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All American Asphalt - 2010-06-21
RECEIVED BY: 7 (Name) i (Date) TO: Shari Freidenrich, City Treasurer FROM: �%2% C L%'t_ /� _.S (J/� P DATE: SUBJECT: Bond Acceptance have received the bonds for Faithful Performance Bond No. Labor and Material Bond No. Monument Bond No. Maintenance Bond No. Guarantee and Warranty Bond No. Re: Tract No. CC No. i MSC No. Approved 62 lt� ! ' (Council Approval Date) (Company Name) Agenda Item No. City Clerk Vault No CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office after signing/dating #27 gAollowup/bondletter.doc FROM: David Verone DATE: 3/1 /2011 SUBJECT: Retention Release Payment Company Name: All American Asphalt Address: P.O. Box 2229 City, State and Zip Code: corona Ca 92878 Phone Number: (951) 736-7600 Business License Number: A-016726 Local Address: N/A Notice of Completion Date:2/2/11 Contract Purpose: Slater Avenue Rehabilitation 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. I certify that no stop notices are on file on the subject at this time. Date ��,� Travis K I certify that there are no outstanding invoices on file. v+la`,1' Date ns, Public Works -Director Joyce gacl4§,)Deputy 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. ----, Z- I K_ 1) Date Joan Flynn, Clerk Retention_Release_Payment.doc 3/1/2011 3:49:00 PM Cexttiffication of Compliance with 'Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach, CA 92648 Re: Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 Contract: CC-1?Z-1 The undersigned contractor on the above -referenced project ("Project") hereby certifies that it has complied with Title VII of the Civil Rights Act, the Equal Opportunity Act of 1972 and Executive Order 11246, and has not discriminated against any employee or applicant for employment because of race, creed, color, sex, national origin, age or disability. The undersigned contractor also certifies that it has not maintained any segregated facilities at its establishments on the basis of race, creed, color, sex, national origin, age or disability (with the exception of access for the disabled). I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this 94iA day of . f Ig �,� , 20 I, at C owoa , California. Name:— [Type Name] J " - � Title: [Type Title] A 0Y r �44�✓+(�jr4d icy V ic•P Sia 10 3 -Cep 245911.1 Certification of Compllannce with Prevailing Wage haws To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach, CA 92648 Re: Certification of Compliance with Prevailing Wage Laws Contract: a —13`? 9 The undersigned contractor on the above -referenced project ("Project") hereby certifies that all laborers, mechanics, apprentices, trainees, watchmen and guards employed by him or by any subcontractor performing work under the contracffor the Project have. been paid pursuant to the minimum wage and bona fide fringe benefit -requirements specified for each particular classification of work, as set forth in the wage -rate determinations of the State of California, Department of Industrial Relations, and/or the United States Department of Labor. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this �_ day of ��ebntzr, 1 , 20 l L, at California. Ali lean A -,ab a.t-�- (Type Contractor Name) "t US o3. 36 • 01P 247542.1 L 6Akwi t-y , state and certify that: (Name of Declarant) � jI I P" yj can is the general contractor to the City of Huntington Beach ("City") on Contract No. 0`C- �!) (the "Contract') for the construction of the public work of improvement entitled: (the "Project"). 2. All work to be performed pursuant to the Contract has been completed in accordance with the Contract Documents (as such term is defined in the Contract). I Except for the claims listed.below and the disputed claims listed in paragraph five (5), all persons supplying labor, services, materials and equipment to the Project, including all claims against the Contractor arising from the performance of the Contract, have been paid and satisfied (list unpaid debts and claims; if none, write "NONE"): 4. Attached hereto are the lien waivers required by the Contract Documerts, which lien waivers have been executed by all persons who performed work on or supplied labor, services, materials, and/or equipment for use at the Project. S,et ✓gJ*eed4ecJ- 5. Set forth below is a list of disputed claims or claims that are the subject of a Notice to Withhold filed pursuant to the Civil Code of the State of California (list all disputed claims; if none, write "NONE"): n ' I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at ®roams..._ on this a M46 day ofh , 20_U_. (Signature of Decl Pr�yi APPROVED AS TO FORM By: n�q 2,0,�- - gI-710 -J 3• .40'0LP Name: [Type Name) Title: [Type Title] 2459141 RECEIVED BY: (Name) (Date) CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office after signing/dating fie _jffff ; TO: Shari Freidenrich, City Treasurer FROM: DATE: SUBJECT: Bond Acceptance I have received the bonds for Faithful Performance Bond No. Labor and Material Bond No. Monument Bond No. Maintenance Bond No. Guarantee and Warranty Bond No. Re: Tract No. CC No. MSC No. Approved Co nlr� J /10 cil Approval Date) 1 Agenda Item No. City Clerk Vault No #27 g1followuplbondletter.doc Bond No. 7616573 Executed in One (1) Part MAINTENANCE BOND KNOW AWL, MEN By THESE PRESENTS: That All American Asphalt - [cDntraatoYs mmml 400 East Sixth Street Corona-, CA. 92879 [cantrachift *00 address, edy and state and zip code] as p' , al (hereinafter called ContraMr), and, Fidelitv and Deposit Companv of Maryland reaceto name] 801 No. Brand Blvd., Glendale, CA. 91203 [ we vs street Onus, city and and zip Caaea a corlioration organized and existing under the laws of the Stake of Maryland w,1th Its prii icipal office in the City of Baltimore as Surety (hereinafter called Sutaty), are held firmly bound unto CITY OF HUNTINGTON BEACH as.Obiigee (hereinafter called Owner), in the amount of Two Million,Twe} ty Nine Thousand,Two Hundred Sixty Six & 90/100ths Dollars {$ 2,029,266.90 ), for the paymbnt whereof Contractor and Surety tad themselves, their heirs, executors, administrators, successors. and a�slgns, jointly and severally, tautly by these presents, W1141131kEAS, Contractor has by written agreement dated June 21, 2010 --entered into a contract with Owner for the Slater(' Avenue Rehabiltation Cash. Contract No. 1379 (from Beach Blvd to Newland St) in accordance with drawings and spechicailans prepared by - whichcontract is by reference made a part hereof (hereinafter referred to as the Contract); and WHEORAS, the Contract provides that the principal will guarantee, for a period of or,�' a year, the work performed as pant of the Contract from and against all defects in materiels and workmanship; and WHEREAS, the Contract also Provides that the Contractor shall secure Contracines obligations during the one- year �eriod with a bond eXecuted by a surety duly admitted in the steft of California; and Ifl HE6EAS, the Contract has been completed, and the Owner, Contractor and Surety agree that the corrtril enoement date for this Guarantee and Bond shall be FpD fuary 1 st , 2011 . NOS , THEREFORE, THE COND1T ON OF THiS OBLIGATION is such that if Contractor shall, for a period of one hear Rom and after the date of completion and acceptance of the Contract by Owner, repair andlor replace any end all defects arising In the Worts, whether resulting from defective materials or defective workmanship, then this obligation shalt be null and void; otherwise it will remain In full force and effect. The Lrety hereby waives notice of any alteration or extension of time made by the Owner. Wherever Contractor shall be, and declared by Owner to be In default under the Contract, the Surety shall, within thirty (30) following Owner's w nlen notice of defaut either: (a) remedy the default, or (b) sham promptly com0let0% the Contract in accordance with Its terms and conditions. Sureshall save the Owner harmless f m any claims, judgments, liens or losses arising from the Surelys failure to either remedy the default or to complete the Contract in accordance with its terms and conditions In a time l# manner. iNherjtever the Principal shag be, and declared by the Owner to be in default under the Contract, which shall include without l nnitation, any breach or default of the Contract, then, after written notice from the Owner to the Sureliy as provided for below, the Surety shall either: (a) remedy the default or breach by the Principal; or (b) shall I promptly and farthfully take charge of the Work and complete the Work in accordance with the requl menu of the Contract with a contractor other than the principal, at its own expense, and make available 10-25s,7/susm as wdrk progresses suMclent funds to pay the cost of completion less the unpaid balance of the Contmct including other costs and damages for which the surety may be Iiable hereunder, provided, however, that the proosbure by which the Surety undertakes to discharge Its obligations under this Bond shall be subject to the advance written approval of the Owner. WitltiA thirty (30) days after surety's receipt of a written notice from Owner of the failure of performance of the Contract by the Principal, it $hall be the duty of the Surety to give to the Owner a notice, in writing, of the Surety's election to (a) remedy the defaul(s) of the Principal promptly, or (b) arrange for performance of the Contract promptly by a contractor other than the Principal, time being of essence to this Bond. In said Notice of Efect]bn, the Surety shall state the data of commencement of its cure or remedy of the Principal's defaults) or Its performance of the Contract The Sutw/s obligations for cure or remedy, include but are not limited to: towel lon of defective work and completion of the Contract; additional legal, design professional and delay costsl arising from Surety's actions or failure to aM and liquidated damages (or if no liquidated damages are spied in the Contract, actual damages caused by delayed performance or non- performance by the Principal). The Surety shall give prompt written notice to the Owner upon completion of the cure or remedy of the PIrincipal's default(s) of Its performance of the Contract. a If thei Surety does issue its Notice of Election and does not prooeed to cure or remedy the Principafs default(s) of its performance of the Work within thirty (30) days after receipt of a wrrftn notice from Owner, Surety shall be dee►ried to be in default on this bond, and the Owner shall be entitled to enforce any remedy available to Owner. No rIPub of action shall accrue on this bond to or for the use of any person or corporation other than the Owner named herein or the successors of Owner. Signed and sealed this 3rd day of February Zp 11 Principal Rained Corporate Seal All American Asphalt (NIUsh aE AFFIXED; (Contrac:W Narne) Principal Raised Corporate Sea] (iN]UIT BE AFFIXED] NOTES: Acknowledgments tnuat be completed and returned as part of the bond. Raised Corporate Seals are mandatory. Please aftch Rower of Attorney. IG-0167/54583 fro M PUM = Fidelity and Deposit Company of Maryland (Surety Name) BY: a mod, () Rebecca Haas -Bates, Attorney -in -Fact VFI3ASM- TOF cSGVLATH, CityAttorAW CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Orange On 2-3-11 before me, Barbara J. Bender, Notary Public Date Here Insert Name and Title of the Officer personally appeared Rebecca Haas -Bates Name(s) of Signer(s) &AF:,BABA J. BENDER t Commission # 18G18g9 Z j yr Notary Public - California x ' My orange County '- Comm. Expires Jul 13. 2012 Place Notary Seat Above who proved to me on the basis of satisfactory evidence to be the person(e) whose name( is/ere subscribed to the within instrument and acknowledged to me that theiishe/tlwy executed the same in +iie/her/their authorized capacity(ifas), and that by his/her44e4 signature(4 on the instrument the person(*, or the entity upon behalf of which the person(s} acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correefN WITNESS y nd ffi ' I. Signature Signatur f Notary 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: Maintenance Bond No. 7616573 Document Date: 2-3-11 Signer(s) Other Than Named Above: All American Asphalt Capacity(ies) Claimed by Signer(s) Number of Pages: Two (2) Signer's Name: Rebecca Haas -Bates Signer's Name: ❑ Individual Olndividual Corporate Officer — Title(s): _ Partner — i i Limited ❑ General [] Attorney in Fact Trustee Guardian or Conservator Other: Signer Is Representing: Fidelity and Deposit Company of Maryland Top of thumb here ❑ Corporate Officer — Title(s): Partner — 0 Limited ❑ General l Attorney in Fact Trustee u Guardian or Conservator El Other: Signer Is Representing Milt T, Top of thumb here ®2007 National Notary Association • 9350 De Soto Ave.. P.O. Box 2402 •Chatsworth, CA 91313-2402• www.NationaiNotaryorg Item #5907 Reorder: Call Tog -Free 1-800-876-6827 State of California County of Riverside On February 9, 2011 before me, Debbie A. Matsen, Notga Public Date Here Insert name and Title of the Officer personally appeared Robert Bradley Name of Signer who proved to me on the basis of satisfactory evidence to be the person'j whose name( is/afee subscribed to the within instrument and acknowledged to me that helshefthey executed the same in DEBBIE A. MATSEN hisA3erkheir- authorized capacity(ies), and that by hisi#ef*teir Commission # 1775685 signature(sr) on the instrument the persono, or the entity upon behalf 4;rffi m= Notary Public California > of which the person(ol acted, executed the instrument. v .. Riverside County MyCOmm.E.xpres v22,2a11 I certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct. WITNESS my hand and official seal. Signature_sC (� ►' t,IX,K�QPiLt� Place Notary Seal Above Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to person 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 Maintenance Bond, City of Huntington Beach Document Date: February 3, 2011 Number of Pages: 2 Pages Signer) Other Than Named Above: Fidelity and Deposit Company of Maryland Capacityjise) Claimed by Signer( Signer's Name: Robert Bradley o Individual Corporate Officer — Title(,s'j: Vice President ❑ Partner— o Limited o General ❑ Attorney in Fact ❑ Trustee ❑ Other: Signer is Representing: All American Asphalt Top of thumb here Signer's Name: ❑ Individual o Corporate Officer — Title(s): o Partner— o Limited o General ❑ Attorney in Fact ❑ Trustee ❑ Other: Signer is Representing: Poorer 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 WILLIAM J. MILLS, Vice President, and GREGORY E. MURRAY, Assistant Secretary, in pursuance of authority granted by Article VI, Section 2, of the By -Laws of said �yI which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the dak f� ereby nominate, constitute and appoint William SYRKIN, Rebecca HAAS-BATES an"f Irvine, California, EACH its true and lawful agent and Attorney -in -Fact, to Ply er' 1- 'k � tl y i J behalf as surety, and as its act and deed: any and all bonds and undertake �ecu etc Sit or undertakings in pursuance of these presents, shall be as binding upon s ' id Sul and purposes, as if they had been �{ 1. duly executed and acknowled ed �d y ele Company at its office in Baltimore, Md., in their own proper persons er� rn A�ePon behalf of William SYRKIN, Rebecca HAAS-BATES, Sergio D. BECHAIt'G�ard F�,-���Yd April 8, 2008. The said Assistant �s�le�reby certify that the extract set forth on the reverse side hereof is a true copy of Article VI, Section 2, of the By -said Company, and is now in force. IN WITNESS WHEREOF, 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 25th day of September, A.D. 2009. A-TTS 'O P W � im T State of Maryland ss: City of Baltimore FIDELITY AND DEPOSIT COMPANY OF MARYLAND Gregory E. Murray Assistant Secretary William J Mills X Vice President On this 25th day of September, A.D. 2009, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, came WILLIAM J. MILLS, Vice President, and GREGORY E. MURRAY, 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 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 Seat of said Company, and that the said Corporate Seal and their signatures as such officers were duty 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. Maria D. Adamski Notary Public My Commission Expires: July 8, 2011 POA-F 012-0033 PLEASE COMPLETE THIS INFORMATION This Document was electronically recorded by City of Huntington Beach RECORDING REQUESTED BY: WHEN RECORDED MAIL TO: CITY OF HUNTINGTON BEACH Attn: David Verone P.O. Box 190 — 2000 Main Street Huntington Beach, CA 92648 TITLE OF DOCUMENT Recorded in Official Records, Orange County Tom Daly, Clerk -Recorder IIIIIIIIIII11111111111111111111111111111111111111111111111111111 NO FEE 2011000062829 04:17pm 02/02/11 66 406 N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 THIS SPACE FOR RECORDER'S USE ONLY 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, Inc.. who was the company thereon for doing the following work to -wit: SLATER AVENUE REHABILITATION, CONSTRUCTION CONTRACT-1379 That said work was completed February 1, 2011 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 February 1, 2011, per City Council Resolution No. 2003-70 adopted October 6, 2003. That upon said contract Fidelity and Deposit Company of America 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 free of charge. Dated at Huntington Beach, California, this February 1, 2011. A 1° Dirt or of Pu i Works or City Engineer City of Huntirfgton 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 NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the County Recorder fange County. Dated at Huntington Beach, California, this February 1, 2011.,/J i Director of Public Works or City Engineer City of Huntington Beach, California THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) ,a _.. I n — 7 -- --_ v i RECEIVE; DfBY a f (Name) '`) t (Date) ! 0 CITY CLERK RECEIPT COPY Return DUPLICATE to � City Clerk s Office after sigmngtdating CITY OF HUNTINGTON REACH INTERDEPARTMENTAL. COMMUNICATION TO Shari Frelddeelnrlch City Treasurer FROM DATE SUBJECT Bond Acceptance have received the bonds for 74L, 14 Faithful Performance Bond No Labor and Material Bond No Monument Bond No Maintenance Bond No Guarantee and Warranty Bond No Re Tract No CC No s MSC No Approved (Council Approval Date) (Company Name) Agenda Item No City Clerk Vault No /C Ir-,10 'i -Z) ,�6 #27 g /followup/bondletter doc CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND At1 amE.2.IcAn mSe}(ALT Inc, FOR S l,Ai ec- PkyeyA wE QC kA h, kig,�(On C I379 TABLE OF CONTENTS Pie No 1 STATE OF WORK ACCEPTANCE OF RISK 1 2 ACCEPTANCE OF CONDITIONS OF WORK PLANS 2 3 COMPENSATION 4 4 COMMENCEMENT OF PROJECT 4 5 TIME OF THE ESSENCE 4 6 CHANGES 5 7 NOTICE TO PROCEED 6 8 BONDS 6 9 WARRANTIES 7 10 INDEPENDENT CONTRACTOR 7 11 LIQUIDATED DAMAGES/DELAYS 7 12 DIFFERING SITE CONDITIONS 9 13 VARIATIONS IN ESTIMATED QUANTITIES 10 14 PROGRESS PAYMENTS 11 15 WITHHELD CONTRACT FUNDS SUBSTITUTION OF SECURITIES 11 16 AFFIDAVITS OF SATISFACTION OF CLAIMS 12 17 WAIVER OF CLAIMS 12 18 INDEMNIFICATION DEFENSE HOLD HARMLESS 12 19 WORKERS COMPENSATION INSURANCE 13 20 INSURANCE 14 21 CERTIFICATES OF INSURANCE ADDITIONAL INSURED 14 22 NOTICE OF THIRD PARTY CLAIM 15 23 DEFAULT & TERMINATION 16 24 TERMINATION FOR CONVENIENCE 16 25 DISPOSITION OF PLANS ESTIMATES AND OTHER 17 26 NON ASSIGNABILITY 17 27 CITY EMPLOYEES AND OFFICIALS 17 28 STOP NOTICES 17 29 NOTICES 18 30 SECTION HEADINGS 18 31 IMMIGRATION 19 32 LEGAL SERVICES SUBCONTRACTING PROHIBITED 19 33 ATTORNEY S FEES 19 34 INTERPRETATION OF THIS AGREEMENT 19 35 GOVERNING LAW 20 36 DUPLICATE ORIGINAL 21 37 CONSENT 21 38 SURVIVAL 21 39 MODIFICATION 21 40 SIGNATORIES 21 41 ENTIRETY 21 CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND Att A,mtrt►cq� AS �11, ALt lvnC FOR SLAte,r AVEAut CC-t--579 THIS AGREEMENT ("Agreement") made and entered into by and between the City of Huntington Beach, a municipal corporation of the State of California hereinafter referred to as "CITY," and 411 4r"-ra i cgs 45',okoZ /- a California Co0Q 4?0a,t Ti 0A hereinafter referred to as "CONTRACTOR " WHEREAS CITY has solicited bids for a public works project, hereinafter referred to as "PROJECT " more fully described as 5kte.r -( `o ^ �)e4 c le Jar I +a !V 8 1,4k S�- 1n 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 I 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 g agree surtnet/crtyconst 1 of 22 5tI0 be encountered in the prosecution of 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 g/agree Isurtnet/cityconst 2 of 22 5110 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 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 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 g/agiee/surtnet/cityconst 3 of 22 5110 '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 Qde A 11/o rl NAG �KN d%a� Tr✓t/l t / S//r /H &4 fi¢it� not to exceed Dollars ($.?Yl Rg)--- 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 Z-ffily F d-P (? 5 )consecutive A%ak, 4 g ?) 4 y 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 g/agree/surtnet/cityconst 4 of 22 5110 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 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 g/agree surtnetcityconst 5 of 22 5110 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 contract 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 :• � 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 contract price to guarantee the CONTRACTOR's faithful performance of the work and one in the amount of one hundred percent of the contract 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 contract price including all change orders, to warrant such performance for a period of one (1) year after CITY's acceptance thereof within ten (10) days of filing of the Notice of Completion g/agree/surtnet/cityconst 6 of 22 5110 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 I 1 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, glagiee surtneticityeonst 7 of 22 5110 the sum of F"Ut i1 1d"eA Dollars ($ SOO per day for each and every working day's delay in completing the work in excess of the number of 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 g/agree/surtnet/cityconst 8 of 22 5110 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 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 g/agree/surtnebcityconst 9 of 22 5110 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 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 contract 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 g/agree/surtnet/crtyconst 10 of 22 5110 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 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 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 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 contract 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 glagree'surinet/cityconst 1 I of 22 5110 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 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 glagree surtneteityconst 12 of 22 5110 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 obtain and furnish to City 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 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 g(agreersurtnet(cityt onst 13 of 22 5110 20 INSURANCE In addition to the workers compensation and employer's liability insurance and CONTRACTOR's covenant to defend hold harmless and 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/completed 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 without the express written consent of CITY however an insurance policy' deductible of $5,000 00 is permitted 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 glagree surtneticityconst 14 of 22 5110 evidencing the foregoing insurance coverages as required by this Agreement, the certificates shall 1 provide the name and policy number of each carrier and policy, 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 CONTRACTOR's defense hold harmless and indemnification obligations as set forth under this 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 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 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 g/agree/surtnet/cityconst 15 of 22 5/10 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 after such Notice of Intention has 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 24 and any damages shall be assessed as set forth in Section 24 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 less all such payments already made In case of such termination for convenience the CONTRACTOR shall be entitled to receive payment for work executed g/agree/surtnet/cityconst 16 of 22 5/10 and costs incurred by reason of such termination In no event shall CONTRACTOR be entitled to recover overhead, profit or CONTRACTOR s fee on work not performed 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 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 ADMINISTRAT_I_VE 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 glagree surtnet/cityconst 17 of 22 5110 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 I heremabove) or to CITY as the situation shall warrant or by enclosing the same in a sealed envelope postage prepaid, and depositing the same in the United States Postal Service to the addresses specified below, provided that CITY and CONTRACTOR may designate different addresses to which subsequent notices certificates or other communications will be sent by notifying the other party via personal delivery, reputable overnight carrier or U S certified mail -return receipt requested TO CITY City of Huntington Beach ATTN IDA tr/P !%E2ow c 2000 Main Street Huntington Beach CA 92648 30 SECTION HEADINGS TO CONTRACTOR ,NO �•� s r 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, g/agree/surtnet/cityconst 18 of 22 5110 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 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, such that 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 g/agreei surtnet/c ityconst 19 of 22 5110 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 of its execution and delivery be deemed an original Each duplicate original shall be deemed an original instrument as against any parry who has signed it g/agree/surtnet/crtyconst 20 of 22 5/10 37 CONSENT Where CITY's consent/approval is required under this Agreement, its consent/approval for one transaction or event shall not be deemed to be consent/approval to any subsequent occurrence of the same or any other transaction or event 38 SURVIVAL Terms and conditions of this Agreement which by their sense and context survive the expiration or termination of this Agreement shall so survive 39 MODIFICATION No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties 40 SIGNATORIES Each undersigned represents and warrants that its signature herembelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement and shall indemnify CITY fully for any injuries or damages to CITY in the event that such authority or power is not, in fact held by the signatory or is withdrawn 41 ENTIRETY The parties acknowledge and agree that they are entering into this Agreement freely and voluntarily following extensive arm's length negotiation, 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 parry's behalf which are not embodied In this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement g/agree/surtnet/cityconst 21 of 22 5110 promise, agreement, warranty, fact or circumstance not expressly set forth in this Agreement This Agreement, and the attached Exhibit "A" contain the entire agreement between the parties respecting the subject matter of this Agreement and supersede all prior understandings and agreements whether oral or in writing between the parties respecting the subject matter hereof IN WITNESS WHEREOF the parties hereto have caused this Agreement to be executed by and through their authorized officers on Al 20/0 G CONTRACTOR print name (circle one) Chatrmaj print name Secretary/Chef Financial Officer/Asst INITIATED AND APPROVED Administrator APPROVED AS TO FORM City Attorney g/agree/surtnet/crtyconst 22 of 22 5110 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Riverside on June 29, 2010 before me Debbie A Matsen, Notary Public Date Here Insert name and Title of the Officer personally appeared Robert Bradley and Mark Luer Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) /are subscribed to the within Instrument and acknowledged to me that hellsbe/they executed the same in RMMATSENWsAw/their authorized capaclty(les) and that by �sfher/their # 1775685 signature(s) on the Instrument the person(s) or the entity upon behalf California z of which the person(s) acted executed the Instrument CountyesNav22 2011 1 certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct WITNESS my hand and official seal Signature J ��q , „ Q Place Notary Seal Above Sig�ure ofof Notary Public OPTIONAL Though the information below is not required by law it may prove valuable to person 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 Contract, Crty of Huntington Beach Document Date June 29, 2010 Number of Pages 22 Pages Signer(s) Other Than Named Above None Capacity(les) Claimed by Signer(s) Signers Name Robert Bradley ❑ Individual 4Corporate Officer —Title($) Vice President ❑ Partner— ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Other Signer is Representing _ All American Asphalt Signer's Name Mark Luer ❑ Individual )(Corporate Officer— Title($) Sec / Treasurer ❑ Partner— ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Other Signer is Representing All American Asphalt z�'6 / / '/f for the construction of SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET C C NO 1379 in the CITE' OF HUUNTINGTON 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 45 working days for Slater Avenue, the basis of Award, and a total of 65 working days to complete the work for all three segments including Gothard Street, if awarded, starting from the date of the Notice to Proceed Only two streets segments (asphalt areas) can be under construction at any given time The third segment can begin once the final cap has been placed on one of the first two segments Concrete work can occur on all three segments simultaneously 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 protect 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 'I �,,�ae p!5 BA `( 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 "Bidder's Bond", as the case may be) Bidder shall signify receipt of all Addenda here, if any Addenda.No Date Received der`s Sa n lure Vow a C-z t !' Base Bid Total Amount Lump Sum Bid — In Figures Additive Alternate #I Total Amount bump Sum Bad In Figures Additive Alternate #2 Total Amount Lump Sum Bid In Figures -BASE BID Slater Avenue -- from Beach Blvd to Newland Street -ADDITIVE ALTERNATE # 1 (1) Magnolia Street— from Warner Avenue to Interstate 445 -ADDITIVE ALTERNATE #2 (2) Gothard Street -- from Heil Avenue to Edinger Avenue C-2 I. C-2 2 C-2 3 C-2 3 C-2 4 to C-2 8 C-2 9 to C-2 11 C-2 12 to C-2 15 PROJECT BASE BID Basis of Award Slater Avenue — from Beach Blvd to Newland Street C-2 4 to C-2 8 BASE BID TOTAL AMOUNT LUMP SUM BID IN FIGURES BASE BID WILL BE THE BASIS OF AWARD C-2 2 ADDITIVE ALTERNATE PROJECT #1 BID Street -- from W arner Avenue to Interstate 405 C-2 8 to C-2 I 1 ADDITIVE ALTERNATE #1 TOTAL AMOUNT LUMP SUM BID IN FIGURES $ 3-DE M4 - 00 ADDITIVE ALTERNATE PROJECT #2 BID Gothard Street — trom Heil Avenue to Edinger Avenue U-2 12 to U-2 15 ADDITIVE ALTERNATE #2 TOTAL AMOUNT LUMP SUM BID IN FIGURES s 03, 5y r1, b o C-2 3 SLATER AVENUE _ 1 .014.1 STREET CC NO. 1379 C-2 4 PROJECT DID SCHEDULE- - SLATER AVE Slater Ave CC-1379 Item Estimated Extended No Quantity Bid I%mt Description Unit PTice Amount 1 1 Mobilization LS $ $+O Q 0 $ g� 2 1 Traffic Control Plan LS $ 000� oo $ N do 3 1 Furnish Project Traffic Control LS $1222AZUZ— a oa 4 156135 FDR with Cement Treated Base SF $ ca $ 5 5900 Surface Grind (0 34) incl Dfposal of Material and Fabric 6 2900 Construct Asphalt Concrete (0 I T & 0 25 per plan) TN $5930 ' �/ ///�J��� n/,^/ $// �•v 7 2000 TN Construct Asphalt (0 17 ARHM Overlay) $ ?9,_ $ 111to.686 8 16 Adjust Sewer/Storm Dram Manhole to Grade EA $ yS,00 $7 6 9 3 Adjust OCSD Sewer Manhole to Grade EA $� 6 $/ 9000 10 30 Adjust Water Valve to Grade EA $ D $ Il% r� C-2 5 PROJECT RID SCHEDULE- - SLA'TER. AVE slater Ave CC-1379 fiem stimatecl xten ed No Quantity Bid M ml Desmptiton Unit Price Amount 11 1 Traffic Striping per plan LS 12 22 Install Traffic Loop EA $ lg7, q151,�0 13 3170 Remove & Reconstruct Curb & Gutter (CI"=8 or 6 Includes AB LF Slot Pave) per Std Plan 202 $410,00 $ /0?4 0 J 14 18000 Remove & Reconstruct Sidewalk per Std Plan 207 0 Y0 SF $ �. $ 15 1 Install Truncated Domes to existing Access Ramp EA $ &0Q,0 $ &00 OD 16 13 Install Access Ramp including all appurtenances A $ -L700 Do $ od D 17 7 Survey Monumentation EA $ � $ 18 10 Remove existing tree and grind stump and roots below grade EA $ q5L, bD $ D 0 19 1 Remove & Replace irrigation and landscape & plant new tree to EA existing parkway $ i.s� $ 20 1100 Remove & Reconstruct Residential Driveway Approach S1; $ $ D D Do C-2 6 PROJECT BID SCHEDULE- - SLATER AVE slater Ave CC-1379 Item Estimate :ktended No Quantity Bid Item Descripaou Unit Price Amount 21 1025 Remove & Reconstruct Commercial Driveway Approach SF $ B, D $ g q OS-,uD 22 350 Remove & Reconstruct Alley Approach SF $�P80 $ 2 23 4800 Remove & Reconstruct Concrete Cross Gutter SF $ /4 90 $ 51t8 '/0 01 24 1 Adjust Monitoring Well to finished surface EA $ D 40 $ 25 105 Remove & Reconstruct Local Depression SF $ 7 op $ US,00 26 8 Construct Residential Lot Dram EA $ 00 $ 27 3 Remove & Reconstruct Parkway Drain EA $ s-00 00 $ 15-oo 28 3 Adjust existing Traffic Signal Box frame and cover EA $ .33 00 $ r 29 $ Adjust existing water meter box frame and cover to new surface EA (Replace if broken with City furnished frame and cover) $ © 00 $ 3 10 O 30 1 Remove & Reinstall Existing Chanlinked Fence and Gate Ls $ $ C-2 7 PROJECT" BID SCHEDULE- - SLATER AVE stater Ave CC-1379 Item Estimated xtended Bid Item Deserxptloo No Quantity Unit Price Amount 31 1 Remove Regrade & Replace Turf and Irrigation in Kind LS $ 4 $ q Q,6U 32 1300 Remove & Reconstruct Commercial Driveway Approach with 1t V70 OV sI~ High Early Strength Concrete $� 9d $ 33 I Provide I year Landscape Maintenance for Planted Tree in EA parkway $ a $ I Q i0 Total Amount Bid In Figures $ r7 L4 d , Da Total Amount Bid in Words Ny r 74�f � ,�- i C-2 8 Magnolia Street — from Warner Avenue to Interstate /_ e 40 C-2 9 PROJECT BID SCHEDULE - MAGNOLIA ST (ADD ALTERNATE #1) Magnolia CC-1379 Item No Estimated Quantity Bid Item I�escri�rtion Uimit Price x€e0ed Amount 1 I Mobilization LS $� ODDS $-Lom 2 1 Traffic Control Plan LS $ 4 20b 00 s 3, rJ 60 oD 3 1 Furnish Project Traffic Control LS $ Jam; OQO��� l Bd0 B� 4 730 Unclassified Excavation incl Disposal of Matrial and Fabric CY $ I ,o6 $3-0-0 d 5 73700 Surface Grind (0 17) incl Diposal of Material and Fabric SF $ D.�3 $��fg5�,o G 930 Construct Asphalt Concrete {depth 0 33 ) TN $ rVV� $ 7 1385 Construct Asphalt (0 17 ARHM Overlay) TN $ 00 $ 10 Sooeo 8 4 Adjust Sewer/Storm Drain Manhole to Grade EA uQ $ $�� 9 1 Adjust OCSD Sewer Manhole to Grade EA $ 7vb a o $ 71�0 ba 10 15 Adjust Water Valve to Grade EA $ gao v o $ (,,oDo b0 C-210 PROJECT BID SCHEDULE - MAGNOLIA ST (ADD ALTERNATE #l) Magnolia CC-1379 Item No. Estimated i uaatf Bid Item Description Unit Ptice Extended Amount 11 4 Adjust Monitoring Well to Grade EA $ 12 1 Traffic Striping LS 13 26 EA Install Traffic Loops do0 Do 14 160 Remove & Reconstruct Curb & Gutter (CF=8 Includes AB Slot LF Pave) per Std Plan 202 $ eg D $ l Wo, DC 15 1835 Remove & Reconstruct Sidewalk per Std Plan 207 SF $r7,oa 16 1 Install Truncated Domes into existing Ramp EA $17006 $ I 17 5 Survey Monumentation EA -�'� $ lei• vV $ I 18 3 Adjust Survey Monument Well to Grade EA $ qpuo d $ I IST I 19 700 Remove and Reconstruct Driveway Approach per Std Plan 2I 1 SF $ D,00 $ 7- C-211 8 �. ,�. ��:, • ♦ ,r .i w �a C-2 12 PROJECT DID SCHEDULE - G®TRARD ST (ADD ALTERNATE #2) Gothard St CC 1379 .item Estimated Extended No Q uiQiitity Bid Item Description Unit Price Amounts 1 1 Mobilization LS $ A W 10D $ a4&ma 2 1 Traffic Control Plan LS $ OD Od $ 1qop,00 3 1 Furnish Project Traffic Control LS $ 4 260 Unclassified Excavation incl Disposal of Matrial and Fabric CY $� $ 5 56570 Cold Milling ►ncl Dtposal of Material and Fabric SE $ 6 $ 6 500 Construct Asphalt Concrete (0 39 per plan) TN $ $ 3a -bo b 7 1960 Construct Asphalt (0 17 ARHM Overlay) TN $ .cif $ i d 8 9 Adjust Sewer Manhole to Grade 9 29 EA Adjust Water Valve to Grade $ �D ®6 $ � /G O 10 1 Traffic Striping per plan LS $ $ Ob 60 MIC C-213 PROJECT DID SCHEDULE - G®THARD ST (ADD ALTERNATE #2) Gothard St CC-1379 Item Estimate Extended No Quantity Bid Itom Descnptkon Unit Pace Amount 11 20 Traffic Loop EA s 1 WLQO 2 ��� �j�j $ ?F. ob 15 12 1650 Remove & Reconstruct Curb & Gutter (CI'=8 Includes AB Slot LF Pave) per Std Plan 202 $ 5900 $ gS'7DD D 13 13225 SF Remove & Reconstruct Sidewalk per Sid Plan 207 $ q DO $ 575; 14 4 Construct Curb Access Ramp EA $ �--- $ ! OD 15 325 Remove & Reconstruct Local Depression per Std Plan 302 SF $ 1,00 $ 16 3 Prepare Corner Records for Survey Monumentatron EA s d& 3, 0 �� c sgn.bo 17 7 Remove existing tree and grind stump and roots below grade EA $ o, ao $ r D 18 2 Install new Survey Well Monument per HB Std Plan 219 EA $ 8 b� $1 19 3455 Remove & Reconstruct concrete Cross Gutter Per HB Std Plan SF 205 $ $ 20 1225 Remove & Reconstruct Residential Driveway per 1-I13 Std Plan SF 209 $ �d $ / )0 G214 PROJECT BID SCHEDULE - GOTHARD, ST (ADD ALTERNATE #2) Gothard 5t CC-1379 Item Estimate Extended No Quantify Btd Item Description Unit Price Amount 21 50 Reconstruct Modified Driveway Apron LF a3,v� _ $ 22 5475 Remove & Reconstruct Commercial Driveway per HB Std Plan SF 21t AA $ 0V� �^ $r, 23 1 Relocate Fire Hydrant per Std Plan 607 EA $ OD $ 00 OCR 24 1 Install Metal [-land Rail Per APWA Std Plan 606 2 (Ty pe B) EA $ DD ©0 $ DD 25 1100 Reconstruct Commercial Driveway Approach per HB Std Plan 211 thickness 12 #4 Rebar g DO D� SF modified to of with $ $ 26 12 Adjust existing water meter box frame and cover to new surface EA (Replace if broken with City furnished frame and cover) $fir SD 0 $ q %o o0 Total Amount Bid in Figures Total Amount Bid in Words AIA C-215 ADDENDUM NUMBER ONE For SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET, C C NO 1379 In the CITY OF HUNTINGTON BEACH May 20 2010 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 or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor Portion qf Work Name and Address of Subcontractor State License Number Class . ��t �I►-r� u vua B✓t S�1�2��f 4w� T avt� Ea nsea �D���S 1n� tq cr cuv�n�t °�9s 77(#3 Oio pmwk W& W crn, c 3g3`�3� 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 CC-1379 Slates- Avenue Addendum 1 MW M - W - M -W M Bill-va:66111 "Hatakff-1101 UMM"IM110401 0XIMINVIN� State of California ss County of8range R©Iw+`fir dlp q , being first duly sworn, deposes and says that he e£-ske is V � no- && 664,,1 of 011 pmeyi gn so / - _._. the party malting 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 of Bidder Signature of Bidder Addressof Bidder - Subscribed and sworn to before me this day of , 201_ NOTARY PUBLIC * �,,, A4+,16W,d WM-oval 1-4w+-frrar\ Con"'cet- f NOTARY SEAL C-4 CALIFORNIA JURAT State of California County of Riverside Subscribed and sworn to () before me on this 28th day of May, 2010 Date Month By (1) Robert Bradley Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me ( ) ( ) s DEBBIE A MATSEN (and Cnmm(ssion # 1775685 Notary Public California z (2) Z Riverside Cou„ty Name of Signer NW Comm E, rmres No,/27 2011 Proved to me on the basis of satisfactory evidence be the person who appeared before me ) Signature 0 Place Notary Seal Above Signature of Notary Public OPTIONAL Though the information below is not required by law it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document Further Description of Any Attached Document Title or Type of Document Non Collusion Affidavit, City of Huntington Beach Document Date May 28, 2010 Number of Pages 1 Signer(s) Other Than Named Above None 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 Slater Avenue Rehabilitation from Beach Boulevard to Newland Street, CC No 1379, (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 terra "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 Y Rom'+ �r�dle y yl cC Pry! - 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 V 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-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 �41G _ .A Q M /•", • • 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 421 b/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 or 811 a minimum of two working days before scheduled excavation Dag Alert Identification Number `Rokz�+ 13rad�e y Title Note This form is required for every Dag 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 certifies that the following information is true and correct (-ilk ��n?rl Bidder Name P o 60X a aa01 Business Address L't-on na eA 9a79- aofaa City, State Zip Telephone Number - �t- 62&7 A C- State Contractor's License No and Class Original Date Issued 11�2 �-abl2. Expiration Date The work site was inspected byT►m tA e- lam, Q of our office on j�amy�r The following are persons, firms, and corporations having a principal interest in this proposal I- MMA 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 of Bidde7r ROkPv+ fir, Akei j, ViCl° PcgE�AjAW) - Printed or Typed Signature Subscribed and sworn to before me this _ day of , 201_ *-Set- R-t+acheA- MO�ort,tl J-Ltra-r -4Ca imcivc 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 5e" R+l-qew8 9a�)�71 2 3 Name and Address of Public Agency 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 Date Completed Date Completed Date Completed C-10 CALIFORNIA JURAT State of California County of Riverside Subscribed and sworn to () before me on this 28th day of May, 2010 Date Month By (1) Robert Bradley Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me () ( ) DEBBIE A MATSEN (and t Commission # 1775685 Z �� Notary Public California = Riverside County (2) MyComm E(+resN1--,v22 2011 Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me ) Signature ��P 0_4 , Q "M a=AaA -) Place Notary Seal Above Signature of Notary Public OPTIONAL Though the information below is not required by law it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document Further Description of Any Attached Document Title or Type of Document Bidders Information, City of Huntington Beach Document Date May 28, 2010 Number of Pages 2 Signer(s) Other Than Named Above None "2009" PAST WORK REFERENCES City of Costa Mesa 77 Fair Drive P O Box 1200 Costa Mesa, CA 92628-1200 Contact Tom Banks, (714) 536-5431 City of Dana Point 33282 Golden Lantern Dana Point, CA 92628 Contact Archie Rempher, (949) 248-3500 City of Beverly Hills 345 Foothill Road Beverly Hills, CA 90210 Contact Juan Martinez, (310) 285-2521 County of San Bernardino 825 East Third Street San Bernardino, CA 92415-0835 Contact Sri Snrajan, (909)387-7935 City of Redondo Beach 415 Diamond Street Redondo Beach, CA 90277 Contact Javier Urista, (310) 318-0661 City of Westlake Village 31200 Oak Crest Drive Westlake Village, CA 91361 Contact Roxanne Hughes, (805) 653-6597 Department of Transportation 12975 Culver Blvd Los Angeles, CA 90066 Contact Sixto Ramm, (213) 216-4406 City of Rialto 150 South Palm Avenue Rialto, CA 92376 Contact Eddie Chan, (909) 820-2651 Prop 1 B Street Maintenance Contract Amount $993,993 00 Start 7/2009 On -going — not completed yet Annual Roadway Resurfacing Project Contract Amount $3,982,982 00 Start 4/2009 On -going — not completed yet 2008-09 Street Resurfacing Contract Amount $4,085,000 00 Start 1/2009 Completed 8/2009 Arrow Route Contract Amount $1,980,000 00 Start 2/2009 Completed 7/2009 Public Improvement Package Contract Amount $1,678,000 00 Start 1/2009 Completed 9/2009 Joint Cities Pavement Rehab Project Contract Amount $1,242,241 11 Start 6/2009 Completed 9/2009 Route 27, Contract No 07-2Y4904 Contract Amount $915,511 00 Start 6/2009 Completed 9/2009 Route 210 Detour Contract Amount $1,983,548 00 Start 6/2009 Completed 9/2009 "2008" PAST WORK REFERENCES City of Irvme One Civic Center Plaza P O Box 19575 Irvine, CA 92606-5268 Contract Kal Lambaz, (949) 724-7555 City of Anaheim 200 South Anaheim Blvd Anaheim, CA 92805 Contact Sean Razmy, (714) 765-5069 City of Newport Beach 3300 Newport Blvd Newport Beach, CA 92658 Contact Andy Tran, (949) 644-3315 University Drive Rehabilitation Contract Amount $3,445,289 40 Start 1/2008 Completed 6/2008 Anaheim Blvd Improvements Contract Amount $278,391 00 Start 4/2008 Completed 6/2008 Superior Avenue Improvements Contract Amount $862,862 00 Start 1/2008 Completed 6/2008 City of Westminster Citywide Street Improvements 8200 Westminster Blvd Contract Amount $1,118,383 00 Westminster, CA 92683 Start 3/2008 Contact Theresa Tran, (714) 898-3311 Ext 282 Completed 7/2008 City of Lake Forest 25550 Commercentre Drive, Suite 100 Lake Forest, CA 92630 Contact Luis Estevez, (949) 461-3485 City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 Contact Ed Torres, (714) 647-5018 Street Resurfacing & Slurry Seal Contract Amount $1,638,523 00 Start 2/2008 Completed 4/2008 Santa Clara Avenue Improvements Contract Amount $2,219,523 00 Start 11/2007 Completed 3/2008 RELIABLE CONTRACTOR DECLARATION (page 1 of 3) This form must be completed and submitted to the Department of Resources Recycling and Recovery (CalRecycle) prior to authorizing a contractor(s) to commence work Failure to provide this documentation in a timely manner may result in nonpayment of funds to the contractor(s) This form is intended to help the CalRecycle's Grantees comply with the Unreliable List requirement of their Terms and Conditions The Unreliable List provision requires the following Prior to authorizing a contractor(s) to commence work under the Grant, the Grantee shall submit to CalRecycle a declaration signed under penalty of perjury by the contractor(s) stating that within the preceding three (3) years, none of the events listed in Section 17050 of Title 14, California Code of Regulations, Natural Resources, Division 7, has occurred with respect to the contractor(s) Please see the reverse of this page for a listing of events, or refer to www CalRecycle cagov/Regulations/Title14/ Please return the completed form(s) to Department of Resources Recycling and Recovery Name of your Grant Program Attn Name of your Grant Manager P O Box 4025 Sacramento, CA 95812-4025 GRANTEE INFORMATION GRANTEE NAME GRANT NUMBER PRIMARY CONTACT NAME CONTRACTOR INFORMATION CONTRACTOR NAME AUTHORIZED CONTRACTOR REPRESENTATIVE NAME rle VICE r MAILING ADDRESS P C r C As the authorized representative of the above identified contractor I declare under penalty of perjury under the laws of the State of California that within the preceding three (3) years none of the events listed in Section 17050 of Title 14, California Code of Regulations, Natural Resources, Division 7, has occurred with respect to the above identified contractor Sign I Date 10 C-11 RELIABLE CONTRACTOR DECLARATION (page 2 of 3) Title 14 CCR, Division 7, Chapter 1 Article 5 Unreliable Contractors, Subcontractors, Borrowers and Grantees Section 17050 Grounds for Placement on Unreliable Last The following are grounds for a finding that a contractor, any subcontractor that provides services for a CalRecycle agreement, grantee or borrower is unreliable and should be placed on the CalRecycle Unreliable Contractor, Subcontractor, Grantee or Borrower List ("Unreliable List") The presence of one of these grounds shall not automatically result in placement on the Unreliable List A finding must be made by the Executive Director in accordance with section 17054, and there must be a final decision on any appeal that may be filed in accordance with section 17055 et seq (a) Disallowance of any and/or all claim(s) to CalRecycle due to fraudulent claims or reporting, or (b) The filing of a civil action by the Attorney General for a violation of the False Claims Act, Government Code section 12650 et seq, or (c) Default on a CalRecycle loan, as evidenced by written notice from CalRecycle staff provided to the borrower of the default, or (d) Foreclosure upon real property loan collateral or repossession of personal property loan collateral by CalRecycle, or (e) Filing voluntary or involuntary bankruptcy, where there is a finding based on substantial evidence, that the bankruptcy interfered with the CalRecycle contract, subcontract, grant or loan, or (f) Breach of the terms and conditions of a previous CalRecycle contract, any subcontract for a CalRecycle agreement, grant, or loan, resulting in termination of the CalRecycle contract, subcontract, grant or loan by the CalRecycle or prime contractor, or (g) Placement on the CalRecycle's chronic violator inventory established pursuant to Public Resources Code section 44104 for any owner or operator of a solid waste facility, or (h) The person, or any partner, member, officer, director, responsible managing officer, or responsible managing employee of an entity has been convicted by a court of competent jurisdiction of any charge of fraud, bribery, collusion, conspiracy, or any act in violation of any state or federal antitrust law in connection with the bidding upon, award of, or performance under any CalRecycle contract, subcontract, grant or loan, or (i) The person or entity is on the list of unreliable persons or entities, or similar list, of any other federal or California state agency, or 0) The person or entity has violated an Order issued in accordance with section 18304, or, (k) The person or entity has directed or transported to, has or accepted waste tires at, a site where the operator is required to have but does not have a waste tire facility permit, or, (1) The person or entity has transported waste tires without a waste tire hauler registration, or, (m) The person or entity has had a solid waste facility or waste tire permit or a waste tire hauler registration denied, suspended or revoked, or, (n) The person or entity has abandoned a site or taken a similar action which resulted in corrective action or the expenditure of funds by CalRecycle to remediate, clean, or abate a nuisance at the site, or (o) The following are additional grounds for a finding that, a person or entity described below should be placed on the Unreliable List C-12 RELIABLE CONTRACTOR DECLARATION (page 3 of 3) (1) The person or entity owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (2) The person held the position of officer director, manager, partner, trustee, or any other management position with significant control (Principal Manager) in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (3) The entity includes a Principal Manager who 1 Was a Principal Manager in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, or, 2 Owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (4) The entity has a person who owns 20% or more of the entity, if that person 1 Was a Principal Manager in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, or, 2 Owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (5) The entity has another entity which owns 20% or more of the entity, if that other entity 1 1s on the Unreliable List, or, 2 Owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (6) Subsection (o) is not intended to apply to a person or entity that purchases or otherwise obtains an entity on the Unreliable List subsequent to its placement on the Unreliable List C-13 City of Huntington Beach Public Works Department 2000 Main Street Tel (714) 536-5431 Fax (714) 374-1573 u l' For SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET CC NO 1379 in the CITY OF HUNTINGTON BEACH May 20 2010 Notice To All Bidders Please note the following clanfication to the Project Plans Specifications and Special Provisions 1) PROJECT BID SCHEDULE —Specification Book Cross out Item No 4 Estimated Quantity unit CY to GY and change to SF on Slater Avenue Item 4 FDR with Cement treated Base on Section C page C 2 5 (Item 4 Estimated Quantity number is unchanged) 2) APPENDIX X — Specification Book Replace entire APPENDIX X FULL DEPTH RECLAMATION WITH CEMENT with ADDENDUM NUMBER ONE FULL DEPTH RECLAMATION WITH CEMENT (four pages) 3) SECTION C — Specification Book Replace Page C 3 — LIST OF CONTRACTORS with `ADDENDUM NUMBER ONE LIST OF SUBCONTRACTORS (one page) Bidders shall submit SECTION C with the change from ` CY' to SF for Bid item No 4 on the Project Bid Schedule for Slater Avenue on page C 2 5 Award will be based on most current revised unit for that item This is to acknowledge receipt and review of Addendum Number One dated May 20 2010 0 a it 110,11% 1♦ �11111 �,; • ,1111 Company MCI, Date I —� f All bidders must acknowledge the receipt of this Addendum with your bid proposal Should you have any questions regarding this Addendum please call Jim Wagner at (714) 536 5431 S ADDENDUM NUMBER ONE For SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET C C NO 1379 In the CITY OF HUNTINGTON BEACH May 20 2010 FULL DEPTH RECLAMATION WITH CEMENT 1-1 DESCRIPTION Work shall consist of pulverizing existing asphalt concrete base and subgrade soil to a total depth of 134 feet on Slater Avenue Regrade and haul away excess material to allow for the net placement of 0 42 feet of new asphalt Add cement and water to the blended material to a total depth of 0 92 feet in accordance with the specifications provided below Fine grade to the grades required prior to placement of asphalt This item shall consist of constructing a mixture of pulverized asphalt concrete base material subgrade soil cement and water in accordance with this specification and in conformity with the lines grades thickness microcracking and typical cross sections shown on the plans Cement treated subgrade shall be constructed in a series of parallel lanes such that longitudinal and transverse joints are minimized 2-1 MATERIALS 2 11 PORTLAND CEMENT Portland cement shall be Type II/V conforming to the requirements of Section 201 12 1 Portland Cement of the Standard Specifications for Public Works Construction Greenbook 2009 Edition Fly ash or other pozzalonic material shall not be substituted for Portland cement 2 12 WATER Water used for mixing or curing shall be reasonably clean and free of oil salt acid alkali sugar vegetable or other substances injurious to the finished product Water shall conform to the provisions in Section 201 12 3 Water of the Standard Specifications 2 1 3 PULVERIZED MATERIAL Existing asphalt concrete surfacing shall be pulverized with underlying base materials and subgrade soil to the specified depths and widths in conformance to the Project Plans and Special Provisions The asphalt concrete surfacing and underlying base/soil materials shall be pulverized such that 100 percent of the material will pass a 2 inch sieve and a minimum of 90 percent will pass a 1'/2 inch sieve All materials other than rock and pulverized asphalt concrete shall be broken up such that these materials will pass a one inch sieve The pulverized materials shall be free of roots sod weeds wood and construction debris Page 1 of 4 CC-1379 Slater Avenue Addendum 1 3 1 CONSTRUCTION METHODS 311 GENERAL Prior to beginning any cement treatment the existing subgrade shall be shaped to conform to the typical sections lines and grades as shown on the plans The Engineer shall check and verify the conformance of the material to the lines grade and elevation as shown on the plans prior to beginning cement treatment Trimming and disposal of excess material if required will be performed on the intimate mixture of pulverized asphalt concrete base materials and subgrade soil prior to cement treatment Excess pulverized material is the surplus that results after trimming and grading the pulverized pavement section to the lines and grades shown on the plans The pulverized subgrade should be trimmed sufficiently low to allow for the added cement volume proper material compaction and subsequent layers of leveling and surface course A C overlays all as required to meet proposed finished surface grades called for on the plans Excess pulverized material shall consist of non cement treated well mixed pulverized A C pavement base materials (if existing) and subgrade The Contractor will not be allowed to remove unmixed material or more specifically the Contractor will not be allowed to remove the more desirable A C pavement off the top of the existing pavement section prior to mixing with the subgrade 312 APPLICATION Cement shall be applied at a rate of not less than 5 percent based on the in place dry unit weight of soil and for the depth of subgrade treatment shown on the plans For estimating purposes an in place dry unit weight of soil of 130 pcf should be used The cement content shall vary no more than 0 5 percent under and not more than 10 percent over the specified cement content (example tolerance on spread rate of 6 0% is 5 5% to 7 0%) However the moving average of the rate of cement content tests/inspections shall not be less than the specified cement content The Engineer reserves the right to increase the rate of application of cement from the specified rates during the progress of construction as necessary to maintain the desired characteristic of the stabilized subgrade Additional cement and work required above and beyond the specified amount will be paid on a unit price basis Cement shall be distributed with a non pressurized mechanical vane feed spreader equipped with on board scales and controls capable of spreading the cement at a prescribed weight per unit area Cement shall not be spread upon the prepared material more than 2 hours prior to the mixing operation No traffic other than the mixing equipment shall be allowed to pass over the spread cement until the mixing operation is completed Page 2 of CC-1379 Slater Avenue Addendum 1 313 MIXING Mixing of the soil cement and water shall be done with a four wheel drive rotary mixer (CMI RS 500B CAT 350B or equivalent) The mixing machine shall have equipment provisions for introducing water at the time of mixing through a metering device The full depth of the treated subgrade shall be mixed a minimum of two times with the approved mixing machine At least one of the two mixes shall be done while introducing water into the soil through the metering device on the mixer Water shall be added to the subgrade during mixing to provide a moisture content not less than 1 percentage point below nor more than two percentage points above ( 1 to +2 of OMC) the optimum moisture of the soil cement mixture (ASTM D 558) to ensure chemical action of the cement and soil To ensure a uniformly treated section any material/soil around manholes utility risers valves and adjacent to curbs/gutters or in corners must have that material/soil pulled out by the Contractor at the depth of treatment where it is accessible to be mixed with the reagent After that material is mixed with the reagent it will be placed back and compacted by the Contractor 314 COMPACTION The mixture shall be compacted in one layer The Contractor shall regulate the sequencing of the cement treatment operations such that the final compaction of the soil cement mixture to the specified density will be completed within 2 1/2 hours after the initial application of water during the mixing operation However trimming (cuts only) can be completed within 24 hours of mixing Compaction shall be by means of steel drum pad foot and/or segmented wheel rollers of sufficient capacity to compact the full depth Areas inaccessible to rollers shall be compacted to the required density by other means satisfactory to the En ig Weer The field dry density of the compacted mixture shall be at least 95% percent of the maximum dry density as determined in accordance with ASTM D 558 (Moisture Density of Soil Cement Mixtures) AGENCY will conduct compaction testing 3-1 5 FINISHING AND CURING After the final layer of cement treated subgrade has been compacted it shall be brought to the required lines and grades in accordance with the typical section and shall be kept moist The completed section shall then be finished by rolling with a steel drum or other suitable roller approved by the Engineer The mixture shall be compacted in one layer The completed cement treated subgrade shall be moist cured continuously for 5 7 days or until surfaced with a curing seal consisting of SS or CSS grade asphalt emulsion at a rate of 0 12 to 0 20 gallons per square yard of surface The cement treated subgrade shall be kept free from heavy traffic during the curing period or until the asphalt concrete surfacing is placed whichever is less unless otherwise directed by the Engineer If completed surface is to be microcracked moist curing shall be the only method of curing prior to microcrackmg After microcrackmg is complete additional moist curing or emulsion sealing may be used 316 MICROCRACKING Page 3 of 4 CC-1379 Slater Avenue Addendum 1 After the initial 24 hours of the moist curing period the finished CTB course shall be tested by the Enizineer to determine the stiffness of the layer The stiffness measurement of the CTB shall be determined using an approved device such as the Humboldt Stiffness Gauge (HSG) or equivalent One test will be made along each 100 ft section of street The test location shall be marked with paint for later retesting If the initial HSG readings are in the range of 50 to 60 (MN/m) then microcracking of the CTB course shall begin If the readings are below the stated range the CTB course shall be allowed to cure for an additional 24 hours and stiffness readings obtained at the end of the 24 hour period and prior to the commencement of microcracking operations Microcraking of the CTB shall be accomplished by a 12 ton steel wheel vibratory roller traveling at a speed of approximately 2 mph and vibrating at maximum amplitude (or as directed by the Project En ig neer) The section shall have 100% coverage exclusive of the outside 1 foot so as to induce minute cracks in the CTB The microcraking operations may be terminated when a minimum 40% reduction in the stiffness of the CTB course is achieved as compared to the initial (pre cracked) readings After one pass of the vibratory roller the stiffness of the CTB shall be determined Based on the target total stiffness minimum reduction of 40% it will be decided if additional passes are required Additional passes of the steel roller may be required to achieve the desired crack pattern or section modulus as determined by the Project En ig neer The CTB course shall be tested for stiffness after each additional rolling It is anticipated that the roller will have to make between approximately 1 to 4 passes to achieve the required reduction in stiffness 3 17 FINAL CURING After cessation of microcracking the section shall be cured for a period of at least 48 hours 3 18 CONSTRUCTION JOINTS Construction joints shall have vertical faces and shall be made in thoroughly compacted material Additional mixture shall not be placed against the construction joint until the joint has been approved by the En ig neer The face of the cut joint shall be lean and free of deleterious material and shall be kept moist until the placing of the adjacent soil cement 319 REPAIR If the soil cement is damaged it shall be repaired by removing and replacing the entire depth of affected layers in the damaged area Feathering will not be permitted for repair of low areas 4 1 MEASUREMENT AND PAYMENT The pulverization and cement treatment of the existing pavement shall be paid for at the contract unit price per square foot for FDR with Cement Treated Base and shall include costs for all pulverizing and mixing of the existing pavement and underlying materials for all water and Portland cement for all spreading compacting and trimming to the proper grade as shown on the plans and as specified for all haul away of all excess pulverized material for all microcracking curing protection and sealing of the cement treated subgrade and no additional compensation will be allowed therefor Page 4 of 4 CC-1379 Slater Avenue Addendum 1 FZMn UVy D Fidelity and Deposit Company of Maryland SeA 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 08597423 as Principal (hereinafter called the Principal ) 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 Huntinaton Beach as Obligee (hereinafter called the Obligee) in the sum of Ten Percent of Total Bid Price in — -- — Dollars ($ 10% of Total Bid Price ) for the payment of which sum well and truly to be made the said Pnncipal 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 Construction of Slater Avenue Rehabilitation from Beach Boulevard to Newland Street C C No 1379 Bid Date June 1 2010 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 24th /r r Barbara- d- day of May A D 2010 All American Asphalt (SEAL) Prtnc� r4dl,p y Title Vlre re,5Oe�+ FIDELITY AND DEPOSIT COMPANY OF MARYLAND Surety By <�5�(SEAL) Wilham yrkin Attorney to Pact Printed in cooperation with the American Institute of Architects (AIA) by Fidelity and Deposit Company of Maryland Fidelity and Deposit Com,iar,, of Maryland vouches that the language in the document conforms exactly to the language used in AIA Document A 310 February 1970 Edition BiD7000OZZ070if 1 ?..> aS� ._�,v.��..%�. TC,/.�.�S;�C�bJ.v.�ai�'aa;TNvit..�AA �i.c�Yw: ��aS:�S::�t..v>. »L�>!�t.? '].v'?�•� • TG�. �u��'�u�s,>,r�.'?.'.ca.,a�c .�.,:?t��..� State of California County of Orange On 5 24 10 before me Barbara J Bender Notary Public Date Here Insert Name and Tifie of the Officer personally appeared William Syrkin Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/am subscribed to the within instrument and acknowledged to me that heMs executed the same in his/bec/ ww authorized capacity(me) and that by hi '"ems signature(4 on the instrument the person(* or the entity upon behalf of which the person* acted executed the instrument BARBARA J BENDER I certify under PENALTY OF PERJURY under the laws Commission # 1801899 a �� - Notary Public California Z of the State of California that the foregoing paragraph is Z ' Orange County = true and correct My Comm Expires Jul 13 2012 WITNESS m and ici seal Signature Place Notary Seal Above ignat re of Ivry fs 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 5 24 10 Number of Pages One (1) Signer(s) Other Than Named Above All American Asphalt Capacity(ies) Claimed by Signer(s) Signers Name William Syrkin Signers Name ❑ Individual Individual Corporate Officer — Titte(s) ❑ Corporate Officer — Title(s) C Partner — F- Limited -] General Partner — F1 Limited C General Attorney in Fact Attorney in Fact o " Top of thumb .� Trustee here Top of thumb here C Trustee Guardian or Conservator F- Guardian or Conservator Other 0 Other Signer Is Representing _ Signer Is Representing Fidelitv and Der)osit Company of Marviand i ®2007 National Not ry Assoc atio 9350 De Soto Ave PO Box 2402 Chatsworth CA 91313 2402 w NahonalNota yo g Item #5907 Reo de Call Toll Fe 1 800-876 6827 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Riverside On May 28, 2010 before me Debbie A Matsen, Notary Public Date Here Insert name and Title of the Officer personally appeared Robert Bradley Name of Signerio who proved to me on the basis of satisfactory evidence to be the person(O whose nameo is/ara subscribed to the within instrument DEBBIEEAA MATSEN and acknowledged to me that he/sbekhey executed the same in Commission # 1775685 his/#aerAheir authorized capacity(ies)- and that by his/he- Notary Public California = signature ) on the instrument the person or the entity upon behalf ' Riverside County of which the persono) acted executed the instrument MVC0mM q*wNov22 2011 I certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct WITNESS my hand and official seal Signature_ 7�O L11 a e 0'o -ma--a Place Notary Seal Above Signature of Notary Public OPTIONAL Though the Information below is not required by law it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document Descnption of Attached Document Title or Type of Document Bid Bond, City of Huntington Beach Document Date Ma_y 24, 2010 Number of Pages 1 Page Signer(p) Other Than Named Above Fidelity and Deposit Company of Maryland Capacity(ies) Claimed by Signer Signer's Name Robert Bradley ❑ Individual Corporate Officer - Title(g) Vice President ❑ Partner - ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Other Signer is Representing _ All American Asphalt Signer's Name ❑ Individual ❑ Corporate Officer - Title(s) ❑ Partner- ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Other Signer is Representing 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 WILLIAM J MILLS Vice President and GREGORY E MURRAY Assistant Secretary in pursuance of authority granted by Article VI Section 2 of the By Laws of said y which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the d ereby nominate constitute and appoint William SYRKIN, Rebecca HAAS-BATES an f Irvine, California, EACH its true and lawful agent and Attorney in Fact, to mak e " behalf as surety and as its act and deed any and all bonds and undert o ecu or undertakings in pursuance of these presents shall be as binding upon I d 1 ents and purposes as if they had been duly executed and acknowled y eIe ompany at its office in Baltimore Md in their own proper persons er rn e on behalf of William SYRKIN Rebecca HAAS BATES Sergio D BECHA and ed April 8 2008 The said Assistant " s eby certify that the extract set forth on the reverse side hereof is a true copy of Article VI Section 2 of the By s said Company and is now in force IN WITNESS WHEREOF 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 25th day of September A D 2009 ATTEST 'gyp IWO,, t _ti f0 O 4 h+n State of Maryland I ss City of Baltimore FIDELITY AND DEPOSIT COMPANY OF MARYLAND '�Y� M IV "-� Gregory E Murray Assistant Secretary I. 1 William J Mills Vice President On this 25th day of September A D 2009 before the subscriber a Notary Public of the State of Maryland duly commissioned and qualified came WILLIAM J MILLS Vice President and GREGORY E MURRAY 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 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 'k%i1 1J11 i t � Maria D Adamski Notary Public My Commission Expires July 8 2011 POA F 012 0033 Pla tVr G7I- rV '-Lvk- p 1- - v v —wuL�v-c - , NeA)tamd Sky-,et-�, C C tv, -��� ��}t� ®-� �tuw+�►n�-t�� 1` c�ctn U Ut UpEN wr H E l�V►- R M �4 I `' 1, 9 0 1 D of - a 00 pm 49 t Mdl City ®f Huntington Beach 2000 Main Street • Huntington Beach, CA 92648 OFFICE OF THE CITY CLERIC JOAN L FLYNN CITY CLERK July 13 2010 All American Asphalt Attn Robert Bradley P O Box 2229 Corona CA 92878-2229 Re Slater Avenue Rehabilitation — CC-1379 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 Certification of Compliance with Title VII of the Civil Rights Act, Certification of Compliance with Prevailing Wage Laws and Contractor's Certificate form must be returned to this office after the project 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 536-5437 JF pe Enclosures Copy of Contract including Proposal Copies of insurance/bonds Contractors Certificate Certificate of Compliances Bid Bond (original) Sister 0tif6sio"KJMMi ,-,"t&rg,,New Zealand (Telephone 714 536 5227) RECEIVED BY (Name) (Date) CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk s Office after signing/dating 1 -- • •> T�Vif TO Shari Freidenrich City Treasurer FROM 1711,S DATE l� SUBJECT Bond Acceptance I have received the bonds for Faithful Performance Bond No Labor and Material Bond No Monument Bond No Maintenance Bond No Guarantee and Warranty Bond No Re Tract No CC No MSC No Approved 6 ouncd Approval Date) (Company Name) �d 3 Agenda item No City Clerk Vault No #27 g /followup/bondietter doc Premium $8 187 00 Premium subject to adjustment upon completion KNOW ALL PERSONS BY THESE PRESENTS Bond No 7616573 Executed in One (1) Part WHEREAS City of Huntington Beach (hereinafter referred to as "City") has, by written agreement dated 2Q_ entered Into a contract with _AEI Amencan Asphalt 400 East Sixth Street Corona CA 92879 (name and address of Contractor) (hereinafter referred to as Principal") for performance of the work described as follows Slater Avenue Rehabilitation, Cash Contract No 1379 (from Beach Blvd to Newland St) (project Title) WHEREAS said contract and all documents referenced therein (hereinafter collectively Contract") are incorporated herein by this reference made a part hereof as though set forth herein in full WHEREAS, said Principal Is required under the terms of the Contract to furnish a bond guaranteeing the prompt full and faithful performance of said Contract NOW THEREFORE we the undersigned as Principal and Fidelity and Deposit Company of Maryland 801 No Brand Blvd Glendale CA 91203 �- (narno and address of Surety) (a duly admitted surety insurer under the laws of the State of California and hereinafter refeiTed to as Surety) as Surety are held and firmly bound unto City in the penal sum of One Million Nine Hundred Tw-6Ft—y Six Thousand Three Hundred Foy One and Noll 00ths Dollars ($1 926 341 00 ) this amount being not less than one hundred percent of the price set forth In the Contract in 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 these presents THE CONDITION OF THIS OBLIGATION iS SUCH THAT if the Principal shall promptly fully and faithfully perform each and all of the covenants obligations and things to be done and performed by the Principal in strict accordance with the terms of the Contract as said contract may be altered amended or modified from time to time and If the Principal shall indemnify and save harmless City and all of City s officers agents and employees (hereinafter collectively referred to as "Obligees ) from any and all losses liability and damages claims, judgments, stop notices fees and costs of every description whether imposed by law or in equity which may be incurred by the Obligees by reason of the failure or default on the part of the Principal In the performance of any or all of the terms or the obligations of the Contract Including all alterations, amendments and modifications thereto and any warranties or guarantees required thereunder then this obligation shall be void otherwise it shall be and shall remain in full force and effect Surety stipulates and agrees for value received that no adjustment of the time or price in the Contract or any alteration change deletion addition or other modification to the Contract or the work to be performed thereunder shall in any way affect limit, restrict impair or release the obligations of the Surety under this Bond Surety waives notice of any adjustment of contract time or contract price and 271591 1 PERFORMANCE BOND Page 1 of 2 Bond No 7616573 any other alteration change deletion addition or other modification to the Contract or the work to be perfbmwd thereunder and agrees to automatically adjust the penal sum of this Bond to reflect such adjustments alterations changes deletions, additions or other modifications Surety agrees to provide written confirmation of such adjustments in the penal sum to City on not less than a quarterly basis Surety also waives the provisions of Civil Code §§ 2846 and 2849 The obligations of this Bond shall survive the completion of the work described in the Contract as to all obligations and liabilities of the Pnncipal which survive completion of the work IN WITNESS WHEREOF each party represents and warrants that this Instrument has been duly executed by Principal and Surety, on the date set fotth below that the name of each corporate party being affixed hereto is such party s proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its governing body Surety by execution of this bond waives any defense which Surety has or may have by reason of any failure of the Principal to execute or properly execute this bond Dated June 25 2010 ATTEST (Corporate Seal) �&c a. W ..„rate (Attach Attorney -in -Fact Certificate) Fidelity and Deposit Company of Maryland (Surety Name) By T&kJ ay% Name Rebecca Haas Bates, Attorney in Fact (Signature of Attorney -in -Fact for Surety) 8( 18) 409 2800 _ (Area Code & Telephone Number of Surety) APPROVED AS TO FORM CITY Q UNTING`j"ON BEACH e By ennifer Mc th15 f f� ity Attorney Note This bond must be executed in duplicate end dated all signatures must be notarized and evidence of the authority of any person signing as attomey-in fact must be attached 277591 1 PERFORMANCE BOND Page 2 of 2 >.at •.�R..lit �R..T.•..�R��,� R�.��+,iR�c.:S � ,siv..�R�R.�3 a.S�,.�aR!TgcaR.��.5 �.R.�aL!v\3 R,:� ,:av'�5:+� .T. �. � �.. tat?�%�a:7.',_'ca.,:3R..�.,:r>Rti%aa.� State of California County of Orange On 625 10 before me Barbara J Bender Notary Public Date Here Insert Name and Title of the Officer personally appeared Rebecca Haas Bates Name(s) of Slgneris) who proved to me on the basis of satisfactory evidence to be the person(s) whose name( is/aa fee subscribed to the within instrument and acknowledged to me that -he/sheJHtey executed the same in +d-Jher/thefr authorized capacity{t") and that by hwJherAe* signatures} on the instrument the person(* or the entity upon behalf of which the person(s� acted executed the instrument BARBARAJ BENDER Commission # 1601899 1 certify under PENALTY OF PERJURY under the laws 2 °+� Notary Public California D Orange County of the State of California that the foregoing paragraph is My Comm Expires Jul 13 2012 t true and c4myand WITNESS o ial sea Signature V&</ Place Notary Seal Abo e / p� p S gnat re of Nota uiNic OP / yIONAL 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 Performance Bond No 7616573 Document Date 6 25 10 Number of Pages Two (2) Signer(s) Other Than Named Above All American Asphalt Capacity(ies) Claimed by Signer(s) Signers Name L] Individual Rebecca Haas Bates Corporate Officer — Title(s) __ Partner — = Limited - General [] Attorney in Fact Trustee Guardian or Conservator Other Signer Is Representing -- Fidelity and Deposit Company of Maryland Top of thimb here Signers Name Individual �:j Corporate Officer — Title(s) =i Partner — C Limited C General _' Attorney in Fact Trustee Guardian or Conservator E, Other _ Signer Is Representing A '* Top of thimb here _I ©2007 Nat nal Not ry Assoc at o 9350 De Soto Ave PO Bo 2402 Chat w th CA 91313-2402 w Nato alNota yo g It a5907 Reorder Cali Toil Fee 1-800-876-6827 CALIFORNIA ALL-PURPOSE ACKNOWLEMUEAT- State of California County of Riverside On June 29, 2010 before me Debbie A Matsen, No Public Date Here Insert name and Title of the Officer personally appeared Robert Bradley Nameo) of Signer(A who proved to me on the basis of satisfactory evidence to be the person($) whose name(s) isms. subscnbed to the within Instrument and acknowledged to me that he/ehe4h" executed the same in DEBBIE A MATSEN hiss authorized capacity4ies) and that by hisMer.Aheir Commission # 1775685 signature(s) on the Instrument the person() or the entity upon behalf -® Notary Public California of which the person( /a) acted executed the Instrument Z Riverside County MyComm BpkesNov22 2011 + I certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct WITNESS my hand and official seal Signature�ag Jaut 4 "Ma Place Notary Seal Above Signature of Notary Public OPTIONAL Though the Information below is not required by law it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document Descnption of Attached Document Title or Type of Document Performance Bond City of Huntington Beach Document Date June 25, 2010 Number of Pages 2 Pages Signer(d) Other Than Named Above Fidelity and Deposit Company of Mar land Capacity(fes) Claimed by Signer(i) Signer's Name Robert Bradley ❑ Individual X Corporate Officer — Title(') V ice President ❑ Partner— ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Other Signer is Representing _ All American Asphalt Signer's Name ❑ Individual ❑ Corporate Officer — Title(s) n Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Other Signer is Representing Top of thumb here Bond No 7616573 Premium charge included in Performance Bond Executed in One (1) Part (LABOR AND ATERUA S) KNOW ALL PERSONS BY THESE PRESENTS that WHEREAS the City of Huntington Beach (hereinafter referred to as "City ) has awarded to All American Asphalt 400 East Sixth Street Corona CA 92879 (name and address of Contractor) (hereinafter referred to as Pnncipal ) a contract ("Contract") for the work described as follows Slater Avenue Rehabilitation Cash Contract No 1379 (from Beach Blvd to Newland St) (project title) WHEREAS Principal is required under the terms of the Contract and the Caldomia Civil Code to secure the payment of claims of laborers mechanics, materialmen and other persons as provided by law NOW THEREFORE we the undersigned Principal and Fidelity and Deposit Company of Maryland _ 801 No Brand Blvd Glendale CA 91203 (name and address of Surety) (a duly admitted surety insurer under the laws of the State of California and hereinafter referred to as Surety ) as Surety are held and firmly bound unto City in the penal sum of One Million Nine Hundred Twenty Six Thousand Three Hundred Forty One and No/100ths- --- dollars, ($1 926 341 00 ) this amount bung not less than one hundred percent (100%) of the total price set forth in the Contract, in lawful money of the United States of America for the payment of which sum well and truly to be made we bind ourselves and each of our heirs executors administrators successors, and assigns jointly and severally firmly by these presents THE CONDITION OF THIS OBLIGATION IS SUCH THAT, if the Pnncapai, his her or its heirs executors administrators successors or assigns or subcontractors shall fad to pay any of the persons named in Section 3181 of the California Civil Code ("Claimants") for all labor materials or services used or reasonably required for use in performance of the work described in the Contract, or any amounts due under the Unemployment Insurance Code with respect to work or labor performed by any such Claimant, or prevailing wages due and penalties incurred pursuant to Sections 1774 1775 1813 or 1815 of the Labor Code or any amounts required to be deducted, withheld and paid over to the Employment Development Department from the wages of employees of the Principal and Subcontractors pursuant to Section 13020 of the Unemployment Insurance Code with respect to the work or labor performed under the Contract Surety will pay for the same In an amount not exceeding the penal sum specified in this bond otherwise this obligation shall be null and void This bond shall inure to the benefit of any of the persons named in Section 3181 of the California Civil Code so as to give a right of action to such persons or their assigns in case any action is brought upon this bond Surety further agrees to pay all court casts and a reasonable attorney s fee in an amount fixed by the court Surety stipulates and agrees for value received that no change extension of time alteration addition or modification to the terms of the Contract, or any contract document or any work to be perforated thereunder whether made after notice or not, shall in any way affect, impair or release the obligations of Surety under this bond Surety hereby waives notice of any such change anss>o, PAYMENT BONA Page 1 of 2 Bond No 7616573 extension of time alteration, addition or modification to the terms of the Contract, the contract documents or the wotic thereunder Surety also waives the provisions of California Civil Code §§ 2846 and 2849 iN WITNESS WHEROF each party represents and warrants that this instrument has been duly executed by Principal and Surety on the date set forth below that the name of each corporate party being affixed hereto is such party s proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its governing body Surety by execution of this bond waives any defense which Surety has or may have by reason of any failure of the Principal to execute or properly execute this bond Dated June 25 2010 ATTEST (Corporate Seal) 6t'lc" Q '11'ta:t�� ATTEST (Co,Morate, Seal) Fidelity and Deposit Company of Maryland (Surety Name) By ar ara J Berptr Name Rebecca. Haas Bates, Attorne in Fact. (Signature of Attorney in -Fact for Surety) CU_8j 409 2800 (Attach Attomey-m-Fact Certificate) (Area Code & Telephone Number of Surety) APPROVED AS TO FORM MY OF HUNTINGTON BEACH By eath -sit 5 a6y Arney Note This pond must be executad in duplicate and dated off signatums must be notadtzed and evidence of the authority of any person signing as attomey-in-fact must be attached 2773a9 i PAYMENT BON© Page 2of2 `>�'�.'$o•1i� .?aTv.ATn. �2�7T,.�.%l.A.?..:�4..'�D�.�?i�� .�� T}...�. ��.?!9D$��? $'>,.D'.?>�w���i.s� �v.�??.�7D 1T..'�.1.... .tJH6\. �].�.'.l,T i:?�7..6]. �.�..?i.:� i T,.%3 State of California County of Orange On 625 10 before me Barbara J Bender Notary Public Date Here i sert Name and Tdle of the Officer personally appeared Rebecca Haas Bates BARBARAJ BENDER Commission # 1801899 Z ®� Notary Public California Z Z ° Orange County My Comm Expires Jul 13 2012 Place Notary Seal Abo e who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/afe subscribed to the within instrument and acknowledged to me that ,he/she/W" executed the same in *t9/her/thetr authorized capacity(") and that by his/herA4e* signature(4 on the instrument the person(* or the entity upon behalf of which the person(sj acted executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct r� WITNESS my d and ial seal Signature Signature 9NO-It 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 Payment Bond No 7616573 Document Date 6 25 10 Signer(s) Other Than Named Above All American Asphalt Capacity(ies) Claimed by Signer(s) Signers Name Rebecca Haas Bates ❑ Individual Corporate Officer — Title(s) Partner — n Limited - General Ow a Attorney in Fact Trustee Top of thumb here Guardian or Conservator Other Signer Is Representing Fidelity and Deposit Company of Maryland Number of Pages Two (2) Signers Name Individual ❑ Corporate Officer — Title(s) Partner — D Limited C General Attorney in Fact _ Trustee Guardian or Conservator Other Signer is Representing a Top of thjrrrb here I ©2007 National Notary Assoc at on 9350 De Soto Ave PO Bo 2402 Chatsworth CA 91313 2402 w NahonalNota yo g Ite #5907 Reorder Call Toll F ee 1 800-876 6827 � � �:� `�;� f�[,' �L.i_ i � .orb .b� a` �.� i i •' ! �:: i� i, State of California County of Riverside On June 29, 2010 before me Debbie A Matsen, Notary Public Date Here Insert name and Title of the Officer personally appeared Robert Bradley Namejo) of Signer(r#1 who proved to me on the basis of satisfactory evidence to be the person(o) whose name(s) Were subscribed to the within Instrument DEBBIE A MATSEN and acknowledged to me that hele4e*ley executed the same in Commission # 1775685 his4iefi4teew authorized capacity(ies) and that by his/h^.,eat;ew -en a Notary Public California signatureo on the instrument the person(s) or the entity upon behalf Z Riverside County of which the person(#) acted executed the instrument MyComm ExptesNov22 2011 I certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct WITNESS my hand and official seal Signature /_D&t,e Q M :lw� Place Notary Seat Above Sign ture of Notary Public OPTIONAL Though the information below is not required by law it may prove valuable to person 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, City of Huntington Beach Document Date June 25, 2010 Number of Pages 2 Pages Signer($) Other Than Named Above Fidelity and Deposit Company of Mar ly and Capacity(ie&) Claimed by Signer(pr) Signer's Name Robert Bradley ❑ Individual XCorporate Officer — Title( Vice President ❑ Partner— ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Other Signer is Representing All American Asphalt Top of thumb here Signer's Name ❑ Individual ❑ Corporate Officer — Tdle(s) ❑ Partner— ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Other Signer is Representing Top of thumb here Power of A4iorney 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 WILLIAM J MILLS Vice President and GREGORY E MURRAY Assistant Secretary in pursuance of authority granted by Article VI Section 2 of the By Laws of said y which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the d ereby nominate constitute and appoint William SYRKIN, Rebecca HAAS-BATES an f Irvine, California, EACH its true and lawful agent and Attorney in Fact to mak e r� " behalf as surety and as its act and deed any and all bonds and undert o ec or undertakings in pursuance of these presents shall be as bmdmg uponA I d 1 ents and purposes as if they had been duly executed and acknowled y el e ompany at its office in Baltimore Md in their own proper persons er rn a on behalf of William SYRKIN Rebecca HAAS BATES Sergio D BECHA and ed April 8 2008 The said Assistant 0 s e eby certify that the extract set forth on the reverse side hereof is a true copy of Article VI Section 2 of the By L s said Company and is now in force IN WITNESS WHEREOF 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 25th day of September A D 2009 ATTEST 'gyp UEPps/i 0 0 .ww � T State of Maryland ss City of Baltimore FIDELITY AND DEPOSIT COMPANY OF MARYLAND Gregory E Murray Assistant Secretary M t William J Mills Vice President On this 25th day of September A D 2009 before the subscriber a Notary Public of the State of Maryland duly commissioned and qualified came WILLIAM J MILLS Vice President and GREGORY E MURRAY 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 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 .``kt`iIIII%,'�. r � - / Maria D Adamski Notary Public My Commission Expires July 8 2011 POA F 012 0033 ACOR® �, CERTIFICATE OF LIABILITY INSURANCE DATE 06/2 M/DD,YYYY) 06/25/i0 PRODUCER LIC #OB29370 1 925 244 7700 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Edgewood Partners Insurance Centers (EPIC) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE [Orange Branch] HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR P O Box 5003 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW San Ramon CA 94583 EPICcerts@edgewoodins com INSURERS AFFORDING COVERAGE NAIC # INSURED All American Asphalt INSURERA.ARCH SPECIALTY INS CO 21199 INSURERB HARTFORD FIRE IN CO 19682 P O Box 2229 INSURERC IN3IIRANCE CO OF T88 STATE OF PA 19429 INSURERD SEABRIGHT INS CO 15563 Corona CA 92878 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR L A'RD TYPE OF INSURANCEDD pOUCYNUMBER POLICY EFFECTIVE (MMIDD/YYI UCYEXPIRATION PODATE LIMBS A GENERAL LIABILITY GPP002265801 08/01/09 08/01/11 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR DAMAGETOR NED PREMISES Ea —T—nce $100 000 MED EXP (Any one person) $ PERSONAL BADVINJURY $ 1 000 000 GENERALAGGREGATE $ 2 000 000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OPAGG $2 000 000 POLICY X PRO- LOC B AUTOMOBILE X LIABILITY ANY AUTO 72UENGK5491 08/01/09 08/01/10 COMBINED SINGLE LIMIT (Ea accident) $1 000 000 ALL OWNED AUTOS SCHEDULED AUTOS BODILYINJURY (Per pe son) $ X X HIRED AUTOS NON-0WNEDAUTOS AI'I" D A� ny�� i M BODILY (Per a�d accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY KA IDAUTOONLY EAACCIDENT $ OTHER THAN EAACC $ ANYAUTO $ AUTO ONLY AGG C EXCESS/UMBRELLALIABILITY X OCCUR El CLAIMS MADE 7517073 08/01/09 08/01/10 EACH OCCURRENCE $ 10 000 000 AGGREGATE $ 10 000 000 DEDUCTIBLE X RETENTION $ 10 000 $ D WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE BB1090243 08/01/09 08/01/10 X WCSTATU OH T IMITS E L EACH ACCIDENT $1 000 000 OFFICER/MEMBER EXCLUDED? Ifyyes descnbeunder SPECIALPROVISIONS below EL DISEASE EA EMPLOYEE $1 000 000 EL DISEASE POLICY LIMIT $1 000 000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS RE Slater Avenue Rehabilitation / Cash Contract 1379 City of Huntington Beach Department of Public Works 200 Main Street Huntington Beach CA 92648 USA ACORD 25 (2001/08) ztalebzadeh org 16361656 --y a.ucice for aeon raymenc oz Premium SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL @kW4WV9 MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT X X11WIiS�]OSltlgiit7NtlbXP�iX7W(ffiK1f�RItl�G�1f�CRp10HXlib�(p7q�7(�i�3OSl�1CSpIX XMXMKA=MMXXXXXXXXXXXXXXXXXXXXXXXXXXXX=LKXXXXXXXXXXXXXX AUTHORIZED REPRESENTATIVE — /1 ©ACORD CORPORATION 1988 If the certificate holder is an ADDITIONAL INSURED the policy(ies) must be endorsed A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) If SUBROGATION IS WAIVED subject to the terms and conditions of the policy certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s) authorized representative or producer and the certificate holder nor does it affirmatively or negatively amend extend or alter the coverage afforded by the policies listed thereon P1V Vf�LJ-J VV1/V0l �y DATE SUPPLEMENT TO CERTIFICATE F INSURANCE 06/25/10 All American Asphalt Additional Descnotion of Operations/Remarks from Page 1 Additional Information GENERAL / AUTOMOBILE LIABILITY Certificate Holder is named additional insured if required by written contract *WORKERS COMPENSATION DOES NOT APPLY TO MONOPOLISTIC STATES THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY SELF -INSURED RETENTION COVERAGE FORM SECTION 11 — WHO IS INSURED is amended to include as an additional insured those persons or organizations who are required under a written contract with you to be named as an additional insured but only with respect to liability for bodily injury , property damage or personal and advertising injury caused in whole or in part by your acts or omissions or the acts or omissions of your subcontractors A. in the performance of your ongoing operations or your work including `your work that has been completed or B In connection with premises owned by or rented to you As used in this endorsement the words you and your refer to the Named Insured All other terms and conditions of this Policy remain unchanged Schedule City of Huntington Beach its Agents Officers & Employees Endorsement Number Project RE Slater Avenue Rehabilitation / Cash Contract 1379 This endorsement is effective on the inception date of this policy unless otherwise stated herein (The information below is required only when this endorsement is issued subsequent to the preparation of the policy ) Policy Number GPP002265801 Named Insured All American Asphalt Endorsement Effective Date 8/1/09 00 CGL0006 00 05 07 Page 1 of 1 2084 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY OTHER INSURANCE — BROAD FORMA, CGL POLICY ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY SELF -INSURED RETENTION COVERAGE FORM Under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, the following paragraph is added to Condition 4 Other insurance Where the Named Insured is required by a written contract to provide insurance that is primary and non-contributory and the written contract so requiring is executed by the Named Insured before any occurrence or offense this insurance will be primary but only if and to the extent required by that written contract All other terms and conditions of this Policy remain unchanged Schedule City of Huntington Beach its Agents Officers & Employees Endorsement Number Project RE Slater Avenue Rehabilitation / Cash Contract 1379 This endorsement is effective on the inception date of this policy unless otherwise stated herein (The information below is required only when this endorsement is issued subsequent to the preparation of the policy) Policy Number GPP002265801 Named Insured All American Asphalt Endorsement Effective Date 8/1/09 00 CGL0130 00 09 06 Page 1 of 1 2084 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY WAIVER OF SUBROGATION ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY SELF INSURED RETENTION COVERAGE FORM Schedule City of Huntington Beach its Agents Officers & Employees Project RE Slater Avenue Rehabilitation / Cash Contract 1379 Under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS Condition 8 Transfer Of Rights of Recovery Against Others to Us is amended by the addition of the following provision We waive any right of recovery we may have against the person or organization shown in the SCHEDULE above because of payments we make for injury or damage arising out of your operations or your work done under a written contract with that person or organization All other terms and conditions of this Policy remain unchanged Endorsement Number This endorsement is effective on the inception date of this policy unless otherwise stated herein {The information below is required only when this endorsement is issued subsequent to preparation of the policy ) Policy Number GPP002265801 Named Insured All American Asphalt Endorsement Effective Date 08/01 /09 00 CGL0121 00 09 06 Includes Copyright Material from Insurance Services Office Inc Page 1 of 1 2084 AN American Asphalt Policy #72UENGK5491 8/1/09 to 8/1/10 it THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY This endorsement modifies Insurance provided under the following BUSINESS AUTO COVERAGE FORM A Any person or organization whom you are required by contract to name as additional insured is an insured for LIABILITY COVERAGE but only to the extent that person or organization qualifies as an insured under the WHO IS AN INSURED provision of Section II — LIABILITY COVERAGE B For any person or organization for whom you are required by contract to provide a waiver of subrogation the Loss Condition — TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US is applicable Schedule City of Huntington Beach its Agents Officers & Employees Project RE Slater Avenue Rehabilitation / Cash Contract 1379 Form HA 99 13 01 87 Printed in U S A Page 1 of 1 2084 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 040 (Ed 4 84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone liable for an Injury covered by this policy We will not enforce our right against the person or organization named in the Schedule (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from US ) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule The additional premium for this endorsement shall be * % of the California workers compensation premium otherwise due on such remuneration Schedule Person or Organization City of Huntington Beach Its Agents Officers & Employees Job Description RE Slater Avenue Rehabilitation / Cash Contract 1379 WHERE YOU ARE REQUIRED BY WRITTEN CONTRACT TO OBTAIN THIS AGREEMENT FROM US PROVIDED THE CONTRACT IS SIGNED AND DATED PRIOR TO THE DATE OF LOSS TO WHICH THIS WAIVER APPLIES IN NO INSTANCE SHALL THE PROVISIONS AFFORDED BY THIS ENDORSEMENT BENEFIT ANY COMPANY OPERATING AIRCRAFT FOR HIRE * The premium charge for this endorsement shall be 2% of the premium developed in the State of California but not less than $500 policy minimum premium This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated (The information below is required only when this endorsement is issued subsequent to preparation of the policy) Endorsement Effective 8/1/09 Policy No BB1090243 insured All American Asphalt Insurance Company Seabnght Insurance Company Countersigned By WC 04 03 06 (Ed 4-84) Endorsement No 12 Policy Effective Date 8/1/09 01998 by the Workers Compensation insurance Rating Bureau of Calrfomia All rights reserved 2084 4VJV� DATE (MM/DDYYYY)AaOR® 5/10iM� PRODUCER LIC #OB29370 1 925 244 7700 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Edgewood Partners Insurance Centers (EPIC) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE [orange Branch] HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR P o Box 5003 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW San Ramon CA 94583 EPICcerts@edgewoodins corn INSURERS AFFORDING COVERAGE NAIC # INSURED All American Asphalt INSURERA ARCH SPECIALTY INS CO 22199 INSURER HARTFORD FIRE IN CO 19682 P 0 Box 2229 INSURERC INSURANCE CO OF THE STATE OF PA 19429 INSURERD SEABRIGHT INS CO 15563 Corona CA 92878 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR ADD L N POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY GPP002265801 08/01/09 08/01/11 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7 OCCUR DA GE RENTE PREMISES Eaoccurence $ 100 000 MED EXP (Anyone person) $ PERSONAL &ADV INJURY $ 1 000 000 GENERALAGGREGATE $ 2 000 000 GEN L AGGREGATE LIMITAPPLIES PER PRODUCTS COMP/OPAGG $2 000 000 POLICY X PE LOC CT B AUTOMOBILE X LIABILITY ANY AUTO 72UENGK5491 08/01/09 08/01/10 EaacccdeDj SINGLE LIMIT $1 000 000 BODILYINJURY (Per person) $ ALLOWNEDAUTOS SCHEDULED AUTOS X X HIREDAUTOS NON OWNED AUTOS APP D AS T n�� ILLY] BODILY INJURY (Per accident) $ L-74-0i Aff PROPERTYDAMAGE (Per accident) $ GARAGE LIABILITY !� _7I r2 v AUTOONLY EAACCIDENT $ OTHERTHAN EA ACC $ ANY AUTO $ AUTO ONLY AGG C EXCESS/UMBRELLA LIABILITY 7517073 08/01/09 08/01/10 EACH OCCURRENCE $ 10 000 000 X OCCUR CLAIMSMADE AGGREGATE $ 10 000 000 $ HXDEDUCTIBLE RETENTION $ 10 000 $ D WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE BB1090243 08/01/09 08/01/10 X WCSOTH TORY LIMI MIT ER _ EL EACH ACCIDENT $1 000 000 EL DISEASE EAEMPLOYEE $1 000 000 OFFICER/MEMBER EXCLUDED? Ifyes describe under SPECIAL PROVISIONS below EL DISEASE POLICY LIMIT $ 1 000 000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE Slater Avenue Rehabilitation / Cash Contract 1379 GEKTIFIGATE HOLDER f'AN(`FI I ATIf1M me„ ns.. wr-�41 - V__ wr,.. os.....e -4 n RE Slater Avenue SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Huntington Beach DATE THEREOF THE ISSUING INSURER WILL ffMXWffV5MAIL 30 DAYS WRITTEN Department of Public Works NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT �IFL fIfi �'f�31$cp 200 Main Street 7[AGI]Ii4C7iI87dfX17IFbYD�fX7GX1]Fi11$XiGGICFGI1QIXi�+i61I7pYd7fNd19t1iIPA]EX�IS9CSi[X XNONUUMXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Huntington Beach CA 92648 AUTHORIZED REPRESENTATIVE USA "' `� t" u livol I" ©ACORD CORPORATION 1988 16361656 IMPORTANT If the certificate holder is an ADDITIONAL INSURED the policy(ies) must be endorsed A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) If SUBROGATION IS WAIVED subject to the terms and conditions of the policy certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s) authorized representative or producer and the certificate holder nor does it affirmatively or negatively amend extend or alter the coverage afforded by the policies listed thereon AGUKIJ 25 (ZUU1/Ut3) DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 06/25/10 NAME OF INSURED All American Asphalt Additional Description of Operations/Remarks from Page 1 Additional Information GENERAL / AUTOMOBILE LIABILITY Certificate Holder is named additional insured if required by written contract *WORKERS COMPENSATION DOES NOT APPLY TO MONOPOLISTIC STATES THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY SELF -INSURED RETENTION COVERAGE FORM SECTION II — WHO IS INSURED is amended to include as an additional insured those persons or organizations who are required under a written contract with you to be named as an additional insured but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by your acts or omissions or the acts or omissions of your subcontractors A In the performance of your ongoing operations or your work including your work that has been completed or B In connection with premises owned by or rented to you As used in this endorsement the words you and your refer to the Named Insured All other terms and conditions of this Policy remain unchanged Schedule City of Huntington Beach its Agents Officers & Employees Endorsement Number Project RE Slater Avenue Rehabilitation / Cash Contract 1379 This endorsement is effective on the inception date of this policy unless otherwise stated herein (The information below is required only when this endorsement is issued subsequent to the preparation of the policy ) Policy Number GPP002265801 Named Insured All American Asphalt Endorsement Effective Date 8/1/09 00 CGL0006 00 05 07 Page 1 of 1 2084 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY OTHER INSURANCE — BROAD FORM, CGL POLICY ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY SELF -INSURED RETENTION COVERAGE FORM Under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, the following paragraph is added to Condition 4 Other Insurance Where the Named Insured is required by a written contract to provide insurance that is primary and non-contributory and the written contract so requiring is executed by the Named Insured before any occurrence or offense this insurance will be primary but only if and to the extent required by that written contract All other terms and conditions of this Policy remain unchanged Schedule City of Huntington Beach its Agents Officers & Employees Endorsement Number Project RE Slater Avenue Rehabilitation / Cash Contract 1379 This endorsement is effective on the inception date of this policy unless otherwise stated herein (The information below is required only when this endorsement is issued subsequent to the preparation of the policy ) Policy Number GPP002265801 Named Insured All American Asphalt Endorsement Effective Date 8/1/09 00 CGL0130 00 09 06 Page 1 of 1 2084 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY WAIVER OF SUBROGATION ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY SELF INSURED RETENTION COVERAGE FORM Schedule City of Huntington Beach its Agents Officers & Employees Project RE Slater Avenue Rehabilitation / Cash Contract 1379 Under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, Condition 8 Transfer Of Rights of Recovery Against Others to Us is amended by the addition of the following provision We waive any right of recovery we may have against the person or organization shown in the SCHEDULE above because of payments we make for injury or damage arising out of your operations or your work done under a written contract with that person or organization All other terms and conditions of this Policy remain unchanged Endorsement Number This endorsement is effective on the inception date of this policy unless otherwise stated herein (The information below is required only when this endorsement is issued subsequent to preparation of the policy ) Policy Number GPP002265801 Named Insured All American Asphalt Endorsement Effective Date 08/01/09 00 CGLO121 00 09 06 Includes Copyright Material from Insurance Services Office Inc Page 1 of 1 2084 All Arredcan Asphalt Pdicy #72UENGK5491 8/1/09 to 8/1 /10 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY ADDITIONAL INSURED AND RIGHTS OF RECOVERY AGAINST OTHERS This endorsement modifies Insurance provided under the following BUSINESS AUTO COVERAGE FORM A Any person or organization whom you are required by contract to name as additional insured is an insured for LIABILITY COVERAGE but only to the extent that person or organization qualifies as an insured under the WHO IS AN INSURED provision of Section II —LIABILITY COVERAGE B For any person or organization for whom you are required by contract to provide a waiver of subrogation the Loss Condition — TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US is applicable Schedule City of Huntington Beach its Agents Officers & Employees Project RE Slater Avenue Rehabilitation / Cash Contract 1379 Form HA 99 13 01 87 Printed in U S A Page 1 of 1 2084 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 0 (Ed 4 84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone liable for an Injury covered by this policy We will not enforce our right against the person or organization named in the Schedule (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from US ) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule The additional premium for this endorsement shall be % of the California workers compensation premium otherwise due on such remuneration Schedule Person or Organization City of Huntington Beach its Agents Officers & Employees Job Description RE Slater Avenue Rehabilitation / Cash Contract 1379 WHERE YOU ARE REQUIRED BY WRITTEN CONTRACT TO OBTAIN THIS AGREEMENT FROM US PROVIDED THE CONTRACT IS SIGNED AND DATED PRIOR TO THE DATE OF LOSS TO WHICH THIS WAIVER APPLIES IN NO INSTANCE SHALL THE PROVISIONS AFFORDED BY THIS ENDORSEMENT BENEFIT ANY COMPANY OPERATING AIRCRAFT FOR HIRE *The premium charge for this endorsement shall be 2% of the premium developed in the State of California but not less than $500 policy minimum premium This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated (The information below is required only when this endorsement is issued subsequent to preparation of the policy) Endorsement Effective 8/1/09 Policy No BB1090243 Endorsement No 12 Insured All American Asphalt Policy Effective Date 8/1/09 Insurance Company Seabnght Insurance Company Countersigned By WC 04 03 06 (Ed 4-84) 01998 by the Workers Compensation Insurance Rating Bureau of California All rights reserved 2084 I 1 CONTRACTOR'S CERTIFICATE state and certify that (Name of Declarant) is the general contractor to the City of Huntington Beach ("City") on Contract No (the "Contract') for the construction of the public work of improvement entitled (the Project ) 2 All work to be performed pursuant to the Contract has been completed in accordance with the Contract Documents (as such term is defined in the Contract) 3 Except for the claims listed below and the disputed claims listed in paragraph five (5) all persons supplying labor, services materials and equipment to the Project, including all claims against the Contractor arising from the performance of the Contract, have been paid and satisfied (list unpaid debts and claims if none, write "NONE ) 4 Attached hereto are the lien waivers required by the Contract Documents, which hen waivers have been executed by all persons who performed work on or supplied labor services materials and/or equipment for use at the Project 5 Set forth below is a list of disputed claims or claims that are the subject of a Notice to Withhold filed pursuant to the Civil Code of the State of Califorma (list all disputed claims if none write "NONE ) I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct Executed at on this day of APPROVED AS TO FORM By sl 1-7 Name [Type Name] Title [Type Title] (Signature of Declarant) Rol 1 245914 1 Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 To City of Huntington Beach Department of Public Works 2000 Main Street/P O Box 190 Huntington Beach, CA 92648 Re Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 Contract Project The undersigned contractor on the above -referenced project (`Project ) hereby certifies that it has complied with Title VII of the Civil Rights Act, the Equal Opportunity Act of 1972 and Executive Order 11246 and has not discriminated against any employee or applicant for employment because of race, creed color, sex, national origin age or disability The undersigned contractor also certifies that it has not maintained any segregated facilities at its establishments on the basis of race, creed color sex, national origin age or disability (with the exception of access for the disabled) I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct Executed this day of 20_ at (Type Contractor Name) California By Name [Type Name] Title [Type Title] E IF R » A ORNEY -t,J 3 2K) UP 245911 1 Certification of Compliance with Prevailing Wage Laws To City of Huntington Beach Department of Public Works 2000 Main Street/P O Box 190 Huntington Beach, CA 92648 Re Certification of Compliance with Prevailing Wage Laws Contract Project The undersigned contractor on the above -referenced project ("Project') hereby certifies that all laborers, mechanics, apprentices, trainees, watchmen and guards employed by him or by any subcontractor performing work under the contract for the Project have been paid pursuant to the minimum wage and bona fide fringe benefit requirements specified for each particular classification of work as set forth in the wage -rate determinations of the State of California, Department of Industrial Relations, and/or the United States Department of Labor I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct Executed this day of 20_, at California (Type Contractor Name) By Name [Type Name] Title [Type Title] A� �'f? SL74- ,FRA. CITY ATTORNEY 7U-S 03 ab (AP 2475421 1 n Council/Agency Meeting Held:_ Deferred/Continued to: *App ved ❑ Conditionally Approved ❑ Denied %LCXA30 C* lerlA Signatur Council Meeting Date: June 21, 2010 Department ID Number: PW 10-037 CITY OF HUNTINGTON BEACH REQUEST FOR CITY COUNCIL ACTION SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Fred A. Wilson, City Administrator PREPARED BY: Travis K. Hopkins, PE, Director of Public Works SUBJECT: Approve project plans and specifications and award construction contract in the amount of $1,926,341 to All American Asphalt for the Slater Avenue Rehabilitation Contract CC-1379 Statement of Issue: On June 1, 2010, bids were opened for the Slater Avenue Rehabilitation Project from Beach Boulevard to Newland Street, CC 1379. The project was bid with a base bid and two additive alternate bids for additional street segments of Gothard Street and Magnolia Street. Staff requests that the City Council award the contract to All American Asphalt, the lowest responsive and responsible bidder. Financial Impact: State Proposition 1 B provided $6.3 million for highway infrastructure to the City of Huntington Beach. The second payment of $3 million was received in May and not anticipated in the original budget adoption for 2009/10. Therefore, funding in the amount of $2.4 million is requested to be appropriated into Account No. 21890008.82300. If the City Council approves this action, the estimated budgetary fund balance at year end in the Highway Safety Traffic (Prop 1 B) Fund will be $844,880. The City of Fountain Valley will reimburse $18,000 for paving its section of Magnolia Street. A Rubberized Asphalt Grant ($106,000) will be incorporated into the funding. Recommended Action: Motion to: A) Approve the project plans and specifications for the Slater Avenue rehabilitation from Beach Boulevard to Newland Street, CC 1379; and, B) Appropriate $2.3 million from the Fund 218 balance to Account No. 21890008.82300; and, C) Accept the lowest responsive and responsible bid, including the additive alternate project bid items for two additional street segments submitted by All American Asphalt in the amount of $1,926,341.00; and, D) Authorize the Mayor and City Clerk to execute a construction contract in a form approved by the City Attorney. -277- here' 18. - Page 1 REQUEST FOR COUNCIL ACTION MEETING DATE: 6/21/2010 DEPARTMENT ID NUMBER: 10-037 Alternative Action(s): Accept the lowest responsive and responsible base bid submitted by All American Asphalt without the additive alternate bid items for two additional street segments; or reject all bids and provide staff with an alternative direction. Analysis: The project is located on Slater Avenue between Beach Boulevard and Newland Street. Improvements consist primarily of cold milling of the existing pavement, deep lift removal of failed roadway sections, asphalt paving, full depth reclamation (FDR), overlaying the streets with rubberized asphalt (RAC), limited removal and installation of concrete curb and gutter, concrete sidewalk, curb access ramps, cross gutters, tree wells, landscaping, adjusting manholes, monuments and valves to grade, and installing traffic loops with striping. The two Additive Alternatives are (1) Magnolia Street Rehabilitation from Warner Avenue to Interstate 405 and (2) Gothard Street Rehabilitation from Heil Avenue to Edinger Avenue. Due to the possible delay in receiving the Proposition IB funding, the project had a base bid and two additive alternate bids for additional street segments to assure the project can be awarded within the adopted budget. In this instance, the base bid and both additive alternative bids are within the budgets and are included in the contract award. A complete set of plans and specifications are available for review at the Public Works counter during normal business hours. The bids were publically opened on June 1. 2010. The verified bid amounts are listed below: Bidding Contractor Bid Amount (Basis of Award) engineer's stimate $965,000 Bid Amount Correction (Basis of Award Additive Alt. #1 and #2 otal Contract Amount 1. All American Asphalt $937,480.00 4o correction $988,861.00 $1,926,341.00 2. ICE Engineering $941,750.25 qo correction 1,012,068.00 $1,953,818.25 3. RJ Noble $ 967,791.75 4o correction 1,113,049.70 $2,080,841.45 4. Hard & Harper, Inc. $977,000.00 qo correction $951,000.00 $1,928,000.00 5. Excel Paving Co. $994,042.50 qo correction 1,059,026.00 $2,053,068.50 6. Sequel Contractors $1,021,809.75 4o correction $923,258.40 $1,945,068.15 7. Silvia Construction $1,077,207.20 lo correction $949,353.80 $2,026,561.00 Staff recommends award of the construction contract to All American Asphalt, Inc. in the amount of $1,926,341.00. All American Asphalt has recently performed acceptable street rehabilitation construction with this year's completion of one and one-half miles of Slater Avenue from Graham Street to Goldenwest Street. The total estimated project cost is $2,310,000.00 which includes the construction contract, project management, 10% contingencies, and 5% supplemental. The project utilizes rubberized asphalt concrete (RAC) which contains crumb rubber derived from scrap tires and has provided evenly colored, quiet and pleasant driving surface throughout most of our newly paved roads. A two-inch layer of RAC uses over 2,000 waste tires per lane mile. This project alone will divert almost 9,000 waste tires, which otherwise would end up in a landfill. Including this project, the use of RAC in the rehabilitation of the City's arterial streets has resulted in the diversion of over 202,000 waste tires. Item 18. - Page 2 -278- REQUEST FOR COUNCIL ACTION MEETING DATE: 6/21/2010 DEPARTMENT ID NUMBER: 10-037 Public Works Commission Action: The Public Works Commission reviewed and approved the project on April 21, 2010, with a vote of 4-0-3 (Absent: Kirkorn, Rivera, Spencer). Environmental Status: The project is categorically exempt pursuant to Class 1, Section 15301(c) of California Environmental Quality Act. Strategic Plan Goal: Maintain, improve and obtain funding for infrastructure and equipment. Attachment(s): -279- Stern 18. - Page 3 ATTACHMENT #1 Item 18. - Page 4 -280- BOLSA 0 U) U) V NTS 3 Mc FADDEN AVE. v w z v~i N J EDING R AVE. z 0 au' = o HEILm z AVE. m 2 of m 0 0� NU) N Q WAR ER Q z AVE. 0 w 0 0 � SUTERw 0 AVE. 405 0 c� TALBERT AVE. PACIFIC o 9 ELLIS AVE. GARFIELD AVE. V) U) U) o � cn of O YORKTOWN AVE. 3: PROJECT LOCATION T ono ��� ADAMS AVE. w Q Slater Avenue (Beach— Newland) c INDIANADOIIS 0 AVE.Z ~- O Magnolia Street (Warner-1-405) q LF, 0 = Q U :2 ATLANTA AVE. 0 a Q 0 = 30 Gothard Street (Heil -Edinger) m m 0 HAMILTON AVE. m OCEAN 'S'!y� BANNING LEGEND ARTERIAL STREET LOCATIONS ARTERIAL REHABILITATION, CC-1379 PROJECT LOCATION MAP CITY OF HUNTINGTON BEACH DEPARTMENT OF PUBLIC WORKS -281- REV. 03.03.10 IOA 1 OF 1 Item 18. - Page 5 Huntington Beach Independent has been adludged a newspaper of general circulation in Huntington Beach and Orange County by Decree of the Superior Court of Orange County. State of California, under date of Aug. 24, 1994. case A50479. y ` PROOF OF PUBLICATION STATE OF CALIFORNIA) ) SS. COUNTY OF ORANGE ) I am the 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 the attached Notice is a true and complete copy as was printed and published on the following date(s): May 13, 20, 27, 2010 I declare, under penalty of perjury, that the foregoing is true and correct. Executed on May 28, 2010 at Costa Mesa, California Signatur NOTICE INVITING SEALED BIDS for the construction of SLATER AVENUE REHABILITATION _FROM BEACH BOULEVARD TO NEWLAND STREET C.C. NO. 1379 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as AGENCY, jnvites sealed bids for the above stated project and will receive such bids in the office of the City Clerk, Second Floor, 2000•Main Street, Huntington Beach, California�92648, up to the hour of 2:00 PM on June 1, 2010. Bids will be publicly open in -the Council, Chambers unless otherwise posted. Copies of the Plans, Specifications, and contract documents are available from the 'Office of the, Director of Public Works, 2000 Main• Street, Huntington Beach, CA 92648, upon payment of a $60 nonrefundable fee if picked, up, or payment of a $80 nonrefundable, fee if sent by next day delivery service provider (bidder, shall pay additional costs for special delivery). Any contract entered into pursuant to this notice will incorporate -the provisions of the State Labor .Code. ;Pursuant to the provisions of the Labor Code of the State of. California,, the minimum. prevailing rate ,of per diem wages for each craft, classification or type of workman needed to execute the contract shall be those determined by the Director of Industrial Relations of the State of California, which'are on file at the Office of the Director of Public Works, 2000 Main Street, Huntington Beach; CA92648. The AGENCY will deduct a 10% retention from all progress payments. The Contractor may substitute an escrow holder surety of equal value to the retention in accordance withthe provisions of the California Government Code, Section 4590. The Contractor shall be beneficial owner of the surety and shall receive any interest' thereon. The AGENCY hereby affirmatively ensures that minority business enter- prises will be afforded full opportunity to submit bids, in, response to this notice, and will not be discriminated against on the basis'of race, color,) national origin, ancestry, sex,' or religion in any consideration leading to the award of -contract. No bid shall be considered unlesss it is prepared on the;approved Proposal, forms in conformance; with the Instructions to Bidders as determined by the AGENCY. The bid must be accompanied by a certified check, cashier's check, or bidder's bond. made payable to the AGENCY for an amount no less than 10% of the amount bid. • The• successful bidder , shall. be licensed in accordance with provisions 'of the Business and Professions Code and shall possess a State, Contractor's License Class A at the time of the bid opening. The successful Contractor and his subcontractors 'will be required to possess business licenses from the AGENCY. Project Description:.The project consists primarily of cold,milling of the existing pavement,. deep lift removal - of failed roadway sections,' asphalt paving, full -depth reclamation .(FDR), .overlaying the streets with rubberized asphalt (RAC),, limited removal and installation, of concrete curb and gutter, concrete sidewalk, curb access ramps, cross gutters, tree wells, landscaping, adjusting manholes, monuments, and "valves ,to grade, and installing traffic loops with striping., The two, Additive Alternatives are ,(1)' Magnolia'Street,Rehabilitation from Warner Avenue to Interstate 4051and (2) Gothard Street Rehabilitation from Heil Avenue and Edinger. O.The, contract shall allow the Contractor 45.working days to.complete the contract. forSlater Avenue; the Basis of Award. In 'addition, the contract: shall allow the Contractor a total of 65 working days to complete the contract, if one Additive Alternative is awarded and a total of 85 working days -to complete the contract if both Additive Alternatives are awarded. Only two street segments (asphalt areas) can . be under construction at any given time. The third segment can begin once the final cap has been placed on one of the first two'segments.,Concrete work can occur on all three segments simultaneously.' O The engineer's ,estimate of probable, construction cost for.the`work included in the basis of award is $965,000. The AGENCY reserves the right to reject Any ,or'all bids, to waive any irregularity, and to take all bids under advisement' for a maximum period of 60 days. BY ORDER of.the CITY COUNCIL of the CITY OF HUNTINGTON BEACH, CALIFORNIA, the 8th day of September 2009, by Resolution No. 2009-50. Attest: Joan L.'Fivnr CITY CLERK OF THE CITY OF HUNTI CITY OF HUNTINGTON BEACH SLATER AVENUE REHABILITATION C.C. NO. 1379 BID OPENING DATE: JUNE 1, 2010 TIME: 2:00 PM ENGINEER'S ESTIMATE: $965,000 BIDS SUBMITTED -(AS READ AT OPENING) :No": .. . . . . . . . . . . . . . . . ... . ............. ..:RA 'NK: :APP -A :AM6 D. T 1 All American Asphalt Corona, CA 92879 2 B&T Works 2 WILDOMAR, CA 92595 3 Excel Paving Co. Long Beach, CA 90806 4 Hardy & Harper, Inc Santa Ana, CA 92705 000 00 5 ICE Engineering, Inc. 6 Nobest Inc. Westminster, CA 92684 7 Pavement Recycling Systems Mira Loma, CA 91752 8 PaveWest La Habra, CA 90631 9 RJ Noble Orange, CA 92865 10 Sequel Contractors, Inc. Santa Fe Springs, CA 90870 11 Silvia Construction Rancho Cucamonga, CA 91730 0-27, 4z; 0 Z 12 13 14 15 16 17 18 19 20 21 G:\Construction Contracts (CCs)\CC1379 Arterial Highway Rehabilitation\PGPY CC1379 FINAL\Bid Opening Worksheet-CC 1379 7 7Z) '—J/ -- ,rya 3 00 :? I-EI J I - HAP BE m%, a CITY OF HUNTINGTON BEACH 2000 P.O Huntington LETTER OF TRANSMITTAL Attention: Joan L. Flynn Main Street Box 190 Beach, CA 92648 Fax (714) 374-1573 Date: May 7, 2010 To: City Clerk's Office Project/C.C. No.: C.C. No. 1379 6'e.4c-k 4V4EW1Qt4D 2000 Main Street Regarding: Slater Avenue from 6rahm4e-Gekle� Huntington Beach, CA 92648 ❑ 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 Sealed Bids iltem # ' - Co " ies.- ` `` Pa esi'" _ = SDescri tion . 1 1 1 Notice Inviting Sealed Bids for CC-1379, Slater Avenue Rehabilitation From Beach Boulevard to Newland Street These are transmitted as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ® For your use ❑ Approved as noted ❑ Submit copies for distribution ® For your action ❑ Returned for corrections ❑ Return corrected prints ❑ For review/comment ❑ Other: Remarks: Per Resolution 2009-50 (adopted on 9/8/09), the City Council authorized the advertisement of the above listed arterial rehabilitation project. Please find attached the Notice Inviting Sealed Bids for advertisement on 5/13/10, 5/20/10, and 5/2710. The bid opening is scheduled for 6/1/109 at 2:00 PM. Please contact me at 536-5467 with any questions you may have. Y Jim Wagner, Senior Civil Endineer c: file GACONSTRUCTION CONTRACTS (CCs)\CC1379 ARTERIAL HIGHWAY REHABILITATION\ADVERTISEMENT-NISB-BIDDING PROCESS\NISB TRANSMITAL To CLERK-CC-I379.DOC SECTION A NOTICE INVITING SEALED BIDS for the construction of SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET C.C. NO. 1379 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as AGENCY, invites sealed bids for the above stated project and will receive such bids in the office of the City Clerk, Second Floor, 2000 Main Street, Huntington Beach, California 92648, up to the hour of 2:00 PM on June 1, 2010. Bids will be publicly open in the Council Chambers unless otherwise posted. Copies of the Plans, Specifications, and contract documents are available from the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648, upon payment of a $60 nonrefundable fee if picked up, or payment of a $80 nonrefundable fee if sent by next day delivery service provider (bidder shall pay additional costs for special delivery). Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of California, the minimum prevailing rate of per diem wages for each craft, classification or type of workman needed to execute the contract shall be those determined by the Director of Industrial Relations of the State of California, which are on file at the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648. The AGENCY will deduct a 10% retention from all progress payments. The Contractor may substitute an escrow holder surety of equal value to the retention in accordance with the provisions of the California Government Code, Section 4590. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race, color, national origin, ancestry, sex, or religion in any consideration leading to the award of contract. No bid shall be considered unless it is prepared on the approved Proposal forms in conformance with the Instructions to Bidders as determined by the AGENCY. The bid must be accompanied by a certified check, cashier's check, or bidder's bond made payable to the AGENCY for an amount no less than 10% of the amount bid. The successful bidder shall be licensed in accordance with provisions of the Business and Professions Code and shall possess a State Contractor's License Class A at the time of the bid opening. The successful Contractor and his subcontractors will be required to possess business licenses from the AGENCY. Project Description: The project consists primarily of cold milling of the existing pavement, deep lift removal of failed roadway sections, asphalt paving, full depth reclamation (FDR), overlaying the streets with rubberized asphalt (RAC), limited removal and installation of concrete curb and gutter, concrete sidewalk, curb access ramps, cross gutters, tree wells, landscaping, adjusting manholes, monuments and valves to grade, and installing traffic loops with striping. The two Additive Alternatives are (1) Magnolia Street Rehabilitation from Warner Avenue to Interstate 405 and (2) Gothard Street Rehabilitation from Heil Avenue and Edinger. The contract shall allow the Contractor 45 working days to complete the contract for Slater Avenue, the Basis of Award. In addition, the contract shall allow the Contractor a total of 65 working days to complete the contract, if one Additive Alternative is awarded and a total of 85 working days to complete the contract if both Additive Alternatives are awarded. Only two street segments (asphalt areas) can be under construction at any given time. The third segment can begin once the final cap has been placed on one of the first two segments. Concrete work can occur on all three segments simultaneously. • The engineer's estimate of probable construction cost for the work included in the basis of award is $965,000. The AGENCY reserves the right to reject any or all bids, to waive any irregularity and to take all bids under advisement for a maximum period of 60 days. BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH, CALIFORNIA, the 8th day of September 2009, by Resolution No. 2009-50. Attest: Joan L. Flynn CITY CLERK OF THE CITY OF HUNTINGTON CC-1379 City ®f Huntington Beach 2000 Main Street ® Huntington Beach, CA 92648 OFFICE OF THE CITY CLERIC JOAN L FLYNN CITY CLERK August 6 2010 Hardy & Harper Inc 1312 E Warner Ave Santa Ana CA 92705 RE CC-1379 Slater Avenue Rehabilitation from Beach Blvd to Newland St Enclosed please find your original bid bond for CC-1379 Sincerely i Joan L Flynn CIVIC City Clerk JF pe enclosure Sister Cities] Apj*V,�6brff/"b iie dNew Zealand (Telephone 714 536 5227) SECTION C PROPOSAL for the construction of SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET CC NO 1379 in the CITY OF HUNTINGTON 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 45 working days for Slater Avenue, the basis of Award, and a total of 65 working days to complete the work for all three segments including Gothard Street, if awarded, starting from the date of the Notice to Proceed Only two streets segments (asphalt areas) can be under construction at any given time The third segment can begin once the final cap has been placed on one of the first two segments Concrete work can occur on all three segments simultaneously BIDDER declares that this proposal is based upon careful exammation 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 Bidder's Accompanying this proposal of bid, find Bond in the amount of $ 10- wluch 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) %f1rL-r alkali airm1fu rPf-Pint r%f all AthiPnfia hom- if anv C-Z SECTION C SLATED. AVENUE REHABILITATION CC NO.1379 Base Bed Total Amount Lump Sum Bad -- In Figures Additive Alternate #1 'Total Amount Lump Sure Bad In Figures Additive Alternate #2 Total Amount Lump Suva Bed In Figures -BASE BID Slater Avenue — from Beach Blvd to Newland Street -ADDITIVE ALTERNATE # 1 (1) Magnolia Street — from Warner Avenue to Interstate 405 -ADDITIVE ALTERNATE #2 (2) Gothard Street — from dell Avenue to Edinger Avenue C-2 1 C-2 2 C-2 3 C-2 3 C-2 4 to C-2 8 C-2 9 to C-2 11 C-2 12 to C-2 15 PROJECT BASE BID Basis of Award Slates- Avenue — from Beach Blvd to Newland Street C-2 4 to C-2 8 BASE BID TOTAL AMOUNT LUMP SUM BID IN FIGURES $ q7q,00c) I BASE BID MILL BE THE BASIS OF AWARD C-2 2 AIDIDITIVE ALTERNATE PROJECT #1 BID Street — trom Warner Avenue to Interstate 405 C-2 B to C-2 11 AIDIDITIVE ALTERNATE #1 TOTAL AMOUNT LUMP SUM BID IN FIGURES $�� AIDIDITIVE ALTERNATE PROJECT #2 BID Gothard Street — from Heil Avenue to Edinger Avenue C-2 12 to C-2 15 ADDITIVE ALTERNATE #2 TOTAL AMOUNT LUMP SUM BID IN FIGURES $ (�')C) G �CC� C-2 3 OUR 4 C-2 4 PROJECT BID SCIIEDIULE- - SLATER AVE SlaterAve CC 1379 tcm Estinl ttcd --E-ii—ended No Quantity 13td lent Dtsk1 ipitoo Unit Price Amount 1 I LS Mohihs ituxn S , D� r S OU 0 " 2 1 LS�0 traffic, Control Plan S L� L 3 1 LS 1 urnish Pioj(,ct traffic Control S�� �1 S (ja d 1561b 1 DR with Cumm i rutted 11 zsG ii S i�� qq SlGl Pe SF 5 5900 Surf tCL Grind (0 34) ml Dipm d of Matui d 3nd Fabric ( ` 6 2900 TN Construct Asphalt Concrctc (U 17 k. 0 2) lur plan) S c1�J� S ✓J) 7 2000 Construct Asphalt (0 17 AtZ11M 0%ul ty) ila����� 8 16 Adjust St." .r/Stonn Drain M tnhole to Grtdf EA t 4 9 3 Mjust OCSD St tier lvlartholL to Ciradu EA f 10 30 Adjust W ttar Valve to (,r~idc LA C. 2 5 PROJECT BID SCHEDULE- - SLATER AVE Slater Ave CC-1379 teen No, Estinuted,xten uanh ty Bid Item �Desoriptlext 111pit Price e Amount 11 1 LS Traffic Striping per plan `_� 4$ Cam' $ I19��� 12 22 EA Install Traffic Loop (� $� `�✓ $ ��Z 13 3170 LF Remove & Reconstruct Curb & Gutter (CF=8" or 6" Includes AB Slot Pave) per Std Plan 202 $ 14 18000 Remove & Reconstruct Sidewalk per Sid Plan 207 7 SF $5 1s 1 EA Install Truncated Domes to existing Access Ramp $ $ 16 13 EA Install Access Ramp including all appurtenances Z t $ ,2 $ 17 7 EA Survey Monumentation sSND s3S �! l8 10 EA Remove existing tree and grind stump and roots below grade 19 1 EA Remove & Replace irrigation and landscape & plant new tree in existing parkway $ $ 20 1100 SF Remove & Reconstruct Residential Driveway Approach Q C� $�� l a 1� g5b C-2 6 PROJECT BID SCHEDULE- - SLATER AVE Slater Ave CC 1379 Leh No. Estifti1ited -Quz1n2DL Bid Item IDocriptlon Unit Price Extendtid Amount 21 1025 SF Remove & Reconstruct Commercial Driveway Approach $ ` c 22 350 SF Remove & Reconstruct Alley Approach 23 4800 SF Remove & Reconstruct Concrete Cross Gutter $ 24 1 EA Adjust Monitoring Well to finished surface V� V 'V $ $ 25 105 SF Remove & Reconstruct Local Depression $ —a t (a $ 26 8 EA Construct Residential Lot Dram a� `�? OOD $�rVVV✓ $ 27 3 Remove & Reconstruct Parkway Dram L j EA $ d� � $ l 28 3 Adjust existing Traffic Signal Box frame and cover EA $ J i lic" 29 8 EA Adjust existing water meter box frame and cover to new surface (Replace if broken with City furnished frame and cover) { � — V o $ 30 1 LS Remove & Reinstall Existing Chainlmked Fence and Gate r (( �V F $� 7 S,�W l C27 PROJECT BID SCHEDULE- - SLATER AVE Slater Ave CC-1379 Stai9i1<e ten e Quanta B d Item Description Onif Price Amount fzz 1 Remove Regrade & Replace Turf and Irrigation in KindLS $ 2� 1300 Remove & Reconstruct Commercial Driveway Approach with SF High Early Strength Concrete $ $ 33 1 Provide I year Landscape Maintenance for Planted Tree to parkway } EA Total Amount Bid in Figures $ ( 0 0 0 �---- Total Amount Bid in Words y\,��, �tiy�1 4s� ✓erv, k�,�,�w n t \" ve C-2 8 Magnolia Street -- from Warner Avenue to Interstate 405 CC NO.1379 C-2 9 PROJECT BID SCHEDULE - MAGNOLIA ST (ADD ALTERNATE #1) Magnolia CC-1379 ton Na. ESdMte Quantity Bid Item Description V111t Ptite tefided Amoua� 1 1 Mobilization $ 0- $ LS 1 1 2 1 LS Traffic Control Plan $5 , $ U Uu 3 1 LS Furmtsh Project Traffic Control �( $l I ,Uo $1L Uo 4 730 CY Unclassified Excavation incl Disposal of Matnal and Fabric $--; $ 5 73700 SF Surface Grind (0 17 ) mcl Diposal of Material and Fabric $ 6 930 TN Construct Asphalt Concrete (depth 0 33') 7 1385 TN Construct Asphalt (0 IT ARHM Overlay) (� L $ a �lJ $ 8 4 EA Adjust Sewer/Storm Drain Manhole to Grade _ (� $ 9 1 EA Adjust OCSD Sewer Manhole to Grade $�,5 ou _ $ i 10 15 EA Adjust Water Valve to Grade ®S O C-2 10 PROJECT BID SCHEDULE - MAGNOLIA ST (ADD ALTERNATE #1) Magnolia CC-1379 tbm N& Estintatedlei Quantity Bid 1tta>a Description Emit Prate Amoult>r 11 4 EA Adjust Monitoring Well to Grade $ I.;UU ' $ oou 12 1 LS Traffic Striping l�w_ o $ ` t `V Y } I 13 26 EA Install Traffic Loops $ 1 $� 14 160 Remove & Reconstruct Curb & Gutter (CF=8 Includes AB Slot Pave) per Std Plan 202 )L7) $ G� LF $ 15 835 Remove & Reconstruct Sidewalk per Sid Plan 207 a Z� SF $ $ 16 1 EA Install Truncated Domes into existing Ramp � 0 $��U-- $� 17 5 EA Survey Monumentation 18 3 EA Adjust Survey Monument Well to Grade _ $ Ou � $ 60U 19 700 Remove and Reconstruct Driveway Approach per Std Plan 211SF 1 Total Amount Bid in Figures $ -221-A U Total Amount Bid to Words -k�rw— �cN �--\ fnv� . k��vSt1rL� � U\l two w-t V� t' C-2 11 1, {r=la StreetoHeil Avenue tT Edinger Avenue. C-2 12 PROJECT BID SCHEDULE - GOTIAItID ST (ADD ALTERNATE #2) Gothard St CC-1379 teenEstimated: Bid Item DDeserlpflon tea No. Quantaty Unit Prise Amount 1 1 Mobilization $ LS 3 2 1 LS Traffic Control Plan _ $ �j { 00' $ � 3 1 Furnish Project Traffic Control LS l 4 260 CY Unclassified Excavation incl Disposal of Matnal and Fabric _ 5 56570 Cold Milling mcl Deposal of Material and Fabric $9 $ SF 6 STOO N Construct Asphalt Concrete (0 39' per plan) $ 6s s / � lip $ / 7 1960 Construct Asphalt (0 17 ARHM Overlay) �M( $ 9 Adjust Sewer Manhole to Grade b o $ 1-1 1; 00 EA $ 9 29 Adjust Water Valve to Grade EA��5 l 10 � Traffic Stnpmg per plan $ M ,�o C213 PROJECT BID SCHEDULE - G®THARD ST (ADD ALTERNATE #2) Gothard St CC-1379 tbtin :No. Estiniated Quantity Md Item Deseript%n Unit Price ton Amount 11 20 EA Traffic Loop t $ ` _ $ 12 1650 LF Remove & Reconstruct Curb & Gutter (CF=8 Includes AB Slot Pave) per Std Plan 202 ' 2 $'� e3� $ t 13 13225 SF Remove & Reconstruct Sidewalk per Std Plan 207 14 EA Construct Curb Access Ramp $�,�(� V 1 $ �— 15 325 Remove &Reconstruct Local Depression per Std Plan 302 � C) (c SF $ � $ f r 16 3 EA Prepare Corner Records for Survey Monumentation $5U0 $i��) f 17 7 EA Remove existing tree and grind stump and roots below grade $ -- f�---��—�-- $ �U 18 2 EA Install new Survey Well Monument per HB Std Plan 219 1� 0 V 000 $ $ 19 3455 SF Remove & Reconstruct concrete Cross Gutter Per HB Std Plan 205 $Q J V O l 20 1225 SF Remove & Reconstruct Residential Driveway per HB Sid Plan 209 C214 g S C) e VS Do 1_( V PROJECT BID SCHEDULE - GOTHARD ST (ADD ALTERNATE #2) Gothard St CC-1379 Item Eftimated Rx-tetlide-d No, Quantity Bid Item IDestrrap>;%n Unkt Price Amount 21 50 LF Reconstruct Modified Driveway Apron l r- $ t� o $ 2 22 5475 SF Remove & Reconstruct Commercial Driveway per HB Std Plan 211 23 1 EA Relocate Fire Hydrant per Std Plan 607 1_ r }(� $ 1�(UUU� $ 24 1 EA Install Metal Hand Rail Per APWA Sid Plan 606 2 (Ty pe B) , 25 1100 SF Reconstruct Commercial Driveway Approach per HB Std Plan 211 modified to thickness of 12 with 44 Rebar $ U ®� ` $ ` y 26 12 EA Adjust existing water meter box frame and cover to new surface (Replace if broken with City furnished frame and cover) $ $ Total mount Bid in t uses U j Total AmountBid to Words C-2 15 ADDENDUM NUMBER ONE For SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET C C NO 1379 In the CITY OF HUNTINGTON BEACH May 20 2010 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 or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor Portion Name and Address of Subcontractor State License Class of Work Number io����a� ��ti� 1� fx\0,VV ,�t�h 3�(0 C�a2 L G v U,-b ""P✓1 L ( 1 \ a i �NU✓1 t P j 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 listing 2 That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project C-3 CC-1379 Slater Avenue Addendum 1 State of California ss County of Orange Steve Kirschner being first duly sworn, deposes and says that he or she is Vice President of Hardy & Harper, 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 prnce 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 Hardy & Harper, Inc uvGf Bidder, . A of Bidder Steve -i�.irscnner Vice President 1312 E Warner Ave , Santa Ana,CA 92705 Address of Bidder Subscribed and sworn to before me tlus day of , 201_ NOTARY PUBLIC NOTARY SEAL C-4 CALIFORNIAALL-PURPOSE ACKNOWLEDGMENT State of California County of May 28 2010 On Date Orange Jo Ann Lyons Notary Public before me Here Insert Name and Tdle of the Officer Steve Kirschner personally appeared Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(*) whose name(o Ws/atesubscribed to the within Instrument and acknowledged to me that he/5@t/t0ay executed the same in his/ter/tk w authorized capacity(W) and that by his/l M/ter signature(e) on the JO ANN LYONS instrument the person(v) or the entity upon behalf of COMM #1841329 which the person(®) acted executed the Instrument Not-)ry P iblic C-hformri ORANGE COUNTY = I certify under PENALTY OF PERJURY under the laws QV. y . C . oinin ExplrEs 1pr 1t 201 ( of the State of California that the foregoing paragraph is true and correct WITNESS y nd and oPoial seal Signature o �� Place Notary Seai Add e blic Signature of Notary P 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 NonCollusion Affidavit Title or Type of Document Document Date Signer(s) Other Than Named Above Capacity(ies) Claimed by Si ner(s) Steve Iprschner Signers Name ❑ Individual Number of Pages Signers Name Vice President ❑ Individual X Corporate Officer — Title(s) ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee Top of thumb here ❑ Guardian or Conservator ❑ Other Signer Is Reprei&6 Harper Inc ❑ Corporate Officer — Title(s) ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact Q ERR. ❑ Trustee Top of thumb here ❑ Guardian or Conservator ❑ Other Signer Is Representing 02007 National Notary Association 9350 De Soto Ave PO Box 2402 Chatsworth CA 91313 2402 www, NationalNotaryorg Item #5907 Reorder Call Toll Free 1 800 876 6827 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 Slater Avenue Rehabilitation from Beach Boulevard to Newland Street, CC No 1379, (1)(we)(nt) 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 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 5/28/10 C-s Steve Kirschner, Vice President Title DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310 5, the Bidder shall complete, under penalty of perjury, the following 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 Note 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 5/28/10 C-7 "'A Steve Kirschner Vice President Title .gyp , �.., .Y s. E (To be completed only by the awarded Contractor prior to excavation) No excavation will be permitted until tlus 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 or 811 a minimum of two working days before scheduled excavation Dig Alert Idenhfuation Number Steve Kirschner, Vice President Title Date 5/28/10 Note This ,Form is required for every Dig Alert Identification Number issued by USA during the course of the Work Additional forms may be obtained from the AGENCY upon request C-8 1 ', BIDDER certifies that the following information is true and correct Hardy & Harper, Inc Bidder Name 1312 E Warner Ave Business Address Santa Ana CA 92705 City, State Zap ( 714) 444-1851 Telephone Number 215952 A,C8,C12 State Contractor's License No and Class 3/13/63 Original Date Issued 12/31/11 Expiration Date The work site was inspected byCorey Kirschne of our office on May 2 6th 2010 The following are persons, firms, and corporations having a principal interest in tlus proposal See Attachment A C-9 Attachment A 9fardy c0farper, Inc Corporate Officers 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 Steve Kirschner Vice President Printed or Typed Signature Subscribed and sworn to before me this _ day of , 201_ 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 2 3 See Attachment B 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 Contract 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 a'® CALIFORNIA ALL PURPOSEACKNOWLEDGMENT State of California County of May 28 2010 On Date personally appeared Orange Jo Ann Lyons Notary Public before me Here Insert Name and Title of the Officer Steve Kirschner JO ANN LYONS COMM #184_329 ^fit Notvy Public Caltfornn ?� ORANGE COUNTY MyConun ErpiresApr 11 01 It Place Notary Seal Above who proved to me on the basis of satisfactory evidence to be the person(o whose name(gpis/zv subscribed to the within instrument and acknowledged to me that he/s$W/tkVy executed the same in his/fir/tbw authorized capacity(iqS) and that by hls/40r/tlig�ir signature(} on the Instrument the person(4 or the entity upon behalf of which the person(o acted executed the Instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS and and o cial seal Signature4 Signature of Nctar ubiic 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 Bidders Information Title or Type of Document Document Date Signer(s) Other Than Named Above Capacity(lies) Claimed by Signer(s) Steve Kirschner Signers Name ❑ Individual Vice President Corporate Officer — Title(s) ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other Signer Is ReprekWi )Y � Harper Inc 111GHTTHUMMP INT _ OF SIGNElIr Top of thumb here Number of Pages Signers Name ❑ Individual ❑ Corporate Officer — Title(s) _ ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other Signer Is Representing IRIGHTTHUMBPFHNT� '.OFSIGNEl k _Top of thumb here - 02007 National Notary Association 9350 De Soto Ave PO Box 2402 Chatsworth CA 91313 2402 www NahonalNotaryorg item #5907 Reorder Call Toll Free 1 800 876 6a27 Attachment B Yfardy c0farper, Inc Owner/Agency Contact Project (Amount & End Date) City of Diamond Bar Kimberly Molina, PE Preventive Street 21825 E Copley Drive (909)839 7000 Maintenance Program Diamond Bar, CA 91765 f (909)861 3117 $ 1,521,000 00 12/09 City of Temecula John Salazar, PE De Portola Road Pavement 43200 Business Park Dr (951)694 6411 Rehabilitation Temecula, CA 92599 9033 f (951)694 1999 $ 1,369,000 00 12/09 City of Mission Viejo Rich Schlesinger, PE AC Repairs & Overlays 2009 200 Civic Center (949)470 3064 1,135 000 00 11/09 Mission Viejo, CA 92691 f (949)455 2589 City of Upland Rene Guerrero, PE 7th Street Rehabilitation 460 N Euclid Ave (909)931 4230 $ 1,190,000 00 10/09 Upland, CA 91785 f (909)931 9923 City of Ontario Bill Braun PE Rehabilitation of Vineyard, 303 "B" Street (909)395 2129 Walnut, & Acacia Ontario, CA 91764 4105 f (909)395 2122 $ 1,231,000 00 7/09 RELIABLE CONTRACTOR DECLARATION (page 1 of 3) This form must be completed and submitted to the Department of Resources Recycling and Recovery (CalRecycle) prior to authorizing a contractor(s) to commence work Failure to provide this documentation in a timely manner may result in nonpayment of funds to the contractor(s) This form is intended to help the CalRecycle's Grantees comply with the Unreliable List requirement of their Terms and Conditions The Unreliable List provision requires the following Prior to authorizing a contractor(s) to commence work under the Grant, the Grantee shall subrrut to CalRecycle a declaration signed under penalty of perjury by the contractor(s) stating that within the preceding three (3) years, none of the events listed in Section 17050 of Title 14, California Code of Regulations, Natural Resources, Division 7, has occurred with respect to the contractor(s) Please see the reverse of this page for a listing of events, or refer to www CalRecycle ca gov/Regulations/Titlel4/ Please return the completed form(s) to Department of Resources Recycling and Recovery Name of your Grant Program Attn Name of your Grant Manager P Q Box 4025 Sacramento, CA 958124025 GRANTEE INFORMATION GRANTEE NAME GRANT NUMBER PRIMARY CONTACT NAME CONTRACTOR INFORMATION CONTRACTOR NAME AUTHORIZED CONTRACTOR REPRESENTATIVE NAME MAILING ADDRESS As the authorized representative of the above identified contractor 1 declare under penalty of perjury under the laws of the State of California that within the preceding three (3) years none of the events listed in Section 17050 of Title 14 California Code of Regulations, Natural Resources, Division 7, has occurred with respect to the above identified contractor Signature Date C-11 RELUBLE CONTRACTOR DECLARATION (page 2 of 3) Title 14 CCR, Invasion 7, Chapter 1 Article 5 Unreliable Contractors, Subcontractors, Borrowers and Grantees Section 17050 Grounds for Placement on Unreliable List The following are grounds for a finding that a contractor, any subcontractor that provides services for a CalRecycle agreement, grantee or borrower is unreliable and should be placed on the CalRecycle Unreliable Contractor, Subcontractor, Grantee or Borrower Last ("Unreliable List") The presence of one of these grounds shall not automatically result in placement on the Unreliable List A finding must be made by the Executive Director in accordance with section 17054, and there must be a final decision on any appeal that may be filed in accordance with section 17055 et seq (a) Disallowance of any and/or all claim(s) to CalRecycle due to fraudulent claims or reporting, or (b) The filing of a civil action by the Attorney General for a violation of the False Claims Act, Government Code section 12650 et seq, or (c) Default on a CalRecycle loan, as evidenced by written notice from CalRecycle staff provided to the borrower of the default, or (d) Foreclosure upon real property loan collateral or repossession of personal property loan collateral by CalRecycle, or (e) Filing voluntary or involuntary bankruptcy, where there is a finding based on substantial evidence, that the bankruptcy interfered with the CalRecycle contract, subcontract, grant or loan, or (f) Breach of the terms and conditions of a previous CalRecycle contract, any subcontract for a CalRecycle agreement, grant, or loan, resulting in termination of the CalRecycle contract, subcontract, grant or loan by the CalRecycle or prune contractor, or (g) Placement on the CalRecycle's chronic violator inventory established pursuant to Public Resources Code section 44104 for any owner or operator of a solid waste facility, or (h) The person, or any partner, member, officer, director, responsible managing officer, or responsible managing employee of an entity has been convicted by a court of competent jurisdiction of any charge of fraud, bribery, collusion, conspiracy, or any act in violation of any state or federal antitrust law in connection with the bidding upon, award of, or performance under any CalRecycle contract, subcontract, grant or loan, or (r) The person or entity is on the Iist of unreliable persons or entities, or similar list, of any other federal or Calrfonua state agency, or 0) The person or entity has violated an Order issued in accordance with section 18304, or, (k) The person or entity has directed or transported to, has or accepted waste tires at, a site where the operator is required to have but does not have a waste tyre facility permit, or, (1) The person or entity has transported waste tires without a waste tyre hauler registration, or, (m) The person or entity has had a solid waste facility or waste tyre permit or a waste tyre hauler registration denied, suspended or revoked, or, (n) The person or entity has abandoned a site or taken a snmrlar action winch resulted in corrective action or the expenditure of funds by CalRecycle to remedrate, clean, or abate a nuisance at the site, or (o) The following are additional grounds for a finding that, a person or entity described below should be placed on the Unreliable List C-12 RELIABLE CONTRACTOR DECLARATION (page 3 of 3) (1) The person or entity owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted an its placement on the Unreliable List, (2) The person held the position of officer director, manager, partner, trustee, or any other management position with significant control (Principal Manager) in an entity on the Unreliable List at the tune of the activity that resulted in its placement on the Unreliable List, (3) The entity includes a Principal Manager who 1 Was a Principal Manager an an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, or, 2 Owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable Last, (4) The entity has a person who owns 20% or more of the entity, if that person 1 Was a Principal Manager an an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, or, 2 Owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted an its placement on the Unreliable List (5) The entity has another entity which owns 20% or more of the entity, if that other entity 1 Is on the Unreliable List, or, 2 Owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable Last (6) Subsection (o) is not intended to apply to a person or entity that purchases or otherwise obtains an entity on the Unreliable List subsequent to its placement on the Unreliable List C-13 City of Huntington Beach Public Works Department 2000 Main Street Tel (714) 536-5431, Fax (714) 374-1573 For SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET CC NO 1379 in the CITY OF HUNTINGTON BEACH May 20 2010 Notice To All Bidders Please note the following clarification to the Project Plans Specifications and Special Provisions 1) PROJECT BID SCHEDULE — Specification Book Cross out Item No 4 Estimated Quantity unit "CY" to "CY and change to "SF' on Slater Avenue Item 4 FDR with Cement treated Base on Section C page C-2 5 (Item 4 Estimated Quantity number is unchanged) 2) APPENDIX X —Specification Book Replace entire APPENDIX X FULL DEPTH RECLAMATION WITH CEMENT with "ADDENDUM NUMBER ONE - FULL DEPTH RECLAMATION WITH CEMENT" (four pages) 3) SECTION C — Specification Book Replace Page C-3 — LIST OF CONTRACTORS with "ADDENDUM NUMBER ONE - LIST OF SUBCONTRACTORS" (one page) Bidders shall submit SECTION C with the change from "CY" to "SF" for Bid Item No 4 on the Project Bid Schedule for Slater Avenue on page C-2 5 Award will be based on most current revised unit for that item This is to acknowledge receipt and review of Addendum Numb a dated May 0 201 Hardy & Harper, Inc 41W / Company Name By Steve K rsc ner Vice President 5/28/10 Date All bidders must acknowledge the receipt of this Addendum with your bid proposal Should you have any questions regarding this Addendum please call Jim Wagner at (714) 536 5431 j6-,dy Tond c$rnae i-qw One Newark Center International fadelitV Newark, New Jersey 07102 N S U R A N C E C d M P A N Y (973) 624 7200 KNOW ALL MEN BY THESE PRESENTS That we the undersigned HARDY & HARPER INC as Principal and THE INTERNATIONAL FIDELITY INSURANCE COMPANY a corporation of the State of New Jersey as Surety are hereby held and firmly bound unto CITY OF HUNTINGTON BEACH in the penal sum of TEN PERCENT OF THE TOTAL AMOUNT BID ($10% for the payment of which well and truly to be made we hereby jointly and severally bind ourselves our heirs executors administrators successors and assigns Signed this 27TH day of MAY 2010 The condition of the above obligation is such that whereas the Principal has submitted to CITY OF HUNTINGTON BEACH a certain bid attached hereto and hereby made a part hereof to enter into a contract in writing for SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET C C NO 1379 NOW, THEREFORE, (a) If said bid shall be rejected or in the alternate (b) If said bid shall be accepted and the Principal shall execute and deliver a contract in the form of contract attached hereto properly completed in accordance with said bid and shall furnish a bond for the faithful performance of said Contract and for the payment of the persons performing labor or furnishing materials in connection therewith and shall in all other respects perform the agreement created by the acceptance of said bid THEN, THIS OBLIGATION SHALL BE VOID, otherwise the same shall remain in force and effect it being expressly understood and agreed that the liability of the Surety for any and all claims hereunder shall in no event exceed the penal amount of this obligation as herein stated The Surety for value received hereby stipulates and agrees that the obligation of said Surety and its bond shall be in no way impaired or affected by any extension of time within which the said bid may be accepted and said Surety does hereby waive notice of any such extension IN WITNESS WHEREOF, the Principal and the Surety have hereto set their hands and seals and such of them as are corporations have caused their corporate seals to be hereto affixed and these presents to be signed by their proper officers the day and year first set forth above Signed sealed and delivered in the presence of ATTEST v Prmcipal Steve Ki�_schner, Vice Pres ATTEST INTERNATIONAL FIDELI \ INSURANCE CO By DWIGHT REILLY Bid Bond Date Attorney -In -Fact CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of May 28 2010 On Date Orange Jo Ann Lyons Notary Public before me Her Insert Name and Title of the Officer Steve Kirsctner personally appeared Name(s) of Signer(s) JO ANN LYONS {� COMM #1841329 Notary Ptibhc Cnl fornn ORANGE COUNTY 4MyCotnni ExplresApr It 901 It who proved to me on the basis of satisfactory evidence to be the person(o whose name(o is/ant subscribed to the within instrument and acknowledged to me that he/abe/fey executed the same in his r/tmir authorized capacity(iiv) and that by his/tit/thM sfgnature(o on the instrument the person(p) or the entity upon behalf of which the person(p) acted executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS y nd and o ial seal Signature Place Notary Seal Abo e IT S gnature of Neta ubl c 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 Bid Bond Title or Type of Document Document Date nwtg t Reilly Number of Pages Signer(s) Other Than Named Above Capacity(ies) Claimed by Sigqners) Steve Krschner Signers Name Signets Name ❑ Individual Vice President ❑ Individual fA Corporate Officer — Title(s) _ ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other Signer is RepreAgQ Harper r tfic ❑ Corporate Officer — Title(s) — ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other Signer Is Representing JRIGHTTHUMIR.1NT ORSIGNER " y 02007 National Notary Assoc atton 9350 De Soto A e PO Box 2402 Chatsworth CA 91313 2402 www Nattonalllotary org Item #5907 Reorde Call Toll Free 1-800 876 6827 State of California County of ORANGE On MAY 27 2010 ACKNOWLEDGMENT before me SUSAN PUGH NOTARY PUBLIC (insert name and title of the officer) personally appeared DWIGHT REILLY who proved to me on the basis of satisfactory evidence to be the person(K) whose name(R) is/se subscribed to the within instrument and acknowledged to me that heYjqoXKW executed the same in hisftooW authorized capacity!" and that by his/44%Wsignature(A) on the instrument the person( or the entity upon behalf of which the person(g) acted executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS my hand and official seal J � Signature SUSAN PUGH SUSAN PUGH Commission # 1734680 Not Z `� NotaryPublic California Z Z ` Orange County MYComm ENresMar28 2011 Tel (973) 624 7200 HOME OFFICE ONE NEWARK CENTER 20TH FLOOR NEWAM NEW JERSEY 07102 5207 FOR BED BOND/RIDERICONSlE1VTSIAFFIDAVITS KNOW ALL mN BY TE= PRE9ENT9 That vnzRmA noNAL FIDEIdTY INSURANCE COMPANY, a corporation organized and existing laws of the Sate of New Jersey and having its principal office in the City of Newark New Jersey does hereby cote mtute and appoint DWIGHT REILLY HAL DUECK Anaheun CA its true and lawful attor icy(s)-urfaet to execute sed and deliver for and on its behalf as surety any and all bonds and undertakings co tracts of indemnity and other wntmngs obligatory m the nature thereof which are or may be allowed required or perm1tted by lawwsstant� rule rogttN on cor otherwise and the exe IZ of such inshument(s) m pursuance of these presents shaft be as binding upon flu Ti0 COMPANY as fully and amply to all intents and purposes as if the same had been duly executed and acknowledged by its regularly elected officers at its principal office This Power of Attorney is executed and may be revoked pursuant to and by authority of Article 3-Section 3 of the By Laws adopted by the Board of Directors of VfMRNATIONAL Fib lrff iNSURANC$ COMPANY at a meeting called and held on the 7th day of February f974 Mie Presulent or any Vice President, Executive Vice President Secretary or Assistant Secretary ahall have power and authority (1) To appoint Attorneys in fact and to authorize them to axe= on behalf of the Company and attach the Seal of the Company thereto bonds and underakings contracts of indenuury and other wrtnngs obligatory in die nature thereof and (2) To remove at any tune any such attorney in fact and revoke the authority given Further that Power of Attorney is signed and seated by facsunile pursuant to resolution of the Board of Directors of said Company adopted at a meeting duly caged and held tin the 29th day of April 1982 of which the foUowmg is it true excerpt Now therefore the signatures of such officers and the seal of the Company may be affixed to any such power of attorney or any certificate retatutg thereto by facsimile and any such power o[ attorney or certificate bearing such tacsimae signatures or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by facsimile signatures and facsimile seat shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached On this 29th day of August 2003 before me came the aWtvidual who executed the preceding instmmettt to me rsonali knows and being b me duly sworn said the he to the thcrem described and authorized officer of the ANTERNATIONAL FIDELId Y iN3URANNCE COA�fPAN�' that the, affixed to said instrument is the Corporate Seal of said Company that the said Corporate Seal and his signature were duly affixed by order of the Board of Directors of said Company ��AROO IN TESTIMONY WHEREOF I have hereunto set my hand affixed my Official Seat at the City of Newark New Jersey the day and year first above written O NOTARY � * PUBLIC t� A NOTARY PUBLIC OF NEW JERSEY CERTIFICATION My Commission Expires Nov 21 2010 1 the undersigned officer of R I MATIONAL FIDELITY INSURANCE COMPANY do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit, and the copy of die Section of trio By Laws of saki Company as set forth in said Power of Attorney with the ORIGINALS ON IN THE HOME OFFICE OF SAID COMPANY and that the same are correct transcripts thereof and of tie whole of the said originals and that the said Power of Attorney has not been revoked and u now in full force and effect IN TESTIMONY WHEREOF I have hereunto act my hand this 27TH day of MAY 20*10 City ®f Huntington Beach 2000 Main Street • Huntington Beach, CA 92648 OFFICE OF THE CITY CLERK JOAN L FLYNN CITY CLERIC August 6 2010 ICE Engineering Inc 19042 San Jose Ave Unit L City of Industry CA 91748 RE CC-1379 Slater Avenue Rehabilitation from Beach Blvd to Newland St Enclosed please find your original bid bond for CC-1379 Sincerely Joan L Flynn CMC City Clerk JF pe enclosure Sister Ctil/fA6",JaV&b tpreWrm"iihq38�ew Zealand {Telephone 714 536 5227) Scan ©sue -NQe ► G Q� \vncAuS- T"A ) C�- �- secv\-4 'bA C \ (-,'ram .. AfJC N �. A)C-A I T Pik �k A�%� oD ZUo o MaWI City of Huntington Beach Public Works Department 2000 Main Street Tel (714) 536 5431 Fax (714) 374 1573 For SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET C C NO 1379 in the CITY OF HUNTINGTON BEACH May 20 2010 Notice To All Bidders Please note the following clarification to the Project Plans Specifications and Special Provisions 1) PROJECT BID SCHEDULE —Specification Book Cross out Item No 4 Estimated Quantity unit CY to CIF and change to ` SF on Slater Avenue Item 4 FDR with Cement treated Base on Section C page C 2 5 (Item 4 Estimated Quantity number is unchanged) 2) APPENDIX X— Specification Book Replace entire APPENDIX X FULL DEPTH RECLAMATION WITH CEMENT with ADDENDUM NUMBER ONE FULL DEPTH RECLAMATION WITH CEMENT (four pages) 3) SECTION C — Specification Book Replace Page C 3 — LIST OF CONTRACTORS with ADDENDUM NUMBER ONE LIST OF SUBCONTRACTORS (one page) Bidders shall submit SECTION C with the change from CY' to SF for Bid item No 4 on the Project Bid Schedule for Slater Avenue on page C 2 5 Award will be based on most current revised unit for that item This is to acknowledge receipt and review of Addendum Number One dated May 20 2010 C C E-n 3t, n E'enng Company Name By �'oZb Date P Thao Nguyen, All bidders must acknowledge the receipt of this Addendum with your bid proposal Should you have any questions regarding this Addendum please call Jim Wagner at (714) 536 5431 I C E Engineering SECTION C PROPOSAL for the construction of SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET CC NO 1379 in the CITY OF HUNTINGTON 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 45 working days for Slater Avenue, the basis of Award, and a total of 65 working days to complete the work for all three segments including Gothard Street, if awarded, starting from the date of the Notice to Proceed Only two streets segments (asphalt areas) can be under construction at any given time The third segment can begin once the final cap has been placed on one of the first two segments Concrete work can occur on all three segments simultaneously 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 in the amount of $ 0 qo 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 Dag Received Bidder's Signature hz 21 o �---� P 1O Ng��,s�n e�J-11J C-2 SECTION C INDEX SLATER AVENUE REHABILITATION CC NO 1379 Base Bid 'Total Amount Lump Sum Bid — In Figures Additive Alternate #1 Total Amount Lump Sum Bad In Figures Additive Alternate #2 Total Amount Lump Sum Bid In Figures -BASE BID Slater Avenue — from Beach Blvd to Newland Street -ADDITIVE ALTERNATE # 1 (1) Magnolia Street — from Warner Avenue to Interstate 405 -ADDITIVE ALTERNATE #2 (2) Gothard Street — from Heil Avenue to Edinger Avenue C-2 2 C-2 3 C-2 3 C-2 4 to C-2 8 C-2 9 to C-2 11 C-2 12 to C-2 15 C-2 1 nonaerg.,, PROJECT BASE BID Basis of Award Slater Avenue — from Beach Blvd to Newland Street C-2 4 to C-2 8 BASE BID TOTAL AMOUNT LUMP SUM BID IN FIGURES i $``ilc���ZS BASE BID WILL, BE THE BASIS OF AWARD C-2 2 ADDITIVE ALTERNATE PROJECT #1 BID Street — trom Warner Avenue to interstate 4U5 U-2 Z; to U-L 11 ADDITIVE ALTERNATE #1 TOTAL AMOUNT LUMP SUM BID IN FIGURES $; S �s / -5 2�), U 5 1/ ADDITIVE ALTERNATE PROJECT #2 BID Gothard Street — trom Heil Avenue to Edinger Avenue U-L 12 to U-2 13 ADDITIVE ALTERNATE #2 TOTAL AMOUNT LUMP SUM BID IN FIGURES C-2 3 SKATER AVENUE STREET CC NO. 1379 C-2 4 PROJECT BID SCHEDULE- - SLATER AVE Slater Ave CC 1379 Item Estimated .Extended No quantity Bid Item Description Unit Price Amount 1 1 LS Mobilization $ ����e $ 2 1 LS Traffic Control Plan $� bUD / nn $ �t )- 3 1 Furnish Project Traffic Control $a—� LS $ $ 4 156135 FDR with Cement Treated Base $ $ 5 5900 Surface Grind (0 34) incl Diposal of Material and Fabric % SF $ $ 6 2900 Construct Asphalt Concrete (0 17 & 0 25 per plan) Y ! SO0 TN $ $ 7 2000 TN Construct Asphalt (0 17 ARHM Overlay) $ $ � b %, 8 16 EA Adjust Sewer/Storm Dram Manhole to Grade $ $ 9 3 EA Adjust OCSD Sewer Manhole to Grade $ $� 10 30 Adjust Water Valve to Grade EA $ 346, $[`'� C 25 1 C E Engineerenr PROJECT BID SCHEDULE- - SLATER AVE Slater Ave CC 1379 Item Estimated Extended No Quantity Sid Item Description Unit trice Amount 11 1 Traffic Striping per plan LS $1�� $ -.-)YIOQO 12 22 EA Install Traffic Loop $ $ �Lfcx:) 13 3170 LF Remove & Reconstruct Curb & Gutter (CF=8 or 6 Includes AB Slot Pave) per Std Plan 202 $ $ N / ""O — 14 18000 SF Remove & Reconstruct Sidewalk per Std Plan 207 , u $ _ Of 000 15 1 EA Install Truncated Domes to existing Access Ramp $ $ 16 13 Install Access Ramp including all appurtenances EA $ $ 17 7 EA Survey Monumentation $�� $ 18 10 EA Remove existing tree and grind stump and roots below grade $$—AIL 19 1 EA Remove & Replace irrigation and landscape & plant new tree in existing parkway $ $ u 20 1100 SF Remove & Reconstruct Residential Driveway Approach $_ $ r T A( PROJECT BID SCHEDULE- - SLATER AVE Slater Ave CC 1379 Item Estimated .Extended No QuantityUntt BW Item Description Price Amount 21 1025 SF Remove & Reconstruct Commercial Driveway Approach $ 22 350 SF Remove & Reconstruct Alley Approach $ $ �,iqua- 23 4800 Remove & Reconstruct Concrete Cross Gutter L co 24 1 EA Adjust Monitoring Well to finished surface $ $ 25 105 SF Remove & Reconstruct Local Depression 1 $— $A 26 8 EA Construct Residential Lot Dram $ C $t4 27 3 Remove & Reconstruct Parkway Dram EA $ hc,-) $ 28 3 Adjust existing Traffic Signal Box frame and cover EA $ $� 29 8 EA Adjust existing water meter box frame and cover to new surface (Replace if broken with City furnished frame and cover) $ 0 _ $ 30 1 LS Remove & Reinstall Existing Chamlmked Fence and Gate $ 3,aov $ 3 ` C 2 7 1 C E Engineering PROJECT BID SCHEDULE- - SLATER AVE Slater Ave CC-1379 Item Estimated Extended Bid Item Descriptlop No Quantity Unit Price Amount 31 1 Remove Regrade & Replace Turf and Irrigation in Kind LS $ C2�� $ 32 1300 Remove & Reconstruct Commercial Driveway Approach with SF High Early Strength Concrete $ $ 33 1 ProvideTrovide I year Landscape Maintenance for Planted Tree in EA parkway $� $ I Total Amount Bid in Figures $ Li V -% S 6 a S Total Amount Bid in Words nl f 0 f� C g s I C E Engineering u- Engineerin Magnolia Street Warner Avenue Interstnite — 05 O :J O III: _ � i, C-2 9 PROJECT BID SCHEDULE - MAGNOLIA S'T (ADD ALTERNATE #I) Magnolia CC 1379 Item No Estimated Quantity Bid Them Description Unit Price .Extended Amount 1 1 LS Mobilization $ b o $ 2 1 LS Traffic Control Plan $ 3 1 Furnish Project Traffic Control 6lb6b LS $ T $ t� 3 4 730 CY Unclassified Excavation incl Disposal of Matrial and Fabric $ LS, $ 5 73700 Surface Grind (0 17) incl Deposal of Material and Fabric Li SF $ o� $� 6 930 Construct Asphalt Concrete (depth 0 33 ) $Ai $ TN T 7 1385 TN Construct Asphalt (0 17 ARHM Overlay) $ S $ tn�_ $ 4 EA Adjust Sewer/Storm Dram Manhole to Grade $ 3 ) ®� $�� 9 1 Adjust OCSD Sewer Manhole to Grade $ q $ L[A® EA —/5 10 Adjust Water Valve to Grade $ 510 $- [EA C 210 1 C E Engineering PROJECT BID SCHEDULE - MAGNOLIA ST (ADD ALTERNATE #1) Magnolia CC-1379 s Item No Estimated Quantity Bid Item Description Unit Price Extended Amount 11 4 EA Adjust Monitoring Well to Grade $ S $ r 0 12 1 LS Traffic Striping $ $�i 13 26 EA Install Traffic Loops $_ oe $ 14 160 LF Remove & Reconstruct Curb & Gutter (CF=8 Includes AB Slot Pave) per Std Plan 202 �lj $ $ L vv� 15 835 SF Remove & Reconstruct Sidewalk per Std Plan 207 $ --7 $ 16 1 EA Install Truncated Domes into existing Ramp q $ / 0®/ $_ 17 5 EA Survey Monumentation ;� ' $ `31c� $ 18 3 EA Adjust Survey Monument Well to Grade s - $ 19 700 SF Remove and Reconstruct Driveway Approach per Std Plan 211 Ile $ $ILI Total Amount Bid in Figures $ g3 S',0 66 Total Amount Bid In Words �l�r�c �� �rcJ� k4l C 211 1 C E Engineering ADDITIVE ALTERNATE #2 PROJECT BID Gothard Street — from Neil Avenue to Edinger Avenue. CC NO. 1379 C-2 12 0 C E Engineering PROJECT DID SCHEDULE - G®TIIARD ST (ADD ALTERNATE #2) Gothard St CC 1379 Item Estimated .Extended No Quantity Did Item Description Unit Price Amount- 1 1 LS Mobilization $ 17,)Ob� 2 1 Traffic Control Plan LS 3 1 Furnish Project Traffic Control LS $ J 000 1 $ 5 4 260 Unclassified Excavation mcl Disposal of Matnal and Fabric / CY c $ $ 5 56570 Cold Milling mcl Diposal of Material and Fabric $ 0 lei $q),�_� SF 6 500 Construct Asphalt Concrete (0 39 per plan) $ $ LI5/ TN 7 1960 Construct Asphalt (0 17 ARHM Overlay) _ TN $ $ bJ 8 9 EA Adjust Sewer Manhole to Grade $Ic�� $ 9 29 EA Adjust Water Valve to Grade r $ 3i V $, 10 1 Traffic Striping per plan LS i ` I�✓ �. T C-213 1 C E Engine -Gil In PROJECT BID SCHEDULE - GOTHARD ST (ADD ALTERNATE #2) Gothard St CC 1379 Item Estimated .Extended No Quantity Md Item Description Unit Price Amount 11 20 EA Traffic Loop $� $� 12 1650 Remove & Reconstruct Curb & Gutter (CF=8 Includes AB Slot Pave) per Std Plan 202 LF $ 13 13225 SF Remove & Reconstruct Sidewalk per Std Plan 207 $ $71r ,, ,a- _ 14 4 EA Construct Curb Access Ramp $ $ 15 325 SF Remove & Reconstruct Local Depression per Std Plan 302 $_ $3ticu, 16 3 EA Prepare Corner Records for Survey Monumentatron $ 3/:) $ 236 17 7 EA Remove existing tree and grind stump and roots below grade $ jo $ 18 2 EA Install new Survey Well Monument per HB Std Plan 219 $� $�, 19 3455 SF Remove & Reconstruct concrete Cross Gutter Per HB Std Plan 205 20 1225 SF Remove & Reconstruct Residential Driveway per HB Std Plan 209 $ $ 6 I- C 214 1 C E Engineering PROJECT BID SCHEDULE - G®TIIARD ST (ADD ALTERNATE #2) Gothard St CC 1379 .Item Estimated Extended No Quantity 13id Item Deserrpdon Unit Price Amount 21 50 Reconstruct Modified Driveway Apron $ LF $ s 22 5475 SF Remove & Reconstruct Commercial Driveway per H13 Std Plan 211 $ $ 23 1 Relocate Fire Hydrant per Std Plan 607 EA $ oo $� 24 1 Install Metal Hand Rail Per APWA Std Plan 606 2 (Ty pe B) EA $ (y—�, ,/ $ 25 1100 SF Reconstruct Commercial Driveway Approach per HB Std Plan 211 modified to thickness of 12 with #4 Rebar ^I $ C�/ $ 26 12 EA Adjust existing water meter box frame and cover to new surface (Replace if broken with City furnished frame and cover) $ $ Total mount Bid in Figures '�$ 5 Ll g a o Total Amount Bid in Words >,A a, T(� T,1 r14 P llti✓1 c� ? C 215 1 C E Engineering ADDENDUM NUMBER ONE For SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET C C NO 1379 In the CITY OF HUNTINGTON BEACH May 20 2010 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 or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor Portion of Work Name and Address of Subcontractor State License Number Class 1 r� L'" 0i'liz4Lt ns 1� -V,0 1e--)3 C"), Jet � 2� `1 Sd ` -I < < I ` 5t �l Al J By submission of this proposal the Bidder certifies 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 CC-1379 Slater Avenue Addendum 1 N` O sO AFFIDAVIT TO B EXECUTED BY BIDDER SUBMITTED J ID State of California ss County of Orange 1` ha® Nguyen , being first duly sworn, deposes and says that he or she is V Ce k A- of I C E Entninearin the parry making the foregoing bid that the bid is not made in the interest of, or on the beha f 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 Subscribed and sworn to before me this NOTARY PUBLIC Engineering Name of Bidder Signature of Bidder$' Thao Nguyen igo�-2 %Q , W\N Address of Bidder (A-h� \14b day of , 201 _ V�eCAS, P (,-,(?e +��� NOTARY SEAL C-4 CALIFORNIA ALL PURPOSE CERTIFICATE OF ACKNOWLEDGEMENT State of California County of Orange SS On June 01, 2010 before me Shirley ong, Notary Public m (insert nae and title of T�e office ) personally appeared P Thao Nguyen who proved to me on the basis of satisfactory evidence to be the person{} whose names} lslaFe subscribed to the within instrument and acknowledged to me that #elshelt#ey executed the same in #+s/herlt#etr authorized capacity{+es and that by 4m/herftew signatureW on the instrument the person{} or the entity upon behalf of which the person{} acted executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS my hand and official seal L SHIRLEY VONG NO A��IC a 5 18 (� Mr COIN A+HiELES Coupry (seal) oMM Exa APR 15 2014 PROFESSIONAL NOTARY ASSOCIATION OF AMERICA v2009 2 www callfornlanotaryseminars com 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 Slater Avenue Rehabilitation from Beach Boulevard to Newland Street, CC No 1379, (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 U lo Contractor go P Thao Nguyen Title C5 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 regulation9 ®Ye s 8/No If the answer is yes, explain the circumstances in the space provided N I A -- Note 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 V I \ N I C E Engineering Contractor :A P Thao Nguyen 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 or 811 a minimum of two working days before scheduled excavation Dag Alert Identification Number 1 C E Engineenng Contractor By P Thao Nguyen "(QS1dQ�i 1 Title Date Q 1 0 1 `O 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 C8 BIDDER certifies that the following information is true and correct Engineering Bidder Name IQ)L- am Business Address City, 0,10> 1W - U�-�� Telephone Number U-- �4,�) �) State Contractor's License No and Class 31 vY,- � Original Date Issued Expiration Date cw� State Zip kkk� 1 e2z� The work site was inspected by GIVOW U"R of our office on , 201 14 The following are persons, firms, and corporations having a principal interest in this proposal P Thao Nguyen Gordon Kline Jr Jose MagallanesCaS�i�r C9 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 1 C E Engineering Company Name Signature of Bidder P Thai® Nguyen , P 1 Printed or Typed Signature Subscribed and sworn to before me this 0� day of 2010 NOTARY PUBLIC NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similarwork within the past two years I V ` 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 Date Completed Date Completed Date Completed C 10 CALIFORNIA ALL PURPOSE CERTIFICATE OF ACKNOWLEDGEMENT State of California County of Orange SS On June 01, 2010 before me I;hirlpy Vong, Notar; Public (insert name and title of the officer) personally appeared P Thao Nguyen who proved to me on the basis of satisfactory evidence to be the personko whose name(G) is/afe subscribed to the within Instrument and acknowledged to me that #eishe hey executed the same in #+slhefthew authorized capacitykes) and that by b+sWher heel signatureko on the Instrument the personal or the entity upon behalf of which the persons} acted executed the Instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS my hand and official seal SHIRLEY VONG Comm # 1885813 [@— NOTARY PUBLIC CALIFORN LOB Amu COIMIY (seal) MY Comm EXP APe t5 to,a (signature' V notary p Ilc) PROFESSIONAL NOTARY ASSOCIATION OF AMERICA v2009 2 www callfornlanotarysemmars corn 1 2 3 0 ICE Engineering, Inc. LAcem # 834307 19042 San Jose Ave Unit L City of Industry CA 91748 Ph (626) 810-6071 Fax (626) 810-6043 STATEMENT OF EXPERIENCE Agency City of San Clemente 910 Calle Negocio, Suite 100 San Clement, CA 92673 Project Street Rehabilitation for Avenida De La Estrella Valuation $313,575 00 Completion Date 12/1/09 Contact Gary Voborsky Phone Number (949) 361-6132 Agency City of Costa Mesa 77 Fair Drive Costa Mesa, CA 92628-1200 Project 08/09 CDBG Street Improvement Project Valuation $407,473 00 Completion Date 12/1/09 Contact Susan Santoro Phone Number (714) 754-5096 Agency City of Chino 13220 Central Ave Chino, CA 91710 Project Chino Ave & Ninth St Improvements Valuation $65 000 00 Completion Date 10/1/09 Contact Naghmeh Imam Phone Number (909) 464-8367 Agency City of San Dimas 245 E Bonita Ave San Dimas, CA 91773 Project Reconstruction of Bnarwood Lane Valuation $95 000 00 Completion Date 8/1/09 Contact Shan Garwick Phone Number (909) 394-6248 .tur, Engineering,Inc. Lacense # 834307 19042 San Jose Ave Unit L City of Industry, CA 91748 Ph (626) 810-6071 Fax (626) 810-6043 5 Agency Proj ect Valuation Completion Date Contact Phone Number City of Culver City 9770 Culver Blvd Culver City, CA 90232 Pedestnan Island Modification $27,000 00 7/l/09 Lee Torres (310) 253-5623 RELIABLE CONTRACTOR DECLARATION (page 1 of 3) This form must be completed and submitted to the Department of Resources Recycling and Recovery (CalRecycle) prior to authorizing a contractor(s) to commence work Failure to provide this documentation in a timely manner may result in nonpayment of funds to the contractor(s) This form is intended to help the CalRecycle's Grantees comply with the Unreliable List requirement of their Terms and Conditions The Unreliable List provision requires the following Prior to authorizing a contractor(s) to commence work under the Grant, the Grantee shall submit to CalRecycle a declaration signed under penalty of perjury by the contractor(s) stating that within the preceding three (3) years, none of the events listed in Section 17050 of Title 14, California Code of Regulations, Natural Resources, Division 7, has occurred with respect to the contractor(s) Please see the reverse of this page for a listing of events, or refer to www CalRecycle ca gov/Regulations/Title14/ Please return the completed form(s) to Department of Resources Recycling and Recovery Name of your Grant Program Attn Name of your Grant Manager P O Box 4025 Sacramento, CA 95812-4025 GRANTEE INFORMATION GRANTEE NAME GRANT NUMBER PRIMARY CONTACT NAME CONTRACTOR INFORMATION CONTRACTOR NAME I C F-- Engineering AUTHORIZED CONTRACTOR REPRESENTATIVE NAME a® Nguyen MAILING ADDRESS As the authorized representative of the above identified contractor I declare under penalty of perjury under the laws of the State of California that within the preceding three (3) years none of the events lasted in Section 17050 of Title 14 California Code of Regulations Natural Resources Division 7 has occurred with respect to the above identified contractor Signature r I nao ivguyul e 1 V\Q( '\ 1�WA C-11 RELIABLE CONTRACTOR DECLARATION (page 2 of 3) Title 14 CCR, Division 7, Chapter 1 Article 5 Unreliable Contractors, Subcontractors, Borrowers and Grantees Section 17050 Grounds for Placement on Unreliable List The following are grounds for a finding that a contractor, any subcontractor that provides services for a CalRecycle agreement, grantee or borrower is unreliable and should be placed on the CalRecycle Unreliable Contractor, Subcontractor, Grantee or Borrower List ("Unreliable List") The presence of one of these grounds shall not automatically result in placement on the Unreliable List A finding must be made by the Executive Director in accordance with section 17054, and there must be a final decision on any appeal that may be filed in accordance with section 17055 et seq (a) Disallowance of any and/or all claim(s) to CalRecycle due to fraudulent claims or reporting, or (b) The filing of a civil action by the Attorney General for a violation of the False Claims Act, Government Code section 12650 et seq, or (c) Default on a CalRecycle loan, as evidenced by written notice from CalRecycle staff provided to the borrower of the default, or (d) Foreclosure upon real property loan collateral or repossession of personal property loan collateral by CalRecycle, or (e) Filing voluntary or involuntary bankruptcy, where there is a finding based on substantial evidence, that the bankruptcy interfered with the CalRecycle contract, subcontract, grant or loan, or (f) Breach of the terms and conditions of a previous CalRecycle contract, any subcontract for a CalRecycle agreement, grant, or loan, resulting in termination of the CalRecycle contract, subcontract, grant or loan by the CalRecycle or prime contractor, or (g) Placement on the CalRecycle's chronic violator inventory established pursuant to Public Resources Code section 44104 for any owner or operator of a solid waste facility, or (h) The person, or any partner, member, officer, director, responsible managing officer, or responsible managing employee of an entity has been convicted by a court of competent jurisdiction of any charge of fraud, bribery, collusion, conspiracy, or any act in violation of any state or federal antitrust law in connection with the bidding upon, award of, or performance under any CalRecycle contract, subcontract, grant or loan, or (1) The person or entity is on the list of unreliable persons or entities, or similar list, of any other federal or California state agency, or 0) The person or entity has violated an Order issued in accordance with section 18304, or, (k) The person or entity has directed or transported to, has or accepted waste tires at, a site where the operator is required to have but does not have a waste tire facility permit, or, (1) The person or entity has transported waste tires without a waste tire hauler registration, or, (m) The person or entity has had a solid waste facility or waste tire permit or a waste tire hauler registration denied, suspended or revoked, or, (n) The person or entity has abandoned a site or taken a similar action which resulted in corrective action or the expenditure of funds by CalRecycle to remediate, clean, or abate a nuisance at the site, or (o) The following are additional grounds for a finding that, a person or entity described below should be placed on the Unreliable List C 12 -RELIABLE CONTRACTOR DECLARATION (page 3 of 3) (1) The person or entity owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (2) The person held the position of officer director, manager, partner, trustee, or any other management position with significant control (Principal Manager) in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (3) The entity includes a Principal Manager who 1 Was a Principal Manager in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, or, 2 Owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (4) The entity has a person who owns 20% or more of the entity, if that person 1 Was a Principal Manager in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, or, 2 Owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (5) The entity has another entity which owns 20% or more of the entity, if that other entity 1 Is on the Unreliable List, or, 2 Owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (6) Subsection (o) is not intended to apply to a person or entity that purchases or otherwise obtains an entity on the Unreliable List subsequent to its placement on the Unreliable List C 13 THE AMERICAN INSTITUTE OF ARCHITECTS AIA Document A310 Bid Bond BOND # N/A KNOW ALL MEN BY THESE PRESENTS that we ICE ENGINEERING, INC 19042 SAN JOSE AVENUE UNIT L CITY OF INDUSTRY CA 91748 (Here insert full name and address or legal title of Contractor) as Principal hereinafter called the Principal and THE HANOVER INSURANCE COMPANY 333 CITY BOULEVARD WEST 17TH FLOOR ORANGE CA 92868 (Here insert full name and address or legal title of Surety) a corporation duly organized under the laws of the State of NEW HAMPSHIRE as Surety hereinafter called the Surety are held and firmly bound unto CITY OF HUNTINGTON BEACH 2000 MAIN STREET HUNTINGTON BEACH CA 92648 (Here insert full name and address or legal title of Owner) as Obligee hereinafter called the Obligee in the sum of TEN AND 00/100 PERCENT of attached bid - --- Dollars ($ 10 ova 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 SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET (Here insert full name address and description of project) 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 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 24th day of May 2010 (Witness) (Seal) (Witness) (Title) YUNG T MU CK Attorney in Fact AIA DOCUMENT A310 BID BOND AIA O FEBRUARY 1970 ED THE AMERIC INSTITUTE OF ARCHITECTS 1735 N Y AVE N W WASHINGTON D C 20006 CALIFORNIA ALL PURPOSE CERTIFICATE OF ACKNOWLEDGEMENT State of California County of Orange I SS On May 24, 2010 before me Shirley Vong, N tart' Public (insert name and title of the officer) personally appeared P Thao Nguyen who proved to me on the basis of satisfactory evidence to be the person(o whose name(o isk-re subscribed to the within instrument and acknowledged to me that WsheAhey executed the same in WherAhe* authorized capacity(tes) and that by hWherAhetf signatureW on the instrument the person(o or the entity upon behalf of which the persons} acted executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS my hand and official seal (seal) _ SHIRLEY VONG �i Comm # 1885818 v� NOTA" PUBLIC CALIFONNIA UI Los Amos COOmr NY COMM EXP APR 15 2014 PROFESSIONAL NOTARY ASSOCIATION OF AMERICA v2009 2 www cailfornlanotaryseminars com ACKNOWLEDGMENT State of California County of Orange ) On May 24 2010 before me Peter Austin Neff, Notary Public (insert name and title of the officer) personally appeared Yung T Mullick who proved to me on the basis of satisfactory evidence to be the person(X) whose name($) is/an; subscribed to the within instrument and acknowledged to me that heFzheJdilwy executed the same in hiss*)r authorized capacity** and that by his/miftex signature(s) on the instrument the person(*) or the entity upon behalf of which the person(x) acted executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS my hand and official seal Signature 1s OF PETERAUSTIPd NEFF N a°� °� COMM # 1799389 X WTARY pUBII04U0Rk1A ORANGE COUNTY My Loam E*m RAY 27,1011 (Seal) t 1. THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWERS OF ATTORNEY CERTIFIED COPY KNOW ALL MEN BY THESE PRESENTS That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY both being corporations organized and existing under the laws of the State of New Hampshire and CITIZENS INSURANCE COMPANY OF AMERICA a corporation organized and existing under the laws of the State of Michigan do hereby constitute and appoint James W Modanen Jennifer C Giboney Yung T Mullick and/or P Austin Neff of Mission Viejo CA and each is a true and lawful Attorney(s) in fact to sign execute seal acknowledge and deliver for and on its behalf and as Its act and deed any place within the United States or if the following line be filled in only within the area therein designated any and all bonds recognizances undertakings contracts of indemnity or other writings obligatory in the nature thereof as follows Any such obligations in the United States not to exceed Ten Million and No1100 ($10 000 000) in any single instance and said companies hereby ratify and confirm all and whatsoever said Attorney(s) in fact may lawfully do in the premises by virtue of these presents These appointments are made under and by authority of the following Resolution passed by the Board of Directors of said Companies which resolutions are still in effect RESOLVED That the President or any Vice President in conjunction with any Assistant Vice President be and they are hereby authorized and empowered to appoint Attorneys in fact of the Company in its name and as its acts to execute and acknowledge for and on its behalf as Surety any and all bonds recognizances contracts of indemnity waivers of citation and all other writings obligatory in the nature thereof with power to attach thereto the seal of the Company Any such writings so executed by such Attorneys in fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons (Adopted October 7 1981 The Hanover Insurance Company Adopted April 14 1982 — Massachusetts Bay insurance Company Adopted September 7 2001 Citizens Insurance Company of America) IN WITNESS WHEREOF THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals duly attested by a Vice President and an Assistant Vice President this 2r day of April 2010 THE COMMONWEALTH OF MASSACHUSETTS ) COUNTY OF WORCESTER ) ss On this 29`i' day of April 2010 before me came the above named Vice President and Assistant Vice President of The Hanover Insurance Company Massachusetts Bay Insurance Company and Citizens Insurance Company of America to me personally known to be the individuals and officers described herein and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company Massachusetts Bay Insurance Company and Citizens insurance Company of America respectively and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument by the authority and direction of said Corporations Ec a 0- y N0119ry public 00"N wqpqpwq My commission expires on November 3 2011 I the undersigned Assistant Vice President of The Hanover Insurance Company Massachusetts Bay Insurance Company and Citizens Insurance Company of America hereby certify that the above and foregoing is a full true and correct copy of the Original Power of Attorney issued by said Companies and do hereby further certify that the said Powers of Attorney are still in force and effect This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company Massachusetts Bay Insurance Company and Citizens Insurance Company of America RESOLVED That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto granted and executed by the President or any Vice President in conjunction with any Assistant Vice President of the Company shall be binding on the Company to the name extent as if all signatures therein were manually affixed even though one or more of any such signatures thereon may be facsimile (Adopted October 7 1981 The Hanover Insurance Company Adopted April 14 1982 Massachusetts Bay Insurance Company Adopted September 7 2001 Citizens Insurance Company of America) GIVEN under my hand and the seals of said Companies at Worcester Massachusetts this 24th day of May 2010 THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CIMINSUGEC ANY Of 'ERICA j Sfep$r� i3raul �issrsfa+a Vacs flies rif City of Huntington Beach 2000 Main Street • Huntington Beach, CA 92648 OFFICE OF THE CITY CLERIC JOAN L FLYNN CITY CLERK August 6 2010 Palp Inc dba Excel Paving Co 2230 Lemon Avenue Long Beach CA 92806 RE CC-1379 Slater Avenue Rehabilitation from Beach Blvd to Newland St Enclosed please find your original bid bond for CC-1379 Sincerely Joan L Flynn CMC City Clerk JF pe Enclosure Sister Zealand (Telephone 714 536 5227 ) PAR, INC 00A EXCEL PAVING COMPAW 2230 LEMON AVENUE LOW BEACH, CA 90606 2010 _ I p,'j I S3 aaCA)&&1L SEAUJ BIC ENCLOSED OALED I ENCLOSED SEALED City of Huntington Beach Public Works Department 2000 Main Street Tel (714) 53&5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET CC NO 1379 in the CITY OF HUNTINGTON BEACH May 20 2010 Notice To All Bidders Please note the following clarification to the Project Plans Specifications and Special Provisions 1) PROJECT BID SCHEDULE - Specification Book Crass out Item No 4 Estimated Quantity unit "CY" to "GY and change to "SF" on Slater Avenue Item 4 FDR with Cement treated Base on Section C page C-2 5 (Item 4 Estimated Quantity number is unchanged) 2) APPENDIX X - Specification Book Replace entire APPENDIX X - FULL DEPTH RECLAMATION WITH CEMENT with "ADDENDUM NUMBER ONE - FULL DEPTH RECLAMATION WITH CEMENT" (four pages) 3) SECTION C - Specification Book Replace Page C-3 - LIST OF CONTRACTORS with `ADDENDUM NUMBER ONE - LIST OF SUBCONTRACTORS" (one page) Bidders shall submit SECTION C with the change from "CY" to "SF" for Bid item No 4 on the Project Bid Schedule for Slater Avenue on page C 2 6 Award will be based on most current revised unit for that item This is to acknowledge receipt and review of Addendum Number One dated May 20 2010 Company Name By C"OWN PRESIDENT 7010 Date All bidders must acknowledge the receipt of this Addendum with your bid proposal Should you have any questions regarding this Addendum please call Jim Wagner at (714) 536-5431 SECTIO1N C PROPOSAL for the construction of SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET CC NO 1379 in the CITY OF HUNTINGTON 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 45 working days for Slater Avenue, the basis of Award, and a total of 65 working days to complete the work for all three segments including Gothard Street, if awarded, starting from the date of the Notice to Proceed Only two streets segments (asphalt areas) can be under construction at any given time The third segment can begin once the final cap has been placed on one of the first two segments Concrete work can occur on all three segments simultaneously 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 CI 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 TgN RFRCFNT OF AMOUNT 61W Accompanying this proposal of bid, find 510 Ili 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 "Bidder's Bond", as the case may be) Bidder shall signify receipt of all Addenda here, if any Addenda No ]late Received Bi der's Signature C-2 SECTION C PROJECT BID SCHEDULE INDEX SLATER AVENUE REHABILITATION CC NO 1379 Base Bid Total Amount Lump Sum Bid — In Figures Additive Alternate #1 Total Amount Lump Sun Bad In Figures Additive Alternate #2 Total Amount Lump Sum Bid In Figures -R A 4F. RTD Slater Avenue — from Beach Blvd to Newland Street -ADDITIVE ALTERNATE # 1 (1) Magnolia Street — from Warner Avenue to Interstate 405 -ADDITIVE ALTERNATE #2 (2) Gothard Street — from Heil Avenue to Edinger Avenue C-2 1 C-2 2 C-2 3 C-2 3 C-2 4 to C-2 8 C-2 9 to C-2 11 C-2 12 to C-2 15 PROJECT BASE BID Basis of Award Slater Avenue — from Beach Blvd to Newland Street C-2 4 to C-2 8 BASE BID TOTAL AMOUNT LUMP SUM BID IN FIGURES $ O)P1q ot�1 ;11 BASE BID WILL BE THE BASIS OF AWARD C-2 2 ADDITIVE ALTERNATE PROJECT #1 BID Magnolia Street — from Warner Avenue to Interstate 405 C-2 8 to C-2 11 ADDITIVE ALTERNATE #1 TOTAL AMOUNT LUMP SUM BID IN FIGURES $ fin\ 1Ok�I--- ADDITIVE ALTERNATE PROJECT #2 BID Gothard street — from Heil Avenue to Edinger Avenue U-L 1L to U-L 15 ADDITIVE ALTERNATE #2 TOTAL AMOUNT LUMP SUM BID IN FIGURES $ C-2 3 SLATER AVENUE FROM BEACH BLVD. TO NEWLAND STREET CC NO.1379 C-2 4 PROJECT BID SCHEDULE- - SLATER AVE Slater Ave CC 1379 Item Estimated Extended No Quantity Bid Item Description Unit Price Amount 1 1 Mobilization LS $ $ ' 2 1 Traffic Control Plan LS $ qUtz- $ 3 1 Furnish Project Traffic Control ® (=1 `(�j'� �. LS 4 1,5,6135 FDR with Cement Treated Base ply, n M —� 5 5900 Surface Grind (0 34) mcl Diposal of Material and Fabric SF $ _ $ S"900— 6 2900 Construct Asphalt Concrete (0 17 & 0 25 per plan) TN $ $ 7 2000 Construct Asphalt (0 17 ARHM Overlay) TN C*6 8 16 Adjust Sewer/Storm Dram Manhole to Grade EA $ �C� — / $ 9 3 Adjust OCSD Sewer Manhole to Grade EA $— $ �v�r 10 30 Adjust Water Valve to Grade EA $ $ C 2 5 PROJECT BID SCHEDULE- - SLATER AVE slater Ave CC-1379 Item Estimated .Extended No ¢uantity Bid Item Description Unit grace Amount 11 1 Traffic Striping per plan LS $_ $ 12 22 Install Traffic Loop EA $ _ $ 13 3170 Remove & Reconstruct Curb & Gutter (CF=8 or 6 Includes AB LF Slot Pave) per Std Plan 202 $ Q� $ 14 18000 Remove & Reconstruct Sidewalk per Std Plan 207 SF $ uaow 15 1 Install Truncated Domes to existing Access Ramp EA $ 33 00- �a n� ' $ 16 13 Install Access Ramp including all appurtenances EA $ ?,S-00 — $ 32- 17 7 Survey Monumentation EA $ _I (. $ —1 18 10 Remove existing tree and grind stump and roots below grade EA $ 19 1 Remove & Replace irrigation and landscape & plant new tree in EA existing parkway $ $ 3 20 1100 Remove & Reconstruct Residential Driveway Approach SF $ $ too- C-2 6 PROJECT BID SCHEDULE- - SLATER AVE Slater Ave CC-1379 Item Estimated Extended No (,quantity Bid Item Description Unit Price Amount 21 1025 Remove & Reconstruct Commercial Driveway Approach SF $ l $ 22 350 Remove & Reconstruct Alley Approach SF 23 4800 Remove & Reconstruct Concrete Cross Gutter SF $J $ 1cm 24 1 Adjust Monitoring Well to finished surface EA $ $ 25 105 Remove & Reconstruct Local Depression SF $ '' $ 26 8 Construct Residential Lot Dram EA $A $ too� 27 3 Remove & Reconstruct Parkway Dram EA $ S0 $ i S 28 3 Adjust existing Traffic Signal Box frame and cover EA $_ $ 29 8 Adjust existing water meter box frame and cover to new surface EA (Replace if broken with City furnished frame and cover) $ 30 1 Remove & Reinstall Existing Chamlmked Fence and Gate LS $ $ l C 2 7 PROJECT BID SCHEDULE- - SLATER AVE Slater Ave CC-1379 Item Estimated Extended Bid Item Description No Quantity Unit Price Amount 31 1 Remove Regrade & Replace Turf and Irrigation in Kind LS $ -1,95G, $ 32 1300 Remove & Reconstruct Commercial Driveway Approach with SF High Early Strength Concrete $ VC / $ 52" Sw 33 1 Provide 1 year Landscape Maintenance for Planted Tree in EA parkway $ $ 3 0n _ Total Amount Bid in Figures $ aA Total Amount Bid in Words zg- f" C 2 8 ADDITIVE ALTERNATE #1 PROJECT BID Magnolia Street — from Warner Avenue to Interstate 405 CC NO.1379 C-2 9 PROJECT BID SCHEDULE - MAGNOLIA ST (ADD ALTERNATE #1) Magnolia CC-1379 Item Estimated Extended No Quantity Bid Item Description Unit Price Amount 1 1 Mobilization LS $ $ 2 1 Traffic Control Plan LS $ 55- s5mo-- 3 1 Furnish Project Traffic Control LS $�'� $� 4 730 Unclassified Excavation mcl Disposal of Matrial and Fabric CY $ $ 5 73700 Surface Grind (0 17) mcl Deposal of Material and Fabric SF $ o 'an® 6 930 Construct Asphalt Concrete (depth 0 33 ) TN $ $ b3100 7 1385 Construct Asphalt (0 17 ARHM Overlay) g 4 Adjust Sewer/Storm Dram Manhole to Grade EA $ n " 9 1 Adjust OCSD Sewer Manhole to Grade EA $ ��--��,,��,� $ 60 10 15 Adjust Water Valve to Grade EA $— $ C 210 PROJECT BID SCHEDULE - MAGNOLIA ST (ADD ALTERNATE #1) Magnolia CC-1379 Item Estimated Extended No Quantity Bid Item Description Unit Price Amount 11 4 Adjust Monitoring Well to Grade EA $i _ $_ 12 1 Traffic Striping LS $ �,� $ 13 26 install Traffic Loops EA $ Z.0 - $SIM- 14 160 Remove & Reconstruct Curb & Gutter (CF=8 Includes AB Slot LF Pave) per Std Plan 202 $ $ q ` ry D J 15 835 Remove & Reconstruct Sidewalk per Std Plan 207 SF $ $ l u — 16 1 Install Truncated Domes into existing Ramp EA $ ��-- $ 34 M-- 17 5 Survey Monumentation EA $ 1 ox, 9�Wo 18 3 Adjust Survey Monument Well to Grade EA $ 060— $ low ' 19 700 Remove and Reconstruct Driveway Approach per Std Plan 211 11 SF $ YL' s..aquD- Total Amount Bid in Figures $ -11 IAS Total Amount Bid in Words IlveL wA ! bra Fi qV �- - C-2 11 ADDITIVE ALTERNATE #2 PROJECT BID Gothard Street — from Heil Avenue to Edinger Avenue. CC NO. 1379 C-2 12 PROJECT BID SCHEDULE - GOTHARD ST (ADD ALTERNATE #2) Gothard St CC 1379 Item Estimated Extende Bid Item Description No Quantity Unit Price Amount 1 1 Mobilization LS $ $ 2 11 ITraffic Control Plan $ _qsm Is 4 3 JI Furnish Project Traffic Contro LS 4 260 Unclassified Excavation mcl Disposal of Matnal and Fabric CY $ AS — $ lei 7 5 56570 Cold Milting mcl Deposal of Material and Fabric I �,�Q��--�� I---- SF $ � ® $ 6 500 Construct Asphalt Concrete (0 39 per plan) TN $A0— $qswo— 7 1960 Construct Asphalt (0 17 ARHM Overlay) K*3 1 TN $ $ $ 9 Adjust Sewer Manhole to Grade EA $ 9 29 Adjust Water Valve to Grade EA � $ �11 $ 10 1 Traffic Striping per plan LS $ $ C 2 13 PROJECT BID SCHEDULE - GOTHARD ST (ADD ALTERNATE #2) Gothard St CC-1379 .Item No Estimated Quantity Bid Item Desmptio>n Unit Pace Extended Amount 11 20 EA Traffic Loop $ — $ �-A . 12 1650 LF Remove & Reconstruct Curb & Gutter (CF=8 Includes AB Slot Pave) per Std Plan 202 $ 13 13225 SF Remove & Reconstruct Sidewalk per Std Plan 207 1B —. $ 14 4 EA Construct Curb Access Ramp 540 $ `'3(0 0L CM 15 325 SF�- Remove & Reconstruct Local Depression per Std Plan 302 16 3 EA Prepare Corner Records for Survey Monumentation ( — $�Vff S VA 17 7 EA Remove existing tree and grind stump and roots below grade $ $— 18 2 EA Install new Survey Well Monument per HB Std Plan 219 $ 000 $ 2. 19 3455 SF Remove & Reconstruct concrete Cross Gutter Per HB Std Plan 205 $ ' , $ 20 1225 SF Remove & Reconstruct Residential Driveway per HB Std Plan 209 $ U. " $ -ca -1 C 2 14 PROJECT BID SCHEDULE - GOTHARD ST (ADD ALTERNATE #2) Gothard St CC 1379 Item Estimated Extended Bid Item Description No Quantity Unit Price Amount 21 50 Reconstruct Modified Driveway Apron LF $ $ 22 5475 Remove & Reconstruct Commercial Driveway per H13 Std Plan SF 211 / $ Y L �" $ (9 �• 23 1 Relocate Fire Hydrant per Std Plan 607 EA $ $ 24 1 Install Metal Hand Rail Per APWA Std Plan 606 2 (Ty pe B) EA $ W — $ VOW — 25 1100 Reconstruct Commercial Driveway Approach per H13 Std Plan SF 211 modified to thickness of 12 with #4 Rebar $ $_ 26 12 Adjust existing water meter box frame and cover to new surface EA (Replace if broken with City furnished frame and cover) $ g(p _ $ otal Amount Bid in Figures - Total Amount Bid in Words 1 C 2 15 ADDENDUM NUMBER ONE For SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET, C C NO 1379 In the CITY OF HUNTINGTON BEACH May 20, 2010 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 or $10,000, whichever is rg eater, and the portion of the work to be done by such subcontractor Portion Name and Address of Subcontractor State License Class of Work Number tug I 6A6 1 ri O q l ®mil 0 �& �� �.Q., r "V 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 CC-1379 Slater Avenue Addendum 1 NONCOLLUSION AFFIDAVIT TO DE EXECUTED BY BIDDEN AND SiTBMITTED WITH DID State of California ss County of Orange 0 P BROWU , bein4*0 kyanom, deposes and says that he or she is of the party making the foregoing bid that the bid is not made in e m eres o , or on e 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 V Name of Bidder Signature of Bidder O P AROWN PnEsIDENT 2230 LEMON AVENUE LONG BEACH, CA 90806 Address of Bidder e1r; — 2010 Subscribed and sworn to before me this day of , 201� NOTARY PUBLIC C PHILLIPS eMY COMM #1809758Notary Public-ralifornia LC�SAN ELESSOU" tLCOMM FJ ImpAq 10 2012 K NOTARY SEAL C4 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 Slater Avenue Rehabilitation from Beach Boulevard to Newland Street, CC No 1379, (I)(we)(rt) 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 JUN -11 2010 Contractor v� By Title Cs 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 regulation9 ® Yes dNo 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 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 JUN -1 2010 Contractor By G,P. BROWN, PRESIDENT, Title C7 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 or 811 a mimmum of two working days before scheduled excavation Dag Alert Identification Number Contractor C -2 Kt4'� By C P 5ROWN PRESIDENT Title Date JUN - 12010 Note This form as required for every Dag 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 certifies that the following information is true and correct Bidder Name -AL'- INC DE F , OOEL PAVING COMPAW 2230 LEMON AVENUE LONG BEACH CA 90806 Business Address City, (562) 599-5841 Telephone Number STATE t IC 688659 W State Contractor's License No and Class 5 kvA� Original Date Issued -31-7,01 Z Expiration Date State Zip The work site was inspected by ? F411 ' of our office on 5 -*1Igo - I u 5201 The following are persons, firms, and corporations having a principal interest in this proposal Curtis P Brown President and Chief Executive Officer Curhs P, I�r®wn III k%Testa^ t and Ch of Operating Offs o i r— Bruce E E Fla Vice President and Chief Financial Officer George R 1-keftme Vice President Mama S Miller Secretary �s. 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 INC DBA DEL PAT'NG COMMW Company Name Signature of 0 F FROWN PRFW)FN Printed or Typed Signature Subscribed and sworn to before me this _ day of JUN ` 12010 , 201_ / C PHILLIPS ° Comm #18097sa ro NotaryOubli; -California LOS ANGE1 ES COUNTY m NOTARY PUBLIC' My COMM IiVirgg AWS %6 2012 K 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 NIT NVA� 1 2 3 Name and Address of Public Agency Name and Telephone No of Project Manager Contract Amount Type of Work Name and Address of Public Agency 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 Date Completed Date Completed Date Completed C10 RELIABLE CONTRACTOR DECLARATION (page 1 of 3) This form must be completed and submitted to the Department of Resources Recycling and Recovery (CalRecycle) prior to authorizing a contractor(s) to commence work Failure to provide this documentation in a timely manner may result in nonpayment of funds to the contractor(s) This form is intended to help the CalRecycle's Grantees comply with the Unreliable List requirement of their Terms and Conditions The Unreliable List provision requires the following Prior to authorizing a contractor(s) to commence work under the Grant, the Grantee shall submit to CalRecycle a declaration signed under penalty of perjury by the contractor(s) stating that within the preceding three (3) years, none of the events listed in Section 17050 of Title 14, California Code of Regulations, Natural Resources, Division 7, has occurred with respect to the contractor(s) Please see the reverse of this page for a listing of events, or refer to www CalRecycle ov/Regulations/Title14/ Please return the completed form(s) to Department of Resources Recycling and Recovery Name of your Grant Program Attn Name of your Grant Manager P O Box 4025 Sacramento, CA 95812-4025 GRANTEE INFORMATION GRANTEE NAME GRANT NUMBER PRIMARY CONTACT NAME CONTRACTOR INFORMATION CONTRACTOR NAME MMEL ti AUTHORIZED CONTRACTOR REPRESENTATIVE NAME Sam E MAILING ADDRESS 2230 LEMON AVENUE LONG BEACH, CA 90805 As the authorized representative of the above identified contractor I declare under penalty of perjury under the laws of the State of California that within the preceding three (3) years none of the events lasted in Section 17050 of Title 14 California Code of Regulations Natural Resources Division 7 has occurred with respect to the above identified contractor Signature Date JUN 0 r NROWN PRFSIOEN T C 11 RELIABLE CONTRACTOR DECLARATION (page 2 of 3) Title 14 CCR, Division 7, Chapter 1 Article 5 Unreliable Contractors, Subcontractors, Borrowers and Grantees Section 17050 Grounds for Placement on Unreliable List The following are grounds for a finding that a contractor, any subcontractor that provides services for a CalRecycle agreement, grantee or borrower is unreliable and should be placed on the CalRecycle Unreliable Contractor, Subcontractor, Grantee or Borrower List ("Unreliable List") The presence of one of these grounds shall not automatically result in placement on the Unreliable List A finding must be made by the Executive Director in accordance with section 17054, and there must be a final decision on any appeal that may be filed in accordance with section 17055 et seq (a) Disallowance of any and/or all claim(s) to CalRecycle due to fraudulent claims or reporting, or (b) The filing of a civil action by the Attorney General for a violation of the False Claims Act, Government Code section 12650 et seq, or (c) Default on a CalRecycle loan, as evidenced by written notice from CalRecycle staff provided to the borrower of the default, or (d) Foreclosure upon real property loan collateral or repossession of personal property loan collateral by CalRecycle, or (e) Filing voluntary or involuntary bankruptcy, where there is a finding based on substantial evidence, that the bankruptcy interfered with the CalRecycle contract, subcontract, grant or loan, or (f) Breach of the terms and conditions of a previous CalRecycle contract, any subcontract for a CalRecycle agreement, grant, or loan, resulting in termination of the CalRecycle contract, subcontract, grant or loan by the CalRecycle or prune contractor, or (g) Placement on the CalRecycle's chronic violator inventory established pursuant to Public Resources Code section 44104 for any owner or operator of a solid waste facility, or (h) The person, or any partner, member, officer, director, responsible managing officer, or responsible managing employee of an entity has been convicted by a court of competent jurisdiction of any charge of fraud, bribery, collusion, conspiracy, or any act in violation of any state or federal antitrust law in connection with the bidding upon, award of, or performance under any CalRecycle contract, subcontract, grant or loan, or (i) The person or entity is on the list of unreliable persons or entities, or similar list, of any other federal or California state agency, or 0) The person or entity has violated an Order issued in accordance with section 18304, or, (k) The person or entity has directed or transported to, has or accepted waste tires at, a site where the operator is required to have but does not have a waste tire facility permit, or, (1) The person or entity has transported waste tires without a waste tire hauler registration, or, (m) The person or entity has had a solid waste facility or waste tire permit or a waste tire hauler registration denied, suspended or revoked, or, (n) The person or entity has abandoned a site or taken a similar action which resulted in corrective action or the expenditure of funds by CalRecycle to remediate, clean, or abate a nuisance at the site, or (o) The following are additional grounds for a finding that, a person or entity described below should be placed on the Unreliable List C-12 (1) The person or entity owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (2) The person held the position of officer director, manager, partner, trustee, or any other management position with significant control (Principal Manager) in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (3) The entity includes a Principal Manager who 1 Was a Principal Manager in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, or, 2 Owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (4) The entity has a person who owns 20% or more of the entity, if that person 1 Was a Principal Manager in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, or, 2 Owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (5) The entity has another entity which owns 20% or more of the entity, if that other entity 1 Is on the Unreliable List, or, 2 Owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (6) Subsection (o) is not intended to apply to a person or entity that purchases or otherwise obtains an entity on the Unreliable List subsequent to its placement on the Unreliable List C 13 CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of Los Angeles On i-Im _ i 7niQ before me C PHILLIPS, NOTARY PUBLIC (Here Wert ram and tide of the officer) personally appeared PALP DBA EXCEL PAVING COMPANY BY C P BROWN, PRESIDENT who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/ails subscnbed to the within instrument and acknowledged to me that hefteMy executed the same in hisAtwVW1Y authonzed capacity(ies), and that by hisAwrAlim signature(s) on the uistrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct r C PF ILLIPS COMN #190 7',9 n WITNESS my h and official seal ( tax I No ary P bl c- .1 �rnia s \� x Af/ l LOS ANGILES COJNTY L"E ,. ,rY5 Cc rim Expires Ajn 16 2012 Signature o otary Public (Notary Seal) ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description of attached document) (Title or description of attached document continued) Number of Pages Document Date (Additional information) CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) ❑ Corporate Officer (T rile) F) Partner(s) [1 Attorney m I ao 17 1 rustee(s) U Other INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in California must contain verbiage exactly as appears above in the notary section or a separate acknowledgment form must be property completed and attached to that document the only exception is (f a document is to be recorded otkside of Caltfoema /n such instances any afterneurve acknow/edgmerr verbiage as may be printed on such a document so long as the verbiage does not require the notary to do something that a (tfegat for a notary in California (i a cert&ng the authorized capacity of the signer) Please check the document carefullyfor proper notarial wording and attach d&form ifrequired State and County information must be the State and County when the document signer(,) personalty appeared before the notary public for acknowledgment Date of notanration must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment Is completed The notary public must pnnt his or her name as it appears within his or her cornnussion followed by a comma and then your title (notary public) Print the name(s) of document signers) who personally appear at the time of notanzation Indicate du correct singular or plural forms by crossing off incorrect forms (i e Wsht/0*5-- is /are) or circling the correct forms Failure to correctly indicate this information may lead to rejection of document recording The notary seal impression must be clear and photographically reproducible Impression must not cover text or lines If seal impression smudges re seal if a sufficient area permits otherwise complete a different aclmowlcdgment form Signature of the notary public must match the signature on file with the office of the county clerk Additional information is not required but could help to ensure this acknowledgment iv not misused or attached to a different docutent Indicate title or type of attached docummcnt, number of pages and date Indicate the capacity claimed by the signer If the claimed capacity is o corporate officer indicate the ufle (i e Cr0 ( FO Secretary) Securely attach this document to the signed document 2008 Version ( Al 1 � 12 10 (17 800 873 98t S www Notary( lasses com 0-'"CLL. PAVING COMPANY A GENERAL ENGINEERING CONTRACTOR STATE LICENSE NO 688659A P O BOX 16405 LONG BEACH CA 90806 519 (562) 5995841 FAX (562) 5917485 C P Brown President 30+ years experience working for other general contractors with the past 24 years being self employed in own general engineering contracting business VI INC DRA XCEL PAVING C NFd E : • DESCRIPTION OF OPERATIONS PO BOX 16406 LONG BEACH, CA 9�080651g5 064 699"wil FAX (SW 591.7486 Excel Paving Company is a general engineering and paving contractor that has been In business for the past 25+ years The company is a corporation owned by C P Brown, Jr Their operations include street and road construction, widening, and repairs, related sidewalk, curb and gutter construction, paving of school yards and parking lots, pipe work, and excavation and grading of "pads" for building sites On approximately 80% of their Jobs the company will operate as a general contractor, responsible for all off -site improvements, grading, removal, etc , but will subcontract any work which is not specifically within their domain Occasionally the company will perform work at airports They may also occasionally perform work in the "THUMS " area of Long Beach Harbor, requiring them to transport their equipment and personnel by barge to these islands, approximately % mile from the harbor The company estimates 2006-2007 gross revenues of $85 Million, $60 Million of which Is subcontractor and material costs All work Is performed In Southern California, with most In Los Angeles and Orange County A great deal of work Is done for public entities, repairinghvidening existing surface streets and roads (76% public entitles and 25% private entities), concrete, landscaping, electrical, cold milting, highway, bridge, or overpass work Is subcontracted out to other firms Excel Paving Company also repairs a great number of school yards and parking lots (30%) and usually has a small amount of ongoing work at the Los Angeles, Burbank, and Long Beach airports INCUMBENCY AND SIGNATURE CERTIFICATE OF PALP, INC 'a'"C %andca;■�ed, i `aa min S iv`imer, oeing the duty elected and incumbent Secretary of Palp, Inc., dba Excel Paving Company, a California corporation (the "Corporation'), hereby certifies that the persons named below are, on and as date hereof, the duly qualified, elected and acting Officers of the Corporation holding the office set forth opposite their names below, such officers being authorized to sign, in the name of and on behalf of the Corporation Curtis P Brown President and Chief Executive Officer Curtis P Brown III Vice President and Chief Operating Officer Bruce E Flatt Vice President and Chief Financial Officer George R. McRae Vice President Marcia S Miller Secretary Michele E Drakuhch Assistant Secretary IN WITNESS WHEREOF, the undersigned has executed this Certificate as of the date set forth below Date January 27, 2010 CIA S MILLER, SJcretary PALP, INC DBA EXCEL PAVING COMPANY A GENERAL ENGINEERING CONTRACTOR STATE LICENSE NO 688659A Excel Paving Company 2230 Lemon Avenue T nng Read, (` n ononK �. ivvvv Telephone 562/599-5841 Type of Business Contractors License # Fed I D # CREDIT APPLICATION Fax 562/599-3679 General Engineering Contractors 688659A 95-3672914 Excel Paving Company is a Corporation Owner Palp Inc 2230 Lemon Avenue Long Beach CA 90806 In business since October 1981 Same location since October 1981 Property Owned by Brown & Mills Financial rating with Dun & Bradstreet Rating 3A2 SIC#0161 U S Bank Account Representative Phone # Fax # Account # 4100 Newport PI # 130 Newport Beach, CA 92660 Robin Woods 949/863 -2462 949/863-2336 153491958689 TRADE REFERENCES Company Phone Vulcan Materials 626/334-4913 RE H Trucking 909/591-0871 Blue Diamond Materials 714/578-9600 Savala Equipment 800/223 2473 P O BOX 1640` LONG BEACH CA 90806 519` (562) 599 5841 FAX (562) 591 748` Fax Contact 626/334-4161 Bill Watt 909/591 0506 Gina Mendiola 714/449-2295 Rich Shoan 949/552 8597 Yoganda Ellis I certify that the above information is true and correct and that we can and will comply with your terms 1� C P Brown -President Bonding Agent Rapp Surety Services 23461 South Pointe Drive Suite 345 Laguna Hills CA 92653 Office (949) 457-1060 Fax (949) 457-1070 ContactD. Surety Federal Insurance Company C/O Surety Department 801 South Figueroa Street 23'd Floor Los Angeles CA 90017 P O Box 30127 Los Angeles CA 90030-0127 Insurance Carrier The Wooditch Company One Park Plaza Suite 400 Irvine CA 92614 Contact William Wooditch Office (949) 553-9800 Fax (949) 553 0670 CONTRACTOR'S NAME PALP INC DBA EXCEL PAVING COMPANY A COMPANY EXPERIENCE (REFERENCE 105 OF THE RESPONSIBILITY STATEMENT) PROVIDE FOLLOWING INFORMATION FOR ALL PROJECTS WHICH INVOLVE CONSTRUCTION WORK WITH A VALUE IN EXCESS OF $2 000 000 PRESENTLY UNDER CONSTRUCTION PROJECT NAME Jefferson Blvd Widenin PROJECT DESCRIPTION Street widening, Infrastructure reconstruction, Street lighting, traffic signals, landscape & irrigation, Storm drain impvts, and LOCATION Jefferson Blvd , Playa Vista, Los Angeles hewer CONSTRUCTION VALUE 6,306,687 00 IF YOUR WORK WAS PERFORMED AS A SUBCONTRACTOR N/A WTTIAL SUBCONTRACT VALUE FINAL SUBCONTRACTOR ARCHITECT KATZ, OKITSU & ASSOC PSOMAS GENERAL CONTRACTOR INFORMATION NAME _Excel Paving Company CONTACT David Cook TELEPHONE 562) 599-5841 Ext 239 OWNER INFORMATION NAME Playa Capitol Company, LLC CONTACT Mr Lary Chambers TELEPHONE 310)448-4705 or 310)345-7856 CONTRACTOR'S NAME PALP INC DBA EXCEL PAVING COMPANY A COMPANY EXPERIENCE (REFERENCE 105 OF THE RESPONSIBILITY STATEMENT) PROVIDE FOLLOWING INFORMATION FOR ALL PROJECTS WHICH INVOLVE CONSTRUCTION WORK WITH A VALUE IN EXCESS OF $2 000 000 PRESENTLY UNDER CONSTRUCTION PROJECT NAME Slauson Ave/ SR-90 Impvts PROJECT DESCRIPTION On ramp & off ramp widening on SR90, Traffic Mitigation added left turn on Slauson Signalization & Signing & Storm Drain Impvts LOCATION Slauson Ave @ SR90 Culver City, Los Angeles CONSTRUCTION VALUE 2 136,269 00 IF YOUR WORK WAS PERFORMED AS A SUBCONTRACTOR N/A INITIAL SUBCONTRACT VALUE FINAL SUBCONTRACTOR ARCHITECT KATZ, OKITSU & ASSOC PSOMAS GENERAL CONTRACTOR INFORMATION NAME Excel Paving Company CONTACT David Cook TELEPHONE 562)599-5841 Ext 239 OWNER INFORMATION NAME Playa Capitol Company LLC CONTACT Mr Lary_Chambers TELEPHONE 310)448-4705 or 310)345-7856 CONTRACTORS NAME PALP INC DBA EXCEL PAVING COMPANY ,q (nRADnKw EXF- r-RiEivCE IREFERENCE 1 05 OF THE RESPONSIBILITY STATEMENT) PROVIDE THE FOLLOWING INFORMATION FOR ALL PROJECTS WHICH INVOLVE CONSTRUCTIQN WORK WITH A VALUE IN EXCESS OF $2 000 000 PRESENTLY UNDER CONSTRUCTION PROJECT NAME ETA MONICA TRANSIT PARKWAY PROJECT PROJECT DESCRIPTION UNDERGROUND, RETAINING WALLS, FWY ON RAMPS, A/C PAVE, SIDEWALK, CURB 6 GUTTER, SIGNALIZATION, LANDSCAPING, STORM DRAIN IMPVTS,SEWER, WATER, AND RETAINING WALL LOCATION FROM 405 FWY TO BEVERLY HILLS CITY LIMIT, LOS ANGELES CONSTRUCTION VALUE S14.455.152.00 IF YOUR WORK WAS PERFORMED AS A SUBCONTRACTOR N/A INITIAL SUBCONTRACT VALUE FINAL SUBCONTRACT VALUE ARCHITECT C/O LOS ANGELES GENERAL CONTRACTOR INFORMATION NAME PALP INC DBA EXCEL PINING COMPANY CONTACT BRUCE FLATT TELEPHONE 562/599-5841 OWNER INFORMATION NAME CITY OF LOS ANGELES CONTACT CARL NELSON TELEPHONE 21 485--4A_Z4 CONTRACTOR'S NAME PALP INC DBA EXCEL PAVING COMPANY A COMPANY EXPERIENCE (REFERENCE 105 OF THE RESPONSEBILITY STATEMENT) PROVIDE FOLLOWING INFORMATION FOR ALL PROJECTS WHICH INVOLVE CONSTRUCTION WORK WITH A VALUE IN EXCESS OF S2 000 000 PRESENTLY UNDER CONSTRUCTION PROJECT NAME Alameda Street PROJECT DESCRIPTION Redesign of Arterial Streets and Storm Drain Impvts LOCATION Intersection of Alameda Street and N Spring St Los Angeles CONSTRUCTION VALUE 3,197,043 00 IF YOUR WORK WAS PERFORMED AS A SUBCONTRACTOR N/A INITIAL SUBCONTRACT VALUE FINAL SUBCONTRACTOR ARCHITECT City of Los Angeles GENERAL CONTRACTOR INFORMATION NAME Excel Paving Company CONTACT Rnh Pace TELEPHONE 562) 599-5841 Ext 248 OWNER INFORMATION NAME City of Los Angeles Board of Public Works CONTACT Raphael Villegas TELEPHONE 213)485-4556 CONTRACTOR'S NAME PALP INC DBA EXCEL PAVING COMPANY A COMPANY EXPERIENCE (REFERENCE 105 OF THE RESPONSIIB[LITY STATEMENT) PROVIDE FOLLOWING INFORMATION FOR ALL PROJECTS WHICH INVOLVE CONSTRUCTION WORK WITH A VALUE IN EXCESS OF $2 000 000 PRESENTLY UNDER CONSTRUCTION PROJECT NAME Phase 3 Container Yard Expansion Pier T PROJECT DESCRIPTION Container Yard Parking Lot Expansion, Storm Drain Impvts, Sewer and Water LOCATION Pier T, Long Beach, Ca CONSTRUCTION VALUE 21,703,834 00 IF YOUR WORK WAS PERFORMED AS A SUBCONTRACTOR N/A INITIAL SUBCONTRACT VALUE FINAL SUBCONTRACTOR ARCHITECT Port of Long Beach GENERAL CONTRACTOR INFORMATION NAME Excel Paving Company CONTACT Bob Pace TELEPHONE 562)599-5841 ext 246 OWNER INFORMATION NAME _The Port of Long Beach CONTACTGary Cardemone TELEPHONE 562) 590-4172 CONTRACTOR'S NAME PALP INC DBA EXCEL PAVING COMPANY A COMPANY EXPERIENCE (REFERENCE 105 OF TBE RESPONSIBH,ITY STATEMENT) PROVIDE FOLLOWING INFORMATION FOR ALL PROJECTS WHICH INVOLVE CONSTRUCTION WORK WITH A VALUE IN EXCESS OF $2 000 000 PRESENTLY UNDER CONSTRUCTION PROJECT NAME pier E Berths .24-326 PROJECT DESCRIPTION Asphalt Utility Removals, Grade, New Asphalt Paving and New Concrete RTG Runways, Storm Drain Impvts, Sewer and Water LOCATION Pier CONSTRUCTION VALUE 5,251,800 00 IF YOUR WORK WAS PERFORMED AS A SUBCONTRACTOR N/A U41 TIAL SUBCONTRACT VALUE FINAL SUBCONTRACTOR ARCHITECT Port of Long Beach GENERAL CONTRACTOR INFORMATION NAME Excel Paving Company CONTACT Bob Pace TELEPHONE 562)599-5841 Ext 246 OWNER INFORMATION NAME The Port of Long Beach CONTACT Peter Forsythe TELEPHONE 562) 244-9077 CONTRACTOR'S NAME PALP INC DBA EXCEL PAVING COMPANY A COMPANY EXPERIENCE (REFERENCE 105 OF THE RESPONSIBILITY STATEMENT) PROVIDE FOLLOWING INFORMATION FOR ALL PROJECTS WHICH INVOLVE CONSTRUCTION WORK WITH A VALUE IN EXCESS OF $2 000 000 PRESENTLY UNDER CONSTRUCTION PROJECT NAME Highland Avenue Widening PROJECT DESCRIPTION Redesign of Highland Ave and Adjacent Streets) Storm Drain Impvts LOCATION Highland Ave @ Franklin Ave, City of Los Angeles CONSTRUCTION VALUE 2,754.889 00 IF YOUR WORK WAS PERFORMED AS A SUBCONTRACTOR N/A INITIAL SUBCONTRACT VALUE FINAL SUBCONTRACTOR ARCHTTECT City of Los Angeles GENERAL CONTRACTOR INFORMATION NAME Excel Paving Company CONTACT Bob Pace TELEPHONE 562) 599-5841 Ext 246 OWNER INFORMATION NAME City of Los Angeles Board of Public Works LONIACT Rafael Villegas TELEPHONE 213)485-4556 d n CONTRACTOR'S NAME PALP INC DBA EXCEL PAVING COMPANY A COMPANY EXPERIENCE ((REFERENCE 1 OS OF T" RBSPONSEBILIT1' STATEMENT) PROVIDE FOLLOWING INFORMATION FOR ALL PROJECTS WHICH INVOLVE CONSTRUCTION WORK WITH A VALUE IN EXCESS OF $2 ODO 000 PRESENTLY UNDER CONSTRUCTION PROJECT NAME North Maclay Ave PROJECT DESCRIPTION Street Beautification and Improvement of North Maclay Ave LOCATION North Marlay Ave. from Ist Street to Eighth Street CONSTRUCTION VALUE 3,682,624 00 IF YOUR WORK WAS PERFORMED AS A SUBCONTRACTOR N/A INITIAL SUBCONTRACT VALUE FINAL SUBCONTRACTOR ARCHITECT City of San Fernando GENERAL CONTRACTOR INFORMATION NAME Excel Paving Company CONTACT Bob Pace TELEPHONE 562) 599-5841 Ext 246 OWNER INFORMATION NAME Clt,y of —San Fernando CONTACT Daniel Wall/ City Engineer TELEPHONE 818) 898-1225 WORK EXPERIENCE MAY 31, 2009 CLOSED JOBS 2ND QUARTER 2008 2009 EXCEL PAVING CO 10-23-09 JOB NO 4295 CULVER BLV/VISTA DEL MAR 4458 TAPO CYN/ALAMO ST SIMI VALLEY 4483 BOB HOPE AIRPRT BURBANK E06-53 4492 TIERRA REJADA RD/2ND ST MORPRK 4499 KAISER CANTARA ST PANORAMA 4505 TOPANCA & VTCTORY WESTFIELD 4507 N BRAND BLVD GLENDALE 4522 BELMONT PIER PLAZA LB R6660 4524 VERDUGO/BARRINGTON GLENDALE 4568 NUEVA VISTA E/S BELL 45H 07-08 ROYAL AVE SIMI SV08-02 4593 LOWELL EL SCH LONG BCH USD 4596 MAT ARRESTING SYS BURBANK ARPT 4625 EL PRESIDIO ST CARSON 4631 4TH ST SAN BERNARDINO REMPREX 4635 JOHN WAYNE AIRPORT BALI 4646 CALIFORNIA BLVD PASADENA 4653 GETTY CENTER LOS ANGELES 4654 WESTERN AVE TORRANCE 4657 SO FREMONT ST ALHAMBRA 4660 GOODE AVE GLENDALE 4666 5TH ST MANHATTAN BEACH 4671 R ST/FIGUEROA KAISER WILMINGTN 4672 5901 7TH ST VA HOSP LONG BEACH 4674 OLDEN ST SYLMAR FINAL CONTRACT 000 lECT NAri1L AMOUNT PLAYA CAPITAL CO 1,601,060 CITY OF SIMI VALLEY 2,957,391 BURBANK/GLENDALE/PASADENA 13,177,103 CITY OF MOORPARK 3,167,306 KAISER FOUNDATION HEALTH PLAN 91 879 WESTFIELD DESIGN COPSIRUCIICJ 2 597,572 HATHAWAY DINWIDDIE CONSTRUCTIO 217 460 CITY OF LONG BEACH 514 419 CITY OF GLENDALE 585,432 PREMIER WEST 206 362 CITY OF SIMI VALLEY 1,816,110 LONG BEACH UNIFIED SCHOOL DIST 541 572 BURBANK/GLENDALE/PASADENA 3,642,247 LANE AIRE MANUFACTURING 13 122 REMPREX LLC 1,438,337 BALI CONSTRUCTION 15,536 HATHAWAY DINWIDDIE CONSTRUCTIO 37,708 HATHAWAY DINWIDDIE CONSTRUCTIO 6,700 MOOG AIRCRAFT GROUP 7,240 INTERSCAPE CONSTRUCTION INC 4,600 DINWIDDIE CONSTRUCTION COMPANY 256,760 BEARDSLEY CONSTRUCTION 1,500 KAISER PERMANENTE (USE) 8,450 MOTORCYCLE SYSTEMS 5,445 TUTOR SALIBA PERINI JV 36,710 WORK EXPERIENCE MAY 31, 2009 f OPEN JOBS 2ND QUARTER 2009 a/ 0 EXCEL PAVING CO EST FINAL WORK WORK 8-649 CONTRACT COMPL BACKLOG 4042 TUDOR WEST/UCLA JOBS 2 339 610 1000% 1 02000 4093 ,�N FERN VLl LA 1 413 9 / 3 1000% 4232 VALENCIA MESA FULLERTON 930 000 99 9% 1 14500 4240 LINCOLN BLVD CALTRANS 12 138 000 984% 231084 00 d �d2 ruknrDT ED /L nlTvERSHi r LVJ tuvGELEJ 5 421 529 IOU U /o 4245 LINNIE CANAL LOS ANGELES 351 920 1000% 4266 CENTINELA AVE LOS ANGELES 2 880 145 1000% 4295 CULVER BLVD VISTA DEL MAR 1 601 060 1000% 4302 VERMONT AVE LOS ANGELES 1 392 670 1000% 4324 USC FIGUEROA & JEFFERSON 1 584 799 1000% 4328 HIGHLAND AVE LOS ANGELES 3 449 332 99 8% 6 582 00 4329 SUNSET BLVD LOS ANGELES 2 062 587 1000% 4330 HARBOR GATE Al LOS P2gGEi ES - 7 d 4 03 3 99 8% 3 679 00 4340 SLAUSON AVE CULVER CITY 2 570 504 97 3% 60 893 00 4348 PH 3-PIER T LONG BEACH 23 538 665 1000% 4370 ALAMEDA ST LOS ANGELES 2 687 109 97 2% 50 216 00 4408 HOLLYWOOD WAY BURBANK 23 710 82 7% 2 900 00 4413 VERMONT LOS ANGELES 182 915 99 4% 1 00000 4425 FIRST ST-LOS ANGELES 255 000 696% 5321100 4442 SEPULVEDA BLVD LA/ CC 594 614 86 4% 80 015 00 4454 UCI IRVINE 59 976 1000% 4458 TAPO CYN SIMI VLY 2 957 391 1000% 4466 FIGUEROA/SEPULVEDA LACO SANI 2 453 930 1000% 4481 CERRITOS/EL RITO GLENDALE 1 197 605 1000% 4482 ALAMITOS RODGE LONG BEACH 408 474 1000% 4483 BOB HOPE AIRPORT BURBANK 13 177 103 99 4% 68 346 00 4492 TIERRA REJADA RD MOORPARK 3 167 306 1000% 4497 CALIFORNIA BLVD CSI ELECT 14 892 1000% 4499 CANTARA KAISER FOUND 100 078 81 6% 14 19000 4502 GARDEN GROVE SANI 1 964 738 1000% 4505 TOPANGA/VICTORY WESTFIELD 2 597 572 99 9% 1 48800 4507 BRAND BLVD HATHAWAY 217 460 1000% 4508 ALVARDO TRANSIT LACRA 2 140 870 72 6% 52342600 4522 BELMONT PLAZA LONG BEACH 514 419 1000% 4523 BESS/LEORETTA KAISER 347 000 1000% 4524 VERDUGO/BARRINGTON GLENDALE 585 432 1000% 4526 LAKEWOOD BLVD DOWNEY 2 047 150 99 2% 18 801 00 4534 7TH/CATALINA HENSEL PHELPS 73 954 1000% 4535 SHENANDOAH EIS LAUSD 744 408 1000% 4549 RAMIREZ CANYON TORRES 400 835 99 5% 2080 00 4552 JOHN WAYNE AIRPORT ORANGE CO 1 538 269 90 7% 12666700 4553 PACIFIC OCAST HWY DANA POINT 5 973 934 68 0% 2 11449200 4566 CLEVELAND HIS LAUSD 1 304 212 98 9% 1602400 4567 NO HOLLYWOOD ST LACRA 1 143 779 8 5% 934 049 00 4568 NUEVA VISTA ES BELL 206 362 1000% 4573 ATHERTON ST LONG BEACH 1 308 318 95 5% 56457 00 4585 VARIOUS LOC WESTLAKE VILLAGE 2 125 397 1000% 4586 7TH ST LONG BEACH 1 782 650 1000% 4588 EAGLE ROCK HS LAUSD 1 145 867 99 4% 6 158 00 4590 ROYAL AVE S II I I �, L i 1 191 856 98 5% 24 569 00 4592 MADERA RD SIMI VLY 711 585 1000% 4593 LOWELL EIS LBUSD 541 572 1000% Page 1 of 4 WORK EXPERIENCE MAY 31, 2009 ' OPEN JOBS 2ND QUARTER 2009 EXCEL PAVING CO EST FINAL WORK WORK 8-6-09 CONTRACT COMPL BACKLOG 4595 MARINA H/S HBUHSD 3 305 000 99 5% 14 88700 4596 FMAS S YS BURBANK ARPR r -) U4. 2 y 100 0°/0 1 35800 4597 WILSHIRE/FAIRFAX MATT CONST 1 125 815 76 6% 207 466 00 4598 CHEVIOT HILLS LOS ANGELES 777 869 550% 312 65500 4603 INGLEWOOD/CULVER PLAYA CAP 386 070 92 6% 28 623 00 4F04 MAnTg0 N FPS REDOivuO BEACti uSD 45 000 b5 5/o 5 698 00 4605 MWD WATERLINE RUDOLPF/SLET 1 809 170 27 2% 1 097 224 00 4607 LACC CHILD DEV CTR CA CONSTR 36 549 1000% 4608 TAX I WA I D LON BEACH 816 228 100 0% 4609 JUVENILE HALL ALCORN FENCE 476 412 781% 6565200 4611 USC ST IMPRV Usc 1 800 000 75 2% 414 662 00 4613 STORM DRAIN POL POLB 4 127 471 27 8% 2 783 99700 4615 PIER A WEST TUTOR SALIBA 1 ' 1 70C 22 1 % 41 302 00 4616 PIER A WEST TUTDOR SALIBA 327 832 28 1% 235 691 00 4618 FED EX RAMP FEX EX BURB ARPRT 3 949 667 8 3% 321050200 4619 SO REGION ES LAUSD 415 870 98 4% 4 961 00 4620 EAST LA HS TUCKER ENGR 175 225 79 0% 32 499 00 4621 VARIOUS LOC DANA POINT 60 527 70 4% 18 050 00 4623 CANDLEBERRY AVE SEAL BEACH 1 508 369 2 3% 1 344 057 00 4624 WASHINGTON/IND BNSF JOJMSPM CONTROLS 152 759 590% 45 18000 4625 EL PRESIDO LAINE AIRE 13 122 100 0% 4628 LIMECREST DR LACPW 220 002 995% 111900 4629 WASHINGTON BLVD PCL CONST 129 305 72 2% 32 476 00 4631 4TH ST REMPREX 1 438 337 99 0% 9 478 00 4632 LACMA PH I I MATT CONST 431 836 22 3% 291 35000 4635 JOHN WAYNE AIRPORT BALI CONS 15 536 100 0% 4636 VARIOUS STS ROLLING HILLS EST 178 414 100 0% 4637 DISNEYLAND TRENCH BALI CONS 9 985 100 0% 4638 DICKSON ENT FOSTER COMPTON USD 89 200 85 9% 11 941 00 4639 VARIOUS INTER BOEING CO 1 475 312 44 9% 732 54600 4640 BERTH 7 3/ 191 POLA 237 765 9 6% 192 277 00 4641 PUENTE HILLS LANDFILL LACO SANI 474 349 99 2% 3 700 00 4643 CAMPUS CAP PLAYA VISTA 443 335 1 6% 42321600 4646 CALIFORNIA HATHAWAY 37 708 100 0% 4647 WOOD AVE FULLERTON 1 075 000 10 6% 880 962 00 4648 BANDINI BNSF 454 993 0 6% 421 80900 4649 SUNNYMEAD BLVD MORENO VLY 2 456 972 0 7% 2 214 886 00 4651 BALBOA/VICTORY LOS ANGELES 1 397 499 29% 123352200 4652 LA AIR FORCE BASE RMA LAND 10 890 100 0% 4653 GETTY CENTER HATHAWAY 6 700 100 0% 4654 WESTERN AVE MOOG INC 7 240 92 6% 44400 4655 ARTESIA PILAR SANTA ANA 1 676 293 21% 1 509603 00 4656 RTE 23/118 SIMI VLY 31 998 100 0% 4657 FREMONT ST ALHAMBRA 4 617 4 6% 2 199 00 4658 LA PALMA AVE PCL CONT 723 223 0 0% 592 18600 4659 VARIOUS STS PV EST 204 212 1 3% 183 842 00 4660 GOODE AVE HATHAWAY 262 440 221% 13247700 4661 BIKE ROUTES LONG BEACH 277 703 0 6% 258 334 00 4662 VARIOUS ACHOOLS COMPTON 127 142 1 8% 10560000 Page 2 of 4 WORK EXPERIENCE FEBRUARY 28, 2009 CLOSED JOBS 1ST QUARTER 2008 2009 EXCEL PAVING CO 8-6-09 FINAL CONTRACT JOB NO PROJECT NAME AMOUNT 3843 LAUREL CYN BLVD LOS ANGELES 807 100 4103 NOWT ANTI rUT (`DT T..71 L J 9 021 4129 MT SAC WALNUT 910 385 4211 VARIOUS LOC LONG BEACH 306 515 4282 LOOP & PARK PL IRVINE 1 112 969 4319 REDONDO AVE LONG BEACH 221 979 4339 VARIOUS LOCATIONS LONG BEACH 1 353 277 4415 CASE AVE LOS ANGELES 186 308 4416 STIMSON AVE LA PUENTE 396 099 4434 IMPERIAL Hwi DUwNE1 2 421 Bib 4443 INGLEWOOD AVE REDONDO BCH 540 525 4468 LACC LOS ANGELES 6 085 4490 VARIOUS LOC LB TRANSIT 879 832 4515 GRAND AVE MT SAC 224 919 4516 TUSTIN & 1ST ST MCCARTHY 233 937 4530 VARIOUS LOCATIONS CULVER CITY 801 667 4531 LONG BEACH CALCARTAGE 18 500 4541 CAMINO REAL REDONDO BCH 444 555 4545 BERTHS 261 267 CONNELLi PACIFIC 174 979 4548 NORMANDIE KAISER 58 823 4558 LA PALMA AVE PENNER 15 895 4559 BERTH 302-305 POLA 0 4569 MIDWAY/39TH PL LONG BEACH 6 353 4571 AVE 45 HUNTINGTON PARK 76 100 4572 VARIOUS LOC LONG BEACH 147 364 4574 SOUTHERN/GARFIELD SO GATE 27 300 4577 SLAUSON OVERPASS BELL 74 614 4578 PACOIMA MS TORRES 13 892 4582 ST IMROV INGLEWOOD 548 259 4583 OLYMPIC/CENTINELLA SANTA MONICA 1 961 558 4584 VARIOUS LOC SANTA ANA 3 570 920 4587 COLUMBUS E/S PANKOW 224 715 4591 LAS BRISAS SIGNAL HILL 146 749 4594 ALDRICH PARK UCI 907 704 4599 VARIOUS SCHOOLS 837 133 4600 ANCHORAGE/SHOR RE SCHAFER 7 710 4606 PERRY LINDSEY ACADEMY LBUSD 1 074 447 4612 KAISER VENTURA BLV KAISER PERM 43 997 4626 VAN NESS BUNTICH 4 850 4627 SHEILA ST ELECTRO 2 698 4630 LAMAR/MAIN ELECTRO 33 320 4633 DISNEYLAND BAKERY BALI CONS 16 876 4642 JAMES WOOD AVE FED OF LABOR 8 388 4645 USC SCH ARTS HATHAWAY 19 130 4650 SPEED HUMPS PASADENA 38 130 Page 3 of 4 WORK EXPERIENCE NOVEMBER 30, 2008 CLOSED JOBS 4TH QUARTER 2008 EXCEL PAVING CO 86 09 FINAL CONTRACT JOB NO PROJECT NAME AMOUNT 4240 CMB QTY/PLAYA VISTA 8 938 4247 7TH/710 FRWY LONG BEACH 606 153 4296 GLENDALE BLVD LOS ANGELES 597 309 4359 MTCuEi ennj nLim InviNE 2 909 722 4359 LOOP ROAD 0 4359 MICHELSON DR 0 4367 GRANADA AVE LA MIR-ADA 564 180 4377 PIER E PORT LB 5 295 408 4393 JEFFERSON BLVD PLAYA VISTA 7 938 248 4417 PROSPECT TUSTIN 941 017 4421 LB TAXIWAY LONG BEACH 59 379 4427 05 06 ST REHAB LAGUNA BCH 3 848 764 4448 MARYMOUNT HS 856 482 4452 GLENCOE LOS ANGELES 309 434 4463 SERVICE MOD EL CAMINO COLLEGE 147 800 4464 WASHINGTING/GRANDE BNSF 1 122 915 4467 VALLYHEART ST FRANCIS 135 875 4469 HALDEMAN RD RUSTIC CYN HOA 58 395 4470 LATIMER RD RUSTIC CYN HOA 66 500 4480 EAST OLIVE AVE BURBANK 313 656 4500 CAMPUS/ARTISAN CSI ELECT 0 4501 GAGE AVE BELL 25 375 4504 BERENDO M S TORRES CONST 207 053 4506 VARIOUS LOC CO OF ORANGE 32 744 4509 ROSCOE BLVD KAISER FOUND 100 937 4518 NORMANDIE ARB STRUCTURES 94 545 4521 ZANE GREY H/S TORRES 75 326 4525 TAPER AVE SCH TORRES 108 842 4527 SUNNY BRAE SCH TORRES 15 345 4528 GETTY CENTER HATHAWAY 37 887 4529 NORTHRIDGE M/S TORRES 6 542 4532 SAN MIGUEAL E/S TORRES 315 091 4536 W 4TH ST BNSF 265 323 4538 PERSHING DR CSI ELECT 76 194 4547 WRIGHT M/S TORRES 99 389 4554 BLUFF CREEK FINVEST 91 269 4555 VICTORY BLVD NO HOLLYWOOD 429 749 4557 DACOTAH EARLY ED TORRES 159 273 4561 BESS/LEORITA BALDWIN PARK 15 866 4563 NICHOLS/BELSITO BALI CONST 405 647 4579 KAISER/NORMANDIE KAISER 8 225 4580 CAL ST NORTHRIDGE 6 200 4581 E 26THST BNSF 296 935 4601 SHEILA/INDIANA ELECTRO CONST 8 784 4610 SEPULVEDA BLVD B & D CONST 8 939 4617 SEPULVEDA BLVD B & D CONST 16 600 4634 RIVERA RD SPRKLR UNION 27 441 4644 MGM DR HATHAWAY 47 068 Page 4 of 4 Work Experience Report November 30, 2008 Excel Paving Co Open Jobs 2008 12/14/08 Open Jobs 4th Quarter EST FINAL % WORK CONTRACT WORK BACKLOG Job No PROJECT NAME AMOUNT COMPL 3843 LAUREL CYN BLVD LOS ANGELES 807 100 100 0% 4042 TUDOR WEST/UC1 A IORS 2 334 Ain Inn n% 4093 SAN FERN VLY LA 1 473 973 100 0% 4103 HOWLAND CNL CRT LA 299 925 100 0% 4126 UNIVERSITY AVE RIVERSIDE 2 067 233 99 9% 2 486 4129 MT SAC WALNUT 910 385 100 0% 4165 EL TORO RD LK FOREST 11 091 333 99 6% 41 984 4211 VARIOUS LOC LONG BEACH 306 515 99 8% 4232 VALENCIA MESA FULLERTON 930 000 92 8% 66 955 4240 LINCOLN BLVD CALTRANS 11 970 000 100 0% 4240 CMB QTY/PLAYA VISTA 8 938 0 0% 8 938 4242 CHANDLER/LANKERSHIM LOS ANGELES 5 421 529 100 0% 4245 LINNIE CANAL LOS ANGELES 351 920 100 0% 4247 7TH/710 FRWY LONG BEACH 606 153 99 9% 4266 CENTINELA AVE LOS ANGELES 2 880 145 100 0% 4282 LOOP & PARK PL IRVINE 1 112 969 100 0% 4295 CULVER BLVD VISTA DEL MAR 1 601 060 100 0% 4296 GLENDALE BLVD LOS ANGELES 597 309 100 0% 4302 VERMONT AVE LOS ANGELES 1 392 670 100 0% 4319 REDONDO AVE LONG BEACH 221 979 100 0% 4324 USC FIGUEROA & JEFFERSON 1 585 000 100 0% 4328 HIGHLAND AVE LOS ANGELES 3 582 540 96 0% 142 898 4329 SUNSET BLVD LOS ANGELES 2 062 587 99 9% 1 291 4330 HARBOR GATEWAY LOS ANGELES 2 722 826 100 0% 4339 VARIOUS LOCATIONS LONG BEACH 1 353 277 100 0% 4340 SLAUSON AVE CULVER CITY 2 550 397 90 2% 249 935 4348 PH 3-PIER T LONG BEACH 23 552 507 100 0% 2 291 4359 MICHELSON BLVD IRVINE 2 909 722 99 7% 8 529 4367 GRANADA AVE LA MIRADA 564 180 100 0% 4370 ALAMEDA ST LOS ANGELES 3163392 90 3% 308 049 4377 PIER E PORT LB 5 295 408 100 0% 4393 JEFFERSON BLVD PLAYA VISTA 7 938 248 100 0% 4408 HOLLYWOOD WAY BURBANK 23 710 100 0% 4413 VERMONT LOS ANGELES 182 915 100 0% 4415 CASE AVE LOS ANGELES 186 308 100 0% 4416 STIMSON AVE LA PUENTE 397 215 100 0% 4417 PROSPECT TUSTIN 938 817 99 6% 3 312 4421 LB TAXIWAY LONG BEACH 59 379 100 0% 4425 FIRST ST LOS ANGELES 230 000 58 4% 95 597 4427 05 06 ST REHAB LACUNA BCH 3 848 764 100 0% 4434 IMPERIAL HWY DOWNEY 2 427 816 99 7% 8 309 4442 SEPULVEDA BLVD LA/CC 596 857 100 0% 4443 INGLEWOOD AVE REDONDO BCH 540 525 100 0% 4448 MARYMOUNT HS 856 482 100 0% 11 30 08 WIPS1214200E oP j h Page 1 of 14 1-21-09 Work Experience Report November 30, 2008 Excel Paving Co Open Jobs 2008 12/14/08 Open Jobs 4th Quarter EST FINAL % WORK CONTRACT WORK BACKLOG 4452 GLENCOE LOS ANGELES 309 434 100 0% 4454 UCI IRVINE 59 976 100 0% 4458 TAPO CYN SIMI VLY 2 957 391 100 0% 758 4463 SERVICE MOD EL CAMINO COLLEGE 147 800 100 0% 4464 WASHINGTING/GRANDE BNSF 1 122 915 100 0% 4466 FIGUEROA/SEPULVEDA LACO SANI 2 453 930 100 0% 4467 VALLYHEART ST FRANCIS 135 875 100 0% 4468 LACC LOS ANGELES 6 085 100 0% 4469 HALDEMAN RD RUSTIC CYN HOA 58 395 100 0% 4470 LATIMER RD RUSTIC CYN HOA 66 500 100 0% 4480 EAST OLIVE AVE BURBANK 313 656 100 0% 4481 CERRITOS/EL RITO GLENDALE 1 197 605 100 0% 4482 20TH/REDONDO LONG BEACH 408 474 100 0% 4483 BOB HOPE AIRPORT BURBANK 13 177 103 99 3% 91 795 4490 VARIOUS LOC LB TRANSIT 879 832 100 0% 4492 TIERRA REJADA RD MOORPARK 3 167 306 100 0% 4497 CALIFORNIA BLVD CSI ELECT 14 982 100 0% 4499 CANTARA KAISER FOUND 82 000 21 2% 64 631 4500 CAMPUS/ARTISAN CSI ELECT 4200 0 0% 4200 4501 GAGE AVE BELL 25 375 100 0% 4502 GARDEN GROVE SANI 1 967 739 100 0% 4504 BERENDO M S TORRES CONST 207 053 100 0% 4505 TOPANGA/VICTORY WESTFIELD 2 520 000 98 9% 27 394 4506 VARIOUS LOC CO OF ORANGE 32 744 99 9% 4507 BRAND BLVD HATHAWAY 217 460 96 7% 7 193 4508 ALVARDO TRANSIT LACRA 2 140 870 69 0% 663 657 4509 ROSCOE BLVD KAISER FOUND 100 937 100 0% 4515 GRAND AVE MT SAC 224 919 100 0% 4516 TUSTIN & 1ST ST MCCARTHY 233 937 100 0% 4518 NORMANDIE ARB STRUCTURES 94 545 100 0% 4521 ZANE GREY H/S TORRES 75 326 100 0% 4522 BELMONT PLAZA LONG BEACH 427 634 100 0% 4523 BESS/LEORETTA KAISER 251 657 100 0% 4524 VERDUGO/BARRINGTON GLENDALE 577 656 99 9% 4525 TAPER AVE SCH TORRES 108 842 100 0% 4526 LAKEWOOD BLVD DOWNEY 2 047 150 92 0% 164 456 4527 SUNNY BRAE SCH TORRES 15 345 100 0% 4528 GETTY CENTER HATHAWAY 37 887 100 0% 4529 NORTHRIDGE M/S TORRES 6 542 100 0% 4530 VARIOUS LOCATIONS CULVER CITY 801 667 100 0% 4531 LONG BEACH CALCARTAGE 13 577 100 0% 4532 SAN MIGUEAL E/S TORRES 315 091 100 0% 4534 7TH/CATALINA HENSEL PHELPS 73 954 100 0% 4535 SHENANDOAH E/S LAUSD 744 408 99 8% 1 585 11 30 08 WIPS 12 14 2006 Op Jb Page 2 of 14 1-21-09 Work Experience Report November 30, 2008 Excel Paving Co Open Jobs 2008 12/14/08 Open Jobs 4th Quarter EST FINAL % CONTRACT WORK 4536 W 4TH ST BNSF 265 323 100 0% 4538 PERSHING DR CSI ELECT 76 194 100 0% ASAI (`AMINO RFAI oEnnKinn oflu AAA CGG ,nn no/ 4545 BERTHS 261 267 CONNELLY PACIFIC 174 979 99 9% 4547 WRIGHT M/S TORRES 99 389 100 0% 4548 NORMANDIE KAISER 58 500 83 7% 4549 RAMIREZ CANYON TORRES 400 836 99 5% 4652 JOHN WAYNE AIRPORT ORANGE CO 1 538 269 90 7% 4553 PACIFIC OCAST HWY DANA POINT 5 792 241 46 6% 4554 BLUFF CREEK FINVEST 91 269 100 0% 4555 VICTORY BLVD NO HOLLYWOOD 429 749 100 0% 4567 DACOTAH EARLY ED TORRES 159 273 100 0% 4558 LA PALMA AVE PENNER 15 895 100 0% 4559 BERTH 302-305 POLA 35 000 3 5% 4561 BESS/LEORITA BALDWIN PARK 15 866 100 0% 4563 NICHOLS/BELSITO BALI CONST 405 647 100 0% 4566 CLEVELAND H/S LAUSD 1 269 712 95 2% 4567 NO HOLLYWOOD ST LACRA 1 143 779 8 5% 4568 NUEVA VISTA ES BELL 206 362 100 0% 4569 MIDWAY/39TH PL LONG BEACH 6 853 100 0% 4571 AVE 45 HUNTINGTON PARK 76 100 100 0% 4572 VARIOUS LOC LONG BEACH 153 371 37 8% 4573 ATHERTON ST LONG BEACH 1 322 726 92 3% 4574 SOUTHER N/GARFIELD SO GATE 27 300 100 0% 4577 SLAUSON OVERPASS BELL 74 614 100 0% 4578 PACOIMA MS TORRES 13 894 100 0% 4579 KAISER/NORMANDIE KAISER 8 225 100 0% 4580 CAL ST NORTHRIDGE 6200 100 0% 4581 E 26THST BNSF 296 935 100 0% 4582 ST IMROV INGLEWOOD 548 259 100 0% 4583 OLYMPIC/CENTINELLA SANTA MONICA 1 961 558 98 9% 4584 VARIOUS LOC SANTA ANA 3 636 816 99 9% 4585 VARIOUS LOC WESTLAKE VILLAGE 2 125 397 100 0% 4586 7TH ST LONG BEACH 1 713 347 99 9% 4587 COLUMBUS E/S PANKOW 225 945 94 6% 4588 EAGLE ROCK HS LAUSD 991 991 92 3% 4590 ROYAL AVE SIMI VLY 1 791 856 93 6% 4591 LAS BRISAS SIGNAL HILL 142 749 99 5% 4592 MADERA RD SIMI VLY 711 585 100 0% 4593 LOWELL E/S LBUSD 541 662 100 0% 4594 ALDRICH PARK UCI 907 704 100 0% WORK BACKLOG 9 559 2001 143 001 3 095 493 33 773 60 824 1 046 619 95 447 102 324 21 525 5 446 927 12 270 76 168 113 798 Page 3 of 14 1-21-09 11 3000 WIPS 12 14 200E Op J b Work Experience Report November 30, 2008 Excel Paving Co Open Jobs 2008 12/14/08 Open Jobs 4th Quarter EST FINAL % WORK CONTRACT WORK BACKLOG 4595 MARINA H/S HBUHSD 3 215 000 86 6% 432 035 4596 EMAS SYS BURBANK ARPRT 3 642 247 99 9% 1957 4597 WILSHIRE/FAIRFAX MATT CONST 1 071 699 46 5% 572 826 4J9U CnEviG i MILLS LOS ANGELES 777 869 54 2% 356 169 4599 VARIOUS SCHOOLS 837 132 100 0% 4600 ANCHORAGE/SHOR RE SCHAFER 7 710 100 0% 4601 SHEILA/INDIANA ELECTRO CONST 8 784 100 0% 4603 INGLEWOOD/CULVER PLAYA CAP 374 797 86 4% 51 113 4604 MADISON E/S REDONDO BEACH US 39 300 100 0% 4605 MWD WATERLINE RUDOLPF/SLET 1 809 170 1 9% 1 774 728 4606 PERRY LINDSEY ACADEMY LBUSD 1 034 834 99 9% 1 516 4607 LACC CHILD DEV CTR CA CONSTR 29 079 71 2% 8 389 4608 TAXIWAI D LON BEACH 816 228 100 0% 4609 JUVENILE HALL ALCORN FENCE 452 834 10 4% 405 839 4610 SEPULVEDA BLVD B & D CONST 8 939 100 0% 4611 USC ST IMPRV USC 1 717 400 34 9% 1 118 308 4612 KAISER VENTURA BLV KAISER PERM 43 997 98 2% 807 4613 STORM DRAIN POL POLB 4 688 404 12 1% 4 119 191 4615 PIER A WEST TUTOR SALIBA 121 706 12 3% 106 720 4616 PIER A WEST TUTDOR SALIBA 327 832 28 1% 235 691 4617 SEPULVEDA BLVD B & D CONST 16 600 91 0% 1 489 4618 FED EX RAMP FEX EX BURB ARPRT 3 493 821 2 8% 3 395 388 4619 SO REGION ES LAUSD 590 518 9 7% 533 215 4620 EAST LA HS TUCKER ENGR 57 000 100 0% 4621 VARIOUS LOC DANA POINT 94 600 17 5% 78 040 4622 D & E YARD CROSSINS LA JUNC RR 44 041 100 0% 4623 CANDLEBERRY AVE SEAL BEACH 1 415 869 1 7% 1 391 826 4624 WASHINGTON/IND BNSF JOJMSPM CONTROLS 74 988 91 6% 6 326 4625 EL PRESIDO LAINE AIRE 13 500 100 0% 4626 VAN NESS BUNTICH 4 850 100 0% 4627 SHEILA ST ELECTRO 2 698 100 0% 4628 LIMECREST DR LACPW 228 859 0 7% 227 325 4629 WASHINGTON BLVD PCL CONST 124 000 35 0% 80 638 1130-08 WIFS 11142006 Op J b Page 4 of 14 1-21-09 Work Experience Report November 30, 2008 Excel Paving Co Open Jobs 2008 12/14/08 Open Jobs 4th Quarter EST FINAL % WORK CONTRACT WORK BACKLOG 4630 LACAR/MAIN ELECTRO 31 900 100 0% 4631 4TH ST pEIlAD10`^ 1 42U 000 49 4% 719 049 4632 LACMA PH II MATT CONST 352 051 17 6% 290 001 4633 DISNEYLAND BAKERY BALI CONS 16 876 100 0% 4634 RIVERA RD SPRKLR UNION 27 441 100 0% 4635 JOHN WAYNE AIRPORT BALI CONS 15 536 100 0% 4636 VARIOUS STS ROLLING HILLS EST 178 414 82 3% 31 653 4637 DISNEYLAND TRENCH BALI CONS 9 985 100 0% 4638 DICKSON ENT FOSTER COMPTON USD 94 603 1 4% 93 299 4639 VARIOUS INTER BOEING CO 1 303 476 0 1% 1 301 812 4640 BERTH 73/191 POLA 237 765 0 0% 237 765 4641 PUENTE HILLS LANDFILL LACO SANI 447 645 2 8% 435 270 4642 JAMES WOOD AVE FED OF LABOR 8 388 100 0% 4643 CAMPUS CAP PLAYA VISTA 336 600 1 0% 333 330 4644 MGM DR HATHAWAY 47 068 57 1 % 20 196 4645 USC SCH ARTS HATHAWAY 19 130 19 4% 15 417 4646 CALIFORNIA HATHAWAY 37 426 0 0% 37 426 4647 WOOD AVE FULLERTON 1 090 322 0 8% 1 081 204 4648 BANDINI BNSF 454 993 0 0% 454 993 17 30 08 WIPS 12 14 2008 Op J b Page 5 of 14 1-221-09 Work Experience August 31, 2008 Excel Paving CO Closed Jobs 3rd Quarter 2008 O 1 /20/09 FINAL CONTRACT JOB NO PROJECT NAME AMOUNT 3947 TUSTIN AVE ANAHEIM 4 370 876 3959 SANTA MONICA BLVD LOS ANGELES 49 757 848 4062 SANTA MONICA/MWD 7 739 622 4164 KENNEDY HS ANAHEIM 1 037 004 4316 MONTROSE AVE LACPW 2 447 026 4332 SO BRAND BLVD GLENDALE 2011 346 4336 VERMONT AVE GARDENA 1 204 230 4337 MCFADDEN AVE 1 121 382 4374 WOODRANCH PKWY SIMI VALLEY 1 982 642 4401 NO MCLAY ST SAN FERNANDO 4 981 426 4414 TOPANGANICTORY LOS ANGELES 2 166 954 4420 VERMONT AVE LOS ANGELES 915 500 4429 RANDALL ST ORANGE CO 824 976 4435 NATIONAL BLVD CAL TRANS 90 524 4440 226TH ST HAWTHORNE 92 155 4451 OVERLAY SANTA CLARITA 5 503 565 4471 ANAHEIM ST LB TRANSIT 244 032 4474 NO LOOP RD HATHAWAY 2 996 158 4479 UNION AVE SNYDER LANGSTON 55 297 4486 BLUFF CREEK DR COLICH & SONS 207 560 4491 WESTFIELD CENTER ARCADIA 29,118 4493 FREEMAN DR CALABASAS 82 619 4495 PORT OF LB RYAN CO 16,091 4498 VAGABOND STRM DRN MONTEREY PARK 89,325 4514 FOOTHILL BLVD BERNARDS 81 317 4520 AMBLER AVE SCH TORRES 134 849 4537 26TH ST /VERNON CBRE 52 143 4540 EVEWARD RD DLSB 47 967 4544 BURBANK AIRPORT BURBANK AIRPORT 16 585 4551 GEPRGE BURNS AVE WEST HOLLYWOOD 39 219 4556 GARVEY AVE REYES CONST 38 218 4565 AVE OF STARS HATHAWAY 9 375 4575 DOUGLAS/EL SEGUNDO EL SEGUNDO 4 300 4589 WILSHIRE DR PSOMAS 32 190 4602 CALSTATE HATHAWAY DIN 9 386 4614 LOMITA BLVD ELECTRO CONST 3 486 3rd Ql B 31 2008 WIPS CI d J D Sor1 d 1 20 2009 Page 6 of 14 1-21-09 Excel Paving CO 01/20/09 JOB NO PROJECT NAME Work Experience May 31, 2008 Closed Jobs 2nd Quarter 2008 FINAL AMOUNT 4123 ANAHEIM ST LONG BEACH 3 249 006 4365 WEIDLAKE IMPRV LOS ANGELES 465 183 4373 CENTURY PKG LOT E LOS ANGELES 736 152 4404 UCI IRVINE 22 443 4444 ALLEN AVE GLENDALE 279 890 4453 ST IMPRV INGLEWOOD 479 793 4456 EL DORADO HS LAUSD 794 632 4462 VIRGINIA ST EL SEGUNDO 92 774 4489 ENT PKG LOT BURBANK AIRPORT 380 925 4503 GRANADA HILLS TORRES CONST 50 496 4510 LIGGETT E S TORRES CONST 84 479 4513 LEAPWOOD E S TORRES CONST 142 331 4519 MOORPARK HIGHLANDS CHAPARRAL 616 202 4533 USC CINEMATIC HATHAWAY 2 134 4539 W BURBANK LOT BURBANK AIRPORT 63 382 4542 PASEO DEL MAR VAL VERDE 13 374 4546 ORCHARD ST BELL 19 375 4550 4TH ST CHLS KING 18 527 4560 ROSCOE BLVD WEST HILLS 2200 4562 J PAUL GETTY LOS ANGELES 17 079 4564 SPAZIER BURBANK 1600 4570 LOST E BURBANK AIRPORT 37 158 4576 VARIOUS LOC DANA POINT 94 080 2 dQt 53108WIPS CI dJ b O ly S rt d 1 20 2009 Page 7 of 1-21-09 Work Experience February 28, 2008 Excel Paving Co CLOSE® JOBS 2007- 2008 07/08/08 JOB SALES NO PROJECT NAME AMOUNT 3704 TAXIWAY D L B AIRPORT 3 720 722 3865 2627 HOLLYWOOD BURBIGLEN/AIPD 3" 03' 4084 SAND CANYON IRVINE 720 447 4088 ANNUAL RD RESURF DANA POINT 1 490 592 4099 03 ST IMPRV INGLEWOOD 593 520 4144 CASE AVE LA 432 963 4157 YUPLACENTIA FULLERTON 137 338 4176 SILVER LAKE LOS ANGELES 1 317 464 4182 UCLA LOS ANGELES 38 066 4182 UCLA CAMPUS LOS ANGELES 103 828 4218 ASHCROFT/ROBERTSON LOS ANGELES 52 900 4233 VAN BUREN VLD CO RIVERSIDE 2 461 429 4237 S/W AREA LAX 4 876 048 4253 S A STADIUM SANTA ANA 397 289 4257 MIRAMONTE ES LOS ANGELES 677 111 4269 KINNELOA DEBRIS BASIN LOS ANGELES 237 063 4274 HARBOR BLVD LOS ANGELES 1 249 459 4275 CLAY MS LOS ANGELES 620 819 4281 HILLCREST ES LOS ANGELES 903 237 4306 10TH ST LONG BEACH 1 192 729 4307 NEWPORT SHORES NEWPORT BEACH 1 584 279 4309 KING MS LOS ANGELES 985 753 4314 PARK PLACE IRVINE 998 231 4314 PARK PL PKG 76 267 4317 BERTHS 226 236 POLA 2 811 047 4334 710 FRWY CALTRANS 700 680 4344 PKG LOT PH 1 RANCHO SANTIAGO CC 896 694 4346 DAMON CONSTELL OF STARS 202 454 4347 HAMILTON HS LOS ANGELES 603 569 4349 FIRESTONE BLVD SEPULVEDA DEV 325 075 4353 FOUNTAIN VLY HS HUNT BCH UHSD 1 074 427 4354 LA BREA AVE WEST HOLLYWOOD 496 890 4361 ORANGE AVE LAWNDALE 209 832 4362 ST REHAB LEISURE VILLAGE 799 326 4366 ANNUAL ST ALHAMBRA 651 988 4371 VARIOUS STS REDONDO BCH 960 788 4372 WALNUT ST SIMI VALLEY 412 988 4380 POINT FERMIN PASCHEN 359 607 4383 VERMONT AVE KAISER FOUND 117 035 4384 VERMONT AVE KAISER FOUND 182 820 M STORY EPOR 228-200& S S L wW S imee oee 3r 0 RS 200 20" Page 8 of 14 1-21-09 Work Experience February 28, 2008 Excel Paving Co CLOSED JOBS 2007- 2008 07/08/08 SALES AMOUNT 4385 VARIOUS STS INGLEWOOD 379 574 4387 PALOS VERDES DR PV EST 95 060 4394 CLARA ST CUDAHY 556 434 4395 E LOOP RD IRVINE 363 771 4407 ORANGETHORPE BUENA PARK 1 038 513 4412 TRUNK SEWER REHAB CARSON 16 824 4418 PCH WILMINGTIN 22 830 4419 MICHELSON DR IRVINE 460 419 4424 BNSF TRACK 114 VERNON 1 108 470 4426 BNSF SHEILA AVE COMMERCE 528 245 4430 BNSF ESPARANZA YORBA LINDA 352 990 4431 HAVEN AVE RANCHO CUCUMONGA 155 069 4433 TRADE MARK IRVINE 29 025 4436 FULLER/GARNER WEST HOLLYWOOD 235 383 4439 DESOTO CHATSWORTH 9 437 4445 RAYMOND ST PASADENA 25 155 4446 EASTERN/BANDINI BNSF 73 995 4449 WILLOW LANE WESTMINSTER 132 524 4450 ST IMPRV LYNWOOD 766 795 4455 MAIN ST NT2 PRODUCTIONS 2 700 4457 ACCESS RD LOS ANGELES 499 954 4459 CLARK/SPRING LONG BEACH 70 775 4460 WASHINGTON/IND BNSF 171668 4461 CDR 233 UPGRADE 374 942 4465 CANTERA ST KAISER PERM 106 978 4472 BALUHARBOR CHLS KING 16 626 4473 FIRST/BOYLE LOS ANGELES 60 771 4475 6TH/PCH BOVIS 10 886 4476 SLAUSON/VAN NESS MLADEN BUNTICH 23 570 4477 WEST LA COLLEGE LOS ANGELES 186 054 4478 VALLEY BLVD INDUSTRY 7 900 4484 UNIVERSITY HS TORRES CONST 88 537 4485 FLINTRIDGE HS LA CANADA/FL 1 400 4487 ROSEMEAD/SLAUSON BNSF 96 849 4488 GETTY CENTER GETTY TR 3 020 4494 SPAZIER ENVIRON 25 977 4496 POL SHOOTING LAGUNA BCH 51 837 4511 PIER F POLB B & D 3 100 4512 L ST WILLMINGTON BNSF 146 806 4517 18TH ST SANTA MONICA 15 198 4543 AMELIA AVE ROYAL ELECT 21 950 M STO V RE OPT 2 2&200& 7B S W beef u Jr & OTRS 200 OT 2008 Page 9 of 14 1-21-09 Excel Paving Co Work Experience May 31, 2007 JOB Closed Jobs 2006 SALES NO PROJECT NAME AMOUNT 3716 710 FWY PCH TO 405 21 510 942 3990 OCEAN BLVD LOKIC DCCLA i 196 12y 4004 GREEN VALLY CIRCLE CULVER CITY 1 173 791 4024 UCLA KINROSS 2 329 669 4045 5 FRWY OR CO 180 290 4057 PALO VERDE HSG 611 836 4061 PANKOW BLDRS M B 720 917 4064 WALGROVE E S L A 767 069 4083 HARBOR BLVD FULLERTON 214 172 4098 BLEND E S LA 273 966 4102 DENA E S LA 177 306 4104 MOULTON PKWY CO OF ORANGE 478 612 4106 PIER S BRTH S102-Sl 10 LONG BEACH 4 077 253 4109 VARIOUS STS REDONDO BEACH 761 751 4115 WASHINGTON BLVD CULVER CITY 741 069 4117 VANUYS AIRPORT VAN NUYS 620 336 4120 SOUTHGATE HS LOS ANGELES 681 858 4142 ROSECRANS LAWNDALE 233 216 4143 CALLE MIRAMAR REDONDO BCH 536 987 4156 STERRY E S LA 223 520 4160 WARNER ES LA 988 639 4161 ST OVERLAY SIMI VLY 704 970 4168 MARINA DEL REY LA 459 915 4169 CEN PK WEST LA 50 550 4174 SHERMAN OAKS CNTR RESEDA 1 044 265 4175 GLEDHILL ES NO HILLS 506 079 4181 STATE ST ES LAUSD 334 787 4185 WHITTIER/PRESBY WHITTIER 7 400 4186 GETTY TRUST LOS ANGELES 850 4191 HARVARD AVE IRVINE 329 938 4192 COMPTON/61 ST LOS ANGELES 17 722 4195 NEW JOB SAN CLEMENTE 10 966 4196 MWD/SEARL HEMET 9 109 427 4197 LYNOOD USD LYNWOOD 1 520 919 4198 AGOURA BIKE AGOURA HILLS 1 032 236 4209 PCH/CATALINA LONG BEACH 657 469 4210 GLENDALE BLVD LOS ANGELES 36 630 4212 GLENDORA/HILL LA PUENTE 11 833 HWt flan 200E-2007 C " 200 A br HBO, Page 10 of 1-21-09 Excel Paving Co Work Experience May 31, 2007 JOB Closed Jobs 2006 SALES NO PROJECT NAME AMOUNT 4213 ALDAMA ST SCH 19 097 4214 PCH/ZUMIREZ MALIBU 453 886 4215 THE TOLEDO LONG BEACH 7 449 4216 REEVES/NAVY PORT OF LB 268 611 4217 KANAN RD/101 FRWY 13 589 4220 SO CENTRAL HS LOS ANGELES 54 026 4222 PKG LOT 6 MONROVIA 406 899 4224 SUNSET BLVD W HOLLWOOD 166 602 4227 SEWER REHAB REDONDO BCH 550 196 4229 BLDG 10 & 28 24 697 4230 VARIOUS LOC LOS ANGELES 441 551 4235 VICTORY BLVD CANOGA PARK 687 374 4243 ANDASOL ES NORTHRIDGE 131 502 4246 SOUTH ST ANAHEIM 492 994 4248 MANHATTAN & AVIATION REDONDO BEACH 49 589 4249 CAL TECH PKG PASADENA 39 406 4250 2 FRWY GLENDALE 13 200 4251 5M FRWY CAL TRANS 188 210 4254 PCH CAL TRANS 1 204 048 4256 GARDENA HS GARDENA 1 009 381 4258 N/E INTER SEWER LOS ANGELES 360 460 4259 LOMA VISTA ES LOS ANGELES 277 404 4261 MULHOLLAND DR LOS ANGELES 17 598 4263 BEVERLY VISTA ES BEVERLY HILLS 734 246 4265 INDIANAIWASH BNSF 15 290 4271 GETTY CENTER DR CENT CITY 28 907 4276 GETTY CENTER DR CENT CITY 262 399 4277 GETTY CENTER DR CENT CITY 4 384 4278 CLARK AVE LONG BEACH 517 203 4279 41 ST ST LOS ANGELES 440 218 4280 VIA ROSA/PV BLVD PV ESTATES 504 157 4264 CENT/LINC CULVER CITY 263 999 4286 WESTERN AVE TORRANCE 28 640 4287 GRAND AVE EL SEGUNDO 144 403 4289 LUGO E S LYNWOOD 15 435 4291 05 06 St Maint AGOURA HILLS 831 113 4292 PICO BLVD LOS ANGELES 67 308 4293 HOLLYWOOD WAY BURBANK ARPRT 38 800 4294 5 FRWY MISSION VIEJO 3 359 Page 11 of 14 HW�""��7 X07 &27 1-31-09 Excel Paving Co Work Experience May 31, 2007 JOB Closed Jobs 2006 SALES NO PROJECT NAME AMOUNT 4297 VICTORY/TOPNGA LOS ANGELES 606 202 4298 ST JOSEPH S SCH LONG BEAN 11 ^^^ If-VVV 4300 PV LANDFILL LA SANI DIST 19 650 4301 MICHELSON IRVINE 201698 4304 MEDIA STUDIOS BURBANK 18 700 4310 VAIL/CLEVELAND MONTEBELLO 10 790 4311 PLAYA VISTA LOS ANGELES 16 854 4312 INDIANAIWASHINGTON BNSF 147 323 4315 190TH/GREENLANE REDONDO BEACH 2000 4318 RON REAGON FRWY SYLMAR 16 304 4321 SO EAST HS SOUTH GATE 12 000 4322 E PCH WILMINGTON 14 216 4325 BLUFF CREEK PLAYA VISTA 50 310 4326 BNSF IND & WASH COMMERCE 334 616 4327 UNION STATION LOS ANGELES 10 000 4331 OLIVE & LAKE BURBANK 12 876 4333 VINEYARD & SATURN LOS ANGELES 8 545 4335 CSI/BOEING-BOLSA HUNT BCH 101 500 4338 BNSF WASH & IND NERVON 37 840 4341 FIRE STATION BURBANK 0 4342 MOOG WESTERN WAY TORRANCE 37 031 4345 3355 EMPIRE BURBANK 79 193 4351 LAX SO VAULT LOS ANGELES 26 514 4355 HAWTHORNE BLVD TORRANCE 4 000 4356 LAAFB RMA LAND 3 858 4357 PICO BLVD LOS ANGELEWS 20,400 4363 DUESLER LANE DUESLER ASSOC 36 000 4364 WASHINGTON BLVD PICO RIVERA 23 265 4375 VAN NUYS BLVD ARLETA 6 140 4376 OBSERVATORY RD LOS ANGELES 13 151 4379 E SOUTH ST MARKET RECYCLE 1 885 4382 FIGUEROA/JEFF LOS ANGELES 5 995 4386 INDIANAIWASH BNSF 83 456 H" Ow 20 2007 thm 5S7 2007 A 2 2007 Page 12 of 14 1-31-09 Excel Paving Co Work Experience May 31, 2007 JOB CLOSED JOBS 2007 SALES NO PROJECT NAME AMOUNT 3876 PARTHENIA LA 1 153 774 4067 DEL AMO BLVD LONG BEACH 393 459 4076 JESSE OWENS PK INGLEWOOD 562 447 4077 CHAPMAN/ST COLL FULLERTON 135 411 4112 BELMONT PIER LONG BEACH 479 513 4113 NO LONG BEACH LONG BEACH 1 673 247 4127 UNION STATION LOS ANGELES 429 149 4154 STS & ALLEYS W HOLLYWOOD 205 131 4177 COLD CANYON LOS ANGELES 481 211 4179 PE BIKE TRAIL UPLAND 2418540 4183 CAHUENGA LOS ANGELES 33 205 4169 AVE OF STARS CENT CITY 465 184 4205 DREW MID SCH LOS ANGELES 1 097 527 4206 107TH ST ES LOS ANGELES 400 544 4207 93RD ST ES LOS ANGELES 348 165 4226 MONTANOSO DR MISSION VIEJO 163 838 4236 THOMAS EDISON MS LAUSD 814 878 4241 BRACKETT ARFLD POMONA 373 977 4252 W PICO BLVD LOS ANGELES 518 766 4255 ROMOLAND CALTRANS 200 540 4260 WESTLAKE VILLAGE 958 888 4264 BELLA TERRA MALL HUNT BCH 3 166 715 4268 RANCHO CUCAMONGA RANCHO CUCAMONG 234 424 4272 CHIQUITA BLDG PORTOF LB 6 922 874 4273 UCLA CAMPUS LOS ANGELES 71,597 4281 PALISADES HS 1,942 4285 MARLTON ES LOS ANGELES 278 427 4305 JEFF/CENTINELLA LOS ANGELES 1 486 623 4308 LAX AA MAINT AMERICAN AIRLINES 57 975 4313 SSA PKG LOT CO ORANGE 189,508 4320 CERRITOS PARK GLENDALE 305 537 4323 6TH & PCH HUNTINGTON BCH 16 092 4350 SHEILA ST BNSF 256 660 4352 PREV MAINT REDONDO BEACH 254 596 4358 EL MODENA ALLEY ORANGE 97 222 4360 BESS/LEORITA KAISER FOUND 300 107 4368 SCHOOLWOOD DR LA HABRA 170 908 4369 SHERMAN OAKS CNTR KBR SRV 39 323 4378 E SLAUSON AVE MARMOL RADZINER 60 718 4381 E 7TH ST INTERSCAPE 16 995 4388 PICO BLVD LOS ANGELES 22 255 MI ay fll 2006-2W7 v 5 2W7 6-17 2M Page 13 of 14 Excel Paving Co Work Experience May 31, 2007 JOB CLOSED JOBS 2007 SALES NO PROJECT NAME AMOUNT 4389 UPPER CLOVERLEAF RD momp(l\,i e 78 395 4390 COLDWATER CYN NO HOLLYWOOD 10 855 4391 U OF WEST ROSEMEAD 351 139 4392 OLDEN ST SYLMAR 92 684 4396 BURBANK AIRPORT BURBANK 18 283 4397 DURFEE/MICHAEL HUNT 17 989 4398 DIEMER PLANT MWD 116 205 4399 WARDLOW/CHERRY BOEING 156 900 4400 ELSMERE CARSON 7 780 4402 MOORPARK COLLEGE 91 578 4403 BNSF/WASH VERNON 506 615 4405 HAALAND DR THOU OAKS 148 500 4406 TROY H/S FULLERTON 321 451 4409 MAARKET ST SWR CHLS KING 5 270 4410 LOT A BURBANK ARPRT 47 124 4411 BRAVO BASE REPAIR LOS ANGELES 17 390 4422 PUENTE HILLS LACO SAKI 12 500 4423 PIER J-BERTH 247 LONG BEACH 8200 4428 SIXTH ST SAN PEDRO 3200 4432 BURBANK AIRPORT BURBANK 43 500 4441 INDIANA/3RD BNSF 3 900 4447 PIER F LONG BEACH 8 300 HW1 y FlbC XO&2W7 MN 63I 2W7 A 27 2M Page 14 of 14 1-21-09 Bond No BID BOND The American Institute of Architects AIA Document No A310 (February 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 under the laws of the state of Indiana as Surety hereinafter called the Surety are held and finely bound unto City of Huntington Beach as Obligee hereinafter called the Obhgee in the sum of Ten percent of the total amount of the bid Dollars ($ 10% ) for the payment of winch sum well and truly to be made the said Principal and the said Surety bind ourselves our hens executors administrators successors and assigns jointly and severally firmly by these presents WHEREAS the Principal has submitted a bid for Slater Avenue Rehabihtation (Project No 1379) 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 fiimished 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 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 25th ORSC 21328 (5/97) day of MT 2010 PALP Inc dba Excel Paving Company Witness Principal ) BROWW By PRESIDENT Name/Tide Federal Insurance Company Surety (Seal) Witness Douglas A CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of OrangE On 05/25/2010 before me, Debra Swanson, Notary Public (Here insert name and tide of the officer) personally appeared Douglas A Rapp who proved to me on the basis of satisfactory evidence to be the person() whose name(4) is/we subscribed to the within tnstrument and acknowledged to me that he/sheAhe} executed the same In his/4eFAhov authonzed capacity(4s), and that by his4w/tom signature(&) on the tnstniment the person(.&) or the entity upon behalf of which the person(.) acted, executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct N 1OFT � DEBRA SWANSON WITNESS my hand and official seal NOCOMnq 8�t ORMA � licXf ORANGE COUNTY CI "4-" (xotary scan) My cold. Nov 10, 2012 Signature of Notary Public ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Tide or dcsatpdon of attached document) (Tide or descnpuon of attached document comm od) Number of Pages Document Date (Additional information) CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) ❑ Corporate Officer (fide) ❑ Partner(s) ❑ Attorney in Fact ❑ Trustee(s) ❑ Other INSTRUCTIONS FOR COMPLETING THIS FORM A* acA owledgnrent com#oud In Cal(rornla mutt contain verbiage esactty as appowi abovs in the notary mccion or a wpanue ackww/sdgment form mint be Fr perly compkW and attached to that document the only exotpnon u tf a doctrae w (t to be recorded otwide of Gil(fww1a. in such (nuances any alternarrve aclwowlodgmow wrbloge ay may be pnnud on twch a document so long as the verbtgge door not requlrt the notary to do something deaf is illegal for a notary in Cal(fornla (Lt eerr6uq the authorized capacity of the signer) Please check the document carwfwlly for proper notarial wording and attach this form tf required Static and County ulfotmawn must be the State and County whets the document signor(*) powonany appeared before the notary public for acknowiodgmcnL • Date of ootanratm must be the date that the stgner(s) personally appeared which must also be die same date the acktowledgme t h completed The notary public must print hu or her name as it appears within his or her commission followed by a commit and then your tide (notary public) • Print the name(&) of document 91gnet(3) Who personally appear a i fie ume of not lluxtion. • Indicate the com:ct suigular or plural [omits by crossing off incorrect forms (i e &&Wjtiivrr• is law ) or circling the cortoct forms Fadu m to corrocdy indicate this information may bad to rejoction of document rocording • The notary teal unprmston must be clear and photographically reproducible Impression mast not cover text or lines If seal unpression smudges rc seal if a suffictont area permits othuwtse complete a different acknowledgment form Signature of the notary public must hutch the stgnaturr on file with the office of der courtly leak. A Additional inforrnauon is not required but could help to ensure dus acianowiedgmeot a riot nususod or attached to a different docurt>car A Indicate title or type of attached document. number of pages and date O Indict the capacity claimed by the signet If the claimed capacity is a corporate officer indicate the title (i a CEO CFO Socretary) Socumly attach this document to the signed document 200E Version CAPA vi2 lO 07 gOO-g73-MS www-NowyCialaea coin icChubb 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 by These Presents That FEDERAL INSURANCE COMPANY an Indiana corporation VIGILANT INSURANCE COMPANY a New York corporation and PACIFIC INDEMNITY COMPANY a Wisconsin corporation do each herebyconstitute and appoint Linda D Coats, Matthew J Coats Douglas A Rapp and Timothy D Rapp of Laguna Hills, California - each ds their true and Idwful Attorney in Fdct to execute under such designation n their names and to affx their corporate seals to and deliver for and on their behalf as surety thereon or otherwise bonds and undertakings and other writings obligatory in the nature thereof (other than bad bonds) given or executed in the course of business and any instruments amending or altering the same and consents to the modification or alteration of any instrument referred to in said bonds or obligations 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 16th day of November, 2009 -22"1- z /-L�na enneth C Wendel Assistant Secretary tNouns Jr Vice P nt STATE OF NEW JERSEY / ss County of Somerset ` On this 16th day of November 2009 before me a Notary Public of New Jersey personally came Kenneth C Wendel to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY VIGILANT INSURANCE COMPANY and PACIFIC INDEMNITY COMPANY the companies which executed the foregoing Power of Attorney and the said Kenneth C Wendel being by me duly swom did depose and say that he is Assistant Secretary of FEDERAL INSURANCE COMPANY VIGILANT INSURANCE COMPANY and PACIFIC INDEMNITY COMPANY and knows the corporate seats thereof that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of the By Laws of said Companies and that he signed said Power of Attorney as Assistant Secretary of said Companies by like authonty and that he is acquainted with David B Norris Jr and knows Mm to be Vice President of said Companies and that the signature of David B Noms Jr subscribed to said Power of Attorney is in the genuine handwriting of David B Norris Jr and was thereto subscribed by authority of said By Laws and in deponents presence Notarial Seat KATHERINE J ADEIAAR NOfAPY PUBLIC OF NEW JERSEY ty -9 No 5 Oatvwrvwtttsrorr Exp res ras July 16 2014 7/l/ �PUBIL Notary Public JF CERTIFICATION Extract from the By Laws of FEDERAL INSURANCE COMPANY VIGILANT INSURANCE COMPANY and PACIFIC INDEMNITY COMPANY All powers of attorney 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 President or an Assistant Vice President jointly with the Secretary or an Assistant Secretary under their respective designations The signature of such officers may be engraved printed or lithographed The signature of each of the following officers Chairman President any Vice President any Assistant Vice President arty 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 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 pourer so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached I Kenneth C Wendel Assistant Secretary of FEDERAL INSURANCE COMPANY VIGILANT INSURANCE COMPANY and PACIFIC INDEMNITY COMPANY (the Companies ) do hereby certify that (i) the foregoing extract of the By Laws of the Companies is true and correct (n) the Companies are duly licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are authorized by the U S Treasury Department further Federal and Vigilant are licensed in Puerto Rico and the U S Virgin Islands and Federal is licensed in American Samoa Guam and each of the Provinces of Canada except Prince Edward Island and (ni) the foregoing Power of Attorney is true correct and in full force and effect Given under my hand and seals of said Companies at Warren NJ this May 25, 2010 Kenneth C Wendel Assistant Secretary 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 3493 Fax (908) 903 3656 e-mail surety9chubb corn Farm 15-10 0225B U (Ed 5 03) CONSENT City ®f Huntington Beach 2000 Main Street . Huntington Beach, CA 92648 OFFICE OF THE CITY CLERK JOAN L FLYNN CITY CLERK August 6 2010 R J Noble Company 15505 E Lincoln Ave P O Box 620 Orange CA 92856 RE CC 1379 Slater Avenue Rehabilitation from Beach Blvd to Newland St Enclosed please find your original bid bond for CC-1379 Sincerely Joan L Flynn CIVIC City Clerk JF pe Enclosure Sister C/tie-cgl4rlq" }dpa&,{/ h(td8jew Zealand (Telephone 7145365227) 281 Q JUN - Pd 1 57 }} k ►' O1= NUNTINGTON bEACH rL.00K z000 MAIN STRE.FT MNG FON MACh CA9z64s 4 Y P µ SLATER AVE REHABILIT TION FROM BEACH BLVD TO NEWLAND ST CC NO 1379, HUNTINGTON BEACH BID DATE 06/01/2010 AT 2 00 PM City of Huntington Beach Public Works Department 2000 Main Street Tel (714) 536-5431 Fax (714) 374-1573 For SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET CC NO 1379 in the CITY OF HUNTINGTON BEACH May 20 2010 Notice To All Bidders Please note the following clarification to the Project Plans Specifications and Special Provisions 1) PROJECT BID SCHEDULE —Specification Book Cross out Item No 4 Estimated Quantity unit CY to GY and change to SF on Slater Avenue Item 4 FDR with Cement treated Base on Section C page C 2 5 (Item 4 Estimated Quantity number is unchanged) 2) APPENDIX X —Specification Book Replace entire APPENDIX X FULL DEPTH RECLAMATION WITH CEMENT with ` ADDENDUM NUMBER ONE FULL DEPTH RECLAMATION WITH CEMENT (four pages) 3) SECTION C — Specification Book Replace Page C 3 — LIST OF CONTRACTORS with ADDENDUM NUMBER ONE LIST OF SUBCONTRACTORS (one page) Bidders shall submit SECTION C with the change from CY' to SF for Bid item No 4 on the Project Bid Schedule for Slater Avenue on page C 2 5 Award will be based on most current revised unit for that item This is to acknowledge receipt and review of Addendum Number One dated May 20 2010 R J NOBLE COMPANY X a4v��= Company Name By STEV MEN ZA SECRETARY 05/27/2010 Date All bidders must acknowledge the receipt of this Addendum with your bid proposal Should you have any questions regarding this Addendum please call Jim Wagner at (714) 536 5431 SECTION C PROPOSAL for the construction of SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET CC NO 1379 in the CITY OF HUNTINGTON 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 45 working days for Slater Avenue, the basis of Award, and a total of 65 working days to complete the work for all three segments including Gothard Street if awarded, starting from the date of the Notice to Proceed Only two streets segments (asphalt areas) can be under construction at any given time The third segment can begin once the final cap has been placed on one of the first two segments Concrete work can occur on all three segments simultaneously 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 C1 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 10% BID BOND 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 "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 Addendum 1 05-27-2010 X Steve endoza, Secretary C2 SECTION C SLATED AVENUE REHABILITATION CC NO 1379 Base Bid Total Amount sump Sum Bid — In Figures Additive Alternate #1 Total Amount Lump Sum Bid In Figures Additive Alternate #2 Total Amount Lump Sum Bid In Figures -BASE BID Slater Avenue — from Beach Blvd to Newland Street -ADDITIVE ALTERNATE # 1 (1) Magnolia Street — from Warner Avenue to Interstate 405 -ADDITIVE ALTERNATE 42 (2) Gothard Street — from Heil Avenue to Edinger Avenue C-2 1 C-2 2 C-2 3 C-2 3 C-2 4 to C-2 8 C-2 9 to C-2 11 C-2 12 to C-2 15 PROJECT BASE BID Basis of Award Slater Avenue — from Beach Blvd to Newland Street C-2 4 to C-2 8 BASE BID TOTAL AMOUNT LUMP SUM BID IN FIGURES BASE BID WILL BE THE BASIS OF AWARD C-2 2 ADDITIVE ALTERNATE PROJECT #1 BID Street — trom Warner Avenue to interstate 405 C-2 8 to C-2 11 ADDITIVE ALTERNATE 41 TOTAL AMOUNT LUMP SUM BID IN FIGURES ADDITIVE ALTERNATE PROJECT #2 BID Gomarcl street — trom Hell Avenue to tclinger Avenue U-2 12 to U-2 15 ADDITIVE ALTERNATE #2 TOTAL AMOUNT LUMP SUM BID IN FIGURES C-2 3 STREET CC NO. 1379 C-2 4 PROJECT BID SCHEDULE_ _ SLATER AVE Slater Ave CC-1379 Item No Estimated Quantity BXd Item �esertpffon Unit Price Extended Amount 1 I LS Mobilization $ J 46 $ 1—� W,. 2 1 LS Traffic Control Plan $1_ 00.00 $ 1,200.00 3 1 LS Furnish Project Traffic Control $23,000 0 $23,000 00 4 156135 5F FDR with Cement Treated Base $ 1 In $111,Igo T 5 5900 SF Surface Grind (0 34) incl Diposal of Material and Fabric $ 1 05 $ 6 ,195 00 6 2900 TN Construct Asphalt Concrete (0 17 & 0 25 per plan) $ 60 00 $174,000 7 2000 TN Construct Asphalt (0 17 ARHM Overlay) $ 72 75 $ 145,500 8 16 EA Adjust Sewer/Storm Dram Manhole to Grade $ 335 00 $ 5 , 360 00 9 3 EA Adjust OCSD Sewer Manhole to Grade $ 465 00 $ 1,395 00 10 30 EA Adjust Water Valve to Grade $ 310 00 $ 9,300 00 r0 C 2 5 PROJECT BID SCHEDULE- - SLATER AVE Slater Ave CC 1379 Item Estimated .Extended Sid Item Description No Quantity Unit Price Amount 11 1 LS Traffic Striping per plan $ o�i $1_1�000 12 22 Install Traffic Loop EA $ 190 00 $ 4 ,180 00 13 3170 Remove & Reconstruct Curb & Gutter (CF=8 or 6 Includes AB LF Slot Pave) per Std Plan 202 $ M 1 0 $ I IZ 5 14 18000 Remove & Reconstruct Sidewalk per Std Plan 207 SF $ rJ, $ q(9, 15 1 Install Truncated Domes to existing Access Ramp EA $ I Ob $ —II 60 16 13 Install Access Ramp including all appurtenances 17 7 Survey Monumentation EA $ 310 00 $ 2,170 00 18 10 Remove existing tree and grind stump and roots below grade EA $ 665 00 $ 6 , 650 00 19 1 Remove & Replace irrigation and landscape & plant new tree in EA existing parkway $ 1,850 00 $ 1,850 00 20 1100 Remove & Reconstruct Residential Driveway Approach SF o, $ Ell: C-2 6 PROJECT BID SCHEDULE- - SLATER AVE Slater Ave CC 1379 Rein No Estimated -.Extended QuantityUnit Bid Item pewrllptto�n Price Amount 21 1025 SF Remove & Reconstruct Commercial Driveway Approach $ $ IIT(,7 22 350 SF Remove & Reconstruct Alley Approach $ 23 4800 SF Remove & Reconstruct Concrete Cross Gutter $ g ' L $ 24 1 EA Adjust Monitoring Well to finished surface $ 310 00 $ 310 00 25 105 SF Remove & Reconstruct Local Depression $ $ 26 8 EA Construct Residential Lot Dram $ 220 00 $1, 760 00 27 3 EA Remove & Reconstruct Parkway Dram $ 4,700 00 + 100 00 28 3 EA Adjust existing Traffic Signal Box frame and cover $ 170 00 $ 510 00 29 8 EA Adjust existing water meter box frame and cover to new surface (Replace if broken with City furnished frame and cover) $ 85 00 $ 680 00 30 1 LS Remove & Reinstall Existing Chamlinked Fence and Gate $ 1,800 00 $1,800 00 �D C 2 7 PROJECT BID SCHEDULE- - SLATER AVE Slater Ave CC 1379 Item Estimated Extended Ltd Item Deseripttvan No QuantityI7utt Price Amount 31 1 Remove Regrade & Replace Turf and Irrigation in Kind LS $ 2,700 00 $ 2,700 00 32 1300 Remove & Reconstruct Commercial Driveway Approach with 00 SF High Early Strength Concrete $ 14,00 $ 20� 33 1 Provide 1 year Landscape Maintenance for Planted Tree in EA parkway $ 1,500. 00 $1, 500 00 Total Amount Bid in F I) Total Amount Bid in Words n i vit liu ri, l o s5 (�� 6Cve rl "� q 17dA 4-?VP h h U >� V -PA h I'n -h l M-P_ �i n I1 a vS rid SQve n hl v7P C C2s Magnolia Street — from Warner Avenue to Interstate 405 CC N. 1379 C-2 9 PROJECT BID SCHEDULE - MAGNOLIA ST (ADD ALTERNATE #I) Magnolia CC 1379 Item Estimated Extended No Quantity Best Item Description Vnit Price Amount 1 1 Mobilization LS $ZbdDU10 $ZgnOb,1l, 2 1 Traffic Control Plan LS $1,200 00 $ 1,200 00 3 1 LS Furnish Project Traffic Control $ $ I„ODb 4 730 Unclassified Excavation mcl Disposal of Matrial and Fabric CY $47 00 $ 34,310 0 5 73700 Surface Grind (0 17) incl Diposal of Material and Fabric SF $0 42 $ 30,954 0 6 930 Construct Asphalt Concrete (depth 0 33 ) TN $70 00 $ 65,100 0 7 1385 Construct Asphalt (0 17 ARHM Overlay) TN $74 50 $ 103,182 8 4 Adjust Sewer/Storm Drain Manhole to Grade EA $575 00 $ 2,300 00 9 1 Adjust OCSD Sewer Manhole to Grade EA $700 00 $ 700 00 10 15 Adjust Water Valve to Grade EA $550 00 $ 8,250 00 0 AO C 2 10 PROJECT BID SCHEDULE - MAGNOLIA ST (ADD ALTERNATE #1) Magnolia CC 1379 Item No Estimated Quantity Bxd Item D4-scriptipn Unit Price Extended Amount 11 4 EA Adjust Monitoring Well to Grade $575 00 $ 2,300 00 12 1 LS Traffic Striping $15,000 00 $ 15,000 0 13 26 EA Install Traffic Loops $190 00 $ 4,940 0 14 160 LF Remove & Reconstruct Curb & Gutter (CF=8 Includes AB Slot Pave) per Std Plan 202 $ 15 835 SF Remove & Reconstruct Sidewalk per Std Plan 207 $ 1,00 $ .-1, 16 1 EA Install Truncated Domes into existing Ramp $. VS-1, $ 17 5 EA Survey Monumentation $310 00 $ 1,550 00 18 3 EA Adjust Survey Monument Well to Grade $550 00 $ 1,650 00 19 700 SF Remove and Reconstruct Driveway Approach per Std Plan 211 $1' 00 $1 1 1 6° Total Amount Bid in Figures $ L Total Amount Bid in Words 4firec burdeed fhU � r i hrl vp ll D I �►GI' � e . S'iY h /l dr I /� �I /�l j l'�e� 7�,' C 2 11 CC NO. 1379 C-2 12 PROJECT BID SCHEDULE - GOTHARD ST (ADD ALTERNATE #2) Gothard St CC 1379 Item Estimated Extended Item Peser%pfi Ltd i�ti No Quantity Unit Price Amount 1 1 Mobilization LS $ $ $ 2 1 Traffic Control Plan � LS $ 1 ao �' $ 120© 3 1 Furnish Project Traffic Control LS $ �Jt 060, 4 260 Unclassified Excavation mel Disposal of Matrial and Fabric CY $78 00 $ 20,280 0 5 56570 Cold Milling mcl Diposal of Material and Fabric SF $ 0 26 $ 14,708 2 6 500 Construct Asphalt Concrete (0 39 per plan) TN $87 00 $ 43,500 0 7 1960 Construct Asphalt (0 17 ARHM Overlay) TN $72 75 $142,590 0 8 9 Adjust Sewer Manhole to Grade EA $285 00 $ 2,565 00 9 29 Adjust Water Valve to Grade EA $550 00 $ 15,950 0 10 1 Traffic Striping per plan LS $15,00 00 $ 15,000 0 C 2 13 PROJECT BID SCHEDULE - GOTIIARD ST (ADD ALTERNATE #2) Gothard St CC 1379 Item Estimated Extended QuantityUnit Bid Item DescriptionNo Price Amount 11 20 Traffic Loop EA $190 00 $ 3,800 00 12 1650 Remove & Reconstruct Curb & Gutter (CF=8 Includes AB Slot LF Pave) per Std Plan 202 $ 00 $ 1 13 13225 Remove & Reconstruct Sidewalk per Std Plan 207 SF $��J pp q 14 4 Construct Curb Access Ramp EA 4.UD 0 2 00 15 325 Remove & Reconstruct Local Depression per Std Plan 302 SF $1-3qg 16 3 Prepare Corner Records for Survey Monumentation EA $ 310 00 $930 00 17 7 Remove existing tree and grind stump and roots below grade EA $ 665 00 $ 4,655 0 18 2 Install new Survey Well Monument per H13 Std Plan 219 EA $ 950 00 $1, 900 00 19 3455 Remove & Reconstruct concrete Cross Gutter Per HB Std Plan SF 205 $ 1 1 $ 20 1225 Remove & Reconstruct Residential Driveway per HB Std Plan SF 209 ov $ 00 ZS 0 75 rs D(i C 2 14 PROJECT BID SCHEDULE - GOTIIARD ST (ADD ALTERNATE #2) Gothard St CC 1379 Item Estimated Extended Bid Item Dew%plfon No Quantity Unit Price Amount 21 50 Reconstruct Modified Driveway Apron LF $ $� 22 5475 Remove & Reconstruct Commercial Driveway per HB Std Plan SF 211 $ '11 V $ � 23 1 Relocate Fire Hydrant per Std Plan 607 EA $5,500 00 $5,500 00 24 1 Install Metal Hand Rail Per APWA Std Plan 606 2 (Ty pe B) EA $1,500 00 $1,500 00 25 1100 Reconstruct Commercial Driveway Approach per HB Std Plan G SF 211 modified to thickness of 12 with 44 Rebar $ Iq00 $ 26 12 Adjust existing water meter box frame and cover to new surface EA (Replace if broken with City furnished frame and cover) $ 225 00 $ 2 , 700 00 75 M� 'Fotal Amount Bid in Figures Total Amount Bid in Words 15 ev e t, t? 5 en� �G Lek i* C 2 15 ADDENDUM NUMBER ONE For SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET, C C NO 1379 In the CITY OF HUNTINGTON BEACH May 20 2010 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 or $10,000, whichever is rg eater and the portion of the work to be done by such subcontractor Portion of Work Name and Address of Subcontractor State License Number Class �thLtc.c & cAA-F-e, 3 514YV! Cuss t�4K) Sur,^ey t fi� .�, deli 3 z: 7 9 �J 1 d b a 1.� al G Ih 5 7-S F 3z ht.s 5+'r7�n3 ('fm tr► Yta ,SD r ( �t Si (i Z T �' � h �� � � � c.,f / By submission of this proposal the Bidder certifies 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 wilt be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project C 3 CC-1379 Slater A` enue Addendum 1 ADDENDUM NUMBER ONE For SLATER AVENUE REI IABILITATION f ROM BEACH BOULEVARD TO NEWLAND S rREET C C NO 1379 In the CITY OF HUNTINGTON BEACH May 20 2010 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 woik of renaer service to the bidder on said contract in an amount in excess of one half of one percent of the total bid or $10,000, whichever is greater and the portion of the work to bc, done by such subcontractor Portion Name and Address of Subcontractoa State License Class o Work Number By submission of this proposal the Bidder certifies That he i5 able to ana 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 subcontrlcts entered into and bonds furnished by subcontractor for this prolLet C 3 CC-1379 Slater A-,enae Addendum 1 State of California ss County of Orange STEVE ivIENDOZA , being first duly sworn, deposes and says that he or she is SECRETARY 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 X5i� Signature c1f Bidddf STEVE MENDOZA SECRETARY 15505 E LINCOLN AVE ORANGE CA 92865 Address of Bidder Subscribed and sworn to before me this I day of JUNE , 2010 NOTARY C4 JENNIrER DE IONGN Commission # 1771 186 Notary Public California Z Z ✓ Orange County '- c`omm ExpiresOct28 2011 NOTARY SEAL 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 Slater Avenue Rehabilitation from Beach Boulevard to Newland Street CC No 1379, (I)(we)(tt) 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 JUNE 1 2010 C5 R J NOBLE COMPANY Contractor x By STEVE MENDOZA SECRETARY Title 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 N/A Note This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire C6 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 JUNE 1 2010 C7 R J NOBLE COMPANY Contractor X By STEVE MENDOZA SECRETARY Title UNDERGROUND SERVICE ALERT IDEN'TIFICA'TION 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 or 811 a minimum of two working days before scheduled excavation Dag Alert Identification Number R J NOBLE COMPANY Contractor X By STEVE MENDOZA SECRETARY Title Date JUNE 1 2010 Note This form is required for every Dag Alert Identification Number issued by USA during the course of the Work Additional forms may be obtained from the AGENCY upon request C8 BIDDER certifies that the following information is true and correct R J NOBLE COMPANY Bidder Name 15505 E LINCOLN AVE Business Address ORANGE CA 92865 City, State Zip (714 ) 637 1550 Telephone Number A 782908 A State Contractor's License No and Class AUGUST 14 2000 Original Date Issued AUGUST 31 2010 Expiration Date The work site was inspected by STEVE MENDOZA of our office on MAY 26 , 2010 The following are persons, firms, and corporations having a principal interest in this proposal R J NOBLE COMPANY A CALIFORNIA CORPORATION MICHAEL J CARVER PRESIDENT CRAIG PORTER VICE PRESIDENT STEVE MENDOZA SECRETARY JAMES N DUCOTE TREASURER C9 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 x mac, Signature of SIEVE MENDOZA SECRETARY Printed or Typed Signature Subscribed and sworn to before me this 1 day of JUNE NOTARY 2010 JENNIFER D#E IONGH mmissio71Con 186 < Notary Public California Z Orange County Pn (omm ExpiresOct28 2011 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 CITY OF HUNTINGTON BEACH P O BOX 784 HUNTINGTON BEACH CA 92648 Name and Address of Public Agency 2 I Name and Telephone No of Project Manager DAVE VERONE (714) 536 5221 $3 875 54975 Contract Amount 2006 07 ARTERIAL REHAB Type of Work CITY OF MURRIETA ONE TOWN SQUARE MURRIETA CA 92562 Name and Address of Public Agency 12/07 06/09 Name and Telephone No of Project Manager TOM NOWAK (951) 304 2489 $1 298 906 95 Contract Amount Date Completed STREET IMPROVEMENTS 12/07 06/09 Type of Work Date Completed COUNTY OF RIVERSIDE P O BOX 1090 RIVERSIDE CA 92502 Name and Address of Public Agency Name and Telephone No of Project Manager STAN DERY (951) 955 6742 $4 628 247 70 STREET IMPROVEMENTS 02/08 10/08 Contract Amount Type of Work Date Completed C 10 RELIABLE CONTRACTOR DECLARATION (page 1 of 3) This form must be completed and submitted to the Department of Resources Recycling and Recovery (CalRecycle) prior to authorizing a contractor(s) to commence work Failure to provide this documentation in a timely manner may result in nonpayment of funds to the contractor(s) This form is intended to help the CalRecycle s Grantees comply with the Unreliable List requirement of their Terms and Conditions The Unreliable List provision requires the following Prior to authorizing a contractor(s) to commence work under the Grant, the Grantee shall submit to CalRecycle a declaration signed under penalty of perjury by the contractor(s) stating that within the preceding three (3) years, none of the events listed in Section 17050 of Title 14, California Code of Regulations, Natural Resources Division 7, has occurred with respect to the contractor(s) Please see the reverse of this page for a listing of events, or refer to www CalRecycle cagov/Regulations/Title14/ Please return the completed form(s) to Department of Resources Recycling and Recovery Name of your Grant Program Attn Name of your Grant Manager P O Box 4025 Sacramento, CA 95812 4025 GRANTEE INFORMATION GRANTEE NAME GRANT NUMBER PRIMARY CONTACT NAME CONTRACTOR INFORMATION CONTRACTOR NAME R J NOBLE COMPANY AUTHORIZED CONTRACTOR REPRESENTATIVE NAME STEVE MENDOZA SECRETARY MAILING ADDRESS 15505 E LINCOLN AVE ORANGE CA 92865 As the authorized representative of the above identified contractor I declare under penalty of perjury under the laws of the State of California that within the preceding three (3) years none of the events listed in Section 17050 of Title 14 California Code of Regulations Natural Resources Division 7 has occurred with respect to the above identified contractor STEVE MENDOZA SECRETARY Signature X Date 1 2610 C 11 RELIABLE CONTRACTOR DECLARATION (page 2 of 3) Title 14 CCR, Division 7, Chapter 1 Article 5 Unreliable Contractors, Subcontractors, Borrowers and Grantees Section 17050 Grounds for (Placement on Unreliable List The following are grounds for a finding that a contractor, any subcontractor that provides services for a CalRecycle agreement, grantee or borrower is unreliable and should be placed on the CalRecycle Unreliable Contractor, Subcontractor, Grantee or Borrower List ("Unreliable List") The presence of one of these grounds shall not automatically result in placement on the Unreliable List A finding must be made by the Executive Director in accordance with section 17054, and there must be a final decision on any appeal that may be filed in accordance with section 17055 et seq (a) Disallowance of any and/or all claim(s) to CalRecycle due to fraudulent claims or reporting or (b) The filing of a civil action by the Attorney General for a violation of the False Claims Act, Government Code section 12650 et seq, or (c) Default on a CalRecycle loan, as evidenced by written notice from CalRecycle staff provided to the borrower of the default, or (d) Foreclosure upon real property loan collateral or repossession of personal property loan collateral by CalRecycle, or (e) Filing voluntary or involuntary bankruptcy where there is a finding based on substantial evidence, that the bankruptcy interfered with the CalRecycle contract, subcontract, grant or loan, or (f) Breach of the terms and conditions of a previous CalRecycle contract, any subcontract for a CalRecycle agreement, grant, or loan, resulting in termination of the CalRecycle contract, subcontract grant or loan by the CalRecycle or prime contractor, or (g) Placement on the CalRecyele's chronic violator inventory established pursuant to Public Resources Code section 44104 for any owner or operator of a solid waste facility, or (h) The person, or any partner, member, officer, director, responsible managing officer, or responsible managing employee of an entity has been convicted by a court of competent jurisdiction of any charge of fraud, bribery, collusion, conspiracy, or any act in violation of any state or federal antitrust law in connection with the bidding upon, award of, or performance under any CalRecycle contract subcontract, grant or loan or (i) The person or entity is on the list of unreliable persons or entities, or similar list, of any other federal or California state agency, or 0) The person or entity has violated an Order issued in accordance with section 18304, or, (k) The person or entity has directed or transported to, has or accepted waste tires at, a site where the operator is required to have but does not have a waste tire facility permit, or, (1) The person or entity has transported waste tires without a waste tire hauler registration, or, (in) The person or entity has had a solid waste facility or waste tire permit or a waste tire hauler registration denied, suspended or revoked, or, (n) The person or entity has abandoned a site or taken a similar action which resulted in corrective action or the expenditure of funds by CalRecycle to remediate, clean, or abate a nuisance at the site, or (o) The following are additional grounds for a finding that, a person or entity described below should be placed on the Unreliable List C 12 RELIABLE CONTRACTOR DECLARATION (page 3 of 3) (1) The person or entity owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (2) The person held the position of officer director, manager, partner, trustee or any other management position with significant control (Principal Manager) in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (3) The entity includes a Principal Manager who 1 Was a Principal Manager in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, or 2 Owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (4) The entity has a person who owns 20% or more of the entity, if that person 1 Was a Principal Manager in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, or 2 Owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (5) The entity has anothei entity which owns 20% or more of the entity, if that other entity 1 Is on the Unreliable List, or, 2 Owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (6) Subsection (o) is not intended to apply to a person or entity that purchases or otherwise obtains an entity on the Unreliable List subsequent to its placement on the Unreliable List C 13 TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA Hartford Connecticut 06183 S A Bond No N/A KNOW ALL MEN BY THESE PRESENTS That we R J NOBLE COMPANY as Principal hereinafter called the Principal and TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA of Hartford Connecticut a corporation duly organized under the laws of the Slate of Connecticut as Surely hereinafter called the Surety are held and firmly bound unto CITY OF HUNTINGTON BEACH as Obligee hereinafter called the Obligee ir, the surn or TEN PERCENT OF THE AMOUNT OF THE BID Dollars ($ 107 OF BID ) 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 severalty firmly by these presents WHEREAS the Principal has submitted a bid for SLATER AVE REHABILITATION (10512100040) 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 such Comrad ano give such bond or bonds if the Principai shall pay to the Obligee the difference not to eAceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract rnth another party to perform'he Wort, covered by said bid then this obligation shall be null and void otherwise to remain in full force and effect Signed and sealed this 25 th day of MAY, 2010 R J NOBLE COMPANY (witness) (Pnnapai) (Seal) STEVE ME OZA, SECRETARY (Tick) TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA (Wdness) By (Attorney n-Fact) JEREMY P DE GAS'0 Printed to 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 1FFQ-C (m 97-b CALEFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of ORANGE On 05/2612010 before me JENNIFER DE IONGH, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared STEVE MENDOZA JENNIFER DE IONGH Commission # 1771186 Z -m Notary Public California z Z Orange County iv YComm D pliesOct28 2011 who proved to me on the basis of satisfactory evidence to be the person(g whose nameX is/are subscribed to the within instrument and acknowledged to me that he/s4oA ey executed the same in his/fir authorized Gapacity(jp4 and that by his/heattwir signatureo on the instrument the personV or the entity upon behalf of which the person(,s'j acted executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS mv hand and o seal Sig re Place Nola y Seat Abo e Signatu e of Notary Public OPTION Though the information below is not required bylaw it may prove valuable to pAnother ns relying on the document and could prevent fraudulent removal and reattachment of this form document Description of Attached Document Title or Type of Document Document Date Signer(s) Other Than Named Above — Capacity(ies) Claimed by Signer(s) Signers Name ❑ individual ❑ Corporate Officer — Title(s) ❑ Partner — E Limited ID Genera( ❑ Attorney in Fact Ll Trustee ❑ Guardian or Conservator ❑ Other Signer is Representing RIGHTTHUMRPRINT, 4GF SIGNER Number of Pages Signers Name ❑ Individual ❑ Corporate Officer — Title(s) _ ❑ Partner — ❑ Limited C General ❑ Attorney in Fact ❑ Trustee 0 Guardian or Conservator O Other Signer is Representing ?lIIGHTTHUMI«171NT > .._ OF -SIGNER L of thumb here 02007 National Notary Associat o 9360 De Soto Ave PO 8 2402 Chatsworth CA 91313 2402 www Nato alNotaryo g Item #5907 Reo der Call Toll Feel 800 8766827 State of California County of RIVERSIDE S On beforeme R NAPPI "NOTARY PUBLIC" (Here insert name and title of the officer) personally appeared JEREMY PENDERGAST who proved to me on the basis of satisfactory evidence to be the person whose name(Wis/subscribed to the within instrument and acknowledged to me that he/shaAhey executed the same in his/har4haw authorized capacity(w.$) and that by his/herfthetF signature4s}on the instrument the personal, or the entity upon behalf of which the personP4 acted executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS m hand and official sealtPIQ 1 y COMMCpMM #1796916 eCr 10't NOTAR BLIC CALIFORNIA c 4V RIVERSiDECOUNTY (Notary Seal) Q My Comm Expires June 7 2012 Signature of Notary Publu: ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description ofattached document) (Title or description of attached document continued) Number of Pages Document Date (Additional information) CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) ❑ Corporate Officer (Title) ❑ Partner(s) ❑ Attorney -in Fact ❑ Trustee(s) ❑ Other INSTRUCTIONS FOR COMPLETING THIS FORM An) acknou ledgmem completed in California must contain ierbwge exacit) as appears above in the notarn section or a separate acknou ledgmem fonu must be properh completed and attached to that document The aril) exception is if a document is to be recorded outside of Calf Irma In such instances am alternatn e acknorledgment ierbiage as mqy be pruned on such a document so long as rite i erbiage does not require the noiaij to do something that is illegal for a noiar3 in California (i a eery f) ing lire outhorred capacity of rite signer) Please check the document earefrdli for proper notarial it or daig and attach this form f required • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed • The notary public must print his or her name as of appears within his or her commission followed by a comma and thenyour title (notary public) Print the name(s) of document signer(s) who personally appear at the time of notarization • Indicate the correct singular or plural forms by crossing off incorrect forms it c he/she/they- is /are ) or circling the correct forms Failure to correctly indicate this information may lead to rejection of document recording The notary seal impression must be clear and photographically reproducible Impression must not cover text or lines if seal impression smudges, re -seal if a sufficient area permits otherwise complete a different acknowledgment form Signature of the notary public must match the signature on rile with the office of the county clerk e Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document Indicate title, or type of attached document, number of pages and date Indicate the capacity claimed by the signer If the claimed capacity is a corporate officer indicate the title (i a CEO CFO Secretary) Securely attach this document to the signed document 2008 Version CAPA v 12 10 07 800 873 985:) www NotaryClasses com a POWER OF ATTORNEY TRAVELERSJ Farmington Casualty Company St Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters Inc Travelers Casualty and Surety Company of America St Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St Paul Guardian Insurance Company Attorney In Fact No 222079 Certificate No 003677947 KNOW ALL MEN BY THESE PRESENTS That St Paul Fire and Marine Insurance Company St Paul Guardian Insurance Company and St Paul Mercury Insurance Company are corporations duly organized under the laws of the State of Minnesota that Farmington Casualty Company Travelers Casualty and Surety Company and Travelers Casualty and Surety Company of America are corporations duly organized under the laws of the State of Connecticut that United States Fidelity and Guaranty Company is a corporation duly organized under the laws of the State of Maryland that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa and that Fidelity and Guaranty Insurance Underwriters Inc is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the Companies ) and that the Companies do hereby make constitute and appoint Michael D Stong Rosemary Nappi and Jeremy Pendergast of the City of Riverside State of C'aliforriia their true and lawful Attorney(s) in Fact each in their separate capacity if more than one is named above to sign execute seal and acknowledge any and all bonds recogmzances conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law IN WITNESS WHEREOF the Companies have caused this instrument td be signed and their corporate seals to be hereto affixed this day of May 2010 1 Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters Inc St Paul Fire and Marine Insurance Company St Paul Guardian Insurance Company 20th St Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company OpSU,i T J F 64 i,N �Mg Pr+ 8� 4 J N lip �jiYA� �' Sb O �1ED j!� F in v ORPORgf�, p m Z b'rcL"'M- H,t 1951 iyy 'tlSE ALaof i yFIRFORDOo SEAL oio f14R1F6gD, ri <o� '�p�` State of Connecticut City of Hartford ss By Georg Thompson enior ice President On this the 20th day of May 2010 before me personally appeared George W Thompson who acknowledged himself to be the Senior Vice President of Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters Inc St Paul Fire and Marine Insurance Company St Paul Guardian Insurance Company St Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America and United States Fidelity and Guaranty Company and that he as such being authorized so to do executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer 0 j yer P� In Witness Whereof I hereunto set my hand and official sealeo-�\ My Commission expires the 30th day of June 2011 auAIA c Mane C Tetreault Notary Public 58440 4 09 Printed in U S A WARNING THIS POWER OF ATTORNEY IS City ®f Huntington Beach 2000 Main Street v Huntington Beach, CA 92648 OFFICE OF THE CITY CLERK JOAN L FLYNN CITY CLERK August 6 2010 Sequel Contractors Inc 13546 Imperial Hwy Santa Fe Springs CA 90670 RE CC-1379 Slater Avenue Rehabilitation from Beach Blvd to Newland St Enclosed please find your original bid bond for CC-1379 Sincerely 4 &d''.1scoo Joan L Flynn CIVIC City Clerk JF pe Enclosure Sister Citiesg AiNojpy e3,fuA("l fiu4iew Zealand (Telephone 714 536 5227) "QUIL CONTRACT ORC, I 'C 13546 Imperial Hwy Santa Fe Springs, CAS 2010J4"j-1 Fil 1 59 2010 JUNI 59 ,. i r City of Huntington Beach Public Works Department 2000 Main Street Tel (714) 536-5431, Fax (714) 374-1573 ADDENDUM N r"MBER ONE For SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET CC NO 1379 In the CITY OF HUNTINGTON BEACH May 20 2010 Notice To All Bidders Please note the following clarification to the Protect Plans, Specifications, and Special Provisions 1) PROJECT BID SCHEDULE—Speclficabon Book Cross out Item No 4 Estimated Quantity unit "CY" to "i�c`a�ei Slater Avenue Item 4 - FDR with Cement treated Base on Section C page C 2 5 (Item 4 Estimated Quantity number is unchanged) 2) APPENDIX X — Specification Book Replace enbre APPENDIX X C�'#I�T with "ADDENDUM NUMBER ONE - FULL DEPTH RECLAMATION WITH CEMENT" (four pages) 3) SECTION C—Specification Book Replace Page C-3 — LIST OF CONTRACTORS with "ADDENDUM NUMBER ONE - LIST OF SUBCONTRACTORS" (one page) Bidders shall submit SECTION C with the change from "CY" to "SF" Schedule for Slater Avenue on page C-2 5 Award will be based on most This is to acknowledge receipt and review of Addendum Number One Compan Name B _/ 0 All bidders must acknowledge the receipt of this Addendum with your bid proposal Bid item No 4 on the Project Bid ent revised unit for that Item 20 Should you have any questions regarding this Addendum please call Jim Wagner at (714) 536-5431 ADDENDUM NUMBER ONE For SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET C C NO 1379 In the CITY OF HUNTINGTON BEACH May 20, 2010 FULL DEPTH RECLAMATION WITH CEMENT 1-1 DESCRIPTION d� ll Work shall consist of pulverizing existing asphalt concrete, base, and subgrade soil to a total depth of +� `1D 1 34 feet on Slater Avenue Regrade and haul away excess material to allow for the net placement of 0 421S VT feet of new asphalt Add cement and water to the blended material to a total depth off feet in accordance with the specifications provided below Fine grade to the grades required prior to place9I �� of asphalt This item shall consist of constructing a mixture of pulverized asphalt concrete, base material, subgrade sal, cement, and water in accordance with this specification, and in conformity with the lines, grades, thickness, microcrackmg and typical cross sections shown on the plans Cement -treated subgrade shall be constructed in a series of parallel lanes such that longitudinal and transversejomts are minimized 2-1 MATERIALS 2-11 PORTLAND CEMENT Portland cement shall be Type Il/V conforming to the requirements of Section 201-1 2 1 `Portland Cement" of the Standard Specifications for Public Works Construction - "Greenbook" 2009 Edition Fly ash or other pozzalomc material shall not be substituted for Portland cement 2-12 WATER Water used for mixing or curing shall be reasonably clean and free of oil, salt, acid, alkali, sugar, vegetable, or other substances uiluncus to the finished product Water shall conform to the provisions in Section 201-1 2 3, "Water," of the Standard Specifications 2-13 PULVERIZED MATERIAL Existing asphalt concrete surfacing shall be pulverized with underlying base materials and subgrade soil to the specified depths and widths in conformance to the Project Plans and Special Provisions The asphalt concrete surfacing and underlying base/soil materials shall be pulverized such that 100 percent of the material will pass a 2-inch sieve and a minimum of 90-percent will pass a I'/z-Inch sieve All materials other than rock and pulverized asphalt concrete shall be broken up such that these materials will pass a one-mch sieve The pulverized materials shall be free of roots, sod, weeds, wood, and construction debris Page 1 of 4 CC-1379 Slater Avenue Addendum 1 3-1 CONSTRUCTION METHODS 3-11 GENERAL Prior to beginning any cement treatment, the existing subgrade shall be shaped to conform to the typical sections, lines, and grades as shown on the plans The Engineer shall check and verify the conformance of the material to the lines, grade, and elevation as shown on the plans, prior to beginning cement treatment Trimmmg and disposal of excess material, if required, will be performed on the intonate mixture of pulverized asphalt concrete, base materials, and subgrade soil prior to cement treatment Excess pulverized material is the surplus that results after trimming and grading the pulverized pavement section to the lines and grades shown on the plans The pulverized subgrade should be trimmed sufficiently low to allow for the added cement volume, proper material compaction, and subsequent layers of leveling and surface course A C overlays, all as required to meet proposed finished surface grades called for on the plans Excess pulverized material shall consist of non -cement treated, well mixed pulverized A C pavement, base materials (if existing) and subgrade The Contractor will not be allowed to remove unmixed material or more specifically, the Contractor will not be allowed to remove the more desirable A C pavement off the top of the existing pavement section prior to mixing with the subgrade 3-12 APPLICATION Cement shall be applied at a rate of not less than 5 percent based on the in -place dry unit weight of soil and for the depth of subgrade treatment shown on the plans For estimating purposes, an in -place dry unit weight of soil of 130 pcf should be used The cement content shall vary no more than 0 5 percent under and not more than 10 percent over the specified cement content (example tolerance on spread rate of 6 0% is 5 5% to 7 0%) However, the moving average of the rate of cement content testsrnspections shall not be less than the specified cement content The Enameer reserves the right to increase the rate of application of cement from the specified rates during the progress of construction as necessary to maintain the desired characteristic of the stabilized subgrade Additional cement and work required above and beyond the specified amount will be paid on a unit price basis Cement shall be distributed with a non -pressurized mechanical vane -feed spreader equipped with on- board scales and controls capable of spreading the cement at a prescribed weight per unit area. Cement shall not be spread upon the prepared material more than 2 hours prior to the mixing operation No traffic other than the mixing equipment shall be allowed to pass over the spread cement until the mixing operation is completed Page 2 of 4 CC-1379 Slater Avenue Addendum 1 3-13 MIXING Mixing of the soil, cement, and water shall be done with a four-wheel drive rotary mixer (CMI RS-500B, CAT 350B or equivalent) The mixing machine shall have equipment provisions for introducing water at the time of mixing through a metering device The full depth of the treated subgrade shall be mixed a mmi num of two times with the approved mixing machine At least one of the two mixes shall be done while introducing water into the soil through the metering device on the mixer Water shall be added to the subgrade during mixing to provide a moisture content not less than 1 percentage point below nor more than two percentage points above (-1 to +2 of OMC) the optimum moisture of the soil -cement mixture (ASTM D 558) to ensure chemical action of the cement and soil To ensure a uniformly treated section, any material/soil around manholes, utility risers, valves and adjacent to curbs/gutters or in corners, must have that material/soil pulled out by the Contractor. at the depth of treatment, where it is accessible to be mixed with the reagent After that maternal is mixed with the reagent, it will be placed back and compacted by the Contractor 3-14 COMPACTION The mixture shall be compacted in one layer The Contractor shall regulate the sequencing of the cement treatment operations, such that the final compaction of the soil cement mixture to the specified density will be completed within 2 1/2 hours aver the initial application of water during the mixing operation However, tnmmmg (cuts only) can be completed within 24 hours of mixing Compaction shall be by means of steel drum, pad foot and/or segmented wheel rollers of sufficient capacity to compact the full depth Areas inaccessible to rollers shall be compacted to the required density by other means satisfactory to the Enjuneer The field dry density of the compacted mixture shall be at least 95% percent of the maximum dry density as determined in accordance with ASTM D 558 (Moisture -Density of Soil -Cement Mixtures) AGENCY will conduct compaction testing 3-15 FINISHING AND CURING After the final layer of cement treated subgrade has been compacted, it shall be brought to the required lines and grades in accordance with the typical section, and shall be kept moist The completed section shall then be finished by rolling with a steel drum or other suitable roller approved by the Engineer The mixture shall be compacted in one layer The completed cement treated subgrade shall be moist cured continuously for 5-7 days or until surfaced with a curing seal consisting of SS or CSS grade asphalt emulsion at a rate of 0 12 to 0 20 gallons per square yard of surface The cement treated subgrade shall be kept free from heavy traffic during the curing period or until the asphalt concrete surfacing is placed whichever is less, unless otherwise directed by the $ngipggi If completed surface is to be microcracked moist curing shall be the only method of curing prior to microcracking After microcracking is complete additional moist curing or emulsion sealing may be used 3-16 MICROCRACKING Page 3 of 4 CC-1379 Slater Avenue Addendum 1 After the initial 24 hours of the moist curing period, the finished CTB course shall be tested by the Engineer to determine the stiffness of the layer The stiffness measurement of the CTB shall be determined using an approved device, such as the Humboldt Stiffness Gauge (HSG), or equivalent One test will be made along each 100 ft section of street The test location shall be marked with paint for later retesting If the initial HSG readings are in the range of 50 to 60 (MN/m), then microcracking of the CTB course shall begin If the readings are below the stated range, the CTB course shall be allowed to cure for an additional 24 hours and stiffness readings obtained at the end of the 24 hour period and prior to the commencement of microcracking operations Microcraking of the CTB shall be accomplished by a 12 ton steel -wheel vibratory roller, traveling at a speed of approximately 2 mph and vibrating at maximum amplitude (or as directed by the Project Engineer) The section shall have 100% coverage exclusive of the outside 1 foot so as to induce minute cracks in the CTB The microcraking operations may be terminated when a minimum 40% reduction in the stiffness of the CTB course is achieved as compared to the initial (pre -cracked) readings After one pass of the vibratory roller, the stiffness of the CTB shall be determined Based on the target total stiffness minimum reduction of 40%, it will be decided if additional passes are required Additional passes of the steel roller may be required to achieve the desired crack pattern or section modulus as determined by the Project Enmemee_r The CTB course shall be tested for stiffness after each additional rolling It is anticipated that the roller will have to make between approximately 1 to 4 passes to achieve the required reduction in stiffness 3-1 7 FINAL CURING After cessation of microcracking the section shall be cured for a period of at least 48 hours 3 18 CONSTRUCTION JOINTS Construction joints shall have vertical faces and shall be made in thoroughly compacted material Additional mixture shall not be placed against the construction joint until the joint has been approved by the Engmeer The face of the cut joint shall be lean and free of deleterious material and shall be kept moist until the placing of the adjacent soil -cement 3-19 REPAIR If the soil -cement is damaged, it shall be repaired by removing and replacing the entire depth of affected layers in the damaged area Feathering will not be permitted for repair of low areas 4-1 MEASUREMENT AND PAYMENT The pulverization and cement treatment of the existing pavement shall be paid for at the contract unit price per square foot for "FDR with Cement Treated Base and shall include costs for all pulverizing, and mixing of the existing pavement and underlying materials, for all water and Portland cement, for all spreading, compacting and trimming to the proper grade as shown on the plans and as specified, for all haul away of all excess pulverized material, for all microcracking, curing, protection and sealing of the cement treated subgrade, and no additional compensation will be allowed therefor " Page 4 of 4 CC-1379 Slater Avenue Addendum 1 . a SECTION C �� ."-L CONTRI PROPOSAL for the construction of SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET C C NO 1379 in the CITY OF HUNTINGTON 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 45 working days for Slater Avenue, the basis of Award, and a total of 65 working days to complete the work for all three segments including Gothard Street, if awarded, starting from the date of the Notice to Proceed Only two streets segments (asphalt areas) can be under construction at any given time The third segment can begin once the final cap has been placed on one of the first two segments Concrete work can occur on all three segments simultaneously 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 C1 Qr -,.J$L CONTRAC, ORS INN 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 Zol OyAJ in the amount of $ /0 Y 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 WRIMM MW IN -Dade Received RA M, i, C2 ADDENDUM NUMBER ONE For SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET, C C NO 1379 In the CITY OF HUNTINGTON BEACH May 20, 2010 FIST 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 m excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor Portion Name and Address of Subcontractor State License Class of Work Number 4*1- U �� S �� LA-MbA- t 1J1E2. cA I '�•� mil, �.h- 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 CC-1379 Slates- Avenue Addendum 1 6. WEL CONTRACTORS. INC SECTION C PROJECT BID SCHEDULE INDEX SLATER AVENUE REHABILITATION CC NO 1379 Base Bid Total Amount Lump Sum Bid — In Figures Additive Alternate #1 Total Amount Lump Sum Bid In Figures Additive Alternate #2 Total Amount Lump Sum Bid In Figures -BASE BID Slater Avenue — from Beach Blvd to Newland Street -ADDITIVE ALTERNATE # 1 (1) Magnolia Street — from Warner Avenue to Interstate 405 -ADDITIVE ALTERNATE #2 (2) Gothard Street — from Heil Avenue to Edinger Avenue C-2 1 C-2 2 C-2 3 C-2 3 C-2 4 to C-2 8 C-2 9 to C-2 11 C-2 12 to C-2 15 -Q,UEL CONTRACTORS, ING PROJECT BASE BID Basis of Award Slates- Avenue — from Beach Blvd to Newland Street C-2 4 to C-2 8 BASE BID TOTAL AMOUNT LUMP SUM BID IN FIGURES Ste' BASE BID WILL BE THE BASIS OF AWARD C-2 2 tJEtL CONTRACTORS, WC ADDITIVE ALTERNATE PROJECT #1 BID Street — Irom Warner Avenue to Interstate 405 C-2 h to C-2 11 ADDITIVE ALTERNATE #1 TOTAL AMOUNT LUMP SUM BID IN FIGURES $ �'3 z.k, lie ADDITIVE ALTERNATE PROJECT 42 BID Gothard Street — from Heil Avenue to Edinger Avenue C-2 12 to C-2 15 ADDITIVE ALTERNATE #2 TOTAL AMOUNT LUMP SUM BID IN FIGURES $ C-2 3 SEQUEL CONTRACTORS, = SLATER AVENUE FROM BEACH BLVD. TO NEWLAND STREET CC NO. 1379 C-2 4 PROJECT BID SCHEDULE- - SLATED AVE Slater Ave CC-1379 Item Estimated .Extended No Quantity Bid Item Description Unit Price Amount 1 1 Mobilization LS $ 2 1 Traffic Control Plan LS $ $� 3 1 LS Furnish Project Traffic Control $ I A(3007, $ 4 156135 FDR with Cement Treated Base $ a $ 132,1tgd s 5 5900 Surface Grind (0 34) incl Diposal of Material and Fabric SF $ $ 6 2900 Construct Asphalt Concrete (0 17 & 0 25 per plan) C3m TN �f $ t �^ $ 7 2000 Construct Asphalt (0 17 ARHM Overlay) (� t TN $�Q 8 16 Adjust Sewer/Storm Drain Manhole to Grade $ EA Iwo 9 3 EA Adjust OCSD Sewer Manhole to Grade $ $AL 10 30 EA Adjust Water Valve to Grade 00 $� $ SEQUEL CONTRACTORS, P4 C 2 5 PROJECT BID SCHEDULE- - SLATER AVE Slater Ave CC-1379 .Item Estimated .Extended No Quantity Bid Item Descrrpttoo Unit Price Amount 11 1 LS Traffic Striping per plan $ / $ 12 22 EA Install Traffic Loop ®� $ $ 13 3170 LF Remove & Reconstruct Curb & Gutter (CF=8 or 6 Includes AB Slot Pave) per Std Plan 202 $ O ®0 $; J 14 18000 Remove & Reconstruct Sidewalk per Std Plan 207 SF $ ®`l �� $ �_ 15 1 Install Truncated Domes to existing Access Ramp ®o 40�.� ��® EA $ $ 16 13 EA Install Access Ramp including all appurtenances $ $ 17 7 EA Survey Monumentation $� �j $ 3 1s 10 Remove existing tree and grind stump and roots below grade i o 66V EA $ $ 19 1 Remove & Replace irrigation and landscape & plant new tree in existing parkway �� $ EA $ 20 1100 SF Remove & Reconstruct Residential Driveway Approach $ ' $ Sig UAL CONTRACTORS. INC C 2 6 PROJECT BID SCHEDULE- - SLATER AVE Slater Ave CC-1379 Item Estimated Quantity Bid item DescriptionNo Unit Price .Extended Amount 21 1025 SF Remove & Reconstruct Commercial Driveway Approach j'QQ $ �.J ® $ 6 22 350 SF Remove & Reconstruct Alley Approach $� $ 23 4800 SF Remove & Reconstruct Concrete Cross Gutter $ $ cam"/ GV 24 1 EA Adjust Monitoring Well to finished surface ®Q $ o® $ 25 105 SF Remove & Reconstruct Local Depression $ /®� $ ` 26 8 EA Construct Residential Lot Dram $ $ 27 3 EA Remove & Reconstruct Parkway Dram 28 3 EA Adjust existing Traffic Signal Box frame and cover e00 $ Il—$ / ®� 29 8 EA Adjust existing water meter box frame and cover to new surface (Replace if broken with City furmshed frame and cover) $ -Ile $ 3e 30 1 LS Remove & Reinstall Existing Chainlmked Fence and Gate �O $ $ 3 i coo .jL.JEI. CONTRACTORS, INC C 2 7 7 PROJECT BID SCHEDULE- - SLATER AVE Slater Ave CC-1379 Item Estimated xtended Rid item Description No Quantity Unit Price Amount 31 1 LS Remove Regrade & Replace Turf and Irrigation in Kind $ $ 32 1300 Remove & Reconstruct Commercial Driveway Approach with00 High Early Strength Concrete SF $ $ 33 1 Provide I year Landscape Maintenance for Planted Tree in EA parkway $ 7, � $ — 1 00 Total Amount Bid in Figures $ t b2-1 80.1 m--- Total Amount Bid In Words CNI-' o rJ 7-v.31.:W- y oti 0us A-Aah A-0Nt 'b& _N-ri Ei U i= ,�EQ DEL CONTRACTORS, MC PiTs C 2 8 Magnolia Interstate 405 CC NO. 1379 b �U"L CONTRACTORS, INC C-2 9 PROJECT BID SCHEDULE - MAGNOLIA ST (ADD ALTERNATE #1) Magnolia CC 1379 Item No Estimated Quantity Bid Item D�scriptign Unit Price Extended Amount 1 1 Mobilization LS $ I S�do� $ol 2 1 Traffic Control Plan LS $ $ 3 1 Furnish Project Traffic Control $ 37-,5°O $ 3 LS 4 730 Unclassified Excavation incl Disposal of Matrial and Fabric $� $ CY 5 73700 SF Surface Grind (0 17) mcl Deposal of Material and Fabric �j(� $ $ A . 6 930 Construct Asphalt Concrete (depth 0 33) t� TN $1S 7 1385 TN Construct Asphalt (0 17 ARHM Overlay) Q® $ Z- ` $ J[3a $ 4 Adjust Sewer/Storm Dram Manhole to Grade $ EA $/(i(J� 9 1 Adjust OCSD Sewer Manhole to Grade ®0 $ $ EA 10 15 Adjust Water Valve to Grade co EA $ $T -S&--QUEL CONTRACTORS, ING KA C 210 PROJECT BID SCHEDULE - MAGNOLIA ST (ADD ALTERNATE #1) Magnolia CC-1379 Item No Estimated (quantity Bid Item Description Unit Price Extended Amount 11 4 EA Adjust Monitoring Well to Grade 449 $ k10 $ A .00 12 1 LS Traffic Striping (% $ $ 13 26 EA Install Traffic Loops �` 40 $ W� P $ \L 14 160 LF Remove & Reconstruct Curb & Gutter (CF=8 Includes AB Slot Pave) per Std Plan 202 $ �Q $ �' 15 835 SF Remove & Reconstruct Sidewalk per Std Plan 207 $ $ OW 16 1 EA Install Truncated Domes into existing Ramp ®a 17 5 EA Survey Monumentation $ $ 18 3 EA Adjust Survey Monument Well to Grade $ C�(J �- $ 19 700 SF Remove and Reconstruct Driveway Approach per Std Plan 211 ®D $ (! $ Total Amount Bid in Figures $ Total Amount Bid in Words S- QUEL ING C-2 11 G®thard Street — from Neil Avenue t® CC NO. 1379 S: QUEL CONTRACTORS, INC C-2 12 PROJECT BID SCHEDULE - G®THARD ST (ADD ALTERNATE #2) Gothard St CC 1379 Item Estimated .Extended No quantity Ltd Item Descrxptio► Unit Price Amount 1 1 Mobilization Ls 2 1 Traffic Control Plan d LS / /� $ 1r✓i� �"� $ 46w- 3 1 Furnish Project Traffic Control LS $ $c9 4 260 Unclassified Excavation mcl Disposal of Matrial and Fabric / CY $ ® $ 5 56570 SF Cold Milling mcl Diposal of Material and Fabric $ 00111, $ 6 500 Construct Asphalt Concrete (0 39 per plan) TN —yam $ $ 7 1960 TN Construct Asphalt (0 17 ARHM Overlay) �p $ Z 3 $ 1(67=4 (0 6 8 9 Adjust Sewer Manhole to Grade $ $ EA 9 29 Adjust Water Valve to Grade 00EA $ $ 10 1 Traffic Striping per plan Awl $ Aw$ /� LS Ok CONTRACTORS, INC 0 C 2 13 PROJECT BID SCHEDULE - GOTIIARD ST (ADD ALTERNATE #2) Gothard St CC 1379 Item Estimated Extended No Quantity Bid Item Aescrtption Unit Price Amount 11 20 EA Traffic Loop �) $ $ 12 1650 Remove & Reconstruct Curb & Gutter (CF=8 Includes AB Slot Pave) per Std Plan 202 LF $ $ 13 13225 Remove & Reconstruct Sidewalk per Std Plan 207 66, / SF $ $ 14 4 EA Construct Curb Access Ramp $ $ 15 325 Remove & Reconstruct Local Depression per Std Plan 302 / QQ $ SF $ 16 3 Prepare Corner Records for Survey Monumentation $ $ /^ EA 17 7 Remove existing tree and grind stump and roots below grade 001, EA $ $ 18 2 EA Install new Survey Well Monument per HB Std Plan 219 $ \ $ 19 3455 Remove & Reconstruct concrete Cross Gutter Per HB Std Plan 205 SF $ 20 1225 Remove & Reconstruct Residential Driveway per HB Std Plan 209 / f�' `.. SF $ $ �7 :SEQUEL CONTRACTORS, INC U2) 900 rol C-2 14 PROJECT BID SCHEDULE - G®TIIARD ST (ADD ALTERNATE #2) Gothard St CC 1379 Item No Estimated (,quantity Bid Item IDeseription Unit Price .Extended Amount 21 50 Reconstruct Modified Driveway Apron 000 22 5475 SF Remove & Reconstruct Commercial Driveway per HB Std an 211 400 $ $ 23 1 EA Relocate Fire Hydrant per Std Plan 607 $ `— $ 24 1 EA Install Metal Hand Rail Per APWA Std Plan 606 2 (Ty pe B) Qq $1.5009 $ 25 1100 SF Reconstruct Commercial Driveway Approach per HB Std Plan 211 modified to thickness of 12 with #4 Rebar $ $ —T� 26 12 EA Adjust existing water meter box frame and cover to new surface (Replace if broken with City furnished frame and cover) $ $ ' Total mount Bid in Figures p Total Amount Bid m Words O - Jyoub QUEL CiONTRACTORSo l ., C 2 15 04 Wita-, k IN, m IMIMMMS-.11MM 1 0 1aW la State of California ss County of Orange i10' 0 t C , being first duly sworn, deposes and says that he or she is prezi :A o ° IEL CONTRA=PSthe 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 13 U, 6 F',4 i-P',, ! f-iVry SRN gA FF SPA. C� Address of Bidder Subscribed and sworn to before me this day of , 201_ NOTARY PUBLIC NOTARY SEAL C-4 ACKNOWLEDGMENTCALIFORNIA ALL-PURPOSE z�R T..�.,: �c,�t�',�<,75,?a.,.a',_sa..e'aa ,�;,�.��c,a>,.s�e,?a. s>Sti Yva.,s�. sa3,_T•,�:�.,ea4,s»A .,�•,r',..Z� >,�.sa;,�S,� �.,�. '+a 4i. � >sa ,_ oa>'✓za: State of California County of On 'PL /o/ �/fl before me �� f [u ft Flak ira 6 T5#jj')0C" Date Here Insert Name and Title of the Officer personally appeared, Thomas S Pack Prorsd..rit Name(s) of Signer(s) OOA111000400AOOOOOOA1010000400000AOOA000014 o DANIEL BUSTAMANTE `A Comm #1829827 4 NOTARv PbBLIC CALIFORNIA p LOS ANGELES COUNTY CMy Commission Expires December 20 2012 j 0001100A0A0000010A001A000000000000000010/0A who proved to me on the basis of satisfactory evidence to be the person(14 whose name(x) is/pry subscribed to the within instrument and acknowledged to me that he/sbeAhep executed the same in his/he#tf,teir authorized capacity(ies) and that by his/he#thetr signatureX on the instrument the personX or the entity upon behalf of which the personoo acted executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS my hand and official sgal Signature � Place Notary Seal Above Signature of Notary 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(s) Signers Name ❑ Individual ❑ Corporate Officer —Title(s) _ ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other Signer Is Representing ,RIGHT H,0fft IN .___._OF�SIGNER _ Number of Pages Signers Name ❑ Individual ❑ Corporate Officer — Title(s) ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other Signer Is Representing miciHTTHUMBPRINT; � ' __ OF,SIGNER_—_! Top of thumb here 02007 National Notary Association 9350 De Soto Ave PO Box 2402 Chatsworth CA 91313 2402 www NahonalNotary org Item #5907 Reorder Call Toll Free 1 800 876 6827 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 Slater Avenue Rehabilitation from Beach Boulevard to Newland Street, CC No 1379, (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 06/,P/ ha SEQUEL CON T PACTOR.S. 6i Contractor By Title Thomas S Pack Prc--adWnf Cs 41EQUEL MC 9 AC T ORS® 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 /Xo If the answer is yes, explain the circumstances in the space provided AIM Note This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire C6 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 gloo/ //v DEL G�T�? m� ORS, INC Contractor 7-1 Title Thomas S Pack pm,j --g 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 or 811 a mimmum of two working days before scheduled excavation .Dig Alert Identification Number Date a( /o/ /�O f9'? k UEL COUTR°."TORS. INC Contractor LM Thomas S Pack redd::nt Title 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 certifies that the following information is true and correct S� E� CQNTRACTM, EN I' Bidder Name Santa Fe Sp; jigs, CA $0670 Business Address City, Telephone Number 10600 ` State Contractor's License No and Class jmqwy al., 1901 Original Date Issued JAN 312011 Expiration Date State Zip The work site was inspected by Dunn S Pack of our office on r!5/07�10 , 2010 rev1dont The following are persons, firms, and corporations having a principal interest in this proposal Thorrials S Par4, Prezidant ! P MLvvi-c - ,y 01vW4LA f HX4!, S T aSZ0 " 1. C9 SEQUEL CONTRACTORS, INC. ST LIC ##610600A 13546 IMPERtIAL HWY SAN TA FE SPRINGS, CA 90670 Fax (562) 802-7499 (562) 802-7227 Office ACTION BY UNANIMOUS WRITTEN CONSENT OF THE BOARD OF DIRECTOS OF SEQUEL CONTRACTORS, INC The undersigned being all of the Directors of SEQUEL CONTRATORS INC a California Corporation do hereby take the following action by this written consent at a meeting of the Board of Directors held on April 4 2004 in accordance with the Bylaws of the Corporation and the California Corporation Code WHEREAS the Board of Directors deems it advisable to authorize the officers of the Corporation Abel Magallanes Thomas S Pack and Michael A Mahler respectively to execute bid bonds on behalf of the Corporation with any agency, person, company or municipality, RESOVED FURTHER that Abel Magallanes Thomas S Pack and Michael A Mahler are authorized to execute labor material and faithful performance bonds in connection with contracts to be entered into with any agency, person, company or municipality, RESOLVED FURTHER, that Abel Magallanes, Thomas S Pack and Michael A Mahler are authorized and directed to execute and deliver street improvement contracts and related agreements with any agency person company or municipality on such terms conditions as they deem advisable in their sole discretion, RESOLVED FURTHER, that Abel Magallanes Thomas S Pack and Michael A Mahler be, and they hereby are authonzed by their sole signatures on any document to bind this corporation to contract bids bonds etc RESOLVED FURTHER, that Abel Magallanes, Thomas S Pack and Michael A Mahler be, and they hereby are authonzed and directed to take any and all such other actions and execute such other documents as may be necessary or appropriate to carry out the purposes of the foregoing authorizations In witness thereof, the undersigned Directors have executed this unanimous written consent to indicate this adoption of the consent of the foregoing resolution and the action set forth therein Dated AtuiL0'4.2004 & President 0� A Mahler Assistant Secretary Abel MdgalWfies Director, Vice President & Secretary 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 '-.t'#'---QU 0NTRACT0RS. Mr, Company Name of Thomas S Pack Pm1dont Printed or Typed Signature Subscribed and sworn to before me this _ day of , 201_ 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 1 2 3 Name and Address of Public Agency Name and Telephone No of Project Manager _ "rag Contract Amount Name and Address of Public Agency Type of Work Name and Telephone No of Project Manager Contract Amount Type of Work Name and Address of Public Agency Name and Telephone No of Project Manager Date Completed Date Completed Contract Amount Type of Work Date Completed C 10 ALL-PURPOSECALIFORNIA a.�a�.,?a.,._ Ja.n� nT� n Via. �a>n9e. n9a. 7sS n�.nva.,.we.<.1..1.: a.✓_s,'�n• n�aa.. �?t s.. 'Pi. �i �.. '.s 9a State of California County of On 06l0/ 40 Date personally appeared before me Daniel 'Xyuoy S&K Here Insert Name and Title of the Officer Thor; �s S P ~ck :1dont A1A10010A00AOOA001000/A1000010001000000A000 g 410y DANIEL BUSTAMANTEComm #1825827 �NOTARY PUBLIC CALIFORNIA pLOS ANGELES COUNTY Comm ssro7 Expires December 20 2012 0 ♦00100000010000A101100A1000010000A40/10010� who proved to me on the basis of satisfactory evidence to be the person(( whose name(-,) is/we subscribed to the within Instrument and acknowledged to me that he/she4her executed the same in his/her it authorized capacity(ies) and that by his/be6Wim signature() on the instrument the person*) or the entity upon behalf of which the person)' acted executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS my hAjid and official se Signature i�g 14W Place Notary Seal Above Signature of Notary Public OPTIONAL IONAL 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(s) Signers Name ❑ individual ❑ Corporate Officer —Title(s) _ ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other Signer Is Representing iRIGHTTHUMRPRiNT{ ___. ^QF SIGNEISt ._J Number of Pages Signers Name ❑ individual ❑ Corporate Officer — Title(s) ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other Signer Is Representing MIGHT THUMBPRINT __IOF_ of thumb here 02007 National Notary Association 9350 De Soto Ave PO Box 2402 Chatsworth CA 91313 2402 www NahonalNotaryorg Item #5907 Reorder Call Toll Free 1 800 876 6827 SEQUEL CONTRACTORS9 INC. ST L1C #610600A 13546 IMPERIAL HWY SANTA FE SPRINGS.) CA 90670 Fax (562) 502-7499 (562) 802-7227 Office STATEMENT OF EXPERIENCE 1 OWNER CITY OF ANAHEIM ADDRESS 200 S ANAHEIM BLVD ANAHEIM CA 92805 PHONE NO (714) 765 5285 CONTACT ROBERT PALAEOLOGUS PROJECT KATELLA AVE SMART STREET PROJECT AMOUNT $4 087 034 75 COMPLETION DATE FEBRUARY 2010 2 3 4 5 OWNER CITY OF GLENDALE ADDRESS 633 E BROADWAY GLENDALE CA 91206 PHONE NO (818) 937 8250 CONTACT ARMOND SIMONIAN PROJECT COLORADO STREET WIDENING PROJECT AMOUNT $1 926 471 00 COMPLETION DATE DECEMBER 2009 OWNER PORT OF LOS ANGELES ADDRESS 925 S PALOS VERDES STREET SAN PEDRO CA 90731 PHONE NO (310) 732 7634 CONTACT JILL SHIMAMOTO / BRIAN CHUC PROJECT SAN PEDRO WATERFRONT ENHANCEMENTS PROJECT AMOUNT $6 636 700 00 COMPLETION DATE DECEMBER 2009 OWNER CITY OF SANTA MONICA ADDRESS 1437 4TH STREET SANTA MONICA CA 90401 PHONE NO (310) 458 8732 CONTACT ALLANSHETH PROJECT ANNUAL STREET SIDEWALK MAINTENANCE PROJECT AMOUNT $8 259 040 00 COMPLETION DATE SEPTEMBER 2009 OWNER CITY OF HAWTHORNE ADDRESS 4455 W 126TH STREET HAWTHORNE CA 90250 PHONE NO (310) 349 2997 CONTACT ALAN LEUNG PROJECT 135TH STREET RECONSTRUCTION PROJECT AMOUNT $803 068 00 COMPLETION DATE SEPTEMBER 2009 SEQUEL CONTRACT RS9 INC. ST LIC #610600A 13546 IMPERIAL HWY SANTA FE SPRINGS, CA 90670 Fax (562) 502-7499 (562) 802-7227 Office 6 7 0 1 10 STATEMENT OF EXPERIENCE OWNER CITY OF INDUSTRY ADDRESS 255 NORTH HACIENDA BLVD INDUSTRY CA 91744 PHONE NO (626) 333 0336 CONTACT GERRY PEREZ PROJECT AZUSA AVE / RAILROAD STREET WIDENING PROJECT AMOUNT $3 884 998 75 COMPLETION DATE SEPTEMBER 2008 OWNER CITY OF WESTMINSTER ADDRESS 8200 WESTMINSTER BLVD WESTMINSTER CA 92683 PHONE NO (714) 898 3311 CONTACT JAKE NGO PROJECT WESTMINSTER BLVD MEDINA ISLANDS PROJECT AMOUNT $2 157 18000 COMPLETION DATE FEBRUARY 2008 OWNER CITY OF COSTA MESA ADDRESS 77 FAIR DRIVE COSTA MESA CA 92628 PHONE NO (714) 754 5223 CONTACT TOM BANKS PROJECT 17TH STREET BEAUTIFICATION PROJECT AMOUNT $2 801 68975 COMPLETION DATE OCTOBER 2007 OWNER CITY OF RANCHO PALOS VERDES ADDRESS 30940 HAWTHORNE BLVD RANCH PALOS VERDES CA 90275 PHONE NO (310) 544 5252 CONTACT BINDU VAISH PROJECT ANNUAL STREET MAINTENANCE PROJECT AMOUNT $1 500 000 00 COMPLETION DATE DECEMBER 2005 2006 2007 OWNER CITY OF DOWNEY ADDRESS 11111 BROOKSHIRE AVE DOWNEY CA 90241 PHONE NO (562) 904 7118 CONTACT NOE NEGRETE PROJECT LAKEWOOD BLVD IMPROVEMENTS PHASEIA PROJECT AMOUNT $6 274 630 00 COMPLETION DATE AUGUST 2006 SEQUEL CONTRACTORS9 INC. ST LIC #610600A 13546 IMPERIAL HWY SANTA FE SPRINGS, CA 90670 Fax (562) 502-7499 (562) 502-7227 Office STATEMENT OF EXPERIENCE 11 OWNER PORT OF LONG BEACH ADDRESS 925 HARBOR PLAZA LONG BEACH CA 90802 PHONE NO (562) 590 4172 CONTACT GARY CARDAMONE PROJECT PIER E BERTH D28 E27 NEW GATE PROJECT AMOUNT $6 279 157 00 COMPLETION DATE APRIL 2006 12 OWNER CITY OF TUSTIN ADDRESS 300 CENTENNIAL WAY TUSTIN CA 92780 PHONE NO (714) 573 3030 CONTACT DENNIS JUE PROJECT IRVINE & NEWPORT INTERSECTION PROJECT AMOUNT $4 034 000 00 COMPLETION DATE APRIL 2006 13 OWNER CITY OF SEAL BEACH ADDRESS 211 EIGHTH STREET SEAL BEACH CA 90740 PHONE NO (714) 431 2527 CONTACT RAYMOND VELASCO PROJECT VARIOUS STREET IMPROVEMENTS PROJECT AMOUNT $917 329 50 COMPLETION DATE AUGUST 2006 14 OWNER CITY OF LAGUNA BEACH ADDRESS 505 FOREST AVE LAGUNA BEACH CA 92805 PHONE NO (949) 497 0345 CONTACT FRED SHAHIDI PROJECT VARIOUS DOWNTOWN STREET IMPROVEMENTS PROJECT AMOUNT $791 357 15 COMPLETION DATE JANUARY 2006 15 OWNER CITY OF ANAHIEM ADDRESS 200 S ANAHIEM BLVD ANAHIEM CA 92805 PHONE NO (714) 765 5776 CONTACT CHUCK SMITH PROJECT LINCOLN & STATE COLLEGE INTERSECTION PROJECT AMOUNT $1 757 836 00 COMPLETION DATE AUGUST 2005 RELIABLE CONTRACTOR DECLARATION (page 1 of 3) This form must be completed and submitted to the Department of Resources Recycling and Recovery (CalRecycle) prior to authorizing a contractor(s) to commence work Failure to provide this documentation in a timely manner may result in nonpayment of funds to the contractor(s) This form is intended to help the CalRecycle's Grantees comply with the Unreliable List requirement of their Terms and Conditions The Unreliable List provision requires the following Prior to authorizing a contractor(s) to commence work under the Grant, the Grantee shall submit to CalRecycle a declaration signed under penalty of perjury by the contractor(s) stating that within the preceding three (3) years, none of the events listed in Section 17050 of Title 14, California Code of Regulations, Natural Resources, Division 7, has occurred with respect to the contractor(s) Please see the reverse of this page for a listing of events, or refer to www CalRec c1Y e ca gov/Regulations/Titlel4/ Please return the completed form(s) to Department of Resources Recycling and Recovery Name of your Grant Program Attn Name of your Grant Manager P O Box 4025 Sacramento, CA 95812-4025 GRANTEE INFORMATION GRANTEE NAME GRANT NUMBER PRIMARY CONTACT NAME CONTRACTOR INFORMATION CONTRACTOR NAME a1.mTi AUTHORIZED CONTRACTOR REPRESENTATIVE NAME Thomas S P,,rk Mldm MAILING ADDRESS 1' '�'6 I'VPMAL HVVY ;�,?INN 3 C, I -IF 90,57) As the authorized representative of the above identified contractor I declare under penalty of perjury under the laws of the State of California that within the preceding three (3) years none of the events listed in Section 17050 of Title 14 California Code of Regulations Natural Resources Division 7 has occurred with respect to the above entified co ractor Sign re Date 04 LTh C 11 RELIABLE CONTRACTOR DECLARATION (page 2 of 3) Title 14 CCR, Division 7, Chapter 1 Article 5 Unreliable Contractors, Subcontractors, Borrowers and Grantees Section 17050 Grounds for Placement on Unreliable List The following are grounds for a finding that a contractor, any subcontractor that provides services for a CalRecycle agreement, grantee or borrower is unreliable and should be placed on the CalRecycle Unreliable Contractor, Subcontractor, Grantee or Borrower List ("Unreliable List") The presence of one of these grounds shall not automatically result in placement on the Unreliable List A finding must be made by the Executive Director in accordance with section 17054, and there must be a final decision on any appeal that may be filed in accordance with section 17055 et seq (a) Disallowance of any and/or all claim(s) to CalRecycle due to fraudulent claims or reporting, or (b) The filing of a civil action by the Attorney General for a violation of the False Claims Act, Government Code section 12650 et seq, or (c) Default on a CalRecycle loan, as evidenced by written notice from CalRecycle staff provided to the borrower of the default, or (d) Foreclosure upon real property loan collateral or repossession of personal property loan collateral by CalRecycle, or (e) Filing voluntary or involuntary bankruptcy, where there is a finding based on substantial evidence, that the bankruptcy interfered with the CalRecycle contract, subcontract, grant or loan, or (f) Breach of the terms and conditions of a previous CalRecycle contract, any subcontract for a CalRecycle agreement, grant, or loan, resulting in termination of the CalRecycle contract, subcontract, grant or loan by the CalRecycle or prime contractor, or (g) Placement on the CalRecycle's chronic violator inventory established pursuant to Public Resources Code section 44104 for any owner or operator of a solid waste facility, or (h) The person, or any partner, member, officer, director, responsible managing officer, or responsible managing employee of an entity has been convicted by a court of competent jurisdiction of any charge of fraud, bribery, collusion, conspiracy, or any act in violation of any state or federal antitrust law in connection with the bidding upon, award of, or performance under any CalRecycle contract, subcontract, grant or loan, or (1) The person or entity is on the list of unreliable persons or entities, or similar list, of any other federal or California state agency, or 0) The person or entity has violated an Order issued in accordance with section 18304, or, (k) The person or entity has directed or transported to, has or accepted waste tires at, a site where the operator is required to have but does not have a waste tire facility permit, or, (1) The person or entity has transported waste tires without a waste tire hauler registration, or, (m) The person or entity has had a solid waste facility or waste tire permit or a waste tire hauler registration denied, suspended or revoked, or, (n) The person or entity has abandoned a site or taken a similar action which resulted in corrective action or the expenditure of funds by CalRecycle to remediate, clean, or abate a nuisance at the site, or (o) The following are additional grounds for a finding that, a person or entity described below should be placed on the Unreliable List C-12 wZM L CON 16W"TO S, lN� RELIABLE CONTRACTOR DECLARATION (page 3 of 3) (1) The person or entity owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (2) The person held the position of officer director, manager, partner, trustee, or any other management position with significant control (Principal Manager) in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (3) The entity includes a Principal Manager who 1 Was a Principal Manager in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, or, 2 Owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (4) The entity has a person who owns 20% or more of the entity, if that person 1 Was a Principal Manager in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, or, 2 Owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (5) The entity has another entity which owns 20% or more of the entity, if that other entity 1 Is on the Unreliable List, or, 2 Owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (6) Subsection (o) is not intended to apply to a person or entity that purchases or otherwise obtains an entity on the Unreliable List subsequent to its placement on the Unreliable List C-13 Bond No Bid Bond BID BOND The Amencan Institute of Architects AIA Document No A310 (February 1970 Edition) KNOW ALL MEN BY THESE PRESENTS that we Sequel Contractors Inc as Principal hereinafter called the Principal and Vigilant Insurance Company a corporation duly organized under the laws of the state of New York as Surety hereinafter called the Surety are held and firmly bound unto City of Huntington Beach as Obligee hereinafter called the Obhgee in the stun 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 Prucipal and the said Surety bind ourselves our hens executors administrators successors and assigns jointly and severally firmly by these presents WHEREAS the Principal has submitted a bid for Slater Avenue Rehabihtation (Project No 1379) NOW THEREFORE if the Obligee shall accept the bid of the Pnncipal and the Prucipal 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 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 27th Witness Witness ORSC 21328 (5/97) day of May 2010 LM (Seal) P rlt Name/Title CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of LOS ANGELES On 5 Z 2olo before me Danief Bustamante, Notary Public Date Here Insert Name and Tifle of the Officer personally appeared Thomas S. Pack PreskWft Name(s) of Srgner(s) 0000000b10001001001000000♦@0000000000000000 4o- DANIEL BUSTAMANTE p Comm #1825827 .e NOTARY PUBLIC CALIFORNIA C) t LOS HNCELES COUNTY m 0 ( My Commissioi Expires D camber 20 2012 g ♦0000b00b00b000060♦10000b404001000000404400 who proved to me on the basis of satisfactory evidence to be the person04 whose name() is/�wv subscribed to the within instrument and acknowledged to me that he/sbeAhey executed the same In hls/herft "ir authorized capacity(ies) and that by his/laefftl°ieir signatureW on the instrument the personX or the entity upon behalf of which the person' acted executed the Instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS my((hand and official s 1 Signature Liam Place Notary Seal Abo a Signature of Notary 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(s) Signers Name ❑ Individual ❑ Corporate Officer — Title(s) _ ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other Signer Is Representing iRIGHTTHUMBPRINT _OF. SIGNER Top of thumb here I Number of Pages Signers Name ❑ Individual ❑ Corporate Officer — Title(s) _ ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other Signer is Representing RIGHT THUMBPRINT OF SIGNER;. I� y<�✓.'.y<\✓<�<�<'✓<�<�:'✓<'✓ 'w<•d<',v •.may`,:✓<�<� ''✓'"<�<�<�✓<�<�✓<�✓.«✓<�<V«✓<�✓<�.'••✓'i-•✓. ✓. ✓ -✓ .v ✓ •y.'� '•✓' 'evi'er '✓ ri<'•✓ 02007 National Notary Association 9350 De Soto Ave PO Box 2402 Chatsorth CA 91313 2402 www Nationa(Notaryorg Item #5907 Reorder CaflToll Free 1 800 876 6827 CALIFORNIA ALL-PURPOSE CER'TIFICA'TE OF ACKNOWLEDGMENT State of California County of Orange on 05/27/2010 before me, Debra Swanson, Notary Public (Here exert name and ride of the otTiccr) personally appeared Douglas A Rapp who proved to me on the basis of satisfactory evidence to be the person(*) whose nameO is/we subscribed to the within instrument and acknowledged to me that he/she/ } executed the same In his/4oFA4@ff authonzed capaclty(w), and that by hisAkw/thw signature(4) on the Instrument the person(&), or the entity upon behalf of which the person(*) acted, executed the mstntment I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS my hand and official seal Signature of Notary Public N �. °i'tee, DEBRA SWANSON COMM # 1822117 e� z + NOTARY PAX M FORMA %D p: ` ORANGE COUNTY Cn (Notary Seas) My Comm, Expires NOY 10 2012 t ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description of attached document) (Tide or description of attached document corwnuod) Number of Pages Document Date (Additional uJormaum) CAPACITY CLAIMED BY THE SIGNER O Individual (s) O Corporate Officer (ride) O Partner(s) O Attorney to Fact ❑ Trustee(s) O Other INSTRUCTIONS FOR COMPLETING THIS FORM A►ry ao aModgaunt eonViried in California must contain verbiage exactly as appears above in dw notary section or a separate acknowledgnunt form must be propero compleW and allached to that document The only exception u rf a doeuinew & so be recorded oW&k of California In such instances any alternative atzAwwledgmenl verbiage as may be pruued on much a document so tong as the verbkWi doss nor require the notary to do sanethutg that is illegal for a notary ,n California (Le cirnl&ing the authorized capacity of (he signer) Please check the document earrfally for proper notarial worduig and attach thisform ffrequired State and County mformation must be the Stan and County where the document *Ww(s) personally appeared before the notary public for acknowledgment • Date of aotannuoa mtrst be the date that the signer(:) personally appeared which must also be the same dais the acknowledgment is completed • The notary public must print his or her name as it appears within his or her comtmmion followed by a comma and then your tide (notary public) • Print the mama(s) of document stgner(s) who personally appear at the tune of nognzadom • Indicate the correct singular or plural forms by crossing off incorrect forms (i c h&VrAk9yr- is /on ) or ctrrling the correct forma. Failure to coiawdy indicate this information may load to m)octan of document recording. • The notary seal impression must be clear and photograptucally reproducible Impressott must not cover teas or lines If seal impression smudges m seal if a sufiiciont area permits otherwise complete a different acknowtcdgnnent fore, Signature of the notary public must match the signature on file with the ofTicc of the county clerk' d Additional tmformarion is nod mquund but could help to «cure this ackwwiodgmoat a mot misused or attached to a different document_ O Indicate title or type of attached document, number of pages and dais O Indicate the capacity claimed by the signer If the claimed capacity is a corporate officer indicate the tide (i e CEO CFO Secretary ) • Securely attach this document to the stpod document 2009 Ventoo CAPA v 12 10 07 800473-9965 www NoWyCtassas coin IcChubb POWER Federal Insurance Company Ann Surety Department OF Vigilant Insurance Company 15 Mountain View Road Surety ATTORNEY pacific Indemnity Company Warren NJ 07059 Know All by These Presents That FEDERAL INSURANCE COMPANY an Indiana corporation VIGILANT INSURANCE COMPANY a New York corporation and PACIFIC INDEMNITY COMPANY a Wisconsin corporation do each hereby constitute and appoint Linda D Coats, Matthew J Coats, Douglas A. Rapp and Timothy D Rapp of Laguna Bills, Caldornia------- each as their true and lawful Attorney in Fdct to execute under such designation n their names and to affix their corporate seats to and deliver for and on their behalf as surety thereon or otherwise bonds and undertakings and other wnbngs obligatory in the nature thereof (other than bad bonds) given or executed in the course of business and any instruments amending or altering the same and consents to the modification or alteration of any instrument referred to in said bonds or obligations 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 16th day of November, 2009 Kenneth C Wendel Assistant Secretary Norris Jr Vice P nt STATE OF NEW JERSEY ss County of Somerset On this 16th day of November 2009 before me a Notary Public of New Jersey personally came Kenneth C Wendel to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY VIGILANT INSURANCE COMPANY and PACIFIC INDEMNITY COMPANY the companies which executed the foregoing Power of Attorney and the said Kenneth C Wendel being by me duly swum did depose and say that he is Assistant Secretary of FEDERAL INSURANCE COMPANY VIGILANT INSURANCE COMPANY and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of the By Laws of said Companies and that he signed said Power of Attorney as Assistant Secretary of said Companies by like authority, and that he is acquainted with David 8 Noms Jr and knows Min to be Vice President of said Companies and that the signature of David B Norris Jr subscribed to said Power of Attorney is in the genuine handwriting of David B Norris Jr and was thereto subscribed by authority of said By Laws and in deponents presence Notarial sea) KATHERINE I ADEI.AAR 1i NOUPY KJOUC OF NEW JERSEY �OTAR y No 2316685 ✓ /��� J_ mo® � Caflnmttuuon fxp ratJuly 16 2014 Gf �pUBLNotary Public JER°r� CERTIFICATION Extract from the By Laws of FE ERAL INSURANCE COMPANY VIGILANT INSURANCE COMPANY and PACIFIC INDEMNITY COMPANY All powers of attorney 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 President or an Assistant Vice President, jointly with the Secretary or an Assistant Secretary under their respective designations The signature of such officers may be engraved printed or lithographed The signature of each of the foilowng officers Chairman President any Vice President any Assistant Vice President any Secretary any Assistant Secretary and the sea] of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing 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 with respect to any bond or undertaking to which it is attached 1 Kenneth C Wendel Assistant Secretary of FEDERAL INSURANCE COMPANY VIGILANT INSURANCE COMPANY and PACIFIC INDEMNITY COMPANY (the Companies ) do hereby certify that (+) the foregoing extract of the By Laws of the Companies is true and correct (it) the Companies are duly licensed and authorized to transact surety business In all 50 of the United States of America and the District of Columbia and are authorized by the U S Treasury Department further Federal and Vigilant are licensed in Puerto Rico and the U S Virgin Islands and Federal is licensed in American Samoa Guam and each of the Provinces of Canada except Prince Edward Island and (ii+) the foregoing Power of Attorney is true correct and in full force and effect Given under my hand and seals of said Companies at Warren NJ this May 27, 2010 40 dtOtOo Kenneth C Wendel s+stant Secretary 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) 9W 3493 Fax (908) 903 3656 e-mail surety@chubb com Form 15-10 0225E U (Ed 5 03) CONSENT City ®f Huntington Beach 2000 Main Street a Huntington Beach, CA 92648 OFFICE OF THE CITY CLERK JOAN L FLYNN CITY CLERK August 6 2010 Silvia Construction Inc 9007 Center Ave Rancho Cucamonga CA 91730-5311 RE CC-1379 Slater Avenue Rehabilitation from Beach Blvd to Newland St Enclosed please find your original bid bond for CC-1379 Sincerely JF pe Enclosure Sister CitiesgAINQ 4aWa,,ftn ,ht,*6rud8iew Zealand (Telephone 714 536 5227) SILVIA CONSTRUCTION, 9007 CENTER AVENUE RANCHO CUCAMONGA, CA INC 91730-5311 "SEALED FOR FOR SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET, C C NO 1379, in IN THE CITY OF HUNTINGTON BEACH -DO NOT OPEN WITH REGULAR AMIL" BID DATE TUESDAY, JUNE 01, 2010 BID TIME 2 00 p m t 2010 iLI,,11- i Fill, f 55 CITY OF HUNTINt.,TON BEACH OFFICE OF THE CITY CLERK 2000 MAINS TREET, SECOND FLOOR HUNTINGTON BEACH, CA 92648 1-ADDENDA City of Huntington Beach Public Works Department 2000 Main Street Tel (714) 536-5431 Fax (714) 374-1573 ADDENDUM NUMBER® For SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET CC NO 1379 in the CITY OF HUNTINGTON BEACH May 20 2010 Notice To All Bidders Please note the following clarification to the Project Plans Specifications and Special Provisions 1) PROJECT BID SCHEDULE — Specification Book Cross out Item No 4 Estimated Quantity unit ` CY to CY and change to SF' on Slater Avenue Item 4 FDR with Cement treated Base on Section C page C 2 5 (Item 4 Estimated Quantity number is unchanged) 2) APPENDIX X — Specification Book Replace entire APPENDIX X FULL DEPTH RECLAMATION WITH CEMENT with `ADDENDUM NUMBER ONE FULL DEPTH RECLAMATION WITH CEMENT (four pages) 3) SECTION C — Specification Book Replace Page C-3 — LIST OF CONTRACTORS with "ADDENDUM NUMBER ONE LIST OF SUBCONTRACTORS (one page) Bidders shall submit SECTION C with the change from ` CY" to "SF for Bid item No 4 on the Project Bid Schedule for Slater Avenue on page C 2 5 Award will be based on most current revised unit for that item This is to acknowledge receipt and review of Addendum Number One dated May 20 2010 SILVIA CONSTRUCTION, INC Company Name BY KURTIS AKABORI VICE PRESIDENT JUNE O1, 2010 Date All bidders must acknowledge the receipt of this Addendum with your bid proposal Should you have any questions regarding this Addendum please call Jim Wagner at (714) 536 5431 SECTION C PROPOSAL for the construction of SLATER AVENUE REHABILITATION FROM BEACH BOULEVARD TO NEWLAND STREET CC NO 1379 in the CITY OF HUNTINGTON 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 45 working days for Slater Avenue, the basis of Award, and a total of 65 working days to complete the work for all three segments including Gothard Street, if awarded, starting from the date of the Notice to Proceed Only two streets segments (asphalt areas) can be under construction at any given time The third segment can begin once the final cap has been placed on one of the first two segments Concrete work can occur on all three segments simultaneously 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 XVr Accompanying this proposal of bid, findBIDDER'S BOND 1n the amount of $TIN PERCEMF OF BwDhicc 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 Bid i nature 1 MAY 20, 2010 C-2 SECTION C PROJECT BID SCHEDULE INDEX SLATER AVENUE REHABILITATION CC NO 1379 Base Bid Total Amount Lump Sum Bid — In Figures Additive Alternate #1 Total Amount Lump Sum Bid In Figures Additive Alternate #2 Total Amount Lump Sum Bid In Figures -R A RF. RTT) Slater Avenue — from Beach Blvd to Newland Street -ADDITIVE ALTERNATE # 1 (1) Magnolia Street — from Warner Avenue to Interstate 405 -ADDITIVE ALTERNATE #2 (2) Gothard Street — from Heil Avenue to Edinger Avenue C-2 1 C-2 2 C-2 3 C-2 3 C-2 4 to C-2 8 C-2 9 to C-2 11 C-2 12 to C-2 15 PROJECT BASE BID Basis of Award Slater Avenue — from Beach Blvd to Newland Street C-2 4 to C-2 8 BASE BID TOTAL AMOUNT LUMP SUM BID IN FIGURES $ 13011, 0 ao BASE BID WILL BE THE BASIS OF AWARD C-2 2 ADDITIVE ALTERNATE PROJECT #1 BID ha Street — from W arner Avenue to interstate 4U--) U-L 5 to U-L I I ADDITIVE ALTERNATE #1 TOTAL AMOUNT LUMP SUM BID IN FIGURES ADDITIVE ALTERNATE PROJECT #2 BID Gothard Street — from Heil Avenue to hdinger Avenue U-2 IL to U-.z 12� ADDITIVE ALTERNATE #2 TOTAL AMOUNT LUMP SUM BID IN FIGURES C-2 3 SLATER AVENUE FROM BEACH BLVD. TO NEWLAND STREET CC NO. 1379 C-2 4 PROJECT BID SCHEDULE- - SLATER AVE slater Ave CC-1379 Item No Estimated Quantity Hid Item DescriptionUnit Price Extended Amount 1 1 LS Mobilization $ /1XV0� O $ iy 2 1 LS Traffic Control Plan $ $ a 3 1 LS Furnish Project Traffic Control $ t, 33b $ &V 4 156135 CY FDR with Cement Treated Base $ �_ $ ,� 5 5900 SF Surface Grind (0 34) mcl Deposal of Material and Fabric wd $ �_ $ 6 2900 TN Construct Asphalt Concrete (0 17 & 0 25 per plan) ,� $ $ 7 2000 TN Construct Asphalt (0 17 ARHM Overlay) O $ $ 8 16 EA Adjust Sewer/Storm Dram Manhole to Grade $ —aa?—, s/aw 9 3 EA Adjust OCSD Sewer Manhole to Grade $ $ ,Z1 535 r10LEA Adjust Water Valve to Grade $ $d C 2 5 PROJECT BID SCHEDULE- - SLATER AVE Slater Ave CC-1379 Item Estimated Extended No Quantity Bid Item lQescrfpti4n Unit Price Amount. 11 1 LS Traffic Striping per plan $ $ 12 22 EA Install Traffic Loop $ 95: $ 13 3170 LF Remove & Reconstruct Curb & Gutter (CF=8 or 6 Includes AB Slot Pave) per Std Plan 202 $ / d0 $ 2& 14 18000 Remove & Reconstruct Sidewalk per Std Plan 207 / a $lbo SF $ ✓ 15 1 Install Truncated Domes to existing Access Ramp EA $ $ 16 13 Install Access Ramp including all appurtenances EA 17 7 EA Survey Monumentation 18 10 Remove existing tree and grind stump and roots below grade $� $� EA 19 1 Remove & Replace irrigation and landscape & plant new tree in existing parkway I C3iY� 00 / Q,0 � EA $ $ 20 1100 Remove & Reconstruct Residential Driveway Approach 04 SF $ r© $ C 2 6 PROJECT BID SCHEDULE- - SLATER AVE Slater Ave CC-1379 Item Estimated Extended No Quantity Bid Item Description Unit Trace Amount 21 1025 Remove & Reconstruct Commercial Driveway Approach /3. SF $ $ 22 350 SF Remove & Reconstruct Alley Approach $ %�r a� $ 23 4800 SF Remove & Reconstruct Concrete Cross Gutter �f $ 24 1 EA Adjust Monitoring Well to finished surface $ 25 105 SF Remove & Reconstruct Local Depression $ �' Dy $�► ' 26 8 EA Construct Residential Lot Dram $ �0 q� 00 $ 27 3 EA Remove & Reconstruct Parkway Dram o $ $ 28 3 EA Adjust existing Traffic Signal Box frame and cover $ $ 29 8 EA Adjust existing water meter box frame and cover to new surface (Replace if broken with City furnished frame and cover) $ $ 30 1 LS Remove & Reinstall Existing Chainhnked Fence and Gate $ C 2 7 PROJECT BID SCHEDULE- - SLATER AVE Slater Ave CC 1379 Item Estimated Extended 113id Item Deser%ption No Quantity Unit Price Amount 31 1 LS Remove Regrade & Replace Turf and Irrigation in Kind 32 1300 Remove & Reconstruct Commercial Driveway Approach with SF High Early Strength Concrete $ j $ // zoo 33 1 Provide 1 year Landscape Maintenance for Planted Tree in parkway EA $ $ Total Amount Bid in Figures $ 10'-1' 1 XO Total Amount Bid in WordsQ, C 2 8 ADDITIVE ALTERNATE #1 PROJECT BID Magnolia Street — from Warner Avenue to Interstate 405 CC NO. 1379 C-2 9 PROJECT BID SCHEDULE - MAGNOLIA ST (ADD ALTERNATE #1) Magnolia CC-1379 Item No Estimated Quantity Bid Item Description Unit Price Extended Amount 1 1 Mobilization Q2? 0 2 1 LS Traffic Control Plan / 3 1 Furnish Project Traffic Control $ � $15.3� r LS 4 730 CY Unclassified Excavation mcl Disposal of Matrial and Fabric 00 $ $ 5 73700 SF Surface Grind (0 17) incl Diposal of Material and Fabric $0.0 $ 72/ 6 930 TN Construct Asphalt Concrete (depth 0 33 ) $ a $� 7 1385 TN Construct Asphalt (0 17 ARHM Overlay) $ $ 4 EA Adjust Sewer/Storm Dram Manhole to Grade $ $o- 9 1 EA Adjust OCSD Sewer Manhole to Grade 10 15 EA Adjust Water Valve to Grade $ D��' >� $ C 2 10 PROJECT BID SCHEDULE - MAGNOLIA ST (ADD ALTERNATE #1) Magnolia CC-1379 Item No Estimated Quantity Bid Item Description Unit Price Extended Amount 11 4 EA Adjust Monitoring Well to Grade $ I5, $ 12 1 LS Traffic Striping / $ ! $� 13 26 Install Traffic Loops $m °Q $ 70 L EA l�—G� 14 160 Remove & Reconstruct Curb & Gutter (CF=8 Includes AB Slot Pave) per Std Plan 202 $ 6-0 &0 $ LF 15 835 Remove & Reconstruct Sidewalk per Std Plan 207 $ / $ SF 16 1 Install Truncated Domes into existing Ramp $ $ EA 17 5 EA Survey Monumentation $ 04 $ 18 3 Adjust Survey Monument Well to Grade LL $ �J/ $ iris EA 19 700 SF Remove and Reconstruct Driveway Approach per Std Plan 211 $ Tqtal Amount: • in Words C-2 11 ADDITIVE ALTERNATE #2 PROJECT BID Gothard Street — from Heil Avenue to Edinger Avenue. CC NO. 1379 C-2 12 PROJECT BID SCHEDULE - GOTHARD ST (ADD ALTERNATE #2) Gothard St CC-1379 Item Estimated i .Extended No Quantity Bid Item ]Description Unit price Amount 1 1 LS Mobilization $ $ l liv 2 1 Traffic Control Plan (� LS $��� $ 71�Q�0 3 1 LS Furnish Project Traffic Control �7 $ OO $ 3.7OO _ 4 260 CY Unclassified Excavation incl Disposal of Matrial and Fabric $ /DD O $ 5 56570 Cold Milling incl Deposal of Material and Fabric a SF $ 0 $ 6 500 Construct Asphalt Concrete (0 39 per plan) C'��( $ I V � ry� $ �/�V • TN 7 1960 Construct Asphalt (0 17 ARHM Overlay) $ '7 65 $ TN g 9 Adjust Sewer Manhole to Grade $ EA 9 29 Adjust Water Valve to Grade $1LLf% {�, elle $ EA 10 1 LS Traffic Striping per plan $�� $� C-2 13 PROJECT BID SCHEDULE - GOTHARD ST (ADD ALTERNATE #2) Gothard St CC 1379 Item Estimated Extended No Quantity Bid Item Description Unit Price Amount 11 20 EA Traffic Loop q $ /� Cy $ 12 1650 Remove & Reconstruct Curb & Gutter (CF=8 Includes AB Slot Pave) per Std Plan 202 U -/ dr LF $ $ 13 13225 Remove & Reconstruct Sidewalk per Std Plan 207 $ / .� of $ SF 14 4 Construct Curb Access Ramp $ 09 p e� $ EA 15 325 Remove & Reconstruct Local Depression per Std Plan 302 q i j SF $ / $� 16 3 EA Prepare Corner Records for Survey Monumentation �B $ DO 17 7 Remove existing tree and grind stump and roots below grade �,,y� EA $ �_ $ 18 2 EA Install new Survey Well Monument per HB Std Plan 219 $ 19 3455 Remove & Reconstruct concrete Cross Gutter Per HB Std Plan 205 Remove & Reconstruct Residential Driveway per HB Std Plan [20[1221 209 $ 9 $ %yJ C-2 14 PROJECT BID SCHEDULE - GOTHARD ST (ADD ALTERNATE #2) Gothard St CC-1379 Item 111a Estimated Quantity Sid Item Description Bid Price Extended Amount 21 50 LF Reconstruct Modified Driveway Apron 00 2 $ �✓ 00 $ �r 22 5475 SF Remove & Reconstruct Commercial Driveway per H13 Std Plan 211 $ t/d �© $ U, �D✓' 23 1 EA Relocate Fire Hydrant per Std Plan 607 00 24 1 EA Install Metal Hand Rail Per APWA Std Plan 606 2 (Ty pe 13) $ $ DD 25 1100 SF Reconstruct Commercial Driveway Approach per H13 Std Plan 211 modified to thickness of 12 with #4 Rebar $ $ 2Jl Fr 26 12 EA Adjust existing water meter box frame and cover to new surface (Replace if broken with City furnished frame and cover) $ own $ TotaFArnmfitffid in �1,zreysIMIME, A•�I��� f C 2 15 ADDENDUM NUMBER ONE For SLATER AVENUE REHABILITATION I, ROM BEACH BOULEVARD TO NEWLAND STREET, C C NO 1379 In the CITY OF HUNTINGTON BEACH May 20, 2010 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 or $10,000, whichever is greater the portion of the work to be done by such subcontractor Portion o Work Name and Address of Subcontractor State License Number Class Nwotswg so, t S tc,Jci l� %ov IAsPlna S v.� 4A �o t q v�W q ftk MAX r.,,� M6 SS 6_K._C_ 63o 6 L0095 atv11' _VV 8i, 5756K C3 � 13-3 4A % By submission of this proposal the Bidder certifies I 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 CC-1379 Slater Avenue Addendum 1 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss County of Orange KURTIS AKABORI , being first duly sworn, deposes and says that he or she is VICE PRESIDENT ofSILVIA CONSTRUCTION, 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 SILVIA CONSTRUCTION, INC Name of Bidder Signature of Bidder/ KURT IS AKABORI VICE PRESIDENT 9007 CENTER AVENUE RANCHO CUCAMOGNA, CA 91130-5311 Address of Bidder Subscribed and swornto before me this O 1st day of J U N E 3201 0 - NOTARY PUBLIC CERTIFICATE ATTACHED NOTARY SEAL C4 CALIFORNIA JI.JRAT WITH AFFIANT STATEMENT v ✓ T '\~ �/ '�. �� T1 N � � ��✓'�/' � V �'V /' ✓ i' f 11�ti vVl✓✓ � n1✓✓' n. Jf �1 /`/-��nti v ��'�/\ ^ten 9-9ee Attached Document (Notary to cross out lines 1-6) ❑ See Statement Below (Lines 1-5 to be completed only by document signer[s], not Notary) ---------------------------------------------------------------- ---- 2 3 4 5 6 Signature of Document Signer No 1 Signature of Document Signer o STATE OF CALIFORNIA COUNTY OF SAN BERNARDINO Subscribed and sworn to (or affirmed) before me on this 01 st day of JUNE , 2010, by PATRICIA B- - KURTIS AKABORI ' Commission # 1798307 roved to me on the basis of satisfactoryevidence �® Notary Public California p San Bernardino County C0ffMEiiresNi 26 2012 to be the person who appeared before me Signature of Notary Public Place Notary Seal Above ----------------------------------------------------- OPTIONAL ------------------------------------------------------ RIGHT THUMBPRINT OF RIGHT THUMBPRINT OF Though the information below is not required by law it may prove SIGNER SIGNER valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document Further Description of Any Attached Document Title Or Type Of Document Q G 011, 4&A& Document DateLNumber of Pages Signer(s) Other Than Named Above U!/6= ✓�, � �iM �. � � � `ivy. � �: ✓ ,w� v ✓�� �. ✓ 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 Slater Avenue Rehabilitation from Beach Boulevard to Newland Street, CC No 1379, (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 JUNE 01, 2010 SILVIA CONSTRUCTION, INC Contractor By KURTIS AKABORI VICE PRESIDENT 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 ® No If the answer is yes, explain the circumstances in the space provided n/a Note 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 JUNE 01, 2010 SILVIA CONSTRUCTION, INC Contractor /i By KURTIS AKABORI VICE PRESIDENT Title C-7 UNDERGROUND SERVICE ALERT IDENTIFICATION NUMBER -(To be completed only -by -the -awarded Contractor pnor to excavatio 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 or 811 a minimum of two working days before scheduled excavation Dag Alert Identification Number SILVIA CONSTRUCTION, INC Contractor RE Title Note This form is required for every Dag Alert Identification Number issued by U S A during the course of the Work Additional forms may be obtained from the AGENCY upon request C8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct SILVIA CONSTRUCTION, INC Bidder Name 9007 CENTER AVENUE Business Address RANCHO CUCAMONGA, CA 91730-5311 City, State Zip (909 ) 481-8118 Telephone Number 568194 A State Contractor's License No and Class MAY 31, 1989 Original Date Issued MAY 31, 2011 Expiration Date The work site was inspected by KURTIS A K A B O R I of our office on MAY 2 2 , , 2010 The following are persons, firms, and corporations having a principal interest in this proposal SILVIA CONSTRUCTION, INC (A CALIFORNIA CORPORATION) JOSEPH W SILVIA, PRESIDENT KURTIS AKABORI, VICE PRESIDENT CAROLYN D PARKER, CO -SECRETARY BENJAMIN B DAY, TREASURER C9 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 SILVIA CONSTRUCTION, INC Company Name Signature of Bidder KURTIS AKABORI, VICE PRESIDENT Printed or Typed Signature Subscribed and swornto before me thisoi s tday of J U N E , 201 Q PATRICIA BURKE Commission # 17983107 z "® Notary Public California ® San Bernardino County /CorrM LW 26 2012 NOTARY PUBLI ,,,,RATRICIA BURKE, NOTARY PUBLIC IN THE NOTARY SEAL COUNTY OF SAN BERNARDINO FOR THE STATE OF CALIFORNIA 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 CITY OF LAKEWOOD, 5050 CLARK AVENUE, LAKEWOOD, CA 90712 Name and Address of Public Agency Name and Telephone No of Project Manager MAX W I T H R O W, (5 6 2) 8 6 6- 9 7 71 e x t 2502 $1 , 6 7 9 , 5 9 5 99 PROP 1 B & CDBG RESIDENTIAL ST REAHB #PW08-02 /MARCH , 2009 Contract Amount Type of Work Date Completed 2 CITY OF SANTA CLARITA, 23920 VALENCIA BOULEVARD, SANTA CLARITA, CA 9 Name and Address of Public Agency Name and Telephone No of Project Manager FRANK LUJAN, (661) 286-4138 $5,373,726 49/ 07-08 OVERLAY & SLURRY SEAL, PROJECT # M0055/ MARCH, 2009 Contract Amount Type of Work Date Completed 3 CITY OF THOUSAND OAKS, 2100 THOUSAND OAKS BOULEVARD, THOUSAND OAKS, CA 91362 Name and Address of Public Agency Name and Telephone No of Project Manager DAN A LAZO, (805) 449-2443 $5 , 396 , 490 50/07-08 STREET REHABILITATION -CI Vs 4202, 4510, 4511, 4512 & 5141/DUNE, 2009 Contract Amount Type of Work Date Completed C-10 RELIABLE CONTRACTOR DECLARATION (page 1 of 3) This form must be completed and submitted to the Department of Resources Recycling and Recovery (CalRecycle) prior to authorizing a contractor(s) to commence work Failure to provide this documentation in a timely manner may result in nonpayment of funds to the contractor(s) This form is intended to help the CalRecycle's Grantees comply with the Unreliable List requirement of their Terms and Conditions The Unreliable List provision requires the following Prior to authorizing a contractor(s) to commence work under the Grant, the Grantee shall submit to CalRecycle a declaration signed under penalty of perjury by the contractor(s) stating that within the preceding three (3) years, none of the events listed in Section 17050 of Title 14, California Code of Regulations, Natural Resources, Division 7, has occurred with respect to the conuactor(s) Please see the levulJe of uuS page iiir a fisting of events, or reicr iV www CalRec clime ca og v/Rej ulations/Trtlel4/ Please return the completed form(s) to Department of Resources Recycling and Recovery Name of your Grant Program Attn Name of your Grant Manager P O Box 4025 Sacramento, CA 95812-4025 GRANTEE INFORMATION GRANTEE NAME GRANT NUMBER PRIMARY CONTACT NAME CONTRACTOR INFORMATION CONTRACTORNAME SILVIA CONSTRUCTION INC AUTHORIZED CONTRACTOR REPRESENTATIVE NAME KURTIS AKABORI MAILING ADDRESS 9007 CENTER AVENUE RANCHO CUCAMONGA, CA 91730-5311 As the authorized representative of the above identified contractor I declare under penalty of perjury under the laws of the State of California that within the preceding three (3) years none of the -vents listed in Section 17050 of Title 14 California Code of Regulations Natural Resources Division 7 has occurred with respect to the above identOW contractor Signature Date J U N E O 1, 2010 C-11 RELIABLE CONTRACTOR DECLARATION (page 2 of 3) Title 14 CCR, Division 7, Chapter 1 Article 5 Unreliable Contractors, Subcontractors, Borrowers and Grantees Section 17050 Grounds for Placement on Unreliable List The following are grounds for a finding that a contractor, any subcontractor that provides services for a CalRecycle agreement, grantee or borrower is unreliable and should be placed on the CalRecycle Unreliable Contractor, Subcontractor, Grantee or Borrower List ("Unreliable List") The presence of one of these grounds shall not automatically result in placement on the Unreliable List A finding must be made by the Executive Director in accordance with section 17054, and there must be a final decision on any appeal that may be filed in accordance with section 17055 et seq (a) Disallowance of any and/or all claims) to CalRecycle due to fraudulent claims or reporting, or (b) The filing of a civil action by the Attorney General for a violation of the False Claims Act, Government Code section 12650 et seq, or (c) Default on a CalRecycle loan, as evidenced by written notice from CalRecycle staff provided to the borrower of the default, or (d) Foreclosure upon real property loan collateral or repossession of personal property loan collateral by CalRecycle, or (e) Filing voluntary or involuntary bankruptcy, where there is a finding based on substantial evidence, that the bankruptcy interfered with the CalRecycle contract, subcontract, grant or loan, or (f) Breach of the terms and conditions of a previous CalRecycle contract, any subcontract for a CalRecycle agreement, grant, or loan, resulting in termination of the CalRecycle contract, subcontract, grant or loan by the CalRecycle or prime contractor, or (g) Placement on the CalRecycle's chrome violator inventory established pursuant to Public Resources Code section 44104 for any owner or operator of a solid waste facility, or (h) The person, or any partner, member, officer, director, responsible managing officer, or responsible managing employee of an entity has been convicted by a court of competent jurisdiction of any charge of fraud, bribery, collusion, conspiracy, or any act in violation of any state or federal antitrust law in connection with the bidding upon, award of, or performance under any CalRecycle contract, subcontract, grant or loan, or (i) The person or entity is on the list of unreliable persons or entities, or similar list, of any other federal or California state agency, or 0) The person or entity has violated an Order issued in accordance with section 18304, or, (k) The person or entity has directed or transported to, has or accepted waste tires at, a site where the operator is required to have but does not have a waste tire facility permit, or, (1) The person or entity has transported waste tires without a waste tire hauler registration, or, (m) The person or entity has had a solid waste facility or waste tire permit or a waste tire hauler registration denied, suspended or revoked, or, (n) The person or entity has abandoned a site or taken a similar action which resulted in corrective action or the expenditure of funds by CalRecycle to remediate, clean, or abate a nuisance at the site, or (o) The following are additional grounds for a finding that, a person or entity described below should be placed on the Unreliable List C 12 RELIABLE CONTRACTOR DECLARATION (page 3 of 3) (1) The person or entity owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (2) The person held the position of officer director, manager, partner, trustee, or any other management position with significant control (Principal Manager) in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (3) The entity includes a Principal Manager who 1 Was a Principal Manager in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, or, 2 Owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (4) The entity has a person who owns 20% or more of the entity, if that person 1 Was a Principal Manager in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, or, 2 Owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (5) The entity has another entity which owns 20% or more of the entity, if that other entity 1 Is on the Unreliable List, or, 2 Owned 20% or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (6) Subsection (o) is not intended to apply to a person or entity that purchases or otherwise obtains an entity on the Unreliable List subsequent to its placement on the Unreliable List C-13 Bond No-08560291 _ Fidelityand Deposit Com"p"ah"y POST OFFICE BOX 1227 OF MARYLAND BAL77MORE MD 21203 BID BOND KNOW ALL MEN BY THESE PRESENTS That we Silvia Construction, Inc-- _ as Principal (hereinafter called the Principal ) and +the FIDELITY AND DEPOSIT COMPANY of MARYLAND P O Box 1227 Baltimore Maryland 21203 a corporation duly Organized under the laws of &,-- State of Maryland as Surety (hereinafter called the Surety ) are held and fimty bound unto ^ City of Huntington Beach —as Obligee (hereinafter called the Obligee } in the sum of_ ten_ percent of amount bid _ - ---- - Dollars ($ 10 6 __-_ ____) 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 ftrmiy by these presents WHEREAS the Principal Slater Avenue Rehabilitation has submitted a bid for .- --- - - -- C C No 1379 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 to 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 wtuch 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 _Y 2 7 th —day oL_ May _ -- _ -� _ _ AD 2010- C320-5W 7 92 Coaoru w U xK- Jmuw of Amh"cu Oocaff aw A 310 F'*_ry IM sfi a Silvia Construction, Inc __._(SEAL) iuictpad wiftless BY KUR/1,ATA7B01Rd� Tute VICE PENT S OM FIDELrrY AND DEWNY QjF1M1R AVD By—�iv •v ATTORNEY - Charles Flake Title (SEAL.) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT 0 t t 0 0 STATE OF CALIFORNIA COUNTY OF SAN BERNARDINO On JUNE 01, 2010 , before me, PATRICIA BURKE, NOTARY PUBLIC personally appeared KURTIS AKABORI , who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in Ins 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 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct of Notary Public PATRICIA BURKE Commission # 1798307 Notary Public California San Bernardino County Comm 26,2012 Place Notary Seal Above 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 0 DESCRIPTION OF ATTACHED DOCUMENT TITLE OR TYPE OF DOCUMENT 0 NUMBER OF PAGES DATE OF DOCUMENT 0 oSigner(s) Other Than Named Above CAPACITY CLAIMED BY SIGNER Singer s Name Kurtis Akabon ❑ INDIVIDUAL ❑ PARTNER VN CORPORATE OFFICER VICE PRESIDENT � ❑ TITLE ATTORNEY IN FACT P 00 ❑ TRUSTEE GUARDIAN OR CONSERVATOR ❑ Other o Signer is Representing SILVIA CONSTRUCTION, INC NAME OF PERSON(S) OR ENTITY(S) RIGHT THUMBPRINT OF SIGNER 0 d 0 0 0 CALIFORNIA ALL—PURPOSEACKNOWLEDGMENT STATE OF CALIFORNIA County of Orange On 5-27-10 Date before me Lexie Sherwood, Notary Public Here Insert Name and Trtie of the Officer personally appeared Charles L Flake LEXIE SHERWOOD COMM #1856389 ic NOTARY PUBLIC s CALIFORNIAa g u ORANGE COUNTY Comm Exp JULY 27 2013 Name(s) who 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 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct Witness my hand and 9#icial seal Signature _ Y,4� Ai&aWa/1 Place Notary Seal Above Signature o ota ubl c 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(s) Signers Name ❑ Individual ❑ Corporate Officer — Title(s) _ ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other Signer Is Representing Number of Pages Signers Name ❑ Individual ❑ Corporate Officer Title(s) ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other Signer is Representing Top of thumb here 0 2007 Nat onal Notary Association 9350 De Soto Ave PO Box 2402 Chatswo th CA 91313 2402 www Nato alNotaryo g Item #5907 Feorde Call Toll Free 1 800 876 6827 Power of Attorney FIDELITY ARID 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 WILLIAM J MILLS Vice President and ERIC D BARNES Assistant Secretary in pursuance of authority granted by Article VI Section 2 of the By Laws of said Company are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date h e dds by nominate constitute and appoint Richard A COON, Charles L FLAKE, David L CULB n e S OOD, all of Anaheim, California, EACH its true and lawful agent and a B " d deliver for and on its behalf as surety and as its act and deed any an" n e i xecution of such bonds or undertakings in pursuance of these prese 1 in as fully and amply to all intents and purposes as if they had been d t acdcn h gularly elected officers of the Company at its office in Baltimore Md ip per C; attorney revokes that issued on behalf of Richard A COON Charles L FLAKE ew P FLAKE Lexie SHERWOOD dated November 7 2005 The said Assistant es4leleby certify that the extract set forth on the reverse side hereof is a true copy of Article VI Section 2 of the By L s said Company and is now in force IN WITNESS WHEREOF 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 15th day of November AD 2006 ATTEST 'gyp DEPps�i ti RQ p W � � iaae 2 4 State of Maryland I ss City of Baltimore FIDELITY AND DEPOSIT COMPANY OF MARYLAND Eric D Barnes Assistant Secretary M William J Mills Vice President On this 15th day of November A D 2006 before the subscriber a Notary Public of the State of Maryland duly commissioned and qualified came WILLIAM J MILLS Vice President and ERIC D BARNES 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 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 1!Rli,, S 1/ Constance A Dunn Notary Public My Commission Expires July 14 2011 POA F 012-4150H