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Garcia Juarez, Inc. - 2011-08-01
RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) L . CITY OF HUNTINGTON BEACH ) INTERDEPARTMENTAL COMMUNICATION TO:-Sko#6Fwetd@ = =City Treasurer FROM:/%`� �1 L did DATE: //71� / t FHB 2 9 201Z i 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. L/ A 7y Z710� i MSC No. Approved // 1"9r` pp Coun`cil�l royal Da� ( PP ) Agenda Item No City Clerk Vault No. #27 g1followup/bondletter.doc rr RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) L 0 m CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: -S-b ar.-i==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. 12 7: 7- Z, 3 7-f 7/0 MSC No. ego 7- v Agenda Item No. Approved -------7 (Cd'uricillApproval Date) City Clerk Vault No. #27 g1followup/bondletter.doc FROM: David Verone vri� DATE: 2/22/2012 SUBJECT: Retention Release Payment Company Name: Garcia Juarez Construction, Inc Address: P.O. Box 309 City, State and Zip Code: Brea, CA 92822-0309 Phone Number: (951) 657-3535 Business License Number:A260114 Local Address: NSA Notice of Completion Date:12/6/11 Contract Purpose: Water Main Extension 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 0'� Date 4/ ravis K. Hol I certify that there are no outstanding invoices on file. ime. s, Public Works Director D to Joyce Zafcks, Dep 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. A / Av, / / -e- � � , A 4, n � -1 Z 1�; Dat ' Joa lynn, ity 1408 Retention_ Release_Payment.doc 2/22/2012 5:10:00 PM 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: rG 1 :�-7/11 t 3 7F, / -'IG' F> Project: (.� cv4 L' P_ ✓ ___15� +-e� s to ovs' 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 6, day of P-eGe 20 / 1 ,, at Pam- r L 5 , California. Garcia Juarez Construction Inc. (Type Contrrersr 7fgme) By: Nan Tid, FI'PORNEY 7U:Y us ab 247542.1 CONTRACTOR'S CERTIVICA.TE I, q , , , e "- 0,� , state and certify that: (Name of Declarant) 1. Garcia Juarez Construction Inc. is the general contractor to the City of Huntington Beach ("City") on Contract No. 7 /37 '2; /5'd�-- (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"): A/-Cp,v C-- 4. Attached hereto are the lien waivers required by the Contract Documents, 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. 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' ): I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at _ ��-r�= -S on APPROVED AS TO FORM By:vry q 1 6 Name: [Type Name] 'title: [Type Title] 245914.1 Certification of Compliance with Title VIT 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: / 3 7/ 3 7&- / S o 8 p Project: 6 , .4g:: - ,�%7a-/ tM xY�a� 5 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 De (-er., 20 / �, at �� , California. Garcia Jinx Construction Inc. (Type Con ctor Nam ) By. Name: am Title: [T e] R _� R�► �-" �-i t� 2459t1.1 xecuted in Two Counterp Bond No.12078907 MAINTENANCE BOND Premium Included in Performance Bond KNOW ALL. MEN BY THESE PRESENTS: That. Garcia Juarez Construction, Inc. __-- __1cantractoes name] P.O. Box 309, Brea, CA 92822 [contractor's street address, city and state and zip coda] as Principal (hereinafter called Contractor), and: The Guarantee Company of North America USA surety's name] 1800 Sutter Street, Ste. 880, Concord, CA 94520 [surety's street address, city and state and zip code] a corporation organized and existing under the laws of the State of Michigan with its principal office in the City of Southfield as Surety (hereinafter Called Surety), are held firmly bound unto CITY OF HUNTINGTON BEACH as Obligee (hereinafter called Owner), in the amount of One Hundred Forty Nine Thousand Eight Hundred Seventy and no/100 Dollars ($ 149,870.00 ), fior the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents, WHEREAS, Contractor has by written agreement dated entered into a contract with Owner for the Water Main Extension Projects CC-1408, CC- 1371, CC-1 3.78 in accordance with drawings and specifications prepared by which contract is by reference made a part hereof (hereinafter referred to as the Contract); and WHEREAS, the Contract provides that the principal will guarantee, for a period of one year, the work performed as part of the Contract from and against all defects in materials and workmanship; and WHEREAS, the: Contract also provides that the Contractor shall secure Contractor's obligations during the one- year period with a bond executed by a surety duly admitted in the state of California; and WHEREAS, the Contract has been completed, and the Owner, Contractor and Surety agree that the commencement date for this Guarantee and Bond shall be TBD , 20,— NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that if Contractor shall, for a period of one year from and after the date of completion and acceptance of the Contract by Owner, repair and/or replace any and all defects arising in the Work, whether resulting from defective materials or defective workmanship, then this obligation shall be null and void; otherwise it will remain in full faroe and effect The Surety hereby waives notice of any alteration or extension of lime made by the Owner. Whenever Contractor shall be, and declared by Owner to be in default under the Contract, the Surety shall, within thirty (30) following Owner's written notice of default, either- (a) remedy the default, or (b) shall promptly complete the Contract in accordance with its terms and conditions, Surety shall save the Owner harmless from any claims, judgments, liens or losses arising from the Surety's failure to either remedy the default or to complete the Contract in accordance with its terms and conditions in a timely manner. Whenever the Principal shall be, and declared by the Owner to be in default under the Contract, which shall include without limitation, any breach or default of the Contract, then, after written notice from the Owner to the Surety, as provided for below, the Surety shall either: (a) remedy the default or breach by the Principal; or (b) shall promptly and faithfully take charge of the Work and complete the Work in accordance with the requirements of the Contract with a contractor other than the Principal, at its own expense, and make available 10-2567150593 as work progresses sufficient funds to pay the cost of completion less the unpaid balance of the Contract Including other costs and damages for which the surety may be liable hereunder; provided, however, that the procedure by which the Surety undertakes to discharge its obligations under this Bond shall be subject to the advance written approval of the Owner. Within 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 shall be the duty of the Surety to give to the Owner a notice, in writing, of the Surety's election to (a) remedy the default(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 Election, the Surety shall state the date of commencement of its cure or remedy of the Principal's dafault(s) or its performance of the Contract. The Surety's obligations for cure or remedy, include but are not limited to: correction of defective work and completion of the Contract, additional legal, design professional and delay costs arising from Surety's actions or failure to act; and liquidated damages (or N no liquidated damages are specified In the Contract, actual damages caused by delayed performance or nor- performance by the Principal)- The Surety shall give prompt written notice to the Owner upon completion of the cure or remedy of the Principal's default(s) of its performance of the Contract If the Surety does issue its Notice of Election and does not proceed to cure or remedy the Principal's defaults) of Its performance of the Work within thirty (30) days after receipt of a written notice from Owner, Surety shall be deemed to be in default an this bond, and the Owner shall be entitled to enforce any remedy available to Owner. No right 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 1 st _ day of December Principal Raised Corporate Seal [MUST SE AFFIXED] Principal Raised Corporate Seal [MUST BE AFFIXED] (Title) 20 11 The Guarantee Company of North America USA (Surety blame) By: (Seal} Ail iam yrkin, Att ney-in-Fact NOTES: 7. Acknowledgments must be compWed and retumed as part of the bond. 2. Ralsad Corponate Seals are mandatory. I Please attach Power of Auorney- Z i 0-2Sir7/56583 cgGFATM G tyA4toa W CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Riverside On60.2C7t 1 before me, Leon Lopez, Notary Public Date Here Insert Name and Title of the Officer personally appeared Jim Jackson Name(s) of Signer(s) r7qor'tl� LE�^ €�O EGALOPEZ CON, #1907501 x t ; d/y E",VA4RY _1E COUNTY �NiA . k4v ct�m, rfl, 4zx t u (Oct. 9, 2014 Place Notary Seal Above who proved to me on the basis of satisfactory evidence to be the persono) whose name(s) is/afe subscribed to the within instrument and acknowledged to me that he%hey executed the same in his/4o4h& authorized capacity(), and that by his/ signature(4 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 official seal. Signature p� ignat re 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) Signer's Name: Jim Jackson ❑ Individual 8 Corporate Officer — Title(s): President & Secretary Partner — ❑ Limited 0 General D Attorney in Fact Trustee Guardian or Conservator i Other: Signer Is Representing: Garcia Juarez Construction, Inc. R1W 7HUMSFRftST OFFS#GNEf +, .• of thumb Number of Pages: Signer's Name: 01 Individual n Corporate Officer — Title(s): Partner — n Limited 0 General '� Attorney in Fact E Trustee Guardian or Conservator Cl Other: Signer Is Representing: RlG1iT TkiiME3QRM7Ti!� �QE,51GNEfii •• of thumb here 0 2007 National Notary Association • 9350 De Soto Ave.. P.O. Box 2402 • Chatsworth, CA 91313-2402 ` www.NationaiNotaryorg Item #5907 Reorder: Call Toll -Free 1-800-876-6827 WAN6r., w ; State of California County of Orangt On 12/01 /11 Date before me, A. Wilkison, Notary Public , Here Insert Name and Title of the Officer personally appeared William Syrkin Name(s) of Signer(s) .r A. WILKISON z t • Commission # 1866283 Notary Public California z 2 Orange County n My Comm. Expires Sep 26, 2013 who proved to me on the basis of satisfactory evidence to be the person(&) whose named is/afe subscribed to the within instrument and acknowledged to me that helsheAliey executed the same in his/h944& authorized capacity 'ea), and that by his/ signature(4 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. 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: Maintenance Bond No. 12078907 Document Date: 12/01/11 Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: William Syrkin ❑ Individual Corporate Officer — Title(s): Partner Limited F1 General s p Attorney in Fact u Top of thumb here Trustee Guardian or Conservator Other: Signer Is Representing: E The Guarantee Company of North America USA � Number of Pages: Two (2) Signer's Name: -? Individual Corporate Officer — Title(s): D Partner — D Limited General _! Attorney in Fact (_ Trustee Guardian or Conservator Other: Signer Is Representing: gr Top of thumb here 4 l ©2007 National Notary Association • 9350 De Soto Ave., P.O. Box 2432 Chatsworth, CA 91313-2402 • www•.NationaiNotary.org item :5907 Reorder. Call Toil -Free 1-800-876-6827 THE GUARANTEE COMPANY OF NORTH AMERICA USA Southfield, Michigan KNOW ALL BY THESE PRESENTS: That THE GUARANTEE COMPANY OF NORTH AMERICA USA, a corporation organized and existing under the laws of the State of Michigan, having its principal office in Southfield, Michigan, does hereby constitute and appoint William Syrkin, Sergio D. Bechara, Rebecca Ann Haas -Bates, Patricia Ann Batter, Richard Leroy Adair Millennium Corporate Solutions, .Inc. its true and lawful attorneys) -in -fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract or otherwise. The execution of such instrument(s) in pursuance of these presents, shall be as binding upon THE GUARANTEE COMPANY OF NORTH AMERICA USA 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 the principal office. The Power of Attorney is executed and may be certified so, and may be revoked, pursuant to and by authority of Article IX, Section 9.03 of the By -Laws adopted by the Board of Directors of THE GUARANTEE COMPANY OF NORTH AMERICA USA at a meeting held on the 315t day of December, 2003. The President, or any Vice President, acting with any Secretary or Assistant Secretary, shall have power and authority: 1. To appoint Attorneys) -in -fact, and to authorize them to execute on behalf of the Company, and attach the Seal of the Company thereto, bonds and undertakings, contracts of indemnity and other writings obligatory in. the nature thereof, and 2. To revoke, at any time, any such Attorney -in -fact and revoke the authority given, except as provided below 3. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner — Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. Further, this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directors of the Company adopted at a meeting duly called and held on the 31" day of December 2003, of which the following is a true excerpt: RESOLVED that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any Power of Attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, contracts of indemnity and other writings obligatory in the nature thereof, and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF, THE GUARANTEE COMPANY OF NORTH AMERICA USA has caused ,,p,HTEe �JPof 7 ik this instrument to be signed and its corporate seal to be affixed by its authorized officer, this 29th day April, 2010. THE GUARANTEE COMPANY OF NORTH AMERICA USA A M STATE OF MICHIGAN Stephen C. Ruschak, Vice President Randall Musselman, Secretary County of Oakland On this 29th day of April, 2010 before me came the individuals who executed the preceding instrument, to me personally known, and being by me duly sworn, said that each is the herein described and authorized officer of The Guarantee Company of North America USA; that the seat affixed to said instrument is the Corporate Seal of said Company; that the Corporate Seal and each signature were duly affixed by order of the Board of Directors of said Company. Cynthia A. Takai IN WITNESS WHEREOF, I have hereunto set my hand at The Guarantee Notaty Public, State of Michigan Company of North America USA offices the day and year above written. County of Oakland My Commission Expires February 27, 2012 Acting in Oakland County AbL4L-) 0 1 1, Randall Musselman, Secretary of THE GUARANTEE COMPANY OF NORTH AMERICA USA, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney executed by THE GUARANTEE COMPANY OF NORTH AMERICA USA, which is still in full force and effect. IN WITNESS WHEREOF, I have thereunto set my hand and attached the seal of said Company this 1 st day of December 2011 0- Randall Musselman, Secretary 0 Bond No. 12078907 CONSENT OF SURETY TO FINAL PAYMENT Conforms with the American Institute of Architects, AIA Document G707 TO OWNER: (Name and address) City of Huntington Beach 200 Main Street, P.O. Box 309, Huntington Beach, CA 92648 PROJECT: (Name and address) Water Main Extension Projects Huntington Beach, California Executed in 2 Counterparts OWNER ARCHITECT CONTRACTOR SURETY OTHER ARCHITECT'S PROJECT NO.: Construction Contracts; CC-1408, CC-1371, CC-1378 CONTRACTFOR: Water Main Extension Projects CONTRACT DATED: In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (Insert name and address of Surety) The Guarantee Company of North America USA 1800 Sutter Street, Suite 880, Concord, CA 94520 on bond of (Insert name and address of Contractor) Garcia Juarez Construction, Inc. P.O. Box 309, Brea, CA 92822 ,SURETY, ,CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to (Insert name and address of Owner) City of Huntington Beach 200 Main Street, P.O. Box 309, Huntington Beach, CA 92648 , OWNER, as set forth in said Surety's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: February 14, 2012 (Insert in writing the month followed by the numeric date and year) The Guarantee. Company of North America USA (Surety) Attest: (Signature of authlkdzed represents ' e) William Syrkin, Attorney -in -Fact (Printed name and title) S-2134/GE 10/01 XDP THE GUARANTEE COMPANY OF NORTH AMERICA USA Southfield, Michigan POWER OF ATTORNEY KNOW ALL BY THESE PRESENTS: That THE GUARANTEE COMPANY OF NORTH AMERICA USA, a corporation organized and existing under the laws of the State of Michigan, having its principal office in'Southfield, Michigan, does hereby constitute and appoint William Syrkin, Sergio D. Bechara, Rebecca Ann Haas -Bates, Patricia Ann Bauer, Richard Leroy Adair Millennium Corporate Solutions, Inc. its true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract or otherwise. The execution of such instrument(s) in pursuance of these presents, shall be as binding upon THE GUARANTEE COMPANY OF NORTH AMERICA USA 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 the principal office. The Power of Attorney is executed and may be certified so, and may be revoked, pursuant to and by authority of Article IX, Section 9.03 of the By -Laws adopted by the Board of Directors of THE GUARANTEE COMPANY OF NORTH AMERICA USA at a meeting held on the 315' day of December, 2003. The President, or any Vice President, acting with any Secretary or Assistant Secretary, shall have power and authority: 1. To appoint Attorney(s)-in-fact, and to authorize them to execute on behalf of the Company, and attach the Seal of the Company thereto, bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof; and 2. To revoke, at any time, any such Attorney -in -fact and revoke the authority given, except as provided below 3. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner — Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. Further, this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directors of the Company adopted at a meeting duly called and held on the 315' day of December 2003, of which the following is a true excerpt: RESOLVED that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any Power of Attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, contracts of indemnity and other writings obligatory in the nature thereof, and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF, THE GUARANTEE COMPANY OF NORTH AMERICA USA has caused this instrument to be signed and its corporate seal to be affixed by its authorized officer, this 29th day TEE this % of April, 2010. THE GUARANTEE COMPANY OF NORTH AMERICA USA o,� Jyc STATE OF MICHIGAN Stephen C. Ruschak, Vice President Randall Musselman, Secretary County of Oakland On this 29th day of April, 2010 before me came the individuals who executed the preceding instrument, to me personally known, and being by me duly sworn, said that each is the herein described and authorized officer of The Guarantee Company of North America USA; that the seal affixed to said instrument is the Corporate Seal of said Company; that the Corporate Seal and each signature were duly affixed by order of the Board of Directors of said Company. Nr Cynthia A. Takai IN WITNESS WHEREOF, I have hereunto set my hand at The Guarantee �- Notary Public, State of Michigan Company of North America USA offices the day and year above written. County of Oakland - * � My Commission Expires February 27,2012 Acting in Oakland County I, Randall Musselman, Secretary of THE GUARANTEE COMPANY OF NORTH AMERICA USA, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney executed by THE GUARANTEE COMPANY OF NORTH AMERICA USA, which is still in full force and effect. IN WITNNESS WHEREOF, I have thereunto set my hand and attached the seal of said Company this 14th day of February 2012 �JPRp.NTEE C�� oy JyQ Randall Musselman, Secretary �kTHAMER��P State of California County of Orange On 2/14/2012 before me, A. Wilkison, Notary Public Date Here Insert Name and Title of the Officer personally appeared William Syrkin Names} of Signer(s) A. WILKISON _r Commission # 1866283 z a -aye Notary Public - California z ''- y y v z Orange County My Comm. Expires Sep 26, 2013 who proved to me on the basis of satisfactory evidence to be the person(-&) whose name( is/are subscribed to the within instrument and acknowledged to me that helsheAlgey executed the same in hislfheAhaif authorized capacity(ies), and that by his/ signature(-&} 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 correct. WITNESS my hand and official seal. + 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: Consent to Final Document Date: 2/14/2012 Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: William Syrkin ❑ Individual Corporate Officer — Title(s): Partner --:_� Limited L General ❑� Attorney in Fact Top of thumb here Trustee Guardian or Conservator Other: Signer Is Representing: The Guarantee Company of North America USA 12078907 Number of Pages: One (1) Signer's Name: El Individual ❑ Corporate Officer — Title(s): 0 Partner — ❑ Limited -_-; General n Attorney in Fact r,_ Trustee Guardian or Conservator J Other: Signer Is Representing: �2007 National Notary Association • 9350 De Soto Ave.. P.O. Box 2402 •Chatsworth. CA 91313-2402• w+w+.NationalNotaryorg Item #5907 Reorder: Call Toll -Free 1-800-876-6827 RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) 10 A 1B CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: h, 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 (Council Approval Date) tj Z FIN- 7, Agenda Item No. City Clerk Vault No. 3 a #27 g1followup/bondletter.doc PLEASE COMPLETE THIS INFORMATION This Document was electronically recorded by City of Huntington Beach RECORDING REQUESTED BY: WHEN RECORDED (NAIL 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 111111111111IIIIIIII�I11111111111111111111IIIIIIIIIIIIINO FEE 2011000621689 02:23pm 12/06/11 105 406 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 Garcia Juarez, Inc. who was the company thereon for doing the following work to -wit: WATER MAIN EXTENSION, CONSTRUCTION CONTRACT-1371, 1378, 1408 That said work was completed November 17, 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 December 6, 2011, per City Council Resolution No. 2003-70 adopted October 6, 2003. That upon said contract Guarantee Company of North America USA (The) 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 December 6, 2011. R " G irector of 12ublic Works or City Engineer Oupcity of Huntington Beach, California STATE OF CALIFORNIA) County of Orange ) ss: City of Huntington Beach ) I, the undersigned, say: I am an Agent of the City of Huntington Beach, owner in fee, in the foregoing NOTICE OF COMPLETION. I have read said NOTICE OF COMPLETION and know the contents thereof; the same is true of my knowledge. I declare under penalty of perjury that the foregoing is true and correct, and that said NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the County Recorder f Orange County. Dated at Huntington Beach, California, this December 6, 2011. , !rector of Public Works or City Engineer This document is solely the official business of City of Huntington Beach, California the City of Huntington Beach, as contemplated under Government code section. 6103 and should be recorded free of charge. THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND Garcia Juarez Construction Inc FOR Water Main Extension Projects on Holburn Dr., Springdale St., Beach Blvd. 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 Garcia Juarez Construction , a California Corporation hereinafter referred to as "CONTRACTOR." WHEREAS, CITY has solicited bids for a public works project, hereinafter refereed to as "PROJECT," more fully described as ater Main Extension Proiect Holburn Dr., Springdale St Beach Blvd in the City of Huntington Beach; and CONTRACTOR has been selected to perform said services, NOW, THEREFORE, in consideration of the promises and agreements hereinafter made and exchanged, the parties covenant and agree as follows: 1. STATEMENT OF WORK: ACCEPTANCE OF RISK CONTRACTOR 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/surinet/cityconst I of 22 5110 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/agrce,/su,tnet/cityconst 2 of 22 5/10 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/agree/surfncuc;tyconsc 3 of 22 5/ I0 "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 terns 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 One Hundred Forty Nine Thousand, not to exceed Eight Hundred Seventy Dollars ($ 149,870.00 )� 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 Fifty ( 50 consecutive Working Days 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. Jagree/surfnet/cityconst 4 of 22 5/ 10 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 5 of 22 sn o 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. 8. BONDS Only bonds issued by California admitted sureties will be accepted. CONTRACTOR shall, prior to its performance of this Agreement, furnish the following two (2) bonds approved by the City Attorney: One in the amount of one hundred percent (100%) of the 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 5/10 9. WARRANTIES CONTRACTOR unconditionally guarantees all work done under this Agreement including, but not limited to, any workmanship, installation, fabrication, material or structural facilities constructed. CONTRACTOR, within ten (10) days after notice by CITY of any defect in the work, shall have the option to make appropriate repairs or replace the defective item or items. Upon expiration of such ten (10) day period, CITY may then make appropriate repair or replacement at CONTRACTOR's risk and own cost and expense. 10. INDEPENDENT CONTRACTOR It is understood and agreed that CONTRACTOR is, and shall be, acting at all times hereunder as an independent contractor and not an employee of CITY. CONTRACTOR shall secure at its own cost and expense, and be responsible for any and all payment of all taxes, social security, state disability insurance compensation, unemployment compensation and other payroll deductions for CONTRACTOR and its officers, agents and employees and all business licenses, if any, in connection with the PROJECT and/or the services performed hereunder. 11. LIQUIDATED DAMAGES/DELAYS It is agreed by the parties hereto that in case the total work called for hereunder is not in all parts and requirements finished or completed within the number of calendar days as set forth herein, damage will be sustained by CITY; and that it is, and would be, impractical and, extremely difficult to ascertain and determine the actual damage which CITY would sustain in the event of and by reason of such delay. It is, therefore, agreed that CONTRACTOR will pay to CITY, as liquidated damages and not as a penalty, c'aeree/surlhet/cityconst % of 22 5/ 10 the sum of One Thousand Dollars ($ 1000.00 ) 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/sur(iiet/cityconst 8 of 22 5/10 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'surfnedcityconst 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 sucli 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/agrcc/sul Islet/cityconst 10 of 22 sn o 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 teens 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 g/agrce/surfiiet/cityconst 1 I of 22 5/ 10 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 1,��IUCC/surincvcrtyC01„t 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 TNT QT TD A Mf! U 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 amoul-it 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/agree/su ilet/cityconst 1 J 01 27 5/10 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 fonn 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 g/agree/swineUcityccuist 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 hlsureds, 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. �,/ue1-ec/surfi,rvcrtVC011st 15 of 22 5110 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/aeree/surinet/citycoi„t 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 ADMINISTRATIVE COSTS CITY shall be entitled to all reasonable administrative costs and necessary disbursements arising out of the processing of Stop Notices, Notices to Withhold, or any similar legal document. This obligation shall be provided for in the labor and materials payment bond required of CONTRACTOR. CITY may charge an administrative fee of ghw']cc/Surruet/citycol„t 17 of 22 / 10 One Hundred Dollars ($100) for every Stop Notice filed in excess of two (2), regardless of whether or not CITY is named in an action to enforce such stop notices. CITY may set off any unreimbursed cost or expense so incurred against any sum or sums owed by CITY to CONTRACTOR under this Agreement. 29. NOTICES Any notices, certificates, or other communications hereunder shall be given either by personal delivery to CONTRACTOR's agent (as designated in Section 1 hereinabove) or to CITY as the situation shall warrant, or by enclosing the same in a 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: David Verone 2000 Main Street Huntington Beach, CA 92648 30. SECTION HEADINGS TO CONTRACTOR: Garcia karul 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, giagrcclsurfnct/cityconst 18 of 22 5no 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 attorneys 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/ai,rcc/surr„eticity«,l,st 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 party who has signed it. /W,IC&SUITI Ucityconst 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 hereinbelow has the power, authority and right to bind their respective parties to each of the terins 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 ai7n'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 party's behalf, which are not embodied in this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement, avrc�',urfneUcirya�nst 21 of 22 5/ 10 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 August 1, 2011 CONTRACTOR CITY OF HUNTINGTON BEACH, a munici or n of the State of California Garcia Juarez Construction Inc. �� / . APPROVED AS TO FORM: City Attorney g/ag1-cc%surrneh/crtyc011st 22 of 22 5110 ALL-PURPOSE ACKNOWLEDGMENT State of California County of Riverside On /5 Zar�� before me, Leon Lopez, Notary Public -� Dates Here Insert Name and Title of the Officer personally appeared Jim Jackson Names) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose nameW is/are subscribed to the within instrument and acknowledged to me that he/she" executed the same in hi&PAa44h& authorized capacity(ies), and that by him signature(4 on the instrument the person(*, or the entity upon behalf of which the person(sp acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws LEON N EGA LOPEZ of the State of California that the foregoing paragraph is 1 COMK ##1907501 true and correct. ry - NOTARY PUBLIC - CALIFORNIA C.? RIVERSIDE COUNTY WITNESS m hand official seal. My Comm. Expires Oct. 9, 2014 y Place Notary Seal Above Signature nature 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) Signer's Name: ❑ Individual Jim Jackson M Corporate Officer — Title(s): President & Secretary Partner — ❑ Limited ❑ General ❑ Attorney in Fact Trustee Top of thumb here Guardian or Conservator Other: Signer Is Representing: Garcia Juarez Construction, Inc. Number of Pages: Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s): , 1 Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee Guardian or Conservator ❑ Other: Signer Is Representing: ri GHTTHIUM©PRINT OF SIGNER, op ot thumb here 02007 National Notary Association • 9350 De Soto Ave.. P.O. BOX 2402 • Chatsworth, CA 91313-2402 • w".NationalNotary org Item #5907 Reorder. Call Toll -Free 1-800.876-6827 SECTION C PROPOSAL for the construction of 1. CC 1371 Water Main Extension, Holburn Drive from 91' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard, at Williams Street 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 50 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall (yovern 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 veers Ro 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 Si,,nature C-2 2011 07/18 11:46 FAX 9516573955 GARCIA HARES CO. BREA 001 PROJECT JBID SCHEDULE CC 1371 i�+ Ftti fiilr'i -- �ttit ( ou�u I 1 1 i s" X 8" Not Tap with Gate Valve I I IEA`r-'rntt�ac±_Dc!ta, I� I �t cents Per I. I Per EA -- II ? Chlorination and testing; of all new hater mains iz CX'O Per LS �I 3 72 8" ?''VC DR 14 Water Malin I I LF it aex C:_ccnts (� Per LF 4 14 6" ?'VC DR 14 Water Main ' r+� Cents Pet• LF 2 Censtreet ?" watcr !�ervice & °nr4" meter assembly F�A•r�..f nuS ors �C `�!7b. I K �7 Per EA � I ? Construct 6" Gale Valve assemblyEA T �. II IPer EA 7 ? Remove and dispose of'existing AC Water'Ninin LS 0_+3 ��yf''.t _i) ?gars g !00 w`„ Cents I I Per l g I Pmvie?e tempomry potable water highline E'r+ Cents I I Per EPA ( !! 4 1 Mobilization I CentsR I Per LS to i p#hnnhili7tition and tieallllp ILS �) Pflr LS C-3.1 2011 07/18 11:46 FA-1 9516573955 GARCIA JUARES CO. 4 BREA 11002 PROJECT BID SCHEDULE CC 1371 C-3.2 2011 07/13 11:46 FAX 9516573953 GARCIA JIT RES CO. BREA Z003 PROJECT BID SCHEDULE CC 178 �rYt`.•.� ,tat r33i Eton::iiL �var�fsz�c�zr$cu '� II I It cn Mobilization llcltars _Cents Per LS 2 j( 3 I 1 i 1 � Provide traffic control plan s r h h n air ear. —Dollars 1 4 f'7_ ✓!! 00� Per LS Provide truf c con") Donarrs ze4- C.) _Cent5 Per LS _ _ j0 t �EA Fire hydrant Pssembly ^Dollars —Cents � � �, ` S coo, Per LA S t L5 Cut t,, ping And abandon existing 9-inch main "f%r ksc _Dona„s Cents Per LS 6 IIi 1 L Chlorination and testing of all new water mains {A. / -}vll�C: J S//lly p- e rG _Cents Per LS 1 L Demobilization and cleanup B ft C '�+t '�ww—lj�lla�s $ —Cents Per LS � 7-0tal Nnnount Bid to Figures: 1 IIL Total Amount B:d cn Wcrds: :- �� ��� �__� �[------------------------ - ----------------- - -- ... ... -- .......... k'-3.3 2011 07,/18 11:47 FAX 9516573955 GARCIA JITARES CO. a BREA Q 004 PROJECT BID SCHEDULE CC 1408 Nib:: ril? .. ra�J`i>ii i�trcaliikcic ATat;ttulkf l i Mobilization ILA s4i.F±>R6i �ssr--5rryit�sg 4,�' .�f3i� %E�� S{iS 3ff� ��'-4Ct1�S Per LS _ It 2 1 LS Traffic Control @y --..�'&-,-Ll _Certts �. Per LS 777 3 1 Permitting, including Caltran�s`sddouvb�le permit TM @ -ZeJrC'__.Cents I Per LS 4 1 EA 6-inch cut in valve assembly — n �... t _Dull.--r r *t C7 e e .- t Cents �� Per EA S ? EA 8-inch Cut in valve assembly f @1 r ti a#. $ . ,� —vUlrcrS `-r—ce-L, Per EA 6 380 ILF 12-inch PVC�Pipe ++ DR18Water +_.{ —Cents Per LF {({F{ [E _— (� 7 50 8-inch PVC DR18 Water Pipe ,/r _Cents Per L,F $ 1 LS Chturination and testing ofall new water mains u [j?1 ZA,'V` , i g0U— "-: r ° ` _Dollar- $ 7C" .�.... E� Cents '. Per LS �) 1 LS Demobiliz-atinn kind cleanup Cents Per LS Total mount Bid to ijgures- '} Totai A;nount Bid in Words', ,oy,. e jt-' .......G --------------------------------------------------- �.......... ,----------- C-3.4 2011 07118 11:47 FAX 9516573955 GARCIA HARES CO, BREA e OO5 P',r.3OJEC'Lv BID SCHEDULE TOTALS CC 1371, CC 1378, CC 1408 WA 1 E1i,IMA➢.N REPILi^`iCl iVaE'TrNiT uh-Total Bld Schedule Gw 1371 �' 2 � 2 f' ub-Total Bid Schedule CC 1 378 Sub -Total Bid Schedule CC 1408 `� 7,_ TOTAL BID AMOUNT, BASiS OF AWARD (Siii"ri CXf ;sciieuii►es .rC 1.,. , C.. 1378, and CC 1408 TOTAL- 810 AMOUNT IN WORDS: — Notes: All extensions of :snit prices will be- sup;ect to verification by Owner, In case of a verif,cation behveen the !nit price and the extension, the unit price will govern. The Owner reserves the .right to reject any or all proposals and bid items. C-4 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 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-; NONCOLL,USION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange 7—a being first duly sworn, deposes and says that he or she is P S,of Garcia Juarez Construction I .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. Garcia Juarez Gonslruction Inc. Nat Bi r Signatu of Bi er pry. V�> c�x 3C r-FG- Address Address of Bidder Subscribed and sworn to before me this day of 201 LEON NORIEGA LOPEZ COMI K #1907501 NOTARY PUBLIC -CALIFORNIA RIVERSIDE COUNTY FAy Comm. Expires Oct. 9, 2014 PS NOTARY PUBLIC C-6 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 Water Main Extension Projects, Various Locations, Project Numbers CC 1371, CC1378, and CC1408, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved " The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal -OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Date: -7i B l/ C-7 tractor By Title Juarez C,bnstruction Inc. t't 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 0 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 ofthis questionnaire. C-8 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: % C-9 Contracto By Title Juar0 Construotiom Inc. BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Garda Juarez Bidder Name Construction Inc. P.O. BOX 309 Brea, CA 92322-0309 Business Address City, ( 95?)65 7 - 3535 Telephone Number <a Ct 19 't o 1 1``t- State Contractor's License No. and Class GC i- y Original Date Issued 20l Expiration Date State Zip The work site was inspected by �f��drof our office on Sv 7. 201! The following are persons, firms, and corporations having a principal interest in this proposal: Garcia Juarez Constriyetti n onc C-10 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 sP fnah. N Sign uarez Cona0ruction Inc, Printed or Typed Signature Subscribed and sworn to before me this r � day of .T LEON NORIEGA LOPEZ u� N COMM. #1907501 � ' NOTARY PUBLIC - CALIFORNIA � COUNTY Ply CGmm. otttre, E Expipi res Oct. 9, 2014 NOTARY PUBLIC I. 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: Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed C-1 t 5/13/11 GARCIA,LCAREZ CONSTRUCTION, INC- Contract References City of Inglewood, $245,500 "Sewer System Point Repairs" Contact: Mr. Brian Ball (310) 901-4631 Start: April 'I I - Complete: In Progress Project Summary: 52 Sewer point repairs with 8" & 10" VCP City of Huntington Beach, $392,420 "Gravity Sewer" Contact: Mr. Joe Dale (714) 536-5915 Start: February 'I I - Complete: In Progress Project Summary: 580' of 8" PVC, Siphons, Flat Work, Paving City of Rancho Cucamonga, $5,786,474 "Hellman Avenue Storm Drain" Contact: Mr. Romeo David (909) 477-2740 #4070 Start: August '10 - Complete: In Progress Project Summary: 5186' of 114" to 90" RCP, Catch Basins, Paving City of Huntington Beach, $228,034 "Garfield Waterline" Contact: Mr. Eric Charlonne (714) 536-5430 Start: January ' 11 - Complete: February ' 11 (on time) Project Summary: Pipe Burst 12" Pipe City of Fullerton, $420,059 "Grandview Sewer" Contact: Mr. Eric Villagracia (714) 738-6853 Start: Oct'10 - Complete: Dec '10 (on time) Project Summary: 1336' of 8" PVC, Street Reconstruction & Paving City of Fullerton, $253,270 "Commonwealth Storm Drain" Contact: Mr. Pete Acosta (714) 732-9060 Start: October ' 10 - Complete: December ' 10 (on time) Project Summary: 843' of 30" 18" RCP, Catch Basins City of Fullerton, $646,280 "Lois Lane Water/ Sewer" Contact: Mr. Noah Hernandez (714) 606-4336 Start: July '10 -Complete: November'10 (on time) Project Summary: 2800' of water/sewer, AC Paving City of Fullerton, $1,552,871 "Drake/Brea Creek Sewer Improvements" Contact: Mr. Pete Acosta (714) 732-9060 Start: April '10 - Complete: September '10 (on time) Project Summary: 5500' of 8" VCP, AC Paving City of San Clemente, $504,874 "Del Cabo Waterline Improvements" Contact: Mr. Greg Deist (949) 337-3139 Start: March '10 - Complete: June '10 (on time) Project Summary: 3500' of 10" & 8" PVC, Services City of Huntington Beach, $864,834 "Blufftop Beach Improvements" Contact: Mr. Eric Charlonne (714) 536-5430 Start: December'09 - Complete: July '10 (on time) Contact: Mr. Duane Wentworth (714) 536-5517 Project Summary: 9000' of 3" PVC, Retaining Walls, AC Bike Path 5/13/11 Helix Water District, $809,014 "Pipeline Project 1818" Contact: Mr. Jim Tomasulo (6 t 9) 596-1317 Start: December '09 - Complete: June ' 10 (on time) Contact: Mr. Greg Gibbs (619) 873-5670 Project Summary: 7200' of 8" PVC, Hi -line, AC Paving City of Lynwood, $289,983 "Waldorf Watermain" Contact: Mr. Mario Soto (310) 628-2695 Start: February'10 - Complete: March'10 (on time) Project Summary: 1080' of 8" DIP, Street Overlay City of Huntington Beach, $745,801 "Bayview Drive Watermain Replacement" Contact: Mr. Ruben Rosales (714) 318-4811 Start: October '09 - Complete: March ' 10 (on time) Project Summary: 1367' of 8" PVC, Services, Dewatering City of Fountain Valley, $1,029,629 "16 - Transmission Main" Contact: Mr. Mike. Green (714) 593- 4607 Start: August '09 - Complete: February'10 (on time) Contact: Bob Kellison (714) 593-4601 Project Summary: 3117' of 16" CML & C Steel Pipe, AC Paving City of Fullerton, $567,760 "Carhart Storm Drain" Contact: Mr. Eric Villagracia (714) 738-6853 Start: August '09 -Complete: October '09 (on time) Project Summary: 1924' of 24" & 18" RCP, Catch Basins, AC Paving Monte Vista Water District, $385,773 "Rose Avenue Pipeline" Contact: Mr. Gil Martinez (909) 210-5330 Start: July'09 - Complete: November'09 (on time) Project Summary: 1435' of 6" DI Pipe, AC Paving, Pressure Relief Station City of Highland, $755,246 "Warm Creek Storm Drain" Contact: Mr. George Herold (909) 234-1001 Start: June '09 - Complete: September'09 (on time) Project Summary: 3011' of 48" to 18" RCP, Manholes, Catch Basins, AC Paving City of Fullerton, $1,266,873 "Gregory/Chapman Area Sewer" Contact: Mr. Pete Acosta (714) 732-9060 Start: April '09 - Complete: September'09 (on time) Project Summary: 4176' of 8" VCP, 630' of Pipe Bursting, 2796' TNS of AC Paving Los Angeles County Dept. of Public Works, $136,475 "Los Cerritos Drainage System" Contact: Mr. Victor Bermudez (626) 688-8275 Start: May '09 - Complete: June '09 (on time) Project Summary: Restoration and Repair of Existing Concrete Channel RY Engineering, $207,466 "Will Rogers State Park" Contact: Mr. Raffle Yeremian (818) 480-8966 Start: February '09 -Complete: May '09 (on time) Project Summary: Exterior Fire System, 500' of 6" PVC RY Engineering, $298,000 "Arbor Terrace Apartments" Contact: Mr. Raffle Yeremian (818) 480-8966 Start: Dec. '09 - Complete: February'09 (on time) Project Summary: 818' of 12" PVC, Services, Reinforced Storm Drain Structure, Sewer Main 5/13/11 Golden Rain Foundation, $257,495 "Trust Street Paving Program" Contact: Mr. Kevin Black (562) 431-6586 Start: October '08 - Complete: January'09 (on time) Project Summary: AC Paving, Flat Work City of Fullerton, $1,586,838 "Carhart Area Sewer" Contact: Mr. Noah Hernandez (714) 606-4336 Start: February '09 - Complete: June '09 (on time) Project Summary: 7767' of 8" VCP, 2600 TNS of AC Paving, 34l' of Pipe Bursting Los Angeles County Dept. of Public Works, $339,180 "Mountain Avenue" Contact: Mr. Leo Lopez (626) 607-7579 Start: March '09 — Complete: April '09 (on time) Project Summary: 1650 TNS of AC Paving, Flatwork City of Anaheim, $392,018 "La Palma Sewer Improvements" Contact: Mr. Greg Solberg (714) 231-4696 Start: November '08 - Complete: March'09 (on time) Project Summary: 972' of 12" VCP, OCSD Manhole, Paving Los Angeles County Dept. of Public Works, $1,773,356 "Puddingstone Dam Waterline" Contact: Mr. Jose Ontiveros (626) 476-4894 Start: October '08 - Complete: April '09 (on time) Project Summary: 6000' of 10" and 6" Fusion Bonded Steel Pipe City of Anaheim, $572,821 "Citron Avenue Sewer" Contact: Mr. Sean Razmy (714) 765-5059 Start: December '08 —Complete: February '08 (on time) Contact: Mr. Dave Elseroad (714) 765-5293 Project Summary: 2100' of 12" and 10" VCP, 90, OOOSF of AC Paving Los Angeles County Dept. of Public Works, $229,914 "Choisser Street Drain" Contact: Mr. Victor Bermudez (626) 688-8275 Start: Sept. '08 - Complete: October '08 (on time) Project Summary: 405' of Pre -cast Box and Elliptical RCP, Transition Structures Los Angeles County Dept. of Public Works, $821,465 "Elford Drain and CDR 524" Contact: Mr. Jose Ontiveros (626) 476-4894 Start: August '08 - Complete: September '08 (on time) Project Summary2450' of 36" and 30" RCP, Manholes, Catch Basins, AC Paving Los Angeles County Dept. of Public Works, $563,616 "Colima Road Drain" Contact: Mr. John Lovrensky (626) 607-7582 Start: July '08 — Complete: September '08 (on time) Project Summary: 1208' of 48" and 30" RCP, Manholes, Catch Basins, AC Paving Orange County Water District $68,000 "Burris Pipeline" Contact: Mr. Chris Olsen (714) 514-9028 Start: July '08 - Complete: August '08 (on time) Project Summary: 200' of 36" CML &C Steel Pipe City of Tustin $384,104 "Sycamore Avenue Storm Drain" Contact: Mr. Tom Murphy (714) 573-3167 Start: June '08 - Complete: August '08 (on time) Contact: Mr. Terry Lutz (714) 573-3263 Project Summary: 628' of 30" and 24" RCP, 205' of 8" DIP, Street Replacement 5/13/11 Inland Empire Utilities Agency, $1,036,060 "Etiwanda Recycled Waterline" Contact: Mr. Mike Long (909) 773-2610 Start: April '08 - Complete: July '08 (on time) Project Summary: 1768' of 42" CML&C Steel Pipe, Paving, Testing City of Anaheim, $2,153,755 "Anaheim Hills Road Transmission Main" Contact: Mr. Manny Briones (949) 466-6701 Start: January '08 - Complete: May '08 (on time) Contact: Mr. John Lamar (714) 765-4591 Project Summary: 3509' of 30" CML&C Steel Pipe, Paving, Slurry Seal City of Ontario, $1,533,759 "Recycled Water Pipeline Project" Contact: Mr. Fernando Cobos (909) 395-2695 Start: February '08 -Complete: August '08 (on time) Project Summary: 8003' of 12" and 8" Steel and PVC Pipe, AC Paving City of Rancho Palos Verdes, $102,259 "Point Vincent Trail Repair Project" Contact: Ms. Bindu Vaish (310) 544-5254 Start: May '08 - Complete: July '08 (on time) Project Summary: Rehabilitate Trail and Handrail Along Slope City of Anaheim, $1,020,260 "Lincoln Avenue Sewer" Contact: Mr. Jay Kalan (714) 369-2081 Start: June '07 - Complete: September '07 (on time) Contact: Mr. Sean Razmy (714) 765-5059 Project Summary: 3255' of 15" and 10" VCP, Manholes, Paving Los Angeles County Dept. of Public Works, $174,074 "CMP Replacement Project" Contact: Mr. Jose Ontiveros (626) 476-4894 Start: Aug '07 - Complete: Sept '07 (on time) Project Summary: 595' of 24" and 18" RCP, Catch Basins, Paving City of Rosemead, $749,507 "Street, Storm Drain, and Street Lighting" Contact: Mr. Tom Harbour (417) 770-2898 Start: March '07 - Complete: June '07 (on time) Project Summary: 801' of 24" RCP, 876' of Street Lighting Conduit, Street Replacement City of Rancho Palos Verdes, $399,234 "Forrestal Swale Drainage Improvements" Contact: Ms. Bindu Vaish (310) 544-5254 Start: December '06 -Complete: February '07 (on time) Contact: Mr. Jim Pugh (805) 602-0891 Project Summary: 350' of 24" HDPE Pipe, Pipe Anchors, Slope Rehablilitation County of Orange, $6,168,750 "O'Neill Park Sewer Conversion" Contact: Mr. Rick Allen (714) 448-8552 Start: October '06 - December '07 (on time) Project Summary: 12,594' of 8" PVC and DIP, T=lock Manholes, Wet Well Lift Station ($835K) City of Huntington Beach, $4,638,222 "OC-9 Water Transmission Main" Contact: Mr. Mike Hitt (714) 292-2140 Start: December ' 05 - Complete: March '07 (on time) Project Summary: 12,152' of 24" DIP, Siphons, Blow -offs, Air -Vacs Los Angeles County Dept. of Public Works, $455,581 "Ditman Avenue Storm Drain" Contact: Mr. Johnny Oghoorian (626) 607-7587 Start: Jan '07 - Complete: Feb '07 (on time) Project Summary: 926' of 48" and 24" RCP, Catch Basins, Manholes, Paving 5/13/11 City of Fullerton, $1,987,032 "Lemon - Rosslynn Sewer" Contacts: Mr. Eliseo Bravo (714) 932-7506 Start: July '06 - Complete: Oct'06 (on time) Contacts: Mr. Murdock Miralaie (714) 595-6720 Project Summary: 5537' of 2 1 " and 8" VCP, Manholes, Jack 42" Casing, Paving Western Municipal Water District, $475,594 "Wood Road Irrigation Pipeline" Contact: Mr. Greg Alexander (951) 712-6566 Start: Dec '05 - Complete: Jan'06 (on time) Project Summary: 2888' of 12" PVC, Blow -offs, Air -Vacs, Paving Golden Rain Foundation, $139,265 "Perimeter Wall Project, Section G&H" Contact: Mr. Carlos Martinez (562) 431-6586 (4371) Start: Dec '05 - Complete: Jan'06 (on time) Project Summary: 3127' of Perimeter Block Wall Los Angeles County Dept. of Public Works, $2,147,168 "Kenneth Hahn Storm Drain" Contact: Mr. Mark Bruschaber (818) 370-3881 Start: Nov '05 - Complete: July '06 (on time) Project Summary: 461' of Tunnel for 60" RGRCP, Jack 432' of 42" RGRCP, Soil Remediation City of Huntington Beach, $230,865 "Residential Storm Drain" Contact: Mr. Jeff Gibbons (714) 401-5008 Start: Sept '06 - Complete: Oct '06 (on time) Project Summary: Flat Work, Paving, Cross Gutters, Ped Ramps City of San Clemente, $1,066,744 "Calle Las Bolas Storm Drain" Contact: Mr. Gary Voborsky (949) 279-9730 Start: May '05 - Complete: Aug '05 (on time) Project Summary: 2148' of RCP, 1369' of 8" PVC (Water), Catch Basins, Manholes, Paving Los Angeles County Dept. of Public Works, $493,082 "112t' Street Replacement" Contact: Mr. Joe Baker (562) 405-5715 Start: Aug '05 - Complete: Sept '05 (on time) Project Summary: Street Replacement, Flat Work, AC Paving City of Palos Verdes Estates, $77,500 "Beach Club Access Retaining Wall" Contact: Mr. Jim Pugh (805) 602-0891 Start: Sept '05 - Complete: Oct '05 (on time) Project Summary: Reinforced Concrete Piles for Retaining Wall County of Orange, $189,479 Contact: Mr. Rick Allen (714) 448-8552 Project Summary: Reinforced PCC Channel Lining "Federal Storm Channel" Start: Nov '05 - Complete: Nov '05 (on time) Los Angeles County Dept. of Public Works, $179,915 "Private Drain 996 (Victoria St.)" Contact: Mr. Rene Bracamontes (310) 487-9254 Start: Jun '05 - Complete: Jul '05 (on time) Project Summary: 6'W X 24"H DBL RCB Channel, Transition Structure The Guarantee Company of North America USA 25800 Northwestern Highway, Suite 720, Southfield, MI 48075 BOND NO. n/a KNOW ALL MEN BY THESE PRESENTS, That we, Garcia Juarez Construction, Inc. as Principal, and The Guarantee Company of North America USA, a corporation duly organized under the laws of the State of Michigan, as Surety, are held and firmly bound unto City of Huntington Beach as Obligee, in the sum of Ten percent of amount bid ($ 10% of Bid Amount ) Dollars for the payment of which Principal and Surety bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally. WHEREAS, Principal has submitted a bid for CC 1371 Water Main Extension CC 1378 Water Main Extension CC 1408 Water Main Extension the Project. NOW, THEREFORE, if the Obligee accepts the bid of the Principal and the Principal enters into a Contract with the Obligee for the Project; or, if the Principal pays the Obligee the amount of this Bond or the difference between Principal's bid and the next lowest bid for the Project, whichever is less: this obligation is null and void, otherwise to remain in full force and effect. Signed and sealed this 14th day of July 2011 arcia Jerez Construction, Inc. BY: _ (Witness) Principal ITS: 0r!5-5 The Guarantee Company of North America USA BY: William S ricin Attorney -In -Fact ALL-PURPOSE ACKNOWLEDGMENT State of California County of Riverside On -v �Z before me, Leon Lopez, Notary Public Here Dart Name and Title of the Officer personally appeared Jim Jackson Name(s) of Sfgner(s) who proved to me on the basis of satisfactory evidence to be the personM whose name(s) is/a-subscribed to the within instrument and acknowledged to me that ham executed the same in his/befi4k& authorized capacity(ies&), and that by his/Iaer, h& signatures} on the instrument the person(*, or the entity upon behalf of which the persons} acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws LEON NOR EGA LOPEZ 'of the State of California that the foregoing paragraph is �^, COMM. #1907501 true and correct.. cc ^ NOTARY PUBLIC - CALIFORNIA C RERSIDE My Comet. 9 COUNTY m. Expires WITNESS my h official seal. Signature Place Notary Seal Above OPTIONAL S' nature of Notary Public Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document Description. of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signers Name: D Individual Jim Jackson M Corporate Officer — Title(s): President & Secretary D Partner— D Limited D General * Attorney in Fact :i Trustee Guardian or Conservator 07 Other: Signer Is Representing: Garcia Juarez Construction, Inc. f41GHT I H•MMPRINT 6 Frtil t,4ff H, p of thumb here — Number of Pages: Signer's Name: D Individual ❑ Corporate Officer — Title(s): D Partner — D Limited ❑ General D Attorney in Fact D Trustee D Guardian or Conservator D Other: Signer Is Representing: 4'y4r/ 4: L/.\✓4-Y4-•Ji.! i'Y4✓4•✓ 'f/L-•✓� i•J4tJ 'ii¢�LYL`.4✓iL"✓i'G/L•�i4-ei4�.i-✓LY4-VL'..J.('!l4'.V4--Y4'S1L�lVS',YG'a/4�✓::J '.YC-N:'NL'J CALIFORNIA •y ALL-PURPOSE ACKNOWLED r r t t State of California County of Orange On 07/14/11 before me, A. Wilkison, Notary Public Date Here Insert Name and Title of the Officer personally appeared William Syrkin Name(s) of Signer(s) A. WILKISON y Commission # 1866283 a =� e �;o NPublic - California z Notary Orange County D My Comm. Expires Sep 26, 2013 Place Notary Seal Above who proved to me on the basis of satisfactory evidence to be the person() whose name(,is/afe subscribed to the within instrument and acknowledged to me that he/s ey executed the same in his/he;Aheir authorized capacity(+-_&), and that by his/hers4hei signature(} on the instrument the person(*, 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. Signature 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: Bid Bond Document Date: 07/14/11 Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: William Syrkin u Individual Corporate Officer — Title(s): Partner—:_ Limited _D General p Attorney in Fact Trustee Guardian or Conservator Other: Signer Is Representing: The Guarantee Company of North America USA RIGHTTHiIVIS HINTTop of thumb here Number of Pages: One (1 Signer's Name: Individual ❑ Corporate Officer — Title(s): _ 17 Partner — 71 Limited 1 General 7 Attorney in Fact Trustee Guardian or Conservator Other: Signer is Representing: 02007 National Notary Association • 9350 De Solo Ave., P.O. Box 2402 -Chatsworth, CA 91313-2402 • www.NationaiNotaryorg Item #5907 Reorder: Call Toll -Free 1-800-876-6827 THE GUARANTEE COMPANY OF NORTH AMERICA USA Southfield, Michigan U*wPOWER OF ATTORNEY KNOW ALL BY THESE PRESENTS: That THE GUARANTEE COMPANY OF NORTH AMERICA USA, a corporation organized and existing under the laws of the State of Michigan, having its principal office in Southfield, Michigan, does hereby constitute and appoint William Syrkin, Sergio D. Bechara, Rebecca Ann Haas -Bates, Patricia Ann Bauer, Richard Leroy Adair Millennium Corporate Solutions, Inc. its true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract or otherwise. The execution of such instrument(s) in pursuance of these presents, shall be as binding upon THE GUARANTEE COMPANY OF NORTH AMERICA USA as fully and amply, to ail intents and purposes, as if the same had been duly executed and acknowledged by its regularly elected officers at the principal office. The Power of Attorney is executed and may be certified so, and may be revoked, pursuant to and by authority of Article IX, Section 9.03 of the By -Laws adopted by the Board of Directors of THE GUARANTEE COMPANY OF NORTH AMERICA USA at a meeting held on the 315` day of December, 2003. The President, or any Vice President, acting with any Secretary or Assistant Secretary, shall have power and authority: 1. To appoint Attorney(s)-in-fact, and to authorize them to execute on behalf of the Company, and attach the Seal of the Company thereto, bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof, and 2. To revoke, at any time, any such Attorney -in -fact and revoke the authority given, except as provided below 3. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner — Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. Further, this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directors of the Company adopted at a meeting duly called and held on the 31" day of December 2003, of which the following is a true excerpt: RESOLVED that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any Power of Attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, contracts of indemnity and other writings obligatory in the nature thereof, and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF; THE GUARANTEE COMPANY OF NORTH AMERICA USA has caused �o,,� this instrument to be signed and its corporate seal to be affixed by its authorized officer, this 29th day of April, 2010. GJPapNTEF �� G 9� THE GUARANTEE COMPANY OF NORTH AMERICA USA p� Jya rN AMEa�cP STATE OF MICHIGAN Stephen C. Ruschak, Vice President Randall Musselman, Secretary County of Oakland On this 29th day of April, 2010 before me came the individuals who executed the preceding instrument, to me personally known, and being by me duly sworn, said that each is the herein described and authorized officer of The Guarantee Company of North America USA; that the seal affixed to said instrument is the Corporate Seal of said Company; that the Corporate Seal and each signature were duly affixed by order of the Board of Directors of said Company. Cynthia A. Takai IN WITNESS WHEREOF, I have hereunto set my hand at The Guarantee Notary Public, State of Michigan Company of North America USA offices the day and year above written. County of Oakland My Commission Expires February 27, 2012 { , ,,- / %�' Acting in Oakland County r�l`-'�' v' - I, Randall Musselman. Secretary of THE GUARANTEE COMPANY OF NORTH AMERICA USA, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attomey executed by THE GUARANTEE COMPANY OF NORTH AMERICA USA, which is still in full force and effect. IN WITNESS WHEREOF, I have thereunto set my hand and attached the seal of said Company this 14th day of July 2011 6JPp,pNTEEC0 q % /,, w rv— may` Randall Musselman, Secretary y�RTH AMf.R�GP 57�. 64mi�y- P.O. Box 309 63-ea, CA 9282-2,0309 City of Huntington Beach 2000 Main Street Huntington Beach, CA 92648 Project: CC 1371, CC 1378, CC 1408 _ .._ P.,r ? Watermain Improvements Bid Date: July 18, 2011 @ 2:OOPM ARW,�, n xry ... .... . . VH 3111111111111M St AA ' INSURANCE AND INDEMNIFICATION ', -,1, -O WAIVER MODIFICATION REQUEST 1. Requested by: Public Works 2. Date: August 22, 2011 3. Name of contractor/permittee: Garcia Juarez Construction, Inc. 4. Description of work to be performed: Capital Water Construction 5. Value and length of contract: $149,870.00 8/29/11 to 1 /1 /12 6. Waiver/modification request: General Liability 7. Reason for request and why it should be granted: Non -Admitted Carrier 8. Identify the risks to the City in approving this waiver/modification: None Department Head nature Date: APPROVALS Approvals must be obtained in the order listed on this form. Two approvals are required for a request to be,granted. Approval from the City Administrator's Office is only required if Risk Management nd t City Attorney's Tice disagree. 1. Risk Management w f Approved ❑ Denied Signature Date 2. City Attorney's Office pproved ❑ Denied Signature Date 3. City Administrator's Office ❑ Approved ❑ Denied Signature Date If approved, the completed waiver/modification request is to be submitted to'the' City Attorney's Office along with the contract for approval. Once the contract has been approved, this form is to be filed with. the Risk Management Division of Human Resources. 1408 Insurance Waiver Form.doc 8/22/2011 11:26:00 AM IDATE (MM/DD/YYYY) ACORD* CERTIFICATE OF LIABILITY INSURANCE 08/22/2011 PRODUCER Phone: 877-587-4999 Fax: (877) 373-5608 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BACCARELLA INSURANCE SERVICES, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6864 INDIANA AVE. # 201 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR RIVERSIDE CA 92506 ALTER THE CQVERAgE AFFORDED BY THE P LI I BEL W. INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Interstate Fire & Casualty 22829 GARCIA JUAREZ CONSTRUCTION, INC INSURER B: Delos Insurance Company 35408 P.O BOX 309 BREA CA 92822-0309 INSURER C: Admiral Insurance Company 24856 INSURER D: Companion Property & Casualty Ins. Co 12157 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. "SIR LTR ADDT INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MMIDD/YY LIMITS GENERAL LIABILITY SGL1002533 12/03/10 12/03/11 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurence) $ 50,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADEa OCCUR MED. EXP (Any one person) $ Excluded A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY Ej PRO- LOC $ AUTOMOBILE LIABILITY X ANY AUTO DPA5503441 12/03/10 12/03/11 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS 8 k EB A 8 ® F® B X HIRED AUTOS X NON -OWNED AUTOS n 1` V D q RA � j (jm�s ��� BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY _l AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY EX00001213905 12/03/10 12/03/11 EACH OCCURRENCE $ 4,000,000 _X-1 OCCUR ❑ CLAIMS MADE AGGREGATE $ 4,000,000 $ C $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND CPCA13372 07/11/11 07/11/12 WC X TORYTLIM TS OTHER D EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS SEE SUPPLEMENTAL CERTIFICATE INFORMATION GtK I II-IGA I t HULULK I:ANL;tLLA I IUIV CITY OF HUNTINGTON BEACH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30' DAYS 2000 MAIN STREET WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO HUNTINGTON BEACH, CA 92648 DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Attention: I e a nrr)pn 2s t2onvnli Certificate # 69622 n 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATE SUPPLEMENT TO CERTIFICATE OF LIABILITY IRIS #69622 AUG 222011 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS *10 DAY NOTICE FOR NON PAYMENT OR NON REPORTING OF PAYROLL* RE: Job #CC1408, 1371 & 1378--Watermain Extension project. The City of Huntington Beach, its Agents, Officers, and Employees while acting within the scope of their duties, against any and all claims arising out or in connection with the project are hereby named as Additional Insureds per blanket Al Form #CG2010 (1185) attached. Primary Wording is included per the form ICB8016 (06-05) attached, waiver of subrogation applies to the GL form #CG2404 (10-93) and to the WC WC000313 (4-84) both attached. "Cancellation Clause cannot be altered in any way per instructions from the insurance company. " Certificate # 69622 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 This Certificate of Insurance 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. ACORD 25 (2009/01) Certificate #69622 POLICY NUMBER: SGL1002533 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional in- sured on your policy. City of Huntington Beach, its agents, officers, and employees while acting within the scope of their duties, against any and all claims arising out or in connection with the project. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. CG 20 10 11 85 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1 .O THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 24 0410 93 IWAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement effective Policy No. 12:01 A.M. standard time I SGL1002533 Named Insured Countersigned by Garcia Juarez Construction Inc. Elizabeth Vanden Akker (Authorized Representative) SCHEDULE Name of Person or Organization: Any person or organization when you and such person or organization have agreed in writing in a contract or agreement that you will waive any right of recovery against such person or organization. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV —COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: 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 ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard." This waiver applies only to the person or organization shown in the Schedule above. CL 675 (10-93) CG 24 04 10 93elec.APS Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 Policy Number: SGLI002533 AMENDMENT OF OTHER INSURANCE CONDITION v PRIMARY INSURANCE FOR AUTOMATIC STATUS ADDITIONAL INSURED THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART If required under a written "insured contract" with you, paragraph a. Primary Insurance in SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, 4.Other Insurance is amended by adding the following paragraph: Not withstanding the foregoing, the insurance afforded to any person or organization who has been added to this policy by an Automatic Status Additional Insured Endorsement is primary and non- contributory insurance, but only as respects "bodily injury" or "property damage" liability arising out of your sole negligence in performance of "your work" after the effective date of this policy under a written contract between you and such person or organization that requires you to maintain primary and non- contributory insurance and to include such person or organization as an additional insured thereunder. All other terms and conditions of this policy remain unchanged. ICB-8016 06-05 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Any person or organization for whom the insured has a written contract requiring waiver of subrogation. 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 Policy No CPCA13372 Premium Insured: Garcia Juarez Construction, Inc. Companion Property and Casualty WC000313 (Ed. 4-84) Countersigned by Z� © 1983 National Council on Compensation Insurance. RECEIVED BY: (Name) (Date) CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office after signing/dating CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: ��� �_ : �� _: h, City Treasurer FROM: DATE: Zl� 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. �•TTJ / �- CC No. '�� (1 MSC No. Approved (Council Approval Date) Agenda Item No. City Clerk Vault No. #27 g:/tollowup/bondletter.doc Executed in Two Counterparts Bond No. 12078907 Premium Included in Performance Bond PAYMENT SOND KNOW ALL PERSONS BY THESE PRESENTS that: WHEREAS, the City of Huntington Beach (hereinafter refereed to as "City") has awarded to Garcia Juarez Construction Inc. 4517 Wade Avenue Perris CA 92571 (narne and address of Contractor) (hereinafter referred to as "Principal"), a contract ("Contract") for the work described as follows: CC-1408, CC- 1371, CC- 1378; Water Main Extension Proiects (project tide) WHEREAS, Principal is required under the terms of the Contract and the California 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 The Guarantee Company of North America USA 1800 Sutter Street, Ste. 880, Concord, CA 94520 (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 Hundred Forty Nine Thousand Eight Hundred Seventy and no/100 dollars, ($ 149,870.00 ), this amount being 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 Principal, his, her, or its heirs, executors, administrators, successors or assigns, or subcontractors shall fail 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 costs 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 performed 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, VISM PAYMENT BOND Page 1 of 2 Bond No. 12078907 extension of time, alteration, addition, or Modification to the terms of the Contract, the contract documents or the work thereunder. Surety also waives the provisions of California Civil Code §§ 2845 and 2849. IN WITNESS MEROF, 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: August 12, 2011 ATTEST (Corporate Seal) ATTEST (Corporate Seal) (Attach Attorney -in -Fact Certificate) k.5&0^ The Guarantee Companx of North America USA (Surety Name) Name_ iiliam rki torne -in-Fact (Signature of Attomey-in-Fact for Surety) 9( 25 } 566-6040 (Area Code & Telephone Number of Surety) APPROVED AS TO FORM: CI1 Y OF HUNTINGTON BEACH By� M4- ennifer Mc rath/ f itv Attorney Note: This bend must be executed in duplicate and dated, an signatures must be notertzed, and evidence of the authority Of any person signing as attomey--in-feat must be attached. Z77$29.1 _ PAYMENT BOND Page 2 of 2 State of California County of Riverside On ,��ewst i5, to// before me, Leon Lopez, Notary Public Date Here insert Name and Trite of the ofricer personally appeared Jim Jackson Names) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(&) whose name( is/afe -subscribed to the within instrument and acknowledged to me that he/sheM9ey executed the same in hisl1w#9;& authorized capacity(ies), and that by his/4904& signatures} 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 LE®N NORiEGA LOPEZ of the State of California that the foregoing paragraph is .. ` COMM. #1907501 true and correct. NOTARY PUBLIC • CALIFORNIA RIVERSIDE COUNTY WITNESS m ha d official seal. My Comm. Expires Oct. 9, 2014 y Signature Place Notary Seal Above S' nature 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(lies) Claimed by Signer(s) Signer's Name: Jim Jackson ❑ Individual 0 Corporate Officer — Title(s): President & Secretary Partner — ❑ Limited ❑ General D Attomey in Fact Top of thumb here Trustee Guardian or Conservator Other: Signer Is Representing: Garcia Juarez Construction, Inc. Number of Pages: Signer's Nai El Individual ❑ Corporate Officer — Title(s): 4 Partner — ❑ Limited ❑ General ❑ Attorney in Fact Trustee Guardian or Conservator ❑ Other: Signer Is Representing: RIG H�, T H L'1P 1F�RIfT ;OF�S1hC1Efl� I 02007 National Notary Association • 9350 De Soto Ave,. P.O. Box 24M • Chat m orth, CA 91313-2402 • wwxl.Na8ona1Notaryorg Item *5907 Reader. Call Toll -Free 1-800-876-6827 ra •NIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Orange On 08/12/11 Date before me, A. Wilkison, Notary Public , Here Insert Name and Title of the Officer personally appeared William Syrkin Name(s) of Signer(s) _ A. WILKISON Commission # 1866283 z z „A_ )o Notary Public - California D Orange County My Comm. Expires Sep 26, 2013 Place Notary Seal Above who proved to me on the basis of satisfactory evidence to be the person(&) whose name( is/acme subscribed to the within instrument and acknowledged to me that he/ai� executed the same in his/i3eir#4; authorized capacity(ies), and that by his/4e644eif 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 hand and official seal. Signature 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: Payment Bond No. 12078907 Document Date: 08/12/11 Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: William Syrkin ❑ Individual Corporate Officer — Title(s): _ r Partner — 0 Limited 11 General p Attorney in Fact D Trustee L, Guardian or Conservator Other: Signer Is Representing: The Guarantee Company of North America USA Number of Pages: Two (2) Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s): Partner — J Limited ❑ General El Attorney in Fact C Trustee L Guardian or Conservator ❑ Other: Signer Is Representing: RIGHT THUMB Pr4lfdr, OF StGNER Top of thumb her 02007 National Notary Association • 9350 De Soto Ave.. P.O. Box 2402 •Chatsworth, CA 91313-2402 • www.NationaiNotaryorg Item #5907 Reorder: Call Toll -Free 1.800-876-6827 THE GUARANTEE COMPANY OF NORTH AMERICA USA Southfield, Michigan POWER OF ATTORNEY KNOW ALL BY THESE PRESENTS: That THE GUARANTEE COMPANY OF NORTH AMERICA USA, a corporation organized and existing under the laws of the State of Michigan, having its principal office in Southfield, Michigan, does hereby constitute and appoint William Syrkin, Sergio D. Bechara, Rebecca Ann Haas -Bates, Patricia Ann Bauer, Richard Leroy Adair Millennium Corporate Solutions, Inc. its true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract or otherwise. The execution of such instrument(s) in pursuance of these presents, shall be as binding upon THE GUARANTEE COMPANY OF NORTH AMERICA USA 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 the principal office. The Power of Attorney is executed and may be certified so, and may be revoked, pursuant to and by authority of Article IX, Section 9.03 of the By -Laws adopted by the Board of Directors of THE GUARANTEE COMPANY OF NORTH AMERICA USA at a meeting held on the 31S` day of December, 2003. The President, or any Vice President, acting with any Secretary or Assistant Secretary, shall have power and authority: 1. To appoint Attorney(s)-in-fact, and to authorize them to execute on behalf of the Company, and attach the Seal of the Company thereto, bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof; and 2. To revoke, at any time, any such Attorney -in -fact and revoke the authority given, except as provided below 3. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner — Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. Further, this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directors of the Company adopted at a meeting duly called and held on the 3151 day of December 2003, of which the following is a true excerpt: RESOLVED that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any Power of Attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, contracts of indemnity and other writings obligatory in the nature thereof, and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF, THE GUARANTEE COMPANY OF NORTH AMERICA USA has caused c0% this instrument to be signed and its corporate seal to be affixed by its authorized officer, this 29th day of April, 2010. oJ�pNTEE �\\✓� THE GUARANTEE COMPANY OF NORTH AMERICA USA Am STATE OF MICHIGAN Stephen C. Ruschak, Vice President Randall Musselman, Secretary County of Oakland On this 29th day of April, 2010 before me came the individuals who executed the preceding instrument, to me personally known, and being by me duly sworn, said that each is the herein described and authorized officer of The Guarantee Company of North America USA; that the seal affixed to said instrument is the Corporate Seal of said Company; that the Corporate Seal and each signature were duly affixed by order of the Board of Directors of said Company. Cynthia A. Takai IN WITNESS WHEREOF, I have hereunto set my hand at The Guarantee Notary Public, State of Michigan Company of North America USA offices the day and year above written. County of Oakland - w My Commission Expires February 27,2092 �t�� 9 Acting in Oakland County I, Randall Musselman, Secretary of THE GUARANTEE COMPANY OF NORTH AMERICA USA, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney executed by THE GUARANTEE COMPANY OF NORTH AMERICA USA, which is still in full force and effect. IN WITI}IESS WHEREOF, I have thereunto set my hand and attached the seal of said Company this 12th day of August ?011 GJppANTEf C0 oy` Randall Musselman, Secretary y�RrI AMER`GP Executed in Two Counterparts Bond No, 12078907 Premium: $1,349.00 Premium is for contract term and is subject to adjustment based on final contract price KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS, City of Huntington Beach (hereinafter referred to as "City"] has, by written agreement dated 2t) , entered into a contract with Garcia Juarez Construction, Inc. 4517 Wade Avenue, Perris, CA 92571 (name and address of Contractor) (hereinafter referred to as "Principal"), for performance of the work described as follows: CC-1408, CC-1371, CC-1378; Water Main Extension Projects t (Project Title) WHEREAS, said contract, and all documents referenced therein (hereinafter collectively "Contract"), we incorporated hemn by this refersms made a paft tiiemf as ft%ygh set twth Weis) %n l4i. WHEREAS, said Principal is required under the terms of the Contract to furnish a bond guaranteeing the prompt, full and faithful performance of said Contract. NOW THEREFORE, we, the undersigned, as Principal, and The Guarantee Company of North America USA 1800 Sutter Street, Ste. 880, Concord, CA 94520 (name and address of Surety) (a duly admitted surety insurer under the laws of the State of California and hereinafter referred to as "Surety'), as Surety, are held and firmly bound unto My in the penal sum of One Hundred Forty Nine Thousand Eight Hundred Seventy and no/100 Dollars ($ 49,870.00 ), 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 mo6f*i1i from time tp tittne; anti if " PtinciW shah indw0y and same harass VIN and 6% e City's officers, agents and employees (hereinafter collectively referred to as "Obligessn) 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 snsat., PERFORMANCE BOND Page 1 of 2 Bond No. 12078907_ any other alteration, change, deletion, addition or other modification to the Contract, of the work to be performed thereunder, and agrees to automatically adjust i?ne penal sum of tlnis Bond to re4iedt Bloch adjustments, alterations, changes, deletions, additions or other modifications. Surety agrees to provide wditw caniarnatiott of such adustments-ia the penal sum to City on not less than a quarterly basis. Surety also waives the provisions of Civil Code §§ 2845 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 Principal which survive completion of the work. IN VWTNESS WHEREOF, each party represents and wanants 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 t'ni5 instrument have been duly authorized pursuant to the authority of its governing body. Surety, by execution of this Karst, wakves" deftm wh ch Surety ttas or may have by reason of any failure of the Principal to execute or properly execute this bond. Dated: August 12, 2011 ATTEST (Corporate Seal) Tide: Lr=-Z ATTEST The Guarantee Company of North America USA (Corporate Seal) (Surety Name) By: Name: 41flarn S rkin Attorne -in-Fact (SlqnyWra-dfAttomey-in-Fact for Surety) (Attach Attorney -in -Fact Certificate) 9( 25 1 566-6040 (Area Code & Telephone Number of Surety) APPROVED AS TO FORM; CITY UNTINGTON..3 EACH nifer Mc th Attorney e �sl6Gs Note., This bond must be executed in duplicate and dated, all Signatures must be notarized, and evidence. of the authority of any parson dgntng eS Attamey-in-fact must be a tdohed. 271591.1 PERFORMANCE BOND Page 2 of 2 CALIFO IA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Riverside On t� 15, 1�1 / before me, Leon Lopez, Notary Public Data '� Here Insert Name and Title of the Officer personally appeared Jim Jackson Names) of Signer(s) LEON NORIEGA LOPEZ COMM. #1907501 9 CC NOTARY PUBLIC - CALIFORNIA 0? RIVERSIDE COUNTY My Comm. Expires Oct. 9, 2014 Place Notary seal Above who proved to me on the basis of satisfactory evidence to be the person(,&) whose nameW is/are-subscribed to the within instrument and acknowledged to me that he/sheAhW executed the same in hisAw4l;O& authorized capacity(iee), and that by his/f;er##ei€ signatures} 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 han i official seal. Signature S' nature 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) Signer's Name: Jim Jackson ❑ Individual M Corporate Officer — Title(s): President & secretary Partner — ❑ Limited ❑ General N. ❑ Attorney in Fact - Top of thumb here D Trustee Guardian or Conservator t Other: Signer Is Representing: Garcia Juarez Construction, Ina Number of Pages: Signer's Name: Individual ❑ Corporate Officer — Title(s): _ i , Partner — ❑ Limited ❑ General ❑ Attorney in Fact Trustee Guardian or Conservator ❑ Other: Signer Is Representing: Rll, FIT THl'1F 46F'fjltlT' C 2007 National Notary Association- 9350 De Soto Ave., P.O. Box 2402 -Chatsworth, CA 91313-2402 - w".NationalNotaryorg Itam #5907 Reorder: Call Toll -Free 1-800-976-6827 State of California County of Orange On 08/12/11 Date before me, A. Wilkison, Notary Public , Here Insert Name and TMe of the Officer personally appeared William Syrkin Name(s) of Signer(s) A. Nhgi KISON Commission # 1866283 a�e� "! Notary Public - California z z P Orange County D My Comm. Expires Sep 26, 2013 who proved to me on the basis of satisfactory evidence to be the person(&) whose name{&) is/are subscribed to the within instrument and acknowledged to me that hem executed the same in hislha4hei; authorized capacity(ea), and that by his/heO#%e F signature(&} 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. WITNESS my hand and official seal. 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: Performance Bond No. 12078907 Document Date: 08/12/11 Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: William Syrkin ❑ Individual Corporate Officer — Title(s): — El Partner — ❑ Limited ❑ General p Attorney in Fact i Trustee Guardian or Conservator Other: Signer Is Representing The Guarantee Company of North.America USA �ic�rrna�s µ��=siGtdEr3"` .p of thumb her= Number of Pages: Two (2) Signer's Name: Ej Individual ❑ Corporate Officer — Title(s): _ ❑ Partner — ❑ Limited ❑ General Attorney in Fact Trustee Guardian or Conservator ❑ Other: Signer Is Representing: restf TTK€s BPRINe Top of thumb her 02007 National Notary Association • 9950 De Soto Ave.. P.O. Box 2402 -Chatsworth, CA 91313-2402• www.NationalNotary.org Item #5907 Reorder: Call Toll -Free 1-800-876-6827 THE GUARANTEE COMPANY OF NORTH AMERICA USA Southfield, Michigan POWER OF ATTORNEY KNOW ALL BY THESE PRESENTS: That THE GUARANTEE COMPANY OF NORTH AMERICA USA, a corporation organized and existing under the laws of the State of Michigan, having its principal office in Southfield, Michigan, does hereby constitute and appoint William Syrkin, Sergio D. Bechara, Rebecca Ann Haas -Bates, Patricia Ann Bauer, Richard Leroy Adair Millennium Corporate Solutions, Inc. its true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract or otherwise. The execution of such instrument(s) in pursuance of these presents, shall be as binding upon THE GUARANTEE COMPANY OF NORTH AMERICA USA 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 the principal office. The Power of Attorney is executed and may be certified so, and may be revoked, pursuant to and by authority of Article IX, Section 9.03 of the By -Laws adopted by the Board of Directors of THE GUARANTEE COMPANY OF NORTH AMERICA USA at a meeting held on the 315' day of December, 2003. The President, or any Vice President, acting with any Secretary or Assistant Secretary, shall have power and authority: 1. To appoint Attorney(s)-in-fact, and to authorize them to execute on behalf of the Company, and attach the Seal of the Company thereto, bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof; and 2. To revoke, at any time, any such Attorney -in -fact and revoke the authority given, except as provided below 3. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner — Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. Further, this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directors of the Company adopted at a meeting duly called and held on the 3151 day of December 2003, of which the following is a true excerpt: RESOLVED that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any Power of Attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, contracts of indemnity and other writings obligatory in the nature thereof, and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF, THE GUARANTEE COMPANY OF NORTH AMERICA USA has caused W Cp this instrument to be signed and its corporate seal to be affixed by its authorized officer, this 29th day of April, 2010. ��J.npNTEE A9i G THE GUARANTEE COMPANY OF NORTH AMERICA USA STATE OF MICHIGAN Stephen C. Ruschak, Vice President Randall Musselman, Secretary County of Oakland On this 29th day of April, 2010 before me came the individuals who executed the preceding instrument, to me personally known, and being by me duly sworn, said that each is the herein described and authorized officer of The Guarantee Company of North America USA; that the seal affixed to said instrument is the Corporate Seal of said Company; that the Corporate Seal and each signature were duly affixed by order of the Board of Directors of said Company. Cynthia A. Takai IN WITNESS WHEREOF, I have hereunto set my hand at The Guarantee (Votary Public, State of Michigan Company of North America USA offices the day and year above written. County of Oakland My Commission Expires February 27, 2012 �w Acting in Oakland County 9 /,{,{,� J . I, Randall Musselman, Secretary of THE GUARANTEE COMPANY OF NORTH AMERICA USA, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney executed by THE GUARANTEE COMPANY OF NORTH AMERICA USA, which is still in full force and effect. IN WITI ESS WHEREOF, I have thereunto set my hand and attached the seal of said Company this 12th day of August ?011 6JP`,,p.NTEE CCU TZ A JyQ Randall Musselman, Secretary y�RrH AME.R�GP Certification of Compliance with Title VU 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 , California. (Type Contractor Name) By: Name: [Type Name] Title: [Type Title] > IF R A �R1VEY _IL) 3-_2�6-UP 1 2<5911.1 CONTRACTOR'S CERTIFICATE L , state and certify that: (Name of Declarant) 1. 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 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. 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"): I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at APPROVED AS TO FORM on this day of , 20` By: s/��/a -1lJ 3. Zo-oce Name: [Type Name] Title: [Type Title] (Signature of Declarant) 1 2459141 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 (Type Contractor Name) By:. Name: [Type Name] Title: [Type Title] California. TLS o3- ab - olp 247542-1 City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Joan L. Flynn, City Clerk August 30, 2011 Garcia Juarez Construction, Inc. P. O. Box 309 Brea, CA 92822-0309 Re: Watermain Improvements — CC-1371, CC-1378 & CC-1408 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. Sincerely, +A) an L. Flynn, CMC City Clerk JF:pe Enclosures: Copy of Contract including Proposal Copies of insurance/bonds Contractor's Certificate Certificate of Compliances Bid Bond (original) sP%nt�r�CAR�atp�aio� Waitakere, New Zealand Company Profile Page 1 of 1 Company Profile Company Search Company Search Results Company Information Old Company Names Agent for Service Reference Information NAIC Group List Lines of Business Financial Statements PDF's Annual Statements Quarterly Statements CA Supplements Company Complaint Company Performance & Comparison Data Company Enforcement Action Composite Complaints Studies Additional Info Find A Company Representative In Your Area View Financial Disclaimer COMPANY PROFILE Company Information GUARANTEE COMPANY OF NORTH AMERICA USA (THE) 25800 NORTHWESTERN HWY., STE. 720 SOUTHFIELD, MI48075 Old Company Names Effective Date MID -STATE SURETY CORPORATION 12/20/2006 back to top Agent For Service NANCYFLORES C/O CT CORPORATION SYSTEM 818 WEST SEVENTH STREET LOS ANGELES CA 90017 back to top Reference Information NAIC #: 36650 California Company ID #; 4609-4 Date Authorized in California: 10/14/1999 License Status: UNLIMITED -NORMAL Company Type: Property & Casualty State of Domicile: MICHIGAN back to top NAIC Group List NAIC Group #: 0000 back to top Lines Of Business The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. SURETY back to top © 2008 California Department of Insurance http://interactive,web. insurance. ca. gov/companyprofile/companyprofile?event=companyPr... 8/16/2011 List of Approved Surplus Line Insurers (LASLI) Page 1 of 4 j qiI@I S _ PawereY i.�, SEARCH Insurers Overview! Insurers / Buletiny & Notices i' List of Approved Surplus Line Insurers (LASLI) Insurers Overview CONSUMERS: LIST OF APPROVED SURPLUS LINE INSURERS (LASLI) Insurers Please use the "FIND" option in the "EDIT" rnenu of your browser to search for a particular company. Applications, Forms & Filings List of all Lloyds of (London Syndicates approved for the LASLI list Bulcetins&..Notices AS OF: July 21, 2011 p_rog rpnls Officially led Reports of Examination A 16 -..D l E_-_G (H„- L i M...-_P (Q_-_Z OASIS A LegalInforma ion Data & Re or COIN MC_Rate_Filim Health Insurance Filings Quick Links For Insurers - DATE INSURER APPROVED cceptance Casualty Insurance Company (Nebraska) SO/23/2007 ACE European Group Limited (U.K.) 06/20/2007 dmiral Insurance Company (Delaware) 06/30/1995 Adriatic Insurance Company (North Dakota) 06/30/1995 IX Specialty Insurance Company (Delaware) 06/05/2009 Allianz Global Corporate & Specialty AG (Germany) 06/16/2004 li (Name Changed from Allianz Marine &Aviation Verslcherungs-AG effective 07/28/2006) flied World National Assurance Company (New Hampshire)'i (Name changed from Newmarket Underwriters Insurance Company effective 10/03/2007) Y2/18/1997 (terra Excess & Surplus Insurance Company (Delaware) (Name changed from Altena Specialty Insurance Company effective 09/27/2010. Name changed from 06/19/2008 Max Specialty Insurance Company effective 05/13/2010) merican Empire Surplus Lines Insurance Company (Delaware) 09(01/1995 me- can Safety Indemnity Company (Oklahoma) 11/20/1996 (Name changed from Trafalgar Insurance Company effective 04/10/2000) merican Western Home Insurance Company (Oklahoma) 09/01/1995 Arch Insurance Company (Europe) Limited (U.K.) 10/19/2009 Arch Specialty Insurance Company (Nebraska) (Name changed from Rock River Insurance Company effective 08/01/2002) 09101/1995 (Domicile changed from Wisconsin to Nebraska effective 12/28/2006) Ariel Reinsurance Company Ltd. (Bermuda) 10/OB/2010 spen Insurance UK Limited (U.K.) 12/29/2004 Aspen Specialty Insurance Company (North Dakota) 03/03/1998 (Name changed from Dakota Specialty Insurance Company, effective 10/22/2003) ssociated Electric & Gas Insurance Services Limited (Bermuda) 11/03/1995 tlantic Casualty Insurance Company (North Carolina) 07/16/2009 viva International Insurance Limited (U.K.) 12/22/1995 (Name Changed from CGU International Insurance PLC effective 09/01/2006) XA Corporate Solutions Assurance (France) 08/14/2003 XIS Specialty Europe Limited (Ireland) 06/20/2007 XIS Surplus Insurance Company(Illinois) 12/15/1995 (Name changed from Sheffield Insurance Corporation effective 06/09/2003) Back to Too B -D INSURER DATE APPROVED Berkley Assurance Company (Iowa) 07/20/2011 Berkshire Hathaway International Insurance Limited (UK) 04(01(2008 he British Aviation Insurance Company Limited (UK) 12/01/1995 Burlington Insurance Company (North Carolina) 11/17/1995 Capitol Specialty Insurance Corporation (Wisconsin) O5/15/2008 Catlin Insurance Company UK Limited (U.K.) 04/10/2007 Catlin Specialty Insurance Company (Delaware) (Name changed from Wellington Specialty Insurance Company effective 03/31/2007) 06/1412006 http://www.insurance.ca.gov/0250-insurers/0300-insurers/0200-bulletins/surplus-line/inde... 8/16/2011 List of Approved Surplus Line Insurers (LASLI) Page 2 of 4 (Century Surety Company (Ohio) 1109/01/1995 Chartis Select Insurance Company (Delaware) (Name changed from AIG Excess Liability Insurance Company Ltd. effective 11/01/2009. Name changed frorn 12/OSJ1999 Starr Excess Liability Insurance Company, Ltd. effective 07/31/2007) Chartis Specialty Insurance Company (Illinois) 06/30/1995 (Name changed from American International Specialty Lines Insurance Company effective 11/01/2009) Chubb Custom Insurance Company (Delaware) 08/04/1995 Cincinnati Specialty Underwriters Insurance Company (Delaware) OS/31/20Y1 Clarendon America Insurance Company (New Jersey) 09/O1/ 999 Colony Insurance Company (Virginia) 09/01/1995 Colony National Insurance Company (Virginia) Y2/17/1996 (Naive changed from Preferred National Insurance Company effective 04/01/2002) Columbia Casualty Company (Illinois) 07/06/1995 Commonwealth Insurance Company (Canada) 10/27/1995 Companion Specialty Insurance Company (District of Columbia) 07/20/2011 Covington Specialty Insurance Company (New Hampshire) 07/20/2011 Crum & Forster Specialty Insurance Company (Arizona) (Name changed from Transnational Insurance Company effective 12/26/2000. Domicile changed from Connecticut 04/20/1998 o Arizona effective 02/12/2002.) CUMIS Specialty Insurance Company, Inc. (Iowa) OS/15/2008 Darwin Select Insurance Company (Arkansas) 12/22/1995 (Name changed from ULICO Indemnity Company effective 05/02/2005) Discover Specialty Insurance Company (Illinois) 12/22J1999 Back to Top E -G INSURER DATE APPROVED Empire Indemnity Insurance Company (Oklahoma) 12/01/1995 Endurance American Specialty Insurance Company (Delaware) (Name changed from Traders & Pacific Insurance Company effective 06/08/2006) 02/23/1996 Endurance Specialty Insurance Ltd. (Bermuda) 02/29/2008 Energy Insurance Mutual Limited (Barbados) 12/17/1997 Essex Insurance Company (Delaware) 07/06/1995 Evanston Insurance Company (Illinois) 08/11/1995 Everest Indemnity Insurance Company (Delaware) 08/14/1998 Executive Risk Specialty Insurance Company (Connecticut) 09/OS/1995 Fireman's Fund Insurance Company of Ohio (Ohio) OS/19/1999 First Mercury Insurance Company (Illinois) 10/16/1997 First Specialty Insurance Corporation (Missouri) 09/01/1995 Founders Insurance Company (Illinois) 10/16/2007 Gemini Insurance Company (Delaware) 02/23/1998 General Security Indemnity Company of Arizona (Arizona) - (Name changed from Fulcrum Insurance Company effective 05/03/2002) 09/01/1995 General Star Indemnity Company (Connecticut) 08/11/1995 Genesis Indemnity Insurance Company (North Dakota) OS/04/1995 Glencoe Insurance Limited (Bermuda) 07/05/1996 Gotham Insurance Company (New York) 08/04/1995 Great American E&S Insurance Company (Delaware) (Name changed from Agricultural Excess and Surplus Insurance Company, effective 07/27/2000) 06/30/Y995 Great American Fidelity Insurance Company (Delaware) (Name changed from American Dynasty Surplus Lines Insurance Company, effective 06/27/2001) 09/01/1995 Great Lakes Reinsurance (UK) PLC (UK) 12/01/1995 Gulf Underwriters Insurance Company (Connecticut) (Domicile changed from Missouri to Connecticut, effective 10/01/2001) 07/07/1995 $dck—t4.S4p H -L INSURER DATE APPROVED Hallmark Specialty Insurance Company (Oklahoma) 07/01/2011 Health Care Indemnity, Inc. (Colorado) 03/21/2001 Heddington Insurance (UK) Limited (UK) 11/03/1995 Hiscox Specialty Insurance Company Inc. (Illinois) 10/08/2010 Homeland Insurance Company of New York (New York) 09/24/2003 Houston Casualty Company (Texas) 09/01/1995 Houston Specialty Insurance Company (Delaware) (Name changed from Naxos Insurance Company effective 12/30/10) 10/08/2009 Hudson Specialty Insurance Company (New York) (Name changed from General Security Indemnity Company effective 12/29/03) 11/09/1995 http : //www. insurance. ca. gov/0250-insurers/03 00-insurers/0200-bulletins/surplus-line/inde... 8/ 16/2011 List of Approved Surplus Line Insurers (LASLI) Page 3 of 4 Illlinois Union Insurance Company (Illinois) 1112/22/1995 Indian Harbor Insurance Company (North Dakota) Y2/OS/1995 Infrassure Ltd. (Switzerland) 11/19/2009 International Insurance Company of Hannover Limited (UK) 09/29/1998 Interstate Fire & Casualty Company (Illinois) 10/20/1995 Ironshore Insurance Ltd. (Bermuda) 07/20/2011 Ironshore Specialty Insurance Company (Arizona) 1OJ02/2008 ames River Insurance Company (Ohio) (Name changed from Fidelity Excess and Surplus Insurance Company effective 07/07/03) 08/04/1995 Lancashire Insurance Company (UK) Limited (U.K.) 11/17/20Y0 Lancashire Insurance Company Limited (Bermuda) 11J19/2009 Landmark American Insurance Company (Oklahoma) 09/30/2003 Lantana Insurance Ltd. (Bermuda) 09/08/2004 Lexington Insurance Company (Delaware) 07J28/1995 Liberty Mutual Insurance Europe Limited (U.K.) (Name changed from Liberty Mutual Insurance Company (U.K.) Limited effective 10/21/03) SO/27J 1995 Liberty Surplus Insurance Corporation (New Hampshire) 12/18/1997 Lloyds of„Lortdon.$para,t tes (Click here for a separate list of all Lloyds Syndicates approved for the LESLI list.) London & Edinburgh Insurance Company Limited (UK) 12/06/2000 fla CRAQ ..Top M-P INSURER DATE APPROVED Maiden Specialty Insurance Company (North Carolina) 11/13/2006 (Name changed from Integon Specialty Insurance Company effective 09/01/2009 he Marine Insurance Company Limited (UK) 11/03/1995 Markel International Insurance Company Limited (U.K.) SOl27/1995 (Name changed from Terra Nova Insurance Company Limited, effective 11/04/2002) Maxum Indemnity Company (Delaware) 09(29/1998 (Name changed from Caliber One Indemnity Company, effective 01/02/2003) Mercer Insurance Company (Pennsylvania) 07/01/2011 Mitsui Sumitomo Insurance Company (Europe) Limited (U.K.) 06/10/2011 Mitsui Sumitomo Insurance Company, Limited (Japan) 12127/1995 (Name changed from Mitsui Marine and Fire Insurance Company, Limited, effective 10/1/2001) Montpelier U.S. Insurance Company (Oklahoma) 04/02/1997 Mount Vernon Fire Insurance Company (Pennsylvania) 0//997 Mt. Hawley Insurance Company (Illinois) (Domicile changed from Delaware to Kansas, effective 12/20/95. Domicile changed from Kansas to Illinois effective 10/27/1995 /21/1999) National Fire & Marine Insurance Company (Nebraska) 06/30/1995 Nautilus Insurance Company (Arizona) 08/04/1995 Navigators Specialty Insurance Company (New York) 12/08/1995 (Name changed from NIC Insurance Company effective 01/04/2007) Foe -Specialty Insurance Company (Vermont) (Domicile changed from Illinois to Vermont effective 01/18/2011) 09/01/1995 (Name changed from Coregis Indemnity Company effective 11/07/2001) North American Capacity Insurance Company (New Hampshire) 08/11/1995 North East Insurance Company (Maine) 06/08/2009 Northfield Insurance Company (Iowa) 06/30/1995 (Domicile changed from Missouri to Iowa, effective 1/01/2002) Nutmeg Insurance Company (Connecticut) 06/30/1995 he Ocean Marine Insurance Company Limited (UK) 12122/Y995 Omega US Insurance, Inc. (Delaware) 07/20/2011 Pacific Insurance Company, Ltd. (Connecticut) 09/01/1995 Penn -Star Insurance Company (Pennsylvania) 11/13/2002 Philadelphia Insurance Company (Pennsylvania) 02/14/1997 Princeton Excess and Surplus Lines Insurance Company (Delaware) 02/09/2006 ProAssurance Casualty Company (Michigan) 10/18/2005 (Name changed from ProNational Insurance Company effective 01/27/2009) Protective Specialty Insurance Company (Indiana) 0 6/01/2010 Ba.Gk_to..Top Q-Z II INSURER IIDATE APPROVED II QBE Insurance (Europe) Limited (U.K.) I01/06/1999 (Name changed from QBE International Insurance Limited, effective 09/30/2005) OBE Soecialty Insurance Comoanv (North Dakota) 08/01/2003 11 http : //www. insuranc e. c a. gov/02 5 0-insurers/03 00-insurers/0200-bulletins/surplus-line/inde... 8/ 16/2011 List of Approved Surplus Line Insurers (LASLI) Page 4 of 4 Rockhill Insurance Company (Arizona) (Name changed from United Coastal Insurance Company, effective 11/22/2005) 09/OY/1995 SAFECO Surplus Lines Insurance Company (Washington) 1O/20/1995 Savers Property and Casualty Insurance Company (Missouri) 06/30/1995 Scottsdale Insurance Company (Ohio) 06/30/1995 Seneca Specialty Insurance Company (Arizona) 02/02/2004 Shelter Reinsurance Company (Missouri) SO/18/2007 Sirius International Insurance Corporation (Sweden) 02/08/1999 SPARTA Specialty Insurance Company (Connecticut) 07/01/2011 St. Paul surplus Lines Insurance Company (Delaware) 07/06/1995 Starr Surplus Lines Insurance Company (Illinois) 11/Y6/2010 Steadfast Insurance Company (Delaware) 07/18/1995 Sunderland Marine Mutual Insurance Company Limited (UK) 10/27/1995 Swiss Re International SE (Luxembourg) (Name changed from SR International Business Insurance Company Limited (UK) effective 1/01/2008) (Domicile changed from UK to Luxembourg effective O1/O1/2008) 10/27/1995 Swiss Re Specialty Insurance (U.K.) Limited (Name changed from GE Specialty Insurance (U.K.) Limited, effective 9/29/2006) SO/Z7/1995 .H.E. Insurance Company (Louisiana) 09/22/1995 M specialty Insurance Company (Arizona) 12/20/2000 okio Marine Europe Insurance Limited (U.K.) 10/19/2009 orus Specialty Insurance Company (Delaware) (Name changed from Praetorian Specialty Insurance Company effective 03/02/2009. Name changed from Alea North America Specialty Insurance Company effective 10/02/2006.) 12/22/2004 ravelers Excess and Surplus Lines Company (Connecticut) (Name changed from Aetna Excess & Surplus Lines Company, effective 7/1/97) 06/06/1997 Ltj Club Mutual Insurance Limited (U.K.) 02/20/2008 odor Insurance Company (New Hampshire) 07/18/1995 Underwriters at Lloyds (London) See a154...Llpy0s of_Lpndgn listings, 12/29/1995 United National Insurance Company (Pennsylvania) 07/28/1995 United Specialty Insurance Company (Delaware) 05/07/2008 USF Insurance Company (Michigan) (Domicile changed from Pennsylvania to Michigan effective 12/31/2007) 09/01/1995 oyager Indemnity Insurance Company (Georgia) 12/22/1995 Westchester Surplus Lines Insurance Company (Georgia) 06/30/1995 Western Heritage Insurance Company (Arizona) 09/01/1995 estern World Insurance Company (New Hampshire) 6/30/1995 Back to Top 11 C.ulifo nis Deparlrnent 0 ln. ;arance - Pr vary Policy ADA Corrpliance. Site Map Free Doer.;n,tnt Peaeers http : //www. insuranc e. c a. go v/02 5 0-insurers/03 00-insurers/0200-bulletins/surp lus-line/inde... 8/ 16/2011 Company Profile Page 1 of 2 Company Profile Company Search Company Search Results Company Information Old Company Names Agent for Service Reference Information NAIC Group List Lines of Business Financial Statements PDF's Annual Statements Quarterly Statements CA Supplements Company Complaint Company Performance & Comparison Data Company Enforcement Action Composite Complaints Studies Additional Info Find A Company Representative In Your Area View Financial Disclaimer COMPANY PROFILE Company Information COMPANION PROPERTY AND CASUALTY INSURANCE COMPANY P.O. BOX 100165 COLUMBIA, SC 29202 800-922-1282 Old Company Names Effective Date back to top Agent For Service NANCYFLORES C/O CT CORPORATION SYSTEM 818 WEST SEVENTH STREET LOS ANGELES CA 90017 back to top Reference Information NAIC #: 12157 California Company ID #: 5174-8 Date Authorized in California: 11/30/2009 License Status: UNLIMITED -NORMAL Company Type: Property & Casualty State of Domicile: SOUTH CAROLINA back to top NAIC Group List NAIC Group #: 0661 BCBS of SC Grp back to top Lines Of Business The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. AUTOMOBILE BOILER AND MACHINERY BURGLARY COMMON CARRIER LIABILITY FIRE LIABILITY MARINE http://interactive.web.insurance.ca. gov/companyprofile/companyprofile?event=companyPr... 8/ 16/2011 Company Profile Page 2 of 2 MISCELLANEOUS PLATE GLASS SPRINKLER SURETY TEAM AND VEHICLE WORKERS' COMPENSATION back to top © 2008 California Department of Insurance http : //interactive.web.insurance.ca. gov/companyprofile/companypro file?event=companyPr... 8/ 16/2011 Company Profile Page 1 of 2 Company Profile Company Search Company Search Results Company Information Old Company Names Agent for Service Reference Information NAIC Group List Lines of Business Financial Statements PDF's Annual Statements Quarterly Statements CA Supplements Company Complaint Company Performance & Comparison Data Company Enforcement Action Composite Complaints Studies Additional Info Find A Company Representative In Your Area View Financial Disclaimer COMPANY PROFILE Company Information IMPERIUM INSURANCE COMPANY 120 WEST 45TH STREET - 36TH FLOOR NEW YORK, NY 10036 Old Company Names DELOS INSURANCE COMPANY SIRIUS AMERICA INSURANCE COMPANY SIRIUS REINSURANCE CORPORATION back to top Agent For Service KAREN HARRIS C/O CORPORATION SERVICE COMPANY 2730 GATEWAY OAKS DRIVE, SUITE 100 SACRAMENTO CA 95833 back to top Reference Information Effective Date 07/21/2011 02/22/2007 04/06/1998 NAIC #: 35408 California Company ID #: 2960-3 Date Authorized in California: 06/19/1984 License Status: UNLIMITED -NORMAL Company Type: Property & Casualty State of Domicile: DELAWARE back to top NAIC Group List NAIC Group #: 4381 Lightyear Delos Grp . back to top Lines Of Business The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. AIRCRAFT AUTOMOBILE BOILER AND MACHINERY BURGLARY COMMON CARRIER LIABILITY http://interactive.web.insurance. ca. gov/companyprofile/companyprofile?event=companyPr... 8/ 16/2011 Company Profile Page 2 of 2 DISABILITY FIRE LIABILITY MARINE MISCELLANEOUS PLATE GLASS SPRINKLER SURETY TEAM AND VEHICLE WORKERS' COMPENSATION back to top © 2008 California Department of Insurance http://interactive.web.insurance.ca. gov/companyprofile/companyprofile?event=companyPr... 8/ 16/2011 Council/Agency Meeting Held:_fh La Deferred/Continued to: '�LAppr ed ® Conditionally Approved ® Denied NY Cleft's Si ature Council Meeting Date: August 1, 2011 Department ID Number: PW 11-047 SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Fred A. Wilson, City Manager PREPARED BY: Travis K. Hopkins, PE, Director of Public Works SUBJECT: Approve project plans and specifications and award construction contract in the amount of $121,970.00 to R.Y. Engineering Works Inc. for Water Main Extension Projects, CC-1371, CC-1378, and CC-1408; and, authorize the Mayor and City Clerk to execute a contract in a form approved by the City Attorney Statement of Issue: On July 18, 2011, bids were opened for the Water Main Extension Projects, CC-1371, CC-1378, and CC-1408. Staff requests that the City Council award the contract to R.Y. Engineering Works, Inc., the lowest responsive and responsible bidder. Financial Impact: Funds for CC-1371 and CC-1378 are available in Water Fund, Water Main Replacement, Account No. 50691025.82100. Funds for CC-1408 are available Water Master Plan Fund, Water Main Replacement, Account No. 50791025. 82100. Recommended Action: Motion to: A. Approve the project plans and specifications for Water Main Extension Projects, CC-1371, CC-1378, and CC-1408; B. Accept the lowest responsive and responsible bid submitted by R. Y. Engineering Works, Inc., in the amount of $121,970.00; C. In the event that the low bid Contractor R.Y. Engineering Works, fails to execute the contract, authorize staff to accept the second lowest responsive and responsible bid submitted by Garcia Juarez Construction Inc., in the amount of $149,870.00; D. Authorize the Mayor and City Clerk to execute a construction contract in a form approved by the City Attorney; and, E. Authorize the Director of Public Works to approve up to twenty percent (20%) in construction change orders. Alternative Action(s): Reject all bids, and provide staff with alternative direction. xB -531- Item 21. - 1 REQUEST FOR COUNCIL ACTION MEETING DATE: 8/1/2011 DEPARTMENT ID NUMBER: PW 11-047 Analysis: The Water Main Extension Projects CC-1371, CC-1378, and CC-1408 address deficiencies in the water distribution system. These projects eliminate dead-end water mains by providing looped water mains. These newly looped water mains will provide adjacent customers or subdivision tracts a redundant water supply, which increases the distribution system reliability. In addition, looped water mains provide better water circulation and eliminate concerns with stagnant water. Project CC-1408 is consistent with the City's 2005 Water Master Plan's recommendation to connect dead-end segments along Beach Boulevard. All three projects combined will install approximately 470 linear feet of 8-inch and 12-inch diameter pipelines. A complete set of plans and specifications are available for review at the Public Works counter during regular business hours. Bids were opened publicly on July 18, 2011, and are listed in ascending order: BIDDER'S NAME BID AMOUNT BID AMOUNT CORRECTED R.Y. Engineering Works Inc. $121,970.00 Correct as bid Garcia Juarez Construction Inc. $149,870.00 Correct as bid Steve Doreck Equipment Rental $154,280.06 Correct as bid Vido Samarazich Inc. $160,306.00 Correct as bid E & R Construction Inc. $162,320.00 Correct as bid Double D Pipeline, Inc. $173,000.00 Correct as bid Palp Inc. DBA Excell Paving Company $173,420.00 Correct as bid Paulus Engineering $178,290.00 $178,390.00 Kana Pipeline, Inc. $183,564.00 Correct as bid Atlas Allied $187,500.00 Correct as bid Bid amounts were verified and the lowest responsive bidder was determined to be R.Y. Engineering Works Inc. The reference check for R.Y. Engineering Works Inc. provided acceptable responses from past clients. R.Y. Engineering Works Inc. provided the City with a letter requesting to withdraw their bid submitted on July 18, 2011. The request was evaluated by City staff and it was determined that there was no compelling evidence to suggest that a clerical error had been made in the preparation of the bid form. The low bid was six -percent lower than the engineer's cost estimate of $130,000. Due to the small size of the project and potential for underground obstructions, the construction contingency requested is $24,400 (20%) to address any unforeseen site conditions. With contingency, supplemental expenses, and expected staff costs, the full project cost is estimated to be $170,000. In the event that R.Y. Engineering Works fails to execute the contract, staff recommends award to second lowest responsive bidder, Garcia Juarez Construction Inc.. With a 20% contingency, supplemental expenses, and expected staff costs, the full project cost with Garcia Juarez Inc. as the contractor, is estimated to be $204,000. Garcia Juarez Construction Inc. has successfully completed numerous projects for the City. Most recently, they completed the installation of utilities for the Blufftop Restroom project and constructed a sewer main on Beach Boulevard. Item 21. - 2 HB -532- REQUEST FOR COUNCIL ACTION MEETING DATE: 8/1/2011 DEPARTMENT ID NUMBER: PW 11-047 Public Works Commission Action: The Public Works Commission reviewed and approved CC-1371, CC-1378, and CC-1408 on April 13, 2011, with a vote of 6-0-1, (Spencer was absent). Environmental Status: These projects consist of rehabilitation of existing City -owned facilities, with little or negligible expansion of an existing use. These projects are, therefore, categorically exempt from CEQA per Article 19, Section 15301. Strategic Plan Goal: Maintain, improve and obtain funding for infrastructure and equipment HB -533- Item 21. - 3 REQUEST FOR COUNCIL ACTION MEETING DATE: 8/1/2011 DEPARTMENT ID NUMBER. PW 11-047 Attachment(s): Item 21. - 4 xB -534- ATTACHMENT xB -535- Item 21. - 5 of�BOLSA \IVE AIA G Mc AD MI �d AVE / o Ate'11 / \ HULL DR. W NER Z AVE E SA °d $ AVE �rj / PAgFlC T AVE HOLBURN DR. pV DISNEY CR. (11M N I AVE _FJ Z = ASCOT I CR. AMIY s A \ fl KDD WO Z VE 0 0: 0] An ANTA 00r AVE ADAMS AVE. N 000 1 PR(}7ECT AREA N� AVE / acEAN � c VICINITY MAP N.T.S. LOCATION MAID N.T.S. HOLBURN DR. WATERMAIN EXTENSION; CC-1371 PROJECT LOCATION MAP CITY OF HUNTINGTON BEACH DEPARTMENT OF PUBLIC WORKS Item 21. - 6 HB -536- 301 Ave. PROJECT AREA Mc NVE _ AVE / OHE! Q � /tNGINEER DR. \ AVE. �_ Z SHELLY DR. W ER AVE N sLA a � AVE. 405 / c z; \ TAL )ERT AVE PACIFlC A " SIDNEY DR. AVE, GAR ELD AVE I PROJM AREA Q YORICID N � c � AVE. 3 fl ' Q O AI S AVE ` MEDFORD UIO L25 AVE o z ` Z_ T[ANI'A z AVE. Lr MC FADDEN CL AVE. N TCN AVe CCEAN Jy BANN NG VICINITY MAP LOCATION MAP N.T.S. N.T.S. IN SPRINGDALE ST. WATERMAIN EXTENSION; CC-1378 PROJECT LOCATION MAP CITY OF H U N TI N GTON BEACH DEPARTMENT OF PUBLIC WORKS HB -537- Item 21. - 7 �gF BOISA AVE Mc FAD13E AVE _ x ' IDIN Sri AVE. \ Hot.S avE CLAY AVE ` w WAR $ AVE > StA AVE 405 / m \\ OWEN DR. \ T t7il AVE PACIFlC ELL S AVE. PROJECT AREA I °DAVE. WILLIAMS DR. t 6 9 AVE . ' ADfid S AVE \ IND ANAPC LIS o AVE x � _ Q 'lilsNTA � AVE O m / N YORKTOWN AVE. HAMI TON AVE �ry ti4N .._ / OCFAN AVE VICINITY MAP N.T.S. LOCATION N.T.S. MAP BEACH BLVD. WATERMAIN EXTENSION; CC-1408 PROJECT LOCATION MAP CITY OF HUNTINGTON BEACH DEPARTMENT OF PUBLIC WORKS Item 21. - 8 HB -538- . —— aC H M N T #2 �j HB —539— Item 21. - 9 CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND FOR 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 , a California , hereinafter referred to as "CONTRACTOR." WHEREAS, CITY has solicited bids for a public works project, hereinafter referred to as "PROJECT," more fully described as in the City of Huntington Beach; and CONTRACTOR has been selected to perform said services, NOW, THEREFORE, in consideration of the promises and agreements hereinafter made and exchanged, the parties covenant and agree as follows: 1. STATEMENT OF WORK; ACCEPTANCE OF RISK CONTRACTOR shall complete and construct the PROJECT pursuant to this Agreement and the Contract Documents (as hereinafter defined) and furnish, at its own cost and expense, all labor, plans, tools, equipment, supplies, transportation, utilities and all other items, services and facilities necessary to complete and construct the PROJECT in a good and workmanlike manner. CONTRACTOR agrees to fully assume the risk of all loss or damage arising out of the nature of the PROJECT, during its progress or prior to acceptance by CITY, from the action of the elements, from any unforeseen difficulties which may arise or be encountered in the prosecution of work, and for all other risks of any description in g/agree/surfnet/cityconst 5110 Item 21. - 10 1 of 22 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/surfnet/cityconst 2 of 22 5/10 xB -541- Item 21. - 11 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/agree/surfnet/cityconst 3 of 22 5110 Item 21. - 12 HB -542- 'DPW"), and CONTRACTOR shall not attempt to resolve or adjust the discrepancy without the decision of DPW, save only at its own risk and expense. Should there be any conflict between the terms of this Agreement and the bid or proposal of CONTRACTOR, then this Agreement shall control and nothing herein shall be considered as an acceptance of the terms of the bid or proposal which is in conflict herewith. 3. COMPENSATION CITY agrees to pay and CONTRACTOR agrees to accept as full compensation for the faithful performance of this Agreement, subject to any additions or deductions made under the provisions of this Agreement or the Contract Documents, a sum not to exceed Dollars ($ ), as set forth in the Contract Documents, to be paid as provided in this Agreement. 4. COMMENCEMENT OF PROJECT CONTRACTOR agrees to commence the PROJECT within ten (10) working days after the Notice To Proceed is issued and diligently prosecute the PROJECT to completion within ( ) consecutive from the day the Notice to Proceed is issued by DPW, excluding delays provided for in this Agreement. 5. TIME OF THE ESSENCE The parties hereto recognize and agree that time is of the essence in the performance of this Agreement and each and every provision of the Contract Documents. CONTRACTOR shall prepare and obtain approval as required by the Contract Documents for all shop drawings, details and samples, and do all other things g/agree/surfnet/cityconst 4 of 22 5110 HB -543- Item 21. - 13 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 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 g/agree/surfnet/cityconst 5 of 22 5110 Item 21. - 14 HB -544- 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. 8. BONDS Only bonds issued by California admitted sureties will be accepted. CONTRACTOR shall, prior to its performance of this Agreement, furnish the following two (2) bonds approved by the City Attorney: One in the amount of one hundred percent (100%) of the 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. 9. WARRANTIES CONTRACTOR unconditionally guarantees all work done under this Agreement including, but not limited to, any workmanship, installation, fabrication, g/agree/surfnet/cityconst 6 of 22 5110 xB -545- Item 21. - 15 material or structural facilities constructed. CONTRACTOR, within ten (10) days after notice by CITY of any defect in the work, shall have the option to make appropriate repairs or replace the defective item or items. Upon expiration of such ten (10) day period, CITY may then make appropriate repair or replacement at CONTRACTOR's risk and own cost and expense. 10. INDEPENDENT CONTRACTOR It is understood and agreed that CONTRACTOR is, and shall be, acting at all times hereunder as an independent contractor and not an employee of CITY. CONTRACTOR shall secure at its own cost and expense, and be responsible for any and all payment of all taxes, social security, state disability insurance compensation, unemployment compensation and other payroll deductions for CONTRACTOR and its officers, agents and employees and all business licenses, if any, in connection with the PROJECT and/or the services performed hereunder. 11. LIQUIDATED DAMAGES/DELAYS It is agreed by the parties hereto that in case the total work called for hereunder is not in all parts and requirements finished or completed within the number of calendar days as set forth herein, damage will be sustained by CITY; and that it is, and would be, impractical and extremely difficult to ascertain and determine the actual damage which CITY would sustain in the event of and by reason of such delay. It is, therefore, agreed that CONTRACTOR will pay to CITY, as liquidated damages and not as a penalty, the sum of Dollars ($ ) 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 g/agree/surfnet/cityconst % of 22 5/10 Item 21. - 16 xB -546- compensation for the foreseeable damages CITY would sustain in the event of and by reason of such delay; and CONTRACTOR agrees to pay these damages herein provided, and further agrees that CITY may deduct the amount thereof from any monies due or that may become due to CONTRACTOR hereunder. CONTRACTOR will be granted an extension of time and will not be assessed damages for any portion of the delay in the completion of the work due to unforeseeable causes beyond the control and without the fault or negligence of CONTRACTOR, including, but not limited to, acts of God or of the public enemy, fire, floods, epidemics, quarantine restrictions, strikes, unsuitable weather, or delays of subcontractors due to such causes. CONTRACTOR shall, within fifteen (15) days from the beginning of any such delay (unless DPW shall grant a further period of time), notify DPW in writing of the cause of the delay and CITY shall extend the time for completing the work if, in its judgment, the findings of fact thereon justify the delay; and the decision of DPW shall be conclusive on the parties hereto. Should CONTRACTOR be delayed in the prosecution or completion of the work by the act, neglect or default of CITY, or should CONTRACTOR be delayed by waiting for materials required by this Agreement to be furnished by CITY, or by damage caused by fire or other casualty at the job site for which CONTRACTOR is not responsible, or by the combined action of the workers, in no way caused by or resulting from default or collusion on the part of CONTRACTOR, or in the event of a lockout by CITY, then the time herein fixed for the completion of the work shall be extended by the number of days CONTRACTOR has thus been delayed, but no allowance or extension g/agree/surfn et/c ityconst 8 of 22 5110 xB -547- Item 21. - 17 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 a result of such conditions, an equitable adjustment shall be made and the agreement modified in writing accordingly. g/agree/surfnet/cityconst 9 of 22 5110 Item 21. - 18 xB -548- 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. 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 g/agree/surfnet/cityconst 10 of 22 5/10 IIB -549- Item 21. - 19 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 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. g/agree/surfnet/cityconst 11 of 22 5/10 Item 21. - 20 HB -550- 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 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 g/agree/surfnet/cityconst 12 of 22 5110 HB -551- Item 21. - 21 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. 20. INSURANCE In addition to the workers' compensation and employer's liability insurance and CONTRACTOR's covenant to defend, hold harmless and indemnify CITY, g/agree/surfnet/cityconst 13 of 22 5/10 Item 21. - 22 HB -552- 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 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; g/agree/surfnet/cityconst 14 of 22 5110 xB -553- Item 21. - 23 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. 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 g/agree/surfnet/cityconst 15 of 22 5110 Item 21. - 24 HB -554- 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, 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 g/agree/surfnet/cityconst 16 of 22 5/10 xB -555- Item 21. - 25 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 ADMINISTRATIVE COSTS CITY shall be entitled to all reasonable administrative costs and necessary disbursements arising out of the processing of Stop Notices, Notices to Withhold, or any similar legal document. This obligation shall be provided for in the labor and materials payment bond required of CONTRACTOR. CITY may charge an administrative fee of One Hundred Dollars ($100) for every Stop Notice filed in excess of two (2), regardless of whether or not CITY is named in an action to enforce such stop notices. CITY may set off g/agree/surfn et/cityc on st 17 of 22 5/10 Item 21. - 26 HB -556- any unreimbursed cost or expense so incurred against any sum or sums owed by CITY to CONTRACTOR under this Agreement. 29. NOTICES Any notices, certificates, or other communications hereunder shall be given either by personal delivery to CONTRACTOR's agent (as designated in Section 1 hereinabove) or to CITY as the situation shall warrant, or by enclosing the same in a 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: 2000 Main Street Huntington Beach, CA 92648 30. SECTION HEADINGS TO CONTRACTOR: The titles, captions, section, paragraph and subject headings, and descriptive phrases at the beginning of the various sections in this Agreement are merely descriptive and are included solely for convenience of reference only and are not representative of maters included or excluded from such provisions, and do not interpret, define, limit or describe, or construe the intent of the parties or affect the construction or interpretation of any provision of this Agreement. g/agree/surfnet/cityconst 18 of 22 5110 HB -557- Item 21. - 27 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 parry 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 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 g/agree/surfnet/cityconst 19 of 22 5/10 Item 21. - 28 HB -558- 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 party who has signed it. 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. g/agree/surfnet/cityconst 20 of 22 5110 xB -559- Item 21. - 29 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 hereinbelow 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 party's behalf, which are not embodied in this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement, promise, agreement, warranty, fact or circumstance not expressly set forth in this Agreement. 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 g/agree/surfnet/cityconst 21 of 22 5110 Item 21. - 30 1-I13 -560- 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 CONTRACTOR an print name ITS: (circle one) Chairman/PresidentNice President I: pant name ITS: (circle one) Secretary/Chief Financial Officer/Asst. Secretary - Treasurer g/agree/surfnet/cityconst 22 of 22 5/10 20 CITY OF HUNTINGTON BEACH, a municipal corporation of the State of California Mayor City Clerk INITIATED AND APPROVED: Director of Public Works REVIEWED AND APPROVED: City Manager APPROVED AS TO FORM: City Attorney HB -561- Item 21. - 31 CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND FOR TABLE OF CONTENTS Page No. 1. STATE OF WORK; ACCEPTANCE OF RISK 1 2. ACCEPTANCE OF CONDITIONS OF WORK; PLANS 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 Item 21. - 32 HB -562- ATTACHMENT #3-:, D V ENGINEERING ® WORKS, INC ENGINEERING & PLUMBING CONTRACTORS P.O. Box 4181 • Burbank, CA 91503 818.480.8966 • Fax 818.351.8127 ryengineeringworks@gmaii.com Lic # 895659 • A, B, C36 July 21, 2011 Sent via Courier City of Huntington Beach Department of Public Works 2000 Main Street Huntington Beach, CA 92648 Attention: Mr. Andrew Perino Reference: CC 1371 Water Main Extension, Holburn Drive from 91' to 185' South of Margate Drive, CC1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive, CC1408 Water Main Extension on Beach Blvd. at Will Dear Mr. Perino, R.Y. Engineering Works, Inc. (RYEW) respectfully requests to withdraw the bid submitted on July 18, 2011 for the above referenced project in the amount of $121,970.00 due to a clerical error in accordance with the California Public Contract Code Sections 5100-5110, and requests relief from and return of the bidder's security. Apparently, the error occurred while transcribing the bid from the draft estimating documents and spreadsheets to the final tally for the bid total. The estimator had determined the unit price for bid item #6, C1408 (12" PVC DR18 Water Pipe) to be $225.00 per foot. This unit price was mistakenly entered on the spreadsheet at $125.00 per foot, resulting in an extended price $38,000.00 less than intended to be. This error resulted in a materially different bid, which was incorrectly low by $38,000.00. RYEW's corrected bid was intended to be $159,970.00. RYEW regrets any inconvenience this mistake may have resulted in. Should you have any questions, feel free to contact the undersigned. Si RZ P1 A • STATE OF CALIFORNIA) ) SS. COUNTY OF ORANGE ) I am a citizen of the United States and a resident of the County of Los Angeles; I am over the age of eighteen years, and not a party to or interested in the notice published. I am a principal clerk of the HUNTINGTON BEACH INDEPENDENT, .which. was .adjudged a newspaper of general circulation on September 29, 1961, case A6214, and June 11, 1963, case A24831, for the City of Costa Mesa, County of Orange, and the State of California. Attached to this Affidavit is a true and complete copy as was printed and published on the following date(s): Thursday, July 14, 2011 I certify (or declare) under penalty of perjury that the foregoing is true and correct. Executed on July 18, 2011 at Los Angeles, California Signature NOTICE INVITING SEALED BIDS for the construction of 1. CC 1371 Water Main Extension, Holburn Drive from 91' to. 185' South of Margate Drive. ' 2. CC 1378 Water Main Extension Proiect, Springdale Street, Machine Drive to '372' South of Mdthine Drive. 3.,.CC 1408 Water Main Extension on Beach Boulevard, at Williams Street in the PITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as AGENCY, invites sealed bids for the above stated projects and will receive such bids in the office of the City Clerk, Second Floor, 2000 Main Street, Hunting- ton Beach, California 92648, up to the hour of 2:00 P.M: on Monday July 18, 2011. 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 $30.00 nonrefundable fee if picked up, or payment of a $45.00 nonrefundable fee if sent by UPS ground delivery (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 provi- sions 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 pf 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 of the construction of three potable water pipelines, one of which is located within Beach Boulevard which is a' Caltrans right of way. This project also contains a fire hydrant relocation located on Springdale Street, and a water main extension located on Holburn Drive: The project contains approximately 470 lineal feet of 12-inch, 8-inch, and 6-inch buried pipe. The project allows 50 working days for the construction. The Engineers preliminary estimate for this project is $130,000. • The contract .shall allow the Contractor 50 working days to complete the contract. • 'The engineer's estimate of probable con- struction cost for the work included in the basis of award is $130,000. 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 20th day of September 2010, by Resolution No. 2010-69 Huntington Beach Independent July 14, CC 1371, CC 1378, and CC1408 Water Main Extension Projects, Bid Opening July 18, 2011, 2:OOPM City of Huntington Beach Council Chambers Bidder Bid Amount Bid Amount Corrected 1 Atlas Allied 10Y 1% 2 Charles King Co. 3 Double D Pipeline, Inc. i) a, 4 E & R Construction Inc r 5 Garcia Juarez Construction g0. 6 GCI Construction, Inc. 7 GUERRERO BACKHOE SERVICE INC. 8 J A Salazar Construction 9 J F Bruce Construction 10 Kana Pipeline, Inc. (a). 1 11 Nikola Corporation 12 Paulus Engineeering 13 R.Y. Engineering Works C4 7 01! 14 Steve Doreck Equipment Rental , 15 TTS Engineering Inc 16--7 Vido Samarazich Inc. p®1 �0 17 L EL 18 p 19 20 21 '1-i�-II 0 11 J U'L 10' F 1, I r-41 t-.5 SECTION A for the construction of 1. 1 CC 1371 Water Main Extension, Holburn Drive from 91' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard, at Williams Street 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 projects 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 P.M. on Monday July 18, 2011. 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 $30.00 nonrefundable fee if picked up, or payment of a $45.00 nonrefundable fee if sent by UPS ground delivery (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 of the construction of three potable water pipelines, one of which is located within Beach Boulevard which is a Caltrans right of way. This project also contains a fire hydrant relocation located on Springdale Street, and a water main extension located on Holburn Drive. The project contains approximately 470 lineal feet of 12-inch, 8-inch, and 6-inch buried pipe. The project allows 50 working days for the construction. The Engineers preliminary estimate for this project is $130,000. ® The contract shall allow the Contractor 50 working days to complete the contract. ® The engineer's estimate of probable construction cost for the work included in the basis of award is $130,000. 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 20th day of September 2010, by Resolution No. 2010-69. Attest: Joan L. Flynn CITY CLERK OF THE CITY OF HUNTINGTON BEACH /1-�544f# - 7//�ltl SECTION A fix -����� NOTICE INVITING SEALED BIDS for the construction of 1. CC 1371 Water Main Extension, Ilolburn Drive from 91' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard, at Williams Street 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 projects 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 P.M. on Monday July 18, 2011. 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 $30.00 nonrefundable fee if picked up, or payment of a $45.00 nonrefundable fee if sent by UPS ground delivery (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 of the construction of three potable water pipelines, one of which is located within Beach Boulevard which is a Caltrans right of way. This project also contains a fire hydrant relocation located on Springdale Street, and a water main extension located on Holburn Drive. The project contains approximately 470 lineal feet of 12-inch, 8-inch, and 6-inch buried pipe. The project allows 50 working days for the construction. The Engineers preliminary estimate for this project is $130,000. • The contract shall allow the Contractor 50 working days to complete the contract. • The engineer's estimate of probable construction cost for the work included in the basis of award is $130,000. 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 20th day of September 2010, by Resolution No. 2010-69. Attest: Joan L. Flynn CITY CLERK OF THE CITY OF HUNTINGTON BEACH 7 SECTION A NOTICE INVITING SEALED BIDS for the construction of 1. CC 1371 Water Main Extension, Holburn Drive from 91' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard, at Williams Street 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 projects 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 P.M. on Monday July 18, 2011. 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 $30.00 nonrefundable fee if picked up, or payment of a $45.00 nonrefundable fee if sent by UPS ground delivery (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 of the construction of three potable water pipelines, one of which is located within Beach Boulevard which is a Caltrans right of way. This project also contains a fire hydrant relocation located on Springdale Street, and a water main extension located on Holburn Drive. The project contains approximately 470 lineal feet of 12-inch, 8-inch, and 6-inch buried pipe. The project allows 50 working days for the construction. The Engineers preliminary estimate for this project is $130,000. • The contract shall allow the Contractor 50 working days to complete the contract. • The engineer's estimate of probable construction cost for the work included in the basis of award is $130,000. 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 20th day of September 2010, by Resolution No. 2010-69. Attest: Joan L. Flynn CITY CLERK OF THE CITY OF HUNTINGTON BEACH 7 SECTION A NOTICE INVITING SEALED BIDS for the construction of 1. CC 1371 Water Main Extension, Holburn Drive from 91' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard, at Williams Street 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 projects 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 P.M. on Monday July 18, 2011. 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 $30.00 nonrefundable fee if picked up, or payment of a $45.00 nonrefundable fee if sent by UPS ground delivery (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 of the construction of three potable water pipelines, one of which is located within Beach Boulevard which is a Caltrans right of way. This project also contains a fire hydrant relocation located on Springdale Street, and a water main extension located on Holburn Drive. The project contains approximately 470 lineal feet of 12-inch, 8-inch, and 6-inch buried pipe. The project allows 50 working days for the construction. The Engineers preliminary estimate for this project is $130,000. • The contract shall allow the Contractor 50 working days to complete the contract. • The engineer's estimate of probable construction cost for the work included in the basis of award is $130,000. 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 20th day of September 2010, by Resolution No. 2010-69. Attest: Joan L. Flynn CITY CLERK OF THE CITY OF HUNTINGTON BEACH Unsuccessful Bids CC-13719 CC-1378 & CC-1408 Water Main Extensions City ®f Huntington Beach 2000 Main Street s Huntington Beach, CA 92648 (714) 536-5227 4 www.huntingtonbeachca.gov Office of the City Clerk Joan L. Flynn, City Clerk September 2, 2011 Atlas Allied, Inc. 1210 N. Las Brisas St. Anaheim, CA 92806 RE: CC-1371, CC-1378 & CC-1408 — Water Main Extensions Enclosed please find your original bid bond for CC-1371, CC-1378 & CC-1408. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe enclosure g,Si9bM0i1i13wnA3� jMPdtL 91Wo* Waitakere, New Zealand �. y�... , ; t::.-h,*c ✓ n k',,-.. s-a` t.:�s: .s..'?, �. ,�.3. sa,'t�,. .��.,.�„ .�''; �K Atlas Allied, Inc. 1210 N. Las Brisas St. Anaheim, CA 92606 PH.714-630m3633 FX.714.630.0445 1011 31J1 18 ;'i'l 1� 07 City of Huntington Beach Atto City Clerk, 2nd Floor SEALED BID 1. CC 1371 Water Main Extension, Hollburn ®rive from 91' to 1650 South of Margate ®rive 2. CC 1376 Water Main Extension Project, Springdale Street, Machine ®rive to 372' South of Machine Dr. 3. CC 1406 Water Main Extension om Beach Boulevard, at Wiliams Street a SECTION C PROPOSAL, for the construction of 1. CC 1371 Water Maim Extension, Holburn Drive from 91' to 18-+' South of Margate Drive. 2. CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard, at Williams Street in the CITY QE 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 a- rees to perform all the work therein described, and to Burnish all labor, material, equipment and incident insurance necessary therefor. in accordance with the plans and specifications on file in the office of the City Eninecr of the City of l-1Lill tin gton Leach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of I-luntington Beach. and to enter into a contract at the following prices. The undershmcd agrees to complete the work within _50 working days. starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon carefi►l 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 It►mp sum prices set forth in the fallowing Lid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the muaranty accompanying this proposal. BIDDER understands that a hid is required far the entire work, that the estimated quantities set Barth in the Lid Schedule are solely fill- 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' RlGi-IT TO DC t.ETI, ANY ITEM I -ROM THE CONTRACT. It is agreed that the emit and/or lump sum prices bid include all appurtenant expenses. taxes, royalties. lees, etc.. and will be guaranteed for a period of sixty days ilrom 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 ofdiscrepancies in the arttat►nts bid, unit prices shall «overn over extended, mounts, and ��-orcts shall �,overn aver inures. C_ I If awarded the Contract, the undersigned mgorcs that in the event of the BIDDER'S default in executing the rpquined 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 smCud1yaccompanying this hid 3ho|| become the property ofthe /\QEyVCY and this bid and the acceptance hereof may, at the AGENCY'S option, beconsidered null and void. 106Tota| Accompanying this proposal o[bid, find Bidders Bond inthe umountn[$ Bid Amount which said amount is not less than |O96u[the .QneguicnF|hctotal bid price, aarcquirod hythe Notice InvitinO Sco!cd Bids. oUv�b|� �o �h� A��EN(`Y. (P|cusc insc� �hc �ords ''(-aSh". "Certified Check",or"Bidder'sBond"-usthe case may be). Bidder shall mi�ndyreceipt ufuUAddenda hcx�i[on5 lAddenda No. Date Received Bidder's Shmuntre PROJECT BID SCHEDULE CC 1371 ITsl!J ated Quantity vtn ,:-_Unit: trice d FA 8" X 8" llot Tap with Gate Valve !ii, Seven Thousand Dollars s 7,000.00 $ 7,000.00 - Zero Cents Per EA 2 1 LS Chlorination and icstirm of all new water mains, (4, Two Thousand Dollars s 2,000.00 $ 2,000.00 Zero --Cents Per LS 3 72 IS 8" PVC DR 14 Watcr Main One Hundred Dollars- 5 100.00 S 7,200.00 Zero cems Per LF 4 14 LF 6" PVC DR 14 Water Main W One Hundred Dollars S 100.00 $ 1.400.00 Zero Per LF 5 2 EA Constrict I" water sen icc &- *14" meter assembly '(i Two Thousand Dollars $ 2,000.00 s 4,000.00 Zero Ccnts Per EA 6 1 EA Constrict 6" Gate Valve Assembl% ,d Two Thousand Duliar, S 2,000.00 $ 2,000.00 Zero Cents Per EA 7 1 LS Remove and dispose of existing AC Water Main 4i. Seven Thousand Five Hundred Dollars s 7,500.00 $7,500.00 Zero--.,.- Per LS 8 2 EA Provide winpomr\ potable xwer hiplifine Three Thousand Seven Hundred D[111a1's 3,700.00 - $ __7,40C�00 Zero cents Per [,.1 9 1 L.S mobilization d Five Thousand Zero Cents Per LS $ --5000.00 10 1 I'S 1),jilobilivalimi mid c1camill Five Thousand S 5,000.00 S _-- --0.00 ---DoUrs, Zero colli Per LS C-3.1 PROJECT BID SCHEDULE CC 1371 p6m— o' Ts—t i —m -a to Q'Itan"th)'" 7-7-7-17jimW75h v ... .... tj tj wor . U h i't P r, i c'e': ::�:EM)ended I LS Traffic Control Two Thousand Dollars S —2 Q40.00 S 2 000-0 Zero Cents Per LS Total mount Bid in Lures: i 27 50,500.00 - Total Amount Bid in Words: Fifty Thousand Five Hundred Dollars and Zero Cen ............................................................................................ - ........................... G3.2 PROJECT BID SCHEDULE CC 1378 tern:: No:.: stimated uantitv_::;::;:-:::-; Q.. >: <>;>'._:° _ : < :I em:wit .: un�t;�r�ce :::'`.:::::::::.:::': :'-::>:::` ►vrttten: gin: Wore!_ ................ _ ._ . ,- : -.Unit Prue; : :xtended:::. <=,;:.riniount:.:.< f 1 LS Mobilization Three Thousand Dollars S 3,000.00 S 3,000.00 Zero Cents Per LS 2 1 LS Provide traffic control plan ,r, Two Thousand Dollars S 2,000.00 S 2,000.00 Zero Cent, Per LS 3 1 LS Provide traffic control Three Thousand Dollars S 3,000.00 S 3,000.00 Zero Cents Per LS 4 1 EA Dire hydrant assembly q Six Thousand Dollars S 6,000.00 S 6,000.00 Zero Cents Per EA j 1 LS Cut K plug, and abandon "istim , 8-inch main :rr Seven Thousand Five Hundred Dollars S 7,500.00 S 7,500.00 Zero ants Per LS------------.._.� �__ G 1 LS Chlorination and testing of all mew water mains %ir Two Thousand S 2,000.00 S 2 000.00 _Dollars Zero Cents Per LS 7 1 LS Demobilization and cleanup Two Thousand Dollars S 2,000.00 S 2,000.00 Zero Cents Per LS otal mount Bid to • utires: .25500.00 Total Amount Bid in Words; Twenty Five Thousand Five Hundred Dollars and Z. C:-3.3 ro Cents PROJECT BID SCHEDULE CC 1408 <. . .... : .::. ^writtea n �4o ..: . ., ; ;,.:.:::;.;:;>:;.::; :'.Ctnit:P.rtce ..xten ..e o'- ; Amiiunt 1 ► LS Mobilization <ii) Ten Thousand Dollars S 10,000.00 $ 10,000.00 Zero Cents Per LS 2 1 LS Traffic Control i, Ten Thousand Two Hundred $10,200.00 $ 10,200.00 ^Dollars Zero Cents Per LS 3 1 LS I'emtitting. including, Caltrans double pennit ir; Three Thousand Five Hundred Dollar, $ 3,500.00 $ 3,500.00 Zero Cents Per LS 4 1 EA 6-inch cut in valve assembly Ten Thousand Dollars S 10.000.00 $ 0 000.00 Zero Cents Per EA 5 2 EA 8-inch cut in valve assembt+ Twelve Thousand Dollars $12,000.00 524,000.00 Zero Cents Per EA ��-^-- G 380 LF 12-inch I'VC DR 18 %Pater Pipe a; One Hundred Ten Dollars Dollar, $110.00__,__ $41,800 00., Zero Per LF 7 50 LF 8-inch I'VC' DR 18 Water Pipe .ieF One Hundred Dollar, $ 100.00 S 5,000.00 Zero Corns Per LF 8 1 LS Chlorination and tcstiug oralt new water main, a Two Thousand Dollars $ 2,000.00 S 2,000.00 Zero cent. Per LS — 9 1 I-S Demobiliz.aion and Cleanup ,;. Five Thousand Dollars $ 5,000.00 S 5,000.00 Y Zero --Celts I'er LS otal Amount Bid In i<�ures: Total Amount Bid in Words: One Hundred Eleven Thousand Five Hundred Dolla lrVI IlJ s and Zero C-3. t PROJECT BID SCHEDULE TOTALS CC 1371, CC 1378, CC 1408 WATERMAIN REPLACEMENT PROJECTS Sub -Total Bid Schedule CC 1371 Sub -Total Bid Schedule CC 1378 Sub -Total Bid Schedule CC 1408 TOTAL BID AMOUNT, BASIS OF AWARD (Sum of Schedules CC 1371, CC 1378, and CC 1408 TOTAL BID AMOUNT IN WORDS: 50,500.00 0019&101111 187,500.00 One Hundred Eighty Seven Thousand Five Hundred Dollars and Zero Cents Notes: All extensions of unit prices will be subject to verification by Owner. In case of a verification between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-4 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. Pot7iott Name and A(Wi-ess of Stnccontraclot, State} License Casa Of Work I Ntimber Final Asphalt S D Mayo Paving 918062 C-12 Paving 4519 Brookfield Street San Bernardino CA 92407 By submission orthis proposal. the bidder certifies: 1. That he is able to and will perform the balance or all work which is not covered in the above subcontractors listing. ?. That the AGENCY will be furnished copies ol' all subcontracts entered into and bonds furnished by subcontractor for this project. NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange Eva Sieiliani being first duly sworn, deposes and says that he or she is Vice President of Atlas Allied, 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 lee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to ellectuate a collusive or sham bid. Atlas Allied Inc. Name of Bidder Signature of Bidder Eva Siciliani V.P. 1210 N. Las Brisas St. Anaheim, CA 92806 Address of Bidder - Subscribed and sworn to before me this 15th day of July . 201 1 NOTARY PUBLIC Please See Attached NOTARY SEAL C-6 State of California County of Orange Subscribed and sworn to (or affirmed) before me on this day of July 201 by Eva Siciliani proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. Signature Nile Sensabaugh, Notary Public NILE SENSABAUGH Commission # 1800039 Z ..� Notary Public - California ' Orange County '— My Comm. Expires Jun 1, 2012 (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 Water Main Extension Projects, Various Locations, Project Numbers CC 1371, CC1378, and CC1408, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title &. California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, isfitnndiar with the operation to be petyormc rl and the haactrdc invol► ecl. " 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-OS11A requirements. The undcrsi�-ned hirther 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: July 15, 2011 C-7 Atlas Allied, Inc. Contractor Vy - _ By Eva Siciliani Vice President 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? 0 Yes N 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 ofthis questionnaire. C-8 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: _July 15th, 2011 C-9 Atlas Allied Inc. Contractor By Eva Siciliani Vice President Title 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. Atlas Allied Inc. Company Name A 1� s Signature of Bidder Eva Siciliani Vice President Printed or Typed Signature Subscribed and sworn to before me this15th day of July . 2011 NOTARY PUBLIC Please See Attached NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies liar which the bidder has performed similar work within the past two years: 1. T�cn!� 3ec Al�x)nfxA 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 Type of work Name and Address of Public A=,encv Name and Telephone No. of Project Manager: Contract Amount TypC of Work C-II Date Completed Date Completed Date Completed State of California County of Orange Subscribed and sworn to (or affirmed) before me on this 15 th, day of July 2011 by Eva Siciliani proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. Signature ile Sensabaugh, Notary Public N I L E SENSABAUGH Commission # 1600039 Z ; -as Notary Public - California Z ' , � Orange County My Comm. Expires Jun 1, 2012 (Seal) BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Atlas Allied, Inc. Bidder Name 1210 N. Las Brisas St. Business Address Anaheim City. ( 714 ) 630-3633 Telephone Number 437235 A,B,C34,C36,C42 State Contractor's License No. and Class 417/1983 Original Date Issued 4/30/2013 _ Expiration Date CA 92806 State Lip The work site was inspected by Nile Sensabaugh ofour office on July 14th The following are persons. firms, and corporations having a principal interest in this proposal: President -George L. Siciliani Vice President/Treasure-Eva Siciliani C-10 r ATLAS -ALLIED, INC. eipefine G-" Piping SINCE 190 ET s COMPLETED PROJECTS Descriptive Job List 2010 Project: Industrial Park Recycled Water Services Owner: Carlsbad Municipal Water District Address: 5950 El Camino Real Carlsbad, CA 92008 Contact: Grant Clavier (760) 802-8783 Description: Installed 1" and 2" water services for Recycled water systems Start Date: 11/30/2009 Completed Date: 3/19/2010 Bid Amount: $159,500.00 Final Amount: $166,227.00 Project: Replace Fireline at Bren Events Center Owner: California University Irvine Address: 201 A Interm Housing Building Irvine, CA 92697 Contact: David Hooks (949) 824-9328 Cell (949)422-0539 Description: Installed underground fireline with backflow devices and upgraded fire sprinkler system Start Date: 12/14/2009 Completed Date: 4/30/2010 Bid Amount: $137,300.00 Final Amount: $158,510.00 Project: Santa Rosalia Street Storm Drain Project Owner: City of Stanton Address: 7800 Katella Ave. Stanton, CA 90680 Contact: Nick Guilliams (714) 379-9222 Description: Installed 48" RCP line into Orange County flood channel from public right away Start Date: May 2010 Completed Date: September 2010 Bid Amount: $177,920.00 Final Amount: $ 179,942.00 Project: Replacement of Watervalves & Fire Hydrant Installations Owner: City of Beverly Hills Address: 345 Foothill Road Beverly Hills, CA 90210 Contact: Vincent Chee (310) 285-2507 Description: Cut in 4"-16" Valves through out city public water system utilizing "line stops" to control water. Start Date: Feburary 2010 Completed Date: August 2010 Bid Amount: $358,000.00 Final Amount: $ 373,000.00 Project: Water Main Crossing on Carmenita Road North of Mapledale Avenue Owner: City of Norwalk Address: 12700 Norwalk Blvd. Norwalk, CA 90650 Contact: Randy Hillman 562-929-5719 Description: Install 12" street crossing to upgrade on site fire system Start Date: August 2010 Completed Date: September 2010 Bid Amount: $36,900.00 Final Amount: $34,900.00 AT'LASAWED, IN Pipelinee i. J General Piping SINCE 1969 Engingin eering Descriptive Job List 2009 Project: Stuart Mesa Ground Water Treatment System Owner: North County Transit District Address: 810 Mission Avenue Oceanside, CA 92054 Contact: Mindy Smith (760) 967-2834 Fax (760-722-8087 Description: Phase I Installation of a ground water pump system, 2- 20,000 above ground tanks with associated underground piping to remove underground water from Rail Facility. Phase 11, Low Flow Storm Water Diversion, new storm drain structures, ground water pump system and associated underground piping. Start Date: 1/2008 Completed Date: 6/2009 Bid Amount: $433,686.00 Final Amount: $620,641.00 Project: Underground Utilities at North Corona Metrolink Parking Structure Owner: North Corona Metrolink Construction Manager: McCarthy Building Company Inc. Address: 20401 SW Birch St. Newport Beach, CA 92660 Contact: Mike Flick (949) 355-7028 Cell (818) 291-6603 Description: Reroute and Install New Utilities, Storm Drain, Sewer & Domestic / Fire Water outside of New 5 Story Parking Structure at the North Corona Metrolink Station Start Date: 1/28/2008 Completed Date: 6/30/2009 Bid Amount: $257,040.00 Final Amount: $387,532.00 Project: Service Line Replacements at Spring Valley Lake Owner: County of San Bernardino Special Districts Address: 157 West 5th Street, 2nd Floor San Bernardino, CA 92415 Contact: Gary Martin (909) 387-5964 Fax (909) 387-5968 Description: Install 156 New 1" Water Service Lines with Poly Pipe and Fittings. Start Date: 3/12/2009 Completed Date: 6/2009 Bid Amount: $258,200.00 Final Amount: $258,200.00 Project: Water Improvements @ Patton Hospital Owner: CA Department of Mental Health Address: 3102 Highland Avenue. Patton, CA 92369-0999 Contact: Jennifer Moon (909) 425-7332 Description: Install 1500 LF 14" Underground Owner furnished PVC Waterline from Street Point of Connection to Onsite existing connection. Including 10" Backflow Valve Installation. Start Date: 111/009 Completed Date: 5/1/2009 Bid Amount: $ 49,000.00 Final Amount: $ 48,510.00 h /Y/ {..Aa7-A a eED, INC. Pipeline General Piping Engin—mg 411VCE 1969 2009 Continued Project: Monrovia Public Library / Underground Utilities Owner: City of Monrovia Address: 132 W Palm Avenue Monrovia, CA 91016 Construction Manager: Bernard Bros Construction Management Contact: Carlos del Campo (661)510-8176 Description: Install underground utilities for new City of Monrovia Library facility Start Date: 11/14/2008 Completed Date: 3/31/2009 Bid Amount: $108,500.00 Final Amount: $112,904.79 Project: Emergency Repair Underground Storm Drain System a@ Carr Intermediate School Owner: Santa Ana Unified School District Address: 1601 East Chestnut Avenue Santa Ana, CA 92701-6322 Construction Manager: PCM3 Construction Manager Contact: Garth Wright (Assistant Manager) (714)662-0227 Description: Install New Underground Storm Drain System and Catch Basin Start Date: 11/16/2008 Completed Date: 2/15/2009 Bid Amount: $208,600.00 Final Amount: $208,600.00 Project: Simons Middle School and Philadelphia Elementary School Owner: Pomona Unified School District Address: 800 South Garey Ave Pomona, CA 91766 Contact: Ava Hill (909) 397-4800 Description: Site Improvements, Concrete, Asphalt and Classroom Relocation Start Date: 112009 Completed Date: 5/2009 Bid Amount: $307,612,18 Final Amount: $307,612.18 ATLAS -AWED, INC. pp— G—w ppm T+ice ivy E g mq Descriptive Job List 2008 Project: Lampton Elementary School - Site Utilities Owner: Norwalk La Mirada Unified School District Address: 12820 Pioneer Blvd Norwalk, CA 90650 Contact: Isela Vazquez 562-868-0431 x 2015 Fax 562-864-7541 Construction Manager: McCarthy Building Co. Contact: John Staff 949-851-8383 Description: Site Utilities including gas, water & sewer. Install pipe, test backfill, patch, replace all site water with new copper system including dielectric fittings, chlorinate entire site water system. Replace all site gas with complete new gas system Start Date: 7f7/2008 Completed Date: 11/21/2008 Bid Amount: $332,650.00 Final Amount: $325,150.00 Project: Fullerton College - Building 1400 Site Work / Utilities Owner: North Orange County Community College Address: 1830 W Romneya Drive Anaheim, CA 92801 Construction Manger: C W Driver Builders Contact: Susan Cannone 714-732-5770 Fax (714) 446-0770 Description: Site utility improvements including storm drain, concrete and asphalt repairs Start Date: 3/26/2008 Completed Date: 4/30/2009 Bid Amount: $1,625,528.00 Final Amount: $1,921,825.00 Project: Modification to Existing Pressure Relief Facilities Owner: West Orange County Water Board Address: 2000 Main Street Huntington Beach, CA 92648 Contact: City of Huntington Beach Duane Wentworth (714) 536-5517 Fax (714) 374-1573 Description: Install new Pressure Relief System for 20" City Huntington Beach water supply line, including excavation, piping, welding and on site improvements. This water line is a critical supply line for the City Huntington Beach water system. Start Date: 11W007 Completed Date: 5/12/2008 Bid Amount: $ 133,825.00 Final Amount: $246,150.00 Project: New Water Meter Installation & Meter Exchange Program Owner: City of Westminster Address: 8200 Westminster Boulevard Westminster, CA 92683 Contact: Paul Kalix (714) 71.9-0461 Fax (714) 373-5328 Description: From Early 1990 Atlas -Allied has performed a city wide water meter replacement of approximately 14,000+ water meters on 3 different contracts Start Date: 2007 Completed Date: 12/31/2007 Bid Amount: $196,100.00 Final Amount: $196,100.00 ATLAS -ALLIED, / LC. Pipeline C,eneral Piping siNce i�9 Engmenng 2008 Continued Project: Lancaster Layover Service Utility Enhancement Owner: Southern CA Regional Rail Authority Address: 700 S Flower Street, Suite 2600 Los Angeles, CA 90017 Contact: LIM & Nascimento Engineering Corp Francisco Villasenor (714) 998-3841 Fax (714) 974-6193 Description: Metro Link Lancaster Station installed water(1,500 LF), sewer(1,500 LF), and communication utilities (1,200 LF) for the end of line train maintenance yard. All work done with no interruptions or down time to the metrolink. Start Date: 9/1/2007 Completed Date: 5/31/2008 Bid Amount: $1,065,392.00 Final Amount: $1,136,537.00 Project: Orange Coast College East / West Utility Upgrade Owner: Coast Community College District Address: 1370 Adams Avenue Costa Mesa, CA 92626 Construction Manager: C.W. Driver Contact: Randy Rankin (714) 540-4974 Cell (714) 540-5721 Description: East / West Utility Upgrade / Phase li- Installed 1,000 LF of storm drain pipe, 20 catch basins, 1,000 LF of sewer for East Side Campus Wide Upgrade Start Date: 7/1/2007 Completed Date: 6/30/2008 Bid Amount: $685,720.00 Final Amount: $639,872.00 Project: Huntington / Bolsa Chica State Beach - Emergency Backflow Project Owner: CA Department of Parks & Recreation Address: 3030 Avenida del Presidente San Clemente, CA 92672 Contact: Julie Tobin (949) 366-4888 Fax (949) 492-9437 Description: Installed (4) 6" RP emergency backt1ow devices at various locations in the city of Huntington Beach following Huntington Beach Water Department compliance on a critical path emergency basis Start Date: 2/25/2008 Completed Date: 5/1/2008 Bid Amount: $91,500.00 Final Amount: $91,500.00 Project: Manhattan Beach Pump Plant Station Owner: Los Angeles County of Public Works Address: 900 S. Fremont Ave. Alhambra, CA 91803 Contact: Jose Pou (626) 458-2191 Description: Motor control removal and replacement, valves and pump station upgrades Start Date: 4/15/2007 Completion Date: 1012008 Bid Amount: $437,400.00 Final Amount: $494,955.00 AIA Document A310 Bid Bond KNOW ALL MEN BY THESE PRESENTS, THAT WE Atlas -Allied, Inc. 1210 N. Las Brisas Street Anaheim CA 92806 as Principal, hereinafter called the Principal, and First National Insurance Company of America 333 City Boulevard West, Suite 300 Orange, CA 92868 a corporation duly organized under the laws of the State of WA as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach City Clerk's Office, 2000 Main Street, 2nd Floor Huntington Beach, CA 92648 as Obligee, hereinafter called the Obligee, in the sum of Ten Percent of Amount Bid Dollars ($ 10% ), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for CC 1371 Water Main Extension, Holburn Drive from 91' to 185' South of Margate Drive; CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive; CC 1408 Water Main Extension on Beach Boulevard, at Williams Street in the City of Huntington Beach 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 materials 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 sa Susan Ponsell (witness) 13th day of July 1 2011 Atlas -Allied, Inc. (Principal) (Seal) Bv: Eva Siciliani First National Insurance Vice President/Treasurer AIA DOCUMENT A310 ® BID BOND • AIA ® FEBRUARY 1970 ED. ® THE`AMERIC INSTITUTE OF ARCHITECTS,1735 N.Y. AVE., N.W., WASHINGTON, D.C. 20006 of America State of California County of Orange ) On July 13, 2011 before me, Susan Ponsell, Notary Public (insert name and title of the officer) personally appeared Adriana Valenzuela who proved to me on the basis of satisfactory evidence to be the personks)-whose names/pre subscribed to the within instrument and acknowledged to me that-hetshefthej executed the same in his/her/th& authorized capacity(ie!§� and that by Wgfher/their-signatures) on the instrument the person(s); or the entity upon behalf of which the personks)'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. SUSAN PO MLL COMM. # 1927009 G) NOTARY PUBLIC - CAUFORNW 3C ORANGE COUNTY MY CommMion Expkes =71a015 Signature (Seal) THIS POWER OF, ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. _ 2963 OO9_ This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. , FIRST NATIONAL INSURANCE COMPANY OF AMERICA SEATTLE, WASHINGTON . POWER OF ATTORNEY KNOW ALL PERSONS BY THESE PRESENTS_: That First National Insurance Company of America (the "Company"), a Washington stock insurance company, pursuant to and by authority of the By-law and Authorization hereinafter set forth, does hereby name, constitute and appoint. LOURDES LANDA, ADRIANA VALENZUELA, MARK W. ROSSKOPF, ALL, OF THE CITY OF FULLERTON, STATE.:OFCALIFORNIA ............................ each individually if there be more"than:one named, its true:and.lawful attorney -in -fact to make, -execute; seal; acknowledge_and deliver, for and on its behalf as surety and as its 'act and deed; -any and: all undertakings, bonds, recognizances arid.,other surety obligations -in the penal sum not exceeding TEN. MILLION AND 00/100********"******* ****** DOLLARS ($ 10,000,000-G0***************** ******) each, and the execution of . such undertakings, bonds, recognizances and.other;surety obligations; in pursuance of these presents; shall be as binding upon the Company as If they had been duly signed by the president and attested by the secretary of the Company in their.own proper persons. - -' That, this,power is made and executed pursuant to and by authority of the following By-law and Authorization: 't3 ARTICLE IV - Execution of Contracts: Section 12. Surety Bonds and Undertakings.. N Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitations Q; as the Chairman or the President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to;make, e_ a execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in- .N fact, subject to the -limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and e� executed, such instruments shall be as binding as if signed by the president and attested by the secretary. By the, following instrument the chairman or the president has authorized the officer or other official named therein to appoint attorneys -in -fact: C (cc V Pursuant to Article IV, Section 12 of the By-laws, Garnet W. Elliott, Assistant Secretary of First National Insurance Company of America, is "authorized to I-- to appoint such attorneys -in -fact as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety AW p any and all undertakings, bonds, recognizances and other surety obligations. _ E L > i- it ." That the By law, and the Authorization set forth above are true copies thereof and are now in full force and effect. p 'a IN WITNESS" WHEREOF, this "Power of Attorney has been "subscribed by an authorized ,officer or official of the Company and the corporate seal of C M �4) First National Insurance Company of America has been affixed thereto in Plymouth Meeting, Pennsylvania this 21 st day of June L 0.; 2010 FIRST NATIONAL INSURANCE COMPANY OF AMERICA a ca :E SEAL By r �s2g K Garnet W. Elliott, Assistant Secretary 4) O'-CCOMMONWEALTH OF PENNSYLVANIA ss COUNTY OF MONTGOMERY ai Tra �O i On this 21 st day of June 2010 before me, .a "Notary, Public, personally came Garnet W. Elliott, to me known, and pq acknowledged that he is an Assistant Secretary of First National Insurance Company of America; that he knows the seal of said corporation; and that he t N v executed the above Power of Attorney and affixed the corporate seal of First National Insurance_ Company of America thereto with the authority and ;at the "' 00 > d direction of said corporation. M Z v IN TESTIMONY WHEREOF v¢s to subscribed my name and affixed my notarial seal at Plymouth Meetm Pennsylvania, on the day and year 00 first above written. - �'- Z ora r g° // o ro Q` �gi+ t'{, a otaria! 5rsai l VX 1. t3 i oresa r astoLa, Notary !-s bile By �I : :�nrauth`:wp„ Montpomwy County Terega Pastella, Notary Public OF S9y comrreiss M Expires Mar• Ph, 2Qi3 CERTIFICATE Member,:Rennsplvar,aAswda onof.Neta es I, the undersigned, Ass t rst National Insurance Company of America, do hereby certify that the original power of attorney of which the fore , foregoing is a fulltru T�_ y, is in full force and effect on. the date of this certificate; Ldo:fur#her certify that the officer or official who executed the said power of a is:an Assistant Secretary specially -authorized by the chairman or the president to appoint- attorneys -in -fact as provided in Article IV, Section 12 of the By-laws of First National Insurance Company of America. " This certificate and the above power of attorney may signed by facsimile or mechanically reproduced signatures under and by authority of.the following vote of the board of directors of First National Insurance Company of America at a meeting duly called and held on the 1 Sth day of September, 2009. VOTED that the facsimile or mechanically reproduced signature of any assistant secretary 0f the company, wherever appearing upon a certified copy of any power of attorney issued by the company in connection with surety bonds, shall.be valid and binding upon the company with the same force and effect as though manually affixed. r1 JUL �t11 IN TESTIMONY WHEREOF, I have hereunto subscribed my na „au"••., ed the corporate seal of the said _company, thi t� U day of o°oa4rc`- 'SEAL - y 1926 B ;0 .. David M, Carey, Assistant' Secretary City ®f Huntington. Beach 2000 Main Street ® Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk .Moan L. Flynn, City Clerk September 2, 2011 Double D Pipeline, Inc. 42166 Rio Nedo Temecula, CA 92590-3740 RE: CC-1371, CC-1378 & CC-1408 — Water Main Extensions Enclosed please find your original bid bond for CC-1371, CC-1378 & CC-1408. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe enclosure g t jL � jgab4"Ao® Waitakere, New Zealand DOUBLE ® PIPELINE SEALED BID FOR: CC 1371 CC 1378 CC 1408 City of Huntington Leach OPENS: ®ate: 7/18/11 Time: 2:00pm Double D Pipeline, Inc. 42166 Rio Nedo Temecula, Ca 92590-3740 City of Huntington Beach City Clerk, Second Floor 2000 Main Street Huntington Beach, CA 92648 SECTION C for the construction of 1. CC 1371 Water Main Extension, Ilolburn Drive from 91' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard, at Williams Street 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 50 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find 13 Lj -811"'.0'�n 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. t Date<Received,-, <_Bidder's Si C-2 PROJECT BID SCHEDULE CC 1371 i>�Z'm E5:%l f 4W iiaiif `:::::::::::::::::::: ......#3 .......................... ::::::::::::::: t x1►:H'11��1: lk C: 11C1............::::::::::: .................................. ........................... ritten:hi W...................... od ::..... ::::::::::::::::: ................... ..... ................. ee::::::: ................. : JK �Ilil�f�: : ..... Amon ..... ... 1 1 EA 8" X 8" Hot Tap with Gate Valv @ Slc- l���tc�ctirc�_e�c+t! Dollars $ l $ Cents Per EA 2 1 LS Chlorination �and testing of all new water mains @ taS �'� ��"r{'L�L��"Dollars Cents Per LS 3 72 LF 8" PVC DR1/4 Water Main @ Dollars $ Cents Per LF 4 14 LF 6" PVC DR14 Water Main �+ @ Dollars S $ 3 0 � l� Cents Per LF 5 2 EA Construct 1" water service & 3/4" meter assembLy @ j �7t%1 t �l�.j=�'��t t�-�c�S_'e Dollars $ '�. 00 $ � 4/00 Cents Per EA 6 1 EA Construct 6" Gate Valve Assembly J� ll-d o_4j OtAE4 :1.t=_kO Dollars $ '/. -n- V $ , -70L� Cents Per EA 7 1 LS Remove and dispose of exi9ting AC.Water Main @ � 4"L7 L"-^f tDollars $ 7 0V $ '7"" Cents Per LS 8 2 EA Provid=potable water highline /� J @(+5��'�G,t?�t �t.ollars $ 'f �`s $ Cents Per EA 9 1 LS Mobilization / f� @Dollars $ % C�) $ t%, C% c o Cents Per LS 10 1 LS Demobili ion ancleanup� @ t yly �{. Dollars $ A C%Pi(7 $ /, Ci A Z) Cents Per LS C-3.1 PROJECT BID SCHEDULE CC 1371 1�To:uagt .. .. ........ i .............................. :::UiitPri::: 3e c{ Aul :::::: anoai 11 1 LS Traffic Control I @''`E�t�S Dollars $ %Q $ Cents Per LS Total ount Bid in Figures: 5 Total Amount Bid in Words: '=/I C-3.2 PROJECT BID SCHEDULE CC 1378 #*t:: ...... Nii ::::::Quanfit J�strtat::::::teni:wi#ii: ...................... unitici::::::::::::::::::::::::::::::::::::::: . .................P............................................................ . . , . . . . . . ... . ..'.'.'.'.......... .. .. .... .. ..................... :::::::: :::::::: written: :::::......::: ... .. .. .. - - - - - - . . :::IJn�t Praoe::::::: 7:#egtled:: .....,... . . . Ai oi� 1:: : 1 1 LS Mobilization ll /j @ Zot,, - ZLD&S' c�C -fue4�kqollars Cents $ 41 '7 0 $ Per LS 2 1 LS Provide tr is control plan @ :S ,.C' G'!1 f 10 '1G��� -C� Dollars $ '70 0 $ Cents Per LS 3 1 LS Provide traffic con of @ e", �; e.�.SC t �3t,� �t - Y-'e'blollars $ $ Cents Per LS 4 1 EA Fire hydrant assembly @ /i� i c� j ��O tz-e Dollars $%• S $ V Cents Per EA 5 1 LS Cut & plug and ab�on existing -inch maid @ 7` �t,'� C-' �c c.Si'LGL-'fit 9 Dollars $Y $ Cti/ b�7 Cents Per LS 6 1 LS Chlorination and,testing of all new water mains % @ t/sUCdvrtc.1�� -� Dollars $ /F� Cents Per LS 7 1 LS Demobilization and cleanup @ t.. C' C c s � 4 l?� G� � > �f cs•7� l Dollars $ �, `1 b0 $ Cents Per LS Totalount Bid in i ures: Total Amount Bid in Words: 1`��/LDS -- --- ---------- - -- --------`�---------------------------------------------------------• --- C-3.3 PROJECT BID SCHEDULE CC 1408 tte»:: .......... . 6 ::: first hated aiif ..::::: ::::::: Atetta: i>�h. ut t:p icy .::::::::::::>::::::::.................:... ................... ....... ::::::::::::: ritEen: iii: vvaril ::::: .......... Unit: Pa'ic::::: %4 ded .. ...... 1 1 Ls Mobilization @ . C Dollars� $ 3, 4- 4"n $ , b —0 Cents Per LS 2 1 LS Traffic Control @C-; �L "I�c �S` �� (�a ILe Dollars $ �' C� QG? $ Q \j Cents Per LS 3 1 LS Permittin including Caltttans double permit @ G' _ `i rG srC 1 Dollars $'� $�� Cents Per LS 4 1 EA 6-inch cut in valve a bly @� Dollars $ $, Cents Per EA 5 2 EA 8-inch cut in valve assembly @ `t�JC .t f ` '� Dollars $ 6, Cents Per EA 6 380 LF 12-inch P DR18 Water Pipe J- % @ ��'� �iQDollars $ /� �j $ /, per Cents Per LF 7 50 LF 8-inch PVC DR18 Water Pipe @ � � ` Dollars $ $ 2— Cents Per LF 8 1 LS Chlorination and testing of all new water mains @ -,r f�- L�,Gz$ , Dollars $ �0 s2,27 �'� Cents Per LS 9 1 LS Demobilization and cleanup P`�Ae Dollars $ 9CIO $ 2, C t�X Cents Per LS Total Amount Bid in Figures: Total Amount Bid in Words: e-` �- r `- ` A `c. (� ------------------------------------------- -� ---- - --- ----- --- C-3.4 PROJECT BID SCHEDULE TOTALS CC 1371, CC 1378, CC 1408 WATERMAIN REPLACEMENT PROJECTS Sub -Total Bid Schedule CC 1371 Sub -Total Bid Schedule CC 1378 Sub -Total Bid Schedule CC 1408 TOTAL BID AMOUNT, BASIS OF AWARD (Sum of Schedules CC 1371, CC 1378, and CC 1408 TOTAL BID AMOUNT IN WORDS: -- - l v, '7'�5_0 elo, r7c o Notes: All extensions of unit prices will be subject to verification by Owner. In case of a verification between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-4 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 o .Work' Name and Address of Subcontractor ' ' : - "cam. z: > State License ~" >:. 1Y u"tuber 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-5 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange -William R. Yanwe, Jr, ,being first duly sworn dep e d says that he or she is Presi eln of OOUBLE F�lP l..,li , ' , the parry 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. DOUBLE Q PIPELINE. INCI Name of Bidder LV' Signature of Bidder DOUBLE D. PIPELI E, INC. 42166 Rio Nedo Temecula, GA 92590-37()4 Address of d 6-6320 Subscribed and sworn to before me this 1 E, day of J L , 201 NOTARY PUBLIC ' +. NOTARY SEAL C-6 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 Water Main Extension Projects, Various Locations, Project Numbers CC 1371, CC1378, and CC1408, (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: ^711 d, Y Contractor Title President C-7 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 LTo 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-8 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 /(,? A / DOUBLE 1-7) PIPELINE. ING Contractor By President Title C-9 BIDDER certifies that the following information is true and correct: DOUBLE D. PIPELINE, INC. Bidder Name 42166 Frio INedo Temecula, CA 92590-3704 951-296-6320 Business Address City, State Zip Telephone Number State Contractor's License No. and Class /a/3e I?E Original Date Isssu'ed Expiration Date The work site was inspected by William R. Yank1e, Af our office on � '`� / `'° , 201_. The following are persons, firms, and corporations having a principal interest in this proposal: William R. Yankie, Jr C-10 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. —DOUBLE D PIPELINE, INC. Company N e --mac Signature of Bidder William R. Xankle, Jr - Printed or Typed Signature - l Subscribed and sworn to before me this /I day of J `� P , 2011. CHRFBTMDUDLEY NOT PUBUCNArOFM RdNEF# W COUNTY »�Qo� icy "Opm, ExpMes Dec. 20, 2013 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: Name and Address of Public Agency Name and Telephone No. of Project Manager: 1 V, / f fi� � r Contract Amount Type of Work �'� Date Completed �Qlr% 2. Cv i Name and Address of Public Agency Name and Telephone No. of Project Manager./ Contract Amount Type of Work Date Completed 3. Name and Address of Public Agency r Name and Telepho - e No. of Project Manager: ContractAount Type of Work Date Completed C-11 DATE CUSTOMER TYPE AMOUNT COMPLETED PCL Construction Services, Inc. Mesa Community College 520,000.00 Current 4690 Executive Drive, Ste 100 San Diego San Diego, CA 92121-3073 Water,sewer, storm, gas Darin Miller, Sr. PM 760-473-1394 Whitaker Construction Corporation 2340 Tampa Avenue El Cajon, CA 92020-2842 Russ Whitaker 619-698-5141 Diffenbaugh Construction 6865 Airport Drive Riverside, CA 92504 Wendell Jackson 951-351-6865 Erickson Hall 500 Corporate Drive Escondido, CA 92029-1517 Chris Bartok 760-796-7700 MiraCosta Community Colleg $ 996,175.00 Nov-10 Oceanside Water,gas Eucalyptus St. Improvements $ 1,052,750.00 Dec-10 Moreno Valley Water/sewer Nogales HS 920,000.00 Sep-09 Water, sewer, gas _4 ST NATIONAL INSURANCE COMPANY OF AMERICA �M BOND BOND NO. 194 KNOW ALL MEN BY THESE PRESENTS, Thatwe, Double D Pipeline, Inc. as Principal, and First National Insurance Company of America a corporation auttmdzed to transact a general surety business in the Slate of CA as Surety, are held and firmly bound unto City of Huntington Beach (hereinafter called the Obligee) in the full and just sum of TEN PERCENT OF THE AMOUNT OF THE BID Dollars, ($ 10%******** ) for the payment whereof in lawful money of the United States, we bind ourselves, our heirs, administrators, executors, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the said PRINCIPAL has submitted the accompanying bid for CC 1371 - Water -Main Extension / CC 1378 - Water Main Extenstion and CC 1408 - Water Main Extension - various locations in Huntington Beach, CA 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 terns of such bid, or in the event of the failure of the Principal to enter such Contract, If the Principal shall pay to the Obligee the difference riot 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 parry 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 14th Double D Pipeline, Inc. By: William Yankie - President Principal day of July 2011 YEAR First National Insurance Company of America s-2 / By 11 I", �:e --- . Ry Mantle AXOMOY-9 1`80 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT �............. ".�.--.->s.>�.•� I Si-_.,a�v. cr�.�.>�. v:�>'a State of California County of Orange On —� ��,\ before me, Mary Martignoni — Notary Public Date Here Insert Name and Title of the Officer ' personally appeared Ryan Mantle Name(s) of Signer(s) MARY MARTIGNONI COMM. # 1761251 NOTARY PUBLIC - CALIFORNIA X ORANGE COUNTY My COMM. Expires Sept. 9, 2011 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/s-executed the same in his7h~ authorized capacity), and that by his7fjl signatureK 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. , Signat ( `� Place Notary Seal Above Sigrtatur 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) Signer's Name: Ryan Mantle ❑ Individual ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General MINI [X Attorney in Fact WIN WIIM - ❑ Trustee Top of thumb here ❑ Guardian or Conservator ❑ Other: Signer Is Representing: First National Insurance Company of America Number of Pages: Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact • El Trustee Top of thumb here ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 02007 National Notary Association • 9350 De Soto Ave., P.O. Box 2402 -Chatsworth, CA 91313-2402- www.NabonalNotaryorg Item #5907 Reorder: Call Toll -Free 1-800-876-6827 First National Insurance Company of America Liberty POWER 1001 4th Avenue Z5�Nlutwfl. OF ATTORNEY Suite 1700 Seattle, WA 98154 KNOW ALL BY THESE PRESENTS: No. 9018 That FIRST NATIONAL INSURANCE COMPANY OF AMERICA, a Washington corporation, does hereby appoint ****************************LES M. MANTLE; RYAN MANTLE, Fullerton, California*******"****""** -- its true and lawful attomey(s)-in-fact, with full authority to execute on behalf of the company fidelity and surety bonds or undertakings and other documents of a similar character issued by the company in the course of its business, and to bind FIRST NATIONAL INSURANCE COMPANY OF AMERICA thereby as fully as if such instruments had been duly executed by its regularly elected officers at its home office. IN WITNESS WHEREOF, FIRST NATIONAL INSURANCE COMPANY OF AMERICA has executed and attested these presents this 21 st �x* a.kj1 day of March ru Dexter R. Legg, Secretary Timothy A. Mikolajewski, Vice President CERTIFICATE Extract from the By -Laws of FIRST NATIONAL INSURANCE COMPANY OF AMERICA- 2009 "Article V, Section 13. - FIDELITY AND SURETY BONDS ... the President, any Vice President, the Secretary, and any Assistant Vice President appointed for that purpose by the officer in charge of surety operations, shall each have authority to appoint individuals as attomeys4n-fact or under other appropriate titles with authority to execute on behalf of the company fidelity and surety bonds and other documents of similar character issued by the company in the course of its business... On any instrument making or evidencing such appointment, the signatures may be affixed by facsimile. On any instrument conferring such authority or on any bond or undertaking of the company, the seal, or a facsimile thereof, may be impressed or affixed or in any other manner reproduced; provided, however, that the seal shall not be necessary to the validity of any such instrument or undertaking." Extract from a Resolution of the Board of Directors of FIRST NATIONAL INSURANCE COMPANY OF AMERICA adopted July 28,1970. "On any certificate executed by the Secretary or an assistant secretary of the Company setting out, (i) The provisions of Article V, Section 13 of the By -Laws, and (ii) A copy of the power -of -attorney appointment, executed pursuant thereto, and (4) Certifying that said power-of-attomey appointment is in full force and effect, the signature of the certifying officer may be by facsimile, and the seal of the Company may be a facsimile thereof." I, Dexter R. Legg , Secretary of FIRST NATIONAL INSURANCE COMPANY OF AMERICA, do hereby certify that the foregoing extracts of the By -Laws and of a Resolution of the Board of Directors of this corporation, and of a Power of Attorney issued pursuant thereto, are true and correct, and that both the By -Laws, the Resolution and the Power of Attorney are still in full force and effect. IN WITNESS WHEREOF, 1 have hereunto set my hand and affixed the facsimile seal of said corporation this 14th day of July 2011 Kurt SEAL yo }jam//]�('jj�jllt r y� 1928 .a 3 Dexter R. Legg, Secretary S-1049/13F 3/09 t WEB PDF City ®f Huntington Beach 2000 Main Street ® Huntington Beach, CA 92648 (714) 536-5227 o www.huntingtonbeachca.gov Office of the City Clerk Joan L. Flynn, City Clerk September 2, 2011 E & R Construction, Inc. 5141 Calmview Ave. Baldwin Park, CA 91706 RE: CC-1371, CC-1378 & CC-1408 — Water Main Extensions Enclosed please find your original bid bond for CC-1371, CC-1378 & CC-1408. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure sLtj�¢i�o® Waitakere, New Zealand E&R Construction Inc. General Engineering Contractor 5141 Calmview Ave, Baldwin Park, 91706 Lic. No. 449476 (626)-338-8405 " Fax( 626)-960-7206 ZOII uj1."l_ ! 3 I-ii I= 14!'3 It il-by—Ifni, SECTION C PROPOSAL, for the construction of 1. CC 1371 Water Main Extension, Holburn Drive from 91' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard, at Williams Street 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 50 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall (yovern over extended amounts, and words shall govern over figures. 5JR 9 C l . SA M ;RA R . e.4 9l 706 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 d void. Accompanying this proposal of bid, find &ae 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 Bic er's ignature VR eM V07". 'Me. ls C_Z V MIM P-4R;t eA 9/7o6 PROJECT BID SCHEDULE CC 1371 tem. No, .state m Quthi <:t p»:: : : w ^...... ......... ord :: ::::::.:::::::.: .. I�ltttw.... rl ::: n .: 0 l 1 EA 8" X 8" Hot Tap with Gate Valve (c� Sever t *USA-O Dollars $ 76900 _ $ 7000 Cents Per EA 2 1 LS Chlorination and testing of all new water mains @ I" %,�A� Dollars $ 1Ddy $ 7,000 pr Cents Per LS 3 72 LF 8" PVC DR14 Water Main @ �A?� S�f1d;L� (/1 U Dollars $ 1 3S Q $ ` / -y ZO Cents Per LF 4 14 LF 6" PVC DR14 Water Main @ opt A-wOhatO Dollars $ loo $ NO b Cents Per LF 5 2 EA Construct V water service & 3/4" meter assembly @ 'NtyotAc�AAQ ?tNd [rr-&-oAunwlays $ � $ p"4NQ O A Cents Per EA 6 1 EA Construct 6" Gate Valve Assembly Ft: w fXcxsA o Dollars $ �5vC)b $ 6000 Cents Per EA 7 1 LS Remove and dispose of existing AC Water Main @ ®R),4:7 MOAUU.0 Dollars $ ` bo $ (0d-0 Cents Per LS 8 2 EA Provide temporary potable water highiine @ 6)6u6? 9) gOA%4A b Dollars $ /006 $ 2'V02> ,J21- Cents Per EA 9 1 LS Mobilization /� @y� 9t k,_Q Dollars $ $ Cents Per LS 10 1 LS Demobilization a d cleanup "� @ �/ 1,(!CI` J 4� W �! Dollars $ 6:� $ Cents Per LS ens?0v. me C-3.1 T M P.4eA V 1706 PROJECT BID SCHEDULE CC 1371 em No. : �tllita . :::::::::::::::: unhti tem:wi un . ............. .. ........... .. . .............. - _.:.: written: in. wards.:..' .... ....... Init. l?riee;.:: .... ` :.:._Aiioliit 11 1 LS Traffic Control / �,� n ri-, Oe IT"°' � � Dollars $ $ Cents Per LS otal Amountt inFigures: U. 0 0 0 G-J ••--•._Total Amount Bid in Words:-....... V6s*p b61Wu ��- -•---•-•-------------------------------•------------•-•-•---•-----------------------....-- 5&R eO*5 r e7*7a* Sze. t v eA42M5?W A1E. C-3.2 T 4M PWRX, e,49/T06 PROJECT BID SCHEDULE CC 1378 = `No} St MA ..: 040 ::.:.:.::.:..::.:.::: >:,> tC�T[:R# ..11k[i 1PICF>::,: >:::::;: ..................... ... '... written in i c : ............................ .................. ..................... ................. .. . . 7K>f3eC1d..... : inodi�f 1 1 LS Mobilization sue[, @ i�cVe� 1 � 56-�� Dollars ��\ $ 5wo $ d Cents Per LS 2 1 LS Provide traffic control plan,. @ 001�DyAln Dollars ��y��� $—tooc) $ (go o Cents Per LS 3 1 LS Provide traffic coon�tro"l� @ Qum Pgt(I A-lej Dollars $ too6 $ 000 16 Cents Per LS 4 1 EA Fire hydrant assembly @-�VAq�fApdimp Dollars $ 1�wy $ 11006 Cents Per EA 5 1 LS Cut & plug and abandon existing 8-inch main @ r i rUeaS Dollars $ :3wo_ $ s o o n Cents Per LS 6 1 LS Chlorination and testing of all new water mains @ VAliTkm�ae-40 Dollars $ 1060 $ t 00 O Cents Per LS 7 1 LS Demobilization and cleanup @ Dollars $ 0906 $ ;Oa Cents Per LS otal Amount Bid in Figures: "6 oe. D -6 .. Total Amount Bid in Words: . 54R e L VX me. C-3.3 VAeD ;DARX_ e,4 91 m6 PROJECT BID SCHEDULE CC 1408 Item No. : Estimated Quantity Item with unit prier written in words :: unit.P"riee Extended Amount I I LS Mobilization m �� Dollars Y� $ lMZ) AA��� $ /,?-060 Cents Per LS 2 1 LS Traffic Control C. Nest Dollars $ 36 C6 $ �f9©Zi Cents Per LS 3 1 LS Pennitting, including Caltrans double permit rn( (,t✓"j� Dollars $ $ _ Cents Per LS 4 1 EA 6-inch cut in valve assembly c % Dollars $ $ 46o b Cents Per EA 5 2 EA 8-inch cut in valve assembly a �i%�7 �.S'� Dollars $ $d® Cents Per EA 6 380 LF 12-inch PVC /D/R� ] 8�Water .Pipe ci) Q� a i Yt(A Dollars S l $ Cents Per LF 7 50 LF 8-inch PVC DR18 Water Pipe a 19 �Dollars $ $ D O Cents Per LF 8 1 LS Chlorination /rran``dd� testing of all new w ater mains (g, _A/VGMZ�1.s" Dollars $ B6)d $ spoo 61 Cents Per LS 9 1 LS Demobilization and gqcle__anup �i? �"t-Ci >�� Dollars $ (/l/� (jam $ i `�'v 6 ACents Per LS l'otal Amount Bid inFigures: 7 Reno, 06 Total Amount Bid in Words_ tJ1�leyyQ,2U�it,QatSb S__ 5 f 4 1 eA&",V?V 41E. C-3.4 VAeD?PN A4RXi , e4 91706 PROJECT BID SCHEDULE TOTALS CC 1371, CC 1378, CC 1408 WATERMAIN REPLACEMENT PROJECTS Sub -Total Bid Schedule CC 1371 D ©zo• V d Sub -Total Bid Schedule CC 1378 -Z '', oo6 , & d Sub -Total Bid Schedule CC 1408 q ?, 3 W. 06 TOTAL BID AMOUNT, BASIS OF AWARD (Sum of Schedules CC 1371, CC 1378, and CC 1408 2, • d TOTAL BID AMOUNT IN WORDS: Do)e"1 �' AbGf,i Notes: All extensions of unit prices will be subject to verification by Owner. In case of a verification between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. sm eo*s7 C7%r&, C-4 •51,01 eAeX" *i AIM TAeDgMM PAR. e4 91706 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 MAU? 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. 5,6R e0X5e790t. 117fe. C-s AVE' VAeVVT& PARR eA Sf206 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDEN AND SUBMITTED WITH BID State of California ss. County of Orange U�lli4Ay,, 60421" being first duly sworn, -deposes and says that he off. is �� of $ C O�S�aw fie-- 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. 40 LN(t 4&t�� Name of Bidder Signature of Bi der 516f ( Gt/,(/, �V t� A--G ( dt►NW I CA %!?O/a Address of Bidder Subscribed and sworn to before me this 14 AL l day of , 2011 _ fiffi i " ♦ I c �•.;�DONNA MICHELE BUSTAMANTE Comm. # 1842576 NOTARY PUBLIC- CALIFORNIA U1 �OvNTY OF LOS ANGELES r M, Comm. Exp. MAR, 29, 2013*4 NOTARY SEAL C-6 514f VAe0?PN ;PARR e,4 91706 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 Water Main Extension Projects, Various Locations, Project Numbers CC 1371, CC1378, and CC1408, (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 ivith 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: -/944 �0 Contractor. By — ( v Title 54R � ie7170'&, -I&e. C-7 5141 eAM1114£w r$115 VAeDVMPARAi . e,4 91706 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes KN If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. S.&R e0zS77o5171. Me. C-S a 14f eAZgw,411E. VAeDVOM PAS es$ 9, 706 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. 1 am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and 1 will comply with such provisions before commencing the performance of the work of this contract. Date: "2 # Contractor By Title sm e6* ?` ram- 2W&79e-r&. -Me.. C-9 5141 eAarnE7f/ r41,S, VAeDVIM P4RR. es$ fj1706 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: &ftu6 OL Xt (— Bidder Name �;l q 1 64 U;e"i A-W' Business Address ity, (( 26) 33P �oS� Telephone Number 4#9#7< A State Contractor's License No. and Class lZ4<r/JF3 Original Date Issued Expiration Date State PI/ 7 0 Zip The work site was inspected by a of our office on %l air 201L. The following are persons, firms, and corporations having a principal interest in this proposal: T £,9R eOze7#7e7&. ire. C-to 5141 CFA�£w.4?r£. V PARX: 64 91706 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 Nam Signature ofB►dder Printed or Typed Signature Subscribed and sworn to before me thisLL� _�ay of 201L DONNA MICHELE BUSTAMANTE •- : Comm. # 1842576 ''^^ '•B NOTARY PUBLIC -CALIFORNIA U! COUNTY OF Los ANOELES My Comm. EXP, MAR. 29, 2013 NOTARY PUBLIC ]�M NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: I. Name and Address of Public Agency Name and Telephone No. of Projec an Contract Amount Type of Work Date Completed 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed soR eo*S7RV6P79aiZ. 4% & C-t 1 5w es ehr71v 7v ,4 1s. v ;DA;m ew 9 1 706 IE&R Construction Rnnea General Engineering Contractor 945 Wellington Rd. San Dimas, CA. 91773 Lic. No. 449476 (626)-338-8405 Fax( 626)-960-7206 CORPORATE RESOLUTION UPON A MEETING OF THE BOARD OF DIRECTOR OF E & R CONSTRUCTION INC IT IS HEREBY RESOLVED THAT THE FOLLOWING OFFICERS MAY SIGNED DOCUMENTS FOR THE CORPORATION FOR THE REASON OF COMMITING THE CORPORATION TO CONTRACTS AND BID DOCUMENTS FOR OBTAINING WORK FOR THE CORPORATION. Russell Conroy, President Leah Diane Conroy, Vice President William Carney Jr, Secretary Signed this 6th day ZofJ e, 2006. zi Russell Conroy, director (9�J-O L L ak \.� G"�QtN 4Leahe C roy, ' ector William C rney Jr ctor 5l 41Y V *7& ;DAB ew 91706 ]E&R Construction I[nneo General Engineering Contractor 945 Wellington Rd. San Dimas, CA. 91773 Lic. No. 449476 h (626)-338-8405 * Fax(626)-960-7206 Completed Contracts Owner Kind of Work Location Contact Contract Value 5Comfeted Dis ute Comstock Homes S/W/SD/U Pico Rivera Mike DeGiovoni 310-546-5781 ext 216 $ 651,700.008 NO Comstock Homes S/W/SD/U Santa Fe S rin s Mike DeGiovoni 310-546-5781 ext 216 $ 5,444,772.00 08 NO Dre fuss Construction S/W/SD San Gabriel John Klabau 310-902-6519 $ 344,000.00 2008 NO Sequel Contractors S/SD Burbank Tom Pack 562-802-7227 $ 347,000.00 2007 NO WF Construction S/W/SD Rancho Cucamonga Jim Mohehan 909-599-4262 $ 595,000.00 2008 NO WF Construction S/W/SD Chino Hills John Grad 909-599-4262 $ 1,039,900.00 2007 NO sub toSequel Contractors S/W/SD San Clemente Tom Pack 562-802-7227 $ 1,750,000.00 2009 NO City of Claremont SD Claremont Maria Tipping 909-399-5465 $ 29,600.00 2009 NO sub toSe uel Contractors W/SD Anaheim Tom Pack 562-802-7227 $ 347,000.00 2009 NO Pan Construction W Monterey Park Paul Shih 626-285-0888 $ 250,000.00 2009 NO Ciene a Estates Dry Utilities San Dimas Allan Alt 310-281-3250 $ 850,000.00 2009 NO Pan Construction W Rollin Heights Paul Shih 626-285-0888 $ 450,000.00 2009 NO Fox Group SD La Verne Bill Fox 909-920-9962 $ 75,000.00 2009 NO City of Arcadia W Arcadia Tiffany Lee 626-256-6554 $ 13,812.16 2010 no City of Arcadia W Arcadia Tiffany Lee 626-256-6554 $ 1,600.00 2010 no City of Arcadia W Arcadia Tiffany Lee 626-256-6555 $ 16,150.00 2010 no City of South Pasadena W j South Pasadena Gabriel Nevarez 626-403-7248 $ 126,831.53 2010 no City of Arcadia W I Arcadia Tiffany Lee 626-256-6555 $ 263,563.40 2010 no Bond No. Bid Bond BID BOND The American Institute of Architects, AIA Document No. A310 (February, 1970 Edition) KNOW ALL MEN BY THESE PRESENTS, that we E & R Construction, Inc. as Principal hereinafter called the Principal, and Ullico Casualty Company a corporation duly organized under the laws of the state of are held and firmly bound unto City of Huntington Beach Delaware as Surety, hereinafter called the Surety, as Obligee, hereinafter called the Obligee, in the sum of Ten percent of the total amount of the bid Dollars (S 1o% ), 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 CC1371 Water Main Extension, Holburn Drive from 91' to 185' South of Margate Drive CC1378 Water Main extension Project, Springdale St, Machine Dr to 372' South of Machine Drive CC1408 Water Main extension on Beach BI, at Williams Street 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 day of July 2011 E & R Construction Witness (Sew) By: Rwff� % U, wi `; t Witness Ullico Casualty Company Suruty (Seal) By: imothy D. Rapp Attorney -in -Fact £&R c-L% .f'7 v(-; , Vie. 5141 er;s-dVT`257V 14115. 64 91706 State of California County of Orange On 07/01 /2011 ACKNOWLEDGMENT before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Timothy D. Rapp I who proved to me on the basis of satisfactory evidence to be the persor4 whose nam ise subscribed to the within instrument and acknowledged to me that hey y executed the same in his r authorized capacity, and that by h eir signature on the instrument the person,(, or the entity upon behalf of which the persoyjacted, 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. eq ��6°f T"�a DEBRA SWANSON COMM. $ 1822117 X o NOTARY PU8UC .AUFORNIA sX " ORANGE COUNTY U)� My Cm, Expres NOY 10, 2012 SignatureQ�_ is ��t,�q (Seal) s&R eo&S7 VC-"k-M0& W. 5141 OAM"SW A115 VAeM"M P MZ' 64 9r706 -261 ULLICO Casualty Company 1625 Eye Street, N.W. Washington D.C. 20006 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS: That ULLICO CASUALTY COMPANY (the Company), a corporation organized and existing under the laws of the State of Delaware, does hereby constitute and appoint: Linda D. Coats , Matthew J. Coats , Douglas A. Rapp , & Timothy D. Rapp of Coats Surety Insurance Services, Inc. Its true and lawful Attorney (s) in fact with full authority to execute on its behalfbonds, undertakings, recognizances and other contracts of indemnity and writings obligatory in the nature thereof, issued in the course of its business and to bind the Company thereby, in an amount not to exceed $5, 000, 000.00. This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of ULLICO Casualty Company at a meeting duly called the 15th day of July, 2009. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company to: (1) Appoint Attomey(s) in Fact and authorize the Attorney(s) in Fact to execute on behalf of the Company bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto; and (2) to remove, at any time, any such Attorney -in -Fact and revoke the authority given. And, be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company iaay be affixed to any such Power of Attorney or certificate relating thereto by facsimile, and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall be valid and biding upon the Company in the future with the respect to any bond or undertaking to which it is attached. IN TESTIMONY WHEREOF, ULLICO CASUALTY COMPANY has caused this instrument to be signed and its corporate seal to be affixed by its authorized office this 16th day of July, 2009. Daniel Aronowitz >t.<;•,. President ULLICO Casualty Company, a Delaware Corporation. On this 16th day of July 2009, before me cane the individual who executed the preceding instrument, to me personally known, and being by me duly sworn said that he is the therein described and authorized officer of the ULLICO CASUALTY COMPANY; that the seal affixed to said instrument is the Corporate seal of said Company; that the said Corporate Seal and his signature were duly affixed. CATHERINE M. OBRiEN NOTARY PUBLIC STATE OF MARYLAND MONTGOMERY COUNTY MY COMMISSION EXPIRES JANUARY 21, 2012 CERTIFICATE I, Teresa E. Valentine, Senior Vice President, General Counsel and Secretary of ULLICO Casualty Company, do herby certify that the foregoing resolution ofthe Board of Directors and this Power of Attorney issued pursuant thereto on this 1st day of July , 20 11 are true and correct and are still in full force and effect. I do further certify that that Daniel Aronowitz, who executed the Power ofAttorney as President, was on the date of execution of the attached Power of Attorney the duly elected President of ULLICO Casualty Company, In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this 1st day of July 20 11 Teresa E. Valentine Senior Vice President, General Counsel & Secretary ULLICO Casualty Company £4R -7W, 5141 etf.e*-MEV ,¢jgr, VA4'0 !"M PAZ� e4 91706 City Of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Joan L. Flynn, City Clerk September 2, 2011 Kana Pipeline, Inc. 1639 E. Miraloma Ave. Placentia, CA 92870 RE: CC-1371, CC-1378 & CC-1408 — Water Main Extensions Enclosed please find your original bid bond for CC-1371, CC-1378 & CC-1408. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure g "pgi46pn Mbftp4jVo♦ Waitakere, New Zealand KANA PIPELINE, INC. 1639 E. MIRALOMA AVENUE PLACENTIA, CA 92870 TEL# (714) 986-1400 "SEALED BID" for 1. CC 1371 Water Main Extension, Holburn Drive from 91' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard, at williams Street. in the CITY OF HUNTINGTON BEACH - DO NOT OPEN WITH REGULAR MAIL DELIVER TO THE OFFICE OF THE CITY CLERK, SECOND FLOOR OF CITY HALL BID LOCATION: CITY HALL/OFFICE OF THE CITY CLERK, 2ND FLOOR 2000 MAIN STREET HUNTINGTON BEACH, CA 92648 BID DATE: MONDAY JULY 18, 2011 @ 2 P.M. SECTION C PROPOSAL for the construction of 1. CC 1371 Water Main Extension, Holburn Drive from 91' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard, at Williams Street 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 50 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 u . 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 P's��SGiOnWe amount of $ 6����Wvhic� 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' C-2 PROJECT BID SCHEDULE CC 1371 tem: Est.i...ae . Qu"tit: :.m...:::Extended::: nN writtein. nwta.prds:c: ilnit:Price::::::. . : Amoiq ...:.: .: .... ... 1 1 EA 8" X 8" Hot Tap with Gate Valve R)4'PF- Dollars $ —i 600 --- $ 4, %c7e) Cents Per EA 2 1 LS Chlorination and testing of all new water mains @ 0Wrt1W'SMjv Seqw VkQSQFAPollars �X $ � a% R. $ Cents Per LS 3 72 LF 8" PVC DR14 Water Main @ 00V_ W�41015 Dollars $ $ zt�rzo Cents Per LF 4 14 LF 6" PVC DR14 Water Main �L @ I �%Ai� T Dollars � $ � A. $ i Cents Per LF 5 2 EA Construct I" water service & 3/4" meter assembly W; V Dollars 490 $ ,100 UK $ 600 t� Cents Per EA 6 1 EA Assembly Construct 6" Gate Valve rI W @ "' WO 13VQC82ritiiQ 5 KV i AVFQDollars a $ ��J���Ur , $ a, SVC)' Cents Per EA 7 1 LS Remove and dispose of existing AC Water Main @ "Fii[e' �"l 4S7''-y Dollars $ 15cb $ S-(Cc? Cents Per LS 8 2 EA Provide temporary potable water highline @ 4::1141� rJ19)Z QDollars $ I�YZy Cents Per EA 9 1 LS Mobilization *1-ti�(Lt3'�Dollars C $ A� Cents Per LS 10 1 LS Demobilization and cleanup @ "e_ " Uj'2 Dollars OLD $ IPoo $ :Z'UT-zU Cents Per LS 041 )L C-3.l PROJECT BID SCHEDULE CC 1371 Iteiii. No:.:. st:1aiate..: uanfi Itccri. with: untt:p:r.�c+ ::: ::: ;:::: ;>:::::: : written: ice: warcL ::: :: :::::::: ':knit Price:::: xten : e ::: Anoui1::: ll 1 LS Traffic Control Dollars $ --%Cz $ scot) �•� Cents Per LS Total mount Bid inFigures: qo -� Total Amount Bid in Words: -4kilZ Ste► � C-3.2 PROJECT BID SCHEDULE CC 1378 teen No: sti -- ked uant� Q .... tJ..... written: i swards :::::..:::: ........ >::Ilnit: Price .... I :- Amouri]: . 1 1 LS Mobilization @ .. �.6 `-t"0X_&v.D Dollars $ r oyo a $ � �' Cad► Cents Per LS 2 1 LS Provide traffic control plan Dollars $ ClLID $ 00 Cents Per LS 3 1 LS Provide traffic control @ D1�..1��%-=. Dollars $ � � �00�- $ Cents Per LS 4 1 EA Fire hydrant assembly @ sy7m� -Vmu- 9 Dollars 0 $ 61000 � JK $ 1 foot? 00 ';w� Cents Per EA 5 1 LS Cut & plug and abandon existing 8-inch main @ Dollars $ 6,C700 $ 6 0yO �18 Cents Per LS 6 1 LS Chlorination and testing of all new water mains @ VW i992Qollars 0 $ 1 1-100 Cents Per LS 7 1 LS Demobilization and cleanup @ (91.j% -IT BIB J Dollars $ i000 be) $ .000 _ZVVQ Cents Per LS ota Amount Bid inFigures: Total Amount Bid in Words: "IW& � ................. -p>J� l�j 1 C-3.3 PROJECT BID SCHEDULE CC 1408 $f m.:: No:. s:timate..:::::. Quantity: .:::. . ..:::: tein; t€h: gttct:pr�c�; : , , : written: iu wards :..: `: :: ;:::' ' ........ Unit :Price::..:.: xteii+ded Amoiinl::. . 1 1 LS Mobilization @ 51}[ysp+� Dollars LOC9 $ dr6,a;0 $ 6,0 00 rZo Cents Per LS 2 1 LS Traffic Control @ " 1 C� 11��.1� -t9i,&k&* Dollars $ ��J,ix►t�' $ Q_>ACx0 Cents Per LS 3 1 LS Permitting, including Caltrans double permit @ (0L-= Ao"<&'+J9 Dollars $ iicoo $ If000 Cents Per LS 4 1 EA 6-inch cut in valve assembly @ ''�U1_-t"Os'S6.j Dollars $ 4,000 — cX9 $ Cents Per EA 5 2 EA 8-inch cut in valve assembly @ :!�A)( " tjA00','!N4-J3? Dollars 00 $ 6,o vo $ ©c a Cents Per EA 6 380 LF 12-inch PVC DR18 Water Pipe @ t"i. Q Dollars $ $ 6sa560 Cents Per LF 7 50 LF 8-inch PVC DR18 Water Pipe @ _00� Mpyfw � Dollars $ d e $ 17.1066 Cents Per LF 8 1 LS Chlorination and testing of all new water mains @ 00 V_— - kZCsSk4,J9 _'�ItN VM WMA !Mars 00 $ �' Y 00 ~` $ Cents Per LS 9 1 LS Demobilization and cleanup @ O '�-1-�iDy S�' u.1'j% Dollars 00 $ �t ��� I $ o �� Cents Per LS MOD otaI Amount Bid inFigures: O Total Amount Bid in Words: 0 �AJF,� � SiY-VOA C-3.4 PROJECT BID SCHEDULE TOTALS CC 1371, CC 1378, CC 1408 WATERMAIN REPLACEMENT PROJECTS Sub -Total Bid Schedule CC 1371 Sub -Total Bid Schedule CC 1378 ` (� Sub -Total Bid Schedule CC 1408 its 06C) TOTAL BID AMOUNT, BASIS OF AWARD �4 (Sum of Schedules CC 1371, CC 1378, and CC 1408 TOTAL BID AMOUNT IN WORDS: Notes: All extensions of unit prices will be subject to verification by Owner. In case of a verification between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-4 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, A !1k 6114 OVhk(1C CI `10611b 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-5 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange M , 9A1- %15L- , being first duly sworn, deposes and says that he or she is j PV-1F-ej0rz�-V-- of 'FjP!VZ-Ur-4S . 9rJLthe 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. 0 NOTARY PUBLIC Name of Bidder Signature of Bidder b.�i4E�i4V'�-- Address of Bidder NOTARY SEAL C-6 CALIFORNIA JURAT WITH AFFIANT STATEMENT KSee Attached Document (Notary to cross out lines 1-6 below) ❑ See Statement Below (Lines 1-5 to be completed only by document signer[s], not Notary) Signature of Document Signer No. 1 State of California County of V� KELLEE JEAN SMITH-RAMELOT Fes- Y COMM. #1829630 W V NOTARY PUBLIC-CALIFORNIA 0 I ORANGE COUNTY (a My Comm Expires Jan. 06. 2013 t V '+ z Signature of Document Signer No. 2 (if any) Subscribed and sworn to (or affirmed) before mej on this T day of 20 (� , by Date n , onth Year (i) ,��ill/(J06PRI , Name of Signer proved to me on the basis of satisfactory evidence to be the person who appeared before me (and (2) Name of Signer proved to me on the asis satisfactory evidence to be the pers pea ed beIge me.) Signature Signature of Nota blic 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. Top of thumb here Top of thumb here Further Description of Any Attacih(e�d� fDocument Title or Type of Document: Document Dater U t J r //V 1 Number of Pages: Signer(s) Other Than Named Above: 02007 National Notary Association • 9350 De Soto Ave., P.O. Box 2402 • Chatsworth, CA 91313-2402 • www.Nationa]Notary.org Item #5910 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 Water Main Extension Projects, Various Locations, Project Numbers CC 1371, CC1378, and CC1408, (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: KA' , 10C., . Contractor Title C-7 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 31No If the answer is yes, explain the circumstances in the space provided. bAOQG Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-8 t 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: a®�� Contractor By AD E�7— Title C-9 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name Business Address City, State Zip (1 14) q f�6 m 1400 Telephone Number 4(014�e)-7 A, State Contractor's License No. and Class c98 /17-0 / 1 C4,5 Original Date Issued Expiration Date The work site was inspected by M - 136&OL— of our office on ..M,>( j?, , 2011. The following are persons, firms, and corporations having a principal interest in this proposal: C-10 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 Signature of Printed or Typed Signature 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: C: l-" cn-- 01- i &R-1 1. tx4'2-5- G- 1a;0ta..A \i «Vd &4V-7 ►4y �- 0 0-q� 0 (-y Name and Address of Public Agency Name and Telephone No. of Project Manager: 31.4s- ZGCA Contract Amount Type of Work Date Completed 2. -Zi k "_ 010-1 Name and Address of Public Agency Name and Telephone No. of Project Manager: ii ��,1 lc+ 1 Contract Amount Type of Work Date Completed 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: -30E- k4) �b -02J f �6 1,3 u 2, ,sa4 &6 lh.W cam('z Ili aJ 0 3-11L [2.0 G C3 Contract Amount Type of Work Date Completed C-11 CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 "'," See Attached Document (Notary to cross out lines 1-6 below) r❑\See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) Signature of Document Signer No. 1 State of California County of a KELLEE ,iEAN SMITH-RAMELOT COMM. #1829630 W W >Zr NOTARY PUBLIC-CALIFORNIA 0 J ,- _ ORANGE COUNTY to 4 Signature of Document Signer No. 2 (if any) Subscribed and sworn to (or affirmed) before me on this 15dsday of 20-/j—, by Date Month Year (1) wl-? P'l , Name of Signer proved to me on the basis of satisfactory evidence to be the person who appeared before me (and (2) , Name of Signer proved to me on the basis of satisfactory evidence to be the peyson,7 *o a ear before me.) Signature 1 Place Notary Seal Above I I Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable Top of thumb here Top of thumb here 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 e Title or Type of Document. Q , � 4f Document Date: l 1 Number of Pages: ` I Signer(s) Other Than Named Above: 0 2010 National Notary Association • NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5910 AIA Document A310 Bid Bond KNOW ALL MEN BY THESE PRESENTS, THAT WE Kana Pipeline, Inc. 1639 E. Miraloma Ave., Placentia, CA 92870 as Principal, hereinafter called the Principal, and Fidelity and Deposit Company of Maryland - 801 N. Brand Blvd., Suite Penthouse, Glendale, CA 91203 a corporation duly organized under the laws of the State of Maryland as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach 2000 Main Street, Huntington Beach, CA 92648 as Obligee, hereinafter called the Obligee, in the sum of Ten Percent (10%) of the total amount bid -------------------- ------------------------------------------------------------------------------ Dollars ($ 10% ---------------------------------------------- for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for 1. CC 1371 Water Main Extension, Holburn Drive from 91' to 185' South of Margate Drive 2. CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive 3. CC 1408 Water Main Extension on Beach Boulevard, at Williams Street NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shah 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 Contracl Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and materials fumished 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 12th day of July , 2011 t, m Luu Kana Pipeline, Inc. Qd.t�-t L 1.00-c / Pz� Fidelitv and Deposit Companv of Maryland Nanette AIA DOCUMENT A310 A BID BOND ® AIA ® FEBRUARY 1970 ED. ® THE AMERICAN INSTITUTE OF ARCHlrTECT% 1735 N.Y. AYE., N.W., WASHINGTON, D.C. 200D6 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Orange On July 12, 2011 before me, K. Luu, Notary Public Date Here Insert Name and Title of the Officer personally appeared Nanette Myers Names) of Signer(s) IC. ;.UU "t' Comr:,lssion # 1773641 r:KFj Notary ; ub;;c California >'` Orange County i Ni, Comm. �:plr ti IJOV 6, 2011 who proved to me on the basis of satisfactory evidence to be the person(t) whose name($) is/ subscribed to the within instrument and acknowledged to me that M/she/thdy executed the same in INis/herhl%it authorized capacity(1&), and that by ffig/her/ftif signature(6) on the instrument the person(t), or the entity upon behalf of which the person($) 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 a official seal. 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) Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s): _ ❑ Partner — ❑ Limited ❑ General IN Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: RIGHT 11,11SPRINT' OF SIGNER' _ Number of Pages: Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: ✓ti^��,5�: vtiG�.'.L�. yG�:�.i':�G�✓�-�'C�.:�'.v�:�G'riG�:-ein-�,�W✓:'✓:�.'e� -ytiG'✓ti:.�:G�'-✓Add: ft a-a"'^si�.4:�'.C.��S`. v'r*'A•c r.- •• -r. .. -- :.r 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 FRANK E. MARTIN JR., Vice President, and ERIC D. BARNES, Assistant Secretary, in pursuance of authority granted by Article V1, Section 2, of the By -Laws of said )fir ny, which are set forth on the reverse side hereof and are hereby certified to he in full force and effect on the dad II 4&4ereby nominate, constitute and appoint James A. SCHALLER, Mike PARAZINOO,,N t � a�t►eAULT, Rhonda C. ABEL, Kim LUU and Jeri APODACA, all of Newport Bhp =irVjJW 1 went and Attorney - in -Fact, to make, execute, seal and deliver, for, and �' ..� tt�ety, y�3 eed: any and all bonds and undertakings, and the execution of such b r `J g , �`�,�,�1 c r � rugs r, I r1�; ��1 ti�r�se presents, shall be as binding upon said Company, as fully and amps t=t�t�y_A wn t,ur ptitycen duly executed and acknowledged by the regularly elected oi'1� , � it ij l t�at�a more, Md., in their own proper persons. The said Assistant 8i Section 2, of the By-1-0 IN WITNESS WA affixed the Corporate A.D. 2011. ATTEST: �p 9EPO, r � t icPv, n 0 0 V It* ? Ctlhat the extract set forth on the reverse side hereof is a true copy of Article VI, y, and is now in force. ,RrOF, the said Vice -President and Assistant Secretary have hereunto subscribed their names and Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 23rd day of June, State of Maryland ss: City of Baltimore FIDELITY AND DEPOSIT COMPANY OF MARYLAND Eric D. Barnes Assistant Secretary By: Frank E. Martin Jr. Vice President On this 23rd day of June, A.D. 2011, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, came FRANK E. MARTIN JR., 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. •i r, ` (:l {G fF. � 1 � aaa [i[AQ �'�/J-?• l�lU�� �i/ti Maria D. Adanrski Notary Public My Commission Expires: July 8, 2015 POA-F 012-9310P CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 State of California County of On�l before me, Date Hete Insert Name and Title of the Officer' personally appeared L, Du Name(s) of Signer(s) KELLEE JEAN SMITH-RAMELOT - COMM. #1829630 W NOTARY PUBLIC-CALIFORNIA -j 00 } ' ORANGE COUNTY My Comm. Expires Jan. 06. 2013 who proved to me on the basis of satisfactory evidence to be the person'whose name. gris/je' subscribed to the within instrument and acknowledged to me that he/�/Jhey executed the same in his/b fjth,6ir authorized capaci%R9r, and that by his/ r/tht5ir signature,( on the instrument the person( , or the entity upon behalf of which the person(Wacted, 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. WITNES4man SSg.re a se Signatur Place Notary Seal Above of No. Pu is 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:AA Document Date: SD k2 Signer(s) Other Than Named Above: Number of Pages: Capacity(ies) Claimed by Signer(s) 9 `J Si ner's Name: (,1 i�1 � � tAicv Signer's Name: C , Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): _ ❑ Individual ❑Individual 7/7 Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Attorn in Fact ❑ Trustee ❑ Trustee ❑ Guardian or Conservator ❑ Guardian or Conser ❑ Other: ❑ Other: Signer Is F epresenting: \� Sig er Is Representing: Kt% i1_ p 1 I a © 2010 National Notary Association • NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 City Of Huntington Beach 2000 Main Street ® Huntington Beach, CA 92648 (714) 536-5227 ® www.huntingtonbeachea.gov Office of the City Clerk .loan L. Flynn, City Clerk September 2, 2011 Palp, Inc. dba Excel Paving Co. 2230 Lemon Ave. Long Beach, CA 90806 RE: CC-1371, CC-1378 & CC-1408 — Water Main Extensions Enclosed please find your original bid bond for CC-1371, CC-1378 & CC-1408. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure gfl0§f#ppft" t/ 6b Ajqo® Waitakere, New Zealand I LX ';1 7 C, 0 M PAqN",( 223U LEMON AVEW.'�- I W N G BEACH, CA, Fj Or Elz Q 16 Gl) Gx-u- Nvn+io3tm, �'�u' Jtl- I Fli 1: 53 S L". u - , I Big ENCLOSI EA"' Z," INCLOSED SEALED 010 ENCLOSED SEALEB - SECTION C PROPOSAL for the construction of 1. CC 1371 Water Main Extension, Holburn Drive from 91' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard, at Williams Street 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 50 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 2 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�� p�RCE�i OF wh®ch NT �'®� 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 C-2 PROJECT BID SCHEDULE CC 1371 Item :Estimatedl::: ....... item With U .. . ...... ..... .......... .. .......... .. Wfrittill: iki:w6rd4,:�:.: .......... "::::q::: ........... ...................... ...... .... .. ::Vtkit.P $u,.::::::AmotM1::: .... ......... . ............. ....... EA 8" X 8" Hot Tap with Gate Valve (a1)'ThMjA")1d4kU $ $ Cents Per EA 2 1 LS Chlorination and testin of all new water mains Iwo jlwwa eu /W 1-h&W Dollars $ My)- $ 00 Cents Per LS 3 72 LF 8" PVC DR 14 Water Main @ kwQ. Dollars $ 06 Cents Per LF 4 14 LF ater Main 6" PVC DR] 4 Water/ @ t4tltg�d E�/ c/fj $ —Dollars -a CAD Cents Per LF 5 2 EA Construct 1" water service & 3/4" meter assembly @fftld—(644U6 6�6* 14414 Dollars $ Atoa $1(000 010 Cents Per EA 6 1 EA Construct 6" Gate Valve Assembly @ 1W"1!(1A4f1k19_hAJ0 �'� Dollars $ UO co Cents Per EA 7 1 LS Remove and dispose of existing AC Water Main (XIA&VAox FW_ Dollars @ f $ 'jVLQ_ $2 Ala Cents Per LS 8 2 EA Provide temporary potable water higbline b&tr ti*J� h�t%rs $360— $ —1 -7Q0 00 Cents Per EA 9 1 LS Mobilization @ FDLg- T HWF'M'.j Dollars $ $ OD Cents Per LS 10 1 LS Demobilization and cleanup @ �C-f_ 6417- Dollars $ $ 3 cCJ CD Cents Per LS W-19 PROJECT BID SCHEDULE CC 1371 PROJECT BID SCHEDULE CC 1378 Item :E.StjmStVd::::::: ::�: . ..... Item .. .. y0tp..r..c.�.................................... ...... .. .. .. ..... I. .. .... ..... UnitFri-e.: ..d...i..F.... : :.:..E.........n ......... LS 0`7....... Mobilization 4 1"Ar6ur Aojpro 3114rs $ $ 630, Cents Per LS 2 1 LS Provide traffic control plan @ 1P&-t&&Ak1AVq FD,.,v 01hJPaO Dollars $ $ 0.0 Cents Per LS 3 1 LS Provide traffic control @ f4)0 V-hoflfhoo Dollars $ $ Cents Per LS 4 1 EA Fire hydrant assembly @ F t ev r--yi -aw-q" Dollars $ Jo Cents Per EA 5 1 LS C4 "plu Awd abandon existing 8-inch main - 1-171�1�1� @ MDollars $ JV $ 3?jV 00 Cents Per LS 6 1 LS Chlorination and testing of all new water mains @ N -K444jMh'J J&l h'WJVe0 Dollar, $ $ 1 Cents Per LS 7 1 LS Demobilization and cleanup @ 34-ftWi" 660'r �UAJ40 Dollars $ 16 $0960- 00 Cents Per LS otal Amount 131cl to V figures: Total Amount Bid in Words: -� -------------------------------------------- --tt4�------------------------- -- ------ ----- K-Wqw 777 C-3.3 PROJECT BID SCHEDULE CC 1408 Ci1l ...... . .. Q»Ealiti ........ ........ tem J47... 1lli p .. E::::,:;:: `:::::.:,::`::::: :: ;: ;:' >:::.:::::,:, ;:,:,:;....,, .;...Exft ;:,: 1 1 LS Mobilization/,�,-� @ /U lit -� �L�4��/$i(/l� Dollars $ !/�u u - $ -! Cents Per LS 2 1 LS Traffic Control @ Tby f.q, o Dollars $ (� oo Cents Per LS 3 1 LS Permitting, including Caltrrans double' permit @ A `i'�! y`1'W d V, (414ft �` Dollars � $ %OJ' — $ J .lid 60 Cents Per LS 4 1 EA 6-inch cut in valve assembly @ LV4 4it#T*W rbi/���� ! t� �qb %Dollars $ $ t' SD -i Cents Per EA 5 2 EA 8-inch cut in valve assembly II f @ (Ni@ 4'1�1�/1,1/�1 KI At ('�1 �'lkyO ftF6 Dollars $ $ 00 Cents Per EA 6 380 LF 12-inch PVC 'D,R,18`Water Pipe @ (W �Wqa L s441' Dollars aa $ f�J�� $ Cents Per LF 7 50 LF 8-inch PVC DR18 Water Pipe @ 0 t+v Gl r 6w-r Dollars $ 1- $ Cents Per LF 8 1 LS Chlorination and testing of all new water mains J4Vn Dollars $ ! $ Cents Per LS 9 1 LS Demobilization and cleanup @"Qf6Li'V&) 11iWkA0 FVC ffA'J✓cam Dollars $ $ Cents Per LS otal Amount Bid toFigures: Total Amount Bid in Words: /U fCvCJ - 1WIAXA b f X (-%j-f,2 �,� -------- ....................................... - - - ._..._._..... - - --- --- - -- - - - - - G3.4.- - - PROJECT BID SCHEDULE TOTALS CC 1371, CC 1378, CC 1408 WATERMAIlli REPLACEMENT PROJECTS Sub -Total Bid Schedule CC 1371 ,�-0 7 a Sub -Total Bid Schedule CC 1378 Sub -Total Bid Schedule CC 1408 TOTAL BID AMOUNT, BASIS OF AWARD (Sum of Schedules CC 1371, CC 1378, and CC 1408 / 73 qgo TOTAL BID AMOUNT IN WORDS: Notes: All extensions of unit prices will be subject to verification by Owner. In case of a verification between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-4 W 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 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-s TIONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange I.P. EROW14 , being ffi tRi{Wn, deposes and says that he or she is hESIDUA of EXCEL PAVING 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. PALP. INC.DBA EXCEL PAVING CO'MPAW Subscribed and sworn to before me this NOTARY PUBLIC Name of Bidder P. IVIRC3W9 RESIDENT Signature of Bidder 2200 LEPTON AVENUE TWA REACH. l;A 5G806 Address of Bidder day of JUL 18 2011201_ C-6 C, PHILLIPS Y COMM. #1809758 n Notary Public -California N L08 ANOELES COUNTY Uftlffil: &WN4AU,6; i5; 2'612 K 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 Water Main Extension Projects, Various Locations, Project Numbers CC 1371, CC1378, and CC1408, (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. PALP. INC.DBA EXCEL PAVING COMPAW Contractor Q L`l By Date: 1111 19 2A11 C-7 c, i •yl91Mn, Y fIESIi ENT 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 I No If the answer is yes, explain the circumstances in the space provided. 1P Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-S 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: 111 L 1919111 C-9 PALP. INC.DBA EXCEL PAVING COMPAW Contractor D By C. P, BROWN, PRESIDENT Title BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name I7'ALF, I4W. DBA EXCEL PAVING COMPANY 2230 LUVION AVENUE LOW 85AGW CA 90806 Business Address City, State Zip ( ) (562) 599.5841 Telephone Number STATE LIC. 688659 ®A„. State Contractor's License No. and Class -wqA Original Date Issued Expiration Date The work site was inspected by 10A! of our office on , 201_U The following are persons, firms, and corporations having a principal interest in this proposal: PALP. INC.DBA EXCK PAVING COMPANY leis P grown President and Chief Executive OAtaer Operating Offsour Bruce E. E. Flatt Vice President and Chief Financial Officer George R. McRae Vice Pre4idej it Marcia S. Miller Secretary C-10 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. PALE INUBA --EXCEL PAVING COMPAhly Company Name (� Signature of Bidder Printed or Typed Signature Subscribed and sworn to before me this _ day of l-11 1 $ 7011 , 201_ NOTARY PUBLIC C. PHILLIPS ' ` ""�• COMM, #1809758 N A Notary Public -Ca ll4ornia L,05 ANCEL,ES COUNTY 66 4L My Coon, Wireq Aug, 16, 2012 B 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: Name and Address of Public Agency Name and Telephone No. of Project Manager: M (L �7n6-nL 00 t4gl - R'S0 DD Contract Amount Type of Work Date Completed 2. �.� I11 �'6l�'U Name and Address of Public Agency Name and Telephone No. of Project Manager: LA Lh I I I An I M11 . W � Jpkizi in I^A Contract Amount Name and Address of Public Agency Type of Work Name and Telephone No. of Project Manager: Contract Amount Completed Type of Work Date Completed C-11 EXCEL PAVING COMPANY A GENERAL ENGINEERING CONTRACTOR STATE LICENSE NO. 688659A P.O. t30X 164C LONG BEACH, CA 90806.515 (562) 599-584 FAX (562) 591.746 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. PALP, INC. DBA EXCEL, PAVING COMPANY A GENERAL ENGINEERING CONTRACTOR STATE LICENSE NO. 688659A Description of Operations P.O. BOX 1640`, LONG BEACH, CA 90806-5191 (562) 599-5841 FAX (562) 591-7481, Excel Paving Company is a general engineering and paving contractor that has been in business for the past 30+ 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; 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 also may 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 '/Z mile from the harbor. The company estimates 2009 gross revenues of 50 million, $33 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, repairing/widening existing surface streets and roads (75% public entities and 25% private entities), pipe work, concrete, landscaping, electrical, cold milling, highway, bridge, or overpass work is subcontracted out to other firms. Excel Paving Company also repairs a great number of paved schoolyards and parking lots (30%) and usually has a small amount of on going work at the Los Angeles, Burbank and Long Beach Airports. INCUMBENCY AND SIGNATURE CERTIFICATE OF PALP, INC. The undersigned, Marcia S. Miller, berg the duly elected and Incumbent Secretary of Palp, Inc., dba Excel Paving Company, a California corporation (the "Corporation99), hereby cerdfles that the persons named below are, on and as date hereof, the duly quallfied, 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. Platt Vice President and Chief Financial Officer George R. McRae Vice President Marcia S. Miller . Secretary Michele E. Drakulich assistant Secretary IN WITNESS WMREOF, the undersigned has executed this Certificate as of the date set forth below. Date: January 27, 2010 PALP, INC. DBA EXCEL PAVING COMPANY A GENERAL ENGINEERING CONTRACTOR STATE LICENSE NO. 688659A Excel Paving Company 2230 Lemon Avenue Long Beach, CA 90806 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 I981 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 Pl. #130 Newport Beach, CA 92660 Robin Woods 949/863-2462 949/863-2336 153491958689 TRADE REFERENCES: Company Phone Vulcan Materials 626/334-4913 R.E.H. Trucking 909/591-0871 Blue Diamond Materials 714/578-9600 Savala Equipment 800/223-2473 P.O. BOX 164 LONG BEACH, CA 90806-51 (562) 599-5-8 FAX (562) 591-74 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. 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 Contact: Douglas A. Rapp Surety: Federal Insurance Company CIO 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 PREVIOUS JOB REFERENCES #1 Contractor's Name: Palp Inc. DBA Excel Paving Co. Project Name: Jefferson Blvd. Widening Project Description: Street widening, infrastructure reconstruction, street lighting, traffic signals, landscape & irrigation, storm drain improvements, and sewer Location: Jefferson Blvd., Playa Vista, Los Angeles Construction Value: $6,306,687.00 Date of Completion: 12/08 General Contractor Information: Palp Inc. DBA Excel Paving Co. Contact: David Cook Phone: 562/599-5841 Ext.239 Fax: 562/591-7485 Owner Information: Playa Capitol Company, LLC Contact: Cliff Ritz Phone: 310/448-4678 Fax: 310/822-5336 PREVIOUS JOB REFERENCES 42 Contractor's Name: Palp Inc. DBA Excel Paving Co. 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 Date of Completion: 4/09 General Contractor Information: Palp Inc. DBA Excel Paving Company Contact: David Cook Phone: 562/599-5841 Ext.239 Fax: 562/591-7485 Owner Information: Contact: Phone: Fax: Playa Capitol Company LLC Cliff Ritz 310/448-4678 310/822-5336 PREVIOUS JOB REFERENCES 43 Contractor's Name: Palp Inc. DBA Excel Paving Co. Project Name: Santa Monica Transit Parkway Project Project Description: Underground, Retaining Walls, Fwy. On Ramps, A/C Pave, Sidewalk, Curb & Gutter, Signalization, Landscaping, Storm Drain Impvts. Sewer, Water And Retaining Wall Location: From 405 Fwy. To Beverly Hills City Limit, Los Angeles Construction Value: $34,455,152.00 Date of Completion: 11105 General Contractor Information: Palp Inc. DBA Excel Paving Company Contact: Bruce Flatt Phone: 562/599-5841 Fax: 562/591-7485 Owner Information: City of Los Angeles Contact: Carl Nelson Phone: 213/485-4474 Fax: 213/485-4836 Contractor's Name Project Name: Project Description PREVIOUS JOB REFERENCES #4 Palp Inc. DBA Excel Paving Company Alameda Street Redesign of Arterial Streets and Storm Drain Impvts. Location: Intersection of Alameda Street and N. Spring St., L.A. Construction Value: $3,197,043.00 Date of Completion: 11/09 General Contractor Information: Palp Inc. DBA Excel Paving Company Contact: Bruce Flatt Phone: 562/599-5841 Fax: 562/591-7485 Owner Information: City of Los Angeles Contact: Steve Chen Phone: 213/485-4516 Fax: 213/485-4838 PREVIOUS JOB REFERENCES 45 Contractor's Name: Palp Inc. DBA Excel Paving Co. 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 Date of Completion: 10/07 General Contractor Information: Palp Inc. DBA Excel Paving Company Contact: Bruce Flatt Phone: 562/599-5841 Fax: 562/591-7485 Owner Information Contact: Phone: Fax: The Port of Long Beach Gary Cardemone 562/590-4172 562/901-1732 PREVIOUS JOB REFERENCES #6 Contractor's Name: Palp Inc. DBA Excel Paving Company Project Name: Pier E Berths E24-326 Project Description: Asphalt Utility Removals, Grade, New Asphalt Paving and New Concrete RTG Runways, Storm Drain Impvts., Sewer and Water Location: Pier E, Long Beach, CA Construction Value: $5,251,800.00 Date of Completion: 1/08 General Contractor Information: Palp Inc. DBA Excel Paving Co. Contact: Bruce Flatt Phone: 562/599-5841 Fax: 562/591-7485 Owner Information: Contact: Phone: Fax: The Port of Long Beach Gary Cardemone 562/590-4172 562/901-1732 PREVIOUS JOB REFERENCES 47 Contractor's Name: Palp Inc. DBA Excel Paving Co. Project Name: Highland Avenue Widening Project Description: Redesign of Highland Ave. and Adjacent Streets, And Storm Drain Impvts. Location: Highland Ave. @ Franklin Ave., City of Los Angeles Construction Value: $2,754,889.00 Date of Completion: 11/09 General Contractor Information: Palp Inc. DBA Excel Paving Company Contact: Bruce Flatt Phone: 562/599-5841 Fax: 562/591-7485 Owner Information: City of Los Angeles Contact: Steve Chen Phone: 213/485-4516 Fax: 213/485-4838 PREVIOUS JOB REFERENCES #8 Contractor's Name: Palp Inc. DBA Excel Paving Project Name: North Maclay Ave. Project Description: Street Beautification and Improvement of North Maclay Avenue Location: North Maclay Ave. from I" Street to Eighth Street Construction Value: $3,682,624.00 Date of Completion: 7/08 General Contractor Information: Palp Inc. DBA Excel Paving Co. Contact: Bruce Flatt Phone: 562/599-5841 Fax: 562/591-7485 Owner Information: City of San Fernando Contact: Ron Ruiz Phone: 818/898-1237 Fax: 818/361-6728 WORK EXPERIENCE 11-30-10 OPEN JOBS Job # Project Description 4042 TUDOR-IWESTWD REPL 945760.01 4093 TRANSIT HUB-SAN FERN VLYM 4240 CALTRANS LINCOLN:07-1660U4 4242 CHANDLER/IANKERSHIM: C108099 4245 LINNIE CANAL COURT: C108109 4302 VERMONT AVE: E.LA # G109146 4324 USC, FIGUEROA & JEFFERSON 4328 HIGHLAND AVE.:LA.109718 4329 SUNSET BLVD. C109716-1 4330 HARBOR GATEWAY:L.A. C-109717 4370 ALAMEDA ST NO SPRG ST C110421 4482 20TH & REDONDO:LONG BEACH 45M ALVARADO TRANSIT CORRIDOR: 4526 LAKEWOOD BLVD PH 2:DOWNEY 4549 RAMIREZ CANYON:MALIBU 06821 4%6 CLEVELAND HS:RESEDA 4%7 LANKERSHIM/VARIOUS LOC:LA 4573 ATHERTON STRM DRAIN:LB R-6732 4597 WILSHIREIFAIRFAX:LOS ANGELES 4598 CHEVIOT HILLS:LA C113689 4611 USC ST IMPROVEMENT:LOS ANGELES 4613 STORM DRAIN POLL/DUST:POLB7328 4618 FEDEXRAMP BURBANK AIRPORT 4639 4 INTERSECTIONS:LB & LKWD 4649 SUNNYMEAD BLVD:MORENO VALLEY 4651 BAL.BOA/VICTORY BLVD:LOS ANGELE 4661 BIKE ROUTE:LONG BEACH R-6762 4673 EQUIP RENTALBCH MAINT:LNG BCH 4679 HANSCOMIPETERSON AVE.:SO. PASA 4681 ARBOR VITAE ST.:L.A. CA 15478 4684 08-09 OVRLAY/SEAL:SANTA CLARA 4690 BNSF-POLA:BNSF R/R 4692 CENTINELALA TIJERAILA CIENEGA: 4695 NO STATE COLLEGE -LOT E:FULRTON 4698 HARBOR PLAZA BLVD:LONG BEACH 4699 KAISER -BELLFLOWER BLVD:DOWNEY 4700 IMPERIAL HWY ST IMPRV:LYNWOOD 4703 AIRCARRIER RAMP:LB ARPRT R6777 4705 WASHINGTON BLVD:CULVER CITY 4707 GRAVES AVENUE:000NTY OF LA 4709 RES ST REPAIR PH VLSANTA ANA 4711 - CONSTITUTION AVE.:LOS ANGELES PROJECT NAME TUTOR SALIBA PERINI, JV LOS ANGELES COUNTY DEPARTMENT CALTRANS CITY OF LOS ANGELES-DPW LOS ANGELES COUNTY DEPARTMENT LOS ANGELES COUNTY DEPARTMENT UNIVERSITY OF SOUTHERN CALIF. LA.000NTY DEPT. PUBLIC WORKS LA.000NTY DEPT, PUBLIC WORKS L.A.000NTY DEPT. PUBLIC WORKS CITY OF LOS ANGELES ALAMITOS RIDGE LA COMMUNITY REDEVELOPMENT AGY CITY OF DOWNEY TORRES CONSTRUCTION LOS ANGELES UNIFIED SCHOOL LA COMMUNITY REDEVELOPMENT AGY CITY OF LONG BEACH MATT CONSTRUCTION CO. CITY OF LOS ANGELES-DPW UNIVERSITY OF SOUTHERN CALIF. PORT OF LONG BEACH FEDERALEXPRESS THE BOEING COMPANY GO MORENO VALLEY CITY OF LOS ANGELES CITY OF LONG BEACH CITY OF LONG BEACH CITY OF SOUTH PASADENA CITY OF LOS ANGELES-DPW CITY OF SANTA CLARITA BURLINGTON NORTHERN SANTA FE PLAYA CAPITAL CO BALI CONSTRUCTION TUCKER ENG KAISER FOUNDATION CITY OF LYNWOOD CITY OF LONG BEACH CITY OF CULVER CITY LOS ANGELES COUNTY DEPARTMENT SANTA ANA, CITY OF TOTAL TEAM CONSTRUCTION o� EST. FINAL WORK CONTRACT COMPL. 2,419,610 98.4% 1,473,973 100.0% 13,385,340 99.3% 5,421,529 100.0% 290,422 100.0% 1,392,670 100.0% 1,584,799 100.0% 3,449,309 99.8% 2,088,410 99.9% 2,743,862 100.0% 2,738,012 100.0% 315,429 100.0% 2,203,013 91.9% 2,451,680 100.0% 395,835 100.0% 1,479,297 100.0% 1,228,138 84.1% 1,536,789 99.7% 1,125,815 100.0% 943,818 100.0% 2,350,000 92.3% 4,417,616 100.0% 4,012,057 100.0% 1,349,682 100.0% 2,628,000 95.7% 1,118,416 99.7% 241,798 99.9% 69,175 100.0% 1,666,667 100.0% 1,895,018 87.0% 5,244,663 99.7% 71,000 12.1% 1,242,662 0.7% 15,785 100.0% 243,351 100.0% 137,048 100.0% 1,303,279 100.0% 5,289,943 69.5% 523,369 100.0% 470,592 100.0% 2,847,706 100.0% 43,050 100.0% WORK BACKLOG 38,869 87,891 6,951 1,335 177,396 195,128 4,594 181,913 113,383 2,880 138 246,391 15,736 62,410 1,233,915 1,610,950 4712 Job # 4713 4718 4720 4721 4722 4723 4725 4726 4727 4728 4730 4731 4733 4735 4736 4740 4741 4742 4745 4746 4748 4751 4752 4756 4757 4758 4759 4761 4762 4764 4767 4770 4771 4773 4775 4776 4777 4779 4780 4781 SAN DIMAS BL:SAN DIMAS 2009-04 CITY OF SAN DIMAS WORK EXPERIENCE 11-30-10 OPEN JOBS Project Description ELECTRIC AVE STRM DRN:SEAL BCH WATERFRONT ST.:PLAYA VISTA MARINE STADIUM E:L.B. R-6451 KAISER NORMANDIE:HARBOR CITY HARBOR & YACHT:REDONDO BEACH W 34TH ST-USC:USC CRESENT HGTS/GARDENA:SIGNAL HL KAISER WALNUT:PASADENA CONSTELLATION PL PKG LOT:L.A. WILSHIREIBEVERLY:BEVERLY HILLS VARIOUS LOCATIONS:7 CITIES SIERRA AVE.:FONTANA ANNUAL MJR PAVEMENT R/R:TUSTIN PIER G RAILYARD:POLB HD-S2236 BNSF WASHINGTON/INDIANA:VERNON SAN FERNANDO RD:GLENDALE RES RD WAY REHAB:FOUNTAIN VLY ARTERIAL OVERLAY PROJ:WESTLAKE HARBOR BLVD RECON:FULLERTON COLLEGE WAYROMONA 90TH ST EAST PALMDALE:LA CO PW SAN VINCENTE BLVD:LOS ANGELES LAGUNA ALLEY REHAB:LAGUNA BCH VAR SITES BIKE TRAIL:LONG BCH VARIOUS LOCS:PLAYA VISTA&A. VICTORIA GOLF PKG LOT:CNTY LA E. FRANCIS AVE:ONTARIO 2ND ST. REHAB:LONG BCH R-016 BROADWAY/3RD:LONG BEACH VAR -WEST LK/AGOURA HLS:WUAHL PV DR NORTH:ROLLING HILLS EST VARIOUS LOC:TOR,EL SEG,MB,RB USC 3TH CAMPUS:LOS ANGELES MARGUERITE PKWY:MISSION VIEJO HAWTHORNE HS STRM DRN:CVHSD VARIOUS LOCATIONS:EL MONTE VARIOUS LOCATIONS:HUNTNGTN BCH 17TH ST. SANTA MONICA:HC OLSEN BELLFLOWERIVICTORY:ADELANTO MULTI LOCATIONS: LAGUNA BEACH PROJECT NAME CITY OF SEAL BEACH PLAYA CAPITAL CO CITY OF LONG BEACH KAISER FOUNDATION HEALTH PLAN BRUTOCO ENG UNIVERSITY OF SOUTHERN CALIF. CITY OF SIGNAL HILL KAISER FOUNDATION HEALTH PLAN HATHAWAY DINWIDDIE CONSTRUCTIO TISHMAN CONSTRUCTION CORP. CORRPRO COMPANIES MCCARTHY PACIFIC DIVISION CITY OF TUSTIN PORT OF LONG BEACH BURLINGTON NORTHERN SANTA FE CITY OF GLENDALE CITY OF FOUNTAIN VALLEY CITY OF WESTLAKE VILLAGE CITY OF FULLERTON BALI CONSTRUCTION LOS ANGELES COUNTY DEPARTMENT HATHAWAY DINWIDDIE CONSTRUCTIO CITY OF LAGUNA BEACH THE BOEING COMPANY PLAYA CAPITAL CO VICO, LLC PATRIOT ENVIRONMENTAL SERVICES CITY OF LONG BEACH C.T.& F.INC. CITY OF WESTLAKE VILLAGE ROLLING HILLS ESTATES CORRPRO COMPANIES HATHAWAY DINWIDDIE CONSTRUCTIO CITY OF MISSION VIEJO CENTINELA VALLEY UHSD CITY OF EL MONTE CITY OF HUNTINGTON BEACH H.C. OLSEN CONSTRUCTION BALI CONSTRUCTION CITY OF LAGUNA BEACH 1,985,430 EST. FINAL CONTRACT 1,818,165 96,060 177,992 202,978 20,017 97,557 257,930 219,461 192,072 779,302 71,651 41,627 1,168,138 32,726,550 24,185 726,808 1,598,588 473,049 896,794 4,740 1,414,456 1,050,000 961,361 27,814 19,757 302,105 7,918 1,780,265 90,381 2,028,000 387,869 109,442 62,932 783,814 331,184 885,000 529,709 32,974 185,486 902,000 98.5% WORK COMPL. 37.9% 98.9% 100.0% 90.2% 100.0% 100.0% 100.0% 100.0% 100.0% 99.9% 100.0% 0.0% 97.4% 32.7% 100.0% 100.0% 100.0% 99.9% 99.7% 100.0% 2.9% 48.4% 98.5% 100.0% 100.0% 100.0% 100.0% 94.9% 1.9% 100.0% 99.9% 84.8% 100.0% 100.0% 100.0% 69.4% 100.0% 100.0% 0.0% 71.8% WORK BACKLOG 1,129,390 1,047 19,930 831 41,627 30,628 22,026,267 289 2,683 1,373,425 542,310 14,641 90,883 88,650 473 16,675 271,031 185,486. 253,934 4782 VARIOUS STS Z-2 :LA HABRA HGTS LA HABRA HEIGHTS 445,977 99.6% 1,972 4783 STANSBURY AVE:SHERMAN OAKS HATHAWAY DINWIDDIE CONSTRUCTIO 13,951 100.0% 4794 LIVE OAK ST.:CUDAHY (LAUSD) A & B CONSTRUCTION, INC. 25,080 100.0% WORK EXPERIENCE 11-30-10 OPEN JOBS Job # Project Description PROJECT NAMEEST. FINAL WORK WORKCONTRACT COMPL. BACKLOG 4785 ASHLAND & 5TH:SIMI VALLEY CHARLES KING COMPANY 21,515 78.4% 4,648 4786 BLAST FENCE:BGP AIRPORT BURBANK/GLENDALE/PASADENA 592,559 28.5% 423,799 4787 OLD WOMAN SPRNGS RD:Y000A VLY PATRIOT ENVIRONMENTAL SERVICES 8,610 89.7% 890 4788 SHEILA ST.:COMMERCE ELECTRO CONSTRUCTION 3,200 100.0% 4789 CROSS CREEK RD.:MALIBU MARMOL RADZINER & ASSOCIATES 31,000 9.1% 28,174 4790 WHITTIER BLVD:WHITTIER CITY OF WHITTIER 14,696 100.0% 4791 KATELUVLEX BASE:LOS ALAMITOS J.I. GARCIA CONSTRUCTION 554,521 0.0% 554,521 4792 DE NEVE DR.:LOS ANGELES PCL CONSTRUCTION SERVICES 7,088 100.0% 4793 NO AIR CARRIER RAMP:LI3 R-6858 CITY OF LONG BEACH 3,986,405 0.2% 3,979,995 4794 SHADYCROFT AVE.:TORRANCE THOMAS JESUKIEWWICZ 6,295 100.0% 4795 CLARK/CARSON:LONG BEACH BALI CONSTRUCTION 14,200 73.3% 3,797 4796 MOODYNLY VIEW STORM DRN:CYPRS CITY OF CYPRESS 2,088,350 0.7% 2,074,611 4797 CITYWIDE AC REHAB:LAGUNA HILLS CITY OF LAGUNA HILLS 1,469,569 0.6% 1,461,249 4798 THOUS OAKSILWRNCTLR:THOUS OKS GO THOUSAND OAKS 3,159,515 0.6% 3,141,621 4799 POTRERO GRANDE DRMONTEREY PRK PATRIOT ENVIRONMENTAL SERVICES 7,399 0.0% 4800 DEMIL LE MS WATERLINE:LBUSD LONG BEACH UNIFIED SCHOOL DIST 358,283 0.6% 356,043 WORK EXPERIENCE 11-30-10 CLOSED JOBS Job #t Project Description 4769 4266 4689 4652 4658 4734 4655 4662 4710 4743 4778 4408 4640 4643 4656 4675 4697 4719 4750 4753 4669 4685 4621 4425 4620 4670 4676 4677 4680 4686 4693 4702 4708 4715 4716 4717 4724 4729 4732 4738 4739 4744 LOMITA YD-CALCARTAGE:WILMNGTON CENTINELA AVE: C-108597 W VIA ACOSTA:MONTEBELLO LA AIR FORCE BASE: LA PALMA AVE.:ANAHEIM CENTINELA:DWP LOS ANGELES ARTESIA PILAR IMPRV:SANTA ANA VARIOUS SITES:COMPTON USD IMPERIAL HWY-BREA GATEWAY:WATT FAIR OAKSIBANK ST:SO PASADENA VERMONT ST.:HOLLYWOOD HOLLYWD WY BRBNK AIRPORT A2977 BERTH 731BERTH 191:POLA PLAYA VISTA -CAMPUS CAP PAVING RTE 23/118:SIMI VALLEY TAXIWAY CA & G:BUR-GLEN-AIR BUR/GLEN.PASA AIRPORT:BURBANK TECH PL BUS SHELTR, LB:WATT CO LONG BEACH AIRPORT:BOEING BURBANK AIRPORT:BURBANK HARBOR PLZA/QNS WAY:POLB 7430 IMPERIAL HWY:OR CO 12-OJ0904 MISC. AC REPAIRS:DANA POINT 1ST& SPRING:LA-55797 EAST LA H/S:LOS ANGELES 6TH & COLORADO:SANTA MONICA BNSF-WASH/INDIANA:VERNON DWP 1ST ST. TRUNK LINE:LOS AN KAISER -IRIS AVEWORENO VALLEY MARYMOUNT H/S:LOS ANGELES OAK HART HS:OAK PARK KAISER CANTERA ST:PANORAMA CTY CONC P-IT-HOBART YD:BNSF MGM DR, HATHAWAY:LOS ANGELES PIER G-CONNOLLY-PAC:LONG BEACH CANAL AVE.-COWELCO:LONG BEACH BNSF WASH/IND:VERNON MAYTIME LANE:CULVER CITY: LOMITA BLVD:WILMINGTON HEDON CIR/GERMAIN:CAMARILLO VIA DEL MONTE:RANCHO PV USC CAMPUS:HATHIDIN LA PROJECT NAME CAL -CARTAGE CITY OF LOS ANGELES CITY OF MONTEBELLO RMA LAND CONSTRUCTION PCL CONSTRUCTION SERVICES L.A. DEPT. WATER & POWER SANTA ANA, CITY OF COMPTON UNIFIED SCHOOL DIST WATT COMPANIES CHRISTOPHER R. MORALES INC ELECTRO CONSTRUCTION BURBANK/GLENDALE/PASADENA CONNOLLY-PACIFIC PLAYA CAPITAL CO C. A. RASMUSSEN, INC. BURBANK/GLENDALEIPASADENA BURBANKIGLENDALEIPASADENA WATT COMPANIES THE BOEING COMPANY BURBANK/GLENDALEIPASADENA PORT OF LONG BEACH CALTRANS - ORANGE COUNTY CITY OF DANA POINT TUTOR SALIBA PERINI, JV TUCKER ENG C. A. RASMUSSEN, INC. BURLINGTON NORTHERN SANTA FE SAGE CONSTRUCTION KAISER FOUNDATION HEALTH PLAN W.S. KLEM CONTRACTORS C. A. RASMUSSEN, INC. KAISER FOUNDATION HEALTH PLAN BURLINGTON NORTHERN SANTA FE HATHAWAY DINWIDDIE CONSTRUCTIO CONNOLLY-PACIFIC COWELCO STEEL FABRICATORS BURLINGTON NORTHERN SANTA FE WESTERN STATES FIRE PROTECTION JOHNSON CONTROLS, INC. CHARLES KING COMPANY CORRPRO COMPANIES HATHAWAY DINWIDDIE CONSTRUCTIO Final Contract Amount 13,731 2,946,389 534,654 18,462 737,834 49,239 2,157,719 127,142 76,110 8,203 1,560 144,304 318,682 432,878 31,998 3,469,876 52,580 76,043 30,223 54,247 743,816 1,224,881 111,748 252,935 209,161 17,534 916,740 155,681 538,412 151,249 54,344 32,980 161,170 25,875 86,354 181,100 133,890 6,175 18,843 8,700 1,250 2,158 4747 DAWSON CYN RD:CORONA SUKUT CONSTRUCTON 4749 FRANKLIN AVE:NO HOLLYWOOD ALLIANCE RESIDENTIAL 4754 BROADWAY AVE:LONG BEACH CHARLES KING COMPANY WORK EXPERIENCE 11-30-10 CLOSED JOBS Job # Project Description PROJECT NAME 4755 VERMONT & PCHARBOR CITY 4760 N. GLENDALE BLVD:LOS ANGELES 4763 GEM CENTER:CENTURY CITY 4766 DRIFTWOOD ST:MARINA DEL REY 4768 MARINA DEL REY:CORRPRO 4772 2161 GONDAR AV:LB(PRIVATE RES 4774 KATELLAIBLOOMFIELD:C KING ORNG 4165 EL TORO RD:LAKE FOREST 4534 7TH & CATALINA:LOS ANGELES 4632 W. 6TH ST:LOS ANGELES 4678 CERRITOSIORANGE SEWER:CYPRESS 4683 BROADWAY STRM:REDONDO BEACH 4737 VARIOUS CONC. RIR:DANA POINT 4765 ORANGEWOOD AVE.:CYPRESS 4502 WEST CHAPMAN SEWER:GG7805 4552 JOHN WAYNE AIRPORT:CO OF ORG 4605 MWD WATERLINE:BEV HILLSILA 4623 VAR SD IMP CANDLBERRY:SEAL BCH 4553 PACIFIC COAST HWY:DANA POINT 4585 PAVEMENT REHAB:WESTLAKE VILLAG 4628 LIMECREST DR-LACDWP:CO OF LA ARB INC. CITY WORKS MANAGEMENT, INC. HATHAWAY DINWIDDIE CONSTRUCTIO MARMOL RADZINER & ASSOCIATES CORRPRO COMPANIES JACK SIMMONS CHARLES KING COMPANY CITY OF LAKE FOREST HENSEL PHELPS CONSTRUCTION CO. MATT CONSTRUCTION CO. CITY OF CYPRESS CITY OF REDONDO BEACH CITY OF DANA POINT CITY OF CYPRESS GARDEN GROVE SANI DIST JOHN WAYNE AIRPORT RUDOLPH & SLETTEN, INC. CITY OF SEAL BEACH CITY OF DANA POINT CITY OF WESTLAKE VILLAGE LOS ANGELES COUNTY DEPARTMENT 17,300 36,025 36,000 Final Contract Amount 30,538 6,411 6,182 4,497 1,850 5,850 6,850 11,763,683 73,954 460,258 502,688 100,489 99,548 16,433 1,967,738 1,464,867 421,629 1,625,310 6,033,387 2,125,350 219,845 WORK EXPERIENCE 11-30-09 OPEN JOBS Job # Project Description 4042 4093 4165 4240 4242 4245 4266 4302 4324 4328 4329 4330 4370 4408 4425 4482 4502 4508 4526 4534 4549 4552 4553 4566 4567 4573 4585 4597 4598 4605 4611 4613 4618 4620 4621 4623 4628 4632 4639 4640 4643 TUDOR-/WESTWD REPL 945760.01 TRANSIT HUB-SAN FERN VLY/LA EL TORO RD:LAKE FOREST CALTRANS LINCOLN:07-1660U4 CHANDLERILANKERSHIM: C108099 L►NNIE CANAL COURT: C108109 CENTINELA AVE: C-108597 VERMONT AVE.- E.LA # C-109146 USC, FIGUEROA & JEFFERSON HIGHLAND AVE.:L.A. 109718 SUNSET BLVD. C109716-1 HARBOR GATEWAY:LA. C-109717 ALAMEDA ST NO SPRG ST C110421 HOLLYWD WY BRBNK AIRPORT A2977 1ST& SPRING:LA-55797 20TH & REDONDO:LONG BEACH WEST CHAPMAN SEWER:GG7805 ALVARADO TRANSIT CORRIDOR: LAKEWOOD BLVD PH 2:DOWNEY 7TH & CATALINA:LOS ANGELES RAMIREZ CANYOWMALIBU 06821 JOHN WAYNE AIRPORT:CO OF ORG PACIFIC COAST HWY:DANA POINT CLEVELAND HS:RESEDA LANKERSHIMNARIOUS LOQLA ATHERTON STRM DRAIN:LB R-6732 PAVEMENT REHAB:WESTLAKE VILLAG WILSHIRE/FAIRFAKLOS ANGELES CHEVIOT HILLS:LA C113689 MWD WATERLINE:BEV HILLSILA USC ST IMPROVEMENT:LOS ANGELES STORM DRAIN POLL/DUST:POLB7328 FEDEXRAMP BURBANK AIRPORT EAST LA H/S:LOS ANGELES MISC. AC REPAIRS:DANA POINT VAR SD IMP CANDLBERRY:SEAL BCH LIMECREST DR-LACDWP:CO OF LA W. 6TH ST:LOS ANGELES 4 INTERSECTIONS: LB & LKWD BERTH 73/13ERTH 191:POLA PLAYA VISTA -CAMPUS -CAP PAVING PROJECT NAME TUTOR SALIBA PERINI, JV LOS ANGELES COUNTY DEPARTMENT CITY OF LAKE FOREST CALTRANS CITY OF LOS ANGELES-DPW LOS ANGELES COUNTY DEPARTMENT CITY OF LOS ANGELES LOS ANGELES COUNTY DEPARTMENT UNIVERSITY OF SOUTHERN CALIF. L.A.000NTY DEPT. PUBLIC WORKS L.A.000NTY DEPT. PUBLIC WORKS LA.000NTY DEPT. PUBLIC WORKS CITY OF LOS ANGELES BURBANK/GLENDALE/PASADENA TUTOR SALIBA PERINI, JV ALAMITOS RIDGE GARDEN GROVE SANI DIST LA COMMUNITY REDEVELOPMENT AGY CITY OF DOWNEY HENSEL PHELPS CONSTRUCTION CO. TORRES CONSTRUCTION JOHN WAYNE AIRPORT CITY OF DANA POINT LOS ANGELES UNIFIED SCHOOL LA COMMUNITY REDEVELOPMENT AGY CITY OF LONG BEACH CITY OF WESTLAKE VILLAGE MATT CONSTRUCTION CO. CITY OF LOS ANGELES-DPW RUDOLPH & SLETTEN, INC. UNIVERSITY OF SOUTHERN CALIF. PORT OF LONG BEACH FEDERAL EXPRESS TUCKER ENG CITY OF DANA POINT CITY OF SEAL BEACH LOS ANGELES COUNTY DEPARTMENT MATT CONSTRUCTION CO. THE BOEING COMPANY CONNOLLY-PACIFIC PLAYA CAPITAL CO EST. FINAL % CONTRACT WORK COMPL. 2,344,007 1,473,973 11,591,333 13,385,743 5,421,529 351,920 2,946,389 1,392,670 1,584.799 3,449,309 2,082,158 2,743,862 2,776,225 63,090 235,000 315,429 1,964,738 2,203,013 2,315,355 73,954 395,835 1,464,867 6,033,387 1,469,797 1,143,779 1,449,183 2,125,350 1,125,815 870,948 356,737 2,100,000 4,429,516 3,983,195 214,210 111,748 1,625,310 219,845 449,337 1,623,150 318,682 432,878 100.0% 100.0% 99.9% 99.6% 100.0% 100.0% 99.9% 99.9% 100.0% 99.7% 97.7% 100.0% 99.7% 100.0% 100.0% 100.0% 100.0% 89.4% 98.9% 100.0% 100.0% 100.0% 100.0% 99.8% 8.8% 100.0% 100.0% 100.0% 96.3% 100.0% 100.0% 88.7% 100.0% 100.0% 100.0% 99.5% 100.0% 92.6% 84.1 % 100.0% 100.0% WORK BACKLOG 11,741 47,365 1,556 1,148 8,785 47,823 9,421 234,295 26,234 2,494 1,043,652 32,616 498,395 7,393 33,435 258,575 4649 SUNNYMEAD BLVD'MORENO VALLEY GO MORENO VALLEY 2,582,373 74.7% 654,510 4651 BALBOA/VICTORY BLVD:LOS ANGELE CITY OF LOS ANGELES 1,073,578 70.4% 318,118 4652 LA AIR FORCE BASE: RMA LAND CONSTRUCTION 18,462 100.0% 4655 ARTESIA PILAR IMPRV:SANTA ANA SANTA ANA, CITY OF 2,157,719 100.0% WORK EXPERIENCE 11-30-09 OPEN JOBS Job X Project Description 4656 RTE 23/118:SIMI VALLEY 4658 LA PALMA AVE.:ANAHEIM 4661 BIKE ROUTE:LONG BEACH R-6762 4662 VARIOUS SITES:COMPTON USD 4669 HARBOR PLZAIQNS WAY:POLB 7430 4670 6TH & COLORADO:SANTA MONICA 4673 EQUIP RENTAL/BCH MAINT:LNG BCH 4675 TAXIWAY CA & G:BUR-GLEN-AIR 4676 BNSF-WASR4NDIANA:VERNON 4677 DWP 1ST ST. TRUNK LINE:LOS AN 4678 CERRITOSIORANGE SEWER:CYPRESS 4679 HANSCOM/PETERSON AVE.:SO. PASA 4680 KAISER -IRIS AVE:MORENO VALLEY 4681 ARBORVITAE ST.:L A. C-115478 4683 BROADWAY STRM:REDONDO BEACH 4684 08-09 OVRLAY/SEAL•SANTA CLARA 4685 IMPERIAL HWY:OR CO 12-OJ0904 4686 MARYMOUNT WS:LOS ANGELES 4689 W VIA ACOSTA:MONTEBELLO 4690 BNSF-POLA:BNSF R/R 4692 CENTINELALA TIJERAILA CIENEGA: 4693 OAK HART HS:OAK PARK 4695 NO STATE COLLEGE -LOT E:FULRTON 4697 BUR/GLEN.PASA AIRPORT:BURBANK 4698 HARBOR PLAZA BLVD:LONG BEACH 4699 KAISER -BELLFLOWER BLVD:DOWNEY 4700 IMPERIAL HWY ST IMPRV:LYNWOOD 4702 KAISER CANTERA ST:PANORAMA CTY 4703 AIRCARRIER RAMP:LB ARPRT R6777 4705 WASHINGTON BLVD:CULVER CITY 4707 GRAVES AVENUE:000NTY OF LA 4708 CONC P-IT-HOBART YD:BNSF 4709 RES ST REPAIR PH VI:SANTA ANA 4710 IMPERIAL HWY-BREA GATEWAY:WATT 4711 CONSTITUTION AVE.:LOS ANGELES 4712 SAN DIMAS BL:SAN DIMAS 2009-04 4713 ELECTRIC AVE STRM DRN:SEAL BCH PROJECT NAME C. A. RASMUSSEN, INC. PCL CONSTRUCTION SERVICES CITY OF LONG BEACH COMPTON UNIFIED SCHOOL DIST PORT OF LONG BEACH C. A. RASMUSSEN, INC. CITY OF LONG BEACH BURBANK/GLENDALE/PASADENA BURLINGTON NORTHERN SANTA FE SAGE CONSTRUCTION CITY OF CYPRESS CITY OF SOUTH PASADENA KAISER FOUNDATION HEALTH PLAN CITY OF LOS ANGELES-DPW CITY OF REDONDO BEACH CITY OF SANTA CLARITA CALTRANS - ORANGE COUNTY W.S. KLEM CONTRACTORS CITY OF MONTEBELLO BURLINGTON NORTHERN SANTA FE PLAYA CAPITAL CO C. A. RASMUSSEN, INC. BALI CONSTRUCTION BURBANK/GLENDALEIPASADENA TUCKER ENG KAISER FOUNDATION CITY OF LYNWOOD KAISER FOUNDATION HEALTH PLAN CITY OF LONG BEACH CITY OF CULVER CITY LOS ANGELES COUNTY DEPARTMENT BURLINGTON NORTHERN SANTA FE SANTA ANA, CITY OF WATT COMPANIES TOTAL TEAM CONSTRUCTION CITY OF SAN DIMAS CITY OF SEAL -BEACH EST. FINAL % CONTRACT WORK WORK COMPL. BACKLOG 31,998 100.0% 726,300 100.0% 277,703 59.4% 127,142 100.0% 743,375 95.1 % 17,534 100.0% 69,176 100.0% 3,469,876 100.0% 916,740 99.2% 155,681 100.0% 502,688 100.0% 1,386,681 57.3% 538,412 99.7% 1,929,687 16.8% 100,489 98.8% 5,231,122 98.0% 1,215,217 100.0% 150,000 100.0% 534,654 98.6% 71,000 0.7% 1,242,662 0.7% 54,344 100.0% 15,785 100.0% 52,580 7.8% 175,000 20.7% 117,816 0.0% 944,965 48.9% 32,980 95.1% 4,674,935 0.7% 489,536 68.3% 386,000 3.2% 161,000 64.9% 2,913,200 2.5% 76,110 100.0% 329,980 0.1% 1,827,282 19.6% 1,651,458 1.0.6/6 112,635 36,084 6,965 592,548 1,513 1,605,491 1,178 103,372 7,459 70,529 1,233,915 48,486 138,738 117,816 482,779 2,239 4,643,710 155,065 373,575 56,536 2,841,056 329,622 1,469,287 1,657,637 4715 4716 4717 4718 4719 4720 4721 MGM DR, HATHAWAY:LOS ANGELES PIER G-CONNOLLY-PAC:LONG BEACH CANAL AVE, -COWE LCO: LONG BEACH WATERFRONT ST.:PLAYA VISTA TECH PL BUS SHELTR, LB:WATT CO MARINE STADIUM E:L.B. R-6451 KAISER NORMANDIE:HARBOR CITY HATHAWAY DINWIDDIE CONSTRUCTIO CONNOLLY-PACIFIC COWELCO STEEL FABRICATORS PLAYA CAPITAL CO WATT COMPANIES CITY OF LONG BEACH KAISER FOUNDATION HEALTH PLAN 25,875 80,000 182,997 87,279 73,900 192,575 199,250 93.6% 0.0% 0.0% 0.0% 0.0% 0.7% 0.0% 1,665' 80,000 182,997 87,279 73,900 191,295 199,250 WORK EXPERIENCE 11-30-09 CLOSED JOBS Job # Project Description PROJECT NAME Final Contract Amount 3843 LAUREL CYN, LOS ANGELES CITY OF LOS ANGELES-DPW 807,100 4103 HOLLAND CANAL:CO LA LOS ANGELES COUNTY DEPARTMENT 299,025 4348 PH 3 CONT. YD EXP PIER HD7050 PORT OF LONG BEACH 23,552,507 4650 SPEED HUMPS -VAR LOC:PASADENA CITY OF PASADENA 38,130 4653 GETTY CENTER:LOS ANGELES HATHAWAY DINWIDDIE CONSTRUCTIO 6,700 4672 5901 7TH ST VA HOSP:LONG BEACH MOTORCYCLE SYSTEMS 5,445 4682 AVALON ST:WILMINGTON BIGGE CRANE & RIGGING CO. 6,725 4706 P-LOT @ SHORELINE DR:LONG BEAC CITY OF LONG BEACH 5,800 4714 FLORENCE AVE WALNUT PARK:TESTA TESTA CONSTRUCTION 1,000 4340 SLAUSON AVE. @ SR-90 CULVER PLAYA CAPITAL CO 2,755,625 4416 STIMSON AVE.# 07-851:LA PUENTE CITY OF LA PUENTE 396,099 4442 SEPULVEDA BLVD. 2007-3001 PLAYA CAPITAL CO 594,814 4497 CALIFORNIA BLVD.:PASADENA CSI ELECTRIC CONSTRUCTION 14,982 4535 SHENANDOAH E/S:LAUSD 0810124 LOS ANGELES UNIFIED SCHOOL 733,279 4568 NUEVA VISTA E/S:BELL PREMIER WEST 206,362 4578 PACOIMA MIDDLE SCH:PACOIMA TORRES CONSTRUCTION 13,892 4588 EAGLE ROCK HIS:LAUSD 0810277 LOS ANGELES UNIFIED SCHOOL 1,139,422 4593 LOWELL EL SCH:LONG BCH USD LONG BEACH UNIFIED SCHOOL DIST 541,572 4599 VARIOUS SITES:COMPTON USD COMPTON UNIFIED SCHOOL DIST 837,133 4600 ANCHORAGE RD:LONG BEACH R.E. SCHAEFER, INC. 7,710 4606 PERRY LINDSEY ACADEMY:LONG BCH LONG BEACH UNIFIED SCHOOL DIST 1,074,447 4642 WOOD BLVD:LA CO AFL-CIO LA CO FED OF LABOR AFL-CIO 8,388 4704 WASHINGTON ST:SANTA ANA PATRIOT ENVIRONMENTAL SERVICES 8,441 4129 NO. SCIENCE BLDG. MT.SAC MT. SAN ANTONIO COLLEGE 910,385 4466 LA CO SANI DIST:SITE IMPRV LOS ANGELES COUNTY SANITATION 2,453,930 4490 VARIOUS LOC:LB TRANSIT LONG BEACH TRANSIT 879,832 4492 TIERRA REJADA RD12ND ST:MORPRK CITY OF MOORPARK 3,167,306 4515 MT. SAC PAY LOT B MOD MT. SAN ANTONIO COLLEGE 224,919 4531 CAL CARTAGE:WILMINGTON CAL -CARTAGE 18,500 4545 BERTHS 261-267:CON-PACIFIC CONNOLLY-PACIFIC 174,979 4558 LA PALMA AVE.:ANAHEIM PENNER PARTITIONS 15,895 4559 BERTH 302-305:PORT OF LA DYNALECTRIC 1 4572 VARIOUS LOCATIONS:LONG BEACH LONG BEACH TRANSIT 147,364 4577 SLAUSON OVERPASS:BELL CITY OF BELL 74,614 4582 2007-08 ST IMPRV:INGLEWOOD CITY OF INGLEWOOD 548,259 4587 COLUMBUS ELEM SCH:GLENDALE CHARLES PANKOW BUILDERS. 224,715 4591 LAS BRISAS ST:SIGNAL HILL CITY OF SIGNAL HILL 146,749 4594 FIRE LANE UCHRVINE UNIVERSITY OF CALIF-IRVINE 907,704 4604 MADISON ELEM. SCH: REDONDO BCH REDONDO BEACH U.S.D. 72,219 4609 JUVENILE HALL:ORANGE ALCORN FENCE 476,412 4627 SHEILA ST.:COMMERCE ELECTRO CONSTRUCTION 2,698 4629 WASHINGTON BLVD:MARINA DEL REY PCL CONSTRUCTION SERVICES 129,305 4633 WEST/BALL ANAHEIM _... ___ _ _ ..._ _BALI -CONSTRUCTION - - 16,876- 4635 JOHN WAYNE AIRPORT:BALI BALI CONSTRUCTION 15,536 4636 CRENSHAW&PV DR NO:ROLLING HILL ROLLING HILLS ESTATES 4637 DISNEYLAND TRENCH PATCH.-BALI BALI CONSTRUCTION 178,414 9,985 WORK EXPERIENCE 11-30-09 CLOSED JOBS Job # Project Description PROJECT NAME 4638 VARIOUS SCHOOLS:COMPTON CITY OF COMPTON 4641 PUENTE HILLS LANDFIL:LACO SANI LOS ANGELES COUNTY SANITATION 4657 SO. FREMONT ST.:ALHAMBRA INTERSCAPE CONSTRUCTION, INC 4659 VIA CAMPENSIANALMONTERV EST CITY OF PALOS VERDES ESTATES 4663 EMERSON AVE.:OXNARD INTERSCAPE CONSTRUCTION, INC 4664 UC IRVINE ENG 3:IRVINE HENSEL PHELPS CONSTRUCTION CO. 4666 5TH ST.:MANHATTAN BEACH BEARDSLEY CONSTRUCTION 4691 LEWIS AVE.SIGNAL HILL BGI 4458 TAPO CYWALAMO ST:SIMI VALLEY CITY OF SIMI VALLEY 4530 VARIOUS LOCATIONS:CULVER CITY CITY OF CULVER CITY 4590 07-08 ROYAL AVE:SIMI SV08-02 CITY OF SIMI VALLEY 4592 07/08 MADERA RD:SIMI SV08-05 CITY OF SIMI VALLEY 4647 WOODS AVE SEWER:FULLERTON CITY OF FULLERTON 4413 LACC-VERMONT & MELROSE 12157 BERNARDS BUILDERS 4468 LACC-VERMONT/MELROSE:LA BALI CONSTRUCTION 4499 KAISER CANTARA ST.:PANORAMA KAISER FOUNDATION HEALTH PLAN 4523 KAISER:BALDWIN PARK KAISER PERMANENTE (USE) 4548 KAISER.:HARBOR CITY KAISER FOUNDATION 4571 AVE. 451FIGUEROA:HIGHLAND PARK BUNTICH PACIFIC JT VENTURE 4574 SOUTHERWG0.RFIELD:SOUTH GATE MLADEN BUNTICH 4603 INGLEWOOD/CULVER:LOS ANGELES PLAYA CAPITAL CO 4607 LACC CHILD DEV CTR:LOS ANGELES CA CONSTRUCTION 4612 KAISER VENTURA CYN AVE:VAN NUY KAISER PERMANENTE (USE) 4615 PIER A WEST:568-0017 TUTOR SALIBA PERINI, JV 4616 PIER A WEST:568-0013 TUTOR SALIBA PERINI, JV 4232 VALENCIA MESA DR.:FULLERTON SWINERTON & WALBERG 4282 LOOP RD @ PARK PL: 6060-02 HATHAWAY DINWIDDIE CONSTRUCTIO 4415 5550 CASE AVE., LA 18234 PCL CONSTRUCTION SERVICES 4505 TOPANGA & VICTORY:WESTFIELD WESTFIELD DESIGN & CONSTRUCTIO 4507 N. BRAND BLVD:GLENDALE HATHAWAY DINWIDDIE CONSTRUCTIO 4516 TUSTIN AVE/1ST ST:MCCARTHY MCCARTHY PACIFIC DIVISION 4583 OLYMPIC/CENTINELA:SANTA MONICA BAYLEY CONSTRUCTION 4595 MARINA H/S:HUNTINGTON BCH HUNTINGTON BEACH UHSD 4624 WASHINGTON/INDIANA:VERNON JOHNSON CONTROLS, INC. 4625 EL PRESIDIO ST.:CARSON LANE AIRE MANUFACTURING 4626 VAN NESS & SLAUSON:LOS ANGELES MLADEN BUNTICH 4630 LAMAR & MAIN:LOS ANGELES ELECTRO CONSTRUCTION 4631 4TH ST SAN BERNARDINO:REMPREX REMPREX, LLC 4646 CALIFORNIA BLVD.:PASADENA HATHAWAY DINWIDDIE CONSTRUCTIO 4648 BANDINI BLVD:BNSFNERNON BURLINGTON NORTHERN SANTA FE 4654- WE AVE:TORRANCE ____ - _MOOGAIRCRAFT.GROUP 4660 GOODE AVE.GLENDALE DINWIDDIE CONSTRUCTION COMPANY Final Contract Amount 89,200 474,349 4,600 204,212 17,450 144,019 1,500 650 2,957,391 801,667 1,816,110 711,585 1,080,938 182,916 6,085 91,879 345,764 58,823 76,100 27,300 371,356 36,549 43,997 142,872 321,780 934,135 1,112,969 186,308 2,597,572 217,460 233,937 1,961,558 3,345,226 160,359 13,122 4,850 33,320 1,438,337 37,708 454,993 7,240 - 256,760 4665 MIDWAY PUMP STA.:WESTMINSTER CHARLES KING COMPANY 41,215 4667 34TH ST. USC:LOS ANGELES UNIVERSITY OF SOUTHERN CALIF. 134,903 4668 SULPHUR PR/SISAR:SANTA PAULA C. A. RASMUSSEN, INC. 16,824 4671 R ST/FIGUEROA:KAISER:WILMINGTN KAISER PERMANENTE (USE) 8.450 WORE( EXPERIENCE 11-30-09 CLOSED JOBS Final Contract Job # Project Description PROJECT NAME Amount 4674 OLDEN ST.:SYLMAR TUTOR SALIBA PERINI, JV 36,710 4687 RIVERSIDE DR/10TH ST:CHINO CHARLES KING COMPANY 7,597 4688 12TH & BROADWAY:LOS ANGELES MLADEN BUNTICH 8,200 4694 KAISER VERMONT AVEAARBOR CITY KAISER PERMANENTE (USE) 1,200 4696 ALVARADOISANTA YNEZ:LOS ANGELE TUCKER ENG 9,296 4701 VENIZIAAJNCOLN:LOS ANGELES WORLD OIL 3,190 4211 VARIOUS INTERSECTION&LONG BCH C.T.& F. INC. 306,515 4295 CULVER BLVIVISTA DEL MAR: PLAYA CAPITAL CO 1,601,060 4319 REDONDO AVE:LONG BEACH R-6681 CITY OF LONG BEACH 221,979 4339 VARS LOC., CJO LNG BCH R6703 CITY OF LONG BEACH 1,353,277 4434 IMPERIAL HWY:DOWNEY#55 585 CITY OF DOWNEY 2,427,816 4443 INGLEWOOD AVE.:RB 40420-40302 CITY OF REDONDO BEACH 540,525 4454 UCHRVINE HENSEL PHELPS CONSTRUCTION CO. 58,853 4522 BELMONT PIER PLAZA:LB R6660 CITY OF LONG BEACH 514,419 4541 ''CAMINO REAU182ND ST:REDONDO CITY OF REDONDO BEACH 444,555 4569 MIDWAY139TH PL•LONG BEACH SAFEWAY INC: VONS SUB DIVISION 6,353 4584 VARIOUS LOCATIONS:SANTA ANA SANTA ANA, CITY OF 3,570,920 4586 7TH ST.:LONG BEACH R-6722 CITY OF LONG BEACH 1,782,650 4126 UNIVERSITYAVE.:RIVERSIDE CITY OF RIVERSIDE 2,431,003 4483 BOB HOPE AIRPRT:BURBANK E06-53 BURBANK/GLENDALE/PASADENA 13,177,103 4524 VERDUGO/BARRINGTON:GLENDALE CITY OF GLENDALE 585,432 4596 MAT ARRESTING SYS:BURBANK ARPI BURBANK/GLENDALE/PASADENA 3,642,247 4608 TAXIWAY DELTA:LONG BEACH R6757 CITY OF LONG BEACH 816,228 4619 SO REGION ELEM SCH #7:LAUSD LOS ANGELES UNIFIED SCHOOL 415,720 4645 USC-SCH CIN ARTS:LOS ANGELES HATHAWAY DINWIDDIE CONSTRUCTIC 19,130 4481 CERRITOS/EL RITO AVE.:GLENDALE CITY OF GLENDALE 1,197,065 Job $1 3843 4042 4093 4103 4126 4129 4165 4211 4232 4240 4242 4245 4266 4282 4295 4302 4319 4324 4328 4329 4330 4339 4340 4348 4370 4408 4413 4415 4416 4425 4434 4442 4443 4454 4458 4466 4468 4481 4482 4483 4490 4492 4497 WORK EXPERIENCE 11-30-08 OPEN JOBS Project Description LAUREL CYN, LOS ANGELES TUDOR4WESTWD REPL 945760.01 TRANSIT HUB-SAN FERN VLY/L.A HOLLAND CANAL•CO LA UNIVERSITY AVE.:RIVERSIDE NO. SCIENCE BLDG. MT.SAC EL TORO RD:LAKE FOREST VARIOUS INTERSECTIONS:LONG BCH VALENCIA MESA DR.:FULLERTON CALTRANS LINCOLN:07-1660U4 CHANDLER&ANKERSHIM: C108099 UNNIE CANAL COURT: C108109 CENTINELA AVE: C-108597 LOOP RD @ PARK PL: 6060-02 CULVER BLVIVISTA DEL MAR: VERMONT AVE: E.LA # G-109146 REDONDO AVE:LONG BEACH R-Wl USC, FIGUEROA & JEFFERSON HIGHLAND AVE.:L.A.109718 SUNSET BLVD. C109716-1 HARBOR GATEWAY:L.A. C-109717 VARS LOC., CIO LNG BCH R6703 SLAUSON AVE. @ SR-90 CULVER PH 3 CONT. YD EXP PIER HD7050 ALAMEDA ST NO SPRG ST C110421 HOLLYWD WY BRBNK AIRPORT A2977 LACC-VERMONT & MELROSE 12157 5550 CASE AVE., LA 18234 STIMSON AVE. # 07-851 1ST & SPRING:LA-55797 IMPERIAL HWY:DOWNEY#55 585 SEPULVEDA BLVD. 2007-3001 INGLEWOOD AVE.:RB 40420-40302 UCHRVINE TAPO CYN/ALAMO ST:SIMI VALLEY LA CO SANI DIST:SITE IMPRV LACG-VERMONT/MELROSE: LA CERRITOS/EL RITO AVE.:GLENDALE 20TH & REDONDO:LONG BEACH BOB HOPE AIRPRT:BURBANK E06-53 VARIOUS LOC:LB TRANSIT TIERRA REJADA RD/2ND STMORPRK CALIFORNIA BLVD.:PASADENA PROJECT NAME CITY OF LOS ANGELES-DPW TUTOR SALIBA PERINI, JV LOS ANGELES COUNTY DEPARTMENT LOS ANGELES COUNTY DEPARTMENT CITY OF RIVERSIDE MT. SAN ANTONIO COLLEGE CITY OF LAKE FOREST C.T.& F. INC. SWINERTON & WALBERG CALTRANS CITY OF LOS ANGELES-DPW LOS ANGELES COUNTY DEPARTMENT CITY OF LOS ANGELES HATHAWAY DINWIDDIE CONSTRUCTIO PLAYA CAPITAL CO LOS ANGELES COUNTY DEPARTMENT CITY OF LONG BEACH UNIVERSITY OF SOUTHERN CALIF. L.A.000NTY DEPT. PUBLIC WORKS LA.000NTY DEPT. PUBLIC WORKS L.A.000NTY DEPT. PUBLIC WORKS CITY OF LONG BEACH PLAYA CAPITAL CO PORT OF LONG BEACH CITY OF LOS ANGELES BURBANK/GLENDALE/PASADENA BERNARD BUILDERS PCL CONSTRUCTION SERVICES CITY OF LA PUENTE TUTOR SALIBA PERINI, JV CITY OF DOWNEY PLAYA CAPITAL CO CITY OF REDONDO BEACH HENSEL PHELPS CONSTRUCTION CO. CITY OF SIMI VALLEY LOS ANGELES COUNTY SANITATION BALI CONSTRUCTION CITY OF GLENDALE ALAMITOS RIDGE BURBAN K/GLENDALE/PASADENA LONG BEACH TRANSIT CITY OF MOORPARK CSI ELECTRIC CONSTRUCTION EST. FINAL CONTRACT 807,100 2,339,610 1,473,973 299,925 2,067,233 910,385 11,091,333 306,515 930,000 12,146,938 5,421,529 351,920 2,880,145 1,112,969 1,601,060 1,392,670 221,979 1,585,000 3,552,591 2,062,587 2,744,039 1,353,277 2,510,518 23,446,239 2,741,613 23,710 182,915 186,308 397,215 230,000 2,427,816 596,857 540,525 59,976 2,957,391 2,453,930 6,085 1,197,605 315,429 13,177,103 879,832 3,167,306 14,982 WORK WORK COMPL. BACKLOG 99.5% 100.0% 100.0% 99.8% 99.9% 100.0% 99.6% 99.9% 93.4% 99.2% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 99.6% 99.9% 98.8% 100.0% 94.4% 100.0% 99.1% 100.0% 100.0% 100.0% 100.0% 58.5% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 99.8% 99.3% 100.0% 100.0% 100.0% 4-499 KAISER CANTARA ST.:PANORAMA 4502 WEST CHAPMAN SEWER:GG7805 4505 TOPANGA & VICTORY:WESTFIELD Job # 4507 4508 4515 4516 4522 4523 4524 4526 4530 4531 4534 4535 4541 4545 4548 4549 4552 4553 4558 4559 4566 4567 45M 4569 4571 4572 4573 4574 4577 4578 4582 4583 4584 4585 4586 4587 4588 4590 4591 4592 KAISER FOUNDATION HEALTH PLAN GARDEN GROVE SANI DIST WESTFIELD DESIGN & CONSTRUCTIO WORK EXPERIENCE 11-30-08 OPEN JOBS Project Description N. BRAND BLVD:GLENDALE ALVARADO TRANSIT CORRIDOR: MT. SAC PAY LOT B MOD TUSTIN AVE/1ST ST:MCCARTHY BELMONT PIER PLAZA:LB R6660 KAISER:BALDWIN PARK VERDUGOIBARRINGTON:GLENDALE LAKEWOOD BLVD PH 2:DOWNEY VARIOUS LOCATION&CULVER CITY CAL CARTAGE:WILMINGTON 7TH & CATALINA:LOS ANGELES SHENANDOAH E/S:LAUSD 0810124 CAMINO REAL/182ND ST:REDONDO BERTHS 261-267:CON-PACIFIC KAISER.:HARBOR CITY RAMIREZ CANYORMALIBU 06821 JOHN WAYNE AIRPORT:CO OF ORG PACIFIC COAST HWY:DANA POINT LA PALMA AVE.ANAHEIM BERTH 302-305:PORT OF LA CLEVELAND HS:RESEDA LANKERSHIM/VARIOUS LOC:LA NUEVA VISTA E/S:BELL MIDWAY/39TH PL•LONG BEACH AVE. 45/FIGUEROA:HIGHLAND PARK VARIOUS LOCATION&LONG BEACH ATHERTON STRM DRAIN:LB R-6732 SOUTHERWGARFIELD:SOUTH GATE SLAUSON OVERPASS:BELL PACOIMA MIDDLE SCH:PACOIMA 2007-08 ST IMPRV:INGLEWOOD OLYMPIC/CENTINELA:SANTA MONICA VARIOUS LOCATIONS:SANTA ANA PAVEMENT REHAB:WESTLAKE VILLAG 7TH ST.:LONG BEACH R-6722 COLUMBUS ELEM SCH:GLENDALE EAGLE ROCK H/S:LAUSD 0810277 07-08 ROYAL AVE:SIMI SV08-02 LAS BRISAS ST:SIGNAL HILL 07/08 MADERA RD:SIMI SV08-05 PROJECT NAME HATHAWAY DINWIDDIE CONSTRUCTIO LA COMMUNITY REDEVELOPMENT AGY MT. SAN ANTONIO COLLEGE MCCARTHY PACIFIC DIVISION CITY OF LONG BEACH KAISER PERMANENTE (USE) CITY OF GLENDALE CITY OF DOWNEY CITY OF CULVER CITY CAL -CARTAGE HENSEL PHELPS CONSTRUCTION CO. LOS ANGELES UNIFIED SCHOOL CITY OF REDONDO BEACH CONNOLLY-PACIFIC KAISER FOUNDATION TORRES CONSTRUCTION JOHN WAYNE AIRPORT CITY OF DANA POINT PENNER PARTITIONS DYNALECTRIC LOS ANGELES UNIFIED SCHOOL LA COMMUNITY REDEVELOPMENT AGY PREMIER WEST SAFEWAY INC: VONS SUB DIVISION BUNTICH PACIFIC JT VENTURE LONG BEACH TRANSIT CITY OF LONG BEACH MLADEN BUNTICH CITY OF BELL TORRES CONSTRUCTION CITY OF INGLEWOOD BAYLEY CONSTRUCTION SANTA ANA, CITY OF CITY OF WESTLAKE VILLAGE CITY OF LONG BEACH CHARLES PANKOW BUILDERS. LOS ANGELES UNIFIED SCHOOL CITY OF SIMI VALLEY CITY OF SIGNAL HILL CITY OF SIMI VALLEY 81,999 20.1 % 1,967,739 100.0% 2,598,409 93.6% EST. FINIAL CONTRACT 217,460 2,140,870 224,919 233,937 514,419 339,000 617,495 2,047,150 801,667 18,500 73,954 744,408 444,555 174,979 58,500 400,835 1,538,269 5,792,241 15,895 35,000 1,304,212 1,143,779 206,362 6,353 76,100 147,364 1,318,294 27,300 74,614 13,892 548,259 1,961,558 3,564,725 2,125,397 1,713,347 225,945 1,145,847 1,791,856 142,749 711,585 65,519 167,202 WORK WORK COMPL. BACKLOG: 97.2% 72.2% 100.0% 100.0% 100.0% 71.3% 98.5% 92.2% 100.0% 71.1% 100.0% 99.8% 98.8% 99.9% 85.7% 99.5% 89.3% 49.3% 100.0% 3.5% 90.4% 5.5% 100.0% 100.0% 100.0% 52.1 % 89.5% 100.0% 100.0% 96.1 % 100.0% 99.2% 99.8% 100.0% 99.9% 95.0% 86.8% 93.6% . 97.5% 100.0% 6,075 594,329 97,334 9,252 159,916 5,350 1,580 5,534 94 8,355 1,990 164,414 2,936,263 33,773 124,921 1,080,360 70,535 138,165 541 15,497 6,241 929 11,319 151,754 113,799 3,597 4593 4594 4595 4596 459T 4598 Job # 4599 4600 4603 4604 4605 4606 4607 4608 4609 4611 4612 4613 4615 4616 4618 4619 4620 4621 4623 4624 4625 4626 4627 4628 4629 4630 4631 4632 4633 4635 4636 4637 4638 4639 4640 4641 4642 LOWELL EL SCRLONG BCH USD FIRE LANE UCLIRVINE MARINA H/S:HUNTINGTON BCH MAT ARRESTING SYS:BURBANK ARPT WILSHIRE/FAIRFAX:LOS ANGELES CHEVIOT HILLS:LA C113689 LONG BEACH UNIFIED SCHOOL DIST UNIVERSITY OF CALIF-IRVINE HUNTINGTON BEACH UHSD BURBANK/GLENDALE/PASADENA MATT CONSTRUCTION CO. CITY OF LOS ANGELES-DPW WORK EXPERIENCE 11-30-08 OPEN JOBS Project Description VARIOUS SITES:COMPTON USD ANCHORAGE RD:LONG BEACH INGLEWOOD/CULVER:CULVER CITY MADISON ELEM. SCH: REDONDO BCH MWD WATERUNE:BEV HILLSILA PERRY LINDSEY ACADEMY:LONG BCH LACC CHILD DEV CTR:LOS ANGELES TAXIWAY DELTA:LONG BEACH R6757 JUVENILE HALL:ORANGE USC ST IMPROVEMENT:LOS ANGELES KAISER VENTURA CYN AVE:VAN NUY STORM DRAIN POLL/DUST:POLB7328 PIER A WEST:568-0017 PIER A WEST:568-0013 FEDEXRAMP BURBANK AIRPORT SO REGION ELEM SCH #TLAUSD EAST LA H/S:LOS ANGELES MISC. AC REPAIRS:DANA POINT VAR SD IMP CANDLBERRY:SEAL BCH WASHINGTONANDLW:VERNON EL PRESIDIO ST.:CARSON VAN NESS & SLAUSON:LOS ANGELES SHEILA ST.:COMMERCE LIMECREST DR-LACDWP:CO OF LA WASHINGTON BLVD:MARINA DEL REY LAMAR & MAIN:LOS ANGELES 4TH ST SAN BERNARDINO:REMPREX W. 6TH ST:LOS ANGELES WEST/BALL:ANAHEIM JOHN WAYNE AIRPORT:BALI CRENSHAW&PV DR NO:ROLLING HILL DISNEYLAND TRENCH PATCH:BALI VARIOUS SCHOOLS:COMPTON 4 INTERSECTIONS: LB & LKWD BERTH 73IBERTH 191:POLA PUENTE HILLS LANDFIL:LACO SANI WOOD BLVD:LA CO AFL-CIO PROJECT NAME COMPTON UNIFIED SCHOOL DIST R.E. SCHAEFER, INC. PLAYA CAPITAL CO REDONDO BEACH U.S.D. RUDOLPH & SLETTEN, INC. LONG BEACH UNIFIED SCHOOL DIST CA CONSTRUCTION CITY OF LONG BEACH ALCORN FENCE UNIVERSITY OF SOUTHERN CALIF. KAISER PERMANENTE (USE) PORT OF LONG BEACH TUTOR SALIBA PERINI, JV TUTOR SALIBA PERINI, JV FEDERAL EXPRESS LOS ANGELES UNIFIED SCHOOL TUCKER ENG CITY OF DANA POINT CITY OF SEAL BEACH JOHNSON CONTROL, INC. LANE AIRE MANUFACTURING MLADEN BUNTICH ELECTRO CONSTRUCTION LOS ANGELES COUNTY DEPARTMENT PCL CONSTRUCTION SERVICES ELECTRO CONSTRUCTION REMPREX, LLC MATT CONSTRUCTION CO. BALD CONSTRUCTION BALI CONSTRUCTION ROLLING HILLS ESTATES BALI CONSTRUCTION CITY OF COMPTON THE BOEING COMPANY CONNOLLY-PACIFIC LOS ANGELES COUNTY SANITATION LA CO FED OF LABOR AFL-CIO 541,662 907,704 3,215,000 3,642,247 1,071,699 777,869 EST. FINAL CONTRACT 837,132 7,710 386,070 39,300 1,809,170 1,074,447 36,549 816,228 452,834 1,717,400 43,997 4,688,404 121,706 327,832 3,493,821 638,518 166,000 94,600 1,419,864 83,288 13,122 4,850 2,698 228,859 124,000 31,900 1,435,273 352,051 16,876 15,536 178,414 9,985 94,603 1,303,476 237,765 447,645 8,388 100.0% 96.8% 90.3% 99.9% 49.1% 54.2% 28,981 310,799 1,958 545,895 356,163 WORK WORK COMPL. BACKLOG 100.0% 100.0% 92.6% 100.0% 1.9% 99.8% 58.2% 100.0% 14.4% 38.8% 100.0% 12.8% 12.3% 28.1% 2.8% 9.3% 34.3% 17.5% 0.9% 85.7% 100.0% 100.0% 100.0% 0.7% 35.0% 100.0% 78.3% 17.6% 100.0% 100.0% 99.3% 0.0% 1.4% 0.2% 0.0% 5.0% 100.0% 28,684 1,774,728 2,644 15,296 387,786 1,050,722 4,090,140 106,719 235,691 3,394,914 579,076 109,116 78,040 1,407,728 11,950 227,315 80,638 311,690 289,982 1,246 9,985 93,238 1,300,228 237,765 425,123 4643 PLAYA VISTA -CAMPUS CAP PAVING PLAYA CAPITAL CO 336,600 1.0% 333,384 4645 USC-SCH CIN ARTS:LOS ANGELES HATHAWAY DINWIDDIE CONSTRUCTIO 19,130 19.4% 15,417 4646 CALIFORNIA BLVD.:PASADENA HATHAWAY DINWIDDIE CONSTRUCTIO 37,426 0.0% 37,426 4647 WOODS AVE SEWER:FULLERTON CITY OF FULLERTON 1,090,322 0.8% 1,081,204 4648 BANDINI BLVD:BNSF/VERNON BURLINGTON NORTHERN SANTA FE 454,993 0.0% 454,993 WORK EXPERIENCE 11-30-08 CLOSED JOBS Job # 3947 3959 4062 4084 4088 4123 4164 4218 4247 4275 4296 4307 4316 4332 4336 4337 4343 4353 4354 4359 4361 4365 4366 4367 4373 4374 4377 4385 4393 4394 4401 4404 4407 4412 4414 4417 4418 4420 4421 4427 4429 4435 Project Description TUSTIN AVE, ANAHEIM SANTA MONICA BLVD, LA C104287 MWD/ WATER LINEISANTA MONICA KAISER -SAND CANYON/IRVINE 9280 DANA POINT ANNUAL RD RESURF ANAHEIM ST..:LONG BEACH KENNEDY HS:ANAHEIM UHSD ASHCROFT/ROBERTSON:W.HOLLYWOOD 7TH/710 BIKEWAY CON:LONG BEACH CLAY MIDDLE SCHOOL: #0510459 GLENDALE BLVD:LA C108979 NEWPORT SHORES:NEWPORT BEACH MONTROSE AVE.:LA COUNTY DPW S.BRAND BLVD.REHABILITATION VERMONT AVE MCFADDEN AVE. REHABILITATION BRAND & HARVARD, GLENDALE FOUNTAIN VALLEY HS, FOUNTAIN V LA BREA AVE. MICHELSON BLVD, IRVINE 6060-06 OSAGE AVE, C/O LAWNDALE WEIDLAKE DRIVE IMP:LA C110050 2006 ANNUAL ST. IMPROVMNTS GRANADA AVE. & STAMY RD IMPRV 2040 CENTURY PRKG LOT 6072-00 WOODRANCH PRKWY, SIMI VALLEY PIER E BERTH E24 - 326 HDS2282 VARIOUS ST. IMPRVTS JEFSN BL, PLYA VSTA 2006-3001 CLARA ST.ATLANTIC AVE STPL5369 N. MACLAY AVE.7510 P-700 FED PELTASON - UCI ORANGETHORPE AVE VARIOUS LOCATIONS CARSON TOPANGA & VICTORY PROSPECT VILLAGE-TUSTIN 2401 E. PCH:WILLMINGTON VERMONT MANCHESTER, 7403-098 TAXIWAY D, LNG BCH CO LAGUNA BEACH-2005-06 RANDALL ST. STORM DRAIN:S.A. CALTRANS ST. JOHN'S 07A2220 PROJECT NAME CITY OF ANAHEIM CITY OF LOS ANGELES-DPW CITY OF LOS ANGELES-DPW WHITING -TURNER CONTRACTING CITY OF DANA POINT CITY OF LONG BEACH ANAHEIM UNIFIED HIGH SHCOOL DS CITY OF LONG BEACH LOS ANGELES UNIFIED SCHOOL CITY OF LOS ANGELES CITY OF NEWPORT BEACH LOS ANGELES COUNTY DEPARTMENT CITY OF GLENDALE CITY OF GARDENA SANTA ANA, CITY OF CITY OF GLENDALE MCCARTHY PACIFIC DIVISION CITY OF WEST HOLLYWOOD HATHAWAY DINWIDDIE CONSTRUCTIO CITY OF LAWNDALE CITY OF LOS ANGELES CITY OF ALHAMBRA CITY OF LA MIRADA HATHAWAY DINWIDDIE CONSTRUCTIO CITY OF SIMI VALLEY PORT OF LONG BEACH CITY OF INGLEWOOD PLAYA CAPITAL CO CITY OF CUDAHY CITY OF SAN FERNANDO HENSEL PHELPS CONSTRUCTION CO. CITY OF BUENA PARK MLADEN BUNTICH WESTFIELD DESIGN & CONSTRUCTIO CITY OF TUSTIN CAL -CARTAGE MCCARTHY PACIFIC DIVISION CITY OF LONG BEACH CITY OF LAGUNA BEACH COUNTY OF ORANGE-RDMD CALTRANS Final Contract Amount 4,370,876 49,757,848 7,739,622 720,447 1,490,592 3,249,006 1,037,004 52,900 606,153 620,819 597,309 1,584,279 2,447,026 1,867,221 1,204,230 1,121,382 134,000 1,074,427 496,890 2,909,722 209,832 465,183 651,988 564,180 736,152 1,982,642 5,295,408 379,574 7,938,248 556,434 4,981,426 22,443 1,038,513 16,824 2,166,954 941,017 22,830 915,500 59,379 3,848,764 824,976 90,524 4436 FULLER & GARNER:WEST HOLLYWOOD CITY OF WEST HOLLYWOOD 4439 DESOTO AVE CHATSWORTH MLADEN BUNTICH 235,383 9,437 Job# 4440 4444 4445 4448 4450 4451 4452 4453 4456 4457 4461 4462 4463 4464 4465 4467 4469 447.0 4471 4474 4475 4477 4479 4480 4484 4486 4489 4491 4493 4494 4495 4496 4498 4500 4501 4503 4504 4506 4509 4510 WORK EXPERIENCE 11-30-08 CLOSED JOBS Project Description 226TH ST.ICLARETTA:HAW GRDNS ALLEN AVE ST/STRM DRN: #3210 RAYMOND ST.:PASADENA MARYMOUNT HIGH SCHOOL:L.A. ST. IMPRV:LYNWOOD 05-5261 OVERLAY SLURRY SEAL 06-07 4082-4092 GLENCOE:L.A. ST IMPROVEMENT 06-07:INGLEWOOD EL DORADO E/S:SYLMAR ACCESS RD REPAIR:LA FCC0001046 CDR 233 UPGRADE: FCC0001023 VIRGINIA ST:EL SEGUNDO MODULAR SITE:EL CAMINO COLL WASHINGTON/GRANDE :BF46013 CANTARA ST:KAISER F02597017-00 VALLEYHEART DR:SHERMAN OAKS HALDEMAN RD:RUSTIC CYN HOA LATIMER RD:RUSTIC CYN HOA ANAHEIM ST.:LONG BEACH 07-019 LOOP RD IMRV:IRVINE 6TH & PCH:BOVIS WEST LA COLLEGE:LACC #70331 UNION AVE/BEVERLY BLVD.:L.A. EAST OLIVE AVE:BURBANK UNIVERSITY HIGH SH:LOS ANGELES BLUFF CREEK DR:PLAY VISTA BURIPAS/GLEN AIRPORT E07-11 WESTFIELD DESIGN CENTER FREEDOM DRIVE:CALABAS 07-08-04 SPAZIER AVE.:BURBANK PORT OF LONG BEACRRYAN CO. POLICE SHOOTING RANGE:LAGUNA VAGABONDWONTEREY PARK CAMPUS AVE/ARTISAN WAY:PLA VST GAGE AVE.:BELL GRANADA HILLS E/S:TORRES CONST BERENDO MIDDLE SCHOOL:TORRES LAKE FOREST (VARIOUS):ORANGE KAISER ROSCOE BLVD:PANORAMA CY LIGGIT E/S:TORRES PROJECT NAME CITY OF HAWAIIAN GARDENS CITY OF GLENDALE DAMON CONSTRUCTION COMPANY W.S. KLEM CONTRACTORS CITY OF LYNWOOD CITY OF SANTA CLARITA WEST BUILDERS CITY OF INGLEWOOD LOS ANGELES UNIFIED SCHOOL LOS ANGELES COUNTY DEPARTMENT L.A.000NTY DEPT. PUBLIC WORKS CITY OF EL SEGUNDO EL CAMINO COMMUNITY COLL DIST BURLINGTON NORTHERN SANTA FE KAISER FOUNDATION ST. FRANCIS DE SALES RUSTIC CANYON HOME OWNERS ASSO RUSTIC CANYON HOME OWNERS ASSO LONG BEACH TRANSIT HATHAWAY DINWIDDIE CONSTRUCTIO BOVIS LEND LEASE, INC. L.A. COMMUNITY COLLEGE SNYDERLANGSTON CITY OF BURBANK TORRES CONSTRUCTION COLICH & SONS BURBANK/GLENDALE/PASADENA WESTFIELD DESIGN & CONSTRUCTIO CITY OF CALABASAS ENVIRONMENTAL QUALITY MGMNT THE RYAN CO. CITY OF LAGUNA BEACH CITY OF MONTEREY PARK CSI ELECTRIC CONSTRUCTION CITY OF BELL TORRES CONSTRUCTION TORRES CONSTRUCTION ORANGE COUNTY KAISER FOUNDATION TORRES CONSTRUCTION Final Contract Amount 92,155 279,890 25,155 856,482 766,795 5,503,565 309,434 479,793 794,632 499,954 374,942 92,774 147,800 1,122,915 106,978 135,875 58,395 66,500 244,032 2,996,158 10,886 186,054 55,297 313,656 88,537 207,560 380,925 29,118 82,619 25,977 16,091 51,837 89,325 4,200 25,375 50,496 207,053 32,744 100,937 84,479 4511 PIER F AVELONG BEACH B 8 D CONTRUCTION 3,100 4512 L STREET:BNSF BURLINGTON NORTHERN SANTA FIE 146,806 4513 LEAPWOOD E/S:TORRES TORRES CONSTRUCTION 142,331 4514 FOOTHILL BLVD:PASADENA BERNARD BUILDERS 81,317 WORK EXPERIENCE 11-30-08 CLOSED JOSS Final Contract Job # Project Description PROJECT NAME Amount 4517 18TH ST:SANTA MONICA CITY OF SANTA MONICA 15,198 4518 PCH/NORMANDIE AVE; HARBOR CITY ARB INC. 94,545 4519 MOORPARK HIGHLANDS/SPRING ST CHAPARRAL CONSTRUCTION 616,202 4520 AMBLER AVE. SCH:TORRES CONST TORRES CONSTRUCTION 134,849 4521 ZANE GREY H/S:RESEDA TORRES CONSTRUCTION 75,326 4525 TAPER AVE. SCHOOL:SAN PEDRO TORRES CONSTRUCTION 108,842 4527 SUNNY BRAE SCHOOL:WINETKA TORRES CONSTRUCTION 15,345 4528 THE GETTY CENTER HATHAWAY DINWIDDIE CONSTRUCTIO 37,887 4529 NORTHRIDGE M/S:NORTHRIDGE TORRES CONSTRUCTION 6,542 4532 SAN MIGUEL E/S:SOUTH GATE TORRES CONSTRUCTION 315,091 4533 USC CINEMATIC ARTS BLDG:LA HATHAWAY DINWIDDIE CONSTRUCTIO 2,134 4536 4TH ST. SAN BERNARDINO BNSF BURLINGTON NORTHERN SANTA FIE 265,323 4537 26TH ST:VERNON CBRE 52,143 4538 PLAYA VISTA:PRESHING DR. CSI ELECTRIC CONSTRUCTION 76,194 4539 WEST EQUIP LOT;BURBANK AIRPORT BURBANK/GLENDALE/PASADENA 63,382 4540 EVEWARD RD:CULVER CITY DLSB, INC. 47,967 4542 WESTERN/PASEO DEL MAR:PV VALVERDE CONSTRUCTION 13,374 4543 AMELIA AVE:GLENDORA(ROYAL EL) ROYAL ELECTRIC 21,950 4544 BURBANK RUNWAY 8-26 BURBANK/GLENDALE/PASADENA 16,585 4546 ORCHARD ST:BELL CITY OF BELL 19,375 4547 WRIGHT MIDDLE SCH:LA(TORRES) TORRES CONSTRUCTION 99,389 4550 4TH 8 LOS ANGELES:LOS ANGELES CHARLES KING COMPANY 18,527 4551 GEORGE BURNS:CEDAR-SINAI MED CEDAR SINAI MEDICAL CENTER 39,219 4554 BLUFF CREEK RD:FINGER CO FINVEST PLAYA VISTA 91,269 4555 VICTORYNINELAND:NO HOLLYWOOD WHITING -TURNER CONTRACTING 429,749 4556 GARVEY AVE.ROSEMEAD REYES CONSTRUCTION 38,218 4557 DACOTAH EARLY ED CNTR:L.A. TORRES CONSTRUCTION 159,273 4560 ROSCOE BLVD:WEST HILLS MAXX MECHANICAL 2,200 4561 BESS/LEORITA:BALDWIN PARK KAISER PERMANENTE (USE) 15,866 4562 J PAUL GETTY TR:LOS ANGELES J. PAUL GETTY TRUST 17,079 4563 NICHOLS/BELSITO:HUNTINGTON BCH BALI CONSTRUCTION 405,647 4564 SPAZIER:BURBANK ENVIRONMENTAL QUALITY MGMNT 1,600 4565 AVE. OF THE STARS:LOS ANGELES HATHAWAY DINWIDDIE CONSTRUCTIO 9,375 4570 BURBANK AIRPORT LOT E:BURBANK BURBANK/GLENDALE/PASADENA 37,158 4575 DOUGLAS/EL SEGUNDO:EL SEGUNDO RMA LAND CONSTRUCTION 4,300 4576 MISC. AC REPAIRS:DANA POINT CITY OF DANA POINT 94,080 4579 KAISER NORMANDIE:HARBOR CITY KAISER FOUNDATION 8,225. 4580 CAL ST NORTHRIDGE 810277 TUCKER ENG 6,200 4581 BNSF 26TH ST. IMPRV:COMMERCE BURLINGTON NORTHERN SANTA FE 4589 9900 WILSHIRE BLVD.:BEV HILLS PSOMAS 4601 SHEILA & INDIANA:COMMERCE ELECTRO CONSTRUCTION 4602 CALSTATE NORTHRIDGE HATHAWAY DINWIDDIE CONSTRUCTIO 4610 SEPULVEDA BLVD:LONG BEACH B & D CONTRUCTION 4614 LOMITA BLVD.:WILMINGTON ELECTRO CONSTRUCTION WORK EXPERIENCE 11-30-08 CLOSED JOBS Job # Project Description PROJECT NAME 4617 SEPULVEDA BL (HARBOR):LONG BCH B & D CONTRUCTION 4622 D & E YARD CROSSINGS:COMMERCE LOS ANGELES JUNCTION RAILWAY 4634 SPRINKER FITTERS UA LOCAL 709 SPRINKLERS FITTERS LOCAL 709 4644 LOS ANGELES HATHAWAY DINWIDDIE CONSTRUCTIO 4042A GAYLEY AVE:WESTWOOD TUTOR SALIBA PERINI, JV 296,935 32,189 8,784 9,386 8,939 3,486 Final Contract Amount 16,600 44,041 27,441 47,068 728,533 Bond No, 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 firmly bound unto City of Huntington Beach as Obligee, hereinafter called the Obligee, in the sum of Ten percent of the total amount of the bid Dollars ($ lo% ), 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 Water Main Extension 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 famished 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 11th day of July , 2011 PALP Inc. dba Excel Paving Company Witness /^ - A - Princ1pal (se*)- By: Name/Title Federal Insurance Company Surety (Seal) AU Witness ByDouglad A. Rapp Attorney -in -Fact ORSC 21328 (5/97) ACKNOWLEDGMENT State of California County of Orange ) On July 11, 2011 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp who proved to me on the basis of satisfactory evidence to be the person($) whose name(&) is/fire subscribed to the within instrument and acknowledged to me that he/sAe ttaey executed the same in his/ter/tbetr authorized capacity(joe), and that by his/be their signature(o on the instrument the person(,M, 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 official seal. Signature.J�a. tV ��5 pys, 0EBRA SWARi5ON COMM. # 1822117 � �® o NOTARY PUKr CALlFORNIA r ORANGE COUNTYCn (Seal) My Corn. Ex0rmNOV 10, 2012 IcChubb POWER Federal Insurance Company Attn: Surety Department OF Vigilant Insurance Company 15 Mountain View Road Surety ATTORNEY pacific Indemnity Company Warren, NJ 07059 CA-A1�® 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 Hills, California --------- each as their true and lawful Attorney- in- Fact to execute under such designation in their names and to affix 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 bail 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 seats on this 16th day of November, 2009. Kenneth C.Wend-et, 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 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 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 B. Norris, Jr., and knows him 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 Seal ltAYMERINE 1. ADELAAR �N NOTARY PUBLIC OF NEW JERSEY �OTAgy on 231 16u ti1� �al�misaror` Expires Jul 16, 2014 !� PUBLIC Notary Pubtic � '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 Presldenl, any Secretary, any Assistant secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing 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"Compantesr) do hereby certify that (1) the foregoing extract of the By- Laws of the Companies is true and correct, III) the Companies are duty 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 (ill) 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 July 11, 2011 T�oF r c 00 �MDIANP '� ript,M �h6WYp0.'1's 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; 56rety9chubb,com Form 15-10- 0225B- U (Ed. 5- 03) CONSENT CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of Los Angeles On AL 14 2011 before me, C. Phillips, Notary Public , (Hero insert name and title of the officer) personally appeared C. P. Brown who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) issubscribed to the within instrument and acknowledged to me that hef &*WW executed the same in his&=Wwir authorized capacity(ies), and that by his4i#eWksignature(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 m hand and official seal. C. PHILLIPS "tCOMM, #1809753kni �o Notary Publlr,-Callfornla � LOS ANGELES COUNTY a (Notary) y j f My Comm. Explras Aug. 16, 2012 Si of Notary Public 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 (Tide) ❑ Partner(s) ❑ Attorney -in -Fact ❑ Trustee(s) ❑ Other INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment eompleted in Caljjornia must contain verbiage exactly as appears above in the rotary section or a separate acknowledgment fam must be properly completed and attached to that document. 1be only exception is if a document is to be recorded onside of California In such instances, any alternative acknowledgment verbiage as may be printed on such a document so long as the verbiage does nor require the notary to do something that it illegal for a notary in California (i.e. eerlodng the authorised capacity of the signer). Please check.the document cab' for proper notarial wording and attach this form ifrequired • Stale and County information must be the State and County when the document sigmer(s) personally appeared before the notary public -for acknowledgment. • late 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 it appears within his or her commission followed by a comma and then your title (notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization • Indicate the cored singular or plural forms by crossing off incorrect forms (i.e. Wsheldwy- it /we ) 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 file with the office of the county clerk. 4 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. J Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,, indicate the title (i.e. CEO, CFO, Secretary). • Securely attach this document to the signed document 2008 Version CAPA v12.10.07 800-873-9865 www.NotaryClasses.com City ®f Huntington Beach 2000 Main Street ® Huntington Beach, CA 92648 (714) 536-5227 ® www.huntingtonbeachca.gov Office of the City Clerk Joan L. Flynn, City Clerk September 2, 2011 Paulus Engineering, Inc. 2871 E. Coronado t. Anaheim, CA 92806-2504 RE: CC-1371, CC-1378 & CC-1408 — Water Main Extensions Enclosed please find your original bid bond for CC-1371, CC-1378 & CC-1408. Sincerely, `9 J""4 Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure gam$ b mp01i JwnU*mPd Ao* Waitakere, New Zealand i .':iu;tl5 Eugineering,lue. 2871 ! . Coronado SU-cet Air;,heimt CA 92806-2504 �'D h 16 eac-4 limaddU (M a"n S � 9 i'Y1a►v` ��C7�C�,J/0�, �p��uav� Qom' �POwi, �� � %D ��.f � ,f. Cl f %�?Qr���P klr. (J)a f eh rMarh 't�K�Pasiorn Projecf, S-p-1n cl" S4�, YYluc��He Dr. f� ,37a S. o� w►ac�1�.e �✓' � . GG /No% U1afe.- knaen x �.��, S ro � � h � each IC31 wQ•, a'�' u> i � (�a � s S� , SECTION C PROPOSAL for the construction of 1. CC 1371 Water Main Extension, Holburn Drive from 91' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard, at Williams Street 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 50 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project In the case of discrepancies in the amounts bid, unit prices shall 0overn 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. t ca 9�c� Accompanying this proposal of bid, find 31kO OdL � 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. DateReceivedBidder's Signature C-2 PROJECT BID SCHEDULE CC 1371 Item No. : Est►m..ated Quantity Item with: unit price written in wards . unitTrice Extended Amount :. . 1 1 EA 8" X 8" Hot Tap with Gate Valve a tft"c Thw— �t9k►6Mf� w+a0 ollars $ 11%00 7Z 690 Cents Per EA 2 1 LS Chlorination and testing of all new water mains mWE 7m0.;jA,.*4, reycgr 101,04AM2 Dollars $ 1"500 $ 1, 300 U Cents Per LS 3 72 LF 8" PVC DR14 Water Main a O F—Dollars 4.9 $ ZOE0 Cents ,�►2 5 _"`�._ ��,� Ica, Per LF 4 14 LF 6" PVC DR14 Water Main r1 cdrA��dc'4 /� //';'� Dollars �y $ O� $ _ 0 Cents Per LF 2 EA Construct 1" water service & 3/4" meter assembly Dollars $ �i Glid Aft $ �� �'00 �U Cents Per EA 6 1 EADollars Construct 6" Gate Valve Assembly $100 Z6AM Cents Per EA 7 1 LS Remove and dispose of existing AC Water Main �co e7"t(�J}�,e�e iil�efei �/�OeI�N Dollars $ZSOO-*go s-4-3m -2j- Z &;go Cents Per LS 8 2 EA Provide temporary potable water highline �/ � a $ �0 /�da�Oo��C► /—/ Dollars $ 7,3 0-'m0 $ z'w—v 7 a-zo Cents Per EA 9 1 LS Mobilization �[/� a Qy+F� 77A!$A-0 .$e�(ll46-0 Dollars $ l �011-W $ /i %Od I e. 4:0 Cents Per LS 10 1 LS Demobilization and cleanup Cents Per LS J,jS C-3.l PROJECT BID SCHEDULE CC 1371 'Item::::Gstiirtaaed No Quantity Iterri:wit::u.n�t prct written �n wards : 11a .Pace. Extended::: Amount 11 1 LS 'Crallic Control t99 a RYti Ay#j0d Dollars $ S�Q OG $ —'L E. lzo) Cents Per LS otal Amount Bid in Figures: 91 zp=" ® Total Amount Bid in Words: /� a,e� ,�l�E. � ,� ,�_E�Z�,=_ -.�_� '-- ??^-___ C-3.2 PROJECT BID SCHEDULE CC 1378 Iterm No Estimated Quan:Yity Item:with :u.nrf�t ic.f written in: words : t)nit Pace .:: Eztentled :: Amount 1 1 LS Mobilization ri OAT thboSw9 ,S45 04#* Dollars $ 70 jt" $ /) 760 -2A 7 M Cents Per LS 2 1 LS Provide traffic control plan n Two-rfw-,%Ao ip Dollars $ 4 000 0® $ Z4,00091, zAs4G0 Cents Per LS 3 1 LS Provide traffic control Dollars $ /,QO0-90 $ 1o060 -Z ANO Cents Per LS 4 1 EA Fire hydrant assembly rr &gzTwaq) 711005AfJV9 Dollars ,0 7 e eo Cents Per EA 5 1 LS Cut & Plug and abandon existing 8-inch main n JA-VC!V I'Mdy Dollars $ XV00 120 $ 4w n Cents Per LS 6 1 LS Chlorination and testing of all new water mains u, Q//ff ;WQ4dWV -l�u�l�tasaj0jCCb Dollars Aj $ $ .-z iwpj� Cents Per LS 7 1 LS Demobilization and cleanup /)" 7WL;. .v Dollars $ �® $ It 600 -mJ lz4' /z(i Cents Per LS otal AMOUnt Bid in tgures: 00-0 Total Amount Bid in Words: "rV t &jT--e b t (.HT' 7� w 0APX /41d/%4� C-3.3 PROJECT BID SCHEDULE CC 1408 Item o ::Estimated Qua.ntity Item with :.unit prcf written in. words . :.: Unit Price E:xtended:::: Amount 1 1 LS Mobilization c� '�y�S p 'ft%o _%p*__5 dnb Dollars $ -94 $ 000Jej Z AM0 Cents Per LS 2 1 LS Traffic Control C,_�, r*,gtrO /FiQJ&PbaJV--P Dollars $ '1(500 $�w0" � r Cents Per LS 3 1 LS Permitting, including Caltrans double permit @ deb ,,}Sftsm Dollars $ 1000 $ hQ� Cents Per LS 4 1 EA 6-inch cut in valve assembly 'AweT 4pJ.w0�ww iiWiCR Dollars $ -5000'j' $ ill 3 #0� me, Cents Per EA 5 2 EA 8-inch cut in valve assembly @ IK 7*.)SApja Dollars j $ Cents Per EA 6 380 LF 12-inch PVC )R18 Wat� Pie r �,�eDoliars $ (� Cents Per LF 7 50 LF 8-inch PVC DR18 Water Pipe a amen� Dollars �� ( � $ /--� $ 7t 7r� Cents Per LF 8 1 LS Chlorination and testing of alllnneeNANSI water mains ci�QJ�®r %jrfdtf jt4n7f/� Dollars $ 5� � $ j S 4t.1 Cents Per LS 9 1 LS Demobilization and cleanup Olt �jf � i�a"dC #94feWDollars $ Cents Per LS l'otal AmOUnt i m Igures: ,�� r 7n� Total Amount Bid in Words: Q,-_/,nk.................. <f,, n,-r__j%'">-� a S.AT C-3.4 PROJECT BID SCHEDULE TOTALS CC 1371, CC 1378, CC 1408 WATERMAIN REPLACEMENT PROJECTS Sub -Total Bid Schedule CC 1371 Sub -Total Bid Schedule CC 1378 Sub -Total Bid Schedule CC 1408 TOTAL BID AMOUNT, BASIS OF AWARD (Sum of Schedules CC 1371, CC 1378, and CC 1408 TOTAL BID AMOUNT IN WORDS: 1� o 110Y70- 6iv ���+�2-a s6 y X�v %Xvcs=a H� ✓tom +� 1t/Frd � 2v tirr3 Notes: All extensions of unit prices will be subject to verification by Owner. In case of a verification between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. G4 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 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-5 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange 0'Azia"4J PA4t iS , being first duly sworn, deposes and says that he or she is Nest ino-or of Am g CA.) 6 •a/�'�.'' /e�d�tAepahy 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, o►- to any member or agent thereof to effectuate a collusive or sham bid. �J I - L Name of Bi Signatur9(jf Bidder 0717/ E. (OW440a POW10- t Z,*DG Address of Bidder JURAT State of California County of Orange Subscribed and sworn to (or affirmed) before me on this 15`h day of July, 2011 by Jason Paulus proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. Signature (Notary Seal) CYNTHIA J. VA'.ENCIA Commission # 1773427 '< " Notary Public - Californiazz Z Orange Co!inty MyComrn ExovetCk-'15,2011 OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT Non -Collusion Affidavit (Title or description of attached document) Number of pages: Document Date: (Additional Information) 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 Water Main Extension Projects, Various Locations, Project Numbers CC 1371, CC1378, and CC1408, (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: C-7 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. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-8 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: C-9 AA,,# i v �l /r�E'�aCrp►(, C peels I Title BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: 4Lv 5 Bidder Name ,? T 71 (o pe o Av4zoU Business Address -fmxa Y e City, 3Z- 3Y7r 04 State Zip Telephone Number 14- State Contractor's License No. and Class 46- 1& Original Date Issued 0 Cam- 30 v ?0 t Z Expiration Date The work site was inspected b ' Q ��Xmljof our office on `� f , 20] . P Y�—L The following are persons, firms, and corporations having a principal interest in this proposal: C-►O 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 Acifications set forth. rN G Company Name Signature of Bidder ZI A Printed or Typed Signature Subscribed and sworn to before ►ne this _ day of 201_ NOTARY PUBLIC NOTARYSEAL 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. sot", I} RC_17 Cot — 2. J Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amolmt Type of Work Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Worl< 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-I1 • •nt;ict informatio oject• r s s •- • • e • -• - e �. - City of Anaheim Citywide Sanitary Sewer Improvements Anaheim Install Sewer Line $ 367,918.00 Apr-09 Psomas 200 S. Anaheim Blvd. 18" Up to 20' Deep 3187 Red Hill Ave Anaheim, CA 92805 Costa Mesa, CA 92626 (714) 765-5059 v (714) 765-4409 f Coachella Valley Water Dist. Monroe Street Trunk Sewer Coachella Install Over a Mile $ 776,328.00 Feb-09 MSA Consulting Inc 85-955 Ave. 52 of 12" Sewer Line 34200 Bob Hope Dr Coachella, CA 92236 Rancho Mirage, CA 92270 Jorge Meza (760)391-9637 City of Fullerton Sewer Repl Proj. 2007-08 Fullerton Install 18" Sewer up $ 1,100,218.00 Dec-08 DMJM Hams 303 W. Commonwealth Ave. To 24' Deep 999 Town & Country Rd Fullerton, CA 92832 Orange, CA 92868 Eric Villagracia (714) 738-6853 v (714) 738-3115 f Irvine Ranch Water District Bayview Sewage Lift Station Newport Beach Bypass and Replace $ 429,000.00 May-09 URS 15600 Sand Canyon Ave. Main Lift Station 2020 E 1st St Irvine, CA 92618 Pumps & Vaults Santa Ana, CA 92705 Anita Arant (714) 453-5300 Ventura County Waterworks 21" Arroyo Simi Trunk Sewer Ventura Install 21" PVC $ 360,000.00 Jul-08 Pennfield & Smith 6767 Spring Road Sewer Line w/ Bore 1322 Del Norte Rd Moorpark, Ca. 93020 Under Railroad Tracks Camarillo, CA 93010 Cefe Munoz (805) 378-3020 (805) 529-7542 North American Specialty insurance Company Bond #7.-B Premium Nil BID BOND KNOW ALL MEN BY THESE PRESENTS, That We, Paulus Engineering, Inc 71 E. Corona o S t ree of Anaheim, CA 92806 as Principal, and North American Specialty Insurance Company, of Manchester, New Hampshire, as Surety, a New Hampshire corporation duly licensed to do business in the State of California are held and firmly bound unto City of Huntington Beach as Obligee, in the penal sum often percent of amount bid Dollars ( 10 0 ), for the payment of which the Principal and the Surety bind themselves, their heirs, executors, administrators, successors .and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, That, whereas the Principal h-as submitted, or is about to submit, a proposal or a bid to the Obligee on a contract for 1371 Water Main Extension - Holburn Dr. NOW, THEREFORE, if the aforesaid principal shall be awarded the contract, the said principal will within the period specified therefore, or, if no period be specified, within ten (10) days after the notice of such award into a contract and give bond for the faithful performance of the contract, then this obligation shall be null and void, otherwise the principal and the surety will pay unto the obligee the difference in money between the amount of the bid of said principal and the amount for which the obligee may legally contract With another party to .perform the work if the latter amount be in excess of the former, in no event shall the .liability hereunder exceed the penal sum hereof. PROVIDED AND SUBJECT OF THE CONDITION PRECEDENT, that any suits at law or proceedings in equity brought or to brought against the Surety to recover any claim hereunder must be instituted and service had upon the Surety within ninety (90) days after the acceptance of said bid of the Principal by the Obligee. Any person who, with the.intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insura a fraud. SIGNED , .SEALED AND DATED this 8ND 140 S REV (05/95) llth day of July 2011 Paulus Enginee Inc. P4na f By: No r rs pedalty Ins u n e Company .By: om 4n-Fact Charles Flake CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT �` � ar . ar art'• v � e"��.���.�+'mid.',.���a..�����✓�'��'��a_�_"._��. STATE OF CALIFORNIA County of Orange On 7-11-11 before me, Lexie Sherwood Notary Public Date Here Insert Name and Title of the Officer personally appeared Charles L. Flake Name(s) of Signer(s) . who proved to me on the basis of satisfactory evidence to LEXIE SHERWOOD be the person(s) whose name(s) istare subscribed to the COMM.#1856389 within instrument and acknowledged to me that he/she/they G) executed the same in his/her/their authorized capacity(ies), NOTARY PUBLIC o CALIFORNIA ORANGE COUNTY and that by his/her/their signature(s) on the instrument the Comm. Exp. JULY 27, 2013 person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. 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 lvc Place Notary Seal Above Signature of Notary blic 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) Signer's Name: ❑ Individual ❑ Corporate Officer —Title(s):_ ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Top of thumb here Number of Pages: Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s) u ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Top of thumb here © 2007 National Notary Association • 9350 De Soto Ave., P.O. Box 2402 • Chatsworth, CA 91313-2402 • www.NationalNotary.org Item #5907 Reorder: Call Toll -Free 1-800-876-6827 NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation duly organized and existing under laws of the State of New Hampshire, and having its principal office in the City of Manchester, New Hampshire, and Washington International Insurance Company, a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg, Illinois, each does hereby make, constitute and appoint; DAVID L. CULBERTSON, CHARLES L. FLAKE, RICHARD A. COON, and LEXIE SHERWOOD JOINTLY OR SEVERALLY Its true and lawful Attomey(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: TWENTY-FIVE MILLION ($25,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 20 of March, 2000: ".`RESOLVED, that any two of the Presidents, any Managing Director, any Senior Vice President, any Vice President, any Assistant Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seat of the Company; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by.facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached" `0g4t11�1T.. 4 4pM2-1 — saunnulm By =t:71 SEAL ' StevenP.Anderson,President& Chief Executive Officer of Washington International Insurance Company :z', $,�;ql, ' a. a pt?Ts 1973 P4tr q ` &Senior Via Proideet of North American Specialty [asuraaa Campatq Ot i�sl �i r: ' �J/ifftllnt4KN44 � }� gy . David M. Layman, Senior Vice Presiden of Washington International Inwrante Compnny . a & Vice President ofNorth American Specialty Insurance Company IN WITNESS WHEREOF, North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this 16th day of August 2010 North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook ss: On this 16th day of August 20 10 ,before me, a Notary Public personally appeared . Steven P. Anderson , President and CEO of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and David M. Layman , Senior Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their resneetive companies. "OFFICIili SEAL D: SKLEN5 Natuy Public, Stan of nhwh MyCotiliniaaionF ires'10/Oti1TA11' ,Y.VMW Z -&,,z Donna D. Sklens, Notary Public I, James A. Carpenter , the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company, which is still in full force and effect, IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 11tIliay of Ju1y 20 11. James A. Carpenter, Vim President & Assistant Secretary of Washington latemational Insurance Company & North American Specialty insurance Company _ CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGEMENT State of California County of Orange I On July 11, 2011 before me, Cynthia J. Valencia, Notary Public personally appeared Jason Paulus 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 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. WI SS my hand and official seal. NTHIA J. VA IA CYNTHIA J. VALENCIA Ir Commission # 1773427 Notary Public - California Orange County My Comm. Expires Oct 15, 2011 Signature of4dLiy Public (Notary Seal) ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT Bid Bond Title or description of attached document Number of pages Document Date Additional Information CAPACITY CLAIMED BY THE SIGNER Individual Corporate Officer x /Title President Partner Attorney -In -Fact Trustee Other City Of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Joan L. Flynn, City Clerk September 2, 2011 R. Y. Engineering Works, Inc. P. O. Box 4181 Burbank, CA 91503 RE: CC-1371, CC-1378 & CC-1408 —Water Main Extensions Enclosed please find your original bid bond for CC-1371, CC-1378 & CC-1408. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure g,it bwp&tjbwnt*MPjb.�rWo* Waitakere, New Zealand R.Y. Engineering Work,tv P.O. Box 4181 Burbank, CA 91503 "SEALED BID" For OC1371Water Main Extension. Ho|burn Drive from 91' At, to 185' South of Margate Drive CC1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive CC1408 Water main Extension on Beach Boulevard, at Williams Street In the City of Huntington Beach Do not open with Regular Mail Deliver to the Office of the City Clerk, Second Floor of City SECTION C R.Y. �'��,,� _ N� PROPOSAL FMI-45-b 7-0 V for the construction of QAJ 1. CC 1371 Water Main Extension, Holburn Drive from 91' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard, at Williams Street 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 50 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in 'executing'the required• contract and filing the necessary bonds and insurance certificates within 10 working days after the. date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the secufity accompanying this bid shall become the property of the AGENCY and this -bid andahe.acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find At> T!-P-I D in the amount of $ o 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 B'4er!v $ig4ature C-2 PROJECT BID SCHEDULE CC 1371 teri�::TA ..................... :No::::::O.tii nated::::: ............. dt3:: ':::::::::::::Tteiri:with:linit:. riot;;:::::::_::::::::::: ;>: ...I........ P......... .........................................I.................... ::::::::::::::::::::::::written: iii:wnrds:::::'::::::::::::: >.;::: ........... ............................ ::::::::::: ;::: >::: ........................... .................................... ;: a t:Price.:..:,:::Ait►o ...... ....... . 1 1 EA 8" X 8" Hot Tap with Gate Valve @ 774MA&A--Ji> Dollars $ ono $ vo.-) 'teams Cents Per EA 2 1 LS � Chlorination and testing of all new water mains Ttfo-5 t—.rJ FWC- t-i,!W0(i,r4�',' Dollars $ $ it Cents Per LS 3 72 LF 8" PVC DR_1/4 Water Main @ N /nlenDollars $ ,J $ is 2 J Cents Per LF 4 14 LF 6" PVC DR14 Water Main @ �76(�—T�/✓�— Dollars $ gs $ Cents Per LF 5 2 EA Construct 1" water service & 3/4" meter assembly @ D 7 5+07 "7�h C GS Dollars $ 6-(2 J Cents Per EA 6 1 EA Construct 6" Gate Valve Assembly @Q, 7 t,_4> 7V, C!�✓1�c11� Fi Dollars $ / $ 25� ls(L J Cents Per EA 7 1 LS Remove and dispose of existing AC Water Main @ Fy j— Dollars $ �7 C7 $GAO __? 0-YU0 Cents Per LS 8 2 EA Provide temporary potable water highline @ t`iJ cr t+.n �/L.r��� Dollars $ SRO $ 00O Cents Per EA 9 1 LS Mobilization Dollars $ $ O£70 Cents Per LS 10 1 LS Demobilization and cleanup @ 7 d5�`^'zr� Dollars $ / po0 $ 00 a 7.d W Cents Per LS C�c�l PROJECT BID SCHEDULE CC 1371 Itefit No: : stixiiated naiif ::.::::::::::::::::: Q .... .Ty .......................................... ::::: Item:wit unit rict: ;; : .. ........................ written: ii words:::... :::::::::::::::: >:: ....................... ................. :::Un f>Price :::::: ................. x#ei sled ................. A i oiiii1:: : ................. 11 1 LS Traffic Control @ Frycr IW012�61-_> Dollars $ ,zO $ 5.z"_-3 alLJ Cents . Per LS otal Amount Bid in figures: 2 Q ZJ Total Amount Bid in Words:�„2 T[��s�-►� �/,� .� C-3.2 PROJECT BID SCHEDULE CC 1378 N-:::: ........st ...... 0Afity* .(h i..i.i.p..r...:(::..:..:.:........................ ..I. .... . ................................. . .......atediii....... : . :....... ..*.*.,...*.....::.w jft�j::in:w6rds::..-- .. ......... .. .I ....... I ........................... .............. ...... .. ..... 1 LS Mobilization Dollars $ �&00 000 —Cents Per LS 2 1 LS' Provide traffic control plan 52:>0 $ 5700 —Dollars Cents Per LS 3 1 ,LS Provide traffic control -f=,r-- 7-1 Dollars $ 2E;70 $ 'Z S-C) —Cents Per LS 4 1 EA Fire hydrant assembly F(W- fkd04&4-'1)ollars $ OZ I ��C- $ Vi 13-C-10 Cents Per EA 5 1 LS Cut & plug and abandon existing 8-inch main Dollars $ $ 511Zf�_ Cents Per LS 6 1 LS Chlorination and testing of all new water mains @ g761.&& Dollars $ 5c"0 $ 700 Cents Per LS 7 1 LS Demobilization and cleanup @ Dollars $ S..700'-) Cents Per LS — Total Amount Bid in Figures: Z,0E-002 Total Amount Bid in Words . . ...................................... ................. ..................... C-3.3 PROJECT BID SCHEDULE CC 1408 tem:::. ;Nti :::. 4hfated:::::::::: iianYi Q......t3'................................................................. ::::::jteiti: m :: unit: P. ;>: >...... I .. written: t words :::::::::::::::::::::::: :::UriiZ: Price;::: ................. ................. 1 1 LS Mobilization @ Flk- Dollars $ _50no $ OoO is2 J Cents Per LS 2 1 LS Traffic Control @ j Wb 7 tia�5�c, •��J Foe Dollars $ 2 9?to $ 2t Aso p -7zaqz-J Cents Per LS 3 1 LS Permitting, including Caltrans double permit @ OA Pzn-r> Dollars $ Z)O $ `a_o4� Cents Per LS 4 1 EA 6-inch cut in valve assembly @'Fwb Zfo•._� 1-0o rseo it r 1 frLEollars $ $ 2 9 a2..> Cents Per EA 5 2 EA 8-inch cut in valve assembly @ 7V4ZsL_ `RO_%� Dollars $ 000 $ 4 Oo �LJ Cents Per EA 6 380 LF 12-inch PVC DR18 Water Pipe @ D r /-{�O/za::) —Ix4wVij F✓ems' Dollars $ uu $ 7 la7& - Cents Per LF 7 50 LF 8-inch PVC DR18 Water Pipe @ D.Je- lf�/0 / cr� 1-%4,4 F'i✓.,5r' Dollars $ / $ Cents Per LF 8 1 LS Chlorination and testing of all new water mains @ �?✓� "-7�ySIM�� Dollars $ OcwD $ OoO Cents Per LS 9 1 LS Demobilization and cleanup @ S-06 �{1 J Cents Per LS Total Amount Bid in figures: oa Total Amount Bid in Words: ��/�,,,,,�-% Sr X Ti'fr�5r� ,-'-✓ar- !?rw!-- C-3.4 PROJECT BID SCHEDULE TOTALS CC 1371, CC 1378, CC 1408 WATERMAIN REPLACEMENT PROJECTS Sub -Total Bid Schedule CC 1371 Sub -Total Bid Schedule CC 1378 Sub -Total Bid Schedule CC 1408 TOTAL BID AMOUNT, BASIS OF AWARD 4 2q, q20 420 'S50 76.5� (Sum of Schedules CC 1371, CC 1378, and CC 1408 TOTAL BID AMOUNT IN WORDS: Notes: All extensions of unit prices will be subject to verification by Owner. In case of a verification between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-4 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 o Work Number , , ►��� �s ,n�a� �P�� 61og2� G3 PD -go,c - o,,Pw o3iJ `tz'6 t 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-5 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange =FI C-- q URGM i P40 , being first duly sworn, deposes and says that he or she is tc-> er'rl— of '� �, s�16,J„J� WrS, L�n4C, 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. Address of Bidder Subscribed and sworn to before me this day of , 201 NOTARY PUBLIC S'�-�r- NOTARY SEAL C-6 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 Water Main Extension Projects, Various Locations, Project Numbers CC 1371, CC1378, and CC1408, (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 cnce by any said subcontractor or subcontractors with the requirements contained he,Feir� Date: C-7 �n6-J Tit e CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California F / County of 1 �°� On 7- / S W�� before me, Date r . r Id- Here Insert Name and Title of r Q i<_C�_ i-17 Ce y Name(s) of Signer(s) r personally appeared AAAA AAA A A A A MARY GARAEEgIAN COMM, #1781223 v NOTARY PUBLIC- CALIFORi`:lA n .� Los Angeles County Comm. Expires Nov 19, 2011 CIVIL CODE § 1189 who proved to me on the basis of satisfac ory evidence to be the person(s) whose name(s) is/ subscribed to the within instrument and acknowledged to me that he/sl- '& D, executed the same in his r/th authorized capacity(ies), and that by his/ r/th signature(s) on the instrument the person(s), r 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. WITNE Signature: Place Notary Seal Above OPTIONAL Though the information below is not required by law, it may and could prevent fraudulent removal and reattac Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Individual ❑ Partner — ❑ Limited ❑ General Top of thumb here ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: gluable to persons relpnmj-orMe of this form to another document. Number of Pages: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Individual ❑ Partner — ❑ Limited ❑ General Top of thumb here ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 0 2010 National Notary Association • National Notary. org • 1-800-US NOTARY (1-800-876-6827) Item #5907 DISQUAL.IF'ICATION 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 ONo 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-8 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: /2�]% C-9 Title BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: C' , Bidder Name Business Address C�, City, State Zip (S lb ) q % (0 ----S� b Telephone Number . IS9 A State Contractor's License No. and Class 1 / TZ6 Original S/31 The work site was inspected by kk -1 c of our office on 6 ���` , 2011. �t,t4 The following are persons, firms, and corporations having a principal interest in this proposal: C-10 N The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Printed or Typed Signature ' Subscribed and sworn to before me this tS day of J,kL-i NOTARY PUBLIC ,201\. 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: Name and Address of Public Agency 2. 3. Name and Telephone No. of Project Manager: Contract Amount Name and Address of Public Agency Type of Work Name and Telephone No. of Project Manager: Contract Amount Name and Address of Public Agency Type of Work Name and Telephone No. of Project Manager: Contract Amount Type of Work C-11 4 Date Completed Date Completed Date Completed State of California County of On / j iZ)%f before me, Date Here Insert Name personally appeared --i �r✓J r er.�� A g A A A A MARY GARABEDIAN T COMM. #1781223 U =P NOTARY PUBLIC- CALIFORNIA n Ue \ Los Angeles County Comm. Fxpir„so� Nov 19, 2011 CIVIL C®®8 § 1189 the who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/a1D subscribed to the within instrument and acknowledged to me t at he/she/they executed the same in his/h rA authorized capacity(ies), and that by his 'ir signature(s) on the instrument the perso (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. WI mom Signature: / Place Notary Seal Above p� �j ® OPTIONAL Though the information below is not required bylaw, it may prov -valuable to persons and could prevent fraudulent removal and reattachment of this form to an Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: _ Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer— Title(s): ❑ Individual 0 ❑ Partner — ❑ Limited ❑ General Top of thumb here ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: of l�ta Public mq o e document Number of Pages: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Individual 0 ❑ Partner — ❑ Limited ❑ General Top of thumb here ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: © 2010 National Notary Association o NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 Current Backlog Orange County Sanitation District Pl Aeration Basin Access Ramp Settlement Contract Amount: $32,275 Project Summary: Remove and Replace 12" steel pipe, install valve, paving, and coating Reference List: Projects Completed By RY Engineering; Works, Inc. Los Angeles County Department of Public Works Marina Del Rey Odor Control Contract Amount: $125,000 Start Date: January 2011 Construct odor control scrubber, HDPE pipe, electric service, paving, and landscaping. Contact: Mr. Paul Keizer Orange County Sanitation District Flap Gate Structure Sediment Removal Contract Amount: $40,700 StartDate: September 2010-October 2010 Project Summary: Dredge sediment along banks of Santa Ana River adjacent to flap gates, process and haul off material. Contact: Mr. MarcoPolo Velasco (714)720-6967 State of California, Department of Parks and Recreation "Will Rogers State Park" Contract Amount: $279,000.00 Contact: Mr. Mike Van Antwerp, DPR (619) 688 -6495 Start: February '09 — Complete: May '09 (on time) Project Summary: Exterior Fire System, 500' of PVC Waterline (Underground), Excavation, grading, paving, and fire protection structures including rooftop piping fabrication Pacific Housing Diversified "Arbor Terrace Apartments" Contract Amount: $348,000 �`lO CV -,PA I Contact: Ms. Melanie Calab o (323) 254-3338 Start: Dec. '08 — Complcte: February '09 (on time) Summary: 818' of 12" PVC, Services, Reinforced Storm Drain Structure, Sewer, Connections for a publicly funded low-income housing apartment (74 units) Projects Managed By Raffle Yeremian While Em llooyed as a Project Manager at Garcia Juarez Construction, Inc. City of Highland, $744,990 "Warm Creek Storm Drain" Contact: Mr. George Herold (909) 234-1001 Start: June '09 — Complete: In Progress Project Summary: 301 V of 48" to 18" RCP, Manholes, Catch Basins, AC Paving Los Angeles County Dept. of Public Works, $137,000 "Los Cerritos Drainage System" Contact: Mr. Victor Bermudez (626) 688-8275 Start: May '09 — Complete: June '09 (on time) Project Summary: Restoration and Repair of Existing Concrete Channel Golden Rain Foundation, $257,495 "Trust Street Paving Program" Contact: Mr. Kevin Black (562) 431-6586 Start: October '08 — Complete: January'09 (on time) Project Summary: AC Paving, Flat Work City of Anaheim, $392,018 "La Palma Sewer Improvements" Contact: Mr. Greg Solberg (714) 231-4696 Start: November '08 - Complete: May'09 (on time) Project Summary: 972' of 12" VCP, OCSD Manhole, Paving Los Angeles County Dept. of Public Works, $229,914 "Choisser Street Drain" Contact: Mr. Victor Bermudez (626) 688-8275 Start: Sept. '08 - Complete: October '08 (on time) Project Summary: 405' of Pre -cast Box and Elliptical RCP, Transition Structures Los Angeles County Dept. of Public Works, $821,465 "Elford Drain and CDR 524" Contact: Mr. Jose Ontiveros (626) 476-4894 Start: August '08 -Complete: September '08 (on time) 2450' of 36" and 30" RCP, Manholes, Catch Basins, AC Paving Los Angeles County Dept. of Public Works, $563,616 "Colima Road Drain" Contact: Mr. John Lovrensky (626) 607-7582 Start: July '08 — Complete: September '08 (on time) 1208' of 48" and 30" RCP, Manholes, Catch Basins, AC Paving Orange County Water District, $68,000 "Burris Pipeline" Contact: Mr. Chris Olsen (714) 514-9028 Start: July '08 — Complete August '08 (on time) Project Summary: 36" CML & C Steel Pipe Outlet and Structure City of Tustin, $384,104 "Sycamore Avenue Storm Drain" Contact: Mr. Tom Murphy (714) 573-3167 Start: June '08 - Complete: August '08 (on time) Contact: Mr. Terry Lutz (714) 573-3263 Project Summary: 628' of 30" and 24" RCP, 205' of 8" DIP, Street Replacement City of Anaheim, $2,153,755 "Anaheim Hills Road Transmission Main" Contact: Mr. Manny Briones (949) 466-6701 Start: January '08 - Complete: May '08 (on time) Contact: Mr. John Lamar (714) 765-4591 Project Summary: 3509' of 30" CML&C Steel Pipe, Paving, Slurry Seal; Included large diameter valve removals and replacements in vaults and underground concurrent with 3 large diameter line stops. City of Rancho Palos Verdes, $102,259 "Point Vincent Trail Repair Project" Contact: Ms. Bindu Vaish (310) 544-5254 Start: May '08 - Complete: July '08 (on time) Project Summary: Rehabilitate Trail and Handrail Along Slope Los Angeles County Dept. of Public Works, $174,074 "CMP Replacement Project" Contact: Mr. Jose Ontiveros (626) 476-4894 Start: Aug '07 - Complete: Sept '07 (on time) Project Summary: 595' of 24" and 18" RCP, Catch Basins, Paving County of Orange, $6,168,750 "O'Neill Park Sewer Conversion" Contact: Mr. Rick Allen (714) 448-8552 Start: October'06 - December '07 (on time) Project Summary: 12,594' of 8" PVC and DIP, T-lock Manholes, Wet Well Lift Station ($835K) City of Huntington Beach, $875,000 "Blufftop Restroom Access/Site Work" Contact: Mr. Duane Wentworth December 2009 — Ongoing Project Scope: Construct concrete retaining walls, ADA access ramp, site improvements, 9,310 lineal feet of 3" water main along the beach front, including all appurtenant work City of Huntington Beach. $660,000 "Bayview Drive Watermain Replacement" Contact: Mr. Duane Wentworth November 2009 — January 2010 Project Summary: Construct 1,200' of 8" PVC water main including 59 services, fire hydrants, and paving/restoration. Major challenges included managing tidal fluctuating groundwater and tight traffic restrictions. City of Fountain Valley, $1,100,000 "Well No.9 Transmission Main" Contact: Mr. Mike Green Start: September 2009 — January 2010 Project Summary: 3,100 feet of 16" CML&C Steel Pipe, appurtenances, paving, and associated work. Included shutdowns and tie ins of large diameter pipelines. 1`� ORTH AMEP.ICAN SPECIALTY INSURANCE COMPANY BOND NO.: RYENG-070 rB41IM11 KNOW ALL MEN BY THESE PRESENTS: That we, R.Y. ENGINEERING WORKS, INC., (hereinafter called the Principal), and NORTH AMERICAN SPECIALTY INSURANCE COMPANY, a corporation organized and doing business under and by virtue of the laws of the State of NEW HAMPSHIRE, and duly licensed for the purpose of making, guaranteeing or becoming sole surety upon bonds or undertakings required or authorized by the laws of the State of CALIFORNIA, as Surety, are held and firmly bound unto CITY OF HUNTINGTON BEACH (hereinafter called the obligee) in the sum equal to 10% of the accompanying bid of the Principal, not, however, in excess of TEN PERCENT OF THE TOTAL AMOUNT BID Dollars (10% OF BID AMOUNT), for the payment of which, well and truly to be made, we hereby bind ourselves and our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT WHEREAS, the above bounden Principal as aforesaid, is about to hand in and submit to the obligee a bid for CC1371 WATER MAIN EXTENSION HOLBURN DRIVE FROM 91' TO 185' SOUTH OF MARGAT CC1378 WATER MAIN EXTENSION PROJECT, SPRINGDALE STREET, MACHINE DRIVE TO 372' SOUTH OF MACHINE DR CC1408 WATER MAIN EXTENSION ON BEACH BLVD., AT WILLIAMS STREET, in accordance with the plans and specifications filed in the office of the obligee and under the notice inviting proposals therefore. NOW, THEREFORE, if the bid or proposal of said principal shall be accepted, and the contract for such work be awarded to the principal thereupon by the said obligee, and said principal shall enter into a contract and bond for the completion of said work as required by law, then this obligation to be null and void, otherwise to be and remain in full force and effect. IN WITNESS WHEREOF, said principal and said Surety have caused these presents to be duly signed and sealed this 12TH day of DULY, 2011. BY: �/ 2 1� J UYt6,11,s,,J _ r/b-x t,2 I M TTHEW R. DOB Attomey-in-Fact NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation duly organized and existing under laws of the State of New Hampshire, and having its principal office in the City of Manchester, New Hampshire, and Washington International Insurance Company, a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg, Illinois, each does hereby make, constitute and appoint: RANDY SPOHN and MATTHEW R. DOBYNS JOINTLY OR SEVERALLY Its true and lawful Attorneys) -in -Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: FIFTY MILLION ($50,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 24 h of March, 2000: "RESOLVED, that any two of the Presidents, any Managing Director, any Senior Vice President, any Vice President, any Assistant Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached." %tAUTYIhi/q/� ���i�j .�•.., ysww+uwto yQ ''PP�PG !Y�/IIFj'y /�/ �SIONAt/N� tP TF•• gt4.40tyPOBy R.{'SG SEAIr Steven P. Anderson, President & Chief Executive Officer of Washington International Insurance Company 2e SEAL :Z W ;y 1973 grin & Senior Vice President of North American Specialty Insurance Company im hill By_ David M. Layman, Senior Vice Presiden of Washington International Insurance Company 's & Vice President of North American Specialty Insurance Company IN WITNESS WHEREOF, North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this 15th day of December 2010 North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook SS: On this 15th day of December 201 before me, a Notary Public personally appeared Steven P. Anderson , President and CEO of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and David M. Layman , Senior Vice President of Washington Intemational Insurance Company and Vice President of North American Specialty Insurance Company, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. E ILEALDm.SKNN f Illnois sExpires t0/06=I iu�,—�), "icy Donna D. Sklens, Notary Public I, James A. Carpenter , the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company, which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 12th day of July 120 11 James A. Carpenter, Vice President & Assistant Secretary of Washington International Insurance Company & North American Specialty insurance Company CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of CALIFORNIA County of ORANGE On July 12th, 2011 before me, ERIKA GUIDO, NOTARY PUBLIC, personally appeared MATTHEW R. DORYNS ® who proved to me on the basis of satisfactory evidence to be the person(s) whose names} is/are subscribed to the within instrument and acknowledged to me that he/siie/#tey executed the same in his/hef/theif authorized capacity fL*, and that by his/her-/theif signature(s) on the instrument the persorifs), 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 ERIKA GUIDOCalifornia that the foregoing paragraph is true and correct. Q COMM. # 1843731 NOTARY PUBLIC CALIFORNIA o WITNESS y, hand and official seal. ORANGE COUNTY ^� My Comm. expires May 5, 2013 �t r--� n gnatu&_act N6tary Though the.data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER ❑ PARTNER(S) ❑ LIMITED ® ATTORNEY -IN -FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) DESCRIPTION OF ATTACKED DOCUMENT City ®f Huntington Beach 2000 Main Street ® Huntington Beach, CA 92648 (714) 536-5227 ® www.huntingtonbeachca.gov ®Vice of the City Clerk Joan L. Flynn, City Clerk September 2, 2011 Stephen Doreck Equipment Rentals, Inc. 9095 Telegraph Rd. Pico Rivera, CA 90660 RE: CC-1371, CC-1378 & CC-1408 — Water Main Extensions Enclosed please find your original bid bond for CC-1371, CC-1378 & CC-1408. Sincerely, �J+4 -ITJ Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure g8gp&ppgjMtGpntj/0b&ppAAo0 Waitakere, New Zealand STEPHEN DORECK EQUIPMENT RENTALS, INC. 9095TELEGRAPH ROAD PICO RIVERA, CA 90660 CITY OF HUNTINGTON BEACH 2000 MAIN STREET CITY CLERK / SECOND FLOOR HUNTINGTON BEACH, CA 92648 BID PROPOSAL "SEALED BID" for 1. CC 1371 Water Main Extension, Holburn Drive from 91' to 185' South of Margate D rive. 2. CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard, at Williams Street in the CITY OF HUNTINGTON BEACH - DO NOT OPEN WITH REGULAR MAIL DELIVER TO THE, OFFICE OF THE CITY CLERK, SECOND FLOOR OF CITY HALL SECTION C PROPOSAL for the construction of 1. CC 1371 Water Main Extension, Hollburn Drive from 91' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard, at Williams Street 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 50 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find Bidder's 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: Addendd No Dale":Received : Bidder's Si nature C-2 PROJECT BID SCHEDULE CC 1371 Oi .. tl. .....•:::•:.....•.•:: <uc1 :pr ck:::::.........:..:::<::::<::;:::::....::<::::::::: ::VJ�Y[ItCni XVOIr:.....:•::.•.......:.:......: .:.:. 1111C CICC:::..:. i�bIIOLIIi 1 1 EA 8" X 8" Hot Tap with Gate Valve @ Three Thousand Three Hundred Dollars Two Dollars and Sixty Six Cents $ 3,30Z.66 3,302.66 $ ` Per EA 2 1 LS Chlorination and testing of all new water mains @ Eight Hundred Sixty Six Dollars $ 866.33 $ 866.33 Thirty Three Cents Per LS 3 72 LF 8" PVC DR14 Water Main @ Two Hundred Ninty Two Dollars Ninty two Cents Per LF $ 292.92 $ 21.09024 4 14 LF 6" PVC DR14 Water Main @ One Hundred Fifty Eight $ 159.36 $ 2,217.04 _Dollars Six Cents _Thirty Per LF 5 2 EA Construct V water service & 3/4" meter assembly @ Two Thousand Sixty Three Dollars $ 2.063.67 $ 4,127.34 Sixty Seven Cents Per EA 6 1 EA Construct 6" Gate Valve Assembly @ One Thousand Three Hundred Fifty One Dollars Three Cents $ 1,351.03 $ 1,351.03 Per EA 7 1 Ls Remove and dispose of existing AC Water Main @ One Thousand Eight Hundred Dollars NO / Cents $ 1,800.00 $ 1_800.00 Per LS 8 2 EA Provide temporary potable water highline @ Nine Hundred Dollars $ 900.00 $ 1,800.00 No/ Cents __ Per EA 9 1 LS Mobilization @ Six Hundred Dollars $ 600.00 $ 600.00 Not Cents Per LS 10 1 LS Demobilization and cleanup @ Six Hundred Dollars $ 600.00 $ 600.00 No / Cents Per LS C-3.l PROJECT BID SCHEDULE CC 1371 e ivb..:.::..i.t.at .... .....: .... a.t. . E.:.....:piawac ,:ee y .: Axmeu nat ouv� 11 1 LS Traffic Control @ Three Hundred Dollars S 300.00 $ 300.00 No / Cents Per LS Amount i in i es: 38,054.64 f-To7t�tAmount Bid in Words: Thirty Eight Thousand Fifty Four Dollars and Sixty Four Cents_ C-3.2 2�ia . ,( .uant�, wrtttktt i svnre :, ,, ... #Tart 1?rtce > Atmii"I 1 1 Mobilization - Ls One Thousand Forty Five � J� t.tlt5'4'1 � � _._._.�onaxs Forty Four Cents Per LS -_--Cents 2 1 LS Provide traffic eontrot plan ,Q Four Hundred and Eighty Dollars � 4$O.00I ��3('i.i)C) No / Gents Per LS 3 1 LS� Provide traffic control 1 8D'QC3 fir. 1-80:00 C:cnts Per LS -4 1 - Fire hvdrant agkR 'Mhly EA Fifteen Thousand Seven Hundred Seventy Eight Dollars 15 778.87 15,778.87 Eighty,Seven _Cents Per EA 5 1 Cut &. plug and abandon existing Unch main LS @ Four Thousand Two Hundred Dollars $4,200.00 S 4 200.00 No/Cents Cents Per LS e 6 1 LS Chlorination and testing of all new water mains Eight Hundred Seventy a .- Dollars 870,19 $ 870, t 9 S Nineteen _.. Cents Per LS 7 1 Demobilization and cleanup LS Two Hundred Fort 2�1{ ,00 240) 0 '� Dollars $ __... $ No / Cents Per LS 176tat Amounti m :T tires: 22,794.50 Total Amount Bid in Words: Twenty Two Thousand Seven Hundred Niney Four Dollars and Fifty Cents RM . Q�anih `;wxyttt �iF!. Cl <,"..:.�.`cie" i J"n a f 1 Mobilization LS One Thousand Three Hundred Eighty Seven Dollars $ 1,:MT06 StK Cents Per LSD_.— 2 1 `iralrie conrl' L5 Carte Thousand Two I [undred � 17ol1ars- 1,200.00 $ t 2tlf�nt� No� Cents Per LS 3 1- Permitting, including Caluws double permit LS One Thousand Eight _Hundred fs l�olitu`s $ I.800.f1{� 1,800 00 $ No Cents Per LS 4 1 6-inchcutin valve assembly ESA (Attu "t'hrliasnrt�i Nina liitniir<�1 Nirui 4evcrt @ 1,4)�17.7 i.m)7-74 Seventy Four Cents Per EA 5 2 8-inch cut in valve assembly EA briar"i'hi9�asatui laivt i9iirulri�+l'I'we>aty t)ric ci�ii Dblttus `1521,21 9,042 � 42 _. Twenty tine.— Cents Per EA b 380 12•inch<PVC DRf8 Water Pipe LF One Hundred Fighty Three t�aliurs � 183.20 � 69,616.00 Twenty Cants Per LF 7 sty S-inch PVC DR18 Water Pipe LF One Hundred Forty Two Dollars 1,1217 $ 7 108,ifi Seventeen Cents Per 'LF . 8 1 Chlorination and testing of'all new water mains Ls @ One Thousand ThirtyNine Dollars t.fl;t;, �n $ t fl:l�z2fl $ Twenty Cents Per: L5 9 1 LS Demobilization and cleanup Two Hundred Fartars 240,00 240.00 No / Cents _ Per LS 0 ount-13din t ures: , 93,430.92 Total Amount Bid in Words: Ninety Three Thousand Four Hundred Thirty Dollars and Ninety Two Cents +C-3.d PROJECT BID SCHEDULE TOTALS CC 1371, CC'1378, CC 1408 WATERMAIN REPLACEMENT PROJECTS 38,054.64 2 2,7 9 4. 5-O- 93,430.92 TOTAL BID AMOUNT, BASIS OF AWARD (Sum of Schedules CC 1371, CC 1378, and CC 1408 154,280.06 TOTAL BID AMOUNT IN WORDS: One Hundred Fifty Four Thousand Two Hundred Eighty Dollars and Six Cents Notes. All extensions of unit prices will be subject to verification by owner. in case of a verification between the unit price and.the extension, the unit price will govern, The Owner reserves the right to reject any or all proposals and bid items, ME 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 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 finished by subcontractor for this project. C-5 N®NC®LLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED wiTH BID State of California ss. t +�e� t ,�tQs Stephen L. Doreck , being first duly sworn, deposes and says that he or she is Vice President of Stephen Doreck Equipment Rentals, Inc. the patty 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 shanl 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 %vill 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. Stephen Doreck Equipment Rentals, Inc. Nanlc of Bidder Signal u,- of Bidder Stephe L. Doreck / Vice President 9095 Telegraph Road, Pico Rivera, CA 90660 Address ol- Bidder Subscribed and sworn to before lne this _V5 day of July 2011 $YLVtl�51f111F1SE Commission # 1903492' Notary Public - California Los Angeles Ca$, NI Cam, E res 2014 NOTARY PUBLIC _ Sylvia Sifuentes (Notar P blic) _ NU ARY SFAl. C-6 State of California County of LOS ANGELES SYLVIA $IFUEN7ES Subscribed and sworn to (or affirmed) before me LO Commission # 1903492 this v day of July, , 20n , by Notary Public - California 2 Stephen L. Doreck proved to me Los Angeles County proved to me on the basis of satisfactory evidence to be the My Comm. Ex ifes Oct 8, 2014 person(s) who appeared before me. c (seal) Signatur UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACI-I, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the Water Main Extension Projects, Various Locations, Project Numbers CC 1371, CC1378, and CC1408, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or insiruclion, is funriliur wish the operation to be performedl and the hazards involvecl." 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. "fhe 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: July 18, 2011 C -7 Stephen Doreck Equipment Rentals, Inc. Contra17 cor BN Stephen L. Doreck / Vice President "Title DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. L' 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 Wto 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-8 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: July 18, 2011 C-9 Stephen Doreck Equipment Rentals, Inc. Contractor 0'Y Stephen L. Doreck / Vice President Title BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Stephen Doreck Equipment Rentals, Inc. Bidder Name 9095 Telegraph Road Business Address Pico Rivera CA 90660 City, State Zip 562 N 608-8532 Telephone Number 665471 State Contractor's License No. and Class 03/03/ 1993 Original Date Issued 02/29/2012 Expiration Date The. worksite was inspected by Stephen L. Doreck of our office on June 10, 1 201_. The following are persons; firms, and corporations having a principal interest in this proposal: Stephen L. Doreck / Vice President c-10 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. Stephen Doreck Equipment Rentals, Inc. CompTfil Nme n Signature 1101n -Bidder 9 v Step h L. Doreck / Vice President Printed or Typed Signature Subscribed and sworn to before me this �5 clay 01' 'July _- , 2011 L4sYtv!A SlFUtW -commission* 1903482 Notary Pubic - California LOS Angeles County M Comm Ex iret6 Ott 8, 2014 bv-V- NOTARY PUBLIC - �.--- Sylvia Sifuentes (N to Public) NOTARY SEAL Listed below are the names; address and tcicphonc numbers for three public agencies for which the bidder has performed similar- work within the past two years: Please see Attached 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. ol'Project Manager: Contract Amount Name and Address of Public Agency ..Type of Work Name and Telephone No. of Project Manager: Contract Amount Type of Work C-rl Date Completed Date Completed Date Completed URAT State of California County of LOS ANGELES NO SYLVIA SINE N"I' Subscribed and sworn to (or affirmed) before me M' COMMISS100 * 1,9034 22 this 15 day of July 2011 by Notary Public - CalitOtnia Stephen L. Doreck proved to me Los Angeles County proved to me on the basis of satisfactory evidence to be the MV COMM. EXOSS Oct 8 201 person(s) who appeared before me. (seal) Signat r STEPHEN DORECK EQUIPMENT RENTALS, INC. JOB REFERANCE SHEET JOB # CUSTOMER LOCATION START END CONTRACT PHONE FAX CONTACT NAME 2007-02 GRIFFITH COMPANY CAL POLY POMONA 6/25/07 8/.3/07 209,772.00 562 929-1128 562 929-8040 RYAN AUKERMAN 2007.08 GRIFFITH COMPANY SEPULVEDA BLVD & LINCOLN BLVD. 5/5/08 7/9/10 691,000.00 562 929.1128 562 929-8040 RYAN AUKERMAN 2007.10 KINNELOA IRRIGATION DISTRICT NEW YORK DRIVE 10/17/07 12/31/07 126,421.00 626 797-6295 626 794-5552 CHRIS BURT 2007-14 CITY OF PARAMOUNT ROSECRANS AVE. - GARFIELD 1/2/08 6/20/08 380,875.00 562 220-2220 562 408.1712 LANA CHIKAMI 2008-04 CITY OF NORWALK ALONDRA BLVD & ALORA AVETHASE 1 9/2/08 12/17/08 597,.356.00 .562 929-5723 DELFINO R. CONSUN I 2008.07 CITY OF ANAHEIM KATELLA AVE. WATER MAIN REPLACEMENT 1/5/08 3/17/09 314,657.00 714 765-4206 714 765-5225 CASTER WILLIAMS 2008.08 LONG BEACH WATER DEPARTMENT 1. WILL OHNSON RESERVOIR AND DEL AMO 4/24/09 2/19/10 551,021.00 562 570-2300 562 570.2306 WENDY CHEN 2008-11 KINNELOA IRRIGATION DISTRICT KENNELOA MESA PIPELINE 3/2/09 7/23/09 406,506.00 626 797.6295 626 794-5552 MELVIN L MATTHEWS 2009.01 EASTSIDE WATER ASSOCIATION NEWLAND ST & BOLSA AVE. 2/13/09 3/24/09 211,110.00 714 751-7373 TERRY LOOPS 2009-02 CITY OF BELL GARDENS LOVELAND & GARFIELD AVE. 6/17/09 8/12/09 351,150.00 562 806.7774 562 806-7789 VANESSA LERMA 2010.01 CITY OF BELLFLOWER WATERMAIN MAYNE, OAK AND BELMONT 1/6/10 4/23/10 375,710.21 .562 804-1424 562 925-8660 PAUL ZWIEP 2010-02 CITY OF GLEN DORA SOUTH HILL EAST 16' WATER MAIN 6/1/10 8/16/10 389,890.36 626 914.8246 KELLY GARDNER 2010-03 CITY OF ALHAM BRA HELLMAN AVE. WATERLINE REPLACEMENT 3/19/10 7/12/10 936,107.14 626 570.3280 626 570-3280 MARTIN RAY 2010.04 CITY OF COVINA ROWLAND & HOLLENBECK WATERMAIN REPL 4/26/10 8/24/10 323,255.00 626 384-5490 626 384.5479 RON HADLOC 2010-06 CITY OF INGLEWOOD WATER ,ETER VAULTS REPL - VARIOUS LOC 8/2/10 10/19/10 216,000.00 .310 412-5333 310 412.5552 BOYTRESE OSIAS MISC CITY OF PARAMOUNT VARIOUS MISC JOBS - ON CALL 562 220-2146 562 220-2144 ROLAND LEWIS MISC CITY OF TORRANCE VARIOUS MISC JOBS - ON CALL 310 780.8149 310 618-6256 ED MACIEL MISC CITY OF DOWNEY VARIOUS MISC JOBS - ON CALL 562 335.6770 562 869-9832 ])AN NY SALAS MISC SHAMINAN VARIOUS \41SC OBS - ON CALL 562 803-9977 562 803.9955 SHAWN A. SMITH THE AMERICAN INSTITUTE OF ARCHITECTS Bond No. STEDO-57 AfA Document A310 Bid Bond KNOW ALL, MEN BY THESE PRESENTS, that we Stephen Doreck Equipment Rentals, Inc. 9095 Telegraph Road Pico Rivera, CA 90660 as Principal, hereinafter called the Principal, and International Fidelity Insurance Company 13400 Sabre Springs Parkway, Suite 270 San Diego, CA 92128 a corporation duly organized under the laws of the State of New Jersey as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach 200 Main Street Huntington Beach, CA 92648 as Obligee, hereinafter called the Obligee, in the sum of Ten Percent of Amount Bid Dollars ($log of Amount sid) 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: 1. CC 1371 Water Main Extension, Holburn Drive From 91' to 185' South of Margate Drive 2. CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive 3. CC 1408 Water Main Extension on Beach Boulevard at Williams Street 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 3 0 th day of June, 2011 Stephen Doreck Equipment Rentals, Inc. (Principal) (Sea!) (Witness) 06�4 Tiffe r 6 �i ce Internation 1 Fid lity Insurance Compa; P (Seaq (Witness) V—'krtur�yal����(T-�kttor�ney-In�-Fac�t AIA DOCUMENT A310 -BID BOND • AIA @ - FEBRUARY 1970 ED • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 N.Y. AVE., N.W., WASHINGTON, D.C. 20006 1 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California ° County of Los Angeles 0 On 7/ 15/2011 before me, Sylvia Sifuentes, Notary Public, 0 Here Insert Name and Title of the Officer 0 °f personally appeared Stephen L. Doreck Name(s) of Signer(s) # 1 who proved to me on the basis of satisfactory evidence to be the person(s) whose 1 name(s) is/are subscribed to the within instrument and acknowledged to me that he/sheA" ° executed the same in his/ho' authorized capacity(fes), and that by his/4efi4h& ° 0 signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) 1 acted, executed the instrument. ° 0 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. g IQ WITNESS my hand and official seal. SYLVIA S1fUENTES Commission # 1903492 0 ° Notary Public - California Los Angeles County M Comm. Ex Tres Oct 8, 2014 �a Signature f �1V�-- (Seal) ' i Signat Notary Public 0 OPTIONAL I Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent ° ° fraudulent removal and reattachment of this form to another document. ° o Description of Attached Document ° 4 Title or Type of Document: e ° Document Drive: Signer(s) Other Than Named Above: 0 ° o Capacity(ies) Claimed by Signer 6 � ° ° Signer's Name: ❑ Individual ❑ Corporate Officer -- Title(s): Top of thumb here ° ❑ Partner --- ❑ Limited ❑ General ❑ Attorney -in -Fact ' ❑ Trustee 0 ❑ Guardian or Conservator ' ❑ Other: ° ' 1 Signer Is Representing: CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT STATE OF CALIFORNIA County of Orange On 6/30/11 before me, Susan Pugh Notary Public Date Here Insert Name and Title of the Officer personally appeared Arturo Ayala Name(s) of Signer(s) SUSAN PUGH COMM, #1934229 v Notary Public -California ORANGE COUNTY lAy Comm. Expires Apr 29, 2010 who proved to me on the basis of satisfactory evidence to be the person(s) whose name(sj is/we subscribed to the within instrument and acknowledged to me that he/sway executed the same in his/hoc dr authorized capacity(ies), and that by his/her signature(s) on the instrument the person(st), 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 official seal. Signature Place Notary Seal Above / p� Signature of Notary Public Sus n Pu h 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: Signer(s) Other Than Named Above: None Capacity(ies) Claimed by Signer(s) Signer's Name: Arturo Ayala ❑ Individual ❑ Corporate Officer—Title(s): ❑ Partner — ❑ Limited ❑ General V Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Number of Paqes: One Signer's Name: ❑ Individual ❑ Corporate Officer—Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Top of thumb here © 2007 National Notary Association • 9350 De Soto Ave., P.O. Box 2402 • Chatsworth, CA 91313-2402 • www,NationaiNotary.org Item 45907 Reorder: Call Toll -Free 1-800-876-6827 City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Joan L. Flynn, City Clerk September 2, 2011 Vido Samarzich, Inc. 4972 Crestview PI Alta Loma, CA 91701 RE: CC-1371, CC-1378 & CC-1408 — Water Main Extensions Enclosed please find your original bid bond for CC-1371, CC-1378 & CC-1408. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure g8jEft a 6wnV j4¢j"Ao♦ Waitakere, New Zealand VIPO sAvl,-7A1Z2Jcfq ,/ i�)c. C(ZC 5 TVI c co P[,d9-GE L'o.,-, A c-A °i i 70 Q a � To : c o - o OF N Uti,-I rd 6 ro,) i. C iY / ct, C TzK - Z oo� 2,00c) Y" 1+1 rU Srz��T Hutj 7-IfV67on) ectqc.,,---,Il CA °1 Z:00 P.r'Yl. 70L)/l�,7or� �C, i3��� c.c � 37B/ cc lyo SECTION C PROPOSAL. for the construction of 1. CC 1371 Water Main Extension, Holburn Drive from 91' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard, at Williams Street in the CITE' 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 50 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find 600 in the amount of $ /0 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 Bid is &nature ®A16 C-2 PROJECT BID SCHEDULE CC 1371 Item No .::. st�mated uantiity 161114ith::unit price written in. words: Vnii:Price x#ended: : 1 1 EA 8" X 8" Hot Tap with Gate Valve @ �EVt" r A% Ttl0 .-v 0 F/v� Dollars $ 7� S'= 0000 $ 7 TOO. 00 A) O Cents Per EA 2 1 LS Chlorination and testing of all new water mains @ fW0 Ttjoc)SAMO At/1< }4U-✓1W Dollars $ 00- 00 $ Z� 5;99 00 /✓y Cents Per LS 3 72 LF 8" PVC DR14 Water Main @ ONE HuN11eD M.4F' TY F—/bd i Dollars $ 09.00 $ I N U Cents Per LF 4 14 LF 6" PVC DR14 Water Main C _rWp Hu e-&q F_ 0 Dollars $ Z00 00 $ ZTBO0 OD A1/0 Cents Per LF 5 2 EA Construct 1" water service & 3/4" meter assembly a ?uJO TMOSA"O 7WO P*% Doilars $ Zp Zoo 00 $ Y, VOO. 00 /t%0 Cents _ Per BA 6 1 EA Construct 6" Gate Valve Assembly (t� ON6 jW0140 S/Jr Ou,%0 40 Dollars $ `6OO.00 $ % 600. OV Cents Per EA 7 1 LS Remove and dispose of existing AC Water Main @ 1wOF_ 1 B-OayfF%r�� iC-PVC 14t/r+*LW Dollars $ 1 �00.00 $ /5"b0. 00 /✓0 Cents Per LS 8 2 EA Provide temporary potable water highline C 0AIC 7_P100SAV0 Dollars $ �l"( $ Z 1700• Cents Per EA 9 1 LS Mobilization a "C'011A 77r4oySAa+t7 Dollars $ Ova. 00 $ � 00 No Cents Per LS 10 1 LS Demobilization and cleanup @ _7'H^" `7}��WSF�Nd1 Dollars $ 3 OOa. D0 $ 000. Oo Cents Per LS C-3.1 PROJECT BID SCHEDULE CC 1371 item I Estimated It6n:w1 h ii it py bey Extended No, tuantity .. written m: words Unit :Price Am... . 11 11 (Traffic Control LS I ', F! ✓4 /gy^hdlbF—® Dollars I $ 500. 0o I $ SO0. 00 Cents Per LS i otal Amount Pita in tr figures: � -v ja vs b. ®® Total Amount Bid in Words_ j?,.Ty �� ?'rlogse��0 /---Ys-- S--sc C-3.2 PROJECT BID SCHEDULE CC 1378 item::.. ....... . No. .... aced:::::::::.:::::::::::::::::::It:etri:w»€h: ................................................ :Quantity u:n t}:: rict:..:::::. ;:::::....... . ........................... written �n;wQrds:: :::::::::::_:::::::::::E:xtended::::: ................. Linit:Price : ................. Ainoun1 :: 1 1 LS Mobilization @ 4A%0 -- �-JOVS1411140 Dollars $ 000. 00 $ ? 000. 00 /✓O Cents Per LS 2 1 LS Provide traffic control plan C (9n/ Ir'/ioysfipd® Dollars $ ® 000.00 $ 000-00 %V() Cents Per LS 3 1 LS Provide traffic control @ `7 HetE-f— `r1-f0VCA,- 0 Dollars $ 3 ZXV. 00 $ 0o . OD A10 Cents Per LS 4 1 EA Fire hydrant assembly @ `rw,6 ao T-rP1oysp4, 0 Dollars $ ZO_ d $ Oy A/0 Cents Per EA 5 1 LS Cut & plug and abandon existing 8-inch main a, � t!� 7WO�S0 0-0 tI VE yJDollar- $ S, Ste• oo $ � SoO Oo n% Cents Per LS 6 1 LS Chlorination and testing of all new water mains EIVC PNe®Dollars $ 1 5,40- 00 $ 1 .15700.00 0110 Cents Per LS 7 1 LS Demobilization and cleanup @ '�"uV0 T-tioaso.."o Dollars $ cv0. 00 $ Doo.00 �✓� Cents Per LS otal Amount Bid inFigures: e7oo.0o Total Amount Bid in Words: -p o,,�!„ r y �1,�-�o,�se?�^) C-3.3 PROJECT BID SCHEDULE CC 1408 Item:: No. Estin*vjted:::::::::::::::::::::::::;::It:etri:w�th:u�s Quantity t:: ricf:::: ..... :: .............tD..... ......... .... written in: wards:: ......::::::_:_:::::......zt...... Unit;PHim: :::: 1 1 LS Mobilization @ �t00 `rH0VSG4 �r0 Dollars $ OOo, OD $ Z� �o �+PQ Cents Per LS 2 1 LS Traffic Control @ 1wVf. i' P40VS.4o.® Dollars $'/oao. ov $ 6? 000. 00 p1/p Cents Per LS 3 1 LS Permitting, including Caltrans double permit ,,,,��ee�/1 @ T19/Ll E 7-H0iiS� F1 (1E HIW4 ✓Dollars $ S� Oo• DO $ -3 $Do, 00 A10 Cents Per LS 4 1 EA 6-inch cut in valve assembly « �/1/� %i'80�S�r�O Dollars $ S�oO. oa $ SoT 00.00 �O Cents Per EA 5 2 EA 8-inch cut in valve assembly @ X / K Twou so i✓D Dollars $ o� _ 00. oo $ / S 000. 00 142 Cents Per EA 6 380 LF 12-inch PVC DR18 Water Pipe a opilE ?4--aA40 kC/ f-Tzer/ Dollars $ 'I/ S'. Oa $ `i32 ;o do P� V Cents Per LF 7 50 LF 8-inch PVC DR18 Water Pipe @ aVF_ i'6VrJ60w.F-D-rW16Lyd! Dollars $ //Z, Z. 00 $ S, 600.00 /+gyp Cents Per LF 8 1 LS Chlorination and testing of all new water mains 11 -rH^j. C-r7-4OU5;4/` O Dollars $' ow. .00 $ 3 aoo. 00 /✓y Cents Per LS 9 1 l,S Demobilization and cleanup �/� T �, 'AAAD TD0v.Si9.*J0 A"A P9vNDv.ED err Dollars 1�5, $ W$ SO.00 ✓� Zy q so. 00 �® Cents Per LS Total mount Bid inFigures: 0 00 Total Amount Bid in Words: 6 Hly ®�E �pus�,v,� p�uv�fp f-/FrV C-3.4 PROJECT BID SCHEDULE TOTALS CC 1371, CC 1378, CC 1408 WATERMAIN REPLACEMENT PROJECTS Sub -Total Bid Schedule CC 1371 yq, O S6, 00 Sub -Total Bid Schedule CC 1378 Sub -Total Bid Schedule CC 1408 TOTAL BID AMOUNT, BASIS OF AWARD (Sum of Schedules CC 1371, CC 1378, and CC 1408 TOTAL BID AMOUNT IN WORDS: 0/1/ HyA1,01LE0 SoY7-/ T�VVVSdo✓® THfIE� kicl^, OO t e o S//r /Po &1_/; /ef r!5y51-LI Notes: All extensions of unit prices will be subject to verification by Owner. In case of a verification between the unit price and the extension, the'unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-4 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 A0e-'Dw1J C E l.L a C42- TE COXP 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-5 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange VI 1>0 1, SA-v7,447(CO-/ , being first duly sworn, deposes and says that he or she is _mil C,0�5 Awn 6- -C1 oEov'T' of V1 po c.4,,"&,z z is d zN c, 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. V I PO 9,4ao-v19 A Z/ C-f4 -,,Jc.e Name of Bi SiVature of Bid/ t�' /-l'LTo L P,—,4 e�4 91 7 0 1 Address of Bidder Subscribed and sworn to before me this /9 day ofJ4 , 2011 LUPE SALGUERO COMM. ## 1850486 z Z NOTARY PUBLIC - CALIFORNIA� ' LOB ANGELES COUNTY ' My Comm. Expires June 19, 2013 NOTARY PUBLIC ; ; ll1-. U NOTARY SEAL C-6 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 Water Main Extension Projects, Various Locations, Project Numbers CC 1371, CC1378, and CC1408, (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:-Tv1--1 V ;-, -Zo C-7 ice'/ P, 0 co Z�P&_ Contractor By V9 CZ )0/-Lc S l PEiy �- 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. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-8 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: TV Ly l S tt C-9 V Cp'l,sJ�, Contractor By 1/1 CC f,,LG S iO 6 /JT Title C=10� 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. 17 0 rS,4ei-7,4 Company Nam e. /1' 7/ S44 ature of Printed or Typed Signature Z/ C1�l , , /V6. Subscribed and sworn to before me this ��' y da of 201( LUPE ALGUERO _ ` � 9. CO�i M. �i 1850486 Z r ^ z ' `� a NOTARY PUBLIC - CALIFORNI K 6µ, LOS A11GE LES COUNTY My Comrn. Expires June 19, 2013 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 C 1 7- --,' D F G ►-I 1 ^) O Name and Address of Public Agency Name and Telephone No. of Project Manager: 177S- Str7r9/-j=. 7 SS0, (ADO, oO W4 rE2 z o0 7 Contract Amount Type of Work C.1 .r. V odc Name and Address of Public Agency Date Completed Name and Telephone No. of Project Manager: %9&E T-Otts C64 VOY- Soya Contract Amount Type of Work Date Completed 3. L,4-XZ i �j V^-1 J C/ P,*t- I.J it 0.5 7—^ r c- 7-- Name and Address of Public Agency Name and Telephone No. of Project Manager: 4714&c-- 60w ('7' 57� 6 3-R-- 32 y/ d(31- - cw. Op (4.),4 -� Z'V r r Contract Amount Type of Work Date Completed C-11 BOND NO: VIDSA-975 KNOW ALL MEN BY THESE PRESENTS: That we, VIDO SAMARZICH, INC., (hereinafter called the Principal), and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corporation organized and doing business under and by virtue of the laws of the State of MARYLAND, and duly licensed for the purpose of making, guaranteeing or becoming sole surety upon bonds or undertakings required or authorized by the laws of the State of CALIFORNIA, as Surety, are held and firmly bound unto CITY OF HUNTINGTON BEACH, (hereinafter called the obligee) in the sum equal to 10% of the accompanying bid of the Principal, not, however, in excess of TEN PERCENT OF THE TOTAL AMOUNT BID Dollars (10% OF BID AMOUNT), for the payment of which, well and truly to be made, we hereby bind ourselves and our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT WHEREAS, the above bounden Principal as aforesaid, is about to hand in and submit to the obligee a bid for WATER MAIN EXTENSION — CC1371, CC1378, CC1408, in accordance with the plans and specifications filed in the office of the obligee and under the notice inviting proposals therefore. NOW, THEREFORE, if the bid or proposal of said principal shall be accepted, and the contract for such work be awarded to the principal thereupon by the said obligee, and said principal shall enter into a contract and bond for the completion of said work as required by law, then this obligation to be null and void, otherwise to be and remain in full force and effect. IN WITNESS WHEREOF, said principal and said Surety have caused these presents to be duly signed and sealed this 8TH day of JULY, 2011. 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 THEODORE G. MARTINEZ, Vice President, and ERIC D. BARNES, Assistant Secretary, in pursuance of authority granted by Article VI, Section 2, of the By -Laws of said ny, 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 Randy SPOHN and Matthew R. DOBYNS, bo alif EACH its true and lawful agent and Attorney -in -Fact, to make, execute, seal and its p d as its act and deed: any and all bonds and undertakings, and the exec ® so suance of these presents, shall be as binding upon said Company, as ful a inte s s if they had been duly executed and acknowledged by the regularl a .t ice in Baltimore, Md., in their own proper persons. This power of alto th e POHN, dated April 6, 2004. The said Assistant A0 at the extract set forth on the reverse side hereof is a true copy of Article VI, Section 2, of the By- p pany, and is now in force. IN WITNESS OF, the said Vice -President and Assistant Secretary have hereunto subscribed their names and affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 1st day of May, A.D. 2009. ATTEST: 'gyp DEPO.S W � T State of Maryland I ss: City of Baltimore FIDELITY AND DEPOSIT COMPANY OF MARYLAND Eric D. Barnes Assistant Secretary By: Theodore G. Martinez On this 1 st day of May, A.D. 2009, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, came THEODORE G. MARTINEZ, Vice President, and ERIC D. BARNES, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me persona.ly krowT 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. Maria D. Adamski Notary Public My Commission Expires: July 8, 2011 POA-F 012-3955 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of CALIFORNIA County of ORANGE On July 8th, 2011 before me, ERIKA GUIDO, NOTARY PUBLIC. personally appeared RANDY SPOHN ® 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/sl effliey executed the same in his/bier/theif authorized capacity (ies), and that by his/her/t-hefr signature(} 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 ERIKA GUIDO California that the foregoing paragraph is true and correct. COMM. # 1843731 ::� NOTARYPUBLICCAUFORNIA o ORANGECOUNTY WITNESS my hand and official seal. ORANGE ro MY comm. expires May 5 2013 i; ognatu /of Notary Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER ❑ PARTNER(S) ❑ LIMITED ® ATTORNEY -IN -FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) DESCRIPTION OF ATTACHED DOCUMENT