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HomeMy WebLinkAboutPaveWest, Inc. - 2017-11-06 RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to �•- City Clerk's Office (Name) after signing/dating (Date) CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: JI F// O p SUBJECT: Bond Acceptance I have received the bonds for (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. / Warranty or Maintenance Bond No. Kle-/ /2,5,,,2.,-7, ��)7 W TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved 1116 In 1j'7 (Council Approval Date) CC No. Agenda Item No. MSC No. City Clerk Vault No. tGC�I�• �S� Other No. SIRE System ID No. g:/forms/bond transmittal to treasurer FCITYB OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION DATE: 2/16/2018 TO: THOSE LISTED HEREON FROM: Joseph Dale, PW Construction Manager SUBJECT: Retention Release Payment- PO#23505 OJ Supplier#61739 Co.#314 Park Bench Cafe Parking Lot, Project#CC 1562 Contractor's Name: Pavewest, Inc. Address: 401 S. Harbor Blvd. City, State and Zip Code: La Habra, CA 90631 Phone Number: (562)694-3113 City Business License Number: A192054 Notice of Completion (Date by City Clerk): 1/22/2018 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. �- (a -zot-S Date Travis K. Hopkins, Director of Public Works I certify that there are no outstanding invoices on file. Date Joy6e Zalm, Deputy City Treasurer I certify that no stop notices are on file, and that a guaranty bond has been filed with the City Clerk's Office. a Date Robin Estanislau, City Clerk C� Attachments 1. Notice of Completion 2. Maintenance Bond 3. Certificate of Compliance with Prevailing Wage Laws 4. Contractor's Certificate 5. Certificate of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 6. Consent for Release letter from the Surety Company RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: 3/,F// O Q SUBJECT: Bond Acceptance I have received the bonds for Ia (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. 1 / Warranty or Maintenance Bond No. YVUV��o2.7�-17 W TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved IJ 7 / (Council Approval Date CC No. Agenda Item No. MSC No. City Clerk Vault No. Other No. SIRE System ID No. �3�SS4�9 g1forms/bond transmittal to treasurer Recorded in Official Records, Orange County Hugh Nguyen, Clerk-Recorder II I J III III III I I $11 J ll 1111 III IIII NO FEE PLEASE COMPLETE THIS INFORMATION * $ R 0 0 0 9 6 3 9 7 5 1 $ * RECORDING REQUESTED BY: 2018000021150 9:38 am 01122/18 90 SCs N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.000.00 75.00 WHEN RECORDED MAIL TO: CITY OF HUNTINGTON BEACH PUBLIC WORKS DEPARTMENT Attn:Joseph Dale P.O. Box 190—2000 Main Street Huntington Beach, CA 92648 THIS SPACE FDR RECORDER'S USE ONLY TITLE OF DOCUMENT NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN by the City of Huntington Beach,owner in fee,2000 Main Street, Huntington Beach,CA 92648,that the contract heretofore awarded to Pavewest, Inc.,who was the company thereon for doing the following work to-wit: Park Bench Cafe Parking Lot, Project#CC 1662 That said work was completed 01/17/2018 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 01/17/2018,per City Council Resolution No.2003-70 adopted October 6,2003. That upon said contract(Bond Company Name Here),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 27383 and should be recorded free of charge. Dir or of c Works or City Engineer Date City of Huntington Beach,California STATE OF CALIFORNIA) County of Orange 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 of Orange County. This document is solely the official business of the City of Huntington Beach,as contemplated 2� l� under Government code section 27383 and DiregtoF of PubTic Works or City Engineer Date should be recorded free of charge. City of Huntington Beach,California THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) Warranty Bond No.WCN2527397W MAINTENANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: That Pavewest Incorporated (contractor's name) 401 5.Harbor Blvd.,F385 La Habra,CA 90631 (contractor's street address,city and state and zip code) as Principal(hereinafter called Contractor),and: Old Republic Surety Company (surety's name) 14728 Pipeline Ave Suite E Chino Hills CA 91709 (surety's street address,city and state and.zlp code) a corporation organized and existing under the laws of the State of Wisconsin with its principal office in the City of Milwaukee as Surety(hereinafter called Surety),are held firmly bound unto CITY OF HUNTINGTON BEACH as Obligee (hereinafter called Ovine In the amount of One Hundred Twelve Thousand Four Hundred Ninety&15/100ths------ Dollars ($112,49 .15--.1, equivalent to the entire. contract amount including all orders, for the payment whereof Contractor and Surety bind themselves, their.heirs, executors,administrators;successors,and assigns,jointly and severally,firmly by these presents, WHEREAS,Surety is a duly admitted surety Insurer under the laws of the State of California;and Surety is certified and listed In the U.S.Department of the Treasury Circular 570,and able to provide proof of bonding limitation shown In saldcircular is sufficient to provide bonds in the amount required by said Contract;and Surety has provided financial strength ratings from reputable companies,such as from A.M.Best, Moody's,Standard &Poor's,to validate that Surety has positive ratings of being secure or stable;and Surety is registered and listed with the California Department of Insurance;and Contractor has by.wriften agreement dated November 7,2017, entered into a contract with Owner for the Park Bench Cafe Parking Lot improvements in accordance with drawings and specifications prepared by PACE which contract Is by reference made a part hereof(hereinafter referred to as the Contract);and 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 The Contract also provides that the Contractor shall secure Contractor's obligations during the one-year period vMh a bond executed by a surety duty admitted in the state of California;and The Contract has been completed and the Owner,Contractor and Surety agree that the commencement date for this Guarantee and Bond shall be January 17 ,2018, 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 resuRing from defectiva materiels or defective workmanship, then this obligation shall be null and void;otherwise it will remain in full force and effect. The Surety hereby waives notice of any alteration or extension of time 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) days 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. 15-4594/118138 1 Warranty Bond No.WCN2527397W Whenever the Principal shall be,and declared by the Owner to be in default under the Contract,which shall inciude 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 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 Surely'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 defaults)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 default(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 completlon of the Contract, additional legal, design professional and delay costs arising from Surety s actions or failure to act; and iiquldated damages (or If no Ilquidafed damages are specified in the Contract,actual damages caused by delayed performance or non-performance by the Principal). The Surely shall give prompt written notice to the Owner upon completion of the cure or remedy of the Principal's defaull(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.(39) days after receipt of a.written notice from Owner,Surety shall be deemed to be In default on 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 22nd day of January ,2018 Principal Raised Corporate Seal Pavewest Incorporated [MUST BE AFFIXED] (Conti- for Name) (Seal) Principal Raised Corporate Seal D OP AGO /77 A ICJ 6 AA-) [MUST BE AFFIXED] (Title) Old Republic Surety Company (jLaAttly-ir ) By: (Seal) Bro fact APPROB � NOTES: ,Michael E. Ga es, City Attorney 1. Acknowledgments must be completed and returned C/ 4 as part of the bond, 2. Raised Corporate Seals are mandalory. 3. Please attach Power of Attorney. 15-4584/118138 2 ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of San Diego } On 22 January 2018 before me, Joy Rogers, Notary Public , ere insert name ana true oT tne officer) personally appeared Brooke Lafrenz who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. JOY ROGERS WITNES m d and official seal. Notary Public California Z :`+s San Diego County z Z ' Commission #2177963 n My Comm.Expires Jan 28,2021 Notary 1111blic Sigr a re (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT if needed,should be completed and attached to the document.Acknohvedgents from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary law. (Title or description of attached document) • State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment. • Date ofnotarization must be the date that the signer(s)personally appeared which (Title or description of attached document continued) must also be the same date the acknowledgment is completed. • The notary public must print Iris or her name as it appears within his or her Number of Pages Document Date 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. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. lie/she/Trey,—is/ere)or circling the correct forms.Failure to correctly indicate this ❑ Individual(s) information may lead to rejection of document recording. ❑ Corporate Officer • 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 (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk. I] Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other Indicate title or type of attached document,number of pages and date. ❑ Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). 2015 Version www.NotaryClasses.com 800-873-9865 • Securely attach this document to the signed document with a staple. OLD REPUBLIC SURETY COMPANY ***** POWER;OF ATTORNEY KNOW ALL.MEN BY THESE PRESENTS€ That OLD REPUBLIC SURETY COMPANY:a Wisconsin stock insurance corporation,does make,constitute and appoint: BROOKE LAF:RENZ,MICHAEL W THOMAS,GLADYS ROGERS,AUDREY RODRIGUEZ,LARRY D COGDILL,OF SAN DIEGO,CA its true and`Iawful Attorney(s)-in-Fact,with full power and authority; exc uqt eeding$50,0001000,for and on behalf of the company as surety,to execute and deliver: and affix the seal of the company thereto(if a seal is required),bonds,undertakings,recognizances or other written obligations in the nature thereof,(other than bail bonds,bank depository bonds,;mortgage deficiency bonds,mortgage guaranty bonds,guarantees of installment paper and note guaranty bonds,self-insurance workers compensation bondsrguaranteeing payment of benefits,asbestos abatement;contract bonds,waste management bonds,hazardous waste remediation bonds or black lung bonds), as follows:` ALL WRITTEN INSTRUMENTS IN AN AMOUNT NOT TO EXCEED TEN MILLION DOLLARS($10,000,000) ----- -------- --------FOR ANY SINGLE OBLIGATION and to bindOLD REPUBLIC SURETY COMPANY thereby,and all of the acts of said Attomeys-in-Fact,pursuant to these presents,are ratified and confumed. This document is not valid unless printedon colored background and,is multi=colored. This appointment is made under and by authority of the board of directors at a,:special me on February 18,;,1982. This Power of Attomey is signed and sealed.by facsrmrle:under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February 18, 1982. RESOLVED that,the president,any vice-president,or assistant vice president,in conjunction with the secretary or any assistant secretary,may appoint all or agents with authority as;defined or limited in the instrument evidencing the appointment in each case,for and on behalf of the company to execute and deliver and affix the seal of the`company to bonds;:undertakings,recogmzances,and suretyship obligations.-fall kinds;and said officers mayremove any such attomey-in-fact or agent and revoke any Power of Attorney previously granted to such person. RESOLVED FURTHEK that any,bond undertaking,recognizance,or suretyship;obligation shall be valid and.binding upon the Company (i)when signed by the president,any vice president or assistant vice presrdent,and attested and sealed(if a scathe required)by any secretary or assistant secretary;or (ii)when signed by the president,any,vice or assistant vrce president,secretary or assistant secretary,and countersigned and sealed(if a seal be required)by a duly authorized attomey-in-fact or agent;or when duly executed and sealed(if a.seal be re9uired)by one or more attomeys in-factor agents,pursuant to and within the limits of the.authority evidencedby.the,Power of Attomey issued by the company to such person or persons. RESOLVED FURTHER that the,signature''ofariy 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;'recognizancei or other:suretyship obligations of the company;;and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF,OLDREPUBLIC SURETY COMPANY has caused these presents robe signed byits proper officer,and its corporate seal to be affixed this 27TH day of NOVEMBER,2017 :OLD REPUBLIC SURETY COMPANY s 7, e t SEAL` y STATE OF WISCONSIN,COUNTY OF WAUKESH A-SS "^^�` ""'j5µ President On this 27TH day of NOVEMBER 2017 personally came before me, Alan,Pavlic and Jane erney to meknown to bethe individuals and officers oft he OLD REPUBLIC SURETY COMPANY who executed the above instrument,and they each acknowledged the execution of the same and.being by me duly sworn,did severally depose and:say; that they are the said officers ofahe corporation aforesaid,and that the seal affixed to the above instrument is the seal of the corporation,and that said corporate seal and their signatures as such officers were duly affixed;and subscribed to the said?instrument by the,authority of the board'of directors of said corporation. A. ?QYA0,6 NotegPublic ugt>G . My commission expires: 9/28/2018 CERTIFICATE (Expiration of notary commission does not invalidate this instrument) I,the undersigned assistant secretary of the OLD REPUBLIC SURETY CGivIPANY,a Wisconsin corporation;CERTIFY that the foregoing and attached Power of Attorney remains in full force and has not been revoked;and furthermore;that the Resolutions of the:board of directors set forth in the Power'of Attorney,are now in force. 74-0051 sic suq� Signed a sealed at the City of Brookfield,WI this 22M day of January 2018 ril F' J C it I to�so•�r� R EAL;;; 'N' ,f a AS;;5Len1 $ VENBROOK INSURANCE SERVICES , t2 222 2(15-� 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: C — 15(0 2✓ Project: ,9r'k 6u7Ch CA e _ 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 �.'Z N D day of 20 / at (A4A1b,r't , California. i(Contructoi• Yaumie) _ qr4'/v APPROVED,, S 1 O FORA By: Mipfiiael E. Gates City Attorney 1 CONTRACTOR'S CERTIFICATE 1,LONA-CZ state and certify that: (Name of Declarant) 1, �RVEW EST, IAP , is the general contractor to the City of Huntington Beach("City")on Contract No. C C—I S(a (the"Contract") f r the construction of the public work of improvement entitled: �rk �— (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(S), 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"): No nJ 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, 0\ S. 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"}. 10 NI P I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at LA "6rA� GA on this 22Aj0 day of Tii n 20_L (Signal re nf'Declarant) 00A14C.D MA-N�A►J APPROVED AS P%I#OR.M P/l,C e rtp,.&L-J- Michae),I . Gates CityrAitorney 1 Certification of Compliance with Title VII of�the Civil Rights Act and Equal Employment Opportunity Act of 1.972 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: C.0 - /S& 2 ).4rk 13 � Project: G!1 (.��..¢. ---- The undersigned contractor on the above-referenced project ("Project') hereby certifies that it has complied with title VII of the Civil Rights Act, the Equal Opportunity Act of 1972 and Executive Order 11246, and has not discriminated against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, 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, color, religion, sex, sexual orientation, gender identity, 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 o22 N O day of 70a". - 520 _/ ( , at the_; .._, California. r (Contractor Name) Up4-LD MA4V A-'N Glll�1 J aC,M A PIZC)V"ED S' FORM,, By: Michael E. Gates City Attorney 1 CONSENT OF SURETY TO RELEASE OF RETENTION BOND NO.: WCN2527397 PROJECT NAME: Park Bench Cafe Parking Lot Improvements CONTRACTOR: Pavewest Incorporated TO(OWNER): City,of Huntington Beach In accordance with the provisions of the contract between the Owner and the contractor as indicated above, Old Republic Surety Company, Surety Company,on bond of Pavewest Incorporated, contractor, hereby approves the RELEASE OR RETENTION for the project referenced above. The Surety agrees that such RELEASE OR RETENTION under contract shall not relieve the Surety of any of its obligations to City of Huntington Beach, Owner, as set forth in the said Surety's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand this 2nd day of March, 2018. Old Republic Surety Company Surety J By ^T / Signature of Authori ed Re resentative Brooke Lafrenz Attorney-In-Fact Recorded in Official Records, Orange County Hugh Nguyen, Clerk-Recorder �1[���$�J�II II 11] III J [I I[ NO FEE PLEASE COMPLETE THIS INFORMATION * $ R 0 0 0 9 8 3 9 7 5 1 $ * RECORDING REQUESTED BY: 2018000021150 9:38 am 01/22/18 90 SC5 N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.000.00 75.00 WHEN RECORDED MAIL TO: CITY OF HUNTINGTON BEACH PUBLIC WORKS DEPARTMENT Attn:Joseph Dale P.O. Box 190—2000 Main Street Huntington Beach, CA 92648 THIS SPACE FOR RECORDER'S USE ONLY TITLE OF DOCUMENT NOTICE OF COMPLETION . NOTICE IS HEREBY GIVEN by the City of Huntington Beach, owner in fee,2000 Main Street, Huntington Beach, CA 92648,that the contract heretofore awarded to Pavewest, Inc.,who was the company thereon for doing the following work to-wit: Park Bench Cafe Parking Lot, Project#CC 1562 That said work was completed 01/17/2018 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 01/17/2018, per City Council Resolution No. 2003-70 adopted October 6,2003, That upon said contract(Bond Company Name Here),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 27383 and should be recorded free of charge. Dir or of c Wo-rks or City Engineer Date City of Huntington Beach, Califomia STATE OF CALIFORNIA) County of Orange )ss: City of Huntington Beach ) 1, 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 of Orange County. This document is solely the official business of the City of Huntington Beach, as contemplated V2z J� under Government code section 27383 and Dire or of Public Works or City Engineer Date should be recorded free of chain City of Huntington Beach,California THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) RECEIVED BY: / CITY CLERK RECEIPT COPY Return DUPLICATE to l � City Clerk's Office (Name) f after signing/dating (Date) CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION U-y) TO: City Treasurer FROM: City Clle/rk DATE: SUBJECT: Bond Acceptance I have received the bonds for 41t,4 --l��- -SJ /AJ(.. (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) ) C� Performance Bond No. 4,0 OA ) 6)) �1 / Payment Bond (Labor and Materials) Bond No. i.(�( fi5 c� 3 9 - Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved `f — G ~ /-7 / (Council Approval Date) CC No. 1 �t%�� Agenda Item No. AD MSC No. City Clerk Vault No. � '�'�, � Other No. SIRE System ID No. . 3 ,) 5-,P,6 g:/forms/bond transmittal to treasurer CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND PAVEWEST, INC. FOR PARK BENCH CAFE PARKING LOT IMPROVEMENTS THIS AGREEMENT ("Agreement") is 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 PAVEWEST, INC. , a CALIFORNIA corporation, hereinafter referred to as "CONTRACTOR.." WHEREAS, CITY has solicited bids for a public works project, hereinafter referred to as "PROJECT," more fully described as PARK BENCH CAFE PARKING LOT__ IMPROVEMENTS 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: I. STATEMENT OF WORK; ACCEPTANCE OF RISK CONTRACTOR shall complete and construct the PROJECT pursuant to this Agreement and the Contract Documents (as hereinafter defined) and furnish, at its own cost and expense, all labor, plans, tools, equipment, supplies, transportation, utilities and all other items, services and facilities necessary to complete and construct the PROJECT in a good and workmanlike manner. CONTRACTOR agrees to fully assume the risk of all loss or damage arising out of the nature of the PROJECT, during its progress or prior to acceptance by CITY, from the action of the elements, from any unforeseen difficulties which may arise or be encountered in the 1 16-5195/City Funded Construction Contract.docx—revised 04/2016 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), has inspected the location of the job site, and the conditions under which the work is to be performed, and that it enters into this Agreement based upon its thorough investigation of all such matters and is relying in no way upon any opinions or representations of CITY. It is agreed that the Contract Documents are incorporated into this Agreement by this reference, with the same force and effect as if the same were set forth at length herein, and that CONTRACTOR and its subcontractors, if any, shall be bound by the Contract Documents insofar as they relate in part or in any way, directly or indirectly, to the work covered by this Agreement. "Contract Documents" as defined herein mean and include: A. This Agreement; B. Bonds covering the work herein agreed upon; C. The CITY's standard Plans and Specifications and special contractual provisions, including those on file in the office of the Department of Public Works of CITY, and any revisions, amendments or addenda thereto; 2 16-5195/City Funded Construction Contract.docx—revised 04/2016 D. The edition of Standard Spec{fications 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 as specified in the particular Plans, Specifications, Special Provisions and Addendum applicable to the Project; E. Bid docurnents 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 Director of Public Works of CITY or his or her written designee (hereinafter referred to as "DPW"), and CONTRACTOR shall not attempt to resolve or adjust the discrepancy without the decision of DPW, save only at its own risk and expense. Should there be any conflict between the terms of this Agreement and the bid or proposal of CONTRACTOR, then this Agreement shall control and nothing herein shall be considered as an acceptance of the terms of the bid or proposal which is in conflict herewith. 3 16-5195/City Funded Construction Contract.docx—revised 04/2016 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 ONE HUNDRED TWO THOUSAND FOUR HUNDRED AND EIGHTY EIGHT Dollars ($ 102,488.00 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 THIRTY ( 30 ) 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. 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, 4 16-5195/City Funded Construction Contract.docx—revised 04/2016 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 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. 5 16-5195/City Funded Construction Contract.docx—revised 04/2016 8. BONDS Only bonds issued by California admitted sureties will be accepted. CON"TRACTOR 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, 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 6 16-5195/City Funded Construction Contract.docx—revised 04/2016 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 I+IVE HUNDRED ($ _500.00 ___) per each calendar 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 7 16-5195/City Funded Construction Contract.docx—revised 04/2016 delay and CITY shall extend the time for completing the work if, in its judgment, the findings of fact thereon justify the delay; and the decision of DPW shall be conclusive on the parties hereto. Should CONTRACTOR be delayed in the prosecution or completion of the work by the act, neglect or default of CITY, or should CONTRACTOR be delayed by waiting for materials required by this Agreement to be furnished by CITY, or by damage caused by fire or other casualty at the job site for which CONTRACTOR is not responsible, or by the combined action of the workers, in no way caused by or resulting from default or collusion on the part of CONTRACTOR, or in the event of a lockout by CITY, then the time herein fixed for the completion of the work shall be extended by the number of days CONTRACTOR has thus been delayed, but no allowance or extension shall be made unless a claim therefor is presented in writing to CITY within fifteen (15) days of the commencement of such delay. 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. DEMANDS FOR ADDITIONAL TIME OR MONEY. A. Definitions. (1) "Change Order" means a document signed by the CONTRACTOR and CITY which authorizes an addition, deletion or revision in the work, or an adjustment in the Compensation under Section 3, or the Completion Time specified at Section 4. (2) "Demand" means a written demand for a Change Order by the CONTRACTOR for any of the following: (a) A time extension; 8 16-5195/City Funded Construction Contract.docx—revised 04/2016 (b) Payment of money or damages arising from work done by, or on behalf of, the CONTRACTOR pursuant to this Agreement and payment of which is not expressly permitted pursuant to Section 3 of this Agreement; (c) Payment of an amount the CITY disputes; (d) Any disputes and other matters relating to the acceptability of the work performed or the interpretation of the Contract Documents; (e) A request for a time extension or additional payment based upon differing site conditions, such as subsurface or latent physical conditions at the job site differing materially from those indicated in this Agreement or the Contract Documents, or 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 PROJECT; or (f) A request for a time extension or additional payment based upon acts of neglect by CITY or due to fires, floods.. labor disputes,epidemics, abnormal weather conditions or acts of God. B. A Dernand for a time extension or payment of money or damages may only be granted by a Change Order. C. No Change Order may be granted except where the Contractor has submitted a Demand to the DPW (or his or her written designee). All Demands shall be submitted promptly, but in no event later than thirty (30) days after the occurrence of the event giving rise to the Demand. The Demand shall be in writing and include all documents necessary to substantiate the Demand. 'The DPW shall act on the Demand within fifteen (15) days after receipt, including by requesting additional information from the CONTRACTOR to determine whether to approve the Change Order the Demand seeks. The DPW shall act on the Demand within fifteen (15) days 9 16-5195/City Funded Construction Contract.doex—revised 04/2016 after receipt of the additional information or within a period of time no greater than the time the CONTRACTOR took to produce the additional information requested, whichever is greater. D. Notwithstanding the 'thirty (30) days to submit a Demand under Subparagraph C, in the case of differing or unknown site conditions, immediately upon encountering the conditions, CONTRACTOR shall notify the DPW in writing of the conditions, so that the CITY may promptly investigate the conditions. E. If the CONTRACTOR disputes the DPW's written response on the Demand, or the CITY fails to respond within the time prescribed, the CONTRACTOR may so notify the City Engineer, in writing, either within fifteen(15)days of receipt of the City Engineer's response or within fifteen (15) days of the DPW's failure to respond within the time prescribed, respectively, and request an informal conference to meet and confer for settlement of the Demand. Upon the CONTRACTOR's request, the DPW shall schedule a meet and confer conference within thirty (30) days to seek to resolve. F. CITY and CONTRACTOR shall execute appropriate Change Orders covering changes to the time or price by executing the Change Order by mutual agreement. If the CITY and CONTRACTOR are unable to reach a mutual agreement, then the City Engineer shall issue a written decision on the claim within a reasonable time. G. Following the meet and confer conference, if the Demand remains in dispute, the CONTRACTOR may file a claim with the City as provided in Chapter I (commencing with Section 900) and Chapter 2 (commencing with Section 910) of Part 3 of Division 3.6 of Title 1 of the Government Code. For purposes of those provisions, the running of the period of time within which a claim must be filed shall be tolled from the time the CONTRACTOR submits his 10 16-5195/City Funded Construction Contract.docx—revised 04/2016 or her Demand until the Demand is denied as a result of the meet and confer process, including any period of time utilized by the meet and confer process. 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, five percent (5%) will be deducted and retained by CITY and the remainder of the progress estimate, less the amount of all previous payments since cornmencement 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 11 16-5195/City Funded Construction Contract.docx—revised 04/2016 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. Provided, however, that in the event of a dispute between CITY and CONTRACTOR, CITY may withhold from the final payment an amount not to exceed 150 percent of the value of any disputed amount of work. 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 an acceptance of any part of the work. 15. WITHHELD CONTRACT FUNDS SUBSTITUTION OF SECURITIES At the request and at the sole cost and expense of CONTRACTOR,who shall retain beneficial ownership and receive interest, if any thereon, CITY shall permit the substitution and deposit therewith of securities equivalent to the amount of any monies withheld by CITY to ensure performance under the terms of this Agreement. 16. AFFIDAVITS OF SATISFACTION OF CLAIMS After the completion of the work contemplated by this Agreement, CONTRACTOR shall file with DPW its affidavit stating that all workers and persons employed, all firms supplying materials and all subcontractors working upon the PROJECT have been paid in full and that there are no claims outstanding against the PROJECT for either labor or material, except certain items, if any,to be set forth in CONTRACTOR's affidavit covering disputed claims, 12 16-5195/City Funded Construction Contract.docx—revised 04/2016 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 claons against CITY under or arising out of this Agreement. A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rage for legal holiday and overtone work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code, CONTRACTOR shall, as penalty to CITY, forfeit twenty-five dollars ($25) for each calendar day or portion thereof for each worker paid (either by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 18. CALIFORNIA PREVAILING WAGE LAW A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by 13 16-5195/City Funded Construction Contract.docx—revised 04/2016 resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code, CONTRACTOR shall, as penalty to CITY, forfeit twenty-five dollars ($25) for each calendar day or portion thereof for each worker paid (either by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 19. CALIFORNIA EIGHT-HOUR LAW A. California Labor Code, Sections 1810 etseq, shall apply to the performance of this Agreement; thereunder, not more than eight (8) hours shall constitute one day's work and CONTRACTOR and each subcontractor employed by its hereunder, shall not require more than eight(8) hours of labor per day or forty (40) hours per week frorn any one person employed by it hereunder, except as stipulated in California Labor Code Section 1815. CONTRACTOR and each subcontractor employed by it hereunder shall, in accordance with California Labor Code Section 1812, keep an accurate record, open to inspection at all reasonable hours, showing the name and actual hours worked each calendar day and each calendar week by each worker employed in connection with the PROJECT. B. Pursuant to this Agreement and in accordance with California Labor Code Section 1813, CONTRACTOR. shall, as a penalty to CITY, forfeit twenty-five dollars ($25) for each worker employed hereunder by CONTRACTOR or any subcontractor for each calendar day during which such worker is required or permitted to work more than eight (8) hours in any one 14 16-5195/City Funded Construction Contract.docx—revised 04/2016 (1) calendar day or forty(40) hours in any one (1) calendar week in violation of California Labor Code Section 1815. 20. PAYMENT OF TRAVEL AND SUBSISTENCE ALLOWANCE Section 1773.8 of the California Labor Code, regarding the payment of travel and subsistence allowance is applicable to this PROJECT. 21. EMPLOYMENT OF APPRENTICES Section 1777.5 of the California Labor Code, regarding the employment of apprentices is applicable to this PROJECT. 22. PAYROLL RECORDS CONTRACTOR agrees to keep accurate payroll record showing the name, address, social security number, work classification, straight time and overtime hours worked each day and week, and the actual per diem wages paid to each journeyman, apprentice or worker employed by it in connection with the PROJECT and agrees to require each of its subcontractors to do the same. CONTRACTOR further agrees that its payroll records and those of its subcontractors, if any, shall be available at all reasonable times to the CITY, and the employee or his representative, and the Division of Labor Standards Enforcement and the Division of Apprenticeship Standards, and to comply with all of the provisions of California Labor Code Section 1776, in general. 23. 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, 15 16-5195/City Funded Construction Contract.doex—revised 04/2016 arising directly or indirectly out of the obligations or operations herein undertaken by CONTRACTOR, caused in whole or in part by any negligent act or omission of the CONTRACTOR, any subcontractors, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, including but not limited to concurrent active or passive negligence, except where caused by the active negligence, sole negligence, or willful misconduct of the CITY, its officers, elected or appointed officials, employees, agents, and volunteers. 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. 24. 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. 16 16-5195/City Funded Construction Contract.doex—revised 04/2016 25. INSURANCE In addition to the workers' compensation and employer's liability insurance and CONTRACTOR's covenant to defend, hold harmless and indemnify CITY, CONTRACTOR shall obtain and furnish to CITY, a policy of general public liability insurance, including motor vehicle coverage covering the PROJECT. This policy shall indemnify CONTRACTOR, its officers, employees and agents while acting within the scope of their duties, against any and all claims arising out or in connection with the PROJECT, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including products completed operations liability and blanket contractual liability, of One Million Dollars ($1,000,000) per occurrence. If coverage is provided under a form which includes a designated general aggregate limit,the aggregate limit must be no less than One Million Dollars ($1,000,000) for this PROJECT. This policy shall name CITY, its officers, elected or appointed officials, employees,agents, and volunteers(the"Additionally Insured Parties")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 and non-contributory with any other valid and collectible insurance or self-insurance available to the Additionally Insured Parties. Any available insurance proceeds in excess of the minimum coverage amount specified herein shall be available to the Additionally Insured Parties. All coverage available to CONTRACTOR shall also be available to the Additionally Insured Parties. 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 Five Thousand Dollars ($5,000.00) is permitted. CONTRACTOR shall be responsible for causing all Subcontractors to maintain the same types and limits of insurance coverage as that required of CONTRACTOR by this Agreement. 17 16-5195/City Funded Construction Contract.docx—revised 04/2016 26. 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; 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 Lind I the work under this Agreement is fully completed and accepted by CITY. The requirement for carrying the foregoing insurance coverages shall not derogate frorn 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. 27. 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. 18 16-5195/City Funded Construction Contract.docx—revised 04/2016 28. 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 29 and any damages shall be assessed as set forth in Section 29. 29. 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 payment by CITY shall be CONTRACTOR's 19 16-5195/City Funded Construction Contract.docx—revised 04/2016 sole and exclusive remedy for termination by CITY for its convenience and CITY shall have no further obligation to CONTRACTOR. 30. 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. 31. 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. 32. 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. 33, 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 riot 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. 20 16-5195/City Funded Construction Contract.docx—revised 04/2016 34. 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: TO CONTRACTOR: City of Huntington Beach PAVEWEST, INC. ATTN:Joseph Dale Public Works ATTN: Don Magnan, President 2000 Main Street 401 S. Harbor Blvd. Huntington Beach, CA 92648 La Habra, CA 90631 35. SECTION HEADINGS 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. 21 16-5195/City Funded Construction Contract.docx—revised 04/2016 36. 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. 37. 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. 38. 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. 39. INTERPRETATION OF THIS AGREEMENT The language of all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any of the parties. If any provision of this Agreement is held by an arbitrator or court of competent jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other whenever the 22 16-5195/City Funded Construction Contract.docx—revised 04/2016 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. 40. GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State of California. 41. 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. 42. 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. 43. SURVIVAL Terms and conditions of this Agreement, which by their sense and context survive the expiration or termination of this Agreement shall so survive. 44. MODIFICATION No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties. 23 16-5195/City Funded Construction Contract.doex—revised 04/2016 45. 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. 46. 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 understandings and agreements whether oral or in writing between the parties respecting the subject matter hereof. 24 16-5195/City Funded Construction Con tract.doex—revised 04/2016 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers on November 7 20 17 GONTRAG-TOR: CITY OF HUNTINGTON BEACH,a municipal co r oratiot of the S oflaliArii�a By: A_ Joi it Don Mang Mayor (print name) ITS: Chairman President Vice-President City Clerk (circle one) INITIATED AND APPROVE D By. Director of PL lic Works Jake Lewis (pri me) REVIEW APPROVED: ITS: Secretary Chief Financial Officer / Asst. Secretar asurer (circle one) VCity Manager APPROVED .O M: 7 City Attorney 25 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROPOSAL for the construction of PARK BENCH CAFE PARKING LOT IMPROVEMENTS CC No. 1562 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 30 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. 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. C-1 Accompanying this proposal of bid, find Bidder's Bond for 10% 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 for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature PROJECT BID SCHEDULE Bid _ ContractUnit ,Extended No. Description 'Quantit Unit ;; Price Amount. 1 Mobilization 1 LS $ 1,500.00 $ 1,500.00 2 SWPPP 1 LS $ 1,000.00 $ 1,000.00 3 TRAFFIC CONTROL 1 LS $ 1,000.00 $ 1,000.00 4 REMOVE EXISTING IMPROVMENTS PER DEMO PLAN 1 LS $ 31,000.00 $ 31,000.00 5 REPLACE TRAFFIC LOOPS PER CITY STANDARS 1 LS $ 1,500.00 $ 1,500.00 6 CONSTRUCT 6" PCC CURB 411 LF $ 19.00 $ 7,809.00 7 CONSTRUCT 6" PCC CURB & GUTTER 149 LF $ 23.00 $ 3,427.00 8 CONSTRUCT 4' WIDE PCC V-GUTTER 212 LF $ 20.00 $ 4,240.00 9 CONSTRUCT PCC APRON TRANSITION AT CATCH BASIN 32 SF $ 40.00 $ 1,280.00 10 CONSTRUCT 6"THICK PCC SIDEWALK 44 SF $ 13.00 $ 572.00 11 CONSTRUCT 4" THICK PCC SIDEWALK 1,371 SF $ 9.00 $ 12,339.00 12 CONSTRUCT CURB RAMP 164 SF $ 20.00 $ 3,280.00 13 CONSTRUCT 3" AC OVER 6.5" AB 3,600 SF $ 4.75 $ 17,100.00 14 MILL AC TO ACCOMMODATE 2" MIN. AC OVERLAY 10,410 SF $ 1.35 $ 14,053.50 15 MILL AC 2"TO ACCOMMODATE NEW SIDEWALK 255 SF $ 2.50 $ 637.50 16 INSTALL SIGNAGE AND STRIPING 1 LS j $ 1,750.00 j $ 1,750.00 Total Amount Base Bid in Figures: $ 102,487.50 Total Amount Base Bid in Words: One Hundred Two Thousand Four Hundred Eighty Seven & 50/100 C-2 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. Bid Name and Address of State Class DIR PWC Dollar % of Item(s) Subcontractor License Registration# Amount Contract Number McGrath Consulting 2 P.O. Box 248 1000037165 $1,000.00 1 % El Cajon, California 92021 Los Angeles Signal Const. 5 155 North Eucla Avenue 858974 C10 1000005664 $1,500.00 1.5% San Dimas, California 91773 Falcon Striping, Inc. 16 260 Glider Circle U91209 C32 1000002329 1,750.00 1.5% Corona, California 92880 By submission of this proposal, the Bidder certifies: I. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 10/17/17at La Habra CA Date City State Don Magnan , being first duly sworn, deposes and says that he or she is President of PaveWest, 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 sharn; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or share 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. PaveWest, Inc. Name of Bidder 7 Signature of iAder 401 S. Harbor Blvd. La Habra, CA 90631 Address of Bidder C-4 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 PARK BENCH CAFE PARKING LOT IMPROVEMENTS, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is.familiar with the operation to be per formed 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. PaveWest, Inc. Contractor Don Magnan B President Title Date: October 17, 2017 C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, 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 l(No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. PaveWest, Inc. Co tractor Don Magnan y President Title Date: October 17, 2017 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: PaveWest, Inc., Bidder Name 401 S. Harbor Blvd. Business Address La Habra CA 90631 City, State Zip ( 562 ) 694-3113 patrick@pavewest.com Telephone Number Email Address 968049 A State Contractor's License No. and Class Original Date Issued December 31, 2017 Expiration Date The work site was inspected by Patrick Kirk - of our office on October 10 20117 The following are persons, firms, and corporations having a principal interest in this proposal: Don Magnan - President 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. PaveWest, Inc. N � jSgnZatur—e A�oid r 80000-1+-1 ' - President Printed or Typed Signature I C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this I I day of 201 7 . A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of CALL rO 2 N V> ) County of CAR "(1`E ) On C5 7� -`n l"1, 20�� before me, '`LAN C1it�l ��,`'4Nt 1 V�. i> Month, Day, and Year Insert Name and Title of Notary personally appeared 'boN mla.hio- t✓ Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person whose names is/a/rre- subscribed to the within instrument and acknowledged to me thathe/tlxcy executed the satne irl' /tXir authorized capacity(Ws), and that by(his &/their signature(s) on the instrument the persons ), or the entity upon behalf of which the person(ir) 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. jt.. _�. WITNESS m hand and official seal. . DEL ON cHoi y f �t� Notary Public California z Orange County z �' Commission # 2173339 r Ay Comm. Expires Dec 20,2020 Signa�e Signature Q ota Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of {Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and ureater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets, an area containing high ground water and pipeline construction in hieh ground water regions with trench depths of 8-feet to the invert."}. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: I Glendale Unified School District- 223 North Jackson St. Glendale, CA 91206 Name and Address of Public Agency Name and Telephone No. of Project Manager: Don Jensen (818) 968-2269 S 104,010.00 AC Repairs, Seal Coat& Stripe 08/10/2017 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2 Long Beach Unified School District- 1515 Hughes Wy. Long Beach, CA 90810 Name and Address of Public Agency ` 3 v �00 1 0��)TCL�T Name and Telephone No. of Project Manager: 'Ngnc3' ;4t�a S 355,000.00 AC Repairs, Seal Coat & Stripe 12/15/2017 ' sC� Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. Post Office Santa Clarita - 24201 The Old Rd. Newhall, CA Name and Address of Public Agency Name and Telephone No. of Project Manager: John Im (714) 524-7767 S 116,000.00 AC Repairs, Concrete Repairs, Seal Coat & Stripe 09/19/2017 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1 Patrick Kirk Name of proposed Project Manager Telephone No. of proposed Project Manager: (562) 719-5680 Post Office Santa Clarita - $125,000.00 - AC Repairs, Seal Coat & Striping - 10/02/2017 Project Name & Contract Amount Type of Work Date Completed Long Beach Unified School District- $350,000.00 - AC Repairs, Concrete Repairs, Seal Coat& Stripe - 09/01/2017 Project Name & Contract Amount Type of Work Date Completed County of Los Angeles Parks & Recreation - 250,000.00 - AC Repairs, Concrete Repairs & Striping - 08/15/2016 Project Name & Contract Amount Type of Work Date Completed 2. Vince English Name of proposed Superintendent Telephone No. of proposed Superintendent: (562) 762-9215 Post Office Santa Clarita - $125,000.00 - AC Repairs, Seal Coat & Striping - 10/02/2017 Project Name & Contract Amount Type of Work Date Completed Long Beach Unified School District- $350,000.00 - AC Repairs, Concrete Repairs, Seal Coat & Stripe - 09/01/2017 Project Name & Contract Amount Type of Work Date Completed County of Los Angeles Parks & Recreation - 250,000.00 - AC Repairs, Concrete Repairs & Striping - 08/15/2016 Project Name & Contract Amount Type of Work Date Completed C-1 i CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublieWorks/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link— Call (844) 522-6734 https://efiling.dir.ca.gov/PWCR/ActionServiet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771 .1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. PaveWest, Inc. Contractor Don Magnan By President Title Date: October 17, 2017 PWC Registration #: 1000007773 C-12 OLD REPUBL�� ��RCTY COMPANY 'P.OWERiOF ATTORNEY KNOW ALL MEN BY:THESE PRESENTSi That OLD REPUBLIC SURETY COMPANY;a Wisconsin stock insurance corporation,does make,constitute and appoint: BROOKE LAFRENZ,MICHAEL W,THOMAS,GLADYS ROGERS,AUDREY RODRIGUEZ,LARRY D COGDILL,OF SAN DIEGO,CA its true and lawful Attomey(s)-in-Fact,with full power and authority;not exceeding$50,060,000,for and on behalf of the company as surety,to execute and deliver and affix the seal of 1.the company thereto(if a seal is required),bonds,undertakings,recognizances or other written obligations in the nature thereof,(other than bail bonds,bank depository bonds,mortgage deficiency bonds,mortgage guaranty bonds,guarantees of installment paper and note guaranty bonds,self-insurance workers compensation bon&guaranteeing payment of benefits,asbestos abatement contract bonds,waste management bonds,hazardous wasteremediation bonds or black lung bonds), as follows ALL WRITTEN INSTRUMENTS IN AN AMOUNT NOT TO EXCEED TEN MILLION DOLLARS ),000,000 ---------------$10 ------FOR ANY SINGLE OBLIGATION ( and to bind OLD REPUBLIC SURETY COMPANY thereby,and all of the acts of said Attorneys-in-Fact,°pursuant to these presents,are ratified and confinned. This document is not valid.unless printedon colored background and is multi-colored. This appointment is made under and by authority of the board of directors at a special:meeting:held on February 18„1982. This Power of Attorney is signed and sealed.by facsimile,under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February I8, 1982. RESOLVED that,the president,any vice-president,or assistant vice.president,in conjunction with the secretary or any assistant secretary,may appoint attorneys-in-fact or agents with authority as:defined or limited in the instrument evidencing the appointment,in each case,for and on behalf of the company,to execute and deliver and affix the seal of the company to bonds;undertakings,recognizances,and suretyship obligations,of all kinds;and said officers may.remove any such attorney-in-fact or agent and revoke any Power of Attorney previously granted to such person. RESOLVED FURTHER,that any bond,undertaking,recognizance,or suretyship obligation shalt be valid and binding upon the Company. (i)when signed by the president any vice':president or assistant vice president,and attested and sealed(if a seal be required)by any secretary or assistant secretary;or (ii)when signed by the;presidentsany vice,president or assistant vice president,secretary or assistant secretary,and countersigned and sealed(if a seal be required)by a duly authorized attorney-in-fact or agent;or „(iii)when duly executed and sealed(if a seat be required),by one or.more attomeys-in-fact or agents,pursuant to and within the limits of the authority evidenced.by,the Power of Attorney'issued by the company to such person or persons. RESOLVED FURTHER,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,recognizance,or other suretyship obligations of the company;and such ' signature and seal when so used shalt have the same force and effect as though manually affixed. IN WITNESS WHEREOF,OLD REPUBLIC SURETY COMPANY has caused these presents to be signed byits proper officer,and its corporate seat to be ' affixed this 23RD day of MARCH,2017. OLD REPUBLIC SURETY COMPANY - SEAL _ A.;•.asiaaryl Sccr s g-.- Ir s STATE OF WISCONSIN,COUNTY OF WAUKESHA-SSw•Ishlll +"" Y "President N On this 23RD ` of MARCH,2017 " Alan['avlic y personally came before me, and Jane E Cherney tome known to be the individuals and officers of the.OLD REPUBLIC SURETY COMPANY who executed the above instrument,and they each acknowledged the execution of the same,and being by me duly sworn,did severally depose and say; that they are the said officers of the corporation aforesaid,and that the seal affixed to the above instrument is the seal of the corporation,and that said corporate seal and their signatures as such officers were duly affixed:and subscribed to:the said instrument by the authority of the board.of directors of said corporation. •r�oYdq}•.t a P Notary Public, My commission expires: 9/28/2018 - CERTIFICATE (Expiration of notary commission does not invalidate this instrument) I;the undersigned,assistant secretary of the OLD REPUBLIC SURETY COMPANY,a Wisconsin corporation CERTIFY that the foregoing and attached Power of Attorney remains in full force and has not been revoked;and furthermore,that the Resolutions of the board of directors set forth in the Power of Attorney,are now in force. 74-005 t Neu, 16th October 201; suapr} Signed and sealed at the City of Brookfield,WI this day of _ a Idy i+ s$` SEAL fll llll sal � s , �nNn451111In+) .. VENBROOK INSURANCE SERVICES u I 228 R 7 5-10 � g . Q LAJ Lai . r-- � \ . LLJ wo= \ ? § \ » 7 2 t4 U f � � ® .§ U •8 6 � 2 U C u / / 4.1 Ma « , !w a» 3y . ®�. ' \\ , �\ t% �i �� Bond No. NIA BID BOND The American Institute of Architects, AIA Document No.A310(February, 1970 Edition) KNOW ALL MEN BY THESE PRESENTS,that we Pavewest Incorporated as Principal hereinafter called the Principal,and Old Republic Surety Company a corporation duly organized under the laws of the state of Wisconsin 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 Bid------------- Dollars (S1d%of Amount Bid---), for the payment of which sum well and truly to be made,the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents. WHEREAS,the Principal has submitted a bid for Park Bench Cafe Parking Lot Improvements; Bid date: October 17, 2017 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 obligatior shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 16th day of October 2017 Pavewest In prated Principal {5efil) Witness `` 46 ,l By: V?/ N BIIIC%1�111C Old R is Sure Com n See attached California All-Purpose Surety (Seal) Notary Acknowledgment Witness By/ Brooke Lafrenk Mtomcy-in-Fact ORSC 21328(5197) ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of San Diego } On 16 October 2017 before me, Joy Rogers, Notary Public , (Here insert name and title of the officer) personally appeared Brooke Lafrenz who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. JOY ROGERS WIT and and official seal. < Notary Public -California m San Diego County z z ' Commission #2177963 My Comm.Expires Jan 28,2021 N0 Public nature (Notary Public Seal) 0 0 ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT if needed,should be completed and attached to the doctanent.Acknohredgents from other slates may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary Imv. 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CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. he/she/they;is/are)or circling the correct forms.Failure to correctly indicate this ❑ Individual (s) information may lead to rejection ofdocument recording. ❑ Corporate Officer • The notary seal impression trust be clear and photographically reproducible. Impression must not cover text or lines. if seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk. 0 Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other Indicate title or type of attached document,number of pages and date. ❑ Indicate the capacity claimed by the signer. If the clauned capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). 2015 Version www.NotaryClasses.com 800-873-9865 Securely attach this document to the signed document with a staple. A "I?® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) te 11/15/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. 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). CONTACT PRODUCER Venbrook Insurance Services CA Lic OD80832 NAME: 6320 Canoga Avenue, 12th Floor PHONE FAX Woodland Hills, CA 91367 -MALo Ext: 818-598-8900 Ac No: 818 598 8910 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# www.venbrook.com INSURER A: Navigators Insurance Company 42307 INSURED INSURER B: Plaza Insurance Company 30945 Pavewest, Inc. 401 S. Harbor Blvd., #F385 INSURER: Scottsdale Insurance Company 41297 La Habra CA 90631 INSURERD: Hartford Fire Insurance Company 19682 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 38842338 REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLTYPE OF INSURANCE INSD SUER POLICY NUMBER MMIDD/YYYY MM EXP LTR IDDPOLICY EFF POLICY/YYYY LIMITS A t1/,/ B0PD MERCIALGENERAL LIABILITY ✓ LA17CGL2129741C 2/17/2017 2/17/2018 EACH OCCURRENCE $1000,000 DAMAGE TO RENTED CLAIMS-MADE � OCCUR PREMISES Eaoccurrence $50,000 Ded:$5,000 MED EXP(Any one person) $Excluded ✓ BFPD/XCU/Contractual PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY�✓ PRO- DLOC PRODUCTS-COMP/OPAGG $2000,000 JECT OTHER: $ B AUTOMOBILE LIABILITY ✓ PACA1000855-03 2/17/2017 2/17/2018 (Ea aBINEDtSINGLE LIMIT $1,000,000 I✓ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED den D $ AMAGE ✓ AUTOS ONLY ✓ AUTOS ONLY Pe�ac C UMBRELLA LIAB �/ OCCUR XLS0101488 2/17/2017 2/17/2018 EACH OCCURRENCE $5,000,000 ✓ EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under E L.DISEASE-P $ DESCRIPTION OF OPERATIONS below D Contractors Equipment 72UUMJH5099 2/17/2017 2/17/2018 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is r fired) CITY A-I-TORNEY RE: Park Bench Cafe Parking Lot Improvements-Huntington Beach-17732 Goldenwest Street,HuntingtonAN UMf'INGTON BEA4>l' City of Huntington Beach,its officers,elected or appointed officials,employees,agents,and volunteers are na ed as Additional Insured's under the General Liability and Automobile Liability policy as required by written contract with the Named Ins red but only for tcoverages and limits provided by he policy and the additional insured endorsement.Priimary and Non-Cont i utory coverage applies to General Liability.`10 Days Notice of Cancellation for Non-Payment of Premium,30 Days All Others. CERTIFICATE HOLDER CANCELLATION City Of Huntington Beach SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Joseph Dale- Public Works ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street Huntington Beach CA 92648 AUTHORIZED REPRESENTATIVE J (WH)April Johnson ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 38842338 1 17-18 GL/AL/EX/Cont Equip I (WH) Gabriela Covarrubias 111/15/2017 2:25:00 PM (PST) I Page 1 of 4 This certificate cancels and supersedes ALL previously issued certificates. DETERMINATION:SC-2.163-2-I0ki 2 GRO tip M COAd7. GROUP V. Ino'.tl'lpsvr.a,1 fam r,Jn b,,-Ill-11-5.11AI Ih irp.•I I I'mJ,r,Is Iw„nnl:n-htill,kr.u.11In11r.v. J'x,Ail Jlx:kffFtd,hu 11, 1[t qnl army.Wvlgla.',oe„hnr?(K).WAJ 141,1 ,.a aln,1m11 Iru,h 1l;m--'lie ulpnr:•i RuN -J u d!Earth 41—nb (ha1r Iunllne!:[lelr mlpx 1„[h he PdA Pull lacnx+?Jat clan Iln.xn a0.ad',n,.•n1,i -m—m ill v,I,.Uuchl It[1bh1- LLal-;nllt Men Inc P:yuynl nru[Ilr:r:,n 1r UIxd11n 1n.1 FyI1,p,nl:x1 a,nl1 Itl.,P1nh.Yutl I1,1,vlmg I`1px•WIHpplel g.Cle,nnng-I Ilu„bap M;Un,w'c 1""u1'r ti,vcln 1,1rtil11plv-p—,„1J 111,10111li:u.a117,l nnla,,1„I 251d,11111',Ill.1,W I'll 11gnallrC:Maclrmu+.Il-.,.11n1(„106 1 J11111h e,ll—lr nr.lnln lllr.r'.l,nnlgl ,5r u,'61 Ire.uhlng NfiM.n +,11h F,wd Khoo 3n;¢hriw-m un.a;II,14p1d1 -A,lrF.I idol 14 Jllum—:111 Ir,111 n'lyuuull Ultra 111gh I'n�,u1e k'al nlcl C.nurng I,.a ti,4rn1 Nl,'hnnx GROUP IF Win,,P11114"-p11w1xx1) R11bt -I1I,11 I..tl 0.411-1ng I•.ynq x11nu Ch.ah:r.u1 etmin;f.L111.1 xvp a th rM:PLl h full S:v,an Intollgdc,xhg—. ,,,hIL yatutx11 n1.1nr,1.nn111n Y.pc,n+.,.Mou1,J,,—L1 CAO UP 9 df,r mgllp-AW1 ralr,xec PA"I)Bi Imakn fveAsn i ll,e;auv f„I,:I x11ny.a:nr Ic.1 I,g.11 ael,+r,m rukk u-l)1,oJ'a Hnd,I nnllu I kow Uuls Rt p:nm,aln dduhl-k1+111I rvpep 1R7)IlP I% GROUP 111 liul4xa•tl o,al I::n1h M,n Illy I:gnlrynun f ysr 1„r,f rper:rnnp Ilh lnn,lcrn I,�r:ya.n,l ih Ual.h,a•t ll-will Pr..r i eu r,I,M R 1:1 Jump..a1W.lendal 1pa,:,n,anly uxnl,,q:mnl,s�clt1J1r1p clxnpxl o,n,mn.-,prgle.rlpnx•. 11n11hnp Mwl.-1 flrcral,n. }uckn or Aug.v I,In•,IC',d„rIJ'fRl II Inako,n,mdm III--W:n.,m. np I,xi1J o hAng 2.5 a,1,4nwk1 :1;%Nl ryf:vN➢Y uuE'r r,1,1nhi:u 11 pa.^ 1y,xllu.'IfNr allpu,J,IIhu1:Y I,Ih:.-JI111,1ty,lcpl le• rl GROUP l'7 !'Y,al 111,1,11 M,— RLiIu1 L„1r,a,ty B111 Ihnul,nc l„np'�ni,x 1.11C4y1I,x,n1,Il.0 np,. 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J Pavewest,Inc. COMMERCIAL GENERAL LIABILITY LA17CGL2129741C CG 20 38 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS FOR OTHER PARTIES WHEN REQUIRED IN WRITTEN CONSTRUCTION AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II -Who Is An Insured is amended to B. With respect to the insurance afforded to include as an additional insured: these additional insureds, the following 1. Any person or organization for whom you additional exclusions apply: are performing operations when you and This insurance does not apply to: such person or organization have agreed in 1. "Bodily injury", "property damage" or writing in a contract or agreement that such "personal and advertising injury" arising person or organization be added as an out of the rendering of, or the failure to additional insured on your policy; and render, any professional architectural, 2. Any other person or organization you are engineering or surveying services, required to add as an additional insured including: under the contract or agreement described a. The preparing, approving, or failing in Paragraph 1. above. to prepare or approve, maps, shop drawings, opinions, reports, Such person(s)or organization(s) is an surveys, field orders, change orders additional insured only with respect to liability or drawings and specifications; or for"bodily injury", "property damage" or inspection, Supervisory, in "personal and advertising injury" caused, in b. architectural in engineering whole or in part, by: activities. a. Your acts or omissions; or This exclusion applies even if the claims b. The acts or omissions of those acting against any insured allege negligence or on your behalf; other wrongdoing in the supervision, hiring, in the performance of your ongoing operations employment, training or monitoring of others for the additional insured. by that insured, if the "occurrence"which H caused the "bodily injury" or"property However, the insurance afforded to such damage", or the offense which caused the additional insured described above: "personal and advertising injury", involved the a. Only applies to the extent permitted by rendering of, or the failure to render, any law; and professional architectural, engineering or b. Will not be broader than that which you surveying services. are required by the contract or 2. "Bodily injury" or"property damage" agreement to provide for such additional occurring after: insured. a. All work, including materials, parts or A person's or organization's status as an equipment furnished in connection additional insured under this endorsement with such work, on the project (other ends when your operations for the person or than service, maintenance or repairs) organization described in Paragraph 1. above to be performed by or on behalf of the are completed. additional insured(s) at the location of the covered operations has been completed; or 3BB4233B 1GG120L a/FlrNAa Equip 1 (WE) Gabriela cQJiisurance./S:etViCe320ffiQ8,(63o.,12 I22 of n Page 1 of This certificate cancels and supersedes ALL previously issued certificates. GFNERAL PREV'AILiNG WACrE DETERMINATION MADE BY"TTiF DIRECTOR OF INDUSTRIAL RELATIONS PURSUANT TO CALIFORNI.A LABOR CODL PART 7,CHAPTT?R.V,ARTIC'I.E 2,SECTIONS 1770,]??--AND 17731 FOR CONIMERCI A L BUILDING HIC;FIWAY,H.F.AY'Y CONSTRUCTION.AND DkEDGING PROJECTS CRAFT; #0PF:HAT ING V NCONEER.(Spcciul Shift) DEIEHMMAHOIN: SC-2n-63.2-2r!;C,-3 1$M.17,DATE:Aug.wsr 2?._+016 EXPIR,A-PION DATF:OI:DFTFR.SI1YArION;lone;u.?r.:7y•'11+r nr,m t.•paid tnr nark prrforined aHer Uns dan-has be.4n de[umneed I1'+,olt aril cae+,d past than d;uo.tho ter,rate"must b�pa:d and sholdd be 1a+corpeml.d m cons raecs;,it red Into nou Contact the Of4i Cc•u1 il1u Q ec cur-Rcscofeh Unrl f or spce+lie ralcs a[1415)7t13-0774 LOCALITS';.All local,trcs,.rthm Inrpnal.Imo.6.cm.Los A:;9cics.Mon..Oranyc.R—rslde,Sst,©crnardu,n.San Luis Obispo.Sal a Barbara..and V nlim crnastu;s F:mplyicr Pnmunls $Iruzht 5111, _(3s:^rtlnl9IN01 R.", CLASSIFICATION: Bwic Hourly Hcnhhand Pension vacol'on fnurn,y 011— 1fo1wrs Td:d Da,l, Sanlldm'M Sundaes ITounx,prrsenl Race Woliare. Hol da,(a) PaSn,.nos 11ou111 RftW (c) Hnhdm 1 W211' I If_'\ 2X CILIS%fleaoon Groups lb1 G—PI S423i $114i S96i S34i I(,9i $0 T.9 g Sol 24 JV,9 415 S8941 N 5111)i9 Group 2 S43 15 511 4i Sal bi 53 di $0 91 $rt;9 s S61,112 $9(+SAi S911 igi S112 15 (1-1,3 54342 $1.14i S4 o5 $3 ai $u 9i $n}9 N 569-51 S91 f2o S91021) S11273 Group4 S3491 I[14i S96i t'v.li $09.- $.1.119 y $7090 $932ii S432ii $13171 Grcwp6 5-Fi 11 $1I it $965 $345 $r)95 S039 9 $71112. $9;5R5 S935X5 $11615 Gro,rpit S-1,2t $11.1c S9 65 $345 $09i Sn 1,, % $7133 $9'75o syi 754) $11657 Grne[p 10 54536 :$II 4.i %9 fit $345 $o Vi S03) R $71 P5 $93 U3[I $4;V30 $116 IT Group S-v5 $1145 S965 $i 41 So 9i Sn 31 9 $7142 $941N5 S94145 $1169i G1FOup€3 S4i63 $1145 S965 S345 $095. Su14 R $7157 $94335 S94335 $1171i 0-1,14 $4566 $H 4i S96i S345 S09i Su I) A $71:+? $941N0 $9431i0 $1172[ C'..P[i S4i 74 $1145 $963 S345 S1045 Sf139 A $71" $1A i[)0 $94 il.Nl SI 1717 Group 16 S45 86 5114i S96i $345 $09i Sd 39 3 $7171 $94680 $946N11 $11761 Gang,€7 S46113 $114i S965 $34 S09i Sf139 A %719? Vj 935 y94 V35 51179i GmuP CN. S46 13 51 14i 59 fii $;45 $0 9i SI 39 A $!2 112 $1,5 Ii85 59i oxi S119 15 CimuP 19 54o 34 n1 14i S9 of S3 4i $(i 95 SIl 3,i A $72 1? $9i 2i0 $9;250 S118 37 Group 20 S1fi 36 i1l4i 59 65 4345 $04 Sn t9 A $722i $tiff 430 S9541U SI iK f,I C-1,21 S4(1 i3 Sil4N 596i $141 V)Pi $1139 I1 $7242 $9i rhq S956Ai 5118 95 Group 12 S4663 5114i S96i tiff 45 $()95 SII 3V N S72 52 Stiff 0S S9i Rai $1191i Groull$3 SH,74 311-15 Su 65 $;45 $09i S11;9 A S72 f,3 So((JIM S96 0191 $1 31);7 Cromp 74 $46 N(i $11 43 S96i V 4i So,)i 51.139 N $72 7i $94 1Y.0 S96 W $11961 C-1,2:5 S47113 51145. S"16i S34i S0'9i S1131) 8 $72 9? $,435 S96915 $1199i d ILd ICa:es am appmnt uah lc cmiI The-rwnt api remnu n e rags,nw aia Liblc au lire slit rnecn;mtp hVu a dIr cal gox 10PR1.)PN APpW':tgrdPN'AppW:Lc Si;rn asp TO nbla,lu:un apprcrtwc„age rams as of July 1.2(108 m,d pnor lu Supm ubcr 37.21)12.pl.aso coilCact[lie 1)visston of A p p Tom eQ5hl13 Slandards or mfer u,11w Doti-slim of Apprenh.estop M—dird%ncbsuc at Imp fk%%,n drr ca�knx Ida sldas ht n,I 'Inctudes m,:unuuut n 1d,held fur suppknlmn:il dues For rYxss+Gc;ur,:e.s n 111n11 each group.—pugr-N:u,d 9 `Rae app 4lcs to dw first 4 o,clt mtc hours All ocher da311 o,eft mlc 1s paid ac chc Sunda%rate d Rate apples to the firm 12 boor5,,.ork Y1 A11 other t1 n,c'1s pal ac the SuIICa%ratr R ECOGNIt.F,D HOLID.A VS Hobdaa upon,hleh The general pm,adm-I;how rh aage mIo fvr lLo11da,,.nrl.shall he paid.shall ix all buhdays 1,,Uu,colluctl,v bwrgamnee atretn,ent.Ipphelb IC to the part+eu lar¢nft.elms,Fw:x;on,or n1.of ugder employed on the Pmlen.v,NO,is ors ido ,Id,die D1rcc1 of of'Indu sl nal Relallons if Un:pre rml ing rates nut bx ld on a collet LI-1,b.r LIIId ram.the hi,hidn,upon+,h1ch the pr.h,lg talc shall be Pu.1d sluilI be as pro,ided u,SCChpn.Ii 700 of 1he Govcntm m Ceu4 You m:y .bm"'Ua.•hobd:n pr r.duns fur 11w cur rc,1 de mr I I 111 al,ans om I a Inn:,e1 ao bdp N,snt,dlr ea go,10 PX L.IP14'D Hphda+pms swans for garriul or SLI per-dcd dctcm,I na➢TwoS ,rra,tx obral lied br c mtacnnt;ds Ot11ee wfik D,recw,-Roscard,Ulm!at(415)710.--4774 TRAVEL ANDIOR SURSIS rCNCE P:AYNI ENT In accordapn s,Ith labor Code Sections 1773 i and 17?.4 9,—1raeiors shall,,AO i—a Ia,dfw sub—I-Tx^p.l lnwrN 10 cash uurker to C,VCwtc the,wrk Yoa+mar ohcun the I— [ar,Nor 5mb53$tcl1ee pm n+,s for d,e mm nnmmo c t&Iunis un themc 111tet at Id 7h e tp ,a dif ca go,1UPHUPIWI). Trand nd'ur suhs,sl m rm C regr—er-B for cunl or supenWcd duennonauot tabs,obcmwd 6}WnrA^ortg dire Uliia-ofihc Dlrcclor-Research L'++rut ar[413)7034774 9A b. That portion of"your work" out of which 2. Available under the applicable Limits of the injury or damage arises has been Insurance shown in the Declarations; put to its intended use by any person or whichever is less. organization other than another contractor or subcontractor engaged in This endorsement shall not increase the performing operations for a principal as applicable Limits of Insurance shown in the a part of the same project. Declarations. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III -Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph A.1.; or 388.23.. iC^12®13a/W7e Aa Equip I (WH) Gabriel. cQjn aura nca/ServiceS2Office,(kn .,12D123 of a Page 2 of 2 This certificate cancels and supersedes ALL previously issued certificates. GE\ERAL PREVAILING WAGE OETERhIINATICIN MADE BY THE DIRECTOR OF INDUSTRIALRFI.,ATICJNS Pl.IRSIiANT TO CALIFORNIA LABOR CODE PART 7,CI IAPTCR 1,ARTICLE?.SECTlONS 1770,1775.AND 177 1 FOR C(MIMERCIAL DUII.DING.HIGFHWAY.HCAV}'CONSTRIIf TION AND DREDGING PROJECTS CRAVT_ 9011FRATINGk:1YGENFER.( Multi-Shift) DETFRA4ENATTON!SC.23,(3 7:Ffll&. ISSUE DA 7'h.: .A ui%,st 21.7.4116 EXPIRATION DATE OF DETERNTI N'A TIO1 fcnc 10 h 1 7'• i'.te rate to Lc paid ror%wfk perron,ed aflor this d.ru has bxn a;tem incd If nod.r 11:Nt-od Past IIils date.the ne,rwe rn.ist be paid a.:d s.ci ld he was I:aced w C01IT.raM.nered Into mm•Contact the OfflV of the DITCC•OI RrS"TCII i iiii for slice tic ruts at ly 1 i)710-074 LUCA LITY: .All aL%al cs nrt9m Intperla:.1;:.o.Kcrli.Les A-cles Alma.Ufwwc.RI,,:rslde,Sw,6anaTdmo.San 1,411S OIILsPO,Santa Varbaia•mid Vaotura Counties €inin�cr Parm_nu Straissllt Time 0t crtintrH,�rl,Rate CLASSWATI01' Dasr.li011rh lfualthana Pension Vaculnld Tnming Othur tlrnrrs Ie) TOW Dail Sa[urdaq(d) slwdas! {Jos+mu,Ix rmn) Rat' 31'v11'arc Nnlnin(a) Pa}'ants Noun}Ram (c) Holtdap 1112X 1112X 2X c lasslf ation(;raupa tb7 Group 1 $J2 Si SI1 45 S965 S:45 $0 Yi $I1,39 K SMR 74 S90.11i5 $AJ 165 SI11 Sy Group2 $:IJ 63 Sli I S9 f5 S3 yi $095 $019 8 S6952 S91335 S91315 S1111i w,GrP 3 $1"9? 511•li S9(15 S3 ys $t19! Stl 39 K S6`i N I S)1770 Y91.77u $113 7: GrouP i $45 d 1 }I 1 It So(,i S.+15 $0 t15 Sti 3i) S $71-,it S94.1W 5 S94 110i $1 If,71 Groups $•li it S1141 k`+I'>i S d5 $045 till:`.+ 8 $71 ifl $941i5 S'?d lii $116 i)l Group f, $u5l11. S11.15 59 fii $3.15 $045 SIliy H '171 i7 $94 315 SYy iii $1I715 Group 7 $J5 71 S 1115 $n fii S-,4i $095 S11 34 8 $71(12 Y94 4N5 Sid 48i $117 35 Croup K $.li 7'1 $1;15 $9 Li .l'1:1:5 $t195 $11 3`J IS S71 fil $94 i00 S94 i0l, 1117'17 Group Y $45 Sd 51 I di $9 6i S3 d; $095 511 39 8 S71 71 S94 flit) S94 C1111 S 117 57 Group lit $Ii K(; $11 15 S9(.i S;d5 $095 yd 39 & 571 7i SIN f,Nil S9I 68IJ S11761 Group 1I $.1i pdi $11 45 $9 65 S-'Ii $01 J5 $f1:9 R S71 iii SYy Ni0 SrL14 13q S117 NI GrouP 12 1y6 of S I I 45 $9(15 St 45 $0 95 $d 39 s E71 92 '194 Y35 SIA 935 S 117€)i Croup I $46L7 S11 JS S9 6i $3 45 $095 SI7 i9 K S7202 3;9i.fW S95085 S118 15 Group li $46 I6 SI143 S5165 $3 45 $095 $If 39 K S7211i 59i 130 S91 1315 SI1821 Group Ii $4(,24 S1145 S965 Sty; $0,)3 Su 39 3 S7.211 S9i.2i(1 Syi 2iil S11837 Group Ie,, S4 rl 36 111 4.5 SV 6i S3 4.5 S045 'St139 9 S72 2'i $9i 43f) $W5 J::11 $118 rr1 Group 17 5J6 53 S!1 4i S'1(ii ):yi $0,,s Sit 3V R $72 y2 $1)5 H5 $4i 68i $I IH 1)5 GrraP IN 1;46 61 SII 45 S4 fii S-,4i U95 SH.:,i R $7252 $tt5 K15 $1)i N."5 $I V,15 Grc•uft!Y $4674 1;I 41 S9"i S-,4i V:95 g113Y X. $7253 $96 AIRY SiA AH1 $11937 Grcult 20 $4fi N(, sit 41 $9 fii S-'4i 'PH 95 SO 31:1 R $727a $96'a%IY S961811 $119 hi Grcrp 21 $370" Sll 4i IN fi5 S .li ,I:95 Su 3Y S $7192 $96415 596 43i Yl iv 9i Gwop 22 'm17 11 Sit di $V fi5 57 J5 SI;95 S0 3Y 8 Y:73 02 $96 iK5 SY6 58i 5120 15 GrO.+p 21 $17 N Sit 45 $V fii Sv J; $1:95 S0 39 8 $73 Ii Sa6 751] SY6 7iii S 120 37 Grwtp 24 $47 3t, 51 t y5 $9(,,5 S3 a:i $u 95 SSl 3Y A S73 25 $96 r+?f) S'96`13f1 Si 20 h€ Grw,P 2? $17 53 Sit 15 $V 715 S?15 $t!95 I'll 13 9 & S73 42 S97 1H5 S47 1N5 SI2095 N Indreates ar,apprenOceable read T1tu ui ruulapyreauce wage.raps are a—tablu olt Ilia lnteme.[3{hitp lA ,do ca gasiUPRLL'I'R'AppWagu"I3t4'Appw;Y'•c Stan asp to ob4 m mii apprcniiev u,ua rates is ur'Ja1s[.2011N and pour to eept:n,l,cr 27.2011.phase conlou the Dnfsim of API—III—hip Standards or rcf rto l)sa D3%n114311,of Apprcn[iueshrp Standards rt:hsrm at hill)V%r%dlr ca Sm ida,rdai hin,l 'luchtdcs In: usiitl nuhhuld for supples,cnl:d dues For *,nhul call grnu;r sec paguS K OIId 9 Rate appires to u�c fin[a n,nn:nc::curs Al;tuber dad,o-oultc Is:rid:d dfc Suuda7 Ia.e Rate applies to die It€s[12 hours riorkuc All other t1:me Is paid u the SLITLI 7 ciu °11n•.11arc Shill shall work 6 i hours.-clusrsc 11 meal pertoci.tar,,hlch N itwrs straight-once snail In Iaia al 0K non-shifl mic.Ala,da}thonigb Fnda% RECOGNIZED 110t.1 DA.VS HnlldayS upon%t luch d,c yrrwral pm%ail nc hnud%—ge mtu for Hohday nork shall b,,paid,shall bo all Bold.-in the collec[Ire bargaiwng agmrntcra.ippllcabk to 01 parrtc la;etafL C1aS3 IlrarlUll.Of t17k of miler'nlylo,cd On rhu project.a eh is on 111c n ldi the❑itvcl&r or HiJuSlnnl Rrlalions If Hic prevailing rates trot haled on i caltccG,rl+bargalrw<1 ran.the.hollda,s upon,llich the prc,a111ng mw shall bu paid shall IK as pro%ided.u,Swion.1,700 of tic g Li w —1 (n.•m. ess,rni Cade You m obtain the Iwlid*provisions for[he eufnn[d nnists m cicruaa on[he Intcrt at In nrr tp im air c rnmIOPR PWD fiuhrla,pro%nns For C1r ur sul­d'd deiurminatw,l,s mar•6e obw,,wd tt+COUL-nrurl.du OtTry of dn".Daceror-Research Un1s it(41 i)7r13-:77J 'T RA V El.:LN DIOR w.h kiS l ST E:IC E P A V M E N F In.l:Cardancc+v Ith lath r S.cdc Sm ions 1773.1 wy�1+73 V.conr,otnrs 5h;12 ni;Lko t ra%i I mul..'ar s ibsi<cru.4-payments w cacti a-crkcr toc-cwc[s nork YOU a a,OMa,tr,a trawl andlor s-hsistws:pmr isions for d,c cul nmt deter'raholr w+Ilw In.cmu al I11p Yu, do ca eesiOPRUPIWD Troel avid.+or srrbsiswnco r quirviuvnta fur curmn[or sulk—did de[rrrnlna[aws I,,.I,o6[awcd by co,,["[,ng[hu Oriin:ofillc L7usator-Rcscareh limit a1(d 15)10:-477J 9B Pavewest,Inc. PACA1000855-03 THIS ENDORSEMENT CHANGES THE POLICY—PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED ENDORSEMENT PRIMARY This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to SECTION II —LIABILITY COVERAGE only, Who is An Insured is amended to include as an Additional Insured any person(s) or organization(s)whom you are required to add to this policy as an Additional Insured under a written agreement in effect or becoming effective during the policy period. This insurance applies only to"bodily injury' and "property damage"that occurs subsequent to execution of the written agreement and subsequent to the issuance of a certificate of insurance indicating such person(s) or organization(s)as Additional Insured(s). The insurance provided hereby to the Additional Insured(s) is limited as follows: 1. The coverage afforded hereby to such Additional Insured is limited to imputed liability specifically resulting from the conduct of the Named Insured for which the Additional Insured was held liable. 2. The limits of insurance applicable to the insurance afforded hereby are those specified in the written agreement or in the Declarations or Schedules of this policy, whichever is less. The limits of insurance applicable to the insurance afforded hereby are not inclusive and not in addition to the limits of insurance shown in the Declarations or Schedules of this policy. 3. Any coverage provided under this endorsement for any Additional Insured will never be broader than coverage provided to any Named Insured. Any other policy terms, conditions, limitations, exclusions, and definitions apply to this endorsement. PIC 11010 08 11 "Includes copyrighted material of Insurance Services Office, Inc.with its permission" Page 1 of 1 38842338 17-18 GL/AL/EX/font Equip I (WH) Gabriela Covarrubias 1 11/15/2017 2:25:00 PM (PST) I Page 4 of 4 This certificate cancels and supersedes ALL previously issued certificates. GENERAL I'RI VAILING WAGE DETERMINATION MADE BY THE DIRECTOR OF INDUSTRIAL.RELATIONS PURSU,AN I-TO CALIFORNIA LABOR CODE PART 7,CHAPTER 1,AR"FICLE 2,SECTIONS 1770.. 1773 AND 1773.1 FOR COMMERCIAL BUILDING.HIGHWAY,HEAVY CONSTRUCTION AND DREDGING PROJECTS CRAFT: #DREDGER(OPERATING ENGINEER) DETERMINATION: 5C-63-12-23-2016-1 ISSUE DATE: August 22,2016 EXPIRATION DATE OF DEI-RMINATION: July 31,2017**The rate to be paid for work performed after this date has been determined. lfti4ork will extend past this date..the new rate must be paid and should be incorporated in contracts entered into now. Contact the OfTlee of the Director-Research Unit For specific rates at(415)703-4774. LOCALITY: All localities within Imperial,Inyo.Kern,Los Angeles,Mono,Orange.Riverside,San Bernardino,San Diego,San Luis Obispo, Santa Barbara,and Ventura counties. Emnlover Pavments Slraialit-Time Overtime Hourly Rate CLASSIFICATION Basic Health Pension Vacation/ Training Other Hours Total Daily Saturday° Sunday Holiday (,lourneyperson) Hourly and Holiday' Hourly Rate Welfare Rate 11/2X 11/2X 2X 3X Chief Engineer,peck Captain $48.40 11,45 9,65 3.75 0.95 0.15 8 7435 98.550 98.550 122,75 171.15 L.everman 51,40 t1.45 9.65 3.75 0.95 0.15 8 77,35 103.050 103.050 12K75 190,15 Watch Engineer,Deckmate 45.32 11.45 9.65 3.75 0.95 0.15 8 71.27 93.930 93.930 116.59 161,91 Witnchman(Stern Winch on Dredge) 4C77 11.45 9.65 3.75 0.95 0.15 8 70.72 93.105 93,105 115.49 160,26 Fireman-Oiler,Leveehand.Deckhand (can operate anchor scow under direction ofmate),Bargeman 44.23 11.45 9.65 3.75 0.95 0.15 8 70.18 92.295 92,295 114,41 158,64 Dozer Operator 45,43 11 A5 9.65 3.75 0.95 0.15 8 71.38 94.095 94.095 116,81 16224 Flydrographic Surveyor 46.86 1 L45 9.65 3.75 0.95 0.15 8 72,81 96.240 96,240 119.67 106 53 Barge Mate 44.84 11.45 9.65 3.75 0.95 0.15 8 70.79 93,210 93.210 115.03 160.47 Welder 46.82 11.45 9.65 3.75 0.95 0.15 8 72.77 96.180 96.180 119.59 166,41 9 1ndicates an apprenticeable craft. The current apprentice%age rates are available on the Internet q, http:'t+cw■G.cltr.c t Luc<?[]f'Itl/l'44'ALtpW:tge?I'WA nl t«,eStart,aso. To obtain any apprentice wage rates as ofRily 1.2008 and prior to September 27.2012. please contact the Division of Apprenitceship Standards or refer to the Division of'Apprenticeship Standards'webslte at h�lip'! i%i%-w.dlr.ca.pov/lag/das.htnl, Includes an amount for supplemental dues. b Rate applies to the first 4 daily overtime hours and first 12 hours on Saturdays. All other time is paid at the Sunday overtime rate. RECOGNIZED HOLIDAYS: Holidays upon%Oich the general prevailing hourly wage rate for Holiday work shall he paid,shall be all holidays in the collective bargaining agreement,applicable to the particular craft,class ilication.or type ofwvorker employed an the project,which is on file with the 17irector of Industrial Relations. Il"the prevailing rate is not based on a collectively bargained rate,the holidays upon which the prevailing rate shall be paid shall be as provided in Section 6700 of the Government Code, You may obtain the holiday provisions for the current determinations on the Internet at lilt/n:I/w.+.c.dir.ca.lawlOf'1ZL.'PWD. Holiday provisions fsnr current or superseded determinations may be obtained by contacting the Oflicc;of the Director- Research Unit at(415)703-4774. TkAVEL AND/OR SUBSISTENCE PAYMENT: In accordance with Labor Code Sections 1 773.1 and 1773.9.contractors shall make travel and/or subsistence payments to each worker to eXecute the work. You ma-k obtain the travel and/or subsistence provisions for the current deterninations on the Internet at Travel and/or subsistence requirements fior current or superseded determinations may be obtained by contacting the Office of the Director-Research Unit at(415)703-4774. I0 RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) . ,Me CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Cllerk DATE: / 62W 1 SUBJECT: Bond Acceptance I have received the bonds fore% ilJ (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) n/ l,, Performance Bond No. W lamA 9 7- Payment Bond (Labor and Materials) Bond No. A5�� R 3 - Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved // —zol -/7 (Council Approval Date CC No. 1-5-6 Agenda Item No. zo MSC No. City Clerk Vault No. 6 col- Other No. SIRE System ID No. 13-6 Sop g:/forms/bond transmittal to treasurer Two Originals Executed Bond No. WCN2527397 Premium: Included in Performance Bond Premium PAYMENT BOND (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS, City of Huntington Beach(hereafter referred to as"City") has awarded to Pavewest Incorporated 401 S. Harbor Blvd., F385 La Habra, CA 90631 (name and address of Contractor) hereinafter referred to as"Principal"),a contract("Contract")for the work described as follows: Park Bench Cafe Parking Lot Improvements (Project Title) WHEREAS, Principal is required under the terms of the Contract and the California Civil Code to furnish a bond to secure the payment of claims of laborers,mechanics, materialmen,and other persons as provided by law, by a duly admitted surety insurer under the laws of the State of California (hereinafter referred to as "Surety'); and Surety is certified and listed in the U.S. Department of the Treasury Circular 570, and has provided proof of sufficient bonding limitation, as shown in said circular to provide bonds in the amount required by said Contract; and Surety has provided financial strength ratings from reputable companies, such as from A.M. Best, Moody's or Standard &Poor's,to validate that Surety has positive ratings of being secure or stable; and Surety is registered and listed with the California Department of Insurance. NOW THEREFORE,we the undersigned Principal,and Old Republic Surety Company 14728 Pipeline Ave. Suite E Chino Hills CA 91109 (name and address of Surety) as Surety,are held and firmly bound unto City in the penal sum of One Hundred Two Thousand Four Hundred Eighty-Eight and no/100ths------------- dollars($ . ------ ),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. PAYMENTBOND Page I of 2 15=1584/1 17357 Two Originals Executed Bond No. WCN2527397 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, 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 WHEREOF,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: November 13, 2017 ATTEST Pavewest Incorporated (Corporate Seal) incipal Name) �! Name: e Q 1 5 Title: .1AL,LA ATTEST Old Republic Surety Company (Corporate Seal) (Su ety Name) By: (Signature of Attorn'in-Fact r Surety) Name: Brooke Lafrenz,Attorn -in-fact (Attach Attorney-in-Fact Certificate) L09J09 367-2015 (Area Code&Telephone Number for Surety) APPROVED AS TC3'f RM: B Michael E,Gates,'"(�ity Attorney fc'; Note: This bond must be executed in duplicate and dated,all signatures must be notarized,and evidence of the authority of any person signing as attomey-in-fact must be attached. PAYMENT BOND Page 2 of 2 i sass4nt13s7 ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of San Diego } On 13 November 2017 before me, Joy Rogers, Notary Public , (Here insert name and title of the officer) personally appeared Brooke Lafrenz , who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. JOY ROGERS WIT=myand official seal. Notary Public -California a s San Diego County ZZ Z ` .. Commission#2177963 My Comm.Expires Jan 28,2021 Notary P ign- (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM This form complies wah current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT ifneeded,should be completed and attached to the document.Acknohredgentsfi-onu other,states may be commpleied for documents being sent to that state so long as the hording does not require the California notary to violate California notary law. (Title or description of attached document) • State and County information must be the State and County where the document signei(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s)personally appeared which (Title or description of attached document continued) 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 Number of Pages Document Date cormnission 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. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. he/she/they-is/ate)or circling the correct forms.Failure to correctly indicate this ❑ Individual (s) information may lead to rejection of document recording. ❑ Corporate Officer • 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 (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk. 0 Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other Indicate title or type of attached document,number of pages and date. ❑ Indicate the capacity claimed by the signer. If the clauned capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). 2015 Version vwinro.NotaryC lasses.com 800-873-9865 Securely attach this document to the signed document with a staple. * (LLD REPUBLIC SURETY COMPANY ** * ** POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That OLD REPUBLIC SURETY COMPANY,a Wisconsin stock insurance corporation,does make,constitute and appoint: BROOKE LAFRENZ,MICHAEL W THOMAS,GLADYS ROGERS,AUDREY RODRIGUEZ,LARRY D COGDILL,OF SAN DIEGO,CA its true and lawful Attomey(s)-in-Fact,with full power and authority,not exceeding$50,000,000,for and on behalf of the company as surety,to execute and deliver and affix the seal of the company thereto(if a seal is required),bonds,undertakings,recognizances or other written obligations in the nature thereof,(other than bail bonds,bank depository bonds,mortgage deficiency bonds,mortgage guaranty bonds,guarantees of installment paper and note guaranty bonds,self-insurance workers compensation bonds guaranteeing payment of benefits,asbestos abatement contract bonds,waste management bonds,hazardous waste remediation bonds or black lung bonds), as follows: ALL WRITTEN INSTRUMENTS IN AN AMOUNT NOT TO EXCEED TEN MILLION DOLLARS($10,000,000)----------------------------FOR ANY SINGLE OBLIGATION and to bind OLD REPUBLIC SURETY COMPANY thereby,and all of the acts of said Attomeys-in-Fact,pursuant to these presents,are ratified and confirmed. This document is not valid unless printedon colored background and is multi-colored. This appointment is made under and by authority of the board of directors at a special meeting held on February 18, 1982. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February 18, 1982. RESOLVED that,the president,any vice-president,or assistant vice president,in conjunction with the secretary or any assistant secretary,may appoint attorneys-in-fact or agents with authority as defined or limited in the instrument evidencing the appointment in each case,for and on behalf of the company to execute and deliver and affix the seal of the company to bonds,undertakings,recognizances,and suretyship obligations of all kinds;and said officers may remove any such attomey-in-fact or agent and revoke any Power of Attorney previously granted to such person. RESOLVED FURTHER,that any bond,undertaking,recognizance,or suretyship obligation shall be valid and binding upon the Company (i)when signed by the president,any vice president or assistant vice president,and attested and sealed(if a seal be required)by any secretary or assistant secretary;or (ii)when signed by the president,any vice president or assistant vice president,secretary or assistant secretary,and countersigned and sealed(if a seal be required)by a duly authorized attomey-in-fact or agent;or (iii)when duly executed and sealed(if a seal be required)by one or more attomeys-in-fact or agents pursuant to and within the limits of the authority evidenced by the Power of Attorney issued by the company to such person or persons. RESOLVED FURTHER,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,recognizance,or other suretyship obligations of the company,and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF,OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper officer,and its corporate seal to be affixed this 23RD day of MARCH,2017. OLD REPUBLIC SURETY COMPANY G iUhp x.. a r? w �ewwwarr' C.: a-_ SEAL } ASYSI-:�:71 w y D, } STATE OF WISCONSIN,COUNTY OF WAUKESHA-SS 4 '`• .' President On this 23RD day of MARCH,2017 personally came before ine, Alan Pavlic and Jane E Chemey to me known to be the individuals and officers of the OLD REPUBLIC SURETY COMPANY who executed the above instrument,and they each acknowledged the execution of the same,and being by in duly swom,did severally depose and say; that they are the said officers of the corporation aforesaid,and that the seal affixed to the above instrument is the seal of the corporation,and that said corporate seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority of the board of directors of said corporation. iv�a+f ' YL ti "LB Notary PubItc My coininission expires: 9/28/2018 CERTIFICATE (Expiration of notary commission does not invalidate this instrument) I,the undersigned,assistant secretary of the OLD REPUBLIC SURETY COMPANY,a Wisconsin corporation,CERTIFY that the foregoing and attached Power of Attorney remains in full force and has not been revoked;and furthennore,that the Resolutions of the board of directors set forth in the Power of Attorney,are now in force. 74-0051 Signed and sealed at the City,of Brookfield,WI this 13th day of November 19()17 g SEAL .Y .•r�n, tiff/. VENBROOK INSURANCE SERVICES ra a r • r i• r r r a• r a • a - • • rr t►o • r 285RgW 22262(5-10)- Two Originals Executed Bond No. WCN2527397 Premium: $1,476.00 Premium is for contract term and subject to adjustment based on final contract amount PERFORMANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS,City of Huntington Beach(hereafter referred to as"City") has, by written agreement dated November 7 ,2017,entered into a contract with Pavewest Incorporated 401 S. Harbor Blvd.. F385, La Habra, 90EE31 (name and address of Contractor) (hereinafter referred to as"Principal"),for performance of the work described as follows: Park Bench Cafe Parking Lot Improvements (Project Title) WHEREAS, said contract, and all documents referenced therein (hereinafter collectively "Contract"), are incorporated herein by this reference made a part hereof as though set forth herein in full;and Said Principal is required under the terms of the Contract to furnish a bond guaranteeing the prompt,full and faithful performance of said Contract, by a duly admitted surety insurer under the laws of the State of California(hereinafter referred to as"Surety"); and Surety is certified and listed in the U.S. Department of the Treasury Circular 570, and has provided proof of sufficient bonding limitations as shown in said circular to provide bonds in the amount required by said Contract;and Surety has provided financial strength ratings from reputable companies, such as from A.M. Best, Moody's, or Standard&Poors, to validate that Surety has positive ratings of being secure or Stable; and Surety is registered and listed with the California Department of Insurance, NOW,THEREFORE,we,the undersigned,as Principal,and Old Republic Surety Company 14728 Pipeline Ave. Suite E Chino Hills CA 91709 (name and address of Surety) as Surety,are held and firmly bound unto City in the penal sum of One Hundred Two Thousand Four Hundred Eighty-Eight and No/100ths------------------ Dollars ($102 488 00----- ), this amount being not less than one hundred percent of the price set forth in the Contract,in lawful money of the United States,for the payment of which sum,well and truly to be made, we bind ourselves,our heirs, executors, administrators and successors,jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT if the Principal shall promptly,fully and faithfully perform each and all of the covenants,obligations and things to be done and performed by the Principal in strict accordance with the terms of the Contract as said contract may be altered,amended or modified from time to time;and if the Principal shall indemnify and save harmless City and all of City's officers, agents and employees(hereinafter collectively referred to as"Obligees')fromany 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 or contract price, and any other alteration,change, deletion, addition or other modification to the Contract, or the work to be performed thereunder, and agrees 15-4584/117174 Two Originals Executed Bond No. WCN2527397 to automatically adjust the penal sum of this Bond to reflect such adjustments, alterations,changes, deletions, additions or other modifications. Surety agrees to provide written confirmation of such adjustments in the penal sum to City on not less than a quarterly basis. Surety also waives the provisions of Civil Code§§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 WITNESS WHEREOF,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 goveming 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: November 13, 2017 ATTEST Pavewest Incorporated (Corporate Seal) rincipal Name) Name. Title: �prrti ff�Vt� ATTEST Old Republic Surety Company (Corporate Seal) (Su4ety Name) III By- II (Signature of Attornkyin-Fac for Surety) Name:Brooke Lafrenz Attor in fact (Attach Attorney-in-Fact Certificate) 9( 09J 367-2015 (Area Code&Telephone Number for Surety) APPROVED AS TO FC3RM` By- Michael E.Gates,City Attorney t� aJytfS Note: This bond must be executed in duplicate and dated,all signatures must be notarized, and evidence of the authority of any person signing as attomey-in-fact must be attached. PERFORMANCE BOND Page 2 of 2 I 5-4584/117174 ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of San Diego } On 13 November 2017 before me, Joy Rogers, Notary Public , (here insert name and title of the officer) personally appeared Brooke Lafrenz who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ` JOY ROGERS *; Notary Public -California WITNES - d and official seal. a � San Diego County Z z Commission #2177963 v My Comm. Expires Jan 28,2021 Notary u C Sign ure (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM This fornt complies with currew California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT (needed,should be completed and attached to the document.Acknoliredgents fr-oni other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notaty law. (Title or description of attached document) • State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s)personally appeared which (Title or description of attached document continued) 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 Number of Pages Document Date commission followed by a comma and then your title(notary public). • Print the name(s) of document signer(s) who personally appear at the tune of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. he/she/they;is/are)or circling the correct forms.Failure to correctly indicate this ❑ Individual (s) information may lead to rejection of document recording. ❑ Corporate Officer • 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 (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk. El Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other Indicate title or type of attached document,number of pages and date. ❑ Indicate the capacity clauned by the signer. if the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). 2015 Version kAww.NotaryClasses.com 800-873-9865 Securely attach this document to the signed document with a staple ,t * OLD REPUBLIC: SURETY COMPANY ***** POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That OLD REPUBLIC SURETY COMPANY,a Wisconsin stock insurance corporation,does make,constitute and appoint: BROOKE LAFRENZ,MICHAEL W THOMAS,GLADYS ROGERS,AUDREY RODRIGUEZ,LARRY D COGDILL,OF SAN DIEGO,CA its true and lawful Attomey(s)-in-Fact,with full power and authority,not exceeding$50,000,000,for and on behalf of the company as surety,to execute and deliver and affix the seal of the company thereto(if a seal is required),bonds,undertakings,recognizances or other written obligations in the nature thereof,(other than bail bonds,bank depository bonds,mortgage deficiency bonds,mortgage guaranty bonds,guarantees of installment paper and note guaranty bonds,self-insurance workers compensation bonds guaranteeing payment of benefits,asbestos abatement contract bonds,waste management bonds,hazardous waste remediation bonds or black lung bonds), as follows: ALL WRITTEN INSTRUMENTS IN AN AMOUNT NOT TO EXCEED TEN MILLION DOLLARS($I0,000,000)----------------------------FOR ANY SINGLE OBLIGATION and to bind OLD REPUBLIC SURETY COMPANY thereby,and all of the acts of said Attorneys-in-Fact,pursuant to these presents,are ratified and confirmed. This document is not valid unless printedon colored background and is multi-colored. This appointment is made under and by authority of the board of directors at a special meeting held on February 18, 1982. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February 18,1982. RESOLVED that,the president,any vice-president,or assistant vice president,in conjunction with the secretary or any assistant secretary,may appoint attomeys-in-fact or agents with authority as defined or limited in the instrument evidencing the appointment in each case,for and on behalf of the company to execute and deliver and affix the seal of the company to bonds,undertakings,recognizances,and suretyship obligations of all kinds;and said officers may remove any such attomey-in-fact or agent and revoke any Power of Attorney previously granted to such person. RESOLVED FURTHER,that any bond,undertaking,recognizance,or suretyship obligation shall be valid and binding upon the Company (i)when signed by the president,any vice president or assistant vice president,and attested and sealed(if a seal be required)by any secretary or assistant secretary;or (ii)when signed by the president,any vice president or assistant vice president,secretary or assistant secretary,and countersigned and sealed(if a seal be required)by a duly authorized attorney-in-fact or agent;or (iii)when duly executed and sealed(if a seal be required)by one or more attorneys-in-fact or agents pursuant to and within the limits of the authority evidenced by the Power of Attorney issued by the company to such person or persons. RESOLVED FURTHER,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,recognizance,or other suretyship obligations of the company;and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF,OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper officer,and its corporate seal to be affixed this 23RD day of MARCH,2017. OLD REPUBLIC SURETY COMPANY SEAL STATE OF WISCONSIN,COUNTY OF WAUKESHA-SS '„ President On this 23RD day of MARCH,2017 personally came before me, Alan Pavlic and Jane erney ,to me known to be the individuals and officers ofthe OLD REPUBLIC SURETY COMPANY who executed the above instrument,and they each acknowledged the execution of the same,and being by me duly swom,did severally depose and say; that they are the said officers of the corporation aforesaid,and that the seal affixed to the above instrument is the seal of the corporation,and that said corporate seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority of the board of directors of said corporation. YL ,oe Notary Public. My commnission expires: 9/28/2018 CERTIFICATE (Expiration of notary commission does not invalidate this instrument) I,the undersigned,assistant secretary of the OLD REPUBLIC SURETY COMPANY,a Wisconsin corporation,CERTIFY that the foregoing and attached Power of Attorney remains in full force and has not been revoked;and furthermore,that the Resolutions of the board of directors set forth in the Power of Attorney,are now in force. 74-0051 "''sup""Y Signed and sealed at the City of,Brookfeld,WI this 13th day of November 2017. s G SEAL .� A,15i.enl VENBROOK INSURANCE SERVICES �s � ■• r • e � � s a• � • � a a - m �• 1=1gi Mill 28EPM 222e2 t5-io1 City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachea.gov Office of the City Clerk Robin Estanislau, City Clerk November 28, 2017 Pavewest, Inc. Attn: Don Magnan, President 401 S. Harbor Blvd. La Habra, CA 90631 Re: Park Bench Cafe Parking Lot Improvements— CC-1562 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 536-5517. Sincerely, �&4wdjltu) Gs ' " Robin Estanislau, CIVIC City Clerk RE:pe Enclosures: Copy of Contract including Proposal Copies of insurance/bonds Bid Bond (original) Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand RECEIVED 281I OCT I PM 2: 01 CITY CLERK CITY OF HUNTINGTON PE A Cl- C- lswz � Y,- ak-,) �tc N Lu.9 c, ►= c3o c%j 0 o-<C) "'j r*! Zpt" �` tv rn o C3 Dept. ID PW 17-063 Page 1 of 2 Meeting Date: 11/6/2017 Appw)VEDNTV U CITY OF HUNTINGTON BEACH REQUEST FOR. CITY COUNCIL ACTION t MEETING DATE: 11/6/2017 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: Award and authorize execution of a construction contract in the amount of $102,488.00 to PaveWest, Inc. for the Park Bench Cafe Parking Lot Improvements, CC-1562, and approve up to 15% in construction change orders Statement of Issue: On October 17, 2017, bids were opened for the Park Bench Cafe Parking Lot Improvements, CC1562. City Council action is requested to award a construction contract to PaveWest, Inc., the lowest responsive and responsible bidder. Financial Impact: Funds in the amount of $130,000 are available in the Infrastructure Fund account 31440001.82800. Recommended Action: A) Accept the lowest responsive and responsible bid submitted by PaveWest, Inc. in the amount of $102,488.00; and, B) Authorize the Mayor and City Clerk to execute a construction contract in a form approved by the City Attorney; and, C) Authorize the Director of Public Works to approve up to fifteen percent (15%) in construction change orders. Alternative Action(s): Reject all bids and direct staff with an alternative direction. Analysis: Earlier this year, the City Council authorized a midyear appropriation of Infrastructure Funds for improvements in Central Park. One of the projects identified by the Community Services Department was the rehabilitation of the parking lot next to the Park Bench Cafe. This project will replace existing asphalt as well as re-grade and reconstruct a small portion of the parking lot, on the south side, to improve drainage and bring the parking lot into ADA conformance. The bids were publically opened on July 18, 2017. The verified bid amounts are listed below: Bidding Contractor Bid as Submitted Verified Bid PaveWest, Inc. $102,487.50 $102,488.00 NPG Corporation $149,444.00 $149.000.00 Eagle Paving $162,604.00 $162,604.00 Excel Paving $162,604.00 $162,604.00 HB -89- Item 1.0. - 1 Dept. ID PW 17-063 Page 2 of 2 Meeting Date: 11/6/2017 All America Asphalt $164,599.00 $164,599.00 Minco Construction $173,750.00 $173,750.00 EBS General Engineering $205,849.75 $205,849.75 Staff has verified references and recommends the award of a construction contract to PaveWest, Inc., in the amount of $102,488.00. The total estimated project cost is $130,000 which includes the construction contract, project management, 15% construction contingency and supplemental expenses. Public Works Commission Action: The Public Works Commission reviewed and recommended the project on September 20, 2017 with a vote of 5-0-2 Environmental Status: The project is categorically exempt pursuant to Section 15304 of California Environmental Quality Act. Strategic Plan Goal: Enhance and maintain infrastructure Attachment(s): Location Map Item 10. - 2 HB -90- LOCATION MAP .. . . \ PwkBench Cafe Ll c S Remb r % 2017 1:1$0 O o =075 0.15 0.3a o 0.075 =15 =3 m Esh HERE,>a apmy w4ro s_vmcont,_r and the m user community RB -G ##yltem 10. - 3 HERE,aarm ramwmTRwc ume Er.et //7 SECTION A NOTICE INVITING SEALED BIDS for the construction of PARK BENCH CAFE PARKING LOT IMPROVEMENTS CC No. 1562 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 pm on October 17, 2017. Bids will be publicly opened 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 $25.00 nonrefundable fee if picked up, or payment of a $35.00 nonrefundable fee if sent by UPS ground delivery (bidder shall pay additional costs for special delivery). Plans, Specifications, and contract documents can be downloaded free on AGENCY website at: http://www.huntingtonbeachca.gov/government/departments/public works/Bids/ Open website, then click on"Current Advertised Projects"tab. 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 5% 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 Public Contract Code, Section 10263. 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. All extension of unit prices will be subject to verification by the AGENCY. In case of a variation between the unit price and the extension, the unit price will govern. Project Description: The project consists primarily of rehabilitation of an existing parking lot. The construction is to incorporate 2 phases in order to maintain about half of the parking during business hours (7:30 am to 2:00 pm; Closed Mondays). The adjacent business will be closed on December 181h to 251h, 2017, therefore, the contractor should be able to start construction no later than December 4, 2017 or sooner to take advantage of this closure period. The project is expected to be awarded on November 6, 2017. The contract shall allow the Contractor 30 working days to complete the contract. 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 5th day of September 2017, by Resolution No. 2017-43. Attest: /s/ Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH Esparza, Patty From: David Ward [daward@scng.com] Sent: Thursday, September 21, 2017 3:42 PM To: Harper, Gloria Cc: Estanislau, Robin; Esparza, Patty; Switzer, Donna; Broussard, Todd Subject: Re: Notice Inviting Sealed Bids -Advertisement Good afternoon Gloria. How are you doing? I see this NIB is for the Park Bench Cafe. Although I haven't been there in a while, it is nice to see you are fixing the parking lot. In case this is the last time we talk this week, have a GREAT weekend!!! Your notice is all set and ready to go. Ad#11013870 Run Dates 9/28, 1.015 chi 10/12 Cast $972.00 PROOF i SECTION A NOTICE INVITING SEALED BIDS for the construction of PARK BENCH CAFE PARKING LOT IMPROVEMENTS CC No. 1562 in the CITY OF HUNTI NGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN thattheCITY OF HUNTINGTON BEACH, as AGENCY, invites sealed bids for the above stated pro'ects and will receive such bids in the office of the City Clerk, Second Floor, 2000 Main Street, Huntington Beach, California 42648, us to the hour of 2.00 pm on October 17, 2017. Bids will be publicly opened in the Council ambers unless otherwise pasted. Copies of the Flans, Specifications, and contract documents are available from the Office of the Director of Public Works, 2000 Bain Street, Huntington Beach, CA 22648, upon payment of a $25.00 nonrefundable fee if picked up, or payment of a $35.00 nonrefundable fee if sent by UPS ground delivery (bidder shall pay additional costs for special delivery). Plans, Specifi- cations, and contract documents can be downloaded free on AGENCY website at: h tp:/iwww.huntingtonbeachca.goy/government/'departments ublicworks/Bids/ Open website,then click on "Current Advertised Projects"tab. 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 mini- mum 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 Rela- Lions of the State of California, which are on fi le at the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648, The AGENCY will deduct 5% retention from all progress payments. The Contractor may substitute an escrow holder surety of equal value to the retention in accordance with the pro- visions of the Public Contract Code, Section 10263. The Contractor shall be beneficial owner I the surety and shall receiveany interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afford- ed full opportunity to submit bids in response to this notice and will not be discriminated against can the bans of race, color, national origin, ancestry, sex,or religion in any considera- tion leading to the award of contract. No bid shall be considered unless it is prepared on the approved Proposal forms in conform- ance with the Instructions to Bidders as determined by the AGENCY. The bid must be ac- companied by a certified check, cashier's check, or bidder's band made payable to the AGEN- CY 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.All exten- sion of unit prices will be subject to verification by the AGENCY. In case of a variation be- tween the unit price and the extension, the unit price wil I govern. Project Description.- The project consists primarily of rehabilitation of an existing parking lot. The construction is to incorporate 2 phases in order to maintain about Ralf of the parking during business hours (7:30 am to 2:00 m Closed Mondays). The adjacent business will be close on December 18th to 251b, 2017, therefore, the contractor should be able to start con- struction no later than December 4, 2017 or sooner to take advantage of this closure perm. The project is expected to be awarded on November 6, 2017. The contract shall allow the Contractor 30 working days to complete the contract. The AGENCY reserves the right to reject any or al bids, to waive any irregularity and to take all bias under advisernent for a maximum period of 60 clays. BY ORDER of the CITY NCI L of the CITY TINGTON BEACH, CALI FORK IA, the day of September by Resolution No Attest: /s/Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH Pub ish: Huntington Beach Wave Sept 28, Oct 5, 12, 201711013870 2 David Ward Legal Advertising Rep 2190 S. Towne Centre PI. Anaheim, CA 92806 714-796-6764 daward@scng.com PLEASE NOTE THE E-MAIL ADDRESS HAS CHANGED On Thu, Sep 21, 2017 at 11:18 AM, Harper, Gloria<Gloria.Harpergsurfcity-hb.org> wrote: Good morning David, Please advertise the attached Notice Inviting Sealed Bids for the following dates: September 28 October 5 October 12 Bid Opening will be October 17 Thank you, Gloria D. Harper, CMC Senior Deputy City Clerk 3 City of Huntington Beach 2000 Main Street Huntington Beach, CA 92648 714-536-5209 gloria.harper@surfcity-hb.org 4 UNSUCCESSFUL BIDS CG1562 Park Bench Cafe Lot Improvements City ®f Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 s www.huntingtonbeachca.gov Office of the City Clerk 17,1909 Robin Estanislau, City Clerk December 4, 2017 All American Asphalt P. O. Box 2229 Corona, CA 92878 RE: Park Bench Cafe Lot Improvements— CC-1562 Enclosed please find your original bid bond for CC-1562. Sincerely, �&4V4.'&j Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities. Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of PARK BENCH CAFE PARKING LOT IMPROVEMENTS CC No. 1562 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 30 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. 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. C-1 Accompanying this proposal of bid, find RiddPr's Rond in the amount of 10 % 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 for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature PROJECT BID SCHEDULE Bid Contract Unit Extended No. Description Quantity Unit Price Amount 1 Mobilization 1 LS $ 15,o4Z $ 51 04 7 2 SWPPP 1 LS $ L�.,5 (D $ ( _ 3 TRAFFIC CONTROL 1 LS $ .0oJ $ 4 REMOVE EXISTING IMPROVMENTS PER DEMO PLAN 1 LS $ 000 $ p.o�o 5 REPLACE TRAFFIC LOOPS PER CITY STANDARS 1 LS $ 4 H�o $ 9„M 6 CONSTRUCT 6" PCC CURB 411 LF $�Q.oo $ q.0�a 7 CONSTRUCT 6" PCC CURB & GUTTER 149 LF $ $ S hba 8 CONSTRUCT 4' WIDE PCC V-GUTTER 212 LF $ 51.00 $ Io,�l2 9 CONSTRUCT PCC APRON TRANSITION AT CATCH BASIN 32 SF $ 40.o o $ I.aqb 10 CONSTRUCT 6" THICK PCC SIDEWALK 44 SF $ oAS,00 $ IL2,Jl 11 CONSTRUCT 4"THICK PCC SIDEWALK 1,371 SF $ 7.coo $ 9 5q7 12 CONSTRUCT CURB RAMP 164 SF $ 15. oo $ 41 c) 13 CONSTRUCT 3"AC OVER 6.5"AB 3,600 SF $ 3.94 $ I9 IR'� 14 MILL AC TO ACCOMMODATE 2" MIN. AC OVERLAY 10,410 SF $ q l o $ 4 1a 1 15 MILL AC 2"TO ACCOMMODATE NEW SIDEWALK 255 SF $ �_0(-) $ �A_ 16 INSTALL SIGNAGE AND STRIPING 1 LS $ U 0-3o $ H n3o Total Amount Base Bid in Figures: $ Total Amount Base Bid in Words: .Onc._ n(.k_e. .... .i.k} .. � _ 5 ,spa...... n . ...r...tr..... ....c fl\1As..s............. f e ) C-2 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. Bid Name and Address of State Class DIR PWC Dollar % of Item(s) Subcontractor License Registration# Amount Contract .umber t -IoC-2 Rv e U n 1 Lv�Pve c.,C 19i9�� l lC Cr C SQ C� �ar�-�t�b5o i; G �b OSO�oo�(L]. �fCnnon�CVt ' l0000001o� 5 r 00 0 l oDoo tO 1 '6 a NITS �Ja CaS�wA1rV� e 9g8g� -3� SrS�o �y F���crkor,,c,v'� a�631�1 By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID 1 declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on , at CDroaa -CA Date City State Edward J. Carlson being first duly sworn, deposes and says that he or she is Vice President of All American Asphalt 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. All American Asphalt Name of Bidder Signature of Bidder Edward J. Carlson, Vice President P.O. Box 2229, Corona, CA 92878 Address of Bidder C-4 CALIFORNIA JURAT GOV CODE § 8202 A notary public or other officer completing this certificate verities only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of Riverside Subscribed and sworn to (or affirmed) before me on this 13th day of October 2017, Date Month By (1) Edward J. Carlson Name of Signer #2083832 Proved to me on the basis of satisfactory evidence L40Commission B.ROY be the person who appeared before me I(.) (,) i -"a Notary Public-California z Z Riverside County (and My Comm.Expires Oct 26,2018 (2) Name of Signer Prov�-to m�onthe basis of satisfactory evidence be-the person who appeared before me.) Signature 4.YC4 Place Notary Seal Above Signature Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Further Description of Any Attached Document RIGHT THUMBPRINT RIGHT THUMBPRINT OF SIGNER OF SIGNER Title or Type of Document Non-Collusion Affidavit Top of thumb here Top of thumb here Document Date: 10-13-17 Number of Pages: 1 Signer(s)Other Than Named Above: None UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the PARK BENCH CAFE PARKING LOT IMPROVEMENTS, (l)(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. All American Asphalt Contractor By Edward J. Carlsion, Vice President Title Date: /o 3 Or 7 C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, 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 XNo If the answer is yes, explain the circumstances in the space provided. N/A Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shal I constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. All American Asphalt Contractor /tom By Edward J. Carlson, Vice President Title Date: ,dd / ,3 lea o / 7 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: All American Asphalt Bidder Name P.O. Box 2229 Business Address C:nrnnn GA 92879 City, State Zip ( 951 ) 736-7600 publicworksaa allamericanasphalt.com Telephone Number Email Address 267073 State Contractor's License No. and Class 1/19/71 Original Date Issued 1/31/18 Expiration Date The work site was inspected by Maurice Ramirez of our office on OctnhPr 9 , 2011. The following are persons, firms, and corporations having a principal interest in this proposal: Mark Luer, President Edward J. Carlson, Vice President Michael Farkas, Secretary The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. All American Asphalt Company Name Signature of Bidder Edward J. Carlson, Vice President Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this day of , 201_ . A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of ) County of ) On before me, Month, Day, and Year Ins e and Title of Notary personally appeared Na ,. rf Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose narne(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upo behalf of which the person(s) acted, executed the instrument. 1 certify under PENAL jY OF PERJURY under the laws of the State of California that the foregoing paragraphis rue and correct. WITNESS my hand and official seal. Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached_and not the truthfulness. accuracv. or validity of that document. State of California County of Riverside On October 13, 2017 before me, B. Royster, Notary Public Date Here Insert name and Title of the Officer personally appeared Edward J. Carlson Name(tsigner(i— 1 who proved to me on the basis of satisfactory evidence to be the B.ROYSTER person(s) whose name(s) is/are subscribed to the within instrument Commission#2083832 and acknowledged to me that he/shelthey executed the same in acit +e z histhpr th21f authorized ca s and that b his/ e4the. Z .-m Notary Public-California z p y( )' y z Riverside County > signature(s) on the instrument the person(s), or the entity upon behalf M Comm.Rivers fires Oct 2018+ 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 forgoing paragraph is true and correct. WITNESS my h1nd and o icial seal. Signature-6,� Place Notary Seal Above Signatur f Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Bidder's Information—City of Huntington Beach Document Date: October 11, 2017 Number of Pages: 2 Signer(s) Other Than Named Above: None Capacity(ies) Claimed by Signer(s) Signer's Name: Edward J. Carlson Signer's Name: ❑ Individual ❑ Individual X Corporate Officer—Title(s): Vice President ❑ Corporate Officer—Title(s): ❑ Partner❑ ❑ Limited ❑ General RIGHT THUMBPRINT ❑ Partner ❑ ❑ Limited ❑ eneral RIGHT THUMBPRINT ❑Attorney in Fact OF SIGNER ❑Attorney in FactOF SIGNER ❑Trustee Top of thumb here Top of thumb here ❑Trustee ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: All American Asphalt Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of {Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets, an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."}. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: I. See Attached Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-10 "2016" PAST WORK REFERENCES City of Riverside 2014/2015 Preservation and Maintenance 3900 Main St. Contract Amount: $3,400,725.00 Riverside, CA 92501 Start: 01/2016 Contact: Steve Howard, (951)826-5708 Completed: 06/2016 City of Rancho Santa Margarita Annual Residential Overlay 2212 El Pasco Contract Amount: $245,190.00 Rancho Santa Margarita, CA 92688 Start: 01/2016 Contact: Max MaximoUs, (949)635-1800 Completed: 09/2016 City of Diamond Bar Grand Ave. Beautification Project 21810 Copley Drive Contract Amount: $1,939,000.00 Diamond Bar, CA 91765 Start: 08/2015 Contact: Kimberly Young, (909) 839-7044 Completed: 05/2016 City of Bell Florence Avenue Overlay 6330 Pine Avenue Contract Amount: $643,000.00 Bell, CA 90201 Start: 04/2016 Contact: Dahi Kim, (323)923-2628 Completed: 09/2016 Department of Transportation Route 1 11, Contract No. 08-1C4604 72-800 Dinah Shore Dr. Ste. 104 Contract: $1,536,207.00 105 Palm Desert, CA 92211 Start: 04/2016 Contact: Khoi Vu, (951) 232-6263 Completed: 09/2016 Department of Transportation Route 73, Contract No. 12-OM 1 104 3251 '/4 University Dr. Trailer No. 2 Contract Amount: $1,545,163.00 Irvine, CA 92612 Start: 4/2015 Contact: Peter Shieh, (949)279-8636 Completed: 07/2016 City of Victorville Bear Valley Road Reconstruction 14343 Civic Drive Contract Amount: $2,61 1,215.00 Victorville, CA 92392 Start: 04/2016 Contact: Bruce Miller, (760) 269-0045 Completed: 07/2016 City of Perris 41h Street Improvement Project 101 N. D Street Contract Amount: $545,680.00 Perris, CA 92570 Start Date: 03/2016 Contact: Brad Brophy, (951)943-6504 Completed: 07/2016 City of Palos Verdes Estates FY 15-16 St. Resurfacing& Slurry Seal Project 340 Palos Verdes Drive West Contract Amount: $876,455.00 Palos Verdes Estates, CA 90274 Start: 1 1/2015 Contact: Ken Rukavina, (310)378-0383 Completed: 06/2016 City of Newport Beach Corona Del Mar Entry Improvements 100 Civic Center Drive Contract Amount: $497,497.00 Newport Beach, CA 92660 Start Date: 02/2016 Contact: Alfred Castanon, (949)644-3314 Completed: 05/2016 City of Newport Beach Cameo Shores Pavement Reconstruction 100 Civic Center Drive Contract Amount: $3,363,363.00 Newport Beach, CA 92660 Start Date: 06/2016. Contact: Frank Tran, (949)644-3340 Completed: 12/2016 City of Aliso Viejo Pacific Park Rehab.-Chase to 73 Fwy 12 Journey, Suite 100 Contract Amount: $633,633.00 Aliso Viejo, CA 92656 Start Date: 10/2016 Contact: Chris Tanio, (949)425-2531 Completed: 12/2016 "201 5" PAST WORK REFERENCES City of Hawthorne Hawthrone Blvd Reconstruction 4455 W. 162nd Street Contract Amount: $12,579,000.00 Hawthorne, CA 90250 Start: 4/2014 Contact: Heecheol Kwon, (310) 349-2980 Completed: 5/2015 City of Inglewood Florence Ave One Manchester Blvd, 3 d Floor Contract Amount: $2,639,000.00 Inglewood, CA 90301 Start: 4/2015 Contact: Hunter Nguyen, (310) 412-4252 Completed: 10/2015 County of Ventura Pavement Resurfacing, Phase 11 800 S. Victoria Ave Contract Amount: $2,401,970.00 Ventura, CA 93009 Start: 4/2015 Contact: Jeewoong Kim, (805) 654-3987 Completed: 10/2015 Cityof Montclair Northeast Montclair Street Rehabilitation 5111 Benito Street Contract Amount: $514,150.00 Montclair, CA 91763 Start: 4/2015 Contact: Steve Stanton, (909) 625-9444 Completed: 7/2015 Riverside County Transportation Commission Route 74 Widening 4080 Lemon Street, 3`d Floor Contract: $1,970,004.00 Riverside, CA 92501 Start: 4/2014 Contact-.-Bill Seitz, (949) 300-9132 Completed: 7/2015 City of Riverside 2014/15 Arterial Streets 3900 Main Street Contract Amount: $1,683,076.00 Riverside, CA 92501 Start: 4/2015 Contact: Steve Howard, (951) 826-5708 Completed: 9/2015 Long Beach Unified School District Garfield Elementary School Pavement 2201 E. Market Street Contract Amount: $1,976,508.00 Long Beach, CA 92805 Start: 6/2015 Contact: Nancy Chinchilla, (562) 997-7513 Completed: 1 1/2015 PAST NVORK REFERENCES CID, of Ftdlenon Y orba Linda Blvd Reconstructjon ,01 IV�'- Connmon`vealTh -,e Contract -timou_m: S 1. ^46.000.00 Fullerton__ CA 92-8 2 Start: -'2014 Contract: Kevin Kwak (714) 7 8-696 Gompleie 1%2 d: 1014 Pon of Long Beach 201 Roadway Maintenance and S1urr-, 4801 airport Plaza Drive Contract .--nount: 5992.000.00 Lonz Beach, CA 90815, Stan: 6'2014 Contact: Lincoln L.o, (5,62) 283-7000 C-ornpleied: 10!2014 City of Beverly Hills 2012-2013 Street R�surfacinz 455 1\. Rexford Drive Conacc: .-rnoun : S-2.970.000 Beverly Hills. CA 90210 Start: 7'2013 Contact: Mark Cumo. (_10:) 28>-2 57 Completed: 52014 City of,1urupa Vallee !12-13 Pavement Rehabilitai' 12=63 LLnonite Ave Contract _km- ou_nt: 5970.000 Riverside, CA 92--7,07 Start; 5/201 Contact: Michael M\ rs. (951) 3'�2-6464 Completed: 12i201 Cite of Santa Ana Bristol Street Rehabilitation 20 Civic Center Contract Amounr. 56.961-475 Santa Ana. CA 92701 Start: _/201 11 Contact: Ku %ei rt mann, (7 14) 647-569 Completed: 12,2014 "2013" PAST WORK REFERENCES Department of Transportation Route 74, Contract No, 12-OL6404 3521 3/4 University Dr Contract Amount: $1,134,057 Irvine CA 92612 Start: 7/2012 Contract: Dat Pham, (949) 279-8586 Completed: 5/2013 City of Santa Clarita 201 1/12 Overlay & Slurry Seal Program 23920 Valencia Blvd Contract Amount: $5,995,000 Santa Clarita CA 91355 Start: 9/2012 Contact: Bill Whitlatch, (661) 259-2489 Completed: 5/2013 LACDPW Seventh Avenue 900 S Fremont Ave Contract Amount: $2,077,000 Alhambra, CA 91803 Start: 9/2012 Contact: Hector Hernandez, (626) 458-2191 Completed: 12/2013 Department of Transportation Route 74, Contract No, 08-OP9504 2023 Chicago Ave., B-6 Contract Amount: $3,450,622 Riverside, CA 92507 Start: 6/2012 Contact: Michael Chen, (951) 830-6017 Completed: 9/2013 City of Laguna Hills Citywide Pavement Rehabilitation 24035 El Toro Rd Contract Amount: $1.778,169 Laguna Hills, CA 92653 Start: 8/20 i 2 Contact: Kenneth Rosenfield, (949) 707-2650 Completed: 9/2013 County of Riverside Transportation Gilman Springs Road 3525 14" St Contract Amount: S1,695,108 Riverside, CA 92501 Start: 7/2013 Contact: Trai Nguyen, (95 l) 961-5363 Completed: 9/20 13 City of Azusa Pavement Management Improvements 213 E Foothill Blvd Contract Amount: S980,000 Azusa, CA 91702 Start: 5/17/l 2 Christina Curiel, (626) 812-5254 Completed: 1/18/13 "2012" PAST WORK REFERENCES City of Beverly Hills 2010-2011 Street Resurfacing Project 345 Foothill Road Contract Amount: S2,800,000.00 Beverly Hills, CA 90210 Start: 6/1/201 1 Contact: Juan Martinez, (310) 285-2521 Completed: 4/30/2012 City of Costa Mesa 2010-201 1 Citywide Street Rehabilitation 77 Fair Drive Contract Amount: S2,778,000.00 Costa Mesa, CA 92628 Start: 7;1/201 1 Contact: Thomas Banks, (7I4) 754-5222 Completed: 2/29/2012 City of Perris Foss Field Parking Expansion 170 Wilkerson Avenue, Ste. D Contract Amount: $190,000,00 Perris, CA 92570 Start: 1/I/2012 Contact. Chris Sunde, (951) 943-5604 Completed: 2/29/2012 City of Dana Point Pacific Coast Highway & Niguel Shares 33282 Golden Lantern Contract Amount: 5676,676.00 Dana Paint, CA 92629 Start: 12/1/201 1 Contact: Matt Sinacori, (949) 248-3574 Completed: 5/30/2012 City of Lang Beach Willow Street Improvements 333 W. Ocean Blvd., 10'h Floor Contract Amount: $661,661.00 Lang Beach, CA 90802 Start: 12;1/201 1 Contact: Chuck Ramey, (562) 570-6634 Completed: 6/30/2012 City of Santa Ana Bristol Street Widening 20 Civic Center Plaza Contract Amount: $8,3I5,754.00 Santa Ana, CA 92701 Start: 5/1/2009 Contact: Edward Torres, (714) 647-5018 Completed: 3/16/2012 City of Fountain Valley Edinger Avenue Improvements 10200 Slater Avenue Contract Amount: .5422,422.00 Fountain Valley, CA 92708 Start: 511/2012 Contact: Alex Salazar, (714) 593-4516 Completed: 8/I/2012 "2011" PAST WORK REFERENCES City of Compton Northwood Avenue Reconstruction 205 South Willowbrook Avenue Contract Amount: $1,180,000.00 Compton, CA 90220 Start: 10/18/2010 Contact: Loujuana Nlitchell, (310) 761-1437 Completed: 5/4/2011 County of San Bernardino Cajon Blvd. 825 E. Third Street Contract Amount: $565,000.00 San Bernardino, CA 92415 Start: 3/11/2011 Contact: Franklin Luna, (909) 387-7920 Completed: 4/8/2011 County of Riverside De Luz Road Rehabilitation 2950 Washington Street Contract Amount: $740,000.00 Riverside, CA 92504 Start: 4/25/201 l Contact: David HyIkema, (951) 850-6075 Completed: 5/23/201 1 City of Stanton 2010/2011 Citywide Reconstruction 7800 Katella Avenue Contract Amount: $322,322.00 Stanton,CA 90680-3162 Start: 3/1/201 1 Contact: Quang Le,(714) 890-4234 Completed: 4/30/201 1 City of Long Beach Annual Contract Street Reconstruction 333 West Ocean Blvd., 10`h Floor Contract Amount: $3,433,415.00 Long Beach,CA 90802 Start: 5/1/2010 Contact: Chuck Ramey, (562) 570-6634 Completed: Still On-Going City of Paramount Neighborhood Street Resurfacing 16400 Colorado Boulevard Contract Amount: $899,909,00 Paramount, CA 90723-5012 Start: l I/l/2010 Contact: Len Gorecki, (562) 220-2111 Completed: 3/30/2011 City of Huntington Beach. Slater Avenue Improvements 2000 Main Street Contract Amount: $1,926,341.00 Huntington.Beach, CA 92648 Start: 8/2/2010 Contact: Dave Verone, (714) 375-8471 Completed: 2/30/201 1 Department of Transportation Route 91 Project 464 W. Fourth Street Contract Amount: $5,732,812.00 San Bernardino, CA 924 I 0-1400 Start: 3/1/2010 Contact: [mad Abugharbieh, (951) 277-8579 Completed: 3/30/2011 Bidder's Critical Staff Listed below are the narnes of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1 Maurice Ramirez Name of proposed Project Manager Telephone No. of proposed Project Manager: (951) 736-7600 Ext. 242 Bear Valley Road Reconstruction $2,611,215.00 Pavement 07/2016 Project Name & Contract Amount Type of Work Date Completed Annual Residential Overlay $233,913.90 Overlay 09/2016 Project Name & Contract Amount Type of Work Date Completed Route 111, Contract No. 08-1 C4604 $1,536,207.00 Asphalt 09/2016 Project Name & Contract Amount Type of Work Date Completed 2. Rick Selph Name of proposed Superintendent Telephone No. of proposed Superintendent: (g51) 45 i-4645 Cameo Shores Pavement Reconstruction $3,363,363.00 Pavement 12/2016 Project Name & Contract Arnount Type of Work Date Completed Corona Del Mar Entry Improvements $497,497.00 Pavment 05/2016 Project Name & Contract Amount Type of Work Date Completed Route 73, Contract No. 12-OM1104 $1,545,163.00 Ashpalt 07/2016 Project Name & Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/PWCR/ActionServiet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. All American Asphalt Contractor By Edward J. Carlson, Vice President Title Date: 7 PWC Registration #: 100000i o51 C-12 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8,Attorneys-in-Fact. The Chief Executive Officer,the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE 1, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8,of the By-Laws of the Companies is still in force. I This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURE"fY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the I Oth day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMON Y WHEREOF, l have hereunto subscribed my name and affixed the corporate seals of the said Companies, this day of U2r 2017 . Iry DE PO"1 :vPG"'Op+U'"� C�WL►y o ;dam; ` sa 1•m• «. ,o, SEAL 1..... 7 1 Michael Bond, Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND,PLEASE SUBMIT ALL REQUIRED INFORMATION TO: Zurich American Insurance Co. Attn: Surety Claims 1299 Zurich Way Schaumburg, IL 60196-1056 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL, MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York,the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by GERALD F. HALEY,Vice President, in pursuance of authority granted by Article V, Section 8,of the By-Laws of said Companies,which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint William SYRKIN, Rebecca HAAS-BATES, Sergio D. BECHARA and Richard ADAIR, all of Irvine, California, EACH its true and lawful agent and Attorney-in-Fact,to make,execute,seal and deliver,for,and on its behalf as surety,and as its act and deed: any and all bonds and undertakings,and the execution of such bonds or undertakings in pursuance of these presents;shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York,New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland.,and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland.,in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V. Section 8. of the By-Laws of said Companies,and is now in force. IN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 18th day of April,A.D.2017. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND CWL�, _ �p 7L wPGS .•`GP�y.1lIS(/4 4 Q �wr O '_J��� n 44�•�opPpWJ?Ln i aFr> fa,,ms SEAL 54: 05 «,„,�7 '.. �n' s`••• rose :a ,. Assistant Secretary Vice President Dawn E. Brown Gerald F.Halev State of Maryland County of Baltimore On this 18th day of April,A.D. 2017,before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified,GERALD F. HALEY, Vice President, and DAWN E. BROWN, Assistant Secretary, of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN"TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written. pis•!' Constance A.Dunn,Notary Public My Commission Expires:July 9,2019 POA-F 012-0033D o Fidelity and Deposit Company of Maryland Home Office:P.O.Box 1227. Baltimore. MD 21203-1227 BID BOND KNOW ALL MEN BY THESE PRESENTS: That we, ALL AMERICAN ASPHALT BOND NO.085 97 423 as Principal, (hereinafter called the"Principal"), and FIDELITY AND DEPOSIT COMPANY OF MARYLAND P.O. Box 1227, Baltimore, Maryland 21203, a corporation duly organized under the laws of the State of Maryland, as Surety,(hereinafter called the "Surety"),are held and firmly bound unto City of Huntington Beach as Obligee,(hereinafter called the"Obligee"), in the sum of 'TEN PERCENT OF THE TOTAL BID PRICE IN----- Dollars($ 1 0%OF TOTAL BID PRICE ),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 Park Bench Cafe Parking Lot Improvements CC No. 1562 17732 Goldenwest Street Bid Date:October 17,2017 NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a contract with the Obligee in accordance with the terms of such bid and give such bond or bonds as may be specified in the bidding or contract documents with good and sufficient surety for the faithful performance of such contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter into such contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to retrain in full force and effect. Signed and sealed this 28th day of September 2017 A.D., ALL AMERICAN ASPHALT (SEAL) Principal CIO• 11,'itness E�uk+��� S. SO�7•itle, '✓r C��rGdr��tt-�' FIDELITY AND DEPOSIT COMPANY OF MARYLAND Surety (SEAL) Rebecca Haas-Bates fltrornev-in-Fact Printed in cooperation Frith the American Institute of Architects(AIA)by Fidelity and Deposit Company of Maryland. Fidelity and Deposit Company of Maryland vouches that the language in the document conforms exactly to the language used in AIA Document A-310,February 1970 Edition. B1D700007.70701 f CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached_ and not the truthfulness.accuracy.or validitv of that document. State of California County of Riverside On October 13, 2017 before me, B. Royster,Notary Public Date Here Insert name and Title of the Officer personally appeared Edward J. Carlson Name(�gner j-- f who proved to me on the basis of satisfactory evidence to be the B. ROYSTER person(s) whose name(s) is/afe subscribed to the within instrument Commission#2083832 and acknowledged to me that he/sheAhey executed the same in Z .'v Notary Public-California D his/hr.iia.,t„p��o� authorized capacity(ies), and that by histher4heif Z Riverside County signature(s) on the instrument the person(s), or the entity upon behalf My Comm.Expires Oct 26,2018 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 forgoing paragraph is true and correct. WITNESS my d and Icial seal. Signature Place Notary Seal Above Signate of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Bid Bond—City of HuntinZon Beach Document Date: September 28, 2017 Number of Pages: 3 Signer(s) Other Than Named Above: Rebecca Haas-Bates, Attorney-in-Fact Capacity(ies) Claimed by Signer(s) Signer's Name: Edward J. Carlson Signer's Name: ❑ Individual ❑ Individual X Corporate Officer—Title(s): Vice President ❑ Corporate Officer—Title(s ❑ Partner❑ ❑ Limited ❑ General ❑ Partner❑ ❑ Limited eneral RIGHT THUMBPRINT RIGHT THUMBPRINT ❑Attorney in Fact ❑Attorney in Fac ❑Trustee Top of thumb here Top of thumb here ❑Trustee ❑ Other: ❑ Other Signer is Representing: Signer is Representing: All American Asphalt CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness,accuracy,or validity of that document. State of California ) County of Orange ) On 09/28/2017 before me, R. Paramo,Notary Public Date Here Insert Name and Title of the Officer personally appeared Rebecca Haas-Bates NameN,of Signerl`s,! who proved to me on the basis of satisfactory evidence to be the persons} whose name(* is/we subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hislher/thei.r authorized capacity(ics), and that by h<her/ltieir signatures 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 tate e€6a'fornia that the foregoing paragraph is true and correct. WITNESS my h d office seal. R.PARAMO NotaryPublic-California z Z Orange County Commission#2204277 Signature of Notary Public My Comm.Expires Aug 5,2021 Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Bid Bond Document Date: 09/28/2017 Number of Pages: One 1 Signer's) Other Than Named Above: All American Asphalt Capacity(ies) Claimed by Signer(s) Signer's Name: Rebecca Haas-Bates Signer's Name: D Corporate Officer — Title(s): ❑Corporate Officer — Title(s): P Partner — D Limited O General ❑ Partner — ❑ Limited 0 General O Individual 2Attorney in Fact D Individual D Attorney in Fact O Trustee D Guardian or Conservator D Trustee O Guardian or Conservator •Other: D Other: Signer Is Representing: Signer Is Representing: Fidelity and Deposit Company of Maryland 02014 National Notary Association - www.NationaiNotary.org - 1-800-US NOTARY(1-800-876-6827) Item #5907 M N. 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[`.firr 5:,. �_ ' k ';1 .r'�dy g�ub*.P' ztsrtti •S 'r V'� s zt3 p f/L/ a Q�1•'Ir''✓ L31 • �, U�Q., ' ^�-F..,rx r "" .c 5 x �`i, .F�• .,.tr. ��' ` ,.'� '�nt2 .M' tia` : :<y :3.x" ".-•nitYt`'m:.s°sa� � .r° TTv �"- ft -�...�1 ., • ;k5 '8 �.ti a y.a.�sz•�" "µ`�* ..Y �:.,z' qd "1 a .,�'+ A 7{,'n ty. � q & it �- .rr. 4 ��• "5f s a �•' C��:.�+t -�^s..r�•�-"i�t"}-r,r� ....� �t.' ,c,�-.a=.,.z RETURN REQUESTED P� o ray $ ' tr > a r� � City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 e _ (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk December 4, 2017 Eagle Paving Company, Inc. dba Toro Engineering 13915 Danielson Street#201 Poway, CA 92064 RE: Park Bench Caf6 Lot Improvements — CC-1562 Enclosed please find your original bid bond for CC-1562. Sincerely, 4q4ou Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of PARK BENCH CAFE PARKING LOT IMPROVEMENTS CC No. 1562 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 30 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. 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. C-1 Accompanying this proposal of bid, find Bidders Bond in the amount of 10% 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 for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature None None n/a PROJECT BID SCHEDULE Bid Contract Unit Extended No, Description Quantity Unit Price Amount 1 Mobilization 1 LS $ $19,905.00 $$19,905.00 2 SWPPP 1 LS $ $1,500.00 $$1,500.00 3 TRAFFIC CONTROL 1 LS $ $5,000.00 $$5,00"0 4 REMOVE EXISTING IMPROVMENTS PER DEMO PLAN 1 LS $ $25,000.00 $$25,000.00 5 REPLACE TRAFFIC LOOPS PER CITY STANDARS 1 LS $ $4,500.00 $$4,500.00 6 CONSTRUCT 6" PCC CURB 411 LF $ $29.00 $$11,919.00 7 CONSTRUCT 6" PCC CURB & GUTTER 149 LF $ $46.00 $$6,854.00 8 CONSTRUCT 4' WIDE PCC V-GUTTER 212 LF $ $50.00 $$10,600.00 9 CONSTRUCT PCC APRON TRANSITION AT CATCH BASIN 32 SF $ $35.00 $$1,120.00 10 CONSTRUCT 6" THICK PCC SIDEWALK 44 SF $ $35.00 $$1,540.00 11 CONSTRUCT 4" THICK PCC SIDEWALK 1,371 SF $ $10.00 $$13,710.00 12 CONSTRUCT CURB RAMP 164 SF $ $19.00 $$3,116.00 13 CONSTRUCT 3" AC OVER 6.5" AB 3,600 SF $ $4.50 $$16,200.00 14 MILL AC TO ACCOMMODATE 2" MIN. AC OVERLAY 10,410 SF $ $2.50 $$26,025.00 15 MILL AC 2"TO ACCOMMODATE NEW SIDEWALK 255 SF $ $2.00 $$510.00 16 INSTALL SIGNAGE AND STRIPING 1 LS $ $2,500.00 $$2.500.00 Total Amount Base Bid in Figures: $ 149 999.00 Total Amount Base Bid in Words: One Hundred & Forty Nine Thousand, Nine Hundred & Ninety Nine &Zero Cents C-2 POWER OF ATTORNEY FOR DEVELOPERS SURETY AND INDEMNITY COMPANY INDEMNITY COMPANY OF CALIFORNIA PO Box 19725,IRVINE,CA 92623 (949)263-3300 KNOW ALL BY THESE PRESENTS that except as expressly limited,DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,do each hereby make,constitute and appoint: "`Mark D. latarola, John G. Maloney, Helen Maloney, , Michelle M. Basuil, Glenda J. Rooney,jointly or severally— as their true and lawful Attomey(s)-in-Fact,to make,execute,deliver and acknowledge,for and on behalf of said corporations,as sureties,bonds,undertakings and contracts of suretyship giving and granting unto said Attorney(s)-in-Fact full power and authority to do and to perform every act necessary,requisite or proper to be done in connection therewith as each of said corporations could do,but reserving to each of said corporations full power of substitution and revocation,and all of the acts of said Attorney(s)-in-Fact,pursuant to these presents,are hereby ratified and confirmed. This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,effective as of January 1st,2008. RESOLVED,that a combination of any two of the Chairman of the Board,the President,Executive Vice-President,Senior Vice-President or any Vice President of the corporations be,and that each of them hereby is,authorized to execute this Power of Attorney,qualifying the attorney(s)named in the Power of Attorney to execute,on behalf of the corporations,bonds,undertakings and contracts of suretyship;and that the Secretary or any Assistant Secretary of either of the corporations be,and each of them hereby is,authorized to attest the execution of any such Power of Attorney; RESOLVED,FURTHER,that the signatures of such officers 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 shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond,undertaking or contract of suretyship to which it is attached. IN WITNESS WHEREOF,DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by their respective officers and attested by their respective Secretary or Assistant Secretary this 6th day of February,2017. By: AND i4Q SOP AN e Daniel Young,Senior Vice-President :•y���o°aPOf�rFaF�2 'pt'' A� ' OCT.5*67 By: 0�d��gcfFoa��da�' �ttt �R� Mark Lansdon,Vice President ' o * •> A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy, or validity of that document. State of California County of Orange On February 6 2017 before me, Lucille Raymond Notary Public Date Here Insert Name and Title of the Officer personally appeared Daniel Young and Mark Lansdon Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s)is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s),or the entity upon behalf of LUCILLE RAYMOND which the person(s)acted,executed the instrument. _ Commission#t 208194 Notary Public-California I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is z Orange County a true and correct. My Comm.Expires Oct 13,2018+ r WITNESS my hand and official seal. Place Notary Seal Above Signature r Lucill y ond,Notary Public CERTIFICATE The undersigned,as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA,does hereby certify that the foregoing Power of Attorney remains in full force and has not been revoked and,furthermore,that the provisions of the resolutions of the respective Boards of Directors of said corporations set forth in the Power of Attorney are in force as of the date of this Certificate. This Certificate is executed in the City of Irvine,California,this 10TH day of OCTOBER 2017 �y AND iN'••,, i+,41 `•JQ�GoavoiiyT�6�': ,a,C3��,PiFR,��r;`Y By: 1936 o 2 �� 0 Cassie J AIrrisford,Assistant Sec#tary o O�J�••CgCIFOF \P'da�• 'Q(ir.0i��� ATS-1002(02/17) ` 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 $t0,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar % of Items) Subcontractor License Registration# Amount Contract Number #5 BC Traffic Specialist 877686 A/C32 1000005503 $4,500.00 3% #16 638 W Southern Ave, Orange CA 92865 #1 Golden Triangle Land Surveying LS 6788 N/A 1000015071 $3200.00 2.1% 1298 Navel Place, Vista CA 92081 By submission of this proposal, the Bidder certifies: t. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID 1 declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on , at Powav Date Cay State 3oel Batule , being first duly sworn, deposes and says that he or she is CEO /Presider* of Eaale Pavinq CompaN.Inc. dbaToro EVPFAq 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. Name of Bidder Shyidiure of Bidder 13915 Danielson S`I•reel- #201 Powal,CA g2064 Address of Bidder C-4 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 PARK BENCH CAFE PARKING LOT IMPROVEMENTS, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Eagle Paving ComDnjjU, Inc. An Toro Fngineeiin9 Contractor Cho Title Date: 10l1612011 C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes ® No If the answer is yes, explain the circumstances in the space provided. n/a Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Eagle. PGvina Com panv.lnc• J6 Toro En9ineenn9 Contractor B `% 0 Title Date: 10116 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Eaqle Pcivina Cnrnpamidba Toro Enginecting Bidder Name 13gl5 Danielson Street #201 Business Address Powav CA c12064 City, State Zip (6% 4$6-0400 inEn@ eoaledovtrips Telephone Number Email Address 944g3q Class A /C12- State Contractor's License No. and Class 03/26/2010 Original Date Issued 03/31/2018 Expiration Date The work site was inspected by S}tn hen Houston of our office on October 12 , 201+ .l The following are persons, firms, and corporations having a principal interest in this proposal: Joel DaWe Marisa Garland 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. £ciale Paving Compng, Inc. dhg Toro EnaIneerino any Name Sign tur of Bidder Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this day of , 201_ A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of ) County of ) On before me, Month, Day, and Year Insert Name and Title of Notary personally appeared Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. S ignature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) Cry 5 ee a� C-9 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 !`.e'ri-l+,c�c.4Z`'-,e�^.crd=l`,cr�fScY`,M.tYrnt=�l+„�G,t-r..c"�>,€r.E=C`�.r.,,c=�t`[^!`- �.!vim.:=Y•.r�f� n R� -- --- -�.i� -t.c-.�-^,�l5cst^in..i�:r�:,er: A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of ) On l0 before me, G Date Here I sert Na e and Title of the er personally appeared UVOL Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the personV whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/sirey executed the same in hiss authorized capacity(ies`),and that by his/heW41ieir signature(s)'on the instrument the person(p), 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. MARISA ANGELES GARLAND WITNESmSignatuaryPublic d Commission #2066878 z:-m Notary Public -California z z San Diego County My Comm. Expires May 3,2018�� Signatur reoota Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑ Partner — ❑Limited ❑General ❑ Partner — ❑Limited ❑General ❑Individual ❑Attorney in Fact ❑Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: ©2016 National Notary Association• www.NationaiNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of{Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets, an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."}. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. SEE ATTACHED Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-10 i I 13915 Danielson Street,Suite 201 Poway,CA 92064 858.486.6400 PAVING7 ag6g.6le4p0a2E rAt- EE infoCa v ing.us A Service Company First COMPLETED PUBLIC WORKS 2013-2017 Project General Contractor Job Location Completion Cate Project Amount USPCI Vista All Star Contracting Vista,CA April-13 $ 96,000.00 San Diego,CA Mesa College M.A.Stevens San Diego,CA February-15 $ 220,000.00 National City,CA Del Mar Union School-various sites Del Mar Union School District Del Mar,CA October-15 $ 74,000.00 San Diego,CA Bell Post Office Goebel Construction Bell,CA February-16 $ 444,000.00 Petaluma,CA Santee Lakes Padre Dam Municipal Water District Santee,CA March-16 $ 73,000.00 Rio Salado Post Office Centerra Integrated Construction Services Phoenix,AZ April-16 $ 550,700.00 San Diego,CA Multiple Elementary Schools ' August-16 Cajon Valley School District EI Cajon CA Au $ 635,000.00 El Cajon,CA g i North City Campus San Diego Community College Distrcit San Diego,CA October-16 $ 381,000.00 Fallbrook Public Utility Warehouse Fallbrook Public Utility District Fallbrook,CA December-16 $ 149,000.00 i Centerra Integrated Construction Services Camp Verde Post Office Camp Verde,AL March-17 $ 151,320.00 San Diego,CA San Diego Water District MOC 2 City of San Diego San Diego,CA lung-17 $ 134,366.00 Vista Unified School District-various sites Vista Unified School District Vista,CA August-17 $ 312,655.00 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. I IrnP Monraz Name of proposed Project Manager Telephone No. of proposed Project Manager:(qOq) 809- 409 I Vista Unified School D►Str►ct 312,655.00 concr,Ie/asphalt 08f2orl Project Name &Contract Amount Type of Work Date Completed Pn wav �rf•reet Rebob�I i}afio n 420,531.00 05Dha 0812017 Project Name &Contract Amount Type of Work Date Completed Fed Ex Caround 643,66o.o0 Concre-le 10/2017 Project Name &Contract Amount Type of Work Date Completed 2 Jorge Frias Voldez Name of proposed Superintendent Telephone No. of proposed Superintendent: (8 5e) -79 0-9-74-4 �055'00 Vista Unified School Di5frict 312, concrete/asphalt 08/2011 Project Name &Contract Amount Type of Work Date Completed San p►ego Wa+er D stn ct 134,36(o.00 Gsp ha lk o61201-1 Project Name & Contract Amount Type of Work Date Completed 'Fallbrmk public Uhhh MCI,000.00 asphalt 12/20110 Project Name &Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL. RELATIONS (DIR) CERTIFICATE Pursuant to S13 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July I through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efi ling.dir.ca.gov/P WCR/ActionServlet?action=di splayP W CRegistrationForm DIR's Contractor Registration searchable database: https:Hefiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Ea dbu Toro En�meerma Co tractor g 1 By L� Title Date: I0/I fo/201"1 PWC Registration #: 1000002.648 C-12 Developers Surety and Indemnity Company Indemnity Company of California asp CorePolnte Insurance Company AmTrust Surety 17771 Cowan Suite 106•Irvine,California 92614•(949)263-3300 An AmMust Financial Company ww,%4.AmTrustSurety.00m BID BOOL BOND NO. --------- KNOW ALL MEN BY THESE PRESENTS, Thatwe EAGLE PAVING COMPANY, INC. as Principal,and DEVELOPERS SURETY AND INDEMNITY COMPANY a corporation authorized to transact a general surety business in the State of CALIFORNIA 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 GREATER AMOUNT 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 PARK BENCH CAFE PARKING LOT IMPROVEMENTS - CC NO. 1562 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,or in the event of the failure of the Principal to enter .such Contract, 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 10TH day of OCTOBER' 2017YEAR EAGLE PAVING COMPANY, INC. DEVELOPERS SURETY AND INDEMNITY COMPANY Surety By: U—JOEL BATULE, PRESIDENT Principal MARK D. IATAROLA, Attorney-in-Fact I0-1196(Bid Bond)(REV.7/15) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of SAN DIEGO ) On 10/10/2017 before me, SANDRA FIGUEROA, NOTARY PUBLIC , Date Here Insert Name and Title of the Officer personally appeared MARK D. IATAROLA Name(&) of SignerH who proved to me on the basis of satisfactory evidence to be the person(s) whose name(a) is/tee subscribed to the within instrument and acknowledged to me that he/sheMey executed the same in his/4cr4heir authorized capacity4es), and that by his/49644ei-F signature(s)on the instrument the person(e), 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. SANDRA FIGUEROA C 0 M M.#2162.642 WITNESS my hand and official seal. z SAN DIEGO COUNTY NOTARY PUBLIC-CALIFORNIAL MY COMMISSION EXPIRES ' Signature �— c�c AUGUST 14,2020 Signature o otary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: MARK D. IATAROLA Signer's Name: ❑Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited 0 General ❑ Individual ®Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: ©2014 National Notary Association •www.NationalNotary.org - 1-800-US NOTARY(1-800-876-6827) Item#5907 i i PAL41 i SEALED BID For Park Bench Cafe Parking Lot Improvements CC 1562 In the City of Huntington Beach- DO NOT OPEN WITH REGULAR MAIL DELIVER TO THE OFFICE OF THE CITY CLERK 2000 MAIN STREET,SECOND FLOOR City Of Huntington Beach ray= w- 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachea.gov Office of the City Clerk Robin Estanislau, City Clerk December 4, 2017 EBS General Engineering, Inc. 1320 E. Sixth, Suite 100 Corona, CA 92879-6832 RE: Atlanta Park Bench Cafe Lot Improvements—CC-1562 Enclosed please find your original bid bond for CC-1562. Sincerely, 44fifL' &� Robin Estanislau, CIVIC City Clerk RE:pe Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of PARK BENCH CAFE PARKING LOT IMPROVEMENTS CC No. 1562 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 30 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. 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. C-1 Accompanying this proposal of bid, find bidder's bond in the amount of 1o%bid amount 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 for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature PROJECT BID SCHEDULE iBid Contract x , Unit:: Extended No. Description Quanti 'Unit 'Pride Amount 1 Mobilization 1 LS $ 1, x; $ 2 SWPPP 1 LS $ !� cr�h�= $ 7� 1G 3 TRAFFIC CONTROL 1 LS $ 9.`,,0 $ r 4 REMOVE EXISTING IMPROVMENTS PER DEMO PLAN 1 LS $ S $ (Ul 5 REPLACE TRAFFIC LOOPS PER CITY STANDARS 1 LS $ //U� $ 6 CONSTRUCT 6" PCC CURB 411 LF $ 7 CONSTRUCT 6" PCC CURB& GUTTER 149 LF $ S,j $ Lciri 8 CONSTRUCT 4'WIDE PCC V-GUTTER 212 LF $ ` Sv $ 9 CONSTRUCT PCC APRON TRANSITION AT CATCH BASIN 32 SF $ $ 10 CONSTRUCT 6"THICK PCC SIDEWALK 44 SF $—a,- $ 11 CONSTRUCT 4"THICK PCC SIDEWALK 1,371 SF $—J—Z,5 $ 1 12 CONSTRUCT CURB RAMP 164 SF $ _ $ 13 CONSTRUCT 3"AC OVER 6.5"AB 3,600 SF $ j $ 5''0Z 14 MILL AC TO ACCOMMODATE 2" MIN. AC OVERLAY 10,410 SF $ $ ? i 15 MILL AC 2"TO ACCOMMODATE NEW SIDEWALK 255 SF $ $ s `- 16 INSTALL SIGNAGE AND STRIPING 1 LS $ Total Amount Base Bid in Figures: $ US IS,11 Total Amount Base Bid in Words:ljuj�' �,hS C e L 41,, C-2 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. Bid Name and Address of State Class DIR PWC Dollar % of Item(s) Subcontractor License 'Registration# Amount Contract Number CCU CV 3 0 By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 10 13 17, at Corona CA Date City State Joseph A.Nanco being first duly sworn, deposes and says that he or she is President of EBS General Engineering, Inc. the party making the foregoing bid that the bid is not made in the interest of,, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. EBS General Engineering, Inc. Name of B' der Sign tur t of Bidder Joseph A. Nanci 1320 E. Sixth St., Ste 100 Corona CA 92879 Address of Bidder C-4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1-189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of RIVERSIDE On �0 ,L, , I`I before me, WILLIAM E. ELLIS, JR. Date Here Insert Name and Title of the Officer personally appeared JOSEPH A. NANCI Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WILLIAM E. ELLIS JR. I certify under PENALTY OF PERJURY under the laws of the State of California that Commission#2127998 the foregoing paragraph is true and correct. Notary Public-California z, Z Z orange County M Comm.Ex Tres A23,20I9 WITNESS my hand and official seal., AA wwww Sign ature Signature of/`�_otary Publi Place Notary Seal Above Description of Attached Document Title or Type of Document: Document Date-. Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: • Corporate Officer—Title(s): o Corporate Officer—Title(s): • Partner- o Limited o General o Partner- F, Limited o General • Individual o Attorney in Fact o Individual o Attorney in Fact •Trustee o Guardian or Conservator Ei Trustee Ej Guardian or Conservator mi Other: o Other: Signer is Representing: Signer is Representing: 2014 National Notary Association www-Natio na I Notary,or_q* 1-800-USNOTARY(1-800-876-6827) Item#5907 C-16 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 PARK BENCH CAFE PARKING LOT IMPROVEMENTS, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. EBS General Engineering, Inc. Contractor By V Joseph A. Nanci President Title Date: 10/13/17 C-5 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of RIVERSIDE On 110,1 U, I t before me, WILLIAM E. ELLIS, JR. Date I Here Insert Name and Title of the Officer personally appeared JOSEPH A. NANCI Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I cetfy under PENALTY OF PERJURY WILLIAM E.ELLIS JR. 11�97 Commission #21127998 Z under the laws of the State of California that Notary Public-California wornia the foregoing paragraph is true and correct. orange County My comm.Ex ires Oct 23,2019 WITNESS my hand and official seal. , - , I Signature (LI""I �_ �1,6k Signature of Notary Pu li i Place Notary Seal Above Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: o Corporate Officer—Title(s): o Corporate Officer—Title(s): Ei Partner- o Limited o General o Partner- o Limited o General • Individual o Attorney in Fact o Individual o Attorney in Fact •Trustee o Guardian or Conservator D Trustee o Guardian or Conservator • Other: Lj Other: Signer is Representing: Signer is Representing: 2014 National Notary Association * www.NationalNotary.or_q* 1-800-USNOTARY(1-800-876-6827) Item#5907 C-16 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, 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 VNo If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and 1 will comply with such provisions before commencing the performance of the work of this contract. EBS General En ineerin , Inc. Contract By President Title Date: 10/13/17 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: EBS Genernl Engineering, Inc. Bidder Name 1320 E. Sixth St., Ste 100 Business Address Corona CA 92879 City, State Zip ( 951 ) 279-6869 bidsPebs general,com Telephone Number Email Address 720016 A State Contractor's License No. and Class 3/31/96 Original Date Issued 3/31/18 Expiration Date The work site was inspected by Joseph A. Nand of our office on 10/3 2017_. The following are persons, firms, and corporations having a principal interest in this proposal: Joseph A. Nand, President 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 Na �..- Signature'of B dder Joseph A. N nci Printed or Ty ed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this_day of , 201_ A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of ) County of ) On before me, Month, Day, and Year Insert Name and Title of Notary personally appeared Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of{Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets, an area containing high around water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."I. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1 See attached reference list Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-1 0 3 YEAR REFERENCES - PUBLIC WORKS 1. Project Name 2014/2015 Citywide Curb, Gutter, Sidewalk, Driveway Repairs Project Address Owner Various Locations City of Riverside Principal Contact Phone Secondary Project Contact Danny Cwiak, Construction Project Manager (951)377-5514 Steve Howard Price of Contract Type of Work Dates $407,628 Curb+Gutter, Ramps 11/2014 to 2/2015 2. Project Sewer Replacement Project Proiect Address Owner Various Locations City of Fullerton Contact Phone Eric Villagracia, Public Works Dept. (714)738-6853 Price of Contract Type of Work Dates $998,151.00 Sewer, Curb+Gutter 1/2012 to 2/2013 3. Project Sewer Manhole Surface Repair PH II Project Address Owner Fairview and Newport,City of Costa Mesa Costa Mesa Sanitary District Contact Phone Robin Hamers, District Engineer (949)548-1192 Price of Contract Type of Work Dates $47,420.00 Manhole Repairs 1/2016 4. Proiect Annual Concrete Repair FY 2014-15 Proiect Address Owner Various Locations City of Rancho Santa Margarita Contact Phone E. Maximous, Public Works Director (949) 635-1805 Price of Contract Type of Work Dates $53,550.00 Sidewalk 4/2015 to 5/2015 3 YEAR REFERENCES — PUBLIC WORKS 5. Proiect Grand Avenue Widening Project Address Owner Grand Ave.from First St. to Fourth St. City of Santa Ana Contact Phone Tyrone Chesanek, Principal Civil Engineer (714) 647-5074 Price of Contract Type of Work Dates $172,000.00 Curb+Gutter, Bus Pad 11/2014 to 9/2015 6. Project Concrete Street Rehabilitation, FY 2015-16 Proiect Address Owner Various Locations City of Orange Contact Phone Matthew Lorenzen, Project Manager (714)744-5566 Price of Contract Type of Work Dates $574,850 Minor Concrete,Street Improvements 7/16 to 10/16 7. Project Name Improvements of Livingston Drive Proiect Address Owner Livingston Dr. between Termino Ave. &2"1 St. City of Long Beach Contact Phone: Danny Besabella (562)577-6192 Price of Contract Type of Work Dates $1,254,000.00 Street Improvement 8/2012 to 2/2013 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project.Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1• Willie Ellis Name of proposed Project Manager Telephone No. of proposed Project Manager: 951-279-6869 ext 108 See attached reference list Project Name & Contract Amount Type of Work Date Completed Project Name &Contract Amount Type of Work Date Completed Project Name& Contract Amount Type of Work Date Completed 2. David Sulik Name of proposed Superintendent Telephone No. of proposed Superintendent: 951-279-6869 ext 112 See attached reference list Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PubI icWorks/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/PWCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiIing.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. EBS G eral Engineering, Inc. Contra r By Pretident Title Date: 10/13/17 PWC Registration #: 1000005295 C-12 POA#: 510123 SureTec Insurance Company LIMITED POWER OF ATTORNEY Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents make, constitute and appoint Charles L. Flake, David L. Culbertson, Spencer Flake, Heather Willis its true and lawful Attorney-in-fact,with full power and authority hereby conferred in its name, place and stead,to execute, acknowledge and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the conditions of contracts and consents of surety for,providing the bond penalty does not exceed Ten Million and 00/100 Dollars($10,000,000.00) and to bind the Company thereby as fully and to the same extent as if such bond were signed by the President, sealed with the corporate seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney-in-Fact may do in the premises. Said appointment shall continue in force until 12/31/2019 and is made under and by authority of the following resolutions of the Board of Directors of the SureTec Insurance Company: Be it Resolved, that the President, any Vice-President, any Assistant Vice-President, any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on behalf ofthe Company subject to the following provisions: Attorney-in-Fact may be given full power and authority for and in the name of and of behalf of the Company,to execute, acknowledge and deliver, any and all bonds,recognizances,contracts, agreements or indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20'h of April, 1999.) In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its President, and its corporate seal to be hereto affixed this 8th day of August , A.D. 2017 . y°SURAN"CF SURETEC E ANY rJ X �.o 41, 9 (0a By: w w ;n` John Knox , resi nt State of Texas ss: ems'. 1 `';.r County of Harris •.... .. On this 8th day of August,A.D. 2017 before me personally came John Knox Jr.,to me known,who,being by me duly sworn, did depose and say,that he resides in Houston, Texas, that he is President of SURETEC INSURANCE COMPANY, the company described in and which executed the above instrument;that he knows the seal of said Company; that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the Board of Directors of said Company;and that he signed his name thereto by like order. XENIA CHAVEZ 'W Notary Public,State of Texas Comm. Expires 09-10-2020 OF '`�� Notary ID 129117659 X is avez,Notary Public y commission expires September 10,2020 I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attomey,executed by said Company,which is still in full force and effect; and furthermore,the resolutions of the Board of Directors, set out in the Power of Attorney are in full force and effect. Given under my hand and the seal of said Company at Houston, Texas this 11TH day of QCTORW 2017 , A.D. R. Br nt Be y,Assistant Se etary Any instrument issued in excess of the penalty stated above is totally void and without any validity. For verification of the authority of this power you may call(713)812-0800 any business day between 8:00 am and 5:00 pm CST. CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of RIVERSIDE On 10-(Gy, k before me, WILLIAM E. ELLIS, JR. Date Here Insert Name and Title of the Officer personally appeared JOSEPH A. NANCI Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature,lAi(L'JIA Signature of Notary Ic 1pr Place Notary Seat Above Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: Ei Corporate Officer—Title(s): Ei Corporate Officer—Title(s): cj Partner- Ei Limited Ei General Ei Partner- Ei Limited Ei General • Individual o Attorney in Fact o Individual Ei Attorney in Fact • Trustee Ei Guardian or Conservator :i Trustee Ei Guardian or Conservator .-i Other: Ei Other: Signer is Representing: Signer is Representing: 2014 National Notary Association * www.Nationar4oltarV.or_q* 1-800-USNOTARY(1-800-876-6827) Item#5907 C-16 i b Bond #3-B Premium Nil SureTec BID BOND KNOW ALL MEN BY THESE PRESENTS,that we EBS General Engineering, Inc. as principal, hereinafter called the "Principal," and SURETEC INSURANCE COMPANY, 9737 Great Hills Trail, Suite 320, Austin,Tx 78759, 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 amount bid 10 0 of the Amount Bid by Principal 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 Park Bench Cafe Parking Lot Improvements CC No. 1562 NOW, THEREFORE, if the contract be timely awarded to the Principal and the Principal shall within such time as specified in the bid, enter into a contract in writing or, in the event of the failure of the Principal to enter into such Contract, 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. PROVIDED, HOWEVER, neither Principal nor Surety shall be bound hereunder unless Obligee prior to execution of the final contract shall furnish evidence of financing in a manner and form acceptable to Principal and Surety that financing has been firmly committed to cover the entire cost of the project; and PROVIDED, FURTHER, unless the bid documents require that bid security remain in effect for a longer period of time, Surety shall have no liability hereon if a contract for the bid amount is not awarded to Principal within 60 days of the date hereof. SIGNED, sealed and dated this 1lth day of October , 20 17 EBS General Eigqineerinq, Inc. (Principal) _ BY: ) I' TITLE: J se h and, President SureTec Insuran a Com an BY: Pencer Flake Attorney-in-Fact suretec bid bond file.doc Rev 1.1.06 I I CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA County 9 of Orange On 10-11-17 before me, Lexie Sherwood Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Spencer Flake Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the LEXIE SHERWOOD person(s), or the entity upon behalf of which the person(s) u acted, executed the instrument. COMM.#2203287 NOTARY PUBLIC CAUFORNIA n 0RANGECOUNTY - I certify under PENALTY OF PERJURY under the laws of Comm.Exp.JULY27,2021 the State of California that the foregoing paragraph is true and correct. Witness my hand and official"11, Signature Place Notary Seal Above Signature of 16otary Public Lexie Sherwood 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 the form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer —Title(s): ❑ Partner ❑Limited ❑General ❑ Partner ❑Limited❑ General ❑ Attorney in Fact ❑ Attorney in Fact ❑ Trustee ❑ Trustee ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: 2111 OCT 17 PH I-. 49 CITY CLERX 41Ull74 1TY OF GTON SEA cIf E = S general engneerng,lnr. 1320 E.SIXTH,SUITE 100•CORONA,CA 92879-1700 Tel:(951)279-8869•FAIL(951)279-6832 City of Huntington Beach Office of City Clerk 2000 Main St; Second Floor Huntington Beach, CA 92648 October 17, 2017; 2 pm SEALED BID FOR Park Bench Cafe Parking Lot Improvements; CC No. 1562 City Of Huntington Beach F„ ¢ 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov FE6. 17 1909 P� . Office of the City Clerk Robin Estanislau, City Clerk December 4, 2017 Minaco American Corporation dba Minco Construction 522 E. Airline Way Gardena, CA 90248 RE: Atlanta Park Bench Caf6 Lot Improvements— CC-1562 Enclosed please find your original bid bond for CC-1562. Sincerely, 7� Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand SECTION C PROPOSAL for the construction of PARK BENCH CAFE PARKING LOT IMPROVEMENTS CC No. 1562 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 30 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. 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. C-t Accompanying this proposal of bid, find "Bidder's Bond" in the amount t 0%of the aggregate of, the total bid price 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 for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature PROJECT BID SCHEDULE 34. Bid ��%° T a� �� Contract0 Unity r Extended s Descriptions �4i ..� �� No: � � .a. �::� . tM ., i„ :,Quantit Umt° P-dice Amount�,,, - 1 Mobilization 1 LS $ $ /3, 3S� 2 SWPPP 1 LS $0 30 Ocl 0 $ 3,Oo 0 3 TRAFFIC CONTROL 1 LS $ �7100c� $ 7000 4 REMOVE EXISTING IMPROVMENTS PER DEMO PLAN 1 LS $ $3,/, oo 0 5 REPLACE TRAFFIC LOOPS PER CITY STANDARS 1 LS $ $ 000 6 CONSTRUCT 6" PCC CURB 411 LF $ $ /...++�fff� //3yyy�o 7 CONSTRUCT 6" PCC CURB &GUTTER 149 LF $_5_0 $ 8 CONSTRUCT 4'WIDE PCC V-GUTTER 212 LF $_�_ $ 9,490 9 CONSTRUCT PCC APRON TRANSITION AT CATCH BASIN 32 SF $ O $ 960 10 CONSTRUCT 6"THICK PCC SIDEWALK 44 SF $ /S $ 96o 11 CONSTRUCT 4"THICK PCC SIDEWALK 1,371 SF $ Io $ 43, -?/O 12 CONSTRUCT CURB RAMP 164 SF $ 30 $ -I,(no 13 CONSTRUCT 3"AC OVER 6.5"AB 3,600 SF $ S $ /g Oo0 14 MILL AC TO ACCOMMODATE 2" MIN. AC OVERLAY 10,410 SF $ $ IS; 6IT 15 MILL AC 2"TO ACCOMMODATE NEW SIDEWALK 255 SF $ 5- $ �.3 9S 16 INSTALL SIGNAGE AND STRIPING 1 LS $ 3�pO0 Total Amount Base Bid in Figures: $ 0 • oc� Total Amount Base Bid in Words: y 6XA 1 ., C-2 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. Bid Name and Address of State Class DIR PWC Dollar % of Item(s) Subcontractor License Registration# Amount Contract Number Ali VIA Z �o d�iND A 39334 C146Sp coA. pAIJ`f A t,6 2281. -5bu%y c%c4cAV&-s �1 � C(3 �pobo003a,6 ��G 2— . C32- By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on OCT 17,2017 at Gardena , CA Date City State I Refaat H Mina , being first duly sworn, deposes and says that he or she is President of Minako America Corporation dba Minco Construction 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. Minako America Corporation dba Minco Construction Name of Bidder Signature;of Bidder Refaat H Mina, President 522 E Airline Way Gardena, CA 90248 Address of Bidder t C-4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness, accuracy,or validity of that document. State of California ) County of Los Angeles ) On 10/17/2017 before me, Raffi Varooj Thomassian, Notary Public Date Here Insert Name and Title of the Officer personally appeared Refaat H. Mina Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/tee subscribed to the within instrument and acknowledged to me that he/sHe/#;*y executed the same in his/I4er/their authorized capacity(ies), and that by his/hw/thefr signature(s)on the instrument the person(e), 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. RAFFI VAROOJ THOMASSIAN WITNESS my hand and official seal. Notary Public -California Z Los Angeles County z z Commission # 2152450 ' Signature ✓ Uf �r _ = ' My Comm.Expires May 12,2020 Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association • www.NationaiNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 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 PARK BENCH CAFE PARKING LOT IMPROVEMENTS, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Minako America Corporation dba Minco Construction Contractor By Refaat H Mina; President Title Date: OCT 17, 2017 C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal.. State or local government project because of a violation of law or a safety regulation? ❑ Yes ® No If the answer is yes, explain the circumstances in the space provided. N/A Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Minako America Corporation dba Minco Construction Contrac r 2 By Refaat H Mina, President Title Date: OCT 17, 2017 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Minako America Corporation dba Minco Construction Bidder Name 522 E Airline Way Business Address Gardena CA 90248 City, State Zip (310 ) 516-8100 mina@mincoconstruction.com Telephone Number Email Address 612429 / A,B,C7,C10 State Contractor's License No. and Class FEB 10, 1991 Original Date Issued 09/30/2018 Expiration Date The work site was inspected by Amir Abraham of our office on OCT 10 , 2017. The following are persons, firms, and corporations having a principal interest in this proposal: Minako America Corporation dba Minco Construction Refaat H Mina, President, Secretary, Treasurer, Manager 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. Minako America Corporation dba Minco Construction Company a e7 Sig ature/o ))Bidde R faat H/Min,a, President Printed T or yped Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this 17 day of OCT , 201 7 . A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of CA ) County of Los Angeles ) On OCT 17, 2017 before me, Raffi Varooj Thomassian, Notary Public Month, Day, and Year Insert Name and Title of Notary personally appeared Refaat H Mina Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/aye subscribed to the within instrument and acknowledged to me that he/s#e/Awy executed the same in his/ker/t4e4 authorized capacity(ies), and that by his/laer/tl signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. RAM VAROOJ THOMASSIAN WITNESS my hand and official seal. Notary Public -California Z Los Angeles County z Z Commission #2152450 My Comm.Expires May 12,2020 Signature ✓ �� ��—� Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of{Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets, an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."}. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. County of Los Angeles Department of Public Works,900 South Fremont Ave. Alhambra, CA 91803 Name and Address of Public Agency Name and Telephone No. of Project Manager: Matt Jerge, Phone: (626)458-2593 $2,405,236.61 Parkway Concrete Maintenance 12/31/2015 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Job order Contract for repair and Maintenance Parkway Concrete at Various Locations. 2. City of Downey, 11111 Brookshire Avenue Downey, CA 90241 Name and Address of Public Agency Name and Telephone No. of Project Manager: Keith Hoey, Phone: (562)622- 5898 $544,796.00 Annual Miscellaneous Concrete 12/02/2015 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Remove, Reconstruct, and Improvements PCC Sidewalk, Slab Ramp with Detectable Warning Device, Remove and Reconstruct Variable Height. 3. City of Brea, Public Works, 1 Civic center Circle Brea, CA 92821 Name and Address of Public Agency Name and Telephone No. of Project Manager: Jerry Mestas, Phone: (714)240-9478 $ 360,000 Removal and Replacement of Sidewalks,Curbs and Gutters 06/30/2016 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Removal and replacement of sidewalks, curbs and gutters, traffic control, saw cutting of pavement, removal of existing concrete, removal of tree roots, minor grading and preparation of the sub-grade to reconstruct the concrete improvement, Additional references attached. C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1. Moses Khalili Name of proposed Project Manager Telephone No. of proposed Project Manager: (310) 863-2201 "Please see attached resume and reference of projects completed." Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed 2. Magdy Michael Name of proposed Superintendent Telephone No. of proposed Superintendent: (424)264-6525 "Please see attached resume and reference of projects completed." Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/Publ icWorks/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https:HefiIing.dir.ca.gov/PWCR/ActionServlet?action=dispIayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiIing.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Minako America Corporation dba Minco Construction Contractor i BY// r Refaat H Miria, President Title Date: 10/17/2017 PWC Registration #: 1000002728 C-12 Moses Khalili General Constriction Manager Moses.K@mincoconstruction.com (310) 863-2201 Experience: Over Thirty years of experience in southern California—construction industry (private & public work) Education: BSC, MSC in Electrical & Electronics Engineering Brighton University, England, 1979 California State Contractor license C10, 16, 64 NICET Level II Various manufactures Certifications Employment History: 2003—Currently Minco Construction 1998—2003 CALICOS stems/Owner& Contractor 1996— 1998 Firemaster Operations Now Simplex/ Grinnell 1990 - 1996 CALICO Electrical /Owner& Contractor 1986- 1990 General Manager at Firetronics 1984— 1986 HMH Engineering & Construction Completed Public Work Projects: Project Director: Minako America Corporation, dba Minco Construction Proiect Name: District 7 Building HVAC it Data Center Main, Electrical System Test, Maintenance and Repair Department of Transportation, RESD PMDB-15-038C, Project Number: 134721 E Project Location: Caltrans District 7, Headquarters 100 S. Main Street, Los Angeles, CA 90012 Scope of Work: Major components of Project Work consist of: Test, adjust, replace, and repair equipment of the major electrical distribution system, cleaning of the PV panels, setting/adjusting existing circuit breakers, printing and affixing Arc Flash label on all existing electrical equipment and cleaning of the 2nd and 9th floors data centers. Owner Name it Address: Department of General Services; Administration Division Architectural, Construction and Engineering Contracts Section 707 Third Street, Suite 2-300, MS 508 West Sacramento, CA 95605 Wayne Hawkins Project Director II Project Management and Development Branch 707 Third Street - 4th Floor West Sacramento, CA 95605 0: 916.376.1622 C: 916.956.0887 E: wayne.hawkins@dgs.ca.gov Contract Amount: $1,177,700.00 Notice to proceed date: 11/28/2016 Duration: 270 Calendar Days Proiect Name: Sunset Village Emergency Generator Replacement University of California, Los Angeles Order Number: 9910 Z TA161 Project Number 946488.01 Proiect Location: 330 De Neve Drive, Los Angeles, CA 90095-1492 Scope of Work: Replace the emergency diesel generator that currently serves the Sunset Village undergraduate residential complex in the northwest campus. The up-sized new generator will serve Delta Terrace, Courtside and Canyon Point undergraduate residential buildings as well as the 648- seat undergraduate dining facility on the A-level of the Covet Commons building. The generator shall be installed within the existing fenced enclosure adjacent to the Covet Commons loading dock. The scope of work includes replacement of switchboards, distribution boards, and electrical feeders, a new underground utility bank to connect the new generator to the Covet Commons main electrical room, and provision of emergency switchboards, panelboards and miscellaneous electrical work in Covet Commons. Owner Name 8t Address: UCLA Project Management Services 330 De Neve Drive, Room L-22, Los Angeles, CA 90095-1492 Attn: Vladimir E Koshelev University Representative Office: (310) 206-6353 Cell: (310) 502-1084 Fax: (310) 825-4587 vkoshelev@ha.ucla.edu Contract Amount: Original Contract Amount: $517,700.00 Final Contract Amount: $610,604.00 Completed Date: August 29, 2016 Project Name: The Joseph Jensen Water Treatment Plant Solids Transfer Spec. No. 1758, Project No. 104463 Project Amount: $1,977,700.00 Completion Date: July, 2015 Description of Work: The work consists of construction of approximately 7,600 feet of 6-inch to 10-inch PVC pipeline with approximately 100 feet of 10-inch HDPE pipe sleeve, a utility crossing structure, four solids lagoon inlet structures, fiber optic cables, and utility duct banks and cabinets; modification of sewer air gap; connection of PVC pipelines to the solids pump station piping system; installation of a new flow meter and replacement of an existing flow meter; replacement of approximately 3,700 feet of chain-link fence with welded wire mesh panel fence; replacement of a block wall structure; and other appurtenant work. Owner: Metropolitan Water District of Southern California 700 N. Alameda Street, Los Angeles, California 90012 Telephone (213) 217-6000 Project Name: San Jose Creek Water Quality Laboratory HVAC System Upgrade, Contract No. 4726 Project Amount: $4,053,797.48 Completion Date: December, 2014 Description of Work: Replacement of existing cooling tower and associated equipment while laboratories are functional by providing temporary air conditioning units. Replacement of all roof mounted air conditioning units, ventilation fans, mixing boxes, and all ductwork. Work included all electrical installation, commissioning and start up. Owner: County Sanitation District of Los Angeles County 1955 Workman Mill Road Whittier, CA 90601-1400 Kimberly S. Compton 562.699.7411 Project Name: Long Beach Main Pumping Plant Electrical System Modifications, Contract No. 4521 Contract No. 4521 File:85-08.05-31 Project Amount: $ 1,877,000.00 Description of work Completed: Provide and install infrastructure for two circuit 12kv substations from grounds up to completion and switch over in an operating waste water pumping plants. Work included 600V switchgear, MCC, PLC control, stand by Generator, 250 HP VFD, Control panels, motor replacement and new masonry Electrical room Project Address: 1238 W. 16th Street, Long Beach, CA 90813 Owner: County Sanitation District of Los Angeles County 1955 Workman Mill Road Whittier, CA 90601-1400 Kimberly S. Compton 562.699.7411 Contact Name: Walter Alkerman (310) 830-8050 Project Name: Contract No. FE07-20, "P2 Digester Gas Dryer Upgrades" OCSD's Treatment Plant No. 2 located at 22212 Brookhurst Street, Huntington, Beach, CA 92646 Project Amount: $912,915.00 Description of work Completed: Provide and install (2)Gas Dryer at OCSD Wastewater Treatment Plant. The Work was performed with plant power generation plant in operation. Gas Dryer project consist of civil work, Electrical Div 1, class 1 work, mechanical, plumbing and control, including SCADA system connections.-Gas dryer was used to feed Gas supplied on demand of power generation at the same plant. Owner: Orange County Sanitation District Contact Name: Andy DaSilva 10844 Ellis Avenue Fountain Valley, CA 92708 (714) 593-7843 adasilva@ocsd.com Project Name: Contract No. 4656-Joint Water Pollution Control Plant East Laboratory Central Plant, County Sanitation District No. 2 of LA County Project Location: 1928 Nelson Ave. Redondo Beach, CA 90278 Description of work: Demolition of existing facilities, and installation of new chiller, cooling tower, chilled water pumps, condenser pumps, and associated piping, electrical, instrumentation, and controls, Owner: County Sanitation District No. 2, of Los Angeles County 1955 Workman Mill Road, Whittier, CA 90601- 1400 Kimberly S. Compton (562) 699-7411 Final Contract Amount$602,705.39 Project Name: P2 City Water Pump Station Standby Power, Project No. FE07-19 Contractor Amount: $ 487,000.00 Description of work Completed: Provide infrastructure including Duct Bank installation throughout plant for installation of MV- 1200 A transfer switch feed from two utility source and power generation stand by Generators. The entire project was to provide back-up for city water station at OCSD plant 2. Work was completed ahead of schedule. Owner: Orange County Sanitation District Division 760, Resident Engineer Contact Name: Huan Hoang Nguyen 10844 Ellis Avenue Fountain Valley, California 92708-7018 (714) 593-7865 Proiect Name: FV129205, Main Kitchen Transformer Upgrade Project Number: 12 SR#4, Contract Number: FV129205 Description of work Completed: Replacement of 700 KVA, 5 KV Transformer for a Kitchen Facility supporting Fairview Hospital, Huntington Beach. Work included, civil work, Duct Banks, MV Cable pulling, splices, Terminations, new Switchgear and replacement under 4 hour shutdown windows at night. Owner: Department of Developmental Services, specifically Fairview Developmental Center Department of Developmental Services, Fairview Developmental Center 2501 Harbor Blvd. Costa Mesa, CA 92626 Contact Name: Attn: Kelly Vu (714) 957-5212 Proiect Name: C07-1023, Infrastructure & Central Plant, Phase I Cerritos Community College Contractor Amount: $10,603,697.58 Description of work Completed: Provide and install new 3000A, 12KV switchgear, Master clad by Square D. The new MV Gear replaced existing equipment occupied on same footprint. The work was performed without interruption to operation of the college campus. Work also included civil work, Duct Banks, Temp Generator, Temp 12KV switchgear, MV Cable pulling, MV splices and Terminations. Project Address: Cerritos Community College, 11110 Alondra Blvd, Norwalk, California 90650 Owner:Cerritos Community College District 16126 Studebaker Rd., Norwalk, CA 90650 Contact Name: Jerry Jones - (714) 600-2133 Year Completed: 2009 Proiect Name: "0708-03, Infrastructure & Central Plant, Phase II, Cerritos Community College" Description of work Completed: Underground site utilities including 12 KV Substation for new central plant building Project Address: Cerritos Community College, 11110 Alondra Blvd, Norwalk, California 90650 Contractor Amount: $1,737,000.00 Owner: Cerritos Community College District 16126 Studebaker Rd. Norwalk, CA 90650 Contact Name: Jerry Jones - (714) 600-2133 Year Completed: 2009 Project Name: 0708-12, Infrastructure & Central Plant, Phase III Cerritos Community College Description of work Completed: Underground site utilities including 12 KV Substation for new central plant building Proiect Address: Cerritos Community College, 11110 Alondra Blvd, Norwalk, California 90650 Contractor Amount: $4,977,000.00 Owner: Cerritos Community College District 16126 Studebaker Rd. Norwalk, CA 90650 Contact Name: Jerry Jones (714) 600-2133 Year Completed: 2009 Protect Name: Anderson Two Story Classroom Building, Project#0001-11-12 (New Building, Structural, Steel, Conc., Elec., HVAC) Proiect Address: William Anderson Elementary School 4130 West 154th Street, Lawndale, CA 90260 Contractor Amount: $ 4,472,977.53 Owner: Lawndale Elementary School District 4161 West 147th Street, Lawndale, CA 90260 Contact Name: Kier Toth (858) 610- 3208 Completion date: November 26, 2012 Protect Name: IFB 1420-10/11- Modernization Project-Lincoln School, Los Angeles County Office of Education (HVAC Units Replacements) Project Address: Lincoln Special Education School 600 E Grand Ave., San Gabriel, CA 91776 Description of work: School Modernization Project Contract Amount: $2,161,511.45 Owner: Los Angeles County Office of Education 9300 Imperial Highway, Downey, CA 90242 Construction Manager: Architects MSP, Inc. Edgar J. Paz, AIA 3575 Long Beach Boulevard, Long Beach, CA 90807 (562)427 5007 Completion date: March 12, 2012 Magdy Michael Civil Engineering Magdy.m@mincoconstruction.com Civil Engineering, PROJECT MANAGER: Involved in contractor representation in all construction related matters with the client.That includes but not limited to project schedule, progress, labor delegation,delays, change orders, close out, submittals, and RFIs. WORK EXPERIENCE Project Manager, Minco Construction—General Contractor Juanita Millender-McDonald Carson Regional Water Recycling Plant HVAC Improvement Project Agreement No. W2677 Project Location: Juanita Millender-McDonald Carson Regional Water Recycling Plant 21029 S.Wilmington Ave., Long Beach, CA 90810-1233 Scope of work: The Improvements include: a.Addition of insulation to the walls and roofs, b. Installation of new siding c. Replacement of doors and door frames, d. Installation of ventilation lovers e. Servicing of Existing HVAC equipment Owner Name &Address: West Basin Municipal Water District 17140 S.Avalon Blvd., Suite 210, Carson, CA 90746-1296 Stephanie Olague, Operations Analyst Phone: 310-613-7886 Fax: 310-217-2414 Contract Amount: Original Contract Amount: $274,000.00 Final Contract Amount: $275,969.25 Completion date:January 25, 2017 Contract Value: $3,555,077 Project Manager, Minco Construction—General Contractor Projects Description: Parkway Concrete Maintenance, Los Angeles County Project:Job Order Contract, Project ID No. RMDJOC1306 Duration:January 26, 2015—November 11, 2015 Client: County of Los Angeles, Department of Public Works Mr. Dennis Inner, (562) 869-1176 Total Value in General Work: $2,205,236.61 Project Manager, Minco Construction—General Contractor Projects Description: Parkway Concrete Maintenance, South Los Angeles County Project:Job Order Contract, Project ID No. RMDJOC1215 Duration:June 19, 2013—November 10, 2014 Client: County of Los Angeles, Department of Public Works Page 1 of 3 Waleed Jouzy (626) 300-3289 Total Value in General Work: $2,881,851.77 Project Manager, Minco Construction—General Contractor Projects Description: Building, HVAC, Site Work, Maintenance & Roofing. Multiple locations in Los Angeles County—Total of 35 Projects Duration: February 2010—December 2012 Client: Los Angeles County Department of Public Works Brian Soria—626-458-2588 Total Value in General Work: $12,561,355 Project Manager, Minco Construction—General Contractor Project: Horace Mann Auditorium Modernization 8701 Charleville Blvd, Beverly Hills 90211 Duration: August 2012— March 2013 Client: Beverly Hills Unified School District Contact: Chris Kasteiner-661.510.6364 Contract Value: $3,555,077 Project Manager, Minco Construction—General Contractor Project:John Wayne Airport Misc. Restorations 3160 Airway Ave. Costa Mesa CA 92626 Duration: December 2011— May 2012 Client: John Wayne Airport Contract: Ahmed Sobhy- 714-343-1250 Contract Value: $840,500 Project Manager, Minco Construction—General Contractor Project Name: Parkway Concrete Maintenance, South Los Angeles County Work Order Number: 1306 Project Location: Various Locations Description of Work:Job order Contract for repair and Maintenance Parkway Concrete at Various Locations Owner Name &Address: County of Los Angeles, Department of Public Works 900 South Fremont Ave., Alhambra, CA 91803-1331 Ms. Irma Vasquez(626)458-4951 Contract Amount: $2,405,236.61 Original Contract Amount: $2,405,236.61 Completed date: January 31, 2016 Project Manager, Minco Construction—General Contractor Project Name: Sierra HS/Azusa Adult School Fire Alarm Upgrade Bid No. 2015-006 Azusa Unified School District Project Location: Sierra HS/Azusa Adult School, 1134 South Barranca Ave., Glendora, CA 91740 Description of Work: School fire Alarm Upgrade Owner Name & Address: Azusa Unified School District Attn: Mr. Derek Parker 546 Citrus Avenue Azusa, CA 91702 DParker@azusa.org (626) 732-4230 phone Page 2 of 3 626-858-6163 fax Contract Amount: Final Contract Amount: $347,000.00 Started date: April 26, 2016 Completed Date July 8, 2016 Page 3 of 3 Minco's Completed Projects and References (452) Project Name: Capital Improvement Project No.15-05 Annual Miscellaneous Concrete Construction and Repair Project,Area "D" Project Location: Various Locations at City Area "D" Scope of work: Construction and Repair Project Streets improvements: Remove, Reconstruct, and Improvements PCC Sidewalk,Slab Ramp with Detectable Warning Device, Remove and Reconstruct Variable Height Owner Name&Address: City of Downey 11111 Brookshire Avenue Downey, CA 90241-7016 Attn: Desi Gutierrez Phone: (562) 622-3468 Fax: (562) 669-7331 Contract Amount: Original Contract Amount: $544,796.00 Final Contract Amount: $544,796.00 Duration: Notice to proceed:July 31, 2015 Completion Date: December 2, 2015 Architects: Mr. Keith Hoey Associate Civil Engineer 11111 Brookshire Avenue Downey, CA 90241-7016 Phone: (562) 622-5898 khoev@downeyca.org Construction Manager: Mr. Keith Hoey Associate Civil Engineer 11111 Brookshire Avenue Downey, CA 90241-7016 Phone: (562) 622-5898 khoey@downeyca.org Inspector: None Minco's Projects Completed References (454-480) Project Name: Removal and Replacement of Sidewalks, Curbs and Gutters At various and Gutters at various Locations within the City of Brea. Project Location: Various Locations within the City of Brea Scope of Work: removal and replacement of sidewalks, curbs and gutters, traffic control, saw cutting of pavement, removal of existing concrete, removal of tree roots, minor grading and preparation of the sub-grade to reconstruct the concrete improvement, and clean-up of the work-sites. The work is on an as- needed basis. Owner Name i* Address: City of Brea, Public Works 1111 E. Artesia Boulevard 1 Civic center Circle, Brea, CA 92821 Attn: Mr. Jerry Mestas (714) 240-9478 Brea City Maintenance Service 545 N Berry St, Brea, CA 92821 92821 Tell: (714) 990-7650 Fax: (714) 671-1493 Contract Amount: Original Contract Amount: $200,000.00 Final Contract Amount: Duration: Start date: October 12, 2015 Completion Date: June 30, 2016 Architects: City of Brea, Public Works 1111 E. Artesia Boulevard 1 Civic center Circle Brea, CA 92821 Attn: Mr. Will Wenz (714) 990-7695 Construction Manager: City of Brea, Public Works 1111 E. Artesia Boulevard 1 Civic center Circle Brea, CA 92821 Tell: (714) 990-7650 Fax: (714) 671-1493 Minco's Completed Projects and References (450) Project Name: Parkway Concrete Maintenance, South Los Angeles County Work Order Number: 1306 Scope of work: Job order Contract for repair and Maintenance Parkway Concrete at Various Locations Owner Name &Address: County of Los Angeles Department of Public Works 900 South Fremont Ave. Alhambra, CA 91803-1331 Attn: Mr. Matt Jerge Phone: (626)458-2593 Contract Amount: Original Contract Amount: $2,405,236.61 Final Contract Amount: $2,405,236.61 Duration: Started date:January 1, 2015 Completion Date: December 31, 2015 Architects: County of Los Angeles Department of Public Works 900 South Fremont Ave. Alhambra, CA 91803-1331 (626)458-4951 Construction Manager: County of Los Angeles Department of Public Works 900 South Fremont Ave. Alhambra, CA 91803-1331 Attn: Mr. Dennis Ittner, at (562) 869-1176 Inspector: None Minco's Completed Projects and References (454) Project Name: Removal and Replacement of Sidewalks, Curbs and Gutters At various and Gutters at various Locations within the City of Brea. Project Location: Various Locations within the City of Brea Scope of Work: Removal and replacement of sidewalks, curbs and gutters, traffic control, saw cutting of pavement, removal of existing concrete, removal of tree roots, minor grading and preparation of the sub-grade to reconstruct the concrete improvement, and clean-up of the work-sites. The work is on an as- needed basis. Owner Name &t Address: City of Brea, Public Works 1 Civic center Circle Brea, CA 92821 Attn: Mr. Jerry Mestas (714) 240-9478 Brea City Maintenance Service 545 N Berry St, Brea, CA 92821 92821 Fax: (714) 671-1493 Contract Amount: Original Contract Amount: $180,000.00 Final Contract Amount: $179,994.00 Duration: Start date: May 1, 2016 Completion Date: June 30, 2016 Architects: City of Brea, Public Works 1111 E. Artesia Boulevard 1 Civic center Circle Brea, CA 92821 Attn: Mr. Will Wenz (714) 990-7695 Construction Manager: City of Brea, Public Works 1111 E. Artesia Boulevard 1 Civic center Circle Brea, CA 92821 Tell: (714) 990-7650 Fax: (714) 671-1493 Minco's Completed Projects and References Project Name: Imperial Middle School East and West Courtyards & Marquees for Washington and Imperial Middle Schools, PIN B07-2013 Project Location: Washington Middle School: 716 E La Habra Blvd, La Habra, CA 90631 Imperial Middle School: 1450 South School Wood Dr La Habra, CA 90631 Scope of work: Construction of 4000 square feet courtyards for elementary school including, grading, new storm drain system, planter walls, and permeable pavers and misc. concrete structures. Owner Name &Address: La Habra City School District 500 N Walnut St, La Habra, CA 90631 David Decker, AIA (562) 690-2305 (562) 690-4154 Fax Contract Amount: Original Contract Amount: $437,700.00 Final Contract Amount: $474,493.10 Duration: Started date:August 7, 2013 Completion Date:January 24, 2014 Architects: TDM Architects Inc. Tegtmeyer, Depanian &Miller Architects, Inc. TDM Architects Inc. 930 Colorado Blvd. Los Angeles, CA 90041 Phone:(323) 254-9200 Fax: (323) 254-9511 Construction Manager: Vanir Construction Management 600 Wilshire Blvd Ste 870 Los Angeles, CA 90017-3224 (213)627-7371 Inspector: Carey Klingfus,Vice President, American Engineering Laboratories, Inc. (562)697-4000 Office, (888)287-0875 Toll Free, (562)697-4009 Fax, (760) 220-7141 cell Minco's Completed Projects and References (297) Project Name: CCC-0106, Utilities Infrastructure Project Phase 2 Compton Community College District Project Location: Compton Community College, 1111 E.Artesia Blvd., Compton, CA 90221 Scope of work: Utilities Infrastructure Project Contract Amount: Original Contract Amount: $10,177,700.00 Final Contract Amount: $10,594,225.23 Owner Name&Address: Compton Community College District 1111 E.Artesia Blvd., Compton 90221. Attn: Linda Owens Director of Facilities Planning and Operations Phone: 310.900.1600 x2606 I cell: 310.200.6900 E-mail: lowens@elcamino.edu Duration: Started date: October 1, 2012 Completion Date:January 13, 2014 Architects: S&K Engineers, Attn: Rob Vazquez 421 E. Huntington Drive, Monrovia, CA 91016 Tel: (626)930-1383 x118 Fax: (626) 930-1385 Attn: Rob Vazquez Construction Manager: Lend Lease (US) Construction Inc. 800 West 6th Street, 16th Floor Los Angeles, CA 90017 Attn: David Shire david.shire@lendlease.com Tel: (951)757-9439 Fax: (213)430-4699 1 nspector: LCC3 Construction Services, Inc., P.O. Box 1292,Victorville, CA 92393 (760) 242-6766,Attn: Daryl Koroluck Minco's Completed Projects and References (481) Project Name: Orange Coast College Solar Photovoltaic-Switch House 14160V Project, Bid No. 2068 Project Location: Orange Coast College, 2701 Fairview Road, Costa Mesa, CA 92626 Scope of work: Electrical and communication system improvements in the North West area of the campus, increasing the 4160V system load loop and construction of a new masonry Electrical Switch House I. and interconnect with the 1MW photovoltaic project. In addition, a 1MW photovoltaic project is currently under construction (by others) that will require interconnection to the campus 4160V system. Owner Name &t Address: Coast Community College District Attn: Lynne Thissell District Facilities Support Coordinator 1370 Adams Avenue Costa Mesa, CA 92626 (714) 438-4600 Contract Amount: Original Contract Amount: $2,137,770.00 Final Contract Amount: $2,192,849.87 Started date: January 21, 2016 Completed Date: July 12, 2016 Architects: Westberg + White, Inc. Architects and Planners 14471 Chambers Road, Suite 210, Tustin, CA 92780-6964 Tel: (714) 508-1780 Fax :( 714) 508-1790 tustin@wwarch.com Construction Manager: Power Engineering Services, Inc. 2703 Saturn St Brea, CA 92821 714) 356-3388 Phone: (714) 524-9100 Fax: (714)528-8782 Attn: Lary Atherton t.atherton@pespower.com Inspector: Max Tehrani (Inspector) max@ucmi-inc.com max@ucmi-inc.com (949) 378-0568 Minco's Completed Projects and References (384) Project Name: Irvine High School Classroom Addition (Project#600N-3-14-861), Bid Package 13 Electrical Irvine Unified School District Project Location: Irvine High School,4321 Walnut Ave., Irvine,CA 92604 Scope of Work: The scope of work is the electrical package includes the followings: Power system- installing new transformer, new feeders, new panels, new switchboard, wiring and outlets, Install AC unit outlets and elevator system power, Lighting system- interior and exterior include lighting fixtures, lighting control, motion sensors, occupancy sensors, photocells and LCPs, Low voltage systems - access door, intrusion system, data and communications system, telephone system, fire alarm system, audio visual system, public address system and clock system Owner Name&Address: Irvine Unified School District 5050 Barranca Parkway, Irvine, California 92604 Kelvin Okino Executive Director, Facilities and Construction (949)936-5322 Kelvin0kino@iusd.org Contract Amount: Original Contract Amount: $1,287,770.00 Final Contract Amount: $1,303,044.00 Duration: Notice to proceed:July 14, 2014 Completion Date:October 16, 2015 Architects: HMC Architects 633 W 5th Street 3`d. FL., Los Angeles, CA 90071-2005 Managing Principal Pasqual Gutierrez (213) 542-8300 office (213) 542-8301 fax Construction Manager: Bernards 2569 McCabe Way, Suite 100 Irvine, CA 92614 Brooke Duncan Cell#: (949)293-2407 (949)461-3650 bduncan@bernards.com Tish Rubalcaba Cell#: (818) 294-3373-T(949) 330-5980 trubalcaba@bernards.com Inspector: Greg Gardner, Cell #: (951) 225-5214 Minco's Completed Projects and References (481) Project Name: Sunset Village Emergency Generator Replacement University of California, Los Angeles Order Number: 9910 Z TA161 Project Number 946488.01 Project Location: 330 De Neve Drive Los Angeles, CA 90095-1492 Scope of Work: Replace the emergency diesel generator that currently serves the Sunset Village undergraduate residential complex in the northwest campus. The up-sized new generator will serve Delta Terrace, Courtside and Canyon Point undergraduate residential buildings as well as the 648- seat undergraduate dining facility on the A-level of the Covet Commons building. The generator shall be installed within the existing fenced enclosure adjacent to the Covet Commons loading dock. The scope of work includes replacement of switchboards, distribution boards, and electrical feeders, a new underground utility bank to connect the new generator to the Covet Commons main electrical room, and provision of emergency switchboards, panelboards and miscellaneous electrical work in Covet Commons. Owner Name Et Address: UCLA Project Management Services 330 De Neve Drive, Room L-22, Los Angeles, CA 90095-1492 Attn: Vladimir E Koshelev University Representative Office: (310) 206-6353 Cell: (310) 502-1084 Fax: (310) 825-4587 vkoshelev@ha.ucla.edu Contract Amount: Original Contract Amount: $517,700.00 Final Contract Amount: $610,604.00 Started date: Notice to proceed date: September 30, 2015 Completed Date: August 29, 2016 Electrical and Mechanical Engineer: BERG Power Engineers, Inc. 417 E. Merced Ave., West Covina, CA 91790 Tel: (626) 917-6665 Construction Manager: UCLA Project Management Services 330 De Neve Drive, Room L-22, Los Angeles, CA 90095-1492 (T) 310-7949409 (F) 310-825-4587 Minco's Completed Projects and References (557) Project Name: Juanita Millender-McDonald Carson Regional Water Recycling Plant HVAC Improvement Project Agreement No. W2677 Project Location: Juanita Millender-McDonald Carson Regional Water Recycling Plant 21029 S. Wilmington Ave., Long Beach, CA 90810-1233 Scope of work: The Improvements include: a. Addition of insulation to the walls and roofs, b. Installation of new siding c. Replacement of doors and door frames, d. Installation of ventilation lovers e. Servicing of Existing HVAC equipment Owner Name Et Address: West Basin Municipal Water District 17140 S. Avalon Blvd.,Suite 210 Carson, CA 90746-1296 Stephanie Olague Phone:310-613-7886 Fax:310-217-2414 Contract Amount: Original Contract Amount: $274,000.00 Notice to proceed date: September 26, 2016 Completion date: January 25, 2017 Architect: Hazen and Sawyer 1149 S. Hill Street,Suite 450 Los Angeles, CA, 90015 Contact:Nicole Blute Email:nblute@hazenandsawyer.com Phone:213-234-1080 Fax:213-765-0261 Construction Manager: LEE& RO, Inc. Attn:David Tiscareno Civil Engineer 1199 S. Fullerton Road City of Industry, CA 91748 Office(626) 667-5387 Cell(626) 774-4479 Fax(626) 912-4015 www.LEE-RO.com Minco's Completed Projects and References (386) Project Name: The Joseph Jensen Water Treatment Plant Solids Transfer Specifications No. 1758 Contract No. 1788 Metropolitan Water District of Southern California Scope of Work: The work consists of installing 7,600 feet of 6-inch to 10-inch pipeline, a utility crossing structure, four solids lagoon inlet structures, utility duct banks and cabinets, and appurtenances. Project Location: Joseph Jensen Treatment Plant 13100 Balboa Blvd. Granada Hills, CA 91344 Owner Name&Address: Metropolitan Water District of Southern California 700 N.Alameda Street Los Angeles, CA 90012 Contact Name: Attn: Brian May Tel: (909) 392-5140 bmav@mwdh20.com Contract Amount: Original Contract Amount: $1,977,700.00 Final Contract Amount: $2,067,479.58 Duration: Started date:July 29, 2014 Completion Date: March 31, 2015 Architects: Metropolitan Water District of Southern California 700 N.Alameda Street Los Angeles, CA 90012 Tel: (909) 392-5140 bmav@mwdh20.com Construction Manager: Metropolitan Water District of Southern California 700 N.Alameda Street Los Angeles, CA 90012 Tel: (909) 392-5140 Inspector: None RESOLUTION OF MINAKO AMERICA CORPORATION DBA MINCO CONSTRUCTION Whereas, the Board of Directors of Minako America Corporation convened on November 1, 2004; and Whereas,by unanimous vote authorized Refaat Mina, as President and Secretary of the corporation,to sign on behalf of the corporation. RESOLVED, that the Chairman of the Board, the President and any Vice President of the corporation be, and that each of them hereby is, authorized to execute any and all documents necessary for the transaction of corporate business, including but not limited to contracts, bonds, leases, loans and documents of title; and that said officers and the corporation agree to be bound by the execution of any obligations executed by said officers. IN WITNESS WHEREOF, Minako America Corporation, dba, Minco Construction, has caused these presents to be signed by its respective President and attested by its Secretary this I"'day of November,2004. lkefa6Mina,President ATTEST: efaat bla, Secretary COS TORS CfCc� STATE LICE �E BOARD ^� ACTIVE LICENSE . 612429 --CORP a...,,,�. MINAKO AMERICA CORPORATION DBA MINCO CONSTRUCTION u.y.w., A B C-7 CIO 9..D. 09/30/2018 www.csib.ca.gov w L*w Name fteOIslration t3umber Caueriy City RsgCaUatbon Dale Exp[mWn Gate N MXO AMERICA CORPORATION I 10OM2728 LOS ANGELES WDENA 06fU912o17 pSl3012018 15 - 112913 ••:°��� State of California S n. Secretary of State : °;,.. Statement of Information (Domestic Stock and Agricultural Cooperative Corporations) FILE® FEES (Filing and Disclosure):$25.00. If this is an amendment,see instructions. Secretary of State IMPORTANT-READ INSTRUCTIONS BEFORE COMPLETING THIS FORM State of Califamia 1. CORPORATE NAME SEP 0 8 2015 MINAKOAMERICA CORPORATION 522 E. AIRLINE WAY GARDENA CA 90248 2. CALIFORNIA CORPORATE NUMBER 5 T I 1-5;(C C r 'L C2482226 This Space for Filing Use Only No Change Statement Not applicable if agent address of record is a P.O.Box address. See instructions.) 3. If there have been any:changes to the.information contained In the last Statement of:informatfoh filed with the California Secretary of State,or no statement of information has been previously flied,this form must be completed in its entirety. If there has been no change in any of the information contained In the last Statement of Information filed with the California Secretary of State,check the box and proceed to Item 17. Complete Addresses for the Following (Do not abbreviate the name of the city. Items 4 and 5 cannot be P.O.Boxes.) 4. STREET ADDRESS OF PRINCIPAL.EXECUTIVE OFFICE CITY STATE ZIP CODE 522 E.AIRLINE WAY GARDENA CA 90248 GARDENA CA 90248 5. STREET ADDRESS OF PRINCIPAL BUSINESS OFFICE IN CALIFORNIA.IF ANY CITY STATE ZIP CODE 522 E.AIRLINE WAY GARDENA CA 90248 GARDENA CA 90248 6. MAILING ADDRESS OF CORPORATION.IF DIFFERENT THAN ITEM 4 CITY STATE ZIP CODE Names and Complete Addresses of the Following Officers (The corporation must list these three officers. A comparable title for the specific officer may be added:however,the preprinted titles on this form must not be altered.) 7. CHIEF EXECUTIVE OFFICER! ADDRESS CITY STATE ZIP CODE REFAAT H MINA 522 E AIRLINE WAY GARDENA CA 90248 8. SECRETARY ADDRESS CITY STATE ZIP CODE REFAAT H MINA 522 E AIRLINE WAY GARDENA CA 90248 9. CHIEF FINANCIAL OFFICER! ADDRESS CITY STATE ZIP CODE REFAAT H MINA 522 E AIRLINE WAY GARDENA CA 90248 Names and Complete Addresses of All Directors, Including Directors Who are Also Officers (The corporation must have at least"one director. Attach additional pages,If necessary.) 10..NAME ADDRESS CITY STATE ZIP CODE REFAAT H MINA 522 E AIRLINE WAY GARDENA CA 90248 11. NAME ADDRESS CITY STATE ZIP CODE 12. NAME ADDRESS CITY STATE ZIP CODE 13. NUMBER OF VACANCIES ON THE BOARD OF DIRECTORS,IF ANY: Agent for Service of Process If the agent is an Individual,the agent must reside in Callfomia and Item 15 must be completed with a California street address.a P.O.Box address Is not acceptable. If the agent is another corporation.the agent must have on file with the California Secretary of State a certificate pursuant to California Corporations Code section 1505 and Item 15 must be left blank. 14. NAME OF AGENT FOR SERVICE OF PROCESS REFAAT H MINA 15. STREET ADDRESS OF AGENT FOR SERVICE OF PROCESS IN CALIFORNIA.IF AN INDIVIDUAL CITY STATE ZIP CODE 522 E AIRLINE WAY CA 90248 Type of Business 16. DESCRIBE THE TYPE OF BUSINESS OF THE CORPORATION CONSTRUCTION 17. BY SUBMITTING THIS STATEMENT OF INFORMATION TO THE CALIFORNIA SECRETARY OF STATE, CORPO ON RTIFIES THE INFORMATION CONTAINED HEREIN.INCLUDING ANY ATTACHMENTS.IS TRUE AND CORRECT. 08/28/2015 REFAAT H MIA • PRESIDENT DATE TYPEIPRINT,NAME OF PERSON COMPLETING FORM TITLE SIGNATURE SI-200(REV 01i2013) APPROVED BY SECRETARY OF STATE POWER OF ATTORNEY UNITED STATES FIRE INSURANCE COMPANY PRINCIPAL OFFICE-MORRISTOWN,NEW JERSEY 04594432918 KNOW ALL MEN BY'I'llESE PRESENTS:That United Stales Fire Insurance Company,a corporation duly organized and existing under the laws ofthe state ol*Delaware,has made,constituted and appointed,and does hereby snake,constitute and appoint: Philip E. Vega, Kevin Vega,Britton Christiansen,Myrna Smith each, its true and lawful Attorncy(s)-In-Fact, with full power and authority hereby conferred in its name,place and stead,to execute,acknowledge and deliver: Any and all bonds and undertakings of'surety and other documents that the ordinary course of surety business may require, and to bind United States Fire Insurance Company thereby as fully and to the same extent as if such bonds or undertakings had been duly executed and acknowledged by the regularly elected oflicers of United States Fire Insurance Company at its principal ollice, in amounts or penalties not exceeding: Seven Million, Five Hundred Thousand Dollars($7,500,000). This Power of Attorney limits the act ol'those named therein to the bonds and undertakings specifically named therein, and they have no authority to bind United States Fire Insurance Company except in the manner and to the extent therein stated. This Power of Attorney revokes all previous Powers of Attorney issued on behalf'of the Attorneys-In-Fact nanned above and expires on January 31,2018. 'ihis Power ol*Attorney is granted pursuant to Article IV oh the lay-Laws of United States Fire Insurance Company as now in full force and eflect, and consistent with Article III thereof,which Articles provide, in pertinent part: Article IV, Execution of Instruments- Except as the Board of Directors may authorize by resolution, the Chairman of tlne Board, President, any Vice-President,any Assistant Vice President,the Secretary,or any Assistant Secretary shall have power on behalf of the Corporation: (a) to execute, affix the corporate seal manually or by facsimile to, acknowledge, verily and deliver any contracts,obligations, instruments and documents whatsoever in connection with its business including, without limiting the foregoing, any bonds, guarantees, undertakings, recognizances, powers of attorney or revocations of any powers of attorney, stipulations, policies of insurance, deeds, leases, mortgages, releases,satisfactions and agency agreements; (b) to appoint, in writing,one or more persons for any or all of the purposes mentioned in the preceding paragraph(a), including allixing the seal of the Corporation. Article 111, Oflicers, Section 3.11, Facsimile Signatures. The signature of any oflicer authorized by the Corporation to sign any bonds, guarantees, undertakings, recognizances, stipulations, powers of attorney or revocations of any powers of attorney and policies of insurance issued by the Corporation may be printed, facsimile, lithographed or otherwise produced. In addition, if and as authorized by the Board of Directors, dividend warrants or checks, or other numerous instruments similar to one another in form, may be signed by the facsimile Signature or signatures, lithographed or otherwise produced, of such officer or officers of the Corporation as from time to time may be authorized to sign such instruments on behalf'of'the Corporation. The Corporation may continue to use for the purposes herein staled the facsimile signature of any person or persons who shall have been such officer or officers of the Corporation,notwithstanding the fact that he may have ceased to be such at the time when such instruments shall be issued. IN WITNESS WHEREOF, United States Fire Insurance Company has caused these presents to be signed and attested by its appropriate oflicer and its corporate seal hereunto allixed this 10"'day of*March,2016. UNI TEDSTATES,FIRFIN.SIIRANCECOMPANY y"�w\ r!'i- Anthony IZ.Slimowicr_,Senior Vice President State o l'New Jcrsey i County of Morris ) On this 10"' day of March 2016, before me, a Notary public of the State of New Jersey, came the above named officer ol*United States Fire Insurance Company, to me personally known to be the individual and ollicer described herein, and acknowledged that he executed the foregoing instrument and affixed the seal ol'United States Fire Insurance Company thereto by the authority of his office. / SONIASCALA �,� S"v... c /�lIl({_..•{'lC1_. NOTAIZY 11URLIC0FNEW JERSEY Sonia Scala (Notary Public) MY COMMISSION EXPIRES3/25/2019 I,the undersigned ollicer of United Stales Fire Insurance Company,a Delaware corporation,do hereby certify that the original Power of*Attorney ol'which the foregoing is a lull,true and correct copy is still in force and ellect and has not been revoked. IN WITNESS WI IERL:OF, I have hereunto set my hand and allixed the corporate seal of United States Fire Insurance Company on 1he15thuay of October 2017 UNITED STATES FIRE INSURANCE COMPANY i Al Wright,Senior Vice President BID BOND KNOW ALL BY THESE PRESENTS,That we, MINAKO AMERICA CORPORATION dba MINCO CONSTRUCTION of 522 E.AIRLINE WAY GARDENA,CA 90248 (hereinafter called the Principal), as Principal, and UNITED STATES FIRE INSURANCE COMPANY (hereinafter called the Surety),as Surety are bald and firmly bound unto CITY OF HUNTINGTON BEACH (hereinafter called the Obligee) in the penal sum of TEN PERCENT OF AMOUNT BID Dollars($ 10% ) 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 1S SUCH,That WHEREAS, the Principal has submitted or is about to submit a proposal fo the Obligee on a contract for PARK BENCH CAFE PARKING LOT IMPROVEMENTS NOW, THEREFORE, If the said Contract be timely awarded to the Principal and the Principal shall, within Such time as may be specified, enter into the Contract in writing, and give bond, if bond is required, with surety acceptable to the Obligee for the faithful performance of the said Contract, then this obligation shall be void;otherwise to remain in full force and effect. Signed and sealed this 16TH day of OCTOBER , 2017 MINAKO AMERICA CORP TION dba MINCO CONSTRUCTION (Seal) ' Principal Witness77- ,�' 96,"q gT/H NA, PrRc sraC-A1T" Title UNITED STATES*IRE INSURANCE COMPANY I ' Witness By KE IN VEGA, At?orney-in-Fact CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy, or validity of that document. State of California ) County of LOS ANGELES ) On 10/16/2017 before me, PHILIP VEGA, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared KEVIN VEGA Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the persons whose nameN is/are subscribed to the within instrument and acknowledged to me that he/ske/fhT executed the same in his/M1 Wth,sir authorized capacity(fe& and that by his/he;/?he signatureN on the instrument the personNI, or the entity upon behalf of which the personT*acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the f regoing paragraph is true and correct. `°�Fr PHILIP VEGA WITNESS my hand and off ici seal. Comm.# 2152121 'fin N � NOTARY PUBLIC-CALIFORNIA U1 MY Comm,EXP,MAY 31 T2020 i1 Signature nature Signallyotary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association - www.NationalNotary.org - 1-800-US NOTARY(1-800-876-6827) Item#5907 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness,accuracy,or validity of that document. State of California ) County of Los Angeles ) On 10/17/2017 before me, Raffi Varooj Thomassian, Notary Public Date Here Insert Name and Title of the Officer personally appeared Refaat H. Mina Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/sire/" executed the same in his/hedthe+r authorized capacity(iee), and that by his/fast/t4eir signature(s)on the instrument the person(e), 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. RAFFI VAROOJ THOMASSIAN WITNESS my hand and official seal. Notary Public • California a -"�r Los Angeles County i z�^� z ' Commission # 2152450 ' Signature My Comm.Expires May 12,2020 Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑ Partner — ❑Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association • www.NationaiNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 'p:b 'T'y�:;sr. 'r '. X�.,a.,_.=. „xbr .r i. t .: k '•�' ..: a^"" y, p,,., ;�a,, �, r+ ate' e-r F' v ,, ,s*, - =z ' s } 3T�r }A 1 1r K _ ,' a; Minako America Corporation, KT �aP Nye 41 �VwQI piS� � }SVF d � L •3,{ �.y•''� Y '", h 1 €�. '3#w. �' Y 1L`..• �..r;:a dba Minoo Construction � > , � � � L71,� -0 ; e,' `tinif k.1 -s�*; .. �4 � 6T` '-, �F.c'� r' `^,�'r' 522 E. Airline way €°e n •dzx s a t E s�z r �t5 4 r1 i 1/� }r � .t'' � :a�3 afi$` a. w9"e y� ,�t r•mr r �.c S Sir r'`t'(t z �' q".Y �1 '�r Y V ir.l V E a. Gardena, CA 9�1245 . e mr ey, p h •� `ems..3 '.-� Y. �,-x �..s F ve. i "'• yi. - t' T;{•. 75 .r:-M �, � - �c � ,..'A Sealed Bid for: e-�tr � id i , trF . dg ;yam twtr� f c I r 1 z T. V r� mac.^-xa wF 1.. 1 F t- 'F a .,,^q i �}�1�ri�{V, p 7 _ -r -LING[OWBEAV- i "' ra .f .;ti r' �.k,+'.��i .1 f",l •x,a..v ,r• u '"„�,- 'r Ada: w1 j }� p• ,;p... -� Park Bench Cafe 3}s,3'r� v�,s,i d •3 �, fJ - rd a a. is�.�;,d`" r R +� .- i Y - y .k 7. , ,,.. T`. rrfr Parking Lot Improvements fi f ✓ 1 F i-k _G ,k -gn'�'T't•.�'••S��� `�" Y,k. }:: 5 +�°'f�+"'�� 4[ i Y 1. 'r -$, a r mar ..L 5.�,. .s 'S -s, ' "ss ' ti CC � t`r 3 T- 'i -ni F; 3 r ii�'unx�y'c, 3 a q« a >;��c r K s.'4* .f•;. 1,''1. 1562 " -s ..y�r a U. h y `� 1 r� {� f� `�" .�, V Ct[�liei �, L. 1 Llt .o1J I,1V1 x. as ,•1 �auYa ; z� •m av ra E� - ',tea 5� -+� 'S t+ - �L `" lr •,3�ve. '�`" + ^= g - �i �"^"s�"^x"�, R r t .a n- znt. v�'e. via rt r Lz y a J tifr+. �Y y X �.•f '�' 1 w r'M1 "�` 4 F ' _ n au -..ti;- �'"�r� en.,•.e7t �'.. ''� �:w�..��m.r� 4�S"�.a,..n �'�.7���� '� xa.� k � i �-,�. _ •1 r 4 1 - i� ,.�•>c,�.°..��� ..,x''.z���i'.�� � ��;5-fit.Y-."�tf a4z .�L "£ r - i 3 � • 2 ;" _ c f r e w r - s city of Huntington Beach I The office of the City Clerk 2000 Main Street. 2nd Floor Huntington Beach,. CA 92648 City of Huntington Beach a ==sail. M1 2000 Main Street o Huntington Beach, CA 92648 (714) 536-5227 o www.huntingtonbeachea.gov FEBa^ Pa_ : Office of the City Clerk I),1g09 Robin Estanislau, City Clerk December 4, 2017 NPG Corporation P.O. Box 1515 Perris, CA 92572 RE: Atlanta Park Bench Cafe Lot Improvements— CC-1562 Enclosed please find your original bid bond for CC-1562. Sincerely, 4�k �&�da4a� Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan o Waitakere, New Zealand SECTION C PROPOSAL for the construction of PARK BENCH CAFE PARKING LOT IMPROVEMENTS CC No. 1562 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 30 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 lurnp 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. 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. C-1 Accompanying this proposal of bid, find 10 % Bid Bond in the amount of which said amount is not less than l 0% 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 for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature None PROJECT BID SCHEDULE Bid �I� , r ,� ��� � �� ° o,ui, Contracts ,i« ; UnitO, Extendedr Descri tion m t ,, _ No.,�,��.,npi�..;..�„:n P re�a .yQuant� nit,� Pr,ice,s$ .�: �Arriount� . 1 Mobilization 1 LS $25,319.95 $ 25,319.95 2 SWPPP 1 LS $ 2,500.00 $ 2,500.00 3 TRAFFIC CONTROL 1 LS $ 3,500.00 $ 3,500.00 4 REMOVE EXISTING IMPROVMENTS PER DEMO PLAN 1 LS $28,000.00 $28,000.00 5 REPLACE TRAFFIC LOOPS PER CITY STANDARS 1 LS $ 2,340.00 $ 2,340.00 6 CONSTRUCT 6" PCC CURB 411 LF $ 38.40 $ 15,782.40 7 CONSTRUCT 6" PCC CURB & GUTTER 149 LF $42.00 $ 6,258.00 i 8 CONSTRUCT 4' WIDE PCC V-GUTTER 212 LF $40.80 $ 8,649.60 9 CONSTRUCT PCC APRON TRANSITION AT CATCH BASIN 32 SF $ 21.60 $ 691.20 10 CONSTRUCT 6" THICK PCC SIDEWALK 44 SF $19.20 $844.80 11 CONSTRUCT 4" THICK PCC SIDEWALK 1,371 SF $9.90 $13,572.90 12 CONSTRUCT CURB RAMP 164 SF $18.60 $3,050.40 13 CONSTRUCT 3"AC OVER 6.5" AB 3,600 SF $4.62 $16,632.00 14 MILL AC TO ACCOMMODATE 2" MIN. AC OVERLAY 10,410 SF $ 1.90 $ 19,779.00 15 MILL AC 2"TO ACCOMMODATE NEW SIDEWALK 255 SF $ 2.25 $ 573.75 16 INSTALL SIGNAGE AND STRIPING 1 LS $ 1.950.00 $ 1,950.00 Total Amount Base Bid in Figures: $ 149 444.00 Total Amount Base Bid in Words: One hundred forty nine thousand, four hundred forty four dollars & zero cents. C-2 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. Bid Name and Address of State Class DIR PWC Dollar % of Item(s) Subcontractor License Registration# Amount Contract Number Traffic Loops Crackfilling, Inc. C-10 5 946 S. Emerald Street 652956 1000003794 $1,800.00 1.2% C-32 Anaheim, CA 92804 By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 16th , at Perris ,CA Date City State Jeff Nelson , being first duly sworn, deposes and says that he or she is President of NPG, Inc. the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. NPG Inc. Name of Bi Jeff Nelson, President gnatur Bidder 1354 Jet Way, Perris, CA 92571 Address of Bidder C-4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this STATE OF California )SS certificate is attached, and not the truthfulness, COUNTY OF Riverside ) accuracy, or validity of that document. On 10/16/17 before me, Carol Marie Stone , Notary Public, personally appeared Jeff S. Nelson 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/she4hey executed the same in his/her/the' authorized capacityoes-�and that by his/ her/the' 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 han and official seal. w CAROL MARIE STONE Notary Public - California Signatur z e•"� Riverside County z * Z '` Commission #2154181 D Carol Mari one Notary is My Comm.Expires May 22,2020 This area for official notarial seal. OPTIONAL SECTION CAPACITY CLAIMED BY SIGNER Though statute does not require the Notary to fill in the data below,doing so may prove invaluable to persons r ing-on the documents. 0 INDIVIDUAL 0 CORPORATE OFFICERS) TITLE(S) 0 PARTNER(S) ❑ LIMITED ERAL 0 ATTORNEY-IN-FACT 0 TRUSTEE(S) 0 GUARDIAN/CONSERVATOR 0 OTHER Manager SIGNER IS REPRESEN Na of Person or Entity Name of Person or Entity OPTIONAL SECTION Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form. THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED BELOW TITLE OR TYPE OF DOCUMENT: City of Huntington Beach, Non-Collusion NUMBER OF PAGES N/A DATE OF DOCUMENT N/A SIGNER(S) OTHER THAN NAMED ABOVE N/A 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 PARK BENCH CAFE PARKING LOT IMPROVEMENTS, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is.familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. NPG, Inc. Contractor By tl ZZ Jeff Nelson, President Title Date: 10/16/17 C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, 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 �d No If the answer is yes, explain the circumstances in the space provided. N/A Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. NPG. Inc. Contractor By - Jeff Nelson, President Title Date: l 0/16/l 7 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: NPG, Inc. Bidder Name 1354 Jet Way Business Address Perris,CA 92571 City, State Zip ( 951 ) 940-0200 cstone@npgasphalt.com Telephone Number Email Address 664779 A, B, C-12 State Contractor's License No. and Class 3/7/90 Original Date Issued 2/28/19 Expiration Date The work site was inspected by Lou Ton of our office on October 12th , 2017 . The following are persons, firms, and corporations having a principal interest in this proposal: NPG. Inc. Jeff Nelson, President A California Corporation Sharon Nelson, CFO 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. NPG Inc. Company me S' nature of ViXer Jeff Nelson, President Printed or Typed Signature C-8 Jurat A notary public or ether officer completing this State of California certificate verifies only the identity of the individual who signed the document to which this County of Riverside SS certificate is attached, and not the truthfulness, accuracy, or validity of that document- Subscribed and sworn to (or affirmed) before me on this 16th day of October 2017 , by Day Month Year Jeff Nelson , proved to me on the basis of satisfactory evidence to be the person(s)who appeared before me. WITNESS my hand and official seal. CAROL MARIE STONE 7 Notary Public -California �! i @"'W-qC6.%4,r Riverside County Noiary Public Siguabire —Caral MarieSlone g1tud M, rMayl22,2020 For: City of Huntinton Beach Bid, Bidder Info NOTARY CERTIFICATE Subscribed and sworn to before me this_day of , 201_ A notary public or other officer completing this certificate verifies only the identity of Ithe / individual who signed the document, to which this certificate is attached, and n truthfulness, accuracy, or validity of that document. State of ) County of ) On before me, Month, Day, and Year Insert Name nd Title of Notary personally appeared Name(s) of Si er(s) who proved to me on the basis of satisfactory evid ce to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowl dged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and tat by his/her/their signature(s) on the instrument the person(s), or the entity upon/behalfch the person(s) acted, executed the instrument. I certify under PENALTY OFunder the laws of the State of California that the foregoing paragraph is true and WITNESS my hand and officia Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) **See Attached** C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of {Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets, an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."}. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1• Rancho California Water District, PO Box 9017 Temecula, CA 92589 Name and Address of Public Agency Name and Telephone No. of Project Manager: Tim Carlisle, (951) 453-9930 $1,000,000.00 On Call Asphalt Repairs Open Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Remove and replace failed concrete and asphalt in emergency situations. 2. Moreno Valley USD, 24050 Dracaea Ave, Moreno Valley, CA Name and Address of Public Agency Name and Telephone No. of Project Manager: Mike Barber, (949) 606-5070 $447,381.47 School Repairs 3/2017 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Remove and replace concrete at school site to improve look and safety of site. This project also required a large amount of striping. 3• City of Perris. 1015 South G Street, Perris, CA 92570 Name and Address of Public Agency Name and Telephone No. of Project Manager: Darrel Hartwell, (951) 657-3280 Open Asphalt Repairs Open Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Work closely with City and other contractors to ensure safety and compliance of streets and publicly owned parks. C-10 Ia ASPHALT Public Works References Rancho Water District Contact: Tim Carlisle PO Box 9017 Start: 10/30/13 Temecula,CA 92589 Finish: 03/18/14 (951)453-9930 Amount: $ 1,000,000.00 Open PO Project: Asphalt and Concrete Repairs PCM 3 Contact: Mike Barber 24050 Dracaea Ave Start: 12/21/16 Moreno Valley, CA Finish: 3/25/17 (949)606-5070 Amount: $410,444 Project: Butterfield ES City of Perris 1015 South G Street Contact: Daryl Hartwell Perris, CA 92570 Start: OPEN PO (951)657-3280 Finish: OPEN PO Project: Emergency Repairs Amount: $94,835.31 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. I. Lou Ton Name of proposed Project Manager Telephone No. of proposed Project Manager: (951) 204-8100 Rancho California Water District, $1,000,000, Asphalt & Concrete Repairs, Open Project Name & Contract Amount Type of Work Date Completed i Moreno Valley USD, $447,381.47 Concrete, Striping & ADA Repairs 3/2017 Project Name & Contract Amount Type of Work Date Completed City of Perris, Off, Asphalt Repairs Open Project Name & Contract Amount Type of Work Date Completed 2. Jay Ornelas Name of proposed Superintendent Telephone No. of proposed Superintendent: (95 I) 591-9310 Rancho California Water District, $1,000,000, Asphalt& Concrete Repairs, Open Project Name & Contract Amount Type of Work Date Completed Moreno Valley USD. $447,381.47 Concrete, Striping & ADA Repairs 3/2017 Project Name & Contract Amount Type of Work Date Completed City of Perris, Open, Asphalt Repairs Open Project Name & Contract Amount Type of Work Date Completed C-11 IT5 rMs 9 goo 7�11 ;Z�� ASPHALT Key Personnel: NPG Corporation's expertise is in General Engineering. All work performed by our company be completed with all of our late and new model equipment,offering you the latest in technology and meeting the highest standards in the industry.All of our equipment is owned outright, allowing us the capability to keep our cost down without compromising your service. Jeff S. Nelson PRESIDENT As President of NPG Corporation he has over 30 years experience in the industry. He holds a Contractors License in the State of California- Class A, General Engineering- Class B, General Building- Class C-12, Earthwork and Paving Contractor. He is capable of completing any and all phases of your asphalt paving construction needs. Charlie Howard GENERAL MANAGER/SUPERINTENDENT Over 20 years of experience in the asphalt maintenance industry. Acknowledged team builder and mentor, focused on the sustained delivery of top quality service. Areas of expertise include: asphalt paving, crack filling, slurry sealing and striping. He directs, manages all asphalt maintenance crews and makes sure all work is completed in an efficient and timely manner. Lou Ton PROJECT MANAGER Over 20 years of experience in the asphalt industry.He can complete any asphalt project varying from crack filling,slurry sealing, and striping to full removal and replacements with ease. He directs, manages all asphalt crews and makes sure all work is completed in a safe, efficient and timely manner. Jay Ornelas SUPERINTENDENT This employee has over 28 years experience in the Asphalt/concrete industry. He is capable of completing any and all phases of new construction, asphalt and concrete maintenance. Jeffrey Nelson FIELD FOREMAN This employee has 10 years experience in the asphalt and concrete industry. He is capable of completing any and all phases of new construction, asphalt and concrete maintenance. CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/PWCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. NPG, Inc. _ Contractor Y Jeff Nelson, President Title Date: 10/16/17 PWC Registration #: 1000002457 C-l 2 POWER OF ATTORNEY FOR DEVELOPERS SURETY AND INDEMNITY COMPANY INDEMNITY COMPANY OF CALIFORNIA PO Box 19725,IRVINE,CA 92623 (949)263-3300 KNOW ALL BY THESE PRESENTS that except as expressly limited,DEVELOPERS SURETYAND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,do each hereby make,constitute and appoint: ""David L.Culbertson,Charles L. Flake, Lexie Sherwood,Heather Willis,Spencer Flake,jointly or severally— as their true and lawful Attorey(s)-in-Fact,to make,execute,deliver and acknowledge,for and on behalf of said corporations,as sureties,bonds,undertakings and contracts of suretyship giving and granting unto said Attorey(s)-in-Fact full power and authority to do and to perform every act necessary,requisite or proper to be done in connection therewith as each of said corporations could do,but reserving to each of said corporations full power of substitution and revocation,and all of the acts of said Attomey(s)-in-Fact,pursuant to these presents,are hereby ratified and confirmed. This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,effective as of January 1st,2008. RESOLVED,that a combination of any two of the Chairman of the Board,the President,Executive Vice-President,Senior Vice-President or any Vice President of the corporations be,and that each of them hereby is,authorized to execute this Power of Attorney,qualifying the attorney(s)named in the Power of Attorney to execute,on behalf of the corporations,bonds,undertakings and contracts of suretyship:and that the Secretary or any Assistant Secretary of either of the corporations be,and each of them hereby is,authorized k to attest the execution of any such Power of Attorney; r r RESOLVED,FURTHER,that the signatures of such officers 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 shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond,undertaking or contract of suretyship to which it is attached. IN WITNESS WHEREOF,DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by their respective officers and attested by their respective Secretary or Assistant Secretary this 6th day of February,2017 �(.L� .��ANDS Pnl1)' By ?�J�r oa?ORq �F G� Fop�G Daniel Young,Senior Vice-President4° m 1936 <g: OCT.3 ��o --------����iiii� � • 1u t9G7 a F By. J � .:°J'' 11Fo :''a oy Mark Lansdon,Vice-President %�dp........y ,.•' LfFO I A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. t State of California s County of Orange i On February 6 2017 before me, Lucille Raymond Notary Public Date Here Inert Name and Title of the Officer personally appeared Daniel Young and Mark Lansdon Nameis)of Siper(s) who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s)is/are subscribed to the within instrument and acknowledged to me that helshelthey executed the same in hislhodthou authorized �i capacity(ies),and that by hislherllheir signature(s)on the instrument the persm(s),or the entity upon behalf of LUCILLE RAYMOND � which the persons)acted,executed the instrument. Commission#r 2081945 Notary Pubtic-California I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is Orange County true and correct. M Comm,Lgires Oct 13,2018 WITNESS my hand and official sea] r h Place Notary Seal Above Signature— Lucill y ond,Notary Public CERTIFICATE ?' The undersigned,as Secretary or Assistant Secretary of DEVELOPERS SURETYAND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA,does hereby certify that the foregoing Power of Attorney remains in full force and has not been revoked and,furthermore,that the provisions of the resolutions of the respective Boards of Directors of said corporations set forth in the Power of Attomey are in torce as of the date of this Certificate. This Certificate is executed in the City of Irvine,California,this 16th day of October 2017. ` �Y AND/ry� r� Po ~` By: 1936 ={= ` t . �-0 n, iu� "' x� !I Cassie J. rrisford,Assistant Se tary i°'•, c P. °= ATS-1002(02M7) ''�qp�r i�� •o` * i Y OP ID: DB CERTIFICATE OF LIABILITY INSURANCE D T-t,i9THIS 01l1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDCERTIFICATE DOES NOT AFFIPMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BET-WEEK THE ISSUING INSURER(S), AUT REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IP,IPORT MT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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 endorsernent(s). PRODUCER CONTACrNAME John Sheffield Crosby Insurance, Inc PHONE 8 18 1 E.Kaiser Blvd �ac, Et, 714-221-5255 ja"c rr�) 714-221-5210 Anaheim Hills, CA 92808EMAIL John Sheffield ADDRESS Jsheffield@crosbyinsurance.com F P,ODUCER cusronl_R ID»NPGCO-J INSURED NPG, Inc. aka: Nelson Paving& _ Ir:SURER(S)AFFORDIN000V=RAGE_ n,lc0 _ INSURER A:Ironshore Specialty Ins Co j Grading,Goldstar Asphalt INSURER e.General Ins Co Of America Products — P.O. Box 1515 INSURE.RC:LibertyIns Underwriters Perris, CA 92572 INSURER D:ICW Group I INSURER E:Great American Insurance G o u p INSURER F j COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF 111JSUP.ANCE LISTED BELCvV HAVE BEEN'ISSUED TO THE INSURED NIAMED ABOVE FOR THE POLICY -,E IOD INDICATED. NOWATHSTANDIi`1G ANY P.EQUIP.ENIENT, TEP.M OR CONDITION OF AIllIY CONTRACT OR OTHER DOCU:MEi JT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE A,FORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO A!_L THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- INSR; IAGGL,SUaRi i POLICY EFF POLICY EXF TYPE OF INSURANCE I LTR �a . i FOLIrY NUL12 E.=, I id 1,1/COrfYV'f r11/CCr(YYYIj LIMIT G=NERAL LIAEILITY j EACH CCCURR=NCE ; 1.000,000 A i X CG:Ia=RC;IA.LGEPNFR=LLIAEUTf AGS0053703 1 11/15/2016 j 11/15/2017 ^Da:f,A T6REtiTED I I PP,=,IIS=S(=a occurrence` 1 S 50,000 j Ct :.,=,GE 1 X CCCUR I I -- %IED E{P(Anyone person) S 5,000 FE?SO�NA_&A.DVVL'uRY 1,000,000 GE'FRAILA.G.,pE',A - s 2,000,000 uL,I APPLIESaE- F:-:CDUCTS-CCt,PICP AGG s 2,000,000 G I FOLICY I X J=rT L'UC AU7DG1O01LE LIABILITY COMrt, INGLE LIMIT 1,000,000 B '�Ar IY AUTO j i24-CC-206754-0 11;'15/2016 11i15/2017 i(Ea ALL CWMEDAJi=•S ;INCL PHYSICAL DAMAGE I BODRY(Per person) I SEDG 'f(Per accident) 5SCH=U�ED A.0 JSX `I?.FD J=CS I PRGa1.!?'33 jXX NON-C.VNED D'=L Comnsive 51,000 deX !Hired Phys Dam ;S50,000 MAXIMUM LIMIT j ;Collis S1,000 deUMaRELLA LIAGX 5,000,000I = Nc=- - - CX EXCESS LIAR CL s.l:!s->.-- I 5,000,000 100002437207 11115/2016 1 11115:2017 DEDL'CTIELE _ _(I I5'/ORKERS COtdPENSATION i L:C ST,=.TL'- � '.�T'r,_ - AND EMPLOYERS'LIABILITY X t./N I TOR(LI7.11,S c� D I-N FROFFI lOR PARTNER;EXECU^VE VNE5023323 02 01/01/2017 01;01i2013 lE, ECHaEacEr,T 1,000,000 (!.laudatory in NH) �( _ __cl_ A -.E.E ? oY 0 I .es �n..,dese under 1,000,00 � I ---- - - -- �V'Li.IT`.- 1,000,000 E �EQUIPIb1ENT RENTED liMP0333772-04 11115,'2016 l 11/15/2017 !Limit 500,000 (FROM OTHERS Ded 1,000 DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES(Aeaci ACORD 101.Addrionai R.irij ks Scn-_dul=,d mere spate e;s r=-gwrrd;, 'If cancelled for non-payment of premium only 10 days notice will be given. f required by written contract,Additional insured(General and Auto _lability), Pnmaryand Non-Contributing(General Liability)and Waiver of Subrogation (General and Auto Liabili�tyy and Workers Compensation)Can apply. Vew Construction exclusion a lies. txcess Policy follows form. CERTIFICATE HOLDER CANCELLATION FORINFO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE V/1LL BE DELIVERED IN For Information Purposes Only ACCORDANCE%;ITH THE POLICY PROVISIONS. -specific certificates can be issued upon request- AU T^CR I--ED P.EP R�_S ENT.A TIVE iJ 1933-2009 ACORD CORPORATION. All rig lits reserved. 4COP,D 25 (2009109) The ACORD ramc and IDgo are registered marks of ACOP.D Legal Name Registration Number County City I Registration Date Expiration Date NPG INC 10OW02457 RIVERSIDE PERRIS I 05/03l2017 06/30/2018 Proof of DIR Registration per California Labor Code 1725.5 s CONTRACTORS STATE UCEN E BOARDWIN, 01- ►i" Contractor's License Detail for License # 664779 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. CSLB complaint disclosure is restricted by law(B&P 7124.6)If this entity is subject to public complaint disclosure,a link for complaint disclosure will appear below.Click on the link or button to obtain complaint and/or legal action information. Per B&P 7071.17,only construction related civil judgments reported to the CSLB are disclosed. Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. Due to workload,there may be relevant information that has not yet been entered onto the Board's license database. Data current as of 10/17/2017 8:53:40 AIV Business Information NPG INC P O BOX 1515 PERRIS, CA 92572 Business Phone Number:(951)940-0200 Entity Corporation Issue Date 02/17/1993 Expire Date 02/28/2019 License Status iThis license Is current and active. i All information below should be reviewed. Classifications C12-EARTHWORK AND PAVING B- GENERAL BUILDING CONTRACTOR A-GENERAL ENGINEERING CONTRACTOR Bonding Information Contractor's Bond This license filed a Contractor's Bond with AMERICAN CONTRACTORS INDEMNITY COMPANY. Bond Number: 151812 Bond Amount: $15,000 Effective Date: 01/01/2016 Contractor's Bond History Bond of Qualifying Individual The qualifying individual JEFFREY SCOTT NELSON certified that he/she owns 10 percent or more of the voting stock/membership interest of this company; therefore, the Bond of Qualifying Individual is not required. Effective Date: 08/19/1997 iLBQI's Bond History Workers' Compensation This license has workers compensation insurance with the INSURANCE COMPANY OF THE WEST Policy Number:WVE5028828 Effective Date: 01/01/2015 Expire Date: 01/01/2018 Workers' Compensation History �14hnr f I� i I I Developers Surety and Indemnity Company F'Al Indemnity Company of California CorePointe Insurance Company 3 AmTrust Surety 17771 Cowan Suite 100•Irvine,California 92614•(949)263-3300 An AmTrust Financial Company www,ArnTrustsurety,com BID BOND t BOND NO. N/A Premium: Nil ( KNOW ALL MEN BY THESE PRESENTS, That we NPG, Inc . I as Principal, and Developers Surety and Indemnity Company a corporation i authorized to transact a general surety business in the State of California as Surety, are held and firmly bound unto City of Huntington Beach (hereinafter called the Obligee) in the full and just sum of ten percent of amount bid Dollars, ($ 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 Park Bench Cafe Parking Lot Improvements, CC No. 1562 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,or in the event of the failure of the Principal to enter such Contract, 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. i I Signed and Sealed this_ 16th day of October 2017 YEAR Developers Surety and NPG, Inc . Indemnity Company Surety By: By: S. N resident Principal —� spencer Flake;Attorneyin-Foot ID-1198(Bid Bond)(REV 7/15) C I, CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this STATE OF California )SS certificate is attached, and not the truthfulness, COUNTY OF Riverside ) accuracy, or validity of that document. On 10/16/17 before me, Carol Marie Stone , Notary Public, personally appeared Jeff S. Nelson 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 he/she/they executed the same in his/hef4he#authorized capacityoes- , and that by his/4e4t„eir signature(s) 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 a official seal. CAROL MARIE STONE Notary Public -California Slgnatur z Riverside County Z Carol Marie Stone * Notary Public Commission #2154181 My Comm. Expires May 22,2020 "� fit This area for official notarial seal. OPTIONAL SECTION CAPACITY CLAIMED BY SIGNER Though statute does not require the Notary to fill in the data below,doing so may prove invalu o persons relying on the documents. ❑ INDIVIDUAL ❑ CORPORATE OFFICER(S) TITLE(S) ❑ PARTNER(S) ❑ LIMITED GENERAL ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVAT ❑ OTHER Manager SIGNER IS R SENTING: ame of Person or Entity Name of Person or Entity OPTIONAL SECTION Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form. THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED BELOW TITLE OR TYPE OF DOCUMENT: City of Huntington Beach, Bid Bond NUMBER OF PAGES N/A DATE OF DOCUMENT N/A SIGNERS) OTHER THAN NAMED ABOVE N/A t CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA County 9 of Orange On 10-16-17 before me, Lexie Sherwood Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Spencer Flake Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), LEXIE SHERWOOD and that by his/her/their signature(s) on the instrument the COMM.#2203287WO ; person(s), or the entity upon behalf of which the person(s) - NOTARY PUBLIC•CAUFORNIA M acted, executed the instrument. ORANGE COUNTY Comm.Exp.JULY 27,2021 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 fficial seal. Signature Place Notary Seal Above Signature o of Public exie herwoo 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 the form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer —Title(s): ❑ Partner ❑Limited ❑General ❑ Partner ❑Limited ❑ General ❑ Attorney in Fact ❑ Attorney in Fact ❑ Trustee • ❑ Trustee • ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: 2017 OCT 17 FK I: 30 CITY CLERK CITY OF HUNTINGTON BEACH NPG Corporation ASPHALT P.O. Box 1515 Perris, CA 92572 (951) 940-0200 TO: City of Huntington Beach 2000 Main Street Huntington Beach, CA 92648 i %-SEALED I U 00 SIT OPEN UNTIL'.', 10 17 17 @ 2:00 PM Hark Beach Caf6 Parking Lot Improvements City of Huntington Beach 2000 Main Street o Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachea.gov F6, 17,1909 P � Office of the City Clerk Robin Estanislau, City Clerk December 4, 2017 Excel Paving Company 2230 Lemon Ave. Long Beach, CA 90805 RE: Park Bench Caf6 Lot Improvements— CC-1562 Enclosed please find your original bid bond for CC-1562. Sincerely, ew4tu Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister Cities. Anjo, Japan ♦ Waitakere, New Zealand t SECTION C PROPOSAL for the construction of PARK BENCH CAFE PARKING LOT IMPROVEMENTS CC No. 1562 in the CITY OF 1UNTINGTON 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 30 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 tune 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. 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. c-, Accom this proposal of bid, find b i b ql es 8� in the amount 'TEN FERCSOT®fpanyin Ich 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 for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: ,Addenda No. Date Receivednature_ PROJECT BID SCHEDULE Bid-r . Contract r Unit Extended ,is� � "' Descnpt�o,nr - fQuantit � rU.n�t ;PncQe_ Am'ouiit� k`:r 1 Mobilization 1 LS $ \°1'L6� �� $ _� 2 SWPPP 1 LS $ $ 3 TRAFFIC CONTROL 1 LS $ 4 REMOVE EXISTING IMPROVMENTS PER DEMO PLAN 1 LS $ Q $ 5 REPLACE TRAFFIC LOOPS PER CITY STANDARS 1 LS $ U1 $ 1(� , 6 CONSTRUCT 6" PCC CURB 411 LF $ $ 11090 7 CONSTRUCT 6" PCC CURB& GUTTER 149 LF $ q w-- $ 712240, 8 CONSTRUCT 4' WIDE PCC V-GUTTER 212 LF $ 60, 15' $ 1- 9 CONSTRUCT PCC APRON TRANSITION AT CATCH BASIN 32 SF $ 1��� $ tq f�. 10 CONSTRUCT 6"THICK PCC SIDEWALK 44 SF $ $ 1oIA.- 11 CONSTRUCT 4"THICK PCC SIDEWALK 1,371 SF $ O�. $ l'1.33a. 12 CONSTRUCT CURB RAMP 164 SF $ 1S $ 13 CONSTRUCT 3" AC OVER 6.5" AB 31600 SF $ $�(00- 14 MILL AC TO ACCOMMODATE 2" MIN. AC OVERLAY 10,410 SF $� $ Zn 15 MILL AC 2"TO ACCOMMODATE NEW SIDEWALK 255 SF $J $ I rl 6 INSTALL SIGNAGE AND STRIPING 1 LS $ $ Total Amount Base Bid in Figures: $ lQ1i 60�. Total Amount Words.Base Bid in Wos. _ f'( - _ c ' ............� ..................... ,j C-2 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. Bid Name and Address,of "State Class .biR PWC Items) Subcontractor License. Registration# Amount Contract Number'. Ott& 103 1� w. 64 A_WSk (A, 400'1.1 By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished conies of all subcontracts entered into and bond_ furnished by subcomracior for this pro.ieel. _ NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed onCT 17 ?.OYLONG BEACH CA IPORMIA Date City State a; ur`iis P. Brown III , being f si;Wal `s_"vom, deposes and says that he or she is President of MEL PAYING Cr 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. PAS WC.WA Name of Bidder Curtis P. Brown III Z"e9_ President �.i an tore of Bidder 2230 LEMON AVENUE Address of Bidder CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of Los Angeles On OC I 17 2017 before me, C. Phillips, Notary Public ,Notary Public, (Here insert name and title of the officer) personally appeared Curtis. P. Brown III who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. �� �1j�nrvl, `���"�� N F/ :,- ` „'�'I,,, Pletoty psi California alffornia v-"� WS AN.GUES COUNTY e M conlm.Expires Oct 29,2020 (Notary Seal) y Signature of Notary Public ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in California must contain verbiage exactly as DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary section or a separate acknowledgment form must be properly completed and attached to that document. The only exception is if a document is to be recorded outside of California.In such instances, any alternative (Title or description of attached document) acknowledgment verbiage as may be printed on such a document so long as the verbiage does not require the notary to do something that is illegal for a notary in California (i.e. certifying the authorized capacity of the signer). Please check the (Title or description of attached document continued) document carefully for proper notarial wording and attach this forth if required. • State and County information must be the State and County where the document Number of Pages Document Date signer(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s)personally appeared which must also be the same date the acknowledgment is completed. (Additional information) • 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. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. ❑ Individual(s) Wshelthe);is Jane)or circling the correct forms.Failure to correctly indicate this information may lead to rejection of document recording. ❑ Corporate Officer • 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 (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk. ❑ Attomey-in-Fact 4 Additional information is not required but could help to ensure this ❑ Trustee(S) acknowledgment is not misused or attached to a different document. ❑ Other Indicate title or type of attached document,number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a j corporate officer,indicate the title(i.e.CEO,CFO,Secretary). i! ;,ccurcl}attach this document to,the signed document r t C 2004-2015 ProLmk Signing Service,Inc.-All Rights Reserved-TheProLink.com-Nationwide Notary Service 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 PARK BENCH CAFE PARKING LOT IMPROVEMENTS, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. PALPR 1:. G. A PAVING COMPAY-4 Contractor )Y Curtis P. Brown III President Title Date: Viz;"i _ 201f C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, 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. a Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. AIR WC.WA fell VAr.,f Contractor Bj Curtis P. Brown III President Title Date: MV BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name FALPj ENI.G.DDA DID VM Q. ` � P�AV Business Address W,! >'!. ? r City, State Zip ) (562) D- 9-SES41 Telephone Number Email Address ST,�I E UC. 583C5', W State Colat actor's License No. and Class OriginaleI ued � Ib1 I �17 Expiration Date DOI& The work site was inspected by s of our office on , 201_. The following are persons, firms, and corporations having a principal interest in this proposal: t;urtis r,Brown hl rresidentand ChietExecutive Emir Bruce E.Flatt Vice President and Chief Financial Officer Marcia S.mmeir ecretary Michele E.Drakulich Assistant Secretary The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans arAdsecifitons set forth. OMB..PAWNS A OMPAMV' Company Name I 'gnature of Bidder Curtis P. Brown III President Printed or Typed Signature C4 NOTARY CERTIFICATE Subscribed and sworn to before me this_day JC i' Z 7 2017 , 201_ A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of County of LOS ANGEL-E. ) On nr,r 1 1 ?A17 before me, C. Phillips, Notary Public Month, 15ay, and Year Insert Name and Title of Notary personally appearedCUrtiS P. Brown III Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. c.P�IiLLff's COMM.#2170177 M N Notary Publlo-Caiifornia a: ? LOS ANGELES COUNTY My Comm.Expires Oct 29,2020 Signature Signat re of Notary Public (PLACE NOTARY SEAL ABOVE) C. Wlips, Notary Public C-s �� Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of{Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets, an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."}. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: I Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions,please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. bow 14 --ftOW Name of proposed Project Manager Telephone No. of proposed Project Manager: l56215 19-530 Project Name &Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed 2. � n�6cAJV- oV Name of proposed Superintendent Telephone No. of proposed Superintendent: (552) 491J"5841 Project Name &Contract Amount Type of Work Date Completed Project Name &Contract Amount Type of Work Date Completed Project Name &Contract Amount Type of Work Date Completed - C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublieWorks/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link—Call(844) 522-6734 https:Hefiling.dir.ca.gov/PWCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. MUR 01C.LK3A Contractor B Curtis P. Brown III President Title Date: ou i PWC Registration #: wQ-MM ) C-12 Chubb POWER Federal Insurance Company Attn: Surety Department OF Vigilant Insurance Company 15 Mountain View Road Surety ATTORNEY Pacific Indemnity Company Warren, NJ 07059 cHuss 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 Douglas A. Rapp and Timothy D. Rapp of Aliso Viejo, 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 seals on this 16th day of December,2011. Kenneth C.Wendel,Assistant Secretary .N�Vic-ent STATE OF NEW JERSEY County of Somerset ss On this 16th day Of December, 2011 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 smm, 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 deponent's presence. Notarial Seal KATHERINE I ADELAAR�.ADc �pRY��y NOTARY PUBLIC NEW JfkSFI Ne,231 16 t56B5 CommilWon Expires July 16,2014 G� Notary Public CERTIFICATION Extract from the By-Laws of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY: "All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company,either by the Chairman or the President or a Vice President or an Assistant Vice President, jointly with the Secretary or an Assistant Secretary, under their respective designations. The signature of such officers may be engraved,printed or lithographed.The signature of each of the following officers:Chairman,President,any Vice President,any Assistant Vice President, 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"Companiesl do hereby certify that (i) the foregoing extract of the By-Laws of the Companies is true and correct, (ii) the Companies are duly licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are authorized by the U.S.Treasury Department;further,Federal and Vigilant are licensed in Puerto Rico and the U.S.Virgin Islands,and Federal is licensed in American Samoa,Guam,and each of the Provinces of Canada except Prince Edward Island;and (iii) 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 28th day of September,2017. p `ycir�n `�guwwc� I i � ��6 to ' •` �{ a� z G��`DIANP yfreNtii"! s �NFW apt Kenneth C.We el,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)903-3858 e-mail: surety@chubb.com Form 15-10-022513-U (Ed.5-03) CONSENT Current Jobs-References (March 2017) Cont# Agency/Location Job Name/Location: Dates/Amount of Project 5387 City of Glendale Prop 84 Green Streets 05/2017- In Progress TC 1613 E.Broadway,Glendale,CA 91206 $2,223,985- Saarkis Oganesyan 1818-548-3945 soganesyan@glendaleca.gov 5343 C/O Torrance N.Wells Field Impry 04/12/2016-09/2017 In Progress (Recycled Water omestic`4'ater KC 3031 Torrance Blvd,Torrance,CA 90503 Imprv) $2,164,034 John Dettle 310-618-5990 jdettle@torranceCA.GOV 5331 C/O Whittier Palm Ave 02/18/2016-12/2016 JM/DD 13230 Penn St,Whittier,CA 90602 $1,063,434/$1,093,223 Kyle Cason 562-567-9511 kcason@cityofwhittier.ORG gn 5365 City of San Clemente Major St Maintenance 5/23/2016-12/2016 TC 1100 Avenida Presidio,San Clemente,CA 92672 $411,382/$323,646 Gary Voborsky 949-361-6132 voborskyg@san-clemente.org s 5359 C/O Laguna Niguel Citywide Pavement 05/10/2016-09/01/2016 TC 30111 Crown Valley Pkwy,Laguna Niguel $2,863,000/$2,391,548 Frank Borges 949-362-4325 fborges@cityoflagunaniguel.org 5353 BNSF SB Auto Yard Track Expansion 04/22/2016-09/2016 ER 11685 Santa Fe Way,San Bernadino,CA 92410 $2,119,981/$1,907,995 Khy Lim 1626-372-9504 khy.lim@wilsonco.com 5338 C/O Duarte Las Lomas Rd 03/15/2016-07/2016 BP 1600 Huntington Dr,Duarte,CA 91010 $207,093/$260,277 Rafael Casillas 626-357-7931 rcasillas@accessduarte.com -e m `= '�`•:� , i tp s; _:•• + �.c, . n yc ." t�s` gjgg N !' '. d " .^�+?" �;d :�� ..a "^,'�°uµ� x' ` �,�,., �3' Sc�' ;, x ! nT,.F,rFi ., :5i' F..* t• �,.,�t h 'lam aG,` 5333 C/O Bellflower Parkig Dist No 1 02/29/2016-07/2016 DD 16600 Civic Center Dr,Bellflower,CA 90706 $222,962/$218,575 Jerry Stock 562-804-1424 jstock@bellflower.org I IN 5314 C/O Bellflower Bellflower Blvd 12/22/2015-07/2016 DD 16600 Civic Center Dr,Bellflower,CA 90706 $1,164,847/$1,271,297.87 Philip Wang 562-804-1424 pwang@bellflower.org 5372 County of Orange Esplanade&Chapman 06/03/2016-07/2016 WP 300 N.flower St,Santa Ana,CA 92703 $424407/$1,751,645(final) Bruce Poma 714-955-0214 bruce.poma@ocpw.ocgov.com 5326 C/O Pico Rivera Citywide Roadway Impvt 02/03/2016-06/03/2016 BP 6615 Passons Blvd,Pico Rivera,CA 90660 $267,213/$303,815 Robert DelGadio 562-801-4364 rdelgadillo@pico-rivera.org 5288 C/O Lomita Oak St-Watermain/Pavement 10/05/2015-02/12/2016 BP 24300 Narbonne Ave,Lomita,CA 90717 $1,727,682/$1,717,692 Mark McAvoy 310-325-7110 m.mcavoy@lomitacity.com s Y .�9N i' P 5153 C/O Los Angeles Discovery of Science 05/2014-08/2015 JM 11149 S.Broadway,LA,CA 90015 1$1,288,823/$1,252,853 Richard Campbell 1213-847-4715 1 richard.campbell@lacity.org lig 5164 1 C/O Santa Ana Grand Ave 06/2014-08/2015 DD 20 Civic Center Plaza 92701 $3,179,058/$3,709,886 Tyrone Chesanek 1714-6,47-504-5 =On,/03/201 esanek@santa-ana.org 5139 C/O Glendale Glendale Ave 4-0 JM 1613 E.Broadway,Glendale,CA 91206 $4,046,874/$4,311,174 IJasmina Zigic 818-937-8255 jzigic@glendaleca.gov Bond No. Bid Bond BID BOND The American Institute of Architects, AIA Document No.A310(February, 1970 Edition) KNOW ALL MEN BY THESE PRESENTS,that we PALP Inc.dba Excel Paving Company as Principal hereinafter called the Principal,and Federal Insurance Company a corporation duly organized under the laws ofthe state of Indiana as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach as Obligee,hereinafter called the Obligee,in the SUM Of Ten percent of the total amount of the bid Dollars ($ 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 Park Beach Cafe Parking Lot(CC1562) 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 faidifid 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 28th day of September , 2017 PALP Inc.dba Excel Paving Company sm WitnessMarcia S. Miller Principal Curtis �. ►ilown III Secretary By: President Nameffitle Federal Insurance Company Surety (Seal) Witness By: Douglas . Rapp 0Attomey-in-Fact ORSC 21328(5/97) ACKNOWLEDGMENT A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document State of California County of Orange ) On before me, September 28 2017 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($)whose name(¢) iskeF& subscribed to the within instrument and acknowledged to me that he/eitefN�eq executed the same in his+e heoir authorized capacity(**, and that by his,'ABrAheir signature(if) on the instrument the person($), or the entity upon behalf of which the person(y)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. N 'g�LOFT�J DEBRASWANSON COMM. #2170759 ;13 "•"� NOTARY PUBLIC-CALIFORNIA N ORANGE COUNTY }'- i �4cna+n. My COMM.EXP.NOV 10.2520 N Signature i �_� v�c� J'1�..-c�� 1 i -\—(Seal) I CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of Los Angeles On before me, C. Phillips, Notary Public ,Notary Public, (Here insert name and title of the officer) personally appeared Curtis. P. Brown III and Marcia S. Miller who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) mare subscribed to the within instrument and acknowledged to me that tv/s)6/they executed the same in */l*/their authorized capacity(ies), and that by lg/t�/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY IRY under the laws of the State of California that the foregoing paragraph is true and correct. C.PHILLIPS WITNESS my.hand an official seal. COMM,#217e177 M w .v N Notary Publlc•Callfornia a LOS ANGELES COUNTY e (Notary Seal) My Comm.Explres Oct 29,2020 Signature of Notary Public ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in California must contain verbiage exactly as DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary section or a separate acknowledgment form must be properly completed and attached to that document. The only exception is if a document is to be recorded outside of California.In such instances, any alternative (Title or description of attached document) acknowledgment verbiage as may be printed on such a document so long as the verbiage does not require the notary to do something that is illegal far a notary in California (i.e. certifying the authorized capacity of the signer). Please check the i (Title or description of attached document continued) document carefully for proper notarial wording and attach this farm if required. • State and County information must be the State and County where the document Number Of Pages Document Date signer(s)personally appeared before the notary public for acknowledgment. ' • Date of notarization must be the date that the signer(s)personally appeared which must also be the same date the acknowledgment is completed. (Additional information) • 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. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. he/she/ ley,is/are)or circling the correct forms.Failure to correctly indicate this ❑ Individual(S) information may lead to rejection of document recording- Corporate Officer • 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 (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of I' the county clerk. ❑ Attorney-in-Fact Additional information is not required but could help to ensure this a ! ❑ Trustee(s) acknowledgment is not misused or attached to a different document. � ❑ Other Indicate title or type of attached document,number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a I i corporate officer,indicate the title(i.e.CEO,CFO,Secretary). Securely attach this document to the signed document C 2004-2015 Pro Link Signing Service,Inc.-All Rights Reserved anvw.TheProLinkcom-Natiomvide Notary Service "It.LOA LWII E RECEIVED 2011 OCT 17 PH 1: 50 CJY CLERK CITY OF BUNTINGTON 2pi.-4 SID MA E-