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;4 REC�iJE
site August 28, 1984.
Ombn*W to: Honorable Mayor and C-iy Council
. . PROVED BY CITY OC UNCIL
&tb Oned if;f; C. W. TY::.mpson, City Administrator
{�.
Prepel'eid by: Paul E. Cook, Director of Public Wo ks
$ubim: Hrookhurst Interconnect; CC 500 CIIT V�'1
tins t�f w", Re x m mutation,Anmlysk, Funding ffiwm.Aftwntative Ar✓tkm,AttprA""MU:
STATEMEUT 6r 1S6'6Rs �.
ty. •ounu 3pprova'l is required in order to reappropriate Gas 'Tax
funds needed for the..completion of CC 500.
RECOMMLNDAT,YON: .
eappropr fate $43,353.69 from the. Gas Tax unencumbered fun&balance-. for
the completion of the Brookhurs:t Interconnect projecttiCC 500) .
1tiNALYSIS s - .
en the fiscal.year ended on June 30, 19(i4, some funds needed :for the
completion of the Brockhurst Interconnect`;,
.(CC 500) W1 .net been encum-�
bered. Because of this. omission, it to now necessary to seek Council
reappropriation of the funds; in order to complete the project.
. t.
FUNDING SOURCE:
da-'fax unencumbered fund balance (account F301) for 1,143`;353.69.
ALTEELNATJWE -ACTIONS!
enb y Lr` request and advise staff on how to proceed with the project.
ATTACHMENTS:
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CITY CW HUNTIN1lit
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INTER-DEPARTMENT COMMUNICATION
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From CHARLES W.THOMPSON ROHPRT J. FRANZ,,.Chief
City Administrator Administrative Services
:a f• 1• � `fir iLrt1 C�rtPt
5uig t Date
:ABAPPIiOPRIATION'OF,FUND$ AUGUST 10, 1984'
TO.FACILITATE COMPLETION
' OF HROOKHURST INTERCONNECT
PRWECT•-CC500
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,, ; , tit= , ''' As runde lbe:authority of Resolution 4832, a Fiscal Impact Statement has been t �� ''gip�•�
t pro and and suGmitte�.irelative ta_the necessity far•rgappropriating hinds to allow for'the ,� .��' �• f
+7 � completion of,the Hrookhurxt Interconnect ProJe4t. Etitimates'are that, an approprlation of. -�;Y111��;1. k '`r
$43,354 would lie adequate for this purpose.
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"An r2ifirmative reepanse by the City Couneil will reduce the unaudited, unencumbered
a ::r, ` +, �•,' t"f baliinee of the C Tax Fund to$1 885 820
FXAW, Chief
Administrative Services repartm Kt 1 t '�' j.,•"��"
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F13::�li�'IMPA CT STATEMENT
HROOKHURST INTERCONNECT
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, jeot,.was not Included iZ'i the'eurrent b144 bscauee itriwaa. to`have been `'tqq1 ,{ r, ', �' ' •.
dOmpleted'priar to.June 30, 1864. `However, delayi:prevented completion andlhe'
'remaining funds needed for completlon were inadvertently not encumbered:
. I F yI`}r''•�'' )t"' r 4• :'Total Costs �k .'M
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A. Direct #4-IL M.80 with no anticipated future costs a7tendant to this
expenditures •'i�,��� r
8. Indirect Loss'or earning capacity on these funds.
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A. Funds: ors Tex (Account F301 3 353 69 A
B. Revenue Sources: City Gas Tax -,T, ✓��`S(, , �i r.
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n ' ' C. Alternative Funding Source: General Funds
Ds History: Gas Tax funds hava always been used for this purpose.
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Y
CITY OF FouNTAI-N VALLEY
CIVIC own • 10*0 $&Awn Alarm • 11.0.=.�Ot70.
••••• rou"m Tsu . CA WM 01-4 eft
November 17, 1983
City of, Hunnington Beach
Alicia .M. Wentworth, City Clerk
2000 Main Street
Huntington Beach, CA 92648
SUBJECT: Project r:o. 2760, FAU Traffic Signal System
Brookhurst Street
Dear Mrs. Wentworth:
Enclosed for your files is a 'fully endorsed copy-, of
Contract CON-83-15 between the Cities of Fountain Valley:
and Huntington Beach, and Perry Electric for the above-
noted project. Also enclosed are copies of bond and
insurance certificates on file in this office.
Very truly yours,
. f r
CITY OF FOUNTAIN VALLEY
K thl A. Atwood
Depu City Clerk
Encls.
Cc: Public Works Department
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CONTRACT
a ',1 Cat}•-83-15�
` THIS AGREEMENT is made and entered into this 17th day 6f November
' 198 3 r by and between the CITIES OF FOUNrrAIN VALLEY AND HUNTI GTORBEACH,
hereinafter referred to collectively as "CITY' and r PERRY ELECTRIC +
hereinafter referred to as "CONTRACTOR. "
WITNESSETH
Y
That for -an,d in .consideratiou of the promises and agreements hereinafter ,
made and exchanged, CITY and CONTRACTOR mutually agree as follows:
1. Sco e''Of the' Work. That CONTRACTOR shall perform_ all the work .and;;
.,.! shall prov de and furnrs-hall, the labor, materials, neceseary . toolar.,expendable
e4uiP meet+ and all utility and transportation services required to construct
installation of F.A.U. Signal Ln 11t the City Hall and on aruokhuret
p Street
2. Lahor. and Materials. , All of said work .to be performed and materials
to be furnished shall be in strict accordance .with thij improvement plans and
contract specifications entitled, "Project #2760, P:A:U. Traffic Sl nal-
S stem an Briiokh'urst 'Street , " and with the Special Pr�v s ox ns hereto annexe
th
and .also in accordance w Sections l thru 95 of the Siandard• Specifications
dated January, 1981, Standard Specifications for Welding Structural Steel
dated January, 1981, the Labor Surcharge and Equipment Rental elates in effect
on the date the work is accomplished, and the General Prevailing Rates, dated
of the State of California, Department of Transportation,
and the General Provisions for Federal Aid Projects, which sail Special Pro
visions, Standard Specification'.s, Standard Specifications for Welding Struc-
f: tural Steel, Labnr• Surcharge and Equipment hental Rates, General Prevailing
Wage Rates and General Provisions for F.A.U. Projects are hereby specifically
_ referred to and by such reference made a part hereof.
The work to be done .Is shown upon plans entitled, "City of Fountain Valley,
Fountain Valley, California, Public Services Department, Plans for Constrec-
` tion of F.A.U. Traffic Signal System on Brookhurst Street, " approved
which said plans are hereby made part of this contract, ang 'w`
CONTRACTORagrees to do everything required by this contract, the plans
and specifications and any general conditions, if applicable.
All iabor, materials, tools, equipment and services shall be furnished
: .� on work performe4l all under t'ne direction and supervision and subject to the
. ' approval of an Authorized representative of the State of California.
f it i. . Y.., r•,,y
;•�^ .� 3. Time of Completion, CONTRACTOR agrees to commence the work to be
perforated under this Contract within 15 calendar days after eze-cution of contract
and to diligently prosecute the worl: to completion before the ratien of 120
y working days from execution of contract to the entire sates action of CI Y.
35
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rSt7 •y.1'1j7Y'. •:S ^f;l:'CF�t'�!I.'�{L-! rr ... Jar �s„�r,,r',�I' I•'!. ,�S �, ,r $.:.,l;l}rtd�'°' -selr�r.W•2��'1 f'��r .1 �S
• Contract No.
Page 2
4. Time of the Essence. Time is of the essence of this contract.
S. Li uidatLed Damag es. It is agreed by the parties hereto that in
case the total work called For hereunder in all parts and requirements . is not
finished or completed within the number of working days as set forth herein,
damage will be sustained by the CITY, and that it is and will tie, impractical
an3 extremely difficult to ascertain and determine the actual damage which
the CITY will sustain in the event of and by reason of such delay: '.and it ie
therefore agreed that the CONTRACTOR will pay to the'CITY the sum of ., .
Haidr and no/loo ----- ----�Oollars ($200.00 ) ,per ay for
ea �a-cnd everyTaoo delay n Finishing the ,work n excess o the, number of
days prescribed in paragraph land the CONTRACTOR agrees to pay said liqui-
dated damages herein provided for, and further; agrees that the OITY may
deduct',' the .amount thereof from any mollies due or that may become due the
CONTRACTOR hereunder.
CONTRACTOR will be ranted an extension of time and will not be
The CO 9
assessed with. liquidated damages for any portion of the delay in completion
of the work beyond the time named herein for the completion -of the work due
to unforesee"Ible causes beyond thr control and without the fault or negligence
of' the CONTRACTOR, including but nut restricted to acts of God or of the
public enemy, fire, floods, epidemics, quarantine restrictions, strike, and
unsuitable weather, 'or delays of subcontractors due to such causes.
The CONTRACTOR shall within ten (10) days from the beginning of any such
delay (unless the CITY shall grant a further period of time prior to the
date of final settlement of the Contract) notify the CITY in writing of the
cause of the delay, and the CITY shall extend the time for completieg the
work if in its judgment the taupe so merits. The CI'ZVS determination on
a this matter shall be final and conclusive on the parties hereto.
6. The Contract Sum. CITY agrees .to pay and CONTRACTOR agrees to
` accept in full payment for the work above agreed to be done, the sum of:
t Five Hundred Forty-five Thousand Six Hundred Nin'�v-ar►e Dollars ($ 595.691.0n ) •
Kr,
7. Progress Payments. . Prior to the fifteenth day of the month next
• � following the commancement of the work, there shall be paid to CONTRACTOR a
sum equal to 90 percent of the value of the work completed since the com-
mencement of the work as determined by CITY and thereafter prior to the
r ,xi fifteenth day of each successive month as the work progresses, CONTRACTOR
J shall be paid such sum as will bring the payments up each month to 90 percent
of the value of the work completed since the commencement of the work as
`ZtIA determined by CITY, less all previous payments, provided that CONTRACTOR
!1.1�•' submits his request for payment prior to the last Wednesday of each preceding
0. The final payment, if unencumbered, or any part thereof unencum.bared,
� t` month. e
X �.1�� shall be made 35 days after the acceptance of the work and the filing of a =
;,"�.. ..y. �3,`t; 'fir
Notice of completion by CITY. Payments shall be made on dem-nds drawn in
I. �_:;; the manner required by law, accompanied by a certificate signed by the City '
Engineer, stating that the work for which payment is demanded has been per-
,•ray�f�'ji
36
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Contract No.
'age 3 ,
formed in accordance with the terms of the contract, and. that the amount
stated in the certificate is due under the terms of the Contract. Partial
payments on the Contract price shall not be considered as an acceptance of
any part of the work.
8. Pursuant: to California Government Code §4590, CONTRACTOR will be
entitled to post approved securities with the CITY or an approved financial
institution in order to• have the CITY release funds retained by the CITY
to insure performance of the contract.
9. Co sn 1'ianae:•with the Davis-Bacon.'Act. CONTRACTOR will pay, and will
•rerui.ire all subcontractors to pay, all employees on said work a, salary or
wage ,at least equal to the prevailing •salary or wage for the same• quality of
service rendered employment in Orange County and not less than the -prevailing
rate of per, diem wages as determined L by the Secretary of Labor in accordance
with .the Davis-'Bacon Act for each craft or type of workman needed to :perform
the 'Contract. This provision shall apply only to: Contracts -involving
funding by the U. -S. Government and upon notice thereof, in writing to the
CONTRACTOR.
10. Prevailing Wage Rates. CITY has ascertained the general prevail-
ing rate of per diem wages and the general prevailing rate for legal .holidays
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 Contract, and the same has
been placed on file with the City Clerk. Said per diem wages are deemed to
include employer payments for health and welfare, pension, vacation, and
travel time and subsistence pay, all in accordance with §§1773.11 1773.8 of
the Labor Code of the State of California.
11. Payroll Records. The provisions of §1776 of the Labor Code of
the State of California as amended effective 1/l/77) regarding the pre-
paration, maintenance and filing of payroll records are applicable to this
Contract. Specifically, each CONTRACTOR and subcontractor shall keep an
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 him in connection with the public work. The CONTRACTOR'S
and subcontractor's payroll records shall be available for inspection at all
reasonable hours, and a copy shall be made available as permitted or required
by the Code.
12. Penalty. CONTRACTOR shall, as a penalty to the CITY, forfeit
C $25.00 for each calendar day or portion thereof for each workman paid (either
by him or any subcontractor under him) liras than the prevailing rate set
forth herein on the work provided for in this contract, all in accordance
with 11775 of the Labor Code of the State of California.
x ,
j 37
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t
f
Contract No.
r Page 4.
13. ARErghticese If applicable, the provisions of Labor Code 51777.5
requiring the useofapprenticen in certain ratios to jouirneywon on the
project are hereby imposed upon CONTRACTOR.
14.. Tae al •Da ':' Work. In the performance of this Contract# not, more
than eig:lt hours shall constxt6te a days work, and the CONTRACTOR': shall
not require more than eight (8) houro, of .1,abor in a day from any"person.
employed •by him hereunder except as 'provid6d in §9 above. CONTRACTOR shall
conform to Article 3, . Chapter 1, Part 7 i§1810, et seq.:) of . �he Labor Code r
of the State of California;" 'anal it is agreed that. the CONTRACTOR shall forfeit
to the CITY as 'a penalty, the sum of ,$25.00 for each workman employed in .the
execution of this .Contract by the CONTRACTOR or any subcontractor for •each
calendar day. during which any workman is required or permitted ,to lab&- more
'than eigbt,•(8) hours in any one calendar day and forty (40) hours in' sny one
week in` violation of said article.
Vie' :". �.�: ,.....aU",t-.
15. Worker't'a Compensation
Compensation Insurance and require all subcontractors to carry Worker'o ,t< .,.
Insurance as required by the Labor Code 'of the State of California.
CONTRAC-TOR, by executing this Contract, hereby certifies:
"I am aware of the provisions of Section 3701 :`of the
Labor Code which require every employer to be insured a-
gainst 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 com-
mencing the performance of the work of this Contract. "
,max.
' 16. Bonds. CONTRACTOR shall, prior to the execution of the Contract,
furnish bones approved by CITY, one in the amount. of one hundred percent
(100%) of the Contract price, to guarantee the faithful performance of the
work, and the other in the amount of one hundred percent (100%) of the Con-
, . -; tract price to guarantee payment of all claims for labor and materials fur-
nished. This Contract shall not become effective until such bonds are sup-
plied to and approved by CITY. All bonds shall be secured from companies
with Best's Key Rating of 8+ X or better.
i
17. CONTRACTOR'S AFFIDAVIT. After the completion of the work contem-
plated by thi�h a dONTRACT, CONTRACTOR shall file with the City Engineer his
affidavit stating that all workmen and persons employed, all firms supplying
materials, and all subcontractors 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 an af-
fidavit covering disputed claims, or items in connection with Notice to
Withhold, which have been files under the provisions of the statutes of the
State of California.
37A
1
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�;�ar '� �+' ��• s� ,{)f'r it t'S[�.tr iS'l/ii}. } ,t'�"r ,ir >fI �)qt+ +,r''r '�'�J.�`!r^,f+ir`•}1 ^l�rt'�7s'"�°i3°"�& �'}ti• r'ry
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t
Contract No.
Page S.
18. CONTRACTOR'S WAIVER. The acceptance by CONTRACTOR of the payment
of the fins Bert Cates s all constitute a waiver cf all claims against
Ci'y under or arising out of this Contract.
19. Assurance of Warrant. DELETED
20. , Uotice to• Proceed. Nu work, services, material or equipment shall
be performed or furnished under this Contract unless and uiitil a' notice to
pxoceed'h.is besn .given to the CONTRACTOR by CITY, and all bonds• ind cRr-ti�
fichtes of insurance required pursuant herato have been furnished to and
approved by CITY.
21.
Termina�tion. if CONTRACTOR fails., Or refuses to Prosecute the work
w.i.th 'diliyencs, or fails to complete the work within the time specified, or
is adjudged a bankrupt, o makea an assignment for the bene£i.t of creditors,
or becomes insolvent, or violates any provisions of the Contract. documents,
CIrrY. may give notice in' writing �of its intention to terminate the Contract.
Unless the violation ceases within Len (10) ' days after said notice of intention
has boon served on CONTRACTOR, CITY may terminate this Contract upon the
expiration of that time.
22. CONTRACTOR'S Inds e'ndent lhvesti ation. No plea of ignorance of
conditions tat exist or that may herea ter exist, or of conditions or diffi-
culties that may be encountered in the execution of the work under this
Contract:, as a result of failure to make the necessary indepenuent examina-
tions and investigations, and no plea of reliance on initial investigations
or reports prepared by CITY for purposes of letting this Contract' out to
bid, will be accepted as an excuse for any failure or omission on the part
of the CONTRACTOR to fulfill in every detail all requirements of said Contract,
specifications, and plans. Nor will such reasons be accepted as a basis for
any claims whatsoever for extra compensation or for an extension of time.
23, Other Documents Included. It is further agreed by the parties
hereto that the following documents are incorporated herein by reference and
are to be read and construed together as to the full, complete and integrated
terms of this Contract Agreement:
A. Notice Inviting bids
B. Information for Bidders
C . Bid Form
D. General Conditions
E. Specifications
F. Construction Plans
G. Supplementary Addenda or Bulletins
Ei. Performance Bonds
I. 7Lubar & Materials Bond
37B
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j
Contract No.
Page 6.
2+4. Inte pretation. In the event of any Conflict, inconsistency or
incongruity between the provisions of this Contract and the provisions of
f Paragraph 23 hereof, or amendments thereto, the provisions of this Contract
shall control in all respects.
25. Arbitration. Should a diopute ,arise as to the true meaning of the
plans and sp rficat no, or respecting the manner or sufficiency of the
performance of any work thereunder, or respecting the character or value of
extra.+.work omitted, the questions in dispute shall, in the first. instancet
be decided by CITY•IS Cun7ultant, but . should mither CITY or CONTRACTOR be
rli'ssatislied with his decision, the question shall, on written demand of.
either, delivered to the other at.its last known residence or place of busi
noes, be��eubinitted for decision to a Board of Arbiration consisting of three
(3), disinterateA- men experienced in the business -of 'building, one to. be
named in: the demand by the party making the demand, one by the other; party
within five (5) days thereafter, and the third..party by these two; these.
arbitrators to have plenary power and the decision of .any two of them. shall
be conclusive and binding en both parties to this Agreem,ynt. No dispute
shall interfere with the progress of the general construction but necessary
work shall proceed under the direction of CITY'S Consultant, and the de-
cie'ion of the arbitrators -shall award adequate compensation therefore ,due.
Neglect of either party to such a dispute to appoint an arbitrator within
five ' (5 ) days after such demand for arbitration has been delivered shall
operate as a wiiiver'on its part of the right to have other arbitrators ap-
pointed, and the question shall be decided by the arbitrators named in the
demand fo= arbitration, whose decision shall be conclusive and binding on
both parties to this contract.
26. Attorne 's Fees. If any action at law or in equty is necessary to
enforce or interpret the terms of this agreement, the prevailing party shall
be entitled to reasonable attorney's fees, costs and necessary disbursements
in addition to any other relief to which ne may be entitled. If any action
is brought against the 'CONTRACTOR or any subcontractor to enforce a Stop
Notice or Notice to Withhold, which names the CITY as a party to said action,
CITY shall be entitled to reasonable attorney's fees, costs and necessary
disbursements.
r
27. Additional Costs. CONTRACTOR shall be responsible to reimburse the
st` CITY a sum equal to the expenses of administration and legal services requir-
ed to be expended by the CITY in processing Notices to Withhold, Stop Notices,
or similar L; gal documents arising out of a failure of the CONTRACTOR to pay
for labor or materials. Said obligation shall be provided for In the payment
v' bond required by the CONTRACTOR. The CITY shall further have the right to
offset any such costs and expenses incurred by CITY age=nst any sums owing
to CONTRACTOR under the agreement.
+{' •�' 28. Insurance. CONTRACTOR shall at all times carry on all operations
hereunder, Worker' s Compensation Insurance coverage oa all of its employees;
"• bodily injury and property damage insurance, including automotive bodily in-
r• 37C
777
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t
Contract No.
Page 7.
jury and property damage insurance, including liability coverage, in forms,
awtarnts and unCerwritten by insurance companies satisfactory to CITY farw
All operations, subcontract work, contractual obligations, product or com-
ploted 'operoations, all owned vehicles and non--owned vehicles.
Before CONTRACTOR, performs any work at, or prepares or delivers materials
to the site of construction, CONTRACTOR shall. furnish certificates 'of insur-
ance, evidencing the foregoing insurance coverages and such certificates shall
provide the name anal policy number of each carrier and policy and ,that the .
insur,;►rice is in,, force and will not be cancelled,without Thirty, (30) days :frit-
ten 'notice to CITY. CONTRACTO R,shall maintain all of the foregoing insurance
coverages in ,force until the work under this Contract is fully completed:
The requirement for .cirrying the Foregoing insurance shall not derogate from
the provisions for indemnification of CITY by CONTRACTOR under Paragraph 29
of this Contract. Notwithstanding, nor diminishing the obligations of CON-
TRACTOR with respect to the foregoing, CONTRACTOR shall subscribe for and, .
maintain in full force and effect during the life of this contract the follow-
ing insurance in amounts not less than the amounts specified:
A. Worker' s Compensation In accordance with the Worker's
Liability Compensation Act of the State of
California
B. Bodily Injury Liability $500,000 one person/one occurrence
and automotive
Bodily Injury Liability $1,000,000 mere than one person/one o=mTenee
(including nonownership
and tired cars)
C. Property Damage $250,000
Liability and
Automotive Property
Damage Liability
� r The policies shall naine •those other public agencies, City officers, agents,
t employees, and consultants, as determined by CITY as additional insured on
said policies. CITY or its representatives shall at all times have the
right to inspect the original or a copy of all said policies of insurance.
CONTRACTOR shall pay the premiums or. the insurance hereinabove required.
The CONTRACTOR Rhall provide such compensation insurance as required by
the Labor Code of the Sate of California, and shall execute a contractors
certificate regarding said compensation requirements. The CONTRACTOR shall
further require all subcontractors to similarly provide such compensation in-
surances for all of the subcontractors' employees. The contractors and sub-
contractors shall furnish the CITY a certificate of waiver of subrogation
under the terms of the worker's compensation insurance.
+ ..,, 37D
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: Contract No,
: Page 8
29. Indemnification. All work covered by this Contract done at the
site of construction or in preparing or delivering materials to the site shall
be at-'tha riak of CONTRACTOR alone. CONTRACTOR agrees to save, indemnify and
keep harmless CITY against any and all liability, claims, judgment, costs
and- demands, including demands arising from injuries or death of persona
(CONTRACTOR'S, employees included) and damage to property, arising directly or
indirectly out of the obligations herein undertaken ur out of the operations
conductea by-CONTRACTOR, save and except claims or litigations arising thro►lgh
the sole negligence or sole willful misconduc-c of CITY and will make good
to and reimb'arse CITY for any expendituxos, including reasonable attorneys'
fees CITY'may incur by reason of such matkare and, if required by CITY, will
defend any such suits at the sole cost and expense of CONTRACTOR.
30. 1' Permits. That CONTRACTOR shall obtain .from CITY, County, or other
iesponsible�puMc agencies all licenses and permits, and pay all fees related
tbersto, necessary to complete the job.
31. _A_ssignment. No assignment by the CONTRACTOR of this contractor
any part hereof, ro of funds to be received hereunder, will be recognized by
the CITY,.unless such assignment has had prior written approval and 'consent
of the 0 ZY and the surety.
32, Federal Raidiirements.,Prevail. This project is for work involving
Federal funds. The prov a ons of PR 1273 which is attached to this contract
as Exhibit "A" therefore apply. Whenever the requirements *of PR 1273 are in—
consistent with this contract, the provisons of PR 1273 snarl control and
shall specifically control with respect to payroll records, prevailing wages,
apprentices, affirmative action and non--discrimination. whanever compliance
with both the standards of PR 1273 and the standards set forth in the main
(CONTINUED NEXT PAGE)
37E
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t r r
Contract No.
` Page 9
f• rt +' ,
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body of this agreement may be practically met, both sets of standards shall
' be 'complied with.
u ATT t CITI% OF FOUNTAIN VALLEY
By s /
C ty of. Fountain Valley Mayor
pi
AA Jab
C ty Clerk, City i5 Huntington ch CIT' F UNTINGTON BE CEi -�
APPROVED AS TO FOkM s B =
rt yor
eY , r o tan ay CONTRACTORy ,
.a•
Name l err' e
4 City Attorney, C ty of u t ngton Beach
r' Address k,IY.C, ; -
! "PROVED AO CONTE :
` qpo/7
Jw
.t r
z}, >�irecto -of P l c Wor s By:
Ida
-,--•�-
�-a-- t I;
ty Com 1ptr ar
i
STATE OF CALIFORNIA ) as. (INDIVIDUAL)
COUNT': OF _)
On , 19 before me, the undersigned, a Notary
z Public n and for sad state, personally appeared
L' known to me to be the person whose name subscribe to the within
insteument, and acknowledged to me that he executed the same.
�r. ��r
WITNESS my hand and official seal..
Notary Public
li STATE OF CALIFORNIA ) ss. (CORPORATION)
.' P COUNTY OF ea, )
On �(',� f]' , 19 , before me, the ii dersigned, a Notary
Public in and for said State; personally appeared rt e,-r^
V - : known to me to be the person ivho executed the within instrument, obi�behalf
"' y= of the Corporation, therein named, and acknowledged to me that such Corpora-
.ri, f ,-- tion executed the same.
~ 3 WITNESS my hand and official seal.
• �Stotr•-•... Ida110Ed�lilyOM�EYIUIMI!"rgMl� � /� r �•,
. OFFICIAL SEAL )QC7 J)(r.
-� ROBIN GAIL HANSON
ti ARY PUBLIC-CALIFORNIA iNotaryPublic)
[REV 5/$33 NOTSANG EGOCCUNTY 37F
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7-18-83
SECTION 6- FEDERAL REQUIRWENTS FOR FEDERAL-410 WNST^1.iCTION MOJECTS
f X Err '� •
6-1,01 GENERAL.--Tne work herein prop"od by this Federal Itlgnr.ty Adtelnlstrator• cf the
rill be finance! In whole or In pert with Fed- contract for this work that iNa Contractor file I r-
r 1~ oral funds, and tnarofore at I of the statutes, a sworn stateeent executed by, or on Wall of, +�
rules and regulations promulgrtted ihr the Fro- the person, tlrm, assoclatlon, or corporation
oral li-r'srnment and appll•:•ble to ,ark financed to whoa such t7n1ract is to be awarded, ce1"ti-
;. J
In whole or in pars wlth Fuderal funds will tying that such person, firer association, or ,
apply to such work. The °'Requi red Contractor corporation has not, altner directly or Indl- �' '
f Provisions, Fuderal-Ald Construction Con- rectly, ortered into any ;3roomsnf, perticl-
! 1 +` t tracts," Form PR-1273, are Included in this Dated In any collusion, or otherwise taken any
Section 6. tomover In said required contract action In restraint 0 free dsepetltivs bid-
provisions references are Made to The "State ding In connoct ion with such contract. A forte
Hlghwel• Deperttnrnt Contracting Officer," "State to make the non-eolluslon affidavit atettetaent
Highway Depertmon• Resident Engineer," or required by Section 112 as a certification
"Authorised representatives of the State under pwnalty of perjury rather then as a
Highway Department," such references shall be sworn statement, as permitted by 28, lfSC, Sec.
• + construed to soon "Engineer . as defined In 1746, Is Included to the proposal.
`'t y r •' ' �`` Section 1-1.18 of the Standard Specifications.
Y ,•.' /visa 'r•' 4-1,04 FEDERAL-AID PRMSAL NOTICES
PERFORMANCE of PREVIOUS r -
TRACTS.—In addition to the provisions In NOTIGC5 TO PRO;PECTIVE FEDERAL-AID WNSTRUC-
i
rr •/ t; �` 'a �" Section It, "Equal Opportunity," and Ration TION CONTRACTORS
s s' t T1.�ri`i VI I, "Sulletting or Assigning the Contract," of
r
the required contract provisions, the I. NOTICE OF RECUIR94EN7 FOk AFFiFWATIVE
Contractor shall CCMPI y with the fallawingt ACTION TO ENSURE EQUAL EMPLOYMENT rRPORTUNITY
' 1 IExECUTI YE OROF}i 11246)
%,• . s' The bidder shal I execute the CERTIFiCA-
LION f11TH REGARD TO THE PERFORMANCE OF 1. The Offeror's tor bidder's attentlorr. Is
+lie; f Liar Yf t 1 'Y !
PREVIOUS CONTRACTS OR MC014TRACTS SWJECT called to the "Equal Opportunity Clause" and
.�,�� ,� �.,r�,o�1•; ,a}J•"°• TO THE EQUAL OPPORTUNITY CLAUSE AN0 TttiE the "5ttirderd Federal Equal Employment Oppar-
:% ?;trv;' rI'ti>•t;;' i{'r', FILING Cr REQUIRED REPORTS Iota`... in the tunity Construction Contract Speclflcatlons"
'r,+' S�j�'l, lf' proposal. No request for subf t''ing or set forth heroin.
1'r`� assigning eny portion it the miltract In ferule utllter^
r ,Ir ,7: (;' 1,
'�• 1' a • rwt r excess of 510,000 rill be cans idarod coder 2. The follorr(ng goal for
�
t
' * �' rest,;?p•rw f�,:t�' . ..• utilize-
-the prtrilstans of Section VI I of the lion shall be included In all fedora. end
� f�i required contract provtvtons .chess such federally assisted conotrur;tion contrasts and
roquesv is,accompanied by the 4ERT1FiCATION subcontracts in excess of 110,000. The goal
9fta 7f' r ,Ji t GIiYu'� l�r% rrtorred to ebors, excocuted by the proposed Is sopl stable to "a contractor's aggregate
t �ff` ;"r'"1�,+r• fubcontrrctor. on-site Ixnsiru:tion workforce whether or not
yt ,
,,`��`jj'r►y ���dV•��C is pert of that rorktcrce Is perforaing live,( 01 a
6-1,03 HIM-COLLUSION 111WIS10M.'--The Federal or federally aslsted eonstructlan
{ `µ" rh ,4��''�,,•,;� 5' provisions In this section are appticacle to contract tr subcontract.
at t contracts exceyt contracts for Federal Aid
t*:ri` Secondary projects. Opal for Women
? � i,
+`b�, Title 23, United States G►de Section 112 (applies nationwldrl.......(psrcent) 6,9
4f {rri�tt requiros as•a condition precedent to approval
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Until further notice, the following goals 7500 Santa Rose, CA....•.•...•. 9.1 +f
kf
for Jtlino*Ity utilization In each wnstrut:tlon CA Sonoma.
�' . craft and trade shall be Included In all 8720 Vallejo-Fairflald-
{ t ' Federal or fadarally assisted construction 'tape, CA..••••..•.•......:.. t7.1
contracts and subcontracts In excess of 310,000 CA Maps; CA Solano
�. to be perforred In the respective gaosraphlcal
f4 areas. The goals are apyilc&bla to +.sch Non-SHSA Counties....•.•.......... 23.2
nonexempt contractor's tttal wait* construc- CA Lake; CA manoocloo;
#, tion workforce, regardless of whather, or not CA Son 8enita.
part of that workforce Is performing work an a
Federal, federally assisted or nonfederail;• 177 Socrawanto, ch' r
` related project, contract or subcontract.
Construction contractors which are partlel SMSA Countless
t 1.
peeing In an approved Hometown Plan leer 41 CFFt 6920 Sacramen*o, G.......+.+. 16.1
+ 60-4.91 are required to comply with the goals CA Placer; CA Sacramento;
of the Hometown Plan with regard to construe- CA Yolo.
tlon work they perform In the area cLo'rerad by Non-SMSA Counties.......•.•........ 14.3
7 the Hwwtown Plan. With regard to all their CA Ditto; CA Coluse;
other covered construction work, such oontrac- CA El Doren; CA Glenn;
tors a-e roqui•ed to comply with the applicable CA Nevada; CA Stara;
{4' SMSA or EA goal contalned herein. CA Sutter; CA Tuba.
CALIFOR41A ECON041C AREA 176 Stockton-todesto, G:
Goal
r.T +
(Percent) SKSA Countless
7.•, r '• 9170 Modesto, CA.............• 12.3
` a 174 Rsdding, CAs CA Stanlslaus.
t; lion-VGA uountles ................ 8.8 CA San Joaquin.
( , f .:A Lassen; CA Madre; Non-SMSA Counttats..........•...•.. 19.8 ,
y ��f G Plumes; CA Shasta; G Alpine; CA Ameoor;
CA Stsklyou; CA Tenams. CA Calaveres; G Marlposa;
CA k%rced; G Tuolumne.
tl 179 Zureke, CA!
r -�} 179 Fresno-6akersfield, Gs
!i 6.G Coun 1-NP. SMSA tlea ................
`` _ >r 4•. CA Oai Norte; CA Htcaboldt; SMSA Owntles:
+r•J `'+� CA Trinity. 0690 Bekersfleld, CA... 19.1
CA Kern.
176 San Franc Isoo-OcxIand-Son Joss, G: 2840 Fresno, ("rA.•..•••..•.••.• 26.I
It!,f ' CA Fresno.
SMSA Counties: Non-SMSA Counties................. 23.6
7120 Saline%-Seaslde- G Kings; CA Mkaaars;
✓s,ki�i: fi tl�� Monterey. CA................ 28.9 G Tulare,
CA Monterey.
y°=�,•,;c„'f,,�•}�S 7360 San Frenelsrv-0aklrnd, G1. 27.6 180 Los MQyles, CAs
CA Alameda; G Contra Costa; �.
CA Merin; CA San Frnnclsco; 94A Countless
CA San Mateo. 0360 Anahelm-54nta Ana-Garden
' d/f 7400 San Jose, CA....•..••..... 19.6 Grove, G.................�. 11.9
,4 1 ift!
CA Santa Clara. CA Orange.
7483 Santa Cruz, CA............ 14.9 44a0 Lzs Angelos-Lang t• y
3 j Beach, CA................... 28.3
f t
�k r # G Santa Crui.
r
CA Loa Angeles.
vt
• 11
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3: The Con esctor shall provide written
d000 Oxnard-Simi Val lay f
Ventura, G................. 21.E natlfleatlon to The :,Irector of the Offl= Of
CA Ventura. Federal Contract Compliance Progrem$ ■itnin 10
6730 Riverside-San Barnardr'no• working days of award of any Construction sub-
Ontarlo, G..•.•••••••••••'�• 19.0 contract In excess of f10.000 at any tier for
CA Riverside; construction work urtdar the contract reeulting
r .
CA San Beruardino. from this solicitation. The notification
7480 Santa Barbara-Santa Marla- shell I:st the na+tne, address and telephone
Lompo7, G.......:.......... 19.7 number of the subrontroctorj employer Identl-
CA Santa Barbara. ficatlon number of the subcwtractur;
Non-SMSA Counties.......••..•••••• 24.6 estimated dollar anwat of the subcontract=
CA Inyo) CA Fano) estimated starting and coo letlon data$ of the
CA On Luis Obispo. subcontract; and the geographical area In
which the subcontract Is to be performed.
Ill San 01e9o, CAt
II. CERTIFICATION OF !iONSEGREGATEO
SMSA Counties r FACILITIES
1320 San Diego, CA............ 16.9
CA 'San Diego. (e) A Certification of Nonsegregated
Not•SMSA Counties................. 10.2 Facilities, as required by the May 9, 1967,
CA Imperial. Order of the Secretary of.Labor (32.F.R. 7.139,
May 19, 1961) on Ellminetlan of Segregated
These gals are applicable to all the Con- Facilities Is Included In the proposal and
tractor's construction work (whether Or not It must be submitted prior to the award of a
Is Federal or ferleraily assisted) performed In Federal-old highway construction contract
the covered area- if the contractor performs exceeding $10,000 which Is not exempt from the
construction work In a 99W-.tphlcel area provisions of the Equal Opportunity clause-
located outside of the covered'.lrea, It shell
apply the goals astabl:shed for such progrophl- (b) Bidders
are cautioned a.lollowst 0y
cal ere% where the work Is hx:tually perforated. signing this bid, the bidder will be deemed to
With rega'd to this second area, "a contractor have signed and •greed to the prOVlslRttw of
also Is subject to the goals for bath Its
1th+ "Cer:lfteetian of Nonsegregated Fael11-
tt fade-ally Involved and nonfederally Involved tleai" In this proposal. This certification
eenstructlon. provides that the bidder dais not maintain or
The Contractor's txmpIV$mce with the Execu• provlda fx' his employees feciiltles which are
tive Order and the regulatli:,_ 'In 41 CFR Part segregated on a basis of race, creed, color or
60.4 shall be based on Its Implementation of national origin whether such facilities are
rr the Equal Opportunity Cla•;se, specific afflr• segregated bf directive or on a de faclo
matl•) action obligations regt:irrad by the basis. The wtlficatlon also provider that
specifications set Path In 41 CFR 60.4.3(a), the bidder will roof' eeintaln such segregated
3 ; and Its efforts fO meet -the goals. The tours ficllitles.
f it �sr of minority and female employment and training
must be substantially uniform throughout "a (e) 61doers recslving Federal•eld highway
length of the contract, and In each trade, and construction contract awards exceeding $10,000
the contractor shall make a goad faith effort which are not exempt from the provisions of
to employ minerl+le,s aid wonen evenly on each the Equal Opportunity eltuse will be required
of Its projects. The transfer of minority or to provide for the fwvmrding of the following
%,dosle employees or trainees from Cuntractor to notice to prospective subcontractors for ctmi
Contractor or from project tta project for the structlon contracts end material suppliers
sole purpose of meeting this Contractor's goals where the subcartracts or materiel supply
shell b+ a violation of the contract, the Exe• agreements exceed $10,000 and are not exempt
cutive Order and "a regulations In 41 CFR Part from the provisions of the Equal Opportunity
60'4. Compliance w itn the gee l s will be =a- clause.
sur.ad against the total wcm hours performed.
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'2l• l l
Y
NOTICE TO PROSPECTIVE SUDCOMMUMS NO (1) That any facility to be utilized In
MATERIAL SUPPLIERS OF REQUIRINNT KA the performance of this contract, unless b 1
CERTIFICATION OF iDMSEOREGATr'O FACILITIES su.h contract Is ewelwpt inder the Clean Air
Act, as amended (42 U.S.C, 1857 at seq., as
1 Nonsegregated amended by Pub. L. 91-E04), and under the
(a) A Certi�llcetlon et
facilities as required by "a May 9, 1967, Federal liter Pollution Control Act, as
Order of the Secretary of Labor (32 F.R. 7439, amended (33 U.S.C. 1251 at seq., as amended
May 19, 1967) on Ellmlinetich of Segregated by Pub. L. 92-400), Executive Order 11738,
t Facilities, which Is Included in the proposal, and regulations In Imploientatlon thareof
rye. or attached hereto, must be submitted fry r4ch (40 C.F.R., Part 15), is not listed on the
subcontractor and material supplier prior to U. S. Envirefwmental Protection Ngancy (EPA)
i the award of the subcontract or consummation of List of Violating Fac111ties pursuant to 40
a material supply agreement It su_h subcontract C.F.R. 13,20,
or ar.-sam►ent exceadt 110,000 and Is not exempt
frow the provisions of "a Equal Opportunity (2) That the State highway departs►snt
clause$ shall be promptly not IfIad prior to
contract award of ,the receipt by the bidder
(b) Subcontractors' and material suppliers of any eommunlcatlor from the Director,
t Y� are cautioned as follows: By signing the Office of Federal ':tivlties, EPA,
3� subcontract nr anteriny Into a material supply Indiea'Ing that a facility to be utilized
? agreement, the subcontractor or material for the contract is under consideration to
supplier will be deemed to have signed and be listed on the EPA List of Violating
agreed to the provisions of the "Cor7lflcation Facilities.
of Nonsegregated Facilities" in the subcontract
or material supply agreement. This 6-1.05 PARTICIPATION 8T MINOR17T 54 INESS,
µ , ) certtllcation p.,ovldas that "a subcontractor ENTEfiPRISES IN SU)�COMTNUICTINO.-'►the fol la-
r or metwrial supplier was not maintain or ing are excerpts tram Pars 23, Title 49, Code
provide for his employees facilities rfilch are of federal Regvlatlens entitled, "Parttelpa-
I segregated on the basis of race, creed, color, ticn By Ninorlty Business Enterprise In
k f; or national origin, whether such facilities are Department of Transportation Programs."
segregated by directive or on a de facto basis.
The certification also provides that the
subcontractor or material supplier will not
+' t ar".Antaln such segregated facilities. Subpart Ar-Seneral
r tl (e) Subcontractors or material suppliers 123.1 Purpose.
is << receiving subcontract awards or material supply
1 t} agreements wxewsI 1110,000 which are not (a) The purpose of this part is to carry
exempt fraa the provisions of the Equal out the Department of Transportation's policy
Opportunity clause wl l I be required to provide of supporting In* fullest possible participa»
for the forwarding of this notice to Ilan of firms owned and controlled by minort-
a �r prospective subcontractors for construction ties and women, (MBEs) in Deparrment of Trans-
�k1' contrects WQ material suppliers where the portatlon programs. This Includes assisting
subcontracts or material supply apraoments MBEs throughout the life of contracts In which
exceed $10,000 and are not exempt tram "a they participate.
,t provisions of the Equal Opportunity clause.
i III. IMPLEMENTATION OF CLEAN AIR ACT AND
FEW" WATER POLLUTION CONTROL ACT 123.2 Applicability.
•�'. (a) By slgnirej this bid, the bidder will be This part applies to any DOT progrea
daemod to have stipulated as follows: through which funds arr made swaltable to
members of the public for accomplishing DOT's
.. purposes. Contracts end subcontracts which
a
FR-4
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are to to perfoi d entirely outSlde the United water Port.
States, and tt,cx "Departmental element" means the following
Its possasslons, Puerto Rico,
1
ist 4 C North Mariana Islands, we exenptoj from th I s ;arts of DOT:
' part. t .
(a) The Office of the Secretary (OST);
If 0) The Federal Aviation Administration 1
It; 123.5 Def initlons.
a (FAA);
� J ,
" "Affirmative action' means taking specific (c) The United States Coast Guard (USCG);
steps
fs to eliminate discrimination and Its (d) The Federal Highway Administration
effects, to azure nondiscriminatory results WHO);
1
and practlras In the future, and, to Involve te) The Federal Rellroed Adml.ilstration r• 'l
rolnorlty buslttas enterprises fully In cm- (FRA); �
tracts and programs funded by the,Department• tf) The Natinat Highway Traffic Safety
"Applicant" means one who submits an appll• Administration (NHTSA);
b a (g) The Urban Mass Transportation
cation, request, or plan to br1 approvedY
_. Departmental official or by a primary recipient Administration (UMTA);
as a condition to eligibility for DOT financlal r (h) The St. Lawrence Seaway Developeertt
,tti ti�x � assistance; and "applleatlon" means such an CwToratton (SLSDC); and
'r k ttil4 application, request, or plan. (1) The Reserrch and Special Programs
�,�r• ,=..M ,�"`. i "Covvilance" means the condition existing Administration (RSPA).
k t' rti! ' J when a recipient or contractor has mat and
{X Implemented the requirements of is pert. "Joint venture" mrani an association of two
th
"Contract" means a mutuelly binding legal or more businesses to carry out a single bull- e
relationship or any m?dlflcatlon 'hereof ness enterprise for profit for which purposa
oollgating the seller to furnish supplies or they oombine their property, capital, efforts,
services, Including construction, and "a buyer skills, end knowledge.
a for them. For purposes of this part', a "Lessee" means a business or parson that
PY
.� leases, cr Is negotiating to lease, property
1 F11�?r leas* Is a contract.
"Contractor" means one who particlpdtes, from a recipient or tna Department on the
through a contract or subcontract, In any reclplent's or Oepartnent's facility for .the
P program covered by this part, and Includes purpose of operating a transportation-related
V. lessees. activity or for the provision of geode o•
"Department" or "DOT" means the Department ser^1Ices frT tfie facility or to lives public on
of Transportation, Including Its operating the ratAlity.
elements. "Minority" means a person who is a citizen
"00T-'assisted contract" means any contract or lawful permanent resident of the United
or modification of a contract between a reelpt- States and who is:
.. ' � ent and a contractor which Is paid for In whole
or In part with DOT financial assistance or any (a) Black (a person having origins In any '•,
contract or modification of a oontract between of the black racial groups of Africa);
�'�,��. ° �,}3r� `��•. • recipient and a Ises'se. (b) Hispanic to person of Mexican, Puerto
"DOT financial assistance" means financial Rican, Cuban, Central or South Aeerlc:n, or
aid provided by tt►r Department or the Uniteu other Spanish culture or origin, regardless of
States Railroad Associatlnn to a reelpterrt, but race);
does not Include a direct asntracr. The flnen•- (c) Portuguese (a person of Portuguese, '
fD vial aid may be provided dlr"octty In the forma Brazilian, or other Portuguese altars or `
of actual money, or Indirectly In the form of origin, regardless of race); r
guarantees outhorized by statute as financial (d) Asian American (a person having origins
I "1 tan services f Federal personnel, title In any of the original peoples oP the For '
assistance se Ices a
or other Interest In reel or personal property East, Southeast Asia, the Indian subcontinent, '!
transferred for less than fair market value, or or the Pacific Islands); or 2Y
• � r J?J- 1 1�
' any other arrangement through which the reclpl- (a) American Indian and Alaskan Native (a
<. ant benefits financially, Including Ileansas person having orlctns In any of this original
t rj for the oonstructlon or operation of a Deep peoples of North At+teriea.)
4 '
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rat,•,.1,[ti"•�rIr4�Srrtfl',s� ,3�r,<,�1
y < r
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YY rl. II' ter �•,
1:; •r 'may .i 'fit.
� *f � LrV / 1
'f it) Members of other groups, or otter 123.7 Olserletnatlon prohibited. { ,
lndividuels, found to be econwIcally and
socially disadvantaged by the Small Business No person shot) be excluded from partict-
AdmInistratlon under section O(e) of the Small petlon In, denied the benefits of, or other•
�± t
Busiress Act, as smanded (13 U.S.C. 537(a)). ■Ise discriminated against In connection with
ins award and performance of any cantract r
"Minority 'business enterprise" or 'ME" oovered' oy this Part, on the grounds of race, "
tt; means a small business non-corn, as oatined color, national origin, or sex* t
pursuant to section 3 of the Smell Business Act
- .
and Implementing regulations, which is caned 5utpart B-IReaerwdl
and controlled one or wre alncritles or Subpart C-Departrrnt of Transportation
ow, ' > women. This definition apptlea only to Financial Assistance Prograsfs
rw
' financial assirtanre programs. For the
purposes of this pert, awned and controlled
means a busine St [
125.43 Sanwa l requirements for rose l p l ants.
`f �# (a) Which Is of least 31 per centum owned by r
` one or more minorities or women or, In the use (a) Each recipient shall agree to ablde by
�y of a publicly owned business, at least 31 per "a statements In parogrephs (a)(1) and (2) of
+L
centum of the stock of which Is owned by one or this section. These statements shall be In-
more minorities or women; and cludod In the reeipinnt's DOT financial ossis-
�i *,► .,,;,.fi (bJ Whose management and dolly business tance agreement and In sit subsequent agree-
operations are controlled by one or more such rants befveen the recipient and any sab-
1:'t� �#�' SaZ individuals. rsclplr'nt and In all subsequent DOT- assisted
contracts between recipients or subreelptents ,L
448E coordinator" means the official and any contractor.
+ {. `µ 'i1,1''�y designated by the heed of the Department / d
element to have .overall resprr.sibility for I11 'Policy. It is tha policy of the ,
proaotlon of minority business enterprise In Department of Transportation that minority r t
E his/her Oepertmental eltwment, business enterprises as dsfinsd in 49 CFR Part 1
"►roneamplIance" means tea condition imisting 23 shall have the maximum opportunity to ;
when a recipient or contractor has failed to participate in the performance of contracts 4 1
implement the requirements of this part. flnenced in whole or In port with Federal
"Primary recipient" . is a recipient who funds under this agreement. C?nsaquontly the
"2 !. receives DDT financial assistance and passes MBE requirements of 49 CFR Part 23 apply to
some or all of this assistance an to another this agreement.
r.
recaipient. LI, .
"Program" moons any undertaking by a (2) "E Obligation. (1) The recipient �-
t' recipient to use DOT financial assistance and or Its contractor agrees to ensurs that
z:: Y•sr •j,+ Includes the entire activity any pert of which minority business enterprises as defined In 49
receives DDT financial assistance. CFR Part 23 have "a maximum •Y� f opportunity fu '
"Reclplent" moons arty entity, Cublie or participate In the performance of contracts
r m w
b p whom DOT flnanalal assistance Is and subcontracts financed In whol, or In part
I{ JJ,,�� •�, J r Ivate,
exrt ended, directly or through sm;ther m1ptarit with Federal funds provided under this
/.,.ta,. ' i "1(�•�•��#{�,j~"`�``)t>t;}y:..;t2��' reason-
transportationogre'•
far any programs rant. In this regard 41) ret.ipl"ts or cons-
to
"Secretary" means the Secretary of tractors shot 1 takn al 1 nccassery and►r , �;La�rf or an '• y # � 4,��;{;, y person whom he/sne Ma able steq� In accordance with 49 CwR Part 23
designated to act for him/hero to ensure that minority business enterprises
�• % ' ,; ';�r "Set-aside" means a technique whl;h limits have the maximum opporturilty to compete for
eonsldtratlon of bids or proposals Yu those and perform contracts. Recipients and their >„
f'`{c submitted by MSEs, contractors shall not discriminate an the t
Vol basis of race, color, national origin, or sex
tt"t' i •,. �• ;? ti In the award and performance of DOT-ossisted
r`{4, 5 contracts."
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R{ r• (-) The recipient shall advise each subre- 123.47 Counting Mat participation toward '
elplant, contractor, or subcontractor that Mating MBE goals. r
failure to carry out t?ia rrqulrrments set forth
Fri+y In 123.43(a) shell constitute a breach of con- MBE particloatton shall be counted toward .
tract and after "a notiflestlon of the netting MSE goals set in acxrdancs with hits
Department, May result In termination of the subosrt as follows:
f 2 agreement or contract by the recipient or such
remedy as the reclt:tant deems aporoprlats. (a) Gnce a firm Is determined to be an t +
et Igible MBE in accordance with this subpart,
i '
1 1 1 1 1 1 1 1 1 ! 1 f 1 1 1 1 the total dollar value of the contract awarded
to the ME is counted toward tt►e applicable
°1 P 123.45 Itequ'red MBE progrso cowonoATa. Mae peals.
1r' (b) The total dollar value of a Cantrec* to '
t tl'
►i. 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 an MBE coned and controlled by both minority
males and non-minority females Is counted
r tr ' ph
}� •. �tw,, 't�Y (e) I6E directory. (1) The retiplont toward the goats for Tlnorlrles and women,
shall have available a directory or source list Fesaectively, In proportion to "a porcrntage
to facilitate tdantlfylnq MBEs with capabill- of ownership and control Mt each orcuo In the
ties relevant to general eontractinq require• business. The total dollar value Cot a con-
�t rents and to porticuinr solicitations. The tract with an MBE owned and controlled by
t f}j[t3
r. X recipient shall make the directory available to minority women Is counted toward e:+har the
w' bidders and proposers In their efforts to met minority coal or the goat for women, but not
#; the MBE requirements. It shall xascify which to both. The contractor or recipient e+iploy-'
flrMs the Department, recipient, or the Small Inq the firm nay diuose r•» Goal to which the
Business Alministratton has determined to be contract value Is soplled.
r' 'Aellglble M3Es In accordance with procedures set (e; A recipient or contractor loco mount
* forth-In this subpart. toward its M6E goals a portion of "a total ,
dollar value of a contract with a Jotht ven-
r. (f) procedures to ascertain the ellgl- turn eligible under the standards of this
btllty of MEs end joint ranturet Inveivimg subpart equal to the coreentage of the owner
To ensure that Its MBE program ship. Ind controls of the LSE partner in the
f benefits only firms owned and controlled by Joint venture.
minorities or .omen, the recipient she (d)(1) A recipient or contractor any count
Certify the allalbltlty, of MBEs and joint toward Its WE coals only expenditures to *Zs
,•..
�'• �� S� ventures Involving MfBfes that are Hamad by the that perform a cot, ►arclalty useful function In
cnmoetttors In accordance with this subpart. the work of a Contract. An MBE Is considered
r
Recipients may, at their own discretion, aCCe0t to perform a commercially useful function .hen
,Dry i Cartifleations made by other DOT recipients. It is responsible for execution of a distinct
r element of the work of a contract and carryinq
t2) Recipients shall require their print. out Its responsbilittee by actually perform
4 t7i, contractors to (rake good faith efforts try Inq, managinq, and supervising the work
roplacm an ME subcontractor +hat Is unable to Involved. To determine whether an WE is
Iss y perform successfully with another WE. The oerforaing a cofmorciaity useful function, the
recipient shall approve all substitutions of recipient or contractor shall evaluate the
subcontractors before bid opening and during amuunt of •sor'k subcontracted, Ir''tstry
contract performance, In order to onsure that practices, and tither relevant factors.
trF• the substitute firms are eligible MBEs.
;''A ? ', ' �� e�r'?'+� (T) Consists-,` with normal In!•:stry
1 ./ it41 1 1 1 1 1 1 1 S S f 1 S 1 1 1 f practices, an ME may enter into subcontracts.
F S� rT I )i.Yt F:
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r�.j "-Ayr,•7Y K,! +" ,t,._. ..�.�...I�- �..5• �,S•i.. .'i "77JI:7 �'
If an MBE contractor Luteantracts a required schedules with Its bid or proposal
significantly greater portlon of the work of for transmission to the contracting agency J;r
the contract than wou 1 d be expected cot the Involved.
basis of nxmal Industry precticeu, the MBE (r) Under the felloring clrcumstanees, a 7'rt
shall be presumed not to be performing a business seeking to participate as an MEN
';'• t"• coo" rclally useful function. The MBE may under this subpart need not t)bmlt schedule A r
present evidence to rebut this presumption to or 8:
% t! "he reciplent. The recipient's decision on the
"A'-
°`F rebuttal of this presumption Is subject to (1) If a DOT recipient has astabilshad d '
review by the Department. different certification process that DOT has
r n determinod to be to or sore of fact Ive than the
(a) A recipient or ccntractor may count process provided fcr by this section. Where
toward its MOE goals expenditures for materials such a process exists, potential MBE eontrac
and supplies obtained from MBE suppliers and tors shall submit the Inforaiatlon required by
manufacturers, provided that the We assume the recipient a process.
, � "r1(;'•Ij nae_�, P the actual and contractual r•esponslbillty for (2) If the potential MOE conienutoe :tales
C'sr �r .' l r �`� the provision of the materials and supplies. in writing that It has submitted the some
i•:r.
(. ' r { �y�l Information to or has been uert 1 f I ed by the
wHr -7fr !/ =t' r (1) The recipient or contractor mey count DOT recipient Involved, any DOT element,
Its entire expenditure to an WE manufac- or another Federal agency that uses ease"
turer (i.e., a supplier that produced goods tially the sans definition end ornership and
from raw materials or substantially alters control crltwria as DOT. The potential t+6t:•
• �'i V'{4[t R
them before resale). contractor shal, obtain the Information and
At, r
,• ` t U (2) The recipient may count 20 percent of certification (if any) from the otner agency
Its expenditures to MBE suppliers that are and submit It to the recipient or Meuse the
+rn11? not manufacturers, provided that the HE other agency to submit It. Ttu recipient may
� y{ supplier performs a commercially useful rely upon such a artlilutlan. Where another
•{(fr'r',} ,,a s�• ')kPjfunction In the supply process. agency has collected Information but not made
f: f a determination concerning ellglbllity, the
DOT recipient shall make Its own determination
5• based on the Information It has obtained from
°''• 123.51 Certification of the eligibility of the other agency.
l alnarlty business eeterprisem. (3) If the potential K E contractor has
fr �r3. been determined by tl, Seal Business AdmInls- ,
Mr l ti* a%Z (a) To ensure Mat this part benefits only !ration to be owned and controlled by socially
:vtif
Vj r r 1 MBEs w0ch are owned and con rolled in both and economically disadvantaged Individuals
Allit L'r
form and substance by one cr more minorities or under section b(a) of tin Smell Business Act
I' r'r. e!•1. !' ''! "r 'i woman Dar recipients shall use Schedules A and as amended \
8 (reproduce,. at the and of this Part) to
���;f cep « �i. + t►,.' certify ilr,xs who wish to puticipate as MBEs 123.53 Eligibility standards. ,
`,.a i �'� sp , r.�• ,';r,��,; In DO7 under this pert.
v r• .t::.i+
k �n'�✓,( y�f; (a) The following standards shull be used
ri_ ra fig;t",C (b) Except as provided In paragraph (c) of by rvclplents In determining whether a firm Is
this section, each busin"r., including the HE owned and controlled by one or more minorities
partnw in a Joint venture, rlshln!j to partial- or women Is and shall therefore be eligible to
x ' rtt ' pate as a MBE under this part In a DOT-assisted be cortlfled as an MBE. Businesses aggrieved
contract shalt complete and submit Schedule A. by the determination my appeal In accordance
Each entity wishing to pas-tltlpets as a Joint with procedures s.t forth In 123.55.
venture MBE under "Is part In DOT-assisted
i ¢ r''•rx contracts shall In addition complete and submit (1) Bona fide minor)t�yr. ty group membership
` j: 4 ti,, •S,'' Schedule B. The schedules) shell be signed shni l be established on the bests of fire
and notarized by the outhoriz:)d rrpresentative It: •:usl's claim that he or shwa Is a member
of the business entity. A busloads seeking of t .: norlty group end Is so regarded by that
~` [,3 �•;7 ,. certification as an MBE shall submit the ptiti'Aler minority community. However, the
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;r:.ii i 1+.
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t �
recipient Is not required to aooept this clala (5) All securities which constitute 1 ',r
r control of a oration f",r
. + Invalid. ownership and/or Ct0
m be n I �P• 1 to I
If It determines the tic P
(2) M eligible minority business enterprise purposes of istabllshing It as an HE under
r 'r
under this part shell be on Independent this part shall be held directiy by minorities
business. The ownership and control by or women. No securities held In trust, or by
minorltles or women shall be real, substerrtlal, any guardian for a minor, shall to considered f
and oontinuing and shell go beyond the pro as hold my minority or woman In determining,
ER l� �' ` forma ownership of the tlrm as reflected In Its the owneelshlp or control of : corporation.
' i ;t
ownership docwmertrs. The minority or woman (6) The contributions at capital or
owesrs shall enjoy the customary Incidents of expertise by the minority or women ornery to
ownership and shalt share In the risks and acquire t-olr Inter.+ats In the firm shall be
�� , H •, profits commensurate with their ownership real and substantial. Examples of
Interests, as demonstrated bi a examination of Insufficient amtrlbutlens Include a pramise
the substance rather then form e,f arrangements. to contribute capital, a note payable to the
?S' Recognition of the business as a separate firm or Its owners who are not socially and
entity for tax or. oirporsto purposes Is not economically disadvantaged, or the more
necessarily. sufficle{,t for recognition as an Rartlelpatlon as an employee, rather then ss a
3 MSE. In ortermining whether a potential MOE Is manuger.
an Independent business, OOT recipients shall
!+ �^ conslder all relevant factors, IncloAing the (b) In addition to the abovts standards, "-T
'� tl date the business was established, true adequacy recipients shall give speclal consideration to
fly . of Its vaourees for th.) work of the contract, the fol;:wing circumstances, In determining
and One degree to which financial, equipment eligibility under this par+.
vAl, y ► leasing, and other relationships with rm
n,> •, � ' r no ma.imllrority fir vary from Industry practicn. (i) Newly formed firms and f I s w►lose
"I' r (3) The minority or woman ownet, shal l also ownership and/or control has changed since the
possess "a power to direct or cause the date of "a advertlsemant of the contrtrrt, are
4' direction of the management and poiicies of the closely scrutinized So determine the reasons
f•,:
• i f Irm and to mel,e the day-to-day r wel I as for the timing of the formation of or change
major declsicns an matters of management, In the firm.
;~ policy, and operations. The flr{r. shall not be (2) A previous and/or continuing
subject to any formal or Informal rostrlctlons employer-employee relationship between ors,
4 , s• . r ;°�, , �. t, which limit the customary discretion of the among present owners Is carefully revlevad to f`r
minority or women owners. Thera shall try no ensure t`.ret the enployecowner has management
K restrietlons through, for example, bylaw responsibilities and capabllitim discussed In
7 ; provisions, partnership agreements, or charter this section.
*� t requirements for cumulative voting rights or (3) My relationship between an MM and a
:,4f � w•�Y rq g 9 'Yt
otherwise that prevent the minority or woman business which Is' not an M� which has an �
owners, without the cooperation or vote of any Interest In the KE Is carefully reviewed to )y
> r• a !y � owner who Is not a minority or woman, from datomine If Into Interest of the norr-MIX
makln: a business decision of the firm. conflicts with the ownership and control
1.13 If the, snows of the firm who are rat requirements of this section. f
r. ?. 'F4 •+ fl �l'y"�; minorities or women are disproportionately `
;.�. ' yr. �i w,. ,, .• .►;:( {1,,,,..
r—wpons lb le for the• t• oFaratlon of the feral, soon (c) A Joint venture Is e11plDle under this {
the firm h not controlled by minorities or part If the h6E partner of the joint venture
401,
women end shalt not ba considered an MBE rlYhln moots 'the standards for an e)igible t� setthe +leaning of this part. Where the actual forth above and the MIX partner Is responsible
� ,' ', d�q�+ ? managetpo" of the firm Is contracted out to for a clearly defined portion of it* work to
`°, Individuals other than the owner, those persons be performed and shares In the ownership,
► , { /?. who have the ultlmate power to hire and fire control, management responsibilities, risks,
F h the mrtenagers can, for the p•rposes of this and profits of the ,Joint venture.
• yt part, b6 considered as controlling the
?� business.
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N' t.
++i (d) A Joint +•nture Is eligible to caapete Title 1 and section 202 of Title Il of the Act, ,
In an MBE set-asld• wider this part If tho MBE and to all urban sass transportation fun., '�;•'�'r
f'1r 4 partner of the Joint venture meets the authorized to be opproorlated by Titles I and
' tr ttandarda of an eligible FOE set forth above, III of the Act or by the Urban Mass y.
3 and the MOE partners share In the ownership, Transportatlon Act of 1964, as amene5d,
3, control, and mrnagameat responsibilities, apportioned or allocated to recipients, which
r risks, and profits of the Joint venture is a participate In DOT-assisted prlma contracts or
`t4 least 51 percent and the WE partner is subc'entractsi,
responsible for a clearly defined portion of
'i-, ' •t�� the work to be perfor'nwd, 123.63 Definitions.
(a) A business wishing to be certified as an v
1 NBC or Joint venture ME by a DOT recipl•nT The following definitions apply to this
shall cooperate with the recipient in supplying subpart. Where these definitions are
u additional Information which may be requested Inconsistent with the d••'rltions of 123.5 of
In order to make a determination., this part, these t I -Ions control for
(t3 Onee certified, an FOE shall update Its purposes of Subpart N. The definitions of
r• suMlission annually by sutimitting I new 123.5 control for all other purposes under
Schedule A or certifying that the Schedule A on this part.
file is still accurate, At any time there Is a "Actm swans the Surface Transportation
'S change in ownership or control of the firm, the Assistance Act of 1962 tPub. L. 97-434).
I?, NBC shal l subunit a now schedule A. 'Minority"•-See definition of "socially and
' #°}' j' IV) Except as provided In section 23.999 the economically Aisadventage4 Individuals."
denial of a certification tm the Oe arant or "Minor, business enterprise 4r fMt3E
a recipient shell be final, for that contract swans a small business concern (1) which Is of
and other contracts being let by the recipient least 31 percent owned by one of ware socially
�r 5 er j►tow �:,y;., at the time of the denial of certification. and economically disadvantaged Individuals,
l'+'�+ M13Et end Joint ventures denied certification or, In the case of any publicly owned
,� �•. [agri may correct deficiencies In their ownership and ousin•ss. at (east 31 percent of the stock of
control and apply for certification only far
whie�i Is awned by one or more socially and
future contracts. economically disadvantaged Individuals; and,
•tit t !;` "'r
(h) Roelplents shell safeguard from (2) whose swnegement and daily business
r u- kit disclosure t0 unauthorized persons inforeatlon operations are controlled by one or more of
�{
that reasonably ray be re5arded as confidential the socially and economically disadvantaged
business Information, conslvtent with federal, (ndivlduats who am It.
state and local law. *Small business concern" swans a small
business as defined pursuant to section 3 of
j`'r}` r' k• v,rP' f f f f f f f f f f f f f f f f the Seat I Ruslness Act and relevant
:ctr: • �' regulations promulgated pursuant thereto.
{fit l: fib;
' tvbpart O-Special Frovisions tar *Socially and economically disadvantaged
Rerespients of Fends Under the Surfscw Individuals" grans those Individuali who are
+ ' ` Transportation Asslateace Act of 1902 citizens of the United States and who are
Black Americans, Hlspanle Ainerleant, ►ative
• �.�n'�1'rYi'• 123.61 Pwpase• Americans, or Asian-Pacific Anaricbns and any
dJ t`t'rY other ninorltt•s or Individuels found to bo
Tne purpose of this subpart is to Implement disadvantaged by the SwdIt business
� .* 7t sl• r� ..y. .1C} .Y P Do p �
section 105(f) of "a Surface Transportation Administration pursuant to section O(a) of the cl
r;J+,,y. � ��,• ;^���:r. Assistance /nt of 1982 (Pub. L. 97-+124), Serel I 8uslness Act. For convenience, these
citncernlnQ wit,'I business concerns owned and Individuals and groups are referred tli as
',minorities" Rea i p I ants eeyi ;
',;F �, r ,+�;.,f •,i controlled by socially and economlceltyIn this subpart.
F ' `�•`c3ri rr ld, disadvantaged In'-Wduals. wake a rebuttable presumption they Individuals
•� % '' Y j•.i t
to "a following groups are socially end
123.62 Applicability, economically disadvantaged (the certification
appeals mrchan)sm of 123.55 of this Part shall
this subpart applies to all Fwderalraid be ::allable with respect to Individual,
highway funds authorized to be appropriated by alleged not to be socially and economically
{ ,
disadventaged): ,
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`S ''� rid •' ' � , .,
(1) "Black Amerlcans," which IneludeS the firm Is less than 100 parcent #Minority
r. persons having origins In any of the Black awned.
racial grwps of Africa; d e f
(2) "Hispanic Amoricanf," which Includes a b I: years of Ownershlp Voting
[ persons of Mexican, Puerto Rican, Cuban, Now* ftce Sax owner- percent- percent-
tc Centrul or Sajth American, or other Spanish ship age "a
r
+ culture or crigln, regardless of racel ..._
(3) "Native American:," which Inctutsr
persons who are Amortea•! Indians, Esklmo►, With firms less than 100 percent sinorlty
` Alusts, or Native Hawallensl and owned, list the contributions of tansy,
A (4) "Aslan-Psclfic Merleans" which Includes equipment, real estate, or exoartise of each
persons whose origins are from Jepen, China, at the owners@
Taiwan, Korea, Vietnam, Uos, Cambodia, India, B. Control of fimt to) Identify by name,
"1 Pakistan Bangladesh, the Philippines, Some, recap sex, and title In the firm those indl�
f f Guam, the U.S. Trust Territories of the vlduals (Including owners and non-owners) who
►' , Pacific, and the Northern Marlsnas. are responsible for day-today anwnogetment and
�, 0oltcy declslonmaking, Including, but not
117alted to, those with prime reSponslblllty
fort
{.5 t.r Sabpart E-Compllanee and Eafarraweet
(1) Financial decisions„
�liXr ' i !I ! S ! i ( f ! 1 1 f ! f f 1 (2) Management decisions, suds aa--
T e 4
1123adl Willful provision of Inox'rmct b. Marketing and sales
s� its �+t-� Inffarnatlen. c. Hiring and firing of ronagermant
personnel
it, at :.ny time, the Daparvwont or a d, Purchases of major (terns or
recipient has reason to believe that any person supplies
or fine has willfully and knowingly provided (31 Sapervislon of field Operations-
Incorrect Infonsatlon or We false statements,
►'' ' It shall rotor the matter to the General
Couhsel of the Department. He/she stey Initiate 9. For each of those listed In question 5,
} f debarment procedures In accordance with 41 CFR provide a brief summary of the pers'on's
s' t0C 1-1.504 and 12-1.602 andior refer "a matter to experience and nurber of ;rears alth "a term,
the Department of Jt.stice under 18 U.S.C. 1001, Indicating the persynts qualifications for the
as he/she dews appropriate. rssponsibllltles given his or her.
10. Describe or attach a ropy of any stock
Schedule A -Inf+,t'sutlon how' Dsterwining options or other wnership options that are
Minority Owelneas Eatwprlse eligibility outstanding, and any agreents between owner r
aaor between owners and third parties which
'tr y 1 Na•e of firm restrict ognorship or contral of minority
2. Address of firm tanners. }
3 Phone Number of firm 11. Identify any owner (see Itw 7) or f
`y "5 4. Indicate whether firm Is sole proprf- ftnogwwnt official (see Ites il) at the namod
fi is M �� storshlp, pertnershlp, Joint venture, corpora- firm who is or has been an employee of another s
tlon or other business entl'y (please specify) fink that has an cmership interest in or a
r i t•t
present business relationship with the named
Nwattre of flrmps business )era. Present business relationships Include
6* years fink has been In business shared space, aqulpfeent, financing, or
7. 0marship or flrmt Identify those who rployeas as wish as both firms having some of
cm" S percent or more of the firm's ownership. the some owners.
f '+•,� t. Column a and f need to be filled out only If f
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14; 12. ►r►at are the gross recelpts of the f Ira Signature
y
f or each of the last two ears? Name
Title
Year ending .. Date
Corporate Seal (where appropriate).
r r Year ondtng Date
State of
4P County of
da at r
19
Manta d banding It anyt On this y
13 g company,e a
. before me appeared (Name) , to
1 Bonding limit ro personally known, who,being duly worn,
Source d letters of credit, If any did execute the foregoing affIdevlt, and did
s� t state that he or she was properly authorized
la. Are you authorized to do business in the by (N*me of tire) to
state es Wei as locally, Including oil Was- execute the Offidevlt and did so as his a her
sery business 11censss? tree act and deed.
13. Indicate if this firm or other flees r
with any of the se df(cars have previously ISeel l
received or been dented certification or par- Notary Public
ticlpetlon ss an MBE and ttescrlha the cireuttp- Wtpitlsslon expires ,,,�, •*
stances. Indicate the nsma d the certifying
C authority and the data d such coriit Icatlon. a khedvIa 1!-�Intornatla► far Drtanlhing Joint
• dental. Venture Eligibility
(Thl9 fora noW not be t i l led In It all
lift Idevlt
�•r Joint venture tires are minority owned.)
't r "The untierslgned swears totat the foregoing
statomgnts we true and correct and Include al 1. fbmo of J0int.4en1hur*
aetwial Information necessary fa Identify and :. Address of Joint venture
f.. � erplafn the operations of 3. Phone number of Joint v*nturs ���
(now of f Irm) as wall as thr ownership A. Identify the firms which cowprl$e M*
thereat. further, the undersigned agrees .ta Joint vc wra. (The WE partner must caMptete
1•. }i' 'y !'{{;�. provide through the prime contractor or, if no Schedule A.)
prim, directly to the granter arrant, roan- (a) Describs the role d "a M3+~ f Ire? In
plot* and accurate Into' tton regarding' actua the Joint venture. �..........,...
work performed on me protect. the payment
•., r j: ;,!_.,{mk t`' tfheretcr and any proposed"Chang*$, 1t any, d IN Describe wry brief ty •the ewoorlense
the foregoing arrangosenta an: to permit the and business quatltlntRns C# trarlt na.-MBE
audit and examination of books, records and Joint ventur*rt
files of the nosed t I rm. Any pictorial Mi sr*-
f.t
ft l3 „r.
Rr*santation will b. Bounds for t.ratnating •
any contract which may be awarded and for 3. Nature of the Joint vrnturet+s business
Inl!lating action under Federal or State lows
croneerning false statstsonts." 6. Provide a Copy ct the Joint venture
agrofrttrat:r. i'
Note.-,.It, attar fI(I" this Schedule A and 7. what Is tf.!. clalmad percentage of MK
before the work of this tire Is aMloted On a,nershlp?
the contract covered by this regulation, there a. Dwnshtp d Joint venture: (This teed not
r Is any significant ellehge Inffte (nforrnetton be tilled in it described in the joint we:tur*
. SubmMod, you must Inform the grant" of the agreement, provided by question 6.).
change through the prime contractor or, It no
f prime contractor, Inform the grantee
i directly.
isr^E .
FR-12
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ta'r y
P (a) Prot it and loss sharing. the aderal funding agency. Any materiel
M1
(b) C,Dltal contrlbuticna. Including amiSreoreeentet(on will be grounds for
r equipment. terminating any contract which Pwy be awarded t
(c) Other applicable ownership and for Initiating action under Federal or '
!� Interests. State laws concarning folso statements."
9. Control of and participation In this ..........................+..................
y contract. identify by name, rocs, sex, and Noma of firm Name of Firs!
"firm" those Individuals (and their titles) who ..............r..,...........'................•
are rwsponslbie for day-to-day management and Signature Slgnot:tte
policy detislo+ummaking, Including, be not .............................................
limited to, those with prime responsibility No" time
fors
Title Title
t' .. (a) Financial decision! �� ••....•............•...............�......•..
(b) YWnagement dttclsions, such as: ` Date Deft
.31 (1) Estimating Date
d +, (2) Marketing and sales State cf
(3) Hiring end firing of managament county of
=r;r�%f • personnel
r' (4) Purchasing of enjer :tens or On this w_day of
' supplies ...... before me appeared (Name)
' to me personally known, who, being duty sworn,
" (c) Supervision -4 Held operations did execute the foregoing affidavit, and did
state that he or she was properly authorized
Note.--It, after filing this Schedule B and by (Name of t irmI to
,.} before the completion of the joint venture's exacute the oft Idevit and did so as his or*her
4F .
f ,, work an the contract covered by this regula- free act and dead.
tion, there Is afr, significant change in the Notary Public
Informration submill :ne jclnt venture must Commission expires-
Inform the grantee, either directly or through ISeall
the prime cantrW. cr if the joint venture is a Date+
t *,� Subcontractor. State of
County of
On tit I s day of . 19
"The undersigned weer that the foregoing before me appeared (Haase)
� statements are correct and Include sit materiel to me personally khan, who, being duly Horn.
�rl (ntormat)on necessary to Identify and arptaln did execute the foregoing aftidav:t, and did
the tams end rperation of our joint venture stale that he or she was properly euttorised
and the Intended pprticipetlon by oath joint by (`lame of f Ira i
lipventurer in the oridertaking. Further, the to exec 'fie offldevlt and did so as his or
r`r:. +• undersigned covenant irta agree to provide to her free act and deod.
grantee current, complete and accurate Notary Public
rY: Information regardlrg actual joint venture Commission expires
.J
r work and the payment th'erefer and any pro- 13e011
Ili eased changes In any of the ,Joint venture
erralgements and to permit the audit and
et<aeminatlon CO the books, records and files of
>' the joint venture, cc those of each joint
" . , venturer rel•lvant to the joint venture, by
authvrizef) reprssantatives of the grantee or I
�r
FR-13 �r�r.•lh
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�ir�'1 '!/ � .. � .0 ' f�rl;.....'6'.• "•........,... ..... .......... .. ... ... - - t 1',f ! .r�y,fr � /,.
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i"ly') '•
`ra,�, r t;ut�1 f.r, iy , i,,i•i r t., ,Tt�1 t �� �., lf .�
.;�;�f1 'ti.r±(", fr!,� ��' �- A,t;',I;�.; 1 ,1;.,,'.• 1�t� 7`I t�•
l�h7�t ;Ar, )�-"r (fit r ' J (� � ,,kr'( • ,i_ .
��'�,•t/f1�rt(N,•.}!l lilt" r'Jr1.. j .1' lri,i.?tl�
/-� r5,�i4`'rr:'.1' `l!✓.C.,'/'1t.1•'.�J.. 'r- 1,f,:,j ,r 1f, +• .i ' ,rt
REQUIRED CONTRA �S .Y �� r.{• ./ p �f'
.,r; 4 •rt.y,.'' ,�+�.'F;i..,�1,�4.,,.' . � C7 iit0Y151ONS
IS-I G6 R
' f• ' �t ` FEDERAL-AID CONSTRUCTION CONTRACTS 1 ( 't t tt.�F•f r! �' i '�{:
• tt A�`+�1`yl,, y ,
,r,tv
�f• �Yf`r�.++f M,;r iyY,•y111r ,+ !.,/�i°J r'/r 'Jl4.i"" � tl�.
)1� f t
�tfr f ' C� ,;',Y,� Pogo Section V, pare renhs 1 Z and A •a:,:�:( i�,ti� fr Sep Pr
I I i
�' 1. Application--- ,»......-. •.� � ,� �,� i
9 Section %1
`' l •jj( I� ��,y i ►r� Y 11. Equal Opportunity-------------t -----------»- R• %
.,r]x, ` ,, 1 t ra(r•. Y F 13 Section 1
r paragraph 2) (;, !,
111. Nonsegregated Facilities-------.- FR-17 Section IV , ::�,�rji to ��t 0
, oaragraphs 1.2,3,5 and 7; �:;:,r?,. Nk�� .�f7 !
t ;
l�t;;l.t•,d� IV. Payment of Predetermined Section V, pareyraoha 1,'So,Sb. and Sd :y'� �.
;'» "Y: A i n itnun Me es---------------
1 rJ'"�X C; a� '•* , '.,�;r g FR-19
�•,) t Yt� I °i:fi' V. Payrolls end Basic Records-- •--- rF
w S •r • +'�f. '.�}I�a,/ rr!' Y FR-21 I I. EptlAl OFPCiiTUf11T7 �„� � 'r' E.; ''4�1. !:� • ,
VI. record of Materials, Supplies
and labor•-------»•...��-...,....
,fir (j ;r•d FR-22 I. 5eloctlan of Labor 2
rot
{' 5;� YIN Subletting or Assigning the
t .
1'
• w�.<• ' Contract.-r..-« ��.....-.,.., r ..
FR-2 3 During the performance of this contract,
Vill. Snfoty; Accident Prevention- FR-24 the contractor shall not
• i1r�. +J,•:t,l, .rp '1 if discriminate ,. _4 �►,•
r yte against
IJ
1sfi�C` IX. Fosse Statements Cencornln
7 labor ?rcrp any other State, possession or
wlA1W fir Highway Projects------ FR-24 tw'ritory of the United States.
' ' Im►ent
��.•,�,,xy,�� X. 1� often ct Gran Air Act •t�.
and Federal Pollution t �t
derl Water Pl 2. Employment Praetieost J
Control Act FR-23
tf 1�i51y Xt. Contract Wo
rk k fDurs and Safety The Equal E�+Pt ,wont
oy. Opportunity { a
Standard /.ct Paqulrraents---- FR-25 Aft irmative Action Notice sot forth in 41 CFR :�r•; , F'
60-4.2 and Equal IlmpIoyment COportt:alty
y. 1 APPLICATICAI ti a
f�!(�f(�f #-yY; _ tt•., ,f, Construction CY:nt .,f eclf!tationa set forth
In 41 CFR 66-4.3 are incorporated by reference
�i (t�>'!1„'.1.<y
1 ft fit+'' 1. Those contract provislang shal I apply to In this contract.
i+ s" t t fj t�'... If c '•}r all work porforned on the to at;
ntr t by the
?}
}' �." rY;;'_�: .:;`:'r' :.{•� contra tear with his own orger.lia+Ian and with ,` � •r\
3. Equ++l Opportunity Clausn:f.
the atsistance of workmen under his Immediate
r �,��'«=�;zr• '-`,�,�,; superintendence and to el I work performed nn Dunn Mot•rtanee of this con root JP
. �,�{�,�;r >�6 t,}"`�3'�";.�;+:•• ;':.i',�. the contract 9 the � '
by Piecework, statlo: varx or try the tontractnr agrees as follows:
,,,,yy"•� }} subcontract.
{d�k l.�•,. .)w . O,Siit t, � �4. /'� v'Ir. _ �1.
G. T're contractor vi l l not discriminate
2. Contractors and subcontractors shall 1 against any employee or aDDIIcant for t 1'
i:`,r, 1 t• �' 1 , r; t: r, Insurt In @II subcontracts the entire contents `✓ ' t �
e+►pltaymrrnt because d rate, color, religion, x:4�' �t
trt this farm PR-1273..•'•' The contents of this tax or national origin, d"'l
'��(• i av•,t.>••,,r�t�'•'. torn . The contract (sic)
shall not be Incorporated by wl 1 I take sit Irmative action to ensure that
reference. The contractor shall be responsible applicants are s it
J;. Y rill employed, and that wpl ees
}•, .i. ., '+' ,}r 4or campl lance all subcentr a, \}
•:. y o , by a;tors with the are treated duel, em 1It
� •'} •q D oyment without r red
i� �' J. ,4; 't`! {, ,t,•', contents of this form PR-1273 r .1
ly y,. ' t: '%••�4 �.rh•,�I`•,.:.„r,,. ' their rota, color, religion, sex, or
r/fir �r1 2t.YsJ national origin. Stich action shall Include,
3. A breach of any of the stipulatlons con- by limited to the follw(nfl:
I ;t•.,
I '�l'' 4'�t {A'• 'it, but not
gt:
�'� 4• G'4�t �rf r'i it` �z'�c r talned In theca Rb►quired Contract Provisions arp1ayment, upgrading, demotion or transfer; r > S
ftay be grounds for teralnatlon of the con- rocrttltmatnt or recruitmentadvertising.-
tract.( r ;S ;S Fr.• "r }- >
( Jr ��� t''��'• -
A°i.{` layoffs or termination,- rates of Pay or other y,
4 ; � ��f�4f' ,"X•�tr"t;�f' <;► forms of camp on= and selection for
ensetl
4. A breach of the fol low:ng clauses may by training, Including apprenticeship. The
rwnds for de
9 debarment by the Daparhrent at ,ontra"_tor agrees to
r „ ,,,, � r:" !•' a9 Post In eortsDlevous '':J;,�: ,.. )�� ?;•6', ..?' f;,:•
lahrx as o contractor and a subcontractor at Places, available to employees atwl applicants
C d l id r
Povea 2S CFR 5.12(a)(1): f � !
��, � �••: +�',� ,�l�r ,� or aumplarttttont, notICiE to be Provided by the
State hl free dapartmtsnt setting forth the
A �'+?{ Section ( provisions of this nondiscrimination clause.
•tt{fs` j;..T, , paragraph 2=
Section IV, paragraphs 1,304,6,7,9,10 and ii
.t 't�{ist.i�rt� r
r^ r,Y
r
PR-1's73(Rev. 5-a�) FR-14
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r?{SFr \ rl 1 /_. + ,el,} - ` •� ' t YS- �l.t. } .r+ . +^ErT try �(.
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6�'" ` +} j" Ir i Y� 3 + r'.i�41wa�l:MSs'�jrt`7.L�t'tw-a+4...,......��....r.�..r....'....._.......,..., .......v..•....1......-.. .."_._.__,_.._...�...,._.._.._..-_•__.._._....._......,_ ._. .. .........._._,..„.._ ._......._.....-. ......n.. 'lr,'.���Ft'l71)�•�•��y'�'S ,,t
rr 33 ia
t rI fyt ' y s :•r' r� !,. �r �+; •r r'r1'! , � 31T•
�y.�l .�•;'���,'���������, t �7ij
tt, ri+r 1, •I�,i.. .uS i•�'A=fir fg +}.i.�' , .,, `h'tL' 'S,, ;T.k3 r1{}+yr S(i•3',. +
} F•':h•1;�r � r�_1ff•:.Y�.�}�r�+r. ��, .4•.��r, t1L��i�`•� ,�
;.. `, r:1t'„� it v� r} t''%`'a'F•l �; !+ ' ��'., C,+. 1,s 1'•'
�-�t•ff 'rr��'firt�fi+f �1;`f�:�t;.,a: ;`s 'F't"�'� ��. r.s'r.
I•.ir../ 1 r A• y, F y t�., f.:"S �• )ti 4�y1'�r. Y•, ,i 1 ( i.�'4���i��,*S•t��tq�;9 ,.�:'.f•f r•�.'.ft}�:! }"•1 �•/{bj,,t� 1,
r �,�Y'i'1'fSPrlrrl/1•'1'1'r •,� ,;• r'ftS.rYF '��1`T
b. Tho contractor wlII, In all sal icita•• or purchase order snless 9xempto4 IV rules,
tions or advertisement! for employees Placed regulations or orders of the Secretary of Labor
J' �t r r, f •,
by or on 1)ohalt d the a_ntrector, state that Iaswd pursuant to toction 204 d fxeoutive
all Vual if!dtl eppl(cants wl1 I recslve consld- G'der 11246 of S+ptvebq� 24, 19K5, so tort such �i y� ty•, K/�tG' ;�it'' °`>
+. rr:•� '.',j,,, 1,4:,fsc.a' oration for employment without regard to race, provisions will br binding upon each11,;'.
r.• ;� �l,r. , 1
rtr,9'.,>'. . ax'
r colon reiiglo�, sox, or national urlgin. subcontractor Or vendor. The cnntrsclor Vil1 , \r, i,.•�;t S. ter�
�I.r f ra Sl�s if t rI, 5
take such action Vith rRsptlCt t0 Ony i�Y(, y ( sy t;-1t
�� ''�, q�•f,t_r,,t, c. The contractor �IIt send to each labor subcontract or purchaae order es the State l4�
a`rleft,,rt',r+ 'ill" ai •P' F�
17►I`{ .1 1 union or raprea.ntativo ct workers with which highway department Cr the Federal Ntgh,+ey �r� ter, �,:t
{ s/4•d� ir��a1,S t. j,, ,. he his a collective bargaining agreu+,ant or Administration ,ray direct as meansi; jrzY 1f
other contract or understanding, a notice to be enforcing such provisions inclualng sarctions
{' � � ��•' !;' f { N�wever, that In
a:•rM1ff�'rN�11'i'? -I'"4'•;•,.,YV'. provided by the State highway drpertmant far nCncenp ,cocas Rev deg, r
,• ray;�; ) (r�,�ll, r^rr.:,,r• advising the tald labor union ar workers the event a contractor bacarort InvolvyJ In, orI r
represrntallve c# the contractors comrmltments in (alc) thr•:atened with litigation Vlih a
( l" jl ir,''{l under 'this section 11-2 and shel l post Copies subcontractor or vendor as s result d such
' 0the notice In conspicuous places avallable direction by the Federal Highway Mminls-
'�"at. 10 w.pIoyers a'rd appIIcontb for amp Icrfmnt. ttrotlon, the contractor my request the United
States to enter lAto such litigation b
•t�4 f M. i r�r� �� r
d. The contractor wi I I comply with all prorect the Interests of the United States.
provisions of Executive Order 11246 Of
Soleetlon d Subca►tnators, FroeallaMnt
September 24, 1955, and at the rules, 4.
regulations t41 CFa, Part 5G) and relevant of Mfatorlals, and Leasing of FAulpfe+ent:
it r • '.,
.�•�' r 5f,>�•'� orders of the Secretary nt labor.
I� •a `. � �'}Vsj bur 1 ng the perf armance of this contract,
+ `.•,
yy c'Jf S • 1l�},� •hr e. Tits contractor will furnish all the contractor, for Itself, Its assignees and
Il1td s• t`t} (t .... V•9rr �t
z , Information and reports required by Executive successors In Interest (hereinafter reterrM
+,t `' { .i ! .a ( `"1+•}{i; ' , Order 11245 of Septtnbar 24, 1965. and by to as the "contractor„I anroos as follows:
9?•• ?;a:rlrlr'64 ,,'1, rules, regulations and orders of the Sacretary
y n ��{� 'b�r�•;*{*x+t'�; � '+'i,`�gt,J' of Labor, or pursrmnt thereto, and wlI I porAl` a. t -rpllnnce With
Regutatianst The
.�,'!t :�ta1.•��:.t •,�r:�: rf4�:�; aces,• to his books, retards and accounts by contractor shell ea++ply with the Regulations
y r i ,•�,:, "7 ,ry
r• t ;fir"1`' '!:''r,',�,..�;;�,.�r"t the Federal Hlghrey fdnlntstraticn and the relative to nondiscriminetton In federally-
Secretary of Labor for purposes of Invustlge.. assisted pragrwra ofthe Department d
t...r ticn tr, ascertain ecr.+Dllaner with such rules, Tr•ansportatlan, Title 49, Code d Federal
1 rlr � Regulations, Pert 21, as they Ray be aarsnded
•'l�ry:� r`F,i ragulatlons eM orders. e9 . ey y
ti y11 F,,: r / ', from time to time, thereinafter referred to as t
1. e`�•�) ' jl �;, f. In Thu event of thq controctorts the Regulations). which are heroin (nCorpo-
noncompliance with the nondiscrimination rated by reference end node a I+;,rt of ihla
�• � r �i��Y„'{„�+,1���� clauses of this contract or with any of the contract. ;
f3Virn if ,;1,? ,:;.g said rules, regulations or orders, this
contract may be canceled, terminated or b. fbndiscrtmtnationr The contractor, with
sus ended in whole or hpart and tha ragaN to the work performed by It during the
/ < f';,�;g . j,t'r;• centranbr may be declared Inel igibld for contti-act, shell not discriminate on the
further &vrrnment canlracts or Federally- grounds of race, color, sex or national crlgln
assisted conslructlon contracts In accordance in tfie solection and retention d subcon- f
• , ,t+i'r %r,i„�`'`?* with procelures authorized In Exaritiva Order tractors. Including procuremenit's of msaterlalls
1,1+ ;'r 1}, fit;, S1Lyt• 11a"46 of Septwter 24, 1965, and such other and leases of edulpinsnt. The conireetor shall ,
1 ...r ��+, t' `. }';r',;;$ sanctions my be Imposod and rwtdles Invoked not participate either directly or Indirectly �, r
.t.- .art. 34 . l�j.;r,� i<5+' as prohibitedby r, J} 7)(3,•. ,:r�} :,ty{ r s provided In Executive Order 11246 d In fte discrimination section r�
September 24, 1965, er by rule, regulation or 21.5 et the Regulations, Including employment
11 + f..• A '11101, ',' order of the Secretary of Labor, or as practices when the contract otters a program
�• }{.� ij'}' ff t:9 a!hwvlsa prfmldod by lea. sat forth In Appendix 8 c# ttm Regulations.
'fit, •' \1 ;�,�•• ' 4' g. The contraeor will Include the provi c. Solicitations for Subcontracts, Includ w
lions of thi. Section 11-2 in wary subcontract Ing prazuraments d Materiels and Equipment: +
fR-12730tm. "3) FR-15
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ve r
frL•f� '' .'yt 1' ( 1( �+'7,r ' r'►1 ir,�'''� +,.�.i� 1�Y�r a j39' t':,fi
*' `'f � „f1 y�'f re�s�>�(� !t�f ,• �•�, r .4 r' � }„r.te P ( ,�r?I, `I
r ;,...t. J�,+ •• r'd.r� ����<y,�r-s`' `':, 1 •. . � 'eft�'s� f7" r l'',
cjR�'�i t,a'.^rt":f.:•" A"'.�...F ... ' •'4.,.� :%i?�r�' y�`f,T'�'r1��•1� 1(pr; '�r
rtfrr (} � 3�ttj� F �•r t lj 5
t 1•,�t
(f, '`7 a r'j, ,t'3 17�r. ; + ,t i j•AAl ;��j try °! k` •
r�,w{�,}3} {r:;;(t
t r 't�rt„IL,, j In all solicitations either by conpetltlrs noncompliance.- Provided, however, that, In the ,, rt •; �! tr �{,
,:-t�4T1r rl •{ r ,
,r f' +,s �•:1r f! r]]] r: ' bidding 4< negotiation mad
a by tho contractor event a contractor becomes Involved In, or Is !1..1 r }�'lrt(�,dr �•x� ,ri
',•.: ,` :.,,4.,.,,., r.+. I' ..�r n P-T r , j �il,,,t , ",,��r,t ,; for uc-r to W perfermed under a subcontract, threatened with, litigation with a subcontra. ;;r ,` , rp
Includin rrocuraments of n+eterlelt or teases for Or supplier as a result of such direction,
$•, � r ':for,/Ar;a%•�.+,r..i!`,�,;:,.,.,f,'+:.,.,•., at eq ptnf;:ct, each potential subcontractor or 1M contractor may request the State highway 3+• < � is ��f,l .t?
i 'ta fief pt +r.,i 1 f J7 I!, supplier spat I be notified by the wntrector department to eater Into such litigation to Y�jri" if,�4f '�
r: tat:f';`,t�t:cl;r' +�;xr ;`•.r,�.,�.;(t'; r floe under this protect the Interests of the State, and, In � `• ayr"'iu:
1* of the contractors oblige s ��fVF I t r
;,, v+r F;.y;,.,Y•/, �r l�r,tl;; contract and the Regulations relative to addition, the contractor may request the
Reg 1
}..!'i '-"":7 ii1Jn.'Ft,'�5.:3, IY• +r•
p nondiscrimination on the grounds of race, United States to enter Into such litigation to r t fr
.. +, ".yrjr( .i `: i'�P:;trr�:.•;Y < }r`'
Dolor, sex Or national origin. protect the Interests of the Limited States. r `
• '� • ,1,+
ip r% � rti ,t �ii: d. Information and Reportst The contractor
shall provide ofI infarmcatlun and reportu life MMSEMEGATED FACILITIES
V try+!�I'• 4 try/. } ' r
required b/ the r, gulations, or directives
Issued pursuant thtirato, and shall permit (Mplfeeble to Federal-old construction •t
,( 77 trf t r[1c+ access t0 Its books, records, recounts, other contracts and related subcontracts axceeding e
i#'^;' xI/y ,.f r• +'sty:`�,��,°.Z*.�z li sources of Information and Its facilities as 110,000 which are not exempt from the Equal
'` , ' ',,c � ` 1:t;3; ,; nay be determined W the State highway depart- 0pportunity clause.)
meet or the Federal Highway hdmfntrtretlon to By submission of thitl bid, the olceaLtlon of
4 :r� , '+ be portinont to ascertain comp)lance with such this contract or subeontr let, Or the eonsum-
tt Regulations or d)rectivG1. kbore any Inform- nation of this material supply agroonent, as
rion required of a contractor Is In the appropriate, the bidder, Federal-aid construe-
F sxeluslre possession at another ;.fto falls or floe contractor, subcontractor, or aaterlal ,
Sd�
`:f, rr ' .c� +*r ,' f ly •t'` refuses to furnish this Information the supplier, as appropriate, cortlfles that he
I MJ S« i--I "f! contractor shell so cartlfy to the State dons not malntaln or provide for his employees
,,
'l a�•Sl, tighwey department, or the Federal 141ghway any eegregettW facilities at .any of AI! ,L3
}fr r f{[ f,,r `�}C y3 'C, Adminittrotlon as epproprlate, and shall set establishments, and that he does not permit � o►
r 1:
ate+k air tit "•, �y,�-. )� forth chat efforts It has made to obtain the his employees to perform their services at any „H
1.
information. location, .stoat his tri `:ol, whore segregated ' y'
t •.r,No,
facilities are maf-tetned. He cortities
�r. 1 . ;�,<�,.1 ,} !�'; � e. Sanctions for Wricompllance: In lice further that M will not ealntaln or pr event of the cohtractorr! noncompl lance with for his employees any segregated facll ltfei at
'' r l',i't's' � r:(>ra the n:,9ltcrlmination provislons at this any of his ostablishments, and that he w111 G r
Cantrat:, the Steil highway depaNrmerr shall not porMlt his employees to perform their ��ti � �•�,
" +� �Y+l�`�drs;� ,#:��•' r'(�,=trl`i�i impose such contract sanctions as It or the services at any location. under his control,
fir.. �: Ci(,'(j. , .4
+ s x.". •' Federal Highway Administration my determine to where segregated facilities ere eelnlainrd. tk ,
1�i�°F.c . d
°• jG l fl
be epr-oprlete, including but not limited to: Ho agrees that a breach of this certification f•y)'t
' r)ptii� i �S, �'►"'t°'}+ }��t�t is a violation of the Equ-I Opportunity clause
(1) withholding of payments to the contra;- In this contract. AL used In this
t: } ?rt�'.' f• •' 1 ' r » ter under the contract until the contractor certif Icatlon the term "segregated '
±F?iA.�ya fit%'' complies, and/or faotlltiss" marls any waiting roans, work gy' y •r
��Jj ` ,•< •t Tlr r,i;.�c, (2) cancel lotion termination or suspenslOn are on
as, restraams end weahros, restaurants
t' ;{f1�51 ,1t �'h�=1,>.,• -�g i; of the contract, In wfiole or In part. and other Wiry areas, tlmeclocks, locker r r
�,.,•
� Y " a'e1Q,t�i �• +�' , .'t , '• roa+►s and other storegs f7P' dressing areas
tr�1i, ,5 . ' t 'i ,i•(.(•
rs`� �� f, Incorporation of prwislansr The con- parking tots, drinking fountains, rrcrcatton �+ ;
�;.,r tractor shall Include the provision of Ws or entertainment areas, transportation, and
paragraph 3 In Crary subcontract, Including housing facilities provided for arDlayaes �r ;. r
t�y i^, �,�+ 4 ( fjs j'•:i,�+S , procuremonts N r4terials and lasses of equip- which a' I• segregated explicit directive '+r x. fd
Mont, unless exempt by the Regulations, or are In tact segregated on the basis of rac,:,
�r' ' `a' °"`f fj '•t'�tl v'�`e; directives iss*-wd ur:uant •;hereto. , color, or national origin, because of +
R The can- creed r 9 r �
tractor shal i teks such action with respect to habit, local custom, or otherwise. agrees y �• ,1 {4: A lie
any subcontractor or rocvrst,snt as the Slate that (except there he has obtained Identical � •� . � �
highway department or the Frldernl Highway certlficrtlons from preocsod subcantrectors
Administration iney direct as a means of enforc- and materlal suppliers for spocif Ic tuna
)ng such prorislons Including sanctions for periods), he will obtain Identical44
fi
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i
f i� 1�I•.11 f f !I 1 .l rt i .i' ! / / 1 I lr,.
t `cl-- , C Y•3t 1 ' .. „r. I t ' r ! r '7
tr' .'', , '; , / ' ' i r .J•.r /I r ,M1
t M "f.r I r/',rr�%4`i4 �f�•1 `f ` .a r. �`�,�'�' •,, .• r. ..�, ., •,• ! t r .' ,' ., .. ._ .__..._........,._:...._._..._.__.....,.._._._' _J.... .._z.'...J•_,�..,_........_...rf:itfl._:_ .y.47 ��� -+1) y<
,ai"j tff`'"-i.Jt-jf$ii,'ti '�'.,i7Stf'(f rMi �1''Ak1"vklanY�.F.ofr1.,..�,.•...,...�:..a:..a»....r...r�...................._ t��'t4+ �dr
r •:fi'I1 PA- -it
-37
I fill
1
a�+!g certlf leatton from proposer subcontractors or any addltlonal classlt Icatlon and wage rates
' +1 ' .► t)f material suppliers prior to the award rf conformed tinder paragraph 3 and /a of this
subcontracts or the consummation d rnateelal section) end the Oavls-green oostrr tkW1321)
supply agraaaents, exceeding $10,000 which are shall W posted at all tames by the aontr,crcr
not exempt from the provisions of the Equal an4 Its subcontractors at the site of thn work ,
ri°;�;ar ppportunity clause. and that he will retain In a prominent and eccossibls place +litre It s ,F
H t" t. xtf{` can be easily seen by the wor;t•rs.
sur:h cwtif icatlons in his files.
lys PAYMENT GF PREDET'EMINED MINIK4 WAGES 1• Payment of Excess Wages:
Mall* the wags rates drown are the minimum
)• general
rates Mulrod by the contracT to be paid 1`
Ail nwehenics and laborers employed or work- during Its life, this Is not a regrssrntstton
•.� ,,f• ,';ri Ing upon the alto of the work shall be paid that lobar can be obtained at tnaae rates. Ma
t, • o- ) i unconditionally and not less ofton•than one* a Increase in the contract prlao shell be
weak, and without subsequent deduction or allowed or authorised an account of the
},, r...z• ' r
robot* an any account (erreept such Payroll payment of wage rates in most$ of those
deducttans as are permitted by regulations Itatrd therein.
issued by the Secretaryof Labor under "a
Copeland Act (79 CfR Part 3)), the full 3. Classifications
'• ;J amount of wages end bone fide fringe benefits
(or cash aquivileets tMrsof due at tlele of a. Ina State highway agency contracting
payment computed at rates not loss than the off leer shall require that any class d
raga determination of the Secretary of Labor laborers or moehonles which Is not Ilstod In
.P" r which Is attached hereto and made a part the wage determination and which Is to be
hereof}, regardless of an-, contractual employed under the contract shall be
relationship which may be alleged to exist classified In canfarmene* with the wage
rY 'y'A'; between the contractor and such laoorers and determination. The State highway a7�n�y
}'' y,) y' + 3}/t i'• mechanics. Contributions made or costs contracting officer shall approve an
reaaanebly anticlpet•d for bona tide fringe additional claasiflcatlon and wage rate and
of t itr 1 Ye4+},
bsn�rf Its under section i(b)(2) of the fringe bonef its therefor only when tar
► } ,rf, •` Davis-Secon Act on behalf d Isborers or following crlterta have been oral: ,
maehanics are considered rages geld tv such
`!" ��•; , ,"' i=',r laborers or mechanics subject fo the provisions (i) The work to be performed by rho
,}/�� I r.7' �'74�,��••t`•••r�yt'+ of paragraph 4 of this-section; also, regular classtlleatlan requested is not performed by a
contributions redo or costs Incurred for more classification In the wage determination) end
then a weekly period (but net loss often than (2) The classification Is utilized In the
� rt. p t r�'' t �t ;• S••'
0.��1�•s.•,�a•, the construction Industry} and
quarterly) teTdar plans, funds, or programs area by
�it! 'r ` I1�r° �;+•t{Y��f�firrlf'- fi which evrer the particular wakly period, are (3) the proposed wage rate, Including any ' a
Jt LrrtaJf ter i�-*d Sr `:•f.
•'-ti� s�,t l�+y f.,� �,t,�,��+ downed to be constructively Bade or Ineurr•d bona t lde fringe benefits, bears a reasonable ,
during such weekly period. Such laborers and relationship to the wage rates contained in
t ):�' mechanics shall be pall the epproprlh •g wag wage the wa a detorminatlon.
'n' f , t 1
,t t F `IF�r�ty�'i' r}yi��t �`�? g.;ti•;.• rate and fringe benefits an the raga
t
Ott 4 � fir}�taF�tt���./r'�• determination for the classification o: work b. It the contractor and the laborers and 1
actually performed, without regard to skill, mechanics to be employed in th* classification r
except as provided In paragraphs 6, 7. and 9 of of Ir+wn), or their r•pratentatlre, agree +
this section. Laborers or mechanics performing with the classification and wage rate
work In ware then one elassif Icatlon may be (Including the a aunt designated for fringe
componsatad at the rate Specified for each benefits where appropriate), a report of the
tfli �` Y t ,� •rh�{-, classification for the time actually worked action taken shall be sent by the State '
a�t! thoretns Provided, That the eeplayarts highway agoncy contracting officer to the
payroll records accurately set forth the 'timeMminlstrator of the Wage and Hour' Division, t
spent to each clasaltication in which work Is :irploy nt Standards Administration, U.S.
p*rtarmed. The uega determination (including Oapertment of labor, Washington, D.C. 20210.
X5 ,
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-air
1r �` f.•+'T 1 l' j�`�.';�i`t+� Wk.
��'"r{'i' ,"i�11' •a�rt2•��t ! 1 !�
.;:r.?t,;,
r �.. : .,i11. f,•r`p+'I ('1r/I
,� � ,n ';I�y./ (ti !"r� {it W�r'S''i,l�fY,t r , l� ��r��lyr�� •t' t
ratesr
' f! } }' yl'..S f t(•,} f The Adel l r,t strator, E•,. ft ' ^..
f.
this • or an authorized reesonsbly enticipetod in providing bone f Ida F
s JY91 !°7t i '»Er•rt' r:!%t i,, l;"
1321) , i' x �� � •� 1t �, ." .'. representative, rill approve, modify, or fringe brnefIts under a plan or rrograrm,
r �f` ,, ;';a/M`>:°' s r.3j , �1 r/7�• Isapprove every additional classlf Icatlon Prodded That the ',fir,`'t''Y'
,r,'cr t , ,.�, r,f gc �yy' ,i .'` • e Secretor d Labor h r' f' r• j' ( l( \I
�'-'y ,.�, potion within 30 days at receipt or rl I I noti �' as r`;
work # r`'� K'•:r xi'a{ Jt'�.r;X 1 'r } ;ty found, upon the written revues! d the r9.�f?:e,'r'k ,r.,
i c}!V, tt�;l(..r.y`. ;,::5' the State highway en y., ? i
! 1, 1'}i.,t kp;r'.l g y ag cy contracting df lcer contractor that the apol Icable t 5.(r ' � q;
e It », r • Standards
d t;/; jjT' +fIS' 1ri�
r , "� �s t• . within the 30-de oriod that al the Y C oddltion im Dbvls-s' te elab �t hevr boefA nn Therf�,lf � rt. , - rIs nxesaary. e r` Secretary of or r1y requirr e c tractor � "
to set aside In a separate account assets 1 •r;r'Ik +t ) +P or %< ' :,�, f'
:•r"x: t j';.•„y t. In thr event the contractor, or the the rieetlnq of obli aliens under the n
# y Dr W�. 1
Imum `;i.tEi{'?}yytr}}'t��;,'{T.� laborers or mechanics to be employed in theprogram, q pia orrtsi�' +
�+. f r+rr It ){ r
Id ; t ` ;' f0. tr:•; �,�!{lr1S.sE';"? classification or their representatives, do not
'�ai'i' agree with the State hl hre rn, contract)
{ S y q q Y aq "Y contracting
S• 1flthholdiP► ` �1 y j' 'Y,;
r�� Y.r r, tL ,
lion `t.�'�ry� M�r, i�.f- • -��•l t�r,F1:'
Ka off few on the proposed classification and rage 1 F
be rate (including the amount do:l noted for a the State highway
I rf }WtF l fir: A agency Shall, upon Its
r:f t,t, r� `+ 9�t fringe brnef i ts, where appropriate), the State ern Initle!Ive, or upon written r,pwst d an
the v°% f! 1 `V?I, % J`"7' r? t±F.' ' highway agency'
contract)
hate # • i1 ' i r ; p contracting pillar shall refer authorized representative of the Department of
wry
the questlo•_, including the viers d all labor r withhold or cause to be withheld,
;r• t i S "jic �{,r,"
► t °T ' t �'" ' t IntertA:tad parties and the rrcommendetlon of from the contractor under tnls contract, or
the State highway en contracting df letr any other contract betraen It AM the x
to the Administrator, Wage and Hour Division, contractor, subject to Davis-8ecrx► prevailingi{!
JG ' deportment d labor, for determination, the ra a i !It,, f' a g nqulrealrnta, eo ouch of that accrued af,�
(nq Administrator, Wrgs and Hour Division. payments or advancas as any be considered ;+•��'df J
OeDortnwnt of labor, or rn autMrized necessary to pay laborers and mechanlcs, ;
r'ry"' �w��.11 representative. wl 1 I Issue a determination Including apprentices and trainees
r, • 09(cited 1/
,j r �;,4•;rl within SO drys d receipt or will notify the by the contractor, ore subrorttractor ih
be any , e�; p•; i'' State highway agency contrectiry off leer wltnir, ful I amount of wages required by the •i
„age i t' 's �•t�c,k:t'' i
' ' ';I�;q.;. r the 30-day perlod that odiltional time IS contract,
len<y `•r ��� r++ t4� t,},; 7,.. f ' necessary,
F
rrC r'
an
scary
3t:.,
r,•. b• In odditicrt thersto, the Federal Highway
and ,? • } }' l• § j+ 4• Fringe f n@#Its) ;
,yiIK1 t r t,. ;r. Administration shall, upon Its own Initiative, t` ,
or Won written request d an authorized
The wago rate (In'auding "i•Inge bsnef its representative of the Department d Labor, i ljr'Ir t r
' fE
FJ�t1 •,-fr.�}t where appropriate) dlteratined pursuant b withhold or cause to bo withheld from the ,F ,.• ,, ! I 1 r( C
by a �� +r „ ; �(tt t tl(}(;F�xr paragraphs 3 o end c e' this section, shall be contractor un,ler this contract, or any Federal r t
c paid to all workers i i r.tb• t• ''{ rs�'RYr: a�ortnlnq work to the contract with the contractor, or soy other
and
��•' �' �,wlk , }c 4`'i'• rdsrel( assisted contract subject to � r~ -; x `,•, �'Kir ,
fir, }: classlf icetlon under this contract from 4M f
the . t AxtO, 110. f, t� 'mr i;:� I
' �-' ;, , . • 5t+ti11' !�� ,,.., r�f4f first day on rhTch work la rf
Dr ormed Ir the DeviS-BUCOn Prevailing weer uirements which
t; }+ >g ii ( rr• y rsjk..,1Y' Pr g 4 eq
any
} ! �', LL'a> ittS 'TrL'' r•i,r.l..(tt'tit' ClafiltlCatlOn. Is held t ` ', rtti,1 z t+'• `j,
t r+ 1t r t he COntT'■ctOr, 1
�'•� F.>;.(;7i`"' by , so much d the
�+r�}s r# v;.dr•'r^.ri' accrued be rLLc
n
Payments or elvancas as may if�rt
eb to if 'i r,t :' �' b. Whenzver the min latual wage ratenecessaryt ,
d ' %( � i'3;t r rr 4,T Y -,-, tr µ� e r
r t} f�; ''?;[ter,' 9 Dr k Ibad to
"7'' fi+;, + ' In the con make TAa C■y,aent s set forth In tit y In A'' 4 .. ?- �.5 , .},�..5 rl ll.1;;y" a class d (drorars Or ?r ; tr A, . „ trawl for of thissection. t r j
„t• w ,r;i R' .s:`J#'s.. x rrY:',J ai■chanics Include Mrayraph a. { '7t
/ s ■ Erin • benof Yt, �y �► t tt to
!'�•irr{":S '� ; st,± t..t�J'•.f):rl.l:• 9 It which is
t :r}i t� +r�' '.• r'.r':, ,t '',"` not expressed as an hour! rate, the lay 11 t
and ! , ,',y. Y r contractor c
in the! event d failure to
' l;.t shall either Pa the • • ,
lion Y benefit es stated In the any laborer or rochanie Including
wage determination or shelf pay another bona a r any -
;ree °"-0' ;� ;' '';f rl� al-p•',.Wit, pp enticn or trainee, employed or working on
.� fide fringe benefit or an . hour) cash the site of the work, all or pert of the wages rate , g y by
tfi ,t equlvalont ?flat , g
(nge } `"� ' {i't�% required the contract, the Federal Highway
{i� Administration
� , ,�•'4�. rj s ration my, after written notice to he
tt If the r '=s, ¢r;1, �Ib r,t �•*y�1T '-� c. contractor does not ak�ku payments the State highway
r ., ,. • vr., irr . q y agency, take such action as y1rYYt .;
rate � "h: �1.• +f r' Yt. •' 'jl t �F�; r,;r to a trustee or other third r�• r! � �,{
Y 1•r's „ person, iha may be necessery to cause "a susprnslon d `� y •the 1 r :+`.Tlaj part of the t�gas d an further a
r , •1 �r, !, iT it s contractor clay consider as q Y D yment, advcnee; or guarantee of
ion, i tt C� z±t, "rf� It,s i,,c��;t 'r' any
laborer or elechenle the amount a1 any costs funds until
J.S. 1+'�J'Z`f' }, such violations have Crnsed.
NlAt
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�, 6. Apprentices (Deperh ant d Labor): classlf(cation. It the Administritar, *yo rr' st xff
3. y f,
' c�i.+ ,dAy" ,� "} i'!�`'' r%;"'�` and (bur Division, determines that a different i • �,
r ,•y,'44 !. ?? � �,R�'t;!'. Apprentices will be permute! to work et Fractice prviallfs for the spRtlpable
'J f 1,j':e;? d I;"•
tj�i� fir i�r„ rYrtyYf teas than ;ne predetermined rate for the work apprentice classification, fringes shall be
they perform wheel they are employod pursuant paid In accordance with that dotermsna:'lon. In
r"4E4
d'y�� 5 t to, and Individually registered In, a bona fide the event the 8rreau d Apprenticeship end r,, •f S
y apprenticeship program reglstarod with the U.S. Training, or a State Apprenticeship Agent
4o0artmont of Lebo:, Employment and Training recognized by that Bureau, withdraws approval
k�.:'•t^�, .�.a. Administration. Bureau at Apprenticeship and d an epprontlesship program, the contractor r
Tralning, or with a State Apprentices:Alp Agency will no longer be permitted to utilized
recognized by that Bureau, or If a persor• Is apprentices at less than the applicable
3 ,...
efrplayed In fi!s cr her first 90 days of predrtennlnrd rate (or the work performed
prr,botionary anployrent as an apprentice, in well an acceptable grog" Is approved. ,
auch an apprenticashlp program, who Is not
1 • x�f 'f ` t h y Individually registered In the program, but who '. Trainees (Department of Labor): t
has been cwtif led by the Bureau of
Apprenticeship and Training or a State r Except as provided In 29 CFR S.16, trainees T
Appronticeshlp Agency (where appropriate) to be rlII not be parinitted to work at lass than the
r �+ eligible for probationary tooplaycaent as an predetermined rate for the work performwd
apprentice. The allowable ratio of apprentices unless they ere r,rplvyed pursuant to and
to Journeymen an the Job site In any craft Individually registered in a progress thich has '
, r P, classification shall not b9 greater than the received prior approval, evidenced by formal
' ,ft '� ratio permitted to the contractor as to the *art;fIcatIon by the U.S. Deper"ont of Labor,
`Jfx entire w2rk force under the registered program. Employment and Training Administration. The
Any works.- Ilsted on a payroll at an apprentice ratio of trainees to Journeymen on the Job
wage rate, who is not registered or otherwise site shall not be greater than permitted under
.i..
E P d employed as stated above, shall be paid nit the plan approved by the Employment -Ind
1t ,r;Y== lost then the eopltcablo wage rate on the wage Training Administration. Every trainee must
jt�' i`. determination for "a classif icatlon of work he paid at not less than the rate specified in
actually performed. In addition, any the approved program for the trainee's level I
,• x4 apprentice performing rork on the Job site In of progress, expressed as a percentage of the
excess d the ratio permitted under the Journeyman hourly rate specified In the
No►,�; , < #; r}�fr S` �"� � `�7 registered program shell be 4sld not less then aDPIlcabte wage determination, Trainees ,hail
,".61 the applicable wage rate on the wage be paid fringe benefits In accordance with the 4
"t}"'�•t�. determination tar the work actually performed. provisions of the trainee program. It tea
•.ti
J\tad '
j PP �t, t•r'
}' ! L'y +fir '{text" Where a contractor Is performer construction trainee rant does not mention fringe
tLJ�J� •l't' .• i r r r�
r,l. j ti., �•.� f' one project in a locality other than that in banef its, trainees shot I be paid the fut I
+j` ,rkrr,f5t,ia({rs' rem Is r (stared, the ratios and amount of fringe benefits listed an the wage
�
{ which Its pr�1�j�'',•'�`1�r o9 aJ 9 g
t ;' t,�'`r' •+ ;,{ !' ���;.' wbgo rates (acpressed In percentages of the determination unless the Adminlstt•ator at the
Journeyman's hourly rate) specie led in the %age and Hour Division determines' that there 1;t
,r'tF •. l; %ix contractor's or subcontractor's registered is an opprentteaship programaasoeiateJ with , ); �
Program shal l be observed Eve apprentice the corresponding journeyman we 's rate on the �r
J'., w' 4��is!�`t1, ,. j•��r.,f P o9 Every Po ng J M g
'f. n a, y�., must be paid at not toss than the rate wage dotenrination which provides for less .u{
`' fr " f fi'1n�Q, +art specified its "a registered program for the than full fringe benefits for apprentices.
apprentices% level d progress, expressed as a My employee listed on the payroll 4t a
It Y i percentage of the journeyesan hourly rate trainee rate who Is not registered and
sp'rclf laid In the applicable wage determination. participating In a tralhing plan approved by
Apprentices shal l be psis' fringe benof Its In the Employment and Training Administration
ii .
,�, `� ��. •i 7� , .• / atarrdencs with the provisions of the shall be paid not less than the rppllcable
• ' T%„1�rF'?c4':i:. apprenticeship program, It the apprenticeship wage rate on the wage determination for the
{`•;"fit' t��3 )t'}`ti program does not ipeclfy fringe benefits, classiticatlon of work actually performed. In
apprentices rust be paid the full amount of addition, any trainee performing work on the !BS,
fringe benefits listed on the wage job site In eiceoss of the ratio posmirisod +
determination for the applicable under .fie reglstaritd pr(xjram shall be paid c+ot
FR-1273(Rev. 5-43) FR-19 "r t
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1 1
-' (��- !l � t ' less than the appl iceble wage rate on the •cgs Deptrtmtent of Labor set forth in 29 CFR Parts
fJi( b 7 tit 1 t}< J' r� • . :?�?•i{�: datartm{nstton far the work actually porforne4. S, 6, anri ). Disputes rlthin the meaning d
,071 In the ■vent the Smploymant and Training this clause Include dlsputaR betwtan the
Administration withdraws approval of e training contractor (or any of Its subcontractors) and
} ' .
r
Ail,
•� . ,� program, the pnt•ract�r will no longer be the State highway contracting agency, fine U.S. 1'!-^•'�#�" '
.Ai r S }a Y �. 'r'.�l'v1A ,"f �Y.
panstftad to utilise trainees at less than the Department of labor, or tye employees or their ;�" �'
applicable predetermined rate for the work representatives. M �!'ij '
perfamed until an acceptable progtim Is
approved. 13. Corot(cation d El Iglbl l ity: 1 tl
tj •�� 0. Apprentiea and Trainees (Programs of Of entering Into this contract, the
Deps. I t of Transportation): contractor certifies that noIthat, It nor
1 any person or firm who has an interest In the
r• �, i;r Apprentices and trainees working under contractor's firm Is a person or firm
} epprsnticoship and skill training rams Ineligible to be awarded Government co,itracts
yt�r `; which hays boon cartif led by the Secretary of by virtue of section NO of the Davls-9acon
r � IDf Transportation as prowting equal employment Act (49 U.S.C. 276a-26)l or 29 CFR
opportunity In connection with federal-aid 5.12(a)(1).
highway constructlon programs are not subject
to the r�qulrase , fle nts of Section IV, paragraphs 6 14strlttlons on Subcontracting:
and 7. The straight time hourly wage rates for
apprentices, and trainees under tech prog:vm►s No pnrt of this contrsr;r shall be
( will be astoblisihad by this particular subcontracted to any person or firm Ineligible
x programso for award of a Gelivernment contract by vlrtua
+ 1 � of section NO of the Davis-Bacon Act (40
I+
'4 r ,t�'� 9• E041 Erpioyanent Opportunity: U.S.C. 276o-2(a)) or 29 CFR 3.12(a)(1).
The utilization of apprentices, trainees, 139 ranelty for false statwntst '
and journeylmer under this part shall be in
/r. :;``�t ^,t '`� , ;;r�{+✓ conformity with the equal employment The penalty for inking false state"nts Is y
opportunity requireements of Executive Order a fine of net more then $10,000 or
11246, as afinended,and 29 CFR Part 30, Imprisonment for not more than f Ive years or `
tt both as
prescribed by 10 U.S.C. noel.
10. Owl lance with Copeland Act
�: y1 y1 r f.t ' 'l�3Jf'�7 ra Y l releents t Ve PAIMULLS AND MS I C RECCES
�•,. �i+�""1''•! ,�' ��1 ��1 � t�;,, ;ICI :I � t j'�.#•({,,/ s r+•: !• t�r>z ;i �C �!i. The nontr actor shall comply ulth the 1. Contents and retentions
requirements of 29 CFR Part 3 which are {'�
r, intorporated by reference In this contract. Payrolls and basic racord3 relating thereto
shell be tmintslned by the contractor during r I
, Caeplltnce with panrta-$aeon and the course of the work and preserved for a n ,•.�%
l,' Related Act requirmai tat period of three years thereafter for at 1 r �'
ga�!
laborers and wechanlcs working at the site of
rigs and Interpra tat Ions Issued under the the work. Such racoras shall contain the
"y. Ina vie-bacon and Related Acts contained In 29 name,
address and social sscurl number of
{y' ! t CFR Parts 1 and S are herein Incorporated by each Duch worker, his or her correct
reference In this contract. classification, hourly rates of wages puld � ;
(Including rates of contributions or costs ft,
1(4-1' +' 12• 01511sufan concerning labor standards: anticipated for bona Is Ids fringe benef Its or '
cash equivalents thereof of the types r
Disputes arising cut of the labor standards described In section 1(b)(2)(6) of the
provisions of this contract shall not be Davis-Bacon Act), daily and n:rokly number tf
subject to the general disputes claut,u of fats hours worked, deductions made and actual wagali ,
euntraet. Such disputes shall be resolved In paid. Mhane'ter the Secretary 1 Labor has r ,
"� • r accordance with the procedures of the !'
1. �.
tie ,`` ps'`? PR•!273 tRw. 9-9)) FR-20
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a 'i,' ;Ire i '4 i�'�,,.. tl(. .{ !v•'rr'•' •r •I' • •'•V t i- f, ,l' ,.r' •fir'' 'i. i rt: tN/
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�,�� .�64'',) J'+ .lf .{r1Lya •' ' �,�''� r x''1' `*� f r
�'' fill'%", ��• � �, J.
rr
fauns under Section IV, oeregrron S l29 CfR IndlrectlY, and rnrt no ftsducTlona have
f' _x¢5� ?r r S.Sta)tt)tlyll that the wager or any lacurer or Gan wis alihrr directly or Indtrrctly
ehanle include tte amount of any Costs from The full logos arnW, tither thbn
tse r
t '�t r � r✓{ reawnsely RnTlrlpotetl In providing "naf ITs per7elsalble deductions as for forth to 20
under a plan oe program CIOScrtbad in senior CFR Part 3. .
i
Itb)t2)(tf) atthe Uwls-daton Acr, tM
a:, ; a aontt•sctor anal l tarintsin records which show (3) That each tabour a rmtchante has
That The aammitmant to provide such benatits Is bean paid noT ire! than the ep911eabta rage
errs � enforceable, that "-a pie:+ or pros:sfm Is rates and
fringe benefits or wean
}(nsnClsl ly rasoonslble, and that the plan or ftq:livaler,ts for the stesslf lcatlon of •ar11
1. pragrlrlt hey bean Oomwilaared In rrtting to the performed, as a09Cltled In "a applicably
7. laborers or Itetchanlcs affected, and records r gri
ge determination Incorporated n the
whim show the coats af!ticipsted or the actual contract,
Cost Incurred in providing Such benef Its.
C, The rarkiy wditlsslan d a properly
rs employing apprrntices or Trainees
Cen;ract'o amp ov rKi
under #00rov'id programs shall meIntsir, wrITTsn mocuted tertifoatlon sat forth an the reverse
' widrnee of the rSgls7rarton Of sopronticamn}p side at Optlonal Form W-347 shall Satisfy the
+ reraulrlrwsrtts for submission eK the "Statoment
t programs and Ct-tiflcatton d trainee progrsms,
= the rtglsTrat!on at the, apprentices and rat Comollanee" required by peragrao. D. d
t tralners, 'end the ratios and logs rates This setetldn,
r proscribed In the sOp110ab1a program. Frifialfieai for falaitlatlanr
i 26 11whiment eft OstgeltanfotaS
The falsification at any td the atatvr
a. The Controctor shall submit meskly for orrtiflatlons may subject the Contratter or
DaCh trek in ■hieh any contrast work Is atbeOnt W"r to aril or criminal prosezitian
W., 0ortantud a'copy at al I payrol Is to the State Unger Section 1001 of Title is and Section 231
,} F al of Title 31 of the uettmd States CAds,
ove hl h ency tar transmissl6n to thecoot
C'f Highway Administration. The payrolls
4.1 'ry 'rS sub'mltTTad shall sat cut accwstely and 4* ArallablI114 of retaWA 3
Campletofy al of the Informatlott required by
r } The contractor red wbeattreetah sh011
the" sprciflaRtiona, This intarpAtlon may be
sum In any form aeslrm, Me Owarra"T make the raCtirOa rpulred tI►Rar ttragraph 1 Of
r•
}trf s � •!! ,.1� of Lsbdr 00tlonol Form +mH-347 tray be used for rnla section elrallenle for IntpreTten+,
this mrpoar. *,he wirsetor la responsible anying it "taftstrlptlon by auTAorlttzd
kf r� ri'4s�r�+ for the sueetiaalon d txt�tes d payrolls by all rmpresantatl•ss etF the Stare highway gone+/,
subeantrOCTOrso tAAprartd by t,+a Of lean OftheFadarel NigMay AaslnlstrstlOn• and/or the
lr
-r�egatment and Budget under CHO eotirol ttunbse' Drpartrlant it labor. and steel i permit such
i t
121M1e9.) rttprasenTotlws to Interview sJeontractor
worsting hours on site Job.
{'t • r
J b. Each 9Ryr�lt submitted shall be tt sulpanlrsCt:trt salt to Submit the rsvuirr6
etcarvenled by a "Stettwent of Qdopl Ianao,M recoetds or to anab site: aroilable, the Federal
sl sod the wtttrttretor w subcontractor etr Highway Adminlstrstlon tr1y. Nter rriften
' >} .• 1 G Ica to the State highway panty, tsrr Such
a � •f: �s<t �y �r!«� his or Mr agent who pros or w9�IHr n� g to cause the
S,t 'Ytt�?C•°�t;. p"mont d The persons ewploysd under the action as pay ba neress++y
- 4V Contrast and shall err-tify stew fog lettings suspension d any ftrifter payaant d tUtda. ,
7 r. t, ,t
tf,l 7 '�r{ fyrtharsoroe t e l l urn to lttttSt I t f M requ l teed
(l) TTRT ttw payroll far the payroll roccx a upon rsgwst or TO mks awn rae:ards
'f* period Contain% the Infurutlon required d sin to c+rallable way be g•etunda for thorrtmrnt
r. ; t• �l ' �. bet nait!tolnrd uldsr psragYaph 1 gs action purswnt toI9 CFR 9.12.
tt ".t • t,,++ccrt section 124 CFR S.Jta)t3)tt)) and that such
r•x;.r' '�f ' Intormatlan Is Cornet end con4letal 91• RF3)011Q CF VATIMIR4t, Wnit•S AMC Liam
(2) That each laborer or mechanic 1, The provisions In !'his faction are
((ncludlag each apprentice rnd trainee) applicable fo al 1 amtrrats mor"t contracts
4 amplayeld an tns ccatrW dw•Ing the payroll for saccodary highways, contracts tlnenced
period has Loan paid the full moldy ragas solely with funds provided a ltiJ Highway
%article, without roe", Whar dlrwfly or
•� y i1
!R•1273IFlow. 5-0) FR-21
7
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A.
Y !
/ h 7y, Beautification Act of 1963,, as WOnded, and If
Directly by the prima contractor and equlrnlent
contracts with a total bid price loss than owned or rented by him, with or without opera- t fir "
1300 000 tors. , � r 4t
ITT• , t,t r�. � 2• The contractor shall maintain s record b. "Specialty Items" shell he eonetrued to
of the total cost of all rneter'Igla and sup- be Ilmlfai to work that requires highly sPe-
��• piles purcAesaet for and Incorporated In the ciatlzed knowledge. craftsmanship or equlo+nent k�
work, and also d the quantities of those not ordinnrlly available In rmtraeting
specific materials and supplies listed on Iom orgenlzatiens qualified to bid on the contract
{ FR-47 and in the units shown. 1potf completion as a whole and lit general are to be limited to
i(+,fix• of the contract, this record, together with minor components of the everell contract.
r .,+ the final labor summary required in Section y,
paragraph 3, hereof, shall in transmitted to 2• In addltlen to the 10 percent re4ulrtetaent
• f tr:e State highway depart'tnent resident engineer set forth In paragraph 1 above, the contractor
for the Pr oj ect an Form PR-47 In accordance shall furnish (a) a coeoeteni superintendent or
with Instructions attached thereto, which will for•smatr who Is employed 'by hint, who has full
be furnished for this purpose t;pon request. euthorl:ty to direct performance of the work In
the quentltles for the listed Items sha!I be accordance with the contract requirements, and
reported separately for roadway and for strut- who Is In charge of all construction operations
turns over 20 feet long as nassured along the (regardless of who performs the work), and (b)
centviIne of the roadways such other of his own organizational capabtllty
and responsibility (supgrv)sion, se)nagAment,
3. The cc(nt-actor shell became familiar and anpineoring services) es the Stati'hlghw4y
i with the list of specific maforlals and sup- depar ment contracting officer determines Is
Pl iys contained In Form PR-47 prior to "a necessary to assure +he performance d the
kf a' commencement of work under this contract. Any contract.
additional materials information required will
!; bu sollttted through revlslons d form PR-47 3. The contract amount upon shlch the SO
with ettandent ewplettatlons. Percent requlrem•nt set torah In parsgrepi 1 Is
t r ; ttPy,' computed Includes the cost of materials and
' '•,s �f`wf ^t 1. Mtere CrrbcattrectnrL are Involved "a manufactured products which are to be pur-
,
� contractor shall submit either a single report abased or produced by the contrsctor under the
eovering work both by himself and all his contract provisions.
subcontractors, or ha may submit separate
i yrir.J
r••; ��'�. ,f�•tl t '�"�+'�j reports for hlete.lt and for each at his 4. My Items that have been selected as
� ►•`�' ` 't5 r; f�'lt subcontractors. "Specialty Items" for the contract ere listed
0.t �•' � � x� •" 'ti,' �rj•�"'+i�i. as such In the SPtt:lal Provisions, bid xhld-
tf ule or elsewhere In the contract documents.
Y 11. SLiB4E71'I H0 OR ASSIGNING THE gOfitRi,rCT ,
k, �fr a perform w rtion d the contract shell b.
1. The Contractor shell Mona with Als won '!. po
organization xntract work amounting to not suolet, assigned or otherwise disposed at
f ► t s less than 30 percent of the oriplral total except with the written consent d the State
Icontract price, except that any Items highway department rontreeting officer, or his r
{F /. ',�• ,R dasignated by the State as "Specialty Items" authorized representative$ and such content
1 4 f t• t . r my be performed by subcontract and the amount when given sha!I not be construed to relieve
of any sul:h "Specialty Itv.s" so performed may the contractor of my responsibility for the
be, deducted from the original total contract fulfillment of the omt•rect. Request for
price before computing the anxwnt of work permission to sublet, assign, or otherwise
• qr, t . r
required to be performed by the contractor with dlspoee of any portion of the contract ahal)
his own organization. be In writing and accompanied by (a) a showing
S
` that the orgentzetton which will perform the
• a. "His own organization" shall be construed work Is particularly experienced and enu;pped
v� to include only worksmin employed and paid for such work, and (b) an essuranco by the
1 '
)
1
t. FR-1273(Rev. 5-53) FR-22
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`` t�' .,�{,Ft�Si,�; �r air' . �•trti�:�•
'C of a' �( ,+'F'� • '�►ir� 'tip' `
�, {Tr contractor that the labor standards provisions project Is a violation of Federal Ise. To
l3 •;
1E•te-�ao6l71T '' set forth fro this contract Shall apply to prevent any m1sunderr•tandina rsyarding the > ? x
t,r. 1 ir 1 i�lti1,r
f�1 ,� '+� ., 4 #, i•' Iebor performed on all Mark encunpassed by the seriousness aF these and similar acts, the 1.g
request. following notice Mall be .posted rn each 'r1
Fedoral-eld highway project in via or more
{�+ • r `'l1;:. VII1. SAFE it i"WIDENT PREVENTION places .here it Is readily avallable to all .ts{
1' i , ;�,}'. personnel concerned with the r�.
' t � � project:
In the pertors}ance of this contract, the !
contractor shall comply with all eppl icable to a e s
Fedorol, State and local laws governing
(,; safety, health and sanitation. The contractor NOTICE TO ALL r'ER50MtiEL EHGAGEO ON '
shot provide at safeguards, safety devices FEDERAL-,till! HI"AY PROJECTS r
a end protective equipment and take any other
' needed actions, on his own responsibility, or Title 19, United Statee Code, Se,tid'n 1020, .
`t'f•` / as the State highway dapartstent contracting reads as follows:
t _ off leer may determine, reasonably necessary to
protect the life rend health of employees on ' ^Mhuaver, taing an atfleer, agent, or
t ,1:„ ►' � the Job end the oafety of the public and to employee of the United States, or of any State
t 1+ .• protect property in connect Ion with the or Terrirary, or ,wheeler, rhotfter a person,
performance of the work covered by the asseciatlen, f 1 m, or carporatiun, McultMly
contract. makes arty false statement, fats
! It Is a corrdltlorti of this contract, and reprasentaillort, or false report' as to the
Syr shot 1 ;'r :Made a condltlan of efth subcontract character, quaff l.,ly, quantity, or cost of the
£`1 entered into pursuant to this contract, that Waterial used or to be used, or the quentlty'cr
the contractor and any subcontractor shall not quality of the work performed or to be
f i;' require any laborer or machanle employed In perforroA, a-, the costs thered in connection
performance of the contract t4 work in sur- with the submission of plans, saps,
roundings or under working conditions which spacificatloil;, contracts, or coats at
are unsanitary, hazardous, or dangerous to his aonstructla:i on any highway er related ,project
health or safety, as determined under W"Itttad for eopreval tow the Ssero}dory of
construction safety and health standards Transportation; or
(Tltlo 29, Code of federal Reglil0lons, Part
• '9ihower knowingly mekaa any false stata-
�t 1920, formerly Part 1513, as revised fret orient, false representation, false report, or
from tlnta to time), promulgated by the United false claim with respect to the character,
States Socretary of Labor, In accordance with quality, quantity, or cost d aowy work per-
Section 107 of the Contract Mork Paws anri feet.* or tv be performed, or materials fur-
Safety Standards Act (83 Stat. 96). nlshed or Ya be furnished, In connection with
�� lj41 :t the constriction of any highway cr rolatatl
ft ;�ti � IX. FALSE STATEMENTS OWCE N146 NIGWAV project opproved by the Secretary of Trans-
J ofr` j t j+
,�+ x PROJECTS Aorta*tonl or
"►Tnever knowln9ly makes eny fie Ise state-
ti'�rf In order to assure high quality and doable ment or false representation as to a aaterlal
construction In conformity with approved plans tact it,, an;r statement certificate or report
• .
}• yj and specifications and a high dogren of cells- submitted pursuant to provisions of the
/ r•� blllty on starosents and representations made Fede}al-mid Road Act approved duly 1, 1916 (39
by engineers, contra:tors, supplies,, (sic) arA Stat. 355), as amendea and supplaitented;
vorkars on rederal-mid highway projects, It Is "Shall be fined not more than $10,000 or _
essertlal thbt all persons concerned wlth the )riprlsened not pre than fiva years, or
project perform their functions as carefully, both.
thoroughly, and 'honestly as possible. W1I iful
r hK falsification, distortion, cr misrepresentation
ktl with r6"ect fe;, any fsots related to the
'! r
t.
�� P!i-121S(Rev. }6j) FR-23 '
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r {';, � ��r��l�-%i ..�.atr;il,r�:+"�'�'I •j,�+• r:,f�• (..:.:n(i.•w6..:f4rtr+lL •!(.::+.we-.a.:.M.+r+..we-...l'u�J...+..�..,.�..ww.:i1..:.......:t�.�.i.!..., 'J��t/l.];�� y�
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X. IWLDIENTATION OF CLEAN AIR ACT AND sight hours In any calendar day or In excess
{ r j�� �� •(, FE013IAL HATER POLLUTION CONTROL ACT of forty hours In such rarluraek unless such - 5
f
,t �; �i /•.;,. (APPLICABLE TO CONTRACTS AND UFADNT M75 laborer or mechanic 'receives ctsnponsatton at a i
!k' f .F 'y% k4lIClt NEED S100,O00) refs not less than one and one-half times the ,
basic rate of pay for all hours t.,-kett to
I } •t`'t,.�r 1. The contractor stipulates that any excess of eight hours In any calendar day or
facility td be utilized In the performance of In erxesss of forty hours in such workweek,
t: t YOts`? this contract, unless such contract Is eneftpt whichever is grester.
' 'tt under tuns Clsen Air Act, as amended (42 U.S.C. liability for id valises-$i 1851 at seq., afs drnsnded by Pub. L. 91-604), 2. Vlalativnl I tY
and under the Federal Water Pollution Control liquidated demaegest
a Act, as arnnded (33 U.S.C. 1231 at seq., as
�} 1` awended by Pub. L. 92'•500),' Executive Order In the want of any violation of pereoraph
11738, and rululatlons In I"jplwtentatlon 1 of this Section, the contractor and any
thereof (40 C.F.R. Pert IS), Is not listed, on subcontractor responsible therefor shell to '
the date of contract sward, on "a U.S. Ilabis ior the unpaid rages. In ad:iltion,
Environmental Protection Agency, (EPA) List of such lrontrector and subcontractor shall be
Violating Facilities Pursuant to 40 C.F.R. liable' to the United States (In the easa of
i 2O. work done under contract for the District of
�' Columbia or a tarritnry, to swh District or
2. The contractor agrees to caaply with all to such territory), for IlgtliJetad darepes.
the requlrtievents of section i14 of the Glenn Such Ilquldated da{miges shall be esrrputsd with'
Air. Act and section 306 of the Federal Wetar respect to each l,ndiVtdual laborer or
' ( 'ollution Control Act and all regulations and twhanic, Including watchmen and guards,
a►ployad In violation of paragraph 1 of this
guidelines fisted thereunder. Section, In the sun of $10 for seen calendar
' 3. The contractor thal i promptly notify the day or workweek in which such Individual was
State highway depar"wit of the receipt of any required or psrnnitted to attrk In access of
conmunieatlon from Tito Olrector, Eff Ice of sight tours or In access d the standard
Federal Aetivltles, SA, Indicating filet a workweek of forty hours without payn Of the '.•r'.
r i facility to be u:lllzed for the contract is overtime loges required by paragraph 1 of this L ^
C1 f+ )�• under consideration to be Ilsted an the EPA SoctIon.
List of vlolatlnb Fst:llltle>r.
3% Wi thho 1 d I ng for unpaid wages and
4. The contractor agrees to include or, 114uldeted dasta"st
era �` t y "} `•��iY,+! �; cause to bi Included the requtrownts at
subparagraphs I through 4 of this paragraph X The Federal Highway Adalnitiratlon shall
In every nonexempt submit'ract, and further upon Its Wa Initiative or upon 'wrrltten "
d !�# ogress to tokv such action as the Government request of an authorized representative of the t
r 1,, may direct as a mans of enforcing such Deparfttment of Labor withheld or suss to be ,
` requlram"t's. wlthheld, from any moneys payable an account
of work part'ormed b, the contrnefvc• and all
PC
XI* OOlt17(ACT MCAT( i4"S AM SAFETY STANDARD subcontractors under this contract or any
MT RSQUIiII:wim Federal connect with the same contractor, or
r 1 any other Federally-assisted contract su5ject
r ( jAte it, OvsrtIm requirpmnutttt to the Cnntref:t Work Hours an0 Safety
}�,,'• Stan'lards hit, which is hold try the sane
No contractor or subcontroetor contracting contractor, such suns as wuy be daterviined to
y for any part d the contract work which may be necessary to satisfy any Ilabilltles t:1
require or Involve the ftploymsnt of laborers such ountractor and all subcontractors for
` or wichonlex, Including watcfseun sold guards, unpaid wages and liquidated damaged as !
shall require or penult any such taborer or proolded In paragraph 2 of this Sectlor.
teechanic In any workweek In which he or she Is
7• seployed on such work to work In .teals of
f FR-1273(Rev. 5-831 FR-24
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CV,
Lti `It 'r FY �h 11 6-1.07 STANDARD FEDERAL EQUAL EMPLOYMENT OPPORTUNITY CONSTRUCTION
CONTRACT SPECIFICATIONS (EXECUTIVE ORDlat 11246)
t is As used In these speclficationsl hovered area either individually or through an
xff'� association, Its off Irmative action oblige-
as "Covered area* .'hens the geographical tlons on 611 work In the Plan Area'(Inclvdinj,
*u area described In the solicitation trod goals and timetables) shall be In accordance
�r
which this contract resulted. rtth that Plbn for those trades which have
r' unions participating. In "a Pion. Omtrsctors
b. "Diroiator* Peones Director, Off Ice of must be able to demonstrate ihelr parttel-
r" Federal Contract Oamlpliance Programs, United potion in and cowpliance with the prMslons
States Department of Labor, or any person to cf Yny such Hamet won Dian, Each Contractor or
the Director delegates autherity, rs)bcontractor f , , pertlelp6tlrg to an appra►w
Flan Is Individually raqulred to comply with
c. "Employer Identlfloation nurmher" ,,warts its oblc.gat)ons under the EEo clause, end to
the Federal Social Security mmber used on Bike a good faith eftort to achleva each goal
the Emrplayarrs Qua;tarty Federal Tax Return, tinder the Olen In •ach trade in shich It hoe
U.S, Treasury Department Form 941. employees. The overall good fatth pertorwncs
by other Cuntreetors or Subcontractors towr'r•d
d, "Minority" Includesl A'goel In an approred flan does hot eualso wry
covered Contrioc'torrs or Subcontractvrts
(1) Black fall persons hevcng origins failure to take good frith efforts to eahlese
In any of the Black African i-ealr i groups the Plan goals and tlmetsnblei.
not of Hispanic origin);
(11) Hispanic Cali persons of Msfcicon, 4. The Ocntracter stall Implement the
' a Puerto Ricpn, Cuban, Control or South specific offIrswtive ectlon.•utandhrds provided
Amer!cen or other Spanish diltire or in prragrophs 7a through p of these
origin, regardless d race); spee.VIcatlons. The goals set forth In the
t (111) Asian and h6fic Islander (all sollcitatlen fron which this contract resulted
pors:ns having origins In any of TM are expressed as permtoges of the total
rw original peoples of the Far East, South- burs of amployiwnt and training of minority
east Asia, the Indian Subcontinerit, or- and tamale utilization The Contractor shauid
the Pacific Islands); and reasonably be able to schieve in each
(Iv) Amrlcon Indian or Alaskan Native construction trade In rhic!i It has employers
(all persons having orl2ins In any of the In the covered area. Co+ared construction
original peoples of forth Marks and contractors perforeing constmctlon cork in
t r ; nalntaloing identifiable tribal atfllle- geographical areas where they do not have a
r`rQ dons through rambership and participe- Federal er federally assisted construction
tlon or comamrniti identification). contract shall apply the mlrrorlty end female °
goals *stabllshod for the geographical area
2. MArnever the Contractor, or any Sub- where the work is being performed. (bals are
contr'ectar at any tlor, subcon?^:'acta a portion Published periodically In the Federal Register
of t'I+e work Involving any construction truda, In not-ite form, and sysh notices nay be
It she;I physically include In each subcontract obtained tram any Office of Fe,ieral Crntrocf
In access of $i0,000 the provisions d thew Compliance FrogrM dflet or from Federal
spsc:fIcations and the featice which Contains procuremont contractI.19 oft leers, The
the applicable goals for minority and female Contractor Is owp*ctes4 to make substantially _
' tt participation and which Is set forth In "a uniform progress In maetlrq its goals In each
solicitation* from which this contract craft during the period specified.
resulted.
S. Neither the provleleas of any cellective,
j/ 3. it the contractor is partleipelrg (our- bargaining agr"ment, nor the (allure by 6
scant to 41 CFR W-44.9) in a H nrotown Plan unlon rich vhem the Ciontro_-tor has a Col lec.
opPx oved by the U.S. Department of Labor In the
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IrA
flea barge I n I n reeraent to refer either el nor lty and f ems la df-the-street apFl l-
minorities or .otenn shall axNxe the ConireC- cant and minority or female referral from a
torts obligations .ceder these Ipeclficatlons, union, a reer°ultslant acwe# or co4unity d .1..
Executive O'dbr 11246, or the regulations organization and of what action use taken t
,4. with respect to each such Individual. It
ar
praaulgetsd Pursuant thereto.
such Individual was sent to the union hir- t �•
�� 4T 6. In order for the nonvarking training Ing hall for referral arli was not referred f
4 hours of apprentices and trainees to be counted beck to the Contractor by the union or, if
In mlae5`lag th-t goals, such apprentices and referred, not 01010yed by the Contractor, y '
.Y trainees must be vv5loyed by the Contractor this shalt be documented In the file with
during the training period, and the Oontrector the reason therefor, along with Whatever
must have grade a cc".1111ent to alaploy the additional aetlohs the Contractor my have
apprentices and trainees at the Completion of tureen.
thole fralnlng,' subject ti the availability of
employment opportunities. Tralnws must be d. Provide Immediate written natlflea-
er trained pursuant to training programs approved tlon to the Olractor when the union or
5! by the Us$. Deperin'�ant of Labor, unions with which the 0ontraetur has a
i collective bargaining. agr"i4tit has not
t. %a Contractor shall take specifIC efIIr- referred to the Contractor a minority
motive actions to ensure equal WAplayn*nt person or women sent by the Contractor, or
oppor;,nity. .ha evaluations of the Oontrac- %hen the Omtraetor has other Intori4tion
torts eaupllance with these welficttlons that the union referral proaass ties lapeded
s shall be ,bawd upon Its effort to achieve the Mot-actor's efforts to suet Its ab11-
+ f wAkxl was results troll Its at:tions. The Centrac- gatlams,
for sMI l daer.°rtent;«test efforts fully, and
i shall loplaasent cifIrwmative action steps at e. Develop on-the-job training
n loos+ as e>•aenslve as t"a, fotlad- � I ng= opportunities and/at' participate In
a. training programs for the area vhich
a. Ensure and wuelntaln a working emriron- jkpressJy Include minorities and womean,
I
sent free of harassment, intimidation, and Including upgrading programs end
' eosrelon at all sites, and In all facilities apprenticeship and trsintta programs
at which the Contractor's employees we relevant to the Contractor's ewploymfint
assioned to work. The Oontractor, where needs, especially those progrerws funded or
ia•
' r ; possible, will assign two or waro wowlsn to approved by the Departfeent of Labor. The
each construction project. The Cbntractor Contractor shalt provide notice of these
shall speclficslty ensure +teat all foreman, programs To the sources compiled under Tb
�l a suFerinterroents, and other onsite super- abava.
vlsory perso ttel are aware of and carry out
► the Contractor's obligation to maintain such f. Disseminate "a Contractor's EEO
T
a working env{ronment, with specific attelu- policy by providing notice of the policy to
tlon to minority or fwutele Individuals unions and training programs and repuosting
working of such sites or In such fscill- ' their cooperation in assisting is Contrac-
t r ties. for In mating Its EEO obligations! by
Including It in any volley wafvo l and
i b. Establish and 'alntaln a current list collective bargaining bgrea"ntl by
fjt ` n at minorlty end tsesele recrdltwnt sources, publicizing it In the company newspaper,
# r
prtrelda vr{tt'an notification tr Irinority and annual report, etc.! by specific review d
famals rscrultiorn`t sources and to coeeunity the policy with all vanaoement peraannal -
r't `�• " i+t aVanlzattons when the 'Jantrrctor or Its and whir at l minority and female ampl"es
unions have wploysysnt opportunities avall- at least once a yearl and by posting the
able, and aeintatn a reCorG of the orgeni- caapany EEO policy 1w1 bulletin boards
zatlons' responses. accessible to all amp loy**& at mood+
'S p tocatian wh»re construction work
1
C. Ifainteln a aurren't file d the names, pertorwod.
addresses and telephone numbers d each
4;
err
FR-25
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(07) cl ,
1 g. Review, at fear.* annually, the con 1. Conduct: at least annual ly, eni.r
panyfs EEO policy and offlmativa action Inventory and evaluation at least a+ all
�yQ�y,,r' obligations under these specif Icutlons with minority and famaie' personnel for prom-
r •r
j�� all employees Raving any respanslblltt; for tlonal v)portv►Itlos and a�oaurage these �r•�"�� �`• :
hiring, assignment, layoff, toratinatlon or employees to seek or to prepare for,
other rs+playlsent decislnnt Including through eDprcPrlata training, ett., such .�
spcclfic review of these Itars with onsite opportunities.
supervisory personnel such as Superinten-
dents, General Foranan, etc•, prior to the me Ensure that seniority practices, job
r Initiation of construction uork bt any job classifications, work sssignm6nts and other
1
site. A wrltten record shall hs erode and persoonnal practices, do not have • dlscrim-
�,. srsintalned Identifying ttae'tllaa and place of Inatcry effect by continually rvnitollrrg
r i . these motings, persons attending, subject all personnel and employment related
matter dlscusaed, and dlvpositlon of the activitlas to ensure that the EEO polled
subject utter. and the 0ontraetorus obligations under
theta vpacificatlens we being carried
4 R. Disswinsta the Contractor's EEO cut.
policy •ctarnally by Including It in any t
advtrtlsing ,!n the news toodle, speclf ieat 1y n. Ensure that all facilities and cal!-
Including minority and fieale news eedls, perry activities are nnnsagregated sumt
srid providing written notification to and that separate or tingle-user toilet OW
discussirp the O ntractorrs EEO ►tolicy with natessary diong{ng faclll'1•tes shall be
' other, 0antractors and Subcontractors with, provided to assure privacy b+rhr;tn. the
civic the Ibntrm+tor does or anticipatat sexese
dolnp business.
o. Otfeuswnt and we Intoln a record of all
i. Direct its r rr'ultvient efforts, both solicitations of offers for subcontracts
urn flan to Ninon tarl,aIa and frcm minors and famola corastruc0on
r:
oral and I , minority
• community organizations, to schools with contractors and suppliers, Including elrcu-
minority and teeiale students and t, minority latlon of sollcltotions to nlnorlty and
and fealala recruitment and training organl- tamale contractor associations enJ Ysthar
t, rations serving the Q ntractorls rscrulftont business associations.
9i ` area and wployment n2ods. Not later than
•:{ one month prior to the dot* for the act"- P. lyorMuct a tauter, >At hest annually,.
tenac of applications for Mpprenticashlo or d all supervt.nors' adherence to aM
i.. t other training by any recruitment source, performance ,nder the Contractor's EEO
the Contractor shall sand written notlflee- poticlas and atiimative action obliges +
tion to organizations such as the above, tlons.
drscrlbing the uVanfngs, screening proca-
t.i dares, rand tests to be used in the selection C. Contractors are 'eneowagad to oartlel-
•,� �roc*134 pats in voluntary exsociatlons, which assist
t 1 I• ,•�' In f Ulf I1Iirrg wo cr more of their elfIrmetive
i,
. i j. Encerrage prosent minority and festal• action obligations 17a through ill, The
s employeas its raerult other ralnorlty persons efforts of a cattrsetor assoclatten, joint
'• j and w*we:t and, %here reasonable. provide cantractor-unlun, tontrector-eotee+mlty, or
:< after school, 91, ur end vacation Mlployfnent other sllaller group tit which the Contractor is
to Minority and female youth WM on the a unbar and participant, may be /started or
� sate and in other trees of a Oontrsasorrs full11iing any one of more ct its obligaticns , 't
r!. workforce. tinder 7a thra'gh p ot these Specifications
'•` 's , provided that the Cuorufractor activeir
t, k. Val ldety all tests and other selection porticpotas in the group. stakes e"ry effort
' repulromenita *where there Is an 011ghiion to to osstrra that the group let a positisa lapact
do to under •Ii OR f'lsrt 60-3. on the. owployslant of minorities and wimon In
Yt
7 FR 27
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rvrt .1+ r"i u : rw..s. '`i',''' 'f )'-' x ;r thb Industry, ensures that theconcrete Ccmpllan:e grog My Fnntractor who falls r < �i �G 1 rerr are reflected In fAs to car out such sanctions end ponaltles Glhal I '•+'' "I }t"
i ',.•1 r tr ,l � 'j benefits is of the prop r1' t D '
rn..4y! 1��i:':s•` 1t,,.aP rt' i. r
'�z Contractor's minority and forr;ela rorkfnrce be in ��olation d these sasclf lcatlons and
k Ih {`�ir'fr articl flan makes a good faith effort to Executive Crder 11246, as e+wnded.
r '• Xf IT�rGrrt.,r)'S'S} 7 as . F ! _ '4
c �r"1RS )'• iYi awet Its individual goals and tine.ablos, end
` The Contractor in full I I l) Its ?,t t `+t,C,S �4#y
can provN occe3f to documentation „filch 13r r n9 �l� t '' :if r !
demonstrates 'the atfectivenea of actions taken obligations under tneso specifications, /h•I t
TAn obll etlnn to
Implement �peclfIC All action steps, 4fk7 1 .:•;.� �
on behalf of the Contractor.
9
tonply, however, I• the Contractorts and at least as extensive es those standards :.�,!;1i><t%,,J;`•t:,;?' %, �ja 't,!
tallura of such a group to full 11 I or, prescribed In paragraph 7 of those s;.eclf I• "`�Y'. t��" �,�,':;
obligation shall rat be a rofenrse for the cations so as to achlwe roxlmum results from
rf� ''`j�'}'4 •v "s; / 'c'
+li , E# r, - Contractorrs noneonpllance. Its efforts to ensure aqusl erptayn+rnt eppor» „xi.�vf,y f -
ter ' font If iha Contractor fells to canol }�s1Oi '� i{
+':E ty
A tingle goal for minorlties and a sapo- with the requirements of the Ezucutivs Order, r� ; " :.•. .
rate single goal for women have boon asteb- the Implementing regulations, or these apscl- J �i f"' `''' IJis rr
J, - •�'
'• :Istned. ltie Conirach,,r, fiowwar, Is required ticetlona, the Olrsctor shell greased In � � •:'�,
id eual amplwment opportunity end to accordance with 41 Cr
6t}-4.E.
to provide r
Sake aft Irr+ative action for all r+inorlty a•�
� '► { groups, both male and frmale, and ell women, 14. The Contractor shall designate n ti+
'•`iG 4 jl'ult't G r� both nslnorlty end non-mind:ity. Cansoauently, nsponsibla of(letal to mnnlfvr al I employment }
* trit�:77 � the Ibnirdrtar way be In violation of the related ertivlty to ensure that the company
Executive Wder It a perticular group Is EEO policy Is bolrig urns! out, tv submit
arrployed to s substantial ly disparets runner reports relating 'ire the prwis!ona horec as , rl f(l y �.• ,,rP
(for exeutple. even though the Contractor has nay be required W the Wvsrmssnt end to k,,ep ;� , �� � �. ��•
r t I, 1 v•r yy echla'isd its Is for war an noret I , t„o words. Records shall et least Inelud4 for
Contractor may be In violation of the fxoevtive each employes the reams, address, telephone t Y !
40':. xx' i + Order If a spsclfla Minority group of women Is numbers, constructlon tends, tnlcA affiliation
•!, } ,, +�+w' underutilized). It any, wplo/se Identification number when
assigned, aaelel security nursbur, rats, sex,
y 1 js 7fr.,
•r ray ``' x: �. ''�; 10. 7ho Contractor Thal I oat use the 9aels states ia.g., n,schenlc, npprent♦eo, trainee, t''
•� , ,,, , SC .•: and timetables or all Irastive action atanda,ds helper, cr laborer), dates of changes In i; f++.fin r,L •; 1✓.i
N,ttlrFr E v r, J+ 'ku �'
to discrInInste against any person bucauao ofata'fus, hours wcrAa,S per wRek In the Indicated
�,,�• r i r,+r; + • .;.t
and locations at which the
t�j, t{}j} f � .firR;��)r � rocs, COlpr', religion, Sax, or Ait10Aa) trade, rate cif My,
:•��'S �rY his owl In work was yerfomvd. Records shell 5e
g •
atslly underata nd r
f fi7 t;"'] •fit }+iK 1 r rss`• malntalnod In an ,><.- ' •
rjC+ii�l 'i, )', 4 �.I,
r-r. ' >, r +; 11. The Oontreetsr shalt Writ enter Into any retrievable r�rml Aarovnr, to
the degree that
rr.S,-r+ r existing ro_ords satisfy
i� 5 ^i subcontract with ar,y person or firm r+n doba r� exl s n0 y thl s rage 1 re-err, e ,'!;
frogs Goverrw,eat coritraets pursuant to Exeastt ive Contractors snail not be required to r.tgrintaln :. *Jr" �� Tit :'T
It'r' }+� 1•/r ,, ,r a t e; * ,�.I'.
;a` iy, Ill A
Order 11246. wparats records. r�nf` 4 T
eft 'rri l I rr7rf 1 tl rF f "f 1 i.
t such
1�IZ
il7thl herein xwldad seal l be
Y 12 Thr Oohtract)r shall carry w a
Y +t' 'r
"'r�at tf; +r�; s•an�`tlons and penalties for violation d thew afruAd as a tlraltutlon upon the appt Icetlon at !•i,.Fr# 1.11
J'#� i"/r i 'rrtIFiT,'F,s <+';!'; standards l ¢ ,fi
g,j ! ,.w speelf Icationx and d the 50uat Opportunity other Isms which astebltsti dlfte~nit a r ti+�kl f q q ,
t+r +r• r r,r+-", Clause, Includlr wepersIon, termination an,f d ccxpl iancu or upon the eppl icat.on d �'':+f !(F}�F; jrr ;
:ir' s!�}Yjt �, /,r E.'f «!• rti1lT•r'> t +'r r
r fi;� tr i L• fr i Y, of aubcontructs as MY be
requirements for tie hiring ofcancel lation local nr otner
r 4 T,r` :�.I,.a►ffl +.,C f°
r`tf�r 4( Ir ` r,,,�; �•rl iGmpose�l or ordered pursuant To Executive Order wren residents those under the Public ,i
•` t^ t� 11246, as amended, and Its Im,plsmsnting rwlu- Marks Fooloyrrent Act of 1977 end the CO"Wlly �r,iS'},r ,�I�,�� fur{:S�rsri�t
lotions, by the Office of Federal Contract Davelopmot anode Grant Pr raw).
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Fedfiin {Local) (2)
6-1-83
ti y UE 6tINORITY BUSINESS MTERPRISE INEUIUCION, A'IMRD, AND
samw IF SUa lISSIO!
r< e r Ek'IJC(,TIIO:I OF CONTZA:T
AG Tne ' attention is directed to the provision
t�E •-.,Y 1,;`t';: :c. ,.;; --1.01 GUTM bidders sin Sec
— !f �d �xeCution of C ►!! v£ the Standard Specifications and these tJr��• '
1,141: r 4��,.r ;.`.;7 ,� tior. 3, Award an cntract
"f" ' :' '` s for the requirem.nts and conditions concerning submittal of MBE
{}a!p ' ' r>"'rr ° }f t, special provisior.
h r t
IirA, y�rV j, information, award, and e-�cT:cution of contract.
S t t r. J• hiss rt. h4 '
'1i -; _-1 0111� MF3E �7Fc?��U�'1'IO[v. The apparent successful bidder (low bidder) shall submit
} J• ; ,..�
�t•.J<;'•c !`'- t'': received no later than n. "
ir; at which bids were rec t 3
"`.i1 M + MBE inforrnatien to the office ----t--I r r• ;J,. r f
(tines) of October 18 198� 3(�� follawing the bid opening, unless a later time is
authorized by the City. Other bidders nevi not subnit IMBF, informat on unless
r e.5ted to do so b�� the City. vben such request is made, the M infcrntaLion of
`err''`"'f, +' t► � ° da is s a later time is authorized by
such bidder shall be submitted within 5 S , unless
the City. The information shall include:
�,lN� ti. tYl• 1 rrir' Iv I
Nt�tn:..'fC J of MDt;-
v be used, with a rarplete description of work or supplie,� 4
to 1 provided key each and the dollar value of each such h;aE transaction;
'r' �'':+� i t+i `t` t'r • ��i;�: ntr.�ctors far i
signal and lighting tecrs, if there are such J'
�,. (Note. MDE tbco 9 i
t4.,•r{��f f.. It +� .. :+,rt
items of work, mtist have peen _ in the bid. See section entic.le�. Sta)xvntr ..,t
' named ec � u
t ing" of theses special provisions. )
t t t .,4t, y d � ti /•�:r.,;,.,rJ_,, , •� !r t.
a Questionnaire" (Schedule q) for
(2) A "Iltnority and tiaT en B siress Eh
�u.s
i•S•''.i•r`rr"i I'i !•:'r1�f!''r ;:.:�::-':' 'I
%t.rr; })i �•.t}J y J;; k;' ' each MITE not already certified. t
"irr'; (3) Schedule B for each ME joint venturer. `
Bidders witosc subnittal for (l) at�ove indicates they will ma-at the stated MBE final �t
nood not sufinit any further MAT. infunnaticn, unless the City in its review finds
7
that the goal has not been not in which ca-s:� addittorwl information will be
b ,
be guested to clarify
raluested by the City. The additional information may r
that good faith �`tt
- : ;,, , r'•,;,.s clain,� MBE iiirticipation, add ME participation, or daronstrate f-h' z
effort has been made to m?et the MSE: foal. Such information shall be subnitte+d
`''.' :',��'? •rl,A ,'r '`` prow-tly upon request by the City.
' : .'f- t'r )`''t''::,s ►'jr;�• '' : o of MSE participation or to r
It is the bidder's responsibil .ty to tenet the g P Pa '
t �. vr. ' '. :f' provide information to establish good faith effort to do so. Such information
should include the following:
(A) The nacres and dates of advertisement of each net,rpaper trade paper, and r
for ri for this project was
`; � minority-focus per in which a requestt•� part:. .pation P jec
laced b the bidder• f.
(5) The names and dates of notices of a.11 certified f418Fu3 solicited by direct ;!r
trail far this project;
o�
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5i}'b 'Scrl�,,,-'i13• �;' Ft�-NBE (Local) (3) ;? ,fib tVitt
6-1-83
�ttr.,' '•�,�' r _kr f,#'.tif/' t '\)i 1.� t7 �� Y ,'ri. 't�
G},���: { �fM��a �'+r x p��•;#i�t P •kj\ 1" fj f
,f ��! ri•f `=.t tG) The items 0£ work
which the bidder requested subbids or materials to
for
be supplied b M s•
i-: :'3r'�►?,, PP Y yt ,�y '�ttrft •
,�S1s�yr�i.�}, ,��`Ya�>f''`��:s��,,s� •a.J *.y�`t.}��x+{���;'j� S�f�" ^"\'# ,�'`d
(7) The nacres of MBEs wno submitted bids for any of the work indicated in (6)
€ above which were not accepted, the frame of the subcontractor or supplier that was �r r,. Ir a 1 •r a;
selerted for th.-iit portion of work, and the reasons for the bidders choke. (If
the reason was rice, give the rice bid b the rejected ME and the rice bid
• t �i'• �; F P Y J- P by
the selected subcontractor or supplier);
(8) Assistance that the bidder has extended to MEN identified in (7) abovc-
to remedy the deficiency in the M us subbids;
(9) Any additional data to support a demonstration of gaxi faith effort, such }�
N* , �'�.:. '%. as contracts with MBE assistance agencies. �•:,
-1.01B ANARD OF COi TRICT. The award of contract, if it be awarded, will be to
the leaest responsible bidder whose proposal complies with all the requirenras
prescribed and who has trot the goal for MBE participation or has demonstrated, to wIL
the satisfaction of the City, good faith effort to do so. rLeting &.e goal for
iZ t rj %,�xy •7; ME participation or demonstrating, to thu satisfaction of the City, good faith
f ;1' = re '• " efforts to do so is a condition for beinq eligible ible for award of contract.
Subcontracting
'1'
9
Attention is directed to the provisions in Section 8-1.01,
"Subcontracting", f•. s,t ;i .rj.
t t �'f , 7°.(,•.:,7•f,,: of the Standard Specifications, Section 2, "Proposal11
r`
,.t� r {:,L�t(itr,rit;:Nyt},r•' ; , Requirements and Conditions"r Section 3, "Submission of Minority
Business Enterprise Information, Award, and Execution of Contract", _
elsewhere in these special provisions and these specialprovisions. �' � � � •
} z'
f.:ir;�y?ijti�tyJ�ai `t t+ to
The MBE information furnished under Section ?
�+ 3-1 0 t
/:�;:r'S Yie}+f7�' ':}i '• }'i�t•'+r'�," "MBE Information", • �,
rmation , of these special provisions s s in addf Lion to
�,�'�:r + '�.if• JI� the subcontractor information required quires to be furnished under said '�'•a.� � '� r��,# £:,.;
•. �r t �f ,§, -;t�y:7;r;.!;? �,'f,i+•:y;<.•r Section 0-1.01, "Subcontracting"
f ^ � ;;,'•!„.��#'r� `,;;' • lr• at:cordance with the Federal ME regulations [Section 23.45(f)(2), part 23,
f rr.,=l ,1,�..'' �'-.•ref; ;'. ,'; Title 49 CFR ,.`t'..,t �• "'}'.ss'Y' r! `. �•'r:
+J'��J'(jy�rs#'� a".f<.r 1•S}(Mtf..t r`�' �}!',�:t�' }•. 7. �� r .A' rr� f' .koS 7
``.T�'.'�j�'�:trl�Y.l;L;i+r'1�5•,y�,i'�(^�1. j'��St' f IY .t.�;
&5 k Ets1:`�� li¢�;';: j'',i' 10 No substitution of an 6SB1.. sukr•ontractor shall be made at any time without
x;''V i the written consent of the City; and 1rsf (�} ,t �,!''�'�'r�t�r.1;r/,• r •� 111
- +It, ' 2. If an MBE subcontractor is unable to perform successfully and is to be re-
JT � '3 fZ r•''"7•Zl l;�•"Sfr/,
, ; ,�'s7.t1,l . „r.,;;s placed, the contractor will be required to make good faith efforts to replace the
•,'r.���' ;,;�/J� �, f.; ;:,r•,'�! original MIS subcontractor with another MBE sub=itractor. t Y rr • r
The "Subletting and Subcontracting Fair Practices Act" (Govern,mnt Cade Soc-
tions 4100-4113 inclusive applies to the item of siplighting re- i i�sjj• � �,�,, ► ) �p pals and and • ,
': {11'#�l• ? w':-,:°+ quires subcontractors if used for such work, to be listed in the rim contractor's > �
proposal, prohibits the substitution of subcontractors, except a., therein author-
ized= and provides for penalties for violations of the Act Bidders are cautioned %3Vf`
that this listing roquiremnt is in additionto the requirement to provide a list n
of MBE subcontractors f '-' '>+ : { r
after the opening o the proposals. Each b..,der shall, with
respect to the items of signals and lighting, list in his proposal.
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r .ie } F1ed41BE (Local) (2)
6-1-83 {s
•rr ri'Eti�"t 'yQ�yt j '',:t4 S {{ i
�,>• fir• �_ , ,�i ��,r •Y: .�,—i..oz r1]NORITX BUSINESS ENTERPRISE
IY r • •I• _ �, 1 � •. 1 r
, '''•
,. ; �� 't ; f This project is subject to Part 23, Title 99, Code of Federal Regulations entitled 1A '
y :� ' "Participation b Minorit Business Ent s
�.,� All Y y Enterprise in Department of Traui..portation
rf"�+� ,�. S . • •► 3t �� it• Programs. Portions of the E: "Federal rog Regulations are set Forth in the
;;A' a f f� , Requirem nts, Section 6-1.05, of these special provisions, and the Regulations in '
"t r t w -1t r,'
x' f'¢tE i ''a a.`=r their entirety are irco aced terein by this reference.
Bidders shall be fully informed respecting the requirements of the �r
< Regulations;
tF';f particular attention is directed to the following matters. r '�
(a) A Minority Business Enterprise (MBE) nest be a Arnall t.
defined pursuant to Section 3 of the 11. S. Small Business Act; business concern as .,
ma An MBE
', ' �",f• ', ��,�'.:»!,�lf( �, Y participate as a prime contractor, subcontractor, joint •� }
venture partner with a prime contractor or subcontractor, or vendor of materiabs or {
't`� ' ( supplies;
(c) An MBE joint venture partner must be responsible for a clearly defined
portion of the work to b
e performed in addition to satisfying regtzirenmts for
ownership and control. The MBE; joint venturer }must submit Schedule B of the
Regulations;
(d) An MBE must perform a carlmercially useful function, i.e. ; he must be
J` r
rr. x responsible, for the execution of m distinct element of the wort: and must carry out
,t,l • < y: ,}t{' itspzF;;ponsibility by actually performing, managing and suparvising the work;
jot 1 t+f' Y y`1;1•tt (e) Credit for an MDE vendor of materials or supplies is limited to 20 �d}
� ti , r •. ;,;��;'�:;t percent of the amc unt to be paid to the vendor for the materials, unless the vendor
manufactures or substantially al,:exs tt e s
good .
:�1t brf';t��+.,1�?•�,�'.�'.F, 'lt�w';it'iftlr, �'" t lr
(f) An Dili: must be certified before credit can be allowed toward the DSBE
•t� ,r:+t t .; 11' oal. Caltrans ME Director. '�,,j�itt �> �'� .3�:.��►>r�#��-� 9 y identifies Ms� which have certified. � �'?�,Y• '
#. off`;► �, ;, � �t, Directory may be obtained fran the City. been cer lhi� M13E t i,
iron t� .
�+ ," ,?,K r C .✓�•2� t
} .,, •j',l'r}YdLy� +) �Y +6Cv.'l a,,, (g) NOncotrp:.iance by the Contractor with the requ is of the regulations
Y r,,.t
� constitutes a breach of this contract and may result in termination of the contract
or other appropriate for such breach
ate remedy
(h) Bidders are encouraged to utilize services offered by banks owned an K
FF :T.rr' ;;wX� controlled by minorities or womn. r
�• , r+�fr;l,�rror' {;'rP';�i+�t''�i�` l f�, � , �"���.
•i ' E ft` .�ry j'yrrr�;��A�j), 1.03 MM.; COALS FOR THIS PROJECT. -A
RU7I7Ci'. The City has established for this project a
Dinority Businesn ante rise (143E) participation
fr r Lt"1�4t ent Participation pxtiun goal of .10 percent and 0
pee Par cipation goal for !xsiness owned and controlled�� "�""'
•,, , f,�`. �'��� } i l• g y women. (6rBE). `• , �:�4'
11 -
rry `fij�t�/ � ` It is the bidder's responsibility
to make a sufficient portion of the �Ir�rk •r :�jfA•:•
available to subcontractors and suppliers and to select those portions of the work
material needs consistent with the available DBE subcontractors and suppliers, so y
as to assure meeting the goal for MBE,�•,1; Fp rt, participation.
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yYfrt'jJ k Fed-,MBE t Ulcal) (4)
y a 6-1-83 Ir
1. The narm and the local-ion of the place of business of each subcontractor
who will perform work or labor or render services to the prim crin;sactor in or a '
a construction of the work or irrprcr�ernent, or a subcontractor licensed by
about th
the State of California who, under subcontract to the prim-3 contractor, specially
„�, • ' S� fabr=cater and .installs a portion of the work or irprovement according to detailed
+ �s
r drawings contained in the plans and specifications, in an amount in excess of one- ,
half of oae percent of the pry contractor's total bid.
r 2. The portion of the work which will be done by each sudtn subcontractor.
{;
_ r Only one,subcontractor shall be lister for each such portion.
A sheet for listing the subcontractors, as required by the Subletting and 51b- '
contracting �lr Practices Act, is included in thQ proposal.
u,1 i.'�'ry,�•/rid�,
Ir rr4�iN�f _ MBE ROCMS. The Contractor shall maLntain records of all su'aronrsar_tr
enterrxi into with certified ME and £male subcontractors and records of r►nteria.ls
purchased Fran certified MBE and female suppliers. Such records shall `.'hVa the `
� _''; name and business address of each ME and female subcontractor or vendor and the
M rr �'} ft total dollar amount actually paid each MB and female subcontractor or vender.
Ll
Upon completion or the contract, a stmmry of these records shall be prerared arid
t,, � �,',• �,, ,.,,�., certified correct by the Contractor or his authorized representative, and shah be
�t':;k ? .r ISM: t, < �r ►�'�r furnished to the Engineer within 30 days after acceptance by the City.
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' ;SECTION 5-•2. FEDERAL MINIMUM WAGES t
R• --Attention is directed to Section 6,
.linimurl 'Asses.
Federal fiequ3re:nents of these special provisions and Decision.
No. CAQ?.-5118, of the Secretary of Labor, Include3 herein
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il' ! Atom to toreflsl Co.wtt Aru 11 IlsorrlSg•M fa+Oorsordime Covallem
' 11t {•^11+ Aeaa 11 top, sarm, soil l\a.a CaaAllma LI■t[O.1Ta0C'ft0af Arat I1 Ga Awlaln a+1 or awl•Coamtlea .tt,
Afgm II W AP onm s•o Ormwfe Cwnttoo Ara• 11 I+r.flel ca"Ar
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tsa It Aawtg gatD'Al ant br tale Nlap Car+tar/ fora !1 iwt..rUl Cwsl f
Alf•01 tMlgfa Crwl Area ac le+ A•7.1.•t'awnsr y � 1
' ar y ant!,n btneaslM et,.nlfaa alas 11poem, • m If Coital its r• I
t;� � Are• H a�ooN 1•Ce.wt Aft• to alnralA•gN Sam Oat Mrdlml M•tico
r t7Jgi!!!t!1 Mso 71 foes Ldlf Or.l•Inr:eanl Atas 11 W 120106.014"of •+d TrMa,L Cawtlu -TF
Craal P.Oorle, ttsanh Aft►ores to". Ievel etAnance / Aru 1/ See Lott•oblore s+1 aaata foraato teu,11.O Y� 1 f•:.,F• a"a !• more at l..trte Caw1 f T
Teal tsotla.. ►tint Aelwtla■N Tt■MfMt1 Alr rotes saw y Area 11 Nlot At wits tt0 Ya+AonWrl All rona sass
��'f•� ' Air• If 3ormUlop Cenmtloa Area if ►elnt a•le.11e fool Ta-9-o'. r!tit fete+m.•a 1
I @T Ana tOr [sins true mast OrA,f•cr toot /IHlaw mM ail,
•',}�',eR 1j t1[t?MlTat,at,t•/IUI
gvuSa Aft fore.Oat•
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I f' r'• !. Area!o Cfq tebgtll, eAomNt star I►tCt 1sN, ■mnl pehaer.ee Arsa 111 /a.te Rorbara prulrear et hentrl Are• Is Soon CLrwty ant mil et t+1a s►r PASW Crramttmtl fat AMTaIa
ai'�i•r 3 y het ftat,". pilot AtOsoll■awl ToAI*Rktf All rartr See• Corall hail prUos IforlA e! a alnlltt lt*l dts•n fateeey OorY1m'
.1. x Alta 31 bwlnlml rawatlsm KtptJ/tMAf1 eV O l plwf.l �1••11�
Area to I,rrr mwA taaws Cwwtico Ana 1. Lae Afpflu canitr (14"111100 7oetlesl
C( { ifPtMUL 11MILUTte Araa 11 Ico'•rlol Caoaty Ana fl Otsmlf Cwvmt
rt � 1410 if Camp Srbotit. Sfatea Air Ares Rosa "last 0rl.amts Ana /1 Slrfnlea so j 1co sararadlM CadMthl
i tFF.•f hat Rla%Ion Idol AlNalla W leaw/fatatq Ait plea lose Jowt/ aM11rtR31 Aree ti tan lulu Obispo. hate narbats, eN Oeftato Crsntlte tart
b Aaate II atosiolnl Cawtlse Arco it $"Willi County Atee 11 Iouudo All loin Sue awo Calla Lose newel elar",a 2610 :
cn OtllpAto "IMASl 10I't'FUM FAMAt
Stroll ,•.' r
•„ ', ll formal"a stolen of I brewers troy fear an/all of Sir•% lM-rot. Aroa I, I-Mrlal.Oro+Oe, and Riverside Co+MAge.lost A + If t-partal eol,ty
lea Mpin Ce.'.ty f/`rota areal# ten a/wmrdlna Ara 31 tea Aaptaf.Mf"ll. Rnanlgt. still tar►act, y.
yyjh ,� fir'• ! ltaCTfT:fASfl Co.atr tascludlf.•r eastern pertl•,1 ton meta obtope, faw SnnsNlne, S•s Tentret Cevmtlea ,S
115• - (Y t� Ana la lrpaflal Co"Ir Area 31 It fa C•uwtrl Loa A".leo Cwnt1f (o•o:asl Pam*a Asia 31 motor, lots swd wawa C/w11611
Alto
•�j' ro 71 oats Co,rwtr 110f9416lf!of ttwl7) Affair letw+e Cnuntro saes tftwaralne Cam, I Irut of a p777•,
Afyalrf Count 1
1 •: r 31ng M■Hn•t Trvns Ire lvdlwl Carina La11 Ana, JeMamtr*brey. /t1l Ytttl NTT1U1 ✓. r
At a1 Wags CowlIf Cafew. se tol I"ttralnl ton r11lMwN somata off"[evaty At If topottai, fans, Volvo. Oka In"Co"tlatl O►sw{e ht,cty
Atom Sr Alrentet Cf>,wle east of tare Les A,/tles Aloosu.tl tertopt $ Ms soola fl•enlae eowlyy. Saw/nwerdlwo Mwfe ;,41
,•t. Asia to Ig1a.1af+a, oN Sam Ia►gtdlwo Clnt(ea also It lole Cauwly leartl't ape r.rilt'm 111n1 goes of 1aceipt antsfiel Saw Lon Oelep, /anU turban SN Tem4.rS LMostlab-
Alto to Sam LrU tyleps rorwly to: Los Anplts Alveauct) Ana a, Ls"lain oily owl ors shMo N Mllte 6,4 pganst Ateml
Eu�.I Maf I1 f•+lm tare\atom ISrmalnfrf of t:ranlyl At If Son Late ablepf !oats larNrof SPA saetvaa Co"tlog OnMm Cwmty saMg AnfU gas lrrcorSlM Count) ltsttsfloll aid
Ae+a to Te+1Nt Count+ sowtera Covoty plats ta'r,s. Mat 1WIa vse Net greatest
Ala* Joe hint Alluolls Ord T*nd*mtvtl Air parts tug VU-1rttt►JL11
L,•' .o tt At.a llr fl.iwa Loa.•4rd Or he.ea Tamt allilam fM Alai if tee Asps•Sae Greets eo.atia I'MAttt0 lMleerfls ]
J°'•y 4• U.erdm Air tern Oar• Ara• r1 IeMr M. oterroldo, s+u son■orearllns Covrtttto Arms 11 11•porlel CTaMtr • P ,�;
fi3 era• '1 /1w Lrlm t�blap C".t ii
► Ans II Mralminl terwllsm
from
t� ILMTO0 MallpVC'fOofe co S. trnte forbore Co..If
Ana 1/ tresrlU mad Ir1e committee fees Cegs,1 loautb mar sns tar r.nlurt twewb IILI IrMoll
T'•+otMpl a•g•11 tM Mpmi Se. IIs•a, tt er.lo. elroaslla. Ana It hint Atgwlll owA Ts.doobofo Air Mares late a410 11 t+►mttAl Carla "
` tam\alettdlwe. !ma Late as 1". $60, gas NaS, mN Aeas TI area. Iota, ant/•.ng Cmuwl tat Afaf 11 IN Aw site an+«, ono TrMlelo t3•entlSo iJ
1`*,term eovatlso Area 31 1a.1 Ldlf Obiape mess Santa goJMes Cw+slso t,
Ale. to team c•••sty t•ertb of TstocAoll Aarhf( rAfTfttU• Omuta Ala /1 R1.glelfm•r.d ten Sa►oolll.e twenties
'•�•" l AJco 11 teporlml. layer Ib+f 11"nleq Sao$IV Ifnafetas seat so Imre• sale, Sol torts Cwostln
�S "At ltIlI Cwntlag
r Ana 11 te e a 110"1l . Of1M•.gltarillo. Dam Ifrwltitrre. Area if form Cmeat/ rIL1 towituesll
'+•;�• ' :li b•is"above. fan Lela Obagg, 8+1 Tomtmrs tDr,tlu 41 !I tes Mtglco ter!Onq.C"M1as Arts to W Awlolms. Oltpr, 910111114, M 90"fifM. VA , a;
Also is Igrltel Calmat Sr•t h Is+ Lola ronlope two Salto tat eta Oatr,ttao smmten C�mttlss
r Arouse Traub ltvwty 4 Alto 31 gain. Inre ans Mama Cera.11td to
,M`rV '�• (,�4 111dwOmetff/ • also of Cmima We Nagel Ofowf•ce Toss sloltsn onA Ws airs
Jay lnefs twg►ty.n to toot"IT epee er map tows Ito Clt Air Mtn Rate
tall■ Iw/lta%to MiM. 1M IO11a1nT moant tM11 be M/� ^ , •
1•oats rasa teal 11,04MI1 Stfteftttgtef ;
' � at atlso la Its a11H•110.14 Inr As? Arfm 11 lrpoclot. toe"Juno. Orf.Ta. livolellt. four t
i 1 M s1100 god Wool •110.19 per day =,I#* . rem wla Oblope. Seats WWI. f,e Taag►s tt 1
Csvmt lea N
m'g Cott Roll of too/ee-tlsfs Ofe ol, son ir,aS mr. /metaetw. arts of M rs Uco. Roam. one WAS tbu. '1'•
atwllwf frog+•o lnsorotial/,U rvtofa• 0•elltrr. Mapco, Moo It IS•arAa All tern Mae'. "seat ssapes*•Cealfit fad M
•a leg "It tmm, area slga. so"1tlma1,11M, Tealal S, tM mates W•naval ter Awa•ta Ton:corm. (�
`+ II tabu• aru /f ►soot Alp..ltt "A Tf.d..,•rl Air Paces Isla 1-]
�'�' LAri rig 1 I•l 4
area to tore. Nara. ail ws+a Ce"tt" .t
Af•■ 3e Los Aal.toa twwatt ttatept city at Lamfteter) 1 �.
' Mlm fl 01s+po Ca+m•r
,,,lea tr Ilagnl0o d«err � ~
Federal Register / Vol. 47. No. 102 / F'ridny. Atiruill 20. 1992
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1 'i• y �j2w
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Illllq H p.r•wlt late sirs blch•r. LI•r+e. ww•m tr•arrr+r fore. Imetdlpl onwA.ts u1 IM•+•i•nl aal•roeraw*1 Cvpa.rd d,Y : `;
l C11•rn ewA bbe►$b.PAlrrar CAe, •11 ..1/re rerof r'I-It•• Dr■w.•r pwf+Irrl$ :lows Ifto 0.60 ant 0. estwe on !+■pal eet111 ,iS •fl.#�'{
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Au �. Letr.r rl tale•-1.IM1 WMuf. )oteetwT. 1•pnrftf r00-1 Ares al- 11w.tr S',tt
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r� fps doorleprt•vs., sertl-I towrr•tr. lb M+A1I*1 of the Chat. fro• Ptlr•r ps•f fhettltte "Sol Itr.l Mt•dials en•Cutffl tl■►ene.o ff
F,.r 777 tin.{+, baA wU trwu. eeea re••IU. e1Ha, offer, Ilnero. tarnAst Oo+a, Oel1•Wr Irmo of alf•ilo Tr++el Ce•vpatf II■I eLftl fr.utaee.l Dpt- t ,Y�"f% .i
r fps w1-, tare, ptlrH. n1 alAr.fllol CONI CrIr1 t•rrr-las ratios ltwall,t ant/n CrWtlos McAlnfl fa+Islabat
t!•errswd$Wes role Wool CUM"left%ot•fol,.f (A..nitllnoll Ile.
Conlon. bll%vofg 6-9 effort real", $Orloff. lis-afs, OR$rl•Ila arm" If fast. btu Mlpatl Olfrerl)skeeter
J' Itr•r ara•r c"Stlrr(lool Cal. all bad/of rrt•f e1rt11M rt•F,-or �[•' 1 `�.•+`.�y7�
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SECTION S
r,•i MODIFICATIONS
l eiderul Register Vol. 47. NO. 186 Friday, September
tember 24, 1982
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. '. a •,rs, r..Y' SECTION
• MODIFICATIONS
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COMPENSATION INSURANCE POLICY iN A FORM APPROVED BY THE INSURANCE COMMISSIONER OF THE STATE
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!' "E ;4•' :.r'?=� ' i,�; :;- ' DESCRIPTION OF OPERATIONS COVERED• a 4'
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,��� Z1ST GCTUBER� 198'3 3•-07359 � s 00. t fr .t°
AUTHORIZED REPRUFN PATWL �'1� ,r .tlP'i "�'
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�. CITY OF FOUNTAIN) V LEY ONLY �`,. Ut iuL.�+ttil►.
OFFICE OF CITY CLLAK FORM OF CERTIFICATE OF INSUR—
T} rs 10200 SLATER AIENUE _ _
�r ANCE WILL BE ACCEPTED
'{ �� �¢ �`1�?r•.�` �'r FOUNTAIN VALLEY, CALIFORNIA 92708
CERTIFICATE OF INSURANCE
q,yf+ik f Description of Contract:
• Il r r �.tl .
41 tr ,�, � , Type of Ina,�rance, Workers Compensation Insurance
THIS IS TO CEAZ.FY that the followingnumbered
x i t
•' ,, '�� ,r:•:�r•�il:�,! by the below�statad policy has begin issued !
c?J..;;; company in' conformance with the i �.1 mits and
revuirements as set forth in the Contract Specifications
� � � � `�i�`�'I}rl�,.,tt•. The Con
' le Company will give at least 30 days' written notice by registered �
mail to the owner and Engineer/Architect prior to any material change '
%`.F' JJrid ., ::r• , or cancellation of said
:s.`�. �. �'/����r�����;►fir ' S�x�R��7 policy or policies.
LIMITS OF
POLICY NO. EFFECTIVE PERIOD ErXIRATION DATE LIABILITY
T, trr; � 11/15/82 u/15/83
statute z < '
` t is agreed that with respect to such insurance as is Afforded Iby
the policy, the Company waives any right of subro
against the named insured or the additional insurei dsby reason of
on it ma guire
4, �
any payment made on account of injury including death resulting therefrom
sustained by any employee of the insured.
• �;e� ��� P� Electric � ' '�
Name Insured (Contractor 7s�nith insurance w •
t ;v ► ;�t Insurance Comp6ny --�---- ��
F♦lkeltan Place
1660
3Z5 t
t. E•fi��,d t"rcl�;:�''f:•r,�i': Street r er - role Driv,�
r •« t Y' !' �5`!;t► '�„ •,� Street JumberYk
�r� Valley. CA 92077 San Di
C .ty an State G'� 92.108
,, ���ai,Si'_''�;i i`.�r'r�` �j5, :J i•Y at�d.gate � ..r�'�°fir.i{'`�%�''� � J'
tlti{.h'�• �'tj' [.4 f'�;�JSj
r �4 t sl+/f�F IC. ,� f, .!j}J r ++ t. Ir 't`. +tT.'•'
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By r �✓' J ��' ';
St��`8 Of \ �TlRL
Cdlifornia
�tt3 i'� ; , ,+� ',, Gr: D1. J t`r i` �t, ;t t•7
111 �f �il t}t ',t;; ,� ones '(` :�
{d+Ji'• r try .ri',,, !' t County Of Sari Di ` L*i t !P ' >' f ,''tr,
IIa�l i I y ttl j. J ,
,141 > {t�1,1� t J:,,,,�,r ' r' n this 18th day of
t+' r': came' '-" r 1983 , before me personally
M. Tales
� Y
� r•tyff� �. }�r'•►i �'�i4�;�+;t;e tf lti4s '- duly f�Worn, a t0 m�' known, Who �.lE'inCJ
Fase ,an Say*. at
Y» try 3s an authorized r
c `;,({�' j;,+,J� ter ,,_.•. ';;1; representative of the --- --
and acknowledged to � t�s+��e• �� r
a e e w Zn instrument
on behalf of said insurance" p nl� � � { '
i ance coma d
.eta tJ. a f„ iti14t,! {t= �
IrY•r FkYk'i�.i•i ji`•..t(r �t.F.I.'..A 3G'1l'454r3' '� `►_l,:5 ied and a6f Official •a•+y.( f� r {IYr t, t.�i
the d ed my of 1 seal on .�
ceir tE'. r8t 'y d� '}j�';:.
rt;;; a ,'1•#lSj�l r t, �? DE•ITIE L. PAR w�yr itten, V�xt r Kt•,. tl{'•:t. 3 .
r } f' , (iJ1rt ,fi}:"
t''+kt, ,��!�tIN?rtirG� l ` ` NOIA91 FUCII;•CAIIICINIA JJ I��tit* ' {1 +';"llty�
{ rt[ ��41`y{c { PRINCIDAI OFFICE IN
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`l� ,JINDi8f5 /! • �ri Not -r5 P ti, c
(NOTE: ttaui l
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f to W IY't�l[' f♦ ,t F• f{, :
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s Ji•/Y
b® c0 t@ `t4S 'tix. •; :S
Worker's Compensation Insurance � , � i.tit
t ; •� �i?•;ii� y'.'t�'�'• ,� t 'f`�,�i k, r•'. M
Certificate of Ynsurance! A of
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jhL AND COPY OF t.ULI t.lii U1 ! UUNit%1!1 vAlo C.1
COMPLETED CERTI ', TE T0: t I ,.,: F CERTTFICA E F INSU-
:�
t: CXTY OF FOUNTAIN' LLEY RAt '; , ILL E ACCEPTED. •'�
• OFFICE OF CITY CLERK,
' :.0200 SLATER AVENUE
• t FOUNTAIN VALLEY1 CALIFORNIA 92108 "
CERTIFICATE OF INSURANCE
} AND
ENDORSEMENT
- >r
)'�Er Description of Contracts
. " Contract No. CDN-83-15 -- 1!'.A.U: •Traffic signal System or. Bmokhurst
• street. Project No. 2.750
Type of Insurancet Comprehensive General Liability Insurance
r. I
THIS IS TO CERTIFY that the following numbered policy has been issued
• - company n conformance with the requirements as
. b the below. stated om y i Q
r set forth in the Contract Specifications.
The-Company will give at least 30 days' written notice by registered
' mail to the. Owner and Engineer/Architect prior to any material change
or cancellation of said policy.
POLICY EFFECTIVE EXPIRATION LIMITS OF LIABILITY
. NUMBER
DATE DATE DATE BODILY INJURY PROPERTY DAMFGE
...., .. .....�
#d
t f < y AAW560998 12/20/82 12/20/83 500,000. 500,000.
1�, ,ft�,,fe ((rsJyr'S�tj aa3�,+��try+•r�t"wiY tJ!
'ArLs(r13��Fi'f.1.il!`�Y�,����,�
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The following types of coverage are included in this policy
(indicate by "Xn in space) -. I,
Manufacturers' and Contractors' . . . . . . . . . . . . . . .Yes x No
Owners' and Contractors' Protective. . . . . . . . . . .Yes x No
Blanket Con-ractural. . . . . . . . . . . . . . . . . . . . . . . . . .Yes x No
��(( '/3(.„ r,r ;f i• �;f ' Completed Operations. . . . . . . . . . . . . . . . . . . . . . . . . .Yes a: No . `
�,i , ►�1. ;t) r,n! '; .��. Y'IJ Owned Automobiles. . . . 0 b - 4, 0 0 & 9 0 0 4, . . . 0 0 0 . 0 0 0 0 .Yes No x ,
Hired Automobiles. . . . . . . . . . . . . . . . . . . . . . . . . . . . .Yes No x Y ,�
Non-Owned Automobiles. . . . . . . . . . . . .. . . . . . . . . . . .Yes x No s No x
s , , Broad Form Property Damage. . . . . . . . . . . . . .'. . . . . .Ye
�, iT!i, k�(. ,, �y.•.LA''j,{,�.IJ t�•'�r .r x� , No
f nXCUn Exposures. . . . . . . . x,4
'
;trl t Comprehensive General Liability ! ' `EF31r
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1' CERTIMATE OF I11SU t 1
R ••. rr
;'IFICATI; TO% R�1ICE iLL BE AC EtryTED.
COMPLtIM CCR
TAI11 »�
1 VALLEY r►d
a�r.�Y z ,t CITY rJI' FOUN r'
rYr1 .t CITY CLERK JJ.
OFFICE 0
i:• t { ii< 10200 SLATER AVE'%UE r
u
i ,
FOUtiTAIN VALLEY, CAL
xT0R�11A 92708
CERTIFICATE ,OF INSURANCE
AND
ENDORSEWNT
n tion of Cor
Description `ractz te:n on arook�st
83-15 - F.A.U. Traffic Signal. Sys
J i _ sstreeeet. p ject No. ctct No. 2760 70C
r ' Type of Insurance:`
Inccrss LIAaILM
' numbered policy has been issued
TO CERTIFY that the following the requirements as
y, THIS IS an in conformance with
l�
by the below-stated comp Y Specifications
set forth in the Contract SP s' written notice }�y registexed
at least 30 day material change
z The,Company will giVe snast architect prior to any
mail to the Owner and Enpolicy.
f �} ' or cancellation of said p LIMITS or LIABILITY
' f EXPIRATIG'N PROPERTY Dom'
•� POLICY EFFATEIVE DATE BODILY INJURY
+( 3,000,000. '
000,000-
12/20/8"
CA�,866358
included in this policy
es o
The f cover
are i
v s• ! a .i following tYP
space„Xn in ) :
(indicate by No
J ` ,' {• }: » ».s , tors . . . • ._.... No-•-
1i0-
4' ufacturers and Contractors
Man � rote.ctive. . . . . . . . . . .yes___
, # � � ;�rrti ' r'"f ' and Contractors P ,, '
s�fj � �.�.. . . . . . . . . . . . . . . . . . . . . . . . . ..Yes r
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Blanke.. • • • • • • • • • • • r N•�M #(�
laratioll�'a. . • c . . . Y
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NO
Owned Automobiles . . . . . . . . •. . . . . . . . . . . . . . . . . . . . a �� No—
. . . . . . . . . . .Yes
utomobiles. . . . . • . . , . . . . . • ... . . . . . . . . . . .Yes
�•%.ice# a ' A-.. Hired A
Non-Owned Automertles Yes NO ...r y >•'
Damage. • • . . . . . . . . . . • . . . . . .Yeses•_
PI
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�s:;,•- 01 f' CERTIFICATE OF ItaSii-
f '. COMPLL'TCD .Cf:RrIFI TE TO: RNiC�: WILL BE AC EPTED. K y
CITY OF FOUNTAIN VALLEY
OFFICE OF CITY CLERK
y. 10200 SLATER AVENUE
FOUNTAIN VALLEY, CALIFORNIA 92708
CERTIFICATE OF INSURANCE
` AND
ENDORSEN.ENT
' r F
r Description of Contract:
J Contract No. CON-•83-15- F.A.U. Traffic Signal System on 'Brookhurst j
r Street. Project No. 2760 ,t
Type of Insurance. ,
' i •} ,' AVr=13UZ LIABILnY INSUf2ANCE
t,.; • c°3
THIS IS TO CERTIFY that the following numbered policy has been issued
by the below-stated company in conformance with the requirements as
= set forth in the Contract Specifications.
The-Company will give at least 30 days' written notice by registered
mail to the Owner acid Engineer/Architect prior to any material change
F!; or cancellation of said policy.
;t POLICY EFFECTIVE EXPIRATION LIMITS OF LIABILITY
t,\ NUMBER DATE DATE BODILY INJURY PROPERTY DAMAGE
fi J+ 1{"Y'c { ,a�• ► -� 12/20/83 250/500,000. I00,000.
FAD029756 12/20/82 t 'Y
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t
The following types of coverage are included in this
"}+f.t { r{/x. ti *,;, ,•� fr (indicate by "XII in space) :
No
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�,+,► . r' ' . . . . . . . . . . . . . . .Yeses
�'• � w �,r�t b�anufacturerS• and Contractors'
No
•Y .q' _ Ir ;FNy�,r ,r. ?�rotective. . . . . . . . . . .Yes
Owners' and Contractors
_� •;i�! :r f Yes
No
, ( s. No
' 11?. Blanked Contractural. . . . . ., . . . • • • • . � , . . • • • . • . •
� ' 'rrtc Completed Operations. . . . . . . . . . . . . . . . . . . . . . . . . .Xer x No
f ' :tffjf� Owned Automobiles. . . . . . . . . . . . . . . . . . . . . . . . . . . . .Yeses
f«t �,'I r`,;, Hired Automobiles. . . . . . . . . . . . . . . . . . . . . . . . . . . . .Yes b'f r
r '. x No
�� K.,� Non-Owned Automobiles. . . . . . . . . . . . . . . . . . . . . . . . .Yeses Na
Broad Form PropertyDamages *
. . . . . . . . . . . .`. . . . . .Year
1 No
Eosures
riXCU" . . . . . . . . . . . . . . . . . . . . . . . .Yeses
Exposures. . . . . . . J f,,.,�., � '"� i ,•`�-t
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Comprehensive General Liability :�.
Certificate of Insurance _ 1 of 2 ;+�TTJ���+.Y
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• "/ ENDORSEMENT: ,
r� Cf •
'^ The Owner► the Owner's Representative, , the Engineer/Architect, and t'
fa their consultants, and each of their officers, agents, and employees
are included as additional named insureds under said policies, but '
only while acting in their capacity as such, and only as respectp.,
operations of the original named insured, • iris subcontractors, agents,
and employees in the performance of the above-referenced contract.
Thies endorsement shall not operate to increase the Company's total
limits of liability hereunder.
r{
Perry Ele&xic C]crmercial Union Insurance Co. [_
Name Insure ontractor) Insurance Tonpany
.r ;r
• 325 Elrelton Place p. -O.-Box 85089
r. '
"1 ' rcgE umber 5treet Number
Spring Valley, CA 92077 San Diego, CA 92138
' �• City a State
ty &filar e
t
r `� ory dy Igep s at ve
Q i Robert M. Jones
J
State Of C,alifcrnia
r4:: • L�t f r• County of san Diann )
1 r ---
b
18,h y october . 1983 , before me personally
On this '~ day of _ -
�`}i�J`� came Robert M. Jones to me known, who being duly r
r
•�.t�sf` r 'r.�t tti,;,�, 444. sworn,did depose and say: that he is an authorized representa- r
#"fr#�`f r. tive of the n
'tr tti , r on behalf of said ins and acknowledged to me that executed the within Instrument
l •. '
1 rs +t?�FA{,rlr!" a
°f'•�.t. insurance coopanyo
, ;,�; _ hj,�,};r,•,t � '. In witness whereof, I have signed and affixed my official seal p
on the date in this certificate first above written. Y
•ty �f. x S"EA,',:�f J'.�y ' t}
T�•:7 �y7' �. � �fr��' t'4t� i1
e r 't��+. F'j: 01FIC1AL !!At .IA
c. •� j:{t "
I% TIS L.
i31' f r'I .l�' .�:'" 'I.HT.;•1'�1.]. N01ARY p1111;IS:•:AtIFTJIti11A
j ,;;, *r*., t rr '�� .r'.'!'
t4d k` 1*fi�' 'f S+, •i, `\i �.��'�%,l' Pt:it'ICIPAI pFFICt IN Notary Pub
� !^T` ,. •" ' + '��' ,• t' SAID O;E:Q
Itpitet' 1,P111 14, 19Gs
E 7
�!:1s- •, �a' ••, 1 t}.j rf�fjr'�r., l}r'�,. v �y fy�f.�•��
A.i 7AS.lt,1'4r {�y�^"�tZ..+• �1 f 1G TC)C]t�[J"
(NOTE. flo' � u" on or revision to the above certificate
and endorsement will be accepted. If the insurance called for
�'►' +f"� '' in provided by more than one polic , a separate certificate in
` 't Ott: � Y r
above all be provided for each policy. )
�•,;rt t h�., �.=��:'°. the exact a form shall p
Colrprehensive General Liability '� 'rfjr,
Certificate of Insurance 2 of 2
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-
7
RETURN ORIGINAL AN��t�. On OF
COMPLETED CERTIFIC TO:
CITY OF FOUNTAIN VALLEY
OFFICE OF CITY CLERK
10200 SLATER AVENUE 1/
FOUNTAIN VALLEY, CAL
IFORNIA 927OE3
CONTRACTOR'S CERTIFICATE
REGARDING WORKER'S COMPENSATION
3
Description of Contract:
J
Labor Code Section 3700:
�.
►►Every employer except the State and all Political subdivi-
lions or institutions thereof, shall secure the payment of
compensation in one or more of the following ways:
(a) By being insured against liability to pay compensation
r in one or more insurers duly authorized to write compensation .
insurance in this State.
securing from the Director of Industrial Relations a
certificate of consent to self-insure, which may be given
upon furnishing proof satisfactory to the Director of Indus-
` ,
.;; trial Relations of ability to self-insure and to pay any
compensation that may become due to 21is employees."
�� ,, t'• ' ,� � T 'am a;�are of the provisions of Section 3700 of the Labor Code,
which require every employer to be insured against liability
f_y1
for worker's compensation or to undertake self--insurance in
llr , accordance with the provisions of that code, and
willocomply
such provisions before commencing performance
�,� • - with f' ir;`u •,, r�? ;` f the
work of this contract. +
l9 3 �•k ?err rr �cfr'iC..
Dated: (o- 1-7 ' ntra
By
1
) fI a Title
r �� •" '€ `1;y ; t�:j (SEAL)
a'.t •+3 w j �y� r
e� fi' ss
' - !�;•�',}�� c'•�i ,, (In accordance with Article 5 commencing at Section 18601,
Chapter 11 Part 7, Division 2 of the Labor Code, the above certifi-
..`}' '•+•_ +.���' ��' ��,. and filed with the awarding body prior to
cafe must be sign ed
.R. 1.
F�,� performing any work undar this contract.)
Contractor' s Certificate Reeiarding
r ('` .I
Worker's Compensation 1 of 1 r ..
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PAYMENT BOND
PAGE 1 a
}
Bond No. 44-0j20-11442-83-1
1 t' CITY OF FOU114TAIN VALLEY
rt PAYMENT DOND
t (UWOR AND MATERIAL BOND)
+ f
KWM ALL MEN BY `31i£SE PRESEKIS:
1 THAT, WHEREAS, t:ITY 01" FOUNIl'AI•N VALLEX, a municipal corporation, by minute
order of the -City Council, adopted
19 , has
awarded to
T � f
L &•H PERRY, IlJC.: DNA: PETiRY E LE)MIC
(Nettle and Less o Contractor
hereinafter designated as the "Principal", a contract for the work described as
follows% F.A.U. SIGNAL SYSTEMS •- PROJF= NO. 2760
r'
and
' provisions of said contract and
WHEREAS, said Principal is required by the
' of the Civil Code to furnish a bond in connection with said contract, as hev:*in-
after set forth.
NCW# THEREFORE, WE, the undersigned Contractor, as Principal and
t r
U. S. FIDELITY & GUAFtANI'Y CCNPANY
(Name and Address of Surety)
duly authorized to transact business under the laws of the State of Californiar
I * y1f., , are held and firmly bound unto the City of Fountain Valley, in the
y �t i' �,�' penal sum of FM ty� FORTY FIVE THOUSAND SIX HUMRED NUWI;Tqj 'Y ONE AND to/100 t
}(" •p�•r, ,?�kI►s�fc� . _ Dollars ($545/691.00 )• d�•
il{ t'P :�5
h
�r r,i't4r� 54 l:rtr
r ,� t':i7 i•! '�} - -- ot u
w percent of the estimated amount
•±;�` � " ' `. ,4'���`%;.,,��'k'+��� said sum teing n less than one ndred (1008) pe
able under the terms of the contract, for which payment well and truly be
paymade, we b-nd ourselves, our heirs, executors and administrators, successors !
119 and assigns, jointly and severally, firmly by these presents. �{�
f t. r ,# 'ft •:'+r i� .rfl11.T' ZJ r 1
;, i • �.,� ;,c THE OONDITION OF 01IS OBLIGATION IS SUCK that, if said Principal or his
':c, r
contractors, or the heirs, executors, administrators, successors or asaions
'' �• t. �'`�`' an of the persons named in Section 3181 of the
thereof, St1c111 fail to pay Y
. .�, `.,ir .t�9�� Civil Code of the State of California for any materials, provisions, provender
j - Lj' t`✓ or other supplies used in, upon, for or. about the performance o£ the work con-
y`
%ratted to be done, or fo: any work or labor thereon of any kind, or shall fail
L IV amounts due under the Ur�loytrent Insurance Code with respect to
to pay �Y performed b� an such claimant or any amounts required to be ; 1.
• ; ;+�.;k"t ii';. work or labor pe Y t
deducted, withheld, and paid over to the Franchise Tax Board frrn the wages o£
w 4
" employees of et�e Contractor and his subcontractors pursuant :u Section 18806 of
.i'! �1i 1V r
+ �'� the Revenue and 'Taxation Code, with respect to -n work and labor, then said q
.r pq` ,:.�z'^I. m; tJ t the sum set forth
'J Surety will pay for the same, 1n an amount nut exceeding
hereinabove, and in addition, in case suit is brought upon the bond, will pay a t
reasonable attorney's tee to be fixed by the court. This bond shall inure to
t 3'� z
the benefit of any and all persons named in the aforesaid Civil Code Section ni ; r
' ,?� ;= 3181 so az; io give a right a£ action to them or their assigns in any suit brought
upon the bond.
Page 1 of 2. ,
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PAGE 2.
for. value received, hereby stipulates and aarees
Further, the said Surety. alteration or modification of the contract
that no change, extension ofer time.
+ documents or of the work to be performed
notice reundsoflany and all sufh change
s,
' obligation on this bondl and it hereby
tions or modifications of the cxm c�iu
tracC drrants
extensions of time, and altera �
y and/or of the v,'ork to be Performed thereunder.
' n, wIvm VAiERED•, we have hereunto-set our hands and seals this 13Uf _ day
i , 198_41.
of
D ,��H P �,C
By:
PRINCIPAL
. .° U. S. F1D STY A.GUA
-RA1AY 92ANX
! t (� w
1 Yj Angie V Ma�icio; Attorney i�n-Fact .
SURF:i7t
APPF'O= AS ZV FOFM:
f
Alan R. Burns, City Attorney
City of Fountain Valley
•f �ir�t YY� Yy
r
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`trY ' '; ka Page 2 of 2. , A
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CERTIFIED COPY
GENERAL POWER O� 1.TTORM ,1
'
o....................
Know all,Kers by rbeso Presenter ;
That UNITED STATES FIDELITY AND GUARANTY COMPANY. a corporation organized and existing under the laws of the
State of Maryland. and hating its principal office at the City of Baltimore, in the Stale of Ntsrylsnd.does herebl conat;tu'e and appoint
Angie V.
of the City of . 3nn Diego .State of California r'�•
' its trot and lawful attorney In and for the Sttte of California f 1{t
Y I
4r {
for the foll3wing purnoses,to wit: r
To sign Its name as strtty to, and to execute, seal and eclimowledge any and all bonds,and to respectively do and perforns any and
f t' all acts and things set forth {a the resolution of the hoard of Directors of the said UNITED STATES FIDELITY AND GUARANTY
' COMPANY. a certified copy of which is hereto annexed and made as Part of this Power of Attorney; and the said UNITED STATES kt
FIDELITY AND GUARANTY COMPANY, through
f:f t g us, its Board of Directors, hereby ratifies and cnnfirnts all and wba:atxrrr the said '
r�r�i' Irl-3i
x' „fit f Angie V. riauricio
Xs! �'r g{ •, may lawful! do{n the tetitises b virtue of these t
y P y ptrxau.
In *Pitnexs Whereof, the said UNITED STATES FIDELITY AND GUARANTY COMPANY has award this Inatrwmi at to bt
f/ >' , sealed with its corporate neal.duly attested by the signatures of its Tice-President and Assistant Secrtar/,this 11Lh day of
December .A. L. 19 70
UNITED STATES FIDELITY AND GUARANTY COMPANY.
i� (Signed) By.......Ch9X:K4m.wr..R9.1m..................... '
i
1'icr•Presitlent.
S�) r;
(Signed) .......ja..A...AQJkon.....•......... ...........
fix' jifi:f Assistant Secretary.
sl�Ij STATE OF MARYLAND.
BALTWORE CITY. Is: ft}r rF�r sj t
On this 11th dry of December . A. D. 1970 , before me¢. personally +'`,. t f
Cnar.l came vl, W,
,'w.
e9 W. Boone ,Vire Prer{der.!of the UNITED STATES F'IDELiT I AND GUARANTY ,�r'`'•i •� `a'' ;�. Zk, t'�,�' a . ..R;•��. .
COMPANY ac-! .1. E. 1lallan t S O,Assistant of said Company,with both
ni ti':. i'r r'•
d' at etr•tl,t •:
''f�{'i4i, whom I am personally rcgnainted. who being by me severally duly sworn, said that they resided in the City of Ba{ re, tifa:ylsnd;
'� 'if ir�'tt14 id h h h
{ tat tey, the said an . E. ,allain.� , ' •�{ Chttrltit3 N P, d J. E D were teaprctis'e3y
�., ,.>T .• o;.. "�
the Vice-President and this Assistant Secretary of the said UNITED STATES FIDELITY AND GUARA`iT7 COMPANY, the core
poratlon described In an3 which txecuted the foregoing Power of Attorney: that they each knew the :eel of said cn t r rp�tation; that the
'' ► �r I" stal affixed to said Power of Attome7 was suclr corporate Feal, that it was ro fixed by order of the Board of Directors of seid corpora. }', °'� > "' l r:
Lion, and that they signed their names thereto by ble order as Vice-President and Assistant Secrets
ry, rcsprtisely, ct the Company. �a }'t �•t:i• � �. 'c {.
My comm-Ission e:pirrs We firxt day in July,A.D. 19.7.4.....
SEAT,) {Signed) .......Iierbert J...:Au11.... ............
r+ ■a �
;+"1 �•'tl��`iir-- fir i 1�; ,Yotory Public.... k{ " r`'e/L % jjjtti' S it q•
STATE OF MARYLAND r tlri
BALTIMORE CITY. SCL
Tj
Robert It. Bouse Clerk of the SuIvrier Court of Baltimore City, which Cour: is a ��;yr7t�"j�"tr� �- .7 ' �'1�f?+f�i'
.(. Conn of Record. and has a seal, do hereby certify that r r t.t �� ,
( r Iierbe�+t �. Ault Esquire. before }i>t: t
+ '�'"`�( 1�1• whom the annexed ali;dasia were trade, and wi:o has thereto subscn ed his name, was at t}•e time of so doing s Notary Public of the Y
State of Maryland, in sad for the CIty of Bsltirrerr, dray commistionrd and swore and authcrirrd by law to administer akihs .nd tale �u�: '��'' ',� i'1'•�` �'�.',�1
acknowledgments, or proof of deeds to be ttccrdcd therein. I Emther certify that I am acquaint! i with the hsrndwT;tint of the said
ft.. ;. .
{Notary,and verily belie-m d.e signature to be his genuine signature. �t r� tf� 5
In Testimony ii•hereof, I hereto sa my hand and aCnx the seal of the Saperier Court of Baltimore City, the same being a Court
of Record,this 11th day of Dtteember . A. h. 19 -o
(SEAT+) (Signed) .Robert. ..0 If. ousc
,.. !+y } �irr*:1• r , .......................... (r i.• y�jy;'�t y:�l,
P.ij X•
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' H = QAI`1UFUL,PERFOMN= BOND
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BOND Mil 42=02L-1,1442--83•-1
r• � r`�!�4'' t
CITY OF FOUNTAIN VALLEY `°
FAI'IIIFUL PE.ED14 ICE BOND 3 ,
„ t rr y{F ,
tM ' '1^N
rr~
I 01 ALL MEN BY THESE PRESERM:
THAT, I-MREAS, CITY OF FOURMIN VALLEY, a municipal corporation, by
E G minute order of the Citx Council, adopted _ 19 ,
has aha]Crl�'d to n '& ifi E'�8r-SSJC.'.� IAn• ET•nr2v F� 7C
NAME AND ADDIESS OF R
-r+
;{ hereinafter designated as the "Principal", a contract for the work described
Y 1
as follows: F.A.U. SII3rM Sl'S SS - PR0.T= I,70. 2760
`! and
WIFRCAS, the said Principal is required under the terns of said contract
�; y., ..✓ to furnish a bond for Iche faithful performance of said contract.
t; t
NOVI, TEIEIiEFORE, WE, the undersigned Contractor, as Principal and
2600 E. u.
MNTI; W1D DFtEZ>.S OF UREPY ��' ✓'
duly authorized to transact business under the laws of the State of California,
r 1 €.,'' '.;i`. ;.'x_;•' : as Surety, ate lw-ld and firmly bourns unto the City of Fountain Valley, in the
'• ,Uf, Jr' J� ,�• {Yr
pemil still of r I �1 + '. ' ragr.: N-rmylar5
ess than one hundred 100%) percent of the ;;..
",• 1' r�q� �f 4t} 'f oontract price for the payment of MAch sum uL-11 and truly to be made, we bind iY gi,
ourselves our heirs executors administrators and successors jointly and ;: r'
J j r rt: tp r I I I I (v
.tlt't s":'ve'xa l l firmly b these resents ,
tffl;' YI Y Y P
TIC Cch'Vt)TTIn?I OF THIS UI3LIr,ATI(xJ IS Sl3CEi that if the above burden Princ.ina]
t Y:'y".k* K.trp•1J; ..,•,f.`,t f', 1I
his, or its heirs, executors, administ tors, successors or assions, shall ].II all'
things stand to and abide by and well and truly keep and perform all the
f#"kj IlI, INIe",If
undartakings, teimu, covenants, corxiiticns and agrearients in the said contract:
J. ` ' ' t � [ r!`I�' Y� an al
� �� �k7 .���' � y taratian thereof made as therein provided, or, his or their part, to be
:;ty';r'��',, '. P I•e nod, at the time and in the manr:er therein specifieizi, and in all
�_�a�
��
ng 11 '
respects accordi ;o their true intent and [reining, and shall ind(vnify arrd say
harmless the City of Foult:ain WtIley, its offices and agents, as therein stipulated, '�,t:� '; r � :r� 4• �'
i t"n ' ►' a 'Y� t
r[ ,':; ,4. then this obligation shall beoortte null and void, otherwise it shall be and remain k�� �Y� "Fg,���, fi
- '' I , ri'' in full force iuxi virtu e. s\ 'fi~ +' r f�
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", FAITNF� PERFgIf4V4M �
` PA(Z 2
P
1' , •arr ' , In case suit. is b roujht bor
sall cowand
�sonableateys' Surety further agrees
to
that d the said -Surety, as fib by the court. Pay
for
clangs, for of value r
'.� ow"tract or tune ��• hereby
a to the work to be • alteration or addition Y stipulates and agrees
Panyingr the saner shall i�erformecl there to the to
under or; the s � of the
f,} r altexation oand It does r 'Y waive ' of Wise affect its specifications
additionnotice any sum obligations On this bond
�Cificatica�s. the terms of �• extension of tuna '
the contract or t-0 the work o t
IllSRk7DF r to the
,. day of ' have hereunto get our hands r
and seals this
1903
D & II 2NC
F ilyt _� MEM SIC
PRII' PAL I
z� at �• i v. 5;
&
Q1ARAt
y 'i `+a1� '�l�r ? °,;� �VEU S►���r�!/L
AS c•C.to
I 'y'sl t Fi i• 'i �1���t'�i�' �; 3 +,t r �;`i'lttaa••i 'R►+i.�7. r
Alan R. r
�. j(ty�,; C r�e t;:^,i1 .'el�Y t �+i 213, �'1 ► Attorney
Attplt r„ ,•,�Ct
i 7t(+'r o ,
City f Fountain Valley
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'r ��, •�`? CERTIFIED COPY ! .
tt GENERAL POWER OF AITORNFY ;t
...............§16.2 1
` Know e11 hien by these presentst
That UNITEt1 STATES FIDELITY AND GiARANTY C0MPANY. a corporation oriranitcd and ealsting under the lama's of the
Sutt of bla:'ylan-, and bariug its principal office at the City of Baltimore, In rise State of Maryland, does beteby canetltnte and appoint
Angie V. Mauricio
of tho City of :van Diego ,State of Cali fornia
Us tn+e and Isvrful attorney In andtfor the Sate of California
t
• r a
far the following pnrpeles,to wilt
To sirs its name as surety to, and !o extcute,seal and acknowledt,e any and all bonds.and to respectively do and perform any and
all acts and thongs set Furth In the rrsolution of the Board of Directors of the said UNITED ST.WE5 FIDELITY AND GCAR.t1,:YTY
COAIPANY. a certified copy of which to hereto annexed and trade a part of this Power of -fttorney; and the said UNITED STATES
FIDELITY AND GUARANTY COMPANY, through its its Board of Directors, hereby ratifies and confirms all and whatsoever the "Id
tl' Angie V. Mauricio
,:.. may lawfully do to ti•.e premises by virtue of theite presents.
In li'itacss A'hrrool, the said UNITED STATES FIDELITY AND GUARANTY COMPANY bsa av,rsed this Eoatrument to be
t sealed with its torpor. %efilt. duly attested by the signalum of Its Vice•Pmddaat and Assistant Secretary,this llth day of
December . A. D. 19 70,
F:' ,^ -_• : - 'y UI ftD-STATES FIDELITY'IkNb GGAILAM' COMPANY.
r
(5lgcad) .....................
(Signed) ...1�s.. '...poll�. 9............................•• _ AssistantScmuwy. ~•
STATE F -
, It 0 b1AAYLIND
V.
BALT13TORE CITY. sax
}},y' t Y`•' '); k;r »t' l;tit ! pa �, 111h �y of December , A. D. 1970 , txtocs me personitlly etme r
dry t �+rr Charles W. Boone .Vim-President of the U\',,• ,,; ITED STATES FIDELITY AND GUARANTY
f � •• .>: �, COMPANY and J. E. Dallatn ,Assistant Secretary of said Company,with both of
;`►}� + 'fir•};. ° C ,tn whom I amptssosnDl acquainted. who being; by me aetsrally duly sworn, a++fd that they resided in the City of Baltimore, btuylaad;
r�'if .r•'�+ f� S� i .�r:'i'':� that they, the said Charles W Booneand Je E. Dal late were rrJp<ahvly
rr
the Vice-Pident sad the Assistant Ssecretary of the said UNITED STATES FIIDELITY AND GUARANTY COMPANY,. the cot.
f'h t.p :t', fr•• t� 1 `�i:�r lnatioa d•seribed in and which executed the fatrndng Power of Attorney; that they each knew the seal of said corporation, that the
seal afiised to sad Power of Attorney wcs such corporate seal, thy! It was so lived by erder of the Board of Directors of said rrpera•
f ' tion. and that they signed their u=ei thereto by like order as Vice-President and As- ely
istant Secretary. respectiv . of the a ompasy.
'3, ,•( ,r;,��► •�i ��'+� �t'+:• 14Qy commission asiuea ehs first day In July.A.D. 19.7.4.....
t r SEAL (Signed) .......Herbert J. .. null
..... ....
V ';' r xtx't r�'} il�a it li.{S Notary Pnbiic.
STATE OF MARYLAND
SOL
BALTIMOAE CITY, }
.l rE,e.'t?t L /r � I. Robert H. Bouse , Ckrk of the Superior Coort of Baltimore City, which Court b s
41 , "° r !lr W + r Court of Record. sad has a «al. do hereby certify that Her be . gull , Esquire,before ri
J
iw >!, i {+t `'A J�tl,• whom the annexed a6dastts were made, and who has thereto suss s Warne, was st the time of so doing a :rotary Public of the rq
State of \IarylantL In and for the G17 of Baltimom duly commissioned and sworn and anthodred by lave to administer oaths sod tape s r
{!J sckaowtcdnrnnts, or proof of deeds to be rreorded thertbL I further certify that I ant acquainted erith the handwriting of the said
r: r
i<1 ,�' '"r d• :�ti �" ! [lowry.and v+:rily belies the signature to be his genuine signattus:. f ` -
t�,( f j t; f Y�� �i r 4 • to Testimony Whoreol, 1 hereto act my hand and affix thc-seal of thrt Saperior Cti•ttt of Baltimore City, the same being a Court
`i'4'' rt,r�r '• {ff^" tS r rr 1T• - of Record,this l l Lh day of . r1. D. 19 t#
. .. y Deccntber 70
Robert H. 13oure
1 � (SEAL) (Signed) ................................................ ..::.......... t
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