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PTM General Engineering Services, Inc. - 2008-08-18
RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to t Q,A, 114-f City Clerk's Office (Name) after signing/dating Ci (Date) CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: Shari Freidenrich, City Treasurer FROM: 7,(--A-' ,'; , DATE: c)7 SUBJECT: Bond Acceptance I have received the bonds for (company Name) Faithful Performance Bond No. Labor and Material Bond No. Monument Bond No. Maintenance Bond No. Guarantee and Warranty Bond No. Re: Tract No. X-I CC No. 136) 0,3 MSC No. Approved Agenda Item No. (Cou6ndl Approval Date) City Clerk V.ault No. #27 g1followup/bondletter.doc City of Huntington Beach LDINTER-DEPARTMENT COIVII MILINICATION HUNTINGTON BEACH TO: THOSE LISTED HEREON FROM: ��icR. Charlonne, Construction Manager DATE: May 7, 2009 SUBJECT: Retention Release Payment Company Name: PTM General Engineering Services, Inc. Address: 5942 Acorn Street City, State and Zip Code: Riverside, CA 92504 Phone Number: (714) 708-3544 Business License Number:A271213 Local Address: N/A Notice of Completion Date:4/27/09 Contract Purpose: Retention Release for Construction Contract 1301 & 1303 Traffic Signals The conformed copy of the Notice of Completion for the above contract has been filed. The thirty-five (35) day waiting period has elapsed or will elapse before payment is made. Processing of the full retention payment is recommended so long as no stop notices or outstanding invoices are on file with the City. If any stop notices have not been cleared, then processing of partial retention is recommended with the retention of one hundred and fifty percent of the stop notice(s) amount and with no outstanding invoices on file with the City. I certify that are no stop notices are on file on the subject at this time. ,-- Bond surety Company Financial Raft Date Travis K. Hopki s, Director of i� Orks ....m ` Shari Frei rich,City Treas" I certify that there are no outstanding invoices on file. S'11' b l Date ari F e' enrich, City Treasurer s I certify that are no stop notices are on file on the subject contract, and that a guaranty bond has been filed with this office. '5 0 ate Joan FI , City Clerk 1301 1303 retention release memo 5/7/2009 7:47:00 AM Certification of Compliance with Prevailing Wage Laws To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O.Box 190 Huntington Beach, CA 92648 Re: Certification of Compliance with Prevailing Wage Laws Contract: Cash Contracts 1301 & 1303 Project: Main street Interconnect Conduit & Traffic signal at DOI Chica & Robinwood Dr. The undersigned contractor on the above-referenced project C Project") hereby certifies that all laborers, mechanics, apprentices, trainees, watchmen and guards employed by him or by any subcontractor performing work under the contract for the Project have been paid pursuant to the minimum wage and bona fide fringe benefit -requirements specified for each particular classification of work, as set forth in the wage-rate determinations of the State of Calif6rnia, Department of Industrial Relations, and/or the United States Department of Labor. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this 1st day of May , 2009 , at Riverside , California. PTM General Engineering Services, Inc. (Type Contra oY ame) Elizabeth H. M. McRae By: President/CFO Name: ([Type N e] Title: [Type Title] ,'s TO) =r' 'M CITY ATTORNEY 1 247542.1 i i Certification of Compliance with Title VII of the Cavil nights Act and Equal Employment Opportunity Act of 1972 To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach, CA 92648 Re: Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 Contract: Cash Contracts 1301 & 1303 Project: Main Street Interconnect Conduit & Traffic Signal at Bolsa Chica & Robinwood Dr. The undersigned contractor on the above-referenced project ("Project") hereby certifies that it has complied with Title VII of the Civil Rights Act, the Equal Opportunity Act of 1972 and Executive Order 11246, and has not discriminated against any employee or applicant for employment because of race, creed, color, sex, national origin, age or disability. The undersigned contractor also certifies that it has not maintained any segregated facilities at its establishments on the basis of race, creed, color, sex, national origin, age or disability (with the exception of access for the disabled). I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this 1st day of May ,2(jg , at R yer, ;�P , California. PTM General Engineering Services, Inc. ('Type Contr r Name) Elizabeth H. M. McRae President/CFO By: Name: if Name) �•� Title: [Type Title] 1 R A ORNEY 1 24541 L 1 CONTRACTOR'S CERTIFICATE L Elizabeth H. M. McRae, President/CFO , state and certify that: (Name of Declarano 1. PTM General Engineering Services, _Inc. is the general contractor to the City of Huntington B each ("City") on Contract No. 13 01 & 13 0 3 (the "Contract") for the construction of the public work of improvement entitled: Main Street Interconnect Conduit & Traffic Signal at Bolsa Chica & Robinwood Dr. (the"Project"). 2. All work to be performed pursuant to the Contract has been completed in accordance with the Contract Documents(as such term is defined in the Contract). 3. Except for the claims listed-below and the disputed claims listed-in paragraph five (5),all persons supplying labor, services, materials and equipment to the Project, including all claims against the Contractor arising from the performance of the Contract, have been paid and satisfied(list unpaid debts and claims; if none,write"NONE"): None 4. Attached hereto are the lien waivers required by the Contract Documents, which Lien waivers have been executed by all persons who performed work on or supplied labor, services,materials,and/or equipment for use at the Project. 5. Set forth below is a list of disputed claims or claims that are the subject of a Notice to Withhold filed pursuant to the Civil Code of the State of California (list all disputed claims;if none,write "NONE): None I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executedat Riverside on this 1st day of May , 20 og PTM Gene Engineering Services, Inc . { afore Declarant) Elizabeth H. M. 'McRae, President/CFO APPROVED AS TO FORM By: I �,7(6 Name: [Type Name] Title: [Type Title] 1 245914.1 RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) J, CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: Shari Freidenrich, City Treasurer FROM: (9,1;P/ l x/,� . DATE: 4,b, /0� SUBJECT: Bond Acceptance have received the bonds for a?� /LJ��Y/�.� / C (company Name) Faithful Performance Bond No. Labor and Material Bond No. Monument Bond No. Maintenance Bond No. Guarantee and Warranty Bond No. , /3 Re: Tract No. CC No. �3� ` !�- �3 o3 MSC No. Approved Agenda Item No. (Co ncil Approval Date) /00 City Clerk Vault No. #27 g1followup/bondletter.doc WARRANTY BOND Bond #349022P KNOW ALL MEN BY THESE PRESENTS: THAT, PTM GENERAL, ENGINEERING SERVICES, INC., as Principal and DEVELOPERS SURETY AND INDEMNITY COMPANY a Corporation duly, authorized to transect general surety business in the State of IOWA as Surety, are held and firmly bound unto CITY OF HUNTINGTON BEACH the sum of ONE HUNDRED ONE THOUSAND FIVE HUNDRED AND 00/100 Dollars ($ 101,500.00), lawful money of the United States, for the payment of which, well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, fimly by these presents. THE CONDITION OF THE ABOVE OBLIGATION IS SUCH THAT: WHEREAS, the Principal entered into a written contract for MAIN STREET INTERCONNECT CONDUIT AND TRAFFIC SIGNAL, AT BOLSA CHICA AND ROBINWOOD DRIVE CASH CONTRACT NUMBER 1301 AND 1303 and; WHEREAS, the said Principal is required to post a bond to protect the said Obligee against the result of faulty material or workmanship for a period of one year from and after the date of acceptance of said work; NOW, THEREFORE, if the said Principal shall for a period of from and after the date of. acceptance of said work, replace any and all defects arising in said work; whether resulting from defective materials or defective workmanship, then the above obligation to be void; otherwise, to remain in full force and effect. The surety reserves the right to cancel this bond at any time with thirty (30) days notice to the obligee, the Surety remaining liable, however, subject to all the terms, conditions and provisions fo this bond, for any act or acts covered by this bond which may have been committed by the principal up to the date of such cancellation. SIGNED, SEALED AND DATED this 1st day of May, 2009. PTM GENERAL ENGINEERING SERVICES, INC. Princi Tr DEVELOPERS SURETY AND INDEMNITY COMPANY Surety By: - - UNG LICK,Attorney-in-Fact AP ED AS TOO FQ J IFEIt McGERATH,Ci #Yome Y 4 7�oq ACKNOWLEDGMENT State of California County of Riverside ) On h;'P-ed`/ before me, Brian Mendoza, Notary Public (insert name and title of the officer) personally appeared Elizabeth H. Mendoza de McRae who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. i" BRAN H. MENDOZA Cosaµ.# 1686770 o NOTARY MIC•CA FORMA RIYERSO CCWTY 1 My Gouts.EXP.AuO.T.2010 "" Signature (Seal) ACKNOWLEDGMENT State of California County of Orange ) On MAY 1, 2009 before me, JENNIFER C. GIBONEY,Notary Public (insert name and title of the officer) personally appeared YUNG. T. MULLICK who proved to me on the basis of satisfactory evidence to be the person(is)whose name(V) is/ara subscribed to the within instrument and acknowledged to me that he% y executed the same in hishbeo4Jmk authorized capacity(*, and that by his/ko/#hak signature(s)on the instrument the person(*), or the entity upon behalf of which the person(s)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and o ial seal. . '` P JENNIFER C.GIBONEY C4, °; COMM. #1797064 X NOTARY?UBI",kJFORNIA ;0 ORANGE COUNTY My Com Ex "Wy Z&2 Signature (Seal) i POWER OF ATTORNEY FOR DEVELOPERS SURETY AND INDEMNITY COMPANY INDEMNITY COMPANY OF CALIFORNIA PO Box 19725,IRVINE,CA 92623 (949)263-3300 KNOW ALL MEN BY THESE PRESENTS,that as except as expressly limited,DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,do each,hereby make,constitute and appoint: ***Yung T. Mullick, James W. Moilanen, Jennifer C. Giboney, P. Austin Neff, Christine T. Hoang, jointly or severally*** as their true and lawful Aftorney(s)-in-Fact.to make,execute.deliver and acknowledge,for and on behalf of said corporations,as sureties,bonds,undertakings and contracts of surety- ship giving and granting unto said Attomey(syin-Fact full power and authority to do and to perform every act necessary,requisite or proper to be done in connection therewith as each of said corporations could do,but reserving to each of said corporations full power of substitution and revocation.and all of the ads of said Attorneys)-in-Fact,pursuant to these presents. are hereby ratified and confirmed. This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Board of Directors of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,effective as of January 1st,2008. RESOLVED,that the chairman of the Board,the President and any Vice President of the corporation be,and that each of them hereby is,authorized to execute Powers of Attomey,qualifying the attorney(s)named in the Powers of Attomey to execute,on behalf of the corporations,bonds,undertakings and contracts of suretyship;and that the Secretary or anyAssistant Secretary of the corporations be,and each of them hereby is,authorized to attest the execution of any such Power of Attorney; RESOLVED,FURTHER,that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond,undertaking or contract of suretyship to which it is attached. IN WITNESS WHEREOF,DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by their respective Vice President and attested by their respective Assistant Secretary this January 1st,2008. By: i AND ya`,11 ,,,PANV pr Stephen T.Pate,Senior Vice Presiden °le,% �S OCT. 0CT. B : _._...-- —. _....._..._.. 'o`. 1 93 6 t967 o= ua Charles L.Day.Assistant Secretary �,ry pyre �gt/FOR�`q �2 State of California County of Orange " On August 13th 2008 before me, Jenny TT Nguyen Notary Public Date Here Insert Name and Title of the Officer personally appeared Stephen T.Pate and Charles L.Day Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s)islare subscribed to the within instrument and acknowledged to me that helshelthey executed the same in his/her/their authorized capacity(ies),and that by his(hedtheir signature(s)on the instrument the person(s),or the entity upon behalf of ENW T.r.�INIGU �Q which the person(s)acted,executed the instrument. COMMNOTARY PUBLIC I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is ORANGE Cl true and correct. My t�smn.expires N&11L=2 WITNESS my hand and offwC all seat. Place Notary Seal Above Signature _ Je TT Ng CERTIFICATE (Iij The undersigned,as Assistant Secretary,of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,does hereby certify that the foregoing Power of Attorney remains in full force and has not been revoked,and furthermore,that the provisions of the resolutions of the respective Boards of Directors of said corporations set forth in the Power of Attorney,are in force as of the date of this Certificate. This Certificate is executed in the City of Irvine,California,the 1 day of MAY 2009 By: Albert Hillebrand,Assistant Secretary ID-1380(Wet)(Rev.07107) PLEASE COMPLETE THIS INFORMATION RECORDING REQUESTED BY: AND WHEN RECORDED MAIL T0: Recorded in Official Records, Orange County Tom Daly, Clerk-Recorder WHEN RECORDED MAIL TO: IIeB11�111119�IIIIIIIBI0111B�1190111Se1111191e8111918199119111�8111111001NO FEE CITY OF HUNTINGTON BEACH 2009000204611 12.41pm 04/27109 Attn: Robert A. Martinez P.O. Box 190—2000 Main Street 111 200 N12 1 Huntington Beach, CA 92648 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 THIS SPACE FOR RECORDER'S USE ONLY TITLE OF DOCUMENT: NOTICE OF COMPLETION v, NOTICE IS HEREBY GIVEN by the City of Huntington Beach, owner in fee, 2000 Main Street, Huntington Beach, CA "" 92648,that the contract heretofore awarded to PTM General Engineering Services, Inc.who was the company thereon for , doing the following work to-wit: MAIN STREET INTERCONNECT CONDUIT AND TRAFFIC SIGNAL AT BOLSA CHICA AND ROBINWOOD DRIVE; CASH CONTRACT NUMBER 1301 & 1303 That said work was completed April 15, 2009 by said company according to plans and specifications and to the satisfaction of the City Engineer of the City of Huntington Beach and that said work was accepted by the Director of Public Works on ApriI15,2009, per City Council Resolution No.2003-70 adopted October 6,2003. That upon said contract Developers Surety and Indemnity Company was surety for the bond given by the said company as required by law. This document is solely for the official business of the City of Huntington Beach, as contemplated under Government Code Section 6103 and should be recorded free of charge. Dated at Huntington Beach,California,this April 20,2009. __46 — D' ctor of Public VVorks or City Engineer ity of Huntington Beach, California STATE OF CALIFORNIA) County of Orange )ss: City of Huntington Beach ) I, the undersigned, say: I am an Agent of the City of Huntington Beach, owner in fee, in the foregoing NOTICE OF COMPLETION. ► have read said NOTICE OF COMPLETION and know the contents thereof; the same is true of my knowledge. I declare under penalty of perjury that the foregoing is true and correct, and that said NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the County Recorder of Orange County. Dated at Huntington Beach,California,this April 20,2009. D' ctor of Public Wor s or City Engineer ity of Huntington Beach, California THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) 00'.059-TITLE PAGE(R7t95) RECEIVED BV� CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating(.. G-1 ;j (Date) CITY OF HUNTINGTON BEACH FuLim INTERDEPARTMENTAL COMMUNICATION, IS- 1 TO: Shari Freidenrich, City Treasurer f FROM: r DATE: A-) SUBJECT: Bond Acceptance I have received the bonds for (Company Name) Faithful Performance Bond No. Labor and Material Bond No. Monument Bond No. Maintenance Bond No. Guarantee and Warranty Bond No. Re: Tract No. CC No. MSC No. Approved A �)i Agenda Item No. (Council,*'provaj Date)' City Clerk Vault No. 71 - #27 g1followup/bondiefter.doc CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND FOR A.vg +P,4 tG S1G•.h3A�- �`�� r.!!� OV'1 THIS AGREEMENT ("Agreement") made and entered into by and between the City of Huntington Beach, a municipal corporation of the State of California, hereinafter PIM referred to as "CITY," and 6�-)Z^U W G N�\a�,Clot(: a California G �CIUv� ,hereinafter referred to as "CONTRACTOR." WHEREAS, CITY has solicited bids for a public works project, hereinafter referred to as "PROJECT," more fully described as 1�C%t,S�1 Cw1`E� i�t�►ix1C c �� iAA N tl iZe-eq- in the City of Huntington Beach; and CONTRACTOR has been selected to perform said services, NOW, THEREFORE, in consideration of the promises and agreements hereinafter made and exchanged, the parties covenant and agree as follows: 1. STATEMENT OF WORK: ACCEPTANCE OF RISK CONTRACTOR shall complete and construct the PROJECT pursuant to this Agreement and the Contract Documents(as hereinafter defined)and furnish, at its own cost and expense, all labor, plans, tools, equipment, supplies, transportation, utilities and all other items, services and facilities necessary to complete and construct the PROJECT in a good and workmanlike manner. CONTRACTOR agrees to fully assume the risk of all loss or damage arising out of the nature of the PROJECT, during its progress or prior to acceptance by CITY, from the action of the elements, from any unforeseen difficulties which may arise or g/agree/surfnet/cityconst 12-07 1 be encountered in the prosecution of work, and for all other risks of any description in connection with the work, including, but not limited to, all expenses incurred by or in consequence of the suspension or discontinuance of work, except such as are herein expressly stipulated to be borne by CITY, and for well and faithfully completing the work within the stipulated time and in the manner shown and described in this Agreement, and in accordance with the requirements of CITY for the .compensation set forth in the accepted bid proposal. 2. ACCEPTANCE OF CONDITIONS OF WORK; PLANS AND SPECIFICATIONS CONTRACTOR acknowledges that it is fully familiar with all the terms, conditions and obligations of this Agreement and the Contract Documents (as defined below in this Section),the location of the job site, and the conditions under which the work is to be performed, and that it enters into this Agreement based upon its thorough investigation of all such matters and is relying in no way upon any opinions or representations of CITY. It is agreed that the Contract Documents are incorporated into this Agreement by this reference, with the same force and effect as if the same were set forth at length herein, and that CONTRACTOR and its subcontractors, if any, shall be bound by the Contract Documents insofar as they relate in part or in any way, directly or indirectly, to the work covered by this Agreement. "Contract Documents" as defined herein mean and include: A. This Agreement; B. Bonds covering the work herein agreed upon; g/agree/surfnet/cityconst 12-07 2 C. The CITY's standard Plans and Specifications and special contractual provisions, including those on file in the office of the Director of Public Works of CITY and adopted by the City Council, and any revisions, amendments or addenda thereto; D. The current edition of Standard Specifications for Public Works Construction, published by Builders' News, Inc., 10801 National Boulevard, Los Angeles, CA 90064, and all amendments thereto, written and promulgated by the Southern California chapter of the American Public Works Association and the Southern California District Associated General Contractors of the California Joint Cooperative Committee; E. Bid documents including the Notice Inviting Bids, the Special Instructions to Bidders and the CONTRACTOR's proposal, (which is attached hereto as Exhibit "A" and incorporated herein by this reference); F. The particular Plans, Specifications, Special Provisions and Addenda applicable to the PROJECT. Anything mentioned in the Specifications and not indicated in the Plans or indicated in the Plans and not mentioned in the Specifications, shall be of like effect as if indicated and mentioned in both. In case of a discrepancy between any Plans, Specifications, Special provisions, or Addenda, the matter shall be immediately submitted by CONTRACTOR to the Department of Public Works of CITY (hereinafter referred to as g/agree/surfnet/cityconst 12-07 3 'DPW"), and CONTRACTOR shall not attempt to resolve or adjust the discrepancy without the decision of DPW, save only at its own risk and expense. Should there be any conflict between the terms of this Agreement and the bid or proposal of CONTRACTOR, then this Agreement shall control and nothing herein shall be considered as an acceptance of the terms of the bid or proposal which is in conflict herewith. 3. COMPENSATION CITY agrees to pay and CONTRACTOR agrees to accept as full compensation for the faithful performance of this Agreement, subject to any additions or deductions made under the provisions of this Agreement or the Contract Documents, a sum not to exceed6,1e: 19 S�,"Ax�PA "%i"g4 Dollars ($ 00 , as set forth in the Contract Documents, to be paid as provided in this Agreement. 4. COMMENCEMENT OF PROJECT CONTRACTOR agrees to commence the PROJECT within ten (10) working days after the Notice To Proceed is issued and diligently prosecute the PROJECT to completion within consecutive from the day the Notice to Proceed is issued by DPW, excluding delays provided for in this Agreement. 5. TIME OF THE ESSENCE The parties hereto recognize and agree that time is of the essence in the performance of this Agreement and each and every provision of the Contract Documents. &Uee/surfnet/cityconst 12-07 4 CONTRACTOR shall prepare and obtain approval as required by the Contract Documents for all shop drawings, details and samples, and do all other things necessary and incidental to the prosecution of its work in conformance with the progress schedule set forth in the Contract Documents. CONTRACTOR shall coordinate its work with the work of all other contractors, subcontractors, and CITY forces working on the PROJECT in a manner that will facilitate the efficient completion of the PROJECT and in accordance with the terms and provisions of this Agreement. CITY shall have complete control of the premises on which the work is to be performed and shall have the right to decide the time and order in which the various portions of the work shall be performed and the priority of the work of other contractors, subcontractors and CITY forces and, in general, all matters concerning the timely and orderly conduct of the work of CONTRACTOR on the premises. 6 CHANGES CONTRACTOR shall adhere strictly to the plans and specifications set forth in the Contract Documents unless a change therefrom is authorized in writing by DPW. CONTRACTOR agrees to make any and all changes, furnish materials and perform all work necessary within the scope of the PROJECT as DPW may require in writing. Under no condition shall CONTRACTOR make any changes without the prior written order or acceptance of DPW, and CITY shall not pay any extra charges made by CONTRACTOR that have not been agreed upon in writing by DPW. When directed to change the work, CONTRACTOR shall submit immediately to DPW a written cost proposal reflecting the effect of the change. Should DPW not agree to such cost proposal, the work shall be performed according to the g/agree/surfnet/cityconst 12-07 5 changes ordered in writing by DPW and the proper cost thereof shall be negotiated by the parties upon cost and pricing data submitted by CONTRACTOR; thereupon, CITY will promptly issue an adjusted change order to CONTRACTOR and the contract price will be adjusted upward or downward accordingly. 7. NOTICE TO PROCEED No work, services, material, or equipment shall be performed or furnished under this Agreement unless and until a Notice to Proceed has been given to CONTRACTOR by CITY. CITY does not warrant that the work will be available on the date the Notice to Proceed is issued. In the event of a delay in commencement of the work due to unavailability of the job site, for any reason, relief to CONTRACTOR shall be limited to a time extension equal to the delay due to such unavailability. 8. BONDS Only bonds issued by California admitted sureties will be accepted. CONTRACTOR shall, prior to its performance of this Agreement, furnish the following two (2) bonds approved by the City Attorney: One in the amount of one hundred percent (100%) of the contract price to guarantee the CONTRACTOR's faithful performance of the work, and one in the amount of one hundred percent of the contract price to guarantee payment of all claims for labor and materials furnished. In addition, CONTRACTOR shall submit to CITY a bond in the amount of one hundred percent (100%) of the final contract price, including all change orders, to warrant such performance for a period of one (1) year after CITY's acceptance thereof within ten(10)days of filing of the Notice of Completion. g/agree/surfnet/cityconst 12-07 6 9. WARRANTIES CONTRACTOR unconditionally guarantees all work done under this Agreement including, but not limited to, any workmanship, installation, fabrication, material or structural facilities constructed. CONTRACTOR, within ten (10) days after notice by CITY of any defect in the work, shall have the option to make appropriate repairs or replace the defective item or items. Upon expiration of such ten(10) day period, CITY may then make appropriate repair or replacement at CONTRACTOR's risk and own cost and expense. 10. INDEPENDENT CONTRACTOR It is understood and agreed that CONTRACTOR is, and shall be, acting at all times hereunder as an independent contractor and not an employee of CITY. CONTRACTOR shall secure at its own cost and expense, and be responsible for any and all payment of all taxes, social security, state disability insurance compensation, unemployment compensation and other payroll deductions for CONTRACTOR and its officers, agents and employees and all business licenses, if any, in connection with the PROJECT and/or the services performed hereunder. 11. LIQUIDATED DAMAGES/DELAYS It is agreed by the parties hereto that in case the total work called for hereunder is not in all parts and requirements finished or completed within the number of calendar days as set forth herein, damage will be sustained by CITY; and that it is, and would be, impractical and extremely difficult to ascertain and determine the actual damage which CITY would sustain in the event of and by reason of such delay. It is, therefore, agreed that CONTRACTOR will pay to CITY, as liquidated damages and not as a penalty, g/agree/surfnet/cityconst 12-07 7 the sum of Dollars ($ �jC ` ) per day for each and every working day's delay in completing the work in excess of the number of working/calendar days set forth herein, which represents a reasonable endeavor by the parties hereto to estimate a fair compensation for the foreseeable damages CITY would sustain in the event of and by reason of such delay; and CONTRACTOR agrees to pay these damages herein provided, and further agrees that CITY may deduct the amount thereof from any monies due or that may become due to CONTRACTOR hereunder. CONTRACTOR will be granted an extension of time and will not be assessed damages for any portion of the delay in the completion of the work due to unforeseeable causes beyond the control and without the fault or negligence of CONTRACTOR, including, but not limited to, acts of God or of the public enemy, fire, floods, epidemics, quarantine restrictions, strikes, unsuitable weather, or delays of subcontractors due to such causes. CONTRACTOR shall, within fifteen (15) days from the beginning of any such delay (unless DPW shall grant a further period of time), notify DPW in writing of the cause of the delay and CITY shall extend the time for completing the work if, in its judgment, the findings of fact thereon justify the delay; and the decision of DPW shall be conclusive on the parties hereto. Should CONTRACTOR be delayed in the prosecution or completion of the work by the act, neglect or default of CITY, or should CONTRACTOR be delayed by waiting for materials required by this Agreement to be furnished by CITY, or by damage caused by fire or other casualty at the job site for which CONTRACTOR is not responsible, or by the combined action of the workers, in no way caused by or resulting g/agree/surfnet/cityconst 12-07 8 from default or collusion on the part of CONTRACTOR, or in the event of a lockout by CITY, then the time herein fixed for the completion of the work shall be extended by the number of days CONTRACTOR has thus been delayed, but no allowance or extension shall be made unless a claim therefor is presented in writing to CITY within fifteen (15) days of the commencement of such delay. No claims for additional compensation or damages for delays, irrespective of the cause thereof, and including without limitation the furnishing of materials by CITY or delays by other contractors or subcontractors, will be allowed and an extension of time for completion shall be the sole remedy of CONTRACTOR. 12. DIFFERING SITE CONDITIONS A. Notice: CONTRACTOR shall promptly, and before such conditions are disturbed, notify DPW in writing of: (1) Subsurface or latent physical conditions at the job site differing materially from those indicated in this Agreement or the Contract Documents; or (2) Unknown physical conditions at the job site, of an unusual nature, differing materially from those ordinarily encountered and generally recognized as inherent to work of the character to be performed under this Agreement. DPW shall promptly investigate the conditions and if it finds that such conditions do materially so differ and cause an increase or decrease in the time required for performance of any part of the work under this Agreement,whether or not changed as g/agree/surfnet/cityconst 12-07 9 a result of such conditions, an equitable adjustment shall be made and the agreement modified in writing accordingly. B. Time Extension: No claim of CONTRACTOR under this Section shall be allowed unless CONTRACTOR has given the notice required hereunder provided, however, the time prescribed therefor may be extended by CITY. 13. VARIATIONS IN ESTIMATED QUANTITIES The quantities listed in the bid schedule will not govern final payment. Payment to CONTRACTOR will be made only for the actual quantities of contract items used in construction of the PROJECT, in accordance with the plans and specifications. Upon completion of the PROJECT, if the actual quantities used are either more than or less than the quantities listed in the bid schedule, the bid price shall prevail subject to the provisions of this Section. DPW may, at its sole discretion, when warranted by the facts and circumstances, order an equitable adjustment, upwards or downwards, in payment to CONTRACTOR where the actual quantities used in construction of the PROJECT are in variation to the quantities listed in the bid schedule. No claim by CONTRACTOR for an equitable adjustment in price or time for completion shall be allowed if asserted after final payment under this Agreement. If the quantity variation is such as to cause an increase in the time necessary for completion, DPW shall ascertain the facts and circumstances and make such adjustment for extending the completion date as in its sole judgment the findings warrant. g/agree/surfnet/cityconst 12-07 10 14. PROGRESS PAYMENTS Each month DPW will make an estimate in writing of the work performed by CONTRACTOR and the value thereof. From each progress estimate, ten percent(10%) will be deducted and retained by CITY and the remainder of the progress estimate, less the amount of all previous payments since commencement of the work, will be paid to CONTRACTOR. When CONTRACTOR has, in the judgment of DPW, faithfully executed fifty percent (50%) or more of the value of the work as determined from the bid schedule, and if DPW finds that satisfactory progress has been and is being made, CONTRACTOR may be paid such sum as will bring the payments of each month up to one hundred percent (100%) of the value of the work completed since the commencement of the PROJECT, as determined in its sole discretion by DPW, less all previous payments and less all previous retained amounts. CITY's final payment to CONTRACTOR, if unencumbered, or any part thereof unencumbered, shall be made thirty-five (35) days after the acceptance of the work and the filing of a Notice of Completion by CITY. Payments shall be made on demands drawn in the manner required by law, each payment to be accompanied by a certificate signed by DPW, affirming that the work for which payment is demanded has been performed in accordance with the terms of the Agreement and that the amount stated in the certificate is due under the terms of the Agreement. Partial payments on the contract price shall not be considered as a acceptance of any part of the work. 15. WITHHELD CONTRACT FUNDS, SUBSTITUTION OF SECURITIES At the request and at the sole cost and expense of CONTRACTOR, who shall retain beneficial ownership and receive interest, if any thereon, CITY shall permit the g/agree/surfnet/cityconst 12-07 11 substitution and deposit therewith of securities equivalent to the amount of any monies withheld by CITY to ensure performance under the terms of this Agreement. 16. AFFIDAVITS OF SATISFACTION OF CLAIMS After the completion of the work contemplated by this Agreement, CONTRACTOR shall file with DPW its affidavit stating that all workers and persons employed, all firms supplying materials and all subcontractors working upon the PROJECT have been paid in full and that there are no claims outstanding against the PROJECT for either labor or material, except certain items, if any, to be set forth in CONTRACTOR's affidavit covering disputed claims, or items in connection with Notices to Withhold, which have been filed under the provisions of the statutes of the State of California. 17. WAIVER OF CLAIMS The acceptance by CONTRACTOR of the payment of the final certificate shall constitute a waiver of all claims against CITY under or arising out of this Agreement. 18. INDEMNIFICATION, DEFENSE, HOLD HARMLESS CONTRACTOR hereby agrees to protect, defend, indemnify and hold harmless CITY, its officers, elected or appointed officials, employees, agents, and volunteers from and against any and all, claims, damages, losses, expenses, judgments, demands defense costs, and consequential damage or liability of any kind or nature, however caused, including those resulting from death or injury to CONTRACTOR's employees and damage to CONTRACTOR's property, arising directly or indirectly out of the obligations or operations herein undertaken by CONTRACTOR, caused in whole or in part by any negligent act or omission of the CONTRACTOR, any subcontractors, anyone g/agree/surfnet/cityconst 12-07 12 directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, including but not limited to concurrent active or passive negligence, except where caused by the active negligence, sole negligence, or willful misconduct of the CITY. CONTRACTOR will conduct all defense at its sole cost and expense and CITY shall approve selection of CONTRACTOR's counsel. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indemnification to be provided by CONTRACTOR. 19. WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE Pursuant to California Labor Code Section 1861, CONTRACTOR acknowledges awareness of Section 3700 et seq. of this Code, which requires every employer to be insured against liability for workers' compensation; CONTRACTOR covenants that it will comply with such provisions prior to commencing performance of the work hereunder. CONTRACTOR shall obtain and furnish to City workers' compensation and employer's liability insurance in an amount of not less than the State statutory limits. CONTRACTOR shall require all subcontractors to provide such workers' compensation and employer's liability insurance for all of the subcontractors' employees. CONTRACTOR shall furnish to CITY a certificate of waiver of subrogation under the terms of the workers' compensation and employer's liability insurance and CONTRACTOR shall similarly require all subcontractors to waive subrogation. g/agree/surfnet/cityconst 12-07 13 20. INSURANCE In addition to the workers' compensation and employer's liability insurance and CONTRACTOR's covenant to defend, hold harmless and indemnify CITY, CONTRACTOR shall obtain and furnish to CITY, a policy of general public liability insurance, including motor vehicle coverage covering the PROJECT. This policy shall indemnify CONTRACTOR, its officers, employees and agents while acting within the scope of their duties, against any and all claims arising out or in connection with the PROJECT, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including products/completed operations liability and blanket contractual liability, of One Million Dollars ($1,000,000) per occurrence. If coverage is provided under a form which includes a designated general aggregate limit, the aggregate limit must be no less than One Million Dollars ($1,000,000) for this PROJECT. This policy shall name CITY, its officers, elected or appointed officials, employees, agents, and volunteers as Additional Insureds, and shall specifically provide that any other insurance coverage which may be applicable to the PROJECT shall be deemed excess coverage and that CONTRACTOR's insurance shall be primary. Under no circumstances shall said above-mentioned insurance contain a self- insured retention, or a "deductible" or any other similar form of limitation on the required coverage. 21. CERTIFICATES OF INSURANCE; ADDITIONAL INSURED ENDORSEMENTS Prior to commencing performance of the work hereunder, CONTRACTOR shall furnish to CITY certificates of insurance subject to approval of the City Attorney g/agree/surfnet/cityconst 12-07 14 evidencing the foregoing insurance coverages as required by this Agreement; the certificates shall: 1. provide the name and policy number of each carrier and policy; 2. state that the policy is currently in force; and 3. promise to provide that such policies will not be canceled or modified without thirty(30) days' prior written notice of CITY. CONTRACTOR shall maintain the foregoing insurance coverages in force until the work under this Agreement is fully completed and accepted by CITY. The requirement for carrying the foregoing insurance coverages shall not derogate from the CONTRACTOR's defense, hold harmless and indemnification obligations as set forth under this Agreement. CITY or its representative shall at all times have the right to demand the original or a copy of all the policies of insurance. CONTRACTOR shall pay, in a prompt and timely manner, the premiums on all insurance hereinabove required. CONTRACTOR shall provide a separate copy of the additional insured endorsement to each of CONTRACTOR's insurance policies, naming CITY, its officers, elected and appointed officials, employees, agents and volunteers as Additional Insureds, to the City Attorney for approval prior to any payment hereunder. 22. NOTICE OF THIRD PARTY CLAIM Pursuant to Public Contracts Code §9202, CITY shall provide notice to CONTRACTOR of receipt of any claim filed with CITY or a court of competent jurisdiction which arises out of performance of this agreement within ten(10)days of receipt of such claim or claims. g/agree/surfnet/cityconst 12-07 15 23. DEFAULT AND TERMINATION If CONTRACTOR fails or refuses to prosecute the work hereunder with diligence, or fails to complete the work within the time specified, or is adjudged bankrupt or makes an assignment for the benefit of creditors or becomes insolvent, or violates any provision of this Agreement or the Contract Documents, CITY may give CONTRACTOR notice in writing of its intention to terminate this Agreement. Unless the violation is cured within ten (10) days after such Notice of Intention has been served on CONTRACTOR, CITY may, without prejudice to any other remedy it may have, terminate this Agreement upon the expiration of that time. Upon such default by CONTRACTOR, CITY may elect not to terminate this Agreement; in such event CITY may make good the deficiency in which the default consists and deduct the resulting costs from the progress payments then or to become due to CONTRACTOR. If it is subsequently determined by a court of competent jurisdiction that CITY's termination of this Agreement under this Section was wrongful, such termination shall be converted to a termination for convenience under Section 24 and any damages shall be assessed as set forth in Section 24. 24. TERMINATION FOR CONVENIENCE CITY may terminate this Agreement for convenience at any time with or without cause, and whether or not PROJECT is fully complete upon seven (7) calendar days written notice to CONTRACTOR. In the event of termination, under this Section CITY shall pay CONTRACTOR for value of work in place on the PROJECT through the termination period less all such payments already made. In case of such termination for convenience, the CONTRACTOR shall be entitled to receive payment for work executed, g/agree/surfnetteityconst 12-07 16 and costs incurred by reason of such termination. In no event shall CONTRACTOR be entitled to recover overhead,profit or CONTRACTOR's fee on work not performed. Such payment by CITY shall be CONTRACTOR's sole and exclusive remedy for termination by CITY for its convenience and CITY shall have no further obligation to CONTRACTOR. 25. DISPOSITION OF PLANS, ESTIMATES AND OTHER DOCUMENTS CONTRACTOR agrees that upon completion of the work to be performed hereunder, or upon expiration or earlier termination of this Agreement, all original plans, specifications, drawings, reports, calculations, maps and other documents pertaining to this Agreement shall be delivered to CITY and become its sole property at no further cost. 26. NONASSIGNABILITY CONTRACTOR shall not sell, assign, transfer, convey or encumber this Agreement,or any part hereof, or any right or duty created herein, without the prior written consent of CITY and the surety. 27. CITY EMPLOYEES AND OFFICIALS CONTRACTOR shall employ no CITY official nor any regular CITY employee in the work performed pursuant to this Agreement. No officer or employee of CITY shall have any financial interest in this Agreement in violation of the California Government Code. 28. STOP NOTICES; RECOVERY OF ADMINISTRATIVE COSTS CITY shall be entitled to all reasonable administrative costs and necessary disbursements arising out of the processing of Stop Notices, Notices to Withhold, or any similar legal document. This obligation shall be provided for in the labor and materials payment bond required of CONTRACTOR. CITY may charge an administrative fee of g/agree/surfnet/cityconst 12-07 17 One Hundred Dollars ($100) for every Stop Notice filed in excess of two (2), regardless of whether or not CITY is named in an action to enforce such stop notices. CITY may set off any unreimbursed cost or-expense so incurred against any sum or sums owed by CITY to CONTRACTOR under this Agreement. 29. NOTICES Any notices, certificates, or other communications hereunder shall be given either by personal delivery to CONTRACTOR's agent (as designated in Section 1 hereinabove) or to CITY as the situation shall warrant, or by enclosing the same in a sealed envelope, postage prepaid, and depositing the same in the United States Postal Service, to the addresses specified below; provided that CITY and CONTRACTOR may designate different addresses to which subsequent notices, certificates or other communications will be sent by notifying the other parry via personal delivery, reputable overnight carrier or U. S. certified mail-return receipt requested: TO CITY: TO CONTRACTOR: City of Huntington Beach �rsr' +� `� ,,�yJ�r� '`�� ►, 2000 Main Street Huntington Beach, CA 92648 i_ q 2z--o 30. SECTION HEADINGS The titles, captions, section, paragraph and subject headings, and descriptive phrases at the beginning of the various sections in this Agreement are merely descriptive and are included solely for convenience of reference only and are not representative of maters included or excluded from such provisions, and do not interpret, g/agree/surfnet/cityconst 12-07 18 define, limit or describe, or construe the intent of the parties or affect the construction or interpretation of any provision of this Agreement. 31. IMMIGRATION CONTRACTOR shall be responsible for full compliance with the immigration and naturalization laws of the United States and shall, in particular, comply with the provisions of United States Code Section 1324a regarding employment verification. 32. LEGAL SERVICES SUBCONTRACTING PROHIBITED CONTRACTOR and CITY agree that CITY is not liable for payment of any subcontractor work involving legal services, and that such legal services are expressly outside the scope of services contemplated hereunder. CONTRACTOR understands that pursuant to Huntington Beach City Charter Section 309, the City Attorney is the exclusive legal counsel for CITY; and CITY shall not be liable for payment of any legal services expenses incurred by CONTRACTOR. 33. ATTORNEY'S FEES In the event suit is brought by either party to construe, interpret and/or enforce the terms and/or provisions of this Agreement or to secure the performance hereof, each party shall bear its own attorney's fees, such that the prevailing party shall not be entitled to recover its attorney's fees from the non-prevailing party. 34. INTERPRETATION OF THIS AGREEMENT The language of all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any of the parties. If any provision of this Agreement is held by an arbitrator or court of competent g/agree/surfnet/cityconst 12-07 19 jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other whenever the context so indicates or requires. Nothing contained herein shall be construed so as to require the commission of any act contrary to law, and wherever there is any conflict between any provision contained herein and any present or future statute, law, ordinance or regulation contrary to which the parties have no right to contract, then the latter shall prevail, and the provision of this Agreement which is hereby affected shall be curtailed and limited only to the extent necessary to bring it within the requirements of the law. 35. GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State of California. 36. DUPLICATE ORIGINAL The original of this Agreement and one or more copies hereto have been prepared and signed in counterparts as duplicate originals, each of which so executed shall, irrespective of the date of its execution and delivery, be deemed an original. Each duplicate original shall be deemed an original instrument as against any party who has signed it. g/agree/surfnet/cityconst 12-07 20 37. CONSENT Where CITY's consent/approval is required under this Agreement, its consent/approval for one transaction or event shall not be deemed to be consent/approval to any subsequent occurrence of the same or any other transaction or event. 38. SURVIVAL Terms and conditions of this Agreement, which by their sense and context survive the expiration or termination of this Agreement shall so survive. 39. MODIFICATION No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties. 40. SIGNATORIES Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify CITY fully for any injuries or damages to CITY in the event that such authority or power is not, in fact,held by the signatory or is withdrawn. 41. ENTIRETY The parties acknowledge and agree that they are entering into this Agreement freely and voluntarily following extensive arm's length negotiation, and that each has had the opportunity to consult with legal counsel prior to executing this Agreement. The parties also acknowledge and agree that no representations, inducements, promises, agreements or warranties, oral or otherwise, have been made .by that party or anyone acting on that parry's behalf, which are not embodied in this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement, g/agree/surfnet/cityconst 12-07 21 promise, agreement, warranty, fact or circumstance not expressly set forth in this Agreement. This Agreement, and the attached Exhibit "A", contain the entire agreement between the parties respecting the subject matter of this Agreement, and supersede all prior understandings and agreements whether oral or in writing between the parties respecting the subject matter hereof. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executAX6 d by and through their authorized officers on U S,7--- 1f 20 CONTRACTOR CITY OF HUNTINGTON BEACH, a municipal corporation of th State of California i Mayor By: Vity Clerl , `11I1 print name INITIATED AND APPROVED: ITS: (circle one)Chairm residen ice President AND irector of Pu li Works B REVIE D APPROVED: print name ITS: (circle one)Cjecre hief Financial Officer/Asst. City A lnlstrator Secretary-Treasurer APPROVED AS TO FORM: City Attorney �l�olo� g/agree/swfnet/cityconst 12-07 22 CITY FUNDED CONSTRUCTION CONTRACT BETWEEN TH ITY OF TINGTON BEA AND aF i .:✓1 OR �ki.9 •�GYI/Nire�,f-�a7ta�af� T/S @ a" -ttAbLE OF CONTENTS Page No. 1. STATE OF WORK;ACCEPTANCE OF RISK 1 2. ACCEPTANCE OF CONDITIONS OF WORK;PLANS 2 3. COMPENSATION 4 4. COMMENCEMENT OF PROJECT 4 5. TIME OF THE ESSENCE 4 6. CHANGES 5 7. NOTICE TO PROCEED 6 8. BONDS 6 9. WARRANTIES 6 10. INDEPENDENT CONTRACTOR 7 11. LIQUIDATED DAMAGES/DELAYS 7 12. DIFFERING SITE CONDITIONS 9 13. VARIATIONS IN ESTIMATED QUANTITIES 10 14. PROGRESS PAYMENTS 10 15. WITHHELD CONTRACT FUNDS,SUBSTITUTION OF SECURITIES 11 16. AFFIDAVITS OF SATISFACTION OF CLAIMS 11 17. WAIVER OF CLAIMS 12 18. INDEMNIFICATION,DEFENSE,HOLD HARMLESS 12 19. WORKERS' COMPENSATION INSURANCE 13 20. INSURANCE 13 21. CERTIFICATES OF INSURANCE;ADDITIONAL INSURED 14 22. NOTICE OF THIRD PARTY CLAIM 15 23. DEFAULT&TERMINATION 15 24. TERMINATION FOR CONVENIENCE 16 25. DISPOSITION OF PLANS,ESTIMATES AND OTHER 16 26. NON-ASSIGNABILITY 16 27. CITY EMPLOYEES AND OFFICIALS 16 28. STOP NOTICES 17 29. NOTICES 17 30. SECTION HEADINGS 18 31. IMMIGRATION 18 32. LEGAL SERVICES SUBCONTRACTING PROHIBITED 18 33. ATTORNEY'S FEES 18 34 INTERPRETATION OF THIS AGREEMENT 19 35. GOVERNING LAW 19 36. DUPLICATE ORIGINAL 19 37. CONSENT 20 38. SURVIVAL 20 39. MODIFICATION 20 40. SIGNATORIES 20 41. ENTIRETY 20 Y SECTION C PROPOSAL for the Main Street Interconnect Conduit And the Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive CC Nos. 1301 and 1303 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 40 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER,the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may,at the AGENCY'S option,be considered null and void. Accompanying this proposal of bid, find Bid Bond in the amount of$ 10° which said amount is not less than 10%of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Si nature C-2 SECTION C PROJECT BID SCHEDULE Traffic Signal at Bolsa Chica Street and Robinwood Drive And the Main Street Interconnect Conduit CC 1301 and CC 1303 PROJECT BID: SUMMARY—PROJECT BID: SUBTOTAL-TRAFFIC SIGNAL INSTALLATION AT BOLSA CIUCA STREET AND ROBINWOOD DRIVE $ 7 X , 1 0 0 SUBTOTAL -MAIN STREET INTERCONNECT CONDUIT $ O D TOTAL AMOUNT BID IN FIGURES: $ TOTAL AMOUNT BID IN WORDS: C-2.1 Project Bid Schedule Main Street Interconnect Conduit CC-1301 Item Estimated s item With Uut Pnee Wntten inWords I7rut Pnce Extended 1 1 L.S. Mobilization @ vTc Ti,, J 6 - p Per LS 2 1 L.S. Furnish Project T affc Control @ p-(- F v c-J G n p $ I S-6 d $ 1 J- 0 c� V- L 1 (C Per LS 3 1 L.S. Construct Main Street Interconnect Conduit - r �b�sa . < $ a `�, �100 $ W) y, 66 Per LS Subtotal-Main Street Interconnect Conduit $ ,1/ 0 O Subtotal-Main Street Interconnect Conduit in wor r C-2.2 Project Bid Schedule Traffic Signal at Bolsa Chica and Robinwood Drive .CC-1303 Item Estimated ; Item With Unit Price Written it Words tlmt Price Extended 1 1 L.S. Mobilizat'on / 7 q� � � � �� Cif Cc /1 �C $ dDO $ ✓ U6 6 Per LS 2 1 L.S. Furnish Project Traffic Control 4 @ 1 h o c ( f �� l� S L `�° $ J U U O $ Per LS 3 1 L.S. Install Traffic Signal at Bolsa Chica Street and Robinwood Drive $ h e Per LS 4 1 L.S. Traffic Striping and Signing @ -Pa L r $ yS 0 $ Y sry o Per LS Subtotal- Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive $ 7 y. o Subtotal- Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive in words: Lot— b Note: The City will provide the traffic signal controller and service cabinet, all traffic signal poles, mast arms, luminaries, vehicle heads, pedestrian heads, push buttons, internally illuminated street name signs, emergency vehicle preemption sensors, block information signs, and fittings at no cost to the contractor. Contractor is to pick up the materials at the City Yard, 17371 Gothard Street. Contact George Ruff two working days in advance for pick up at(714) 375-5015. C-2.3 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion Name and Address of Subcontractor State License Class of Work Number By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. Riverside County of QNXNX Brian Mendoza , being first duly sworn, deposes and says that he or she is Vice President/Secretary oPTM General Eng. Svcs, Inc.the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation,partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. PTM General Engineering Services, Inc. Name of Bidder Signature of Bidder Brian Mendoza Vice President/Secretary 5942 Acorn St . Riverside, CA 92504 Address of Bidder Subscribed and sworn to before me this 22nd day of July 20 08 OELIZABETH MCRAE Coma.# 1686768 tto� NOTARY PUBLIC-CALIFORNIA �I RIVERSIDE COUNTY MY Comm.EXP.AUG.7.2010 NOTARY PUBLIC E1 i abeth H. M.McRae NOTARY SEAL C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the Main Street Interconnect Conduit and Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive CC 1301 and CC 1303, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Contractor �� � 9 By Title Date: �' AlA/v C-5 DISQUALIFICATION QUESTIONNAIRE - - In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ® Yes 13 No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE - Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. PTM General Engineering Services, Inc. Contractor BY Brian Mendoza Vice President/Secretary Title Date: 07/22/08 -- C-7 - UNDERGROUND SERVICE ALERT IDENTIFICATION NUMBER (To be completed only by the awarded Contractor prior to excavation) No excavation will be permitted until this form is completed and returned to the AGENCY. Section 4216/4217 of the Government Code requires a Dig Alert Identification Number be issued before a Permit to Excavate will be valid. To obtain a Dig Alert Identification Number, call Underground Service Alert at 1-800-422-4133 a minimum of two working days before scheduled excavation. Dig Alert Identification Number: PTM General Engineering Services, Inc. Contractor By Brian Mendoza Vice President/Secretary Title Date: 07/22/08 Note: This form is required for every Dig Alert Identification Number issued by U.S.A. during the course of the Work. Additional forms may be obtained from the AGENCY upon request. C-8 - BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: PTM General Engineering Services, Inc . Bidder Name 5942 Acorn. St . Business Address Riverside, CA 92504 City, State Zip 951 .)710 . 1000 Telephone Number 891265 Class A; C10; C31 State Contractor's License No. and Class 02/2007 Original Date Issued 02/2009 Expiration Date The work site was inspected by Brian Mendoza of our office on 07/21 , 20 08 The following are persons, firms, and corporations having a principal interest in this proposal: Elizabeth H.Mendoza de McRae, President/CFO 595 SoUth LOS Coyotes r. aheim Hills, CA 928U7 Brian Mendoza, Vice President/Secretary 11080 Kay Jay St . Riverside, CA 92503 C-9 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform;the contract for the proposed work and improvements in accordance with the plans and specifications set forth. PTM General Engineering Services, Inc. C p y Name Signature of Bidder Rri an Manr�n�a , Vi nP PrPai c]Pni-,RPcrPtary Printed or Typed Signaddture Subscribed and sworn to before me this 2 2 nday ofJu ly ,200 8. EL{ZABETH H.M.MCRAE COMM.# 1686768 NOTARY PUBLIC-CALIFORNIA RIVERSIDE COUNTY " MY Comm.Exp.AUG.7,2010 NOTARY PUBLIC Eli beth H. M. McRae NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: l UC Riverside 3615A Canyon Country Dr. Riverside, CA 92507 Name and Address of Public Agency Name and Telephone No. of Project Manager: Mr. George McMullin 951 . 827 .4201 279200. 00 UCR Lighting In Progress Contract Amount Type of Work Date Completed 2. Santa Clarita Community College 17262 Sierra Hwy Canyon Country Name and Address of Public Agency Mr. Chris Padgett 661.424 . 0075 Name and Telephone No. of Project Manager: Lundgren Management 324238 . 00 Traffic Signal & Utilities In Progress Contract Amount Type of Work Date Completed 3 City of Hawthorne 4455 W. 126th St . Hawthorne, CA 90250 Name and Address of Public Agency Mr. Alan Leung 310 . 349 . 2997 Name and Telephone No. of Project Manager: 124., 4nn on T4,;w-hnrna Rlvrl Traffic signal Mod In Progress Contract Amount Type of Work Date Completed C-10 See Attached Cal• PTI General Engineering Services Inc., E�( rlca!rnstallat`�dn;Flber Optic;Dry/Wet Ut!lities; Concrete & .?thr-al lt;Street 3'ipprovements;Protect Design & Development; Public& Private _ Facsimile Transmittal Deee,�I er 17, 2007 To W om It May Concern., PTM General Engineering.Svcs,Inc, is In the process of transition/ng tfr6ro Freeway Eleatic, - ow0e r1004b by 8rla(►•Mendoza, to a corporation in the StatQ-at_.Catl- X j''�r PTp?;/s o�yr/0(hy a J brother and sister who have close to 20 years experience/n thR/ndu try. The purpose tithe 1 transition/s: a!. o:;,Obtain dbe, mbe, wbe status with the State of Califor,?fa•Dept;,pf Tiansportat/on q jd other agencles(Elizabeth owns 8035 and Brian owns a0l). �• o.. be name 'PTM General Englneering Svcs,Inc. fits the scope bf our work more than .;merely"Freeway Electric-'where it is often assumed we perform only electrical -Einstallation. Both companies do electr/cal,dry/wet utilities, fiber optic,m/nor concrete, `dspha/t, and project design, o- There are three companies/n the state of Cal/fornia with the name "Freeway Eleanc." One not related to us,, has a negative credit rating and assumed to be us when applying for credit o.:.PTMstands for Pddro'Torres Mendoza, father of both Brian and Elizabeth who planned ''to eventually change the name In memory of him. F.: t PRY.. only one contract to;date on hand with Lang Beach Community College as noted on Vie•rerences. For this reason, we are including the resume on Brian Mendoza with refeies on his quality of work, knowledge, and experience. _ Sincerely, ��.;,•", - �, �I PTM General Engineering Svc., Inc. Eliziplfoth H. Mendoza de McRae _ President/CFO Mailing Address.P.O.Box 7745 Riverside, CA 92513-7745 Physical Address: 5942 Acorn St. Riverside, CA 92504 ° Tel No. 951,710.1000 Fax, 951,710,100612/I8/20d712/I8/2007 fr•$,ewa �e�#�i� z Y - - ..Urio'ergroutia�_ �. Pro jeCf References Listed below are the names address, and telephone numbers tar five public agencies for which Freeway Electric has performed similar work called oat for in the plans and specs within the past two years. 1) City Temple City Contact. Mr, $teve Loriso 9938 Kauffman Ave. R,KA Consulting Group Temple City,CA 91�80 Tel' 909.594,9702 Contract No. 4 Desc: CPPO.5'06 Serena Sewer System Improvements Completed: 12131106 Contract Amount:$249,500.00 2) Indio Water Authority Contact, Mr. Dennis Weaver 100 Civic Center Drive Tel,• 760391.4140 — Indio,CA 92201 Contract No.4 D"c:4 Lateral Water Line Maintenance Completed 1213LI06 Contract Amount,, $214,520.00 3) Watson c4 Associates Contact: Mr. Jim Swartz 101 Main St., Suite A The Moote Group Seal Beach, CA 9074Q Tel.' 714.751,9997 Contract No,d De-ye; Tract 17699 Dry Utility Backgone at Campus Drive, Completed. 12131106 Contract Amount:$191,764.00 4) World Development Contact; Mr. Gary Chronister 44-600 Village Court Tel, 949,606,3326 Palm Desert,CA 92260 Contract No. 4 Desc: 'Tract No,28639-1 Underground Utilitles In Catherdral City Completed, 04/30107 Contract Amount.,$481,337,00 Phase one of two. 5) City of South Gote Contact: Mr.Art Cervantes 8690 California Ave. Tel.' 323,963,5781 South Cate,CA 90280 Contract No; 3605T Underground Utility District 7 Comp/eted.' 04130107 Contract Amount.' .$45,'320.00 6lcens,A No.%0#510 Olq;s 4, eVA C31 Traffic Signal References City of Newport Beach Contact; Mr.Brad Sommers Contact No: 949.644,3316 Contract Desc: #3827 T/S Upgrades on Balboa 81vd(3 traffic signals) _ $438,000.00 City of Bellflower Contact: Mr.Paul z w ep Contact No: 562.804.1424 Contract Desc: Spec'.04/05-03 T/S Mod @ Bellflower(2 traffic signals) $297 000.00 ` City of Indio Contact: Mr. Tom brochord Contact No.760.342,6900 Contract Desc; TS0601 (2 traffic signalmod.) $193,000.00 City of Indic, Contact: Mr, raime Engler ContoctNa: 760.342.6500 Contract Desc T50611, 7-90612, TS0613 T1510odificationsat tlariousloc (2 traffic signal modificationsW57,556.00 City of Carson Contact Mr, Richardlhl'land ContactNa. 310,952.1700ext1815 Contract Desc: 1141 d 1918 Left Turn Phases(2 trafficslgno/mod)$81,079.00 City-of Arcadia Contact., Rafael or Ramiro Contact Nor 626.574.5486 Desc: $80346.00 and $102,274.00 City o f Cypress Contact,- Mr, Kamron Dedbeh ContectNo: 714.229,6750 Desc: L eft turn modificatians (4 traffic signal mod.) Contract: $193,563.00 I i P. 0. Electrical Project References Listed below are the names, address, and telephone numbers for five pubiic agencizs for which Freeway F/ec;tric has performed similar work called out for M the plans and specs within the past two years. - 1) City of Indio Contact: Mr. Torn Brochard 100 Civic Center;Drive. 7-el- 760.342.6500 Indio,CA 92201 Contract No. d Desc: T50601 T/SmodificationsatMadison St. Completed 11106 Contract Amount: $153,000.00 _ 2) City of Be1/f1vwerI Attn: Contact- Mr Pau/2wiep 16600 Civic Center Drive Tel: 562,804.1424 Bellflower,CA 9.0706 Contract No.d DesC: Spec No.04/05-03 T/SMod. @Bellflower Blvd. Completed.' 01107 Contract Amount: $297000.00 3) Department of Transportation Contact: Mr. Joe Obadike 1727 30"Street Tel,•951, 830.6821 Sacramento,CA 9,6816 Cantroct No:d Desc: CDOT OB-OF4104 Lugonia Ave Highway L tg. In Rea'/ands Completed-01107 Contract Amount: $DO,,000.00 4) City of Newport Beach Contact: Mr. Brad Sommers 3300 Newport Blvd Tel- 949.644.3316 Newport Beach,CA Contract Na. 4 Desc.' #3827 05 06 T/S Upgrades on Balboa B/va Completed- Approx 09/07 Contract Amount: $438,000.00 Brian Mendoza 11080 Kay Jay St.+Riverside,CA 92503+•951-712-5767+Brian@mbe-hlj.coin Obiective Chief Executive Officer and Supervisor o f Outside Operations Qualification Summary • Supervisor of outside operations with over 18 years of experience; • Electrician with over 20 years of experience;_ • An effective comniutucator and team leader; • Experienced in coordinating and executing large and fast-paced projects; Personal Experience High Light EIectric ftc.10/1996-present Riverside, Ca • Chief Estimatoe(05/2005-present) o In charge of managing the estimating department and finalizing bid packagers; o Coordinating the beginning phase of an awarded project between the company and agency or prime contractor; • roject submittals; ® ntract review. o Successfully bid on projects totaling$12 million with an average spread of 6%; • Area Supervisor(10/1996-05/2005) o Coordinated and managed 10 crews consisting of 6 members per team in the Sduthem California region; o Handled various sized projects ranging in size from$1,000 to$4.5 million dealing with dry utilities,wet utilities,traffic signals,and road improvements; ir Please view attached document listing HLE projects. o Maintained coordination between High Light Electric Inc.and subcontractor,general contractor,and project owners; o In charge of handling project's administrative work; • Monthly progress estimates; ■ Project progress schedules; ■ Material requisitions; ■ Contract change order negotiations; • Equipment purchase and rentals. MBE Electric Inc.10/1988=10/1996 Riverside,Ca. .Vice President and Head of Outside Operations(1011988-1011996) o Managed outside operations for all projects ranging in size from$1,000 to 2.5 million; ■ Headed an around the clock electrical crew and coordinated with CC Meyes to repair the I-10 Santa Monica Freeway after it collapsed during the 1994 Northridge Earthquake to complete the fast paced project in 66 days; Brian Mendoza 11080 Kay Jay St. +kiverside,CA 92503+951-712-5767+Brian@mbe-hlj.com o Maintained coordination between MBE Electric Inc.and subcontractor, general contractor,and project owners; o Implemen,'ted and enforcers safety guidelines; o Handled administrative work; • Mpnthlyprogress estimates; • -Material requisitions; Contract change order negotiations; Vasco Corporation 10/1087-6/1988 San Fernando, Ca. • Foreman(Part-time) o Managed 'day to day operations of work crews and various projects ranging in size from$1,000 to$500,000 in Eastern Los Angeles County; s Traffic signals; ® Street lighting; m Signal Interconnect; Raymor EIectric 611986-4011987 Rosemead,Ca, • Crew leader(Part-time) o In charge of work crew on projects ranging from $25,000 to $250,000 through out Los Angeles County; Work Skills • Capable of operating heavy equipment such as skip loaders,cranes,andbackhoes; • Hands-on experience with hand tools and power tools; • Capable of overseeing fast-paced and high profile projects; • An effective communicator and leader; Education International Brotherhood of Electrical Workers • Completed training;course(1988-1989)in street lighting and traffic signal installations,code enforcement,and blueprint reading. South Gate High School South Gate,Ca. • Received high school diploma in 1988. Professional Memberships ® International Brotherhood of Electrical Workers(IBEW); • National Electrical Contractors Association(NECA). ccreditstign + IBEW-Joumeyman Wireman;CSLB-Electrical Contractor; Certified Trench Safety Coordinator. Professional and Personal References • Please view attached document titled Professional and Personal References, Brian Mendoza 11080 Kay Jay St. +Riverside,CA 92503+951-712-5767+Brian@mbe-hlj,com ` Langga es English(Native); • Spanish(Fluent). Awards RemilL • Recipient of the U.S.Small Business"Young Entrepreneur of the Year"Award in 1996,nationally; • Recipient of the Certificate of Recognition by the City of Los Angeles for"Small _ Business,"in 1997; • Recipient of the Certificate of Recognition by the City of.Riverside for"Small - Business,"in 1997; : • Recipient of the Certificate of Recognition by the State Assembly,Assemblyman Mr.Rod Pacheco,for the"Top 500 Inland Empire Small Business,"in 1997; • Ranked among the"Top 500 Inland Empire Hispanic Owned Companies"since 1997; • Certification of Appreciation for our participation in the Rebuilding of the Ai3ermath of the Northridge Earthquake in 1994; • Certificate of appreciation for participation and maximization in the"Century Freeway Affirmative Action,"by CFAAC. Brian Mendoza 11080 Kay Jay St.+Riverside,CA 92503+951-712.5767+Brian@mbe-hlj,eom Professional and Personal References Caltrans Project#07-1224U4(Electrical contract amount is$4.5 million) Project completed in 2005. -Description of project:Installation of traffic signals,ramp metering,sign illumination, highway lighting,fiber optic communication,and electrical irrigation along the I-10 Freeway in Los Angeles County. o Doug D;awson=Project Manager for prime contractor,Balfour Beatty. Cell:(949)232-3276 and Office:(909)397-8040. o Patty Galvan-Resident Engineer.Office:(909)594-4270. o Veronica Ross-Electrical Inspector.Cell:(714)606-6311 City of Redlands Contract#208300-7230/41008(.Electrical contract amount is $218,800)Project completed in 2003. -Description of project:Installation of traffic signals,modification of ramp metering, lighting and sign illumination. o Bill Hensley-Senior Civil Engineer-Office:(909-798-7586 ext.2 o Juan Olvera-Project Manager for general contractor,H&H Construction-Cell:(951)453-7712 and Office;(909)473-7331. Caltrans Project#08-4567V4(Electrical contract amount is$938,238) Project completed in 2005. -Description ofproject:Installation of lighting system along the I-15 Freeway in San Bernardino County. o Gary Vogel-Project Manager for prime contractor,Granite Construction.Cell:(661)549-3953 and Office:(661)726-4447 Sanbag Projects Segment 1,2,3,early segment 9,Segment 9,and Alder Ave,(Total electrical contract amount was$3.2 million)Projects completed in 2004. -Description ofprojects:lnstallation of traffic signals,ramp metering,sign illumination, highway lighting,fiber optic communication,and electrical irrigation along the I-10 Freeway in San Bernardino County, o Harold Lands-Sanbag Contract Manager-Cell:(760)802-7730 and Office: (909)875-8029 ext.213 o Tim Tunable-Caltrans Inspector-Cell:(951)712-0021 o Al Ortega-Project manager for prime contractor,Yeager Skanska- Cell:(714)240.5333 i - ' Br1an Mendoza - 11080 Kay Jay St.+Riverside,CA 92503+951-712-5767+Brian@mbe-Wj.com City of.Indio Project#8T0137(Electrical contract amount was $1.4 million)Projects corapleted in 2005. -Description of project:Installation of street lighting system,traffic signals, electrical irrigation,and dry utilities. o Gary Baxter-Area manager for prime.contractor,Yeager Skanska Construction-Cell:(909)721-9749 and Office;(760) 343-5472 o Tommy Young-Project Manager for prime contractor-Cell.(951) 232-6618 and Office: (760)343-5472 o Mehran Sepehri-City Engineer-Cell: (760)250-2201 Additional Professional References: o Zale Harris-Caltrans inspector-Cell:(951)289-0047 o Ray Robles-Caltrans area supervisor-Cell:(909)799-0646 THE AMERICAN INSTITUTE OF ARCHITECTS AIA Document A310 Bid Bond BOND#NIA KNOW ALL MEN BY THESE PRESENTS, that we PTM GENERAL ENGINEERING SERVICES, INC. 5942 ACORN STREET RIVERSIDE,CA 92504 (Here insert full name,and address or legal title of Contractor) as Principal, hereinafter called the Principal, and DEVELOPERS SURETY AND INDEMNITY COMPANY 500 NORTH BRAND BLVD.,STE.1120 GLENDALE,CA 91203 (Here insert full name,and address or legal title of Surety) a corporation duly organized under the laws of the State of IOWA as Surety, hereinafter called the Surety, are held and firmly bound unto CITY OF HUNTINGTON BEACH 2000 MAIN STREET HUNTINGTON BEACH,CA 92648 (Here insert full name,and address or legal title of Owner) as Obligee, hereinafter called the Obligee, in the sum of TEN AND 001100 PERCENT of attached bid ------------------------------------------ Dollars ( $ 10 oho for the payment of which sum well and truly to be made,the said Principal and the said Surety, bind ourselves,our heirs,executors, administrators, successors and assigns,jointly and severally,firmly by these presents. WHEREAS,the Principal has submitted a bid for MAIN STREET INTERCONNECT CONDUIT AND THE TRAFFIC SIGNAL INSTALLATION AT BOLSA CHICA STREET AND ROBINWOOD DRIVE; CC NOS. 1301 AND 1303 (Here insert full name,address and description of project) NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 21st day of July 2008 PTM GENERAL ENGINEERING SERVICES TOO I rincipal) (Seal) (Witness) i94 �1Q0/ 2� If le DEVELOPERS R Y AND N MNITY COMPANY (Sur y) (Seal) (Witness) (Title YUNG T. MULIX ttorney-in- act AIA DOCUMENT A310 BID BOND AIA® FEBRUARY 1970 ED THE AMERICAN INSTITUTE OF ARCHITECTS,1735 N.Y.AVE.,N.W.WASHINGTON,D.C. 20006 ACKNOWLEDGMENT State of California County of ORANGE ) On July 21, 2008 before me, JENNIFER C.GIBONEY,NOTARY PUBLIC (insert name and title of the officer) personally appeared YUNG T.MULLICK who proved to me on the basis of.satisfactory evidence to be the person(s)whose name(s)is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s)acted,executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS m hand and official seal ``eFr J9NNIIPER G,GIB3ONE Y COMM,0 1797064 ;0 NOTARY PUBLIC-CAIJFORMIA :1 ORANGE COUNTY � Icy Cmnn.aoms KAY 2 M "j Signature (Seal) POWER OF ATTORNEY FOR DEVELOPERS SURETYAND INDEMNITY COMPANY INDEMNITY COMPANY OF CALIFORNIA PO Box 19725,IRVINE,CA 92623(949)263-33M KNOW ALL MEN BY THESE PRESENTS,dWitexrApt as expressly Ikrnted,DEVELOPERS SURETY AND INDEMNITY,COMPANY and INDEMNITY COMPANY OF CALIFORNIA,do each,hereby make.constitute and appoint ***Yung T. Mullick,lames W.. Moilanen;Jennifer Giboney, Frances Lefler,jointly or severally*** as then tans and lawful Attaney(s)-in-Fact,to make,e=h,de!'nrer and acknowledge,for and on behalf of sold gyrations,as sureties,bonds,undertakings and cones of Raw- ship giving and grinding unto said Attomay(s}in-Fad fill power and authority to do and to perform every act necessary,requisite or proper to be done in connection therewith as each of sold corporations could do,but reserving to each of said rations U power of subsbAw and revocation,and all of the ads of said Allw"(s}bk-Fad,pursuant to Mese presents. are hereby ratified and confirmed. This Power of AtmW is granted and is s4ned by facsimile under and by authority of the following resotutm adopted by the res�ectve Board of Directors of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNA,effective as of January fist,2008. RESOLVED,that the chalunran of the Board,the President and any Vice President of the corporation be,and that each of theca henry is,authorized to exw4e Powers of Attorney,auaklykug the attomey(s)named In the Powers of A"to execute,on behalf of the corporabons,bonds,undertakings and contracts of suretyship,and tint the secretary or any AssMA Secretary of the xorpotafim be,and each of them hereby is,authorized to attest the execution of any such Power of Attorney: RESOLVEIX FURTHER.that the slilrabaes of such officers may be affixed to any such Paver of Attorney or to any certikate relating thereto by facsimile,and any such Power of Attorney or certificate bowing such tacsimAe signatures shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond,undertaking or contract of suretyship to which it is attached, IN WITNESS WHEREOF,DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by their respective Vice President and attested by their respective Assistant Secretary this January fist,2008 Br a NttQ p.Atl� T Pate,Senior Vice ' S mC�ol�i4t � y p4F� q� h Charles L.Day.Assfataht Secretary > rQ k C eft rFaA State of California County of Orange On January fist.2008 before me,_ Christopher J,Roach,Notary Public Date Here Insert Name act TO of the Office tti't appeared Stephen T.Pate and Charles L.Day Names)of signer(s) who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s)Ware subscribed to the within instrument and acknowledged to me that hefshellhey executed the same in hisfiedtlheir aWudized x y(ies),and that by h%Awnrlhrlt signature(s)on the instrument the person(s),or the entity t$sox behalf of which the person(s)acted,executed the instrument. I ce*under PENALTY OF PERJURY under the laws of the State of California that the toreMoing paragraph is true and cwecL WITNESS my hand and oftial seal. Place Notary Seal Above Signature ChdOOK J.Roach CERTIFICATE The undersigned,as Assistant Secretary,of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,does hereby certify that the foregoing Power of Attorney remains in full force and has not been revoked,and furthermore,that the provisions of the resolutions of the respective Boards of Directors of sad corporations set forth in the Px>wer ofAtomey.are an farce as of the date of thfs Cerificate. This Certficata is executed in the City of Wine,C&onda,the 21 day xl JULY 200§ ACKNOWLEDGMENT State of California County of Riverside ) On before me, Elizabeth H.M. McRae, Notary Public (insert name and title of the officer) personally appeared Brian Mendoza who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNAhadcial seal. ELIZABETH H.M.MCRAE COMM.# 1686768 ►►AnNOTARY PUBLIC•CALIFORNIA VI RIVERSIOE COUNTY MY Comm.UP.AUG.7,2010Signat (Seal) C11T Y Ct CITY ( HUI-!T I G T 0 1 N 3 Bidder. PTM General Engineering Services, Inc. 5942 Acorn Street Riverside, Ca 92504 951.710.1000 h To; City of Huntington Beach Attn: City Clerk 2000 Main St Zd Floor . Huntington Beach, CA 92648 Date of Bid. Tuesday, .luly 22, 2008 Time of Bid., 2. p.m, CC No. 1301 & 1303 Project Desc.• Main St. Interconnect Conduit and the Traffic Signal Installation at Bolsa Chica St. & Robinwood Drive i BID ENCLOSED -- DO NOT OPEN WITH REGULAR MAIL - ar` 8y. - City of Huntington Beach CC-1301 & CC-1303 Main Street Interconnect Conduit&Traffic Installation at Bolsa Chica&Itobinwood Bid Opening: July 22,2008 @ 2:30 P.M. Engineer's Estimate: $300,000 Rank Bidder's Name Bid Amount Corrected Bid Amount / AK Engineering 7 S— d0 5 California Engineering&Contracting,Inc. / 2 3 d O l ! • gCalifornia Professional Engineering,Inc. �3 x I 0-0 Christopher R.Morales,Inc. ' p1 314 O g CSI Electrical Contractors ' 3 /1 QC7D 00 ( / /0 Dynalectric 55 JFL Electric // l S"' / / 400, O Yp 3 Macadee Electrical 2 / /& D McCain,Inc. U 2 Moore Electrical Contracting,Inc. l Q l 2 1 , 6 d PTM Engineering 0 Ramilan Electric,Inc. Republic ITS — 7 Steiny&Company,Inc. 2 71 193 7. 00 Check A License: Contractor's License Detail Page 1 of l Skip to:CSLr.'Home I Content I Footer I Accessibility, Search CSLB .X Departrvenit of Consumer Affairs O.G40V Contractors State Li( card t-fll It t ' C�i(('[tf 1 °'1 `jljll 1 1 I;j of I fr i4(I �3 1611Ffi 1111 t{{�ti.r! 111i11 1JJIIIII , I� 11`94 t0N=BEB CONTIfCTORfi APPLlOMt'S - JIWRIEY#1E8® `A179LI03V{FRiiS 81ILFIIIOOFf3G1AL8- OBIERAL INFO ( ti11"11,11MIRMIN 7-1 1 - s About CSLE . CSt.t$Newstoo:n DISCLAIMER:A license status check provides information taken from the CSLB Board and Committee license database.Before relying on this information,you should be aware of the hleaYings following limitations. 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'::on1t?last a Pr�geYsin.?1�tres License Number. 891265 Extract Date: 07/23/2008 Business P T M GENERAL ENGINEERING SERVICES INC Information: p O BOX 7745 ® search for a E'Wr,Ay RIVERSIDE,CA 92513 tionci 1p zuran(:e Business Phone Number:(951)710-1000 f.cml7a ny Entity: Corporation e o 'cn F" 4::,rs' Issue Date: 02/20/2007 .,,Sat,,I, .. - .--__I. .._ - I I I___.-- _--_-. ...._- Expire Date: 02/28/2009 }low to participate License Status:— This license is current and active.All information below should be reviewed. Classifications: CLASS DESCRIPIfO#N..W_.. .. ..... ._...... A GFN,ERAL_ENGINIHERING CO CTOR CIO .. 'ELECTRICAL - C31 CONSTRUCTION ZONE TRAFFIG_OONTRQL Bonding: CONTRACTOR'S BOND This license filed Contractor's Bond number 100012724 in the amount of$12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date:01/01/2007 Contractor's`;unding-Hlstety BOND OF QUALIFYING INDIVIDUAL 1. The Responsible Managing Officer(RMO)ELIZABETH HERNANDEZ MC RAE certified that he/she owns 10 percent or more of the voting stock/equity of the corporation.A bond of qualifying individual is not required. Effective Date:0 212 0/2 00 7 2. The Responsible Managing Officer(RMO)BRIAN HERNANDEZ MENDOZA certifed that he/she owns 10 percent or more of the voting stock/equity of the corporation.A bond of qualifying individual is not required. Effective Date:0 212 0/2 00 7 Workers' An employee service group holds the workers compensation insurance. Compensation: policy Number.2246 Effective Date:1 111 9/2 00 7 Expire Date:None Wor cry_'CDl�ensation Hi310- Personnel listed on this license(current or disassociated)are listed on other licenses. r Mi 7 I;. � Consumers Contractors I Applicants I Journeymen I Public Works I Building Officials I General Info CSLB Home I Conditions of Use I Privacy I Contact CSLB Copyright©2007 State of California http://www2.cslb.ca.gov/General-Information/interactive-tools/check-a-license/License+D... 7/23/2008 Contractor License Personnel Detail Page 1 of 1 s y Contractor License#: 891265 Name: ELIZABETH HERNANDEZ MC RAE AKA: MENDOZA ELIZABETH HERNANDEZ Title and Class ASSOCIATION DISASSOCIATION History TITLE GLASS DATE DATE RMO/CEO/PRES C31 CONSTRUCTION ZONE 02/20/2007 TRAFFIC CONTROL RMO/CEO/PRES C10 ELECTRICAL 02/20/2007 Bonding History PERCENT SURETY COMPANY BOND# BOND EFFECTIVE CANCELLATION AMOUNT DATE DATE % 02/20/2007 print I »close window http://www2.cslb.ca.gov/General-Information/interactive-tools/check-a-license/Personnel+... 7/23/2008 Contractor License Personnel List Page 1 of 1 ti. Skip to:CSLB Home..,I Content I.F.00ter I Accessibility .,Search CSLB_ Department of Consumer rs O.G40V + nta+ctca r �tat� L i+cs ::- md --ad - eaa -d 2 ll`I t ,�Iktllli(,lilli,(I1riI 07 i.91 Cll[11€a31�' Ili+li�l Iir1k{ I IIJrlllll 13,(Ilit 13�1(-(III;II�I'llll`I- •�dN&WAEf18 �CONTFIAF•3ORSf ;APPLtGAP7T5 a'.,, � FlNEYASEkI�(„ FUBLIO {dIKR 81�LOIHa RFFtaus 0IRTRAL INFO wmsmmm Pro, rE tl About CSLB J csLa Newsroam «Return to Li ense Detail Board and Committee Meetings Contractor License#: 891265 Disaster information Center CSLB Library Click on the person's name to see a more detailed page of information on that person, Frequently Asked Questions NAME TITLE ASSOCIATION DISASSOCIATION CLASS MORE DATE DATE CLASS Online Services ELIZABETH, RMO/CEO/PRES 02/20/2007 C31 More • -heck A License or HERNANDEZ MC ................................. HIS,Reas;ra4on RAE li r a Go r±rr*etiarr BRIAN HERNANDEZ. RMO 02 .. •.,rn;plairt - @0/2007 A MENDOZ' e C.;ireca.Applicaon Status • Search for a Surety "N.,<rnd Insurance, Company • Soarcn for a foirkery cmperrsriion Company How to Participate Consumers Contractors Applicants Journeymen Public Works Building Officials General Info CSLB Home I Conditions of Use Privacy I Contact CSLB Copyright m 2007 State of California http://www2.c slb.ca.gov/General-Information/interactive-tools/check-a-license/Personnel+... 7/23/2008 COITY OF HUNTINGTON 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY CLERK JOAN L. FLYNN CITY CLERK September 11, 2008 PTM General Engineering Services, Inc. 5942 Acorn Street Riverside, CA 92504 To Whom It May Concern: Re: Traffic Signal Installation — CC-1301 & Installation of Interconnect Conduit—CC-1303 The City Council awarded the bid to your company for the above referenced project. Enclosed is a copy of the executed contract with the City of Huntington Beach. A Certification of Compliance with Title VII of the Civil Rights Act, Certification of Compliance with Prevailing Wage Laws and Contractor's Certificate form must be returned to this office after the proiect is completed but prior to the release of retention funds. In addition, the following item must also be on file, with this office before the City can release any retention funds: A warranty bond guaranteeing the final amount of work and materials for one year. If your performance bond does not include specific wording for a one-year warranty, then a rider or separate bond must be submitted. Should you have any questions or concerns regarding the enclosures or items that must be on file in this office prior to release of retention funds, please call the Public Works Department at 536-5437. Sincerely, J n L. Flynn, CIVIC City Clerk JF:pe Enclosures: Copy of Contract including Proposal Copies of insurance/bonds Contractor's Certificate Certificate of Compliances Bid Bond (original) g:fol lowup\ca s h cont\cashcon-letter.doc (Telephone:714-536-5227) Certification of Compliance with Prevailing Wage Laws To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach, CA 92648 Re: Certification of Compliance with Prevailing Wage Laws Contract: Project: The undersigned contractor on the above-referenced project ("Project") hereby certifies that all laborers, mechanics, apprentices, trainees, watchmen and guards employed by him or by any subcontractor performing work under the contract for the Project have been paid pursuant to the minimum wage and bona fide fringe benefit requirements specified for each particular classification of work, as set forth in the wage-rate determinations of the State of California, Department of Industrial Relations, and/or the United States Department of Labor. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this day of , 20 , at , California. (Type Contractor Name) By: Name: [Type Name] Title: [Type Title] A TO Ft MY ATTORNEY 1 247542.1 Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach, CA 92648 Re: Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 Contract: Project: The undersigned contractor on the above-referenced project ("Project") hereby certifies that it has complied with Title VII of the Civil Rights Act, the Equal Opportunity Act of 1972 and Executive Order 11246, and has not discriminated against any employee or applicant for employment because of race, creed, color, sex, national origin, age or disability. The undersigned contractor also certifies that it has not maintained any segregated facilities at its establishments on the basis of race, creed, color, sex, national origin, age or disability (with the exception of access for the disabled). I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this day of , 20_, at , California. (Type Contractor Name) By: _ Name: (Type Name] Title: [Type Title] E > IF R • A ORNEX l 245911.1 CONTRACTOR'S CERTIFICATE I, , state and certify that: (Name of Declarant) 1. is the general contractor to the City of Huntington Beach ("City") on Contract No. (the "Contract") for the construction of the public work of improvement entitled: (the "Project"). 2. All work to be performed pursuant to the Contract has been completed in accordance with the Contract Documents (as such term is defined in the Contract). 3. Except for the claims listed.below and the disputed claims listed in paragraph five (5), all persons supplying labor, services, materials and equipment to the Project, including all claims against the Contractor arising from the performance of the Contract, have been paid and satisfied(list unpaid debts and claims; if none, write"NONE"): 4. Attached hereto are the lien waivers required by the Contract Documents, which lien waivers have been executed by all persons who performed work on or supplied labor, services, materials, and/or equipment for use at the Project. 5. Set forth below is a list of disputed claims or claims that are the subject of a Notice to Withhold filed pursuant to the Civil Code of the State of California (list all disputed claims; if none, write"NONE"): 1 declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at on this day of 120 (Signature of Declarant) APPROVED AS TO FORM _. By: - S11-7 —U Name: [Type Name] Title: [Type Title] 1 245914 1 RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) A, CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: S ;T7 i Freidenrich, City Treasurer FROM: :S DATE: SUBJECT: Bond Acceptance I have received the bonds for (�� (Company Name) Faithful Performance Bond No. Labor and Material Bond No. � Monument Bond No. Maintenance Bond No. Guarantee and Warranty Bond No. Re: Tract No. CC No. V- / 3 MSC No. Approved Agenda Item No. l (Counci A prova Date) g ;l City Clerk Vault No. r #27 gJfollowup/bondletter.doc BOND NO.:349022P BOND PREMIUM IS SUBJECT TO CHANGE BASED ON FINAL CONTRACT PRICE BOND PREMIUM IS$2,523.00 BOND ISSUED IN TRIPLICATE Bond No. 349022P PERFORMANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS,City of Huntington Beach(hereinafter referred to as"City")has,by written agreement dated , 24_,entered into a contract with PTM GENERAL ENGINEERING SERVICES,INC. 5942 ACORN ST.,RIVERSIDE,CA 92504 (name and address of Contractor) (hereinafter referred to as"Principal"), for performance of the work described as follows: MAIN STREET INTERCONNECT CONDUIT AND TRAFFIC SIGNAL AT BOLSA CHICA AND ROBINWOOD DRIVE CASH CONTRACT NUMBER 1301 AND 1303 (Project title) WHEREAS, said contract,and all documents referenced therein(hereinafter collectively "Contract"), are incorporated herein by this reference made a part hereof as though set forth herein in full. WHEREAS, said Principal is required under the terms of the Contract to furnish a bond guaranteeing the prompt, full and faithful performance of said Contract_ NOW THEREFORE,we,the undersigned,as Principal, and DEVELOPERS SURETY AND INDEMNITY COMPANY 500 N.BRAND BLVD.,STE.1120,GLENDALE,CA 91203 (name and address of Surety) (a duly admitted surety insurer under the laws of the State of California and hereinafter referred to as "Surety"), as Surety, are held and firmly bound unto City in the penal sum of ONE HUNDRED ONE THOUSAND FIVE HUNDRED AND 00/100 Dollars($ 101,600,00 ),this amount being not less than one hundred percent of the price set forth in the Contract,in lawful money of the United States,for the payment of which sum,well and truly to be made, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT if the Principal shall promptly, fully and faithfully perform each and all of the covenants,obligations and things to be done and performed by the Principal in strict accordance with the terms of the Contract as said contract may be altered,amended or modified from time to time; and if the Principal shall indemnify and save harmless City and all of City's officers,agents and employees(hereinafter collectively referred to as"Obligees")from any and all losses,liability and damages, claims,judgments, stop notices,fees and costs of every description, whether imposed by law or in equity,which may be incurred by the Obligees by reason of the failure or default on the part of the Principal in the performance of any or all of the terms or the obligations of the Contract, including all alterations, amendments and modifications thereto, and any warranties or guarantees required thereunder; then this obligation shall be void; otherwise, it shall be and shall remain in full force and effect. Surety stipulates and agrees,for value received,that no adjustment of the time or price in the Contract or any alteration, change, deletion, addition or other modification to the Contract, or the work to be performed thereunder, shall in any way affect, limit, restrict, impair or release the obligations of the Surety under this Bond. Surety waives notice of any adjustment of contract time or contract price,and 277591.1 PERFORMANCE BOND Page 1 of 2 Band No. 349022P any other alteration,change,deletion, addition or other modification to the Contract,or the work to be performed thereunder, and agrees to automatically adjust the penal sum of this Bond to reflect such adjustments,alterations,changes,deletions,additions or other modifications. Surety agrees to provide written confirmation of such adjustments in the penal sum to City on not less than a quarterly basis. Surety also waives the provisions of Civil Code§§2845 and 2849. The obligations of this Bond shall survive the completion of the work described in the Contract as to all obligations and liabilities of the Principal which survive completion of the work. IN WITNESS WHEREOF, each party represents and warrants that this instrument has been duly executed by Principal and Surety,on the date set forth below,that the name of each corporate party being affixed hereto is such party's proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its governing body. Surety,by execution of this bond, waives any defense which Surety has or may have by reason of any failure of the Principal to execute or properly execute this bond. Dated: AUGUST 19,2008 ATTEST PTM GENERAL ENGINEERING SERVICES,INC. (Corporate Seal) (Principal Name) By: Name: Title. (✓/ y 1'G yak ATTEST DEVELOPERS SURETYAND INDEMNITY COMPANY (Corporate Seal) urety ame) By. Name; (Signa of Attorney-in-Fact for Surety) (Attach Attorney-in-Fact Certificate) ( 49 ) 461-7000 (Area Code&Telephone Number of Surety) APPROVED AS TO FORM: CITY UUNTINGTON BEACH 10 T" C--" ath i4l'.AfByennifer M ity y Attorney Note: This bond must be executed in duplicate and dated,all signatures must be notarized,and evidence of the authority of any person signing as attomeyin-fact must be attached. 217591.1 PERFORMANCE BOND . Page 2 of 2 ACKNOWLEDGMENT State of California County of Orange ) On August 19, 2008 before me, Peter Austin Neff, Notary Public (insert name and title of the officer) personally appeared Yung T. Mullick who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. N �pfi�. PETER AUSTIN NEFF COMM.*1799389 X NOTARY PLeI.IC.CAUFORNIA X ORANGE COUNTY a) R My Corm.ExOrss MAY 21,2012 Signature (Seal) ACKNOWLEDGMENT State of California County of Riverside ) On 912o before me, Elizabeth H.M. McRae, Notary Public (insert name and title of the officer) personally appeared Brian Mendoza , who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS m hand a d official seal. �- ELIZABETH H.M. MCRAE< rrnn Comm,# 1686768 to u! `m NOTARY PUBLIC-CALIFORNIA N RIVERSIDE COUNTY e MY Comm.Exp.AUG.7,2010 Signature (Seal) BOND NO.:349022P BOND PREMIUM IS INCLUDED IN PERFORMANCE BOND BOND ISSUED IN TRIPLICATE Bond No. 349022P P"MENT BOND (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESENTS that.- WHEREAS, the City of Huntington Beach (hereinafter referred to as"City")has awarded to PTM GENERAL ENGINEERING SERVICES,INC. 5942 ACORN STREET,RIVERSIDE,CA 92504 (name and address of Contractor) (hereinafter referred to as"Principal"), a contract("Contract")for the work described as follows: MAIN STREET INTERCONNECT CONDUIT AND TRAFFIC SIGNAL AT BOLSA CHICA AND ROBINWOOD DRIVE CASH CONTRACT NUMBER 1301 AND 1303 (project title) WHEREAS, Principal is required under the terms of the Contract and the California Civil Code to secure the payment of claims of laborers, mechanics, materialmen, and other persons as provided by law. NOW THEREFORE,we, the undersigned Principal, and DEVELOPERS SURETY AND INDEMNITY COMPANY 500 N.BRAND BLVD.,STE.1120,GLENDALE,CA 91203 (name and address of Surety) (a duly admitted surety insurer under the laws of the State of California and hereinafter referred to as"Surety"), as Surety,are held and firmly bound unto City in the penal sum of ONE HUNDRED ONE THOUSAND FIVE HUNDRED AND 001100 dollars, ($ 101,500.00 ), this amount being not less than one hundred percent(100%) of the total price set forth in the Contract, in lawful money of the United States of America, for the payment of which sum, well and truly to be made, we bind ourselves, and each of our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT, if the Principal, his, her, or its heirs, executors, administrators, successors or assigns, or subcontractors shall fail to pay any of the persons named in Section 3181 of the California Civil Code ("Claimants") for all labor, materials or services used or reasonably required for use in performance of the work described in the Contract, or any amounts due under the Unemployment Insurance Code with respect to work or labor performed by any such Claimant, or prevailing wages due and penalties incurred pursuant to Sections 1774, 1775, 1813 or 1815 of the Labor Code, or any amounts required to be deducted, withheld and paid over to the Employment Development Department from the wages of employees of the Principal and Subcontractors pursuant to Section 13020 of the Unemployment Insurance Code with respect to the work or labor performed under the Contract, Surety will pay for the same, in an amount not exceeding the penal sum specified in this bond; otherwise,this obligation shall be null and void. This bond shall inure to the benefit of any of the persons named in Section 3181 of the California Civil Code so as to give a right of action to such persons or their assigns. In case any action is brought upon this bond, Surety further agrees to pay all court costs and a reasonable attorney's fee in an amount fixed by the court. Surety stipulates and agrees, for value received, that no change, extension of time, alteration, addition or modification to the terms of the Contract, or any contract document or any work to be performed thereunder, whether made after notice or not, shall in any way affect, impair or release the obligations of Surety under this bond. Surety hereby waives notice of any such change, 27758s.1 PAYMENT BOND Page 1 of 2 Bond No. 349022P extension of time, alteration, addition, or modification to the terms of the Contract, the contract documents or the work thereunder. Surety also waives the provisions of California Civil Code§§ 2845 and 2849. IN WITNESS WHEROF, each party represents and warrants that this instrument has been duly executed by Principal and Surety, on the date set forth below,that the name of each corporate party being affixed hereto is such party's proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its governing body. Surety, by execution of.this bond, waives any defense which Surety has or may have by reason of any failure of the Principal to execute or properly execute this bond. Dated: AUGUST 19,2008 ATTEST PTM GENERAL ENGINEERING SERVICES,INC. (Corporate Seal) (Principal Name) By:OD Name:r Its: ATTEST DEVELOPERS SURETY AND INDEMNITY COMPANY (Corporate Seal) rety me) By: Name: YUNG T. ICK,ATTORN Y-IN-FACT (Signar461-7000 Attorney-in-Fact for Surety) ( 949) (Attach Attorney-in-Fact Certificate) (Area Code&Telephone Number of Surety) APPROVED AS TO FORM: CITY OF HUNTINGTON BEACH By j4entn�ife'r --City Attorney Srl .164 Note. This bond must be executed in duplicate and dated,all signatures must be notarized,and evidence of the authority of any person signing as attomey-in-fact must be attached. 2775e9.1 PAYMENT BOND Page 2 of 2 ACKNOWLEDGMENT State of California County of Riverside ) On 61 before me, Elizabeth H.M. McRae, Notary Public (insert name and title of the officer) personally appeared Brian Mendoza , who proved to me on the basis of satisfactory evidence to be the persons)whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS4handLseal. ELIZABETH H.M.MCRAE COMM.# 1686768 M'n NOTARY PUBLIC-CALIFORNIA U! RIVERSIDE COUNTY °' MY COMM.Exr.AUG.7,2010 "` Signature (Seal) ACKNOWLEDGMENT State of California County of Orange ) On August 19, 2008 before me, Peter Austin Neff, Notary Public (insert name and title of the officer) personally appeared Yung T. Mullick who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of.the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. N . p1Oi'Mpa PETER AUSTIN NEFF n t COMM.# 1799389 X o NOTARY PUBI.IGCALIFORNIA X Q; ORANGE COUNTY iU) My Corm Expires LAY 27,2012 SignatureL-4 (Seal) POWER OF ATTORNEY FOR DEVELOPERS SURETY AND INDEMNITY COMPANY INDEMNITY COMPANY OF CALIFORNIA PO Box 19725,IRVINE,CA 92623(949)263.3300 KNOWALL MEN BY THESE PRESENTS,that-'except as expressly limited,DEVELOPERS SURETY AND INDEMNITY,COMPANY and INDEMNITY COMPANY OF CALIFORNIA,do each,hereby make,rxrisfiWte and appoint ***Yung T. Muilick, lames W., Moilanen,- Jennifer Giboney, Frances Lefler,jointly or severally*** as their true and lawfui AttomeWs)-krFact,to make,execute,deliver and acknowledge,for and on behalf of said corporations,as sureties,bonds,undertakings and contracts of surety- ship gMng and granfNg tmto said Attomey(syin-Fact full power and authority to do and to perform every act necessary,requisite or proper to be done in cokmection therewith as each of said corporations could do,but reserving to each of said corporations full power of substitution and revocation,and all of the acts of said Atomey(s)4n•Fac,pursuant to these presents, are hereby ratified and conformed, This Pow ofAtDomey is granted and is sigrfed by facsimile under and by authority of the following resolutions adopted by the resp`ech've Board of Directors of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,effective as of January f st,2008. RESOLVED,that the chairman of the Board,the President and any Vice President of the corporation be,and that each of them hereby is,authorized to execute Powers of Attorney,qualifying tte aftomey(s)nit m the Powers of Attorney to execute,on behalf of the corporations,bonds,undertakings and contracts of suretyship;and that the Secretary or any Assistant Secretary of the corporations be,and each of them hereby is,authorized to atest the execution of any such Power of Attorney; RESOLVED,FURTHER,that the signatures of such officers may be affixed to any such Power of Atomey or to any certificate relating thereto by facsimile,and any such Power of Attorney or wi frcate bearing such facsimile signatures shall be valid and binding upon the corporations when so affixed and in the future with respect to any band,undertaking or contract of suretyship to which it is attached. IN WITNESS WHEREOF,DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be sighed by their respective Mee President and attested by their mspecWe Assistant Secretary this January fist,2008. Atfth Stephen T.Pate,Senior Vice President � tzG "ny f?ra At �' lei t93$ I IUk 1987 Charles L.Day,Assistant Secretary State of California County of Orange On January tsL2008 before me,_ ChristopherJ,Roach,Notary Public Date Here Insert Name andTite of the Officer personally appeared Stephen T Pate and Charter L.Day Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s)whose names)Ware subscribed to the within instrument and acknowledged tome that helsheltsey executed the same in hWher7tfeir authorized capacty(es),and that by hislher7tnelt signature(s)on the instrument the person(s),or the entity upon behalf of which the persoo(s)acted,executed ft instrument. 'NW 1pi I certify under PENALTY OF PERJURY under the laws.of the State of California that the foregoing paragraph is he and correct WITNESS my hand and offi sec. Place Notary Sea]Above signature Ch' r J.Roach CERTIFICATE The undersigned,as Assistant Secretary,of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,does hereby owltity €hat the foregoing Poser of Atbompy remains in full force and has not been mucked,and furthermore,{hat the provisions of the resolutions of the respective Boards of Directors of said corporations set forth in the Pacer ofAtanay.are in force as of the date of this Certificate. This Certificate is exeaded in the City of"a,California,the 19 day of AUGUST ?008 By Su ity INSURANCE AND INDEMNIFICATION WAIVER Hwtin on 8eacho MODIFICATION REQUEST 1. Requested by: Eric Charlonne 2. Date: August 29, 2008 3. Name of contractor/permittee: PTM General Engineering Services, Inc 4. Description of work to be performed: Signal Interconnect and Traffic Signal Modification 5. Value and length of contract: $101,500 40 working days 6. Waiver/modification request: allow $5,000 DED - General and $1,000 Auto Liability 7. Reason for request and why it should be granted: required by resolution 8. Identify the risks to the City in approving this waiver/modification: very low or none / Department Head Signature Date: �v . �►PP�tOVALS >, r Approvals must be obtained m the order listed on this for} Two;approvals arerequ ire d n. for a_request to.be granted: Approval'from theCity- ; nistrato�di�� required i ,�RiskManageme%n _ nd the City ey's O , Management Approved ❑ Denied Ii 'at ure ate 2. City Attorney's Office Approved ❑ De ie _ C to-,O,� nature Date 3. City Administrate Office ❑ Approved ❑ Denied Signature Date If approved, the com" heted waiver/mod cation request is t6 be,.subrhitted to the: City Attorney's Office along with the contract for approval Once the contract has been approved; this form is to be filed%with the Risk Management Division;of Administrative Services waiver form 8/29/2008 4:09:00 PM ACOR®,M CERTIFICATE OF LIABILITY INSURANCE °o820/2008 PRODUCER 714-779-6999 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MCRAE ASSOCIATES(LICENSE#0637431) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PATRICK MCRAE INSURANCE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1290 N. HANCOCK ST SUITE 210 1 ANAHEIM HILLS, CA 92807 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: LANDMARK AMERICAN INSURANCE 33138 PTM GENERAL ENGINEERING SERVICES, INC. INSURERB: CENTURY-NATIONAL INSURANCE 26905 P.O. BOX 7745 INSURERc: NATIONAL UNION FIRE INSURANCE 19445 5942 ACORN ST. INSURER D: FIRST NATIONAL INSURANCE COMPANY 24724 RIVERSIDE. CA 92503 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'L POLICYEFFECTIVE POLICY EXPIRATION LTR NSRD TYPE OF INSURANCE POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X Al COMMERCIAL GENERAL LIABILITY LHA-133090 05/11/2008 05/11/2009 PREEMSES(E°aoNc�uence) $ _ 50,000 CLAIMS MADE E OCCUR _ MED EXP(Any one person) $ 5,000 X XCU PERSONAL&ADV INJURY $ 1,000,000 X OCP $5,000 DEDUCTIBLE/ GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: OCCURRENCE PRODUCTS,COMP/OP AGG $ 2,000,000 POLICY X PRO, LOC JECT AUTOMOBILE LIABILITY COMBINED B D)SINGLE LIMIT $ 1,000,000 ANYAUTO BAP166069 02/09/2008 02/09/2009 E accident) ALL OWNED AUTOS BODILY INJURY X SCHEDULEDAUTOS (Per person) $ X HIREDAUTOS l���q BO DILY INJURY $ X NON,OWNEDAUTOS �c'r F,'vluY1 (Per accident) X MEDICAL PAYMENTS $1,000 DEDUCTIBLE VED 7 MA -- X UNINSURED PROPERTY DAMAGE $ accident) GARAGE LIABILITY A•M'OR,.TE AUTO ONLY,EA ACCIDENT $ ANYAUTO 1�1 OTHERTHAN EAACC I$ AUTOONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE is 10;000,000 C Al OCCUR C CLAIMSMADE BE-0829621-01 05/11/2008 05/11/2009 AGGREGATE _ $ 10;000,000 PRODUCTS>coMP,o's $ 10;000,000 DEDUCTIBLE $ X I RETENTION $10,000 $ STATU, OTH, WORKERS COMPENSATION AND TORWC Y LIMITS ER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT _�$ ANY PROPRIETOR/PARTNER/EXECUTIVE - -- OFFICER/MEMBER EXCLUDED? E.L.DISEASE,EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below ( E.L.DISEASE,POLICY LIMIT 1$ OTHER D PROPERTY 25CC23092810 07/13/2008 07/13/2009 $ 1,650,000 TOTAL INSURED VALUES i $ 1,000 DED PER OCCURRENCE DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS THE"CITY", CITY OF HUNTINGTON BEACH; THEIR ELECTED OFFICIALS,APPOINTED OFFICERS,AGENTS,AND EMPLOYEES AND VOLUNTEERS"SERVANTS"ARE NAMED AS ADDITIONAL INSURED PER ATTACHED . DESCRIPTION: CASH CONTRACTNO. 1301 &1303 MAIN STREET INTERCONNECT CONDUIT&TRAFFIC SIGNAL AT BOLSA CHICA AND RAINBOW DR. (PTM820) " 10 DAY NOTICE OF CANCELLATION FOR NON-PAYMENT OF PREMIUM CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF HUNTINGTON BEACH DATE THEREOF,THE ISSUING INSURER WILAMAX UyMyyA�ILyy yy3yy0y*y DDyAVVYaaS��YYWYYRITTVEVVN ATTN: MR. ERIC R. CHALONNE, CONSTRUCTION NOTICE TO THE CERTIFICATE�HOLDER yNAMED TOy yTHE yLyEFyT,�yByt}Ty Py7Ny myylyTxy-&yxy8y y"8y�AY x� MANAGERelgrOR`CMB1CiTi KfR1U{TPDN TfiE VNTS CJRI R`fl S`AIILIJ TS OR 2000 MAIN ST. * IMXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX> HUNTINGTON BEACH, CA 92648 AUTHORIZED REPRESENTATIVE PATRICK MCRAE ACORD 25(2001/08) 'ACORD CORPORATION 1988 LANDMARK AMERICAN INSURANCE COMPANY This Endorsement Changes The Policy. Please Read It Carefully. ADDITONAL INSURED BLANKET ® PRIMARY AND YOUR WORK This endorsement modifies insurance provided under the following: COMMERICAL GENERAL LIABILITY COVERAGE FORM SCHEDULE Name or Person or Organization: THE "CITY",,- CITY OF HUNTINGTON BEACH; THEIR ELECTED OFFICIALS, APPOINTED OFFICERS, AGENTS, AND EMPLOYEES AND VOLUNTEERS "SERVANTS" A. SECTION 11 - WHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) shown in the SCHEDULE, but only with respect to liability for"bodily injury", "property damage" or"personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; In the performance of your ongoing operating; and/or"your work" defined for the additional insured(s) designated above included in the "products-completed operations hazard". B. If you are required by written contract to provide primary insurance, this policy shall be primary and SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance does not apply, but only with respects to coverage provided by this policy. This endorsement effective 06/1112008 forms part of Policy Number LHA-133090 issued to PTM GENERAL ENGINEERING SERVICES, INC. by LANDMARK AMERICAN INSURANCE COMPANY Endorsement No.: RSG 15017 1207 Includes copyrighted material of Insurance Services Office, Inc 1984 (1185) with its permission COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ 1T CAREFULLY. AMENDMENT - AGGREGATE LIMITS OF INSURANCE (PER PROJECT) This endorsement modifies insurance provided:under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. The General Aggregate Limit under LIMITS OF INSURANCE (SECTION 111) applies separately to each of your projects away from premises owned by or rented to you. CG 25 03 1185 Copyright; Insurance Services Office, Inc., 1984 Page 1 of 1 ❑ This Endorsement Changes The Policy. Please Read It Carefully. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERICAL GENERAL LIABILITY COVERAGE FORM PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM SCHEDULE Name or Person or Organization: THE "CITY",.' CITY OF HUNTINGTON BEACH,- THEIR ELECTED OFFICIALS, APPOINTED OFFICERS, AGENTS, AND EMPLOYEES AND VOLUNTEERS "SERVANTS" The following is added to SECTION IV—CONDITIONS, 8. TRANSFER OF RIGHTS OF REVOVERY AGAINST OTHER TO US: We waive any right of recovery we may have against the person or organization shown in the SCHEDULE above because of payment we make for injury or damage arising out of"your product" or"your work" done under a written contract with that person or organization and included in the "product-complete operation hazard". This waiver applies only to the person or organization shown in the SCHEDULE above. This endorsement effective 05111/2008 forms part of Policy Number LHA-133090 issued to PTM GENERAL ENGINEERING SERVICES, INC. by LANDMARK AMERICAN INSURANCE COMPANY I Endorsement No.: RSG 14048 0903 Includes copyrighted material of Insurance Services Office, Inc 1984 with its permission o MR .��eitt32Fu'.�sp4iN313C�i'e;,•Y•a£7e;^i3;flx.1'i<:i2F,`f!nT August 19, 2008 PTM GENERAL ENGINEERING SERVICES 5942 ACORN ST RIVERSIDE, CA 92504-1040 Re: Barrett Business Services, Inc. ("BBSI") Letter of Self-Insurance for Workers' Compensation Coverage As the named addressee of this Letter, your company's required workers'compensation coverage is provided through BBSI's state approved Self-Insured Workers' Compensation Plan by way of your co-employment contract with BBSI. BBSI's California customers can also verify BBSI's state certification at http://www.dir.ca.gov./SIP/sip.html; next, click on "Rosters"; then click on Private.self insured employers; then scroll down to Barrett(the list is alpha by company name). Additional information is as follows: Self Insurance Certification Number: California: 2246 Oregon: 1068 Washington: 706,116 Delaware: 152 Maryland: 11365 Other Comments(place an "X" if applicable): �X Waiver of Subrogation: BBSI and PTM GENERAL ENGINEERING SERVICES agree to waive their right of subrogation for the benefit of: City of Huntington Beach, its officers, elected and appointed officials, employees and volunteers at Contract #1301 & 1303 Main St. (a)- Bolsa Chica & Robinwood Dr(PTM820) Named "Letter Holder": City of Huntington Beach 2000 Main St. Huntington Beach, CA 92648 7] Other: Coverage Effective Dates: 11/19/07 through 11/18/08- Barrett Business Services will notify the City of Huntington Beach 30 days in advance of a cancellation of coverage for PTM. Additionally, BBSI's self-insured program is further supported by an excess workers' compensation insurance policy with American International Group (AIG), see accompanying certificate of insurance. For additional information, please contact your local BBSI office at: (909) 890-3633 . . Very truly yours, 2�& Michael L. Elich BBSI Office: SAN BERNARDINO Vice President and Chief Operating Officer doc:LOSI-2 8100 NI.1: Park av Drive,Suite 200 Vancouver, Washirigton 98662 360828,0700 80t?A94J 5669 I ax 360.828.0701 CERTIFICATE OF INSURANCE Issue Date Januar�v 1,2008 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION,ONLY AND CONFERS Ron Graybeal NO RIGHTS UPON THE CERTIFICATE,HOLDER, THIS CERTIFICATE DOES NOT Beecher CarlsorVJBL&K AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 220 NW 2nd Avenue~Suite 800 COMPANIES AFFORDING COVERAGE. Portland,OR 97209-3951 COMPANY INSURES W LETTER A National Union Fire Insurance Company of Pittsburg=""PA,(an AIG Company) Barrett Business Services,Inc, COMPANY 8100 NE Parkway,Suite r200 COTTER B COMPANY Vancouver,WA96662 LETTER- C COMPANY LETTER D COMPANY LETTER E COVERAGES THIS 1S TO CERIIFYTHAT-HE POLICIES OE INSURANCE LISTEC 8rzLOVV HAVE BEFN ISSUEo To THE INSLIREO NAMeD ABOVE FOR THE ROUCY PERIOO IN'DICATEO, -'C?I"N1.7NS7RNE�INti ANY REQUIREMENT,TERM OR CONDITION OF; "C ONTRACT OR OTHER DrJ'0UvENT wT11-Ex'..E5PLCT TO H!CH THIS CE-RT€FIC.AYE MAYSS ,SSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS S€BJECT TLS.All THE TERM,$,.EXCLUSIONS,APJt7-CONDITION OF SUC),j POLICIES,:LIMITS'SHC10A MAY HAVE SEEN REDUCED BY OA.DCLAIM,& CO POLIC Y EFFECTIVE EXPIRATION LTR TYPE OF INSURANCE NUMBER DATE DATE GENERAL LIABILITY GENERAL AGGREGATE SxxXxxx Q COMMERCIAL GENERAL LIABILITY Policy Effective Expiration PRODUCTS-COMPIOPS AGGREGATE $XXX,XXX. =CLAIMS MADE =OCCUR Number Date Date PERSONAL&ADVERTISING INJURY $XXX'XXX OWNER'S&CONTRACTORS PROT, EACH OCCURRENCE SxxX,Xxx FIRE DAMAGE(Any one fire) SXXX.XxX MEOIQ�L EXPENSE(Any one.person) $XXX.XXK AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $XXX,XXX ALL OWNED AUTOS BODILY"INJURY(Per person) Sxxx,Xxx" SCHEDULE AUTOS BODILY INJURY(Per accident) $XXx1XXX HIRED AUTOS PROPERTY DAMAGE $XXX XXX NON-OWVNED AUTQS COLLISION DEDUCTIBLE $Z(x XXX GARAGE LIABILITY COMPREHENSIVE DEDUCTIBLE SxXx XXX rEXCESS LIABILITY Q UMBRELLA FORM AGGREGATE SXXxTXxx OTHER THAN UMBRELLA FORM WORKERS'COMPENSATION $16,0Q0,000 LIMIT' A AND 1$1,000.00o EACH ACGIDEN EMPLOYERS'LIABILITY 4898018 11112008 1/112009 $1,000.000 ()ISEASE•POLICYLIMIT $1,004.t500_ DISEASE-EACH"EMPLOYEE) OTHER Covered states-CA,DE,OR,WA DESCRIPTION OF OPERATiONSILOCATIONStVEHICLES/RESTRICTIONStSPEC1AL ITEMS Limits shown are a$5,000,000.self-insured reten on. CERTIFICATE HOLDER CANCELLATION SHOULDANY OF THE ABOVE BE WJCeLEOBEFORE THE EXP RA.n ON DATE T1iis section llnantionall)lePe6lank THEREOF,THE ISSUINrQ COMPANY ftt.S,_MAIL SD DkYS WRITTEN NOTICF,TO THE HOLDER NANIFD TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALT BMPOSE NO GBLIGATION OR LIABILITY OFANY-KiND UPON THE COMPANY ITS AGENTS,OR REPRESENTATIVES Aut>ariZe�RB�r&5aht�.bv9.. F. GTaybea;, CPU, A-M .r A VED TO E RM iE [F McCTRATH,Ci omeyf l 0/6 f TP�1.Js Council/Agency Meeting Held: Cl` Deferred/Continued to: Approved ❑ Conditionally Approved ❑ Denied Ci lerk' Sign re Council Meeting Date: 8/18/2008 Departmen ID Number: PW 08-58 CITY OF HUNTINGTON BEACH REQUEST FOR CITY COUNCIL ACTION i SUBMITTED TO: HONORABLE MAYOR AND CITY COUNCIL MEMY� s SUBMITTED BY: PAUL EMERY, INTERIM CITY ADMINISTTRRATO PREPARED BY: TRAVIS K. HOPKINS, PE, DIRECTOR OF PU LB IC ORKS SUBJECT: Award Traffic Signal Installation Project at Bolsa Chica/Robinwood and Traffic Signal Interconnect on Main Street Statement ofissue,Funding Source,Recommended Action,Alternative Action(s),Analysis,Environmental Status,Attachments), Statement of Issue: The Traffic Signal Installation Project at the intersection of Bolsa Chica Street and Robinwood Drive (CC-1301) and the Installation of Traffic Signal Interconnect Conduit on Main Street from Florida Street to Promenade Parkway (CC-1303) was advertised and eleven bids were received on July 22, 2008. City Council action is requested to award the contract to PTM General Engineering Services, Inc., the lowest responsive and responsible bidder. Funding Source: Funds totaling $992,500 have been appropriated in the current fiscal year from the Traffic Impact Fee, Traffic Signals, Traffic Improvements, Account No. 20690007.82700 for new traffic signal installations including the Bolsa Chica at Robinwood location. Funds totaling $120,000 have been appropriated in the current fiscal year from the Air Quality Management District (AQMD), Traffic Signals, Traffic Improvements, Account No. 20190007.82700 for the installation of traffic signal interconnect conduit and cable along Main Street from Florida Street to Promenade Parkway. Recommended Action: Motion to: 1. Approve the project plans and specifications for the Traffic Signal Installation at the intersection of Bolsa Chica Street and Robinwood Drive (CC-1301) and the installation of interconnect conduit along Main Street from Florida Street to Promenade Parkway (CC- 1303); 2. Accept the lowest responsive and responsible bid submitted by PTM General Engineering Services, Inc., in the amount of $101,500.00; and -�Z/T REQUEST FOR CITY COUNCIL ACTION MEETING DATE: 8/18/2008 DEPARTMENT ID NUMBER: PW 08-58 3. Authorize the Mayor and City Clerk to execute a construction contract in a form approved by the City Attorney. Alternative Action(s): Reject all bids and direct staff to re-advertise or abandon the project. Analysis: The intersection of Bolsa Chica Street and Robinwood Drive has been identified as high priority installation on the Traffic Signal Priority List. For the 2005 Traffic Signal Priority List, the intersection was listed as the number one priority. The ranking on the Traffic Signal Priority List was based on both traffic volume warrants and collision history. The installation of interconnect conduit on Main Street between Florida Street and Promenade Parkway will complete a missing communication link to the City of Huntington Beach traffic signal master located in City Hall. This will provide real time monitoring of two additional traffic signals on Main Street and allow city staff to implement timing from City Hall, resulting in improved traffic progression. A complete set of plans and specifications are available for review at the Public Works counter during normal business hours. Bids were opened publicly on July 22, 2008, and are listed in ascending order: Bidder Submitted Corrected Bid Bid 1 PTM General Engineering Services, Inc., $101,500.00 2 Moore Electrical Contracting, Inc. $101,821.00 3 Macadee Electrical $112,998.00 4 JFL Electric, Inc. $115,400.00 5 California Engineering & Contracting, Inc. $123,100.00 6 Christopher R. Morales, Inc. $123,485.00 7 Steiney & Company, Inc. $127,937.00 8 CSI Electrical Contractors, Inc. $131,990.00 $131,198.00 9 California Professional Engineering, Inc. $143,560.00 10 Dynalectric $155,626.00 11 AK Engineering $175,110.00 The engineer's estimate for the bid items was $165,000. The total estimated cost for this project is $235,000 which includes the City's direct purchase of all major equipment. This practice ensures consistency of equipment among the traffic signals and street lighting maintained by the City. Direct purchase also provides the added benefit of reduced costs to the City due to elimination of contractor mark-ups, typically in excess of 20 percent on this type of equipment. Total supplemental expenses for the project are $50,200 which includes contracted inspection services. -2- 8/4/2008 7:54 AM REQUEST FOR CITY COUNCIL ACTION MEETING DATE: 8/18/2008 DEPARTMENT ID NUMBER: PW 08-58 The reference check for PTM General Engineering Services, Inc. provided acceptable responses from past clients. All other elements of the bid were found to be in compliance with bidding requirements. Therefore, staff recommends that the City Council accept the bid from PTM General Engineering Services, Inc. as the lowest responsive and responsible bidder. Public Works Commission Action: The Public Works Commission recommended the project on March 19, 2008, by a vote of 6-0-1 (Spencer absent). Strategic Plan Goal: (C-1) Improve transportation through a variety of means including improving traffic flow, synchronizing traffic signals, traffic calming, and alternative transportation methods such as bike and walking paths. Environmental Status: This project is categorically exempt pursuant to the California Environmental Quality Act, Section 15303 (c). Attachment(s): fiqh 1. Project Location Ma -3- 8/4/2008 7:54 AM ATTACHMENT # 1 P� �Z c~n ell BOLSA AVE. O Q PROJECT LOCATIONS Mc FADDEN N AVE. x U F EDINGER 4 Q N AVE. Y 0 J Q 0 (n 0 se.m Z m ¢ HEIL- 3 ¢ AVE. m Q = Q 0 N U V) 0 w O N WARNER w o AVE. Q 0 SLATER 0 A E. y m 405 TALBERT AVE. ELLIS AVE. 0 GARFIELC AVE. PACIFIC � � - 7,3-a (n (n (nH ORKTOWN AVE. C' OgSJ �1�� ADAMS AVE. N INDIANAPOLIS AVE. Y F a 0 0 0 ATL=ANTA o zz < AVE. m U W OCEAN m Z m HAMILTON AVE. N tier BANNING A VE. CITY OF HUNTINGTON BEACH * PUBLIC WORKS * TRAFFIC ENGINEERING 210 MAIN STREET INTERCONNECT - CC1301 ATTACHMENT BOLSA CHICA STREET AND ROBINWOOD DRIVE - CC1303 1 RCA ROUTING SHEET INITIATING DEPARTMENT: Public Works SUBJECT: Award Signal Installation at Bolsa Chica & Robinwood and Signal Interconnect on Main St. COUNCIL MEETING DATE: August 18, 2008 RCA_ATAC1-16VIEi�ITS �k STATUS Ordinance (w/exhibits & legislative draft if applicable) Attached ❑ Not Applicable Resolution (w/exhibits & legislative draft if applicable) Attached ❑ Not Applicable Tract Map, Location Map and/or other Exhibits Attached Not Applicable ❑ Contract/Agreement (w/exhibits if applicable) Attached ❑ (Signed in full by the City Attorney) Not Applicable Subleases, Third Party Agreements, etc. Attached ❑ (Approved as to form by City Attorney) Not Applicable Certificates of Insurance (Approved by the City Attorney) Attached ❑ Not Applicable Fiscal Impact Statement (Unbudgeted, over $5,000) Attached ❑ Not Applicable Bonds (If applicable) Nott Applicable Staff Report (If applicable) Attached t Applicable Commission, Board or Committee Report (If applicable) Attached ❑ Not Applicable Findings/Conditions for Approval and/or Denial Nott Applicable : EXPL/lNATI®N FOR MISSINQ%TTACHMtNTS ' RE�/IEWED RETURNED FOR 'r A DED Sv Administrative Staff ( ) } Deputy City Administrator (Initial) ( ) ( ) City Administrator(initial) City Clerk ( ) EXPLANATION,4FO'R-RETURN OF ITEM:` ,. :. s RCA Author: Janusz:jg City of Huntington Beach CC-1301 & CC-1303 Main Street Interconnect Conduit&Traffic Installation at Bolsa Chica&Robinwood Bid Opening: July 22, 2008 @ 2:30 P.M. Engineer's Estimate: $300,000 Rank Bidder's Name Bid Amount Corrected Bid Amount ( � AK Engineering California Engineering&Contracting,Inc. ` California Professional Engineering,Inc. T Christopher R.Morales,Inc. CSI Electrical Contractors Dynalectric JFL Electric Macadee Electrical / Q McCain,Inc. j Moore Electrical Contracting,Inc. A04 4 1 / J ` PTM Engineering Ramilan Electric,Inc. Republic ITS Steiny&Company,Inc. j — 0-3 C\j C\f 00 f4d 2z Iflf" Gooz $.j J i 4 NOTICE INVITING SEALED BIDS for CC-1301 and CC-1303 Notice is hereby given that sealed bids will be received by the City of Huntington Beach at the office of the City Clerk at City Hall, 2000 Main Street, Huntington Beach, CA 92648, until the hour of 2:30 PM on July 22, 2008, at which time bids will be opened publicly and read aloud in the Council Chambers for the Installation of Interconnect Conduit on Main Street, CC-1301 and the Traffic Signal Installation at Bolsa Chica Street and I2obinwood Drive, CC-1303 n the City of Huntington Beach. A set of plans, specifications, and contract documents may be obtained starting June 26, 2008 at City Hall, Department of Public Works upon receipt of a non-refundable fee of 530.00, sales tax included, if picked up or 540.00 if mailed (bidder shall pay additional costs for special delivery). Each bid shall be made on the Proposal Form provided in the contract documents, and shall be accompanied by a certified or cashier's check or a bid bond for not less than 10% of the amount of the bid, made payable to the City of Huntington Beach. The Contractor shall, in the performance of the work and improvements, conform to the Labor Code of the State of California and other Laws of the State of California applicable thereto, with the exception only of such variations that may be required under the special statutes pursuant to which proceedings hereunder are taken and which have not been superseded by the provisions of the Labor Code. Preference to labor shall be given only in the manner provided by law. No bid shall be considered unless it is made on a form furnished by the City of Huntington Beach, Department of Public Works, and is made in accordance with the provisions of the proposal requirements. Each bidder must be licensed as required by law. The City Council of the City of Huntington Beach reserves the right to reject any or all bids. By order of the City Council of the City of Huntington Beach, California the 4th day of September 2007,by RESOLUTION 2007-55. /s/Joan L. Flynn City Clerk of the City of Huntington Beach 2000 Main Street. (714) 536-5431 CC-1301 and CC-1303 CITE' OF HUNTINGTON BEACH 2000 Main Street P . O . Box 190 Huntington Beach , CA 92 64 8 LETTER OF TRANSMITTAL Fax (714) 374-1573 Attention: Joan L. Flynn Date: June19, 2008 To: City Clerk's Office Project/C.C. No.: C.C.No. 1301 & 1303 2000 Main Street Regarding: Huntington Beach, CA 92648 ❑ We are sending you: ❑ By Mail ❑ By Fax Mail(Number of pages including this sheet:) ® We are hand delivering: ❑ Attached ❑ Under a separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change Order ® Other: Notice Inviting Sealed Bids Item-# I Copies Pa'es -I -Descri tion 1 1 1 Notice Inviting Sealed Bids for CC-1301 & 1303 2 (Installation of Interconnect Conduit on Main Street and the Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive 3 These are transmitted as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ® For your use ❑ Approved as noted ❑ Submit copies for distribution ® For your action ❑ Returned for corrections ❑ Return corrected prints ❑ For review/comment ❑ Other: Remarks: Per Resolution 2007-55 (adopted on September 4, 2007), the City Council authorized the advertisement of the above Project. Please find attached the Notice Inviting Sealed Bids for advertisement on 6/26/08, 7/3/08, 7/10/08 & 7/17/08. The bid opening is scheduled for 7/22/08. Please contact me at 374-1628 with any questions you may have. c: file By; William F.Janusz, P14fepal Civil Engin GACONSTRUCTION CONTRACTS(CCS)\CC1301\NISB TRANSMrrALTo CLERK-CC-1301.DOC Huntington Beach Independent has been adjudged a newspaper of general circulation in Huntington Beach and Orange County by Decree of the Superior Court of Orange County, State of California,under date of Aug. 24, 1994,case A50479. PROOF OF PUBLICATION STATE OF CALIFORNIA ) ) SS. COUNTY OF ORANGE ) am the Citizen of the United States and a resident of the County aforesaid;. [-,am over NOTICE INVITING SEALED BIDS for the age of eighteen years, and not a party CC-1301andCC-1303 to or interested in the below entitled matter. Notice is hereby given that sealed bids will be received by the City of Huntington Beach.at am a principal clerk of the HUNTINGTON i, the office of the City Clerk at City Hall, 2000 Main Street, Huntington Beach, CA until BEACH INDEPENDENT, a newspaper of the hour of 2:30 PM on July 22, 200 2008, at which time bids will be opened publicly and general circulation, printed and published in read aloud in the Council Chambers for,the Installation of Interconnect Conduit on Main the City of Huntington Beach, County of Street,CC-1301 and the Traffic Signal Instal- lation at Balsa Chico Street and Robinwood Orange, State of California, and the Beach. CC 1303 the. City of Huntington attached Notice is a true and complete copy A Set of plans, specifications, and contract documents may be obtained starting June 26, as was printed and published on the 2008 at City Hall, Department of Public Works upon receipt of a non-refundable fee of$30.00, following date(s): sales tax included, if,picked up or $40.00 if mailed (bidder shall pay additional costs for special delivery). Each bid shall be made on the Proposal Form provided in the contract documents, and shall be accompanied by a certified or cashier's check or a bid bond for not less than.10% of the amount of the bid, made payable to the City of Huntington Beach. The Contractor shall, in the performance of the work and improvements, conform to the Labor Code of the State .of California and 'other Laws .of the State of June 26, 2008 California applicable thereto,with the exception only of such variations that may be required i July 3, 10, 17, 2008 under the special statutes pursuant to which proceedings hereunder are taken and which have not been superseded by the provisions of the Labor Code. Preference to labor shall be given only in the manner provided by law. . No bid shall be considered unless it is made on a form furnished by the City of Huntington Beach,Department of Public Works,and is made in accordance with the provisions of the proposal requirements. , declare, under penalty of perjury, that the laWach bidder must be licensed as required by forenOln IS true and correct. The City Council of the City of .Huntington going Beach reserves the right',to reject.any or all bids. By order of the City Council of the City.of Huntington.Beach,.California the 4th day of I September 2007,by RESOLUTION 2007-55. Executed on Jul 17 2008 /s/Joan L.Flynn y , City Clerk of the City of Huntington Beach 2000 Main Street.(714)'536-5431 at Huntington Beach, California Published Huntington Beach Independent June 26,Ju11y 3,10,17,2008 064-902 Signat e Huntington Beach Independent has been adjudged a newspaper of general circulation in Huntington Beach and Orange County by Decree of the Superior Court of Orange County,State of California,under date of Aug.24, 1994, case A50479. PROOF OF PUBLICATION STATE OF CALIFORNIA ) ) SS. COUNTY OF ORANGE ) I am the Citizen of the United States and a resident of the County aforesaid; I am over the age of eighteen years, and not a party I NOTICE INVITING SEALED BIDS to or interested in the below entitled matter. for M1301 and CC-13031 1 am a principal clerk of the HUNTINGTON Notice is hereby given that sealed bids will be received by the City of Huntington Beach at BEACH INDEPENDENT, a newspaper of the office of the City Clerk at City Hall, 2000 Main Street, Huntington Beach, CA 92648, until general circulation printed and published in the'hour of 2:30 PM on July 22, 2008, at which time bids will be opened publicly and the City of Huntington Beach, County of read aloud in the Council Chambers for the Installation of Interconnect Conduit on Main Orange, State of California, and the street,Cr1301 and the Traffic Signal Instal- lation at Balsa Chico Street and Robinwood attached Notice is a true and complete copy I Drive,' CC-1303 in the City of Huntington Beach. as was printed and published on the A set of plans,, specifications, and contract documents may tie obtained starting June 26, following date(s): 2008 at City Hall, Department of Public Works upon receipt of a non-refundable fee of$30.00, j sales tax included, if picked up or $40.00 if mailed (bidder shall pay, additional costs -for special delivery). Each bid shall be.made on the Proposal Form provided in the contract documents, and shall i be accompanied by a certified or cashier's check or-a bid bond for not less than 10% of the amount of the bid, made payable to the City of Huntington.Beach. The Contractor shall, in the performance of the work and improvements, June 26, 2008 conform to the Labor Code of the State of California and other Laws of the State of July 3, 10, 17, 2008 i California applicable thereto, with the exception only of such variations that„may be required under the special statutes pursuant to which proceedings hereunder are taken and which have i not been superseded by the'provisions of the Labor Code. Preference to labor shall be given only in the manner provided by law. No bid shall be considered unless it is made on a form furnished by the City of Huntington — Beach,Department of Public Works,and is made declare, under penalty of perjury, that the accordance with the, provisions of the i proposal requirements. Each bidder must 6e licensed as required by foregoing is true and correct. la The City Council of the City of Huntington Beach reserves the right to reject any or all bids. By order of rthe City Council of the City of Executed on July 17 2008 Huntington Beach, California the 4th day of i September 2007,by RESOLUTION 2007-55. at Huntington Beach, California City Clerk oflynn the City of Huntington Beach 2000 Main Street.(714).536-5431 Published Huntington Beach Independent June I 26,JuI 3,10,17;2008 064-902 Signature UNSUCCESSFUL BIDS CC- 13 01 & CC- 13 03 Main Street Interconnect Conduit and the Traffic Signal Installation at Bolsa Chica Street & Robinwood Drive City Hu tington Beach CC 301 `& CC-1303 Main Street Interconnect Conduit Tra Pic Installation at Bolsa Chica& Robinwood Bid Opening: 22, 2008 @ 2:30 P.M. Engineer's Estimate: $300,000 Rank Bidder's Name Bid Amount Corrected Bid Amount I AK Engineering 7 S- 116.. J6 d O SCalifornia Engineering&Contracting,Inc. / Z 3 Im.00 C7 California Professional Engineering,Inc. 4-3 5 6 C>f d o Christopher R.Morales,Inc. O r� ps- v p G f gCSI Electrical Contractors O / ! /0 Dynalectric / �S / �. 00 JFL Electric / �' 4Co. 0 0 I / 3 Macadee Electrical ' /%'/Qd. Q D McCain, Inc. 2 Moore Electrical Contracting, Inc. J Q l Q2 PTM Engineering Ramilan Electric,Inc. Republic ITS ------. 7 Steiny&Company, Inc. Z 7 37 00 1�fl CITY OF HUNTINGTON BEACH 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY CLERK JOAN L. FLYNN CITY CLERK September 22, 2008 CSI Electrical Contractors 10623 Fulton Wells Ave. Santa Fe Springs, CA 90670 RE: CC-1301 & CC-1303 — Main St. Interconnect Conduit & the Traffic Signal Installation at Bolsa Chica St. & Robinwood Drive Enclosed please find your original bid bond for CC-1301 and CC-1303. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe enclosure g:/foHowup/cashcont/ret urn bid bond.doc (Telephone: 714-536-5227) 7'� Transportation Group j Lo. Senior Estimator R. U Office: 562.236.9820 U Fax: 562.236.9499 2008 JUL 2 2 PH 1 56 Cell: 562,824,1031 W-- steven.kujawa@csieIectric.com Z z JU 10623 Fulton Wells Avenue -L! Uj Santa Fe Springs, CA 90670 Enx eftR.i 'AV 7/- SECTION C PROPOSAL for the Main Street Interconnect Conduit And the Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive CC Nos. 1301 and 1303 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 40 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 4 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find 6W es 64 in the amount of$ i en 7:� which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 SECTION C PROJECT BID SCHEDULE Traffic Signal at Bolsa Chica Street and Robinwood Drive And the Main Street Interconnect Conduit CC 1301 and CC 1303 PROJECT BID: SUMMARY-PROJECT BID: SUBTOTAL-TRAFFIC SIGNAL INSTALLATION AT BOLSA CHICA STREET AND ROBINWOOD DRIVE $ /off10 SUBTOTAL-MAIN STREET INTERCONNECT CONDUIT $ 2�3 58 C oQ TOTAL AMOUNT BID IN FIGURES: $ /3 I ,c?c?,D TOTAL AMOUNT BID IN WORDS: (� C-2.1 Project Bid Schedule Main Street Interconnect Conduit CC-1301 IYerriEst�rnated � temW ith01 Urut�nce Waxen}uU4oresiliut cextended � b 0 s °' QUalltl "' _ 5,10 .x �` uva 110UIt 1,511 1 1 L.S. Mobilization oa a @ 0A $ly Per LS 2 1 L.S. Furnish Project Traffic Control „ �/� i�n $ ZS 9 — Per LS 3 1 L.S. Construct Main Street Interc^onneect Conduit @ lWe o.aSas- G%a $ O ate' $L'®�9,Q� Per LS p c7 Subtotal—Main Street Interconnect Conduit Subtotal,—Main Street Int�erc�-onnect Conduit in words: jw e _ +r�� 1 ►.�c�Sc� �c�t-: �t i"a a(Lc�r S C-2.2 Project Bid Schedule Traffic Signal at Bolsa Chica and Robinwood Drive CC-1303 3 e m 4 r <V Ztem EstimatedTtemWithUnitzPncWriteni Words Umt PnceERtendd` � � ll :'.� ` a.t � x� 1 I L.S. Mobilization (95'— feTtw�sc.-. �e $ 1530 ` $���© Per LS 2 1 L.S. Furnish Project Traffic Control $�OG�CJ Per LS 3 1 L.S. Install Traffic Signal at Bolsa Chica Street and Robinwood Drive $ © $ 99�4-2 0 �� ✓t��y tP�I /iLl�.s WCJ-�..C/- / Per LS 4 1 L.S. Traffic Striping and Signing o� Per LS C� Subtotal- Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive $�/_T Subtotal- Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive in words: rr�� Note: The City will provide the traffic signal controller and service cabinet, all traffic signal poles, mast arms, luminaries, vehicle heads, pedestrian heads,push buttons, internally illuminated street name signs, emergency vehicle preemption sensors, block information signs, and fittings at no cost to the contractor. Contractor is to pick up the materials at the City Yard, 17371 Gothard Street. Contact George Ruff two working days in advance for pick up at (714) 375-5015. C-2.3 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion Name and Address of Subcontractor State License Class of Work Number L ? �L ; rJc01`r.� c Z a6 t O �p 7 So hG :5' e 7 C� 9Z� 88 � I7 By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange being first duly sworn, deposes and says that he or she is of C'si C( the parry making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Name of Bidder Signature of Aidder Address of Bidder Subscribed and sworn to before me 's day of , 20 _ NOTARY PUBLIC NOTARY SEAL C-a CALIFORNIA JURAT WITH AFFIANT STATEMENT See Attached Document (Notary to cross out lines 1-6 below) ❑ See Statement Below (Lines 1-5 to be completed only by document signer[s], not Notary) i Signature of ocument Signer No.1 Signat a of Document Signer No.2(if any) State of California County of wo, Subscribed and sworn to (or affirmed) before me on this o�h�day of U 20 O'� by Date (onth Year (1) fl . Name of Signer proved to me on the basis of satisfactory evidence to be the person who appeared before me (and � � (2) i�il R AtVAR62 Name of Signer NEM Com FUb - collor i proved to me on the basis of satisfactory evidence �Y ltibitc•Calitor>lfio LOS Angelo$ County to be the person who appeared befl e.) NA►Gar+xn.8l�ila�Mor7,�p12 — Signatur -Q/1 Sign re Place Notary Seal Above OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Top of thumb here Top of thumb here Further Description of Any Attached Document Title or Type of Document: Document Date:V "V6 Number of Pages: : Signer(s)Other Than Named Above: ©2007 National Notary Association•9350 De Soto Ave.,P.O.Box 2402•Chatsworth,CA 91313-2402•www.NationaiNotary.org Item#5910 Reorder:Call Toll-Free 1-800-876-6827 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY-OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract,known as the Traffic Signal Modifications at Center & One Pacific Plaza and Springdale & Heil (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. J/4�\ on—A rJ_,_S r"4__ Contractor By Title Date: -7 --ZZ--,9q C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes No Z�I If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Contractor By e Title Date: 7 - ZZ --01� C-7 UNDERGROUND SERVICE ALERT IDENTIFICATION NUMBER (To be completed only by the awarded Contractor prior to excavation) No excav 'on will be permitted until this form is completed and returned to the AGENCY. Section 4216/4 7 of the Government Code requires a Dig Alert Identification Number be issued before a Permit to cavate will be valid. To obtain a Dig Alert Id tification Number, call Underground Service Alert at 1-800-422-4133 a minimum of two working ays before scheduled excavation. Dig Alert Identification Number: Contractor By Title Date: Note: This form is required for every Dig Alert Identification Number issued by U.S.A. during the course of the Work. Additional forms may be obtained from the AGENCY upon request. C-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name Business Address City, State Zip Telephone Number ?,off State Contractor's License No. and Class �/- ,5)2- - /990 Original Date Issued Expiration Date The work site was inspected by4 ,,S,Kw�4..�a of our office on U �� / , 20tg-' The following are persons, firms, and corporations having a principal interest in this proposal: C-9 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform;the contract for the proposed work and improvements in accordance with the plans and specifications set forth. n�-c- L-t C.. r'S c_-ct J` l_.�o (�e�... �e , _�.l-:mac- Company Name Signature of Bidder Printed or Typed Signature Subscribed and swo before me this_day of , 200_ . NOTARY PUBLIC NOTARYSEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1. — S' W-//—J- -J- Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 2. Name and Address of Pub ' Agency Name and Telephone No. of Proj t Manager: Contract Amount Type Work Date Completed 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed C-10 CALIFORNIA JURAT WITH AFFIANT STATEMENT 7ee Attached Document (Notary to cross out lines 1-6 below) ❑ See Statement Below (Lines 1-5 to be completed only by document signer[s], not Notary) Sign ure of Document Signer No.1 Sig ture of Document Signer No.2(if any) State of California County of t&-_2 L4 1 A' Subscribed and sworn to (or affirmed) before me on this 924 day of 6 1204, by Date Month ` Year Name of Signer proved to me on the basis of satisfactory evidence to be the person who appeared before me (and JAEMJENN IFER AlVAREZ (2) Name of Signer Commbslon* 1793012 CMMM Notary►ubpa -California � proved to me on the basis of satisfactory evidence 3wlOS Angeles County to be the person who appeared bef _e me.) WCOM-800111lit �C Signature An re of N Place Notary Seal Above OPTIONAL Though Though the information below is not required by law, it may prove _ valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Top of thumb here Top of thumb here Further Description of Any Attached Document Title or Type of DocumentAdo Document Dater �✓ i "Ob Number of Pages: v �� L Signer(s)Other Than Named Above: a cam: 02007 National Notary Association-9350 De Soto Ave.,P.O.Box 2402-Chatsworth,CA 91313-2402•www.NationaiNotary.org Item#5910 Reorder:Call Toll-Free 1.800-876-6827 SELECTED TRANSPORTATION JOB LIST ELECTRICAL CONTRACTORS 1 Project A1002 Radar Speed Signs Owner City of Glendale Address 633 E. Broadway, Room 300 Address Glendale, CA 91206 Contact Violet Nielsen Phone 818 548-2716 Value $125,433 % Complete 100%, 2006 2 Project A1004 Safe Routes to School Owner City of South Gate Address 8650 California Ave Address South Gate, CA 90280 Contact Abdulla Ahmed, Jack Perich Phone 323 563-9581 (cell 323 216-9508), 714 914-8370 Value $829,450 % Complete 100%, 2007 3 Project 6611000 Roadway Lighting Conversion, 10 & 110 Freeways Owner Cal-Trans Dist. 7 (State of California) Address 14620 Carmenita Road Address Norwalk, CA 90650 Contact Paul Wang Phone 562 926-2537 (cell 562 755-9216) Value $2,248,207 % Complete 99%, 2007 4 Project 6611004 Loop Road East, Irvine Owner Hathaway Dinwiddie Address 811 Wilshire Blvd, Ste.1500 Address L.A., CA 90017 Contact Jose Ignes Phone 213 236-0500 (cell213 952-8009 Value $146,813 % Complete 100%, 2007 5 Project 6611007 Signalization, Park& 10th Owner City of Long Beach Address 333 W. Ocean Blvd. 10th Floor Address Long Beach, CA 90802 Contact Teodoro Noel Phone 562 570-5172 (cell 562 577-6252) Value $160,067 % Complete 100%, 2007 6 Project 7611000 Azusa Ave Intersections Owner City of West Covina Address 1444 W. Garvey Ave Address West Covina, CA 91793 Contact Miguel Hernandez Phone 626 939-8731 Value $884,217 % Complete 87%, 2007 Updated 30Aug'07 Bond No. 5466560 KNOW ALL MEN BY THESE PRESENTS,that we, CSI Electrical Contractors, Inc. as principal,and the GREAT AMERICAN INSURANCE COMPANY,a corporation existing under the laws of the State of Ohio,having its Administrative Office at 580 Walnut Street, Cincinnati,Ohio 45202,as surety, are held and firmly bound unto City of Huntington Beach as obligee, in the penal sum of Ten Percent of the Amount Bid 4 Dollars($ 10%**** ) ,lawful money of the United States of America,for the payment of which, well and truly to be made,we bind ourselves, our heirs,executors,administrator,successors and assigns,Jointly and severally,firmly by these presents. SIGNED, sealed and dated this 14th day of July 2008 WHEREAS, the said principal CSI Electrical Contractors, Inc. herewith submitting a proposal for Main St. Interconnect Conduit Traffic Signal Install at Bolsa Chica and Robinwood NOW, THEREFORE, the condition of this obligation is such that,if the said principal shall be awarded the said contract,and shall within Ninety ( 90 } days after receiving notice of such award enter into a contract and give bond for the faithful performance of the contract, then this obligation shall be null and void otherwise the principal and surety will pay unto the obligee the difference in money between the amount of the principal's bid and the amount for which the obligee may legally contract with another party to perform the work, if the latter amount be in excess of the former, but in no event shall the liability hereunder exceed the penal sum hereof. CSI Electrical Contractors, Inc. GREAT AMERICAN INSURANCE COMPANY Principal B . _ Rene Brancheau Attorney-in-Fact F.9116 GREAT AMERICAN INSURANCE COMPANY® Administrative Office: 580 WALNUT STREET• CINCINNATI,OHIO 45202• 613-369-5000• FAX 613-723-2740 The number of persons authorized by this power of attorney is not more than FOUR No.0 14270 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the GREAT AMERICAN INSURANCE COMPANY,a corporation organized and existing under and by virtue of the laws of the State of Ohio,does hereby nominate,constitute and appoint the person or persons named below its true and lawful attorneyin-fact,for it and in its name,place and stead to execute in behalf of the said Company,as surety,any and all bonds,undertakings and contracts of suretyship,or other written obligations in the nature thereof,provided that the liability of the said Company on any such bond,undertaking or contract of suretyship executed under this authority shall not exceed the lirrit stated below. Name Address Limit of Power ROBERT W.BADER ALL OF ALL MARIE HALL PASADENA, $75,000,000.00 RENE BRANCHEAU CALIFORNIA DANIEL J.McGANN This Power of Attorney revokes all previous powers issued in behalf of the attomey(s)-in-fact named above. IN WITNESS WHEREOF the GREAT AMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this 27t° day of, APRIL 2006. Attest GREAT AMERICAN INSURANCE COMPANY STATE OF OHIO,COUNTY OF HAMILTON-ss: DAVID C.KITCHIN (513-369-3811) On this 27'a day of APRIL , 2006, before me personally appeared DAVID C.KITCHIN,to me known,being duly sworn, deposes and says that he resides in Cincinnati,Ohio,that he is the Divisional Senior Vice President of the Bond Division of Great American Insurance Company,the Company described in and which executed the above instrument;that he knows the seal of the said Company;that the seal affixed to the said instrument is such corporate seal;that it was so affixed by authority of his office under the By-Laws of said Company,and that he signed his name thereto by like authority. This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company by unanimous written consent dated March 1,1991 RESOLVED: That the Division President,the several Division Vice Presidents and Assistant Vice Presidents,or any one of them,be and hereby is authorized,from time to time,to appoint one or more Attorneys-in-Fact to execute on behalf of the Company,as surety,any and all bonds,undertakings and contracts of suretyship,or other written obligations in the nature thereof to prescribe their respective duties and the respective limits of their authority;and to revoke any such appointment at any time. RESOLVED FURTHER:That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary of the Company may be affixed by facsimile to any power of attorney or certificate of either given for the execution of any bona undertaking,contract or suretyship, or other written obligation in the nature thereof,such signature and seal when so used being hereby adopted by the Company as the original signature ofsuch officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though manually affixed. CERTIFICATION I,RONALD C.HAYES,Assistant Secretary of Great American Insurance Company,do hereby certify that the foregoing Power of Attorney and the Resolutions of the Board of Directors of March 1, 1993 have not been revoked and are now in full force and effect. Signed and sealed this 1 4 th day of, JU 1y 2008 S 1029T(11101) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of U?,..z.3"�'C�l�S On 77 0 before me, _t Pry Date FTere Insert Name and Title of the Officer" personally appeared ` NeeGy� who proved to me on the basis of satisfactory evidence to be the personpo whose name*is/9 subscribed to the within instrument and acknowledged to me that he/$e@/10e9 executed the same in his/t)@6trpW authorized capacity(i�4 and that by his/lagr/tnr signature on the instrument the person or the entity upon behalf of VMW C.GONZAtEs which the persono4..acted, executed the instrument. ConvnWIon 1684564 _m NOor Ktft ry o I certify under PENALTY OF PERJURY under the laws My Comm.ExptreaJul29.2010 of the State of California that the foregoing paragraph is true and correct. WITNESS my h nd and officials a Signature Place Notary Seal Above ignature of Notary Pu i OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document n / Title or Type of Document: "\_ P Pe-k C�Ccs Document Date: Number of Pages: Signer(s) Other Than Na d Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer—Title(s): ❑ Partner—❑ Limited ❑ General ❑ Partner—❑ Limited ❑ General ❑ Attorney in Fact • ❑Attorney in Fact • ❑ Trustee Top of thumb here ❑Trustee Top of thumb here ❑ Guardian or Conservator ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02007 National Notary Association•9350 De Soto Ave.,PO.Box 2402•Chatsworth,CA 91313-2402•www.NationalNotary.org Item#5907 Reorder:Call Toll-Free 1-800-876-6827 CITY OF HUNTINGTON BEACH 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY CLERK JOAN L. FLYNN CITY CLERK September 22, 2008 AK Engineering 1254 S. Waterman #17 San Bernardino, CA 92408 RE: CC-1301 & CC-1303 — Main St. Interconnect Conduit & the Traffic Signal Installation at Bolsa Chica St. & Robinwood Drive Enclosed please find your original bid bond for CC-1301 and CC-1303. Sincerely, a Vd Joan L. Flynn, CIVIC City Clerk JF:pe enclosure g:/foIlowup/cashcont/return bid bond.doc (Telephone: 714-536-5227) J � J NA 12, Se ZOOO JU!_ 2 2 PH 2: 08 HU a, TO� CAIAXCC c SECTION C PROPOSAL for the Main Street Interconnect Conduit And the Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive CC Nos. 1301 and 1303 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 40 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. �4.>t D-t�-S Accompanying this proposal of bid, find ff�,a%A lb in the amount of$ , which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 SECTION C PROJECT BID SCHEDULE Traffic Signal at Bolsa Chica Street and Robinwood Drive And the Main Street Interconnect Conduit CC 1301 and CC 1303 PROJECT BID: SUMMARY—PROJECT BID: SUBTOTAL—TRAFFIC SIGNAL INSTALLATION AT BOLSA CHICA STREET AND ROBINWOOD DRIVE $ I I U ► d0 0 0� a� SUBTOTAL-MAIN STREET INTERCONNECT CONDUIT $ o� TOTAL AMOUNT BID IN FIGURES: $ S Q TOTAL AMOUNT BID IN WORDS: 1, One ktxA�mJ Seueoltj 4-r C-2.1 Project Bid Schedule Main Street Interconnect Conduit CC-1301 z Y aC3 � s TternY�� Es unated� 'tem i tW 1. need fti to min or;y sF �1J ut P cep' Exten ec138 NoyQuantity h �� =t= : : 1 ao 1 ON 1 L.S. Mobilization ar $ ssoo $ 35Db Per LS 2 1 L.S. Furnish Project Traffic Control , m @ TLJ J T�SuSGn1d $ goo $ Per LS 3 1 L.S. Construct Main Street Interconnect Conduit D V%Q ky kip-J 3c.n Per LS Subtotal-Main Street Interconnect Conduit $ Ip 1 / 0 Subtotal-Main Street Interconnect Conduit in words: C-2.2 Project Bid Schedule Traffic Signal at Bolsa Chica and Robinwood Drive CC-1303 ,E'stimated „Iem�WiliUnitPceWntte�u%Words ViutPncex3 x Etendecl `, 1 1 L.S. Mobilization ` ae (�1 yl0 a S�n s $ � $ Per LS 2 1 L.S. Furnish Project Traffic Control w f,o @ R tea- � $Yio�S••.+� $ 50,00 Per LS 3 1 L.S. Install Traffic Signal at Bolsa Chica Street and a Robinwood Drive $ Ln,60 $ 6 n o Per LS 4 1 L.S. Traffic Striping and Signing Per LS QC Subtotal- Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive $ ► _01 Subtotal- Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive in words: Note: The City will provide the traffic signal controller and service cabinet, all traffic signal poles, mast arms, luminaries, vehicle heads,pedestrian heads,push buttons, internally illuminated street name signs, emergency vehicle preemption sensors, block information signs, and fittings at no cost to the contractor. Contractor is to pick up the materials at the City Yard, 17371 Gothard Street. Contact George Ruff two working days in advance for pick up at (714) 375-5015. C-2.3 . r LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion Name and Address of Subcontractor State License Class of Work Number By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 F NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of merge-- Vk mp,L— , bein first duly sworn, deposek and says that he or she is n Q M C �'L of ''� the party making the foregoing bid that the bid is not made in the interest o , or on the be alf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. 8 K 046-1 of EC2-i Name of Bidder Signature of Bidder 12!;-y S- w QUO Address of Bidder Subscribed and sworn to before me thisZ"�� day of JL)C- , 20.0 A.R.DADABHOY 4 .- COMM.#1703036 m Notary PubOaCdffomia LALOSANGSM COUNTY PMyCorr0.EV.NW4,2010 NOTARY PUBLIC NOTARY SEAL C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the Main Street Interconnect Conduit and Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive CC 1301 and CC 1303, (I)(we)(it) will employ and .utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance With all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Contractor KaL,n.a !` By Title Date: C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes *0 If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. c Contractor By nw �e Title Date: C-7 UNDERGROUND SERVICE ALERT IDENTIFICATION NUMBER (To be completed only by the awarded Contractor prior to excavation) No excavation will be permitted until this form is completed and returned to the AGENCY. Section 4216/4217 of the Government Code requires a Dig Alert Identification Number be issued before a Permit to Excavate will be valid. To obtain a Dig Alert Identification Number, call Underground Service Alert at 1-800-422-4133 a minimum of two working days before scheduled excavation. Dig Alert Identification Number: Contractor 14' v�, � L� By nwKe r Title r' Date: Note: This form is required for every Dig Alert Identification Number issued by U.S.A. during the course of the Work. Additional forms may be obtained from the AGENCY upon request. C-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Lz-M k", Bidder Name _ l Z� � S, Business Address City, State Zip cal cl) g9 o- oq T IG �� c`1 cq) Telephone Number AoS 33 1a r� iJ ►r State Contractor's License No. and Class Original Date Issued i1 - 310 o7 Expiration Date The work site was inspected by CMof our office on 1— ll�' , 20 a$ The following are persons, firms, and corporations having a principal interest in this proposal: C-9 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Company Name Signature of Bidder Printed or Typed Signature Subscribed and sworn to before me this day of V L , 200 Ss" A.R.DADABHOY s COMM.#1703036 m t» Notary Putgbl'.Womia N W LOS ANGR B COUNTY NOTARY PUBLIC .�...... My Coami.Up.Nov 4,2010 NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: l C% wG�\ C!iO - 63Z Name an ddre of Public Agency Name and Telephone No. of Project Manager: skV2, Skra0es r Contra t Amount Type of Work Date Completed 2. KV 49 Nam A ess of Public Agency Name and Telephone No. of Project Manager: y r 2-J A Contract Amount Type of Work Date Completed 3. Cc c:t� C O 1 0 - 0 " Name wid�AddQss A Public Ag ncy rn Na e d Telephone No. of Project Manager: (�bkAH SS , o 31 . ,. �� LC 4 2_ Zv-ob Contract Amount Type of Work Date Completed C-10 FINANCIAL PACIFIC INSURANCE COMPANY P.O. Box 292220, Sacramento, CA 95826 BID BOND B907044 BID DATE 7/22/08 KNOW ALL MEN BY THESE PRESENTS: That we AK Engineering as Principal, hereinafter called the Principal, and FINANCIAL PACIFIC INSURANCE COMPANY of Sacramento, California, a corporation duly organized under the laws of the State of California as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach as Obligee, hereinafter called the Obligee, in the sum of Ten Percent of Amount Bid (10% of Amount Bid), for the payment of which we bind ourselves, our legal representatives, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, Principal has submitted or is about to submit a proposal to the Obligee for: Main Street Interconnect Conduit and Traffic Signal Installation at Bolsa Chica St and Robinwood Drive NOW, THEREFORE, if the said contract be awarded to Principal and Principal shall, within such time as may be specific, enter into the contract in writing and give such bond or bonds as may be specified in the bidding or contract documents with surety acceptable to Obligee; or if Principal shall fail to do so, pay Obligee the damages which Obligee may suffer by reason of such failure not exceeding the penalty of this bond, then this obligation shall be void; otherwise to remain in full force and effect. Signed and Sealed this 18th day of July, 2008. Financial Pacific Insurance Company AK Engineering (Surety) (Principal) By: By: Ka Pamela McCarthy, Attorney-in-Fact I :ALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT State of California > SS. County of San Bernardino On July 18, 2008 before me, Frances Lefler Notary Public Name and Title of Officer(e.g.,"Jane Doe,Notary Public") personally appeared Pamela McCarthy Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her authorized capacity, and that by her signature on the instrument the person, or the entity upon behalf of which the person ( acted, executed the instrument. { FRANCES LEFLER I certify under PENALTY OF PERJURY under the laws of J COMM. # 1798660 the State of California that the foregoing paragraph is ; Z NOTARY PUBLIC-CALIFORNIA true and correct. u SAN BERNARDINO COUNTY v S " My Comm.Expires May 20,2012 WITNESS my hand and official seal. ; �3 i igna re of Notary Public tev OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document s Title or Type of Document: Document Date.- Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: O Individual O Corporate Officer Title O Partner -- O Limited O General 7Top7here O Attorney-in-Fact O Trustee s O Guardian or Conservator 3 Other: Signer is Representing: LIMITED POWER OF ATTORNEY Financial Pacific Insurance Company BOND NUMBER B907044 POWER NUMBER 907044 PRINCIPAL AK ENGINEERING PENAL SUM 10% OF BID AMOUNT KNOW ALL MEN BY THESE PRESENTS, that Financial Pacific Insurance Company, a California corporation (the "Company`), does hereby make,con titu a appoint: .liay '. reeman, Susan C. Monteon, Frances Lefler, Pamela McCarthy its true and lawful Attorneys-in-Fact,with limited power and authority for and on behalf of the Company as surety,to execute,deliver and affix the sea] of the Company thereto if a sea]is required on bonds, undertakings, recognizances or other written obligations in the nature thereof as follows: Bid,Performance, Payment, Subdivision and Miscellaneous-Bonds up to $1,500,000.00 and to bind the Company thereby. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the Board of Directors of Financial Pacific Insurance Company at the meeting duly held July 6, 1995, which are now in full force and effect: RESOLVED, that the President or any Vice President,'in conjunction with the Secretary or any Assistant Secretary, may appoint attorneys-in-fact or agents with authority as defined or limited in the instrument evidencing the appointment in each case, for and on behalf of the Company,to execute and deliver and affix the seal of the Company to bonds,unbdertakings, recognizances, and suretyship obligations of all kinds; and said officers may remove any such attorney-in-fact or agent.and.revoke any power of attorney previously granted such person. RESOLVED FURTHER, that any bond, undertaking, recognizance, or suretyship obligation shall be valid and binding upon the Company when signed and sealed (if' a seal be required) by one or,more'attorneys-in-fact pursuant to and within the limits of the authority evidenced by the power of attorney issued by the Company to such person or persons. RESOLVED FURTHER. that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company;any such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF,Financial.Pacific Insurance Company has caused these presents to be signed by its proper officers, and its corporate seal to be hereunto affixed this 12th of September,.2007. r,I N stj �• 2 =. :• DULY 22 —_0. = EdvA r J.Paoletti,Vice President Jo R.Hollingshead,Secr tart' �.r •• 9!/FOP , ��. STATE OF,:CALIFORNIA,COUNTY OF SACRAMENTO On this 12th'of September 2007;personally came before me Edwaid_J.Paoletti and John R.Hollingshead.to me known to be the individuals and officers of Financial Pacific Insurance Company,who executed the above instrument,and they have acknowledged the execution of the same, and being by me duly sworn,did severally depose and say that they are the said officers of the corporation aforesaid and that the seal affixed to the above instrument is the seal of the corporation, and that said corporate seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority of the Board of Directors of said corporation. L►SA ROPER COMM.#1755752 z Z*My NOTARYPUBLIC-CALIFORNIAMCER COUNTtsa Roper ry P tc Comm,Ext•res July 6,2011 CERTIFICATE I,the undersigned Secretary of Financial Pacific Insurance Company,a California corporation.DO HEREBY CERTIFY that this Power of Attorney remains in full force and effect and has not been revoked and furthermore,that the resolutions of the Board of Directors se forth,and that the relevant provisions of the By-Laws of the Company,are now in full force and effect. Signed and sealed at Sacramento.this 1 RTH day of ,IUI Y ,20 n8 John RO ollingshead,Secretary Financial Pacific Insurance Company seal must be affixed CITY OF HUNTINGTON BEACH 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY CLERK JOAN L. FLYNN CITY CLERK September 22, 2008 Macadee Electrical Construction 4755 Lanier Rd. Chino, CA 91710 RE: CC-1301 & CC-1303— Main St. Interconnect Conduit & the Traffic Signal Installation at Bolsa Chica St. & Robinwood Drive Enclosed please find your original bid bond for CC-1301 and CC-1303. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure g:/followup/cashcont/returnbidbond.doc (Telephone: 714-536-5227) Z -AALCU b1L)" F-or the Main Street Interconnect Conduit And the Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive in the City of Huntingtonj. :" Beach - DO NOT OPEN WITH REGULAR MAIL JULY 22, 2008 @ 2:30 P.M. - MACADEE ELECTRICAL CONSTRUCTION 4755 LANIER ROAD CHINO,CALIFORNIA 91710 O CITY OF HUNTINGTON BEACH CITY CLERK, SECOND FLOOR 2000 MAIN STREET HUNTINGTON BEACH, CA 92648 J SECTION C PROPOSAL for the Main Street Interconnect Conduit And the Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive CC Nos. 1301 and 1303 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 40 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER,the proceeds of the security accompanying this bid shall become the property of the AGENCY and .this bid and the acceptance hereof may,at the AGENCY'S option,be considered null and void. Accompanying this proposal of bid, find Bidder's Bond in the amount of$ 10% which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check",or"Bidder's Bond",as the case may be). : Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 SECTION C PROJECT BID SCHEDULE Traffic Signal at Bolsa Chica Street and Robinwood Drive And the Main Street Interconnect Conduit CC 1301 and CC 1303 PROJECT BID: SUMMARY—PROJECT BID: SUBTOTAL-TRAFFIC SIGNAL INSTALLATION AT BOLSA CMCA STREET AND ROBINWOOD DRIVE $ 87,285.00 SUBTOTAL-MAIN STREET INTERCONNECT CONDUIT $ 25,713.00 TOTAL AMOUNT BID IN FIGURES: $ 112,998.00 TOTAL AMOUNT BID IN WORDS: ONE HUNDRED TWELVE THOUSAND NINE HUNDRED NINETY-EIGHT DOLLARS AND 00/100 C-2.1 Project Bid Schedule Main Street Interconnect Conduit CC-1301 3 1 1 L.S. Mobilization @ ONE THOUSAND DOLLARS AND $ 1,000.00 $ 1,000.00 00/100 Per LS 2 1 L.S. Furnish Project Traffic Control @ ONE THOUSAND DOLLARS AND $ 1,000.00 $ 1,000.00 00/100 Per LS 3 1 L.S. Construct Main Street Interconnect Conduit @ TWENTY-THREE THOUSAND SEVEN $ 23,713.00 $ 23,713.00 HUNDRED THIRTEEN DOLLARS AND Per LS 00/100 Subtotal—Main Street Interconnect Conduit $ 25 713.00 Subtotal—Main Street Interconnect Conduit in words: TWENTY-FIVE THOUSAND SEVEN HUNDRED THIRTEEN DOLLARS AND 00/100 C-2.2 Project Bid Schedule Traffic Signal at Bolsa Chica and Robinwood Drive .CC-1303 -INN IMMMam 1 1 L.S. Mobilization @ THREE THOUSAND DOLLARS $ 3,000.00 $ 3,000.00 AND 00/100 Per LS 2 1 L.S. Furnish Project Traffic Control @ ONE THOUSAND DOLLARS $ 1,000.00 $ 1,000.00 AND 00/100 Per LS 3 1 L.S. Install Traffic Signal at Bolsa Chica Street and Robinwood Drive $ 78,785.00 $ 78,785.00 SEVENTY-EIGHT THOUSAND SEVEN HUNDRED EIGHTY-FIVE DOLLARS Per LS AND 00/100 4 1 L.S. Traffic Striping and Signing $ 4,500.00 $ 4,500.00 FOUR THOUSAND FIVE HUNDRED Per BS>LLARS AND 00/100 Subtotal- Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive $ 87,285.00 Subtotal- Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive in words: EIGHTY-SEVEN THOUSAND TWO HUNDRED EIGHTY-FIVE AND 00/100 Note: The City will provide the traffic signal controller and service cabinet, all traffic signal poles, mast arms, luminaries, vehicle heads, pedestrian heads,push buttons, internally illuminated street name signs, emergency vehicle preemption sensors, block information signs, and fittings at no cost to the contractor. Contractor is to pick up the materials at the City Yard, 17371 Gothard Street. Contact George Ruff two working days in advance for pick up at(714) 375-5015. C-2.3 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion Name and Address of Subcontractor State License Class of Work Number 4% ORANGE COUNTY STRIPING 346095 C-32 183 N. PIXLEY ST, ORANGE, CA 92868 By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 L � NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. 'County of 9raftge-San Bernardino Kevin McCarthy , being first duly sworn, deposes and says that he or she is Secretary of Macadee Electrical Construction, Inc. the party malting the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation,partnership, company association, organization,bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Macadee Electrical Construction, Inc. Name of Bidder Si ature of RTder Kevin McCarthy 4755 Lanier Rd. Chino,CA 91710 Address of Bidder Subscribed and sworn to before me this 27th day of June 32008 NOTARY PUBLIC """""SEE ATTACHED—" NOTARYSEAL C-4 w a ALL-PURPOSE ACKNOWLEDGMENT CERTIFICATE State of California County of San Bernardino On 27th June 2008 before me, Margarita Arroyo, Notary Public personally appeared Kevin Robert McCarthy proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. MARGARM ARROYO WITNESS my hand and official seal. commission# 1604561 Notary Public-California 'r� San Bernardino County My Comm.Expires Sep 5.2009 (seal) ignature of Ncftary Pubtk ADDITIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT Document title or description: Non Collusion Affidavit Document Pages: 1 Document Date: 27th June 2008 Page C-4 CAPACITY CLAIMED BY THE SIGNER Corporate Officer Title: Secretary Provided courtesy of Traveling Professionals Notaries I www.needAnotaty.net UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH,CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the Main Street Interconnect Conduit and Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive CC 1301 and CC 1303, (I)(we)(it)will employ and .utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8,California Administrative Code, Section 2700,as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Macadee Electrical Construction, Inc. Contractor ffffs� By fvinNM-7C_a_rthy Operations Manager; Secretary Title Date: June 27,2008 C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5,the Bidder shall complete, under penalty of perjury,the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified,removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? 0 Yes JaVo If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Macadee Electrical Construction, Inc. Contractor BY evin Secretary,Operations Manager Title Date: June 27,2008 C-7 UNDERGROUND SERVICE ALERT IDENTIFICATION NUMBER (To be completed only by the awarded Contractor prior to excavation) No excavation will be permitted until this form is completed and returned to the AGENCY. Section 4216/4217 of the Government Code requires a Dig Alert Identification Number be issued before a Permit to Excavate will be valid. To obtain a Dig Alert Identification Number, call Underground Service Alert at 1-800-422-4133 a minimum of two working days before scheduled excavation. Dig Alert Identification Number: Macadee Electrical Construction, Inc. Contractor By in kcCarthy Secretary;Operations Manager Title June 27,2008 Date: Notc: This form is required for every Dig Alert Identification Number issued by U.S.A. during the course of the Work Additional forms may be obtained from the AGENCY upon request. C-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Macadee Electrical Construction, Inc. Bidder Name 4755 Lanier Rd. Business Address Chino. CA 91710 City, State Zip 909 ) 627-1336 Telephone Number 583125 C-10 State Contractor's License No. and Class 12/28/1989 Original Date Issued 12/31/2009 Expiration Date The work site was inspected by Kevin McCarthy of our office on June 26 2008 The following are persons, firms,and corporations having a principal interest in this proposal: Macadee Electrical Construction, Inc. John McCarthy-President Debbie McCarthy-Vice President Kevin McCarthy-Secretary:Operations Manager C-9 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Macadee Electrical Construction, Inc. Company Name Signature of Bid Kevin McCarthy-Secretary• Ooeratinns Manager Printed or Typed Signature Subscribed and sworn to before me this 27th day of June 12008 . NOTARY PUBLIC *****SEE ATTACHED***** NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: City of San Dimas 245 E Bonita Avenue in San Dimas, CA 91773 Name and Address of Public Agency Name and Telephone No. of Project Manager: John Campbell(909)394-6270 $279,459 Radar Feedback Signs at Various Locations Project 2007-07 12/2007 Contract Amount Type of Work Date Completed 2. City of Cypress 5275 Orange Avenue in Cypress,CA 90630 Name and Address of Public Agency Name and Telephone No. of Project Manager: Keith Carter(714)229-6741 $58,878 Traffic Signal Installation Project 2006-29 09/2007 Contract Amount Type of Work Date Completed 3. County of Ventura 800 South Victoria Avenue in Ventura,CA 93009-1670 Name and Address of Public Agency Name and Telephone No. of Project Manager: Richard Herrera(805)654-2018 $34,600 Traffic Signal Improvements Project 50432 09/2007 Contract Amount Type of Work Date Completed C-10 ALL-PURPOSE ACKNOWLEDGMENT CERTIFICATE State of California County of San Bernardino On 27th June 2008 before me, Margarita Arroyo, Notary Public personally appeared Kevin Robert McCarthy proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. MARGARITA ARROYO Commission#1604561 WITNESS my hand and official seal. Notary Public-California San Bernardino county QMYC0mrn.FxP1resSep5.2009F 4F4p (seal) Signature of Notary PuhVc ADDITIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT Document title or description: City of Huntington Beach Project CC No's 1301 to 1303 Document Pages: 1 Document Date: 27th June 2008 Page C-10 CAPACITY CLAIMED BY THE SIGNER Corporate Officer Title: Secretary Provided courtesy of Traveling Professionals Notaries J www.needAnotary.net ebidtoard 1 . 800. 4795 6/27/2008 12 : 25 PAGE 001/001 Fax Server Date: 6;'27/W8 8:55:30 AM From: City of Huntington Beach RE, Main :Steet Interconnect Conduit& Traffic Signal Installation at Bolsa Chica & Robinwood - Project Mc dification issued To: KEVI>< McCARTHY -MACADEE ELECTRICAL CONSTRUCTION Fax: (909) 527-3772 Phone: (90)) 627-1336 Project:Inf�rmation: Project Nar IC: Ma.in Street Interconnect Conduit& 'Traffic Signal Installation at Bolsa.Chica.&Robinwood Project\Cor tract#: CC 1.301 & CC 1303 Location: Contract m i tuber was changed from to CC; 130 I & CC 1.303 Bid Manager— v i a C4-v\,� ebidtoard 1 . 800. 4795 7/3/2008 6: 15 PAGE 001/001 Fax Server Date: 7/3/2)04 2:40:01 PM From: City of Huntington Beach RE: Main :;trcet Interconnect Conduit& Traffic Signal Installation at Bolsa Chica & Robinwood - Project Mc dification issued To: KEVD"McCARTHV-MA.CADEE ELECTRICAL, CONSTRLiCTION Fax: (909) 27-3772 Phone: (90)) 627-1336 Project Information: Project Na.rie: Main St1'eet Interconnect Conduit Traffic Signal Installation at Bolsa Chica.& Robinwood Pro ject',Coi bract 4: CC 1301 & CC; 1303 Location: Bid due dat and time was changed from 7%22/2008 2:00:00 PM to 7/22/2008 2:30 PM c•,ae, ;d E;i Consl,-oction Bid alai?alter"` ri —3 -D� GREAT AMERICAN INSURANCE COMPANY OI-[IO Bond No. N/A BID BOND Approved by The American Institute of Architects,A,1.A.Document No.A310 February, 1970 Edition KNOW AU.MF,N t3Y THESE PRESENTS:that we Macadee Electrical Construction as Principal,hereinafter called Principal,and GREAT AMERICAN INSURANCE COMPANY,a corporation duly organized under the laws of the State ofOhio,with Administrative Offices at 580 Walnut Street,Cincinnati,Ohio 45202,as Surety,hereinafter called the Surety,are held firmly bound unto City of Huntington _ Beach as Obligee,hereinafter called Obligee in the sum or Ten percent of amount of bid Dollars(S 10% For the payment of which sum well and truly to be made,and the said Principal and the said Surety,bind ourselves,our heirs,executors,administrators,successors and assigns,jointly and severally,firmly by these presents. WHEREAS,the Principal has submitted abid for Main Street Interconnect Conduit and The Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive. NOW,TI lliREPORE,il'the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligec in accordance with the terms of such bid,and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful perl'onnance of such Contract and ror the proms(payment of labor and material furnished in the prosecution thereof,or in the event of the failure of the Principal to enter such Contract and give such bond or bonds,if the principal shall pay to the Obligce the difference not to exceed the penalty hereof bctwocn the amount specified in said bid and such larger amount fbr which(he Obligee may in good faith contract with another Party to perform the Work covered by said bid,then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and scaled this 1st Clay of July 2008_ In Ore presence ol` Macadee Electrical Construction (Principal) (Seal) SECRETARY KEVIN MCCARTHY G AT AMERICAN INSURANCE'COMPANY Beall (Surety) n Susan C. Monteon (Atto„e--in-Fact) Hid Bond 1:9630e CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT State of California SS. County of San Bernardino On July 1, 2008 before me, Pamela McCarthy, Notary Public Name and Title of Officer(e.g.,"Jane Doe,Notary Public") personally appeared Susan C. Monteon Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her authorized capacity, and that by her signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: O Individual 0 Corporate Officer Title O Partner -- O Limited O General Top of thumb here El Attorney-in-Fact O Trustee O Guardian or Conservator Other: Signer is Representing: GREAT AMERICAN INSURANCE COMPANY® Administrative Office: 580 WALNUT STREET• CINCINNATI,OHIO 45202• 513-369-5000• FAX 513-723-2740 "file number of persons authorized by this power of attorney is not more than FOUR No.0 14463 POWER OF ATTORNEY KNOW:ALL:1tEN BY THESE PRESENTS:That the GREAT AMERICAN INSURANCE COMPANY,a corporation organized and existing under and by virtue of(lie Taws of the State of Ohio,does hereby nominate,constitute and appoint the person or persons named below its true and lawful attorneyin-fact,for it and in its name,place and stead to execute in behalf of the said Company,as surety,any and all bonds,undertakings and contracts of suretyship,or other written obligations in the nature thereof;provided that the liability of the said Company on any such bond,undertaking or contract of suretyship executed under this authority shall not exceed the fir nit stated below. Name Address Limit of Power JAY P. FREEMAN ALL OF ALL PAMELA MCCARTFIY ONTARIO, $75,000,000.00 SUS AN C. MONTEON CALIFORNIA FRANCESLEFLER This Power of Attorney revolves all previous powers issued in behal f of the attorney(s�in-fact named above. IN WITNESS WHEREOF the GREAT AMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this 4"' day of, MARCH , 2008. Attest GREAT AMERICAN INSURANCE COMPANY S-1 ATE OF OHIO,COUNTY OF FIAMIL-ON-ss- DAVID C.KITCHIN (513-369-3811) On this 4" day of MARCH , 2008, before me personally appeared DAVID C-KITCHIN,to me known,being duly sworn, deposes and says that he resides in Cincinnati,Ohio,that he is the Divisional Senior Vice President of the Bond Division of Great American Insurance Company,the Company described in and which executed the above instrument;that he knows the seal of the sad Company;that the seal affixed to the said instrument is such corporate seal,that it was so affixed by authority of his office under the By-Laws of said Company,and that he signed his name thereto by like authority. This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors ofGreat American Insurance Company by unanimous written consent dated March I, 1993_ RESOLVED: That the Division President,the several Division Vice Presidents and Assistant Vice Presidents, or any one of them, be and hereby is authorized,from time to time,to appoint one or more Attorneys-in-Fact to execute on behalf of the Company,as surety,any and all bonds, undertakings and contracts of suretyship, or other written obligations in the nature thereof-to prescribe their respective duties and the respective limits of their authority,and to revoke any such appointment at any time. RESOLVED FC/2THER. That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary,of the Conipaitp inuy be affixed by facsimile to any power of attorney or certificate ofeither given for the execution of any bond, undertaking,contract or suretyship, er other Irnilen obligation in the nature thereof such signature and seal when so used being hereby adopted by the Company as the original signature of such officer and the original seal of the Company. to be valid and binding upon the Company with the same force and effect as though manually affixed. CERTIFICATION F RONALD C. HA YES,Assistant Secretary ofGreat American InsuranceCompany,do hereby certify that the for Power of Attorney and the RCSol Ut1011S ofthe Board of Directors of r�larch I, 1993 have not been revoked and arc now in full force and effect. Signed and sealed this Sa day of, ao0� S 1029r(i 1/01) CITY OF HUNTINGTON BEACH 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY CLERK JOAN L. FLYNN CITY CLERK September 22, 2008 JFL Electric, Inc. 8257 Compton Ave. Los Angeles, CA 90001-3915 RE: CC-1301 & CC-1303 — Main St. Interconnect Conduit & the Traffic Signal Installation at Bolsa Chica St. & Robinwood Drive Enclosed please find your original bid bond for CC-1301 and CC-1303. Sincerely, Joan L. Flynn, CIVIC City Clerk J F:pe Enclosure g:/foIlowup/cashcont/return bid bond.doc (Telephone: 714-536-5227) JUL 22 PN I:, 59 825T COMP1`�IUIE• . 'LOSIA FEW PROPOSAL for the Main Street Interconnect Conduit And the Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive CC Nos. 1301 and 1303 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: SECTION C PROPOSAL for the Main Street Interconnect Conduit And the Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive CC Nos. 1301 and 1303 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 40 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER,the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. 4 Accompanying this proposal of bid, find n the amount of$ 11,54 O which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 SECTION C PROJECT BID SCHEDULE Traffic Signal at Bolsa Chica Street and Robinwood Drive And the Main Street Interconnect Conduit CC 1301 and CC 1303 PROJECT BID: SUMMARY-PROJECT BID: SUBTOTAL-TRAFFIC SIGNAL INSTALLATION AT BOLSA CHICA STREET AND ROBINWOOD DRIVE $ t5,Dpo-_" SUBTOTAL-MAIN STREET INTERCONNECT CONDUIT $ Z0 t 0c::,—" TOTAL AMOUNT BID IN FIGURES: $ I i yj,40p — TOTAL AMOUNT BID IN WORDS: p Ile 1w -6,) 4y+r,cl►-ed� ��,+� ck n a sero cp_�5 . C-2.1 Project Bid Schedule Main Street Interconnect Conduit CC-1301 Items Estimated x tem �Kfe;n&*WVren�uant> _wc � t .. 1 1 L.S. Mobilization _ @ O rve- `4'VAZL?sc"nd bw rtcLyeA dallWrs Per LS 2 1 L.S. Furnish Project Traffic Control @ One- * ptand SeW4\ $ OL-) ")o^ Yw ndra 4tLcws Per LS 3 1 L.S. Construct Main Street Interconnect Co duit @ -TtoP� &Awv�-Z, $ 27,000- $ COL OW vpwr ,Q Per LS Subtotal—Main Street Interconnect Conduit $ ?j()1 L+pC) Subtotal—Main Street Interconnect Conduit in words: DN'tr* `�SAAA door 1N-0 ndrfA cQ,oivge�:� aNNd Vna C-,QA s C-2.2 Project Bid Schedule Traffic Signal at Bolsa Chica and Robinwood Drive .CC-1303 ' fi s.4 "+,59#aY'#� g' `e ." " ' p _" `� '%X'f`�'�' ,�' ^-1r' J iiY "c r Item „rEstimated Ite VVithUnrtPnce Wntte mWordsUmt`NPr�ce� Extende � k, w.. No w` Q�uantty tY ¢ Amount 1 1 L.S. Mobilization n @ 'C(J `0 V%.Ay5Lt-J $ LIo D— $2�`1pD— _lwnd'rtA Per LS 2 1 L.S. Furnish Project Traffic Control @Two 4vov- $Z'lt� $�,L}off—" k MICLff ed cW(ri—, s Per LS 3 1 L.S. Install Traffic Signal at Bolsa Chica Street and Robinwood Drive $ $_'7O.Q Oaf @ Per LS 4 1 L.S. Traffic Striping and Signing @ N �.� us,�,..� $ caD r $ Per LS Subtotal- Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive $ 1651'e jDo' Subtotal- Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive in words: Note: The City will provide the traffic signal controller and service cabinet, all traffic signal poles, mast arms, luminaries, vehicle heads, pedestrian heads, push buttons, internally illuminated street name signs, emergency vehicle preemption sensors, block information signs, and fittings at no cost to the contractor. Contractor is to pick up the materials at the City Yard, 17371 Gothard Street. Contact George Ruff two working days in advance for pick up at(714) 375-5015. C-2.3 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion Name and Address of Subcontractor State License Class of Work Number * supetloc - P6 e4ne '* Nta4t44A13 to`"$ 1 n s;t cle, L Ki rad(-c�9 0�3 —r a to By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange being first duly sworn, deposes and says that he or she is �eS�Cl�in t" of t_ k-e � 1 Vkc. the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Name of Bidder Sig ture of Bidder Address of Bidder Subscribed and sworn to before me this 12--i�day o s u� , 20 ( . IVONNE LOERA Commission* 1534635 -i Notory N NiC-Colitornio Los Angeie3 County My Comm.Expires Dec 13,2008 NOTARY PUBLIQ,,--&� NOTARY SEAL C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the Main Street Interconnect Conduit and Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive CC 1301 and CC 1303, (I)(we)(it) will employ and .utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. -ZE L Contractor B ' Title Date: (fig C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes l jj] o If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. �.Vy . Contractor B Title Date: 1 aor u�> C-7 UNDERGROUND SERVICE ALERT IDENTIFICATION NUMBER (To be completed only by the awarded Contractor prior to excavation) No excavation will be permitted until this form is completed and returned to the AGENCY. Section 4216/4217 of the Government Code requires a Dig Alert Identification Number be issued before a Permit to Excavate will be valid. To obtain a Dig Alert Identification Number, call Underground Service Alert at 1-800-422-4133 a minimum of two working days before scheduled excavation. Dig Alert Identification Number: 0- - Contractor . B Title Date: Note: This form is required for every Dig Alert Identification Number issued by U.S.A. during the course of the Work. Additional forms may be obtained from the AGENCY upon request. C-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: 1hC_ Bidder Name S 2CJ:;- (--,7:,(-Y\ Business Address �5 - me,a \eS C:k ci t e 1 City, State Zip (S�3 ) 16--gLlOD Telephone Number 5�b Cl(off State Contractor's License No. and Class 14 It1 kom Original Date Issued Expiration Date The work site was inspected by of our office on , 20_. The following are persons, firms, and corporations having a principal interest in this proposal: C-9 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. E`.Pc-IY%C- "1 V\,C . Company Name Sign re of Bidder Printed or Typed Signature Subscribed and sworn to before me this day of , 2OZ . . . IVONNE LOERA Commiss►on#F 1534635 Notary Pub0c-Colifomla Los Angeles County ! My Comm.Expires Dec 13.20(% NOTARY PUBLI NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1 n l l o l /aVls ` 1�)o+ �1s�1&� Name and Address of Public Agency Name and Telephone No. of Project Manager: eF Contract Amount Type of Work Date Completed 2. M a a S -- t�t7-r' -Ic�0 \2 Name and Address of Public Agency `` r Name and Telephone No. of Project Manager: 50"fe ` ma-T 51 �D(' wklCJ C/o�ntract Amount Type of Work Date Completed 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: T&Ae D LO-0 a o� 9,104 410 FbblI(, W pf L e Contract Amount Type of Work Date Co leted C-10 SureTec Insurance Company BID BOND BOND NO. 244 KNOW ALL MEN BY THESE PRESENTS, That we, JFL Electric, Inc. as Principal,and SureTec Insurance Company a corporation authorized to transact a general surety business in the State of CA as Surety,are held and firmly bound unto City of Huntington Beach y (hereinafter called the Obligee) in the full and just sum of TEN PERCENT OF THE AMOUNT OF THE BID 10x********* Dollars,($ )for the payment whereof in lawful money of the United States,we bind ourselves,our heirs,administrators, executors, successors and assigns,jointly and severally,firmly by these presents. WHEREAS,the said PRINCIPAL has submitted the accompanying bid for Traffic Signal Installation at Bolsa Chic Street & Robinwood Drive #CC 1301 & 1303 NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid,or in the event of the failure of the Principal to enter such Contract, If the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specked in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect. Signed and Sealed this 21st day of July 2008 YEAR JFL Electric, Inc. SureTec Insurance goypany sulery --- By. By L A.orney-In-Fa,� Felic no oera — President P,indpal Les M. Mantle CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Orange On —a� before me, Mary Martignoni — Notary Public Date Here Insert Name and Title of the Officer personally appeared Les M. Mantle Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that MARY MARTIGNON1 he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the COMM; 1751251 y instrument the person(s), or the entity upon behalf of NOTARY PUBLIC-CALIFORM A; ORANGE COUWTY which the person(s) acted, executed the instrument. My Comm,Expires Sept.9,2Mi 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. ���", i Signat r Place Notary Seal Above Signatu e of otary Public OPTIONAL Though the information below is trot required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Les M. Mantle Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): _ ❑Corporate Officer—Title(s): ❑ Partner—❑ Limited ❑General _ _ ❑Partner—❑ Limited ❑General X Attorney in Fact ❑Attorney in Fact ❑ Trustee Top of thumb here ❑Trustee Top of thumb here ❑ Guardian or Conservator ❑Guardian or Conservator ❑ Other: ❑Other: Signer Is Representing: _ Signer Is Representing: SureTec Insurance Company ©2007 National Notary Association•9350 De Soto Ave.,RO.Box 2402•Chatsworlh,CA 91313-2402•www.NationalNotaryorg Item 05907 Reorder Call Toll-Free 1-800-876-6827 POA#: 510036 SureTec Insurance Company LIMITED POWER OF ATTORNEY Know All Men by These Presents, That SURFTEC INSURANCE COMPANY (the "Company"), a corporation.duly organized and existing under the laws of the State of Texas; and having its principal office'in Houston, Harris County, Texas,does by these presents make,constitute and appoint Les M. Mantle, Matthew R. Dobyns of Fullerton,CA its true and lawful Attorneys)-in-fact, with full power and authority hereby conferred in its name,place and stead,to execute, acknowledge and deliver any and all bonds,recognizances, undertakings: or, other instruments or contracts of suretyship to include waivers to the conditions of contracts and consents of surety, providing the bond penalty does not exceed Five Million Dollars and no/100 ($5,000,000.00) and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the.President,sealed with the corporate seal of.the Company and duty attested by its Secretary,hereby ratifying and confirming all that the said Attomey(s)-in-Fact may do in the ; premises. Said appointment shall continue in force until 10/31/08 and is made under and.by authority of the following 3 resolutions of.the Board of Directors:of the SureTec Insurance Company: Be.it Resolved, that the President,any Vice-President,any Assistant Vice-President, any Secretary or any Assistant.Secretary shall be and is I herebyyested with:full;power and authority to appoint any one or more suitable persons as Attorneys)-in=Fact to represent and act for and on behalf:of the Company subject to the following provisions: Attorney-in-Fact may be given full power:and authority for and in the name or and of.behalf of the Company,to.execute,acknowledge and deliver,any and all bonds;recognizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder; and any such instruments so executed by any such ; Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. I Be it Resolved,that-the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile;and any power of attorney or certificate bearing facsimile signature or facsimile seal sMl be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting field on 20u,of April, i 1999.j i In Witness Whereof,, SURETEC INSURANCE COMPANY has caused these presents to be signed by its President,and its corporate seal to be hereto affixed this 20th day of June,A.D.2005. I VKig,� RANCE COMIPi�teT't GJ ; By. 1 w r ;r; e t 6 , t State of Texas ss: County of Harris On this 20th day of June, A.D. 2005 before me personally came B.J. King, to me known; who, being by me duly sworn, did depose and say,that he resides in Houston,'Texas, that he is President of SURETEC INSURANCE COMPANY, the company described in and which executed the above instrument;that Ire knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the Board of Directors of said.Company;and that he signed his name thereto by like order. --------- Michelle:ee�sxs�mu� 1 P(yp .1wvpDye�nny j Notary r u�+rN. „ Slate of Texas In �;i df_�1.�1h ply Cotrxnissi0n EIreS Michelle Denny,Notary P lie of August 27,2008' My commission expires August 27,2008 I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney,executed by said Company,which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set out in the Power of Attorney are in full force and effect. 1 Given under my hand and the seal of said Company at Houston,Texas this 21st Jill 200 day ,20 -D. [.lt taut Sec tart' I Any instrument issued in excess of the penalty stated above is totally void and without any validity. I For verification of the authority of this power you may call(713)812-0800 any business day between 8.G0 am and 5:n9 pm CST. CITY OF HUNTINGTON BEACH 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY CLERK JOAN L. FLYNN CITY CLERK September 22, 2008 California Engineeering & Contracting, Inc. 16027 Brookhurst St., Suite G-240 Fountain Valley, CA 92708 RE: CC-1301 & CC-1303— Main St. Interconnect Conduit & the Traffic Signal Installation at Bolsa Chica St. & Robinwood Drive Enclosed please find your original bid bond for CC-1301 and CC-1303. Sincerely, Joan L. Flynn, CMC City Clerk JF:pe Enclosure g:/followup/cashcont/return bid bond.doc (Telephone:714-536-5227) t „toe �� r , > .. . .r ,r - ,. � v - - - /J •— .. ..a.. ... 1 Y _ SUBMITTED BY: CALIFORNIA ENGINEERING&CONTRACTING, INC. OFFICIAL BID 16027 Brookhurst St. Suite G # 240 (DO NOT OPEN) Fountain Valley, CA 927o8 "OFFICIAL BID" OPENING DATE: %P.M: DELIVER TO: ,,. PROJECT NO: Ii'I i �i J �: t,� �til1 `;�.(f+ a J PROJECT NAME: � r "021WL 0 1 1 SECTION C PROPOSAL for the Main Street Interconnect Conduit And the Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive CC Nos. 1301 and 1303 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 40 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER,the proceeds of the security accompanying this bid shall become the property of the AGENCY and .this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find ���` `� in the amount of$ \O y which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature Ail Ai C-2 SECTION C PROJECT BID SCHEDULE Traffic Signal at Bolsa Chica Street and Robinwood Drive And the Main Street Interconnect Conduit CC 1301 and CC 1303 PROJECT BID: SUMMARY—PROJECT BID: SUBTOTAL-TRAFFIC SIGNAL INSTALLATION AT BOLSA CMCA STREET AND ROBINWOOD DRIVE $ 8(pi /©0, ,_- SUBTOTAL-MAIN STREET INTERCONNECT CONDUIT $ Q�p, TOTAL AMOUNT BID IN FIGURES: $ TOTAL AMOUNT BID IN WORDS: C-2.1 Project Bid Schedule Main Street Interconnect Conduit CC-1301 W- R g U Mf',Rh hxtendeUl I L.S. Mobilization Per LS 2 1 L.S. Furnish Project Traffic Control Per LS 3 1 L.S. Construct Main Street Interconnect C nduit $ $ n Per LS Subtotal—Main Street Interconnect Conduit Subtotal—Mai Street Interconnect Conduit in word 0 jL— SQwev\ C-2.2 Project Bid Schedule Traffic Signal at Bolsa Chica and Robinwood Drive .CC-1303 t"�a& ="g.�;�s'i.. `t � u�r " -s `.3`" s* a'm c" °; Ttem Estimated$ I ihUnit PnceWnttenuiW�grds mPnce �Extended 4 as ; s Es � �4 (:� e',y.e 5 '' "` "�` Sy " �e U." Civantl a a°'".. ': it,.:';.:.a. r.. r* `,�'.7 W;00009 O; 2;a+. 1 1 L.S. Mobilization @ fi•�r _ $ _ $ /2cgo.r v Per LS 2 1 L.S. Furnish Project Traffic ontrol @ Usoc '7�Tov rNo $ Z Orly $ �i1/!t —l�tst�r Per LS 3 1 L.S. Install Traffic Signal at Bolsa Chica Street and Robinwood Drive @ Per LS 4 1 L.S. Traffic Striping and Signing, $ 4:7-00j— "CL —®� ------- Per LS Subtotal- Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive $_ l04 Subtotal- Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive in words: Note: The City will provide the traffic signal controller and service cabinet, all traffic signal poles, mast arms, luminaries, vehicle heads, pedestrian heads,push buttons, internally illuminated street name signs, emergency vehicle preemption sensors, block information signs, and fittings at no cost to the contractor. Contractor is to pick up the materials at the City Yard, 17371 Gothard Street. Contact George Ruff two working days in advance for pick up at(714) 375-5015. C-2.3 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion Name and Address of Subcontractor State License Class of Work Number 17 &4 K G By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange being first duly sworn, deposes and says that he or she is of(fA— ,ra;a- !Pt4g ,ae_,,inst xG, the party making the foregoing bid that the bid is not made in the interest W, or-GA the behal of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. �- Name of Bidde Signature of Bidder (t002`1 E>roo V_hu"rs� -Ct) . S6,1, C1k-;?'o OUP k1� VLUc�.i ci� Q121o'9 Address of Bidder Subscribed and sworn to before me this ZZ day of .� , 200?�' TIFFANY V-CALIFORNIAA NOTARY PUBLIC IF 910 00MMISSION#1669354 ORANGE COUNTY e-- � My Comm.Exp.May 23,2010 NOTARY PUBLIC NOTARY SEAL C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the Main Street Interconnect Conduit and Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive CC 1301 and CC 1303, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Contractor < � By Title Date: _J Iv_ 2D0 S C-s DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? j Yes U/No If the answer is yes, explain the circumstances in the space provided. Ni Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. g . Contractor n f&Vek Byf- Title Date: 7 22 12.01 C-7 UNDERGROUND SERVICE ALERT IDENTIFICATION NUMBER (To be completed only by the awarded Contractor prior to excavation) No excavation will be permitted until this form is completed and returned to the AGENCY. Section 4216/4217 of the Government Code requires a Dig Alert Identification Number be issued before a Permit to Excavate will be valid. To obtain a Dig Alert Identification Number, call Underground Service Alert at 1-800-422-4133 a minimum of two working days before scheduled excavation. Dig Alert Identification Number: Contractor 13 Press Title Date: 74Z//9461 Note: This form is required for every Dig Alert Identification Number issued by U.S.A. during the course of the Work. Additional forms may be obtained from the AGENCY upon request. C-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: &69rmldN a#raCkN NG - Bidder Name /W9? P 00&1t1 S1 0. aai& Business Address 61112k � City, State Zip Telephone Number c-/® State Contractor's License No. and Class } 22- Zoo 1 Original Date Issued I - 31 - 20e`l Expiration Date The work site was inspected by 0.(;G VW of our office on -7 , 20D& The following are persons, firms, and corporations having a principal interest in this proposal: C-9 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. da "IJ i n Company Name Signature of Bidder , r toresi Printed or fyped Signature Subscribed and sworn to before me this 2�2—day of , 200 K � Y TIFFANY VAISA:NE NOTARY PUBLIC-CALiFORNIA m 5' COMMISSION#1669354 E * ORANQECOUNTY My Comm.Ex .Ma 23,201 0 NOTARY PUBLIC r NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed C-10 California Engineering & Contracting, Inc. Proiect Completed O.L. Development Omer Levin Signal & Street lighting $350,000 2007/08 818-402-0600 Interconnect and Fiber optic Caltrans Moussa Elessly Signal Modification $160,000 2008 949-279-8816 interconnect Caltrans Mohamed Elsayed Traffic Signal $115,000 2008 949-279-8806 interconnect Caltrans Ben Nanjappa Traffic Signal $82,000 2008 Pasadena Jim Valentine Street light $80,000 2008 626-744-4265 Conduit and pull boxes 16027 Brookhurst St,Suite G#240,Fountain Valley,CA 92708 Phone(714)708-3544.Fax(714)708-3581.Email caengcont@gmail.com License#88988 4 INSCO INSURANCE SERVICES, INC. inse%je(3 Underwriting Manager for: CEj��-- 0MF�D Developers Surety and Indemnity Company Indemnity Company of California 17780 Fitch,Suite 200•Irvine,California 92614•(949)263-3300 Bond No.: 11-428-071 BID BOND KNOW ALL MEN BY THESE PRESENTS, that we California Engineering&Contracting Inc as Principal, and Developers Surety and Indemnity Company a corporation duly organized under the laws of the State of Iowa as Surety, are held and firmly bound unto City Of Hunington Beach as Obligee, in the Sum of Thirty Thousand Dollars ($30,000.00) for payment of which sum well and truly to be made, Principal and Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for Traffic Signal Installation at Main Street Intersection NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and Sufficient Surety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 22nd day of July PRINCIPAL: SURETY: California Engineering&Contracting Inc Developers Sur ndemnity Company Blake A Pfister, Attorney-in-I'act ID-1118(REV.1/01) CONFORMS TO AIA DOCUMENT A310 2/70 ED. ACKNOWLEDGMENT State of California }S5. County Of Orange } On July 21 , 2008 before me, Lianne Nahina , Notary Public Notary Public, personally appeared Blake A P f i s ter who proved to me on the basis of satisfactory evidence to be the person whose name(.") is/ar-_-subscribed to the within instrument and acknowledged to me that he/ executed the same in hisft:t e� authorized capacity(i&�, and that by his/",-_ signature(.�r) on the instrument the person(@), or the entity upon behalf of which the person( acted, executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. N ItANNE NAH6NA Commission # 1767633 -g; Notary Public -Caiifornlo z p• Orange County MyComm.Expkes Sap 14,2011 -!Signature of Notary OPTIONAL INFORMATION Description of Attached Document Title or Type of Document: Bid Bond No 11-428-071 Date: July 22 , 2008 Number of Pages: 1 Signer(s) Other than Named Above: NONE Capacity(ies) Claimer! by Signer Signer's Name: o Individual o Corporate Officer—Title: o Partner o Limited o General If#- Attorney in Fact o Trustee o Guardian or Conservator o Other: Signer is Representing: Developers Surety and Indemnity Company POWER OF ATTORNEY FOR DEVELOPERS SURETY At4l)INDEMNITY COMPANY INDEMNITY COMPANY OF CALIFORNIA PO Box 19725,IRVINE,CA 92623 (949)263-3300 Attached to Bid Bond No. 11-428-071 KNOW ALL MEN BY THESE PRESENTS,that as except as expressly limited,DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,do each,hereby make,constitute and appoint: ***Blake A. Pfister*** as their true and lawful Attorney(s)-in-Fact,to make,execute,deliver and acknowledge,for and on behalf of said corporations,as sureties,bonds,undertakings and contracts of surety- ship giving and granting unto said Attorney(s)-in-Fact full power and authority to do and to perform every act necessary,requisite or proper to be done in connection therewith as each of said corporations could do,but reserving to each of said corporations full power of substitution and revocation,and all of the acts of said Attorney(s)-in-Fact,pursuant to these presents, are hereby ratified and confirmed. This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Board of Directors of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,effective as of January 1st,2008. RESOLVED,that the chairman of the Board,the President and any Vice President of the corporation be,and that each of them hereby is,authorized to execute Powers of Attorney,qualifying the attorney(s)named in the Powers of Attorney to execute,on behalf of the corporations,bonds,undertakings and contracts of suretyship;and that the Secretary or any Assistant Secretary of the corporations be,and each of them hereby is,authorized to attest the execution of any such Power of Attorney; RESOLVED,FURTHER,that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond,undertaking or contract of suretyship to which it is attached. IN WITNESS WHEREOF,DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by their respective Vice President and attested by their respective Assistant Secretary this January 1 st,2008. By: �.��{ AND ljQ:o O�gF'ANYpc Stephen T.Pate,Senior Vice Presidents; i 10OCT.5 By: woZ 1:936 a u�r, '1967 Charles L.Day,Assistant Secretary �$ O C, O t� O State of California County of Orange On January 1st,2008 before me, Christopher J.Roach Notary Public Date Here Insert Name and Title of the Officer personall;,appeared Stephen T.Pate and Charles L.Day Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s)is/are subscribed to the within instrument and acknowledged to me that he/shelthey executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s),or the entity upon behalf of which the person(s)acted,executed the instrument. N(3ik13Y W1$t fC CAUFt7RNfA I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is 3 ORyWE3EGOtlN'E�fIyy� N" true and correct. �r '`.' �' +"^!." 1'fIQ�3 f P,:fir✓4� + """33�►-77 �'" "'►"- WITNESS my hand and official seal. Place Notary Seal Above Signature Christ er J.Roach CERTIFICATE The undersigned,as Assistant Secretary,of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,does hereby certify that the foregoing Power of Attomey remains in full force and has not been revoked,and furthermore,that the provisions of the resolutions of the respective Boards of Directors of said corporations set forth in the Power of Attorney,are in force as of the date of this Certificate. This Certificate is executed in the City of Irvine,California,the 2 2 nda*of J U I y r 2008 By: � Alb ert Hillebrand,Assistant ecretary I D-1380(Wet)(Rev.07/07) ;, CITY OF HUNTINGTON BEACH 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY CLERK JOAN L. FLYNN CITY CLERK September 22, 2008 Christopher R. Morales, Inc. 155 N. Eucla Ave. San Dimas, CA 91773 RE: CC-1301 & CC-1303 — Main St. Interconnect Conduit &the Traffic Signal Installation at Bolsa Chica St. & Robinwood Drive Enclosed please find your original bid bond for CC-1301 and CC-1303. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure g:/followup/cashcont/return bid bond.doc (Telephone: 714-536-5227) CHRISTOPHER R. MORALES, INC. 155 N. EUCLA.AVE. SAN DIMAS, CA 91773 , A 2000 JUL 22 Pik 2: 27 CITY OFJ Ii'NTINGTON BEACH OFFICE 0.1" T'HE CITY CLERK 2000 MAIN STREET, 2"D FLOOR HUNTINCTON BEACH, CA 92648 SEALED BID FOR THE MAIN STREET INTERCONNECT CONDUIT AND THE TRAFFIC SIGNAL INSTALLATION AT BOLSA CHICA STREET AND ROBINWOOD DRIVE IN THE CITY OF HUNTINGTON BEACH-DO NOT OPEN WITH • Y SECTION C PROPOSAL for the Main Street Interconnect Conduit And the Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive CC Nos. 1301 and 1303 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 40 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 5, If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. `�4 in the amount of$ 19t QeWO K'whi h wr Accompanying this proposal of bid, find � �'� said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 SECTION C PROJECT BID SCHEDULE Traffic Signal at Bolsa Chica Street and Robinwood Drive And the Main Street Interconnect Conduit CC 1301 and CC 1303 PROJECT BID: SUMMARY-PROJECT BID: SUBTOTAL-TRAFFIC SIGNAL INSTALLATION AT BOLSA CHICA STREET AND ROBINWOOD DRIVE $ SUBTOTAL-MAIN STREET INTERCONNECT CONDUIT $ So 0c)0 0 TOTAL AMOUNT BID IN FIGURES: $ TOTAL AMOUNT BID IN WORDS: Om C-2.I Project Bid Schedule Main Street Interconnect Conduit CC-1301 "';�i a- `f *ro`,,y. '�v''� r,x ea SIt h.'�c�. �Ite S Eslima ed� to W1thlrut neeV�rtten m ors i7int PnGe�� Extended N QuantWE � � � � 1moun � .. 1 I L.S. Mobilization @ $ $ Per LS 2 1 L.S. Furnish Project Traffic Control @ $ 0Oo $ , Per LS 3 1 L.S. Construct Main Street Interconnect Conduit @ $ ��✓,vr�0,� Per LS Subtotal—Main Street Interconnect Conduit $ !sc;.> Subtotal—Main Street Interconnect Conduit in words: C-2.2 Project Bid Schedule Traffic Signal at Bolsa Chica and Robinwood Drive .CC-1303 Items UEstimated ' Item With H I.' Oe,F1 teAMn"Woids Unit Pr cep sExtended ` W �A111u11t �, 1 1 L.S. Mobilization @ $ a�s� $ a}L •o� Per LS 2 1 L.S. Furnish Project Traffic Control Per LS 3 1 L.S. Install Traffic Signal at Bolsa Chica Street and Robinwood Drive $ Q;' $ @ Per LS 4 1 L.S. Traffic Striping and Signing Per LS Subtotal- Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive $ Subtotal - Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive in words: Note: The City will provide the traffic signal controller and service cabinet, all traffic signal poles, mast arms, luminaries, vehicle heads, pedestrian heads, push buttons, internally illuminated street name signs, emergency vehicle preemption sensors, block information signs, and fittings at no cost to the contractor. Contractor is to pick up the materials at the City Yard, 17371 Gothard Street. Contact George Ruff two working days in advance for pick up at(714) 375-5015. C-2.3 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion Name and Address of Subcontractor State License Class of Work Number 0Y6L'1ge LrsutS r-,r, P►1167 arr�,e, G lk 0 17 By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange Y,��Arc✓ �,. ��1 , bein first duly sworn, deposes and says that he or she is Sri of the party making the foregoing bid that the bid is not made in the inte est of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Christopher R. Morales, Inc. Name of Bidder Signature of Bidder L-u Address of Bidder Subscribed and sworn to before me this LZ day of_�, , 20 C . NOTARY PUBLIC NOTARY SEAL C-4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Los Angeles On before me, Ramon C. Arteaga a Notary Public Date Here Insert Name and Title of the Officer personally appeared Christopher R . Morales Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person$,F whose nameo* is/!P subscribed to the within instrument and acknowledged to me that he/ executed the same in hisiMIlII NOW authorized capacity(W and that by his�f signature(* on the • @MyCommission# 1653887 R C. ARTEAGA instrument the person((*, or the.entity upon behalf of missNotary Public-California which the person(4t acted, executed the instrument. Los Angeles County Comm.Expires Apr29,2010 1 certify under PENALTY OF PERJURY ,under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my h and official seal. r 44:� . Place Notary Seal Above Signature Signature of No[ary Public OPTIONAL Though the information below is not required bylaw, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: ►' 1 Q/`.`��1�JSt�-�-- /"l J, Document Date: I_.f_J C �� �) Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Christopher R. Morales Signer's Name: ❑ Individual ❑ Individual g Corporate Officer—Title(s): President ❑ Corporate Officer—Title(s): ❑ Partner—❑ Limited ❑ General ❑ Partner—❑ Limited ❑ General ❑ Attorney in Fact ❑Attorney in Fact • ❑ Trustee Top of thumb here ❑Trustee Top of thumb here ❑ Guardian or Conservator ❑Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: Chr_ �-,tr)her Mprale6 Inc. ©2007 National Notary Association•9350 De Soto Ave..P.O.Box 2402•Chatsworth,CA 91313-2402•www.NationalNotary.org`Item#5907 Reorder:Call Toll-Free 1-800-876-6827 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the Main Street Interconnect Conduit and Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive CC 1301 and CC 1303, (I)(we)(it) will employ and .utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. r-hrlatopher R. MOM198, inc Contractor Ln= By 1 Title Date: C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes JyNo If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Christopher R. Morales, Inc. Contractor By Title Date: .? C-7 UNDERGROUND SERVICE ALERT IDENTIFICATION NUMBER (To be completed only by the awarded Contractor prior to excavation) No excavation will be permitted until this form is completed and returned to the AGENCY. Section 4216/4217 of the Government Code requires a Dig Alert Identification Number be issued before a Permit to Excavate will be valid. To obtain a Dig Alert Identification Number, call Underground Service Alert at 1-800-422-4133 a minimum of two working days before scheduled excavation. Dig Alert Identification Number: Christopher R. Morales;I Contractor By Title Dater )�.., L --, Z—Cob This form is required for every Dig Alert Identification Number issued by U.S.A. during the course of the Work. Additional forms may be obtained from the AGENCY upon request. c-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Christopher R. Morales, Inc. Bidder Name 15 6 n, L 00A A./-, Business Address S 6;1-\ -,�� C� 91 1 1� City, State Zip M0g Telephone Number k-1 55�, C -)j State Contractor's License No. and Class 1)- p I - Z_o� Original Date Issued 11--W --G Expiration Date f The work site was inspected by C�Y of our office on 1 , 20W, The following are persons, firms, and corporations having a principal interest in this proposal: ( fL rlAr'� v 'ti C-9 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Christopher R. Morales, Inc. Company Name Signature of Bidde Printed or Typed Signature Subscribed and sworn to before me this day of , 200� . NOTARY PUBLIC NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1. 5-�C AhLIS�_C� Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed C-10 Christopher R. Morales, Inc. 15100 E. Nelson Ave., Industry, CA 91744, Phone: 626-968-3771, Fax: 626-968-5720 RE: REFERENCES-COMPLETED PROJECTS ➢ City of Pasadena Lincoln Ave.- In-Fill Lighting C-10 117 E. Colorado Ave. Original Contract: $318,848 Final: $318,848 Pasadena, CA 91105 Contact: Reny Quijano (626) 744-4124 Date of Completion: February 2006 Percentage performed by our own forces: 100% Project Manager: Jennifer Alvarez ➢ City of Pasadena Raymond Ave.-Street Lighting C-10 117 E. Colorado Blvd. Original Contract: $58,888 Final $58,888 Pasadena, CA 91109 Contact: Reny Quijano (626)744-6741 Date of Completion: May 2007 Percentage performed by our own forces: 100% Project Manager: Araceli Nieto ➢ City of Pasadena Avenue 64-Street Lighting C-10 117 E. Colorado Blvd. Original Contract: $409,887 Final $427,887 Pasadena, CA 91109 Contact: Reny Quijano (626)744-6741 Date of Completion: May 2007 Percentage performed by our own forces: 100% Project Manager: Essen Menjivar ➢ City of Baldwin Park Los Angeles St. Traffic Signals 3 locations C-10 14403 E. Pacific Ave. Original Contract: $438,438 Final: $452,572 Baldwin Park, CA 91708 Contact: Arjan Idnani (626) 960-4011 Date of Completion: December 2006 Percentage performed by our own forces: 92% Project Manager: Araceli Nieto ➢ City of Pasadena Sunnyslope Crosswalk C-10 117 E. Colorado Ave. Original Contract:$229,989 Final: $2299,989 Pasadena, CA 91105 Contact: Reny Quijano (626) 744-4124 Date of Completion: January 12, 2007 Percentage performed by our own forces: 100% Project Manager: Jennie Pittman ➢ County of Los Angeles San Bernardino @ Nora-Traffic Signal C-10 900 S. Fremont Ave. Original Contract: $79,255.50 Final $75,745 Alhambra, Ca 91803 Contact: Luke Miller (626) 458-3122 Date of Completion: December 12, 2005 Percentage performed by our own forces: 97.4% Project Manager: Jennie Pittman Christopher R. Morales, Inc. 15100 E. Nelson Ave., Industry, CA 91744, Phone: 626-968-3771, Fax: 626-968-5720 RE: REFERENCES-COMPLETED PROJECTS-page 2. ➢ City of Gardena Normandie Ave-Traffic Signal C-10 1700 W. 162"d St. Original Contract: $112,9000 Final $113,958 Gardena, Ca Contact: John Felix (310) 217-9643 Date of Completion: May 11, 2006 Percentage performed by our own forces: 91.5% Project Manager: Jennie Pittman ➢ City of La Mirada Rosecrans & Biola Ave. Traffic Signal C-10 13700 La Mirada Blvd Original Contract: $88, 780 Final $91,639 La Mirada, CA 90638 Contact: Gary Sanui (562) 902-2373 Date of Completion: December 2006 Percentage performed by our own forces: 100% Project Manager: Araceli Nieto ➢ City of Monrovia Royal Oaks Drive Traffic Signal C-10 415 South Ivy Ave. Original Contract: $129,218 Final $130,765 Monrovia, Ca 91016 Contact: Jed Rizk (626)932-5562 Date of Completion: May 2007 Percentage performed by our own forces: 95% Project Manager: Jennie Pittman ➢ City of Whittier Pickering Avenue Traffic Signal C-10 13230 Penn Street Original Contract: $189,738 Final $191,414 Whittier, CA 90602 Contact: James Keena (562)464-3523 Date of Completion: January 2007 Percentage performed by our own forces: 96% Project Manager: Jennie Pittman ➢ LA County Via Princessa Traffic Signal C-10 900 S. Fremont Ave. Original Contract: $373,516 Final$306,825 Alhambra, CA 91803 Contact: Robert Eisenhammer Date of Completion: September 2006 Percentage performed by our own forces: 90% Project Manager: Araceli Nieto ➢ City of Irvine Berkley & Cornell Traffic Signal C-10 6427 oak Canyon Original Contract: $297,997 Final: 270,865 Irvine, Ca 92623 Contact: Uyenly Buy (949)724-7559 Date of Completion: July 2007 Percentage performed by our own forces: 100% Project Manager: Araceli Nieto Christopher R. Morales, Inc. 15100 E. Nelson Ave., Industry, CA 91744, Phone: 626-968-3771, Fax: 626-968-5720 RE: REFERENCES-COMPLETED PROJECTS-page 3 ➢ City of Cypress Cypress Traffic Signal C-10 5275 Orange Ave. Original Contract: $149,870 Final $158,168 Cypress, Ca 90630 Contact: Keith Carter (714)229-6750 Date of Completion: April 23, 2007 Percentage performed by our own forces: 100% Project Manager: Jennie Pittman ➢ City of Santa Ana Adaptive Downtown Signal 20 Civic Center Plaza Original Contract: $321,032 Final TBD Santa Ana, CA 92702 Contact Edgard Torres (714) 647-5058 Date of Completion: June 2008 Percentage performed by our own forces: 60% Project Manager: Araceli Nieto ➢ City of Diamond Bar Golden Springs Traffic Signal 21825 Copley Drive Original Contract: $383,740 Final TBD Diamond Bar, CA 91765 Contact Rick Yee (909)839-7043 Date of Completion: June 2008 Percentage performed by our own forces: 85% Project Manager: Jennie Pittman ➢ County of Orange In roadway Flashing Crosswalk Light System 300 North Flower St. Original Contract: $128, 860 Final TBD Santa Ana, CA 92702 Contact: David Rocha (714) 834-2300 Date of Completion: June 2008 Percentage performed by our own forces: 95% Project Manager: Araceli Nieto CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Los Angeles On �-Y'�' before me, Ramon C. Arteaga a Notary Public Date Here Insert Name and Title of the Officer personally appeared Christopher R. Morales Name(s)of Signer(s) - who proved to me on the basis of satisfactory evidence to be the persongF whose name* is/4ft subscribed to the within instrument and acknowledged to me that he/a0s0Ip executed the same in hisMooffilliR authorized capacity(, and that by hisH signature(*1 on the J��KZAMCIN C.ARTEAGAinstrument the person(, or the entity upon behalf of mmission# 165u887 which the person(##acted, executed the instrument. @MyNotary Public-Californialos AngelesCounty I certify under PENALTY OF PERJURY,under the laws Comm.Expires of the State of California that the foregoing paragraph is true and correct. WITNESS my hapd and official seal. Signature Place Notary Seal Above Signature of Notary Public - OPTIOA Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: L. \ 3-, Document Date:1J L Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Christopher R. Morales Signer's Name: ❑ Individual ❑ Individual 57 Corporate Officer—Title(s): President ❑ Corporate Officer—Title(s): ❑ Partner—❑ Limited ❑ General Ml ❑ Partner—❑ Limited ❑ General HIM ❑ Attorney in Fact ❑Attorney in Fact • ❑ Trustee Top of thumb here ❑Trustee Top of thumb here ❑ Guardian or Conservator ❑Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: Chr; atnnher R. Morales nc. 0 2007 National Notary Association•9350 De Soto Ave.,P.O.Box 2402•Chatsworth,CA 91313-2402•www.NalionalNotary.org VItem#5907 Reorder:Call Toll-Free 1-800-876-6827 U INSCO INSURANCE SERVICES, INC. i^sc%lcO Underwriting Manager for: LUf Developers Insurance Company•Indemnity Company of California Developers Surety and Indemnity Company 17780 Fitch,Suite 200•Irvine,California 92614•(949)263-3300 BID BOND BOND NO. NSA ----------------- KNOW ALL MEN BY THESE PRESENTS, That we,______CHRISTOPHER R. MORALES, INC. as Principal,and DEVELOPERS SURETY AND INDEMNITY COMPANY ________________________ _--------__a corporation authorized to transact a general surety business in the State of-IOWA _ _ _ as Surety,are held and firmly bound unto CITY OF HUNTINGTON BEACH ------------------------------------------------------------------------------------- ----------------- _-------------_ -_----------___(hereinafter called the Obligee) in the full and just sum of--_TEN-PERCENT-OF THE-AMOUNT-OF-THE BID ------ ------- --- -- --------------------------------- Dollars, ($_ 107 OF BID____) for the payment whereof in lawful money of the United States,we bind ourselves,our heirs, administrators, executors,successors and assigns,jointly and severally,firmly by these presents. WHEREAS, the said PRINCIPAL has submitted the accompanying bid for TRAFFIC SIGNAL INSTALLATION AT BOLSA CHICA STREET AND ROBINWOOD DRIVE NOW,THEREFORE,if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid,or in the event of the failure of the Principal to enter such Contra ct, If the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid,then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and Sealed this____ 18th _ day of --_-_- ---- JULY -_--__---___,_2QQ8---. ------------- ------------- YEAR CHRISTOPHER R. MORALES, INC. DEVELOPERS SURETY AND INDEMNITY COMPANY Surety By` Principal Atlorney-in-Fact SHAWN BLUME ID-1198(Bid Bond)(REV. 12100) CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of RIVERSIDE On f $ before me, R. CISNEROS "NOTARY PUBLIC" (Here insert name and title of the officer) personally appeared SIIAWN BLUME who proved to me on the basis of satisfactory evidence to be the personfz) whose nameWis/atesubscribed to the within instrument and acknowledged to me that he/sheft ey executed the same in his/heb44i6r authorized capacitykies), and that by his/he4heir-signatureIR)on the instrument the person(sr}; or the entity upon behalf of which the person()acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. R. CISNEROS COMM. #1796916 or Cr NOTARY PUBLIC-CALIFORNIA � .� ` ✓ RIVERSIDE COUNTY (Notary Seal) My Comm.Expires June 7,2012 Signature of Notary Public " 04 ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM Any arknou-ledgtnent completed in California nutsi contain verbiage exactly as DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the nattily section or a separate acknowledgment form must be properly completed and attached to that document. The onli, exception is if a document is to be recorded outside of California. hr such instances,am ru alte vine (Title or description of attached document) acknowledgment verbiage as may be printed air such a document so long as the verbiage does not require the notary to do sornething that is illegal for a notan•in California (i.e. certfi,ing the auduori-ed capacity of the signer). Please check the (Title or description of attached document continued) document carefnrlly for proper notarial irording and attach this forty if required. • State and County information must be the State and County where the document Number of Pages Document Date signer(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signers)personally appeared which must also be the same date the acknowledgment is completed (Additional information) • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title(notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(ve El Individual(S) he/shcAhej-is tare)or circling the correct forms.Failure to correctly indicate this information may lead to rejection ofdocument recording ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible Impression must not cover text or lines. If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk. ❑ Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. ❑ Other indicate title or type of attached document,number of pages and date. Indicate the capacity claimed by the signer If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). • Securely attach this document to the signed document IL 2008 Version CAPA e 12 10.07 800-873-9865 NotarvClasses.com POWER OF ATTORNEY FOR DEVELOPERS SURETY AND INDEMNITY COMPANY INDEMNITY COMPANY OF CALIFORNIA PO Box 19725,IRVINE,CA 92623 (949)263-3300 KNOW ALL MEN BY THESE PRESENTS,that as except as expressly limited,DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,of o each,hereby make,constitute and appoint: ***Michael D. Stong, Rosemary Cisneros, Shawn Blume, Jeremy Pendergast, jointly or severally*** as their true and lawful Attorneys)-in-Fact,to make,execute,deliver and acknowledge,for and on behalf of said corporations,as sureties,bonds,undertakings and contracts of surety- ship giving and granting unto said Attorney(s)-in-Fact full power and authority to do and to perform every act necessary,requisite or proper to be done in connection therewith as each of said corporations could do,but reserving to each of said corporations full power of substitution and revocation,and all of the acts of said Attorney(s)-in-Fact,pursuant to these presents, are hereby ratified and confirmed. This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Board of Directors of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,effective as of January 1st,2008, RESOLVED,that the chairman of the Board,the President and any Vice President of the corporation be,and that each of them hereby is,authorized to execute Powers of Attorney,qualifying the attorney(s)named in the Powers of Attorney to execute,on behalf of the corporations,bonds,undertakings and contracts of suretyship,and that the Secretary or any Assistant Secretary of the corporations be,and each of them hereby is,authorized to attest the execution of any such Power of Attorney. RESOLVED,FURTHER,that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond,undertaking or contract of suretyship to which it is attached. IN WITNESS WHEREOF,DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by their respective Vice President and attested by their respective Assistant Secretary this January 1st,2008. By: 0y;: riQ;jyQ-• oMp AN Y pT Stephen T.Pate,Senior Vice President yJ�.U�P0Rq f•.`�i, OP?OR., A.- C)OCT F• c� By: 1936 Charles L.Day,Assistant Secretary . 'y ,• l0,w p ! State of California *„ County of Orange On January 1 st 2008 before me, Christopher J.Roach,Notary Public Date Here Insert Name and Title of the Officer personally appeared _ Stephen T.Pate and Charles L.Day Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s)is/are subscribed to dh the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s),or the entity upon behalf of GHRISTOPNER J.ROACH! which the person(s)acted,executed the instrument. t - COMM.# 1745939 � NOTARY PUBLIC CALiF{?RNIA d, I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is ORANGE COUNTY N true and correct. My COMM.expires .Y 19,201 t WITNESS my hand and official seal. Place Notary Seal Above Signature Chn er J.Roach CERTIFICATE The undersigned.as Assistant Secretary..of DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,does hereby cerify that the foregoing Power of Attorney remains in full force and has not been revoked,and furthermore,that the provisions of the resolutions of the respective Boards of Directors of said corporations set forth in the Power of Attorney,are in force as of the date of this Certificate. This Certificate is executed in the City of Irvine,California,the 04"day of By _— Albert Hillebr!?Assistat ecretary D-1380(Wet)(Rev.07107) l CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Los Angeles On _�vA°a'jI-))` before me, Ramon C. Arteaga a Notary Public Date f, Here Insert Name and Title of the Officer personally appeared Christopher R. Morales Name(s)of Signerls who proved to me on the basis of satisfactory evidence to be the person( whose name is/�M subscribed to the within instrument and acknowledged to me that he/ executed the same in hisAMONOW authorized capacity(, and that by his/tWOMW signature(? on the instrument the person(, or the entity upon behalf of RAr'IIaN C. TEAGA which the person( acted, executed the instrument. AR Commission# 1653887 Z ,m�.'ti" Notary Public-California I certify under PENAI T�` OF PERJURY under the laws Los Angeles County > of the State of California that the foregoing paragraph is MY Comm.E)(piresApr1>q.2o10 true and correct. WITNESS my tad and official sea:. Signature L Place Notary Seal Above Signature of Notary Public OPTIONAL. Though the information below is not required by law, it may prove valuable to persons relying on the dOCUrneni and could prevent fraudulent removal and reattachment of this form to another documen:. Description of Attached Document 't a Title or Type of Docyunent: i Document Date: ,/' s _ ° t Number of Pages: t1. i Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Christopher R. Morales Signer's Name: Individual ❑ Individual ki Corporate Officer—Title(s): President `1 Corporate Officer—Title(s): E l Partner—❑ Limited General 0 Partner—❑ Limited L1. General O Attorney in Fact Attorney in Fact • Trustee • Top of thumb h ❑Trustee ere To, of hump nere iL Guardian or Conservator Ll Guardian or Conservator ❑ Other: D Other: - I Signer Is Representing: Signer Is Representing: j Ch7 1StO�t1�r R rAr rn l o nc. i ©2007 National Notary Association•9350 De Soto Ave.,P.O.Box 2402-Chatsworth.CA 91313-2402•w v.NationalNotary.org Item#5907 Reorder Call Toll-Free 1-800-876-6827 CITY OF HUNTINGTON BEACH 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY CLERK JOAN L. FLYNN CITY CLERK September 22, 2008 Steiny & Company, Inc. 12907 East Garvey Ave. P. O. Box 8100 Baldwin Park, CA 91706-0993 RE: CC-1301 & CC-1303 — Main St. Interconnect Conduit & the Traffic Signal Installation at Bolsa Chica St. & Robinwood Drive Enclosed please find your original bid bond for CC-1301 and CC-1303. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure g:/followup/cashcont/return bid bond.doc (Telephone: 714-536-5227) 08 JUL 22 PM 2: 30 City Clerk - Second Floor 2000 Main Street Huntington Beach, Ca. 92648 Main Street Interconnect Conduit and the Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive CC Nos. 1301 and 1303 I Bid Tirne: 2:30 P.M. Bid Date: Tuesday July 22, 2008 SECTION C PROPOSAL for the Main Street Interconnect Conduit And the Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive CC Nos. 1301 and 1303 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 40 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find,W 0 61201n the amount of$ which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 SECTION C PROJECT BID SCHEDULE Traffic Signal at Bolsa Chica Street and Robinwood Drive And the Main Street Interconnect Conduit CC 1301 and CC 1303 PROJECT BID: SUMMARY-PROJECT BID: SUBTOTAL-TRAFFIC SIGNAL INSTALLATION AT BOLSA CIECA STREET AND ROBINWOOD DRIVE $ 07.`1' SUBTOTAL-MAIN STREET INTERCONNECT CONDUIT $ llo J TOTAL AMOUNT BID IN FIGURES: $ �j 7,vx TOTAL AMOUNT BID IN WORDS: C-2.1 Project Bid Schedule Main Street Interconnect Conduit CC-1301 5 ,R" TO 4401 t i r c n to oar V tERISmm � x end Emw- I 'M WON 1 L.S. Mobilization sN @ F%'. A." $��o. $ Per LS 2 1 L.S. Furnish Project Traffic ontrol at @ 'F%-4& 1,y,tir�� $ r3n))_ $ SbU Per LS 3 1 L.S. Construct Main Street Interconne t Conduit @ w� fl 11aV�L $ 130 $ Per LS Subtotal—Main Street Interconnect Conduit $ -4.0 , Subtotal—Main Street Interconnect Conduit'n words: ! (� � C-2.2 Project Bid Schedule Traffic Signal at Bolsa Chica and Robinwood Drive CC-1303 a fit.. 1,11151 sr: `t' `#s;a OUR ,�, �- $- '`".- "'' 11 $'f, stern Es una z T em�Wi 5I-11 R, ce VVn e ui ord m ceAM, Ex�nde LL AN NO .c€e�lYallLl � 'aX`,`� ,a,. �. 1 1 L.S. Mobilization CrJ K it a F $ Per LS 2 1 L.S. Furnish Project Traffic Control . s+, $ Sow' $ 5nv Per LS 3 1 L.S. Install Traffic Signal at Bolsa Chica Street and Robinwood Drive $ 9I $ 5 @ + SFr tiv Per L 4 1 L.S. Traffic Striping and Si ning _ yyt, pst @ % 'S1•-4v �T,N.D_-�1 $ '-i .5 O $ Ll Per Subtotal- Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive $ Subtotal- Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive in words: Note: The City will provide the traffic signal controller and service cabinet, all traffic signal poles, mast arms, luminaries, vehicle heads,pedestrian heads,push buttons, internally illuminated street name signs, emergency vehicle preemption sensors, block information signs, and fittings at no cost to the contractor. Contractor is to pick up the materials at the City Yard, '17371 Gothard Street. Contact George Ruff two working days in advance for pick up at(714) 375-5015. C-2.3 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion Name and Address of Subcontractor State License Class of Work Number -14`1%&tra C cam, S 0 3`L 6 0 9 5 By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange Richard Tesoriero , being first duly sworn, deposes and says that he or she is Vice President of STEINY AND COMPANY, INC. the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. STEINY AND COMPANY,INC Name of Bidder Signature,of�B�ifth®G®IUIPAiVY, WC. 12�07 East Garvey Avenue P.O. Box 8100 Baldwin Park,CA SIZO M-2.J Address of Bidder Subscribed and sworn to before me this day of 20 b0 . SHAWN R. SRAOFIELD Commission # 1738049 'a "-� Notary Public -California = Riverside County NOTARY PUBLIC Mycomm.ExpWMay9.2011 NOTARY SEAL C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the Main Street Interconnect Conduit and Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive CC 1301 and CC 1303, (I)(we)(it) will employ and .utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. STEINY AND COMPANY,INC Contractor 6 By Pi-,hard Tesodiero,Vice President Title Date:0X AM- C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. STEINY AND COMPANY, INC. Contractor By Richard Tesodero,Vice Presidel Title Date: Cl� U (� C-7 UNDERGROUND SERVICE ALERT IDENTIFICATION NUMBER (To be completed only by the awarded Contractor prior to excavation) No excavation will be permitted until this form is completed and returned to the AGENCY. Section 4216/4217 of the Government Code requires a Dig Alert Identification Number be issued before a Permit to Excavate will be valid. To obtain a Dig Alert Identification Number, call Underground Service Alert at 1-800-422-4133 a minimum of two working days before scheduled excavation. Dig Alert Identification Number: STEINY AND COMPANY,INC.. Contractor l By Richard Tesodero,Vice President, Title Date: M Note: This form is required for every Dig Alert Identification Number issued by U.S.A. during the course of the Work. Additional forms may be obtained from the AGENCY upon request. C-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: STET NY AND COMPANY INC.' Bidder Name 12907 East Garvey Avenue P.O. Box 8100 Baldwin Park,CAa 9170"993 Business Address City, State Zip c 4W 32 -ag a3 Telephone Number State License No.161273 Class A.B,C-7&C-10 State Contractor's License No. and Class Original Date Iss d MOW- 31 , 2-009 Expiration Date The work site was inspected by (1. �0-f- 71c3(lof our office on3UJA.A I LP , 204)9 The following are persons, firms, and corporations having a principal interest in this proposal: Chairman J.O.Steiny President Susan Steiny Vice President Richard Tesoriero Secretary Gayle C. Kappelman C-9 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. STEINY AND COMPANY,INC. Company Nam Signature of Bidder Tcsodero,Vice President Printed or Typed Signature Subscribed and sworn to before me thi -day o 72009. �HAWN R. BRADFIEID Commission # 1738049 Notary Public -California _ Riverside County My Comm.Expires May 9,2011 NOTARY PUBLIC NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed C-10 Major construction projects in progress as of this date: Owner Orange County Transportation Authority (OCTA) Project Location SR 22 Freeway HOV Lane Design Valuation $22,140,890.00 Contact Person David Smith (GMR) Telephone No. (714) 712-1600 Owner City of Santa Monica Project Location FY 2005 Street and Park Lighting Project(SP1970) Valuation $2,089,527.00 Contact Person Gene Higginbotham Telephone No. (310) 458-8721 Owner Los Angeles County Metropolitan Transportation Authority Project Location Goldline Valuation $44,423,656.00 Contact Person John Yen Telephone No. (323) 980-2504 Construction projects completed as of this date: Owner County of Los Angeles Project Location Inglewood Avenue, ET AL TSM0010152 Valuation $662,222.00 Contact Person Cliff Craig Telephone No. (626) 458-5100 Owner City of Beverly Hills Project Location Phase III Residential Street Lighting Improvements Valuation $7,059,977.00 Contact Person Chris Theisen Telephone No. (310) 285-2504 Owner City of Pasadena Project Location Fair Oaks Corridor Transportation Valuation $1,814,489.00 Contact Person _Dave Ortega Telephone No. (626) 744-4312 More Available upon Request THE AMERICAN INSTITUTE OF ARCHITECTS AIA Document A310 Bid Bond KNOW ALL MEN BY THESE PRESENTS, that we STEINY AND COMPANY, INC. 12907 E.Garvey Avenue (Here insert full name and address or legal title of Contractor) Baldwin Park,CA 91706 as Principal, hereinafter called the Principal, and SAFECO INSURANCE COMPANY OF AMERICA SAFECO Plaza (Here insert full name and address or legal title of Surety) Seattle,WA 98185 a corporation duly organi--ed under the laws of the State of WA as Surety, hereinafter called the Surety, are held and firmly bound unto )Here insert full name and address or legal title of owner) CITY OF HUNTINGTON BEACH 2000 Main Street,Huntington Beach,CA 92648 as Obligee, hereinafter called the Obligee, in the sum of 10%of Amount Ten percent of amount bid. Dollars ($ Bid ), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for Mere insert full name,address and description of project) Main Street Interconnect Conduit and the Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive CC Nos. 1301 and 1303 in the City of Huntington Beach NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid,and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof,or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 16th day of July 2008 MPANY INC. 0 }� (Principal) (Seal) i� `�` /�t ��` mil! �e�t� - (Witness) (Title) SAFECO INSURANCE COMPANY OF AMERICA (Surety) (Seal) Rhonda C.Abel (Witness) 6 ileap(po ,a; (T le) Ai,o(ney-in-Fact AIA DOCUMENT A310•BID BOND•AIA®• FEBRUARY 1970 ED•THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 N.Y. AVE., N.W., WASHINGTON, D.C. 20006 CALIFORNIA CERTIFICATE OF ACKNOWLEDGMENT State of California County of Los Angeles ss. On July 21, 2008 before me, Shawn R. Bradfield, Notary Public Daze Name and Title of Offiu (e_g_"lane Doc,Not—Public") personally appeared Richard Tesoriero Name(s)of Signerfs) who proved to me on the basis of satisfactory evidence to be the person(5) whose name(&) is/afe subscribed to the within instrument and acknowledged to me that he/she4hey executed the same in his/fir authorized capacity(ies), and that by his/heF4h—&4 signature(s) on the instrument the person(&), or the entity upon behalf of which the person(&) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. _ SHAWN R. BRADFIELO Commission # 1738049 -c; Notary Public -California Z # a Riverside County '- .�Ctl l � `t 3 �� I a'_l 1, MY Corrvtt.Expires May 9,2011 Signature I�, I (Seal) OPTIONAL Though the information below is not required by law,it may prove valuable to persons relving on the document food could prevent fraudulent removal crud reattachment of this form to another document. Description of Attached Document: Title or Type of Document: Bid Bottd Document Date: July 16, 2008 Number of Pages: Signer(s)Other Than Named Above: Jeri Apodaca, Safeco Insurance Co.of America Capacity(ies) Claimed by Signer Signer's Name: Richard Tesoriero ❑ Individual Top of thumb here x❑ Corporate Officer-Title(s): Vice President ❑ Partner(s)- ❑ Limited ❑ General ❑ Attorney-in-Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: STEINY AND COMPANY, INC. M:\SHAWN\Notary\Copy of 2008 Notary Forms 1 7/22/2008 Safeco Insurance Company of America AIM General Insurance Company of America POWER Safeco Plaza �x OF ATTORNEY Seattle,WA98185 1 KNOW ALL BY THESE PRESENTS: No. 9675 That SAFECO INSURANCE COMPANY OF AMERICA and GENERAL INSURANCE COMPANY OF AMERICA, each a Washington corporation,does each hereby appoint ****«RHONDA C.ABEL;JERI APODACA;LISA K CRAIL;LINDA ENRIGHT;JANE KEPNER;NANETTE MARIELLA-MYERS;MIKE PARIZINO; RACHELLE RHEAULT;JAMES A.SCHALLER;Irvine,California**************«*****.****«********«************************************ its true and lawful attorney(s)-in-fact,with full authority to execute on its behalf fidelity and surety bonds or undertakings and other documents of a similar character issued in the course of its business,and to bind the respective company thereby. IN WITNESS WHEREOF, SAFECO INSURANCE COMPANY OF AMERICA and GENERAL INSURANCE COMPANY OF AMERICA have each executed and attested these presents this 31 st day of March 2008 STEPHANIE DALEY-WATSON,SECRETARY TIM MIKOLAJEWSKI SENIOR VICE-PRESIDENT SURETY CERTIFICATE Extract from the By-Laws of SAFECO INSURANCE COMPANY OF AMERICA and of GENERAL INSURANCE COMPANY OF AMERICA: "Article V,Section 13.-FIDELITY AND SURETY BONDS...the President,any Vice President,the Secretary,and any Assistant Vice President appointed for that purpose by the officer in charge of surety operations,shall each have authority to appoint individuals as attomeys-in-fact or under other appropriate titles with authority to execute on behalf of the company fidelity and surety bonds and other documents of similar character issued by the company in the course of its business...On any instrument making or evidencing such appointment, the signatures may be affixed by facsimile. On any instrument conferring such authority or on any bond or undertaking of the company, the seal, or a facsimile thereof, may be impressed or affixed or in any other manner reproduced; provided,however,that the seal shall not be necessary to the validity of any such instrument or undertaking." Extract from a Resolution of the Board of Directors of SAFECO INSURANCE COMPANY OF AMERICA and of GENERAL INSURANCE COMPANY OF AMERICA adopted July 28,1970. "On any certificate executed by the Secretary or an assistant secretary of the Company setting out, (i) The provisions of Article V,Section 13 of the By-Laws,and (ii) A copy of the power-of-attorney appointment,executed pursuant thereto,and (iii) Certifying that said power-of-attorney appointment is in full force and effect, the signature of the certifying officer may be by facsimile,and the seal of the Company may be a facsimile thereof." 1,Stephanie Daley-Watson Secretary of SAFECO INSURANCE COMPANY OF AMERICA and of GENERAL INSURANCE COMPANY OF AMERICA,do hereby certify that the foregoing extracts of the By-Laws and of a Resolution of the Board of Directors of these corporations,and of a Power of Attomey issued pursuant thereto,are true and correct,and that both the By-Laws,the Resolution and the Power of Attorney are still in full force and effect. IN WITNESS WHEREOF,I have hereunto set my hand and affixed the facsimile seal of said corporation JUL 16 2000 this day of ' MW SEAL SEAL � ��>�� �f�• x �jF WASt� ' t�fWdS� �$` STEPHANIE DALEY-WATSON,SECRETARY Safeco®and the Safeco logo are registered trademarks of Safeco Corporation. S-0974/DS 4/05 WEB PDF 1%4"iff CITY OF HUNTINGTON BEACH 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY CLERK JOAN L. FLYNN CITY CLERK September 22, 2008 California Professional Engineering 9316 Mabel Ave. South El Monte, CA 91733 RE: CC-1301 & CC-1303 — Main St. Interconnect Conduit & the Traffic Signal Installation at Bolsa Chica St. & Robinwood Drive Enclosed please find your original bid bond for CC-1301 and CC-1303. Sincerely, s r Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure g:/followup/cashcont/returnbid bond.doc (Telephone: 714-536-5227) Ca6bram , . . MS61Ava BauGi BM�ite CA91733.. 2098 .ltlL 22 FM 2 15 3m q,2 A�q -��ca��� s�gC1a1 wvs CC. SECTION C PROPOSAL for the Main Street Interconnect Conduit And the Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive CC Nos. 1301 and 1303 in the CITY OF HUNTINGTON BEACH x TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 40 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 r If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER,the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find in the amount of$ which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 SECTION C PROJECT BID SCHEDULE Traffic Signal at Bolsa Chica Street and Robinwood Drive And the Main Street Interconnect Conduit CC 1301 and CC 1303 PROJECT BID: SUMMARY—PROJECT BID: SUBTOTAL-TRAFFIC SIGNAL INSTALLATION AT BOLSA CHICA STREET AND ROBINWOOD DRIVE $ 5 R Go SUBTOTAL-MAIN STREET INTERCONNECT CONDUIT $ , 166 s00 TOTAL AMOUNT BID IN FIGURES: $ r.M Igo TOTAL AMOUNT BID IN WORDS: N)(A�g\ %bA-twq c- six allays C-2.1 Project Bid Schedule Main Street Interconnect Conduit CC-1301 � y v s x Po s M.. imated = tem With t Pace vV 'ten mkviortis ITrtitPncI', ''"z , R ' 1 1 L.S. Mobilization @ Me Per LS 2 1 L.S. Furnish Project raf is Contro� ®ra `$ 01 $ IMO Per LS 3 1 L.S. ConAruct Main Street JiRterconnect C nduit 2�15 $ 1 -� DQ e<, Per LS Subtotal—Main Street Interconnect Conduit Subtotal— m Street nterconnect Co uit in word 42P. C-2.2 Project Bid Schedule Traffic Signal at Bolsa Chica and Robinwood Drive CC-1303 ItemEstimatedmItem WithUnitPrice§Wittenii Words�+^ nitPice g t :Kr "s&a' �,� '3 ,., r s Extendell m; [230 �*`x 1 1 L.S. Mobiliz tion @5�0�\aY $ $ o' Per LS 2 1 L.S. Furnis�tfW. ffiProjrac Control @ Q U $3 na $ ,t�i:► cA o Per LS 3 1 L.S. Install Traffic Signal at Bolsa Chica Street and Robinwood Drive $41 9-MA— $ AE Per LS 4 1 L.S. Traffic Striping and Signing @JO\X UEYaY�ga a IC 1� $ $ +00 Per LS Subtotal- Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive $ q= Subtotal- Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive in words: (� Note: The City will provide the traffic signal controller and service cabinet, all traffic signal poles, mast arms, luminaries, vehicle heads, pedestrian heads,push buttons, internally illuminated street name signs, emergency vehicle preemption sensors, block information signs, and fittings at no cost to the contractor. Contractor is to pick up the materials at the City Yard, 17371 Gothard Street. Contact George Ruff two working days in advance for pick up at(714) 375-5015. C-2.3 t LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion Name and Address of Subcontractor State License Class of Work Number .c-13o3 VI-A bwQcAnO�'�\ �3 'rrc� OWN \�e . Vaffi By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange being first duly sworn, deposes and says thador she is �&- of �, the party making the for going bid that the bid is not made in the interest of, or on he behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. California Professional Engineering Nam of Bidder Signa re of Bidder 9316 Mabel Ave. South 0 Monte,CA 91 Address of Bidder Subscribed and sworn to before me this day of,\\I , 20 0� . Com�#1690462,< Notm1! •CalitarWo . Lot,Arpsla CaurMlr MVCW"ri►. gaNrt/Mip4�h NOTARY PUBLIC NOTARY SEAL C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the Main Street Interconnect Conduit and Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive CC 1301 and CC 1303, (I)(we)(it) will employ and .utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. California Professional Engineering Contractor a � By 1MC4I Title Date: / C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes L3'No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. California Professional Engineering Contractor By Title Date: 21: D C-7 UNDERGROUND SERVICE ALERT IDENTIFICATION NUMBER (To be completed only by the awarded Contractor prior to excavation) No excavation will be permitted until this form is completed and returned to the AGENCY. Section 4216/4217 of the Government Code requires a Dig Alert Identification Number be issued before a Permit to Excavate will be valid. To obtain a Dig Alert Identification Number, call Underground Service Alert at 1-800-422-4133 a minimum of two working days before scheduled excavation. Dig Alert Identification Number: California Professional Engineering Contractor By QD`C' oI rYl C� C1JIG`E r Title Date: 2,1 V Note: This form is required for every Dig Alert Identification Number issued by U.S.A. during the course of the Work. Additional forms may be obtained from the AGENCY upon request. C-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name g,-3��q mab i ntwe Business Address SOA F,1 1M= Gh ql ]�3�; City, State Zip (02) !��2 Telephone Number State Contractor's L' ense No. and Class ,041 n i 1 Original Da e Issue � SIC I Expiration Date The work site was inspected by of our office on ( S , 20 0-�' The following are persons, firms, and corporations having a principal interest in this proposal: �U 0 LON \ Wa� C-9 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. California Professional Engineering Company Name Signatur of Bidder Van Nguyen Printed or Typed Signature Subscribed and sworn to before me this 1-day of , 20A . �+ CAm �- NOTARY PUBLIC NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within.the past two years: 1. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed C-10 9316 Mabel Avenue South El Monte, CA 91733 Ph: (626) 452-8658 Fax: (626) 448-0470 . cpeng1neer�ingrnc com Cahfornla Profcsslonal E � gn jbdi Inc. 100 RETERE rC S. T.o.9EC2: _Beach Ave. & Caminita Blvd. Traffic Signal Installation Amount: $300,000 Owner: City of Cerritos Project Manager: Rash Syed x Contact phone#: (562)916-1221 f f Orange Grove & Garfield Ave. Traffic Signal Installation d a 1 a E , } Amount: $196,000 �T . Owner: City of Pasadena s Project Manager: Elvin Jiang Contact phone#: (626)744-6912 � . Lincoln Ave. Intelligent Transportation System Amount: $485,000 y Owner: City of Anaheim Project Manager: Robert Palaeologus Contact phone #: (714)765-5100 x5711 Seal Beach Blvd. Street Rehabilitation Amount: $250,000 Owner: City of Seal Beach Project Manager: Karim Contact phone#: (714)412-2772 Additional information will be available upon your request. 7 i .h' .. "'�"� a `' a •�jy; i . . . . . . . . . • • • • • • • • • • • . . . W icy 'Fl7 .� Y^t Nf r, '+i THE AMERICAN INSTITUTE OF ARCHITECTS AIA Document A310 Bid Bond BOND#N/A KNOW ALL MEN BY THESE PRESENTS, that we CALIFORNIA PROFESSIONAL ENGINEERING, INC.DBA CALIFORNIA PROFESSIONAL ELECTRICAL 9316 MABEL AVE. S.EL MONTE,CA 91733 ENGINEERING (Here insert full name,and address or legal title of Contractor) as Principal, hereinafter called the Principal, and NORTH AMERICAN SPECIALTY INSURANCE COMPANY 701 SOUTH PARKER STREET SUITE 3800 ORANGE,CA 92868 (Here insert full name,and address or legal title of Surety) a corporation duly organized under the laws of the State of NEW HAMPSHIRE as Surety, hereinafter called the Surety, are held and firmly bound unto CITY OF HUNTINGTON BEACH 2000 MAIN STREET HUNTINGTON BEACH,CA 92648 (Here insert full name,and address or legal title of Owner) as Obligee, hereinafter called the Obligee, in the sum of TEN AND 00/100 PERCENT of attached bid ------------------------------------------ Dollars ( $ 10 for the payment of which sum well and truly to be made,the said Principal and the said Surety, bind ourselves, our heirs,executors, administrators, successors and assigns,jointly and severally,firmly by these presents. WHEREAS, the Principal has submitted a bid for MAIN STREET INTERCONNECT CONDUIT AND THE TRAFFIC SIGNAL INSTALLATION AT BOLSA CHICA STREET AND ROBINWOOD DRIVE; CC. NOS. 1301 AND 1303 (Here insert full name,address and description of project) NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 17th day of July 2008 CALIFORNIA PROFESSIONAL ENGINEERING, INC. DBA CALIFORNIA PROFESSIONAL ELECTRICAL (Principal) (Seal) ENGINEERING (Witness) (Title) NORTH AMERICA d SPECIAL/'Y/ `, INSURANCE CO PANY /(Surety) / � (Seal) (Witness) (Title) r' YUNG T. MULLjCK,Attorney-in- act r AIA DOCUMENT A310 BID BOND AIA® FEBRUARY 1970 ED THE AMERICAN INSTITUTE OF ARCHITECTS,1735 N.Y.AVE_,N.W.WASHINGTON,D.C. 20006 ACKNOWLEDGMENT State of California County of ORANGE ) On JULY 17, 2008 before me, JENNIFER C.GIBONEY,NOTARY PUBLIC (insert name and title of the officer) personally appeared YUNG T.MULLICK who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ' Jr.? NIFr 'C. UIL3U'aC� WITNESS my hand and o ficial seal. � '�, C0MM 4 1"q70C1, ' fQ- spy COMM ,xdir h{sy_c. Signature r (Seal) i NAS SURETY GROUP NORTH A1vlERICAN SPECI.ALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL AMEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Manchester,New Hampshire,and Washington International Insurance Company,a corporation organized and existing under the laws of the State of Arizona and having its principal office in the City of Itasca, Illinois,each does hereby make,constitute and appoint JENNIFERC.GIBONEY,JAMES W.MOILANEN. and YUNG T.MULLICK JOINTLY OR SEVERALLY Its tine and lawfiil Attomey(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed tinder this authority shall exceed the amount of TWENTY-FIVE MILLION($25,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 24th of March,2000_ "RESOLVED,that any two of the President,any Executive Vice President,any Vice President,any Assistant Vice President,the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to tine execution of any such Power of Attorney and to attach therein the seal of the Company, and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any cerfificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." ,i514 rr fit SQ.GpPPOtl,�r i CtfRPDRAfiE 9 _ = By ...... ., r SEAL o= Steven n P.Aral—c ,President&Chief Executive 011icer of Waslun gton Internationalns Iu nce ra Comperry G Y s i�iii.z 1973 a<i to Vice.President of North American Specialty Insurance Company A` S sue, By David M.Layman,Vice President of Washington intemationalInsurance Company& Vice President of Nordr American Specialty Insurance Company IN WITNESS WHEREOF,North American Specialty Insurance Company and Washington Intemabonl Insurance Corn Jany have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this Ist day of- Day 20 08 . North American Specialty Insurance Company Washington International Insurance Company State of Illinoi-s County of Du Page ss: On this_1st_day of_ May 20 0S,before me,a Notary Public personally appeared Steven P.Anderson ,President and CEO of Washington[ntemational hlsurance Company and Vice President of North American Specialty Insurance Company and David M.Layinan_, Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company, personally known to me,who being by me dully sworrn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. # SEAL" :111U SiA145FEL fialeoi Am Susan..A rsel,Notary Pu blic li Goff mso )fes;lrZF 1, James A.Caq)enter the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington Interrationai Insurance Company,do hereby certify that the above and foregoing is a true arid correct copy of a Power of Attorney given by said North American Specialty Insurance Company arid Washington International Insurance Company,which is still in full force and cff ct. IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this 17 day of JULY 20 08 . James A.Carpenter,Vice Feesideot&Assistant S—tary of Washington International Ince Company& Noah Arn-ran Specialty Im—cc Company CITY OF HUNTINGTON BEACH 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY CLERK JOAN L. FLYNN CITY CLERK September 22, 2008 Dynalectric 4462 Corporate Center Drive Los Alamitos, CA 90720-2539 RE: CC-1301 & CC-1303 — Main St. Interconnect Conduit & the Traffic Signal Installation at Bolsa Chica St. & Robinwood Drive Enclosed please find your original bid bond for CC-1301 and CC-1303. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure g:/followup/cashcont/returnbidbond.doc (Telephone: 714-536-5227) s e eX+ 1000 JUL 22 .Pf",.2: 28 Dynalectric An EMCOR Company 4462 Corporate Center Drive Los Alamitos,CA 90720-2539 City of Huntington Beach—Office of the City Clerk 2000 Main Street— Second Floor Huntington Beach, CA 92648 SEALED BID PROPOSAL ENCLOSED FOR: "MAIN STREET INTERCONNECT CONDUIT AND THE TRAFFIC SIGNAL INSTALLATION AT BOLSA CHICA ST, AND ROBINWOOD DR. - CC Nos. 1301 and 1303" DO NO OPEN WITH REGULAR MAIL Bid Due: Tuesday, July 22"", 2008 rz 2:30 pm Y SECTION C PROPOSAL for the Main Street Interconnect Conduit And the Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive CC Nos. 1301 and 1303 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 40 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 Fi If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER,the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. A1og°- Accompanying this proposal of bid, find IND&000 in the amount of$ which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: (O�, (� 1p r Addenda No. Date Received Bidder's Signature ✓ C-2 KDC INC.dba DYNALECTRIC SECTION C PROJECT BID SCHEDULE Traffic Signal at Bolsa Chica Street and Robinwood Drive And the Main Street Interconnect Conduit CC 1301 and CC 1303 PROJECT BID: SUMMARY-PROJECT BID: SUBTOTAL-TRAFFIC SIGNAL INSTALLATION AT BOLSA CHICA STREET AND ROBINWOOD DRIVE $ //S_� f 73 - 00 SUBTOTAL-MAIN STREET INTERCONNECT CONDUIT 4�2�5 3 -ov TOTAL AMOUNT BID IN FIGURES: $ LJ LJ, �jj 2-� o� TOTAL AMOUNT BID IN WORDS: �_O z� C" I C-2.I KDC INC.dba DYNALECTRIC Project Bid Schedule Main Street Interconnect Conduit CC-1301 -t'� �.4��n � '�* '"� "" 'k..�x'�. `�+`�"�. '�.x'- '"" €�� —ax. ^as..:�s:.,t �' �, Item 1Estnnated �ItemitrutPrlce Writte } o I1nttP ce �Etended 1sTN'*s - A,- I� `�'x" Q 1 1 L.S. Mob* zat @�I �dbUs*rp Sv lk;v"v $203,610 $ 2(Q 3.o0 �Jinel-y I E Per LS 2 1 L.S. Furnish Prrojl ct Traffic Control, One- %ems o Scx �o2(,D $ f� c/�,00 $ Per LS 3 1 L.S. Cons ct Main Street Interconnect Conduit If E 0 v9 ofi-g o Ft,� V t ex)2 Per LS Subtotal—Main Street Interconnect Conduit Su otal—M in Street Interconnect Conduit i,n/words: art/ r.�e , 5A nr o, SIX rYyy�o/Z,-O 140© ZCP-c-) Cie C-2.2 KDC INC.dba DYNALECTRIC Project Bid Schedule Traffic Signal at Bolsa Chica and Robinwood Drive CC-1303 ,„.,, s..a A *�'p' ; "`+ihF i*y=`.�.' ' .^f•.;:#a a .,,,„ "'AW012 tItem Estimated Item With Uh Puce Wnit n in Words rtTmt Pnce� Extended ���'°*tu ` � QWt a...'i 1 1 L.S. Mob atio /e--O-7�s4-nP Six liwx4p $216o,3., $2/ V3, 0i In cml Per LS 2 1 L.S. Furnish Project Traffic Control @`Irmo �a.�oys•����� $2�020.n $ 21 U 2l,.CO Per LS 3 1 L.S. Install Traffic Signal at Bolsa Chica Street and p,I-7 /�✓n Robinwo��jd Drive $[ f 1`f /, $ 0! �'I W 7 CO Per LS 4 1 L.S. Traffi Strip and Signing @ � llf�uSA f� -.:1 ffizzr✓ $5,3/3. $S3/3.c� Per LS (� Subtotal- Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive $ �! � % -73 ,Oy Subtotal- Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive in words: Oj4e W00,0R,6P v r MvsAa,�_D; /���� 4—ooDww S6geu�1/ Y Note: The City will provide the traffic signal controller and service cabinet, all traffic signal poles, mast arms, luminaries, vehicle heads, pedestrian heads,push buttons, internally illuminated street name signs, emergency vehicle preemption sensors, block information signs, and fittings at no cost to the contractor. Contractor is to pick up the materials at the City Yard, 17371 Gothard Street. Contact George Ruff two working days in advance for pick up at(714) 375-5015. C-2.3 KDC INC.dbe DYNALECTRiC LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion Name and Address of Subcontractor State License Class of Work Number aX-t p t, 7 0;2 M�66 e0o"'y S--a..t pt cJ 6j 3 / 0?5-- 3 2— By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange WILLIAM B.DAVENPORT,CFO , being first duly sworn, deposes and says that he e is Sec./Treas . of KDC INC.dbe DYNALECTRIC the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. KDC INC.dbe DYNAL.ECTRIC Name of Bidd ),inatur idder IAM DAVENPORT,CFO-0-,See/R2as. 4y to a. Corpora* Cer4eX 6(;Je. LOS A14mit2e> CA gD-7 aQ Address of Bidder Subscribed and sworn to before me this day of , 20_ . NOTARY PUBLIC NOTARY SEAL C-4 CALIFORNIA JURAT WITH AFFIANT STATEMENT See Attached Document (Notary to cross out lines 1-6 below) O See Statement Below (Lines 1-5 to be completed only by document oignar[n], not Notary) Signature*Document Signer No., Signature m Document Signer No.2(if any) State ofCalifornia Orange County of Subscribed and sworn to (or affirmed) before meonthis 22nd day of July . 20 08 by Date w"" Year William B. Davenport, V P S /T (1) �m aven . Name of Signer proved to me on the basis of satisfactory evidence tohe the person who appeared before moNotary Public-California (j (.) Orange County (and My Comm.Expires Jun 27,2010 j;jr��om.e�on the=asis�Ofsa�tisfact6`rye idence tobe the person who appeared before me ) Signature -- Signature of Notary,Public Place Notary Seal Above OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent IBM fraudulent removal and reattachment orthis form to another document. Top of thumb here Top of thumb here Further Description of Any Attached Document Title",Type v/Document NonCoUueion Affidavit Document Date:—July 22»d 2008 Number m Pages. i___ s/n»«'(o)Other Than Named Above: None muvor National Notary Association^9350o^om"wve ro.Box 2^o2'ohat="m`CAo`o`,e^02^°w°w"fio" /w*"�°m wmma`v Reorder:Call Toll-Free,-800*mswo JunatO8 NunCo| 1 pg.mux UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the Main Street Interconnect Conduit and Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive CC 1301 and CC 1303, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. KDC INC.dM DYNALECTRIC Contractor By WI dElMRT,CFO �.P. , sec -/T"1-ea.s. Title Date: nd� '2�w% C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes )(No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. KDC INC.dbe DV 'I'RIC Contractor By WILUAM& ,Cf0 VIA Sec-- /Trews. Title Date: 36-1 LA SLato XD% C-7 UNDERGROUND SERVICE ALERT IDENTIFICATION NUMBER (To be completed only by the awarded Contractor prior to excavation) No excavation will be permitted until this form is completed and returned to the AGENCY. Section 4216/4217 of the Government Code requires a Dig Alert Identification Number be issued before a Permit to Excavate will be valid. To obtain a Dig Alert Identification Number, call Underground Service Alert at 1-800-422-4133 a minimum of two working days before scheduled excavation. Dig Alert Identification Number: K©C INC.dbe TnECTRIC Contractor By WIW .DAVENPORT,CFO \I•P. , Se-c- a Titles Date: J1,tlm Note: This form is required for every Dig Alert Identification Number issued by U.S.A. during the course of the Work. Additional forms may be obtained from the AGENCY upon request. C-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: KDC INC.dbe DYN ALECTRIC Bidder Name �gtoa Cofpo(CC+C Cen,+er D(W2 Business Address Los AI am;tos-01 CA 9D7,-�-o City, State Zip (714 ) Sass-7000 Telephone Number 55ni'73 A, $, Cio, c-�l, C31 , Cyle State Contractor's License No. and Class Original Date Issued 1ahslI aups Expiration Date 0- �IThe work site was inspected by Ck Robe, +S of our office on 'ul 14- V�, 20�� . The following are persons, firms, and corporations having a principal interest in this proposal: KDC INC.09 DYNALECTRU' — C0f UOfCL*0M �Y1fiS P2SGV2-Y�'b — rtesider�+ WVOLM b.7L>-A\Jek\Wi- Sec,Troas. C-9 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. KDC INC.dba DYINALECT"RIC 0-747-/O-i� Company Name Signature of Bidder WILLIAM Ek - .Q� Sec/Tr ea S. Wi WCAIM 6 . DC %jenpoft- Printed or Typed Signature Subscribed and sworn to before me this day of , 200_ . (�br--F- &,T%C,"rtZ 3 (NT) NOTARY PUBLIC NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 51ctcoFC"i-f V(K a. I LI(Pao C.ar r\e.r\�tu.Rot. 1• '�(GIInS- Dq:opt'• of NOf uyu l k., G4 C10(o So Name and Address of Public Agency Name and Telephone No. of Project Manager: '&fm(o( A Ioymo 92(0'a53"7 I,20`l)9 0D Traffic- G,r\ico I A Lk6- 2-OD-1 Contract Amount Type of Work Date Completed 2. P�aWI\Cdi LaMaM cyr�.ir� gm;L3 va.le i� BlUd .- -fix �, CO. Va l2�\c is , CA ob 3 S 5- Name and Address of Public Agency r Name and Telephone No. of Project Manager: MCL(K `J ZcJ d00�- C.On� McXC.Q CP n4e r op . Tru t 5ri�4s AtJ. am-7 Contract Amount Type of Work Date Completed 3. CiIM of 15ieiQRL WLL, al'15 M00 Koe. �. t� Hill Gar 9D-7sS Ad Name d Address of Public Agency Name and Telephone No. of Project Manager: Ar%Aov\ Ar&\J9O 2- '� 3q5, 091 O° 1 ra{6`c. .TMere.or\ry &- -DEC, ZOUo Contract Amount Type of Work Date Completed C-10 CALIFORNIA JURAT WITH AFFIANT STATEMENT EXSee Attached Document (Notary to cross out lines 1-6 below) E See Statement Below (Lines 1-5 to be completed only by document signer[s], riot Notary) Signature of Document Signer No.I Signature of Document Signer No.2(if any) State of California County of Orange Subscribed and sworn to (or affirmed) before me on this 22nd day of July —, 20 08 by Date Month Year (1) William B. Davenport, V.P. -Sec./Treas. Name of Signer proved to me on the basis of satisfactory evidence ELAINE L.HOYUELA to be the person who appeared before me (.) Commission# 1678214 6N0tarY Public-California (and or(Inge County MY C0 MM.Expires J 27,2010 110 Wa��o me�on the=asis�Off sa�tfisffac lenc to be the person who appeared before me.) --MaA�� 0-Y Signature Signature of Notary Public Place Notary Seal Above OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Top of thumb here Top of thumb here Further Description of Any Attached Document Title or Type of Document: Bidder's Information C-10 Document Date: July 22nd, 2008 Number of Pages: Signer(s)Other Than Named Above:_None 02007 National Notary Association-9350 De Soto Ave.,P.O.Box 2402-Chatsworth,CA 91313-2402-www.NationaiNotary.org Item 85910 Reorder:Call Toll-Free 1-800-876-6827 Jurat 08 Bidders Info.max THE AMERICAN INSTITUTE OF ARCHITECTS AIA Document A310 Bid Bond KNOW ALL MEN BY THESE PRESENTS, THAT WE Dynalectric 4462 Corporate Center Drive, Los Alamitos, CA 90720 as Principal, hereinafter called the Principal, and Travelers Casualty and Surety Company of America 343 Thornall Street 5th Floor Edison NJ 08837 a corporation duly organized under the laws of the State of CT as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach 2000 Main St., Huntington Beach, CA 92648 as Obligee, hereinafter called the Obligee, in the sum of Ten Percent of Amount Bid Dollars ($ 10% ), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents. WHEREAS,the Principal has submitted a bid for Main Street Interconnect Conduit and the Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive-CC Nos. 1301 and 1303 NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and materials furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 9th day of July 2003 D nalectric _ _ rincipai) (Seal) y' (Witness) B .i.of >>uutea„�urr�rlru CRY— ( itle) 0 01 slig r Travelers Casualty and Surety Company of America (Surety) (Seal) N. (Witness) Byi k(1!l1Nryp�1lSyt�1�P�\` A orney-in-Pact Rit agistano (Title) AIA DOCUMENT A310•BII)BONI)•AIA•FEBRUARY 1970 ED. •T1IF,AMERICAN INSTrrUTE OF ARCHITECTS, 1735 N.Y.AYF..,N.W.,WASHINGTON,D.C.20006 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT -`_�Fz.?:��:��'tds�%a�ik�?:��S��s Y��c�.c�:-�GY:Si'i�z���z'�-�., �S,l,:�t�s�"r�S:�r.LLc�"��%415r�_W�.1�vS'� 5i�✓.s� `%G�i-r.*`"`�,z�"� �?�;'s�E State of California County of Orange On July 22nd, 2008 before me, Elaine L. Hoyuela, Notary Public Date Here Insert Name and Title of the Officer personally appeared William B. Davenport Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person( whose name(It) is/fie subscribed to the within instrument and acknowledged to me that he/ lft 4y executed the same in his/IiI41tfdir authorized capacity(�6), and that by his/ft/tt5dir signature() on the ELAINE L. HOYUEtA instrument the person(, or the entity upon behalf of _OMYNot(Iry COMM" # 1678214 which the person`() acted, executed the instrument. $ Public-CaliforniaZOrange County i certify under PENALTY OF PERJURY under the laws Comm.Expires Jun 27,2010 of the State of California that the foregoing paragraph is true and correct. WITNESS my hard and official seal. y" Signature _ Place Notary Seal Above Signature or Notary Public ! l OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Bid Bond Document Date: July 9th, 2008 _ Number of Pages: Signer(s) Other Than Named Above: Rita Saqistano Capacity(ies) Claimed by Signer(s) Signer's Name: William B. Davenport Siq_ner's Name: ❑ Individual ❑ Individu�l ; XJ Corporate Officer—Title(s): VP., Sec./Treas. ❑Corporate OfftGQr—Title(s): _ Cl Partner—-1 Limited ❑ General ❑Partner—❑ Limite Q,,Genetal.---"-~_ Attorney in Fact a ❑Attorney in Fact 'r FT.,,of thumb here _ ^,- j Top of thumb here C Trustee J Trustee Cl Guardian or Conservator ❑Guardian or Conservator 17 Other: ❑(bier: Signer is Representing:_ Signer Is Representing: KDC Inc. dba Dynalectric _ {,"1,R�7„�:.C`.�-' i` •(,`�s� jv`F r,s�cy v,: 'f- >t.-'.cvZV.L `z `i�•y�F`•kSC'w'�1J"L,�y``C-;'!i�tilt `i.�C%�-'Sv`F�,t lv`CT iZ.v7�t _•Ivv'C'.ti.1541LZnTC_''i _<, @2007 National Notary Association•9350 De Soto Ave.,P.O.Box 2402-Chatsworth,CA 91313-2402•www.NationalNotary org Item#5907 Reorder.Call Toll-Free 1-800-876-6827 Bidder's Bond.max WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER POWER OF ATTORNEY TRAVELERSS Farmington Casualty Company St.Paul Guardian Insurance Company Fidelity and Guaranty Insurance Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company Seaboard Surety Company Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company attorney-In Fact No. 219656 Certificate No.0®d 5 5 8 8 4 KNOW ALL MEN BY THESE PRESENTS:That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York,that St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company and St. Paul Mercury Insurance Company are corporations duly organized under the laws of the State of Minnesota,that Farmington Casualty Company.Travelers Casualty and Surety Company,and"travelers Casualty and Surety Company of America are corporations duly otganized under the laws of the State of Connecticut,that United States Fidelity and Guaranty Company is a corporation duly organized under the laws of the State of Maryland,that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa,and that Fidelity and Guaranty Insurance Underwriters,life. is a corporation duly organized under the laws of the State of Wisconsin(herein collectively called the-'Companies"I,and that the Companies do hereby make,constitute and appoint Thomas Bean, Rita Sagistano, Gerard S. Macholz,Susan Lupski,Robert T.Pearson, Mary Alice J.Corbett,and Camille Maitland of the City of Garden City , State of New York ,their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above,to sign,execute,seal and acknowledge any and all bonds,recognizances,conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their,business of.guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing of guaranteeing bonds and undertakings required of permitted m any actions or proceedings allowed by law. 18th IN%VI a N I SS WHEREOF,the Companies have caused this instrument to be signed and their corporate seats to be hereto affixed,this Febra ar y 2008 day of F i I Farmington Casualty Company St.Paul Guardian Insurance Company Fidelity and Guaranty Instirance'Companyr St.Paul Mercury Insurance Company 9 Fidelity and Guaranty Insurance Undcrwriters,Inc. Travelers Casualty and Surety Company f Seaboard Surety Company Travelers Casualty and Surety Company of America F St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company SEAL.oi ',.SBAL.aiQ�GavN. IQ OI 7896 State of Connecticut By: City of Hartford ss- Geow -Ihoinpson, enior rice President 18th February 2008 On this the day of ,before me personally appeared George W."Chompson,who acknowledged himself to he the Senior Vice President of Farmington Casualty Company. Fidelity and Guaranty Insurance Company. Fidelity and Guaranty Insurance Underwriters, Inc., Seahoard Surety Company. St. Paul Fire and Marine Instrance Company. St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company_Tavclers CaSualtV and Surety Company Of America.and United States Fidelity and Guaranty Company, and that he, as such, heing authorized so to do,executed the fotegomg instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer: In Witness Whereof,I hereunto set my hand and official seal. W w� My Commission expires the 30th day of June,201 I. /DUB1 * Marie C.Tereault.Nouvv Public Of 58440-5-07 Printed in U.S.A. WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER ,r ALL°=PURPq E ►CKNOW%LEQGMEN:T State of New York County of Nassau On July 9, 2008 before me, Melissa Howard, Notary Public, personally appeared Rita Sagistano, Attorney-in-Fact of Travelers Casualty and Surety Company of America personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. MELISS�1IOWARD NOTARY PUBLIC,STATE OF NEW YORK NO.01H06173941 QUALIFIED IN SUFFOLK COUNTY TERM EXPIRES SEPTEMBER 4,2011 TRAVELERS CASUALTY AND SURETY a CC.MPANY OF,=:IE ICA rt.t TFORD,CONNECTICUT G5133 s tN?w JCIA,STATEMENv AS OF DECEMISER 31,2307 AS Fi:-ED?N THE STATE OF NEW YORK CAPITAL STOCK$5,000,0'r3 ASESE T S LIASIL TIES&SURPLUS CASH.&INVESTED CASH 3 74,575,111 UNEARNED PREi f1 9MS 5 53G d9a,352 SONDS 3,171,426,610 LOSSES 907,184,2E3 STOCK 14;356,947 LOSS AD,`.USTIu7:=_NT EXPENSES 153,32J,025 INVESTMENT INC0*1:+1E DUE AND ACCRUED 42,220,864 CON&IISSIOi 3S 34.0FA,803 PREMUM SALMCES i98,657,602 TAXES,LICENSES<AND FEES 19,747,911 NET DEFERRED TA.XASSET 411,369,888 OTHER EXPENSES 34,494,038 cE NSURANCE RECOVERABLE 7,619,102 FUNDS 4ELD UNDER REINSURANCE TREATIES 123,307,214 OTHER ASSETS 3.744,962 CURRENT FEDERAL AND FOREKM INCOME TAXES 27,676,125 REMITTANCES AND ITEMS NOT ALLOCA T ED 59,653,72. AMOUNTS WITHHELD 1 ET&NEG,BY COMPANY FOR OTHIERS 34,315,622 PAYABLE TO PARENT,SUBSIDIARIES S AFFI1..ATE, 58,232,804 RETROACTIVE REINSURANCE RESERVE 23,913,6E9 POLICYHOLDER DIMMIMS 8,740,193 PRO`t7SION FOR REINSURMCE S.SiO.971 CEDED REINSURAINCE NET PREMIUMS PAYABLE {55,035,3G1} OTHER ACCRUED EXPENSES AND LIABILITIES 141,704 TOTAL LIABILITIES S 2.265,354,iG8m CAPITAL STOCK PAID IN SURPLUS 303.297,401. OT?iER SURPLUS 981.319,576 TOTAL SURPLUS TO POLICYHOLDERS TOTAL ASSETT S $3,5�.971.GE5 TOTAL LLASIL+T IES°n SURPLUS $3,555971,OS6 S FATE OF CONNECTICtU' COUNTY OF H,ARTROR€3 - .,.TY OF HARTFf RD �AIVVRENCE A.S!UTj%,BEING DULY S ri>>:. ,SAYS Tf',AT IHE IS CHIEF F?NAN(;V.L OFFICER-TRAVELERS E=:OM n FI:'hF.t4C;AL PRODUCT S, OF TRA,`E!,E R S CA S l:ALTY A,,D S"IR..T Y CC IPANY OF A.-0_R!C— ., T.H AT TO THE 5 E S T OF!«S KNOVA_EDGE AND Fir=!..€'rvF TF{E-.F 0 R E G 0 1 N G ,. -RUE:ND CORRECT ST,w i E vl E NT OFTHE F :NANCIAL CCINvi:,OPI JF SAID,CONPANY AS OF J HE DAY OF D FCEIMB_R,2037. r w— ...tiEr FIN INC.AL C: F fCER-BOND& PRODUCTS ._ �t �US ^.F23rucDAf°CiS"diCsRA: ,`? 3'_;C.Z..,_ DAY OF MARCH;,2,003 MOORE ELECTRICAL CONTRACTING, INC. F , 463 NORTH SMITH AVENUE 2003,, J << ) Fils: r CORONA, CA 92880 610382 C-10 (951) 371-4202 "BID PROPOSAL OF MOORE ELECTRICAL CONTRACTING, INC. FOR: MAIN STREET INTERCONNECT CONDUIT AND THE TRAFFIC SIGNAL INSTALLATION AT BOLSA CHICA STREET AND ROBIN'WOOD DRIVE CC Nos. 1301 AND 1303, HUNTINGTON BEACH — SEALED BID - DO NOT OPEN WITH REGULAR MAIL" **** SEALED BID. DO NOT OPEN UNTIL 2:30 PM, JULY 22, 2008***` CITY CLERK CITY OF HUNTINGTON BEACH 2000 MAIN STREET HUNTINGTON BEACH, CA 92648 BID DATE AND TIME: 7/22/08 @ 2:30 PM SECTION C PROPOSAL for the Main Street Interconnect Conduit And the Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive CC Nos. 1301 and 1303 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 40 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 • If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER,the proceeds of the security accompanying this bid shall become the property of the AGENCY and .this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. A 10 0 bid Bond Accompanying this proposal of bid, find in the amount of$ which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Sign ature C-2 :1 SECTION C PROJECT BID SCHEDULE Traffic Signal at Bolsa Chica Street and Robinwood Drive And the Main Street Interconnect Conduit CC 1301 and CC 1303 PROJECT BID: SUMMARY—PROJECT BID: SUBTOTAL-TRAFFIC SIGNAL INSTALLATION AT BOLSA CMCA STREET AND ROBINWOOD DRIVE $ `30,q J 0-UU SUBTOTAL-MAIN STREET INTERCONNECT CONDUIT $ 0, 2 1 1. 00 _I TOTAL AMOUNT BID IN FIGURES: $ TOTAL AMOUNT BID IN WORDS: C-2.I Y Project Bid Schedule Main Street Interconnect Conduit CC-1301 Iter Estimated` ematU cekWntenin ords� X7ut 'ce � Extended x 1 1 L.S. Mobilizati n, Per LS 2 1 L.S. Furnish ect Traffic C ntrol �f$f �f �y �o$ (.la ol1 LIARS f Per LS 3 1 L.S. Construct Main Street Interconnect Conduit Sao $ 'p^)'^yw qp JOWD Per LS i Subtotal—Main Street Interconnect Conduit $�a J ®; Do Su total—Mam treet Interconnect Conduit in Nvord : C-2.2 Project Bid Schedule Traffic Signal at Bolsa Chica and Robinwood Drive CC-1303 Items Estimated ItemWilli Unince WnttenuiWords Tint Prce y ' Extended" �' ��. ��' :?`s���mount 1 1 L.S. Mobilization @ n $ 50D,00 $ 1,Goo m er LS 2 1 L.S. Furnish Project Traffic Control r� Per I.S 3 1 L.S. Install Traffic Signal at Bolsa Chica Street and Ro Inwood Drive s� ,00 $ 1 I a O_ �imLm � i twe Per LS 4 1 L.S. Traffic Sing and Sig 'ng Per LS n i Subtotal- Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive $ 9 0 / ! •�� Subtotal - Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive in words: 0 Note: The City will provide the traffic signal controller and service cabinet, all traffic signal poles, mast arms, luminaries, vehicle heads, pedestrian heads, push buttons, internally illuminated street name signs, emergency vehicle preemption sensors, block information signs, and fittings at no cost to the contractor. Contractor is to pick up the materials at the City Yard, 17371 Gothard Street. Contact George Ruff two working days in advance for pick up at (714) 375-5015. C-2.3 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion Name and Address of Subcontractor State License Class of Work Number S1614iw& By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange Rusty B. Moore , being first duly sworn, deposes and says that he o is President of Moore Electrical Contracting tlmVarty making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Moore Electrical Contractin ,Inc. Name of Bidder Signature of r Rusty B. oo , President 463 N S it h Ave Corona., CA 92880 Address of Bidder Subscribed and sworn to before me this 22nd day of July 520 078 DIANE RENE CODY Commission # 1777746 Notary Public -California Riverside County s3 wcorm►.boos Novil.2011 NOTARY PUBLIC Diane Rene Cody, Notary Pulac NOTARY SEAL C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the Main Street Interconnect Conduit and Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive CC 1301 and CC 1303, (I)(we)(it) will employ and .utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Moore Electrical Contrac ng,/fInc. Contractor By Rusty B M oore, President Title Date: 7/22/08 C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes /kNo If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Moore Electrical Contractin , nc. Contractor By Rusty B.fre, President Title Date: 7/22/08 C-7 UNDERGROUND SERVICE ALERT IDENTIFICATION NUMBER (To be completed only by the awarded Contractor prior to excavation) No excavation will be permitted until this form is completed and returned to the AGENCY. Section 4216/4217 of the Government Code requires a Dig Alert Identification Number be issued before a Permit to Excavate will be valid. To obtain a Dig Alert Identification Number, call Underground Service Alert at 1-800-422-4133 a minimum of two working days before scheduled excavation. Dig Alert Identification Number: Moore Electrical Contract' nc. Contractor By Rusty B. M re, President Title Date: 7/22/08 Note: This form is required for every Dig Alert Identification Number issued by U.S.A. during the course of the Work. Additional forms may be obtained from the AGENCY upon request. C-8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Moore Electrical Contracting, Inc. Bidder Name 463 North Smith Avenue Business Address Corona, CA 92880 City, State Zip ( 951 ) 371-4202 Telephone Number 610382 C-10 State Contractor's License No. and Class 1/22/91 Original Date Issued 1/31/09 Expiration Date The work site was inspected by None of our office on , 20_. The following are persons, firms, and corporations having a principal interest in this proposal: See Attached C-9 "Energ#ed for Excellence"— • r ti � ( ,. ✓mot � � .. ' - ./J \,= . b Officers: Corporate, Roscoe H:Moore,Chief Executive Officer 1 ; Rusty B.;Moore, President ` Wesley L. Lolio; Vice 'resident .Paul J.Thorp, Vice President >/ -ti Lynn-Ray Ashworth, Chief Financial Officer f Jose-Conrado,'Corporate-Seereiaiy -- r Z, J / , ` l ✓ \ C� ,-�'?��'� O.e82 #61 I r ` The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. - Moore Electrical Contracting, Inc Company Name Signature of Bidder Rusty B. Moor , �/esident Printed or Typed S gnature Subscribed and sworn to before me this 22ndlay of July ,200 8 . � E RErtr NE C0 Commits,,,#► 1777745 Nola w public-Ca„tornia Rivorsids County I�.NOTARY PUBLIC MyCamm.B�kesNova2011 Diane Rene Cody, Notyry Pub NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: l See Attached Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed C-10 JOB INFORMATION &CHECKLIST 1. Job Number: T470 Date: 8/29/ . 2. Job Name/Location: Traffic Signal and Lighting Pioneer Boulevard, Norwalk 3. Estimator: Rusty Moore Bid Date: 8/4/2005 4. Contract Amount: -222,721.00 PM: Rusty Moorle GF:NnDave Liddell S. General Contractor: I Moore Electrleal Contracting, Inc. Street:_ City, State,Zip:_ Contact Person:_ Customer Job#: T470 Telephone#: Fax#: 6. Owner: CaltanS 1'72�7 30th Street-Office Engineer Street: M-S 43 City, State,Zip:ESacramento,C0A 95 Contact Person: 816 Project#: 017-4K61704 Telephone#: 911 Fax#: 911.6 2207-6,15;1 Federal Aid Project# ACIMG_005_2192�7�)E 7. Estimated Start Date: Billing Date: 8. Working Days: 45 9. Liquidated Damages: �1,000.00 per cal. Day 10. Contract Approved As To Amount and Scope: 11. Contract Approved As To Legal Content: 12. Copy of Contract to Moore Files(Unsigned): 13. Date Insurance Certificates Requested: 8/29/05 DRC 14. Date Contract Mailed to Owner/General Contractor: 15. 20 Day Prelim Notice: Date: 16. Date Signed Contract Received by Moore: 17. Certified Payroll?: (Yes or No) 18. The Following Forms Requested Were Mailed with Contract: 1. 2. 3. 4. Job Infomation Sheet T470.xls JOB INFORMATION &CHECKLIST 1. Job Number: C134 Date: 1/11/2006 2. Job Name/Location: Installation of Advaneed Traffic Management System(ATMs) Citywide-Phase 1,ICerona 3. Estimator: Rusty Moore Bid Date: 12/1/2006 4. Contract Amount: a2,718,745.00 PM: Rusty Moore GF: Nick Eddy S. General Contractor: I Moore Electrical Contracting, Inc. Street: City, State,Zip:— Contact Person: Customer Job#: Telephone#: Fax#: 6. Owner: City of Corona Street:L40�DFSouth V ceritia Avenue City, State,Zip: Cerena,CA 92878 Contact Person: Omar Gonzalez,AE Project#: 170, Telephone#: Fax#: 95,1 2+7�9d362�7 Federal Aid Project# 7. Estimated Start Date: Billing Date: 8. Working Days: 180 Calendar Days 9. Liquidated Damages: $1,000.00 Pier Cal. DaY 10. Contract Approved As To Amount and Scope: 11. Contract Approved As To Legal Content: 12. Copy of Contract to Moore Files(Unsigned): 13. Date Insurance Certificates Requested: 12/28/05 DRC 14. Date Contract Mailed to Owner/General Contractor: 15. 20 Day Prelim Notice: Date: 16. Date Signed Contract Received by Moore: 17. Certified Payroll?: (Yes or No) 18. The Following Forms Requested Were Mailed with Contract: 1. 2. 3. 4. Job Infomation Sheet C134.xls JOB INFORMATION S CHECKLIST 1. Job Number: I)168 Date: 9/1/2004 2. Job Name/Location: Transit Priority System Automated Traffic Surveillance and Cantrol Installation of Hollywood/Pasadena I Fairfax, Los Angeles 3. Estimator: JW/PT Bid Date: 6/2/2004 4. Contract Amount: �3,430�000.00 PM: Davie Fernandez GF: Gary Panter 5. General Contractor: Moore Electrical Contracting, Inc. Street: City, State,Zip:_ Contact Person:_ Customer Job M Telephone M Fax#: 6. Owner: City of Los Angeles Street: 200 North Spring Street Roem C-3-55MM City, State,Zip: Las Angeles, CA 900'12 Contact Person: Project#: W.O� L0402623 Telephone#: 2,1F3 8_47Z553 Fax M i 847-5566 Federal Aid Project# 7. Estimated Start Date: Billing Date: 8. Working Days: 135 9. Liquidated Damages: $2,OOO.00 CONTRACTS IN HOUSE 9/1/04 10. Contract Approved As To Amount and Scope: 11. Contract Approved As To Legal Content: 12. Copy of Contract to Moore Files(Unsigned): 13. Date Insurance Certificates Requested: r9/.1/.0_4 DRC 14. Date Contract Mailed to Owner/General Contractor: 15. 20 Day Prelim Notice: Date: 16. Date Signed Contract Received by Moore: 17. Certified Payroll?: Yes (Yes or No) 18. The Following Forms Requested Were Mailed with Contract: 1. Contractor& Payment 2.119s.0rance and Workers Bands Comp Certs Job Infomation Sheet D168.xls THE AMERICAN INSTITUTE OF ARCHITECTS AIA Document A310 _ ;I Bid Bond KNOW ALL MEN BY THESE PRESENTS,that we Moore Electrical Contracting, Inc. as Principal, hereinafter called the Principal, and Fidelity and Deposit Company of Maryland a corporation duly organized under the laws of the State of Maryland as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach as Obligee, hereinafter called the Obligee, in the sum of Ten Percent of the Bid Amount ($10% of Bid}, for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for Main Street Interconnect Conduit and the Traffic Signal Installation at Bolsa Chica Street and Robinwood Drive, CC Nos. 1301 and 1303 in the City of Huntington Beach NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 21st day of July, 2008. Moore Electrical Cont cting Vic. _. � (Pic .al) 4, (Seal) (fitness) 1 ...... ,_ a�_ �it J. Thorp, Vice President Rusty B. Moor kdent Fidelity and p sit Company of Maryland (Surety)) (Witness) Ryza Jee Desaca,Asst.Account Rep. sy (Sea/)M N J Edward N. Hackett, Attorney-In-Fact`(Title) AIA DOCUMENT A310•BID BOND-AIA e•FEBRUARY 1970 ED•THE AMERICAN INSTITUTE OF ARCHITECTS,1735 N.Y.AVE.,N.W.,WASHINGTON,D.C.20006 1 State of California County of Riverside On 7/22/08 before me Diane Rene Cody,Notary Public Date Here Insert Name and Title of the officer personally appeared' Rusty B.Moore and Paul J. Thorp Name(s)t of S grter(sJ who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to the within instrument and acknowledged to file that hetshefthey executed the same in hisffler/their authorized capacity(ies),and that by his/herftheir signatures) on the instrument the person(s), or the entity upon behalf of � ��•d�wo which the person(s)acted,executed the instrument. Dm ss on#coDy� 54 Commission t(I 1777758 I certify under PENALTY OF PERJURY under the laws Wolory VubNe-CollifoCounty Md of the State of California that the for Riveralcie County � egging paragraph is MyC0nvn,EVkWNov9.2011 true and correct.. WITNESS 1 and and office sear. , , � � �� n ;? � �h '�� �•' Place Notary Seal Above Signature ° cane Rene Cody,Notary Public Though the information below is not required by taw,it may prove vahaable to persons re�ying on the document and could prevent fraudulent removal and reattachment of this form to another document Cs-scf ption W i vttz::;tsd ocki nent Title or Type of Document: Bid Bond Document Date: 7/21/08 Number of Pages: t Signer(s)Other Than Named Above: Capacity(:fes) r laiimecE -Fy'Signer(s) Signer's Name: Rusty B.Moore Signer's Name:_ Paul J.Thorp u individual ❑Individual 7 Corporate Officer—Title(s): President Z Corporate Officer Titie(s): Vice President 7 Partner ❑ Limited ❑General ❑Partner—_,Limited :]Genera' jrf Attorney in tact s � � a Attorney in Facts Trustee Tan.of thu ❑Trustee mb here Top of thumb here I Guardian or Conservator Guardian or Conservator Other. ❑Other: Signer is Representing: _ Signer Is Representing: Moore Electrical Contractine,Inc. f ' Moore Electrical Contracting,Inc- cy,2C07 National Notary A.-dabon-9350 De Soto Me,P.O.Box 2402.-Chats rth.CA 9131 3-24 02-wrsrv.NaiionalNotaryarg Item#5907 Reorder.Cad Tad-Freel-80"79-682-, CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of San Diego On JUL 2 1 2008 before me, Audrey Rodriguez, Notary Public Date Mere Insert Name and TI a of the Officer personally appeared Edward N. Hackett Name e o Igie e who proved to me on the basis of satisfactory evidence to be the personN) whose name(() is/�kX subscribed to the within Instrument and acknowledged to me that he/Oe/OW executed the same in hisA*r/M6r authorized capacity(M), and that by his/hW/t 6r slgnature(A on the instrument the person($), or the entity upon behalf of which the person(g)acted, executed the instrument. AUDREY RO�DRInGUEZ COW A #1631526 g; ` NOTARY PUBLIC-CALIFORNiA Z I certify under PENALTY OF PERJURY under the laws SAN DIEGO COUNT`f S of the State of California that the foregoing paragraph is Commf ion Expires true and correct. ` DECEMBER 18,2009 WITNESS myhaLrdarj official Signature Place Notary Seal Above Notary Public( OPTIONAL Though the Information below Is not required by law,it may prove valuable to persons 11Q on the document and could prevent fraudulent removal and reattachment of this form to anotherdocumeriL Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s)Other Than Named Above: Capacity(les) Claimed by Signer(s) Signer's Name: Signer's Name: —_ ❑ Individual ❑ Individual ❑ Corporate Officer--Title(s): ❑Corporate Officer—Title(s): ❑ Partner—❑ Limited ❑General O Partner—❑ Limited ❑General ❑ Attorney in Fact ❑Attorney in Fact ❑ Trustee Top of thumb here it'trustee Top of thumb here El Guardian or Conservator El Guardian or Conservator El Other: CI Other: Signer Is Representing: Signer Is Representing: CX:�,.E:�"�`�'�Z�"�;`�.�'x,; .' .. _ ._. �C�G_ ..L�'x'�,�.,.4 �i.�G�'%C:{"..oa�eG'�'✓4`i�4.'�:;L%.':�:��G`S�`r_- '. %i: 02E07Na?icnad NoWry As,v l n+9350 De Soto Ave:,P.D.Box 2402,ChWS�mrih,CA 9 1 3 7 3-2402•www,Nat ordNoWryorg Itom95907 Reorder GWIT01-Peel-60"788827 Power of Attorney FIDELITY AND DEPOSIT COMPANY OF MARYLAND KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF IMARYLAN'D, a corporation of the State of Maryland,by THEODORE G. MARTINEZ, Vice President, and ERIC D_ BARNES, Assistant Secretary, in pursuance of authority granted by Article Vl, Section 2, of the By-Laws of said,Cgany, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date he&6f,do�s'hereby nominate, constitute and appoint Edward Y. RACKETY,of San Diego,Cahtorni , lr v�anc� ful�genr�nd Attorney-in-Fact, to make, execute, seal and deliver, for, and on its behalf as surety,a tcYa 1 `� t d deed ��an n l{`Bonds and undertakings, and the execution of such bonds or upde faktil s.ifi�purrsuatzcte qi�s" �rfts, shall be as binding upon said Company, as fully and amply, to all intents anc p rp©s s if tl ych i<1 e ul executed and acknowledged by the regularly elected officers of the, 4nRrpa y atafs oftice,._�n R tii}igx ,1\1�1;rn their own proper persons. The said Assistarrt�SCetetar,-y doest-heie Y Chat the--kii� Tact set forth on the reverse side hereof is a mw copy of Article VI, Section 2,of the By-Lair s of sat d G,,6r r 4n} abcNs now in force. IN WITNESS WET 601P '�he said Vice-President and Assistant Secretary have hereunto subscribed their narnes and affixed the Corporate-'Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 1 I th day of June, A.D. 2008. ATTEST: FIDELITY AND DEPOSIT COMPANY OF MARYLAND 2a DEPpsf . 4 � a By: Eric D. Barne.s Assistant Secretmv Theodore G. Mccrtine� State of Maryland City of Baltimore ss: On this I Ith day of June, A.D. 2008- before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, came THEODORE (i. MARTINEZ, Vice President, and ERIC D. BAP�NES, Assistant Secretary of the FIDELITY AND DEPOSIT CON[PANY OF MARYLAND, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and they each acknowledged the exec ition of the same; and being by me duly sworn, severally and each for himself deposeth and saith, that they are the said officers of the Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY W'FIEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. R.R,t`O�2 Dennis R. Hat-den Nolm-r;'nblic My Commission Expires: February 1, 200Q POA-F 012-9310M