants to whom the Insured Is legally liable In the event of third -party coverages. As a condition of National Indemn!ty's payment obligation, the Insured, after receiving actual notice of the recelvershlp or Insolvency of lye Company, shad provide prompt written notice to Nationai Indemnity, attention: Kemper Cut; Through, at its statutory Home Office es on record wlLh the National Association of Insurance Commissioners, of any claim or suit for which National Indemnity may be liable by reason of this agreement herein. As a condition precedent to payment hereunder, National Indemnity shall be deemed W have all the rights of the Company and be subroga!ed to a!i the rights of the Insured to the extent of such payment. In the case of third -party liability coverages, payment Shari be due hereunder only after any one of the following three conditions Is met: (1) the claimant obtains a judgment against the Insured or the Company aftsr actual trial by a court of competent Jurisdiction; or (2) the claimant enters Into a settlement with the Insured or the Company approved by National Indemnity; or (3) the claimant enter; Into a settlement with the Insured or the Company approved by the Company prior to It being declared insolvent or prohibited from paying amounts due under the Policy. None of these conditions shall apply to first -party coverages, Mcluding but not limited to any state Workers' compensation or s;mllar federal compensation coverages that may be provided by the Policy. IL 80 39 (Ed. 12 D2) Page 1 of 2 Printed In U.S.A. Upon the Company being declared insolvent or being legally prohibited from paying Policy amounts otherwise payable because of the Company's financial condition by a court of competent jurisdiction or Insurance regulatory authority or upon any insurance regulator assuming any control over the Company's Claims handling pr=ss, National Indemnity has the right but not the duty, to assume any obligation the Company may have to provide a defense to the Insured, if such an obligation is created by the Policy. If National Indemnity does not assume such obligation, It will reimburse the Insured for the reasonable cost of such defense to the extent that the Company would have been obliged to pay such cost under its obligation to defend. National Indemnity and the Insured will cooperate in the selection of defense counsel at the commencement of Iltigatlon. Nothing herein shall make National Indemnity the Insurer under the Policy. National Indemnity's obligation hereunder is limited to the Company's obligations under the Policy and shall not include any payment arising under claims of bad faith, extra contractual obligations or payments In excess of policy limits. In the event the Notice Inception Date is later than the Policy Inception Date, then this Notice does not apply to any damages, offense or loss of any nature for which coverage Is otherwise provided under the Policy If such damages, offense or loss "commences" in whole or in part prior to the Notice inception Date, even If such damages, offense or loss continues, Is alleged to continue, or Is deemed to continue on or after the Notice Inception Date. For the purposes of this Notice only, "commences" shall mean: (i) first o=rs, Is alleged to first occur or Is deemed to first occur. or (0) Incepts, Is alleged to Incept or is deemed to Incept; or (fit) first manifests, Is alleged to have first manifested, or is deemed to have first manifested. "Commence" Is the earliest point in time of (i), (11) or (ill). National Indemnity has no liability to make payments or reimburse any person for payments lithe payments were Incurred In connection with or were In any way related to such excluded damages, offense or loss. NATIONAL INDEMNITY COMPANY EAGLE PACIFIC INSURANCE COMPANY President Chief Executive Officer IL 80 39 (Ed. 12 02) Page 2 of 2 Printed In U.S.A. °A; DrrY, _. ��a�11rr. CERi'IFICAi"E 0FNSURANCE r h•••-`••aw..-.. .• .:.•. .:. .. -: •• �. ..: .•.. .. :$ 26 o .vvliYA-'9w:'X'-»». xn'ti%viSWd-'o-'-u::'l:.vi hrivriv%->-'.w.v\...Prv.4ni;.]IX:+:i0e4.vivvro,(-:wxn-ref PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Calve Ins 8rakars i Agent s ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Lie. No. 0929370 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW_ 600 City Pkwy west, Ste, 8500 / oO COMPANIES AFFORDING COVERAGE Orange CA 02888-2946 COMPANY (714) 937-1824 A Westchester Surplus lines Cc INSURED �/Y COMPANY Aff American Asphalt r ��-' B Hartford Fire Insurance Co. PO Box 2229 Corona, CA 92878-2229 .5 COMPANY C Great American Insurance Cc COMPANY fools Pacific Insurance Co. COVERAGES .. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDINGANYREQUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWITHRESPECTTO WHICHTHIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LT11 TYPE PE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMfDDIYY) POLICY EXPIRATION DATE (MMIODIYY) LJT.tRs A' DENERALLIABLRY SLI777017 8101103 8/01104 GENERAL AGGREGATE is 2,000,000 X COMMERCIAL GENERAL LIABILITY ADDITIONAL INSURED i PRODUCTS-COMP/OP AGO S 2.000,000 CLAIMS MADE C OCCUR PRIMARY WORDING APPLIES PERSONAL B ADV INARY 3 1.0001000 OWIsIER'SA CONTRACTORSPROT ONLY IF REDUJRED BY EACH OCCURRENCE S 1.000.000 CONTRACT FIRE DAMAGE (Any one fin) S 50.000 MED EXP (Any one person) S 8 AUTOMOBLELIABLITY 72UENSK5421 K2 8/01/03 8/01/04 COMBINED SINGLE LIMIT S X ANY AUTO 1.000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Par Perm) S HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per aecldonl) : PROPERTY DAMAGE OARACELIASLITY AUTO ONLY - EA ACCIDENT = ANY AUTO NIA OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE _ CDEXCEISLIABILm TUES950076 8101103 8101/04 EACH OCCURRENCE S 10,000,000 UMBRELLA FORM AGGWOATE f 10.000.000 OTHER THAN UMBRELLA FORM f D' WORKERS COMPENSATION AND IS0312463 6108103 6109104 X STATUTORY LIMITS EMPLO YER S' LIAB LITY EACH ACCIDENT '— — f 1,00D.000 THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE DISEASE - POLICY LIMIT S 11000,000 DISEASE - EACH EMPLOYEE S 1,000.000 OFFICERS ARE: EXCLI OTHER NIA DESCRJPTJOH OF OPERATIONS&OCATJOHSJYEH10.iSISPEC1ALfTEMS RE: Warner Ave. Rehabilitation - CQ139 STPL 5181 (147) from Graham Street to Springdale Avenue 010 days notice for nonpayment of premium 2axp/au7s' to I CERTIFICATE HOLDERS xx....h xw .z : s aaw w :a:AJ .<.a r a i..a CANCELLATION `�« :,. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Huntington Beach ARPROVED TO FOR -I Risk Management Division J Attn: David M. Ifaron• `` EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENd6NII0R )OX) xAL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, t�D06YYYIfE rtrKf4XYYl00mfAYEJ610(700Lx✓rXY10lrX1p(XIN91rNMXXX /t..r 2000 Main Street NIFER McGRATMf, Ph' A1IP13i)mxX=xL"Mxxxc(kg101Nlfllol`i00(xxli7(xA1GEAK> xgtl[x Huntington Beach, CA 02648 S (r1� 1 AUTHORIZEDREPRESENTATIVE .,..,.,-M,,,,,,,..w..,w....M,,,,n::.v,a,Y„t.�,Y,y.Boa,,,•x,•�qee,tt«^.eea,«..q,M«a^^a^noxwnx�^o-�^q�axea�+c^I ACORD 25-,,,,,5 � J :�«vcc� :..oeeeae«« "•m«ew,.., ..-»�w,.:�.,.,....:,,,w,.05301Z wX,: �ACORD CORPORATION 1993 CERTIFICATE: 199/0011 026S9 POLICY NUMBER: GLW 777017 COMMERCIAL GENERAL LIABILITY INSURED: All American Asphalt EFFECTIVE: 8/1/03 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: City of Huntington Beach, its officers, elected or appointed officials, employees, agents, and volunteers Project Warner Avenue Rehabilitation — CC159 STPL 5181 (147) from Graham St. to Springdale Ave (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. It is agreed that such insurance as afforded by this policy for the benefit of the additional insured shall be primary insurance as respects any claim, loss, liability arising directly or indirectly from the insureds operations and any other insurance maintained by the additional insured shall be noncontributory with the insurance provided hereunder. CG 20 10 11 85 ©Copyright, Insurance Services Office, Inc., 1984 endorse2mpd BUSINESS Aura cOVERAGE FORM Various provlslons In this policy matilct covemoa. Rssa the entire PGOLV aareftllly to determin$ fgItt ddtleX Arid what 1s Bntl Is not covered. 'Throughout this pellcy the wards "yau" and "your" refer to the Named l wed shown In fire pedaraffatt�t. The vucrd4 "we", "us" and "our" refer to the Company provlding #h19 Insurerace. Ra%r to SECTION V Other words and Phrases that appear In quatatlan marks have Nadel mess) DEFIWIONS. SECTION I . coVEREQ AID$ ITEM TWO of the Declarations straws tha "autos" that Ara covared "Autas" for each of your coverages. The following numarlasl symbals dascribe the "autos" that may be nnvamcl "autaa". Tha symboL4 entered next to a coverago on the DDolarmflons das!pnme tine only "autos* that are couerad "autaa". A. DESCRIPTION OF COVERED AUTO DESIGNATION SYMBOLS SYMBOL DESCRIPTION i a ANY "AUM 2 a OWNP-0 *AUTOS" ONLY. only those "autos" You Qum (end for WabflAy Coverage any "trallers" you don't own while at`.acq)sd to power units you am). 'This Includes those "autos" you ecqulra eumsmillp of aftar the polley vagina. 3 " OWNED PRIVATE PASs£NoSt "AUTOS" ONLY. Only the prlvatE passenger "atexs- you Own. This Inaludas thasa private Pasaengar "eutod" y014 acqulM Ownership of after the Policy baglns. DWNED "ALirros" OTHER THAN PRIVATE PAsejeNGER "AUTOem ONLY. only those "sofas" You DIM Vat are not Of the pnvs:e passenger typs (and for Llabli.'ty Coverage any ''irelfers" that you don't own while attar.hsd tD powar un to Yau own). plat of the Includes �„ a "ate" prtVata 11423anger type you acquits numerahfp of after U1e policy begins. 8 " 01nM1eD "A q ONy those "a OS you OBJECT' TO NO-FAULT, s' hate No -Each bena um that one raqulrad to era Ilcanaed or f7ta In the #fate ► here they Includes thasa " p nalpelfy Oeraged. This after the palicy4pa nau acquire ownership of ri3qulred to have NneClln t �Dvlded the where they bra licartsad or °eta in the eta e PdnGpetly gs�gad. & COMPULSORY' UNIMURED MOTM-qW LAW. CNy those "spa" Yu Own that De*At(s3 of the mw In the go W"ra they a ha and or p� SIPS y aimed AM rwmed tsoveraga. cannot T*ct Unln uiato Thla Includes thoss "+siUW yes acquire ownership of after the POW Wins pmvlded they are subgeot to the acme stars unlasumd motartsm requirement 7ePlrclFICAl.I.Y MOW= "AUTOS*- arty those "auto" descried In M T W Of ft Aeclsnslhals for which m- pmmlum cheMs b #hm (and for UabiW OD M91 AY V211818" You dan't on Who wafted to arty► paw' tans deseMad ht M THREP. a m HIRED .ALWg" ONLY. Drift thins "auks" YOU kassa, Ith, mnt of fJQnt , Thbs does RCt Inalude Any "auto" yoU MWA airs,. r0j, dr becraw from arty of your ampio"m or pamers or members of Moir households. s a NONOWUM "ALrrOS" ONLY. Only those "sue"' y%v do not mn, lame, ails, rent or bol mat ate UW In Comedian whit your buslll►°,.sa, This Ine( o RA*e mad by your smpf'3yass or pfirmem or mamba of lm� naumholde beat entr Whft used in your busfrsean ar yaurperaaltal efI'ahs, 10WNW AUT'pS 'tall ACCUM ApM THE PoLmCY BEGINS a covered In f�'LM i1Nd onw6d nwd to thenDad mf,,. urra Lt hAVyps"Maims "ate that yoy ins Panay PQrlod. fOr the rtaMairuier CA Qg bf 12 83 CCiLiif� W1`T. If1441TRfYn� �wnAM.� /��.la: lam. i��. 2. But, V symbol 7 is entered [Ind to a coversgs In ITEM TWO of the DeolArstlons, an 'auto" you acqutrs 011 bs a covered "Auto" for that coverage only M: a.' We already cover all "autos" that you own for that coverage or it replaces an "sotto`. you previously owned that had that coverage; and b. You tell us wlthln 30 days after YOU Bcqutre It that ycu want us to MUM It for that covera$a. C. CERTAIN TRAiI.SRS, MCfa1LE EQUIPMENT AND TEMPORARY 6UBdTiTUTE AUTOS If Llablilty Covarap$ Is provided by this Coveraga Fofm, the fallowing w of vehicles ere 0180 covered "autos" for i alb�ty Coverage: A. COVERAGE 03W of 2,000 Pill 4. �.railare" � t; ;cad mpg r trerroi on public law d�rtsd Pdmlft fa mods. 16 batrt4 Carried or towed by 2. "Nlablle covered riots". 3. My `ate"you do h owner �IIa use' temporary pefrnlssiosl of P u oWn fat Ia sui�atiesta for a covered "acrto' Y° out of servtoe becau8e of h: a. Breakdown; D. Repair, . c. Serve ng; d. 9-03rl Of a. Destructlon swan it . uAi3It w CovERAGE We will pay all sums an "Insured" legally must pay 69 damages because of "bodily Injury, or "property damage" to which "a insurance applies, caused by an "acoldortt" and resulting from the Ownership. malntsnance or use of a covered "auto". We will also pay Ila sums an "Insured" legally must pay as a "covered pollution Coat or expense" to which this tnsuranoa spplles. cauU4 by an "acoldent" and resulting from the owersHp, maintenance or use of covered "autos". However, wa will only pay for the "covered pollution cost or expens®" if there is atther "bodily injuir or "Property damaga" to which this inaaroace sppffes that is Caused by till, same "scoldant". Wa have the ftht end duty to defend arty "insured" adelnat a "ault" 98klr19 for such dam2ges or a "coV&red Pcfeuteon east or expsnse". Horvaver, we soft" ave aee uty to defend any "Insured" ngelnst a VmPgrW dams a eta 1LVhl for -bodily does or '101 . Wa oh thla rnsuraR� does n� y cos irtve sta and settle any cralm or "suet" as we consider aPProprlata, Our duty to defend or seeends when tiro LiaWlfty Coverage i.tmft of Insurannce h" goon exhausted by payMent ofJud9nra1lts areefflements. Page 2 or 1 f �. WHO tE AN INSUdRSD The fafiowng are "lnsrrrsiV, A. You forafryoaverad "Auto"• b. AAyone digs While oral W YoU permisslon a covered "aft' you , hire or bormw wept: (11 The owner or Wyarre else from Whom You hlca ar borrow d aOMW ""No Thte axosplfort does not apply If 08 covered Kanto' is a user" ocnna*w to a covered wacrtc" you own. f3! Your empioyee if the coveted "a" to owned by that amplayae or a member of fib or bar h owshold. {a} Someone tmtnp a aovemd "auto" White he or she is KV*hV In a busJrtass of 1011rtp. samiOht , ropaNr>tr, pefty or stOdna "sutra" unto that bWnaw to yo=, (4) Anyone other Olen Your empfoywA partlrore, a Idnee or balrewar or any of their evoyea; one movire propaq to air from It oovarerf'ardfo". Oopyrlght. Insurance Servicesp{lce, ink, t�A3 ^& Ow &A •.. ,.. A partner of yours for a Covered'auto' ' his !,mounts and PfQ(8) (Z) " ofthe Ii1� r such n hides va owned by him orherara membsrof or tsar hausahold. f requ of cL.af"$tate by the jutfadioiiM vbere the covered c. Anyone liable for tl a conduct of an "Inaumd" dasorlbed Bbove but only to the *sty" Is taing UW* We MI. flat pay it"Yona mare than once for extent of that flablllty. the semr aIemGMS of lo" bemuse of tb&" 2. COVERAGE EXTENSIONS extanslons. a. tauppiamentary payments. In addltlon to tha I_Imtt of Insurance, we will gay for the B. aCLUSIONG rmt 8P* to Ally Of the "Insured": ThIs Immnnee does following; (1) All expanses we Incur. 1. EXPECTED OR INTENDED INJURY (1) Up to $260 for cast of hell bonds "aa� hior M Prof datne0a" acted (Including bonds for rotated tra�Ic few lnterxErd ffmrom the etandpant Of this "Insured". violations) required because of an "acoldant" we cover. We do not have or �S. CoNTUCTUAL to furnla;; these bonds. uabnRy assumed insist a>ly oa(ltract or (3) The cost of bonds to release eMohmants In arty "suit" we defend, agreement. But this s waWan doss tub Apply to IlabgW for but only for bond amounts within our damages: Ltmlt of Inauranca.that a o $ Is 0) All reasonable expensrs incurred by the s. an In7ed tmd"t mvM the 9,aft an "Srtaurert oanirttct" >3 insur'bd at our request, Including actual loss of earning up to p00 a day Injury° or opmpaq da(nags" Omm ? subsequ tt to tiro axmffla(t Of the oasttMet j�or beoeuee of tlMa off "M wog L agreamant; or (9) Ail oasts taxed against the "Insured', in b. That the "irtntred" t-rDuid have M the any "salt" we detand. Absence of t31r! corf m t or notae ><Ianl. (s) Ali Interest an the full amount of anyJUdamAnt that rde �. MtoRl(E�S' CDadAI'�N9A7lDN fn end, bA judgment In any Ojuj w Any obligation liar w'Wc h the finm mr or the our duty to pay Interast ends whoa we 'tnwmdY ktsurer may ba hWd SAAI$ muter Bily Nava paid. offered to pay or deposited worksW compensation, dtsabliily benofr or In oourt the part of the Judgment that Is w hln Our Wrnit of insurance. unam loyment compansritlon tsw or efiy elmltar b, out^ "tots Cavarage Errtenslons. law. d. EMPWYEE JNDZWNRcATWAF ANI, While a 00verad "auto" is away from the at4f$ vrhere it is ilasnaed we wail: EMPLOYER'S LIABiL" "Bodityr f (1 Inareama the f.lmit of lnsunInce fc; L(ablrlty ❑average to "MY„ to: a An employee ct�i�e e{lfp�" a Of th D oflt Of meat the limps apeclf711d by a campulsory or financial! responalbliity arid In the of employment by the 'Insured-, OF law of the Jurlsdlctlort where the: wavered "&uta" Is balno toed. 'rnig oxtenelon b• The 'pa , oitild, Perm, brother or atstar does not apply to the 1(mtt or sPOWed y eovernfnp lmo�tar �' an tiv of that employes as a oQrwwp Paregraph e. above. 8 t3f carvers o ' orproperty, passengers CA 00 0112 93 Copyrfght, insurance servicas,Qmca, Inc.. IF Kemper. per. Inauranaa ComPonfea IMPORTANT AURUHNREEENGNTS UNDCTTOGAGMT NATIONAL INDEMNITY COMPANY Insurance Policy (the "Policy") to which this notice applies: Insurer (the "Company"): Eagle Pacific insurance Company Policy Inception Date; 0610812003 Policy No.: 'IS0312463 Named Insured (the "Insured"): All American Asphalt (A Corp) The Notice Inception Date is 061OM003 For value received, National Indemnity Company (hereinafter referred to as "National Indemnity") agrees that In the event the Company does not pay amounts otherwise payable under the Popsy as a result of a court of competent jurisdiction or the state Insurance regulatory authority in the Company's domiciliary state ("insurance regulatory authority) Issuing an order finding such Company to be insolvent or entering an order to the Company which legally prohibits the Company from paying Policy amounts otherwise payable because of the Company's financial condition, then National Indemnity will pay on behalf of the Company 100% of any amount payable by the Company under the Policy that has not been previously paid by the Company, subject always to the other terms, conditions, exclusions and limitations of time Policy. National Indemnity will make such payment directly to the Insured (or to its mortgagees, assignees or loss payees, as their interests may appear) in the event of first -party coverages, or directly to the claimant or claimants to whom the Insured is legally liable In the event of third -party coverages. As a condition of National Indemnity's payment obligation, the Insured, after receiving actual notice of the receivership or insolvency of the Company, shall provide prompt written natice to National Indemnity, attention: Kemper Cut - Through, at its statutory Home Office as on record Wth the National Association of Insurance Commissioners, of any claim or suit for which National Indemnity may be liable by reason of this agreement herein. As a condltion precedent to payment hereunder, National Indemnity shall be deemed to have all the rights of the Company and be subrogated to all the rights of the Insured to the extent of such payment In the case of third -party liability coverages, payment shall be due hereunder only after any one of the following three conditions Is met: (1) the claimant obtains a judgment against the Insured or the Company after actual trial by a court of competent jurisdiction; or (2) the claimant enters Into a setflement with the Insured or the Company approved by National Indemnity; or (3) the claimant enters Into a settlement with the Insured or the Company approved by the Company prior to it being declared insolvent or prohibited from paying amounts due under the Policy. None of these conditions shall apply to first -party coverages, including but not Ilmited to any state workers' compensation or similar federal compensation coverages that may be provided by the Policy. IL 80 39 (Ed. 12 02) Page 1 of 2 printed in U.S.A. Upon the Company being declared insolvent or being legally prohibited from paying P011cy amounts otherwise Payable because of the Company's financial condition by a court of competent jurisdfcdon or Insurance wgulafory authority or upon any Insurance regulator assuming any control over the Company's Balms handling process. National Indemnity has the right, but not the duty, to assume any obligation the Company may have to provide a defense to tiie Insured, if such en obligaton is created by the Policy. If National Indemnity does not assume such obligation, it will reimburse the Insured for the reasonable cost of such defense to the extent that the Company would have been obliged to pay such cost under its obligation to defend. National Indemnity and the Insured vrlll cooperate in the se'ection of defense counsel at the commencement of Hgatlon. Nothing herein shall make National Indemnity the Insurer under the Policy. Nationa! IrWernaity's obligadorr hereunder is limited to the Company's obligations under the Policy and shalt not include any payment arising under claims of bad faith, extra contractual obligations or payments In excess of policy limits. In the event the Notice Inception Date Is later than the Policy Inception Hate, then this Notice does not apply to any damages, offense or loss of any nature for which coverage Is otherwise provided under the Policy If such damages, offense or loss "commences" In whole or in part prior to the Notice Inception Date, even If such damages, offense or loss continues, Is alleged to continue, or Is deemed to continue on or after the Notice Inception Date. For the Purposes of this Notice only, "commences" shall mean: (1) first occurs, is alleged to first occur or Is deemed to first occur, or (ii) Incepts, Is alleged to Incept or is deemed to incept; or (Ill) first manifests, Is alleged to have first manifested, or Is deemed to have first manifested. "Commence" Is the earliest point in Ume of (i), (l1) or (ill). National Indemnity has no liabillty to make payments or reimburse any person for payments If the payments were Incurred In connection with or were in any way related to such excluded damages, offense or toss. NATIONAL INDEMNITY COMPANY EAGLE PACIFIC INSURANCE COMPANY President Chlef Executive Officer IL 80 39 (Ed.12 02) Page 2 of 2 Printed In V.S.A. Company Profile Page Iofz Company Profile Am o artwwft of Insurance FIDELITY AND DEPOSIT COMPANY OF MARYLAND 140o AMERICAN LANE,19TH FLOOR TOWER i SCHUAMBURG, IL 6oi96-io56 800-382-ZI50 Agent for Service of Process ANDREW K. PLATT, C/O ZURICH NORTH AMERICA Bot N. BRAND BLVD., 13TH FLOOR GLENDALE, CA gizo3 Unable to Locate the Agent for Service of Process? Reference Information NAIC #: NAIC Group #: California Company ID #: Date authorized in California: License Status: Company Type: State of Domicile: 393o6 0212 z479-4 January ot, ig8z UNLIMITED -NORMAL Property & Casualty MARYLAND Lines of Insurance Authorized to Transact The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. AIRCRAFT AUTOMOBILE BOILER AND MACHINERY BURGLARY CREDIT FIRE LIABILITY MARINE MISCELLANEOUS PLATE GLASS http://cdinswww.insurance.ca.gov/pls/wu_co_prof/idb co prof utl.get_co_proPp_EI... 4/29/2004 Company Profile Page zofz SPRINKLER SURETY TEAM AND VEHICLE WORKERS' COMPENSATION Company Complaint Information 4Company Enforcement Action Documents Compare Performance & Comparison Data i Composite Complaint Studies Want More? Help Me Find a Compa=nRepresentative in My Area Financial Rating Organizations Last Revised - April 26, 2004 02:22 PM Copyright ® California Department of Insurance Disclaimer http://cdinswww.insurance.ca.gov/pls/wu_co_prof/idb co_prof�utl.get co_ProPp_EI... 4/79/2004 o fl Fidelity and Deposit Company of Maryland P P Y Home Office: P.O. Box 1227. Baltimore. MD 21203-1227 BID BOND KNOW ALL MEN BY THESE PRESENTS: That we, ALL AMERICAN ASPHALT BOND NO.085 97 423 , as Principal, (hereinafter called the "Principal"), and FIDELITY AND DEPOSIT COMPANY OF MARYLAND P.O. Box 1227, Baltimore, Maryland 21203, a corporation duly organized under the laws of the State of Maryland, as Surety, (hereinafter called the "Surety"), are held and firmly bound unto City of Huntington Beach as Obligee, (hereinafter called the "Obligee"), in the stun of TEN PERCENT OF THE TOTAL BID PRICE IN ^� Dollars (S 10% OF TOTAL BID PRICE ), for the payment of which sum well and truly to be made, the said Principal and the said Surey, bind ourselves, our heirs, executors, administrators, successors and assigns, ,jointly and severally, firmly by these presents. WHEREAS, the principal has submitted a bid for I. Graham St Rehabilitation • CCU 58 from Warner Ave to Heil Ave, STPL 5181(142) 11. Warner Ave Rehabilitation - CCU 59 from Graham St to Springdale St, STPL 5181(147) Bid Date: April 6, 2004 NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a contract with the Obligee in accordance with the terms of such bid and give such bond or bonds as may be specified in the bidding or contract documents with good and sufficient surety for the faithful performance of such contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter into such contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect Signed and sealed this I st day of April A.D., 22E ALL AMERICAN ASPHALT (SEAL) Principal � Eiabcrt BKtdkc�, Vi[+G��SidC»i i- FIDELITY AND DEPOSIT COMPANY OF MARYLAND Sure By L) M. BROWN , Attorney -in -Fact Printed in cooperation with the American Institurt of Architects (AIA) by Fidelity and Deposit Company of Maryland. Fidelity and Deposit Company of Maryland vouches dw the language in the document conforms exactly to the language used in AIA Document A-310. February 1970 Edition. SID70o00ZZ0701 f CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of ORANGE ss. On 4-1-04 , before me, BARBARA J. BENDER , Date Name and This of Otllt er (e.g., *Jane Doe, Notary "Iel personally appeared OWEN M. BROWN Neme(e) d Signer(s) /ARL&RA J. BINQ; Camn!Won # 1267491 Nofoy MAft - Calfotnla donee County My Cornm, f'es Jul 12.4004 Place Notary Seel Above XXKN personally known to me •e`e�e<rC o a �(�� l [ e••e�61-� • o gc••)�ccrrFl•=•tl e � e�alla�l'1 i to be the person(jo whose name0q) isim subscribed to the within Instrument and acknowledged to me that he/(executed the same in his/)oo6b C authorized capacityoW, and that by his/ftftd� signature($ on the instrument the person(pr), or the eryt�y upon behalf of which the personal actod, Oxecuted the instrument. seal OPTIONAL Though the Information below Is not required by law, It may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: BID BOND Document Date: 4-1-04 Number of Pages: ONE (1) Signer(s) Other Than Named Above: ALL AMERICAN ASPHALT Capacity(les) Claimed by Signer Signer's Name: OWEN M. BROWN 1 ❑ Individual ❑ Corporate Officer - Title(s): Top of thumb here O Partner — ❑ Limited O General XIKK Attorney In Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: FIDELITY AND DEPOSIT COMPANY OF MARYLAND 0 1 "1 Nele m Notary A•aabean • eaeo Do Sato Ave. P.O. box 2402 • Crletew•M. CA 91313.2402 • w .naeorleMlel•ry are ►rod. No. U07 1loord•r. Cal Tel -Fr" 1 •a06e76.6at7 �J 5ZURICH THIS IMPORTANT DISCLOSURE NOTICE IS PART OF YOUR BOND Fidelity and Deposit Company of Maryland, Colonial American Casualty and Surety Company, Zurich American Insurance Company, and American Guarantee and Liability Insurance Company are making the following informational disclosures in compliance with The Terrorism Risk Insurance Act of 2002. No action is required on your part. Disclosure of Terrorism Premium The premium charge for risk of loss resulting from acts of terrorism (as defined in the Act) under this bond is $ waived—. This amount is reflected in the total premium for this bond. Disclosure of Availahility of Coveraze for Terrorism Losses As required by the Terrorism Risk Insurance Act of 2002, we have made available to you coverage for losses resulting from acts of terrorism (as defined in the Act) with terms, amounts, and limitations that do not differ materially as those for fosses arising from events other than acts of terrorism. Disclosure of Federal Share of Insurance Company's Terrorism Losses The Terrorism Risk Insurance Act of 2002 establishes a mechanism by which the United States government will share in insurance company losses resulting from acts of terrorism (as defined in the Act) after a insurance company has paid losses in excess of an annual aggregate deductible. -For 2002, the insurance company deductible is 1% of direct earned premium in the prior year; for 2003, 7% of direct earned premium in the prior year; for 2004, 10%-of direct earned premium in the prior year; and for 2005, 15% of direct earned premium in the prior year. The federal share of an insurance company's losses above its deductible is 90%. In the event the United States government participates in losses, the United States government may direct insurance companies to collect a terrorism surcharge from policyholders. The Act does not currently provide for insurance industry or United States government participation in terrorism losses that exceed $100 billion in any one calendar year. Definition of Act of Terrorism The Terrorism Risk Insurance Act defines "act of terrorism" as any act that is certified by the Secretary of the Treasury, in concurrence with the Secretary of State and the Attorney General of the United States; 1. to be an act of terrorism; 2. to be a violent act or an act that is dangerous to human life, property or infrastructure; 3. to have resulted in damage within the United States, or outside of the United States in the case of an air carrier (as defined in section 40102 of title 49, United 17 States Code) or a United States flag vessel (or a vessel based principally in the United States, on which United States income tax is paid and whose insurance coverage is subject to regulation in the United States), or the premises of a United States mission, and 4. to have been committed by an individual or individuals acting on behalf of any foreign person or foreign interest as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. But, no act shall be certified by the Secretary as an act of terrorism if the act is committed as part of the course of a war declared by Congress (except for workers' compensation) or property and casualty insurance losses resulting from the act, in the aggregate, do not exceed $5,000,000. These disclosures are informational only and do not modify your bond or affect your rights under the bond. Copyright Zurich American Insurance Company 2003 Power of Attorney FIDELITY AND DEPOSIT COMPANY OF MARYLAND KNOW ALL MIEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND. a corporation of the State of Maryland, by M. P. ITANIMOND, Vice President, and L L. GOUCHER, Assistant Secretary, in pursuance of authority granted by Article VI, Section 2, of the By -Laws of said Company. w ' set forth on the'reverse side hereof and are hereby certified to be in full force and effect on the date hereof, d s I� Hate, constitute and appoint Owen hi. BRONtiiti', of Anaheim, California, its we and lawf� y=n4ngsto make, txecute, seal and deliver, for, and on its behalf as surety. and as its act ane, o d�and the execution of such bonds or undertakings in pursuance of these as i `i.'o`inpany, as fully and amply, to all intents and purposes, as if they had be 2jilc"'hyc regularly elected officers of the Company at its office in Baltim��r �}'�1tnorr_Mtrap ��ns�lus power of attorney revokes that issued on behalf of Owen AI. BROWN ;19V 122 " & 1 The said Assistant �� extract set forth on the reverse side hereof is a true copy of Article VI. Section 2. of the By- ' y and is now in force. IN WITNESS W E OF, the said Vice -President and Assistant Secretary have hereunto subscribed their names and affixed the Corporate Seal of the said FIDELITY AIND DEPOSIT COMPANY OF I�IARYLAND, this I Ith day of February. A.D. 2003. ATTEST: 'wp QL1p��i • i o tril ,? a r. r, State of Maryland I ss: City of Baltimore FIDELITY AND DEPOSIT COMPANY OF MARYLAND L L Gorrcher Assistant Secretary Al. P. Hammond Vice President On this I Ith day of February, A.D. 2003, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified. came M. P. HA.' MOtiD. Vice President. and L L. GOUCHER. Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF ATARYLAND, to me personally known to be the individuals and officers described in and who executed the preceding instrument. and they each Acknowledged the execution of the same, and being by me duly sworn. severally and each for himself deposeth and saith, that they are the said officers of the Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company. and that the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. � ram- .�.• r-� • Sandra Li -nit A•looney Notary Public My Commission Empires: January 1, 2004 POA-F 012-4160 EXTRACT FROM BY-LAWS OF FIDELITY AND DEPOSIT COMPANY OF MARYLAND "Article VI. Section 2. The Chairman of the Board, or the President. or any Executive Vice -President, or any of the Senior Vice -Presidents or Vice -Presidents specially authorized so to do by the Board of Directors or by the Executive Committee, Shall have power, by and with the concurrence of the Secretary or any one of the Assistant Secretaries, to appoint Resident Vice-Presidcrtts, Assistant Vice -Presidents and Attorneys -in -Fact as the business of the Company may require, or to authorize any person or persons to execute on behalf of the Company any bonds. undertaking, recograzances, stipulations. policies, contracts, agreements, deeds, and releases and assignments of judgements, decrees, mortgages and instruments in the nature of mortgages.... and to affix the seal of the Company thereto." CERTIFICATE I, the undersigned, Assistant Secretary of the FIDELITY AND DEPOSIT COtiIPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that the Vice -President who executed the said Power of Attorney was one of the additional Vice -Presidents specially authorized by the Board of Directors to appoint any Attorney -in -Fact as provided in Article VI, Section 2, of the By -Laws of the FIDELITY AND DEPOSIT COMPANY OF bIARYL.AND. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF NIARYLAND at a meeting duly called and held on the loth day of May. 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, Wherever appearing upon a certified copy of any power of attorney issued by the Company. shall be valid and binding upon the Company with the same force and effect as though manually affixed." IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the'corporate seat of the said Company, this 1st day of April 2004 Anisranr Secnrary CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT �I !c �C C i State of California C �C County of Riverside ss. � C 1c i On April 5. 2004 before me, Tennille Morris, Notary Public, Name Officer �C Date and Title of Personally appeared Robert Bradley Name(s) of Signer(s) C j X personally known to me iC _proved to me on the basis of I C satisfactory evidence C C to be the personja'f whose name* is/are subscribed to the within instrument �I and acknowledged to me that he/shefthey C TENNILLE MORRIS executed the same in h1aftrftheirauthorized capacity(ies), and that by his/her/C�tr Commission # 1374628 the instrument the Notary Public —California signatureA on personX IC 11&94 — Riverside County MVComm Expires Sepl3,21]06 or, the entity upon behalf of which the person acted, executed the instrument. C WITNESSmy hand andofficial seal, iC Signature of Notary Public C • ;C OPTIONAL ; i Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document • i� Title or Type of Document: Bid Bond I� C Document Date: April 1, 2004 Number of Pages: 1 Ic i 'r Signepro Other Than Named Above: Fidelity and Deposit Company of Maryland 'r Signer's Name: c Individual it XCorporate Officer Title Vice President c _Partner- Limited _G neral _Attorney -in -Fact _Trustee _Guardian or Conservator i Other: Signer is Representing: All American Asphalt FEDERALLY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND FOR �q,tnFrt ArnaF iZsh•gfa /ifAfi:•r CG //'S g TABLE OF CONTENTS Pale No. 1. STATE OF WORK; ACCEPTANCE OF RISK l 2. ACCEPTANCE OF CONDITIONS OF WORK; PLANS AND SPECIFICATIONS 2 3. COMPENSATION 3 4. COMMENCEMENT OF PROJECT 4 5. TIME OF THE ESSENCE 4 6. CHANGES 4 7. NOTICE TO PROCEED 5 8. BONDS 5 9. WARRANTIES 6 10. INDEPENDENT CONTRACTOR 6 11. LIQUIDATED DAMAGESIDELAYS 6 I2. DIFFERING SITE CONDITIONS 8 13. VARIATIONS IN ESTIMATED QUANTITIES 9 14. PROGRESS PAYMENTS 9 15. WITHHELD CONTRACT FUNDS, SUBSTITUTION OF SECURITIES 10 16. AFFIDAVITS OF SATISFACTION OF CLAIMS 10 17. WAIVER OF CLAIMS 11 18. INDEMNIFICATION, DEFENSE, BOLD HARMLESS 11 19. WORKERS' COMPENSATION INSURANCE AND EMPLOYER'S LIABILITY INSURANCE 12 20. INSURANCE 12. 21. CERTIFICATES OF INSURANCE; ADDITIONAL INSURED ENDORSEMENTS 13 22. NOTICE OF THIRD PARTY CLAIM 14 23. DEFAULT & TERMINATION 14 24. TERMINATION FOR CONVENIENCE 14 25. DISPOSITION OF PLANS, ESTIMATES AND OTHER DOCUMENTS 15 26. NON -ASSIGNABILITY 15 27. CITY EMPLOYEES AND OFFICIALS 15 28. STOP NOTICES; RECOVERY OF ADMINISTRATIVE COSTS 15 29. NOTICES 16 30. SECTION HEADINGS 16 31. IMMIGRATION 16 32. LEGAL SERVICES SUBCONTRACTING PROHIBITED 17 FEDERALLY FUNDED CONSTRUCTION CONTRACT TABLE OF CONTENTS, continued Pa.�c No. 33. ATTORNEY'S FEES 17 34. INTERPRETATION OF THIS AGREEMENT 17 35. GOVERNING LAW 18 36. DUPLICATE ORIGINAL 18 37. CONSENT 18 38. CALIFORNIA FAIR EMPLOYMENT AND HOUSING ACT 18 39. CALIFORNIA PREVAILING WAGE LAW 40. CALIFORNIA EIGHT -HOUR LAW 19 41, PAYMENT OF TRAVEL AND SUBSISTENCE ALLOWANCE 20 42. EMPLOYMENT OF APPRENTICES 20 43. PAYROLL RECORDS 20 44. FEDERAL PARTICIPATION 21 45. DAVIS-BACON ACT 21 46. DISCRIMINATION, MINORITIES, ALIENS 21 47. EQUAL EMPLOYMENT OPPORTUNITY 21 48. COPELAND "ANTI -KICKBACK" ACT 22 49. CONTRACT WORK HOURS AND SAFETY STANDARDS ACT 23 50. IMPLEMENTATION OF CLEAN AIR ACT AND FEDERAL WATER POLLUTION CONTROL ACT 23 51. ENERGY CONSERVATION 24 52. HOUSING AND URBAN DEVELOPMENT 24 53. ENTIRETY 24 2 18 �I7rN��y l ON FEDERALLY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND FOR %lr1>.o b.'/. , 4.,, w#arr 4 ov.-ikE cc a S9 THIS AGREEMENT ("Agreement") made and entered into this 2a day of 20±L, by and between the City of Huntington Beach, a municipal corporation of the State of California, o4l�_,4c, a je, c,v., e4-Wg L_f hereinafter referred to as "CONTRACTOR." hereinafter referred to as "CITY," and a California WHEREAS, CITY has solicited bids for a public works project, hereinafter referred to as "PROJECT," more fully described as Nr%-L wo4ne, A✓rnr �I�h,a4:L•fsf%+�+ cci/sg t�.r-► C.eaH*.1 in the City of Huntington Beach; and ;r- CONTRACTOR has been selected to perform said services, NOW, THEREFORE, in consideration of the promises and agreements hereinafter made and exchanged, the parties covenant and ague as follows: 1. STATEMENT OF WORK: ACCEPTANCE OF RISK CONTRACTOR shall complete and construct the PROJECT pursuant to this Agreement and the Contract Documents (as hereinafter defined) and furnish, at its own cost and expense, all labor, plans, tools, equipment, supplies, transportation, utilities and all other items, services and facilities necessary to complete and construct the PROJECT in a good and workmanlike manner. CONTRACTOR agrees to fully assume the risk of all loss or damage arising out of the nature of the PROJECT, during its progress or prior to acceptance by CITY, from the action of the elements, from any unforeseen difficulties which may arise or be encountered in the prosecution of agree/rorrrWfcdcra14-20 1 work, and for all other risks of any description in connection with the work, including, but not limited to, all expenses incurred by or in consequence of the suspension or discontinuance of work, except such as are herein expressly stipulated to be borne by CITY, and for well and faithfully completing the work within the stipulated time and in the manner shown and described in this Agreement, and in accordance with the requirements of CITY for the compensation set forth in the accepted bid proposal. 2. ACCEPTANCE OF CONDITIONS OF WORK; PLANS AND SPECIFICATIONS CONTRACTOR acknowledges that it is fully familiar with all the terms, conditions and obligations of this Agreement and the Contract Documents (as defined below in this Section), the location of the job site, and the conditions under which the work is to be performed, and that it enters into this Agreement based upon its thorough investigation of all such matters and is relying in no way upon any opinions or representations of CITY. It is agreed that the Contract Documents are incorporated into this Agreement by this reference, with the same force and effect as if the same were set forth at length herein, and that CONTRACTOR and its subcontractors, if any, shall be bound by the Contract Documents insofar as they relate in part or in any way, directly or indirectly, to the work covered by this Agreement. "Contract Documents" as defined herein mean and include: A. This Agreement; B. Bonds covering the work herein agreed upon; C. The CITY's standard Plans and Specifications and special contractual provisions, including those on file in the office of the Director of Public Works of CITY and adopted by the City Council, and any revisions, amendments or addenda thereto; D. The current edition of Standard Specifications for Public Works Construction, published by Builders' News, Inc., 10801 National Boulevard, Los Angeles, CA agree/forms/federal 4-20 2 90064, and all amendments thereto, written and promulgated by the Southern California chapter of the American Public Works Association and the Southern California District Associated General Contractors of the California Joint Cooperative Committee; E. Bid documents including the Notice Inviting Bids, the Special Instructions to Bidders and the CONTRACTOTs proposal, (which is attached hereto as Exhibit "A" and incorporated herein by this reference); F. The particular Plans, Specifications, Special Provisions and Addenda applicable to the PROJECT. Anything mentioned in the Specifications and not indicated in the Plans or indicated in the Plans and not mentioned in the Specifications, shall be of like effect as if indicated and mentioned in both. In case of a discrepancy between any Plans, Specifications, Special provisions, or Addenda, the matter shall be immediately submitted by CONTRACTOR to the Department of Public Works of CITY (hereinafter referred to as "DPW"), and CONTRACTOR shall not attempt to resolve or adjust the discrepancy without the decision of DPW, save only at its own risk and expense. Should there be any conflict between the terms of this Agreement and the bid or proposal of CONTRACTOR, then this Agreement shall control and nothing herein shall be considered as an acceptance of the terms of the bid or proposal which is in conflict herewith. 3. COMPENSATION CITY agrees to pay and CONTRACTOR agrees to accept as full compensation for the faithful performance of this Agreement, subject to any additions or deductions made under the provisions of this Agreement or the Contract Documents, a sum not to exceed sgmc/fonr.V(cdcm14-20 3 f�rF fir�d!'iCf �af� Srr T�loyts+d frf�� (5 5y(p as set forth in the Contract Documents, to be paid as provided in this Agreement. 4. COMMENCEMENT OF PROJECT CONTRACTOR agrees to commence the PROJECT within ten (10) working days after the Notice To Proceed is issued and diligently prosecute the PROJECT to completion within 5eet;A4y Gyg _ (75 ) consecutive t4 2 from the day the Notice to Proceed is issued by.4 DPW, excluding delays provided for in this Agreement. 5. TIME OF THE ESSENCE The parties hereto recognize and agree that time is of the essence in the performance of this Agreement and each and every provision of the Contract Documents. CONTRACTOR shall prepare and obtain approval as required by the Contract Documents for all shop drawings, details and samples, and do all other things necessary and incidental to the prosecution of its work in conformance with the progress schedule set forth in the Contract Documents. CONTRACTOR shall coordinate its work with the work of all other contractors, subcontractors, and CITY forces working on the PROJECT in a manner that will facilitate the efficient completion of the PROJECT and in accordance with the terms and provisions of this Agreement. CITY shall have complete control of the premises on which the work is to be performed and shall have the right to decide the time and order in which the various portions of the work shall be performed and the priority of the work of other contractors, subcontractors and CITY forces and, in general, all matters concerning the timely and orderly conduct of the work of CONTRACTOR on the premises. b. CHANGES CONTRACTOR shall adhere strictly to the plans and specifications set forth in the Contract Documents unless a change therefrom is authorized in writing by DPW. CONTRACTOR agrees to make any and all changes, furnish materials and perform all work necessary within the scope egreeJformslfedmI 4-20 4 of the PROJECT as DPW may require in writing. Under no condition shall CONTRACTOR make any changes without the prior written order or acceptance of DP1V, and CITY shall not pay any extra charges made by CONTRACTOR that have not been agreed upon in writing by DPW. Whcn directed to change the work, CONTRACTOR shall submit immediately to DPW a written cost proposal reflecting the effect of the change. Should DPW not agree to such cost proposal, the work shall be performed according to the changes ordered in writing by DPW and the proper cost thereof shall be negotiated by the parties upon cost and pricing data submitted by CONTRACTOR; thereupon, CITY will promptly issue an adjusted change order to CONTRACTOR and the Agreement price will be adjusted upward or downward accordingly. 7. NOTICE TO PROCEED No work, services, material, or equipment shall be performed or furnished under this Agreement unless and until a Notice to Proceed has been given to CONTRACTOR by CITY. CITY does not warrant that the work will be available on the date the Notice to Proceed is issued. In the event of a delay in commencement of the work due to unavailability of the job site, for any reason, relief to CONTRACTOR shall be limited to a time extension equal to the delay due to such unavailability. 8. LBONDS Only bonds issued by California admitted sureties will be accepted. CONTRACTOR shall, prior to its performance of this Agreement, furnish the following two (2) bonds approved by the City Attorney: One in the amount of one hundred percent (100%) of the Agreement price to guarantee the CONTRACTOR's faithful performance of the work, and one in the amount of one hundred percent of the Agreement price to guarantee payment of all claims for labor and materials furnished. In addition, CONTRACTOR shall submit to CITY a bond in the amount of one hundred percent (100%) of the final Agreement price, including all change orders, to warrant such performance agmelfoffWredcra! 4.20 5 for a period of one (1) year after CITY's acceptance thereof within ten (10) days of filing of the Notice of Completion. 9. WARRANTIES CONTRACTOR unconditionally guarantees all work done under this Agreement including, but not limited to, any workmanship, installation, fabrication, material or structural facilities constructed. CONTRACTOR, within ten (10) days after notice by CITY of any defect in the work, shall have the option to make appropriate repairs or replace the defective item or items. Upon expiration of such ten (10) day period, CITY may then make appropriate repair or replacement at CONTRACTOR's risk and own cost and expense. 10. INDEPENDENT CONTRACTOR It is understood and agreed that CONTRACTOR is, and shall be, acting at all times hereunder as an independent contractor and not an employee of CITY. CONTRACTOR shall secure at its own cost and expense, and be responsible for any and all payment of all taxes, social security, state disability insurance compensation, unemployment compensation and other payroll deductions for CONTRACTOR and its officers, agents and employees and all business licenses, if any, in connection with the PROJECT and/or the services performed hereunder. 111. LIQUIDATED DAMAGESMELAYS It is agreed by the parties hereto that in case the total work called for hereunder is not in all parts and requirements finished or completed within the number of calendar days as set forth herein, damage will be sustained by CITY; and that it is, and would be, impractical and extremely difficult to ascertain and determine the actual damage which CITY would sustain in the event of and by reason of such delay. It is, therefore, agreed that CONTRACTOR will pay to CITY, as liquidated damages and not as a penalty, the sum of 9;,2 g ul%jred Dollars (S S00-'2 ` )per day for each and every working day's delay in completing the work in excess of the number of agrcdrormVfcdcral 4-20 6 working/calendar days set forth herein, which represents a reasonable endeavor by the parties hereto to estimate a fair compensation for the foreseeable damages CITY would sustain in the event of and by reason of such delay; and CONTRACTOR agrees to pay these damages herein provided, and further agrees that CITY may deduct the amount thereof from any monies due or that may become due to CONTRACTOR hereunder. CONTRACTOR will be granted an extension of time and will not be assessed damages for any portion of the delay in the completion of the work due to unforeseeable causes beyond the control and without the fault or negligence of CONTRACTOR, including, but not limited to, acts of God or of the public enemy, fire, floods, epidemics, quarantine restrictions, strikes, unsuitable weather, or delays of subcontractors due to such causes. CONTRACTOR shall, within fifteen (15) days from the beginning of any such delay (unless DPW shall grant a further period of time), notify DPW in writing of the cause of the delay and CITY shall extend the time for completing the work if, in its judgment, the findings of fact thereon justify the delay; and the decision of DPW shall be conclusive on the parties hereto. Should CONTRACTOR be delayed in the prosecution or completion of the work by the act, neglect or default of CITY, or should CONTRACTOR be delayed by waiting for materials required by this Agreement to be furnished by CITY, or by damage caused by fire or other casualty at the job site for which CONTRACTOR is not responsible, or by the combined action of the workers, in no way caused by or resulting from default or collusion on the part of CONTRACTOR, or in the event of a lockout by CITY, then the time herein fixed for the completion of the work shall be extended by the number of days CONTRACTOR has thus been delayed, but no allowance or extension shall be made unless a claim therefor is presented in writing to CITY within fifteen (15) days of the commencement of such delay. agrr0fbmWfcdcra14-20 7 No claims for additional compensation or damages for delays, irrespective of the cause thereof, and including without limitation the furnishing of materials by CITY or delays by other contractors or subcontractors, will be allowed and an extension of time for completion shall be the sole remedy of CONTRACTOR. 12. DIFFERING SITE CONDITIONS A. Notice: CONTRACTOR shall promptly, and before such conditions are disturbed, notify DPW in writing of. (1) Subsurface or latent physical conditions at the job site differing materially from those indicated in this Agreement or the Contract Documents; or (2) Unknown physical conditions at the job site, of an unusual nature, differing materially from those ordinarily encountered and generally recognized as inherent to work of the character to be performed under this Agreement. DPW shall promptly investigate the conditions and if it finds that such conditions do materially so differ and cause an increase or decrease in the time required for performance of any part of the work under this Agreement, whether or not changed as a result of such conditions, an equitable adjustment shall be made and the agreement modified in writing accordingly. B. Time Extension: No claim of CONTRACTOR under this Section shall be allowed unless CONTRACTOR has given the notice required hereunder provided, however, the time prescribed therefor may be extended by CITY. sgrcc1ro=Vfcdcm14.20 8 13. VARIATIONS IN ESTIMATED QUANTITIES The quantities listed in the bid schedule will not govern final payment. Payment to CONTRACTOR will be made only for the actual quantities of Agreement items used in construction of the PROJECT, in accordance with the plans and specifications. Upon completion of the PROJECT, if the actual quantities used are either more than or less than the quantities listed in the bid schedule, the bid price shall prevail subject to the provisions of this Section. DPW may, at its sole discretion, when warranted by the facts and circumstances, order an equitable adjustment, upwards or downwards, in payment to CONTRACTOR where the actual quantities used in construction of the PROJECT are in variation to the quantities listed in the bid schedule. No claim by CONTRACTOR for an equitable adjustment in price or time for completion shall be allowed if asserted after final payment under this Agreement. If the quantity variation is such as to cause an increase in the time necessary for completion, DPW shall ascertain the facts and circumstances and make such adjustment for extending the completion date as in its solo judgment the findings warrant. 14. PROGRESS PAYMENTS Each month DPW will make an estimate in writing of the work performed by CONTRACTOR and the value thereof. From each progress estimate, ten percent (10%) will be deducted and retained by CITY and the remainder of the progress estimate, less the amount of all previous payments since commencement of the work, will be paid to CONTRACTOR. When CONTRACTOR has, in the judgment of DPW, faithfully executed fifty percent (50%) or more of the value of the work as determined from the bid schedule, and if DPW rinds that satisfactory progress has been and is being made, CONTRACTOR may be paid such sum as will bring the payments of each month up to one hundred percent (100%) of the value of the work completed since the commencement of the PROJECT, as determined in its sole discretion by DPIVV, less all previous payments and less all previous retained amounts. CITY's final payment to CONTRACTOR, agreeffomWfedera! 4-20 9 if unencumbered, or any part thereof unencumbered, shall be made thirty-five (35) days after the acceptance of the work and the filing of a Notice of Completion by CITY. Payments shall be made on demands drawn in the manner required by law, each payment to be accompanied by a certificate signed by DPW, affirming that the work for which payment is demanded has been performed in accordance with the terms of the Agreement and that the amount stated in the certificate is due under the terms of the Agreement. Partial payments on the Agreement price shall not be considered as a acceptance of any part of the work. 15. WITHHELD CONTRACT FUNDS, SUBSTITUTION OF SECURITIES At the request and at the sole cost and expense of CONTRACTOR, who shall retain beneficial ownership and receive interest, if any thereon, CITY shall permit the substitution and deposit therewith of securities equivalent to the amount of any monies withheld by CITY to ensure performance under the terms of this Agreement. lb. AFFIDAVITS OF SATISFACTION OF CLAIMS After the completion of the work contemplated by this Agreement, CONTRACTOR shall file with DPW its affidavit stating that all workers and persons employed, all firms supplying materials and all subcontractors working upon the PROJECT have been paid in full and that there are no claims outstanding against the PROJECT for either labor or material, except certain items, if any, to be set forth in CONTRACTOR's affidavit covering disputed claims, or items in connection with Notices to Withhold, which have been filed under the provisions of the statutes of the State of California. 17. WAIVER OF CLAIMS The acceptance by CONTRACTOR of the payment of the final certificate shall constitute a waiver of all claims against CITY under or arising out of this Agreement. agrWformslfcdcral 4-20 10 18. INDEMNIFICATION, DEFENSE, HOLD HARMLESS CONTRACTOR hereby agrees to protect, defend, indemnify and hold harmless CITY, its officers, elected or appointed officials, employees, agents, and volunteers from and against any and all, claims, damages, losses, expenses, judgments, demands defense costs, and consequential damage or liability of any kind or nature, however caused, including those resulting from death or injury to CONTRACTOR's employees and damage to CONTRACTOR's property, arising directly or indirectly out of the obligations or operations herein undertaken by CONTRACTOR, caused in whole or in part by any negligent act or omission of the CONTRACTOR, any subcontractors, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, including but not limited to concurrent active or passive negligence, except where caused by the active negligence, sole negligence, or willful misconduct of the CITY. CONTRACTOR will conduct all defense at its sole cost and expense and CITY shall approve selection of CONTRACTOR's counsel. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indemnification to be provided by CONTRACTOR. 19. «rORKERS' COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE Pursuant to California Labor Code Section 1861, CONTRACTOR acknowledges awareness of Section 3700 et seq. of this Code, which requires every employer to be insured against liability for workers' compensation; CONTRACTOR covenants that it will comply with such provisions prior to commencing performance of the work hereunder. CONTRACTOR shall maintain workers' compensation and employer's liability insurance in an amount of not less than the State statutory limits. CONTRACTOR shall require all subcontractors to provide such workers' compensation and employer's liability insurance for all of the subcontractors' employees. CONTRACTOR shall agrcdfomis/k4cral 4-20 11 furnish to CITY a certificate of waiver of subrogation under the terms of the workers' compensation and employer's liability insurance and CONTRACTOR shall similarly require all subcontractors to waive subrogation. 20. INSURANCE In addition to the workers' compensation and employer's liability insurance and CONTRACTOR's covenant to indemnify CITY, CONTRACTOR shall obtain and furnish to CITY, a policy of general public liability insurance, including motor vehicle coverage covering the PROJECT. This policy shall indemnify CONTRACTOR, its officers, employees and agents while acting within the scope of their duties, against any and all claims arising out or in connection with the PROJECT, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including productslcomplcted operations liability and blanket contractual liability, of One Million Dollars ($1,000,000) per occurrence. If coverage is provided under a form which includes a designated general aggregate limit, the aggregate limit must be no less than One Million Dollars ($1,000,000) for this PROJECT. This policy shall name CITY, its officers, elected or appointed officials, employees, agents, and volunteers as Additional Insureds, and shall specifically provide that any other insurance coverage which may be applicable to the PROJECT shall be deemed excess coverage and that CONTRACTOR's insurance shall be primary. Under no circumstances shall said above -mentioned insurance contain a self -insured retention, or a "deductible" or any other similar form of limitation on the required coverage. 21. CERTIFICATES OF INSURANCE; ADDITIONAL INSUJRED ENDORSEMENTS Prior to commencing performance of the work hereunder, CONTRACTOR shall furnish to CITY certificates of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverages as required by this Agreement; the certificates shall: I. provide the name and policy number of each carrier and policy; egreelfonnORdemt 4.24 12 2. state that the policy is currently in force; and 3. promise to provide that such policies will not be canceled or modified without thirty (30) days' prior written notice of CITY. CONTRACTOR shall maintain the foregoing insurance coverages in force until the work under this Agreement is fully completed and accepted by CITY. The requirement for carrying the foregoing insurance coverages shall not derogate from the provisions for indemnification of CITY by CONTRACTOR under the Agreement. CITY or its representative shall at all times have the right to demand the original or a copy of all the policies of insurance. CONTRACTOR shall pay, in a prompt and timely manner, the premiums on all insurance hercinabove required. CONTRACTOR shall provide a separate copy of the additional insured endorsement to each of CONTRACTOR's insurance policies, naming CITY, its officers, elected and appointed officials, employees, agents and volunteers as Additional Insureds, to the City Attorney for approval prior to any payment hereunder. 22. NOTICE OF THIRD PARTY CLAIM Pursuant to Public Contracts Code §9202, CITY shall provide notice to CONTRACTOR ofreceipt of any claim filed with CITY or a court of competent jurisdiction which arises out of performance of this agreement within ten (10) days of receipt of such claim or claims. 23. DEFAULT AND TERMINATION If CONTRACTOR fails or refuses to prosecute the work hereunder with diligence, or fails to complete the work within the time specified, or is adjudged bankrupt or makes an assignment for the benefit of creditors or becomes insolvent, or violates any provision of this Agreement or the Contract Documents, CITY may give CONTRACTOR notice in writing of its intention to terminate this Agreement. Unless the violation is cured within tcn (10) days after such Notice of Intention has agredformslrcdcral 4.20 13 been served on CONTRACTOR, CITY may, without prejudice to any other remedy it may have, terminate ibis Agreement upon the expiration of that time. Upon such default by CONTRACTOR, CITY may elect not to terminate this Agreement; in such event CITY may make good the deficiency in which the default consists and deduct the resulting costs from the progress payments then or to become due to CONTRACTOR. If it is subsequently determined by a court of competent jurisdiction that CITY's termination of this Agreement under this Section was wrongful, such termination shall be converted to a termination for convenience under Section 23 and any damages shall be assessed as set forth in Section 23. 24. TERMINATION FOR CONVENIENCE CITY may terminate this Agreement for convenience at any time with or without cause, and whether or not PROJECT is fully complete upon seven (7) calendar days written notice to CONTRACTOR. In the event of termination, under this Section CITY shall pay CONTRACTOR for value of work in place on the PROJECT through the termination period plus seven and one-half percent (7 % %) for overhead and profit less all such payments already made. Such payment by CITY shall be CONTRACTOR's sole and exclusive remedy for termination by CITY for its convenience and CITY shall have no further obligation to CONTRACTOR. 25. DISPOSITION OF PLANS, ESTIMATES AND OTHER DOCUMENTS CONTRACTOR agrees that upon completion of the work to be performed hereunder, or upon expiration or earlier termination of this Agreement, all original plans, specifications, drawings, reports, calculations, maps and other documents pertaining to this Agreement shall be delivered to CITY and become its sole property at no further cost. Agma eff nsIrsemi 4-20 14 26. NONASSTGNABTLITY CONTRACTOR shall not sell, assign, transfer, convey or encumber this Agreement, or any part hereof, or any right or duty created herein, without the prior written consent of CITY and the surety. 27. CITY EMPLOYEES AND OFFICIALS CONTRACTOR shall employ no CITY official nor any regular CITY employee in the work performed pursuant to this Agreement. No officer or employee of CITY shall have any financial interest in this Agreement in violation of the California Government Code. 28. STOP NOTICES, RECOVERY OF ADMINISTRATIVE COSTS CITY shall be entitled to all reasonable administrative costs and necessary disbursements arising out of the processing of Stop Notices, Notices to Withhold, or any similar legal document. This obligation shall be provided for in the labor and materials payment bond required of CONTRACTOR. CITY may charge an administrative fee of One Hundred Dollars ($100) for every Stop Notice filed in excess of two (2), regardless of whether or not CITY is named in an action to enforce such stop notices. CITY may set off any unreimbursed cost or expense so incurred against any sum or sums owed by CITY to CONTRACTOR under this Agreement. 29. NOTICES Any notices, certificates, or other communications hereunder shall be given either by personal delivery to CONTRACTORrs agent (as designated in Section I hereinabove) or to CITY as the situation shall warrant, or by enclosing the same in a scaled envelope, postage prepaid, and depositing the same in the United States Postal Service, to the addresses specified below; provided that CITY and CONTRACTOR, by notice given hereunder, may designate different addresses to which subsequent notices, certificates or other communications will be sent: sgreelforms/kdmi 4-20 15 TO CITY: City of IIuntington Beach ATTN -1)c7 V 11D VE R off_ 2000 Main Street Huntington Beach, CA 92648 30. SECTION HEADINGS TO CONTRACTOR: All American Asphalt Attn: Robert Bradley P.O. Box 2229 Corona, CA 92878-2229 The titles, captions, section, paragraph, and subject headings, and descriptive phrases at the beginning of the various sections in this Agreement are merely descriptive and are included solely for convenience of reference only and are not representative of maters included or excluded from such provisions, and do not interpret, define, limit or describe, or construe the intent of the parties or affect the construction or interpretation of any provision of this Agreement. 31. IMMIGRATION CONTRACTOR shall be responsible for full compliance with the immigration and naturalization laws of the United States and shall, in particular, comply with the provisions of United States Code Section 1324a regarding employment verification. 32. LEGAL SERVICES SUBCONTRACTING PROHIBITED CONTRACTOR and CITY agree that CITY is not liable for payment of any subcontractor work involving legal services, and that such legal services are expressly outside the scope of services contemplated hereunder. CONTRACTOR understands that pursuant to Huntington Beach City Charter Section 309, the City Attorney is the exclusive legal counsel for CITY; and CITY shall not be liable for payment of any legal services expenses incurred by CONTRACTOR. sgree1fomudfcdcm14-20 16 33. ATTORNEY'S FEES In the event suit is brought by either party to construe, interpret and/or enforce the terms and/or provisions of this Agreement or to secure the performance hereof, each party shall bear its own attorney's fees and the prevailing party shall not be entitled to recover its attorney's fees from the non - prevailing party. 34. INTERPRETATION OF THIS AGREEMENT The language of all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any of the parties. If any provision of this Agreement is held by an arbitrator or court of competent jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other whenever the context so indicates or requires. Nothing contained herein shall be construed so as to require the commission of any act contrary to law, and wherever there is any conflict between any provision contained herein and any present or future statute, law, ordinance or regulation contrary to which the parties have no right to contract, then the latter shall prevail, and the provision of this Agreement which is hereby affected shall be curtailed and limited only to the extent necessary to bring it within the requirements of the law. 35. GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State of California. 36. DUPLICATE ORIGINAL The original of this Agreement and one or more copies hereto have been prepared and signed in counterparts as duplicate originals, each of which so executed shall, irrespective of the date agmerbmWfcdcra! 4-2,1 17 of its execution and delivery, be deemed an original. Each duplicate original shall be deemed an original instrument as against any party who has signed it. 37. CONSENT Where CITY's consent/approval is required under this Agreement, its conscnt/approval for one transaction or event shall not be deemed to be conscnt/approval to any subsequent occurrence of the same or any other transaction or event. 38. CALIFORNIA FAIR EMPLOYMENT AND HOUSING ACT CONTRACTOR agrees to comply with all requirements and utilize fair employment practices in accordance with California Government Code Sections 12900 erseq. 39. CALIFORNIA PREVAILING WAGE LAW. A. The CITY has ascertained from the Director of industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section 1774 and 1775 of i the California Labor Code, CONTRACTOR shall, as penalty to CITY, forfeit twenty-five dollars ($25) for each calendar day or portion thereof for each agreeffomWfederal 4-20 18 worker paid (either by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 40. CALIFORNIA EIGHT-FIOUR LAW A. California Labor Code, Sections 1810 et seq, shall apply to the performance of this Agreement; thereunder, not more than eight (8) hours shall constitute one day's work and CONTRACTOR and each subcontractor employed by its hereunder, shall not require more than eight (8) hours of labor per day or forty (40) hours per week from any one person employed by it hereunder, except as stipulated in California Labor Code Section 1815. CONTRACTOR and each subcontractor employed by it hereunder shall, in accordance with California Labor Code Section 1812, keep an accurate record, open to inspection at all reasonable hours, showing the name and actual hours worked each calendar day and each calendar week by each worker employed in connection with the PROJECT. B. Pursuant to this Agreement and in accordance with California Labor Code Section 1813, CONTRACTOR shall, as a penalty to CITY, forfeit twenty-five dollars ($25) for each worker employed hereunder by CONTRACTOR or any subcontractor for each calendar day during which such worker is required or permitted to work more than eight (8) hours in any one (1) calendar day or forty (40) hours in any one (1) calendar week in violation of California Labor Code Section 1815. 41. PAYMENT OF TRAVEL AND SUBSISTENCE ALLOWANCE Section 1773.8 of the California Labor Code, regarding the payment of travel and subsistence allowance is applicable to this PROJECT. agreelfonnVredeml 4-20 19 42. EMPLOYMENT OF APPRENTICES Section 1777.5 of the California Labor Code, regarding the employment of apprentices is applicable to this PROJECT. 43. PAYROLL RECORDS CONTRACTOR agrees to keep accurate payroll record showing the name, address, social security number, work classification, straight time and overtime hours worked each day and week, and the actual per diem wages paid to each journeyman, apprentice or worker employed by it in connection with the PROJECT and agrees to require each of its subcontractors to do the same. CONTRACTOR further agrees that its payroll records and those of its subcontractors, if any, shall be available at all reasonable times to the CITY, and the employee or his representative, and the Division of Labor Standards Enforcement and the Division of Apprenticeship Standards, and to comply with all of the provisions of California Labor Code Section 1776, in general. 44. FEDERAL PARTICIPATION The PROJECT pursuant to which the work covered by this Agreement is being executed is being assisted by the United States of America. Several Agreement provisions embodied herein are included in this Agreement in accordance with the provisions applicable to such federal assistance. As federal funds arc financing all or part of this work, all of the statutes, rules and regulations promulgated by the Federal Government and applicable to the work will apply, and CONTRACTOR agrees to comply therewith. 45. DAVIS-BACON ACT CONTRACTOR agrees to pay and require all subcontractors to pay all employees on said PROJECT a salary or wage at least equal to the prevailing rate of per diem wage as determined by the Secretary of Labor in accordance with the Davis -Bacon Act (40 USC Section 176a, et seq.) for each craft or type of worker needed to perform this Agreement. CONTRACTOR agrees to comply agrceforms1fcdcm14-I0 20 with all applicable federal labor standards provisions; said provisions are incorporated herein by this reference. 46. DISCRIMINATTON. MINORITIES, ALIENS CONTRACTOR shall not discriminate nor allow its employees, agents, principals, or subcontractors to discriminate against any employee or applicant for employment on the basis of race, religious creed, national origin or sex. CONTRACTOR shall take affirmative steps to hire local qualified minority individuals when job opportunities occur and utilize local business firms when possible. 47. EOUAL. EMPLOYMENT OPPORTUNITY The CONTRACTOR will comply with all provisions of Executive Order 11246, entitled "Equal Employment Opportunity," and amended by Executive Order 11375, and as supplemented in Department of Labor regulations (41 CFR part 60). CONTRACTOR is required to have an affirmative action plan which declares that it does not discriminate on the basis of race, color, religion, creed, national origin, sex or age to ensure equality of opportunity in all aspects of employment. Section 503 of the Rehabilitation Act of 1973 (29 USC Section 701, et seq.) prohibits job discrimination because of handicap and requires affirmative action to employ and advance in employment qualified handicapped workers. Section 402 of the Vietnam Era Veterans Readjustment Assistance Act of 1974 (38 USC Section 219 et seq.) prohibits job discrimination and requires affirmative action to comply and advance in employment (1) qualified Vietnam veterans during the first four (4) years after their discharge and (2) qualified disabled veterans throughout their working life if they have a thirty percent (30%) or more disability. agreclfomWfcdcral 4.20 21 To ensure compliance with these requirements, the CONTRACTOR shall provide the CITY its written affirmative action plan prior to commencement of work. The CONTRACTOR is required to provide the CITY with a listing of its subcontractors together with a completed affirmative action program from each subcontractor when applicable. 48. COPELAND "ANTI -KICKBACK" ACT CONTRACTOR and its subcontractors shall comply with the provisions of the Copeland "Anti -Kickback" Act (18 USC Section 874), as supplemented in Department of Labor regulations, which Act provides that each shall be prohibited from including, by any means, any person employed in the construction, completion, or repair of public work, to give up any part of the compensation to which he is otherwise entitled. 49. CONTRACT WORK HOURS AND SAFETY STANDARDS ACT The CONTRACTOR shall comply with the provisions of Section 103 and 107 of the Contract Work Flours and Safety Standards Act (40 USC 327 et seq.) as supplemented by Department of Labor regulations (29 CFR, part 5). Under Section 103 of the Act each CONTRACTOR shall be required to compute the wages of every mechanic and laborer on the basis of a standard workday of eight (8) hours and standard workweek of forty (40) hours. Work in excess of the standard workday or workweek is permissible provided that the worker is compensated at a rate of not less than 1-1/2 times the basic rate of pay for all hours worked in excess of eight (8) hours in any calendar day or forty (40) hours in the workweek. Section 107 of the Act is applicable to construction work and provides that no laborer or mechanic shall be required to work in surroundings or under working conditions which are unsanitary, hazardous, or dangerous to his health and safety as determined under construction, safety and health standards promulgated by the Secretary of Labor. These requirements do not apply to the purchase of supplies or materials or articles ordinarily available on the open market or contracts for transportation. egrWfbmWfcdcm14-20 22 50. IMPLEMENTATION OF CLEAN AIR ACT AND FEDERAL WATER POLLUTION CONTROL ACT. A. CONTRACTOR stipulates that all facilities to be utilized in the performance of this Agreement were not listed, on the date of Agreement award, on the United States Environmental Protection Agency (EPA) List of Violating Facilities, pursuant to 40 CFR 15.20. B. The CONTRACTOR agrees to comply with all of the requirements of Section 114 of the Clean Air Act and section 308 of the Federal Water Pollution Control Act and all regulations and guidelines listed thereunder. C. The CONTRACTOR shall promptly notify the CITY of the receipt of any communication from the Director, Office of Federal Activities, EPA, indicating that a facility to be utilized pursuant to this Agreement is under consideration to be listed on the EPA List of Violating Facilities. D. The CONTRACTOR agrees to include or cause to be included the requirements of paragraph (a) thorough (d) of this section in every nonexempt subcontract, and further agrees to take such action as the Government may direct as a means of enforcing such requirements. 51. ENERGY CONSERVATION Agreements with federal participation shall recognize mandatory standards and policies relating to energy efficiency which are contained in the state energy conservation plan issued in compliance with the Energy Policy and Conservation Act (42 USC Section 6201, et seq.). agmdfbnndfedcmI 4-20 23 52. HOUSiNO AND URBAN DEVELOPMENT CONTRACTOR agrees to comply with any and all rules, regulations, guidelines, procedures and standards of the United States Department of Housing and Urban Development and complete any and all reports and forms that may be required in accordance therewith. 53. ENTIRETY The foregoing, and Exhibit "A" attached hereto, set forth the entire Agreement between the parties. No waiver or modification of this Agreement shall be valid unless in writing duly executed by both parties. The parties acknowledge and agree that they arc entering into this Agreement freely and voluntarily following extensive arm's length negotiations, and that each has had the opportunity to consult with legal counsel prior to executing this Agreement. The parties also acknowledge and agree that no representations, inducements, promises, agreements or warranties, oral or otherwise, have been made by that party or anyone acting on that party's behalf, which are not embodied in this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement, promise, agrecm:.nt, warranty, fact or circumstance not expressly set forth in this Agreement. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized offices the day, month and year first above written. agme/formuTcdcmi 4-20 24 CONTRACTOR ALL AMERICAN ASPHALT By: ROBERT BRADLEY print name ITS: (circle one) Chainnan/Presiden ice President AND By: �l-►-ate,-�a� r %�e�s-�-A� THOMAS TOSCAS print name ITS: (circle one Secret hief Financial OtttcerTAsst. Secretary - Treasurer / INITIA' REVIEWED AND City Administrator CITY OF HUNTINGTON BEACH, a municipal corporation of the State of California Mayor ATTEST: ity C erk s/i o% APPROVED AS TO FORM: City Atibmey S1�ID�t N51v AND of Public Works agree/forms/federal 4-20 25 �y • SECTION C 7t PROPOSAL for the construction of I. GRAHAM STREET REIGkBILITATION - CC 1158 FROM N'VARNER AVENUE TO VEIL AVENUE If. WARNER AVENUE REHABILITATION -CC 1159 FROtiI GRAIIANI STREET TO SPRINGDALE STREET in the CITY OF HUNTItiGTON BEACH TO THE I10NORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTO`' BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 75 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. 'if this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and,'or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. if at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find _ hdbes 8Y4 in the amount of $ %oolo of %A e*which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Si -nature A. - 4q r Pabc" 6*odlg , lica Presiders G2 SECTION C REVISED PROJECT BID SCHEDULE Graham Street, CC-1158, STPL - 5181 (142) Wamer Avenue, CC-1159, STPL - 5181 (147) PROJECT BASF, Bill: TOTAL AMOUNT LUMP SUM BID 1N FIGURES: TOTAL AMOUNT LUh1P SUM BID iN WORDS: 0Ad 0L).9AW r_'5 E(h_r uvnAO A PROJECT ALTERNATIVE: The Additive Alternate Bid, Project Alternative, below is an integral part of this proposal, and to be responsive, the bidder shall quote a price for the Additive Alternate Identified/listed below. The City shall award the contract on the basis of the Project Base Bid alone. ESTIMATED -_ : _-ITEM WITH UNIT PRICE WRITTEN IN = UNIT_ PRICE EXTENDED: QUANTITY _' _ : : -WORDS <',: :..:_ =-: "�_ : -.:: `- :.; ' ` --AMOUNT -: Adjust Sewer Vault Cover to Grade oa 38PD-_ $ lye 3 (Per Addendum #1, CC 1�9 tt m D�}� 57;, � $ Each @ �7�`f� rs Cents C-2. I GRAHAM STREET REHABILITATION IMPROVEMENTS CC NO. 1158 STPL - 5181 (142) C-2.2 GRAHAM STREET (CC-1158) REVISED PROJECT BID SCHEDULE ITEM ESTIMATED 1TEM WITH UNIT. PRICE WRITTEN IN...,-...- : UNIT PRICE - -.EXTENDED : :NO. - :QUANTITY • `- WORDS .'.AMOUNT' I 1 Mobilization $ gsor L.S. @�r�/?�r�fi�cll7 i�i�`-eXf_Dollars fZU Cents 2 1 Traffic Cont of Plan �� L.S. @ cibS�v11 % ollars O Cents 3 1 Fuimip Pro• ct T affic Contr L.S. @ 1ka, oiiars IZ—a r6 U Cents 4 104,400 Cold Willing & Header Cutting $ . to $ 4 S.F. cQ _7C'lLC,-,1 Dollars Cents 5 2.255 Construct Asphalt Concrete (Overlay, Full Depth, $ 11Y0 -- $ oZov i Ton etc.) @ Dollars Cents 6 564 Pavement Reinforcement Fabric & Route and $ 1 .? $—(,-, 3vS" S.Y. Seal of asks @ /✓ Dollars Cents 7 1 Traffic Stri O $ [ 'Zov a — L.S. @_/ &4V_ ollars Cents 8 2 Traffic Loop f �Zy Each @ !lDollars Cents 9 4 Remove &Reconstruct cress amp. J �� Each Dolla Cents 10 6 Surve M ume ��ionf f Each , ,`,/ @i•29!"u�"t_U 7 Y_ _' `_ Dollars 'r-e-9-a Cents Sub Total Base Bid Amount. Bid in Figures: $ /3$ r194 S 00 Sub Total Base Bid Amount. Bid in Words: p/w_l51 �j-/ auSrt` q- 2e,4z> c-e 'T 0-/-5 C-2.3 WARNER AVENUE REHABILITATION IMPROVEMENTS CC NO. 1159 STPL - 5181 (147) C-2.4 WARNER AVENUE (CC-1159) REVISED PROJECT BID SCHEDULE ITEM ESTIMATED ITEM WITH UNIT PRICE WRITTEN IN ..: _ :; UNIT PRICE _ -_EXTENDED NO.:- '-'QUANTITY = "WORDS':: `: - = _ = ` AMOUNT': 1 1 Mob �" tion $ `i DO a $ qSD L.S. Oro ' ffojj" @.tds%%1 Pri 14�� �'G oil rLd Cents 2 1 L.S. Traffic Conlrol Plan ,! @lrc,Gl//��/ �lU_ ollars $ 00 0 Cent 3 1 t Traffic Can l Furn' apll��949fAj $ d -- $: U L.S. @ o//�/ ollars Cents 4 95,721 Cold Milling & Header Cutting $_L_ $ cf57z. S.F. @ Dollars Cents 5 755 Uncla ified Excavation $ $ *Z6, Z9 L C.Y. @ %fit-,- - e— Dollars Cents 6 6,872 Construct Asphalt Concrete (Overlay, Full Depth, $ $ Z7 Ton etc.) Dollars Cents 7 800 Pavement Reinforcement Fabric & Route and $ S.Y. Seal of Cracks @ I/�f l/ Dollars k-C ents 8 16 Adjust &wer Ma ole t Gra r/_ $ Each @ t'Jos Cents 9 8 Adjust Water aNe to Grape S Pb $ $ 3 Each @ ars Cents 10 1 Traffic Stripin �/� $1oSov $ L.S. @ 6 /r Dollars mipjeo Cents 11 18 Traffic Loop $ $ Z Each @/ Dollars Cents 12 830 Remge & Rec nst t Curb & Gutter $ ZZ- — $ L.F. @ V 0 Dollars Cents 13 6,225 Remove & Reconstruct Sidewalk $ -- $ Z- S.F. @ e Dollars Cents 14 3 Surve ovu_m�j�tation ;= 1 �ia $SRO $ le O Each ) - - Dollars 2V Cents Sub Total Base Bid Amount. Bid in Figures: $ 5 $ Sub Total Base Bid Amount, Bid in Words:-nfie_-,v_ ll tx tJc>r 11_V1A,+1 y X VG t ara U an �5 1.b C-z.5 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion of Bork Name and Address of Subcontractor State License Number Class S fr S,44.ip4 Sa,✓ lzec-JvG c- Cal q.91 g 7 ID WA ['o�.� S�•P%�S c��� 3y�o� �-3� F-1 By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listinla. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSIOtir AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED «'ITII BID State of California ss. County of Orange Rdxxk being first duly sworn, deposes and says that he of-Aie is *C& Roas,ar.. of the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. TENNII.LE MORRIS Commission R 1374628 Notary PuWC — Ccsfornia t� Rfverede County COMMEOMSep la 2p6 All kmoimn As halk Name of Bidder Signature of Bidder Rakc,+ 8ndlM3, V;CG WCetAent Address of dd Subscribed and sworn to before me this �jh - day of _An�r' 1_. , 200 q . NOTARY PUBLIC NOTARY SEAL C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF IIU\TI`GTO`' BEACII, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the IMPROVEMENTS, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualifier) Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hoards involved. " The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal -OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Contractor By ?,dbewlf c� Title C-5 DISQUALIFICATIO` QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes 2�No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-b COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. 1 am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and 1 will comply with such provisions before commencing the performance of the work of this contract- Date: Np,11 s' 2M i 1� 5 Contractor M P-rd—W MpArK I - _...:.. C-7 UNDERGROUND SERVICE ALERT IDENTIFICATION NUMBER (To be completed only by the awarded Contractor prior to excavation) No excavation will be permitted until this form is completed and returned to the AGENCY. Section 421 &l4217 of the Government Code requires a Dig Alert Identification Number be issued before a Permit to Excavate will be valid. To obtain a Dig Alcrt Identification Number, call Underground Service Alert at 1-800-4224133 a minimum of two working days before scheduled excavation. Dig Alert Identification Number: Contractor By Title Date: Note: This farm is required for every Dig Alert Identification Nuniber issued by U.S.A. during the course of the Work. Additional forms may be obtained from the AGENCY upon request. C-8 M BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Es . . .,.. Bidder Business Address Umno, CA City, State Zip { qoq ) '13l - 9 goo _ Telephone Numbcr State Contractor's License No. and Class ,Tanuav�q1 Original ate Issued Date The work site was inspected by 7:hn-Rr _ of our office on A--pjj1 A P2004. The following are persons, firms, and corporations having a principal interest in this proposal: C-9 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Company Name ignature of B Printed or Typed Signature Subscribed and sworn to before me this _54h day of , 20 TENNILLE MORRIS Commission 8 1374628 e.` Notory pudic — Corfomfo NOTARY PUBLIC PIVOMIrIn r M51�1M.TCYPIMP13 20061 Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: I. Name and AddreYs of Public Agency Name and Telephone No. of Project Manager: SnM Ja, ssa+•d �S:]Iq) -g&V -,gm -1 ISSA5 q55- 159 „S1&baVneicus Lt aSonS 1A- 200A Contract Amount Type of Work Date Completed 2. rrA Nadie and Address of Public Agency Name and Telephone No. of Project Manager: A nn Unnitrg2g?) Qrpo- +toil _ 35T1&5. 00 St. lrnnrovrmrnirs - OQ - AO 3 Contract Amount Type of Work Date Completed 3. a, Name and Address of Public Agency Name and Telephone No. of Project Manager: V",dq ►hillm ,15toa) cIM = sZA 5 -4 J5 f¢, 0 t4.O 0 _. 060= r kvc - , CA , tchob. 10- ao0 Contract Amount Type of Work Date Completed C-10 CITY OF HUNTNGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide.a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prune contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a'Bidder's" list to assist in the annual DBE goal setting process. Firm Name: ALL AMERICAN ASPHALT Address: V.o• box AAM � 4 4 0 • s Phone: Loa) 73en - n(000 Fat: 'I - 46pz t .Contact Person: Rnberk bti-aAyLu No. of years in business_ ,3_ s;rs • _ is the firm currently certified as DBE under 49 CFR Parr 26? YES EO Type of worklserviceslrnaterials provided by firm? _Pmin j G�yn;`CDncrr_�e „ What was vour tam's Gross Annual receipt's for last year? ❑ Less than S 1 Million - o Less than $5 Million o Less than $10 Million o Less than $15 Million More than S15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-1 I CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide.a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. Firm Name: Ll Address: 7"l/-�Ti�t! .�G •„ Contact Person:_ No. of years in business Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of worVservices/materials provided by firm?��P,llllff'�/�� What was your firm's Gross Annual receipts for last sr? a Less than S1 Million o Less than $5 Million ca Less than S 10 Million a Less than S 15 Million o More than S 15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-I I CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidderslproposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prune. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a "Bidder's" list to assist in the annual DBE goal setting process. .Contact Person:, Na. of years in business Sri Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of work/services/materials provided by firm? What was your firms Gross Annual receipt's for lastyear? o Less than S 1 Million a Less than $5 Million o Less than S10 Million o Less than S 15 Million o More than $15 Million ,v This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 i I r CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. Firm Narne: S:2n2iPi.�' , Phone: 7k6 A 314. 44�sn Address: A�r? Af- %1�'L� _'fn Fax: 0-11. �3 .Contact Person: &AWt7 �A22 &e? No. of years in business is the firm currently certified as DBE under 49 CFR Part 26? YES Type of work/services/materials provided by What was your firm's Gross Annual receipt's for lastyear? ❑ Less than S 1 Million o Less than $5 Million o Less than $ 14 Million a Less than SIS Million a More than $15 Milliont,/,!!�t This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 Lcc3E ,assistance Froceduras :n2au3J ": E Cbed d st Instructions Attathmrat C OM BMDERSF—M=OiV O4VnM SIGIiVA=POMON OF =PROP0S4L SFI L[R-SO CONST=ANENDOP,,MMTAND=CUHONOFTHOSE CER (Z4TIOiVS WMCHAREA PA X OF TbaS'PROPOSAL) FQUAL.MNVL0Y1M T OPPORTMTY CERTIFICATION The bidder h proposed subcontractor _ - - _ .. , hereby certifies that he has' has nct . participated in a previous coat. -act or subcontract subject to the egW:a1 cpportu3uy clauses, as rapind, by Executive Orders 1092' ,11114, or 11246, and tfut� where required, he has filed with the Joint Reporting Commiuee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or admkiste: ing agency, or the former President's Commitae on Equal Employmem Opportzrciity, all reports due under the applicable filling requirements. Note: The above cerd5cation is required by the Equal Employment Opportunity Regulatiaas of the Sezetxy of Labor (41 CFR60-1.7(b) (1)), mad must be submitted by bidders and proposed ors only in connection with eonft=t and subcontracts which are sub1ect to the equal opporumity clause. ConLnacts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1 S. (Generally only coatcacts or subcontracts of S 10,000 or corder are exempt) Currently, Standard Form 100 (EEO-1) is the o* revert required by the E=cutvc Orders cr their implementiag r-gulations. Proposed pie contractors and subco=ctors who have participated is a previous contract or subcontract subject to the Faecutzve Orders and have not filed tie required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of corasacts aad subcontracts unless such con=ctor submits a report covering the delinquent period or such other period specified by the Federal �hwa Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-12 Page 145 Local Assistance Procedures Manual DTI' 1Z-1r . ME ChecMist Instructions Attachment G', w DISCLOSURE OF LOBBYING ACTMTIES Complete this foam to disclose lobbying activities pursuant to 31 U.S.C. 1. T of Federal Acton: 2. Statts of Federal Acton: 3. Report Type: a m , w WoBerlapplWal b h�iaf a Inidal b. mat��ai �� d. .. award ga C. 00 D02h* ert d• ba„ , G pcst-awatti For Material Change Only: a. baa g=X. a L ban ftrifa from 4waWr darn of last repot 4. Name and Adnm of Report 3. f<Repot' ng Entity in No. 4 is Subawar dee. Erder • ❑ Prone ❑ Sut sa pe Name and Address of Prime: Tier !mown NCongressional District,>rknowrt Congressional District, lfktativrt I. Federal DepartmentlAgency: gram NamelCeseripdon: %CF13Abar, Yapplicalle 8. Federal Action Number, tkrrcwrt: 9. Award Amou lllkncwrz S 10. a Name and Address of Lobbying Entity b. Individuals Performing S (itaAtri q add--= I (r7irrdrridtte4bename,ikstaame,h1l): dl!femrd t7iN(L Xa) (lastnarae, lfrs: name, Ado. (aaa h cm&.vatha sheets) >lnecessarh 11. Amount of Payment (check all that apply): 11 Type of Payment (check all that apply) S. I • ❑ 8ur21 ❑ FLamned a retainer one -lime flee): c. t vmmission 12 Form of Payment (chock aq that apply):b. cashd. r~ &Sent fee ea b• h4dr4 speciff nature e. deferred ral<te t c(her, spect. 14. Brief Description of Serdtea Performed or to be performed and Dates) of Service, including officer[s), empioyee(s), or momber(s) contacted, for Payment indicated In Item it: (each Ccrl ffba sheets) ynecessgd U. Continuation Sheags) attached: Yee ❑ No ❑ IL ra«mo= wuuted himh thts rain k aud.u=d 4 T".0 :1 Uat Seam Signature: 13�2 This dhc,'�s�ri of boayle4 a�ChriWa is a ratnEa! �naf fad upot,r chnehancaraapbaah{tti.6�r�or.rruna�tt�tac�.a+wa 121hName ReCa or �n�nd 1�. Thta dbr�e k �>d 0� m 3t It.S.M 13�. rm �^rmatlee ref bi r+o Z v fie L,7ngrass samLawu>th sad rx be Tire: ai cc &aaaw for Fac k erica. Mr pv= w1w toes logo inn m;ww d &== "be sugea M s wa xcW of oat im I= V 0.oaa and ea mae 4.an Telep! :cre No_(gC2) 3A& -'1400 _ _ Dar:: _ 4 -5_ o 4 11 MWO 1hr Baca W fihm Federal Use Only: AuftIIedtrLn ftpej= S1a Fars LLL Ray. D1-M93 C—I3 Page L-55 Febraarp 1,1998 JEXffm"F 12-E . Local Assistsace Procedures Manual Attachmcut G PS&E Checklist Iostmetious D(STRUCTIONS FOR CObIPLEnON OF SF LLL, DISCLOSURE OF LOBBYLNG ACTIVITIES This disclosure form shall be conpie+.ed by the reporting cadty, whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. Section l=— The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in -connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is. inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the inplemer =g guidance published by the Office of Management and Budget for additional information. 1. Identify the type of cave:ed Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a follow-up report caused by a mate-,W* change to the informatics previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action 4. Enter the full name, address, city, State and zip code of the reporting entity. Include Congrssional District if known. Check the appropriate classification of the repotting entity that designates if it is or exp=ts to be a prime or subaward recipient. Identify the tier of the subawardee, e.g., the fiat subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, sabgrauts and contract awards under grants. S. If the organization filing the report in Item 4 checks "Subawardee" then enter the fink name, addreas, city, State and zip code of the prime Federal recipient Include Congressional District, if known, 6. Eater the name of the Federal agency makang the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7. Enter the Federal grogram rate or description for the covered Federal action (itern 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commirmet= 3. Enter the most appropriate Federal identifying number available for the Federal action identification in item I (e.& Request for Proposal (REP) number, Invitation for Bid (IFB) nwnber, grant amottacement number, the contract grant or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "M DE-90-001 " 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the aR•ard/loaa commitments for the prime entity identified is item 4 ear 5. 10. (a) Enter the full acme, address, city, State and zip code of the Iobbying; entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Eater the full names of the individual(s) performing services and include full address if different from I0 (a). Enter Last Name, Fast Name and Middle Initial ( b. 11. Eater the amount of compensation paid or reasonably expected to be paid by the reporting, entity (item 4) to the lobbying entity (item 10). Ia&cate whether the payment has been made (aerial) or will be made (planned). Check all boxes that apply. If this is a material charge report, enter the ctmtula&c amount of payment made or planned to be made. 12. Check the appropriate box(es). Check all bc= that apply. If payment is made through an in-ldnd contribution, specify the nature and value of the in4dad payment 13. Check the appropriate box(es). Check all boxes that apply. If other, specify natures page 12-q C-I4 Local Assistance Procedures Manual PS&£ CheckHst instructions Attachment.G 14. Provide a specific and detailed description of the services that the lobbyist has performed or will be : expected to perform and the date(s) of any services rendered. Include. all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the afficcr(s) employee(s) or Member(s) of Congress that were contacted. 15. Check whether or not a continuation sheets) is attached. 16. The certifying official shall sign and date the form, print his/her name title and telephone duznber. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data: sows, gathering and maintaining the data needed, and campleting and reviewing the collection of information. Send comments regarding the burden estimate or any outer aspect of this collection of information, including suggestions for reducing this burden; to the Office of Nfannement and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503. C-35 Page 121.55 CITY OF HUNTiNGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. Firm Name:rctY,p t�� / Fax: .Contact Person: _�a�.,c�r� �/z? No. of years in business Is the firm currently certified as DBE under 49 CFR Part 26? NO Type of work/services/materials provided by firm? What was your tirm's Bross Annual receipt's for last vear? ❑ Less than S 1 Million ❑ Less than $5 Million a Less than $10 Million ❑ Less than S15 Million ❑ More than S 15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide.a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a "Bidder's" list to assist in the annual DBE goal setting process. Firm Name: r4,( Address: Pit- (;Ply/I _ L0A4:�'! Fax:_W. tY63V .Contact Person:_ 642nE2(711t5 _ _ No. of years in business -� + Is the firm currently certified as DBE under 49 CFR Part 26? YES Type of work/services/materials provided by firm? What was your firm's Gross Annual rece" is for lastyear? a Less than S I Million a Less than $5 Million o Less than S 10 Million ❑ Less than $ I S Million o More than $15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a "Bidder's" list to assist in the annual DBE goal setting process. Firm Name: ��,r �'�7L�'z. uiJ ,L,ry_ Phone: WV . S<r/7. 6D77 Address:3I=��►f��72i�i� �>�✓i� 7T ?k// Fax: .Contact Person: "Aw "fA-1 No. of years in business Is the firm currently certified as DBE under 49 CFR Part 26? /12) NO Type of work/services/materials provided by firm? Z4,ox1rr; What was your fum's Uross Annual receipt's for last year'? ❑ Less than $1 Million ❑ Less than $5 Million ❑ Less than $10 Million ❑ Less than $15 Million ❑ More than $15 Million fig i uv�� This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 y CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a "Bidder's" list to assist in the annual DBE goal setting process. Firm Name:_ lVe - Phone:_ &'e &9 j/. &W Address:-• Fax:l .Contact Person;No. of years in business 3f Is the fun currently certified as DBE under 49 CFR Part 26? YES Type of work/services/materials provided by firm? fTrlfi4/� What was your firm's Gross Annual receipt's for lastyear? ❑ Less than S 1 Million ❑ Less than $5 Million ❑ Less than $14 Million ❑ Less than S15 Million ❑ Fiore than SIs Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a "Bidder's" list to assist in the annual DBE goal setting process. _ Firm Name: Address: hone: foy. S"71/ ':9P. fib. 9Q iVo X-�S). Fax: .ir?12' Contact Person: k___7� No. of years in business Is the firm currently certified as DBE under 49 CFR Part 26? YES Type of work/services/rnaterials provided by firm?_ What was your firm's Gross Annual receipt's for lastyear? a Less than S 1 Million a Less than $5 Million a Less than S 10 Million a Less than SIS Million a More than $15 Million This form can be duplicated if accessary to report all bidders (DBEs and non DBEs) information. C-11 CITY OF HUNTS IGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non. DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a "Bidder's" list to assist in the annual DBE goal setting process. Address: 61h &627::f 04�tr - .Contact Person eAdZ Al &&9&Z _ No. of years in business Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of worklserviceslmaterials provided by f m? What was your firm's Gross Amnual receipt's for last ar? Less than S 1 Million a Less than $5 Million o Less than $10 Million o Less than S I S Million o Morethan S 15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. Th.- City of Huntington Beach will use this information to maintain and update a "Bidder's" list to assist in the annual DBE goal setting process. Firm Name' �Af/TA1 LO I X/4,Ale . Address: Phone:2a/. I 9SSA. Fax: 7tfZ_ 9g7. y'SSg .Contact Person: TPAt sr 1(7W_fPA ,_, No. of years in business Is the firm currently certified as DBE under 49 CFR Part 26? YES C_O Type of worklservices/materials provided by firm? j �Q, s What was your f='s Gross Annual receipt's for lastyear? ❑ Less than S 1 Million o Less than $5 MiIlion ❑ Less than $ 10 MiIlion ❑ Less than $15 Million a More thaw S15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-1 i S City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For GRAHAM STREET REHABILITATION - CC 1158 FROM WARNER AVENUE TO HEIL AVENUE STPL 5181 �42 AND WARNER AVENUE REHABILITATION - CC 1159 FROM GRAHAM STREET TO SPRINGDALE STREET STPL 5181 14l March 18.2004 Notice To A11 Bidders: Please note the following clairification to the Project Plans, Specifications, and Technical Provisions: Contractor shall start construction work on CC 1159 (Warner Avenue) before CC 1158 (Graham Street). Due to newly installed Orange County Sanitation District (OCSD) sewer main system, the following describes the change In quantities for various bid items. Contractor Is to provide an Additive Alternate Bid item to adjust three (3) sewer utility vault covers to grade under CC 1159 (Warner Avenue). At this time, It is the City of Huntington Beach's understanding that OCSD's contractor Is responsible to adjust the 3 sewer utility vault covers to grade after Warner Avenue is overlayed. See attached Revised Project Bid Schedules for CC 1159 and CC 1158 to reflect new quantities and the additional Additive Alternate Bid Item as described above. CC 1159 (Warner Avenue) A. Eliminate all asphalt removal areas along eastbound lanes on Warner Avenue between Station 10+00 to Station 26+52. B. Adjust newly Installed sewer manholes to grade (see attached OCSD plan P1D, Station 91+60.90, Station 93+99.72, Station 94+32.53; plan 13111, Station 95+70.02, 96+55.66). C. Change from "protect In place" to "adjust sewer manhole to grade" for one existing sewer manhole (see Street Rehabilitation Plan, Sheet 3 of 3, Station 36+80.56). D. Adjust three (3) newly Installed sewer vault covers (Additive Alternate Bid Item) to grade (see attached OCSD plan P9, Station 81+28.10, Station 85+43.10; plan P10, Station 90+08.03). See 8.5" x 11" detail for future raising of the sewer vault covers (0.3 feet) by Tetra Tech (transmittal dated March 18, 2004, total of 2 sheets). E. Change westerly construction limit from Station 9+54 to 10+92, and void Detail A on Street Rehabilitation Plan, Sheet 2 of 3. With this change, add a 25' wide cold mill (see Street Rehabilitation Plan, Sheet 1 of 3, detail 9 for Transverse join) between Station 10+92 to Station 11+17. Result in change will reduce quantities for detector loops, asphalt overlay, and cold mill. CC 1158 (Graham Street) A. Change southerly construction limit from Station 10+66.22 to 11+00. Result In change will reduce quantities for detector loops, asphalt overlay, and cold mill (see Street Rehabilitation Plan, Sheet 2 of 3). Additional plans from OCSD are attached for reference only (see attached OCSD plan G1, P8, S2, S3, D5 and D6). This modification changes the Engineer's Estimate for this project from $631,755 to $622,555. This is to acknowledge receipt and review of Addendum Number one, dated March 18, 2004. ALL AMER [CAN ASPHALT Company Name By Robert b rad%ei , Vim Pre s" All bidders must acknovAedge the receipt of this Addendum with your bid proposal. Should you have any questions regarding this Addendum, please call Duncan Lee at (714) 375-5118. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Riverside ss. On April 26 2004 before me, Tennille Morris Notary Public Date Name and Title of Officer Personally appeared Robert Bradley. Thomas Toscas Name(s) of Signer(s) TENNILLE KIOPms Corrlmfsslon t 1374628 Notary Public Californio Pi'veraclo County Mr Conm E0es Sep 112006. OPTIONAL X personally known to me proved to me on the basis of satisfactory evidence to be the persons f whose names) 4sfare subscribed to the within Instrument and acknowfedged to me that hefstt =ey executed the same In his teTftheir authorized capacityoes), and that by hWheritheir signature(s) on the Instrument the person(s) or, the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal, Signature of Notary Public Though the Information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document Title or Type of Document: Qqntract Agreement Document Date: May 3. 2004 Number of Pages: 25 Signer(s) Other Than Named Above: Signer's Name: _Individual XCorporate Officer Title(s): Vice President. Secretary/Treasurer _Partner- _Limited General Attomey-in-Fact Trustee Guardian or Conservator Other: Signer is Representing: All American Asphalt Top of thumb here ALL AMERICAN ASPHALT'S DBE SUBMITTAL REVIEW Date: April 8, 2004 Contract Amount with addendum No.1: $138,945.00 $407,895.85 $546,840.85 "USING GREEN FIGURES" Contract Amount without addendum No.1: $138,945.00 $396,495.85 $535,440.85 DBE Contractors Work Task :$3raham, CC-1158 Warner, CC-1159 Graham & Warner (Combined) California Professional Eng., Inc. Loop Dectectors $0.00 Global Road Service Inc. Loop Dectectors/Crack Seal $0.00 Sudhakar Striping $0.00 Traffic Control Eng., Inc. Traffic Control Plan $2,500.00 $2,500.00 $5,000.00 W.C. Goolsby Inc. Asphalt Oil $9,988.65 $29,965.95 $39,954.60 Total: $12,488.65 $32,465.95 $44,954.60 DBE Goal: 8.99% 8.19% 8.40% DBE Goal: 8.99% 7.96% 8.22% Non -DBE Contractors PCI Striping Sterndahl Striping Chrisp Co. Striping OC Striping Service Inc. Striping Smithson Electric, Inc. Loop Detectors file: cc-1158-1159 dbe goal.xls LOCAL AGENCY BIDDER - DBE - INFORMATION This information may be submitted with your bid proposal. If it is not, and you are the apparent low bidder or the second or third low bidder, it must be submitted and received as specified in Section 2-1.0213 of the Special Provisions. Failure to submit the required DBE information will be grounds for finding the proposal nonresponsive. C0: RTE.-K.P.: C�AWy 15-+S'a 90 P Cj // CONTRACT NO.: _GG//SS ti DL F1,614of A BID AMOUNT: S .S�_____ BID OPENING DATE: je BIDDER'S NAME: C' DBE GOAL FROM CONTRACT: I &- DEIE PRIME CONTRACTOR CERTIFICATION CONTRACT I rIENI OF WORKAND I DBE CERT. NO. I NAME OF DBEs DOLLAR MINI NO. DESCRIPTION OR SERVICES TO (Must be certified on the date AMOUNT BE SUBCONTRACTED OR bids are opened - include DBE DBE' i1VIATERIALS TO BE PROVIDED' address and phone number) T AwTzW*�- a�- IMPORTANT: Identify all DBE firms being claimed for credit, regardless of tier. Copies of the DBE quotes are required. Names of the First Tier DBE Subcontractors and their respective item(s) of work listed above shall be consistent, where applicable, with the names and items of work in the "List of Subcontractors" submitted with your bid pursuant to the Subcontractors Listing Law and Section 2.1.01, "General," of the Special Provisions. 1. DBE prime contractors shall enter their DBE certification number. DBE prime contractors shall indicate all work to be performed by DBEs including wort: performed by its own forces. 3. if l00% of item is not to be performed or it mished by DBE, describe =act portion of item to be performed or furnished by DBE 3. See Section 2.1.02, "Disadvantaged Business Enterprise." to determine the credit allowed Or DBE firms. T/Z4rG1e eAVrAT, a -1Ae, `%SSI0DO. VO Zile 15"A4ii*t Srxl 9411 FctcG�xToN c�-S XIV shui� Zp— �7 �3gi95 bo Total Claimed S 95�•bo Participation gam_% Signature of Bidder Robert ewdley , Vice President 4 -13 - O tk (OD4 7R6, - g(opo , Date (Arcs Code) Tel. No. I S4rm Pcircr�n Person to Conti (Please Type or Print) I;* i IT 15-K of DBE Awards REPORT OF DBE AWARDS COMPLETE THIS FORM FOR EACH CONTRACT kocode: a I Ife CL Agency: c� �/-t, tr.7Ad2r& oject No. _1: /& /(/7) DBE Goal: �- . . Total Contract Bid:. C Reimbursement Ratio: federal Share: Award Date: Combined DBE Percent of Federal Share for this Project: DBE Subcontractors (excluding women) Awarded by Ethinic Group and other Disadvantaged No. Total $ Fed $ DBE Subcontractors excluding men) Number of subcontracts awarded by type of work: IProfessional and Consultant Services 1. Engineering 2. Architectural 3. Right of Way 4. Other Construction 1. Grading/Drainage 2. Paving 3. StructunWBuildings 4. Materials 5. Equipment 6. Trucking 7. Tm is Control S. Landscaping 9. Other Grand Total Total A + B No. Total $ 144A 46 . f-W Fed $ DBE MW 3E WWBE (excluding women) ' TOTALS: I_ MNote: For the purpose of this report, use the following definitions. • DBE = disadvantaged business enterprise • MWBE = minority women business enterprise • W WBE = white women business enterprise C-17 �OQI�1f-i�'ZVl s�• LOCAL AGENCY BPDDER - DBE - iNtU114MA-fICJC4 0 This intor::iation may be sub mirxd with your bid proposal. if it is not, and you are the apparent low bidder or t} a second or third low bidder, it must be s:ubrnitted and received as specified in Section 2-1.028 of the Special Provisions. failure to submit the required DBE information will be grounds for funding the proposal —nonresponsive. CONIMCT NO.: �- BID AMOUNT: S BID OPEIN NG D E: BIDDER'S NAME: DBE GOAL FROM CONTRACT: 7 DBE PRIME COYTRACTOR CERT CATION CONTRACT ITEM 0FNV0RKAND DBE CERT. NO. NA4IE OF DBEs DOLLAR TPEM NO. DESCRIPTION OR SERVICES TO (Slust be certified on the date A.4IOLNT BE SUBCONTRACTED OR bids are opened - Include DBE DBEs MATERIALS TO BE PROVIDED s address and phone number) %�-- T•fil G Ijldri%'l..�i�l A3f�' rAW-1GGtx�C Y/ ,(7 �,�.�c, f'b .VS �jL� v�r• rt%i/vim o7v f�EIM�C�- Q J ee. G� IMPORTANT: identify all DBE firms being claimed for credit, Total Claiined S �•� regardless of tier. Copies of the DBE quotes are required. Partici atloa P Nacres of the FirstTler DBE Subcontractors and their respective Item(s) of work listed above 3f[af1 be consistent, where applicable, ova with the names and items of work in the "List of Subcontractors" submitted with your bid purmant to the Subcontractors Listing Law and Section 24.01, "GeneraI," of , the Special Provisions, 1. DBE prima cor==m shall enter their DOE certifi Won member. DBE prime eon[r=rs shall Ind1c2te zIl work to be perfbrrr[td by DBEs lnciudins wort pafb. med itaeure of Bidder by its own forces. ftlacrF 6rvdleq , vice T? ,dee�t 3. if 100% of item is out to be pert nned or lljrrtuhed by DM descrlyc esect,wrd ^4-1-O 14 l4Q4i 731r-11bt0 of'hm oo be pertbrmed or thrnished by DBE. D= (Area Code) Tel. No. 3. See Section 2-1.C2.'DtsadvWtaged Business Enterprise! to determine die credit :rohn YC�ea�ser► ' attowed for DOE firms. Person to Can= (Pterse Type or P:i[I[) CT Biwa- 05E Wumanoo( 1 IT IS-K of DBE Awards LW:illt"ZbO UVGi Vrr.r�.w�IIYYYA• REPORT OF DBE AWARDS COMPLM TFIIS FOM FOR EACH CONTRACT .�ocode: eGA !45'B Agency: &o ,11 r..rl4,rnt1 � ject No. t. </94294 I DBE Goal: Total Contract Bid: ew Reimbursement Ratio: federal Shm: Award Date: Combined DBE Percent of Fed -:rat Share for this Project DBE Subcontractors excludin women Awarded by Ethinic Grow and other Disadvantaged No. Total S Fed S Black Hispanic Native Asian- Indian Asian- Pacific Other Totai A 20.A7 sPa.�v BE Subcontractors (excluding men)-- Grand Total • r. ! �i .I I -Total A+B No. Total S , � Fed S umber of subcontracts awarded by type of work: 4 EMfessionai and Consultant Services DBE LME WWB (excluding women) - I - Engineering 2. Architectural 3. Bight of Way 4. Other I. Grad &MTainage 2- Paving- 3. StructuresMuildings 4-- . Matenals S. Equipment 5. Trucking 7. Traffic Control 8. Landscaping 9. Other - TOTALS: J 1 Note: For the purpose of this report, use the following definitions. DBE - disadvantaged business enterprise �� • MWBE - minority women business enterprise * WWBE - white women business enterprise C-17 Gt1it�2�v�L r�r' LOCAL ACENCY BIDDER- DBE-1MuWMA• ION T,his in or.nation may be submitted with your bt proposal. if it is not, and you are the apparent low bidder or the second or third low bidder, it must be Submitted and received as specified in Section 2.1.025 of the Special provisions. Failure. to submit the required DBE information will be grounds for finding the proposal nonr-rwonsive. CO.-RTE.-K.P.: t i / � CONMRACT N*0.: L BID AMOUNT: S ' , BID OPENLYG DATE: BIDDER'S NAME: ,�f�-_ A t-,zilt I CA ► ,&W 9-- DBE GOAL FROM CONTRACT: 9 DBE PRINTE CONTRACTOR CERTIFICATION : CONTRACT rrEM OMORK AND DBE CERT. NO. NANIZ OF DEM DOLLAR ITEM NO. DESCRIPTION OR SERVICES TO (Must be eerti[Ied art the date AMOUNNT 1 BE SUBCONTRACTED OR bids are opened -include DBE D$E' HATERIAES TO BE PROVIDED address and phone number) 3/ /�• Sb� IAI— ��f•�K� rNif"i��r x��" � ' f7607 S.fS •4, IMPORTANT: Identify all DBE Firms being claimed for credit, Total Claimed S�z,YP • regardless of tier. Copies of the DBE quotes are required. Participation Names of the FitstTler DBE Subcontractors and their respective Item(s) of work listed above shall be eonslstent, where applicable, % with the names and Items of work In the "List of Subcontractors'_' submitted with your bid pursuant to the Subcontractors Lbdng law and Section Z-I 01, "General," of , the Special Provisions. 1. DBE prune contra=-s shall enter their DBE ctrtilicuian number. DBE prime emit ac to shall indl= dl work to be performed by DBEs including work performed autre at Bider by it own farces. Rohcvt Bradley �'1i� Yn+s� ark RD Z. if IN)IM6 of Item is net to be perlb6cd or lavished by DBF, dcscrlbe ec=t pardon Dzre (Arei Code) Tel. No. of lu.n to be perlbmred or famhhcd by DBE 3. See Sedan 2. I= Tisadvarttit ed Business Entrepd=1 b determine the =d1t 'L-n k.�cm n allowed for OB E ftrms- Pcmcn to Con= (Piczse Type or Print) CT a Iaw- r. armmon ( ► TT 1S-K of DBE Awards L&Uiaa J%3bo Lautt • a V�-4. ..A-"u . lv1sW&-#t AJ�4!�' r467REPORT OF DBE AWARDS C MP . O LETE THIS FOM FOR EACH CONTRACT klc�ode: ec_#517 Agency: C !� jectNo. t, S DBE Goal: Total Contract Bid: Reimbursement Ratio* Federal Share: Award Date: . Combined DBE Percent of Federal Share for this Project DBE Subcontractors excluding women) Awarded by Ethinic Group and other Disadvantar cil No. Total � . Fed S DBE Subcontractors (excluding meal—_ Grand Total - Totai A + B ENOlSS w Number of subcontracts awarded by type of work Professional and Consultant Services PBE ME Lesccluding women) 1. Engineering 2. Architectural 3. Right of Way 4. Other . C�n�trction 1. GradinglDminage 2. Paving 3. StructuresMuildings 4. Materials S. Equipment 5. Trucking 7. Traffic Control S. Landscaping 9. Other TOTALS: ' Note: For the purpose of this rgmM use the following definitions. DBE n disadvantaged business enterprise f MWBE - minority women business enterprise : CBE -,,bite women business enterprise C-1.7 LOc:9 Assistance Procedures Nianuai lil lilt fifi iTZ3. Good Faith Effort Statement of DBE Participation DBE LN- FORNIAT1OlIN -GOOD FAITH EFFORTS Federal -aid Project No, STPL 5181 (! yj & f I h )Bid Opining Date ' City of Huatingtoa Beach The established a Disadvantaged Business Enterprise (DBE) goal of 7 °/a for this project. The information provided hereia shows that a good faith effort was made. - A. The names and dates of each publication in which a request for DBE participation for this project Iwas placed by the bidder (please attach copies of advertisements or proofs of publication): Publications Dates of Advertisement I Huatinaton Beach — •-- — _Fountain Valley Independent . B. The nacres and dates of written notices sent to certified DBEs soliciting bids for this project and the dates and methods used for following up initial solicitations to determine -with certainty whether the DBEs were interested (please attach copies of solicitations, telephone records, fax 'confirmations, etc.): s Names of Date of Follow Up DBEs Initial Methods and Solicited w Solicitation _ Dates .' C. The items of work which the bidder made available- to DBE firms including, where appropriate, b any brealang down of the contract work items (including those items normally performed by the bidder wia its own forces) into economically feasible units to facilitate DBE participation. It is the biddees responsibility to demonstrate that sufficient work to facilitate DBE participation was ' made available to DBE firms. Items of Work Breakdown of Items D. The names, addresses and phone numbers of rejected DBE firms, the reeasons for the biddet's rejection of the DBEs, and the firms selected for that work (please attach copies of 'quotes from - - - the firms involved): Page 15-33 ......� • e 1%f►A1 EXHIBIT 15-I1 Local Assistance Procedures Manual j Good Faith Effort Statement of DBE Participation Names, addresses and phone numbers of rejected DBEs and the reasons for the bidder's rejection of the DBEs: ' l Names, addresses and phone numbers of firms selected for the work above: 01 . t.. _ _'�1 Tom..` ►• E. Efforts made to assist interested DBEs in obtaining bonding, lines of credit or insurance, and any technical assistance or information related to the plans, specifications and requirements for the work which was provided to DBEs: F. Efforts made to assist interested DBEs in obtaining necessary equipment, supplies, materials, or related assistance or services, excluding supplies and equipment the DBE subcontractor purchases or leases from the prime contractor or its affiliate: G. The names of agencies, organizations or groups contacted to provide assistance in contacting, recruiting and using DBE firms (please attach copies of requests to agencies and any responses received, i.e., lists, Internet page download, etc.): Name of Method/Date Results Agency/Organization of Contact H. Any additional data to support a demonstration of good faith efforts (use additional sheets if Page 15-34 March 15, 2001 LPP 01-04 FROM: JOHN To. ALL AMERICAN ASPHALT DATE- 415/2004 TIME: 3:89 54 PM PAGE I OF 1 mg -at, (vu) xv:d 'LL09-1-t,t, seen vo luovelln.4 Ltz elins-Amy juliedwi,q teZ ,OKI 'DuilisaxifM '.<a 'Uidly, PTAP 7OUIN03 DIAAVHI -dTaiq Aup go act u-e-- am jT 11po asva-d 99; pq I r-luT a -[ ppf:)u -p d s aeuavm a7-vpj3uT:idS ulvi.Tp--E) eAV XDLI-11RIV, —43 lII.?l4v-x-,c) 4RO —Tliff 701-Uff E - -a- .) a Cu-i d aAoqu oqj aoj supTd TO-14UOD 0T-:rJ.P.:rj f)trTT%-,d--;-xd -ro D:)T?WT'3S,9 '31SOO, 4 L aq` ST 6ultAOTT09 a4l -sup-d 2no;9P/T0,:F--4 u0--) -)-uxje-Tj Ba-raledgad aOJ 140P�aEl T-10151,7-cluNT JO A-!T3 Aq WaTJ 61XT:X2aUTF)-aq papueuImooga ptre I cl 6 -o AC[ UL:1'1,3 LZEIINI P�D-Lj"EqlaO r Sl 'DU:r 'SUTXa0UT6uai TO.T:IUO,) U-6TOW1 T014UOD OT;;Val vo/g/i, :siva PT% q0vau u0q6uT4unK 3:0 A-4.r;) UT *qvqal *IS mvilezo puv -9AV aeuxvm -0-6 All American Asphalt 400 E. Sixth Street Corona, CA 91718-2229 (909) 736-7600 Telephone (909) 736-7646 Facsimile •�AT, dip I LY4- 191 k- TW. John Peterson From W. C. Goolsby, Inc. Fa)c Pages: Phone: 619.889.5977 Date: April 7, 2004 Verbal Quote Re: Asphalt Oil CC: City of Huntington Beach Project: Graham St. Rehab CC 1158 Wamer Ave. Rehab CC 1159 Bid Date: Tuesday, April 6, 2004 ❑ Urgent ❑ For Review ❑ Please Conrnent ❑ Please Reply ❑ Please Recycle See attached. Thank you. W. C. GOOLSBY, INC. 970 N. TUSTIN AVE., SUITE 102 ANAHEIM, CA 92807 CT-002822 (800) 839-9697 DBE OIL CALCULATION GOAL AMOUNT OIL CONTENT PRICE HAUL ADDITL HAUL SUB TOTAL TONS AC TONS OIL $39,954.60 0.050 $200.00 TN $16.97 TN $5.00 TN $221.97 TN 6.000 TN 300 TN TOTAL PURCHASE $66,591.00 ASPHALT OIL MATERIAL TOTAL W. C. GOOLSBY, INC. 970 N. TUSTIN AVE., SUITE 102 ANAHEIM, CA 92807 CT•002822 (800) 839-9697 DBE OIL CALCULATION GOAL AMOUNT $9,988.65 OIL CONTENT 0.050 PRICE $200.00 TN HAUL $16.97 TN ADDITL HAUL $5.00 TN SUB TOTAL $221.97 TN TONS AC 1,500 TN TONS OIL 75 TN TOTAL PURCHASE $16,64T.75 ASPHALT OIL MATERIAL GRAHAM ST. W. C. GOOLSBY, INC. 970 N. TUSTIN AVE., SUITE 102 ANAHEIM, CA 92807 CT-002822 (800) 839-9697 DBE OIL CALCULATION GOAL AMOUNT OIL CONTENT PRICE HAUL ADDITL HAUL SUB TOTAL TONS AC TONS OIL $29,965.95 0.050 $200.00 TN $16.97 TN $5.00 TN $221.97 TN 4,500 TN 225 TN TOTAL PURCHASE $49.943.25 ASPHALT OIL MATERIAL WARNER AVE. APR-1-2.QE4 12:29 FROWCRANGE COUNTY 6TR.PI 714 63? 6353 i TO: 15-35736 6-* P: 1 '2 ORANGE COUNTY STRIPING SERVICE, INC. 183 N. PIXLEY STREET, ORANGE, CALIF. 92WS CONTRACTOR'S LIC, 9346095 C-32 (714) 6394550 FAX- (714) 639-6353 L 4 VL PROJECT: GRAHAM STREET- WARNER AVENUE TO HEIL AVENUE (CC 1158) WARNER AVENUE - GRAHAM STREET TO SPRINGDALE STREET (CC 1159) HUNTINGTON BEACH JOB Btt3S: 4-C-C4 Q 2:00 PM ARCHITECT: CITY SHT. 1-=, 3-15-04 SKT_ 1212. 8-19-03 ITENI DESCRIPTION ESTIMATED UNIT UNIT EXTENDED QUANTITY PRICE AMOUNT GRAHAM STREET 07. TRAFFIC STRIPING WARNER AVEME 10. TRAFFIC STRIPING LUMP SUM $9,900.00 LUMP SUM $10,140.00 TOTAL $20,040 00 "ORANGE COUNTY STRIPING SERVICE, INC. DOES NOT WARRANT ADHESION OF ANY OF ITS PAINT APPLICATION TO ANY NE`JJLY POURED CONCRETE SURFACE NOR TO ANY CONCRETE SURFACE TREATED WITH A CURING COMPOUND NOR TO A CONCRETE SURFACE ON WHICH A CURING COMPOUND HAS BEEN APPLIED. THIS DISCLAIMER APPLIES TO ALL IMPLIED AND EXPRESS WARRANTIES" INCLUDES- 2 MOVE -INS I $ 600.00 EACH ADDITIONAL EXCLUDE$: INSURANCE OVER 1 MILLION TEMPORARY STRIPING/ MARKERS REMOVALS NEW SURFACE AREA ESTIMATOR: ROBERT LITCHFIELD DATE: 415,'04 APR-5-2C©4 12:29 FROM:CRANGE COLUTY ETRIPI 714 639 6353 70:1475736?64E P:=f2 Orange; Comfy Strip4ig Service:. Inc. 113 Nvnh pix'ey street omnse, Calif 921968 Plienc: 714-639-4330 rein: 714-09-S353 I'cdml I.D. Na. 93-3077153 Cnnrra:tcrs Ucense Au 345095 - 03 � OEM,a andf untlitions of Old or ProlZostil 1. Orsnbo Cougty Striping Service, Inc. is signftatary to the Laborers Union, Local 1194 Z. Omnge County Striping Service, Inc. requirts a minimum of 10 +workini days_ noti:e prior to scheduling work J. 7,0141 bidlp!vpost,l package +11ast be axeptej in ful: unless Or urge County Srripiny Service, Inc. has agreed to changes p1or to bid lime. 4. Pkcs Soot: rue 45 days from the date of bid unk -,ss otherwise agreed upcn. 5. Omige County Striping SCriiLe, ins. will not be held l:ablc rpr any b:+ckeharges unless prior mutual abrcement. in writing, is made. 6. Rellcteneing or staking of ex;3flnr striping Is not included urdem otherwise sorted. Shop drawings or ;mft. control plans are also net includ,;d. 7. Insurance includes! with bid Commercial Liability Limits S 1,00,000 pe- occurrence / $2,000,000 Aggrcgatc 32,D03.000 Products & CUmpletcd Ormrationa Aggregate S1.000.000 Personal.:Adver:isement Injt:ry S 100,000 Fire Damage (any one fire) $5.000 Medical Payments (Dry one person) $2500 Dcduc.Q14 Per Occurrence Including LOSS Expensc Add:tiwlal Insured On CC201D JUP)3 only, With up to Z Additk)na! Insureds (Owner I Conti -actor) Auto Liability Limits S 1,000,0W Combined Sir& Limit - includes owned, non -owned, and hired Work Comp Lint its as required by Staauory Proviiiom of the State ofCa''ifcriia Wa'vcr of Subragateon NDT Incladed Acceptance of hidiProposal neccpts tbcse insurance limits regardless of requirements by owner. S. 'Phis bid/proposal and all its Terrns and cordidons shall beccrie a binding pwt of any subcontract, purcha:c order, or ether a;reerttent male wit!1 Orange County Striping Service, me Bid to; All American Asphalt 909/736-7646 Did Date: April 6, 2004 Smithson Electric, Inc. 1931 L. KSWI&A+a. Omn s. C& "067 ConbSOM LlCOM 0 $14311 Mwne 714.117-9516 Fex 7t&"T.4SSt Quote # Date: April 6, 2004 Attn: Johnpetersen Project Nzinet Graham Street & Warner Ave. rehabilitation City of Huntington Beath Es6rnatoR Tom Smithwn 1 1 � �rrrrrr � r � r � r r � r N fy IW-M: fa:: T." '.3G1'3•::d:y Fa'c: 5). -F ?0. GLOBAL ROAD SEALING INC (Union signatories, DBE and MBE certified CT#-031176) � 0*311IL? 6341 Klamath Dr. Westminster, Ca 92683 L1C. #7S7S84 C1nss C-3. Ph: (714) 8934)845 Fait: (714) 893-0945 Subcontract Quotation Project: Graham and Warner a%-e. Location: Bid Date/Time: 04-06-04 r; 2:00 p.m. Item ❑ Flan Quantify knit rier Extenclun Y'- 'MERM - C11t8 -- - - - - - - - - - Cracksealing 1 L,S. S 2.900.00 GAC Loop detector 2 750.00 i 1.'0(I.()() CC-1159 Crack sealing I I S. S 2.900.OQ L(wp detector 1s 190.00 S 3,420.00 Total : $ 10,720.00 PPJCLS APE• GOOD FOR 45 G.- FS OF THE DA TE CF THIS PAMOM L Inclusions: 1. Clean crack Yam and greater with high compressed a:r and seal with hotmelt rubberized sealant 2. Traffic control for crack sealing operation ?a. sawcut loop 2a. clean sawcut, Install conductor, sea/ with hotmelt rubberized sealant. 3a- splice conductor to existing DLC 4a. traffic control Exclusions: Bond premium, utility permits and fees. Inspection lees, advance sign posting of any kinds, weekend work, noMrresldent(flierL and any ltemsnotspeciffca►lylacrudedunder INCLUSIONS section. ""replace stubuut find pull box ► ill be extra. Estimator: Tri La Fat t 0UL+7 CALIFORNIA PROFESSION AL ENGINEERING INC. PHONE- FAX (626) 4$2-8655 9316 :NI-ABEL AVE. (676) 449-0470 SOUTH EL .41Q,WrE, CA 917: 3 AID C-10. 719907 CERTffIELD DBEISIvliE CT- 03 1277 EXPIRE 04W01-2003 PRQlE-Ur\A%fE: WARNERAVE PRoff-CT `a: M-1159 CITY, STATE, ZlP: HU`'TINCrWN Bt:A('t . CA BID DATE: AI'RYL uT"-004 BID TMIE: 2-00 PR1 wL } ER.:eY 5trl''%;T SPECIVCATtr)!4S, ESTI.%fATt PRU IFOSCM FURNISH '175M LAUOR MAZEWAl.. ANp L�;L !1'�1'SH7NiC£sYAR1 TO COW l ETE Tlli iY)I.L�i'A'(`:tf ITrM3 Or- ITEMS I QUAN•111'Y VNtT nE ct r ion t,Ntr ! TOTALiH cic I 11A 19 1 TRAFFIC LOOPS 179.00 1 S3222.00 i I I TRAFFIC LOOPS 600.00 S1200.00 j I _ i TOTALS4422.04 NOSE: PLEASt NOTWY 7 DAYS MOT 'rO JOL %TARTINC. PUL BOX AND CO,1DUIT STVII-Olff ARE EXIST. EXMLIDES ALL PERMIT riSPI.MON FEES TO .397d ONi EN1833-1IR13 d7 Utoerv9L9 ps:11 t03Z/43,*ra C4-36-04 10:49A Frcrn-SJUAW C0grAmy 1-5:4 P.01/01 MIS d Trans Certlfmd (SMSE/DDIE) 9 CT- 02A954 ty of Los Angeles (HU/000) *CCA-9398 borers Local 11341 Lit rt 752367 A, S. mu . ASS V. B, 2M 08CONTRACT QUOTATION rojact Name: Graham Street & Warner Avenue. Hanttnaton Beach MAR1FiCATIONS am"CIMM.ML 1450 Fitzmaid Ave - Ria;to, CA 92376 Phone: (909) 878-2933,Ext. 28 Far: (909) 879-2939 F"MATOR: DARREN NELTZ Ccntraaor to pr.2rrda nrDnrblY prvgrass pa;mczm for all complmd work it mcar4mw with me bid prsciag schedu!c. hlcra�iy progress payTvw a mks~ bc recci,.cJ in U; by S. dh" no lat.-r t .an 10 en'endar doll a,Rer a..c COnt UMT recrti.ss paynsent frOnr Qwner far 4Lr camp-M4 %-o& ikt-agmru pyrmms- ails be vshjea to dte hi:hnt Wercr [ laic tdlowtd by tau. ReWa4f percrntAce on moot* progrras payVent& to be no Ipcow $salt 1Lr percentW icmu?03 b) Inc Owner on ira payuta U io tht Cunuxur U' 0%Titr radaw stu rat wv,-.e prrctataa,es un ps)rWuU ro t-tie Conuv tor, W Conwxwr Stroh Ilk: wiW tr duct the retai uigs pe anmir 4e pa1mms to SuAg w. FW1 retriwm w Ina rcldtxd no L der ihaa thing (10) days atta compWon of Sv4b4ar's wvri;. Emvs-.ive or &1m4urns raacnag. willbe subject to the highnt irdctest rate allowed by law. 3. .any roc airc,4 Ting, Eattmcninz De;WA Pamiii. Liccnscs of Application%, and thr 1dx to be proviatd by mr im. 4 Priots ire bawl on Plans & SpaciPudi4Rs available a: bid 6rot, kwiuduel all Wdtn& why re uc% for wort "p bra) urdcr eaaoidum dtfferwIl from shots reprewnced b) laic 1?mme Cmrwt Dwuuw * indudiag bwt ant lia:iW to. H T • gE SMiqg._ „diI 1 hdlirmfinm niar► SU a mi-M 5M 10+0-wi,1 kquirr PgMMI for rddidurw walk to be srMdr w SudbA Cmf4r+y u an wrwum aypoad upon prior tv periorr. ng this work It an wmint marios b: arccd upon pnur no Worming zbc ajditsonal work the am wu wtil N drncrmtuoi MAns Caltraa,s Font Account RArs sn unit prucs ttstrblsst ad is the b;d pricing sebcdt.lr, or a cmrbix;A;oa nhrreof whicbever metl:ai resits in a bightrovtra:l psymm. !. Svdl:skar Is not msponsibie for &l*s casod by and or tcWung troth amipitics at moo ucdviurt of udurs, incWiq bus not ti WwA ua u.rncr. oonu-&tor, van kwL stsppi-cm otbtr suticoauacrors and o4tr Escrows not In duect k mtrol of Sud.War. For The dc1ity7 aused by ibc shot+ memioaa swhskm will b6- reimbursed far all di-m-t an3 imk= axsu plus a maA up of forty per -.,ors (4ma). or as spocif ed and allowed by the Prime Cumu ct if tit, dalays ors causud ry ibe Owner. Sadbnkar will a ivamcd as txxnAon of ii rc to perform is wcrl utrsmsoum so flay,. d. iuda;,lcs; raauirrs tt m (30) onyx native prior ro commove ru'at of any prvdtution rrtlsih- if any of Sud'ttd:v's work will be a ru=llirg oprauioa oa 3re Critical px h of this project. S4ch4km ma be notified iu wtititig prior to cr,rcu: on of tic Subcontract Aip+ac-tntrnt and provided wttb a CPM ,chedutt winith details ills wvh. Fa aum to pmykU this informmm %*in wai,e trid Cor a nor s riFh1 to scusvtr ligtsidrsnrd ass from S�4.r' akar fur ttt.y .vorw 7. All changes w Rhc odgisul scope of sari a< pnorosod clear wars: must be direacd by dit Cmu&-tor in wtiVag prior to Sudhulcar pceoming ,.6i %WIC. a. for t'ae purpax of ttmi, S+: be next Qrwta.'sorr osu (I) martin is cmudaod to tw. a p=W oru nwocud yc esgbi (1) tao doss of wo muuus work not PwIL4mg wco end, xna twLda)s. Ary d-scoann. mej in Wit period, other Man we;kcnds turd ba 44ys. os for our owa coauoimce, will Ile eltarg�rd as an a:liutura! awYain ru me Aadatioq M.o�-tn C'tnalgr a+ quoted hrrcist. 9. akm firkin a krcr at"icWr to AWWd us the sttb4tn[nmact no tw,r talon (20i mkmdrr days stir bid aa:c at [his sub"vin- i;t i�runt A bccomri Dull and void. It Caatsattor equine* at basil, talc Prtrste Costrsttor dratt pun tw of sirs Boed. Rscked 914ri-Si' 11111 "W HIMM AMIMAUM 1UNWAY MMM M MIX MIM iM 04-36-04 ;0:4$a% Frc't-$JCR.kK4R CUFAV T-594 P 021CZ F-515 man MO. Am Rf D111 4&2004 MECT HM9#. Graham Sheet & Wamer Are, Nclitgngm ftam r / RID DAT'IE: kmil B, 2W4 ITE14 # ; QYY luMITa I 09SC tlFTION 1 uMIT i TOTAL _ _Graham Street (CC-1 158i— �- 7 11 - _ Is .._..�Tratfic Stii ittq_ i 11% 12,$84.00 ._ .1-.� �. Warner Ave (CC-1159) -�_ 1D !tg ±Traff►c Stri n 16,155-00 1 l TOTAL. BASE BID 5 28,743.00 � ! TOTAI.OPiOHS' i A. A ariniuMn a of 15 wu&ng days prior nodf3 Adw is required for each move. 8. The following muerih aru3 services at oclw W in this quar for striping- Uawp"c {YES1 Paint MS) Mmirrl [YES] Signs- Per saip4 plans my [YES] Tetap tab removal (N0; Pain:/Thereto Rrmoval (YES ) Mari rr rerno a! [NO) Charutehun - im-mli and mmoval only- no up keep f NO 1 C. 11) Toul toove-;trs iwluW is rbis quaw far perauwnr swiping. ACditivaal move In charge. $ 950.00 D. 10) Total move ins include,! in this gwote for temporary sniping. E. Trafic eonrral i% included is this guotc. Trattic coward when ins 6ded In this gootc is only far Sudhalcar's operzims. F. 1f wardl coarracrar or any of irs sub-cnarracwts work A tt in SudrAWS traffic cottaol, the e.pmw aria be shared accordingly ar Ssdhakar's discretion. No advance posting. signing, or CMS is included far Sudhakar's traffic central 4- Prrsttiping pYvtrnet'.t prcpar'alkm Including sweeping, to be provided by others. H. Price cxclWes dlra painring of Ally Cwt addresses. CMANM OR LEl.1<C1M QF AW REM MUST M APPRDVErD PF40R TO IUD TWE 04PE;:04 CC 47 FOX 918 834 @e18 37EFHDA�L EH- INC zoo 1 /00_ 11861 Branford Street Sun VaUy, CA. 91352 Phone (818) 634-6199 fax (816) 04- 9618 Llzense No. 421823 A, C31, S C32 U €nfAAMNG: prom C nny SWT4aH Fem /sgpw 2 "Ume: Dots 46.04 AN GRAHAM AND WARNER ST ROU►lg. CC: SterndaM .lob Fie CITY OF HUNTINGTON MACH D UgW4 ® For RD~ O p1dow Cv nmant O Pkmwo Reply CI Maras Recyds • Cap om- : SEI BID 140 04 -M ITEM D CRIPMON UNIT EST. QTY PRICE TOTAL GRAHAM UREET 7 TRAFFIC STRIPING LS 1 512,050.00 S 12,0S0.D0 WARNER AVE. 10 TRAFFIC STRIPING LS 1 813.3W00 $ 13.300.00 GRAND TOTAL $ 25.35b.00 SwndaAt Erftqwb4pe, Inc, TERMS ANV CONDffXWS to Wk w. 1 or 2 V OVOE120 4 C8.43 FAX 318 834 8E18 STEFHOa4L EH' INC IZ0a2/00. BID 04 272 WARNER AIND GRAVAM HUKiINGTON WCN 4$-04 doc Ap:d 1. 2004 STERNDAHL ENTERPRISES, INC. Term F—W 9204NOns 1, Stentdahl Eaterprbm Im is signatory to the Laborers Union, Local No. 1184. 2. Unleas otherwise noted of agreed to in writing by Steradabl Enterprises, Inc., prior to bid time, the total bid must be sccepted. If ycu need revised prx4V for only a portion of the wort please contact the JF6atator. 3. Stvmdahl Enterprises, Inc. requires a written contract, purl ast order or signed quote pror to the start of work. 4. Lump sun items arc based on "worttrg days" listed in the Special Provisions for this project Additional compensation -ai!l be required ifwaAlog days are eaceaded. S. Stern" Enterprises, Inc, requests invitsdon to all prvjob eonferoca 6 This quote "I rcmain valid for 30 days from the date of this notice unless otherwise agreed upon. 7. Swmdahl Emariaes, Inc. Contractors Licoose N 421823, A, C31, do C32. Exp. 0413012004 $ BACKCHARGES: C4earw a&wvb lodges that Star ALL Enterprises, Inc. will not aooert any backc rocs urleis prior mutual agreement is evade in writing 9 The price of batdiag is not included In the bid. Our bond rate is 1.54Y•. 10. Remeval incbsdes clean up, however, the Cortricm must provide the mw4 r with a dump site on the project. IL Referexing o. the pavemem 6elh*9ico.,,,,,X _ wgi __evil] tat be included. We regeire IC wt dd4a days notice before obliterating nay existing pavement delineation to reestablish alignment and location of pavcment delineat+oN including the limits or changes in :toping patterns Oa seal coat jobs, 414n meat is to be establidtod by the Contractor by p!ara cnt of temporary markers per Special Provisions. 12. B ld ,,,,a( _ itte!udes.,, does not include traffic control for our work only 13, Stertsd6hl Enterprises, Inc. requires IS working days notice prior to commencement of our work This time is necessary to reference, when applicatle, order material and schedulr the Project 14. Price includes 2 move-in(s). Addirional moves will be charged at S2000 00 13. Special Conditions as fol:ows. 16 Force Account work will be paid at the fbEewing: Labor + 19Yo surche.-ge + 31% markup. Ma eritls and Equipment + 13% %arkap. 17. Bid __X includes does not irsclude temp. tab remove!. BID INCLUDES Rl1MOVjZ-0-F--d70Nituci5NG STRIPING. ADDENDUM 11 NOTED. I have read, and understand, the above "Temrs and Conditions". and agree &At our Quote sad these Terms and Conditions vnIf become a pert of the agreement, id the event that the contract is awarded to StendaM Errtegnwa, lac. (}marsh Contractor: Signature Title Name (Type or Print) Date Paste 2 or 2 Frcn. Gary R Yom To. /J Ir+er cart Aspal fire 4+6:=4 -nne. 11 26.52 AV Pape 1 or 1 P C P.G. BOX 1611 S. LONG BEACH CA 909), PH r562) 213-05C`. FAX (562) 21a-M34 (Ll-. 4O 6239C2+ QUOTATION A3ENCY' CITY OF HUNnNGTON BEACH PRXECT. GRAHAV STREET AND WARNER AVE STREET RECONSTRUCTION 6:D CAT E' 4.'6/2004 ITEM UNIT EXTENDED NO. ITEJd DESCRIPTION QUANT. PRICE PRICE GRP.iiAM STREET 7 TRAFFIC STRIIN3 t i S S 12.29-0 Ir IINAR'.ER AVE. 10 TRAFFIC STRiPI1'l3 1 LS $ 11.= 0= TOTAL BID: Union Contractor. Includes traffic ccntrol for PCI forces. Based on one (1 ) move-i-(s). A3ditiona' move -Ins to be charged at $750.00 Each Excludes temporary striping Remm,ais to only to Fe formed on Graham St. Require ten work ng days not ce p'io- to each mcve-in. This prozosal ir,c'udes Monday t~ro-gh Friday da;r vrrrk only. Work perf;,rmed outside these days and hours may be sub;vct ro yre ni jm tirre rates Excludes speezi insurance requ reme^ts, i.e. increased Genera' Liabil ty, Railroad Irsjra-ce, etc. We require axepra=e in twri*in, of this pr;p-jsal with -in M-0,(!90) calendar days Proposes not accepted with -in niney days a-e subject to pri_i^g review by PCI If bcncing is req-Jred, add 2'.5 to PCI's t:id. Per agency anc refe•ence plans and speri'ications l•nless cttierMse n-.ted Acdenda no.(s) none are noled All -etent on rncn es die to PCI will tre paid in furl -rw.t`1-:n r.1nerj (c-0) tale -der clay-* of comp'e`ion of PCI's contra. v;ork A-t terrs and condi.ions sated rerein became a bind ng part of any contract cr agreerrent between buyer ana, set er &bni'ted By. Accepted )y: C4stcmer GGARY RIVERS P C t Cate. 5 23,750.00 Fran: Ch•is; Co =ax: 51365623ST Ph. 5106532840 :ate: 4.51Ca T ric 3-22 '.3 Pf/ Page t of 1 &TaA &MA" QS30 Osgood Rd Fremont CA $4539-5631 Contractors License No. 374600 Pit. (510) 656-2840 Fox (510) 490-2703 A" General Engineering 16390 Boyle Ave Fcntara CA 92334 C-13 Fence, Wire, wood Ph. (909) 428-5711 Fax: (S09) 428.5712 C-32 Highway Improvement Quotation Union Contractor I No minonty Status TO: Firm: Current pate I4l512004 Address Bid DatelTime d16104 P-2:00_PIA _ .lob Name IGraham StrAfarner Ave Rehab Contact I City Huntington Beach Pnone 1 Contra_t NO. ACC-11S8 & CC.1159� Fax I Working Days - Job Site I Liquidated Damages ITEM NO. l 7 10 Graham Street Traffic striping Traffic signing ik Delineators Warner ave Traffic striping Traffic signing Includes traffic control for Chrisp Co work 1 t II i1 I1 i I l !! LS i LS LS LS I I I s8,10o.00 $4,937.00 S13,800.00 S200.00 i I Total I ! $8,100.00 $4,937.00 $13.800.00 $200A0 Written Authorization is Required Prior To Proceeding With Work 327,037.00 ACCEPTEr P.O Numt;er TITLE: Job Number Exclusions: I Bond Rate 1.5 a !ADDENDUMS NOTED CM1sp Company reserves the rightto w4haraw proposal Jt wrttien acceptance is not racelved within 60 dris o1 bld mare Chrisp Company Requires Unobstructed access to Work Areas for Men and Equipment After receiving contract i0 working days written notice required prior to scheduling Of work _ !^ 2 Move- In Included additional (dove- Ins 12 $1600.00 EA Move -In Installation or rernovai of temporary aelineatlon except as provided above. QUOTE PREPARED BY Roger %Veisbrod _ CHRISP COMPANY t7rV3-1' O ovD I Council/Agency Meeting Held:. ,3 r Deferred/Continued to: Approved O Conditionally Approved 0 Denied Cit le k's gnature Council Meeting Date: May 3, 2004 Departme t ID umber, PW 04-030 CITY OF HUNTINGTON BEACH REQUEST FOR ACTION 1 , SUBMITTED TO: HONORABLE MAYOR AND CITY COUNCIL MEMBERS SUBMITTED BY: WILLIAM P. WORKMAN, Acting City AdministratorOW PREPARED BY: ROBERT F. BEARDSLEY, Director of Public Work / SUBJECT: Award Construction Contract for the Graham Street CC-1158 & Warner Avenue CC-1159 Rehabilitation Improvements. Fstatement of Issue, Funding Source, Recommended Action, Alternative Action(s), Analysis, Environmental Status, Attachment(s) Statement of Issue: On April 6, 2004, bids were received for the Graham Street and Warner Avenue Rehabilitation Improvements, CC-1158 & CC-1159, respectively. Staff recommends award to All American Asphalt, 400 E. Sixth Street, Corona, CA 92879, as the lowest responsive and responsible bidder. Funding Source: Sufficient project funds have been budgeted in the Gas Tax, Arterial Rehabilitation, Street Improvements Account No. 20790008.82300. Grant funds in the amount of $290,045 are included in the budgeted funds. The engineer's preliminary estimate is $622,555. Recommended Action: 1. Accept the lowest responsive and responsible bid submitted by All American Asphalt, in the amount of $535,440.85 for ;Graham Street and Warner Avenue Rehabilitation Improvements, CC-1158 & CC-1159 respectively; and 2. Authorize the Mayor and City Clerk to execute a construction contract in substantially the same form as the attached sampleicontract. . Alternative Action's): Reject all bids and direct staff to readvertise or abandon the project. Abandonment of the project would result in the loss of $290,045 in grants funds. I E-M REQUEST FOR ACTION MEETING DATE: May 3, 2004 DEPARTMENT ID NUMBER: PW 04-030 Analysis: In 2000, the Public Works Department applied for funding under the Orange County Transportation Authority (OCTA) Arterial Highway Rehabilitation Program for various street rehabilitation projects. The City was awarded funds for a total of fourteen street rehabilitation projects over three fiscal years, including Graham Street, CC-1158 (Warner Avenue to Heil Avenue), and Warner Avenue, CC-1159 (Graham Street to Springdale Street). The following table reflects the funding breakdown of awarded federal dollars and City matching funds required for the construction contract. Contingency costs and supplemental expenses are additional to the City matching funds. Street Proiect # Limits Award City Match (Gas Tax) Graham CC1158 Warner to Heil $ 57,054 $ 81,891.00 Warner CC1159 Graham to Springdale 232 991 $ 163,504.85 Total Project Cost: $290,045 $ 245,395.85 Rehabilitation of the roadways generally includes pavement crack sealing, grinding, selective pavement reconstruction and asphalt overlay. This project also includes placing new signing/striping, new traffic detection loops and adjustments of existing water valves, manholes and similar appurtenances to the new wearing surface. Pavement rehabilitation work of this nature will increase the life of the arterial streets by approximately 10 years. Bidding Contractor 1. All American Asphalt 2. R.J. Noble 3. Alliance Streetworks 4. Sequel Contractors, Inc. 5. Palp., Inc., Excel Paving Co. 6, Elite Bobcat Service Bid Amount $546,840.85 (Corrected to: $535,440.85) $558,684.60 $562,447.00 (Corrected to: $562,447.36) $577,471.00 (Corrected to: $574,851.15) $578,343.07 $636,458.65 The reference check for All American Asphalt provided acceptable responses from past clients. Therefore, staff recommends that the City Council accept the bid from All American Asphalt, the lowest responsive and responsible bidder. Public Works Commission Approval: The Public Works Commission recommended that City Council authorize the Director of Public Works to advertise the project for bids on May 21, 2003, by a vote of 5-0-2 (Absent Commissioners: Gartland and Johnson). Environmental Status: These projects are categorically exempt pursuant to the California Environmental Quality Act, Section 15301 (C). G:IR C A12004104-030 May 3 lee (Arterial Road Rehab CC1158 & CC1159).doc -2- 4131200410:56 AM REQUEST FOR ACTION MEETING DATE: May 3, 2004 DEPARTMENT ID NUMBER: PW 04-030 Attachment(s): RCA Author: Duncan Lee WR C A12004104-030 May 3 Lee (Arterial Road Rehab CC1158 & CC1159).doc -3- 41131200410:56 AM ATTACHMENT #1 BOLSA AVE '� J0 (n (n (n (n a Mc FADDEN _U W z V v EDINGER o o aHEILM N a 5 C LL V a WARNER a SLATER Of c� e ti TAI Prc'IFIC PROPOSED PROJECT APPROX. 1 /2 MILE L (n (~n AVE Ln Q W p m =AVE —z o AVE AVE RT AVE ELLIS AVE 17 'ARFIELD AD�AMS INDIAN) NTS AVE En Ito AVE O z AVE �- _ a w g F .IS AVE Y ' ATLANTA D m rA\ HAMILTONE OCF'AN GRAHAM STREET; CC-1158 LOCATION MAP CITY OF HUNTINGTON BEACH DEPARTMENT OF PUBLIC WORKS - BOLSA AVE. f-- ( < _U z 1- Mc I- (A FADDEN 1- V) w EDINGER o Jz MJ oCL = � cC Q SLATER T PAil =st. \� r PROPOSED PROJECT APPROX. 1 /2 MILE V v) AVE. -� (n � W p i AVE. m -z w i- o 0 AVE. AVE. AVE. RT ELLIS AVE. lY 'ARFIELD XTOWN AVE. 0 Q z J ADAMS o z w z a INDIANAPOLIS OCE,&N = I ATLANTA m HAMILTON WARNER AVENUE; CC-1159 LOCATION MAP CITY OF HUNTINGTON BEACH DEPARTMENT OF PUBLIC WORKS NTS /,19211 F: cn H 0 cn a AVE. �- AVE. Y 0 O 0 cr- cr AVE. 0° m m AVE. BANNING ATTACHMENT #2 FEDERALLY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND FOR TABLE OF CONTENTS Page No. 1. STATE OF WORK; ACCEPTANCE OF RISK 1 2. ACCEPTANCE OF CONDITIONS OF WORK; PLANS AND SPECIFICATIONS 2 3. COMPENSATION 3 4. COMMENCEMENT OF PROJECT 4 S. TIME OF THE ESSENCE 4 6. CHANGES 4 7. NOTICE TO PROCEED 5 8. BONDS 5 9. WARRANTIES 6 10. INDEPENDENT CONTRACTOR 6 11. LIQUIDATED DAMAGES/DELAYS 6 12. DIFFERING SITE CONDITIONS 8 13. VARIATIONS IN ESTIMATED QUANTITIES 9 14. PROGRESS PAYMENTS 9 15. WITHHELD CONTRACT FUNDS, SUBSTITUTION OF SECURITIES 10 16. AFFIDAVITS OF SATISFACTION OF CLAIMS 10 17. WAIVER OF CLAIMS 11 18. INDEMNIFICATION, DEFENSE, HOLD HARMLESS 11 19. WORKERS' COMPENSATION INSURANCE AND EMPLOYER'S LIABILITY INSURANCE 12 20. INSURANCE 12. 21. CERTIFICATES OF INSURANCE; ADDITIONAL INSURED ENDORSEMENTS 13 22. NOTICE OF THIRD PARTY CLAIM 14 23. DEFAULT & TERMINATION 14 24. TERMINATION FOR CONVENIENCE 14 25. DISPOSITION OF PLANS, ESTIMATES AND OTHER DOCUMENTS 15 26. NON -ASSIGNABILITY 15 27. CITY EMPLOYEES AND OFFICIALS 15 28. STOP NOTICES; RECOVERY OF ADMINISTRATIVE COSTS I5 29. NOTICES 16 30. SECTION HEADINGS 16 31. IMMIGRATION 16 32. LEGAL SERVICES SUBCONTRACTING PROHIBITED 17 FEDERALLY FUNDED CONSTRUCTION CONTRACT TABLE OF CONTENTS. continued Page No. 33. ATTORNEY'S FEES 17 34. INTERPRETATION OF THIS AGREEMENT 17 35. GOVERNING LAW 18 36. DUPLICATE ORIGINAL 18 37. CONSENT 18 38. CALIFORNIA FAIR EMPLOYMENT AND HOUSING ACT 18 39. CALIFORNIA PREVAILING WAGE LAW 40. CALIFORNIA EIGHT -HOUR LAW 19 41. PAYMENT OF TRAVEL AND SUBSISTENCE ALLOWANCE 20 42. EMPLOYMENT OF APPRENTICES 20 43. PAYROLL RECORDS 20 44. FEDERAL PARTICIPATION 21 45. DAVIS-BACON ACT 21 46. DISCRIMINATION, MINORITIES, ALIENS 21 47. EQUAL EMPLOYMENT OPPORTUNITY 21 48. COPELAND "ANTI -KICKBACK" ACT 22 49. CONTRACT WORK HOURS AND SAFETY STANDARDS ACT 23 50. IMPLEMENTATION OF CLEAN AIR ACT AND FEDERAL WATER POLLUTION CONTROL ACT 23 51. ENERGY CONSERVATION 24 52. HOUSING AND URBAN DEVELOPMENT 24 53. ENTIRETY 24 18 2 C Lt� FEDERALLY FUNDED CONSTRUCTION CONTRACT �5fP BETWEEN THE CITY OF HUNTINGTON BEACH AND FOR THIS AGREEMENT ("Agreement") made and entered into this I day of 20 , by and between the City of Huntington Beach, a municipal corporation of the State of California, hereinafter referred to as "CITY;' and a California hereinafter referred to as "CONTRACTOR." WHEREAS, CITY has solicited bids for a public works project, hereinafter referred to as "PROJECT," more fully described as in the City of Huntington Beach; and CONTRACTOR has been selected to perform said services, NOW, THEREFORE, in consideration of the promises and agreements hereinafter made and exchanged, the parties covenant and agree as follows: 1. STATEMENT OF WORK, ACCEPTANCE OF RISK CONTRACTOR shalt complete and construct the PROJECT pursuant to this Agreement and the Contract Documents (as hereinafter defined) and furnish, at its own cost and expense, all labor, plans, tools, equipment, supplies, transportation, utilities and all other items, services and facilities necessary to complete and construct the PROJECT in a good and workmanlike manner. CONTRACTOR agrees to fully assume the risk of all loss or damage arising out of the nature of the PROJECT, during its progress or prior to acceptance by CITY, from the action of the elements, from any unforeseen difficulties which may arise or be encountered in the prosecution of s&rWfomWfcdcm14-20 1 work, and for all other risks of any description in connection with the work, including, but not limited to, all expenses incurred by or in consequence of the suspension or discontinuance of work, except such as are herein expressly stipulated to be borne by CITY, and for well and faithfully completing the work within the stipulated time and in the manner shown and described in this Agreement, and in accordance with the requirements of CITY for the compensation set forth in the accepted bid proposal. 2. ACCEPTANCE OF CONDITIONS OF WORK: PLANS AND SPECIFICATIONS CONTRACTOR acknowledges that it is fully familiar with all the terms, conditions and obligations of this Agreement and the Contract Documents (as defined below in this Section), the location of the job site, and the conditions under which the work is to be performed, and that it enters into this Agreement based upon its thorough investigation of all such matters and is relying in no way upon any opinions or representations of CITY. It is agreed that the Contract Documents are incorporated into this Agreement by this reference, with the same force and effect as if the same were set forth at length herein, and that CONTRACTOR and its subcontractors, if any, shall be bound by the Contract Documents insofar as they relate in part or in any way, directly or indirectly, to the work covered by this Agreement. "Contract Documents" as defined herein mean and include: A. This Agreement; B. Bonds covering the work herein agreed upon; C. The CITY's standard Plans and Specifications and special contractual provisions, including those on file in the office of the Director of Public Works of CITY and adopted by the City Council, and any revisions, amendments or addenda thereto; D. The current edition of Standard Specifications for Public Works Construction, published by Builders' News, Inc., 10801 National Boulevard, Los Angeles, CA agree/forms/federal 4-20 2 90064, and all amendments thereto, written and promulgated by the Southern California chapter of the American Public Works Association and the Southern California District Associated General Contractors of the California Joint Cooperative Committee; E. Bid documents including the Notice Inviting Bids, the Special Instructions to Bidders and the CONTRACTOR'S proposal, (which is attached hereto as Exhibit "A" and incorporated herein by this reference); F. The particular Plans, Specifications, Special Provisions and Addenda applicable to the PROJECT. Anything mentioned in the Specifications and not indicated in the PIans or indicated in the Plans and not mentioned in the Specifications, shall be of like effect as if indicated and mentioned in both. In case of a discrepancy between any Plans, Specifications, Special provisions, or Addenda, the matter shall be immediately submitted by CONTRACTOR to the Department of Public Works of CITY (hereinafter referred to as "DPW"), and CONTRACTOR shall not attempt to resolve or adjust the discrepancy without the decision of DPW, save only at its own risk and expense. Should there be any conflict between the terms of this Agreement and the bid or proposal of CONTRACTOR, then this Agreement shall control and nothing herein shall be considered as an acceptance of the terms of the bid or proposal which is in conflict herewith. 3. COMPENSATION CITY agrees to pay and CONTRACTOR agrees to accept as full compensation for the faithful performance of this Agreement, subject to any additions or deductions made under the provisions of this Agreement or the Contract Documents, a sum not to exceed ogreelfomslfed=14-20 3 Dollars (S ), as set forth in the Contract Documents, to be paid as provided in this Agreement. 4. COMMENCEMENT OF PROJECT CONTRACTOR agrees to commence the PROJECT within ten (10) working days after the Notice To Proceed is issued and diligently prosecute the PROJECT to completion within (_} consecutive from the day the Notice to Proceed is issued by DPW, excluding delays provided for in this Agreement. 5. TIME OF THE ESSENCE The parties hereto recognize and agree that time is of the essence in the performance of this Agreement and each and every provision of the Contract Documents. CONTRACTOR shall prepare and obtain approval as required by the Contract Documents for all shop drawings, details and samples, and do all other things necessary and incidental to the prosecution of its work in conformance with the progress schedule set forth in the Contract Documents. CONTRACTOR shall coordinate its work with the work of all other contractors, subcontractors, and CITY forces working on the PROJECT in a manner that will facilitate the efficient completion of the PROJECT and in accordance with the terms and provisions of this Agreement. CITY shall have complete control of the premises on which the work is to be performed and shall have the right to decide the time and order in which the various portions of the work shall be performed and the priority of the work of other contractors, subcontractors and CITY forces and, in general, all matters concerning the timely and orderly conduct of the work of CONTRACTOR on the premises. 6. CHANGES CONTRACTOR shall adhere strictly to the plans and specifications set forth in the Contract Documents unless a change therefrom is authorized in writing by DPW. CONTRACTOR agrees to make any and all changes, furnish materials and perform all work necessary within the scope agreufonnVrc4cn14-20 4 of the PROJECT as DPW may require in writing. Under no condition shall CONTRACTOR make any changes without the prior written order or acceptance of DPW, and CITY shall not pay any extra charges made by CONTRACTOR that have not been agreed upon in writing by DPW. When directed to change the work, CONTRACTOR shall submit immediately to DPW a written cost proposal reflecting the effect of the change. Should DPW not agree to such cost proposal, the work shall be performed according to the changes ordered in writing by DPW and the proper cost thereof shall be negotiated by the parties upon cost and pricing data submitted by CONTRACTOR; thereupon, CITY will promptly issue an adjusted change order to CONTRACTOR and the Agreement price will be adjusted upward or downward accordingly. 7. NOTICE TO PROCEED No work, services, material, or equipment shall be performed or furnished under this Agreement unless and until a Notice to Proceed has been given to CONTRACTOR by CITY. CITY does not warrant that the work will be available on the date the Notice to Proceed is issued. In the event of a delay in commencement of the work due to unavailability of the job site, for any reason, relief to CONTRACTOR shall be limited to a time extension equal to the delay due to such unavailability. 8. BONDS Only bonds issued by California admitted sureties will be accepted. CONTRACTOR shall, prior to its performance of this Agreement, furnish the following two (2) bonds approved by the City Attorney: One in the amount of one hundred percent (100%) of the Agreement price to guarantee the CONTRACTOR's faithful performance of the work, and one in the amount of one hundred percent of the Agreement price to guarantee payment of all claims for labor and materials fumishcd. In addition, CONTRACTOR shall submit to CITY a bond in the amount of one hundred percent (100%) of the final Agreement price, including all change orders, to warrant such performance agredrormslfedmi 4-20 5 for a period of one (1) year after CITY's acceptance thereof within ten (10) days of filing of the Notice of Completion. 9. WARRANTIES CONTRACTOR unconditionally guarantees all work done under this Agreement including, but not limited to, any workmanship, installation, fabrication, material or structural facilities constructed. CONTRACTOR, within ten (10) days after notice by CITY of any defect in the work, shall have the option to make appropriate repairs or replace the defective item or items. Upon expiration of such ten (10) day period, CITY may then make appropriate repair or replacement at CONTRACTOR's risk and own cost and expense. 10. INDEPENDENT CONTRACTOR It is understood and agreed that CONTRACTOR is, and shall be, acting at all times hereunder as an independent contractor and not an employee of CITY. CONTRACTOR shall secure at its own cost and expense, and be responsible for any and all payment of all taxes, social security, state disability insurance compensation, unemployment compensation and other payroll deductions for CONTRACTOR and its officers, agents and employees and all business licenses, if any, in connection with the PROJECT and/or the services performed hereunder. 11. LIQUIDATED DAMAGES/DELAYS It is agreed by the parties hereto that in case the total work called for hereunder is not in all parts and requirements finished or completed within the number of calendar days as set forth herein, damage will be sustained by CITY; and that it is, and would be, impractical and extremely difficult to ascertain and determine the actual damage which CITY would sustain in the event of and by reason of such delay. It is, therefore, agreed that CONTRACTOR will pay to CITY, as liquidated damages and not as a penalty, the sum of Dollars (S ) per day for each and every working day's delay in completing the work in excess of the number of agreelionWfedcral 4-20 6 working/calendar days set forth herein, which represents a reasonable endeavor by the parties hereto to estimate a fair compensation for the foreseeable damages CITY would sustain in the event of and by reason of such delay; and CONTRACTOR agrees to pay these damages herein provided, and further agrees that CITY may deduct the amount thereof from any monies due or that may become due to CONTRACTOR hereunder. CONTRACTOR will be granted an extension of time and will not be assessed damages for any portion of the delay in the completion of the work due to unforeseeable causes beyond the control and without the fault or negligence of CONTRACTOR, including, but not limited to, acts of God or of the public enemy, fire, floods, epidemics, quarantine restrictions, strikes, unsuitable weather, or delays of subcontractors due to such causes. CONTRACTOR shall, within fifteen (15) days from the beginning of any such delay (unless DPW shall grant a further period of time), notify DPW in writing of the cause of the delay and CITY shall extend the time for completing the work if, in its judgment, the findings of fact thereon justify the delay; and the decision of DPW shall be conclusive on the parties hereto. Should CONTRACTOR be delayed in the prosecution or completion of the work by the act, neglect or default of CITY, or should CONTRACTOR be delayed by waiting for materials required by this Agreement to be furnished by CITY, or by damage caused by fire or other casualty at the job site for which CONTRACTOR is not responsible, or by the combined action of the workers, in no way caused by or resulting from default or collusion on the part of CONTRACTOR, or in the event of a lockout by CITY, then the time herein fixed for the completion of the work shall be extended by the number of days CONTRACTOR has thus been delayed, but no allowance or extension shall be made unless a claim therefor is presented in writing to CITY within fitlecn (15) days of the commencement of such delay. agredfonns/Weral 4-20 7 No claims for additional compensation or damages for delays, irrespective of the cause thereof, and including without limitation the furnishing of materials by CITY or delays by other contractors or subcontractors, will be allowed and an extension of time for completion shall be the sole remedy of CONTRACTOR. 12. DIFFERING SITE CONDITIONS A. Notice: CONTRACTOR shall promptly, and before such conditions arc disturbed, notify DPW in writing of (1) Subsurface or latent physical conditions at the job site differing materially from those indicated in this Agreement or the Contract Documents; or (2) Unknown physical conditions at the job site, of an unusual nature, differing materially from those ordinarily encountered and generally recognized as inherent to work of the character to be performed under this Agreement. DPW shall promptly investigate the conditions and if it finds that such conditions do materially so differ and cause an increase or decrease in the time required for performance of any part of the work under this Agreement, whether or not changed as a result of such conditions, an equitable adjustment shall be made and the agreement modified in writing accordingly. B. Time Extension: No claim of CONTRACTOR under this Section shall be allowed unless CONTRACTOR has given the notice required hereunder provided, however, the time prescribed therefor may be extended by CITY. agredromnlredcral 4.20 8 13. VARIATIONS IN ESTIMATED QUANTITIES The quantities listed in the bid schedule will not govern final payment. Payment to CONTRACTOR will be made only for the actual quantities of Agreement items used in construction of the PROJECT, in accordance with the plans and specifications. Upon completion of the PROJECT, if the actual quantities used are either more than or less than the quantities listed in the bid schedule, the bid price shall prevail subject to the provisions of this Section. DPW may, at its sole discretion, when warranted by the facts and circumstances, order an equitable adjustment, upwards or downwards, in payment to CONTRACTOR where the actual quantities used in construction of the PROJECT are in variation to the quantities listed in the bid schedule. No claim by CONTRACTOR for an equitable adjustment in price or time for completion shall be allowed if asserted after final payment under this Agreement. If the quantity variation is such as to cause an increase in the time necessary for completion, DPW shall ascertain the facts and circumstances and make such adjustment for extending the completion date as in its sole judgment the findings warrant. 14. PROGRESS PAYMENTS Each month DPW will make an estimate in writing of the work performed by CONTRACTOR and the value thereof. From each progress estimate, ten percent (10%) will be deducted and retained by CITY and the remainder of the progress estimate, less the amount of all previous payments since commencement of the work, will be paid to CONTRACTOR. Whcn CONTRACTOR has, in the judgment of DPW, faithfully executed fifty percent (50%) or more of the value of the work as determined from the bid schedule, and if DPW finds that satisfactory progress has been and is being made, CONTRACTOR may be paid such sum as will bring the payments of each month up to one hundred percent (100%) of the value of the work completed I since the commencement of the PROJECT, as determined in its sole discretion by DPW, less all previous payments and less all previous retained amounts. CITY's final payment to CONTRACTOR, agredfomalredernt 4-20 9 if unencumbered, or any part thereof unencumbered, shall be made thirty-five (35) days after the acceptance of the work and the fling of a Notice of Completion by CITY. Payments shall be made on demands drawn in the manner required by law, each payment to be accompanied by a certificate signed by DPW, affirming that the work for which payment is demanded has been performed in accordance with the terms of the Agreement and that the amount stated in the certificate is due under the terms of the Agreement. Partial payments on the Agreement price shall not be considered as a acceptance of any part of the work. 15. WITHHELD CONTRACT FUNDS, SUBSTITUTION OF SECURITIES At the request and at the sole cost and expense of CONTRACTOR, who shall retain beneficial ownership and receive interest, if any thereon, CITY shall permit the substitution and deposit therewith of securities equivalent to the amount of any monies withheld by CITY to ensure performance under the terms of this Agreement. 16. AFFIDAVITS OF SATISFACTION OF CLAIMS After the completion of the work contemplated by this Agreement, CONTRACTOR shall file with DPW its affidavit stating that all workers and persons employed, all firms supplying materials and all subcontractors working upon the PROJECT have been paid in full and that there are no claims outstanding against the PROJECT for either labor or material, except certain items, if any, to be set forth in CONTRACTOR`s affidavit covering disputed claims, or items in connection with Notices to Withhold, which have been filed under the provisions of the statutes of the State of California. 17. WAIVER OF CLAIMS The acceptance by CONTRACTOR of the payment of the final certificate shall constitute a waiver of all claims against CITY under or arising out of this Agreement. agreuror„:rreciml 4.20 10 18. INDEMNIFICATION, DEFENSE1OLD HARMLESS CONTRACTOR hereby agrees to protect, defend, indemnify and hold harmless CITY, its officers, elected or appointed officials, employees, agents, and volunteers from and against any and all, claims, damages, losses, expenses, judgments, demands defense costs, and consequential damage or liability of any kind or nature, however caused, including those resulting from death or injury to CONTRACTOR's employees and damage to CONTRACTOR's property, arising directly or indirectly out of the obligations or operations herein undertaken by CONTRACTOR, caused in whole or in part by any negligent act or omission of the CONTRACTOR, any subcontractors, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, including but not limited to concurrent active or passive negligence, except where caused by the active negligence, sole negligence, or willful misconduct of the CITY. CONTRACTOR will conduct all defense at its sole cost and expense and CITY shall approve selection of CONTRACTOR's counsel. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indemnification to be provided by CONTRACTOR. 19. WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE Pursuant to California Labor Code Section 1861, CONTRACTOR acknowledges awareness of Section 3700 et seq. of this Code, which requires every employer to be insured against liability for workers' compensation; CONTRACTOR covenants that it will comply with such provisions prior to commencing performance of the work hereunder. CONTRACTOR shall maintain workers' compensation and employer's liability insurance in an amount of not less than the State statutory limits. CONTRACTOR shall require all subcontractors to provide such workers' compensation and employer's liability insurance for all of the subcontractors' employees. CONTRACTOR shall agmc/fornWfcdcm14-20 11 furnish to CITY a certificate of waiver of subrogation under the terms of the workers' compensation and employer's liability insurance and CONTRACTOR shall similarly require all subcontractors to waive subrogation. 20. INSURANCE In addition to the workers' compensation and employer's liability insurance and CONTRACTOR's covenant to indemnify CITY, CONTRACTOR shall obtain and furnish to CITY, a policy of general public liability insurance, including motor vehicle coverage covering the PROJECT. This policy shall indemnify CONTRACTOR, its officers, employees and agents while acting within the scope of their duties, against any and all claims arising out or in connection with the PROJECT, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including products/complcted operations liability and blanket contractual liability, of One Million Dollars ($1,000,000) per occurrence. If coverage is provided under a form which includes a designated general aggregate limit, the aggregate limit must be no less than One Million Dollars ($1,000,000) for this PROJECT. This policy shall name CITY, its officers, elected or appointed officials, employees, agents, and volunteers as Additional Insureds, and shall specifically provide that any other insurance coverage which may be applicable to the PROJECT shall be deemed excess coverage and that CONTRACTOR's insurance shall be primary. Under no circumstances shall said above -mentioned insurance contain a self -insured retention, or a "deductible" or any other similar form of limitation on the required coverage. 21. CERTIFICATES OF INSURANCE: ADDITIONAL INSURED ENDORSEMENTS Prior to commencing performance of the work hereunder, CONTRACTOR shall furnish to CITY certificates of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverages as required by this Agreement; the certificates shall: I. provide the name and policy number of each carrier and policy; egm-1rorms/fedmI 4-20 12 2. state that the policy is currently in force; and 3. promise to provide that such policies will not be canceled or modified without thirty (30) days' prior written notice of CITY. CONTRACTOR shall maintain the foregoing insurance coverages in force until the work under this Agreement is fully completed and accepted by CITY. The requirement for carrying the foregoing insurance coverages shall not derogate from the provisions for indemnification of CITY by CONTRACTOR under the Agreement. CITY or its representative shall at all times have the right to demand the original or a copy of all the policies of insurance. CONTRACTOR shall pay, in a prompt and timely manner, the premiums on all insurance hereinabove required. CONTRACTOR shall provide a separate copy of the additional insured endorsement to each of CONTRACTOWs insurance policies, naming CITY, its officers, elected and appointed officials, employees, agents and volunteers as Additional Insureds, to the City Attorney for approval prior to any payment hereunder. 22. NOTICE OF THIRD PARTY CLAIM Pursuant to Public Contracts Code §9202, CITY shall provide notice to CONTRACTOR of receipt of any claim filed with CITY or a court of competent jurisdiction which arises out of performance of this agreement within ten (10) days of receipt of such claim or claims. 23. DEFAULT AND TERMINATION If CONTRACTOR fails or refuses to prosecute the work hereunder with diligence, or fails to complete the work within the time specified, or is adjudged bankrupt or makes an assignment for the benefit of creditors or becomes insolvent, or violates any provision of this Agreement or the Contract Documents, CITY may give CONTRACTOR notice in writing of its intention to terminate this Agreement. Unless the violation is cured within ten (10) days alter such Notice of Intention has agred£omWfedcm14-20 13 been served on CONTRACTOR, CITY may, without prejudice to any other remedy it may have, terminate this Agreement upon the expiration of that time. Upon such default by CONTRACTOR, CITY may elect not to terminate this Agreement; in such event CITY may make good the deficiency in which the default consists and deduct the resulting costs from the progress payments then or to become due to CONTRACTOR. If it is subsequently determined by a court of competent jurisdiction that CITY's termination of this Agreement under this Section was wrongful, such termination shall be converted to a termination for convenience under Section 23 and any damages shall be assessed as set forth in Section 23. 24. TERMINATION l"OR CONVENIENCE CITY may terminate this Agreement for convenience at any time with or without cause, and whether or not PROJECT is fully complete upon seven (7) calendar days written notice to CONTRACTOR. in the event of termination, under this Section CITY shall pay CONTRACTOR for value of work in place on the PROJECT through the termination period plus seven and one-half percent (7 % %) for overhead and profit less all such payments already made. Such payment by CITY shall be CONTRACTOR's sole and exclusive remedy for termination by CITY for its convenience and CITY shall have no further obligation to CONTRACTOR. 25. DISPOSITION OF PLANS. ESTIMATES AND OTHER DOCUMENTS CONTRACTOR agrees that upon completion of the work to be performed hereunder, or upon expiration or earlier termination of this Agreement, all original plans, specifications, drawings, reports, calculations, maps and other documents pertaining to this Agreement shall be delivered to CITY and become its sole property at no further cost. sgrWfbnxWfi:dcm14-20 14 26. NONASSIGNABILITY CONTRACTOR shall not sell, assign, transfer, convey or encumber this Agreement, or any part hereof, or any right or duty created herein, without the prior written consent of CITY and the surety. 27. CITY EMPLOYEES AND OFFICIALS CONTRACTOR shall employ no CITY official nor any regular CITY employee in the work performed pursuant to this Agreement. No officer or employee of CITY shall have any financial interest in this Agreement in violation of the California Government Code. 28. STOP NOTICES; RECOVERY OF ADMINISTRATIVE COSTS CITY shall be entitled to all reasonable administrative costs and necessary disbursements arising out of the processing of Stop Notices, Notices to Withhold, or any similar legal document. This obligation shall be provided for in the labor and materials payment bond required of CONTRACTOR. CITY may charge an administrative fee of One Hundred Dollars ($100) for every Stop Notice filed in excess of two (2), regardless of whether or not CITY is named in an action to enforce such stop notices. CITY may set off any unreimbursed cost or expense so incurred against any sum or sums owed by CITY to CONTRACTOR under this Agreement. 29. NOTICES Any notices, certificates, or other communications hereunder shall be given either by personal delivery to CONTRACTOR's agent (as designated in Section 1 hereinabove) or to CITY as the situation shall warrant, or by enclosing the same in a scaled envelope, postage prepaid, and depositing the same in the United States Postal Service, to the addresses specified below; provided that CITY and CONTRACTOR, by notice given hereunder, may designate different addresses to which subsequent notices, certificates or other communications will be sent: sgedfamslfcdcm14-20 15 TO CITY: City of Huntington Beach ATTN: 2000 Main Street Huntington Beach, CA 92648 30. SECTION HEADINGS TO CONTRACTOR: The titles, captions, section, paragraph, and subject headings, and descriptive phrases at the beginning of the various sections in this Agreement are merely descriptive and are included solely for convenience of reference only and are not representative of matcrs included or excluded from such provisions, and do not interpret, define, limit or describe, or construe the intent of the parties or affect the construction or interpretation of any provision of this Agreement. 31. INIMIGRATIO:�I CONTRACTOR shall be responsible for full compliance with the immigration and naturalization laws of the United States and shall, in particular, comply with the provisions of United States Code Section 1324a regarding employment verification. 32. LEGAL SERVICES SUBCONTRACTING PROHIBITED CONTRACTOR and CITY agree that CITY is not liable for payment of any subcontractor work involving legal services, and that such legal services are expressly outside the scope of services contemplated hereunder. CONTRACTOR understands that pursuant to Huntington Beach City Charter Section 309, the City Attorney is the exclusive legal counsel for CITY; and CITY shall not be liable for payment of any legal services expenses incurred by CONTRACTOR. sgreelf6mWfederal 4-20 16 33. TTORNEY'S FEES In the event suit is brought by either party to construe, interpret and/or enforce the terms and/or provisions of this Agreement or to secure the performance hereof, each party shall bear its own attorney's fees and the prevailing party shall not be entitled to recover its attorney's fees from the non - prevailing party. 34. INTERPRETATION OF THIS AGREEMENT The language of all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any of the parties. If any provision of this Agreement is held by an arbitrator or court of competent jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other whenever the context so indicates or requires. Nothing contained herein shall be construed so as to require the commission of any act contrary to law, and wherever there is any conflict between any provision contained herein and any present or future statute, law, ordinance or regulation contrary to which the parties have no right to contract, then the latter shall prevail, and the provision of this Agreement which is hereby affected shall be curtailed and limited only to the extent necessary to bring it within the requirements of the law. 35. GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State of California. 36. DUPLICATE ORIGINAL The original of this Agreement and one or more copies hereto have been prepared and signed in counterparts as duplicate originals, each of which so executed shall, irrespective of the date agmdronra,redcar 4-20 17 of its execution and delivery, be deemed an original. Each duplicate original shall be deemed an original instrument as against any party who has signed it. 37. CONSENT Where CITY's consentlapproval is required under this Agreement, its consent/approval for one transaction or event shall not be deemed to be consentlapproval to any subsequent occurrence of the same or any other transaction or event. 38. CALIFORNIA FAIR EMPLOYMENT AND HOUSING ACT CONTRACTOR agrees to comply with all requirements and utilize fair employment practices in accordance with California Government Code Sections 12900 et seq. 39. CALIFORNIA PREVAILING WAGE LAW. A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section 1774 and I775 of the California Labor Code, CONTRACTOR shall, as penalty to CITY, forfeit twenty-five dollars ($25) for each calendar day or portion thereof for each agreelromWfedmI 4-20 is worker paid (either by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 40. CALIFORNIA EIG1 IT-FIOUR LAW A. California Labor Code, Sections 1810 el seq, shall apply to the performance of this Agreement; thereunder, not more than eight (8) hours shall constitute one day's work and CONTRACTOR and each subcontractor employed by its hereunder, shall not require more than cight (8) hours of labor per day or forty (40) hours per week from any one person employed by it hereunder, except as stipulated in California Labor Code Section 1815. CONTRACTOR and each subcontractor employed by it hereunder shall, in accordance with California Labor Code Section 1812, keep an accurate record, open to inspection at all reasonable hours, showing the name and actual hours worked each calendar day and each calendar week by each worker employed in connection with the PROJECT. B_ Pursuant to this Agreement and in accordance with California Labor Code Section 1813, CONTRACTOR shall, as a penalty to CITY, forfeit twenty-five dollars (S25) for each worker employed hereunder by CONTRACTOR or any subcontractor for each calendar day during which such worker is required or permitted to work more than eight (8) hours in any one (1) calendar day or forty (40) hours in any one (1) calendar week in violation of California Labor Code Section 1815. 41. PAYMENT OF TRAVEL AND SUBSISTENCE ALLOWANCE Section 1773.8 of the California Labor Code, regarding the payment of travel and subsistence allowance is applicable to this PROJECT. agreedfon nVfcdcrat 4-20 19 42. EMPLOYMENT OF APPRENTICES Section 1777.5 of the California Labor Code, regarding the employment of apprentices is applicable to this PROJECT. 43. PAYROLL RECORDS CONTRACTOR agrees to keep accurate payroll record showing the name, address, social security number, work classification, straight time and overtime hours worked each day and week, and the actual per diem wages paid to each journeyman, apprentice or worker employed by it in connection with the PROJECT and agrees to require each of its subcontractors to do the same. CONTRACTOR further agrees that its payroll records and those of its subcontractors, if any, shall be available at all reasonable times to the CITY, and the employee or his representative, and the Division of Labor Standards Enforcement and the Division of Apprenticeship Standards, and to comply with all of the provisions of California Labor Code Section 1776, in general. 44. FEDERAL PARTICIPATION The PROJECT pursuant to which the work covered by this Agreement is being executed is being assisted by the United States of America. Several Agreement provisions embodied herein are included in this Agreement in accordance with the provisions applicable to such federal assistance. As federal funds are financing all or part of this work, all of the statutes, rules and regulations promulgated by the Federal Government and applicable to the work will apply, and CONTRACTOR agrees to comply therewith. 45. DAVIS-BACON ACT CONTRACTOR agrees to pay and require all subcontractors to pay all employees on said PROJECT a salary or wage at least equal to the prevailing rate of per diem wage as determined by the Secretary of Labor in accordance with the Davis -Bacon Act (40 USC Section 176a, el seq.) for each trait or type of worker needed to perform this Agreement. CONTRACTOR agrees to comply agmelroraWfedmi 4-20 20 with all applicable federal labor standards provisions; said provisions are incorporated herein by this reference. 46. DISCRIMINATION, MINORITIES, ALIENS CONTRACTOR shall not discriminate nor allow its employees, agents, principals, or subcontractors to discriminate against any employee or applicant for employment on the basis of race, religious creed, national origin or sex. CONTRACTOR shall take affirmative steps to hire local qualified minority individuals when job opportunities occur and utilize local business firms when possible. 47. EQUAL EMPLOYMENT OPPORTUNITY The CONTRACTOR will comply with all provisions of Executive Order 11246, entitled "Equal Employment Opportunity," and amended by Executive Order 11375, and as supplemented in Department of Labor regulations (41 CFR part 60). CONTRACTOR is required to have an affirmative action plan which declares that it does not discriminate on the basis of race, color, religion, creed, national origin, sex or age to ensure equality of opportunity in all aspects of employment. Section 503 of the Rehabilitation Act of 1973 (29 USC Section 701, et seq.) prohibits job discrimination because of handicap and requires affirmative action to employ and advance in employment qualified handicapped workers. Section 402 of the Vietnam Era Veterans Readjustment Assistance Act of 1974 (38 US Section 219 et seq.) prohibits job discrimination and requires affirmative action to comply and advance in employment (1) qualified Vietnam veterans during the first four (4) years after their discharge and (2) qualified disabled veterans throughout their working life if they have a thirty percent (30%) or more disability. agredfomWfcdcrat 4-20 21 To ensure compliance with these requirements, the CONTRACTOR shall provide the CITY its written affirmative action plan prior to commencement of work. The CONTRACTOR is required to provide the CITY with a listing of its subcontractors together with a completed affirmative action program from each subcontractor when applicable. 48. COPELAND "ANTI -KICKBACK" ACT CONTRACTOR and its subcontractors shall comply with the provisions of the Copeland "Anti -Kickback" Act (18 USC Section 874), as supplemented in Department of Labor regulations, which Act provides that each shall be prohibited from including, by any means, any person employed in the construction, completion, or repair of public work, to give up any part of the compensation to which he is otherwise entitled. 49. CONTRACT WORK FIOURS AND SAFETY STANDARDS ACT The CONTRACTOR shall comply with the provisions of Section 103 and 107 of the Contract Work Hours and Safety Standards Act (40 USC 327 et seq.) as supplemented by Department of Labor regulations (29 CFR, part 5). Under Section 103 of the Act each CONTRACTOR shall be required to compute the wages of every mechanic and laborer on the basis of a standard workday of eight (8) hours and standard workweek of forty (40) hours. Work in excess of the standard workday or workweek is permissible provided that the worker is compensated at a rate of not less than 1-1/2 times the basic rate of pay for all hours worked in excess of eight (8) hours in any calendar day or forty (40) hours in the workweek. Section 107 of the Act is applicable to construction work and provides that no laborer or mechanic shall be required to work in surroundings or under working conditions which are unsanitary, hazardous, or dangerous to his health and safety as determined under construction, safety and health standards promulgated by the Secretary of Labor. These requirements do not apply to the purchase of supplies or materials or articles ordinarily available on the open market or contracts for transportation. s&Tcc1fo mslrcdcm14-20 22 50. IMPLEMENTATION OF CLEAN AIR ACT AND FEDERAL WATER POLLUTION CONTROL ACT. A. CONTRACTOR stipulates that all facilities to be utilized in the performance of this Agreement were not listed, on the date of Agreement award, on the United States Environmental Protection Agency (EPA) List of Violating Facilities, pursuant to 40 CFR 15.20. B. The CONTRACTOR agrees to comply with all of the requirements of Section 114 of the Clean Air Act and section 308 of the Federal Water Pollution Control Act and all regulations and guidelines listed thereunder. C. The CONTRACTOR shall promptly notify the CITY of the receipt of any communication from the Director, Office of Federal Activities, EPA, indicating that a facility to be utilized pursuant to this Agreement is under consideration to be listed on the EPA List of Violating Facilities. D. The CONTRACTOR agrees to include or cause to be included the requirements of paragraph (a) thorough (d) of this section in every nonexempt subcontract, and further agrees to take such action as the Government may direct as a means of enforcing such requirements. 51. ENERGY CONSERVATION Agreements with federal participation shall recognize mandatory standards and policies relating to energy efficiency which are contained in the state energy conservation plan issued in compliance with the Energy Policy and Conservation Act (42 USC Section 5201, et seq.). agrcelformVtedc a! 4-20 23 52. IIOUSiNG AND URBAN DEVELOPMENT CONTRACTOR agrees to comply with any and all rules, regulations, guidelines, procedures and standards of the United States Department of Housing and Urban Development and complete any and all reports and forms that may be required in accordance therewith. 53. EN71RETY The foregoing, and Exhibit "A" attached hereto, set forth the entire Agreement between the parties. No waiver or modification of this Agreement shall be valid unless in writing duly executed by both parties. The parties acknowledge and agree that they are entering into this Agreement freely and voluntarily following extensive arm's Iength negotiations, and that each has had the opportunity to consult with legal counsel prior to executing this Agreement. The parties also acknowledge and agree that no representations, inducements, promises, agreements or warranties, oral or otherwise, have been made by that party or anyone acting on that party's behalf, which are not embodied in this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement, promise, agreement, warranty, fact or circumstance not expressly set forth in this Agreement. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized offices the day, month and year first above written. agredformslfedmi 4-20 24 CONTRACTOR print name ITS: (circle one) Chairman/President/Vice President AND By: print name ITS: (circle one) Secretary/Chief Financial Officer/Asst. Secretary - Treasurer REVIEWED AND APPROVED: City Administrator egredfomWfedcm14-20 25 CITY OF HUNTINGTON BEACH, a municipal corporation of the State of California Mayor ATTEST: City Clcrk APPROVED AS TO FORM: City Attorney INITIATED AND APPROVED: Director of Public Works RCA ROUTING SHEET INITIATING DEPARTMENT: PUBLIC WORKS SUBJECT: Award Construction Contract for Arterial Street Improvements CC1158 & CC1159 COUNCIL MEETING DATE: May 3, 2004 RCA ATTACHMENTS STATUS Ordinance wlexhibits & legislative draft if applicable) Not Appticabte Resolution (w/exhibits & legislative draft if applicable) Not Applicable Tract Map, Location Map and/or other Exhibits Attached Contract/Agreement (wlexhibits if applicable) Si ned in full by the City AHome Attached Subleases, Third Party Agreements, etc. (Approved as to form PX City Attome Not Applicable Certificates of Insurance LApprqvedbK the City Attorne Not Aeplicable Financial Impact Statement Unbud et, over $5,000 Not Appticabte Bonds If applicable) Not Applicable Staff Report 1f applicable) Not Applicable Commission, Board or Committee Report If a licable Not Applicable Findings/Conditions for Approval and/or Denial Not Applicable EXPLANATION FOR MISSING ATTACHMENTS REVIEWED RETURNED FO RDED Administrative Staff Assistant City Administrator initial CiV Administrator Initial City Clerk EXPLANATION FOR RETURN OF ITEM: mr-wut,,-,) 1 I -UK AL I IUN MEETING DATE: May 3, 2004 DEPARTMENT ID NUMBER: PW 04-030 . 03 JQ CVQ k,, s Analysis: In 2000, the Public Works Department applied for funding under the Orange County Transportation Authority (OCTA) Arterial Highway Rehabilitation Program for various street rehabilitation projects. The City was awarded funds for a total of fourteen street rehabilitation projects over three fiscal years, including Graham Street, CC-1158 (Warner Avenue to Heil Avenue), and Warner Avenue, CC-1159 (Graham Street to Springdale Street). The following table reflects the funding breakdown of awarded federal dollars and City matching funds required for the construction contract. Contingency costs and supplemental expenses are additional to the City matching funds. Street Project # Limits Award City Match (Gas Tax) Graham CC1158 Warner to Heil $ 57,054 $ 81,891.00 Warner CC1159 Graham to Springdale $232,991 $ 163,504.85 Total Project Cost: $290,045 $ 245,395.85 Rehabilitation of the roadways generally includes pavement crack sealing, grinding, selective pavement reconstruction and asphalt overlay. This project also includes placing new signing/striping, new traffic detection loops and adjustments of existing water valves, manholes and similar appurtenances to the new wearing surface. Pavement rehabilitation work of this nature will increase the life of the arterial streets by approximately 10 years. Bidding Contractor 1. All American Asphalt 2. R.J. Noble. 3. Alliance Streetworks 4. Sequel Contractors, Inc. 5. Palp., Inc., Excel Paving Co. 6. Elite Bobcat Service Bid Amount $546,840.85 (Corrected to $558,684.60 $562,447.00 (Corrected to $577,471.00 (Corrected to $578,343.07 $636,458.65 $535,440.85) $562,447.36) $574,851.15) The reference check for All American Asphalt provided acceptable responses from past clients. Therefore, staff recommends that the City Council accept the bid from All American Asphalt, the lowest responsive and responsible bidder. Public Works Commission Approval: The Public Works Commission recommended that City Council authorize the Director of Public Works to advertise the project for bids on May 21, 2003, by a vote of 5-0-2 (Absent Commissioners: Gartland and Johnson). Environmental Status: These projects are categorically exempt pursuant to the California Environmental Quality Act, Section 15301 (C). G:\R C A\2004104-030 May 3 Lee (Arterial Road Rehab CC1158 & CC1159).doc -2- 4/13/200410:56 AM le- J. TO: CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION CC- 1158 & CC-1159 Street Rehabilitation Improvements File. FROM: Larry J. Taite, Civil Engineering Assistant DATE: April 7, 2004 SUBJECT: Reference check for All American Asphalt, 400 E. Sixth Street Corona, CA 92879, (909) 736-7600, Fax No. (909) 739-4671 All American Asphalt A: City of Huntington B: City of Baldwin C: City of Norwalk State License No. 267073 Beach Park Name: Randy Class: A, C12 Name: Dave Verone Name: Arjan idnani Hillman QUESTIONS Phone:714-375-8471 Phone:626-960-4011, Phone:562-929-5723 Ext. 455 YES YES YES 1 Did contractor work well with your agency? NO NO YES: Project 2 Did they change personnel during the job? supervisor found a new job during the contract and subsequently was replaced, NO NO NO 3 Were there any problems with subcontractors or suppliers(stop notices ? YES YES YES 4 Did general and subcontractors work consistently on the project) YES YES _ YES 5 Was the project completed on time? GOOD EXCELLENT GOOD 6 How was the quality of the work? YES YES YES 7 Would you hire this general contractor again? YES 8 Are the contractors' and subcontractors' licenses current and verified with State Contractors License Bureau? Yes, (Contractor & Subcontractors' licenses are current and active). NO 9 Are there any citations or judgments on file against the contractor with the State Contractor's Licensing Board? No NONE NONE NONE 10 Comments: GAConstruction Contracts (C('s)\Ccl 158\Contract Reference Check-CC-1 159-1 159.doc Y A: Project & Contract Amount: Warner Ave., CC-1149 & Newland St., CC-1159 Rehabilitation, $525,958.39 (sub -contractor). 8: Project & Contract Amount: Street Improvements, $353.165.00. C: Project & Contract Amount: Shoemaker Avenue Rehabilitation, $156,524.00. CITY OF HUNTINGTON BEACH RLS No. REQUEST FOR LEGAL SERVICES Assn To Jennifer McGrath, City Attorney Date Date: Request made by: Telephone: Department: 5/4/2004 David Verone 8471 PUBLIC WORKS INSTRUCTIONS: File request in the City Attorneys Office. Outline reasons for this request and state facts necessary for City Attorney to respond. Please attach all pertinent information and exhibits. TYPE OF LEGAL SERVICES REQUESTED: ❑ Ordinance/Resolution ❑ Opinion ❑ Contract/Agreement (Allow 5-20 working days)* (Allow 20 working days)* (Allow 15-20 working days)* ❑ General Legal ® Document Review Assistance (Ongoing) (Allow 2-10 working days)* * All deadlines are based on the date the City Attome 's Office receives the RLS. This reque s r viewed and approved. i nature of Crepartment Head COMMENTS G04 SZ� Please identify all attachments to this RLS. Please review and approve "As to Form" the following contract documents furnished by All American Asphalt Company contractor for Graham Street and Warner Avenue street rehabilitation. RECEIVED Project CC 1158 & 1159 1. Payment Bond # 08727480 2. Performance Bond # 08727480 MAY 0 4 2004 3. Insurance accord 4. Agreement - for signature only (with attachment A) CltyotMumin9co�tieach CltyAttomey's Office Shaded areas for City Attorneys Office use only. This request for Legal Services has been assigned to Attorney extension His/her secretary is , extension Date Completed: RLS BONDS AND INSURANCE .doc 4/29/2004 1:50 PM CITY OF HUNTINGTON BEACH GRAHAM ST., CCA 158 & WARNER AVE., CCA 159 REHABILITATION BID DATE: APRIL 6, 2004 TIME: 2:00 PM ENGINEER'S ESTIMATE: $622,555 BID LIST No. BIDDER'S NAME RANK TOTAL BID AMOUNT 1 All American Asphalt 1 $546,840.85 2 Alliance Street Works 3 $562,447.00 3 Chrisp Company 4 Elite Bobcat Service 6 $636,458.65 5 Excel Paving Company 5 $578,343.07 6 Griffith Company l L.A. Signal, Inc. 8 Pavement Recycling Systems 9 R.J. Noble 2 $558,684.60 10 Sequel Contractors, Inc. 4 $577,471.00 11 Shawnan 12 Silvia Construction, Inc. 13 Stemdahl Enterprises, Inc. 14 Sully -Miller Contracting Company 15 16 17 18 19 20 21 22 23 24 25 file: Bid List CC-1158-1159.xls CITY OF HUNTINGTON BEACH GRAHAM ST., CC-1158 & WARNER AVE., CC-1159 REHABILITATION BID DATE: APRIL 6, 2004 TIME: 2:00 PM ENGINEER'S ESTIMATE: $622,555 (Graham St.: $160,250.22 & Warner Ave.: $462,304.56) FINAL BID RESULTS No. BIDDER'S NAME Graham St., CC-1158 Warner Ave., CC-1159 TOTAL BID AMOUNT 1 All American Asphalt $138,945.00 $396,495.85 $535,440.85 2 R.J. Noble $151,007.50 $407,677.10 $558,684.60 3 Alliance Street Works $148,455.00 $413,992.36 $562,447.36 4 Sequel Contractors, Inc. $154,008.00 $420,843.15 $574,651.15 5 Excel Paving Company $151,161.00 $427,182.071 $578,343.07 fi Elite Bobcat Service $176,022.00 $460,436.65 $636,458.65 Final Bid Including "ADDITIVE ALTERNATE" for Warner Ave., CC-1159 No. BIDDER'S NAME Graham St., CC-1158 Warner Ave., CC-1159 TOTAL BID AMOUNT 1 All American Asphalt $138,945.00 $407,895.85 $546,840.85 2 1R.J. Noble $151,007.50 $421,177.10 $572,184.60 3 Alliance Street Works $148,455.00 $426,592.36 $575,047.36 4 Sequel Contractors, Inc. $154,008.00 $432,843.15 $586,851.15 5 1 Excel Paving Company $151,161.00 $436,182.071 $587,343.07 fi jElite Bobcat Service $176,022.00 $469,436.65 $645,458.65 file: Bid List CC-1158-1159.xls CITY OF HUNTINGTON BEACH GRAHAM ST., CC-1158 & WARNER AVE., CC-1159 REHABILITATION BID DATE: APRIL 6, 2004 TIME: 2:00 PM ENGINEER'S ESTIMATE: $622,555 (Graham St.: $160,250.22 & Warner Ave.: $462,304.56) FINAL BID RESULT ANALYSIS No. BIDDER'S NAME Graham St., CC-1158 Warner Ave., CC-1159 TOTAL BID AMOUNT BID AMOUNT SUBMITTED CORRECTED DIFFERENCE 1 All American Asphalt $138,945.00 $396,495.85 $535,440.85 $546,840.85 -$11,400.00 2 R.J. Noble $151,007.50 $407,677.10 $558,684.60 $558,684.60 $0.00 3 Alliance Street Works $148.455.00 $413.992.36 $562.447.36 $562,447.001 $0.36 4 Sequel Contractors. Inc. $154,008.00 $420,843.15 $574,851.15 $577,471.00 -$2,619.85 5 Excel Paving Company $151,161.00 $427,182.07 $578,343.07 $578,343.07 $0.00 6 jElite Bobcat Service $176.022.00 $460,436.651 $636,458.65 $636,458.65 $0.00 Final Bid Result Analysis Including "ADDITIVE ALTERNATE" for Warner Ave., CC-1159 No. BIDDER'S NAME Graham St., CC-1158 Warner Ave., CC-1159 TOTAL BID AMOUNT BID AMOUNT SUBMITTED CORRECTED DIFFERENCE 1 All American Asphalt $138,945.00 $407,895.85 $546,840.85 $558.240.85 -$11,400.00 2 R.J. Noble $151,007.50 $421,177.10 $572,184.60 $572,184.60 $0.00 3 Alliance Street Works $148,455.00 $426,592.36 $575,047.36 $575,047.00 $0.36 4 Sequel Contractors, Inc. $154,008.00 $432,843.15 $58G,851.15 $589,471.00 -$2,619.85 5 Excel Paving Company $151.161.00 $436.182.07 $587,343.07 $587,343.07 $0.00 fi Elite Bobcat Service $176,022.00 $469,436.65 $645,458.65 $645,458.65 $0.00 file: Bid List CC-1 158-1 159.xfs •J J" City of Huntington Beach Project Name: GRAHAM STREET Public Works Department Bid Openning: April 6, 2004 @ 2:00 PM 2000 Main Street, P.O. Box 190 Engineer's Estimate: $160,250.22 Huntington Beach, CA 92648 Cash Contract # : CC-1158 BID SUMMARY All American Asphalt R.J. Noble Alliance Streetworks, Inc. Bidder 1 Bidder 2 Bidder 3 Item Contract Unit Unit Unit No. Description Quantity Unit Price Amount Price Amount Price Amount 1 Mobilization 1 L.S. $4,500.00 $4,500.00 $10,000.00 $10,000.00 $10,000.00 $10,000.00 2 Traffic Control Plan 1 L.S. $2,500.00 $2,500.00 $5,000.00 $5,000.00 $5,000.00 $5,000.00 3 Furnish Project Traffic Control 1 L.S. $4,500.00 $4,500.00 $1,200.00 $1,200.00 $4,000.00 $4,000.00 4 Cold Milling & Header Cutting 104400 S.F. $0.10 $10,440.00 $0.15 $15,660.00 50.14 $14,616.00 5 Construct Asphalt Concrete (Overlay, Full Depth, etc.) 2255 TON $40.00 $90,200.00 $41.60 $93,808.00 $41.00 $92,455.00 6 Pavement Reinforcement Fabric & Route and Seal of Cracks 564 S.Y. $11.25 $6,345.00 $8.00 $4,512.00 $6.00 $3,384.00 7 Traffic Striping 1 L.S. $10,200.00 $10,200.00 $10,000.00 $10,000.00 $9,000.00 $9,000.00 8 Traffic Loop 2 EACH $180.00 $360.00 $183.75 $367.50 $400.00 $800.00 9 Remove & Reconstruct Access Ramp 4 EACH $1,650.00 $6,600.00 $2,000.00 $8,000.00 $2,000.00 $8,000.00 10 Survey Monumentation 6 EACH $550.00 $3,300.00 $410.00 $2,460.00 $200.00 $1,200.00 11 0 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 12 0 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 13 0 0 0 $0 00 $0.00 $0 00 $0.00 -50.00 $0.00 14 0 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 15 0 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 16 0 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 17 0 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 18 0 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 19 0 0 0 $0.00 $0.00 $0.00 $0.00 $0,00 $0.00 20 0 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 21 0 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 22 0 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 23 0 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 24 0 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 25 0 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Bid: $138,945.00 $151,007.50 $148,455.00 Page 1 •� City of Huntington Beach Project Name: GRAHAM STREET Public Works Department Bid Openning: April 6, 2004 @ 2:00 PM 2000 Main Street, P.O. Box 190 Engineer's Estimate: $160,250.22 Huntington Beach, CA 92648 Cash Contract # : CC-1158 BID SUMMARY Sequel Contractors, Inc. Bidder 4 Unit Price Amount Item No. Description Contract Quantity Unit 1 Mobilization 1 L.S. $10,000.00 $10,000.00 2 Traffic Control Plan 1 L.S. $5,000.00 $5,000.00 3 Furnish Project Traffic Control 1 L.S. $4,000.00 $4,000.00 4 Cold Milling & Header Cutting 104400 S.F. $0.15 $15,660.00 5 Construct Asphalt Concrete (Overlay, Full Depth, etc.) 2255 TON $40.00 $90,200.00 6 Pavement Reinforcement Fabric & Route and Seal of Cracks 564 S.Y. $7.00 $3,948.00 7 Traffic Striping 1 L.S. $15,000.00 $15,000.00 8 Traffic Loop 2 EACH $900.00 $1,800.00 9 Remove & Reconstruct Access Ramp 4 EACH $1,500.00 $6,000.00 10 Survey Monumentation 6 EACH $400.00 $2,400.00 11 0 0 0 $0.00 $0.00 12 0 0 0 $0.00 $0.00 13 0 0 0 $0 00 $0.00 14 0 0 0 $0.00 $0.00 15 0 0 0 $0.00 $0.00 16 0 0 0 $0.00 $0.00 17 0 0 0 $0.00 $0.00 18 0 0 0 $0.00 $0.00 19 0 0 0 $0.00 $0.00 20 0 0 0 $0.00 $0.00 21 0 0 0 $0.00 $0.00 22 0 0 0 $0.00 $0.00 23 0 0 0 $0.00 $0.00 24 0 0 0 $0.00 $0.00 25 0 0 0 $0.00 $0.00 Total Bid: $154,008.00 p, Inc., Excel Paving Co. Bidder 5 Unit Price Amount Elite Bobcat Service Bidder 6 Unit Price Amount $5,000.00 $5,000.00 $6,500.00 $6,500.00 $2,500.00 $2,500.00 $2,500.00 $2,500.00 $5,500.00 $5,500.00 $8,000.00 $8,000.00 $0.17 $17,748.00 $0.15 $15,660.00 $41.00 $92,455.00 $52.00 $117,260.00 $9.50 $5,358.00 $18.00 $10,152.00 $11,000.00 $11,000.00 $-10,000.00 $10,000.00 $800.00 $1,600.00 $200.00 $400.00 $1.900.00 $7,600.00 $750.00 $3,000.00 $400.00 $2,400.00 $425.00 $2,550.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0 00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $151,161.00 $176,022.00 Page 2 Page 1 • City of Huntington Beach Project Name: WARNER AVENUE Public Works Department Bid Openning: April 6, 2004 @ 2:00 PM 2000 Main Street, P.O. Box 190 Engineer's Estimate: $462,304.56 1.15 Huntington Beach, CA 92648 Cash Contract # : CC-1159 BID SUMMARY Sequel Contractors Inc. Bidder 4 Unit Price Amount Item No. Description Contract Quantity Unit 1 Mobilization 1 L.S. $15,000.00 $15,000.00 2 Traffic Control Plan 1 L.S. $7,000.00 $7,000.00 3 Furnish Project Traffic Control 1 L.S. $9,280.00 $9,280.00 4 Cold Milling & Header Cutting 95721 S.F. $0.15 $14,358.15 5 Unclassified Excavation 755 C.Y. $35.00 $26,425.00 6 Construct Asphalt Concrete (Overlay, Full Depth, etc.) 6872 TON $40.00 $274,880.00 7 Pavement Reinforcement Fabric & Route and Seal of Cracks 800 S.Y. $7.00 $5,600.00 8 Adjust Sewer Manhole to Grade 16 EACH $300.00 $4,800.00 9 Adjust Water Valve to Grade 8 EACH $300 00 $2,400.00 10 Traffic Striping 1 L.S. $13,000.00 $13,000.00 11 Traffic Loop 18 EACH $300.00 $5,400.00 12 Remove & Reconstruct Curb & Gutter 830 L.F. $20 00 $16,600.00 13 Remove & Reconstruct Sidewalk 6225 S.F. $4 00 $24,900.00 14 Survey Monumentation 3 EACH $400.00 $1,200.00 15 0 0 0 $0.00 $0.00 16 0 0 0 $0.00 $0.00 17 JAdditive Alternate (Not Included In Engineer's Estimate) 0 0 $0.00 $0.00 18 JAdjust Sewer Vault Cover to Grade (Est. $1,500 Each) 3 EACH $0.00 $0.00 19 10 0 0 $0.00 $0.00 20 10 0 0 $0 00 $0.00 21 10 0 0 $0.00 $0.00 22 10 0 0 $0.00 $0.00 23 0 0 0 $0.00 $0.00 24 0 0 0 $0.00 $0.00 25 0 0 01 $o.00 $0.00 Total Bid: $420,843.15 p, Inc., Excel Paving Co. Bidder 5 Unit Price Amount Elite Bobcat Service Bidder 6 Unit Price Amount $15,000.00 $15,000.00 $9,750 00 $9,750.00 $5.000.00 $5,000.00 $6,000.00 $6,000.00 $10,000.00 $10,000.00 $13,000.00. $13,000.00 $0.17 $16,272.57 $015 $14,358.15 $25.00 $18,875.00 $52.00 $39,260.00 $41 00 $281,752.00 $43.00 $295,496.00 $6.75 $5,400.00 $18.00 $14,400.00 $215.00 $3,440.00 $285.00 $4,560.00 $275.00 $2,200.00 $225.00 $1,800.00 $15.500.00 $15,500.00 $10,250 00 $10,250.00 $210.00 $3,780.00 $200.00 $3,600.00 $25 00 $20,750.00 530 00 $24,900.00 $4.50 $28,012.50 $3 50 $21,787.50 $400.00 $1,200.00 $425 00 $1,275.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0 00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0 00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 j $0.00 $427,182.07 Bill= $460,436.6511 Page 2 Page 1 % J City of Huntington Beach Public Works Department 2000 Main Street, P.O. Box 190 LJ Huntington Beach, CA 92648 BID SUMMARY No. Descrl tion Quantity Unit 1 Mobilization 1 L.S 2 Traffic Control Plan 1 L.S 3 Furnish Project Traffic Control 1 L.S 4 Cold Milling & Header Cutting 95721 ST 5 Unclassified Excavation 755 C.Y 6 Construct Asphalt Concrete (Overlay, Full Depth, etc.) 6872 Tot 7 Pavement Reinforcement Fabric & Route and Seal of Cracks 800 S.Y 8 Adjust Sewer Manhole to Grade 16 EACF 9 Adjust Water Valve to Grade 8 EACF 10 Traffic Striping 1 L.S 11 Traffic Loop 18 EACF 12 Remove & Reconstruct Curb & Gutter 830 L.F 13 Remove & Reconstruct Sidewalk 6225 S.F 14 Survey Monumentation 3 EACF 15 0 0 1 16 0 0 1 17 Additive Alternate (Not Included In Engineer's Estimate) 0 1 18 Adjust Sewer Vault Cover to Grade (Est. $1,500 Each) 3 EACF 19 0 0 1 20 0 0 1 21 0 0 1 22 0 0 23 0 0 24 0 0 25 0 0 Total Bid Sequel Contractors Inc. Bidder 4 Unlit Price Amount $15.000.00 $15,000.00 $7,000.00 $7,000.00 $9,280.00 $9,280.00 $0.15 $14,358.15 $35.00 $26,425.00 $40.00 $274,880.00 $7.00 $5,600.00 $300.00 $4,800.00 $300.00 $2,400.00 $13,000.00 $13,000.00 $300.00 $5,400.00 $20,00 $16,600.00 $1.00I $24,900.00 $400.00 $1,200.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $4,000.00 $12,000.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 i $0.00 $0.00 $0.00 $0.00 i $0 00 $0.00 $0.00 $0.00 $432,843.15 Project Name: WARNER AVENUE Bid Openning: April 6, 2004 @ 2:00 PM Engineer's Estimate: $462,304.56 Cash Contract # : CC-1159 p, Inc., Excel Paving Co. Bidder 5 Unit Price Amount Elite Bobcat Service Bidder 6 Unit Price Amount $15,000.00 $15,000.00 $9,750.00 $9,750.00 $5,000.00 $5,000.00 $6.000.00 $6,000.00 $10,000.00 $10,000.00 $13,000.00 $13,000.00 $0.17 $16,272.57 $0.15 $14,358.15 $25.00 $18,875.00 $52.00 $39,260.00 $41.00 $281,752.00 $43.00 $295,496.00 $6.75 $5,400.00 $18 00 $14,400.00 $215.00 $3,440.00 $285.00 $4,560.00 $275.00 $2,200.00 $225.00 $1,800.00 $15,500.00 $15,500.00 $10.250.00 $10,250.00 $210,00 $3,780.00 $200.00 $3,600.00 $25.00 $20,750.00 $:10.00 $24,900.00 $11.50 $28,012.50 $ ; 50 $21,787.50 $400.00 $1,200.00 $425.00 $1,275.00 $0.00 $0.00 $0.00. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 , $0.00 $3,000.00 $9,000.00 $3.000.00 $9,000.00 $0.00 $0.00 $0 00 $0.00 $0.00 $0.00 $0 00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0 00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $436,182.07 $469,436.65 Page 2 CITY OF HUNTINGTON BEACH GRAHAM ST., CC-1158 & WARNER AVE., CC-1159 REHABILITATION BID DATE: APRIL 6, 2004 TIME: 2:00 PM ENGINEER'S ESTIMATE: $622,555 BID LIST No. ':. '.:.'BIDDER'S NAME'. :..' •` :.: RANK - " °TOTAL BID AMOUNT 1 All American Asphalt I S Li fe- 2 Alliance Street Works 5 4 7- m Ll -7. o 3 Chrisp Company 4 Elite Bobcat Service ms) -5 L 4 Vb. 5 Excel Paving Company ��� i,% e- 5 5'7 8 3 Li 3 . �'—�-- 6 Griffith Company 7 L.A. Signal, Inc. 8 Pavement Recycling Systems 9 R.J. Noble 55S 484 10 Sequel Contractors, Inc. 'Y J5 7 7 4- 11 Shawnan 12 Silvia Construction, Inc. 13 Stemdahl Enterprises, Inc. 14 Sully -Miller Contracting Company 15 16 - 17 18 19 20 21 22 23 24 25 file: Bid List CC-1158-1159AS CITY OF HUNTINGTON BEACH GRAHAM ST., CC-1158 & WARNER AVE., CC-1159 REHABILITATION BID DATE: APRIL 6, 2004 TIME: 2:00 PM ENGINEER'S ESTIMATE: $622,555 BID LIST No. BIDDER'S NAME ,.. ' :. RANK .- TOTAL BID AMOUNT. =. 1 All American Asphalt / ,5�l6,1gyo 2 Alliance Street Works 3 S62 yy�" 3 Chrisp Company 4 Elite Bobcat Service 6 636' y.s�g 5 Excel Paving Company ss S 3 s�3J 6 Griffith Company 7 L.A. Signal, Inc. 8 Pavement Recycling Systems 9 R.J. Noble y 10 Sequel Contractors, Inc. y g'ya 517/ 11 Shawnan 12 Silvia Construction, Inc. 13 Stemdahl Enterprises, Inc. 14 Sully -Miller Contracting Company 15 16 17 18 19 20 21 22 23 24 25 file: Bid List CC-1158-1159.xls NOTICE INVITING SEALED BIDS for CC-1158 & CC-1159 Notice is hereby given that sealed bids will be received by the City of Huntington Beach at the office of the City Clerk at City Hall, 2000 Main Street, Huntington Beach, CA 92648, until the hour of 2:00 P\1 on April 6, 2004, at which time bids will be opened publicly and read aloud in the Council Chambers for the GRAHAM ST. CC-1158 &WARNER AVE. CC-1159 REHABILITATION IMPROVEMENTS in the City of Huntington Beach. A set of plans, specifications, and contract documents may be obtained starting March 18, 2004 at City Hall, Department of Public Works upon receipt of a non-refundable fee of S45.00, sales tax included, if picked up or $65.00 if mailed. Each bid shall be made on the Proposal Form provided in the contract documents, and shall be accompanied by a certified or cashier's check or a bid bond for not less than 10% of the amount of the bid, made payable to the City of Huntington Beach. The Contractor shall, in the performance of the work and improvements, conform to the Labor Code of the State of California and other Laws of the State of California applicable thereto, with the exception only of such variations that may be required under the special statutes pursuant to which proceedings hereunder are taken and which have not been superseded by the provisions of the Labor Code. Preference to labor shall be given only in the manner provided by law. No bid shall be considered unless it is made on a form furnished by the City of Huntington Beach, Department of Public Works, and is made in accordance with the provisions of the proposal requirements. Each bidder must be licensed and also prequalifted as required by law. The City Council of the City of Huntington Beach reserves the right to reject any or all bids. By order of the City Council of the City of Huntington Beach, California the 16th of June 2003. Connie Brockway City Clerk of the City of Huntington Beach 2000 Main Street. (714) 536-5431 NIS&CC-1158-1159 NV 111t B1y118Rt for CC-11581 CC-1159 Notice is hereby given that sealed bids will be received by the City of Huntington Beach at the office of the City Clerk at City Hall, 2000 Main Street, Huntington Beach, CA 92648, until the hour of 2:00 PM on April 6 2004at which publicly and read aloud in t f nunC) Chambers for the HAM ST. CC-1158 i WARNER H U N TIN G T O N BEACH AVE. CC-1159 REHA- BILITATION IMPROVE- MENTSin the City of `ND �uL Huntington Beach. A set of plans, speci- fications, and contract documents may be obtained starting March 18, 2004 at City Hall, Department of Public Works upon receipt of a non-refundable fee of $45.00, sales tax included, if picked up or $65.00 if mailed. Each bid shall be made on the Proposal Form provided in the contract documents, and shall be accompanied by a car - Client Reference #_ CC— % J� Cc, tified or cashier's check or a bid bond for net inQton Beach Independent Reference # 03_5-30 less than 10% of the amount of the bid, made payable to the City of Huntington Beach. The Contractor shall, in the performance of the work and improvements, conform to the Labor Code of the State of California and other Laws of the State of California applicable thereto, with the ex- ception only of such variations that may be Derequired under the special statutes pursu- ant to which proceedings hereunder are taken and which have not been superseded by the provisions of the Labor Code. Preference to n labor shall be given only ping of your ad from th first publication, beginning on -2 in the _%.e by law, manner provided expiring on —�� No bid shall be con- sidered unless it is made on a form furnished by If the City of HuntDepartment an changes or corrections please call me at your Beach, Department of Y g � Public Works, and is ea made in accordance withace. the provisions of the proposal requirements. Each bidder must be Tr licensed and alsod 1$ Q O Cl prequalified as required w by law. The City Council of the City of Huntington Beach TT reserves the right to •ooperation and patronage. reject any or all bids By order of the City Council of the City of Huntington Beach, Cali- fornia the 16th of Junel 2003.. Connie Brockway ClClerk of the City of lHuntington Beach 2000 Main Street. (714) 536-5431 10 Published Huntington MJBeach Independent March 19, 25, April 1, 2W4 033-304 18682 Beach Blvd., Ste.160, Huntington Beach, California 92646 (714) 965-3030 Fax (714) 965-7174 A Publication of Times Community News • A Division of the flos Angeles (Times us/ 01) October 20, 2003 - Council/Agency Agenda - Page 111 E-13. (City Council) Approve Donation Agreement between the City of Huntington Beach College Police Academy Program for Training Purposes of Recruits (600.10) —1. Approve the donation of two (2) fully depreciated police vehicles to the Goldenwest College Police Academy Program for training purposes; and 2. Authorize the City Administrator to execute the agreement titled Donation Agreement between the City of Huntington Beach and Goldenwest College. Submitted by the Chief of Police. Funding Source: Not applicable. Approved 7 - 0 E-14. (City Council) Accept Bid and Award Construction Contract to Cora Constructors for Oak View Skate Park Plaza Project: CC-1216 10ak View Neighborhood Enhancement Area) — Authorize Transfer of Funds (Community Development Block Grant (CDBG} Program) (600.80) —1. Accept the lowest responsive, responsible bid submitted by Cora Constructors in the amount of $72,800 for the Oakview Skate Park Plaza Project, CC1216; and 2. Authorize Mayor and City Clerk to execute a construction contract with Cora Constructors in substantially the same foram as the attached sample construction: contract. Submitted by the Community Services Director, the Economic Development Director, and the Public Works Director. Funding Source: Budgeted funds include $59,200 from Community Development Block Grant (CDBG) Fiscal Year 2001/2002 account (Oakview Skate Park). Additional funding of $30,000 will be appropriated from the CDBG Unprogrammed Fund balance. Approved 7 - 0 E-15. (City Council) Adopt Resolution No. 2003-79 Authorizing Execution of State of California er Avenue Avenue Gothard Street Graham 5treet and Hamilton Avenue Anenai Construction Improvements: — CC1150 to 1156, 1158 and 1159 (600.20) — Adopt Resolution No. 2003- 79 - "A Resolution of the City Council of the City of Huntington Beach Authorizing the Mayor and City Clerk to Execute Program Supplement Nos. M020, M021, M022, M023, M024, M025, M026, M027 and M028 to Agreement No. 12-5181 for Yorktown Avenue, WamerAvenue, Magnolia Street, WamerAvenue, Springdale Street, McFadden Avenue, Gothard Street, Graham Street and Hamilton Avenue Construction Improvements.' Submitted by the Public Works Director. Funding Source: Matching funds for the grants are budgeted in the Gas Tax Fund. (Project Limits: Warner Avenue - Bolsa Chica to Sims Street; Springdale Street - McFadden Ave to Edinger Ave; McFadden Avenue - Goldenwest St, to 1405 Freeway/City Limits; Magnolia Street - Atlanta Ave to Indianapolis Ave; Gothard Street - Ellis Ave to Heil Ave; Hamilton Avenue - Bushard St. to Santa Ana River; Yorktown Avenue - Bushard St. to Brookhurst St.; Graham Street - Warner Ave to Heil Ave; Warner Avenue - Graham Street to Springdale Street) The DPW Staff reported on the scope of work being done on McFadden Avenue. Approved 7 - 0 CITY OF HUNTINGTON BEACH GRAHAM ST., CC-1158 & WARNER AVE., CC-1159 REHABILITATION BID DATE: APRIL 6, 2004 TIME: 2:00 PM ENGINEER'S ESTIMATE: $622,555 BID LIST No. ; BIDDER'S NAME`.'!. --.!'RANK TOTAL' BID AMOUNT :_ 1 All American Asphalt 2 Alliance Street Works �a 7. �6 3 Chrisp Company 4 Elite Bobcat Service ,Fjs� 5 Excel Paving Company / �p �� (� 6 Griffith Company 7 L.A. Signal, Inc. 8 Pavement Recycling Systems 9 R.J. Noble. 10 Sequel Contractors, Inc. ()o 11 Shawnan 12 Silvia Construction, Inc. 13 Sterndahl Enterprises, Inc. 14 Sully -Miller Contracting Company 15 16 17 18 19 20 21 22 23 24 25 file: Bid List CC-1158-1159.xls CITY OF HUNTINGTON BEACH., CA 2004 APR- Pal 1: 58 c: rile `J d1t? CITY OF HUNTINGTON BEACH 2000 Main Street P.O. Sox 190 Huntington Beach, CA 92648 LETTER OF TRANSMITTAL Attention: Connie Brockway - To: City Clerk's Office 2000 Main Street Huntington Beach, CA 92648 Fax (714) 374-1573 Date: Alfarrh 11. 2004 Project/C.C. No.: C.C. No. 11588 1159 Regarding: Graham Sr. & WamerAve. Rehabilitation improvements fresMtiyefy) ❑ We are sending you: ❑ By Mail ❑ By Fax Mail(Number of pages Including this sheet:) We are hand delivering: ❑ Attached ❑ Under a separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change Order ® Other, Notice Inviting 5esled Bids Rem I Co ies Description 1 1 —pages 1 Notice In!±nS Sealed Bids 2 lGraham SL CC-1158, 8 WamerAve. CC-1159 3 4 5 These are transmitted as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit Copies for approval For your use Approved as noted Submlt copies for distribution For your action ❑ Returned for corrections H Return corrected prints ❑ For reviewlcomment ❑ Other. Remarks: On June 16, 2003, the City Council authorized the advertisement of the Graham St & Warner Ave. Rehabilitation Improvements projects. Please find attached the Notice Inviting Sealed Bids for advertisement on 3/18/04, 3/25/04 R 4/1/04. The bid opening is scheduled for 4/6/04. Please contact me at 536-5590 with any questions you may have. o- By: 14;5e Civil Engineering Assistant G:\COWMLICn N COMXI% M (CCS)\CC13 Sri\CORxrsr\.NM TRJ.*sn NALTOOLUDOC Ci i Y OF HUNTINGTON BEACH MEETING DATE: June 16, 2003 DEPARTMENT ID NUMBER: PW 03-034 Council/Agency Meeting Held: L & 3 Deferred/Continued to *11pproved ❑ Conditionally Approved ❑ Denied _ City Clerk's Signat re Council Meeting Date: June 16, 2003 Department ID Number. PW 03-034 SUBMITTED TO: SUBMITTED BY: REPARED BY: SUBJECT: CITY OF HUNTINGTON BEACH REQUEST FOR ACTION HONORABLE MAYOR AND CITY COUNCIL MEME RAY SILVER, City Administrator ae&-f ROBERT F. BEARDSLEY, Director of Public Works AUTHORIZE ADVERTISEMENT OF ARTERIAL HIGHWAY REHABILITATION PROJECTS; CC-1150 TO CC-1156, CC-1158 & CC-1159 Statement of Issue, Funding Source, Recommended Action, Alternative Action(s), Analysis, Environmental Status, Attachment(s) Statement of Issue: Plans and specifications are complete for the following nine (9) Arterial Highway Rehabilitation Projects, and permission to advertise the projects is requested: • Warner Avenue CC-1150� • Hamilton Avenue CC-1155 e Springdale Street CC-1151 • Yorktown Avenue CC-1156 oK • McFadden Avenue CC-1152 • Graham Street CC-1158 • Magnolia Street CC-1153 01 • Warner Avenue CC-1159 ok • Gothard Street CC-1154 Fundina Source: A combination of Federal Arterial Highway Rehabilitation Program (AHRP) Grant and Gas Tax Funds will be used. The following breakdown identifies the allocation of funding: Gas Tax $1,448,976 Federal AHRP Grant $1,333,211 Total Project Construction Funding $2,782,187 Project funds in the full amount are budgeted in the Gas Tax, Arterial Rehabilitation, Street Improvements Account No. 20790008.82300. Recommended Action: Motion to: Approve the project plans and specifications and authorize the Director of Public Works to request bids for the Arterial Highway Rehabilitation Projects, CC-1150 to CC-1156, CC-1158 & CC-1159. G.\R C A\2003\03-034 June 16 Lee (OCTA-AHRP) doc -2- 5/29/2003 8:11 AM / / REQUEST FOR ACTION MEETING DATE: June 16, 2003 DEPARTMENT ID NUMBER: PW 03-034 Alternative Action(s): Deny approval of the arterial highway rehabilitation projects and forego the rehabilitation projects and their respective awarded federal funds. Analysis: In 2000, the Public Works Department applied for funding under the Orange County Transportation Authority's (OCTA) Arterial Highway Rehabilitation Program for various street rehabilitation projects. As a result of the applications, the City was awarded funding for fourteen street rehabilitation projects over three fiscal years. The remaining nine streets were awarded funding for Fiscal Year 2002-2003, which are as follows: Street Project # Limits Award City Match 1. Warner CC-1150 Bolsa Chica to Sims $ 82,973 $ 132,849 2. Springdale CC-1151 McFadden to Edinger 230,781 65,270 3. McFadden CC-1152 Goldenwest to 1-405/City Limit 98,947 182,862 4. Magnolia CC-1153 Atlanta to Indianapolis 117,107 183,651 5. Gothard CC-1154 Ellis to Heil 190,923 461,419 6. Hamilton CC-1155 Bushard to Santa Ana River 89,227 119,699 7. Yorktown CC-1156 Bushard to Brookhurst 66,199 128,525 8. Graham CC-1158 Warner to Heil 57,054 95,911 9. Warner CC-1159 Graham to Springdale $400,000 78,790 Total $1,333,211 $1,448,976 Rehabilitation of the roadways generally includes pavement crack sealing, grinding, selective pavement reconstruction and asphalt overlay. The project also includes new curb access ramps, curb, gutter, sidewalk, signs and striping and traffic detection loops, as well as the adjustment of valves and manholes to the new surface. Pavement rehabilitation work of this nature will increase the life of the arterial streets by approximately ten years. The awarded amount is reimbursable to the City for construction and engineering costs. The estimated cost for all nine projects is $2,782,187. The project will be advertised after Caltrans approves the plans, specifications and estimate. Approval is anticipated within the next 60 days. Public Works Commission: The Public Works Commission reviewed and approved this project on May 21, 2003, by a vote of 5-0-2 (Commissioners Gartland & Johnson absent). Environmental Status: These projects are Categorically Exempt pursuant to the California Environmental Quality Act, Section 15301 (C). Attachment(s)• RCA Author: DSL:jm G:\R C A\2003\03-034 June 16 Lee (OCTA-AHRP).doc -3- 5/29/2003 8:11 AM T tr=� EdU;�T#NG;►�Cti SEACt#, CA'--. � 2904 -APR - h P 1 : STREE(uV�0" INC- ALL1P►NC�r _ 3873 E. Fagle Drive mom, CA 92807 c ('4,-/ O-ef k 4.,, �e a C?otoo� C) _ IWO l netAve, Cc 1 / 59 oPe„k,; Apl) 6,aa� � ALLIANCE STREETWORKS, INC. 3873 E. Eagle Drive City of Huntington Beach Anaheim, GA 92807 Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For GRAHAM STREET REHABILITATION -CC 1 158 FROM WARNER AVENUE TO HEIL AVENUE STPL 5181 1�42 AND WARNER AVENUE REHABILITATION - CC 1159 FROM GRAHAM STREET TO SPRINGDALE STREET STPL 5181 �47 ._I, March 18, 2004 Notice To A11 Bidders: Please note the fotiovhng clairification to the Project Plans, SpecYicatlons, and Technical Provisions: Contractor shall start construction work on CC 1159 (Warner Avenue) before CC 1158 (Graham Street). Due to newly installed Orange County Sanitation District (OCSD) sewer main system, the following describes the change in quantities for various bid items. Contractor is to provide an Additive Alternate Bid item to adjust three (3) sewer utility vault covers to grade under CC 1159 (Warner Avenue). At this time, It is the City of Huntington Beach's understanding that OCSD's contractor is responsible to adjust the 3 sewer utility vault covers to grade after Warner Avenue is overlayed. See attached Revised Project Bid Schedules for CC 1159 and CC 1158 to reflect new quantities and the additional Additive Alternate Bid Item as described above. CC 1159 (Warner Avenue) A. Eliminate all asphalt removal areas along eastbound lanes on Warner Avenue between Station 10+00 to Station 26+52. B. Adjust newly Installed sewer manholes to grade (see attached OCSD plan} P10, Station 91+60.90, Station 93+99.72, Station 94+32.53; plan P11, Station 95+70.02, 96+55.66). C. Change from "protect In place" to "adjust sewer manhole to grade" for one existing sewer manhole (see Street Rehabilitation Plan, Sheet 3 of 3, Station 36+80.56). D. Adjust three (3) newly installed sewer vault covers (Additive Alternate Bid Item) to grade (see attached OCSD plan P9, Station 81+28.10, Station 86+43.10; plan P10, Station 90+08.03). See 8.5" x 'I1" detail for future raising of the sewer vault covers (0.3 feet) by 'tetra Tech (transmittal dated March 18, 2004, total of 2 sheets). E. Change westerly construction limit from Station 9+54 to 10+92, and void Detail A on Street Rehabilitation Plan, Sheet 2 of 3. With this change, add a 25' wide cold mill (see Street Rehabilitation Plan, Sheet 'I of 3, detail 9 for Transverse join) between Station 10+92 to Station 11+17. Result in change will reduce quantities for detector loops, asphalt overlay, and cold mill. CC 1158 (Graham Street) A. Change southerly construction limit from Station 10+66.22 to 11+00. Result in change will reduce quantities for detector loops, asphalt overlay, and cold mill (see Street Rehabilitation Plan, Sheet 2 of 3). ALUANCE STREETWORKS, INC. Additional plans from OCSD are attached for reference only (see attached OCSD plan G1, P8, S2, S3, D5 and D6). This modification changes the Engineees Estimate for this project from $631,755 to $622,555. This is to acknowledge receipt and review of Addendum Humber one, dated March 18, 2004. ALLIANCE STREETWORKS, INC. Company Name Date y 14A,Jd P. 6eod.,pr, Res, e oA r An bidders must ackricmiedge the receipt of this Addendum with your bid proposal. Should you have any questions regarding this Addendum, please call Duncan Lee at (714) 375 5118. SECTION C PROPOSAL for the construction of ALLIANCE STREETWORKS, INC. 3873 E. Eagle Drive Anaheim, CA 92807 I. GRAHAM STREET REHABILITATION - CC 1158 FROM WARNER AVENUE TO HEIL AVENUE H. WARNER AVENUE REHABILITATION - CC 1159 FROM GRAHAM STREET TO SPRINGDALE STREET in the CITY OF IIUtiTINGTON BEACH TO TI1E HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTItiGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 75 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 ALLIANCE STREETWORKS, INC. Ifawarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find ' in the amount of which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidders Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Dare Received Bidder's Signature 'gl# C-2 ALLIANCE STREETWORKS, INC. SECTION C REVISED PROJECT BID SCHEDULE Graham Street, CC-1158, STPL - 5181 (142) Warner Avenue, CC-1159, STPL - 5 18 1 (147) PRO.IECT BASE BID. - TOTAL AMOUNT LUMP SUM BID IN FIGURES: TOTAL AMOUN�^jT L(�UMP SUM BID Z WORDS: II In.IL SfVI- CPL' at. PROJECT ALTERNATIVE: The Additive Alternate Bid, Project Alternative, below is an integral part of this proposal, and to be responsive, the bidder shall quote a price for the Additive Alternate ldentified/listed below. The City shall award the contract on the basis of the Project Base Bid alone. ESTIMATED =ITEM WITH UNIT PRICE WRITTEN IN =_=.'y UNIT.PRICE EXTENDED QUANTITY - _ _ : - ` WORDS - _ :- :. =_ '. _ : _ AMOUNT.. 3 Adjust Sewer Vault Cover to Grade (P r Addendum #1, CC 1159, Item D.) $ ').00 $ Irlat5 Each r!J Dollars 2 t Cents C-2.1 ALLIANCE STREETWORKS, INC. GRAHAM STREET REHABILITATION IMPROVEMENTS CC No. 1158 STPL - 5181 (142) C-2.2 AWANCE STREETWORKS, INC. GRAHAM STREET (CC-1158) REVISED PROJECT BID SCHEDULE ITEM :ESTIMATED ;'..JTEM WITH UNIT PRICE WRITTEN IN =:. UNIT PRICE: .EXTENDED No.,- --QUANTITY ; : WORDS = = - `-AMOUNT';- 1 1 Mobilization $ $ 1 D, G0D. L.S. @ er -bu5a.d Dollars 2Pfo Cents 2 1 Traffic Control Plan L.S. r=1qVf4 r Dollars pro Cents 3 1 Fumish Proje tt Traffic Control $ $ 4-4 Oda i L.S. @ F-4 c, w I s l,14 J _ _Dollars Z t ro Cents 4 104,400 Cold Milling & Header Cutting $. GI $ Iy S.F. @ 'Z t r o Dollars (^ c r MI Cents 5 2,255 Construct Asphalt Concrete (Overlay, Full Depth, $ Ton etc.) @ r o O h t Dollars Z c e e Cents 6 564 Pavement Reinforcement Fabric 8 Route and $ e� $ J 5 9 Lt �'- S.Y. Seal of Cracks @ Dollars r r ! Cents 7 1 Traffic Striping $ Ci uoo $ `i b � L.S. @ /V •% 0- M e a s k-. Dollars r. Cents 8 2 Traffic Loop $ LAOO $ oa Each 14 �} Dollars r� Cents 9 4 Remove8 Reconstruct Access Ramp $ $ 0v Each @ I w3 k t'vI.1._j Dollars 1/0 Cents 10 6 Survey Monume Cation $ as $ 1 'l da Each @ hit) 1Y Dollars Z Cents Sub Total Base Bid Amount. Bid in Figures: $1 L4 S Li S S. Sub Total Base Bid A/moui1[1t, Rid in Words;--, 1�J1 11/� I/+ 11111 �'lr�-V `-. �4I � /1 h r!J` V 4 S►. f14n r �h T'� F1 11 , Oki Ztro CC n)' , C-2.3 ALLIANCE STREETWORKS, INC. WARNER AVENUE REHABILITATION IMPROVEMENTS CC N'O.1159 STPL - 5181 (147) C-2.4 ALLIANCE STREETWORKS, INC. WARNER AVENUE (CC-1159) REVISED PROJECT BID SCHEDULE ITEM ESTIMATED =_ ITEM WITH UNIT PRICE WRITTEN_ IN'---.:'- UNIT PRICE: .EXTENDED .-NO.-. --QUANTITY•: ;, "--;WORDS': "' =AMOUNT =` . 1 1 Mobilization $ $ L.S. �1_ @,i7cPI� 'ThotzS^L,� Dollars 2ero Cents 2 1 Traffic Control Plan L.S. @ SP_JpR Dollars 76-ro Cents 3 1 Furnish Project Traffic Control $ 006 $ G, .12 U a L.S. @ TLI ,-, r'-4,y Dollars P. f ✓, Cents 4 95,721 Cold Milling & Header Cutting $ lO $ ISM rS S.F. @ `Z( o Dollars .. Cents 5 755 Unclassifi Exc vatio $ S $ f Y 7 C.Y.. @ it w e .-S. �-;_s[ t— Dollars Cents 6 6,872 Construct Asphalt Concrete {Overlay. Full Depth, $ L4.1 $_ Y1 Ton etc.) /� @ f- o L. r .. b o Dollars Cents 7 800 Pavement Reinforcement Fabric & Route and $�� $Ll too_ S.Y. Seal of Cracks @ S'.1 Dollars ere Cents 8 16 Adj st Sewer Manhol to Graf Each @ w o r r Dollars r r Cents 9 8 Adjus Water Valy rto Gr de $ oo $ o Each @i Il,r! L H L,�,�I() Dollars -'L 7 ro Cents 10 1 Traffic Stdpin $Q -.Do— $^ Lp L.S. @ /�J'.r`� 1114M��, - _ -Dollars Z (r� Cents 11 18 TraffQLoop ui $ 0 Q $ p� Each @ Iyo .•,Sr Dollars Z t r a Cents 12 830 Remove & Rconst t Curb & Gutter $ S $ 0 -7 5 ToL.F. @ 1-.. C Dollars r„ . Cents 13 6.225 Remove & R nstruct Sidewalk S.F. @ ``,. �' r Dollars r a Cents 14 3 Surv4y Monumentatipon $ o o Each @ i w u� �Y r a 1 - Dollars Cents Sub Total Base Bid Amount, Bid in Fi ures: $ SubTotal ase Bid A ig. Lntt�, Bi in Words: I/�►r i �/��/ --jam { r01gY 'tl 1 "I I ►�ir (Fh �1,1�k �n� 1 Yin L�rrU 1 �Jr' 1L14 C-2.5 ALLIANCE STREETWQRKS, INC. bt'f,oak Sweej 5c, y LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion of Irork Name and Address of Subcontractor State License Number Class 4 C S s r VIA I t f . 'A in r� 1 n n ' �� r t 4. nSet. A f— 1 7 By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 ALLIANCE STREETWORKS, INC. NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange Am cI P(�dt-dg ,�r , being first duly sworn, deposes and says that he or she is UeC,'Ae„f of Alf ��1rlor�kt,�rc_ the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sharp bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. ALLIANCE STREETWORKS, INC. Name of Bidder Signature of BidderP. r AWANCE STREMORKS, INC. 3873 E. EaQle Drive Address of Bidknhelm,CA92807 Subscribed and sworn to before me this day of , 200 _ . NOTARY PUBLIC SLC' 14wA(HGD NOTARY SEAL C-4 ALLIANCE STREETWORKS, ING. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT 'State of California ss. County of On , before me, GORDON D. KLINE, JR., NOTARY PUBL1G " We Nam "Too of oftV (e 9 •Jane Doe. Notary PW'r—) personally appeared tj CORDON DALE KUNE)P, rr �ACOMft#f360M •�ro'.tt- NOTARTPU&1in ' LOS ANGEU ColJtvrr " Cor E-tuna !• M N rya) of Spnarlat personally known to me ❑ proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that helshelthey executed the - same in his/her/their authorized capacity(ies), and that by hislherltheir signatures) on the instrument the person(s), or the entity upon behalf of which the person(s) ai tq. executed the instrument. WITNESS my hand and official seal. . ..(�.SamL Plana Ndary Seal Above sgrature OF Not&y P„bK OPTIONAL Though the information below is not required by taw, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document D Title or Type of Document: Document Date: Numb& of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: ❑ Individual fora ❑ Corporate Officer --- Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other_ Signer Is Representing: 0 1997 National Notary AssoWLon ..9350 Do Soto Ave.. P.O. Box 2402 • ChalswoM CA 91313.2402 Pmd.14o. 5907 Re~.. Can Tam -Free 1400.aMM7 ALLIANCE STREE ORKS, INC. UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the IMPROVEMENTS, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, isfamiliar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal -OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Date: Ll lKlog _ __ ALLIANCE STREETWORKS, INC. Contractor C-5 ALLIANCE STREETWORKS, INC. DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? � ❑ lo Yes /No If the answer is yes, explain the circumstances in the space provided. Dote: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 AWANCE STREETWORKS, INC. COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. 1 am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and 1 will comply with such provisions before commencing the performance of the work of this contract. Date:14) 6 1 A q _ ALLIANCE STREETWORKS, INC. Contractor .� A- If./ r i ? ♦ I rl q1 h , • A M = A C-7 AWANCE STREETWORKS, INC. UNDERGROUND SERVICE ALERT IDENTIFICATION NUMBER (To be completed only by the awarded Contractor prior to excavation) No excavation will be permitted until this form is completed and returned to the AGENCY. Section 4216/4217 of the Government Code requires a Dig Alert identification Number be issued before a Permit to Excavate will be valid. To obtain a Dig Alert identification Number, call Underground Service Alert at 1-800-4224133 a minimum of two working days before scheduled excavation. Dig Alert Identification Number: ,Atv,rd ,e c[ �6 A4 1 i uiGe . ALLIANCE STREEMORKS, INC. Contractor By P 6ard4pr.Ne.,k.-de,, Title Date: -q 1/4 Note: This form is required for every Dig Alert Identification Number issued by U.S.A. during the course of the Work. Additional forms may be obtained from the AGENCY upon request. C-8 AWANCE STREETWORKS, INC. BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: _ ALLIANCE STREEMO_R_ KS INC. _ w Bidder Name 3873 E. Eagle Drive Anaheim, CA 92807 Business Address City, State Zip 6 9B - Telephone Number oa / A State Contractor's License No. and Class Original Date Issued Expiration Date The work site was inspected by _6hrt�L'►._K_!� of our office on 200� The following are persons, firms, and corporations having a principal interest in this proposal: ALLIANCE STREETWORKS, INC. KoAoj � P. 6ctr,,n vr. +f r el;'A ono C-9 ALLIANCE STREETWORKS, INC. The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, Financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. ALLIANCE STREETWORKS, INC. Companny0 Name Signature of Bidder Printed or Typed Signature Subscribed and sworn to before me this Y day of , 20d . NOTARY PUBLIC ^ 5jEF NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1. — -0 Name and Address of Public Agency 2. 3. Name and Telephone No. of Project Manager: Contract Amount Name and Address of Public Agency Type of Work Name and Telephone No. of Project Manager: Contract Amount Name and Address of Public Agency Type of Work Name and Telephone No. of Project Manager: Contract Amount Type of Work C-10 Date Completed Date Completed Date Completed ALLIANCE STREEiWORKS, INC. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California ss. County of A.Q On ,before me, GORDON D. KLINE, JR., NMRY PUBLIC , [e _ Nome end T" of otter (ep.,'duu Doe. Notary PwfiK) personally appeared At taORt70N DALE K11NE jR H T �} COMK N 1360290 D NOTARY FUELGCA1.lFO �p Q w}r LOS ANGELES COUNTY MY Gomm. 51P J _ 9. M On/Nen,e(sl of &Vfw(s) personally known to me ❑ proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that helshelthey executed the - same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or tq� entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Pfau Notary sae[ Abon Sgnam,ra a PubK OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document s Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer Numbef of Pages: Signer's Name: = ❑ Individual Top o1 Qwmb heir ❑ Corporate Officer -- Title(s): ❑ Partner —0Limited ❑ General ' ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 0 19g7 National Notary AeaaNewn -9M De Soto Ave.. P.O. Box 24M • chetawarlfi. CA 91313-2402 Prod. No. 5907 Reorder. CO Tbe•Fna 14t)0•8764827 ;AALLLUin, g C ALLIANCE STREETWORKS, INC. rlivillwr 4 ijE] f N C O R P o R A T E U 39731: Eagle Drive, Anaheim, CA 92907 • Tel: (714) 6M.7165 • Fax: (714) 69&7195 • L1cl 912921 STATEMENT OF EXPERIENCE 1. Job: Street Reconstruction Brompton & Acacia Value: $ 91,955.00 Completion Date: December 2002 Agency: City of Bell 6330 Pine Ave. Bell, CA 90201-1291 Contact: Luis Ramirez (323) 588-6211 ext. 22 2. Job: Pavement Resurfacing Value: $ 191,144.00 Completion Date: December 2002 Agency: City of Yorba Linda 4845 Casa Loma Ave Yorba Linda, CA 92886 Contact: Fernando Saldivar (714) 961-7170 3. Job: Left Turn Pockets Improvements Value: $ 167,800.00 Completion Date: April 2003 Agency: City of Laguna Niguel 27791 La Paz Rd. Laguna Niguel, CA 92677 Contact: Nicholas Renn (949) 362-4341 4. Job: Hacienda Blvd. Value: $ 336,794.00 Completion Date: May 2003 Agency: Los Angeles County Dept. of Public Works 900 S. Fremont Ave. Alhambra, CA 91803-1331 Contact: Joseph Rhyu (626) 300-4729 5. Job: Saturn Ave. Street Improvements Value: $ 199,500.00 Completion Date: May 2003 Agency: City of Huntington Park 6550 Miles Ave. Huntington Park, CA 90255 Contact: Pat Fu (323) 584-6253 AWANCE STREETWORKS, IM CITY OF HUNTLNGTON BEACH BIDDERS LIST All Bidders,'proposcrs are required to provided the following infarmation for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. Firm Name: AWANCE SMEETWORKS, INC. Phone: (9j- , 6 8e -?16 5 3873 E. Eagle Drive Address: Anaheim, CA 92807 Fax: $- .Contact Person: RzAeM P� (xyj'l "r No. of years in business Is the firm currently certified as DBE under 49 CFR Part 25? YES N4 Type of worMerviceslmaterials provided by find?_ aLw .� C�n�Y'r What was vour firm's Gross Annual receipt's for last year? n Less than S1 Million `Less than SS Million o Less than S14Nli11ion o Less than $15 Million o Nfore than SU Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 LecalA3ststanee rroceaures manusi • PS&E Checklist Instructions ALLIANCE STREETWORKS, 11=17t C {TIIDBIDDER'SMCU1702VOiV =S7GiVA7ME POMOiV OFTHISPROPOSAL SHA 2ALSO CO2==A,NMW0A E TANDEXECUMNOFTHOSE CE=CdT70iVS WMCHARE A PART OF =AROPOSfi.L) EQUAL-FVTL0Y n OPPORTTUTN= CERnF1CAn0T AlUANCE MEETWORKS, INC. The bidde. preposc3 subcontractor hereby certifies that -he has has not---.-, participated in a previous contract or sub cantma subject to the equal cpportuniiy clauses, as required by Executive Orders 10925,11114, or 11246, and tlg where required, he has filed with the Joint Reporting Committee, the Director of the Office of federal Contract Compliance, a Federal Government contracting or admin ist`rbg agency, or the former President's Committre on Equal Employment Opportuak, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal F.mplovmect Oppormaity Regulatians of the Sec: etxy of Labor (41 CFR 60-1.7(b) (1)), and mast be submitted by bidders and proposed subccntractots only in connection with contracts and subcont-acts which are subject tothe equal opportunity clause, Contracts and subcontr= which are exempt from the equal epgorumity clause aresee forth in 41 CFR 60.1.5. (Generally only contracts or subcontracts ofS10,000 or under are examlrt.) Currently, Standard Form 100 (EEO-1) is the only report required by the Eaecu`ive Orders cr their implementing regulations. ' Proposed pri-me contractors and subcontrac*.ors who }rave participated in a previous contact or subcontract svij ect to the Ex—ecutive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such coctractor submits a report covering the delinquent period or such other period specified by the Federal Eghway Administration or by the Dircc*rar, Office of Federal Coarser Compliance, U.S. Department of Labor. C-12 Page 12-45 Local Assistance Procedures Alutial SIT 12-£ l n&E CheckUst Instructions Attachment G ' DISCLOSURE OF LOBBYING ACTIVITIES Ccindete this form to disclose fahbyina actMfps nurntrant to 31 11.S n. 'l. Type of Federal Action: T. Stabs of Federal Action: 3. ' Repatt Type; A !L bintlal maw tL dtarge tL ran d matew . d. °ff'��° c p For dlatertal Change Qnly: s. ban7"..:ee L ran k0mcs year—:-- , arw date of last meat 4. Hame d Adress of Repotting Entity: S. If Reporting EntPy in No.4 Is Subawardee. Enter Prim Sutawa'dee Name and Address of Mine: Tier , Yknow Congressional District, 1kno;vfr, Congressional District, Ilk-wtr 8. Federal DepaMent/Agency: T. • Federal Program NameMescription: CFDA Number, Yappdcable 8. Ftdetal Action Number, Mcarn: 1. Award Amount, If kncurrr 10. a. Name and Address of Lobbying Eatft'l b. Individuals Porfe ming Serrlces (lrx t.%du:g add»ss I Rinfifvidog Isstname, !listnar:re, Mi): dfffetetftf m No.10a) (vast (fame, first name. MO. AW 0.14tdt Conf:frtradbn Sheets) fnecessaM i1. Amount of Payment (check all that apply): 13. Type of Payment (check all that apply) Mal i] pIarxted a. miner b. one 8me fee � 1A 11 Form of Payment (check alI that apply): a cash a �rrfmission d. fee 8 b. ln•16nd: spe�y: nattne defend e. deiessad waltfe L clher, speOr. 14. Brief Description of Services Performed or to be performed and Date(s) of Service, Including oRicer(s), employee(s), or members) contacted, for Payment Indicated in Item 11: (a"�a�g Ccr>dr:uatfan Sh lrnecessary) U. Continuation Sheets) attached: Yes 0 Na IL W=.m%m n;=W bagh ttua room It aMabd by T l0 3t = at*= Sucre: 1:'..2. Thh dk== of 4 M:Wks is a =Mrftl %M1UW=n of tact ' span which retiarKe roe ptaxd f;y the tlerabaw r!sen fi[s Ira+mcson wa Print gaffe: La aaoe ar endued fcb. Thta dvtc e o tegtA pursuant m 31 lt.S.C.1= y Thh In =aft rag be mpo�ed 0 ft C=WM affil- uaAy sad w4 be Me PS' 7 eraWbk tar Mtk tispececL Airy Peron rim Ws to to the mind testae malbeU11:09toaddl aftnttaas�a+es70.Ogandacta�=*= � Telephone No.: -4,At, '416 e: j ttoo.cao Arnad s,�cR talttre. Federal Use Only: 'yrC'wmwtrL=Rap`w= Standard F= t1L fifer. CUM-0 C-13 Page 122-55 February 1,1998 EXir�lB?T IZ-E Local Assistance Procedures Manua! Aliachment G PS&E Checklist Instructions LVST'RDCTIOI.IS FOR CONIPLE770I OF SF LLL, ALLIANCE STREETWONKS, INC DISCLOSURE OF LOBBYLNG ACTTVnUS This disclosure farm shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 3I U.S.C. Section 1352. The filing of a form is mquired for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of . Congress an officer or employee of Congress or an rmployre of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if tic space an the form is. inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. I. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2: Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4. Enter the full name, address, city, State and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include but, arm not limited to subcontracts, subgrastts and contma awards under grants. 5. If the organization filing the report in Item 4 checks "Subawardee" then enter the fail name, addrrs, city, State and zip code of the prime Federal recipient. Include Congressional District, if known. 6. Enter the name of the Federal agency making the award or loan commitment Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number. for grants, cooperative agnements, loans and loan commitments. S. Enter the most appropriate Federal identifying number available for the Federal actica identification in item 1(e.g., Request fvr Proposal (RFP) number, Znvitation for Bid (MB) number, grant =nouncement number, the contract grant or loan award number, the application/proposal control number assigned by the Federal agency). Include prefaces, e.g, "UNDE 90-00I." 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the awardlloan commitments for the prime entity identified in item. 4 or 5. 10. (a) Enter the full name, address, city, State and zip code'afthe lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federak'action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name, First Name and Middle Initial (iMD. 11. Eater the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item I0). Indicate whether the payment has been. made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the c=ulative amount of payment made or planned to be made. . 12. Check the appropriate box(es). Check all boxes that apply. Wpayment is made through an in -kind contribution, specify the nature and value of the in4dad payment 13. Check the appropriate box(es). Check all boxes that apply. Ifother, specify nature. Pzge 12-5 C-14 Local Assistance Procedures Manual LXMIT =-£ . P5&E Checklist iaatructions Attachment G 14. Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the offices) employee(s) or Member(s) of Congress that were contacted. 15. Check whether or not a continuation sheet(s) is attached. 16. The certifvmg official shad sign and dare the fora:, print his/her name tide and telephone timnber. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suegestions for reducing this burden; to the Office of Management and Budget, Paperwmt Redaction Project (0348-0046), Washington, D.C. 20503. C—IS Page 12.55 CITY OF HUNTINGTON BEACH 2000 MAIN STREET OFFICE OF THE CITY CLERK CONNIE BROCKWAY CITY CLERK To: Z44l-/4AXC 0/.ee5 /NC . .3� 73 er4�LE CALIFORNIA 92648 t%/ew-,/,/;Z) Enclosed please find your original bid bond issued by �n1S�y2Jc� ��I/�i9vy y/ ()'- T}fE ES i� for i Connie Brockway City Clerk Enclosure g:/followup/cashcont/retumbidbond.doc (Telephone: 714536-5227) LC.VY. GROUP INSURANCE COMPANY OF THE WEST EXPLORER INSURANCE COMPANY INDEPENDENCE CASUALTY AND SURETY COMPANY 11455 EL CAMINO REAL., SAN DIEGO, CA 92130-2045 PHONE: (858) 35Q 2920 FAX: (858) 350-2909 Bond Number. ICW-417 BID OR PROPOSAL BOND KNOW ALL MEN BY THESE PRESENTS: That we, Alliance Streetworks, Inc. , (hereinafter called the Principal), and Insurance Company of the West a corporation organized and doing business under and by virtue of the laws of the State of California , and duly licensed for the purpose afmaking, guaranteeing or becoming sole surety upon bonds or undertakings required or authorized by the Iaws of the State of California, as Surety, are held and firmly bound unto Huntington Beach (hereinafter called the obligee) in the just and full sum of Ten Percent of the Total Amount Bid Dollars (S 10% of the Total Amount Bid) lawful money of the United States of America, for the payment of which, well and truly to be trade, we hereby bind ourselves and our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT WHEREAS, the above bounden Principal as aforesaid, is about to hand in and submit to the obligee a bid or proposal dated 416104 for bid: Graham/Wamer Rehab • (CC1158, CC1159) in accordance with the plans and specifications filed in the office of the obligee and under the notice inviting proposals therefor. NOW, THEREFORE, if the bid or proposal ofsaid principal shall be accepted, and the contract for such work be awarded to the principal thereupon by the said obligee, and said principal shall enter into a contract and bond for the completion of said wort: as required by law, then this obligation to be null and void, otherwise to be and remain in full force and effect. IN WITNESS WHEREOF, said principal and Surety have caused these presents to be duly signed and sealed this Sth day of April , 2004. Alliance Stmetworks, Inc. BY: RoACIld fd4,r, PW_,Je, J_ Insurance Company of the West BY: y Attorney -in -Fact ie1 Huckabay CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California ss. County of t On !` , before me, ale personally appeared CORDON DALE KUNE)R. y COMM. #1360290 NOTARY PU9L(GCAUFORNIA D LOS ANGELES COUNTY My Comm. Exp. lone 9, 2006 t`1 CORDON D. KLINE, JR., NOTARY PUBLIC Name and Title of Officer (e.g.. *Jane Doe, Notary Public) Name(s) of Signers) • personally known to me ❑ proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) aCtq, executed the instrument. WITNESS my hand and official seat. Place Notary Seal Above ignature or Not ry Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document _ Title or Type of Document: Document Date: Number' of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: ❑ Individual Top of thumb here ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 0 1997 National Notary Association ••9350 De Soto Ave., RO Box 2402 • Chatsworth, CA 91313-2402 Prod. No. 5907 Reorder. Call Toll -Free 1-800.676.6827 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of orange On 0410SM4 before me, _.'Arturo Ayala, Notary Public Date Name, T41e of officer— E.G. "Jane Doe, NOTARY PUBLIC" personally appeared Daniel Huckabay NAME(S) OF SIGNER(S) Q personally known to me -OR - ARTURO AYALA COMM. #1336239N NOTARY PUBLIC-CALIFORNIAL, ORANGE COUNTY �. AIY COMk EXP. DEC. 23. 2005 ❑ proved to me on the basis of satisfactory evidence to be the person(s) whose narne(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/herltheir authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS_mv band and official seal OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and Could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER TITLE(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ® ATTORNEY -IN -FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) DESCRIPTION OF ATTACHED DOCUMENT Bid Bond TITLE OR TYPE OF DOCUMENT One NUMBER OF PAGES 04106/04 DATE OF DOCUMENT SIGNER(S) OTHER THAN NAMED ABOVE No. 0000654 IC%sGRDUP Bond No. ICW-447 PoMtr of Attorney Insurance Company of the Hest The Explorer Insurance Cornpany Independence Casualty and Surety Company KNOW ALL MEN BY THESE PRESENTS: That Insurance Company of the West. a Corporation duly organized under the laws of the State of California, The Explorer Insurance Company, a Corporation duly organized under the laws of the State of Arizona. and Independence Casualty and Surety Company. a Corporation duly organized under the laws of the State of Texas, (collectively referred to as the "Companies"). do hereby appoint RALPH EIDEM. JR, DANIEL IIUCKABAY, ARTCRO AYALA. PATRICIA KNAPP their true and lawful Anomey(s)-in-Fact with authority to date, execute, sign, seal, and deliver on behalf of the Companies, fidelity and surety bonds, undertakings, and other similar contracts of suretyship, and any related documents. In witness whemot; the Companies have caused these presents to be executed by its duly authorized officers this 16th day of January, 2001. INSURANCE COMPANY OF THE REST ♦�a�r0a,'ta * obi �� s t / �. + THE EXPLORER INSURANCE CONIPANY INDEPENDENCE CASUALTY AND SURETY ",►'+q ,•` �.•' %•, t COMPANY n A a. John H. Craig. Assistant Secretary John L. Hannum, Executive slice President State of California County of San Diego On December 5, 2003. before me. Mary Cobb. Notary Public, personally appeared John L. Itannum and John H. Craig, personally known to me to be the persons whose names are subscribed to the within instrument, and acknowledged to me that they executed the same in their authorized capacities, and that by their signatures on die instrument, the entity upon behalf of which the persons acted, executed the instrument Wimess my hand and official seal. MAR COBS COM013211341 0 H9fa,7YVuL.L.CAUF3R'11A R V '+ �SA� GoiCOUNTY es 'A SEPTEMS=_R 20. 2C05 hrary Cobb.l3otary Public RESOLUTIONS This Power of Attorney is granted and is signed, scaled and notarized with facsimile signarures and seals under authority of the following resolutions adopted by the respective Boards of Directors of each of the Companies. 'RESOLVED) That the President. an Executive or Senior Vice President of the Company, together with the Secretary or any Assistant Secretary, are hereby authorized to execute Powers of Attorney appointing the person(,) named as Attorneys) -in -Fact to date, execute, sign, seal, and deliver on behalfof(he Company, fidelity and suety bonds, undertakings, and other similar contracts of suretyship, and any related documents. RESOLVED FURTHER: That the signatures of the officers making the appointment, and the signature of any officer certifying the validity and current status of the appointment, may be facsimile representations of those signatures; and the signature and seal of any notary. and the seal of the Company, may be facsimile representations of those signatures and seals, and such facsimile representations shall have the same force and effect as if manually affixed. The facsimile representations refenvd to herein may be affixed by stamping, printing. typing. or photocopying.' CERTIFICATE L the undersigned, Assistant Secretary of Insurance Company of the West. The Explorer Insurance Company. and Independence Casualty and Surety Company, do hereby certify that the foregoing Power of Anorney is in full force and effect, and has not been revoked, and that the above resolutions were duly adopted by the respective Boards of Directors of the Companies, and are now in full farce. IN WITNESS WHEREOF. I have set my hand this 5th dayor April 2004 �14AI IA7 John H. Craig. Assistant Secretary To verify the authenticity of this Power of Attorney you may call 1-800-877-111 l and ask for the Surety Division. Please refer to the Power of Anortty Num%tr, the above named indi►idualls) and details of the bond to which the power is attached. For inrormation or filing claims, please contact Surety Claims, IC.% Group. 11455 El Camino Real, San Diego. CA 92130-2045 or call (858) 350-2400. 1u04. APIR 2004 AF19 - b P ! - :. I t s 6 3C, �s�--- r& �► 1@3 INC. E M 809CAT enty1w GENERAL ENGINEERING -09 1320 E. SIXTH, SUITE 100 • CORONA; CA 92879.1700 Tel: (909) 2794869 • FAX: (909) 279.6832 City of Huntington Beach City Clerk — Second Floor 2000 Main Street Huntington Beach, Ca 92648 Warner Avenue Rehab.CC-1159 DO NOT OPEN WITH REGULAR MAIL" City of Huntington' Beach Graham Street Rehabilitation CC4138 Warner avenue Rehabilitation CC-1159 Bids: 44-04 n 2:00 P.M. SECTION C PROPOSAL for the construction of 1. GRAHAM STREET REIIABILITATIOti - CC 1158 FROM WARNER AVENUE TO HEIL AVENUE IL WARNER AVENUE REILABILITATIO`' - CC 1159 FROM GRAHAM STREET TO SPRINGDALE STREET in the CITY OF HUN'TINGTON' BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 75 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit andlor lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and,'or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 t If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find W in the amount of $ IQ Z of J which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature 5 • ! g . 'i �. C-2 SECTION C REVISED PROJECT BID SCHEDULE Graham Street, CC-1158, STPL - 5181 (142) Warner Avenue, CC-1159, STPL - 5181 (147) PRO.IFCT BASF BID: TOTAL AMOUNT LUMP SUM BID IN FIGURES: TOTAL AMOUNT LUMP SUM BID IN WORDS: 4 PROJECT ALTERNATIVE: The Additive Alternate Bid, Project Alternative, below is an integral part of this proposal, and to be responsive, the bidder shall quote a price for the Additive Alternate ldentiCedllisted below. The City shall award the contract on the basis of the Project Base Did alone, ESTIMATED . ••ITEM WITH UNIT PRICE_ WRITTEN IN': ; ; - UNIT PRICE . EXTENDED 4UANTITY = WORDS. ' _ .-. :I.- -.. _ `: ' = -; . •. - ..-' _ `AMOUNT 3 Adjust Sewer Vault Cover to Grade (Per Addendum #1. CC 1159, Item D.) �- $ - $aocm_ Each @ Dollars Cents C-2.1 GRAHAM STREET REHABILITATION IMPROVEMENTS CC NO. 1158 STPL - 5181 (142) C-2.2 GRAHAM STREET (CC-1158) REVISED PROJECT BID SCHEDULE ITEM. ESTIMATED- :_--ATEM WITH UNIT PRICE_ WRITTEN IN :-_ :.: :UNIT PRICE -.EXTENDED.- NO. QUANTITY.: .:. :. :" ; =.'WORDS --= :: ` :` ._ . :' _ - _ '.AMOUNTS 1 1 I Mobilization $ G �_ - $ & f L.S. @34AkouDollars ��--- Cents 2 1 Traffic Control Plan $ zSc= $ 70.b d L.S. n @ A C_4 +s�rced Dollars �- Cents 3 1 Famish Project Traffic Control $, $= L.S. @� r ' Dollars �~ Cents 4 104,400 Cold Milling & Header Cutting $ 2 S.F. @ Dollars Cents 5 2,255 Construct 9phalt Concrete (Overlay, Full Depth, $ 2-' $ It 7, Z6a- Ton etc.) Dollars Cents 6 564 Pavement Reinforcement Fabric & Route and $ S.Y. Seal of Cracks @_ . _ _ .- _ Dollars �— Cents 7 1 Traffic Striping cod L.S. @_ _��.f�2aC,�� _ _-Dollars _�- Cents 8 2 Traffic Loop Each @ sr, f Dollars Cents 9 4 1 Remove & Reconstru t Acces Ramp $ 7 O "' $ Each @ /SL[.GGts+ l Dollars Cents 10 6 Survey ionu�Z� $ `/25 $ Z,55a Each @ _ _ _Dollars �r Cents Sub Total Base Bid Amount. Bid in Figures: $ / 7 O Z Z r Sub Total Base Bid Amount, Bid in ords: J (J C-2.3 WARNER A%; ENUE REHABILITATION IMPROVEMENTS CC NO. 1159 STPL - 5181 (147) C-2.4 WARNER AVENUE (CC-1159) REVISED PROJECT BID SCHEDULE ITEM ESTIMATED ITEM WITH UNIT PRICE_ WRITTEN IN :-. UNIT PRICE --EXTENDED - NO. :QUANTITY - ___. - .. ' : _ -`WORDS =;.: _ .; , ...:;: ;.:. ='` = . _. '.� ;=. ; AMOUNT 1 1 Mobilization $ $- L.S. @�,� _ ors Cents , 2 1 Traffic Control Plan $ �, odd ` $ �, CC _10 L.S. @ �%Xf Dollars r- Cents 3 1 Furnish Project Traffic Control $1�.� _ $ l3 ooc- ^ L.S. @_r�A ��r�af.+�w�Dollars -� Cents 4 95,721 Cold Milling & Header Cutting $ 0 • $[�_8 S.F. @ Dollars Cents 5 755 Unclassfie cavation $ T2 " $ 3g, Z601 G.Y. @_ _ _ _ _Dollars _1r Cents 6 6,872 Construct Asphalt Concrete (Overlay, Full Depth, $ 9113_ $ Z 9S SAP Ton etc.) @ Dollars Cents 7 800 Pavement Reinforcement Fabric & Route and $72L $-7-5, S.Y. Seal of Cracks @ Dollars r- Cents 8 16 Adjust Sewer Manhol to Grade $ 2 85 - $ 5! 56a Each @� _ Dollars Cents 9 8 Each Adjust Water Valve to Grade _ @ 1RV, Dollars $ Z ZS-= oFill Cents 10 1 Traffic Striping L.S. aG� Q&Dollars "Cents 11 18 Traffic Loop $ z60— $_ Each @ ]t~wc� _ Dollars r— Cents 12 830 Remove & Reconstruct Curb & Gutter $ 30 _ $7�! V S L.F. @_ _ _ Dollars �- Cents 13 6,225 Remove & Recon tract Sidewalk $ a. o $ ?�_ f S.F. @ . Dollars Cents 14 3 Survey Monu a ti $ 92S $ Each @ liars _.-�-- Cents Sub Total Base Bid Amount. Bid in Figures: $ Sub Total Base Bid Amount, Bid in Words: v , V C-2.5 J IT LIST Or SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion of Work Name and Address ofSubco ntractor State License Number Class s rrp,N� ,,..�. y� 3CK07 s C 3 'c Colls f r4rr C CGh f1a+'i Chy . �ac�I`ah /U� bA �rU�y Cam l� 5�•�ry�k�-�ora�r�� < 5 yr� c�°-C-3 .{{041 Lff`�ifit� Qo�Khfitc L e hgo YCK or I'L77W eracK Ic rfff4 tracAel ihG/1ti,/lI'toh By submission of this proposal, the Bidder certifies: i 1. 'That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange being first duly sworn, deposes and says that he or she is of Elite Bobcat Service, Inc. the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not. collusive or sham; that the bidder has- not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Elite Bobcat Service, Inc. Name of Bidder Signature of Bidder Jubeph A. Nand- esiden�lRC . Elite Bobcat Service, Inc. 1320 E. Sixth St., Suite 100 Corona, CA 92879-1700 Address of Bidder Subscribed and sworn to before me this (_ day of ; _ 5200 p,pryw C=rwdwon #f 1N7/M N*w heft - CNNosiln �Mdcln I VCW4WL NOTARY PUBLIC NOTARY SEAL C-4 G � c UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF 11UNTINGTON BEACII, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the IMPROVEMENTS, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title S, California Administrative Code, Section 2700, as follows: "Qualified Person: ri person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved. " The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal -OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. NERIMPIM �1-11 C-5 Elite Bobcat Service. tnr._ Contractor By Joseph A. Nanci-President L!;G . Title r DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty ofperjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes XM0 If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 - i r CUiiiPENSATIQN INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's 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 of this contract. Elite 80bcat Service, Inc. Contractor z Z' By JOSePh A. Nand-Pres erlr0ceL - Title C-7 UNDERGROUND SERVICE ALERT IDENTIFICATION NUMBER (To be completed only by the awarded Contractor prior to excavation) No excavation will be permitted until this form is completed and returned to the AGENCY. Section 4216/4217 of the Government Code requires a Dig Alert Identification Number be issued before a Permit to Excavate will be valid. To obtain a Dig Alert Identification Number, call Underground Service Alert at 1-8004224133 a minimum of two working days before scheduled excavation. Dig Alert Identification Number: _Elite Bobcat Service, Iris. Contractor By Joseph A. Nanci-Presiders S,lG . Title Dote: This form is required for every Dig Alert Identification Aumber issued by U.S.A. during the course of the Work. Additional forms may be obtained from the AGENCY upon request. C-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Elite Bobcat Service, Inc. Bidder Name Business Address Elite Bobcat Service, Inc. 1320 E. Sixth St., Suite 100 Carona, CA 928T9-1700 City, State Zip Telephone Number I CA Le '� Stag Contractor's License No. and Class Original Date Issued 3� 3t Expiration Date The work site was inspected by jq n"of our office on ?/ 200_ The following are persons, firms, and corporations having a principal interest in this proposal: JoSeph A. Nanci Pres(dente�2r C-9 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Elite Bobcat Service, Inc. Company Name Signature of Bidder JL Joseph A. Nand-Prestdenvice, Printed or Typed Signature sew D. SMw Subscribed and sworn to before me this � day of , 200� . - won s 14374Y Notary Able - CQUO"Va Rlw�lq� CoaNy 1�1yr Canrn. ExpMe �p �. NOTARY PUBLIC NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: I. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount _ Type of Work Date Completed 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed C10 Elite Bobcat Service ine. Reference List - Public Agency Address Contact Phone N . Proect Descri Lion Contract Amount City of Analuim P.O. Box 3222 Chuck Smith (714) 765-5176 2000/2001 CDBG Improv. 109,939.00 Anaheim, CA 92803 City of Fontana 8353 Sierra Ave. Don Gilbertson (909) 350-6659 Mango and Miller St. Improv. 240,238.00 Fontana, CA 92333 City of Garden Grove 11222 Acacia Pkwy Dai C. Vu (714) 741-5189 Safe Routes to Schools 189,392.00 Garden Grove, CA 92842 City of Highland/ 650 Hospitality Ln. #400 Larry D. Brown (909) 386-0200 2002 Concrete & Street Repairs 171,406.58 Willdaa San Bernardino, CA 92408-3317 City of Moreno Valley 14177 Frederick St. Chris Wiberg (909) 413-3135 CDBG Sidewalk Improv. 122,457.25 Moreno Valley, CA 92552 City of Riverside 3900 Main Street Phillip Hannawi (909) 926-5341 Riverside Plaza Street Improvements 278,343.85 Riversidc, Ca 92522 City of Laguna Beach 505 Forest Avenue Mike Branch (949) 497.3311 Temple Bills Pedestrian Path 310,631.74 Laguna Beach, Ca 92651 City of Santa Ana 20 Civic Center Plaza Bill Albright (714) 647-5029 Omnibus Repairs #1814 268,473.95 Santa Ana, CA 92701 City of brine P.O. Box 19575 Doug Davidson (949)724.6675 Dumpster Enclosures 41,000.00 In-inc, Ca 92623-9573 City of Temecula 43260 Business Park Dr. Bruce Lcvy (909) 694-6411 Construct Now Sidewalk 50,550.00 Temecula, CA Los Angeles County P.O. Box 1460 Ray Green (626) 4584933 Westminster Ave., Vicinity of Long Beach 502,859.36 Alhambra, CA 91802-1460 Bandin Culbertson Insurance Services, Inc. 5500 E. Santa Ana Canyon Road, Suite 201 Anaheim. CA 92807 a Dave Culbertson (714) 921-0530 Insurance Sherman Parent Insurance Brokers, LLC 4770 Campus Drive, Suite 100 Novon Beach, CA 92660 Bob Parent (949) 660-3700 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. FizmName:_Efte Bobcat Service, Inc. 1320 E. Sixth St., Suite 100 Address:, Corona, CA 92879-1700 Fat:, R O9 - '-�-79- - DL D= - .Contact Person: No. of years in business 1.s the firm currently cerdfied as DBE under 49 CFR Part 26? YES Type of work/services/materials provided by firm? (' Gl_n Q13f7T What was vour t ='s Gross Annual receipt's for last year7 Q Less than S l Million o Less than S5 Million o Less than $10 Million o Less than S IS Million More than SIS Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-I1 r Lora! Assbtancr PrQrtCnres :naacrai ?S&E Checklist Instructions L� nz u ' AttaciLmcnt C M EBIDDERS=CUTIONONTIE S7GN,,17V E PORTION OFTHISPROPOSAL SIULLAISO C0L�5II!'UTFANFNDOJ?SE�=AND=CUITONOFT7IOSE C'.L'=C4TTONS WHC AREA PJRT OF TrW PROPOW) EQUAL TaN PLOYINMNT OPPORMI M CE.RTMCATION . The bidder Elite Bobcat Service Inc. proposed subcontractor _ . _ . hereby certifies that he has z has not ___, participat:d in a previous contract or subcontract subject to the equal apportonity clauses, as repir,.d by Exccutrte Orders 10923, 11114, or 11246, and that; where required, he has Med with the Ioirt Reporting Commune, the Director o£the Office of Federal Contract Compliance, a Federal Government cwtracting or admkistr.ing agency, or the former President's Committee on Equal Employment Oppertunk, all reports due under the applicable f ilbng requirements. Note: The above cercfication is required by the Equal Employmeat Opport mitt' Regukdoas of the Secretary of Labor (41 CFR 60-I.7(b) (1)), and must be submitted by bidders and proposed subcentractors only is connection wuh ccatracts aad subcant-acts which are subject to the equal cppor='Ity clause. Contrats and subcontrats which are exempt from the equal apporumity clause are .set forth in 41 CFR 60-1.5. (Generally only, contracts or subcontaacts of 510,000 or wader ara exempt.) Currently, St=Jard Form 100 (EEO-1) is the only report requital by the E=cu hm Orders cr their implementing rgulations. Proposed prime coa ractors and subco=ctors who have participated in a previous contract or subcontract subjectto the Exccutiw Orders and have not filed the required reports should note that 41 CFR 60-1 i(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delbmqueat period or such other period specified by the Federal �-zhway Administidoa or by the Direetor, Office of Federal Contract Compliance, U.S. Department of Labor. e L-"9 C—I2 Page L-45 Local Assistance Procedures Manual L'-E PS&E Checklist Instructions Attachment G DISCLOSURE OF LOBBYING ACTIVITIES Complete this form to disclose lobbying ectMties Dtlrsuant b 31 U.S.0 1. Type of Federal Acdcn: 2. Stems of Federal Action: 3. ' Report Type: a �n7ad btJe!ierlaPpncecn d Midst a In Wt ❑ sL &.at:ge t. award tMae'at mooerawe a�aeraert d t: pr�atrard For Material Changt Only: n , year L twn�ae ct las: ram 4. Name and Adieus of Reporting Enti6q: S. If Reporting Entity In No. 41s Subawardee. Enter . ProneLlfkmwrr Name and Address of Prima: dknowr Congresslonal D Congressional District, Ykwwrr 8. Federal DepartraentlAgency: T. • Federal Program NamelDescription: CFDA Number, dappikable S. Federal Acdon ;lumber, dknow r• 9. Award Amount, ltkrc- r S 14. a Name and Address of Lobbying Endrl b. Individuals Performing Services (lrxl emg address F (yWh&ua4lastPerna, flrstname, Mt): dlt mntf m Na 10s) • Past name, firs; name, Mj: (air CcrrlrruatMn Sh:�et(s) ecessary) 11. Amount of Payment (check all that apply): 11 Type o Payment (check all that apply) $ . ❑ achial ❑ planned a am ban me flee 12. Form of Payment (check all that apply): cash d. c�. ng t fee Ba. b. hr4ar%4 sped"u: ratrre e. deferred value E cther, s 14. Brief Description of Services Performed or to be performed and Dates) of Stuvlce, includin fflcer(s), employee(sb or member(s) contacted, for Payment Indicated In Rear 11: \ (affach C:n9r radon Steet(s) fnecessary) 15. Continuation Shaegs) attached: Yea 13 No IL Id=&an mqmted Cttmwgh ass bm k tadhcrbad ty Tse M 9.S.G 8ecfa Sigcatum t= Thfs dhc:ataa 9f l=ft z:S9H Is a masdat repramuftn d W am trench reuatce ens plied by the Cer am when Cut taaacla- wo Print Name: mace ar awned ft Tth dlabmae k ra L*W pursuanrto 31 tr,S.>r, t3M rWS hU= kn wdt bs fp=d tp Ito C sernr•ar mli sad wM be Tits: C . &aLitk br p Aft le *adarL Amr pw= oho Ws 4 tCa ate e;uied dt &S= snadbesut�eeu�ac'rtv�>rornoekss�anstocaanaaemxeQ,an TeleFhoneNo-,905r- SfoE AW tt roso W Ethm AUMUM d ier U= Repmmxxn Federal Use Only: . „ 5bward Fam r li Rev. M-0365 C-13 Page L 5S Febraary 1,1998 Fjoa rr 1I-E Local AssistaaceProcedures Manual Attachment G PS&E Checklist Instructions LtiSTRUCTTONS FOR COMPLETION OF SF LLL, DISCLOSURE OF LOBBYLNG ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation. or receipt of covered Federal action or a material change to previous Filing pursuaat to title 31 U.S.C. Sermon 135Z ne filing of a form is required for such payment or agree-ement to make payment to lobbying entity for influencing or attempting to influence as officer or employee of any agency, a Member of Congress an o ricer or employee of Congress or an imployei of a Member of Coages in -connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is. inadequate. Complete all items that apply for both the initial flag and material change report. R:fer to the implementing guidance published by the Office of Management and Budget for additional information. I. Identify the type of cove; ed Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. Identify the appropr k& classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action 4. Enter the full name, addmss, city, State and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or espects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgr= and contract awards ender grants. 5. If the organization filing the report in Item 4 checks "Subawardee" then eater the full name, address, city, State and zip cede of the prime Federal recipient Include Congressional District, if known. 5. Enter the name of the Federal agency making the award or loan commitment, Include at least one organization level below agency name, if Imown. For example, Department of Transpds taticn, United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (item 1). If known, eater the full Catalog of Federal Domestic Assistance (CFDA) number. for grants, cooperative agreements, loans and loan commi meets. S. Enter the most appropriate Federal identifying number available for the Federal action identification in item 1(e.g., Request for Proposal (RFP) number, Invitation for Bid (1 B) number, grant announcement number, the contract grant or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RIP-DE-90-001 " 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, entu the Federal amount of the award/loan commitments for the prime entity identified in item 4 or S. Io. (a) Enter the full came, address, city, State and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if differest from 10 (a). Enter Last Name, First Name and Middle Initial (MI). 11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item.4) to the lobbying entity ('item IQ). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. ' 12. Check the appropriate box(es). Check all boxes that apply. If payment is made through an in Idad contribution, specify the nature and value of the in4dnd payment 13. Check the appropriat: box(es). Check all boxes that apply. If other, specify natur& Page 12- 4 C-14 Local Assistance Procedures Manual ITT 12-E . PS&E Checklist Instructions Attachment G` ., 14. Provide a specific and detailed descriptica of the services that the lobbyist has performed or will be expected to perform and the dates) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employet(s) contacted or the officer(s) employees) or Member(s) of Congress that were contacted. 15. Check whether or not a continuation sheet(s) is attached. 16. The certifying official shall sigh and date the form, print his/her name title: and telephone it mbcr. .Public reporting burden for this collection of information is estimated to average 30 miautees per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data . needed, and completing and reviewing the collection ofmformeioa. Send centments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden; to the Office of Management and Budget, Paperwork Reduction Project (0343-0046), Washington, D.C. 20503. C-15 Page 12.55 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER For GRAHAM STREET REHABILITATION - CC 1158 FROM WARNER AVENUE TO HEIL AVENUE STPL 5181 142 AND WARNER AVENUE REHABILITATION - CC 1159 FROM GRAHAM STREET TO SPRINGDALE STREET STPL 5181 147 March 18, 2004 Notice To All Bidders: Please note the follarving clairification to the Project Plans, Specifications, and Technical Provisions: Contractor shall start construction work on CC 1159 (Warner Avenue) before CC 1158 (Graham Street). Due to newly installed Orange County Sanitation District (OCSD) sewer main system, the following describes the change In quantities for various bid Items. Contractor is to provide an Additive Alternate Bid Item to adjust three (3) sewer utility vault covers to grade under CC 1159 (blamer Avenue). At this time, It is the City of Huntington Beach's understanding that OCSD's contractor is responsible to adjust the 3 sewer utility vault covers to grade after Warner Avenue is overlayed. See attached Revised Project Bid Schedules for CC 1159 and CC 1158 to reflect new quantities and the additional Additive Alternate Bid Item as described above. CC 1159 (Warner Avenue) A. Eliminate all asphalt removal areas along eastbound lanes on Warner Avenue between Station 10+00 to Station 26+52. B. Adjust newly Installed sewer manholes to grade (see attached OCSD plan P10, Station 91+60.90, Station 93+99.72, Station 94+32.53; plan P11, Station 95+70.02, 96+55.66). C. Change from "protect In place" to "adjust sewer manhole to grade" for one ex#sting sewer manhole (see Street Rehabilitation Plan, Sheet 3 of 3, Station 36+80.56). D. Adjust three (3) newly installed sewer vault covers (Additive Alternate Bid item) to grade (see attached OCSD plan P9, Station 81+28.10, Station 86+43.10; plan P10, Station 90+08.03). See 8.5" x 11" detail for future raising of the sewer vault covers (0.3 feet) by Tetra Tech (transmittal dated March 18, 2004, total of 2 sheets). E. Change westerly construction limit from Station 9+54 to 10+92, and void Detail A on Street Rehabilitation Plan, Sheet 2:of 3. With this change, add a 25' wide cold mill (see Street Rehabilitation Plan, Sheet 1 of 3, detail 9 for Transverse join) between Station 10+92 to Station 11+17. Result in change will reduce quantities for detector loops, asphalt overlay, and cold mill. CC 1158 (Graham Street) A. Change southerly construction limit from Station 10+66.22 to 11+00. Result In change will reduce quantities for detector loops, asphalt overlay, and cold mill (see Street Rehabilitation Plan, Street 2 of 3). Additional plans from OCSD are attached for reference only (see attached OCSD plan G1, P8, S2, S3, D5 and D6). This modification changes the Engineer's Estimate for this project from $631,755 to $622,555. This is to acknowledge receipt and review of Addendum Number one, dated March 18, 2004. Elite Bobcat Service, Inc. Company Name By nc - rest 2n sE ., A M OR All bidders must acknowledge the receipt of this Addendum with your bid proposal. Should you have any questions regarding this Addendum, please calf Duncan Lee at (714) 375-5118. • 'MAR-18-2004 THU 09:07 AM TETRATECH, INC. FAX H0. P. 01 16241 Laguna Canyon Road. Suite 200, Irvine, CA 9261ti Tel: 949.727.7099 Fax: 949.727.709.' Date: March 18, 20U FAX _ Time: 9.00 am Plumber of Fogel (Mducrng cover shee4: 2 To: Duncan Lea (Bud Palmquist-DCSD) From: Tort EEEmon. P.E. Company, City of fiuntinglon Beach Project: Warner Avenue Sewer Fax No., (714) 374-1573 (7141593 7859) C. Harhat Khublall (714) 964.4775 Job No.: 3663.OW2 . ® Urgent [] For your Review I� ❑ Reply ASAP i] Please Comment Revised detail for future raising of the junction box (0.3 feet) for future paving. Thanks, Tom Epperson Project Manager Originals voll not follow Originals W)) fol!ow by, [3 U.S. Mall [J Overnight Services 13 Other { Y' If ytiu have any prablerrislivith trartsayssinri,please call as S(Xx) as possible `? cv 0 n: 0 Lx- 1/2" RADIUS PAVING l�s�_�►a' I1/w �� r-- CONT. DIA WELDED STUDS C► MAX. CAST -IN -PLACE CONCRETE WALL 8 1 /2" EXPANDED POLYSTYRENE HIGH STRENGTH GROUT (SIKAGROUT 212 OR APPROVED EQUAL) 1 " WELD STRIP 44 Q PRECAST CONCRETE COVER FLAT PVC LINER 1 " WELD STRIP ROUGHEN CONCRETE 8 1 /2" f SURFACE TO 1 /4" MINIMUM AMPLITUDE 1" CLR. �—EXISTING PVC LINER [A "Iff so CITY OF HUNTINGTON BEACH 2000 MAIN STREET OFFICE OF THE CITY CLERK CONNIE BROCKWAY CITY CLERK To: Ez-I TE �,8 C4- i J3o� -�xr.6c, VTE - /oo o�eo,�A �AeZ2 CALIFORNIA 92648 (*�3541906?) Enclosed please find your original bid bond issued by _ �/`C��ti74natl Connie Brockway City Clerk Enclosure g:/tollowuplcashcont/retumbidbond.doc (Telephone: 714536-5227 PREMIUM: NIL Bond No. 3419068 GUT jMIERIC.IN INSURANCE COMPANY KNOW ALL MEN BY THESE PRESENTS, that we, ELITE BOBCAT SERVICE, INC. as principal, and the GREAT AMERICAN INSURANCE COMPANY, a corporation existing under the laws of the State of Ohio, having its Administrative Office at 580 Walnut Street, Cincinnati, Ohio 45202, as surety, are held and firmly bound unto, CITY OF HUNTINGTON BEACH as obligee, in the penal sum of TEN PERCENT OF AMOUNT BID DOLLARS ($ 10% ), lawful money of the United States of America, for the payment of which, well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. SIGNED, sealed, and dated this 31ST day of MARCH 20 04 WHEREAS, the said principal is herewith submitting a proposal for GRAHAM ST. REHABILITATION WARNER AVENUE REHABILITATION NOW, THEREFORE, the conditiop of this obligation is such that, if the said principal shall be awarded the said contract, and shall within sixty ( 60 ) days after receiving notice of such award enter into a contract and give bond for the faithful performance of the contract, then this obligation shall be null and void otherwise the principal and surety will pay unto the obligee the difference in money between the amount of the principal's bid and the amount for which the obligee may legally contract with another party to perform the work, if the latter amount be in excess of the former; but in no event shall the liability hereunder exceed the penal sum hereof. ELITE BOBCAT SERVICE, I C. BY: Qsep ancl- res sec . Princfva! GREA [ iNSURANC OMPANY By C ES L. FL E Attomey in -Fact F.9116K - (3/82) (810 FORM) CALIFORNIA ALL-PURFOSE ACKNOWLEDGMENT STATE OF CALIFORNIA COUNTY OF RIVERSIDE On 3/31/04 before me, Sarah D. Shaw — Notary Public personally appeared Joseph A. Nanci personally known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person or the entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal. S�Q ature of No blic OPTIONAL 5MM D. =HAW Canvnkdon • 1437422 Nobly hMe - Ce Wmft Rlwnlde C&AW MyCamn. E�Mt5�p2. Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of ties form. DESCRIPTION OF ATTACHED DOCUMENT Bid Bond TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES 1 DATE OF DOCLMENT 3/31/04 CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL Q CORPORATE OFFICER President / Secretary TITLE(S) ❑ PARTNER(S) ❑ ATTORNEY -IN -FACT ❑ TRUSTEE(S) ❑ OTHER: �- SIGNER IS REPRESENTING: Elite Bobcat Service. Inc. NAME OF PERSON(S) OR ENTITY(S) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT STATE OF CALIFORNIA COUNTY OF ORANGE On 3-31-04 before me, LEXIE SHERWOOD - NOTARY PUBLIC personally appeared CHARLES L . FLAKE personally known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person or the entity upon behalf of which the person acted, executed the instrument. WITNESS my hand and official seal. r LEXIE SHERWOOD1 U r� COMM # 1311304 is i - NOTARY PUBLIC-CALIFORNIA ID S a re o Notary ublic ORANGE COUNTY n F COMM. EXP. JULY 27, 2005 OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. DESCRIPTION OF ATTACHED DOCUMENT BID BOND TITLE OR TYPE OF DOCUMMff NWBEM or PAGES 1 D TE OF DOCUMENT 3-31-04 ❑ INDIVIDUAL ❑ PARTNER(S) ❑ OTHER: CAPACITY CLAIMED BY SIGNER ❑ CORPORATE OFFICER TITLES) ® ATTORNEY -IN -FACT ❑ TRUSTEE(S) SIGNER IS REPRESENTING: GREAT AMERICAN INSURANCE COMPANY NAME OF PERSON(S) OR ENTITY(S) GREAT AMERICAN INSURANCE COMPANYO Administrative Office: 580 WALNUT STREET • CINCINNATI, OHIO 4522 • 513-369-5000 • FAX 613-723-2740 The number of persons authorized by this power of attorney is not more than FIVE No. 014191 PONVER OFATTORNEY _ h'NOWALLMEN BYTHESE PRESEtiTS: That the GREATMIERICA.N LVSURANCE COMPANY. a corporation organized and existing under and by virtue of the laws of the State of Ohio, does hereby nominate, constitute and anoint the person or persons named below its true and lawful attorney -in - fact, for it and in its name, place and stead to execute in behalfof the said Company, as surety, any and all bonds, undertakings and contracts of suretyship, or other aTirtca obligations in the na'ure thereof; provided that the liability of the said Company on any such bond, undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below. Name Address DAVID L. CULBERTSON RICHARDA. COON ALL OF CHARLES L. FLAKE LEXIE SHER1400D ANAHEIM, MATTFXW P. FLAKE CALIFORNIA Limit of Power ALL UNLIMITED This Power of Attorney revokes all previous powers issued in behalf of the anomey(s)-in-fact famed above. IN WITNESS WFER.EOF the GREATA>tiERICAN INSURANCE CONtP.i_`Y has caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this 24 th day of November, 2003. Attest GREAT AMER ICAN INSURANCE COMPANY STATE OF OMO, COUNTY OF HAMILTON - ss: On this 24th. day of November, 2003 , before me personally appeared DOUGLAS R. BO'WTN. to me known. Di being duly sworn, deposes and says that he resides in Cincinnati. Ohio. that he is the isional Senior Vice President of the Bond Division of Great American Insurance Company, the Company described in and which executed the above instrument: that he knows the seal of the said Company; that the seal aMxed to the . said instrument is such corporate seal; that it was so affixed by authority of his office under the By -Laws o f said Company, and that he signed his name thereto by like authority. This Power ofAttomey is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company by unanimous written consent dated March 1. 1993. RFSOLYED: That the Division President, the several Division Vice Presidents and &Atianr Vice Presidents, or any one of them, be and hereby %s authorized. from time to time, to appoint one or more Attorneys -in -Fact to execute on behalf of the Company, as surety, any and all bonds. undertakings and contracts of sure"hip, or other written obligations in the nature thereof,• to prescribe Meir respective duties and the respective limits of their authorio,. and to revoke any such appointment at any time. • RESOLFTD FMTHER: That the Company seat and the signature of any of the aforesaid officers and atev Secretary orAssisrani Secretary of the Company may be q(Jixed ky facsimile to anypower ofartorney or certificate ofeithergi►-en for the execution ofanv bond, underraking. contract orsureryship, or other written obligation in the nature thereof such signature and see! when soused being hereby adopted by the Company as the originalsignature ofsuch officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though manually affixed. CERTIFICATION I, RONALD C. HAYES, Assistant Secretary of Great American Insurance Company, do hereby certify that the foregoing Power ofAttomey and the Resolutions of the Board of Directors of March 1,1993 have not been revoked and are cow in full force and effetx. Signed and sealed this 31ST day of MARCH , 2004 S 1029Till=► Ab' u. j9C. DBA EXCEL PAVING COA9PANY 2230 EMON AVENUE �ONM BEACH, CA 90806 i S4&U P310 adDiEb- DO 007 ag, w / 111 04ltP �rcwx - �rawm qr 1 CCllSB Owk, Aw 4A9-- 1) 4 % Zf AA �-7p3y3 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For GRAHAM STREET REHABILITATION - CC 1 158 FROM WARNER AVENUE TO HELL AVENUE STPL 5181 142) AND WARNER AVENUE REHABILITATION - CC 1159 FROM GRAHAM STREET TO SPRINGDALE STREET STPL 5181 March 18. 2004 Notice To All Bidders: Please note the follaMng clairiiication to the Project Plans, Specifications, and Technical Provisions: Contractor shall start construction work on CC 1159 (Warner Avenue) before CC 1158 (Graham Street). Due to newly installed Orange County Sanitation District (OCSD) sewer main system, the following describes the change in quantities for various bid items. Contractor Is to provide an Additive Alternate Bid Item to adjust three (3) sewer utility vault covers to grade under CC 1159 (Warner Avenue). At this time, It is the City of Huntington Beach's understanding that OCSD's contractor Is responsible to adjust the 3 sewer utility vault covers to grade after Warner Avenue Is overlayed. See attached Revised Project Bid Schedules for CC 1159 and CC 1158 to reflect new quantities and the additional Additive Alternate Bid Item as described above. CC 1159 (Warner Avenue) A. Eliminate all asphalt removal areas along eastbound lanes on Warner Avenue between Station 10+00 to Station 26+32. B. Adjust newly installed sewer manholes to grade (see attached OCSD plan P10, Station 91+60.90, Station 93+99.72, Station 94+32.53; plan P11, Station 95+70.02, 96+55.66). C. ' Change from "protect In place" to "adjust sewer manhole to grade" for one existing sewer manhole (see Street Rehabilitation Plan, Sheet 3 of 3, Station 36+80.56). D. Adjust three (3) newly installed sewer vault covers (Additive Alternate Bid item) to grade (see attached OCSD plan P9, Station 81+28.10, Station 86+43.10; plan P10, Station 90+08.03). See 8.5" x 11" detail for future raising of the sewer vault covers (0.3 feet) by Tetra Tech (transmittal dated March 18, 2004, total of 2 sheets). E Change westerly construction limit from Station 9+54 to 10+92, and void Detail A on Street Rehabilitation Plan, Sheet 2 of 3. With this change, add a 25' wide cold mill (see Street Rehabilitation Plan, Sheet 1 of 3, detail 9 for Transverse join) between Station 10+92 to Station 11+17. Result in change will reduce quantities for detector loops, asphalt overlay, and cold mill. CC 1158 (Graham Street) A. Change southerly construction limit from Station 10+66.22 to 11+00. Result In change will reduce quantities for detector loops, asphalt overlay, and cold mill (see Street Rehabilitation Plan, Sheet 2 of 3). Additional plans from OCSD are attached for reference only (see attached OCSD plan G1, P8, S2, S3, DS and D6). This modification changes the Engineer's Estimate for this project from $631,755 to $622,555. This is to acknowledge receipt and review of Addendum Number one, dated March 18, 2004. PALP, INC. OBA . EXCEL PA"".G_C41.1PANY - _ _ _ _ C_ h66a� Company Name By C.P. BROWN, PRESIDENT APR - 20504 Date All bidders must acknowledge the receipt of this Addendum with your bid proposal. Should you have any questions regarding this Addendum, please call Duncan Lee at (714) 375.5118. SECTION C PROPOSAL for the construction of 1. GRAHAM STREET REIIABILITATION- CC 1158 FROM WARNER AVENUE TO VEIL AVENUE 11. WARNER AVENUE RE}IABIL1TATIOr - CC 1159 FRO,dI GRAHAM STREET TO SPRINGDALE STREET in the CITY OF 1IUNTINGTON BEACH TO THE IIOtiORABLE MAYOR AND MEMBERS OF THE COUNCIL OF IIUNTINFGTON BEACH: In compliance with the Notice Inviting Seated Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 75 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGI-IT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. 6TR PERCENT OFAMOUNT BV Accompanying this proposal of bid, find in the amount of S which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No Date Received Riede 's Signature '-1 APR - 6 2034 V1 ` :.P. BROWN "RESIDENT C-2 SECTION C REVISED PROJECT BID SCHEDULE Graham Street, CC-1158, STPL - 5181 (142) Warner Avenue, CC-1159, STPL - 5181 ( 147) PROJECT BASF BID: TOTAL AMOUNT LUMP SUM BID [Ni FIGURES: TOTAL AMOUNT LUMP SUM BID IN WORDS: 01 PROJECT AI TF:R`ATfVF.: The Additive Alternate Bid, Project Alternative, below is an integral part of this proposal, and to be responsive, the bidder shall quote a price for the Additive Alternate Identified'listed below. The City shall award the contract on the basis of the Project Base Bid alone. ESTIMATED -ITEM WITH UNIT PRICE WRITTEN IN UNIT PRICE EXTENDED: QUANTITY WORDS - :AMOUNT Adjust Sewer Vault Cover to Grade 3 (Per Addendum #11, CC 1159, Item D.) saw.- $ggp- Each @-ft�-S t!t)o _�--- Dollars Cents C-2. I GRAHAM STREET REHABILITATION IMPROVEMENTS CC NO. 1 158 STPL - 5181 (142) c-z.2 GRAHAM STREET (CC-1158) REVISED PROJECT BID SCHEDULE .ITEM: ESTIMATED -:ITEM WITH UNIT PRICE_ WRITTEN IN : _ = -UNIT PRICE _ ;EXTENDED NO:. OUANTtTY WORDS l ;'.AMOUNT 1 1 L.S. Mobilization @ rims- &4, NM _Dollars UO Cents 2 1 Traffic Control Plan $ $ 2 �- L.S. @ Dollars 00 Cents 3 1 Furnish Project Traffic Control $ 'SS $ L.S. @T�qt.-_��1�Siale _out Dollars Od Cents 4 104,400 Cold Milling Header Cutting $ $ S.F. @ w Dollars — Cents 5 2,255 Construct Asphalt Concrete (Overlay, Full Depth, $ $ 5. Ton etc.) m& _Dollars Cents 6 564 Pavement Reinforcement Fabric & Route and $ $ � S.Y. Seal of Cracks ft @ n wjL------- Dollars �- r� Gents ? 7 Traffic Striping $ $ l lid' L.S. @ _Dollars _TA 03 Cents 8 2 Traffic Loop $ - $ Each @��7 HT �-Tr►} KD_ ✓tv Dollars 29 Cents 9 4 Remove & econstruct Access Ramp $ - $-2LdL- Each @ 1 ollars Cents iD 6 Each Survey Manumentation @ VSxv, jAVhkL_Dollars $ $ Cents Sub Total Base Bid Amount, Bid in Figures: $ krj Sub Total Base Bid Amount( Bid in�Wo ds: /J S Q1.[ w Vu.alL-IL ice. 'w+ •! Y C-2.3 `VARINER AVENUE REHABILITATION IMPROVEMENTS CC NO. 1159 STPL - 5181 (147) C-2.4 WARNER AVENUE (CC-1159) REVISED PROJECT BID SCHEDULE ITEM ESTIMATED : , ; ITEM WITH UNIT PRICE WRITTEN IN . _ . UNIT PRICE ':EXTENDED NO.` -QUANTITY - : _' :.: ' r .:. -:�. ; ; . :WORDS :` ..: ,`' - :.; _ :;'. - '' AMOUNT: 1 1 L.S. Mobilization @ 4Dollars 00 Cents 2 1 Traffic Control Plan $ 540 $ ' L.S. @�IVARS_ _'"`" Dollars db Cents 3 1 Furnish Project jrffrc Control $ 0q*, $ 0wo L.S. Dollars Cents 4 95,721 Cold Milling & Header Cutting $ S.F. @ C�o Dollars r —' Cents 5 755 Unclassified Excavation $ $ t�S�S• C.Y. @ '—" Dollars Cents 6 6,872 Construct Asphalt Concrete (Overlay, Full Depth, $ $ 2 Ton etc.) Dollars Cents 7 800 Pavement Reinforcement Fabric & Route and �, $ S.Y. Seal of Cracks @ -- Dollars �—Cents 8 16 Adjust Sewer Manhole to G ade $ $ Each @ M&D oNas 9621) Dollars Qo Cents 9 8 Adjust Water Valve o Grade $ '' $ Each @� _ f_� l0�� C04 a momt Er&Dollars Cx] Cents 10 1 Traffic $ $ L.S. //Striping _ @T�ril�l '(�c�I S - VCJ rc J4*0llars 00 Cents 11 18 Traffic Loop $ $ Each @ :JUJD WA -A Dollars CZ Cents 12 830 Remove & Reconstruct Curb & Gutter $ $ L.F. @ 'i°� �j Doffars _�'�' � Cents 13 6,225 Remove & Reconstruct Sidewalk k $ $ S.F. @ Dollars �- Cents 14 3 Survey Monumenta_tip n_ $ ' $ ' Each @, I� 1 --�� Dollars Cents Sub Total Base Bid Amount, Bid in figures: $ Sub Total Base d Amount, Bi in Words: Q�.+t.. Cft C-2.5 LIST OF SUBCONTRACTORS • In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion of 110rk Name and Address of Subcontractor State License Number Class LOPS on. seas V►pt.4 J �R1+M1'yt �1 1q� E VAkD4., (�1�51 S Q. ba%W e, c D{wr PlSS411 U tlUktt PAX14 6 Z t4ms< to r sft'okgrmaqo MM • 1 rl `1 i+s f";%) �Q•L.r• VI W�• CA d4tooqf Celb� p►t N*4y►(AO A Pl�sl►k 7.00.13 By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C•3 1\ONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange _ r,a_ RRnw _ ,being fir t.dul,�vogii deposes and says that he or she is �FIESIi)E�T of „�{. .. _ •,1„"13 Mthe party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. PALP. INC. DBA EXCEL PAV:'..G COMPANY Name of Bidder Signature of Bidder G.F. BROWN, PRESIDENT 2230 LEMON AVENUE ur 80R Address of Bidder -� Subscribed and worn to before me this day o — 6 ��:i, 200 _- -^�- 1 NOTARY PUBLIS�ATIACHM NOTARY SEAL C-4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of LOS ANGELES ss. on APP, " 6 2MM before me, CELESTE A. GRAHAM, NOTARY PUBLIC Date Name and True of Otfrcer p.p . `Jena Doe. Notary Noe) personally appeared PALP INC. DBA EXCEL PAVING COMPANY BY C.P. BROWN PRESIDENT Name(a) at s.pr"6) —� CELESTE A. GRAHMA • ,'0%11%J. #1312i1S 0 N0TAAYPI.'4L'C-CAL1F0Rt".A O WWIILOSAINGMESCCU.TI ;<'y Commission Expires July �0, =5 9personally known to me ❑ proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WIT ESS y hand and official se Piece Notary Seal Above ura Ol Nolary bMc OPTIONAL Though the Information below is not required by law, It may prove valuable to persons relying on the document and could prevent kaudulent removal and reattachment of this fort to another document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: Number of Pages: ❑ Individual MEM" Top of thumb here ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Attomey in Fad ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 0 1fMJ➢ Nabonol Nary Amaxi on - 9X0 De Sob Aw. P.O. Bm 2402 - CNbnorl.. CA 913WA02 -w n.eara nq rp Prod- Na- 5907 Reorder C69 ToFFree 1-600.6764W UTILITY AGREEMENT 110NORABLE MAYOR AND CITY COUNCIL CITY OF HU`TINGTOti BEACII, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the IMPROVEMENTS, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal -OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Date: APE — 6 "c 04 PAtP. ll:C. 08A EXCEL PA':',L4G COMPANY Contractor C,P. BROWN, PRESIDDIT Title C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIO\-'AIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? Q Yes [l No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-b COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's 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 of this contract. Date: AFR — 6 200'r PALP. INC_ DBMS EXCEL PA': � NG COMPANY Contractor C- Qy C.P. Bs0WN. Pusan Title C-7 UNDERGROUND SERVICE ALERT IDENTIFICATION NUMBER (To be completed only by the awarded Contractor prior to excavation) WAA No excavation will be permitted until this form is completed and returned to the AGENCY. Section 4216/4217 of the Government Code requires a Dig Alert Identification Number be issued before a Permit to Excavate will be valid. To obtain a Dig Alert Identification Number, call Underground Service Alert at 1-8004224133 a minimum of two working days before scheduled excavation. Dig, Alert Identification Aumber: PALP. It.C. DBA EXCEL PA`:,i.G COMPANY Contractor G 1. �.d J By C.P. BROWN. PRESIDE T Title Date: APR — 5 2004 Note: This form is required for every Dig Alert Identification Number issued by U.S.A. during the course of the Work. Additional forms may be obtained from the AGENCY upon request. C-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name 2230 LEMON AVENUE LONG BEACH, CA 90806 Business Address City, State Zip �56�}�99584] Telephone Number STATE U C. 688659 *A* State Contractor's License No. and Class 6-k\- l Original Date Issued Expiration Date The work site was inspected by .Non 1'1N6n of our office on ,3\*p10A _ . 200—. The following are persons, firms, and corporations having a principal interest in this proposal: PALP. INC. DBA CURTIS P. BROWN, WSIDEM I NEF OPE1tAnn uncQ MOLYN J. WN,SECIETRY= 01EFF)HAHGAI OFAED GEORGE R IAA sEHlat YicF hmDDa CURTIS P BROWN RVicEftEmw WHELE E. DRAKULICH, assisw SE{tf ay C-9 • The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. PALP. IP:C. DSA Fxe-rl PA''";G COMPANY Company Name Signature of Bidder C.P. aRCN.FRESIDEf'I'T Printed or Typed Signature = Subscribed and sworn to before me this day of APR — 6 ZQ44, 200__ . NOTARY PUBLIC SEEAMCHI:n NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1, SEEATTACM Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount r Type of Work Date Completed 3. Name and Address of public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed C-10 CITY OF HLNTL IGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. PALP. INC. DSA' Firm Name: EXCEL PV;NG COMPANY 2230 LEMON AVENUF_ Address: LONG BEACH, CA 90806 Contact Person: ammo _Vkwhe Phone: (5629 599.5Be t Fax: FAX (562) 591.M No. of years in business A )r Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of work/services/materials provided by firm? QO�L� What was lour fxm's Gross Annual receipt's for last year? ❑ Less than $I Wlion ❑ Less than $5 Million o Less than $10 Million ❑ Less than SIS Million More than $15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) informadon. C-1 I Loc2] Assbtmce Proceamm Manua: x...ssaDax al-Z r S&E Checklist Instructions Attach.meat C {THE BIDDER'S =CI CN OiV= SIGNATURE PORTIOLV OF THIS PROPOSAL S=AWO CONSIITUTEANENDORMV.t TANDF.X'CU170V OF THOSE M UTIONS WMCHARE A PART OF THIS PROP MU) EQUALIANPLOYINMNT OPPOR i CER MCAMIN C. DBA The bidder pA�p. ���� r� n !'�tAM NY .proposed subcoairactor _ . hereby certifies that he has has not--., participat-d in a previous contact or subcontract subject, to the equal cpportunity clauses, as required by M=cudve Orders 10925,11114, or 11246, and that; where r..quhd, he has fled with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or admiaL-trring ageacy, or the farmer President's Committee on Equal Employment Oppormaity, all reports due under the applicable fiYling requirements. Nate, The above ccrd5cadon is required by the Equal Emplgyment Opportunity Regulatieas ofthe Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with rvatracis and subcontmas which are subject to the equal oppor=.by clause. Caatr,.= and subconttcts which are exempt from the equal opportmity clause are set forth in 41 CFR 60.1.5. (Generally only contracts or subcontracts of S 10,000-or under are mempt,.) Currently, Standard Form 100 (EEO-1) is the only report requirmd by the Executive Orders cr their implemeafmg regulations. ' Proposed prime coutractors and subcoatrac*.ors who have participated iu a previous contract or subcontract suh4ectto tine Eaecutivc Orders and have not filed the required reports should note tat 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such cortracwr submits a report covering the delinquent period or such other period specified by the Fedeal Highway Admia.istr ca or by the Director, Office of Federal Contract Compliance, U.S. Department of i abvr. u.�a9 C-12 local Assistance Procedures Alanual EXHIBIT U-E . PS&E Checklist Instructions Attachment G PALM, 2230 LONG DISCLOSURE OF LOBBYING ACTIVITIES Complete this tarn to disclose lobbying activit es Dursuant to 31 U.S.0 1. Type of Federal Acton: Z Stags of Federal Acton: 3. -RepertType: ® & ansx ®� bL'!a teda� ll��cn h. hu'dal © a. bR tf. mate.•iei change award C. eflat 1pamert d ban . C. pcst-award For Material Change Only: e. ban Quatantrr t bm t<moance year waver date of last repot 4. Name and Mrs= of RepartIng EntIZj: S. N REPorvng tn,tlty In No.4 )s Subawardee. F_rrter • �rane 13 Suhawe.ee Nance and Address of Prime: Tier , flk•rmm NC. DBA EXCEL PAVING COMPANY MON AVENUE EACH, CA 90806 Congressional District, 1known: Ungressicnal District, Ykwwm 8. Federal DepartmentfAgency: T. - Federal Program NameMescription: CFDA Number, Yapp11cable S. Federal Acton Number, fkr?cw.T S. Award Amount, Ykncwrr S 10. a. Dame and Address of Lobbying E.•ttfty b. tndlviduals Performing Services arxc .crl:g addross d (f ihdWuel, last name, ffrst name, H): dMrent trem No.10a) (last name, ffrs: name, MO: (89=" Conftrattn Sheens) Inecessary) 11. Amount of Payment (check all that apply): 13. Type of Payment (check all that apply) $ actual planned a retainer b. one4me lee Q =mission U. Form of Payment (check all that applyr a. cash . refee b. Wdrds inahn 8 e. deferred d value is other, speaafj+: 14. Brief Descriptlan of Services Performed or to be performed and Date(s) of Service, Including oflfcer(s), emtpioyee(s), or member(s) contacted, for Payment lndIcated in Rem 1 t: (e"ach MnftMfkfl Sh lynecez=m 13. Continuation Sheat(s) attached: Yea No 6. I requt�ed throegh IAq kam authcrtrad tyr Tie 3r Il S C. 5a cn signahrre. 121 This du:!:m of I;Mft scNifirs Is a rratedm mWww.'Aca of tact vWwhich mft sewn pied tjft eer0mwhen ft ftmcimwn Prod Name; r. P. RAnwV PR;cZID `NT - - mou ar mend I= Thar awt:an m req *W Pura= W ar = I= Thar W=aioa wF1b cepersd b ft C"nr,.ass tw,4.a=i* rod wi be 'j'j a: ' araaatlte gar pAM bNecOm Any pwa who hft 00 Ze Mo ngmmd df r' sna: be sukedlo a W Phan of not bu Stan is Q= and ad Mrs gun Telephone No Date: APE u LU'.YT raacoo >breecd � f>� Federal Use Only: standard Fans us W. 0143.95 C-13 Page 1:-55 Februry I,1998 FCHM'.T 12-E Local Assistance rrocedurrs Manual Attachment G PS&E Checklist Instruct#one • LrTSTRUCTIONS FOR COMPLETION OF SF LLL, DISCLOSURE OF LOBBYLNG ACITVIIUS This disclosure form shall be completed by the reporting entity, whether subau°ardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. Section 1352. The filing of a form is required far such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of . Congress an officer or employee of Congress or an employee of a Member of Congress in -connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is. inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Manag;ment and Budget for additional information. 1. Identify the type of cov ed Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2. identify the status of the covered Federal action. 3. identify the appropriate classification of this report, if this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occunrd. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4. Enter the full name, address, city, State and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subsward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include but are act limited to subcontracts, sabgrants and contract awards under grants. S. if the organization filing the report in Item 4 checks "Subawardee" then enter the full a=i e, address, city, State and zip code of the prime Federal recipient. Include Coagressional District, if known. 6. Enter the game of the Federal agency making the award or loan commitment Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreeraeats, loans and loan commitments. S. Enter the most appropriate Federal identifying number available for the Federal action identificatiea in item 1(e.g., Request for Proposal (RFP) mmnber, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). include prefixes, e.g., "M DE-90-001 " 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the awardlloan commitments for the prime entity identified in item 4 cr 5. 10. (a) Enter the full name, address, city, State and zip code'of the lobbying entity engaged by the reporting entity identified in h= 4 to influenced the covered Federal action. (b) Enter the M amnes of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name, First Name and Middle Initial (1d7). 11. F.nte: the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. ' 12. Check the appropriate box(es). Check all boxes that apply. If payment is made through an in -kind contri'butiou, specifythe nature and value of the in4dnd payment 13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature. Page L-54 C-14 Local Assistance Procedures Manual LXMIT L'; E , PS&E Checklist instructions Attachment G M Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the dates) of any services rendered. Include. all preparatory and related activity not just time spent in actual contact with Federal officials. Ideatify the Federal officer(s) or employee(s) Contacted cr the officcr(s) employees) or Member(s) of Congress brat were contacted. 15. Check whether or not a continuation sheet(s) is attached. 16. Jhc certifying official shall sign =d date the form, print his/her name title and telephone umnber- Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and mainta icing the data needed, and completing and reviewing the collection of information. Sead comments regarding the burden estimate or any other aspect of this collection of information, including sue-esticns for reducing this burden; to the office ofManagcment and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503. C-15 Page 1+-55 • .Local Assistance Procedures Aisnnal EXffiBTT 12-E PS&E Checklist Instructions Attachment L LOCAL AGENCY BIDDER CBE INFORMATION This information may be submitted with your bid proposal. If it is not, and you are the apparent low bidder or the second or third low bidder, it must be submitted and received by the administering agency no later than the time snecifted in the special provisions. COMEMP L: BIDDE VWj ANTE: PALM, INC. )E EXC-,�-COIl1P�lFiY CONTRACT NO.: ADDRESS: BID AMOUNT: S S'1 3 . _ 90806 BID•OPEN�iG DATE: t P P — b `r_'F 1( L: DBE GOAL FROM CONTRACT ;1 % CON RACi ITEM No. IT W OF WORK AND DESEKEYRON OF WORK OR SERVICES TO BE SIMC MRACTE'D OR IMAILRIALS TO BE PROVIDED MANE OF OBE •• (N=c ofDBEs, Ccrdscadan Numbe--, and TelephoneNumbef) DOLLAR AMOUNT ••• DBE PERCEN"P •'• DBE k%2- ►3 GiY�utdCR, C. [� . +w ?35'j 2(A,"l (°% Prfl U S, %j a%GS �QtnLL✓I Z tfrJcgw, 121 LTD, c, Total Claimed S % S Participation If 100% of it= is not to be pcfarzned or &misbat by DBE, d=xa- a exact Fortioa, including piauned location of wade to be verforaed. of item to be performed or furnished by DBE "• DBEs must be cmdfied by Cai= on the date bias ore opena Sabcon=wrs and suppliers ccrzfficd =e-funded only cannot be used to taect goals on federally Amded ccu M'M *'• Credit for a DBE suppiim who is not a manu acaxw is limited to 60% of the amount paid to the supplier. (See Sedon 'Dtsadvaay.gcd Busine_s" (DBE) of the special provisdons) DIPORTAIYT: Nataes of DBE subcontractors and their respective item(s) of work- listen abase should be consistent with the name and items of work In the "List of Subcontractors" submitted with your bid pursuant to the Subcontractors Listing Law. �APR_- 6 2004 05459"841 Signatm•e of Bidder Date (Area Code) teL No, C.R. BROWN. PRESIDENT Person to Contact (Please type or print) DWrilt mLarNMProjeetc Dbfxibud= far n=-Ni'-s Pm,,c=: DEFT. OF TRa' WORTAiIOti (1) QripW-Catty= DLAc to NIM Pmjecz-, (2) Ca;,,Y-i.� ASmey Fro1e-- fsk (1) Wgind rat Agmq pmjr . S:e qM USE) MOD= DC-0E-19 (HEV09.18A3) C-16 Page L-b7 EXIT 15-K Local Assistance Prardures'Manusl `.Report of DBE Awards • REPORT OF DBE AWARDS COMPLETE THIS FORM FOR EACH CONTRACT Locode: Project No. Total. Contract B id: Federal Shays: Agency. DBE Goal: Reimbursement Ratio: Award Date: ' Combined DBE Percent of Federal Share for this Project: DBE Snhcnntrsetnrs fescluding women) Awarded by Ethinic Group and other Disadvnntav--d P��ffm��Mm NO DBE Subcontractors excluding mea) Grand Total JAWBE WRBE Total B •Total A+B No. No. Total S Total S Fed S IFedS I Number of subcontracts awarded by type ofwork- Frofessiopal and Consultant Services ME f—WBE YME Ley,cludingMmen) 1. Engineering 2. Architectural 3. Right of Way 4. Other 1. Grading., Mrabage 2. Paving 3. Strnctzu�csMuildings 4. Materials 5. Equipment b. Trucking 7. Traffic Control S. Landscaping 9. Other TOTALS: Note: For the purpose of dais report; use the foIldwiug defnitimm * DBE - disad mn aged business enterprise a hfWBE = minority women business enterprise a WWBE - white women business enterprise EXCEL PAVING COMPANY P.O. BOX 16405 A GENERAL ENGINEERING CONTRACTOR LONG BEACH, CA 90806.5195 STATE LICENSE NO.688659A (562) 599-5841 FAX (562) 591-7485 C.F. Brovn, President: 33 years experience working for other general contractors with the past 22 years being self- employed in own general engineering contracting business. INCUMBENCY AND SIONAYVRE CERTIFICATE OF PALP, INC. The undenlgned, Carolyn J. Crown, being the duly elecled and Incumbent dser0ary of PALP, tne. dba 13xcel Paving Company, b Caiifamla .Corporation {the "Corporatlon'), hereby cartlfles that the persons named below are, on and as of the, date hereef, the duly quallfled, elected and acting Officers of the Corporation holding the office set forth opposite their names below, such otflcers being authorized to sign, In the ennme of and an behalf of ' the Corporation. Curtis P. Drown President and Chief Operating officer Carolyn J. Grown Secretary and Chief Financial Officer Oeorpe R. McRae Semler Vice President Zurtis-P. Brown tit Vice President Bruce 0. Platt Vice President S► Assistant Secretary Michele H. Drakulldh Assistant Secretary IN WilrN@88 VMIEREOP, the undersigned has executed thl.9 Certificate tart of the date not forth below. Votes November $1 2001 t • , • ARG�LYN . B i� , crdtary ,. "CEL PAVING COMPANY p O. W' A GENERAL ENGINEERING CONTRACTOR LONG BEACH, CA "& STATE UCEME NO. 688659A 1669? 81 FAX (569) 6i CREDIT APPLICATION ExW Paving Company 2230 Lamm Avenue P.O. Box 18406 Long Boesch, CA 90806 Teto0we: 662- M6641 Fax: 682- M3979 Type Qt Byslnasa: General Engtneertng Contractors Contactors Uoenso M 688669A Fed 1.0.0 96-3072914 Excel Paving Company Is a Corporatlon CMner. Palp.Inc. 2230 Lemon Avenue Long Beach, CA 00800 In business stnoe October 1081 Sarno locatlon since October 1081 Property owned ly 8ro%n & Mills Flnarrclal rating will► Dun S Bradstreet: Rating 3A2. SIC # i6i i US Bank. 2633 Cherry Ave., Signal Hill, CA 906o8 Aowwt Reps esentative: Llx Acm or Celina Gonzalez Telephone: 602-4W2069 or 662-400.2079 Ch"Wng Account M534-0198 W80 TRADE REFERENCES: YuI M Materials 02�3-268-2777 32325"102 Silvia edondo R.E.K T#uolting 90t3-691-0871 909-691-06oe (3fna Mendtola Bluo Diamond Materiels . 714878-8607 714440-2831 Jerry Easlerwood Gavels Equipment M223-2473 94M52-6697 Mona Covington 8PI"CIAL BILLING REQUIREM678: Show job lumber on Invoices to expedite payment. I certify tha# the above information Is trud and correct, and that wo can and W111 ccmply r'06 your terms. G.P. er4YrTl Date President ; ,ExCEL PAVING COMPANY P.O. 60) A GENERAL ENGINEMNG CONTRACTOR LONG BEACH, CA 90$C STATE LICENSE NO. 669659A (5621594. FAX 4562) 591 Reference List As of hfaY, 2000 1. Cityof Lang Dcach 333 West Ocean Boulevard Long Beach CA 90802 Gillis AluaroQ Chief Construction Inspector (562) 570-5161 2. Burbank -Glendale -Pasadena Airport Authority 2627 Hollywood Way Burbank CA 9130S Dan Feger, P.R (818) 840-9416 or (818) 840-8840 3, Los Angeles County Publlo Works 900 South Fremont Avenue Alhambra CA 91803 Cary Hardly, Construction Division (626) 458-3100 EXCEL PAVING COMPANY A GENERAL ENGINEERING CONTRACTOR STATE LICENSE NO. 688659A BONDING AGENT: CONTACT: RAPP SURETY SERVICES 23461 SOUTH POINTE DRIVE SUITE 345 LAGUNA HILLS, CA 92653 DOUGLAS A. RAPP OFFICE: 949/457-1060 FAX: 949/457-1070 SURETY: FEDERAL INSURANCE COMPANY C/O SURETY DEPARTMENT 801 SOUTH FIGUEROA STREET 23RD FLOOR LOS ANGELES, CA 90017 INSURANCE CARRIER: OR P.O. BOX 30127 LOS ANGELES, CA 90030-0127 THE WOODITCH COMPANY ONE PARK PLAZA SUITE 400 IRVINE, CA 92614 CONTACT: WILLIAM WOODITCH OFFICE: 949/553-9800 FAX: 949/553-0670 P.O. BOX 16405 LONG BEACH, CA 90806-5195 (562) 599-5841 FAX (562) 591-7485 EXCEL PAVING COMPANY OPEN JOBS 2003 ESTIMATED % BACKLOG JOB FINAL WORK WORK REMAINING NO. PROJECTIOWNERIAGENCY INCOME COMPL. 3369 ONE OCEAN TRAILS DR., 187,017 100.0°% 0 3589 MEDICI. LOS ANGELES 1.300.961 100.0% 0 3637 12015 HARBOR BLVD., GARDEN GROVE 292,022 100.0°% 0 3704 TAXIWAY D L.B. AIRPORT 3,698.591 100.0% 4 3714 PIER T, PORT OF LB 14,292,378 100.0% 191 3718 710 FWY PCH TO 405 19,243.795 98.2% 349,155 3721 IMPERIAL KN LOS ANGELES 1,037,837 99.9% 676 3723 INDIANA & WA VERNON 158.522 86.2% 21,908 3737 4341 E. WASHI COMMERCE 4,354,077 100.0% 0 3742 HENRY FORD, LA 2,700,058 100.0% 0 3747 WEST & EAST ALAMEDA 7,215,816 100.0°% 0 3807 OVERLAND AV LOS ANGELES 2,014.005 100.0% 0 3833 GRAND CANA LOS ANGELES 690.359 100.0% 1 3834 GATES 3 & 4 L.B. AIRPORT 434,826 100.0°% 0 3835 SECURITY GA L.B. AIRPORT 350.251 100.0% 0 3836 BELLFLOWER LONG BEACH 587,385 99.8% 1,323 3837 PARKCREST LONG BEACH 576.440 100.0% 0 3838 COLLEGE PAR LONG BEACH 129,620 100.0% 0 3839 VARIOUS STR LONG BEACH 1,414.033 100,0% 0 3841 MANUAL INTE PORT OF LA 10,946.975 1.5% 10.779.418 3843 LAUREL CYN LOS ANGELES 722.540 100.0% 23 3B44 SHADY CYN P 1RVINE 134,618 100.0% 0 3B53 MISSION BLVDPOMONA 1,933,686 100.0% 0 3B55 21ST ST., HERMOSA BEACH 93,674 94.9% 4,740 3860 54TH ES, LOS ANGELES 372,883 100.0% 0 3862 VARIOUS ST O RANCHO PALOS VERDES 1,335,586 100.0% 0 3865 2627 HOLLYW BURBIGLEN/AIRP 153.295 99.5% 737 3866 HARDING AVE LA 1.272,458 99.9% 1,897 3867 SAN FERNANDLA 241,389 100.0% 0 3875 ORANGE AVE. LONG BEACH 1,075,722 100.0% 0 3876 PARTHENIA, LA 1,068.233 .100.0% 31 3880 BERTH 212- 22 POLA 5,249.813 99.9% 2,864 3881 BROADWAY LA 2.370,101 97.0% 72,224 3882 RTE 110 LOS ANGELES '-'13,878 1.0% 13,743 3888 2001-2002 AN BEVERLY HILLS 1,071,191 100.0% 0 .3891 DODSON MS LA 417015 100.0% 0 3893 CHERRYAVE LONG BEACH 47,332 49.5% 23,893 3894 ROWAN AVE LA 529,889 100.0°% 1 3895 PIER S PORT OF LONG BEACH 11,152,520 99.4% 62,192 3896 1200 GETTY C LOS ANGELES 83,066 98.1% 1,542 3900 CENTURY PK LOS ANGELES 769,641 1 N0.0% 1 3904 ST. JOHNS HL SANTA MONICA 307,699 100.0% 0 3906 ROUND MEAD HIDDEN HILLS 481,337 100.0% 0 3907 ADDAMS ES LONG BEACH 298,807 100.0% 0 3908 13652 CANTA LOS ANGELES 351,000 100.0% 0 3909 AMGEN CTR THOUSAND OAKS 904,004 100.0% 0 3910 AMGEN CTR THOUSAND OAKS 181,997 100.0% 0 3912 GRAND AVE EL SEGUNDO 285,134 87.0% 36,969 3914 ALLEYS - 13THSEAL BEACH 1,176,425 100.0°% 0 3915 OVERLAND ES LOS ANGELES 412,000 100.0% 0 3916 JOHN MUIR M LOS ANGELES 346,489 100.0% 0 3919 AVENIDA MAZ SANTA MONICA 10,370 100.0% 0 3922 BELLAGIO & N LA 1,274,420 67.1 % 418,912 3923 OLYMPIC BLV BEVERLY HILLS 1.093.192 100.0°% 0 3925 DIAMONDICRE LAGUNA BCH 266,863 100.0% 0 EXCEL PAVING COMPANY OPEN JOBS 2003 ESTIMATED % BACKLOG JOB FINAL WORK WORK REMAINING NO. PRO.IECTIOWdER/AGENCY INCOME COMPL. 3926 KENNETH VILLGLENDALE 934,377 100.0% 0 3927 BUS CENTER, 114GLEWOOD 1,228,113 97.9% 25,627 3929 OLYMPIC BLV LOS ANGELES 501,589 99.7% 1,734 3931 PCH & ADMIR SUNSET BEACH 161,473 99.9% 217 3933 CORONA AVE LOS ANGELES 420,114 100.0% 0 3934 ROSCOMARE BELL 491,620 98.4% 8.016 3937 1730 CORONA LONG BEACH 3,800 100.0% D 3939 GLENNEYRE S LAGUNA BCH 408,063 100.0% 0 3940 HARDING E.S., SYLMAR 634.037 100.0% 0 3941 SOUTH STREE LONG BEACH 334.371 100.0% 0 3943 SOMERSETBLBELLFLOWER 322.468 100.0% 0 3945 CAMINO CAPI SAN JUAN CAPISTRANO 299,287 100.0% 0 3947 TUSTINAVE.. ANAHEIM 3,855.000 62.1% 1.460.824 3948 PALISADES C LOS ANGELES 209.154 60.0% 83.625 3949 2300 E. PCH, WILMINGTON 110,062 100.0% 0 3950 PV. DRISCHO RANCHO PALOS VERDES 27,036 100.0% 0 3951 2401 E. WARD LONG BEACH 399.700 100.0% 0 3952 DOWNEY HOS DOWNEY 22,784 36.0% 14,593 3953 PLAYA DEL RE LAUSD 468.728 100.0% 0 3954 505 N. FIGUER LOS ANGELES 106,331 100.0% 0 3959 SANTA MONIC LOS ANGELES 42.569,000 19.8% 34.156,524 3961 YACHT HARBOR, 157,908 95.4% 7,247 3962 S. MACLAY AV SAN FERNANDO 412.397 100.0% 0 3963 EL DORADO P LONG BEACH 156,007 100.0% 0 3964 LONG BEACH LONG BEACH 343.141 99.8% 762 3966 13652 CANTA PANORAMA CITY 50.000 15.8% 42,091 3967 5722 DAIRY A LONG BEACH 5,500 100.0% 0 3967 5722 DAIRY A LONG BEACH 5,500 100.0% 0 3969 BERTH 2O6-20 PORT OF LA 3,147,023 90.6% 296.867 3971 VARIOUS & W CULVER CITY 1,178,796 99.7% 3,879 3972 633 W. 5TH ST L.A 10,760 100.0% 0 3973 LOS ROBLES THOUS OAKS 311,907 44.1% 174A53 3976 EXCESLIOR D NORWALK 357.193 100.0% 0 3977 ROSECRANS, NORWALK 2D0,532 100.0% 0 3978 WARDLOW,CL LONG BEACH 721,029 100.0% 0 3979 WARDLOW.'PV LONG BEACH 786,368 100.0% 0 3982 ROSECRANS COMPTON 33.650 100.0% 0 3963 18349 FIGUER LOS ANGELES 10.759 100.0% 0 3984 CADILLACPJE LOS ANGELES 585.293 63.6% 213,296 3985 TOWN CENTER HALL 143,281 100.0% 0 3986 ,2627 HOLLYW BURBANK 291.290 99.8% 556 3987 RAMSDELL AV LA CRECENTA 130,702 1 D0.0% 0 3988 VARIOUS ST R SEAL BEACH 161,607 68.5% 50.980 3989 SEE JASON MARTIN 0 100.0% 0 399D OCEAN BLVD LONG BEACH 1,284,13E 90.9% 116,699 3991 ROSECRANS NORWALK 91,835 100.0% 0 3992 NEWPORT BLVDIVICTORIA 279,603 90.6% 26,341 3993 10801 6TH RANCHO CUCUMONGA 301,499 100.0% 30 3995 ALICIA PKWYIPASEO DE ALICIA 246,473 100.0% 0 3996 SEE JOB#3984 0 100.0% 0 3998 COLLEGE PK SEAL BEACH 6.60D 100.0% 0 3999 LILO PKG LOT ANAHEIM 181,180 100.0% 0 4000 HOLLYWOOD WAY OFF RAMP 46.240 100.0% 0 4001 BRISTOLIHEMLOCK 24,140 100.0% 0 4002 170TH ST, ARTESIA 82,489 6.7% 76.941 4003 710 FRWYIANAHEIM 312.757 42.3% 180,578 4004 GREEN VALLY CIRCLE CULVER CITY 1,118,606 93.2% 20,436 4005 CATALINA LANDIND LB 1,400,000 85.7% 200,181 ' EXCEL PAVING COMPANY OPEN JOBS 2003 ' ESTIMATED % BACKLOG ' JOB FINAL WORK WORK REMAINING NO. PROJECT/OWNER/AGENCY INCOME COMPL. 4006 LB AIRPORT P L.B. 178,897 100.0% 0 4007 LB AIRPORT PW107104 32,010 100.0% 0 4009 HAVEN ST, RNCHO CUCAMONGA 371,360 99.3% 2,780 4010 MAPLE AVE MONTEBELLO 118,886 100.0% 0 4011 BURBIGLENIPASA AIRPORT 271,638 98.8% 3,223 4012 CAMELLA ES N. HOLLYWOOD 154,652 60.8% 60,578 4013 FILBERT AVE SYLMAR 36,253 100.0% 0 4014 CANTESURY AVE ES 471,227 99.7% 1,501 4015 MCCOY CLEAR VW DR 6,500 100.0% 0 4016 STEVENSONIJOHNSON 400,000 91.2% 35,194 4017 POLA BERTH 210-211 1,093,039 2.5% 1,066.079 4018 MT SAC 1,368.000 96.3% 50.968 4021 INGLEWOOD AVE 180,463 100.0% 0 4023 GARDENDALE DOWNEY 146,398 100.0% 0 4024 UCLA KINROSS 1.900,000 35.4% 1,227,856 4025 SANTA MONICA ES 8,880 100.0% 0 4026 GAGE & COMPTON 321,776 89.4% 34,258 4027 BEVERLY HILLS 3RDICIVIC 27,170 100.0% 0 4028 CALIFIBURNETT SIGNAL HILL 80,600 80.2% 15,950 4029 MANCHESTER BLVD. BUENA PARK 107,900 100.0% 0 4030 CAMINO LAS RAMBLAS 227,391 0.8% 225,607 4031 BARTONIBURCHIPRISK 436,139 89.4% 46,364 4032 DORLANDINORWALK 83,009 95.1% 4,109 4033 LB AIRPORT VARIOUS 65,851 100.0% 0 4035 MAINT ST & MACARTHUR 522,995 0.7% 519,177 4038 RE GRP 190TH GARDENA . 19,199 100.0% 0 4039 NO VLY OCC CENTER 419,323 76.1 % 100,190 4040 HATH DIN ANTON BLVD 90,000 100.0% 0 4041 HARVARD AVE. IRVINE 1,076,979 12.3% 944,394 4042 TUDOR WESTWOOD PLAZA 752,500 0.5% 748,617 4043 LAS BRISAS 37,540 87.1% 4,836 4044 BELLl33RD ST MAN. BCH 58,660 0.7% 58,269 4045 5 FRWY, OR. CO 148,290 1.4% 146,241 4047 DAPPLEGRAYIR.H.E. 394.473 85.9% 55,483 4048 4100 RPV SO RPV 350,000 36.6% 221,879 4049 TOWN CENTE COSTA MESA 36,000 100.0% 0 4050 CRENSHAW B LACPW 1,174,657 0.5% 1,168,453 4051 BLDG M-4 NORTHROP GRUMAN 290,000 79.0% 60,872 4052 BAKE PKWY IRVINE 26,900 75.5% 6,588 4053 340 LOMA L.B. 4,200 12.8% 3,664 4055 L.B. AIRPORT L.B. 15,317 100.0% 0 4057 PALO VERDE UCI 574,000 0.5% 570,863 4059 MARK TWAIN LA 600,000 0.7% 595,620 4060 1100 N. GRAN WALNUT 1,170,197 0.6% 1,163,170 4061 PANKOW BLD M.B. 627,000 0.0% 627,000 4063 190 MARINA D LB TRANSIT 94,900 0.5% 94,400 4064 WALGROVE E. L.A. 719,719 0.7% 714,896 4065 LA CITY COLL LA 322,000 68.3% 102,134 EXCEL PAVING CO. CLOSED JOBS 2003 Year of 2003 JOB NO. PROJECT NAME 3498 9425 PENFIELD AVE, CHATSWORTH 3607 BRISTOL ST., SANTA ANA 3662 777 PAULING DR., THOUSAND OAKS 3666 555 W. TEMPLE ST., LOS ANGELES 3669 23388 MULHOLLAND, WEST HOLLYWOOD 3672 SHADY CYNISAND CYN, IRVINE 3693 11847 W. GORHAM AVE. 3720 2699 PALOMA ST., 3732 GARVEY & CORP CTR, 3745 WARNER AVE., 3752 PIER 400 ICTF, 3764 BERTH 230-232 3768 ERRINGER AVE 3768 PALO VERDE AVE 3796 VARIOUS LOCATIONS 3797 GOMPERS ELEM SCH 3812 2627 HOLLYWOOD WY, 3814 PIER 400 LEAD TRK, 3817 PORTSHEAD RD., 3818 BERTH 115 3821 MACARTHUR BLVD. 3829 COMPTON AVE 3840 CALIFORNIA REHAB 3846 42ND & ANGELES MESA E.S. 3847 STRT REHAB 3848 SANTA MONICA MUNICIPAL POOL 3852 BANDERA RD. 3657 9521 DALEN ST, 3858 VON KARMAN & MAIN, 3859 OLD TOWN WEST, 3863 E. PKG LOT AVIATION, 3869 SEPULVEDAIPCH r 3870 CRENSHAW BLVD., 3871 CARSON:& HELMS 3872 TAFT ES, 3874 SYLMAR HS, 3877 LONG BEACH AIRPORT 3883 15 AVE SCHOOL 3884 DANA MIDDLE SCHOOL 3885 PIER W 3886 PKG LOTS D & E 3869 74TH ST ES .3892 CLEVELAND HS LOS ANGELES PASADENA MONTEREY PARK SANTA ANA LA POLA SIMI VALLEY LONG BEACH SIMI VALLEY LONG BEACH BURBANK POLA MALIBU SAN PEDRO IRVINE LA COUNTY GLENDALE LOS ANGELES GLENDALE SANTA MONICA LA DOWNEY IRVINE LOS ALAMiTOS REDONDO BCH MALIBU LA CULVER CITY LOS ANGELES LOS ANGELES LONG BEACH LOS ANGELES LOS ANGELES PORT OF LONG BEA LONG BEACH LOS ANGELES FINAL INCOME AMOUNT 524,427 8,891,538 246,729 833,768 2,166,833 11,156,694 1 B 1,777 109,929 2,292,779 2,645,776 6,718,112 2,259,075 520,781 488,074 2,021,101 526,406 3,659,178 3,013,820 154,668 1,603,575 364,009 1,335,672 289.022 626,703 1,967,209 4,900 232,256 41,478 122,403 848,052 434,879 41,910 1,301,618 910,143 371,367 452,900 28,500 245,632 631,459 385,401 341,042 270,412 98,100 CLOSED JOBS 2003 Year of 2003 FINAL JOB INCOME NO. PROJECT NAME AMOUNT 3896 FISHBURN AVE ES LOS ANGELES 304,115 3897 2100 AMGEN CTR DR, THOUSAND OAKS 113,884 3899 LOCAL ST REHAB LAWNDALE 348,148 3901 VIEWLINE DR SIMI VALLEY 319,900 3903 LEXINGTON & BURTON BEVERLY HILLS 139,610 3905 RTE 5/60 AT SOTO, LOS ANGELES 7,233 3911 SUPER BLOCK PKG SANTA ANA 208,478 3917 UCLA CAMPUS LOS ANGELES 135,323 3918 MULHOLLAND HWY LA 16,629 3921 BOLSA CHICA & RANCHO HUNTINGTON BCH 25,078 3930 EL CAMINO REAL, LOS ANGELES 373,649 3935 GAULT ST. E.S., LOS ANGELES 594,379 3936 EL MORRO ES, LAGUNA BCH 29,900 3938 DORSEY H.S., LOS ANGELES 159,454 3942 LONG BEACH AIRPORT LONG BEACH 16,022 3944 DANA POINT HARBOR DANA POINT 383,919 3946 2021 E. ROSECRANS, EL SEGUNDO 2,500 3955 WASH & INDIANA, VERNON 150,698 3956 8111 VENTURA, PANORAMA CITY 13,497 3957 SOUTH BEACH IMPVTS, SANTA MONICA 19,250 3958 PIER T GDR XING, PORT OF LONG BEA 77,912 3960 UCLA CAMPUS, LOS ANGELES 47,499 3965 2670 HOLLYWOOD WAY, BURBANK 59,560 3966 13652 CANTARA, PANORAMA CITY 0 3968 OCEAN PK, SANTA MONICA 198,605 3970 CABRILLO AVE ES, SAN PEDRO 375,255 3972 633 W. 5TH ST, LOS ANGELES 10,760 3974 DISCOVERY WELL PK, SIGNAL HILL 57,625 3975 2401 E. PCH, WILMINGTON 7,147 3980 7100 SANTA MONICA LOS ANGELES 4,361 3994 3333 SKY PK DR TORRANCE 5,029 4008 MOOG WESTERN AVE 128,302 4019 GRAND ST, LQ 1,996 4020 PIPE CON PCH 3,800 4022 BOEING PLANT 42 PLMDL 305,399 4034 OSO PARKWAY 53,354 4036 WHITTIER SCHOOLS 41,231 4037 33RD/ORANGE SH 15,489 4046 LINCOLN/JEFFERSON L.A. 16,011 4054 WORLD WAY WEST L.A. 8,676 4056 2300 PCH L.B 3,400 4058 SANTA MONICA/HILLCREST B.H. 1,550 ;j0, je CITY OF HUNTINGTON BEACH 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY CLERK CONNIE BROCKWAY CITY CLERK y / , 2004 To: LYO LA)(2,. Z CKCez-U/nj G C�a30 LL--�,) Aoc . z Ct 90 to 6 Enclosed please find your original bid bond issued by 2q"P/C4,j �/ti1S 77t c-T� D/= A for 0 ,llSe • ` 0 //S 7 d3vy ow-04mav— Connie Brockwa City Clerk Enclosure g:/followup/cashconVretumbidbond.doc (Telephone: 714536-5227) Bond No The American Institute of Architects, AIA Document No. A310 (Februwy,1970 Edition) KNOW ALL MEN BY THESE PRESENTS, that we, PALP Inc. dba Excel Paving Company Bid Bond as Principal hereinafter called the Principal, and Federal Insurance Company a corporation duly organized underthe laws of the state of Indiana as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach as Obligee, hereinafter called the Obligee, in the stun of Ten percent of the total amount of the bid Dollars (S l ne ), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for Graham Street Rehabilitation (1158) and Warner Avenue Rehabilitation (1159) NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to cater such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in fu11 force and effect. Signed and sealed this 24th day of March , 2004 PALP Inc. dba Excel Paving Company Witness v� Principal (Seal) MICHELE E- DRAKULICH, ASST. SECRETARY By: C-- AA�� C.P. BR0WN.PRES1501 Nameffitle Witness Federal Insurance Company A'� Surety (Seal) By: a r L", Douglas �. Rapp Attorney -in -Fact ORSC 21328 (5/97) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of ORANGE 55. On MAR 2 4 2004 , before me, CHRISTOPUR J. COATS, NOTM PUBLIC Date Name and Tale d Ofter is %. •Jana Doe. Notary PuN-c-) personally appeared DOUGLAS A. RAPP , Nan"s} DI Synrgs} OFFICIAL SEAL I CHRISTOPHER J. COVE r NOTARY PUBLIC-CALIFORWA ',_i CohIMISSION#. 12676ss C W }% ORANGE COUNTY i l41 y Commission Exp. J:JIy 15, 2004 II personally known to me ❑ proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that helshelthey executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s). or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS and official seal. Ptace Notary Seal Above S Notary Ptbk OPTIONAL Though the Information below is not required by law, R may prove valuable to persons relyng on the document and could prevent fraudulent removal and reattachment of fhiq form to another document Description of Attached Document Title or Type of Document: Document bate: Number of Pages: Signer(s) Other Than Named Above: Capacity(les) Claimed by Signer Signer's flame: ❑ .Individual r Top of thWO here ❑ Corporate Officer --Title(s): ❑ Partner--❑ Limited ❑ General ❑ Attomey In Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 0IM N4dwW NW"Amomdon *W50 Do Solo Ave. P0.9m 24M * C WarorR w 91313-24M v wmimWeIrw"02 Pia?• Na 5Or RaaEa►. Cal To&F+w t•604dr66a21 Chubb POWER s Federal Insurance Company Attn: Surety Departnm t IC. OF Vigilant Insurance Company '15 Mountain View Road Surety OF Pacific Indemnity Company Warren, NJ 0709 Know AlfbyTfhesePrrsents.7hatFEDEAALi4SURANCECOMPANY.anlxl=mpoiatKn,VIGM WTtMURAtKECOMPANY.aNmYorkcorporabuh, and PAt 3FIC 1NDEMIN17Y COMPANY, a Wisconsin corporation, do each hereby constih.de and appeint Douglas A. Rapp or Linda D. Coats of ..Laguna Hills, California --------------------------- --- ___ each as their true and lawfur Attomey4n-Pad so execute under such desbnation In their names and to aft their corporate seals to and deliver for and on their behalf as surety thereon or otherwise, bonds and undert*b fs and other writings Mary In the nahma thereof (other Ilhan bal bore ghmn or executed in the course of business, and any instruments arnendng or altering the same, and consents 10 the nadfication or alteration d any instrument referred to in said bonds or oblations. in Witness Whereof. said FEDERAL WSURANCE COMPANY. VIGILANT INSURANCE COMPANY. and PACIFIC STY COMPANY have each executed and attested these presents and affixed their corporate seals on this 2 2 nd day of January, 2004 STATE OF NEW JERSEY I ss. County, of Somerset o,vis 22n&ayol January, 2004.betweme,aNatayPublicofWw.fersey.t c=wrlmwMGrvn,del,bmab to be Assistant secretary of FEDERAL_ Drit t�COMPANY. MM AW ItSU ANM COMPANY, Poll PACIFIC VM M WN OOwAw. tha o,,O,, s *tgd vacube tha bregolrg Power of Attorney, and the Bald Kerneth C. Wendel being by rm duty v&*n r8d depcae and say riot he Ls Assistant Swetary of FEDMAL F SL*VAM CG1.P/WY. VIGLANT WSUFMNCF COMPAW. and PALM R+IDEAA M COWAW"kwor+e the caporals seats riered that the seat - ffi g b &W bv904V Power ofAttnmey ati such corporate seals "were thereto affixed by &modty d the OpLaws of said Canparaex "to he sigmd said Power dAuar,ey asAssistant Seaduy dsW Compwam by fte aulho V,, wd that he Is ecqualnWl wfrh Frank E. Rebe,tson, and Mvva rim to be Vice President of said Car,panies: and that rie sV aQun of Fam I_ Rab+rlao% subscribed to said Power otAttomey Is in the 9erndne handwrttng of Frank E. Rdxlbon, and was thereto sdncfed by authortty d said Bya.aws and In depanenht V is- ce. Notarial saw Kam it,. Nice . .� P, R,tfi Awry Pubic Sty a; N�rr Je.�sey��� x o� .� No. 2231 Notary Pubic of FEDERAL INSURANCE COMPANY. VIGILANT #r4U TANCE COMPANY, and PACIFIC PMEMNrTY COIwfFfIW -Al po -hd rtiratwney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company. either by the Chairman or the President or a Vice Presdent or an Assistant We Presiderk jointly with the Secretary or an Assistant Secretary, under 4heir respedve designations. The skpmtutre of such officers may be engraved. printed or Mhographed. The signature of each of the totlowiV otfioers` Ctialrrru"% President. any We President, any Assistant Vice President, any Secretary, any Assistant Seuetwy and the seal of the Company may be atTnced by facsimile So any power of attorney or to any certfte retatlrg thereto appoKN Assistut Secretaries or Anomeysan-Fact for purposes only of executing and attesting bonds and underlaldnQs and other writings obligatory in the nab" therred. and any such power of attorney or certificate bearing such brae signature or facsiirde seal "be raid and bkxwV upon the Company and any such power so executed and certified by such facsimile signature and faosirrrie seal shalt be valid and Win upon the Company wfth respell io any bond or undertaking to which It is attached.' I, Kermeth C. Wendel, Assistant Secrretaryd FEDERAL INSURANCE COMPANY. VEGRANT INSURANCE COMPANY. and PACM WDEMNI YCOMPANY (the wCornpanies7 do hereby certify that (Q the foregoing extract of the Sy -Laws of the Companies Is true and turned, (p? the Companies are duly licensed and audx&ed ra transact surety business In all So of the United Stales of America and the District of Columbia and are authorized by the U. S. Treasury Department: further. Federal and Vhgiant are licensed in Puerto Rico and the U. S. Virgin Islands. and Federal Is licensed In Anwrim Samoa. Guam and each of the Frnvinaes of Canada exogA Prince Ed► and lsbr4 and (u# the foregoing Power of Attorr y Is true, correct and in full tame and eifed. Liven under my hand and Teals of said Companies at Warren. NJ this 24th _day oI rbrC h. '2004. _ ^_ LIS 4 Ats* srscotts't yfw troa�' IN THE EVENT YOU WISH TO NOTIFY US OF CLAIM, VERIFY THE AUTHENTICI`TY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER, PLEASE CONTACT US AT ADDRESS LISTED ABOVE. OR BY 903-3485 Fax (908) 90 ,%% a-ffot %m tshaozzs (FA 4-" t>ONSUrr CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of Ca!ifomia County of LOS ANGELES ss. 4n n; LtJ�i'T ,before me, CELESTE A. GRAHAM NOTARY PUBLIC Cate 1yeree end ride of of"( c• B . -jV" on, kaury Prrmc7 personally appeared PALP INC. DBA EXCEL PAVING COMPANY BY C.P. BROWN PRES; AND MICHELE E. DRAKULICH N'r. SECRETARY D personally known to me ❑ proved to me on the basis of satisfactory evidence .+� CELESTE A. GRAHAki yO%:it. #1312118 ❑ No'r PYFUEaC.C;d FOANG1 C �'.t•f ;cmrnissian Ex�,r�s July �0, 2C05 to be the person(s) whose name(s) islare subscribed to the within instrument and acknowledged to me that helshelthey executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the Instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official s I. PLka NoWy Beal A bo" . sv,• e a Wary rWN4 OPTIONAL Though the Information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: ❑ Individual TOD of thump here ❑ Corporate Officer —Title (s): ❑ Partner —❑ Limited ❑ General ❑ Attorney In Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 0 1999 Naaon.l Notary AAwOahm- OW D• Sm AM. PO. Box 2,102 • Mowaret CA 91313.2rN . www nNronaha vy e,0 Prod No 5207 Readxr CA TO -Fr" 14004M4W SEQUEL CONTRACTORS, INC 13546 Imperial Hwy. Santa Fe Springs, CA 90670 ftjft��tz 13546 Imperial Hwy. Santa Pe Springs, CA 90670 0 ,,SEALED BID ''0i SEQUEL CONTRACTORS, INC. City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For GRAHAM STREET REHABILITATION - CC 1 158 FROM WARNER AVENUE TO HEIL AVENUE SSTPL 5181 AND WARNER AVENUE REHABILITATION - CC 1159 FROM GRAHAM STREET TO SPRINGDALE STREET STPL 5181 147 March 18, 2004 Notice To All Bidders: Please note the follvMng clairification to the Project Plans, Specifications, and Technical Provisions: Contractor shall start construction work on CC 1159 (WamerAvenue) before CC 1158 (Graham Street). Due to newly installed Orange County Sanitation District (OCSD) sewer main system, the following describes the change In quantities for various bid Items. Contractor Is to provide an Additive Alternate Bid item to adjust three (3) sewer utility vault covers to grade under CC 1159 (Warner Avenue). At this time, it is the City of Huntington Beach's understanding that OCSD's contractor is responsible to adjust the 3 sewer utility vault covers to grade after Warner Avenue is overlayed. See attached Revised Project Bid Schedules for CC 1159 and CC 1158 to reflect new quantities and the additional Additive Alternate Bid Item as described above. CC 1159 (Warner Avenue) A. Eliminate all asphalt removal areas along eastbound lanes on Warner Avenue between Station 10+00 to Station 26+52. S. Adjust newly Installed sewer manholes to grade (see attached OCSD plan P10, Station 91+60.90, Station 93+99.72, Station 94+3Z53; plan P11, Station 95+70.02, 95+55.66). C. Change from "protect In place" to "adjust sewer manhole to grade" for one existing sewer manhole (see Street Rehabilitation Plan, Sheet 3 of 3. Station 36+80.56). D. Adjust three (3) newly installed sewer vault covers (Additive Alternate Bid Item) to grade (see attached OCSD plan P9, Station 81+28.10, Station 86+43.10; plan P10, Station 90+06.03). See 8.5" x 11" detail for future raising of the sewer vault covers (0.3 feet) by Tetra Tech (transmittal dated March 18, 2004, total of 2 sheets). E. Change westerly construction limit from Station 9+54 to 10+92, and void Detail A on Street Rehabilitation Plan, Sheet 2 of 3. With this change, add a 25' wide cold mill (see Street Rehabilitation Plan, Sheet 1 of 3, detail 9 for Transverse join) between Station 10+92 to Station 11+17. Result In change will reduce quantities for detector loops, asphalt overlay, and cold mill. CC 1158 (Graham Street) A. Change southerly construction limit from Station 10+66.22 to 11+00. Result In change will reduce quantities for detector loops, asphalt overlay, and cold mill (see Street Rehabilitation Plan, Sheet 2 of 3). Additional plans from OCSD are attached for reference only (see attached OCSD plan G1, P8, S2, S3, D5 and D6). This modification changes the Engineer's Estimate for this project from $631,755 to $622,555. This is to acknowledge receipt and review of Addendum Number one, SEQUEL CONTRACTORS, INC. ' Company Name S �. T� APR D 5 20 Date All bidders must acknowledge the receipt of this Addendum with your bid proposal. Should you have any questions regarding this Addendum, please call Duncan Lee at (714) 375-5118. 1 SEQUEL CONTRACTORS, INC. SECTION C PROPOSAL for the construction of I. GRAIIAAI STREET REHABILITATION - CC 1158 FROM WARNER AVENUE TO HEIL AVENUE If. WARIER AVENUE REFIABILITATION -CC 1159 FROM GRAHAM STREET TO SPRINGDALE STREET in the CITY OF HUNTINGTON BEACH TO THE IIOtiORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 75 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within I0 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find �1DDERrtD �S 13pamount of $ go which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: f �/KOM N C-2 '' . '' SEQUEL CONTRACTORS, INC. SECTION C REVISED PROJECT BID SCHEDULE Graham Street, CC-1158, STPL- 5181 (142) Warner Avenue, CC-1159, STPL - 5181 (147) PROJECT BASE BID: TOTAL AMOUNT LUhIP SUM BID IN FIGURES: 5 577, LJ71.00 TOTALAMOUNTLUMP SUM BID IN WORDS: p - ) Jt n J10d S Qvf°n�l,� ., iSi�%A �.4,J Jro►, , ���r � .SnJM%L AnP AILS /)o 4ne rk PROJECT ALTERXATIVF.: The Additive Alternate Bid, Project Alternative, below is an integral part of this proposal, and to be responsive, the bidder shall quote a price for the Additive Alternate identiliedtlisted below. The City shall award the contract on the basis of the Project Base Bid alone. ESTIMATED -,- =ITEM WITH UNIT PRICE WRITTEN UNIT PRICE- EXTENDED QUANTITY ' ::f v = VI14RDS AMOUNT -_.. Adjust Sewer Vault Cover to Grade ! r �� 3 (Per Addendum #1, CC 1159, Item D.) $°' $ Each @ & „r s _cf ,Xrr-S _ Dollars Cents C-2.1 SEQUEL CONTRACTORS. INC. GRAHAM STREET REHABILITATION IMPROVEMENTS CC NO. 1158 STPL - 5181 (142) C-2.2 SEQUEL CONTRACTORS, INC. GRAHAM STREET (CC-1158) REVISED PROJECT BID SCHEDULE ITEM -ESTIMATED _ ITEM WITH UNIT PRICE WRITTEN IN °,n_ : UNIT PRICE •-EXTENDED NO. -QUANTITY = - = 'WORDS == AMOUNT 1 1 Mobili $ $ L.S. Dollars Cents 2 1 Traffic trol Pla $ $ L.S. @ Dollars Cents 3 1 Furnish Project Traffic Control $ L.S. @ A111 Dollars L4 Cents 4 104.400 Cold Milling & Header Cutting $ . i5 $ T rbb0-`'' S.F. @ Dollars :C ' f= rn Cents 5 2,255 Construct Asphalt Concrete (Overlay, Full Depth, Wo eI Ton etc.) @� � s , _Dollars 'es Cents 6 564 Pavement Reinforcement Fabric & Route and $ $ S.Y. Seal of Cracly§,� _ /y @_ �� _ Dollars Cents 7 1 Tra spin L.S. @ N �Cl Dollars Cents 04 8 2 Traffic Loo $ $ Each @�,a,�/�_ (l111 Dollars Cents 9 4 Rem ov eco trul Access Ramp $ $ Each @ Dollars Cents 10 6 Each Survey umenta o1zn @_ vi d 9: _Dollars $ $ Cents Sub Total Base Bid Amount, Bid in -Figures: $ IQ0 6-03 Sub Total Base Bid Amount, Bin Words: .,.- Jt_C"ba C-2.3 SEQUEL CONTRACTORS, INC. WARNER AVENUE REHABILITATION IMPROVEMENTS CC NO. 1159 STPL - 5181 (147) C-2.4 SEQUEL CONTRACTORS, INC. WARNER AVENUE (CC-1159) REVISED PROJECT BID SCHEDULE ITEM ESTIMATED _ . ITEM WITH UNIT PRICE WRITTEN IN . - : - UNIT PRICE :EXTENDED NO.: -QUANTITY - .. WORDS -::. . - = 'AMOUNT 1 1 Mobil ��������//�� L.S. @ DU =�'r7� Dollars Cents , 2 1 Traffic n 1 Plan $ $ L.S. Dollars Cents 3 1 Furnish Project Traffic Control $ fo-w $ q. 2tzk L.S. @/:JAC4,,J _Dollars Cents 4 95.721 Cold Milling & Header Cutting $ . f5 $ S.F. @ Dollars F " Cents 5 755 Unclassified Excavation $W.9a $ HL r C.Y. @ Dollars Cents 6 6,872 Construct Asphalt Concrete (Overlay, Full Depth, $ 4 $ Z-)4 Ton etc.) @ �a}fury Dollars '4 Cents 7 800 Pavement Reinforcement Fabric & Route and $ $ S.Y. Seat of Cracks @ Dollars Cents 8 16 Adjust SeWr Manh letgGr e $ $ Each @ / Dollars Cents 9 8 Adju t er vaiz to Grade $ $ Each @� Dollars Cents 10 1 TraM ,ripi '_ I �1n ��1�::G VI $ $ L.S. @ I Dollars Cents 11 18 Traffic p In1 $ Each Dollars Cents 12 830 Remove & Reconstruct Curb & Gutter $ .''' $ Ib 00," L.F. @ —Dollars �$ Cents 13 6,225 Remove & Reconstruct Sidewalk $� a $ .24, Q S.F. @ -r -- --Dollars _ . Cents 14 3 Survqy-al onurte-ntation $ $ Each @ wo i, n o r in" Dollars Cents Sub Total Base Bid Amount. Bid in Figures: $ 3 Lit,!, Sub Total Base Bid Amount, Bid in Words: 11 .,t •, ny r Ndl J rrP sr M C-2.5 �� �_ SEQUEL CONTRACTORS, INC. LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion o {Vork Name and address ojSubcontractor State License Number Class PlP A'A-V,_ Couc-4- l ?c tag 6 ,- �,,/ut' C lSa�✓e CY'7 aT By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. CG3 NONCOLLUSION AFFIDAN'IT TO BE EXECUTED BY BIDDER AND SUBMITTED WITII BID State of California ss. County of Orange Thomas S. Pack . , being first duly sworn, deposes and says that he or site is VICE PRESIDENT & SECRETARY of SEQUEL CONTRACTORS,INC. the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. SEQUELCO Name of Biddt '7P g t r i r Thom-al-S. Pack, 13546 IMPERIAL HWY. SANTA FE SPRINGS, CALIF. 90670 Address of Bidder Subscribed and sworn to before me this day of , 200 EE D NOTARY PUBLIC S �TI pp* NOTARY SEAL G4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of LOS ANGELES ss. On AN 0 6 mc., . before me, MICHAEL A MAHLER, NOTARY i'to-IC Deu Name end Title or Of er (e 9.. •Jane Dw. Nduy Podic') personally appeared T_bnrnnc _, pack MICHAEL A. MAHUR N � COM:1. *1134387 NO-.AP.Y Ptlr..ucx_A_- rokN A D tcs Ar:c;t_s couNr,r � a VY Co rr,t E+7. r'a- 13. 200S N &-p"ersonally known to me ❑ proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) Is/are subscribed to the within instrument and acknowledged to me that helshelthey executed the same In hislherltheir authorized capacity(ies), and that by hislherltheir signature(s) on the Instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. YVfT SS mY hand and official seal. Pa" Nomy S" Above sr0^e & ►wry PuEwc OPTIONAL Though the Information below is not required by taw, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: ❑ Individual r Top o111xrrro two ❑ Corporate Officer ---Trtle(s): ❑ Partner —❑ limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 0 1991 Nationd Noury Anociewn • QM De Sob Ave.. P.O. BOY 240Y • C► a%worTh. CA 91313,2402 Prod- Na 5907 Reorder: CM TwFree 1-800.8764W UTILITY AGREEMENT IIONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTItiGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the IMPROVEMENTS, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal -OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Date: AN o F; 23t SEQUEL C Contractor J Thomas S. Pack, Title C-5 SEQUEL CONTRACTORS, INC. DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes �No If the answer is yes, explain the circumstances in the space provided. //W Dote: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's 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 of this contract. Date: MR 0 6 W C-7 SEQUEL CONT ACTORS, INC. Contractor z Thomas S. Pack, r Title prr1•d1--J- UNDERGROUND SERVICE ALERT IDENTIFICATION NUMBER (To be completed only by the awarded Contractor prior to excavation) No excavation will be permitted until this form is completed and returned to the AGENCY. Section 4216/4217 of the Government Code requires a Dig Alert Identification Number be issued before a Permit to Excavate will be valid. To obtain a Dig Alert Identification Number, call Underground Service Alert at 1-8004224133 a minimum of two working days before scheduled excavation. Di- Alert Identification Number: Tp Thomas S. Pack, Title Pfes�-f Date: AN 0 5 = Note: This form is required for every Dig Alert Identification Number issued by U.S.A. during the course of the Work. Additional forms may be obtained from the AGENCY upon request. G8 BIDDER'S ItiFORi1IATION BIDDER certifies that the following information is true and correct: SEQUEL CONTRACTORS, INC. Bidder Name 13546 IMPERIAL H11VY. SANTA FE SPRINGS, CALIF 90670 Business Address City, State Zip ( ) (562) 802-7227 - Telephone Number 610600A State Contractor's License No. and Class January 31,1991 Original Date Issued januay 31. 2005 _ Expiration Date The work site was inspected by Thomas S. Pack of our office on MAP 2 6 M . 200_ The following are persons, firms, and corporations having a principal interest in this proposal: SEQUEL CONTRACTORS, INC. ZP 7v Thomas S. Pad:, Piisr, 40- ABEL MAGALLANES, VICE PRESI�NT�� C-9 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Printed or Typed Signature Subscribed and sworn to before me this ^ day of , 200_ . NOTARY PUBLIC SEE A� AGNED NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1. 2. 3. SEE ATTACHED Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Name and Address of Public Agency Name and Telephone No. of Project Manager: Contact Amount Type of Work Date Completed Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed C-10 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT . State of California County of LOS ANGELES ss. On 0 B 2DU I before me, MICHAEL A-MAHLEA, NOTARY PusLiC Daft Name and Tau o1 OlfKer (e.g.. •.lane Doe. Notary Puda:7 personally appeared Thomas S. Pack 4NOP 7 C'personally [mown to me ❑ proved to me on the basis of satisfactory evidence '-: � MauP1 l k=� A, ^HLEA �•,. re NONAY FJrL,- V.;.1F0R",.A b LCS A_NGZ'4S CC,-N-y to 4! ..,. ky Clam► Ew f" 1). 2: 5 1` to be the person(s) whose name(s) Islare subscribed to the within instrument and acknowledged to me that helshe/they executed the same in hislher/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. ESS m� hd n/�l seal. New Notary Sw Above 59'+aaa• a1 Notary Punic OPTIONAL Though Me Information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: ❑ Individual Top of ttwrrw we ❑ Corporate Officer -- Ttle(s): ❑ Partner — ❑ Limited ❑ General 0 Attorney In Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other. Signer Is Representing: 0 1997 Nal7onal Notary A"o&r m • 9M Do Sato Ave.. P.O. Boa 2402 • Chatsworth. CA 91313.24M Prod. No. BW7 Reorder: Cal ToIFFree I-SM76-SM 4. 5. C� 7. OWNER: CITY OF BEVERLY HILLS #! 206 ADDRESS: 455 REXFORD DRIVE BEVERLY HILLS, CA 90210 PHONE NO: (310) 285 2511 CONTACT: CHRIS THEISEN/ROB BESTE PROJECT: BURTON WAY PROJECT AMOUNT: $ 3,585,560.00 COMPLETION DATE: SEPTEMBER 1999 OWNER: PORT OF LOS ANGELES ADDRESS: 425 S. PALOS VERDES ST SAN PEDRO CA 90733 PHONE NO: (310) 732-3654 CONTACT: SAL ZAMBRANO PROJECT: ANNUAL PAVING CONTRCT PROJECT AMOUNT: $ 5,550,000.00 + COMPLETION DATE: ONGOING OWNER: CITY OF LAGUNA HILLS ADDRESS: 25201 PASEO DE ALICIA LAGUNA HILLS, CA 92653 PHONE NO: (949) 707-2655 CONTACT: KEN ROSENFIELD PROJECT: OSO PARKWAY RESURFACING & MEDIAN IMPROVEMENTS PROJECT AMOUNT: $ 1,714,973.00 COMPLETION DATE: MAY 5, 2000 OWNER: CITY OF CULVER CITY ADDRESS: P.0 BOX 507 CULVER CITY, CA 90232 PHONE NO: (310) 253-5760 CONTACT: MARGARET LIU PROJECT. WASHINGTON BLVD. PROJECT AMOUNT: $ 4,342,937.00 COMPLETION DATE: SEPTEMBER 1998 8. a 10. 11. 12. OWNER: CTTYOF SANTA ANA ADDRESS: 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 PHONE NO: (714) 647-5045 CONTACT: TYRONE CHESANEK PROJECT: SANDPOW TE NEIGHBORHOOD PROJECT AMOUNT: S 1,249,807.00 COMPLETION DATE: OCTOBER 2001 OWNER: LACDPW ADDRESS: 900 S. FREMONT AVE. ALHAMSRA, CA 91803 PHONE NO: (626) 458 3197 CONTACT: SAM ASSOUM PROJECT: OLYMPIC BLVD. PROJECT AMOUNT: $ 2,242,000.00 COMPLETION DATE: APRIL 2002 OWNER: CITY OF BEVERLY HILLS ADDRESS: 455 N. REXFORD DRIVE BEVERLY HILLS, CA 90210 PHONE NO: (310) 285 2511 CONTACT: CHRIS TYSON PROJECT: VARIOUS LOCATIONS PROJECT AMOUNT: $1,150,GW.00 COMPLETION DATE: JUNE 2002 OWNER: CITY OF SAN GABRIEL ADDRESS: 425 SOUTH MISSION DRIVE SAN GABRIEL, CA 91776 PHONE NO: (626) 308-2800 EXT. 715 CONTACT: BRUCE MATTERN PROJECT: ROSES RD. PROJECT AMOUNT: S 970,000.00 - COMPLETION DATE: MAY 24, 2002 OWNER: CITY OF HAWTHORNE ADDRESS: 4455 W 126TM STREET HAWTHORNE, CA 90250 PHONE NO: (310) 970-7959 CONTACT. AKBAR FAROKHI PROJECT: WASHINGTON AVE. PROJECT AMOUNT: S 535,000.00 COMPELTION DATE: SEPTEMBER 2001 SEQUEL CONTRACTORS, INC. ST, UC # 61 VMA 13546 ROPERIAL HIGHWAY SANTA FE SPRINGS, CA 90670 FAX (562) 802-7499 _ OFFICE (562) 802-7227 STATEMENT OF EXPERIENCE 1. OWNER: ADDRESS: PHONE NO: CONTACT: PROJECT: 'PROJECT AMOUNT: COMPLETION DATE: 2. OWNER: ADDRESS: PHONE NO: CONTACT: PROJECT. PROJECT AMOUNT: COMPLETION DATE: 3. OWNER: ADDRESS: PHONE NO: CONTACT: PROJECT: PROJECT AMOUNT: COMPLETION DATE: CITY OF ANAHEIM 200 S. ANAHEIM BLVD. ANAHEIM, CA 92805 (714) 765-5776 CHUCK SMITH KATELLA AVE BEAUTIFICATION PHASE 11 $ 17,500,000.00 MARCH 2O01 CITY OF ANAHEIM 200 S. ANAHEIM BLVD. ANAHEIM, CA 92805 (714) 765-5776 CHUCK SMITH KATELLA AVE BEAUTIFICATION PHASE I $19,941,735.00 JUNE 24,1999 JOHN WAYNE AIRPORT 3151 AIRWAY DRIVE COSTA MESA CA 92643 (714) 252 2570 DAVE McMILLER ANNUAL MAINTENANCE' $1,000,000.00 ANNUALLY JULY OF 1996,1997,1998,1999, 2001 9 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. Firm Name: SEQUEL CONTRACTORS, INC. Address: 13546 IMPERIAL HWY. SANTA FE SPRINGS, CALIF, 90670 Phone: (562) 802-7227 Fax: (562) 802-7499_ .Contact Person:Thomas S. Pak No. of years in business Is the firm currently certified as DBE under 49 CFR Part 26? 'YES NO K Type of wor.Vserviceslmaterials provided by firm? 610600A What was vour tirm's Gross Annual receipt's for lastyear'! o Less than S I Million Ci Less than $5 Million o Less than S 10 H11ion a Less than $15 Million More than $15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 Loral Assistance Froceaures inanuai P S&E Checklist Instructfous Attachment C (THE B.IDDER'S.EXE'CUT?ON ONTHE SIGNAi-ME POMON OF IM PROPOSAL SHILL ALSO CONST3TU7'EANENDOMMf NTAND =CMONOFTHOSE CERMIC4YYONS WHICRARE A PART OF THIS PROPOSAL) EQUAL. EWLOYMENT OPPORTUNTrY CERTMCATION The bidder SEQUEL CONTRACTORS, INC. , proposed subcontractor , hereby certifies that he has, , has not , participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note; The above certification is required by the Equal Employment Opportunity Regulatioas ofthe Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed snbccnfractors only in connection with contracts and subcontracts which are subject to the equal opporhmity clause. Contracts and subcontracts which are exempt from the equal, opportunity clause are *set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. 12-449 C-12 Page 12-45 Local Assistance Procedures Mannal EXHIBIT 12.E - •. PS&E Checidist InstructiaDS Attachment G DISCLOSURE OF LOBBYING ACTIVITIES Complete this fcrm to disclose lobbying activites pursuant to 31 U.S.0 i. Type of Federal Action: I. Status of Federal Acton: 3. 'Report Type: � tee:cn L Mal L b. awl mM'W ch=ge C. =MAN amM. 6 x e. ban , C. pcs6 ward Far Material Change Only: t year—.:-- d m of 1W. repcc. t 4. Na and Adress of Reporting Entftq: S. If Reporting Endtty in No.4 Is Subawardee. Enter • Prme Sut+awa�ee Name and Address of Prime: Ter , lTkr7a>m1 Congresslonal District, lkwwrr Congressional District, tfbrmwrr S. Federal Department/Agency: T. • Federal Program NameMescription: CFDA Number, Yapplieable a. Federal Action .4umber, ifkncwn: 9. Award Amount, Ykncwrr S 10. a. None and Address of Lobbying Entity b. Indlviduais Parfornirig Sarric'es rtrx Leg address F (d 1h& dtt4 last name, >lrst name, W: df3erernl lkm No.1Ca) (last name, Iry name, MI. (apt Carrtlruatbn Sheets) YnecessaM 1 i. Amount of Payment (check all that apply): 11 Type of Payment (check all that apply) $ I] ac!tal Flarned a miner b. one-ame fee 12. Form of Payment (check all that apply}: cash c. mmmission d �rErxent fee Ba b. in-iarxl: sFe�'�: nature e. deferred ,mice t other, speciff, U. Orlef Description of Serytces Ferformed or to be performed and Date(s) of 5africe, including ofRcer(s), empioyee(s), or mernber{s) eontac:ed, for Payment indicated In Rem 1 t: (822ch CrrA"ffon Sheets) fnecassaryj 13. Continuation Sheets) attached: Yes No IS- Wxmzt = rv;=s!id W qt M km Is aihcmd try 731a 3t U S G Secl,cu Sigratu ' 1': 2. This &&—m sf b"sCNibu is a maxnat :an at 1= Om ^ F � m S aeon ■Aids esanca in placed h tha for when eft I wa mace ar notated hM This dlsdmm is tac*W p mwl to 311S.C. 13M 1 This Yfarmatbn va be mprid b to Qv7w sem4+navy and A na •e: avattada trx puwc ie Atry t; wtw fa 1!a the irsd di stag "a suheedia aced penalty of test less Iran S.O= aid namae em Telephone ate: AN 0 6 2x: t100.000 trreach W fthm Federal Use Only: Auff�rQcdlcrt�RaproauCtaa Standard Fong LLL Pair. 01••Z93 C-13 Page 1.155 February 1, 1998 SEQUEL CONTRACTORS, INC. Xi B'1' 12-E 14cai .Assi3mac: Procedures manual Attachment G FS&E Checkffit lnstroctlons DZSMUCTTONS FOR COMPLETTOti OF SFLLL, • DISCLOSURE OF LOBBYLKG ACTIVITIES This disclosure foss shall be completed. by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or rreipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. Section 1352. The filing of a form is required for such payment or agreement to make paymesrt to lobbying entity for influencing or attempting to iafkuence an officer or employee -of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in -connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is. inadequ=. Complete all items that apply for both the initial filing and material change report. Befit to the implementing guidance published by the Office of Management and Budget for additional information. I. -'Identify the type of covered Federal action for which lobbying activity is and/or has beta secured to influence, the outcome of a covered Federal action. 2. Identify the status of the coverid Federal action. 3. Identify the appropriate classification of this report If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4. Enter the full name, address, city, State and .tip code of the reporting entity. Include Coagremional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g., the fast subawardee of the prime is the firs` tier. Subawards include but are not limited to subcontracts, subgr-anz and contract awards under grants. S. If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, addles, city, State aad zip cod: of the prime Federal recipient Include Congressional District, if known 6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7. Eater the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number. for grants, cooperative agreements, loans and loan commitments. S. Enter the most appropriate Federal identifying number available for the Federal action identification in item 1(e:g., Request for Proposal (RFP) number, Invitation for Bid (iFB) number, grit announcemezat number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g, "RFP DE-90-0O1." 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the awardlloan commitmems for the prime entity identified in item 4 or S_ 10. (a) Enter the full name, address, city, State and zip code'of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal'actiom (b) Enter the full names of the individual(s) performing services and include full address if different franc 10 (a). Eater Last Name, First Name and huddle Initial QQ. 11. Eater the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be trade (plazmed); Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. 12. Check the appropriate box(es). Check all boxes that apply. If payment is made through an in -kind contribution, specify the nature and value of the in -kind payment 13. Check the appropriate box(es). Check all boxes that apply. If other, specify, natwre. Page 12-54 C-14 Local Assistance Procedures Manual PS&E Checklist Iastruetiom Attachmert G 14. Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employees) contacted or the officer(s) employees) or Member(s) of Congress that were contacted. 15. Check whether or not a continuation sheet(s) is atsached- 16. The certifying official shall sign and date the form, print his/her name title and telephone i:umber- Public reporting burden far this coilection'of information is estimated to average 30 minutes per response, including time for reviewing iastructicn, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information, Send comments regarding the burden estimate or any other aspect of this collection of information, including suggwdonas for reducing this burden; to the Office of Management and Budd Paperwork Reduction Project (0343-0046), Washington, D.C. 20503. SEQUEL CONTf�ACTORS' 1NC- C-15 Page 12-55 XXMBIT 15-H Laeal Assistance Procedures lNZanusI >; 'Report o[DBE Awards REPORT OF DBE AWARDS SEQUEL CONTRACTORS, INC. COMPLETE THIS FORhf FOR EACH CONTRACT Loccde: Project No. :Total- Contract Bid: Federal Share: Agency: DBE Goal: Reimbursement Ratio. Award Date: - Combined DBE Percent of Federal Sh= for this Project: DBE Subcontm etnrs (excludine women) Awarded by Ethinic Gmun and otfte- D1-zn4va,"a•ri DBE Subcontractors (excluding men) Gra�nd TOW �+}A No. Total S Fed S l amber of subcontracts awarded by type of work: Professional and Consultant Services PBE t—MBE exeludin women i. Engineering I Architectural I night of Way 4. Other Construction 1. Crrading/Drainage 2. Paving 3. Structu vs)Bufldings 4. Materials S. Equipment 6. Trucking 7. Traffic Control S. Lwdscsping 9. Other TOTALS: Note: For the purpose of this report, use the fbMwing definitions. • DBE - disadvantaged business enterprise d MWBE - minority womea business enterprise • WWBE - whh- women business enterprise CITY OF HUNTINGTON BEACH 2000 MAIN STREET OFFICE OF THE CITY CLERK CONNIE BROCKWAY CITY CLERK M4�_j , 2004 To: CALIFORNIA 92648 Enclosed please find your original bid bond issued by op ft7Acu,.rr-tTS for G4� owlo / Connie Brockway City Clerk Enclosure g:/followup/cashcont/retumbidbond.doc (Telephone:714-536-5227) Bond No. Bid Bond The American Institute of Architects, A1A Document No. A310 (Febmary,1970 Edition) KNOW ALL MEN BY THESE PRESENTS, that we - Sequel Contractors. Inc. as Principal hereinafter called the Principal, and Federal insurance Company a corporation duly organized under the laws of the state of Indiana as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach as Obligee, hereinafter called the Obligee, in the sum of Ten percent of the total amount of the bid Dollars (S 10% ), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for Graham Street Rehabilitation (1158) and Warner Avenue Rehabilitation (1159) NOW, M EREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Cottw= with the Obligee in accordance with the terns of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material famished in the prosecution thereof, or in the event of the failure of the Principal to cater such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work coveted by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 26th Witness Witness ORSC 21328 (5/97) day of March , 2004 (Seal) By: I ��onfCs Namci Title '] f Federal Insurance Company Surety (Seal) By: he Douglas Rapp Attorricy-in-Fact CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California ss. County of ORANGE On MR 2 6 2004 , before me, CMSTOPSI'rR J.--COATS, NOTARY PUBLIC , Dale Name and TAN of 011,cer (a g. Jane Don. Notary Public) personally appeared DOUGLAS A. RAPP Names) o, SVIGW(s) , OFFICIAL SEAL t- - CHgiSTOPHER J. COATS L -' NOTARY PUBLIC-CALIFORNIA COO�RANGE COUNTY 98 -+ ply Ccmmjssion Exp. July 15, 2004 IX personally known to me ❑ proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) Is/are subscribed to the within instrument and acknowledged to me that helshelthey executed the same In his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the Instrument. WITNE�mndfficial seal. Ptau Notary Seel Above aw OPTIONAL Though the Information below Is not required by law, It may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of thi j form to another document Description of Attached Document Title or Type of Document: Document Dale: Number of Pages: Signers) Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: '❑ Individual ! y cop or truno here ❑ Corporate Officer — Title(s): ❑ Partner—❑ Llmited ❑ General ❑ Attomey In Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other. Signer Is Representing: 0 I999 Nar.W NotaryAssadaeon • 9= Ds Sob Am. PO- On M • CMb.aR CA 91713- j Prod Na. 99C7 Ftswdsr- Caa To9.Fres 140047"W Chubb POWER Federal insurance Company Attn: Surety Department OF Vigilant Insurance Company 15 Mountain View Road Surety ATTORNEY Pacific Indemnity Company Warren, NJ 07059 Know All byThem Prreserdr.,That FEDERALtraIRANCE COMPANY, an kx1ana corporation,VIGILANT INSURANCE COMPANY. a NewYorkoorpora" and PACIFIC INDEA MTY COMPANY. a Wisconsin corporatim do each hereby comft to and appoint Douglas A. Rapp or Linda D. Coats of ..Laguna Hills, California --------__.._________..______________ each as their true and lawful Asuney-In-Fad to execute under such deskXaSon in to* names and to aft their ompxab seals to and delver for and on tlseir behalf as surety thereon or otherwise, bonds and undertakings and other wrkvW obfigWq In the natiae !hereof (other Thar► ball bonds) given or executed in the course of buskwss, and any instruments amending or altering the same. and consents to dw rnodAcation or alteration of any 6'nbument referred to in said bonds or ob5gations. In Witness Whereof. said FEDERAL INSURANCE COMPANY. VIGILANT INSURANCE COMPANY. and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seals on this 2 2 nd day d January, 2004 STAYS OF NEW.IERSEYom� ss. county d serset cn a,t 2 2 ndby d January, 2004 . baitx. e+e. a fVatary Pubic or N.w.bre.t, persorrNy Genre tcerrwar G uv«+dot to me tnamn b be Assistant Swretery of FEDERAL aM1RANCE COMPAW VIGRANT 96MANM COMPAW. and PAOM NDEWM COWANY, fee companies which owl0l d the breq*V PowwdAAomey. and the sold K&wwM G WerbM 6ekV by me d* sworn, did doom and say that tw Is Aselstant Secretary of FEDERAL. rru vnM cowANY, VIGriANT rWW4CE COMPANY, and PACW C sOBOM COMPANY and Wows 1w axporats stale t wed, tint the sears att!>ed Io the kwepotnp Power dAtr=W an such oaporab seats and were Vx4rb afa d by auto tly d tw Vy-Laws of said Co WAIN and that he steed Bald Power dASmney asAsdsUM Secretary of said Comp wks try as authorttir. and !het he Is acquainted with Fr b* E. Robertson, and IQwws !rim ID be We President d saM Canp04K and that the Arwi ry of Frank E. Robertson, wjbscMed to said Power d Attorney Is In the genuine handwrt&V of Frank E ReberllsM and was thereto s bec:rt d by aulhodty d said By -taws and In depane "pseea*. Notarial seal Kun k FAce hotq Public We of N?wje,�sey _� �.� _���� No. 223i647 -- NotwyPLtft .. - of r EI)E A. tl' URANCE KJWAN {. VIC-ILMff VVABW E \AJNM1, and PACM ll RMM l i COMPMY.' -AS po`*itf—attorney for and on behalf of the Comparry may and &aa be executed in the name and on behalf of the Connpany, 910w by the C7uirrrmn or the President or a Vice Pmskkw or an AssMW Vice Presidert . k4 ely wfh the Secretary or an Assistant SeemeW. under to* respedlve designations. The signature of such officers may be engraved, printed cw ethograptwt The sV%skae of each of ow fosowfng olRaem Cthafmu n. President. any We President any Assistant %foe Presklerk any Secretary, aril►Assistant Seaulmy and the seat of the Connpeny may be arced by *MIFr de ho my power of a tonW or to any cefficate relating thereto appointing Assistant SeaeWiea or Anmwy&4n+ad br pugmes only of execuwV and attesting bonds and undertakings and other wd&W obligatory In the nahtre thereon, and any such pourer of atton+ey or certificate bearfrg such tacsknae signature or faesImM seal shalt be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and besimile seal shall be valid and btod'rg upon the CorpwV with respect to any bond or uxlertak kV to which it Is aftad* .' o i�3�E -r"+3i '7I �ri� � � T ''�' +'cF .�'1 =T�r • • �' M � � 7 ♦ • !' 0 the foregoing exbad of the Oyu" of the Companies is true and collect (I? the Companies ate duty licensed and auftwhed to transact surety business In as 50 of fe thtbed States of America and the DaIrld of Cokrmbfa and are auewrtned by the U. S Treasury Department finew. Federal and %rgaant are licensed In Puerto Rioo and the U. S. %l4n bards, w)d Fedora! Is licensed in Amenfcan Sarnoa. Guam, and each of the Provinces d Canada swept P*m Edward k4ant and (r:) the foregoing Power of Attorney is true, coned and In full face and effect Given under uW hand and seals of sald Companies at warner. NJ this 26th day of March 2004 'n. �' t a �� f •fps ;yFw �04,s IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER, PLEASE CONTACT US AT ADDRESS LISTED ABOVE, OR BY Telephone 908) 903-3485 Fax (908) 903,VM a -mall: @dhubb.com CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California ss. County of LOS ANGELES On PAR 2 6 2�4 , before me, MICHAEL A MAHLER, NOTARY PUBLIC 0810 Name and Tft of Ofter pep.. -Jam Doe. Notary Pub n personally appeared ,A #13042;37 � p['��t..:-�iK�-�a:Y'.°Li::•fpdtF•�(iPi!'1 z -,s ,�_�� crunTy, in ti,» My C rnr Eqi. 04 13. 2005 N Erpersonaily known to me ❑ proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. JN4TKSS my hand and official seal. Place Notary Seal Above ftiolluro d Notary P%MC OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: ❑ Individual Top of thumb here ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 0 1997 National Notary AssAdation r 9M De Soto Ave., P.O. Box 2402 • Chatsworth, 4 .A 91313.2402 Prod. No. 5907 Raader: Call Toll -Fro* 1.0004764827 C L LKK, uo CITY,; 0, y .HU. A 1 53 :7 . .. ..., . :.sus � ��y A. :; .s�,,..;:. ;s 4 !,.• R.J. NOBLE COMPANY ASPHALT PAVING - ENGINEERING CONTRACTORS 15505 E. LINCOLN AVE. - P.O. BOX 620 ORANGE. CALIFORNIA 92856 (714) 637-1550 TO: CITY OF HUNTINGTON BEACH 2000 MAIN STREET - HUNTINGTON BEACH, CA 92648-2702 .7 1p .;di 1.1 .777 A, I r 7 GRAHAM STREET CC-1158/ WARNER AVE CC-1159 REHABILITATION (CC1158CC1159) HUNTINGTON BEACH, CA �V BID DATE: APRIL 6, 2004 U. 2 BID TIME::00 P.M. A% City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For GRAHAM STREET REHABILITATION - CC 1158 FROM WARNER AVENUE TO HEIL AVENUE STPL 5181 142 AND WARNER AVENUE REHABILITATION - CC 1159 FROM GRAHAM STREET TO SPRINGDALE STREET STPL 5181 March 18, 2004 Notice To Ail Bidders: Please note the folloWng clairitication to the Project Plans, SpecificaVons, and Technical Provisions: Contractor shall start construction work on CC 1159 (Warner Avenue) before CC 1158 (Graham Street). Due to newly installed Orange County Sanitation District (OCSD) sewer main system, the following describes the change In quantities for various bid Items. Contractor is to provide an Additive Alternate Bid Item to adjust three (3) sewer utility vault covers to grade under CC 1159 (Warner Avenue). At this time, It Is the City of Huntington Beach's understanding that OCSD's contractor Is responsible to adjust the 3 sewer utility vault covers to grade after Warner Avenue is overlayed. See attached Revised Project Bid Schedules for CC 1159 and CC 1158 to reflect new quantities and the additionat Additive Alternate Bid Item as described above. CC 1159 (Warner Avenue) A. Eliminate all asphalt removal areas along eastbound lanes on Warner Avenue between Station 10+00 to Station 26+52. B. Adjust newly Installed sewer manholes to grade (see attached OCSD plan P10, Station 91+60.90, Station 93+99.72, Station 94+32.53; plan P11, Station 95+70.02, 96+55.66). C. Change from "protect In place" to , "adjust sewer manhole to grade" for one existing sewer manhole (see Street Rehabilitation Plan, Sheet 3 of 3, Station 36+80.56). D. Adjust three (3) newly Installed sewer vault covers (Additive Alternate Bid Item) to grade (see attached OCSD plan P9, Station 81+28.10, Station 86+43.10; plan P10, Station 90+08.03). See 8.5" x 11" detail for future raising of the sewer vault covers (0.3 feet) by Tetra Tech (transmittal dated March 18, 2004, total of 2 sheets). E. Change westerly construction limit from Station 9+54 to 1D+92, and void Detail A on Street Rehabilitation plan, Sheet 2 of 3. With this change, add a 25' wide cold mill (see Street Rehabilitation Plan, Sheet 1 of 3, detail 9 for Transverse join) between Station 10+92 to Station 11+17. Result in change will reduce quantities for detector loops, asphalt overlay, and cold mill. CC 1158 (Graham Street) A. Change southerly construction limit from Station 10+66.22 to 11+00. Result In change will reduce quantities for detector loops, asphalt overlay, and cold mill (see Street Rehabilitation Plan, Sheet 2 of 3). Additional plans from OCSD are attached for reference only (see attached OCSD plant G1, P8, S2, S3, D5 and D6). This modification changes the Engineer's Estimate for this project from $631,755 to $622,555. This is to acknowledge receipt and review of Addendum Number one, dated March 18, 2004. R.J. NOBLE COMPANY Company Name By STAN HILTON SECRETARY Date All bidders must acknowledge the receipt of this Addendum with your bid proposal. Should you have any questions regarding this Addendum, please call Duncan Lee at (714) 375-5118. SECTION C PROPOSAL for the construction of 1. GRAHAM STREET REIIABILITATIO`' - CC 1158 FROM WARNER AVENUE TO HEIL AVENUE 11. WARNER AVENUE REILABILITATION - CC 1159 FROM GRAIIAM STREET TO SPRINGDALE STREET in the CITY OF IIUNTItiGTO` BEACH TO TIIE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF IIUNTIN.GTON BEAC11: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 75 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within IO working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. TEN PERCENT Accompanying this proposal of bid, find BIDDER'S BO:�n the amount of S-------------which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda IV& Date Received 10, Bidder's Sinn re ADDENDUM 1 MARCH 30, 2004 SiAW HILTON, SEC TARY SECTION C REN ISED PROJECT BID SCHEDULE Graham Street, CC-1158, STPL - 5181 (142) Warner Avenue, CC-1159, STPL - 5181 (147) PROJECT BASE BID: TOTAL AMOUNT LUMP SUM BID IN FIGURES: TOTAL AMOUNT LUMP SUM BID IN WORDS: Jlc'(114- 1 iG--�s a.rcp�i r C2.k PROJECT AI.TFRYATIV'F.: The Additive Alternate Bid, Project Alternative, below is an integral part of this proposal, and to be responsive, the bidder shall quote a price for the Additive Alternate Identified listed below. The City shall award the contract on the basis of the Project Base Bid alone. ESTIMATED ; ;, - ITEM WITH UNIT PRICE -WRITTEN IN =.: ' UNIT PRICE EXTENDED . DUANTITY - ° -WORDS '' =' =" ' AMOUNT. Adjust Sewer Vault Cover to Grade 3 (Per Addendum #1, CC 1159. Item D.) $ 4, 500.00 13, 500:0 Each @FOUR THOUSAND FIVE HUNDRED Dollars bu Cents C-2.l GRAHAM STREET REHABILITATION IMPROVEMENTS CC NO. 1158 STPL - 5181 (142) C-2.2 GRAHAM STREET (CC-1158) REVISED PROJECT BID SCHEDULE -ITEM ESTIMATED.. ; :, - � ITEM WITH UNIT- PRICE WRITTEN IN ::.: UNIT PRICE .EXTENDED , NO.:QUANTITY -. - = WORDS :' '� ' - Abf0UNT4 1 1 Mobilization $ ' $ , L.S. @ TEN THOUSAND Dollars * n Cents 2 1 Traffic Control Plan $5,000.nn $5 _n00'n0 L.S. @FIVE THOUSAND _______Dollars NO Cents 3 1 Fumish Project Traffic Control $1, 200.00 $1, 20. 0.00 L.S. @ ONE THOUSAND TWO HUNDRED Dollars NO Cents 4 104.400 Cold Milling & Header Cutting 15 $15,660.0( S.F. @ Fun Dollars vIrTEEN Cents 5 2.255 Construct Asphalt Concrete (Overlay, Full Depth, $ 4t. bo $ 3 Bob . Ton etc.) @ F e Dollars Cents 6 564 Pavement Reinforcement Fabric & Route and $8.00 $ 41512.0 S.Y. Seal of Cracks @EIGHT DOLLARS Dollars NO Cents 7 1 Traffic Striping $ ! ��• _ $ Io tsop.CIO L.S. @ TE0'rt)4,4w2 _ Dollars oz c Cents 8 2 Traffic Loop $ $ Each @ ONE HUNDRED EIGHTY THREE Dollars SEVENTY FIVE Cents 9 4 Remove & Reconstruct Access Ramp $2.000.00 $ 8,000, Each @ TWO THOUSAND Dollars NO Cents 10 6 Survey Monumentation $410.00 $ 2 , 460.00 Each @ FOUR HUNDRED TEN Dollars ED Cents Sub Total Base Bid Amount. Bid in Figures: $ I OO"t . 5 O Sub Total Base Bid Amount, Bid in Words: C. S2IILK FZI C-2.3 WARNER AVENUE REHABILITATION IMPROVEMENTS CC NO. 1159 STPL - 5181 (147) C-2.4 WARNER AVENUE (CC-1159) REVISED PROJECT BID SCHEDULE ITEM ESTIMATED _ " .ITEM WITH UNIT PRICE_ WRITTEN IN - . -,.,. UNIT PRICE _ -'.EXTENDED -NO. QUANTITY-: = WORDS s = AMOUNT'- 1 1 Mobilization $152000.0 $1.5,000.00 L.S. @ FIFTEEN THOUSAND Dollars wrn Cents 2 1 traffic Control Plan $1,000.00 $ L.S. @ SEVEN THOUSAND Dollars No Cents 3 1 Fumish Project Traffic Control $ ' $ ' L.S. @_ONE THOUSAND FIVE_HUNDRED Dollars NO Cents 4 95,721 Cold Milling & Header Cutting $ 0.15 $14, 358.15 S.F. @ ZERO Dollars FIFTEEN Cents 5 755 Unclassified Excavation $ 2 3. 0 $ 1 5.0 C.Y. @ TWENTY THREE Dollars NO Cents 6 6,872 Construct Asphalt Concrete (Overlay, Full Depth, $ 1. tpo $ zM Ton etc.) @ 'FbETI Da E Dollars 51 X Cents 7 800 Pavement Reinforcem nt Fabric & Route and $5.00 $ 4T000.00 S.Y. Seal of Cracks @ FIVE Dollars NO Cents 8 16 Adjust Sewer Manhole to Grade SZ10.00 $ • Each @ TWO HUNDRED TEN Dollars Cents 9 8 Adjust Water Valve to Grade $ ZN5. OU $ ' Each @_TWO _HUNDRED FIFTY FIVE Dollars NO Cents 10 1 Traffic Striping $ /ate_ $- L.S. @M_fS T#_j W-&A 3b Dollars N O Cents 11 18 Traffic Loop $183.75 $ 3,307.S0 Each @ ONE HUNDRED EIGHTY THREE Dollars SEVENTY FIVE Cents 12 830 Remove & Reconstruct Curb & Gutter $ $ L.F. @ IVFN-ry_FOITR _ Dollars NO Cents 13 G,225 Remove & Reconstruct Sidewalk $ 3. i0 S _ $ A2 Z S.F. @ Qom£ Dollars S y Fi V Cents 14 3 Survey Mo umentation $ 410.00 $ 1, 230.00 Each @ FOUR HUNDRED TEN Dollars No Cents Sub Total Base Bid Amount, Bid in Figures: $ O , 10 Sub Total Base Bid Amount, Bid in Words: SLY UL 74,6 Zxs SrX sr�n J da ! (O'L -LLti FAE C-2.5 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion o work Xame and Address of Subcontractor State License Number Glass CONCRETE 1035 W. GLADSTONE ST. C.L. CONCRETE, AZUSA, CA 91702 47782 a ELECTRICAL SMITHSON ELECTRIC, 1938 E. KATELLA AVE ORANGE, CA 92867 614518 A MANHOLES RAMIREZ CONST. 656 E. SAN BERNARDINO RD. COVINA A 91723 683241 A MILLING ALL AMERICAN ASPHALT, P.O. BOX 2229 CORONA, CA 92879 267073 12 A STRIPING ORANGE COUNTY STRIPING,- 183 K. PIXLEY ORANGE, CA 92868 346095 C-32 SURVEY CASE LAND SURVEYING, 1010 N. BATAVIA STE. D, ORANGE, CA 5411 By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listin¢. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. G3 rONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange MICHAEL J. CARVER , being first duty sworn, deposes and says that he or she is PRESIDENT of R.J. NOBLE COMPANY the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. R.J. NOBLE COMPANY Name of Bidder Signature of Bi STAN HILTON, SECRETARY 15505 E. LINCOLN AVENUE, ORANGEA, CA 92865 Address of Bidder Subscribed and sworn to before me this 6 t h day of APRIL dENNIFER DE IONGH , NOTARY PUBLIC • CALIFORNIA 2 • COMMISSION / 14482S7 c ORANGE COUNTY My Comm. Exp. October ". 2007 NOTARY PUBLIC C-} NOTARY SEAL UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF fiU`'TINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the IMPROVEMENTS, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal -OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Date: APRIL b _200_ Contractor STAN HILTON, SECRETARY Title C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes El No If the answer is yes, explain the circumstances in the space provided. NIA Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. G6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shalt sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's 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 of this contract Date: APRIL 6. 2004 R.J. MOBLEC COMPANY Contractor STAN HILTON, SECRETARY Title C-7 UNDERGROUND SERVICE ALERT IDENTIFICATION NUMBER (To be completed only by the awarded Contractor prior to excavation) No excavation will be permitted until this form is completed and returned to the AGENCY. Section 4216/4217 of the Government Code requires a Dig Alert Identification Number be issued before a Permit to Excavate will be valid. To obtain a Dig Alert Identification Number, call Underground Service Alert at 1-800-422-4133 a minimum of two working, days before scheduled excavation. Dig Alert Identification Number: R.J. VOBLE COMPANY Contractor STAN HILTON, SECRETARY Title Date: APRIL 6, 2004 Note: This form is required for every Dig Alert Identification Number issued by U.S.A. during the course of the Work Additional forms may be obtained from the AGENCY upon request. C-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: R.J. NOBLE COMPANY Bidder Name 15505 E. LINCOLN AVENUE Business Address ORANGE, CA 92865 City, State Zip (714-637-1550 Telephone Number A-782908 CLASS A State Contractor's License No. and Class AUGUST 2000 Original Date Issued AUGUST 2004 Expiration Date The work site was inspected by STEVE MENDOZA of our office on MARCH 30, 2004. The following are persons, firms, and corporations having a principal interest in this proposal: MICHAEL J. CARVER, PRESIDENT STAN HILTON, SECRETARY CRAIG ROTH, ASSISTANT SECRETARY C-9 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. R.J. NOBLE COMPANY Company Name / _ Signafure of Bidder STAN HILTON, SECRETARY Printed or Typed Signature JENNIFEA DE IONGN NOTARY Pueuc . CAUFOANW COMMISSION 0 1"8237 Subscribed and sworn to before me this 6 day of APRIL 2 co O NG �,October g .2007 NOTARY PUBLIC JEN OER-hE =IONGH NOTARY SEAL Listed below are the nam&, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1, CITY OF IRVINE, P.O. BOX 190, IRVINE, CA 92713 Name and Address of Public Agency Name and Telephone No. of Project Manager: MARK STOWELL, 949-724-7543 $781,150.00 ANNUAL STREET PAVING MAINTANCE DEC 2003 Contract Amount Type of Work Date Completed 2 CITY OF RIVERSIDE, 3900 MAIN STREET, RIVERSIDE, CA 92522 Name and Address of Public Agency Name and Telephone No. of Project Manager: _STEVE KIM, 909-826-5312 _ $987,118.00 __REHABILITATIOM OF ARTERIAL STREETS NOV 2003 Contract Amount Type of Work Date Completed 3. CITY OF COSTA MESA, 77 FAIR DRIVE, COSTA MESA, CA 92626 Name and Address of Public Agency Name and Telephone No. of Project Manager: TOM BANKS, 714-754-5029 $1,765,068.00 REHABI_LIT_ATION FOR ARTERIAL STREETS NOV 2003 Contract Amount Type of Work Date Completed C-10 M CITY OF HUNTMNJJ ,TON BEACH ��I BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed p e contractor, and must be submitted with their bid/proposal. The City of Huntington Beach w@ use tlus information to maintain and update a `Bidder's" hst to assist in the annual DBE goal settLg process. Firm Name: R.J. NOBLE COMPANY Address. 15505 E. LINCOLN AVENUE ORANGE, CA 92865 Phone: 714-637-1550 Fax: 714-637-6321 Contact Person: MICHAEL J . CARVER, PRESIDENT I No of years in business 54 YEARS Is the firm currently certified, as DBE under 49 CFR Fart 269 YES N Type of work/services/materials provided by firms i GENERAL ENGINEERING CONTRACTORS F ASPHALT PAVING What was your $rm's Gross Annual receipt's for last vear'? o Less than $1 Million o Less than $5 Million a Less than $10 Million o Less than $15 Million b More than $15 Million This form can be duplicated if necessary to reportgall bidders (DBEs and non DBEs) mformatiom CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. Firm Name: ALL AMERICAN ASPHALT Address: P.O. BOX 2229 CORONA, CA 92878 Phone: 909-736-7600 Fa,Y: 909-739-4671 .Contact Person: DICK OWENS No. of years in business 35 YEARS Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of work/services/materials provided by firm? PAVING, GRADING, CONCRETE What was your fum's, Gross Annual receipt's for lastyear? o Less than $1 Million a Less than $5 Million o Less than $10 Million o Less than $15 Million More than $15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 CITY OF HUNTii`iGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide.a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Bed will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal seti:ng process. Farm Name: CASE LAND SURVEYING, INC. Address: 1010 N. BATAVIA STREET STE.,D ORANGE, CA 92867 .Contact Person: LARRY CASE Phone:.714-628-8948 Fa.-c: 714-628-8905 No. of years_ in business 18 YEARS Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of work/services/materials provided by firm? SURVEY SERVICES What was your firm's Gross Annual receipt's for last year? di Uw than $ I Million c Less than $5 Million o Less than $10 Minion a Less than M 5 Million t3 More than $15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 0 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a "Bidder's" list to assist in the annual DBE goal setting process. Firm CHRISP CO*1PAIv'Y Phone:�510-b5,6-2S40 Address:43650.OSGO0D RD. , Fat: 51n-4gn-77ni _ FREMONT, CA 94539 .Contact Person: ROGER WEISBROD No. of years. in business 35 YEARS Is the firm currettly certified as DBE under 49 CFR Part 26? YES NO 'Type of work/services/materials provided by firm? STRIPING, , SIGNS. MARKERS. MONUMENTS, GUARD RAILS what was your t=,s (Dross Ann= receipt's for last yea: G Less than S 1 Million a Less than $5 Million o Less than $10 Million a Less than S15 Million ya More than $15 Million This form can be duplicated if necessary to apart all bidders (DBEs and non DBEs) information. C-11 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote-, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and mustbe submitLad with their bidlproposal. The City of Huntington Beach will use this information to maintain and update a'Bidder's" list to assist in the annual DBE goal setting process. Firm Name: CALIFORNIA PROFESSIONAL ENG. , Address: 9316 MABEL AVE., S. ELMONTE, CA 91733 Phone: 626-452-8658 Fax: 626-448-0470 .Contact Person: VAN NGUYEN No. of years_ in business 3 YEARS Is the firm currently certified as DBE under 49 CFR Part 26? "YES NO Type of worklservices/materials provided by firm? ELECTRICAL What was Your tam's Gross Annual recciut's for last vearr? M Less than $1 Million a Less than $5 Million o Less than S10 Million Q Less tl= S 15 Million o More than S15 Million This form can be duplicatcd if necessary to report all bidders (DBEs and non DBEs) information. C-11 i CITY OF HLNI TIINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide.a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prune contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a'Bidder's" list to assist in the annual DBE goal setting process. I Firm Name: C • L. CONCRETE Address: 1035 W. GLADSTONE 5T AZUSA, CA 91702 Phone:626-334-2357 Fat: 626-334-3517 I' .Contact Person: CMILo LOPEZ No. of years_ in business 35 YEARS Is the firm currently certified as DBE under 49 CFR Part 26? YE NO Type ofworItlservices/materials provided by firm? CONCRETE CURB GUTTER IDEA K What was vour trm's Uross Annual receipt's for last vear7 o Less than S I Million 6 Less than $5 MWian o Less than $ I0 Million ❑ Less than S15 Million ❑ More than S15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-i 1 CITY OF HUNTINGTON BEACH BIDDERS LIST An Bidders/proposers are required to provided the following information for aU DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prim:. This information is also required from the proposed prime contractor, and must be submitted with their bidlproposaL The City of Huntington Beach will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. FirmName: GLOBAL ROAD SEALING. INC. Address: 6341 KUMATH DR., WESTMINSTER, CA 92683 Phone:- 714-893-0845 Fax: 714-893-0945 .Contact Person: TRI No. of years_ in business 4 YEARS I Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of work/services/materials provided by firm? oRA a ETTTjNg what was your nrm's cross Annual receint's tar last vear'! o Less than S I Million a Less than $5 Million ❑ t.ess than SI D Million ❑ Less tl= S 15 Million o More than S1S Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) irforanation. C-11 CITY OF HUNT NGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bidlproposal. The City of Huntington Beach will use this information to maintain and update a "Bidder's" list to assist in the annual DBE goal setting process. Firm Narne: JEZOWSKI & MARKEL CONTRACTORS, INPhone.. 714-978-2222 Address: 748 11. POPLAR ST. Fax: 714-978-6931 ORANGE, CA 92868 .Contact Person:_ JOHN BENNETT, V.P. EST. No. of years. in business_50 Y_ ARS,�.. Is the firm cumLtly certified as DBE under 49 CFR Part 26? YES NO Type of worMervices/materials provided by firm? CEMENT CONTRACTOR what was your tum's Bross Annual receipt's for last nar? o Less than S1 Million a Less than $5 Million o Less than $10 Million o Less than $1 S Million '6 More than V 5 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 u CITY OF HUNTLNGTON BEACH • BIDDERS LIST All Bidderslproposem are required to provided the following information for all DBE and non - DBE contractors, who provide.a. proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a "Bidder's" list to assist in the annual DBE goal setting process. Firm Name: J & S. SIGN COMPANY phone: 714-639-4921 Address: 822 W. KATELLA AVE., Fat: 714-538-2779 OWIGE, CA 92867 .Contact Person: CLIN"T RIEBER No. of years. in business 33 YEARs Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of worklse,-vices/materiaL provided by fjrM? TRAFFIC STRIPING, MARKINGS what was your Urm's UroSS Annual receipt's for lastyear*! o Less than S I Mil3.ion 6 Less than S5 Million o Less than S10 Million o Less than SI 5 Ivftllion - o More than VS Million This form can be duplicated if necessary to report all bidders ('DBEs and non DBEs) information. C-11 0 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contacted by the proposed prune. This information is also required fiom the proposed prime contractor, and must be submitted with their Hd/proposal. The City of Huntington Beach will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. Firm Name: MANHOLE ADJUSTING Address: 9500 BEVERLY'ROAD PICO RIVERA, CA 90660 Phone:.323-558-8000 Fat: 323-558-8001 .Contact Person: JOHN CORCORAN No. of years. in business25. YEARS Is the firm curre: tly certified as DBE under 49 CFR Part 26? YES ONO Type of worMervices/materials provided by firm? UTILITY ADJUSTMENTS I What was your tum's Gross Annual receipt's for lastyear'! ❑ Less than $ I Million ❑ Less than $5 Million ❑ Less than $10 Million ❑ Less than $15 Million 6 More than $15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 CITY OF HUNTLIGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also squired from the proposed prime contractor, and must be submitted with their bidlproposal. The City of Huntington Beach wilt use this information to maintain and update a "Bidder's" list to assist in the annual DBE goal setting process. Firm Name: ORANGE COUNTY STRIPING, INC. Address: 183 N. PIXLEY STREET ORANGE, CA 92868 Phone:.714-639-4550 Fat_ 714-639-6353 .Contact Person: ROBERT LITCHFIELD No. of years. in business Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of worklseviccslmateria]s provided by firm? STRIPING what was Your tum-s c Tross Afl. = recelors for last year's o Less than S1 Million ❑ Less than 55 Million 70 Less than $10 Million ❑ Less than S15 Million ❑ More than S15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. Firm Name: PAVEMENT RECYCLING Address: P.O. BOX 1266 RIVERSIDE, CA 92502 I.Contact Person: DON SANTE Phone: 909-682-1091 Fax: 909-682-1094 No. of years in business 15 YEARS Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of work/services/materials provided by firm? COLD PLANE, PULVERIZING What was your firm's Gross Annual receipt's for lastyear? yo Less than $1 Million ❑ Less than $5 Million ❑ Less than $10 Million ❑ Less than $15 Million ❑ More than $15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. Firm Name: PRECISION COLD PLANING Address: 8657 RIVERSIDE DR., ONTARIO, CA 91761 Phone: 909-721-2959 Fax: 909-923-8007 .Contact Person: TOM LYNCH No. of years in business 2 YEARS Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of work/services/materials provided by firm? ASPHALT GRINDING What was your firm's. Gross Annual receipt's for lastyear? ❑ Less than $1 Million ya Less than $5 Million ❑ Less than $10 Million ❑ Less than $15 Million ❑ More than $15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 r CITY OF HUNTLNGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non. DBE contfactors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a'Bidder's" list to assist in the annual DBE oal setting process. Firm Name: MMIREZ CONSTRUCTION Address: 656 E. SAN BERNARDINO RD COVINA; CA 917b Phone:.626-967-5790 Faz: 626-967-5688 Contact Person: ART BALLIN No. of years in business 10 YEARS Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of work/services/materials provided by firm'1UTILITIES ADJUSTMENTS What was Your tu='s Gross Annual receiDt's for last Year? a Less than $1 Wlion m Less than $5 Million o USS than V 0 MUM' a Less than S I5 Million v More than S15 Million This form can be duplicated if necessary to report ail bidders ('DBEs and non DBEs) information. C-11 i CITY OF HLNi MGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their Vid/proposal. The City of Huntington Beach will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. Firm Name: RANCO CORP . , Phone: 714-992-2500 Address: P.O. Box 9007 Fat: 714-992-2547 BREA, CA 92822 .Contact Person: DALE OR - CHRIS JONES No. of years. in business 12 YEARS . Is the firs currently certified as DBE under 49 CFR Part 26? YES NO Type of worklservices/materials provided by firm? REMOVE, & REPLACE CONCRETE SAWCUT, TRUCKING, DEMOLITION What was your ti m's Gross Annual rice ot's for last are? a Less than $1 Million do Less than $5 Millica o Less than $1 0 Million ' o Less than $ IS Million - o More than $15 Million This form can be duplicated if necessary to retort all bidders (DBEs and non DBEs) information, C-11 1 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. Firm Name: SMITHSON ELECTRIC, INC. Address: 1938 E. KATELLA AVE., ORANGE, CA 92867 .Contact Person: PATRICK T. SMITHSON Phone: 714-997-9556 Fax 714-997-9559 No. of years in business 16 YEARS Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of work/services/materials provided by firm? TRAFFIC LOOPS What was your firm's Gross Annual receipt's for lastyear? ❑ Less than $1 Million G1 Less than $5 Million ❑ Less than $10 Million ❑ Less than $15 Million ❑ More than $15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide.a, proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a "Bidder's" list to assist in the annual DBE goal setting process. Firm Name: SUDHAKAR COMPANY Phone: 909-879-2933 Address: 1450 FITZGERALD Fax: 909-879-2939 RIALTO, CA 92376 Contact Person: STEVE FLEENER No. of years in business 6 YEARS Is the firm currently certified as DBE under 49 CFR Part 26? YES Type of work/services/materials provided by firm? ROAD SLURRY, ROAD STRIPING What was your firm's. Gross Annual receipt's for lastyear? ❑ Less than $1 Million ❑ Less than $5 Million ❑ Less than $10 Million aX Less than $15 Million ❑ More than $15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 CITY OF HUNTIINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE anal non - DBE coatractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prince contractor, and must be submitted with their bid/proposa! The City of Huntington Beach will use this information to maintain and update a `Bidder's" list to assist in the annual DBE goal setting process. Firm Name: STE"JDAHL ENT., INC. Address: 11861 BRANFORD STREET SUN VALLEY, CA 91352 Phone: 818-834-8199 Fat: 818-834-8618 .Contact Person: DENNY STERh'DAHL , No. of years. in business 21 YEARS . Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of worMerviceslmaterials provided by firm? STRIPING what was your term-s cross Annual recemvs tor last year'! o Less than $1 MMon ❑ Less tl= 35 Million xx Less than S 10 Million o Less than S15 Million o More than $15 Million This form can be duplicated if necessary to report aU bidders (DBEs and non DBEs) information. E CITY OF HUNTLNGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non - DBE contractors, who provide a proposal, bid, Qaote, or were contracted by the proposed prune. This information is also required from the proposed prime contractor, and must be submitted with their bia/prcposal. The City of Huntingeton Beach will use this information to maintain and update a "Bidder's" list to assist in the annual DBE goal setting process. Firm Name: TRAFFIC CONTROL ENGINEERING Address: 231 E. IMPERIAL IM., STE 241 FULLERTON, CA 92635 Phone: 714-447-6077 Fax: 714-447-6081 .Contact Person: DAVID No. of years. in business 14 YEARS Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of work/services/materials provided by firm? TRAFFIC COWMOL DESIGN w$at was your nrm"s [cross annual receim's Ior last Year! Q Less than $1 Million 6 Less than $5 Million o Less than $10 Million ' D Less than S 15 M Won a More than S15 Million This form can be duplicated if necessary to r-port all bidders (DBEs and non DBEs) information. C-I1 Local Assistance Procedures Manual LXEmr mE ' ' PS&E Checklist Instructions Attachment G DISCLOSURE OF LOBBYING ACT11MIES Umplete this form to disclose lobbying activities pursuant to 31 U.S.C. 1. Type of Federal Acdon: 2. Status of Federal Aeon: 3. ' RepertType: a. W= TONE b. ¢uu L k af� 1lcacn NONE L smtaaLA''W e e 9 .NONE G oo W21ve ner►er1 . For Material Change Ot., d. ban L w a year aver ate a! loci reF�at b 4. Name and Adress of Reporting Entity: S. g Repo rdng EaUty in No.4 Is Subawardit Enter •o Prime 13 Subm a.'Gee Name and Address of Prime: Tres , 7k7owa NONE NONE Congresslanal alsfrlc4 lkaawT Congressional Districk Yk xwrr 8. Federal DeparMentfAgency: 7. lederal Program NameMescriptlon: NONE NONE CFCA Number, Ifappf7c3l1e 8. FederaI Acdan Number, lrlurawr,: 9. Award Amount, if kr wir NONE NONE S 10. a Name and Address of Lobbying E•ttity b• lndIvlduals Parfdrning Services prx: eing addraw rf (f kd&uA last name, first frame, MI). dlffiemnt tram Na. Ica) past name, first name, W: NONE NONE (ahach Conarw&n Sheet(S)'rnecesaarh 11. Amount of Payment (check all that apply): 13. Type of Payment (check aft that apply) ac!ral Q planned & ruiner m NONE b. rw crmrrl=jr4 esaicn 12. Form of Payment (check all that apply): • a cash d. en fee8 b. h*in4 spedfytain e. defend ef ►are f tither, spew: 14. Brief Descriptton of Services Performed or to be performed and Date(s) of Service, Including oflicer(s), empioyee(s). or members) contacted, for Payment Indicated in item 11: NONE (a*,bch Orftafson Shee(s) IfnecessarA 13. Condnuatlon Sheet(s) attached: Yes [] No E 18, kdwwon Ra=:sd bt mh ft row b as .=rod by M 31 E1. Z Sec! , Signature: , 19,•2, US d' tsm of k4king ac"s rs a Matartat mm arwaft or ba Wwwhichrefnce.a pried tithe eergxm*hen ft trarsacaawas Prlr:t Name STAN H I LTON Made er enxed im ruedsctm is rNquhed parsumt 10 31 tL=1 °..iZ. • SECRETARY ' Thh Momatrca mOU wmd to N Carpm seff"V Wa and A be Us: aaLewtrPA`Weeg'n' Amperma.NWStotothe agli d lhsrde :rag be sLko V a:ra yenanr ofnor JW ManSl=and W maa Sian 714-637--1550 04-06-04 Ueptcae No» bale: itoo.CCQ 4r each tact falurs. Federal Use OM : /uicnaranatortxslR.p�oducoa s rdF=uLXV-eta3.as C-13 Page L' 55 Februry 1,1998 t Loch! Assistance Procedures min PS&E Cher-Wist Instructions Attachment C (HEBIDDER SE=CUZ7CNOiV 27 ' SIG,V,i= POMON OF THLSPROPOSAL SHALL ALSO C0jVS77l7rrE"M002SEA=AND=CM70?VOFTHOSE . CERT1F WYONS l MCH�LU.A PART OF 2-I PROPOSE) EQUAL.FEINPLOYIMN'T OPPORTUNITY CERTMCATION The bidder R.J. NOBLE COMPANY proposed , : hereby certifies that he has ,�, subcontractor x has not --, participated in a previous cant: act or subcontract ssbj ect to the equal eppmtunity clauses, as required by Executive Orders 10925,11114, or 11246, and that, where required, he has fled with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunk, all reports due under the applicable filling requirements. Note: The above certincation is required by the Equal Emplgyi=c=t Opper=ity Reguladcm of the Sec vtxy of Labor (41 CFR60-1.7(b) (1)), and must be submitted by bidders and proposed sabccutrar'..crs only in connection with contracts and subcontracts which are subject to the equal ogpaftaiy clause. Contracts and subcontract which are exempt from the equal opportunity clause are •set forth in 41 CFR 60-1 S. (Generally only contracts or subcontracts of S 10,000 or under ar exempt) ' Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders cr their implementing regulations. Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the E=cutive Orders and have not filed the required repel should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period cr such other period spe ciEed by the Federal Highway Admsnistrdtioa or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-12 Page 1145 an mii� CITY OF HUNTINGTON BEACH 2000 MAIN STREET 2004 OFFICE OF THE CITY CLERK CONNIE BROCKWAY CITY CLERK To: 0 / V a,d L /ssos ,E' L���o w mac-; C 6 CALIFORNIA 92648 Enclosed please find your original bid bond issued by '/fC,q ✓E� ��25SuA-c LOn Pj J,y for CC / /0 t� aw,141— Connie Brockway City Clerk Enclosure g:/followup/cashcont/retu mbidbond.doc (Telephone: 714536-5227 TRAVELERS CASUALTY AND SURETY COMPANY OF ANTERiCA Hartford, Connecticut 06183 Bond No. N/A KNOVJALL FAEN BY THESE PRESENTS, That we. R. J . NOBLE CO?IPANY as Principal, hereinafter tailed the Principal, and TRAVELERS CASUALTY AND SURETY COMPANY OF ANIERICA, of Hartford, Connecticut, a corporation duly organized under the laws of the State of Connecticut, as Surety, hereinafter called the Surely, are held and firmly bound unto C"_*Wflaaki1af riftIolf�� as Obligee, hereirafter called the Obligee, in the sum of TEN PERCENT OF THE AMOUNT OF THE BID Dollars ($ 10% OF BID AMT). for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, JoWly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for GRAHAM ST CC-1158/WARNER AVE — CC1159 REHAB (CC1158CC1159) NOW, THEREFORE. it the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee In accordance with the Ienns of such bid, and give such bond or bonds as may be specified In the bidding or Contract Documents with good and sufficient surely for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Pdricipai shall pay to the Obligee the'difference not, to exceed the penalty hereof between the amount specified In said bid and such larger amount forwhich the Obligee may in good faith CC..^.iraC�! v^.'fh 8--!her party !C-rfor:r, the 1".'^r„ covered by said b:d, then this chligalion, shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 30th day ofMARCH chrxSal, . � ("vYAness j . 2004 . R. J. NOB 'COMPANY tprmlpal) (sea!) STAN HILTON, SE ETARY TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA B MIC L D. ST � G Printed in cooperation with the American Institute of Architects (AIA) by Travelers Casualty and Surety Company of America. The language In this document conforms exactly to the language used in AIA Document A310, February 1970 edition. S.1164.0 (07.97) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of RIVERSIDE ss. On , before me, R. STANDLEY ate Name and Title of Officer (e g . "Jane Doe. Notary Public') personally appeared MICHAEL D. STONG >.:. R. STAf;DLEY COi:�[�3- #1263272 'O + NOTAR'r ?JG �C • CAIIFORNIA r; oc / RIVERs108 CO Ccmm. Expires June 7, 2004 Name(s) of Signer(s) IN personally known to me E proved to me on the basis of satisfactory evidence to be the person whose name is/Ve< subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/heF #mrr authorized capacity(ies•), and that by his/he ek signature(,sr)'on the instrument the person or the entity upon behalf of which the person(4 acted, executed the instrument. WIT ESS my hand and official seal. Place Notary Seal Above Signature of Not Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: Individual --I u ,] Corporate Officer — Title(s): Partner — = Limited C General Attorney in Fact Trustee Guardian or Conservator Other: Signer Is Representing: Number of Pages: RfGHT THUMaPRM OF SIGNER- 0 1999 National Notary Association - 3350 De Soto Ave. PO Box 2402 - Chatsworth. CA 91313.2402 - www nationalnotaryorg Prod No 5907 Reorder: Call 7oll•Free 1.800-876.6827 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of CALIFORNIA County of ORANGE On MARCH 30, 2004 before me, JENNIFER DE IONGH, NOTARY PUBLIC DATE NAME, TITLE OF OFFICER - E.G.,'JANE DOE, NOTARY PUBLIC' No. 5907 personally appeared STAN HILTON, SECRETARY, R.J. NOBLE COMPANY NAME(S) OF SIGNER(S) personally known to me - is of satisfactory evidence to be the personal whose nameW isAwe- subscribed to the within instrument and ac- knowledged to me that he/shaAhey. executed the same in hisAteT thv+r authorized JENNIFERDEIONGH capacity(ies), and that by his/ 4 NOTARY PUBLIC - CALIFORNIA Or • COMMISSION O 1signatureJra�j on the instrument the person,(sr f° ORANGE COUNTYNTY comm. Exp. Oatober28,2007 or the entity upon behalf of which the persons) acted, executed the instrument. WITNESS my hand and official seal. OF NOTARY OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER INDIVIDUAL CORPORATE OFFICER Tm.E(S) PARTNER(S) ❑ LIMITED ❑ GENERAL ATTORNEY -IN -FACT TRUSTEE(S) GUARDIAN/CONSERVATOR OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) DESCRIPTION OF ATTACHED DOCUMENT TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES DATE OF DOCUMENT SIGNER(S) OTHER THAN NAMED ABOVE 01993 NATIONAL NOTARY ASSOCIATION - 8236 Remmet Ave., P.O. Box 7184 - Canoga Park, CA 91309-7184 Travelers ` One Tower Square Hartford. CT 06183 IMPORTANT DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE On November 26, 2002, President Bush signed into law the Terrorism Risk insurance Act of 2002 (the "Act'). The Act establishes a short-term program under which the Federal Government will share in the payment of covered losses caused by certain acts of international terrorism. We are providing you with this notice to inform you of the key features of the Act, and to let you know what effect, if any, the Act will have on your premium. Under the Act, insurers are required to provide coverage for certain losses caused by international acts of terrorism as defined in the Act. -The Act further provides that the Federal Government will pay a share of such losses. _Specifically,. the .Federal Government will. pay .90% of the, amount of covered losses caused by certain acts of terrorism which is in excess of Travelers' statutorily established deductible for that year. The Act also caps the amount of terrorism -related losses for which the Federal Government or an insurer can be responsible at $100,000,000,000.00, provided that the insurer has met its deductible. Please note that passage of the Act does not result in any change in coverage under the attached policy or bond (or the policy or bond being quoted). Please also note that no separate additional premium charge has been made_ for the terrorism coverage required by the Act. The premium charge that is allocable to such coverage is inseparable from and imbedded in your overall premium, and is no more than one percent of your premium. TRAVELERS CASUALTY AND SURETY C031PXNY OF AMERICA TRAVELERS CASUALTY A-N-D SURETY COMPANY FAR31L`GTON CASUALTY COMPANY Hartford, Connecticut 06183-9062 POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORNEY(S)-IN-FACT KNOW ALL PERSONS BY THESE PRESENTS, THAT TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY C031PANY and FARIMItiGTON CASUALTY .COMPANY, corporations duly organized under the laws of the State of Connecticut, and haying their principal officcs in the City of Hartford, County of Hartford, State of Connecticut, (hereinafter the "Companies") hath made, constituted and appointed, and do by these presents make, constitute and appoint: Michael D. Stong, Shawn Blume, Susan C. Alonteon, Rosemary Standley, of Riverside, California, their true and lawful Attomey(s)-in-Fact, pith full power and authority hereby conferred to sign, execute and acknowledge, at any place Mthin the United States, the following instrument(s): by his/her sole signature and act, any and all bonds, recognizances, contracts of indemnity, and other tiyritings obligatory in the nature of a bond, recognizance, or conditional undertaking and any and all consents incident thereto and to bind the Companies, thereby as fully and to the same extent as if the same were signed by the duly authorized officers of the Companies, and all the acts of said Attorney(s)-in-Fact, pursuant to the authority herein gi%-en, are hereby ratified and confirmed. This appointment is made under and by authority of the following Standing Resolutions of said Companies, which Resolutions are now in full force and effect: VOTED: That the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attomeys-in-Fact and Agents to act for and on behalf of the company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other Writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointer and revoke the power given him or her. VOTED: That the Charrmn.-% the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary. VOTED: That any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vicc President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seat by a Secretary or Assistant Secretary, or (b) duly executed (under seal, if required) by one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority. This Power of Attorney and Certificate of Authority is signed and sealed by facsimile (mechanical or printed) under and by authority of the following Standing Resolution voted by the Boards of Directors of TRAVELERS CASUALTY AND SURETY C031PANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARIMINGTON CASUALTY COMPANY, which Resolution is now in full force and effect: VOTED. That the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. (11-00 Standard)