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HomeMy WebLinkAboutR J Noble Company - 1994-06-21 i CITY OF HUNTINGTON BEACH INTER-DEPARTMENT COMMUNICATION HUNTINGTON BEACH TO: THOSE LISTED HEREON FROM: - . ADMINISTRATIVE SERVICES, Accounting and Records SUBJECT: 10% RETENTION PAYMENT CC g DATE: 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 10% retention payment is recommended.so long'as no stop notices or outstanding invoices are on file with the City. AN T. VI LELLA, Director of Finance certify that no stop notices are on file on the subje at this time. Date:J l /13 /,TS-_ �- I " LES JO ES, ublic Works Director certify that no stop notices are on file on the subject. contract and that a guaranty bond has been filed. Date: CONNIE BROCKWAY,dXty Clerk I certify that there are no outstanding invoices on file. Date: �✓ WATSON, City Treasurer D 0011042.01 03/14/95 12:57 PM � 1 I have received Maintenance Bond for Beach Blvd. Smart St. & Pavement Rehabilitation - Ellis Avenue to T-405 Erpeway 20 CC-784 on behalf of the Treasurer's Office. Dated By: R.J. Noble Company 15505 Lincoln Avenue P. 0. Box 620 Orange, CA 92666 r CHUB[ aROUP OF INSURAN,- c COMPANIES 0HUBB 15 Mountain View Road, P. O. Box 1615, Warren, New Jersey 07061-1615 FEDERAL INSURANCE COMPANY MAINTENANCE BOND Bond No. 8136-21-29 -M Amount $ 2,807,416.00 Know All Men By These Presents, That we, R.J. NOBLE COMPANY (hereinafter called the Principal), as Principal, and the FEDERAL INSURANCE COMPANY, Warren, New Jersey, a corporation duly organized under the laws of the State of Indiana, (hereinafter called the Surety), as Surety, are held and firmly bound unto CITY OF HUNTINGTON BEACH AND STATE OF CALIFORNIA (hereinafter called the Obligee), in the sum of TWO MILLION EIGHT HUNDRED SEVEN THOUSAND FOUR HUNDRED SIXTEEN NO/10ODollars ($ 2,807,416.00 - ), for the payment of which we, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. Sealed with our seals and dated this loth day of OCTOBER A.D. nineteen hundred and 95 WHEREAS, the said Principal has heretofore entered into a contract with said Obligee dated JUNE 10 , 19 94 , for CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH FROM 0.1 MILE SOUTH OF ELLIS AVENUE TO 1 .0 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT NO. 784 FEDERAL ID NO. STPLN-5181 (020) IN ; and THE CITY OF HUNTINGTON BEACH WHEREAS, the said Principal is required to guarantee the CONSTRUCTION installed under said contract, against defects in materials or workmanship, which may develop during the period . OF ONE YEAR Fcrm 15-02-0075 tRev.4-90) (over) PRINTED IN U.S A NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the Principal shall faithfully carry out and perform the said guarantee, and shall, on due notice, repair and make good at its own expense any and all defects in materials or workmanship in the said work which may develop during the period or shall pay over, make good and reimburse to the said Obligee all loss and damage which said Obligee may sus- tain by reason of failure or default of said Principal so to do, then this obligation shall be null and void; otherwise shall remain in full force and effect. R.J. NOBLE COMPANY Principal By. G RAgf, VICE PRESIDENT FEDERAL)':SURAN O A By: �-1 .�-� ICH EL D. STONG, ATTORNEY-IN-F STATE OF CALIFORNIA SS. COUNTY OF RIVERSIDE On OCTOBER 10, 1995 ,before me, ROSEMARY STANDLEY PERSONALLY APPEARED MICHAEL D. STONG 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 acknowl- edged to me that he/she/they executed the same in his/ her/their authorized capacity(ies), and that by his/her/ °' RO ERARY gTANGLET ' tz CC11)FiS:rii S their signature(s) on the instrument the person(s), or the 0957459 a � , '- Nt:err Fdc-Cs1;1CM17 ws entity upon behalf of which the person(s) acted executed � `��`' D- I Ni a w vc `'l� ROVERS!, GL)�,ttY � the instrument. rF f c°r` '`;,`X"'r' WITNESS my hand and official seal. Signature This area for Official Notarial Seal OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL ❑ CORPORATE OFFICER TITLE OR TYPE OF DOCUMENT TITLE(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNEY-IN-FACT NUMBER OF PAGES ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSON(S)OR ENTITY(IES) SIGNER(S)OTHER THAN NAMED ABOVE ID-081 Rev.6/94 ALL-PURPOSE ACKNOWLEDGEMENT State of CALIFORNIA RIGHT THUMBPRINT(Optional) County of ORANGE On 10/12/95 before me, 10 (DATE) INAME/TITLE OF OFFICER•i.e.'JANE DOE,NOTARY PUBLIC-) c personally appeared (NAME(S)OF SIGNERIS)l CAPACITY CLAIMED BY SIGNER(S) ❑INDIVIDUAL(S) ❑CORPORATE 0 personally known to me -OR- O proved to me ,on the OFFICER(S) Irincs) basis Of satisfactory OPARTNER(S) ❑LIMITED evidence to be the ❑GENERAL person(s) whose name(s) ❑ATTORNEY IN FACT Is/are subscribed to the ❑TRUSTEE(S) within instrument and ❑GUARDIAN/CONSERVATOR acknowledged to me that ❑OTHER: he/she/they executed the n`AA same in his/her/their M. A. GROSKOPF authorized capacity(ies), SIGNER IS REPRESENTING: COMM. #9$6488 < and that by his/her/their (Name of Persons)or Entitylies) `� NOTARY PUBLIC-CALIFORNIA signature(s) on the > ORANGE COUNTY instrumentthe person(s), My Comm. Expires April 21, 1997 or the entity upon behalf of which the person(s) acted, executed the RIGHT THUMBPRINT(Optional) instrument. Witness my hand and official seal. X 0 (SEAL) o (SIG URE OF NO AR JY CAPACITY CLAIMED BY SIGNER(S) OINDIVIDUAL(S) ❑CORPORATE ATTENTION NOTARY OFFICER(S) The information requested below and in the column to the right is OPTIONAL. (TITUS) Recording of this document is not required by law and is also optional. It could, however, prevent fraudulent attachment of this certificate to any OPARTNER(S) OLIMITED unauthorized document. ❑GENERAL ❑ATTORNEY IN FACT THIS CERTIFICATE Title or Type of Document ❑TRUSTEE(S) MUST BE ATTACHED ❑GUARDIAN/CONSERVATOR TO THE DOCUMENT Number of Pages Date of Document ❑OTHER: DESCRIBED AT RIGHT: Signer(s)Other Than Named Above SIGNER IS REPRESENTING: (Name of Person(s)or Entity(ies) WOLCOTTS FORM 63240 Rev.3.94 Iprice class 8.2A) 01994 WOLCOTTS FORMS,INC. ALL PURPOSE ACKNOWLEDGMENT WITH SIGNER CAPACITY/REPRESENTATIONnWO FINGERPRINTS IIIIIIIII I II I III II I I 67775 63240 8 POWER OF ATTORNEY FEDERAL INSURANCE COMPANY ATTN: SURETY DEPARTMENT 15 Mountain View Road, Warren, NJ W059 (908) 580-2000 Know all Men by these Presents, That FEDERAL INSURANCE COMPANY, an Indiana Corporation, has constituted and appointed, and does hereby constitute and appoint Michael D. Stong and Rosemary Standley of Riverside, California -------------------------- ---------------------- ------------------ each its true and lawful Attorney-in-Fact to execute under such designation in its name and to affix its corporate seal to and deliver for and on its behalf as surety thereon or otherwise, bonds of any of the following classes, to-wit: 1. Bonds and Undertakings(other than Bail Bonds)filed in any suit, matter or proceeding in any Court, or filed with any Sheriff or Magistrate, for the doing or not doing of anything specified in such Bond or Undertaking. 2. Surety bonds to the United States of America or any agency thereof, including those required or permitted under the laws or regulations relating to Customs or Internal Revenue;License and Permit Bonds or other indemnity bonds under the laws,ordinances or regulations of any State,City,Town,Village,Board or other body or organization,public or private; bonds to Transportation Companies,Lost Instrument bonds;Lease bonds,Workers'Compensation bonds,Miscellaneous Surety bonds and bonds on behalf of Notaries Public, Sheriffs, Deputy Sheriffs and similar public officials. a Bonds on behalf of contractors in connection with bids, proposals or contracts. In Witness Whereof, the said FEDERAL INSURANCE COMPANY has, pursuant to its By-Laws, caused these presents to be signed by its. Vice President and Assistant Secretary and its corporate seal to be hereto affixed this 17 th day of January 19 94 Corporate Seal OR x`�`c^ e Oct FEDERAL INSURANCE COMPANY BY d /I�t4_ Kenneth C. Wendel Gerardo G. Mauriz Assistant Secretary Vice President STATE OF NEW JERSEY 1 ss. County of Somerset f On this 17th day of January 19 94 , before me personally came Kenneth C. Wendel to me known and by me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, the corporation described in and which executed the foregoing Power of Attorney, and the said Kenneth C. Wendel being by me duly sworn, did depose and say that he is Assistant Secretary of FEDERAL INSURANCE COMPANY and knows the corporate seal thereof; that the seal affixed to the foregoing Power of Attorney is such corporate seal and was thereto affixed by authority of the By-Laws of said Company, and that he signed said Power of Attorney as Assistant Secretary of said Company by like authority;and that he is acquainted with Gerardo G. Mauriz and knows him to be the Vice President of said Company, and that the signature of said Gerardo G. Mauriz subscribed to said Power of Attorney is in the genuine handwriting of said Gerardo G.Mauriz and was thereto subscribed by authority of said By-Laws and in deponent's presence. Notarial Seal �r Acknowledged and Sworn to before me !. R^�1 fi on the date above written. t- �s Notary Public J�.NETA.SCAVO11M ketuy Psbjic,s u-of Kew Jmey No.246:5:520 . Co sioa lixysires October 2. 1994 PRINTED Forth 15-10-0134(Rev.10-93)GENERAL M.556Z7(500) U.N. ® R.J. NOBLE COMPANY ASPHALT PAVING - ENGINEERING CONTRACTORS LIC.A-121735 October 13, 1995 CITY OF HUNTINGTON BEACH 2000 Main Street Huntington Beach, CA. 92648 Re: Beach Blvd. RN# 9-0489 ISTEA STPLN 5181 (02) Attn: Connie Brockway, CMC City Clerk Reference is made to your letter dated October 3, 1995, covering the above subject project. Enclosed please find the following documents, executed and notarized where necessary: 1 . Warranty Bond - 2. Final Report - 2 originals 3. Certification of Compliance with Title VII of the Civil Rights Act S Equal Employment Opportunity Act of 1972 4. Declaration of Satisfaction of Claims Should you have any questions regarding the above, please do not hesitate to call me. Very truly yours Norm Wright Superintendent NW/mg Enclosures - set out above ORANGE: 15505 LINCOLN AVE. • P.O. BOX 620 • ORANGE, CA 92666 • (714) 637-1550 . 1-(800) 339-0362 City of Huntington Beach Department of Public Works Post Office B& 190 Huntington Beach, CA 92648 Subject: Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 Gentlemen: The undersigned, contractor on ISTEA STPLN 5113"1(.020) BEACH BLVD. , HUNTINGTON BEACH Project No. Title hereby certifies that all laborers, mechanics, apprentices,trainees, watchmen and guards employed by him or by any subcontractor performing work under the contract on the project have been paid wages at rates not less than those required by the contract provisions, and that the work performed by each such laborer, mechanic, apprentice or trainee conformed to the classifications set forth in the contract or training program provisions applicable to the wage rate paid. R. J. LE COMPA Y Signature and Title PAUL H. CLEARY, J PRESIDENT g:fo11owup\cashcon1 DECLARATION OF SATISFACTION OF CLAIMS I, PAUL H. CLEARY, JR. , PRESIDENT , state: 1. I am the general contractor for the City of Huntington Beach, as to the project more fully described in the public works contract entitled BEACH BLVD. , I S T E A S T P L N 5181 (0 2 0) and dated June 23 , 1994 2. All workers and persons employed;,alf firms supplying materials, and all subcontractors for the above-mentioned project have been paid in full. 3. The following are either 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: (if none, state"NONE") ALL SUBCONTRACTORS PAID, LESS RETENTION. I declare under penalty of perjury that the foregoing is true and correct. Executed at Orange, CA. on this 10th day ofOctober, 1995 lmfx R. YJOBLE CO PAN (Signature of Contr r) PAUL H. CLEARY, JR. , PRESIDENT g:fo11owup\cashcon2 CpNF � �iP,� _ Not Con-Pared WiJ1 or1g11"lal Recorded in the County of Orange, California Gary L. Granville, Clerk/Recorder WHEN RECORDED MAIL TO: IIII III IIIII IIIIIIIIIIIIIIII Ililllllllll II IIIIIIII No Fee CITY OF HUNTINGTON BEACH 19950451384 11 .45am 1 @/12/95 Office of the City Clerk P. O. Box 190 005 046389 15 22 MB13 N12 1 7:00 .0.00 0.00 0.00 0.00 0.00 Huntington Beach, CA 92648. 1 j NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN by the City of Huntington Beach,owner in fee, 2000 Main Street, Huntington Beach, CA 92648,that the contract heretofore awarded by the City Council of the City of Huntington Beach, California to R.J. NOBLE COMPANY who was the company thereon for doing the following work to-wit: Beach Boulevard Smart Street and Pavement Rehabilitation-Ellis Avenue to I-405 Freeway: STPLN-5181(020); CC-784 INTEREST: Easement That said work was completed October 2, 1995 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 City Council of the City of Huntington Beach at a regular meeting thereof held on Monday,October 2, 1995. That upon said contract Federal Insurance 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 3rd day of October, 1995. gl�Z' A Czf-_ City Clerk and ex-officio Cle of the City Council of the of Huntington Beach, California STATE OF CALIFORNIA ) County of Orange ) ss: City of Huntington Beach ) I, CONNIE BROCKWAY,the duly elected and qualified City Clerk and ex-officio Clerk of the City Council of the City of Huntington Beach, California do hereby certify under penalty of perjury,that the foregoing NOTICE OF COMPLETION 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 by said City Council. Dated at Huntington Beach, California, this 3rd day of October, 1995.. 4x� A City Clerk and ex-officio Clerk of the City Council of the City of Huntington Beach, California gAfollowupVnscplgs [i, CITY OF I�UNTINGTON BEACH r9jW 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY CLERK CONNIE BROCKWAY CITY CLERK October 3, 1995 R.J. Noble Company 15505 E. Lincoln Avenue P. O. Box 620 Orange, CA 92666 The City Council authorized the City Clerk to file a Notice of Completion with Orange County at their October 2, 1995 meeting. In order to expedite the final retention payment, a Declaration of Satisfaction of Claims and a Certificate of Compliance form must be returned to this office since the project is completed. 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, 536-5441. Sincerely, Connie Brockway, CMC City Clerk CB:cc Enclosure: Declaration of Satisfaction Certificate of Compliance g:followup\cashcon (Telephone:714-536-5227) CITY OF HUNTING'T'ON BEACH 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY CLERK CONNIE BROCKWAY CITY CLERK October 3, 1995 Gary L. Granville, County Clerk-Recorder P. 0. Box 238 Santa Ana, CA 92702 Dear Sir: Enclosed please find a Notice of Completion to be recorded and returned to the Office of the City Clerk, City of Huntington Beach, P. 0. Box 190, Huntington Beach, California 92648. Enclosed also is a copy of the Notice of Completion and a stamped, self-addressed envelope. Please return the conformed copy-document number, recording date, book and page number. Sinc rely yours Connie Brockway City Clerk CB:cc Enclosures g:\cc\nscplltr (Telephone:714-536-5227 WHEN RECORDED MAIL TO: CITY OF HUNTINGTON BEACH Office of the City Clerk P. O. Box 190 Huntington Beach, CA 92648 NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN by the City of Huntington Beach,owner in fee, 2000 Main Street, Huntington Beach, CA 92648, that the contract heretofore awarded by the City Council of the City of Huntington Beach, California to R.J. NOBLE COMPANY who was the company thereon for doing the following work to-wit: Beach Boulevard Smart Street and Pavement Rehabilitation-Ellis Avenue to I-405 Freeway: STPLN-5181(020); CC-784 INTEREST: Easement That said work was completed October 2, 1995 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 City Council of the City of Huntington Beach at a regular meeting thereof held on Monday,October 2, 1995. That upon said contract Federal Insurance 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 3rd day of October, 1995. City Clerk and ex-officio Cle of the City Council of the of Huntington Beach, California STATE OF CALIFORNIA ) County of Orange ) ss: City of Huntington Beach ) I, CONNIE BROCKWAY,the duly elected and qualified City Clerk and ex-officio Clerk of the City Council of the City of Huntington Beach, California do hereby certify under penalty of perjury,that the foregoing NOTICE OF COMPLETION 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 by said City Council. Dated at Huntington Beach, California,this 3rd day of October, 1995.. zgti1rt_�z�4l City Clerk and ex-officio Clerk of the City Council of the City of Huntington Beach, California gAfollowup\nscplgs ,�T�oo .so Recorded in the County of Orange, California Gary L. Granville, Clerk/Recorder �IllllI11111111111111111111111111111111III111111111111111111Jill No Fee WHEN RECORDED MAIL TO: 19950451384 11 ,45am 10/12/95 CITY OF HUNTINGTON BEACH 005 046389 15 22 MB 13 Office of the City Clerk N 12 1 7.00 0.00 0.00 0.00 0.00 0.00 P. O. Box 190 Huntington Beach, CA 92648 _ NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN by the City of Huntington Beach,owner in fee, 2000 Main Street, Huntington Beach, CA 92648,that the contract heretofore awarded by the City Council of the City of Huntington Beach, California to R.J. NOBLE COMPANY who was the company thereon for doing the following work to-wit: Beach Boulevard Smart Street and Pavement Rehabilitation-Ellis Avenue to I-405 Freeway: STPLN-5181(020); CC-784 INTEREST: Easement That said work was completed October 2, 1995 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 l accepted by the City Council of the City of Huntington Beach at a regular meeting thereof held on Monday,October 2,1995. �. That upon said contract Federal Insurance 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 3rd day of October, 1995. City Clerk and ex-officio Cle of the City Council of the of Huntington Beach,California STATE OF CALIFORNIA ) County of Orange ) ss: City of Huntington Beach ) 1, CONNIE BROCKWAY,the duly elected and qualified City Clerk and ex-officio Clerk of the City Council of the City of Huntington Beach, California do hereby certify under penalty of perjury,that the foregoing NOTICE OF COMPLETION 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 by said City Council. Dated at Huntington Beach, California,this 3rd day of October, 1995.. Lam- City Clerk and ex-officio Clerk of the City Council of the City of Huntington Beach, California gAfollowup\nscplgs Council/Agency Meeting Held: Deferred/Continued to: XApproved ❑ Conditionally Approved ❑ Denied OCity Clerk's Signat re Council Meeting Date: October 2, 1995 Department ID Number: PW 95-059 REQUEST FOR COUNCIL ACTION SUBMITTED TO: HONORABLE MAYOR AND CITY COUNCIL MEMBERS SUBMITTED BY: MICHAEL T. UBERUAGA, City AdministratoP < <�_ PREPARED BY: OES M. JONES 11, Director of Public Works SUBJECT: Beach Boulevard Smart Street and Pavement Rehabilitation - Ellis Avenue to 1-405 Freeway: STPLN-5181(020); CC-784 IFStatement of Issue,Funding Source,Recommended Action,Alternative Action,Analysis,Environmental Status,Attachment(s) Statement of Issue: R. J. Noble Company has completed the widening and pavement rehabilitation along Beach Boulevard from Ellis Avenue to the 1-405 Freeway. Fundinq Source: The construction cost was funded from the available various sources listed below: rn c M z :2 Federal Funds (ISTEA) * $1,104,206.00 N �, Measure M Funds (OCTA) $1,814,693.00 m City Gas Tax (Huntington Beach) $450,000.00 N TOTAL: $3,368,899.00 z c *Intermodal Surface Transportation Efficiency Act r L Recommended Action: ``n 1. Accept the street improvements completed by R. J. Noble Company at a final construction cost of$3,055,938.52; and 2. Authorize the City Clerk to file a Notice of Completion and instruct the City Clerk's office to release the five percent (5%) retention money after the normal thirty-five (35) day retention period, receipt of the Declaration of Satisfaction of Claims, Certificate of Compliance, and the required guarantee bond in the amount of 100% of the final cost, guaranteeing the improvements for a period of one year. Alternative Action(s): Not applicable. Vf REQUEST FOR COUNCIL ACTT MEETING DATE: October 2, 1995 DEPARTMENT ID NUMBER: PW 95-059 Analysis: On June 20, 1994, Council awarded a contract to R. J. Noble Company in the amount of $2,807,415.79, in addition to $280,741.58 to cover anticipated change orders and $280,741.58 for supplemental expenses for a total of $3,368,898.95. Construction of these improvements is now complete, per the approved plans and specifications; therefore, the Director of Public Works recommends acceptance of the project and requests that the Notice of Completion be filed by the City Clerk. The following is a summary of the final contract cost: Council Approved Actual Expenditures Contract Amount: $2,807,415.79 $2,865,651.08 Anticipated Change Orders: 280,741.58 *190,287.49 Supplemental Expenses 280,741.58 **74,786.88 Total: $3,368,898.95 $3,130,725.45 * The Director of Public Works was authorized to spend up to 10% of the prospective contract amount. $190,287.49 was needed to cover unforeseen work such as additional pavement cold planing, saw cut removal of asphalt pavement, temporary travel lanes and street signs, adjustment and modifications to the traffic signal interconnect, advanced detectors and signal conduit system, additional median water services and water meters, new RCP storm drain pipes, additional landscaping and irrigation, and manhole and water valve covers. ** Estimated supplemental expenses were required to cover soil testing, lab work, and printing of plans and specifications. Environmental Status: Not applicable. Attachment(s): NumberCity Clerk's Page MTU:LMJ:RAM:sar 0014279.01 -2- 09/20/95 1:40 PM RCA ROUTING SHEET INITIATING DEPARTMENT: Public Works SUBJECT: Beach Boulevard Smart Street and Pavement Rehabilitation-Ellis Avenue to 1-405 Freeway: STPLN-5181 020 ; CC-784 COUNCIL MEETING DATE: October 2, 1995 ATTACHMENT : -S Ordinance (w/exhibits & legislative draft if applicable) Not Applicable Resolution (w/exhibits & legislative draft if applicable) Not Applicable Tract Map, Location Map and/or other Exhibits Not Applicable Contract/Agreement (w/exhibits if applicable) (Signed in full by the City Attorney) Not Applicable Subleases, Third Party Agreements, etc. (Appoved as to form by City Attorney) Not Applicable Certificates of Insurance (Approved by the City Attorney) Not Applicable Financial Impact Statement (Unbudget, over $5,000) Not Applicable Bonds (If applicable) Not Applicable Staff Report (If applicable) Not Applicable Commission, Board or Committee Report (If applicable) Not Applicable Findings/Conditions for Approval and/or Denial Not Applicable EXPLANATION,.FOR:MISSING ATTACHMENTS !: :REVIEWED RETURNED,:: FORII)IARDEA . Administrative Staff Assistant City Administrator Initial Q City Administrator Initial City Clerk EXPLANATION FOR RETURN OF'ITEM;:; SpaceOnly) REQUEST FOR CITY COUNCIL ACTION Date: June 20, 1994 Submitted to: Honorable Mayor and City Council APPROVED BY CITY COUNCIL 19L_ Submitted by: Michael T. Uberuaga, City Administrator Prepared by: Louis F. Sandoval, Director of Public Works crt� i.Ma Subject: Beach Blvd. Smart Street and Pavement Rehabilitation from Ellis Avenue to Interstate 405 Freeway, CC-784 Federal ID. (No. STPLN-5181 (020) Consistent with Council Policy? [X] Yes [ ] New Policy or Exception Statement of Issue,Recommended Action,Analysis,Environmental Status,Funding Source,Alternative Action,Attachme tt STATEMENT OF ISSUE: On April 6, 1994, City Council authorized a call for bids for the Beach Boulevard Smart Street and pavement rehabilitation project from Ellis Avenue to Interstate 405 Freeway, On June 1, 1994, staff received seven bids and is now ready to award the contract to the low bidder. RECOMMENDED ACTION: 1. Approve the low bid submitted by R.J. Noble Company of Orange, California and; 2. Authorize the Mayor and City Clerk to execute the construction contract for the Beach Boulevard Smart Street and pavement rehabilitation project in the amount of$2,807,415.79 and; 3. Authorize the Director of Public Works to expend up to $3,368,898.95 to cover the contract cost of$2,807,415.79, estimated construction change orders of up to $280,741.58, and anticipated supplemental expenditures of up to $280,741.58 for the Beach Boulevard Project. ANALYSIS: The following Bids were received on June 1, 1994: 1. R.J. Noble Company $2,807,415.79 Low Bidder 2. Excel Paving Company $3,066,622.00 3. Silvia Construction $3,197,667.91 (corrected to $3,186,426.91) 4. Shawnan Corporation $3,392,000.00 5. Sully Miller Company $3,428,704.28 6. Griffith Company $3,431,164.10 7. All American Asphalt $3,973,096.31 (corrected to $3,642,533.31) Engineer's Estimate $4,145,462.95 i The low bid is nearly 32% lower than the Engineer's estimate. This proved to be an opportune time in our local economy to advertise such a massive project. The total anticipated contract cost (including change orders and supplemental expenses) for the project could approach$3,368,899. The Orange County Transportation Authority (OCTA) and the Federal Government are funding a large portion to this project (about 87%). The City could be responsible for as little as $0.00 or much as $450,000, depending on the type, size and who's responsible of any change orders, amount and type of testing and inspection required by Caltrans and if OCTA is in a position to provide any additional assistance for construction management. ENVIRONMENTAL STATUS: EIR on file. FUNDING SOURCE: Project Cost Contract Amount $2,807,415.79 * Anticipated Change Orders (10%) $280,741.58 ** Supplemental Expenses 10%) $280,741.58 Total Anticipated Cost $3,368,898.95 Project Funding Federal ISTEA Funds $1,104,206.00 City Funds $450,000.00 Measure M Funds Supplied by OCTA $1 814,693.00 Total Anticipated funding $3,368,899.00 * Change orders should be allowed for on all projects due to unforseeable construction events such as increased excavation, sub-soil problems or utility line relocations. The typical allowance for this is 10%of the Bid amount. ** Supplemental expenses include items such as soil and pavement testing,inspection of material and workmanship, and any professional services that may be required. Staff feels that an amount equal to 10%of the bid amount (typical 5%-7%)will be required as this project is located on a state highway. Thus, Caltrans will require additional testing„inspection oversight along with additional backup reports and documentation. ALTERNATIVE ACTION: Reject all bids and rebid or delay project. Any delay of this project could, however,jeopardize promised funding from the Orange County Transportation Authority. ATTACHMENTS: Project Location Map CC-784\RCA\784RCA02.doe BEACH BL VD SMA R T S TREE T BO�LSA AVE CC# 784 cn U, LLJ (ELLIS AVE TO 1-4051) cn cn Mc FADDEN \AVE. PROJECT E D I N G E R V) U) AVE. --LLJ- z < < cn cn 0 D T- 0 LLJ o _oHEIL U < Qf 3: < AVE. m Of ZI >- CD V) V� a_ p LLJ 0 < -i w CD cf) < WARNER 0 AVE. -- SLATER AVE. 4Oa5 TALBERT —AVE. PACIFIC ELLI S AVE. GARFIELD Yl> AVE. U) cn 0 (r O 7.RKTOWN VE Cj \11 ADAMS AVE. m INDIANAPOLIS AVE ,, 0 0 ATLANTA 0 < AVE. m —j V) T- < < z m HAMILTON AVE. OCEAN PP BANNING AVE. N.T.S. PROJECT LOCATION MAP CITY OF HUNTINGTON BEACH DEPARTMENT OF PUBLIC WORKS G:\ACAD\CC784\DWBBLOC i r . i r FEDERALLY FUNDED COMMUNITY DEVELOPMENT BLOCK GRANT FUNDS CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND R. J. NOBLE COMPANY, INC. FOR CITY STREET IMPROVEMENTS KNOWN AS THE BEACH BOULEVARD SMART STREET PROJECT TABLE OF CONTENTS Page No. 1. STATE OF WORK; ACCEPTANCE OF RISK 1 2. ACCEPTANCE OF CONDITIONS OF WORK; PLANS 2 3. COMPENSATION 3 4. COMMENCEMENT OF PROJECT 3 5. TIME OF THE ESSENCE 4 6. CHANGES 4 7. NOTICE TO PROCEED 5 8. BONDS 5 9. WARRANTIES 6 10. CALIFORNIA FAIR EMPLOYMENT 6 11. CALIFORNIA PREVAILING WAGE LAW 6 12 'CALIFORNIA PREVAILING WAGE LAW-PENALTY 6 13. CALIFORNIA EIGHT HOUR LAW 7 14. CALIFORNIA EIGHT HOUR LAW-PENALTY 7 15. PAYMENT OF TRAVEL 7 16. EMPLOYMENT APPRENTICES 7 17. PAYROLL RECORDS 8 18. INDEPENDENT CONTRACTOR 8 19. LIQUIDATED DAMAGES/DELAYS 8 20. DIFFERING SITE CONDITIONS 10 21. VARIATIONS IN ESTIMATED QUANTITIES 10 22. PROGRESS PAYMENTS 11 23. WITHHELD CONTRACT FUNDS, SUBSTITUTION OF SECURITIES 12 24. AFFIDAVITS OF SATISFACTION OF CLAIMS 12 25. WAIVER OF CLAIMS 12 26. INDEMNIFICATION, DEFENSE, HOLD HARMLESS 12 27. WORKERS COMPENSATION INSURANCE 13 28. INSURANCE 13 29. CERTIFICATES OF INSURANCE;ADDITIONAL INSURED 14 30. DEFAULT&TERMINATION 15 31. DISPOSITION OF PLANS, ESTIMATES AND OTHER 15 32 NON-ASSIGNABILITY 16 33. CITY EMPLOYEES AND OFFICIALS 16 34. STOP NOTICES 16 35. NOTICES 16 36. CAPTIONS 16 37. FEDERAL PARTICIPATION 17 38. 'DAVIS-BACON ACT 17 39. DISCRIMINATION 17 40. EQUAL EMPLOYMENT OPPORTUNITY 17 41. COPELAND ACT 18 42. CONTRACT WORK HOURS 18 43. CLEAN AIR ACT 19 44. ENERGY CONSERVATION 20 45. HOUSING AND URBAN DEVELOPMENT 20 46. LEGAL SERVICES SUBCONTRACTING PROHIBITED 20 47. ENTIRETY 21 6/k/3718/noble r FEDERALLY FUNDED COMMUNITY DEVELOPMENT BLOCK GRANT FUNDS CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND R. J. NOBLE COMPANY, INC. FOR CITY STREET IMPROVEMENTS KNOWN AS THE BEACH BOULEVARD SMART STREET PROJECT THIS AGREEMENT is made and entered into on this 23rd day of JUNE , 1994, by and between the CITY OF HUNTINGTON BEACH, a Municipal Corporation of the State of California, hereinafter referred to as "CITY," and R. J. NOBLE COMPANY, INC., a California corporation hereinafter referred to as "CONTRACTOR." WHEREAS, CITY solicited bids for a Public Works PROJECT, hereinafter referred to as "PROJECT," more fully described as the construction of the Beach Boulevard Smart Street project which encompasses 0.1 miles south of Ellis Avenue to 0.1 miles north of State Route 39/405 Separation, in the City of Huntington Beach, California; and CONTRACTOR has been selected and is to perform said work; 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 furnish, at its own expense, all labor, plant, 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 assume the risk of all loss or damage arising out of the nature of the project, during its progress or prior to acceptance, from the action of the elements, from any unforeseen difficulties which may arise or be encountered in the prosecution of work, and for all other risks of any description connected with the work, including, but not limited to, all expenses incurred by or in 6/k/3718/noble 1 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 under them for the compensation set forth in the accepted bid proposal. However, the total compensation to be paid is to be computed on the basis of the units of work as it is actually performed, in accordance with the stipulated prices named in the Bid Sheet(s). 2. ACCEPTANCE OF CONDITIONS OF WORK: PLANS AND SPECIFICATIONS. CONTRACTOR acknowledges that it is fully familiar with all of the terms, conditions and obligations of this Agreement and the Contract Documents (as hereinafter defined), 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 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 said Contract Documents insofar as they relate in part or in any way, directly or indirectly, to the work covered by this Agreement. "Contract Documents" as defined herein mean and include: A. This Agreement; B. Bonds covering the work herein agreed upon; C. The 1991 edition of Standard Specifications for Public Works Construction, published by Builder's News, Inc., 3055 Overland Avenue, Los Angeles, California 90034, and all amendments thereto, written and promulgated by the 2 6/FED/AGREE/06/08/94 Southern California Chapter of the American Public Works Association and the Southern California District Associated General Contractors of the California Joint Cooperative Committee; D. Bid documents including the Notice Inviting Bids, the Special Instructions to Bidders and the CONTRACTOR's proposal (attached hereto as Exhibit E. 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 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 "DPW'), without whose decision said discrepancy shall not be adjusted by CONTRACTOR, 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 said bid or proposal which is in conflict herewith. 3. COMPENSATION CITY agrees to pay and CONTRACTOR agrees to accept as full compensation for the faithful performance of this Agreement, subject to any additions or deductions made under the provisions of this Agreement or the contract documents, a sum not to exceed Two Million, Eight Hundred Seven, Four Hundred Sixteen Dollars ($2,807,416) as set forth in the Contract Documents, to be paid as provided for by the terms and conditions of this Agreement. 3. 6/FED/AGREE/06/08/94 4. COMMENCEMENT OF PROJECT CONTRACTOR agrees to commence the PROJECT within ten (10) working days after notice to proceed is issued and shall diligently prosecute PROJECT to completion within One Hundred Eighty (180) calendartworking days from the execution of this Agreement by CITY, excluding delays provided for herein. 5. TIME OF THE ESSENCE The parties hereto recognize and agree that time is of the essence in the performance of this Agreement and each and every provision of the contract Documents. CONTRACTOR shall prepare and obtain approval as required by the contract Documents for all shop drawings, details and samples, and do all other things necessary and incidental to the prosecution of its work in conformance with the progress schedule set forth in the contract Documents. CONTRACTOR shall coordinate its work with the work of all other contractors, subcontractors and CITY forces working on the PROJECT, in a manner that will facilitate the efficient completion of the PROJECT and in accordance with the terms and conditions 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 on 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 the DPW. CONTRACTOR agrees to make any and all changes, furnish materials and perform all work necessary within the scope of the PROJECT as the DPW may require 4 6/FED/AGREE/06/08/94 1 in writing. Under no condition shall CONTRACTOR make any changes without the written order of the DPW, and CONTRACTOR shall not pay any extra charges made by CONTRACTOR that have not been agreed upon in writing by the DPW. When directed to change the work, CONTRACTOR shall submit immediately to the DPW a written cost proposal reflecting the effect of the change. Should the DPW not agree to such cost proposal, the work shall be performed according to the changes ordered in writing by the DPW and the proper cost thereof shall be negotiated by the parties upon cost and pricing data submitted by the 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 the CONTRACTOR by CITY. CITY does not warrant that the work site 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 the CONTRACTOR shall be limited to a time extension equal to the delay due to such unavailability. 8. BONDS CONTRACTOR shall, prior to entering upon the performance of this Agreement, furnish the following two 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, naming both CITY and State of California as the obligees, and one in the amount of one hundred percent (100%) of the contract price to guarantee payment of all claims for labor and materials furnished, naming both the CITY and State of California as the obligees. 5 6/FED/AGREE/06/08/94 9. WARRANTIES The CONTRACTOR unconditionally guarantees all work done under this Agreement including, but not limited to, any 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 expense. 10. CALIFORNIA FAIR EMPLOYMENT AND HOUSING ACT CONTRACTOR agrees to comply with all requirements and utilize fair employment practices in accordance with the California Government Code sections 12900 et seq. 11. CALIFORNIA PREVAILING WAGE LAW. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public Works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. 12. CALIFORNIA PREVAILING WAGE LAW- PENALTY Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code, CONTRACTOR shall, a penalty to CITY, forfeit twenty-five dollars ($25) for each calendar day or portion thereof for each worker paid (either by 6 6/FED/AGREE/06/08/94 CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 13. CALIFORNIA EIGHT-HOUR LAW California Labor Code, Sections 1810 et seq, shall apply to the performance of this Agreement; thereunder, not more than eight (8) hours shall constitute one day's work and CONTRACTOR and each subcontractor employed by its hereunder, shall not require more than eight(8) hours of labor per day or forty (40) hours per week from any one person employed by it hereunder, except as stipulated in California Labor Code Section 1815. CONTRACTOR and each subcontractor employed by it hereunder shall, in accordance with California Labor Code section 1812, keep an accurate record, open to inspection at all reasonable hours, showing the name and actual hours worked each calendar day and each calendar week by each worker employed in connection with the PROJECT. 14. CALIFORNIA EIGHT HOUR LAW- PENALTY pursuant to this Agreement and in accordance with California Labor Code Section 1813, CONTRACTOR shall, as a penalty to CITY, forfeit twenty-five dollars ($25) for each worker employed hereunder by CONTRACTOR or any subcontractor for each calendar day during which such worker is required or permitted to work more than eight (8) hours in any one (1) calendar day or forty (40) hours in any one (1) calendar week in violation of California Labor Code Section 1815. 15. PAYMENT OF TRAVEL AND SUBSISTENCE ALLOWANCE Section 1773.8 of the California Labor Code, regarding the employment of apprentices, is applicable to this PROJECT. 16. EMPLOYMENT OF APPRENTICES Section 1777.5 of the California Labor Code, regarding the employment of apprentices, is applicable to this PROJECT. 7 6/FED/AGREE/06/08/94 17. PAYROLL RECORDS CONTRACTOR agrees to keep accurate payroll record showing the name, address, social security number, work classification, straight time and overtime hours worked each day and week, and the actual per diem wages paid to each journeyman, apprentice or worker employed by it in connection with the PROJECT and agrees to require each of its subcontractors to do the same. CONTRACTOR further agrees that its payroll records and those of its subcontractors, if any, shall be available at all reasonable times to the CITY, and the employee or his representative, and the Division of Labor Standards Enforcement and the Division of Apprenticeship Standards, and to comply with all of the provisions of California Labor Code Section 1776, in general. 18. INDEPENDENT CONTRACTOR It is understood and agreed that the CONTRACTOR is, and shall be, acting at all times hereunder as an independent contractor and not as an employee of CITY. CONTRACTOR shall secure, at its expense, and be responsible for any and all payment of income tax, 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. 19. 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 working/calendar days as set forth herein, damage will be sustained by CITY; and that it is, and would be, impractical and extremely difficult to ascertain and determine the actual damage which CITY would sustain in the event of and by reason of such delay; it is, therefore, agreed that CONTRACTOR will pay to CITY, as liquidated damages and not as a penalty, the sum of One Thousand Five Hundred Fifty Dollars 8 . 6/FED/AGREE/06/08/94 $1,550 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 in section 4 herein, which sum represents a reasonable endeavor by the parties hereto to estimate a fair compensation for the foreseeable losses c would sustain in the event of an by reasons of such delay; and CONTRACTOR agrees to pay said 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 completion of the work due to unforeseeable causes beyond the control and without the fault or negligence of CONTRACTOR, including, but not restricted 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 the DPW shall grant a further period of time prior to the date of final settlement of the Agreement), notify the 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 the 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 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 nowise caused by or resulting from default or collusion on the part of CONTRACTOR, or in the event of a lockout by CITY, then the time herein fixed for the completion of the work shall be extended by the number of days the CONTRACTOR has thus been delayed, but no allowance or 9 &FED/AGREE/08/08/94 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 claim for additional compensation or damages for delays, irrespective of the cause thereof, and including without limitation the furnishing of material by CITY or delays by other contractors or subcontractors, will be allowed and said extension of time for completion shall be the sole remedy of CONTRACTOR. 20 DIFFERING SITE CONDITIONS (1) Notice: The CONTRACTOR shall promptly, and before such conditions are disturbed, notify the DPW in writing of: (a) subsurface or latent physical conditions at the job site differing materially from those indicated in this Agreement or the contract documents; or (b) 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. The DPW shall promptly investigate the conditions and if it finds that such conditions to materially so differ and cause an increase or decrease in the time required for performance of any part of the work under this Agreement, whether or not changed as a result of such conditions, an equitable adjustment shall be made and the Agreement modified in writing accordingly; (2) Time extension: No claim of the CONTRACTOR under this section shall be allowed unless the CONTRACTOR has given the notice required hereunder, provided, however, the time prescribed therefor may be extended by CITY. 21. VARIATIONS IN ESTIMATED QUANTITIES The quantities listed in the bid schedule will not govern final payment. Payment to the 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 10 6/FED/AGREE/06/08/94 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. The DPW may, at its sole discretion, when warranted by the fact and circumstances, order an equitable adjustment, upwards or downwards, in payment to the 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, the DPW shall ascertain the facts and circumstances and make such adjustment for extending the completion date as in its judgment the findings warrant. 22. PROGRESS PAYMENTS Each month the 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, less the amount of all previous payments since commencement of the work, will be paid to CONTRACTOR. When CONTRACTOR has, in the judgment of the DPW, faithfully executed fifty percent (50%) or more of the value of the work as determined from the bid schedule, and if the DPW finds that satisfactory progress has been and is being made, the CONTRACTOR may be paid such sum as will bring the payment of each month up to one hundred percent (100%) of the value of the work completed since the commencement of the PROJECT, as determined by DPW, less all previous payments and less all previous retained amounts. The final payment, 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 the DPW, affirming that the work for which payment is demanded 11 6/FED/AGREE/06/08/94 has been performed in accordance with the terms of the Agreement and that the amount stated in the certificate is due under the terms of the Agreement. Partial payments on the contract price shall not be considered as an acceptance of any part of the work. 23. WITHHELD CONTRACT FUNDS, SUBSTITUTION OF SECURITIES At the request and expense of CONTRACTOR, who shall retain beneficial ownership and receive interest, if any thereon, CITY shall permit the substitution and deposit therewith of securities equivalent to the amount of any monies withheld by CITY to ensure performance under the terms of this Agreement. 24. AFFIDAVITS OF SATISFACTION OF CLAIMS After the completion of the work contemplated by this Agreement, CONTRACTOR shall file with the DPW its affidavit stating that all workers and persons employed, all firms supplying materials and all subcontractors upon p have been paid in full and that there are no claims outstanding against PROJECT for either labor or material, except certain times, if any, to be set forth in an 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. 25. 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. 26. INDEMNIFICATION, DEFENSE, HOLD HARMLESS CONTRACTOR hereby agrees to protect, defend, indemnify and hold and save harmless CITY, its officers, and employees against any and all liability, claims,judgments, costs and demands, 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 12 6/FED/AGREE/06/08/94 undertaken by CONTRACTOR, including those arising from the passive concurrent negligence of CITY, but save and except those which arise out of the active concurrent negligence, sole negligence, or the sole willful misconduct of CITY. CONTRACTOR will conduct all defense at its sole cost and expense. CITY shall be reimbursed by CONTRACTOR for all costs or attorney fees incurred by CITY in enforcing this obligation. 27. WORKERS COMPENSATION INSURANCE Pursuant to California Labor Code section 1861, CONTRACTOR acknowledges awareness of section 3700 et seq. of said 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 maintain workers compensation insurance in an amount of not less than One Hundred Thousand Dollars ($100,000) bodily injury by accident, each occurrence, One Hundred Thousand Dollars ($100,000) bodily injury by disease, each employee, Two Hundred Fifty Thousand Dollars ($250,000) bodily injury by disease, policy limit. CONTRACTOR shall require all subcontractors to provide such workers compensation 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 insurance and CONTRACTOR shall similarly require all subcontractors to waive subrogation. 28. INSURANCE CONTRACTOR shall carry at all times incident hereto, on all operations to be performed hereunder, general-liability insurance, including coverage for bodily injury, property damage, products/completed operations, and blanket contractual liability. Said insurance shall also include automotive bodily injury and property 13 6/FED/AGREE/06/08/94 damage liability insurance. All insurance shall be underwritten by insurance companies in forms satisfactory to CITY for all operations, subcontract worts, contractual obligations, product or completed operations and all owned vehicles and non-owned vehicles. Said insurance policies shall name the CITY, and its officers, agents and employees, and all public agencies as determined by the CITY as Additional Insureds. CONTRACTOR shall subscribe for and maintain said insurance in full force and effect during the life of this Agreement, in a amount of not less than One Million Dollars ($1,000,000) combined single limit coverage. If coverage is provided under a form which includes a designated aggregate limit, such limit shall be no less than One Million Dollars ($1,000,000). In the event of aggregate coverage, CONTRACTOR shall immediately notify CITY of any known depletion of aggregate limits. CONTRACTOR shall require its insurer to waive its subrogation rights against CITY and agrees to provide certificates evidencing the same. 29. CERTIFICATES'OF INSURANCE: ADDITIONAL INSURED ENDORSEMENTS Prior to commencing performance of the work hereunder, CONTRACTOR shall furnish to CITY certificates of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverage as required herein; said certificates shall provide the name and policy number of each carrier and policy, and shall state that the policy is currently in force and shall promise to provide that such policies will not be canceled or modified without thirty (30) days prior written notice to CITY. CONTRACTOR shall maintain the foregoing insurance coverage in force until the work under this Agreement is fully completed and accepted by CITY. The requirement for carrying the foregoing insurance coverage shall not derogate from the provisions for indemnification of CITY by CONTRACTOR under the terms of this Agreement. CITY or its representative shall at all times have the right to demand the original or a copy of all said policies of insurance. CONTRACTOR shall 14 6/FED/AGREE/06/08/94 pay, in a prompt and timely manner, the premiums on all insurance policies hereunder required. A separate copy of the additional insured endorsement to each of CONTRACTOR's insurance policies, naming the CITY, its officers and employees as Additional Insureds shall be provided to the City Attorney for approval prior to any payment hereunder. 30. DEFAULT AND TERMINATION If CONTRACTOR fails or refused to prosecute the work hereunder with diligence, or fails to complete the work within the time specified, or is adjudged a 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 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. 31. DISPOSITION OF PLAN, ESTIMATES AND OTHER DOCUMENTS CONTRACTOR agrees that upon completion of the work to be performed hereunder, or upon 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. 15 6/FED/AGREE/06/08/94 32. NON-ASSIGNABILITY 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. 33. 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 California Government Code sections 1090 et seq. 34. STOP NOTICES; RECOVERY OF ADMINISTRATIVE COSTS CITY shall be entitled to reasonable administrative costs and attorney fees, costs and necessary disbursements arising out of the processing of Stop Notices, notices to Withhold, or any similar legal document. Said obligation shall be provided for in the labor and material s payment bond required of CONTRACTOR. CITY may charge an administrative fee of One Hundred Dollars ($100) for every Stop notice filed in excess of two, 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. 35. NOTICES All notices required or permitted hereunder shall be delivered in person or by registered or certified mail to an authorized representative of the party to whom delivery is to be made, at the place of business of such party, or to any other place designated in writing by such party. 36. CAPTIONS Captions of the section of this Agreement are for convenience and reference only, and the words contained therein shall in no way be held to explain, 16 6/FED/AGREE/06/08/94 modify, amplify or aid in the interpretation, construction or meaning of the provisions of this Agreement. 37. FEDERAL PARTICIPATION The PROJECT pursuant to which the work covered by this Agreement is being executed is being assisted by the United States of America. Several contract provisions embodied herein are included in this Agreement in accordance with the provisions applicable to such federal assistance. As federal funds are financing all or part of this work, all of the statutes, rules and regulations promulgated by the Federal Government and applicable to the work will apply, and CONTRACTOR agrees to comply therewith., 38. DAVIS-BACON ACT CONTRACTOR agrees to pay and require all subcontractors to pay all employees on said PROJECT a salary or wage at least equal to the prevailing rate of per diem wage as determined by the Secretary of Labor in accordance with the Davis- Bacon Act (40 USC section 176a, et seq.) for each craft or type of worker needed to perform this Agreement. CONTRACTOR agrees to comply with all applicable federal labor standards provisions; said provisions are incorporated herein by this reference. 39. DISCRIMINATION, MINORITIES, ALIENS CONTRACTOR shall not discriminate nor allow its employees, agents, principals, or subcontractors to discriminate against any employee or applicant for employment on the basis of race, religious creed, national origin or sex. CONTRACTOR shall take affirmative steps to hire local qualified minority individuals when job opportunities occur and utilize local business firms when possible. 40. EQUAL EMPLOYMENT OPPORTUNITY The CONTRACTOR will comply with all provisions of Executive Order 11246, entitled "Equal Employment Opportunity," and amended by Executive Order 11375, and as supplemented in Department of Labor regulations (41 CFR part 60). 17 6/FED/AGREE/06/08/94 CONTRACTOR is required to have an affirmative action plan which declares that it does not discriminate on the basis of race, color, religion, creed, national origin, sex or age to ensure equality of opportunity in all aspects of employment. Section 503 of the Rehabilitation Act of 1973 (29 USC Section 701, et seq.) prohibits job discrimination because of handicap and requires affirmative action to employ and advance in employment qualified handicapped workers. Section 402 of the Vietnam Era Veterans Readjustment Assistance Act of 1974 (38 USC Section 219 et seq.)prohibits job discrimination and requires affirmative action to comply and advance in employment (1) qualified Vietnam veterans during the first four(4) years after their discharge and (2) qualified disabled veterans throughout their working life if they have a thirty percent (30%) or more disability. To ensure compliance with these requirements, the CONTRACTOR shall provide the C its written affirmative action plan prior to commencement of work. The CONTRACTOR is required to provide the CITY with a listing of its subcontractors together with a completed affirmative action program from each subcontractor when applicable. 41. COPELAND "ANTI-KICKBACK"ACT CONTRACTOR and its subcontractors shall comply with the provisions of the Copeland "Anti-Kickback"Act (18 USC Section 874), as supplemented in Department of Labor regulations, which Act provides that each shall be prohibited from including, by any means, any person employed in the construction, completion, or repair of public work, to give up any part of the compensation to which he is otherwise entitled. 42. CONTRACT WORK HOURS AND SAFETY STANDARDS ACT The CONTRACTOR shall comply with the provisions of Section 103 and 107 of the contract Work Hours and Safety Standards Act (40 USC 327 et seq.) as 18 6/FED/AGREE/06/08/94 supplemented by Department of Labor regulations (29 CFR, part 5). Under Section 103 of the Act each CONTRACTOR shall be required to compute the wages of every mechanic and laborer on the basis of a standard workday of eight (8) hours and standard workweek of forty (40) hours. Work in excess of the standard workday or workweek is permissible provided that the worker is compensated at a rate of not less than 1-1/2 times the basic rate of pay for all hours worked in excess of eight (8) hours in any calendar day or forty (40) hours in the workweek. Section 107 of the Act is applicable to construction work and provides that no laborer or mechanic shall be required to work in surroundings or under working conditions which are unsanitary, hazardous, or dangerous to his health and safety as determined under construction, safety and health standards promulgated by the secretary of Labor. These requirements do not apply to the purchase of supplies or materials or articles ordinarily available on the open market or contracts for transportation. 43. IMPLEMENTATION OF CLEAN AIR ACT AND FEDERAL WATER POLLUTION CONTROL ACT. (a) CONTRACTOR stipulates that all facilities to be utilized in the performance of this Agreement were not listed, on the date of contract award, on the United States Environmental protection Agency (EPA) List of Violating Facilities, pursuant to 40 CFR 15.20. (b) The CONTRACTOR agrees to comply with all of the requirements of Section 114 of the clean Air Act and section 308 of the Federal Water Pollution control Act and all regulations and guidelines listed thereunder. (C) The CONTRACTOR shall promptly notify the CITY of the receipt of any communication from the Director, office of Federal Activities, EPA, indicating that a facility to be utilized pursuant to this Agreement is under consideration to be listed on the DPW List of Violating facilities. 19 6/FED/AGREE106/08/94 (d) The CONTRACTOR agrees to include or cause to be included the requirements of paragraph (a) thorough (d) of this section in every nonexempt subcontract, and further agrees to take such action as the Government may direct as a means of enforcing such requirements. 44. ENERGY CONSERVATION Agreements with federal participation shall recognize mandatory standards and policies relating to energy efficiency which are contained in the State energy conservation plan issued in compliance with the Energy Policy and conservation Act (42 USC Section 6201, et seq.). 45. HOUSING AND URBAN DEVELOPMENT CONTRACTOR agrees to comply with any and all rules, regulations, guidelines, procedures and standards of the United States Department of Housing and Urban Development and complete any and all reports and forms that may be required in accordance therewith. 46. 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 service expenses incurred by CONTRACTOR. 20 6/FED/AGREE/06/08/94 47. ENTIRETY The foregoing represents the entire Agreement between the parties. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers, the day, month and year first above written. R. J. NOBLE COMPANY, INC. CITY OF HUNTINGTON BEACH, A municipal corporation of the State of California By. aul H.XDunleavy, Jr r identBy: Mayor ames Secrets A7T: APPROVED AS TO FORM: City Clerk 6�5 City Attorney Jf= /YIf RF,VWWED AND APPROVED: I ITIATED A O ED: City Administrator --Director o Public Works 21 6/FED/AGREE/06/07/94 -- -- --- - -- - ---------- --- --- ------- - ---- -- --- -- -RIGHT THUMBPRINT(OPTIONAL) - - - -! State of CALIFORNIA W s W County of ORANGE . o On 6/9/94 before me, M. A. GROSKOPF o (DATE) (NAME,TITLE OF OFFICER-I.E.,"JANE DOE,NOTARY PUBLIC") personally appeared PAUL H. CLEARY, JR, . PRESIDENT & CAPACITY CLAIMED BYSIGNER(S) (NAME(S)OF SIGNER(S)) ❑ INDIVIDUAL(S) JAMES J . DUNLEAVY, SECRETARY/TREASURER xUxCORPORATE OF R. J . NOBLE COMPANY OFFICER(S) ❑ PARTNER(S) (TITLE(S)) personally known to me -OR- ❑ proved to me on the basis of satisfactory evidence ❑ ATTORNEY IN FACT to be the person(s) whose name(s) is/are sub- ❑ TRUSTEE(S) scribed to the within instrument and acknowledged ❑ GUARDIAN/CONSERVATOR me that he/she/they executed the same in ❑ OTHER: M. A. GROSKOPF s/her/their authorized capacity(ies), and that by COMM. #986488 Ims/her/their signature(s) on the instrument the NOTARY PUBLIC-CALIFORNIA rson(s), or the entity upon behalf of which the SIGNER IS REPRESENTING: ORANGE COUNTY rson(s) acted, executed the Instrument. (NAME OF PERSON(S)OR ENTITY(IES)) My Comm: Expires April21, 1997 R. J . NOBLE COMPAN fitness my hand and official seal. 't (SEAL) (SI , URE OF NOTARY) ATTENTION NOTARY:The information requested below is OPTIONAL.It co d, wever,prevent fraud lent attachment of this certificate to any unauthorized document. THIS CERTIFICATE Title or Type of Document CITY O UNTINGTON BEACH MUST BE ATTACHED Number of Pages 21 Date of Document TO THE DOCUMENT g DESCRIBED AT RIGHT: Signer(s) Other Than Named Above WOLCOTTS FORM 63240—ALL PURPOSE ACKNOWLEDGMENT WITH SIGNER CAPACITY/REPRESENTATION/FINGERPRINT—Rev.12-92 01992 WOLCOTTS FORMS,INC. 47. ENTIRETY The foregoing represents the entire Agreement between the parties. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers, the day, month and year first above written. R. J. NOBLE COMPANY, INC. CITY OF HUNTINGTON BEACH, A municipal corporation of the State of California By: aul H. e , Jr r ident — By. Mayor James Dunleavy, Secrets ATT T: APPROVED AS TO FORM: City Clerk 6�8� City Attorney Jf� /r/F R WED AND APPROVED: I ITIATED A O ED: City Administrator irector o Public Works 21 6/FED/AGREE/06/07/94 r . ... Ti §F.t'�a Pf � •, f� ( 7d�� ...,iwwwl���u I ii E, uaaa ;ilili;l, ;E 1ilE I 6fS39ai st` £ftl h?i nof,tht ^� ��i'� wlww , �, ' a,,. �, d p 195LIE DATE(MM nnrvY) r }III x P ti} ' ° .. ... 1 t t [t 7 A r f}3t. r,f•, 3££INg It ,f j , EII ))ItII° I)�t ° tl,E ••, L2�./ .-.9,Y. 1 of I NO _.._..,. _ - -- PRDPucER - THIS CE�tTIFICATE IS ISSUED A5 A MATTE} OF INFORMATION ONLY AND ANDREINI & COMPANY CONFERSRIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVEAAQE AFFORDED BY THE OF SO. CALIFORNIA QPLICIE9 I FLOW,....-- ___ ,..................,. ,- . .. 18400 VON KARMAN AVE. i, S#100 COMPANIES AFFORDING COVERAGE IRVINE, CA 92715 �•- PHONE NO. (714) 474-0210 COMPANY LETTER A C;NA INTERNATIONAL - ADDENDUM ATTACHED COMPANY INSURED LETTER HOME INSURANCE COMPANY R.J. NOBLE COMPANY COMPANY C 15505 LINCOLN AVE. LETTER AMERICAN INTERN ' L SPECIALTY LINE CO. P.O. BOX 620 COMPANY ]RANGE, CA 92666 LETTER D UNICARE INSURANCE COMPANY COMPANY E LETTER :OVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE 6EEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDINO ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 10 WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE PERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INBURANCP POLICY NUMBER POLICY EFFPCTIVE POLICY EXPIRATION LIMITS ;_Tq DATE(MMIDD/YY) OATE(MMlDD/YY) ,..........,�.,..,n. .,�. GENERAL 4Cirak6f_,ATE.,_. ... ..,,..,,.W.,.,...,� PENERAL LIABILITY 1 ,0 O 0 ,000 A X COMMERCIAL G714ERAL LIABILITY PRODuC I S-C'OMPIVP AnO 1 1 0 01 1000 (;l-e.11,7.S MADE X Or" CB3 4 3 6 0 7—1—9 3 7—1—9 Q PER;ONAL 3 ADV.INJURY $• 1 I 000 � 000 F L-WiNER'S A CONTRACTOR'S PROT. LAOI C(A' IIII IFNC;F. t 1 0 0 o 000 �y[ ► -�- FIRE DAMAGE(Any'one fire) 50 000 . �NSU r {TAXI-!ED MED.EY,PENEE(Any ono Porczn) ? 5 �,0i � . ........... ......_.... .RED EN!1�OF�SE:/IENY A �_ _,....,...... ...... ... _. . _.. ..,. ,. AUTOMOBIL E LIABILITY COMBINED SINGLE i �B X ANY AUTO BAF717005 7-1-93 7-1-94 LIMIT 1 ,000 ,000 x ALL OWNED AUTOS BODILY INJURY J tjf�X SCHEnuLEO AUTOS � o��� (Per peieon) X HIAFD AUTOS GAIL HUTTON, City Afto-m p � BODILY!NJUHY � I X NON.OWNF-M AUTOS Sy� uty C attorney (Per Rectident) OA.RA(3E L,IA611,.I1 Y PRC]PEFiIY UAMAOE $ iEXCESS LIABILITY LAGI I occu InCNCE S 1 000 ,000 C x UMBRELLA FORM gE7730151 7-1-93 7-1-94 ACCORFOATF $ 1� 000 � 000 ( OTHER THAN UMBRELLA FORM .,.....,.W ,,,, ,. ...............�. WORKER'S COMPENSATION STATUTORY LIMITS D AND UD01079301720 7-1-93 7-1-94 LAUHAL:L;IULNI r 1 , 0101� ,IOIdf4 DISEASE.—POLICY LIMIT $ 1 ,0 0 0 ,0 0 0 EMPLOYERS'LIABILITY —EACH EACk EMPLOYEE $ 1 0,.L a OTHER DESCRIPTION OF OPERAT . IONS/LOCATICN$/VEHICLEBlBPECIAL ITEMS THIS CERTIFICATE MAY BE RETIED UPON ONLY IF THE DESCRIPTION OF OPERATIONS ATTACHMENT REFERRED TO HEREIN IS ATTACHED HERETO. j - lFl A E HOLD R a,CANCELLATION! SHOULD ANY OF THE ABOVE DE5CRIBITO PCH If-,IFS RF GANGF1 I Fri RFffmE THE EXPIRATION DATE THEREOF, THE 16SUING COMPANY WILL INJO"MXXX CITY O,F, HUNTINGTON BEACH MAIL,3,Qj,-DAYS WRITTEN NOTICE TO THE C6RTIF1r,.A7E HOLDER NAMED To THE ­2 9 0 0 MAIN STREET I F FT, 8)(-K ?�7 WiC 4t40}C3t�B4�C 4{16t 4SE}�DG}Cla�6ddiP3tifbb(769( HUNTIN,GTON BEACH, CA 92.648 " AL *NUIK eMi 'WR ° eP rive �- ;,ACORD 2 '{)AdOkb C(II4F`OPATION 199D S- I:=!�� Ic:CI lNCI I]_) '03 :1 SUN 'r' ',� 9ECC IMF Pl. l r,I.: I eo-90-t-651� .aWvv QV - L t. ov vv—VQQ L - NOBLE COMPANY POLICY NUMBER: CB 34360 COMMERCIAL. GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - O'WNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHECIULE Name of Peesom or Organization; COUNTY OF ORANGE, THE CITY AND ITS OFFICERS, AGENTS AND EMPLOYEES, AND ALL PUBLIC AGENCIES AS DETERMINED BY THE CITY. 2000 MAIN STREET HUNTINGTON BEACH, CALIFORNIA 92648 (if no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement) WHO IS AN iNSUREO (Section II) Is amended to Include as an Insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. R,3, NOBLE COMPANY CG 20 10 1185 Copyright, Insurance Services Office, Inc., 1984 c 01`20 d '03 aNd i N I-11aONd 465tbOSL As':T T bRR L-Rn-qn 1E0 VN0 00 '01 :11901\1 f' ' ,[:r: I. E.6 V12 t- 0 : � I. FDO-90—t•66I. R.J. NOBLE COMPANY CERTIFICATE ADDENDUM SECURITY CNA INTERNATIONAL 23 . 4375% GENERAL ACCIDENT/YORKSHIRE INS, LTD. 45 .3125% SUN ALLIANCE/PHOENIX ASSURANCE CO. 31 .2500% 100 . 00% t cld I Ci V N 0,�0 '0 -10 0 N 'r '� 9 C I E 6 t I. h0 : � l 9 cl—9 1)— 6 6 1. I have received the Faithful Performance' Bond and then bond for Beach Blvd. Smart Street CC-784 on behalf of the Treasurer's Office. Dated By: /,V You can release Bid Bonds. CHUBL AROUP of Insurance C. mpanies C=HUE31E3 15 Mountain View Road, P.O. Box 1615, Warren, NJ 07061-1615 FEDERAL INSURANCE COMPANY PERFORMANCE BOND Co-Obligee Bond No. 8136-21-29 Amount $ 2,807,416.00 Know All Men By These Presents, That we, R.J. NOBLE COMPANY (hereinafter called the Principal), as Principal, and the FEDERAL INSURANCE COMPANY,Warren, New Jersey,a corporation duly organized under the laws of the State of New Jersey, (hereinafter called the Surety), as Surety, are held and firmly bound unto CITY OF HUNTINGTON BEACH AND STATE OF CALIFORNIA as their interests may appear (hereinafter called the Obligees), in the sum of TWO MILLION EIGHT HUNDRED SEVEN THOUSAND FOUR HUNDRED SIXTEEN AND N0/100 Dollars ($ 2,807,416.00 ), for the payment of which we, 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 entered into a certain Contract dated JUNE 10, 1994 for CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH FROM 0.1 MILE SOUTH OF ELLIS AVENUE TO 1.0 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT NO. 784 FEDERAL ID NO. STPLN-5181 (020) IN THE CITY OF HUNTINGTON BEACH in accordance with the terms and conditions of said Contract, which is hereby referred to and made a part hereof as if fully set forth herein. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the Principal shall well and truly keep, do and perform each and every, all and singular,the matters and things in said Contract set forth and specified to be by said Principal kept, done and performed, at the times and in the manner in said Contract specified, or shall pay over, make good and reimburse to the above named Obligees, all loss and damage which said Obligees F may sustain by reason of failure or default on the part of said Principal so to do, then this obligation shall be null and void; otherwise shall remain in full force and effect, subject, however, to the following conditions: (over) APPROVED AS TO FOR14:. GAIL BUTTON -CITY ATTORNE Sy. Deputy City Attorney PRINTED I Form 15-02-0041(Rev.7-83) U. ,q. CHUB. 'ROUP of Insurance ( mpanies f 1-1HUBB 15 Mountain View Road, P.O. Box 1615, Warren, NJ 07061-1615 FEDERAL INSURANCE COMPANY PAYMENT BOND Co-Obligee Bond No. 8136-21-29 Amount $ 2,807,416.00 Know All Men By These Presents, That we, R.J. NOBLE COMPANY (hereinafter called the Principal), as Principal,and the FEDERAL INSURANCE COMPANY,Warren, New Jersey, a corporation duly organized under the laws of the State of New Jersey, (hereinafter called the Surety), as Surety, are held and firmly bound unto CITY OF HUNTINGTON BEACH AND STATE OF CALIFORNIA as their interests may appear (hereinafter called the Obligees), in the sum of TWO MILLION EIGHT HUNDRED SEVEN THOUSAND FOUR HUNDRED SIXTEEN AND N0/100 Dollars ($ 2,807,416.00 ), for the payment of which we, 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 entered into a certain Contract dated June 10, 19 94 for CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH FROM 0.1 MILE SOUTH OF ELLIS AVENUE TO 1.0 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT NO.' 784 FEDERAL ID NO. STPLN-5181 (020) IN THE CITY OF HUNTINGTON BEACH in accordance with the terms and conditions of said Contract, which is hereby referred to and made a part hereof as if fully set forth herein. NOW,THEREFORE,THE CONDITION OF THIS OBLIGATION IS SUCH,that if the Principal shall promptly make payment to all persons supplying labor and material directly to the Principal in the prosecution of the work provid- ed for in said Contract, then this obligation to be void; otherwise shall remain in full force and effect, subject, however, to the following conditions: U APPROVED AS TO FORMS � GAIL HUTTON CITY ATTORNEY] (over) By Deputy Ci:t gttorney PRINTED Form 15-02-0040(Rev.7.83) OVA. POWER OF ATTORNEY FEDERAL INSURANCE COMPANY ATTN: SURETY DEPARTMENT 15 Mountain View Road,Warren, NJ OM59 (908) 580-2000 Know all Men by these Presents, That FEDERAL INSURANCE COMPANY, an Indiana Corporation, has constituted and appointed, and does hereby constitute and appoint Michael D. Stong and Rosemary Standley of Riverside, California ------------------------------------------------------------------- each its true and lawful Attomey4n-Fact to execute under such designation in its name and to affix its corporate seal to and deliver for and on its behalf as surety thereon or otherwise, bonds of any of the following classes, to-wit: 1. Bonds and Undertakings(other than Bail Bonds)filed in any suit, matter or proceeding in any Court,or filed with any Sheriff or Magistrate, for the doing or not doing of anything specified in such Bond or Undertaking. 2. Surety bonds to the United States of America or any agency thereof, including those required or permitted under the laws or regulations relating to Customs or Internal Revenue;License and Permit Bonds or other indemnity bonds under the laws,ordinances or regulations of any State,City,Town,Village,Board or other body or organization,public or private; bonds to Transportation Companies,Lost Instrument bonds;Lease bonds,Workers'Compensation bonds,Miscellaneous Surety bonds and bonds on behalf of Notaries Public, Sheriffs, Deputy Sheriffs and similar public officials. 3 Bonds on behalf of contractors in connection with bids, proposals or contracts. In Witness Whereof, the said FEDERAL INSURANCE COMPANY has, pursuant to its By-Laws, caused these presents to be signed by its Vice President and Assistant Secretary and its corporate seal to be hereto affixed this 17 th day of January 19 94 Corporate Seal Air W' •A'�Y p1? S-� FEDERAL INSURANCE COMPANY BY !Kenneth C. Wendel Gerardo G. Mauriz Assistant Secretary Vice President STATE OF NEW JERSEY ss County of Somerset On this 17th day of January 19 94 , before me personally came Kenneth C. Wendel to me known and by.me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, the corporation described in and which executed the foregoing Power of Attorney,and the said Kenneth C.Wendel being by me duly sworn,did depose and say that he is Assistant Secretary of FEDERAL INSURANCE COMPANY and knows the corporate seal thereof; that the seal affixed to the foregoing Power of Attorney is such corporate seal and was thereto affixed by authority of the By-Laws of said Company, and that he signed said Power of Attorney as Assistant Secretary of said Company by like authority;and that he is acquainted with Gerardo G. Mauriz and knows him to be the Vice President of said Company,and that the signature of said Gerardo G. Mauriz subscribed to said Power of Attorney is in the genuine handwriting of said Gerardo G.Mauriz and was thereto subscribed by authority of said By-Laws and in deponent's presence. Notarial Seal ti c� Acknowledged and Sworn to before me ' D�jon the date ab writti+ Notary Public JANET A.SCAVO 'I == Notary P3b?ic,State of New JwW No.2W520 Cesazissloa fi*ms October 2,1994 PRINTED Form 155104)134(Rev.10.93)GENERAL r'1'55W(500) CERTIFICATION STATE OF NEW JERSEY ss. County of Somerset J} 1,the undersigned,Assistant Secretary of FEDERAL INSURANCE COMPANY, do hereby certify that the following is a true excerpt from the By-Laws of the said Company as adopted by its Board of Directors on March 2, 1990 and that this By-Law is in full force and effect. "ARTICLE XVIII. Section 2.All bonds, undertakings,contracts and other instruments other than as above for and on behalf of the Company which it is authorized by law or its charter to execute,may and shall be executed in the name and on behalf of the Company either by the Chairman or the Vice Chairman or the President or a Vice President,jointly with the Secretary or an Assistant Secretary, under their respective designations,except that any one or more officers or attomeys-in-fact designated in any resolution of the Board of Directors or the Executive Committee, or in any power of attorney executed as provided for in Section 3 below,may execute any such bond,undertaking or other obligation as provided in such resolution or power of attorney. Section 3.All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company, either by the Chairman or the Vice Chairman or the President or a Vice President or an Assistant Vice President,jointly with the Secretary or an Assistant Secretary, under their respective designations.The signature of such officers may be engraved,printed or lithographed.The signature of each of the following officers:Chairman,Vice Chairman, President,any Vice President,any Assistant Vice President,any Secretary,any Assistant Secretary and the seal of the Com- pany may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Assistant Secretaries or Attomeys4n-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." I further certify that said FEDERAL INSURANCE COMPANY is duly licensed to transact fidelity and surety business in each of the States of the United States of America, District of Columbia, Puerto Rico, and each of the Provinces of Canada with the exception of Prince Edward Island;and is also duly licensed to become sole surety on bonds,undertakings,etc.,permitted or required by law. I,the undersigned Assistant Secretary of FEDERAL INSURANCE COMPANY, do hereby certify that the foregoing Power of Attorney is in full force and effect. Given under my hand and ;h�e94 al of said Company at Warren, N.J., this loth day of , Corporate Seal \ ANC Assis nt Seero ry V� vL-j:iKrar W — HkDtAN'' r RIDER To be attached to and form a part of Bond No. - ..36-21-29 dated June 9, 1994 , in the amount of $$2,807,416.00 executed by R.J. NOBLE COMPANY as Principal, and FEDERAL INSURANCE COMPANY as Surety, and in favor of CITY OF HUNTINGTON BEACH AND STATE OF CALIFORNIA as Obligee. x It is agreed that the following changes be made hi the attached bond: THE SIGNED AND SEALED DATE IS CHANGED TO JUNE 10, 1994 Effective: JUNE 10, 1994 Provided, however, flint the attached bond as changed by this hider shall be Subject to all its agreements, conditions and lintitafions, and that the liability of the Surety under the attached bond and under the attached bond as changed by this Rider shall not be cumulative, ACCEPTED: R.J. NOBLE COMPANY (Pr iclpal) CITY OF HUNTINGTON BEACH _ By _ (Obligee) PAUL H. CLEARY, /OPASIAO BY: STATE OF CALIFORNIA (OBLIGEE) FED RA IN AN E C AN I By Tille ByM CH D. STQ ATTO NEY-IN-FACT Ore-�- - POWER OF ATTORNEY FEDERAL INSURANCE COMPANY ATTN: SURETY DEPARTMENT 15 Mountain View Road, Warren, NJ 07059 (908) 580-2000 Know all Men by these Presents, That FEDERAL INSURANCE COMPANY, an Indiana Corporation, has constituted and appointed, and does hereby constitute and appoint Michael D. Stong and Rosemary Standley of Riverside, California ------------------------------------------------------------------= each its true and lawful Attomey-in-Fact to execute under such designation in its name and to affix its corporate seal to and deliver for and on its behalf as surety thereon or otherwise, bonds of any of the following classes, to-wit: 1. Bonds and Undertakings(other than Bail Bonds)filed in any suit,matter or proceeding in any Court,or filed with any Sheriff or Magistrate, for the doing or not doing of anything specified In' such Bond or Undertaking. 2. Surety bonds to the United States of America or any agency thereof, including those required or permitted under the laws or regulations relating to Customs or Internal Revenue;License and Permit Bonds or other indemnity bonds under the laws,ordinances or regulations of any State,City,Town,Village,Board or other body or organization,pubtk or private; bonds to Transportation Companies,Lost Instrument bonds;Lease bonds.%ximrs'Compensation bonds,Mboetlaneoua Surety bonds and bonds on behalf of Notaries Public, Sheriffs, Deputy Sheriffs and slmilar public affkMW 3. Bonds on behalf of contractors in connection with bids, proposals or contracts. In Witness Whereof, the said FEDERAL INSURANCE COMPANY has, pursuant to its By-Laws, caused these presents to be signed by its Vice President and Assistant Secretary and its corporate seal to be hereto affixed this 17th day of January 19 94 Corporate Seal r c 4. FEDERAL INSURANCE COMPANY BY Kenneth C. Wendel Gerardo G. Mauriz Assistant Secretary Vice President STATE OF NEW JERSEY ss County of Somerset On this 17th day of January 1g 94 , before me personally came Kenneth C. Wendel to me known and by.me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, the corporation described in and which executed the foregoing Power of Attorney, and the said Kenneth C.Wendel being by me duly sworn,did depose and say that he is Assistant Secretary of FEDERAL INSURANCE COMPANY and knows the corporate seal thereof; that the seal affixed to the foregoing Power of Attorney is such corporate seal and was thereto affixed by authority of the By-Laws of said Company, and that he signed said Power of Attorney as Assistant Secretary of said Company by like authority;and that he is acquainted with Gerardo G. Mauriz and knows him to be the Vice President of said Company,and that the signature of said Gerardo G. Mauriz subscribed to said Power of Attorney is in the genuine handwriting of said Gerardo G.Mauriz and was thereto subscribed by authority of said By-Laws and in deponent's presence. Notarial Seal 0etzell Acknowledged and Sworn to before me on the date ab written. Notary PublicN4D(ET A.SCAVO`i?5 -- )&*M Pab?ic,State of New 7eavy No.2066520 Ce=m4ssiaa E*ms October 2.1994 PP arren Form 1S10-0134(Rev.10.93)GENERAL µ'"�T7(�) L �1 1 h 1 .4W, j .. d SECTION C PROPOSAL for CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH from 0.1 MILE SOUTH OF ELLIS AVENUE TO 0.1 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT No. 784 FEDERAL ID NO. STPLN-5181(020) 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 120 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 C-1 days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the,security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find 10% B i d Mhi 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: endallo''='::;: D*aW Received::;: 'Bid `r Si:: atur .....:..... . . ::::: ..... No . 1 5 18 94 No . 2 5/27/94 PAW771. CLEARY; . , PRESIDENT C-2 BEACH BOW-EVARD CONTRACTOR'S ESTIMATE FED ID NO. STPLN-5181(020) FEDERAL PARTICIPATING ITEMS ITEM ITEM DESCRIPTION UNIT OF ESTIMATED ITEM PRICE TOTAL NO CODE MEASURE QUANTITY (IN FIGURES) (IN FIGURES) 1 190101 ROADWAY EXCAVATION CY 6,888 13 . 00 89 , 544 . 0 2 153112 COLDPLANE ASPHALT CONCRETE SQYD 165,980 PAVEMENT,(0.15' MAXIMUM) . 81 134, 443 . 8 3 390103 ASPHALT CONCRETE(TYPE B) TON 13,878 27 . 40 80 , 257 . 2 4 390101 ASPHALT CONCRETE RUBBERIZED TON 17,880 HOT MIX(GAP GRADE) 40 . 00 71S , 200 . 00 5 152438 ADJUST FRAME AND COVER TO GRADE EA 229 3 0 0,.,0 0.' - f ' 6 8,17 0 0 . 0 0, FEDERAL PARTICIPATING ITEMS SUBTOTAL. $ $1 , 388 , 145 . 00 NON-FEDERAL PARTICIPATING ITEMS 6 120103 TRAFFIC CONTROL SYSTEM LS I L00, 000 . 00 100 000 . 00 7 150717 REMOVE TRAFFIC STRIPE LF 19,380 &PAVEMENT MARKING . 60 11 , 6 2 8 . 0 8 150722 PAVEMENT MARKERS EA 1,132 1. 00 1 , 132 . 0 9 150742 REMOVE ROADSIDE SIGN EA 17 15 . 00 255 . 0 10 150806 REMOVE PIPE LF 518 10 . 15 5 , 257 . 7 11 150820 REMOVE INLET EA 11 480 . 00 51280 . 0 12 151581 RECONSTRUCT PRIVATE SIGN STRUCTURES LS I _15 , 0 0 0 . 0 0 15 , 0 0 0 . 0 13 152390 RELOCATE ROADSIDE SIGN EA 14 80 . 00 1 .9120 . 0 14 152410A RECONSTRUCT WATER VALVE AND METER EA 10 1 , 900 . 00 19 , 000 . 0 15 153215 REMOVE CONCRETE(CURB&GUTTER) CY 1,514 47 . 00 71311S8 . 0 16 153211 REMOVE CONCRETE SIDEWALK&DRIVEWAY CY 762 37 . 00 28 , 194. 0 17 160101 CLEARING AND GRUBBING LS 1 14, 000 . 00 14 , 000 . 0 18 200M I A PLANTING LS 1 10 , 700 . 00110 , 700 . 0 19 206555 MODIFY IRRIGATION SYSTEM LS l 42 , 800 . 001 42 , 800 . 0 C-2a t � BEACH BOULEVARD CONTRACTOR'S ESTIMATE FED ID NO. STPLN-5181(020) 20 510502 MINOR CONCRETE(MINOR STRUCTURE) CY 22 1 , 000 . 00 22 , 000 . 0 21 513553 RETAINING WALL(MASONARY WALL) LF 90 25 . 00 2 , 250 . 0 22 562007 ROADSIDE SIGN(METAL POST) EA 4 95 . 00 38 11 0 . 0 23 566011 ROADSIDE SIGN(ONE POST) EA 62 81 . 00 5 , 022 . 0 24 566012 ROADSIDE SIGN(TWO POST) EA 15 211 . 00 3 , 165 . 0 25 568001 INSTALL SIGN (STRAP AND SADDLE) EA 93 40 . 00 3 , 720 . 0 26 568004 INSTALL SIGN ON EXISTING POST EA 9 40 . 00 360 . 0 27 650014 18" REINFORCED CONCRETE PIPE LF 6 220 . 00 1 ) 320 . 0 28 650019 27" REINFORCED CONCRETE PIPE LF 2 270 . 00 540 . 0 29 650022 30" REINFORCED CONCRETE PIPE LF 258 25 . 00 6 ) 450 . 0 30 650026 36"REINFORCED CONCRETE PIPE LF 10 200 . 00 2 , 0 0 0 . 0 31 658305 30"x 19" OVAL SHAPED RCP(CLASS III) LF 72 160 . 00 11 , 520 . 0 32 665017 18" CORRUGATED STEEL PIPE(0.79"THICK) LF 84 90 . 00 7 , 560 . 0 33 665023 24' CORRUGATED STEEL PIPE(0.79"THICK) LF 76 100 . 00 7 , 600 . 0 34 731502 MINOR CONCRETE SQFT 184 (MISCELLANEOUS CONSTRUCTION) 176 . 00 32y384 . 0 ) 35 731504 MINOR CONCRETE(CURB&GUTTER) CY 664 189 . 00 125 , 496 . 0 ) 36 731516 MINOR CONCRETE(DRIVEWAY) CY 240 146 . 00 35 , 040 . 0 37 731521 MINOR CONCRETE(SIDEWALK) CY 345 190 . 00 65 , 550 . 0 38 731523 MINOR CONCRETE(CURB RAMP) CY 19 335 . 00 6 , 365 . 0 39 731530 MINOR CONCRETE(TEXTURED PAVING) SQFT 29,054 3 . 55 103 , 141 . 7 40 731535 MINOR CONCRETE(BUS PAD) CY 41 165 . 00 6 , 765 . 00 41 750001 MISCELLANEOUS IRON AND STEEL LB 4,150 2 . 00 8 , 300 . 0 42 820131 OBJECT MARKER(TYPE K) EA 40 35 . 00 11400 . 0 43 940504 4"THERMOPLASTIC STRIPE LF 16,501 . 41 6 , 765. 4 44 840506 8"THERMOPLASTIC STRIPE LF 9,515 . 76 7 , 231 . 4 45 11140,111 1 THERMOPLASTIC PAVEMENT MARKING SF 9,286 1 . 93 17 , 921 . 9 C-2b BEACH BOULEVARD CONTRACTOR'S ESTIMATE FED ID NO. STPLN-5181(020) 46 840656 PAINT TRAFFIC STRIPE(2-COAT) LF 1,235 . 65 802 . 75 47 940666 PAINT PAVEMENT MARKING(2-COAT) SF 440 . 95 95 418 . 00 48 850102 PAVEMENT MARKERS(REFLECTIVE) EA 1,989 2 . 65 5 , 270 . 85 49 860251 SIGNAL AND LIGHTING(LOCATION 1) LS 1 89 , 000 . 0 89 , 000 . 00 50 860252 SIGNAL AND LIGHTING(LOCATION 2) LS 1 66 , 000 . 0 66 , 000 . 00 51 860253 SIGNAL AND LIGHTING(LOCATION 3) LS 1 65 , 000 . 0 65 , 000 . 00 52 860254 SIGNAL AND LIGHTING(LOCATION 4) LS 1 62 , 000 . 0 62 , 000 . 00 53 860255 SIGNAL AND LIGHTING(LOCATION 5) LS 1 96 , 000 . 0 96 , 000. 00 54 860256 SIGNAL AND LIGHTING(LOCATION 6) LS 1 4511000 . 0 45 , 000 . 00 55 860257 SIGNAL AND LIGHTING(LOCATION 7) LS 1 2 9 , 0 0 0 . 0 29 , 000 . 00 56 860401 LIGHTING LS 1 12 , 5 0 0 . 0 12 , 5 0 0 . 0 0 57 860703 INTERCONNECTION CONDUIT AND CABLE LS 1 65 , 000 . 0 - 65 , 000 . 00 58 860810 INDUCTIVE LOOP DETECTOR EA 93 199 . 00 18 , 507 . 00 59 993002 FIRE HYDRANT EA 9 1 , 000 . 00 9 , 000 . 00 60 999990 MOBILIZATION LS I 40 , 000 . 00 40 , 000 . ( 0 TOTAL BID AMOUNT IN FIGURES: $2 , 807 , 415 . 79 TOTAL AMOUNT BID W WORDS: TWO MILLION, EIGHT HUNDRED .SEVEN THOUSAND, FOUR HUNDRED FIFTEEN DOLLARS & SEVENTY NINE CENTS C-2c W• 1W Noft a MWM\/ am%r-d r R-.!qw r-J. _ J� z.,•r E i v i-- r"'7�J 1f V • i s V a.7 I %Maim 1;3 G Hl.V r'7 . .... .... . 1N ORANGE COUNTY IN HUNTINGTON BEACH from 0.1 MILE SOUTH OF ELLIS AVENUE TO 1.0 MILE NORTH OF STATE ROUTE 391405 SEPARATION CASH CONTRACT No. 784 FEDERAL ID No. STPLN-5181 (020) in the CITY OF HUNTINGTON BEACH ADDENDUIM NUMBER 1 May 17, 1994 Notice to All Bidders: The followincr rP.ViClnnc/r•nrrurt,nre eha11 hA ;nn1„iinr� ;., 41aa t�;rl,rlar,........ •: . . ....... ... .... ...... .. ... .... ..... ..... . 1. Project Specifications, Sample Contract, Page D-7, Item No. 8 shall be deleted in its entirety and replaced with the following: S. nnxT'rn A nrnn -t.11 %,W,tl,111Cn1,1 Vjt.J11r1!{, FIJVI �u C11tG1111b+ U1JVl1 IrIC �CI lUIIIIan(;�OI Tnls agreemenT, �i,frroie+� t�p Fi.11ra..�....'T�:... _ _---- _�.J.:..+7._./�.'a.. .I.. -:e-� - ——- •^._ .. onr hi1"Arari n'sn-'ant r1nnoi% r.f+l,e nnnrrw.a� .•ar:n.a r,a .,,..,.�.•.... 4L_ !�/�1TTT .r,Tr.,.. .._ 1—..,.,... �..... J Y.1 Y%0+1.1....4, r.11VV ►.., �fu4.µ1a1LL Lllti �.vlai��..-s�,i vn fa:thfifl nerfn,.rMQfA11e^I A ";r%rV OTa� MarA;hh 1,�4� �1%& r:f-r �C ;�•u�iav aCai._rl 1 v .. ........v.—__ ...... ........ ue 1-aniviwa as !ne vougees; ana one in the amount or one hundred percent (1001/'0) ofthe contract price to guarantee payment of all claims for labor and materials furnished, naming bot?:A.6 Cite,ofll�,:n�ir:^tc+:Be-I, .-A S4utc;,fr 1•r,....:w +ha 5 vu,laVlILl aa.ulc vu116vcS. 2. Project Specifications, Sample Contract, Page D-11, Item No. 19 - LIQUIDATED DAMAGES/DELAYS:The amount of the liquidated damaaPc shall hr.rhnnoi-A frnm "turn thn„ca TTrt r.na dollars ($2,100)" to,"one thousand five hundred fifty dollars($1,550)". FROM:PUBLIC WORKS TO: 714 921 332E MAY 1139 1994 2:40PM 3#772 P.03 Addendum No.1 -cc784 Page 2 5117194 3. Project Specification, Section E - Special Provisions, Page E-2, 2-4 . Contract Bonds; Add the following: .fir.. �i�::..-�._.i'�::� r i:Tii rT :fir �:::�:nru rii.rSn �rr r....rr.r rrwrv•.. �.r �m� vr.r.ao..e.neri .a..rwin��w.. - ..,, l.- � ...a ..C".. ..- j,-............-.. ... ..b.vv...v..., .wa au.r.. aaav folic\17iM� �W� y�MYv rprroi/ed}v�t`ie Cii�Aitviiiv;C•• n n..w:w ♦S.w w...w..w� wrw-. L..-.t_..! _._.._a /t AHA/\ _Oa1.. __..•_.-. ....•.. .. Fzi;'Cali kivVIBj Vl'iiiv'vVai�l i+�%►'tiiivv��SI:i Mt KIiLNV- • •-• •-• ♦t.n rn�TTv r'rnv�.. 1'w:/�.r...� .a w..0 w..ww C�s.w w.� w...i • 1....1. City ity C ttiV 4Vl♦ afvraVlVa� p au:►titµ! t/V11Vt111G11LL 1 •liV YYVIA"IIY ll9Lll1111,5 UVill tile%. lLy Nl Huntington Beach and State of California as the obligees. • one in the amount of one hundred percent (100%) of the contract price to guarantee payment of all claims for labor and materials furnished, nanvng both the City of Huntington Beach and State of California as the obligees. 4 PrniPrt RnPrif>rsitinnc Ri-minn P - Rnprial Prn%icinnc Pmb P.74 4-7 -"Traf i- rnntrl\1 �...sw... AV i // alos .�e 11cleaw sR.: t,..:.- ... t.a...a.t. ..��ii�:. ....:.. .' . .� .ram_` ----___Sy3,CM,r Jl La11\r l�1VJµiV l✓V1VW IIIG!Jill aJG `4A1rG,.Jt LVl lia 111 1:V Jl.1f 111 ill�i USE .7 Int.71 and the entire last sentence of the sixth paragraph. The cost for any required flagging to complete the required work will be included in the cost for providing traffic control system. 5. Project Specifications, Section E- Special Provisions, Page E-36, 3-12.12 -Reconstruct Water Valve and meter; Reconstruction of water service is defined as follows: Case 1 -Relocation of meters further away from water main Abandon and remove existing water service back to water main. Install new 2" service line, new"Sensus SR Touch-head" meter(match existing meter size), new'UR polymer Concrete Meter" valve box. Construct new service tap and abandon/plug existing hole if necessary. Return existing water meter to Agency. Case 2 -Relocation of meters closer to water main. Cut existing service line to proper length. Install new"Sensus SR Touch-Read" meter (match existing meter size)and new'UR Polymer Concrete Meter" valve box. Return existing water meter to Agency. Addendum No.2 -cc784 Page 2 5/27/94 The successful bidding contractor shall be responsible for all work required to relocate City owned street lights: 2. The following street light poles as shown on sheet 96 (E-18) of the plans will not be relocated as called out for on the plans. West side of Beach Blvd., north of Warner Ave. Pole referenced " NO #MARKED ON POLE." West side of Beach Blvd., south of Warner Ave. #2295492E #2295493E #4076393E The street light pole as shown on sheet 18 (L-10) of the plans, east;side of the street, at approximate station 256+20, will require relocation. All bidders shall acknowledge the receipt of this Addendum with their proposal. These revisions do not change the Engineer's Estimate or the Bid Opening Date/Time for this project. Should you have any questions regarding this Addendum, please call David Webb at (714) 375-5077.' City of Huntington Beach i David A. tVebb, P.E. Resident Engineer I have reviewed Addendum No. 2 dated May 27. 1994. I understand that a signed copy of Addendum No.1,'11 shall be included in the bid documents. R. J. NOBLE COMPANY /1'4�,Z,01 Company Name By PAUL H. CLEARY, *JR. PRESIDENT May::18 , 1994 Date CC784/RCA/784aden2.doc FROM:PUBLIC WORKS TO: 714 921 3326 MAY 27, 1994 2:26PM ##853 P.01 Addendum No.2 -cc784 Page 2 5/27/94 The successful bidding contractor shall be responsible for all work required to relocate City owned street lights. 2. The following street light poles as shown on sheet 96 (E-18) of the plans will not be relocated as called out for on the plans. West side of Beach Blvd., north of Warner Ave. Pole referenced " NO #MARKED ON POLE." West side of Beach Blvd., south of Warner Ave. 42295492E 42295493E 44076393E The street light pole as shown on sheet 18 (L-10) of the plans, east side of the street, at approximate station 256+20, will require relocation. All bidders shall acknowledge the receipt of this Addendum with their proposal. These revisions do not change the Engineer's Estimate or the Bid Opening Date/Time for this project. Should you have any questions regarding this Addendum, please call David Webb at (714) 375-5077.' City of Huntington Beach David A Jebb, P.E. Resident Engineer 1 have reviewed Addendum No. 2 dated May.27, 1994. I understand that a signed copy of Addendum No yshall be included in the bid documents. R. J. NOBLE COMPANY Company Name By MICHAEL J. CARVER, ASSISTANT SECRETARY MAY 27 , 1994 CC784/RCA/784aden2.doe ;, CITY OF HUNTINGTON BEACH -0. " 2000 MAIN STREET P. 0. BOX 190 CALIFORNIA 92648 Louis F. Sandoval Public Works Department Director (714) 536-5431 DECEIVE CONSTRUCTION ON STATE HIGHWAY l���� 'j�1 l ° IN ORANGE COUNTY IN HUNTINGTON BEACH from ko a..•... 0.1 MILE SOUTH OF ELLIS AVENUE TO 1.0 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT No. 784 FEDERAL ID No. STPLN-5181 (020) in the CITY OF HUNTINGTON BEACH ADDENDUM NUMBER 2 May 27, 1994 Notice to All Bidders: The following revisions/corrections shall be included in the bid documents: 1. Bid Item No. 56 - "Lighting"; as called for in the project specification shall be changed from a lump sum bid item to a combination of the following unit price bids. Item Unit Quantity Unit Total Price 56a Install 2.5"-sch 40 PVC conduit and pull rope for LF 1100 8. 00 8, 800 . 00 SCE street lighting system 56b Install new street light pullbox Ea 12 100. 00 1 ,200 . 00 56c Relocate City owned street light, including all Ea 1 required conduit, conductors, new base and removal 2 , 500 . 0 0 2 , 500. 00 of existing base (on Main Street w/o Beach 56 Total of items 56a-56c entere this amount for item 56 on project bid schedule 12 , 5 0 0. 0 0 Southern California Edison(SCE)will furnish a"Conduit and Pull box" location plan to the successful bidding contractor. The successful bidding contractor shall be responsible for installing all conduit, pull ropes and pullboxes along with removal and reconstruction or surface improvements (sidewalk, pavement, landscaping, etc.) for street light relocation's on the SCE system. SCE's contractor will pour new bases, relocate their street lights, provide conductors, make all electric connections and remove the existing street light bases. 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. License Class:. Pomon :>: >:: dame o.:Subcontractar..4M;Address :: ;;;;::: State . f.. .. ; MANHOLE11z BALLIN CONSTRUCTION CO. 476761 WATER VALVES P. O. B 818 918-6220 PIPE BYRON L . CRUME INC . 249549 C-42 18-26 Pomona Rd. , Corona, CA. 917 0 909- 737-2 80 Stri in ORANGE COUNTY STRIPING SERVICE 346095 183 N. Pixle , -Oran e CA. 92668 714-639-45 0 COLD PAVEMENT RECYCLING SYSTEMS INC. 569352 A MILL p, o . Box 1266 Riverside CA. 92302 909-682- 091 LAND- PHOENIX LANDSCAPE INC . 284586 SCAPE 1817 Glenview Anaheim CA. 9280 714- 572-14 0 STAMPED SULLIVAN CONCRETE 408047 CONCRETI 1111 Baker St . , Costa Mesa, CA. 2626 714-55 - 7633 CONCRETE DAND.0+R1,: INDUSTRIES 605926 23441 Golden Springs, Suite 109 , Diamond Bar, CA 91765 11 909-622-4132 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 LIST OF SUBCONTRACTORS In accordance with Government Code Section 41041, 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 of Subcontractor and Address State License Class of Work Number ELECTRICLL MOORE ELECTRICAL 610382 1852 W. Pomona Rd. Corona, CA 9 720 909-371- 202 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 §ubcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMTI TED WITH BID State of California ss. County of Orange PAUL H. CL EARY, JR. , , being first duly sworn, deposes and says that he or she is PRESIDENT of the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. R. J. NOBLE COMPANY Name of Bidder z4vt'l-�- Z/ Signature of Bidder PAUL H. CLEARY, JR. , PRESIDENT 15505 E. Lincoln Avenue Orange , CA. 92666 Address of Bidder Subscribed and sworn to before m this 1st day of June 19 94. NOTARY PU LI NOTARY SEAL M.A. GRO OPF COMM. #986488 Notary Public-California 0 C-4 3 ORANGE COUNTY my Comm.Exp.Apr. 21, 1997 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 CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH FROM 0.1 MILE SOUTH OF ELLIS AVENUE TO 0.1 MILE NORTH OF STATE ROUTE 39/405 SEPARATION, CASH CONTRACT NO. 784, FEDERAL ID NO. STPLN-5181(020), (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. J. NOBLE COMPANY Contract By PAUL H. CLEARY, JR. , PRESI'DENT Title June 1 , 1994 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 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 and shall submit same to the AGENCY prior to performing any work on this contract: 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. R. J. NOBLE COMPANY Contractor By PAUL H. CLEARY, JR. , PRESIDENT Title JUNE 1 , 1994 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. WILL BE CALLED 47 HOURS PRIOR TO EXCAVATION R. J. NOBLE COMPANY Contractor By PAUL H. CLEARY, JR. , PRESIDENT Title JUNE 1 , 1994 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: R. J. NOBLE COMPANY Bidder Name 15505 E. Lincoln Avenue , Orange , CA. 92666 Business Address 714-637-1550 Telephone Number A- 121735 A State Contractor's License No. and Class 10/2/50 Original Date Issued 7/31/94 Expiration Date The work site was inspected by MIKE CARVER of our office on 19 94 The following are persons, firms, and corporations having a principal interest in this proposal: R. J .NOBLE COMPANY, A CALIFORNIA CORPORATION PAUL H. CLEARY, JR. , PRESIDENT JIM GRACE, VICE- PRESIDENT/GENERAL MANAGER JAMES J. DUNLEAVY, SECRETARY STAN HILTON ASSISTANT SECRETARY/CHIEF ESTIMATOR MICHAEL J. CARVER, ASSISTANT SECRETARY/ESTIMATOR C-9 The undersigned are prepared to satisfy the Council of the City of Huntington Beach of their ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. R. J. NOBLE COMPANY Company N e Signature of Bidder PAUL H. CLEARY, JR. , PRESIDENT Printed or Typed Signature 15505 E. Lincoln Avenue M. A. GROSKOPF Orange , CA. 92666 Q � COMM. 988488 Address of Bidder Notary Public—California ' e ORANGE COUNTY M Comm.Ex .A r. 21, 1997 ( ) 714-6 3 7-15 5 0 Telephone Number Subscribed and sworn to before me this 1 s t day of June 19 9 4 , NOTARY PUBLIC NOTARYSEAL Listed below are the names, address and telephone nu rs for three public agencies for which the bidder has performed similar work within the past two years: 1, CITY OF ANAHEIM 200 So . Anaheim Blvd. , Anaheim, CA. 92805 Name and Address C. P. -GARCIA ( ) 714-254-5126 Name and Telephone No. of Project Manager $692 ,431 LA PALMA AV. , SUNKIST TO STATE COLLEGE 3/94 - Contract Amount Type of Work Date Completed 2. CITY OF LAKE ELSINORE , 130 Main Street , Lake Elsinore , CA. 92530 Name and Address PETER M. SAVELLO ( ) 909-674- 29,62 Name and Telephone No. of Project Manager $622 ; 693 .:00 SPORTS.'.& AMPHITHEATER STREETS & PARKING 4/94 Contract Amount Type of Work Date Completed C-10 3 COUNTY OF ORANGE, EMA, Public Works , 12 Civic Center Plaza, Name and Address Santa Ana , CA. 92702 GEORGE ZAUN ( ) 714-834-3400 Name and Telephone No. of Project Manager $1 , 828 , 218 . 00 BEACH BLVD . STAGE RD. TO N/ROSECRANS 4/94 Contract Amount Type of Work Date Completed C-11 3-31-69 CERTIFICATION WITH REGARD TO THE PERFORMANCE OF PMIO;:S CONTRACTS OR SUBCONTRACTS SUBJECT TO THE EQUAL OPPORTUNITY CLAUSE AND THE FILING Or REQUIRED REPORTS The bidder XX , proposed Subcontractor .• hereby certifies that he has XX bu not participated in a previous Contract or Subcontract subject to the equal opportunity Clause, as required by Executive Orders 10925, 11114, er 11266. and that he has XX, has act �, filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliaaee, a Federal Government contracting 4F idmin-Istering agency, or the fansr President's Committee on Equal Employment Opportunity, all reports due under the applicable filing requirements. R. J. NOBLE COMPANY ampany 'sy: PAVL.oA.'�`CLEWRYI JR. , PRESIDENT Tit e Date: JUNE 1 , 1994 Note: The above certification is required by t.Ze Equal Employ- ment Opportunity Regulations of the Secretary of Labor 1I1 CrR 60-1.7(b) (1)) , and must be submitted by bidders and proposed sub- contractors only in connection with contracts and subcontracts which are subject to the equal opportunity Clause. Contracts and subcontracts which are axempt from the equal opportunity clause are not forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (EW-1) is the only report required by the Executive Orders or their Uplwnting regulations. Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 61 CFR 60-1.7(b) (1) prevents the award of contracts and subcon- tracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal dighway Administration_or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. C-12 BIDDER DBE INFORMATION To Be Completed by Agency Bidder: R• J . NOBLE COMPANY Address: 15505 E. Lincoln Avenue Agency: . City of Huntington Beach Orange , CA. 92666 Federal Project #: STPLN-5181 (020) Project Description: Construction on State Highway 39 Person Completing this Form (Beach. Blvd.) Name: PAUL H. CLEARY, JR. , PRESIDENT Assigned DBE Goal: 15% Phone #: (__J - 714-6 3 7-15 5 0 Dollar Value of Name of Caltrans Certified DBE . Description of Work Contract Item # Subcontract MANHOLE ADJUSTING , INC . RUBBER AC #4 $500 , 000 . 00 DBE Amount $ 5 0 0 , 0 0 0 . 0 0 THIS FORM MUST BE USED TO PROVIDE a 15 % REQUIRED DBE INFORMATION •Bid Amount $ 2 , 807 , 415 . 79 C-13 EXHIBIT 4-3a 1986-4 GOOD FAITH EFFORT STATEMENT OF DB/WBE PARTICIPATION Federal-Aid Project No. Bid Opening Date Type of Work The established a Disadvantaged Local Agency Business Enterprise (DB) goal of I and a women's Business Enterprise (WBE) goal of 8 for this project. The Con- , tractor has committed to a goal .of 3 DB and a goal of 0 WBE, necessitating a good faith effort statement in accordance with 49 CPR 23.45. Our project files show that such a good faith effort was made. The following is a summary of that documentation: (1) Attendance at - or request for any pre-solicitation or pre-bid meetings: (2) Advertising in appropriate publications subcontracting opportunities: (Name and date of publications) (3) Providing written notice to a reasonable number of DBEs) and WBE(s) seeking their interest in subcontracting opportunities being made available by the-Contractor: (Sample letter attached) (4) Following up of initial solicitations of interest: (Names, type, result. ) C-14 EXHIBIT 4-3b 1986-4 (5) Selecting portions of the work to be performed by DH(s) and WBE(s) : (Include $ value) (6) ,. Providinq interested DB(s) and WBE(s) with adequate information: (7) Negotiating good faith with interested DB(s) and WBE(s) : t$ value of DB/WBE Bids and one taken) (8) Making efforts to assist interested DBE(s) and WBE(s) in obtaining bonding, lines of credit, or insurance; and (9) Effectively using the services of available minority community organizations; minority contractors' groups, local, State and Federal Minority Business Assistance in the recruitment and placement of DB(s) and WBE(s) : (Name, date of contact, information provided) Signature, DB/WBE Liaison Officer. C-15 CERTIFICATION FOR FEDERAL AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress,or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress In connection with this Federal contract, grant,loan,or cooperative agreement, the undersigned shall complete and submit Standard.Form—LLL,"Disclosure of Lobbying Activities," in accordance with its Instrucdons. This certification is a material representation of fact upon whch reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352,Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts,which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly. (1) C-16 DISCLOSURE OF LOBBYING ACTIVITIES Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 1. Type of federal Action: 2. statum of Federal Actions 3. Report Type: a. Contract a. bid/offer/application a. initial b. grant b. initial award b. eatwial Change C. cooperative agressnt c. post-sward d. loan guarantee For Matarial Change only: a. loan insurance NONE NONE NONE of last 4. Saes and Address of Reporting Ratity: s. If Reporting Sntity in NO. 1 is Aubawardee, antar Saar and Address of Pries Prise aubawardee Tier , if known NONE NONE Congressional District, if known: Congressional District, If known: 6. Federal Dspartasnt/Agsacy: 7. Federal Progras Sam/Descriptions NONE CllCRper, if applicable •. Federal Action Surber, if known: 2. Award Asomt, if known: NONE $NONE 10. a. Sass and Address of Lobbying Entity b. Individuals Performing Services (including address if (if individual, last name, first sass, MI) different from No. l0a) NONE �• first ham, MI): (attach Continuation ahest(a) if necessary) 11. Amount of Pays@at (check all that apply): 13. 'lips of Paysast (abssk all that apply) N 0 W actual planned NONE- retainer b. oes-ties iw a. COMIMIoa . 12. Pore of Pays@nt (Check all that apply): r - d. contingent !ss a. Cash a. deferred b. in-kind; specify: nature ` f. other. spseity: NOEN valve ,,NONE 14. grief Description of services Perforsd or to be perforasd and Date(:) of sarviee, including officer(@), asployes(e), or mober(s) contacted, for Payasnt indicated in It= 11s NONE (attach Continuation sbest(s) if necessary). RO Narotianation sh"t(s) attached: ies no 16. Inforsatio: requested through this fors is authorized by Title 31 U.B.C. section 1352. This disclosure of lobbying signatures activities is a notarial representation of fact upon which reliance was placed by the tier above when this Print Paso: PAUL H. CLEARY R. transaction was Bade or entered into. This disclosure in required pursuant to 31 U.S.C. 1352. This informeti® will Titles PRESIDENT be reported to the Congress semi-annually.and will be available for public inspection. Any parson who fails to Telephone No.: 714-6 3 7-15 5 0 file the required disclosure shall be subject to a civil NON"ty of not less than f10,000 and not more than Date: June 1 , 1994 00,000 for each such failure. Federal use Orly: Authorised for Local Reproduction Standard Form-= (2) C-17. J INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to Tits 31 U.S.C. Section 1352. The filing of a form'is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information If the space on the form is inadequate. Complete all items that apply for both the initial, filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter In which the change occurred. Enter the date of the.last, previously submitted report by this reporting entity for this covered Federal action. 4. Enter the full name, address, city, state, and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardes, e.g., the first subawardee of the prime is the first tier. Subawards include but are-not KmI$@d to subcontracts, subgrants, and contract awards under grants._ 5. If the organization filing the report in Item 4 c:hecke-Tubawardes,"then enter the full name, address, city, state and zip code of the prime Federal recipient. Include Congressional District, if known. 6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, If known. For example, Department of Transportation, United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (Item 1). If known,enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8. Enter the most appropriate Federal identifying number available for the Federal action identification in Item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFS) number, grant announcement number, the contract grant or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001.0 9. for a covered Federal action where there has been an award or loam commitment by the Federal agency, enter the Federal amount of the award/loan commitments for the prime entity identified in Item 4 or S. (3) C-18 10. (a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in Item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10. (c) Enter Last Name, First Name, and Middle Initial (MI). 11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (Item 4) to the lobbying entity (Item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check"all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. 12. Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature. 14. Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity, not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15. Check whether or not a continuation sheet(s) is attached. 16. The certifying official shall sign and date the form, print his/her name, title, and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503. (4) c-is TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 DEBARMENT AND SUSPENSION CERTIFICATION The bidder, under penalty of perjury, certifies that except as noted below, he/she or any person associated therewith in the capacity of owner, partner, director, officer, manager: is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any federal agency; has not been suspended, debarred, voluntarily excluded, or determined ineligible by any federal agency within past three years; does not have a proposed debarment pending; and has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years ff there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidders responsibility. For any exception noted above, indicate below to whom it applies, initialing agency, and dated of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. C-20 a 0 C CALIF. S JUN 1 46 F44 ! Cii: t a R.J. NOBLE COMPANY ASPHALT PAVING-ENGINEERING CONTRACTORS LIC A-121735 15505 E. LINCOLN AVE.-P.O.BOX 620 ORANGE,CALIFORNIA 92666 (714)637-1550 TO: CITY OF HUNTINGTON BEACH 2000 Main Street Huntington Beach, CA. MENT & SIGNAL � 84 { MILES NORTH. OF ARATTnm l / Bi��.--ece ved by: Date: DATE: Wednesday, June 1, 1994/2:00 p.m. PROJECT ENGRUM: Dave Webb E_,Glt='S EgfD,ATE: $4,145,000 CC-7gg JOB TITLE AND CC #: BEACH BOULEVARD SMART S1REET, Beqch between Ellis Avenue and 1405 BIDDER'S �1A'Z TOTAL BID ATDU'NTTrr 1. All American Asphalt 2. Boral Resources 3. Econolite 4'. Excalibur • 5. Excel Paying 6. F N F Construction 7. Griffith Company < �Q 8. Hillcrest Construction 9. International Surfacing 10. F J Johnson 110 L and R Construction 12. McCain Traf fic Supply " 13. Moore Electrical Construction 14. R. J. Noble 2 8 v ¢1 5 77-9 15. Pavement Recycling 16. S I R 0 C 17. S and M Landscape . 18. S R D 19. Shaman Corporation ' Z. D O 20. Silvia Construction cp _ cpj 3 21. Steiny and C an 22. Sully-Miller f CHUBB GROUP OF INSURANCE COMPANIES CHUC3t3 15 Mountain View Road. P. 0. Box 1615. %%rarren. (clew Jersey 07061.1615 FEDERAL INSURANCE COMPANY BID BOND Bond No. 81271576 — D Amount S 10% OF AMT. BID Know All Men By These Presents, That we, R.J. NOBLE COMPANY (hereinafter called the Principal), as Principal, and the FEDERAL INSURANCE COMPANY, Warren, New Jersey, a corporation duly organized under the laws of the Stara of Indiana, (hereinafter called the Surety), as Surety, are held and firmly bound unto CITY OF HUNTINGTON BEACH (hereinafter clalled the Obligee), in the sum of TEN PERCENT OF THE AMOUNT OF THE BID Dollars (S 10% OF AMT. BID ), for the payment of which we, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. Sealed with our seals and dated this 3rd day of MAY , A. D. nineteen hundred and 94 WHEREAS, the Principal has submitted a bid, dated JUNE 1 , 19 94 , for BEACH BLVD. PAVEMENT & SIGNAL IMPROVEMENTS (CC784) NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the Obligee shall accept the bid of the Principal and the Principal shall enter into a contract with the Obligee in accordance with such bid and give bond with good and sufficient surety for the faithful performance of such contract, or in the event of the failure Of the Principal to enter into such contract and give such bond, if the Principal shall pay to the Obligee the dif- ference, not to exceed the penalty hereof, between the amount specified in said bid and the amount for which the Obligee may legally contract with another party to perform the work covered by said bid, jLthe latter amount be in excess of the former, then this obligation shall be null and void, otherwise to remain in full force and effect.- R.J. NOBLE COMPANY Princip _ By: PAUL H. CLEARY, . , PRESIDENT 4 FEDERA INS AN MP Y 1 By: I AEL D. T N ATTORiVIt —FACT POWER OF ATTORNEY FEDERAL INSURANCE COMPANY ATTN: SURETY DEPARTMENT 15 Mountain View Road, Warren, NJ 07059 (908) 580-2000 Know all Men by these Presents, That FEDERAL INSURANCE COMPANY, an Indiana Corporation, has constituted and appointed, and does hereby constitute and appoint Michael D. Stong and Rosemary Standley of Riverside, California -------------------------- ---------- each its true and lawful Attorney-in-Fact to execute under such designation in its name and to affix its corporate seal to and deliver for and on Its behalf as surety thereon or otherwise, bonds of any of the following classes, to-wit: 1. Bonds and Undertakings(other than Bail Bonds)filed in any suit, matter or proceeding in any Court,or filed with any Sheriff or Magistrate, for the doing or not doing of anything specified 16 such Bond or Undertaking. 2. Surety bonds to the United States of America or any agency thereof, including those required or permitted under the laws or regulations relating to Customs or Internal Revenue;License and Permit Bonds or other indemnity bonds under the laws,ordinances or regulations of any State,City,Town,Village,Board or other body or organization,public or private; bonds to Transportation Companies,Lost Instrument bonds;Lease bonds,Workers'Compensation bonds,Miscellaneous Surety bonds and bonds on behalf of Notaries Public, Sheriffs, Deputy Sheriffs and similar public officials. 3 Bonds on behalf of contractors in connection with bids, proposals or contracts. In Witness Whereof, the said FEDERAL INSURANCE COMPANY has, pursuant to its By-Laws, caused these presents to be signed by Its. Vice President and Assistant Secretary and its corporate seal to be hereto affixed this 17 th day of January 19 94 Corporate Seal OR A � ;Qy, aa '*AvJIA FEDERAL INSURANCE COMPANY BY -� CL,Cb y' Kenneth C. Wendel Gerardo G. Mauriz AssisUnt Secretary Vice President STATE OF NEW JERSEY ss County of Somerset On this 17th day of January 19 94 , before me personally came Kenneth C. Wendel to me known and by.me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, the corporation described in and which executed the foregoing Power of Attorney, and the said Kenneth C.Wendel being by me duly sworn,did depose and say that he is Assistant Secretary of FEDERAL INSURANCE COMPANY and knows the corporate seal thereof; that the seal affixed to the foregoing Power of Attorney is such corporate seal and was thereto affixed by authority of the By-Laws of said Company, and that he signed said Power of Attorney as Assistant Secretary of said Company by like authority;and that he is acquainted with Gerardo G. Mauriz and knows him to be the Vice President of said Company, and that the signature of said Gerardo G. Mauriz subscribed to said Power of Attorney is in the genuine handwriting of said Gerardo G.Mauriz and was thereto subscribed by authority of said By-Laws and in deponent's presence. Notarial Seal Acknowledged and Sworn to before me on the date ab written. Notary Public JTRXET A.S+CAVO In Notary putphe.Ststc of New Jer"y No.2066520 Ces rA"iaa E*res OcuAmr 2,1994 vaerreo Form 15-100134(Rev.1493)GENERAL L4.5%27(5w) uIVA r SEAB&&D SURETY COMPANY #156 ADMINISTRATIVE OFFICES: BEDMINSTER, NEW JERSEY BOND NO. 766046(18919) PROPOSAL BOND PREMIUM: INCLUDED IN BBSU 3Ktww all Am bg t0st 11munt$: THAT WE, SULLY-MILLER CONTRACTING COMPANY 1100 E. ORANGETHORPE, SUITE 200 ANAHEIM, CA 92801 as principal, and SEABOARD SURETY COMPANY, a corporation under the laws of the State of New York, having its principal place of business in the City of New York, New York, as surety, are held and firmly bound unto CITY OF HUNTINGTON BEACH as obligee,in the sum of ten percent (10%) of the total amount of bid in DOLLARS, 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, administrators, successors and assigns, jointly and severally, firmly by these presents. SIGNED, sealed and dated this 1ST day of JUNE 19 94. WHEREAS, the said principal is herewith submitting its proposal for CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH FROM 0.1 MILE SOUTH OF ELLIS AVENUE TO 1.0 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT NO. 784 FEDERAL ID NO. STPLN-5181(020) IN THE CITY OF HUNTINGTON BEACH THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, that if the aforesaid principal shall be awarded the contract upon said proposal and shall within the required number of days after the 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 bid of the said principal and the amount for which the obligee may legally contract with another party to perform the said work if the latter amount be in excess of the former; but in no event shall the surety's liability exceed the penal sum hereof. SULLY-MILLER CONIFACTING COMPANY Principal By— DALE A. L E, 4AISTANT SECRETARY SEABOARD SURETY COMPANY 'R --- Y-- Form 136 nda TicheyAttorney in- 1U- 4528 Certified copy SEABOARD SURETY COMPANY No. 11656 ADMINISTRATIVE OFFICES, BEDMINSTER, NEW JERSEY POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That SEABOARD SURETY COMPANY,a corporation of the State of New York,has made, constituted and appointed and by these presents does make,constitute and appoint George C. Schroeder or Carla Holt or Linda Tichey or JoAnne Tionani or Richard W. Merrill or W. W. Weller or William Dinneen or Lois Stewart or Fonda A. Nelson of Spokane, Washington its true and lawful Attorney-in-Fact,to make,execute and deliver on its behalf insurance policies,surety bonds,undertakings and other instruments of similar nature as follows: Without Limitations Such insurance policies,surety bonds, undertakings and instruments for said purposes, when duly executed by the aforesaid Attorney-in-Fact,shall be binding upon the said Company as fully and to the same extent as if signed by the duly authorized officers of the Company and sealed with its corporate seal;and all the acts of said Attorney-in-Fact, pursuant to the authority hereby given,are hereby ratified and confirmed. This appointment is made pursuant to the following By-Laws which were duly adopted by the Board of Directors of the said Company on December 8th, 1927,with Amendments to and including January 15, 1982 and are still in full force and effect: ARTICLE VII,SECTION 1: "Policies,bonds,recognizances,stipulations,consents of surety,underwriting undertakings and Instruments relating thereto. insurance policies,bonds,recognizances,stipulations,consents of surety and underwriting undertakings of the Company,and releases,agreements and other writings relating in any way thereto or to any claim or loss thereunder,shall be signed in the name and on behalf of the Company (a) by the Chairman of the Board,the President,a Vice-President or a Resident Vice-President and by the Secretary,an Assistant Secretary,a Resident Secretary or a Resident Assistant Secretary;or(b)by an Attorney-in-Fact for the Company appointed and authorized by the Chairman of the Board,the President or a Vice-President to make such signature;or(c)by such other officers or representatives as the Board may from time to time determine. The seal of the Company shall if appropriate be affixed thereto by any such officer,Attorney-in-Fact or representative." IN. WITNESS WHEREOF, SEABOARD SURETY COMPANY has caused these presents to be signed by one of its Vice- Presidents,and its corporate seal to be hereunto affixed and duly attested by one of its Assistant Secretaries,this -.24th........ day of.....-Septamber-......................- 19...93 o SUREr,. * & Attest: SEABOA SLPETY JOMPA Y, 1927 ' or4w r"� (Seal) . ... ".e:e -�� .y---•----------------------------------•----•-. ---.........--••--.----.... ssistant Secretary Vi President STATE OF NEW JERSEY ss.: COUNTY OF SOMERSET On this.........24th .......day of ......September............................................................., 1993....... before me personally appeared ......................Niichael..B... . .............................................................. a Vice-President of SEABOARD S BETSNew ,COMPANY, ersey with whom I am personally acquainted, who, being by me duly sworn,said that he resides in the State of ................................... that he is a Vice-President of SEABOARD SURETY COMPANY,the corporation described in and which executed the foregoing instrument;that he knows the corporate seal of the said Company;that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Director said Company;and that he name thereto as Vi e-President of said Company by like authority. LjNDA SMET10 JpRSEY ` SMgTy SARY PUBItC OP NEW 16,1996 (Seal) Wo7Agy�* My Commission Expires Dec• 4 se: Notary Public C E R T I F 1,the u CF Assistant Secretary of SEABOARD SURETY COMPANY do hereby certify that the original Power of Attorney of which the foregoing is a full,true and correct copy,is in full force and effect on the date of this Certificate and I do further certify that the Vice-President who executed the said Power of Attorney was one of the Officers authorized by the Board of Directors to appoint an attorney-in-tact as provided in Article VI1,Section 1,of the By-Laws of SEABOARD SURETY COMPANY. . This Certificate maybe signed and sealed by facsimile under and by authority of the following resolution of the Executive Committee of the Board of Directors of SEABOARD SURETY COMPANY at a meeting duly called and held on the 25th day of March 1970. "RESOLVED: (2) That the use of a printed facsimile of the corporate seal of the Company and of the signature of an Assistant Secretary on any certification of the correctness of a copy of an instrument executed by the President or a Vice-President pursuant to Article VII,Section 1,of the By-Laws appointing and authorizing an attorney-in-fact to sign in the name and on behalf of the Company surety bonds, underwriting undertakings or other instruments described in said Article VII,Section 1,with like effect as if such seal and such signature had been manually affixed and made, hereby is authorized and approved." IN WITNESS WHEREOF, I have reunto set my hand and of ' ed the cprporate seal of Company to these presents this RNSURF.ry 1- ----day of----••----•--------•-•-------L ...................... 19 - e�� * COS b I� 1927 , Assistant Secretary O _ Form 957(Rev..7/84)_:_ ._For verification of the authenticity of this Power of Attorney you n ay call,collect,908-658-3500 and ask for the Power of Attorney clerk.Please refer to the Power . . .. F. .. . - . . _<—- `- — -------•- _­_­ 1- 41.....V-L r1..11.11.1 All CALIVORNIA ALL-PURPOSE ACKNOWLEDGMENT No.5907 State of 00ji County of On before me, DAT NAME,TITLE OF OFFICER-E.G.,-JAN OE,NOTARY PUBLIC- personally appeared :DA A 6,6 0j , NAME(S)OF SIGNER(S) [� personally known to me - OR - ❑ to be the person(a) whose name() is/ate subscribed to the within instrument and ac- knowledged to me that he/s#5/tfer executed the same in his/b r/th-etr-- authorized capacity(Les&), and that by his/-be,r/t#e+r signatureW on the instrument the personks), or the entity upon behalf of which the person(s) acted, executed the instrument. k ALICE M.ENGLISH a � ? COMIA.#974293 z _ z �.,:�-. Notary Pu`!ic—Ca!!fornia WITNESS m hand and official seal. ,�'` ORANGE COUNTY Y ;r m My Comm.Eypires OCT 21.1996 SIGNATURE OF NOT Y OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL CORPORATE OFFICE n ITLE OR TYPE OF DOCUMENT TITLE(S) ❑ PARTNER(S) ❑ LIMITED l ❑ GENERAL ❑ ATTORNEY-IN-FACT NUMBER OF PAGES ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR /p ❑ OTHER: l� DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PER (S)OR ENTITY(IES) `- SIGNER(S)OTHER THAN NAMED ABOVE 01993 NATIONAL NOTARY ASSOCIATION•8236 Remmet Ave.,P.O.Box 7184•Canoga Park,CA 91309-7184 State of Washington ) County of Spokane ) I certify that I know or have satisfactory evidence that Linda Tichey signed this document; on oath stated that he/she was authorized to sign the document and acknowledged it as the agent or representative of the named surety company which is authorized to do business in the States of Washington and California, for the purposes mentioned in this document. DATED on JUNE 1 1994 4aturiNot My appointment expires 9-15-95. CHUB; aROUP OF INSURAN 1 E COMPANIES . J cl- UBB I', Idt-IiII1,J111 ';i :.: Ki.0, I' i r hll l 1015 W.M011, NLAY W1,A;y II1061-1601 FEDERAL INSURANCE COMPANY BID BOND Bond No. Amount $ Know .All Men By These Presents, That we, Shawnan Corporation (hereinafter called the Principal), as Principal, and the FEDERAL INSURANCE COMPANY,Warren, New Jersey, a corporation duly organized under the laws of the State of Indiana, (hereinafter called the Surety), as Surety, are held and firmly bound unto City of Huntington Beach (hereinafter called the Obligee), in the sum of Ten Percent of the total amount bid Dollars ($ 10% ), for the payment of which we, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. Sealed with our seals and dated this 16 day of May , A. D. nineteen hundred and 94 WHEREAS, the Principal has submitted a bid, dated June 1 , 1994 for Construction of State Highway in Orange County in Huntington Beach from 0 . 1 Mile South of Ellis Avenue to 0 . 1 Mile North of State Route 39/405 Separation Project .No. 784 NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the Obligee shall accept the bid of the Principal and the Principal shall enter into a contract with the Obligee in accordance with such bid and give bond with good and sufficient surety for the faithful performance of such contract,or in the event of the failure of the Principal to enter into such contract and give such bond, if the Principal shall pay to the Obligee the dif- ference, not to exceed the penalty hereof, between the amount specified in said bid and the amount for which the Obligee may legally contract with another party to perform the work covered by said bid, if the latter amount be in excess of the former, then this obligation shall be null and void, otherwise to remain in full force and effect. Shawnan Corp2ration cip By: � ac' , Vice Pres. & Sec. FEDERAL INSURANCE COMPANY By: AM& Dougl A. Rapp Attorney in Fact PRI�NNTED Form 15-02-0002(Rev 4-90) M-17825(10M OSA POWER OF ATTORNEY FEDERAL INSURANCE COMPANY ATTN: SURETY DEPARTMENT 15 Mountain View Road,Warren, NJ 07059 (908) 580-2000' Know all Men by these Presents,That FEDERAL INSURANCE COMPANY, an Indiana Corporation, has constituted and appointed, and does hereby constitute and appoint Douglas A. Rapp and Linda D. Coats of Laguna Hills, California ---------------------------------------------------------7------------ each its true and lawful Attomey-in-Fact to execute under such designation in its'name and to affix its corporate seal to and deliver for and on Its behalf as surety thereon or otherwise, bonds of any of the following classes, to-wit: 1. Bonds and Undertakings(other than Ball Bonds)filed in any suit, matter or proceeding in any Court,or filed with any Sheriff or Magistrate, for the doing or not doing of anything specified In such Bond or Undertaking. 2. Surety bonds to the United States of America or any agency thereof, including those required or permitted under the laws or regulations relating to Customs or Internal Revenue;License and Permit Bonds or other indemnity.bonds under the laws,ordinances or regulations of any State,City,Town,Village,Board or other body or organization,public or private; bonds to Transportation Companies,Lost Instrument bonds;Lease bonds,Workers'Compensation bonds,Miscellaneous Surety bonds and bonds on behalf of Notaries Public, Sheriffs, Deputy Sheriffs and similar public officials. a Bonds on behalf of contractors in connection with bids, proposals or contracts. In Witness Whereof, the said FEDERAL INSURANCE COMPANY has, pursuant to its By-Laws, caused these presents to be signed by its Vice President and Assistant Secretary and its corporate seal to be hereto affixed this , 10th day of March 1994 Corporate Seal . FEDERAL INSURANCE COMPANY �• BY )L-"A Q.t,t�tt Kenneth C. Wendel Gerardo G. Mauriz Assistant Secretary Vice President STATE OF NEW'JERSEY I ss County of Somerset On this loth day of March 19 94 before me personally came Kenneth C. Wendel to me known and by.me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, the corporation described in and which executed the foregoing Power of Attorney,and the said Kenneth C.Wendel being by me duly sworn,did depose and say that he is Assistant Secretary of FEDERAL INSURANCE COMPANY and knows the corporate seal thereof; that the seal affixed to the foregoing Power of Attorney is such corporate seal and was thereto affixed by authority of the By-Laws of said Company, and that he signed said Power of Attorney as Assistant Secretary of said Company by like authority;and that he is acquainted with Gerardo G. Mauriz and knows him to be the Vice President of said Company, and that the signature of said Gerardo G. Mauriz subscribed to said Power of Attorney is in the genuine handwriting of said Gerardo G.Mauriz and was thereto subscribed by authority of said By-Laws and in deponent's presence. Notarial Seal S S'-e c- Acknowledged and Sworn to before me �* w on the date ab9ve written. Notary Public LOW A.BCAVOlpj X'Plane.St.*ts of 74 Jam, NO.2Rti.520 C +<Ioa Iixrira:00e0l.,2, 1994 w+nrrEo Farm 1SS1Q0134(Rev.1093)GENERAL M_5WZ7(5w) u . t J PREMIUM—NIL �M Bond No. 0372243 GMW jV&1 IG-VV INSURANCE COMPANY KNOW ALL MEN BY THESE PRESENTS, that we, SILVIA CONSTRUCTION, INC. as principal, and the GREAT AMERICAN INSURANCE COMPANY, a corporation existing under the law,, of the State of Ohio, having its Administrative Office at 580 Walnut Street, Cincinnati, Ohio 45202, w surety, are held and firmly bound unto, CITY OF HUNTINGTON BEACH as obligee, in the penal sum of TEN PERCENT OF AMOUNT BID 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, administrators, successors and.assigns jointly and severally, firmly by these presents. SIGNED, sealed, and dated this 19TH day of MAY 1994 WHEREAS, the said principal IS herewith submitting A proposal for CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH FROM 0. 1 MILE SOUTH OF ELLIS AVENUE TO 0.1 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT NO. 784 FEDERAL ID NO. STPLN-5181(020) IN THE CITY OF HUNTINGTON BEACH NOW, THEREFORE, the condition of this obligation is such that, if the said principal shall be awarded the said contract, and shall within SIXTY ( 60 ) 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. SILVI ONSTRUCTIO INC. BY: Principal GREAT AIMERICAN INSURANCE COMPANY By DAVID L. CULBERTSON Attorney-in-Fact F.9116K-13/9211Rin Fn0KAI r G1W AIVERICAN INSURANCE COMPANY 580 WALNUT STREET• CINCINNATI. OHIO 45202• 513-369-5000• FAX 513-723-2740 The number of persons authorized by this power of attorney is not more than No.013302 FIVE 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 attorney-in-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 limit stated below. Name Address Limit of Power DAVID L. CULBERTSON DIANA LASKOWSKI ALL OF ALL LINDA L. CULBERTSON KAREN CHANDLER ANAHEIM, _UNLIMITED CHARLES L. FLAKE CALIFORNIA This Power of Attorney revokes all previous powers issued in behalf of the attorney(s)-in-fact named above. IN WITNESS W HEREOF 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 10th day of June 19 93 Attest GREAT AMERICAN INSURANCE COMPANY STATE OF OHIO,COUNTY OF HAMILTON —ss: On this 10th day of June, 1993 before me personally appeared GARY T. DUNBAR, to me known,being duly sworn,deposes and says that he resided in Cincinnati,Ohio,that he is the President of the Bond Division of Great American I nsurance Company,the Company described in and which executed the above instrument;that he knows the 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, 1993. RESOLVED: That the Division President,the several Division Vice Presidents and Assistant Vice Presidents,or anyone of them, be and hereby is authorized,from time to time,to appoint one or more Attorneys-ln-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 bond, undertaking,contract orsuretyship,or other written obligation in the nature thereof,such signature and seal when so used being herebyadopted 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 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 19TH day of MAY 19 94 S1029P(4/93) ;E COMPANIES CHULJ GROUP OF INSURA. J (a�-EVE iB I!, Klui,nl,,lii vi'.•.: li;,.i,l. I' ki lio � 16P), Walwii. Nuvv 'lulnuy W(A)l 161t) FEDERAL INSURANCE COMPANY BID BOND Bond No. Amount $ Know All Men By These Presents, That we, Excel Paving Company (hereinafter called the Principal), as Principal, and the FEDERAL INSURANCE COMPANY, Warren, New Jersey, a corporation duly organized under the laws of the State of Indiana, (hereinafter called the Surety), as Surety, are held and firmly bound unto City of Huntington Beach (hereinafter called the Obligee), he sum of Ten percent of the total amount of the bid Dollars 1 0 0 ), for the payment of which we, the said Principal and the said Surety, bind ourselves, ►heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. Wed with our seals and dated this 2 day of May D. nineteen hundred and 9 4 IEREAS, the Principal has submitted a bid, dated June 1 . 1994 r Construction of State Highway in Orange County in Huntington Beach from 0 . 1 Mile South of Ellis Avenue to '0 . 1 Mile North of State Route 39/405 Separation Cash Contract 784 JW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the Obligee shall accept the bid the Principal and the Principal shall enter into a contract with the Obligee in accordance with such bid and ve bond with good and sufficient surety for the faithful performance of such contract, or in the event of the failure the Principal to enter into such contract and give such.bond, if the Principal shall pay to the Obligee the dif- rurence, not to exceed the penalty hereof, between the amount specified in said bid and the amount for which the Obligee may legally contract with another party to perform the work covered by said bid, if the latter amount be in excess of the former, then this obligation shall be null and void, otherwise to remain in full force and effect. Excel Paving Company Principal C t ,By: C.P. Brown President FEDERAL INSURANCE COMPANY By: `^ Dou as A. Rapp Att ney in Fact VRI�NryFED Form 15-02 0002(Rev 4.90) M-17025(10M U s k ALL-PURPOSE ACKNOWLEDGMENT State of California County of Orange On 5/2/94 before me, Christine M. Rapp, Notary Public Date Name,Title of Officer-e.g."Jane Doe, Notary Public" personally appeared Douglas A. Rapp Names(s)ofSigner(s) 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 on behalf of which the person(s) acted, executed the instrument. Witness my hand and official seal, .���f •. (HRISTINE M. RAPP Comm.#969193 NOTARY PUBLIC•CALIFORNIA d Orange County 3) Signature of Not ry MY Comm.Expires Jul.9.1996 ATTENTION NOTARY: Although the information requested below is OPTIONAL,it could prevent fraudulent attachment of this certificate to unauthorized documents. THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED AT RIGHT: Title or Type of Document Surety Bond Number of Pages Date of Document OPTIONAL SECTION/ CAPACITY CLAIMED BY SIGNER _Individual(s) —Partner(s) x Attorney-in-Fact _Corporate _Other Officer(s) Title(s) SIGNER IS REPRESENTING: Name of persons or entity(ies) POWER OF ATTORNEY FEDERAL INSURANCE COMPANY ATTN: SURETY DEPARTMENT 15 Mountain View Road,Warren, NJ 07059 (908) 580-2000 Know all Men by these Presents,That FEDERAL INSURANCE COMPANY, an Indiana Corporation, has constituted and appointed, and does hereby constitute and appoint Douglas A. Rapp and Linda D. Coats of Laguna Hills, California ------------------------------------------------------------------------ each Its true and lawful Attorney-in-Fact to execute under such designation in its name and to affix its corporate seal to and deliver for and on Its behalf as surety thereon or otherwise, bonds of any of the following classes, to-wit: 1. Bonds and Undertakings(other than Bail Bonds)filed in any suit, matter or proceeding in any Court,or filed with any Sheriff or Magistrate, for the doing or not doing of anything specified 16 such Bond or Undertaking. 2. Surety bonds to the United States of America or any agency thereof, including those required or permitted under the laws or regulations relating to Customs or Internal Revenue;License and Permit Bonds or other indemnity bonds under the laws,ordinances or regulations of any State,City,Town,Village,Board or other body or organization,public or private; bonds to Transportation Companies,Lost Instrument bonds;Lease bonds,Workers'Compensation bonds,Miscellaneous Surety bonds and bonds on behalf of Notaries Public, Sheriffs, Deputy Sheriffs and similar public officials. 3 Bonds on behalf of contractors in connection with bids, proposals or contracts. In Witness Whereof, the said FEDERAL INSURANCE COMPANY has, pursuant to its By-Laws, caused these presents to be signed by its Vice President and Assistant Secretary and its corporate seal to be hereto affixed this loth day of March 1994 Corporate Seal FEDERAL INSURANCE COMPANY BY 0_U4A Kenneth C. Wendel Gerardo G. Mauriz Assistant Secretary Vice President STATE OF NEW JERSEY ss County of Somerset On this loth day of March 19 94 before me personally came Kenneth C. Wendel to me known and by.me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, the corporation described in and which executed the foregoing Power of Attorney, and the said Kenneth C.Wendel being by me duly sworn,did depose and say that he is Assistant Secretary of FEDERAL INSURANCE COMPANY and knows the corporate seal thereof; that the seal affixed to the foregoing Power of Attorney is such corporate seal and was thereto affixed by authority of the By-Laws of said Company, and that he signed said Power of Attorney as Assistant Secretary of said Company by like authority;and that he is acquainted with Gerardo G. Mauriz and knows him to be the Vice President of said Company,and that the signature of said Gerardo G. Mauriz subscribed to said Power of Attorney is in the genuine handwriting of said Gerardo G.Mauriz and was thereto subscribed by authority of said By-Laws and in deponent's presence. Notarial Seal *� ti 9 C q Acknowledged and Sworn to before me w on the date ab written. PUaEs.1~ J Notary Public 1414"A..9cAvoNS 'Ptiblic.Sta is of?hW Ieeft7 No.20t5520 Cae+saialae&F4r3s Otter 2, 1994 PAWMI) Form 15-IM34(Rev.1493)GENERAL M•556Z7(SW) UVA GRIFFITH COMPANY RELIANCE INSURANCE COMPANY HEAD OFFICE, PHILADELPHIA, PENNSYLVANIA BOND NO: U953378 BID BOND APPROVED BY THE AMERICAN INSTITUTE OF ARCHITECTS A.I.A. DOCUMENT NO. A-310 (FEB. 1970 EDJ KNOW ALL BY THESE PRESENTS, that we GR IF F I TH COMPANY as Principal, hereinafter called the Principal, and the RELIANCE INSURANCE COMPANY of Philadelphia, Pennsylvania, a corporation duly organized under the laws of the State of Pennsylvania, 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 AMOUNT BID--- Dollars ($1o% ), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, Jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH FROM 0. 1 MILE SOUTH OF ELLIS AVENUE TO 0. 1 MILE NORTH OF STATE ROUTE 39/405 SEPARATION, CASH CONTRACT NO. 784, FEDERAL ID NO. STPLN-5181 (020) , 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 24TH day of MAY A.D. 19 94 GRIFFITH COMPANY (Principal) (Seal) (Witness) :J� J THOfIiS L. FOSS (Title) VP/Dist. Mgr.,. RELIANCE INSURANCE COMPANY PREMIUM -NIL- ` SDR-2305 Ed. 10-73 ELKE H. HAGEN, ATTORN -IN-FACT SG-2259/EP 5/90 R AANCE INSURANCE COIL AY GRIFFITH COMPANY HEAD OFFICE, PHILADELPHIA, PENNSYLVANIA • POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, That the RELIANCE INSURANCE COMPANY, a corporation duly organized under the laws of the State of Pennsylvania, does hereby make, constitute and appoint Elko H. Hagen, individually, of Riverside, California, its true and lawful Attorneys)-in-Fact, to make, execute, seal and deliver for and on its behalf, and as its act and deed any and all bonds and undertakings of suretyship and to bind the RELIANCE INSURANCE COMPANY thereby as fully and to the same extent as if such bonds and undertakings and other writings obligatory in the nature thereof were signed by an Executive Officer of the RELIANCE INSURANCE COMPANY and sealed and attested by one other of such officers, and hereby ratifies and confirms all that its said Attorneys)-in-Fact may do in pursuance hereof. This Power of Attorney is granted under and by authority of Article VII of the By-Laws of RELIANCE INSURANCE COMPANY which became effective September 7, 1978, which provisions are now in full force and effect,reading as follows: ARTICLE VII- EXECUTION OF BONDS AND UNDERTAKING 1. The Board of Directors, the President, the Chairman of the Board, any Senior Vice President, any Vice President or Assistant Vice President or other officer designated by the Board of Directors shall have power and authority to (a) appoint Attorney(s)-in-Fact and to authorize them to execute on behalf of the Company, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof, and (b) to remove any such Attorney(s)-in-Fact at any time and revoke the power and authority given to them. 2. Attorney(s)-in-Fact shall have power and authority, subject to the terms and limitations of the Power of Attorney issued to them,to execute and deliver on behalf of the Company, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof. The corporate seal is not necessary for the validity of any bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof. 3. Attorney(s)-in-Fact shall have power and authority to execute affidavits required to be attached to bonds, recognizances, contracts of indemnity or other conditional or obligatory undertakings and they shall also have power and authority to certify the financial statement of the Company and to copies of the By-Laws of the Company or any article or section thereof. This Power of Attorney is signed and sealed by facsimile under and by authority of the following Resolution adopted by the Board of Directors of RELIANCE INSURANCE COMPANY at a meeting held on the 5th day of June, 1979, at which a quorum was present, and said Resolution has not been amended or repealed: 'Resolved that the signatures of such directors and officers and the seal of the Company may be affixed to any such Power of Attorney or any certificates relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company and any such Power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company, in the future with respect to any bond or undertaking to which it is attached.' IN WITNESS WHEREOF,the RELIANCE INSURANCE COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed, this 11 day of October, 1993 RELIANCE INSURANCE COMPANY %'I)� ice President STATE OF Washington COUNTY OF King Iss. On this 11 day of. October, 1993 personally appeared rence W. Carlstrom to me known to be the Vice President of the RELIANCE INSURAN nd acknowledged that he executed and attested the foregoing instrument and affixed the seal of said corporat(o o r rticle VII, Section 1, 2, and 3 of the By-Laws of said Company and the Resolution, set forth therein, are still in full CW m NOTARY Z N PUBLIC a 8-1 6-97 (~O otary Public in and for State of Washington F 0F esiding at Sumner S�� I, Robyn Layng, Assistant Secretary of the RELIANCE INSURA o hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney executed by said RELIANCE INS OMPANY,which is still in full force and effect. IN WITNESS WHEREOF,I have hereunto set my hand and affixed the seal of said Company this 24TH day of MAY 19 94 Assistant Secretary �'►ro r.Oc. BDR•1431 Ed.3193 POWER SAFECO INSURANCE COMPANY OF AMERICA ® OF ATTORNEY SEA T OFFICE: PLAZAAFECO NGTON98185 SAFECOG No. 9164 KNOW ALL BY THESE PRESENTS: That SAFECO INSURANCE COMPANY OF AMERICA, a Washington corporation, does hereby appoint NNNNNNNNNNNNNNNNNNNNNOWEN M. BROWN, Anaheim, CaIlfOrnlaNN NNNMNNMNNNNNNNNNNNNNNNNMN NNNNN NN NNNNN its true and lawful attorneys)-in-fact. with full authority to execute on behalf of the company fidelity and surety bonds or undertakings and other documents of a similar character issued by the company in the course of its business. and to bind SAFECO INSURANCE COMPANY OF AMERICA thereby as fully as if such instruments had been duly executed by its regularly elected officers at its home office. IN WITNESS WHEREOF, SAFECO INSURANCE COMPANY OF AMERICA has executed and attested these presents this 4 t h _ day of January 1993 .--t...%A�, L`( ._l-,�,f �—� ���L— �° t✓`t.'—"" ' '�,lam,-���\�....-..._� CERTIFICATE Extract from the By-Laws of SAFECO 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 attorneys-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 instr rnent or undertaking." Extract from a Resolution of the Board of Directors of SAFECO 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.' I, R. A. Pierson, Secretary of SAFECO INSURANCE COMPANY OF AMERICA, do hereby certify that the foregoing extracts of the By-Laws and of a Resolution of the Board of Directors of this corporation. and of a Power of Attorney issued pursuant thereto, are true and correct, and that both the By-Laws. the Resolution and the Power of Attorney are still in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the facsimile seal of said corporation this 16th day of MAY 19 • 94 S-13001EP 1r93 �` ,.- �'� ' 0 Registered trademark of SAFECO Corporation. SAFECO INSUKANG[ t.Vmr.,r.r v. .....r.....-- GEN INSURANCE COMPANY OF AMERICA FIR TIONAL INSURANCE SMECOID HOM, �FFICCE: SAFECO PLAZA OfvWANY OF AMERICA SEATTLE,WASHINGTON 01166 BOND NO. 562 73 59 BID BOND Conforms wlth The American Institute of Architects, A.I.A. Document No. A-310 f KNOW ALL BY THESE PRESENTS,That we, ALL. AM_ERICAN ASPHALT as Principal, hereinafter called the Principal, and the SAFECO INSURANCE COMPANY OF AMERICA, of Seattle, Washington, a corporation duly organized under the laws of the State of Washington, as Surety, hereinafter called the Surety, are held and firmly bound unto CITY OF HUNTINGTON BEACH as Obligee, hereinafter called the Obligee, in the sum of TEN PERCENT OF THE TOTAL BID IN---------------------------------- Dollars ($ 10% of Total 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 BEACH BOULEVARD PAVEMENT AND SIGNAL. IMPROVEMENTS, PROJECT NO. CC784 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 4ereof 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. Ngned and sealed this 16th day of MAY lg 94. ALL AMERICAN ASPHALT (Seal) BID DATE: JUNE 1, 1994 Principal Witness BY: Gl Yw • Title SAFECO A OF AMERICA Witness ` B 0WZN—M. BROWN Attorney-in-Fact f WEN M BROWN INS ® Registered trademark of SAFECO Corporation. EP 10100 PRINTED IN U.S.A. s CITY OF HUNTINGTON BEACH 2000 MAIN STREET P. 0. BOX 190 CALIFORNIA 92648 Louis F. Sandoval Public Works Department Director (714) 536-5431 CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH from p 0.1 MILE SOUTH OF ELLIS AVENUE TO 1.0 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT No. 784 FEDERAL ID No. STPLN-5181 (020) in the CITY OF HUNTINGTON BEACH ADDENDUM NUMBER 2 May 27, 1994 Notice to All Bidders: The following revisions/corrections shall be included in the bid documents: 1. Bid Item No. 56 - "Lighting"; as called for in the project specification shall be changed from a lump sum bid item to a combination of the following unit price bids. Item Unit Quantity Unit Total Price 56a Install 2.5"-sch 40 PVC conduit and pull rope for LF 1100 SCE street lighting system oti I�6b o0 56b Install new street light pullbox Ea 12 166, Qa 4a oazx 56c Relocate City owned street light, including all Ea 1 required conduit, conductors, new base and removal 3CIa U of existing base (on Main Street w/o Beach) r / 56 Total of items 56a-56c (entere this amount for item 56 on project bid schedule) OOC) Southern California Edison (SCE) will furnish a"Conduit and Pull box" location,plan to the successful bidding contractor. The successful bidding contractor shall be responsible for installing all conduit, pull ropes and pullboxes along with removal and reconstruction or surface improvements (sidewalk, pavement, landscaping , etc.) for street light relocation's on the SCE system. SCE's contractor will pour new bases, relocate their street lights, provide conductors, make all electric connections and remove the existing street light bases. fRCIM:=;UBLIC WORKS TO:95789672 MAY 27, 1994 2:45PM #857 P.01 Addendum No.2 -cc784 Page 2 5/27194 The successful bidding contractor shall be responsible for all work required to relocate City owned street lights. 2. The following street light poles as shown on sheet 96 (E-18) of the plans will not be relocated as called out for on the plans. West side of Beach Blvd., north of Warner Ave. Pole referenced " NO #MARKED ON POLE." West side of Beach Blvd., south of Warner Ave. #2295492E #2295493E #4076393E The street light pole as shown on sheet 18 (L-10) of the plans, east side of the street, at approximate station,256+20, will require relocation. All bidders shall acknowledge the receipt of this Addendum with their proposal. These revisions do not change the Engineer's Estimate or the Bid Opening Date/Time for this project. Should you have any questions regarding t.lus Addendum, please call David Webb at(714) 375-5077" City of Huntington Beach r David A. ebb, P.E, Resident Engineer I have reviewed Addendum No. 2 dated May 27, 1994. 1 understand that a signed copy of Addendum Noyshall be included in the bid documents. SULLY-MILLER CONTRACTING COMPANY4;J7 Company Name By DAVID L McCRACKEN-VICE PRESIDEW z Date CC784/RCA/784aden2.doc 1 CITY OF HUNTINGTON BEACH 2000 MAIN STREET P. O. BOX 190 CALIFORNIA 92648 Louis F. Sandoval Public Works Department Director (714) 536-5431 CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH from 0.1 MILE SOUTH OF ELLIS AVENUE TO 1.0 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT No. 784 FEDERAL ID No. STPLNI-5181 (020) in the CITY OF HUNTINGTON BEACH ADDENDUM NUMBER 1 May 17, 1994 Notice to All Bidders: The following revisions/corrections shall be included in the bid documents: 1. Project Specifications, Sample Contract, Page D-7, Item No. 8 shall be deleted in its entirety and replaced with the following: 8. BONDS CONTRACTOR shall, prior to entering upon the performance of this agreement, furnish the following Two 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 naming both the City of Huntington Beach and State of California as the obligees; and one in the amount of one hundred percent (100%) of the contract price to guarantee payment of all claims for labor and materials furnished, naming both the City of Huntington Beach and State of California as the obligees. 2. Project Specifications, Sample Contract, Page D-11, Item No. 19 -LIQUIDATED DAMAGES/DELAYS: The amount of the liquidated damages shall be changed from"two thousand one hundred dollars ($2,100)" to, "one thousand five hundred fifty dollars($1,550)". A dendum No.1 -cc784 Page 2 5/17/94 3. Project Specification, Section E - Special Provisions, Page E-2, 2-4 - Contract Bonds; Add the following: The contractor shall, prior to entering upon the performance of this agreement, furnish the following Two 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 naming both the City of Huntington Beach and State.of California as the obligees. . . . o one in the amount of one hundred percent (100%) of the-contract price to guarantee payment of all claims for labor and materials furnished, naming both the City of Huntington Beach and State of California as the obligees. 4. Project Specifications, Section E - Special Provisions, Page E-24, 3-7 - "Traffic Control System for Lane Closure": Delete the phrase"(except for flagging costs)" in the first sentence and the entire last sentence of the sixth paragraph. The cost for any required flagging to complete the required work will be included in the cost for providing traffic control system. 5. Project Specifications, Section E - Special Provisions, Page E-36, 3-12.12 -Reconstruct Water Valve and meter; Reconstruction of water service is defined as follows: Case 1 -Relocation of meters further away from water main. Abandon and remove existing water service back to water main. Install new 2" service line, new"Sensus SR Touch-Read " meter (match existing meter size), new"J&R Polymer Concrete Meter" valve box. Construct new service tap and abandon/plug existing hole if necessary. Return existing water meter to Agency. Case 2 - Relocation of meters closer to water main. Cut existing service line to proper length. Install new"Sensus SR Touch-Read" meter (match existing meter size) and new"J&R Polymer Concrete Meter" valve box. Return existing water meter to Agency. 'Addendum No.l -cc784 s Page 3 5/17/94 All bidders shall acknowledge the receipt of this Addendum with their proposal. These revisions do not change the Engineer's Estimate or the Bid Opening Date/Time for this project. Should you have any questions regarding this Addendum, please call David Webb at (714) 375-5077. City of Huntington Beach David A. Webb, P.E. Resident Engineer, I have reviewed Addendum No. 1 dated May 17, 1994. 1 understand that a signed copy of Addendum No. 1 shall be included in the bid documents. SULLY-MILLER CONTRACTING COMPANY Z7 Company Name By DAVID L WCRACKEN.VICE PRESIDENT Date CC784/RCA/784aden l.doc SECTION C PROPOSAL for CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH from 0.1 MILE SOUTH OF ELLIS AVENUE TO 0.1 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT No. 784 FEDERAL ID NO. STPLN-5181(020) 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 120 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 C-1 days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice.of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find the amount of$/0%W.W which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addendd'Ma. Date Received. Bidd.� . _ re AVID L McCRACKEN-VICE PRESIn C-2 BEACH BOULEVARD CONTRACTOR'S ESTIMATE FED ID NO. STPLN-5181(020) FEDERAL PARTICIPATING ITEMS ITEM ITEM DESCRIPTION UNIT OF ESTIMATED ITEM PRICE TOTAL NO CODE MEASURE QUANTITY (IN FIGURES) (IN FIGURES) 1 1 190101 ROADWAY EXCAVATION CY 6,888 10:,11 10 A67" vvp 2 153112 COLDPLANE ASPHALT CONCRETE SQYD 165,980 PAVEMENT(0.15' MAXIMUM) �Q� 0 1 01 3 1 390103 ASPHALT CONCRETE(TYPE B) TON 13,878 lJv 4 390101 ASPHALT CONCRETE RUBBERIZED TON 17,880 O HOT MIX (GAP GRADE) 5 152438 ADJUST FRAME AND COVER TO GRADE EA 229 1 '3 D O zo f Q 60 FEDERAL PARTICIPATING ITEMS SUBTOTAL:$ l Ad NON-FEDERAL PARTICIPATING ITEMS 6 120103 TRAFFIC CONTROL SYSTEM LS 1 7 150717 REMOVE TRAFFIC STRIPE LF 19,380 &PAVEMENT MARKING ,�7 11 0, i6 � Y 8 150722 PAVEMENT MARKERS EA 1,132 9 150742 REMOVE ROADSIDE SIGN EA 17 l.�G U Z6S v° 10 150806 REMOVE PIPE LF 518 11 150820 REMOVE INLET EA 11 V 12 151581 RECONSTRUCT PRIVATE SIGN STRUCTURES LS I o,, �o _ o — 13 152390 RELOCATE ROADSIDE SIGN EA 14 - /v Z� 14 152410A RECONSTRUCT WATER VALVE AND METER EA 10 GCS vc Z3`fofG►a- 15 153215 REMOVE CONCRETE(CURB&GUTTER) CY 1,514 G o 30 16 153211 REMOVE CONCRETE SIDEWALK&DRIVEWAY CY 762 17 160101 CLEARING AND GRUBBING LS 1 6,YnTDOW 18 200001A PLANTING LS 1 �300' 3e,� l 19 206555 MODIFY IRRIGATION SYSTEM LS 59Q 010 C-2a BEACH BOULEVARD CONTRACTOR'S ESTIMATE FED ID NO. STPLN-5181(020) 20 510502 MINOR CONCRETE(MINOR STRUCTURE) CY 22 CIO Dyv 60 .. 22 00D 21 513553 RETAINING WALL(MASONARY WALL) LF 90 1 (v e-0 22 562007 ROADSIDE SIGN(METAL POST) EA 4 I 0V 23 566011 ROADSIDE SIGN(ONE POST) EA 62 ' % �Z7� 24 566012 ROADSIDE SIGN(TWO POST) EA 15 22 0 e,r� S3 or) 25 568001 INSTALL SIGN (STRAP AND SADDLE) EA 93 &-v . q-z ^ 3°tUbe 26 568004 INSTALL SIGN ON EXISTING POST EA 9 46 27 650014 18" REINFORCED CONCRETE PIPE LF 6 cfs 27v 28 650019 27" REINFORCED CONCRETE PIPE LF 2 ' JO �D 29 650022 30" REINFORCED CONCRETE PIPE LF 258 cr» 3o 30 650026 36"REINFORCED CONCRETE PIPE LF 10 �w 3g 350 31 658305 30"z 19" OVAL SHAPED RCP(CLASS III) LF 72 cw cia 32 665017 18" CORRUGATED STEEL PIPE(0.79"THICK) LF 84 [� G `��,� 'ZL 6 (1� 33 665023 24"CORRUGATED STEEL PIPE(0.79"THICK) LF 76 �o u ` (�?6 — 34 731502 MINOR CONCRETE SQFT 184 (MISCELLANEOUS CONSTRUCTION) / W S7v , >v" 35 731504 MINOR CONCRETE(CURB&GUTTER) CY 664 ( K Zo o ` f 32 ko v 36 731516 MINOR CONCRETE(DRIVEWAY) CY 240 /.Sv °= 3� Oov 37 731521 MINOR CONCRETE(SIDEWALK) CY 345 00 c►n 38 731523 MINOR CONCRETE(CURB RAMP) CY 19 �7v 7o3o - 39 731530 MINOR CONCRETE(TEXTURED PAVING) SQFT 29,054 SO a4 40 731535 MINOR CONCRETE(BUS PAD) CY 41 t-c, 160 - 41 750001 MISCELLANEOUS IRON AND STEEL LB 4,150 42 820131 OBJECT MARKER(TYPE K) EA 40 43 840504 4" THERMOPLASTIC STRIPE LF 16,501 o Cl 44 840506 8"THERMOPLASTIC STRIPE LF 9,515 p� <(�o -ldlz- 45 840515 THERMOPLASTIC PAVEMENT MARKING SF 9,286 lof2 - C-2b BEACH BOULEVARD CONTRACTOR'S ESTIMATE FED ID NO. STPLN-5181(020) 46 1140656 PAINT TRAFFIC STRIPE(2-COAT) LF 1,235 f� Ica of�{ 47 940666 PAINT PAVEMENT MARKING(2�OAT) SF 440 av 48 850102 PAVEMENT'MARKERS(REFLECTIVE) EA 1,989 Cl 49 860251 SIGNAL AND LIGHTING(LOCATION 1) LS 1 50 860252 SIGNAL AND LIGHTING(LOCATION 2) LS 1 esa 1 e3�. 51 860253 SIGNAL AND LIGHTING(LOCATION 3) LS 1 aQ - a 52 860254 SIGNAL AND LIGHTING(LOCATION 4) LS 1 da mG 53 860255 SIGNAL AND LIGHTING(LOCATION 5) LS 1 v� Sao &o So -" 54 860256 SIGNAL AND LIGHTING(LOCATION 6) LS 1 v 6� �6 7av - lad - 55 860257 SIGNAL AND LIGHTING(LOCATION 7) LS i �9"doo - 56 860401 LIGHTING LS 1 ! aw t3 0vo- 13 000 57 860703 INTERCONNECTION CONDUIT AND CABLE LS I 58 860810 INDUCTIVE LOOP DETECTOR EA 93 59 993002 FIRE HYDRANT EA 9 Fo o 60 999990 MOBILIZATION LS 1 S�eDa�� S�o�� TOTAL BID AMOUNT IN FIGU S: $ -y �I 70q $ TOTAL AMOUNT BID IN WORDS: J C-2c 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 Nmne of Subcontractor and Address::;::. State License Class aV u 6 -7 s 67 orY � 3 By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WrM BID State of California ss. County of Orange DALE A. LOWE , being first duly sworn, deposes and says that he or she is ASSISTANT SECRETARY of 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. SULLY-MILLER CONTRACTING COMPANY Name of Bidder Signature of B' der DALE A. LOW . ASS STANT SECRETARY 1100 E.Orangethorpe Ave,S19.M Anaheim, CA 92801 Address of Bidder Subscribed and sworn to before me this JG* day of dWu) , 19'7#' . NOTARY PUBLIC NOTARY SEAL i MICE M.ENGLISN COMM.f 974M Notary PU NC—C(AfaNa ORANGE COUhW C-4 My Comm.Expkn OCT 21.19966 UTILITY AGREEMIENr 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 CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH FROM 0.1 MII,E SOUTH OF ELLIS AVENUE TO 0.1 MILE NORTH OF STATE ROUTE 391405 SEPARATION, CASH CONTRACT NO. 784, FEDERAL ID NO. STPLN-5181(020), (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. SULLY-MILLER CONTRACTING COMPANY Contractor By D E . L WE ASSISTANT SECRETARY Title 04,/0i/94 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 No X 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 and shall submit same to the AGENCY prior to performing any work on this contract: 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 DAL A. OWE ASSISTANT SECRETARY Title CYO/ol[9q- 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 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: SULLY-MILLER CONTRACTING COMPANY Bidder Name 1100 E.Orangethorpe Ave.ft.200 Anaheim,CA 92801 Business Address 714 578-9600 Telephone Number 001538 A, B, &C•27 State Contractor's License No. and Class 0WOI/as Original Date Issued 2-29-96 Expiration Date The work site was inspected byluuzbof our office on 3 , 19�? The following are persons, firms, and corporations having a principal interest in this proposal: SEE ATTACHED C-9 SULLY-MILLER CONTRACTING COMPANY CERTIFICATE OF RESOLUTION I, the undersigned Assistant Secretary of Sully-Miller Contracting Company, a California corporation (the "Company") , do hereby certify that the following is a true and correct copy of a resolution duly adopted by the Board of Directors of said Company at a meeting held on September 10, 1990, and that this resolution has not been in any way rescinded, annulled, or revoked but the same is still in full force and effect: " (AUTHORITY TO EXECUTE BIDS AND CONTRACTS) Resolved, that any officer or assistant officer of this Company be and each of them is hereby authorized to execute in the name and on behalf of this Company under its corporate seal any and all proposals for the sale of products, merchandise and services of this Company and any bids and performance bonds required in connection therewith, involving an amount or value not in excess of ten million dollars ($10, 000, 000) in any one instance to the United States, any of the States, territories and dependencies of the United Sates, the District of Columbia, cities, towns, townships, counties, school districts, and to the departments, political subdivisions, agencies or wholly-owned corporations thereof, or to any other person." IN WITNESS WHEREOF, I have hereunto set my hand and affixed the corporate seal this 7th day of April, 1994. Sally M Karanzas Assistant Secretary iJ I SULLY-MILLER CONTRACTING COMPANY (a California corporation) Incorporated May 21, 1923 Shareholder: Beazer West, Inc. ID# 95-1274390 DIRECTORS (*1 & OFFICERS * John H. Wimberly Chairman of the Board & CEO * George H. Hempstead, III R. Bruce Rieser President and Regional Vice President 2/3/92 David L. McCracken Vice President & Gen. Mgr. Contracting Division 4/4/94 Earl G. Anderson, Jr. Vice President Engineering David R. Hummel Vice President & General Manager, Livingston-Graham and Blue Diamond Materials William J. Pauro Director-Sales/Marketing, Livingston-Graham Division; Assistant Secretary James G. Coury Director-Sales/Marketing, Blue Diamond Division & Assistant Secretary Jill- M. Blundon Vice President, Gen. Coun. & Secretary Phillip M. Harless Vice President/Chief Financial Officer & Reg. Contr. 6/22/93 Robert E. Lee Vice President 4/20/92 Robert M. Brier Treasurer 4/20/92 Carol A. Smith Division Controller Livingston- Graham/Blue Diamond & Assistant Secretary Steven C. Barre Assistant Secretary 1/31/92 Gerald D. Blair Assistant Secretary John D. Clemente Assistant Secretary Sally M. Raranzas Assistant Secretary 4/20/92 Dale A. Lowe . Assistant Secretary George M. Lubanko Assistant Secretary Christine F. Wubbolding Assistant Treasurer 1/31/92 Revised April 7, 1994 The undersigned are prepared to satisfy the Council of the City of Huntington Beach of their ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. SULLY-MILLER CONTRACTING COMPANY Company Name Signature of Bidd A SISTANT SECRETARY. DALE A. LOWS Printed or Typed Signature 1100 E.Orangethorpe Ave,Ste.M Anaheim, CA 92801 ALICE M.ENG Address of Bidder Notary Public_Caefomio �714)578-9600 ORANGE COUNTY My Comm.Expires OCT 21,t946 Telephone Number Subscribed and sworn to before me this day of , 1934—. NOTARY PUBLIC dtttk� 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• SEE ATTACHED Name and Address Name and Telephone No. of Project Manager Contract Amount Type of Work Date Completed 2. - ` Name and Address Name and Telephone No. of Project Manager Contract Amount Type of Work Date Completed C-10 3. Name and Address Name and Telephone No. of Project Manager Contract Amount Type of Work Date Completed C-11 ( SULLY—LIILLER CONTRACTING COMPANY M)nCT EXPERIENCE YEAR TYPE OF WORK VALUE OF WORI LOCATION OF WORT OWNER UGIK111 COMPLETION DATE PERCENT OF OUR VOU 1989 Street Improvements 606,948 Long Beach Boulevard City of Lynwood Paul Gwynn 07/89 65% Street Improvements 1,572,940 Colorodo Boulevard City of Pasadena City of Pasadena 11/89 72% Street Improvements 2,386,410 Mission Boulevard Los Angeles County L.A. County D. Public Work 08/89 55% Site Improvements 1,512,700 Long Beach Harbor Port of Long Beach Port of Long Beach 12/89 92% Street Improvements 1,320.815 California Boulevard City of Pasadena City of Pasadena 09/89 68% New Infrastructure 4,309,315 Jamboree Road City of Tustin RBF Engineering 06/89 70% New Infrastructure 5,157,062 Tustin Ranch Road City of Tustin RBF Engineering 06/89 70% 1990 Street Improvements 757,117 Various Locations City of Santa Monica Bill Zien 12/92 55% Street Improvements 1,055,647 Spring Street City of Signal Hill City of Signal Hill 10/90 51% R & R Patches 1,034,000 Various Streets City of Long Beach Gil Goodwin 06/91 99% Street Improvements 565,145 Various Streets City of Azusa City of Azusa 07/90 80% New Infrastructure 7,311,887 Jamboree Road City of Tustin RBF Engineering 04/90 701 New Infrastructure 5,819,292 Barranca Parkway City of Irvine Cal Civil 07/90 65% New Roadways 3,606,020 Santiago Canyon Road City of Orange City of Orange 02/90 65% New Roadways 3,372,912 Irvine Boulevard Orange County (EMA) County of Orange 11/90 65% New Roadways 1,312,710 Bake Parkway William Lyon Company RBF Engineering 06/90 75% Roadway Widening 746,002 Ball, Moody, Orange Cypress Homes Hunsaker & Associates 09/91 75% 1991 Street Improvements 767,201 La Paz & Pacific Park A.J. Padelford Tait & Associates 08/91 50% New Roadways 1,025,153 Avocado, Newport Beach The Irvine Company CDC Engineering 08/91 75% New Infrastructure 1,544,725 Wood Canyon Mission Viejo Company Nolte & Associates 04/92 60% New Infrastructure 1,031,158 Pacific Park Drive Mission Viejo Company Nolte & Associates 04/93 60% New Roadways 880,975 Bake & Trabuco Pacific Commerce Partnership REF Engineering 02/92 75% New Infrastructure 1,804,217 Pacific Commerce Ctr. Los Alisos Development RBF Engineering 04/92 60% Increment 64 Street Improvement 536,740 Var. Railroad Crossings City of Chino City of Chino 03/92 Asphalt Patching 970,000 Var. O.C. Locations Roy Allen Slurry Seal County of Orange 06/91 100% Street Reconstruction 999,118 Red Hill Avenue City of Irvine NBS/Lowry Engineering 12/91 80% New Roadways 2,628,494 Pacific Park, Chase & Mission Viejo Company Nolte & Associates 09/93 60% 1992 Street Improvements 5,400,000 Victoria Street City of Costa Mesa Norris Repke Engineering 65% New Roadways 8,000,000 Bake & Trabuco Pacific Commerce Partnership REF Engineering 06/92 60% Street Improvements 410,000 Sand Canyon Irvine Industrial Company Van Del Engineering 10/92 70% New Roadways 550,000 4tb St. & Cabrillo Park Zerox Center Partners Greier Engineering 10/92 75% New Roadways 380,000 Mesa Road UCI-Irvine Williamson & Schmid 03/94 60% New Roadways 851,000 Richfield Road Texaco Company Jones, Cahl & Associates 01/93 70% New Roadways 765,000 Ball Road & Moody Cypress Homes Hunsaker & Associates 12/94 80% New Roadways 1,440,00D 050 Parkway Orange County (BHA) OCEMA 07/93 60% New Roadways 350,000 La Mirada Blvd. A-M Homes BSI 12-93 60% 1993 New Roadways 2,115,580 Cabot Road County of Orange (MA) OCEMA 06/94 55Z Street Reconstruction 1,857,488 Placentia Ave. & Wilson City of Costa Mesa Fuscoe, Williams, Lindgren 10/93 75% Street Reconstruction 1,830,963 Lakeview & La Palma City of Anaheim City of Anaheim 04/94 50% Street Reconstruction 724,428 Adams Avenue City of Costa Mesa 05/93 70% Street Reconstruction 1,398,976 Tustin & La Palma City of Anaheim City of Anaheim 02/94 50% Street Reconstruction 2,446,212 Sepulveda Blvd. City of Carson City of Carson Asphalt & Cone. patch 1,122,000 Various locations City of Long Beach Beverly 6lavis 06/94 98% Street Reconstruction 1,098,831 Santa Monica Blvd City of Beverly Hills City of Beverly Hills 01/94 20Z Parking Lot 717,000 MCA Universal Studios Turner Construction IWA Engineers 03/94 70% c. NOTE: The above is a partial listing of projects completed in the last three years. The Sully-Miller Construction Company completes approximately 500 projects per year. 3-31-69 CERTIFICATION WITH REGARD TO THE PERFORJ"CE OF PMIOLS CONTRACTS OR SUBCONTRACTS SUBJECT TO TNt EOUAL OPPORTUNITY CLAUSE AND TBE FILING OF REQUIRED REPORTS The bidder A_, proposed subcontractor _, hereby certifies that he has .2L, has not ., participated in a previous contract or subcontract subject to the equal opportunity clause, as required by ttacutive Orders 10925, 11111, or 11246, and that he has has not +, filed with the Joint Reporting Cammittes, the Director of the Office of Federal Contract Complieaee, a Federal Government contracting or idmin�steriaq agency, at the forcer President's Canmittee on Equal Employment opportunity, all reports due under the applicable filing requirements. SULLY-MILLER CONTRACTING COMPANY MGM~ 'sy= DALE . L E ASSISTANT SECRETARY at e Date: 0�-/0IP Note: The above certification is required by the Equal Employ- cent Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)) , and must be submitted by bidders and proposed sub- contractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFA 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (QA-1) is the only report required by the Executive Orders or their is:plementinq regulations. Proposed prima contractors and subcontractors who have participated in a previous contract or'subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcon- tracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal baghvay Administration or by the Director. Office of Federal Contract Compliance, O.S. Department of Labor. C-12 CERTIFICATION FOR FEDERAL AID CONTRACTS The prospective participant certifies,by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant,loan, or cooperative agreement, the undersigned shall complete and submit Standard.Form-LLL,"Disclosure of Lobbying Activities," in accordance with its Instrucdons. This certification is a material representation of fact upon�wNch reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352,Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly. C-16 DISCLOSURE OF LOBBYING ACTIVITIES Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 1. Trps of Federal Action: 2. Status of Federal Actions 3. Report Type: a. .Contract Did/offer/application a, initial a. grant lnitlal award b. material change C. cooperative agre nt c. post-sward d. loan guarantee For material Change Only: a. loan insurance 7war Quarter date of last report •. aTL'�-t, 'Eff`CtTtg tyCOMPANY s. :�,rsp Saw andntity u o�'Pri�=' ' !rims Subawardw 1100 E. Orangithorpe Ave,Ste.200Ti.r , it known . Anaheim, CA U301 Congressional District, if known: Congress teal District, if known: 6. ]Federal Departsent/Ag 7. !}dpral lrogro Fans/ asEiptions `FDA l�usibsr, if pplieabli S. Federal Action Surber, if known: 9. Award Anount, if kaawns 10. a. vase and Address of Lobbying Entity b. individuals larf,ruing Sarvices (including address if (if individual, last,aame, first nasa, mi) different from No. 104) (Feat Haas, first nos. !tI)s . C°i9 9dv i0 (attach Continuation abeat(s) if necessary) 11. M omat of Payment (check all that apply): 13. TV* of Payment (dmk all that apply) actual planned a. satainer fM 12. ]Farr of Payment (check all that apply): - a. commi"IM d. contingent fen a. Cash e. deferred b. in-kind; specify: mature valve f. otbw, spocifys 14. Brief Description of Services larforsoed or to be performed and Dates) of service, imelmding officar(s), ssployee(s), or anaber(s) contacted, for Payment indicated in item II: (attach continuation abeet(s) if necessary). 16. Continuation Shoot(s) attas:had: Tw Bo 26. Information requested through this fora is authorised by Title 31 U.S.C. Section 1352. This disclosure of lobbying signatures activities is a notarial representation of fact upon which D L WE raliance was placed by the tier above when this Print Baas: transaction was made or entered into. This disclosure i. ASSISTANT SECRETARY required pursuant to 31 U.S.C. 1352. This information will Title: available forfor publiCongress innssppeescti�"� perrsonwhoi!falls to Telephone Bo.: 714 5 file the required disclosure shall be subject to a civil penalty of not Iwo than $10,000 and not more than Dates OrP�al rAj $200,000 for each such failure. Federal Use Only: Authorised for Local Reproduction Standard Form-= (2) C-17 INSTRUCTIONS FOR.COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to Tits 31 U.S.C. Section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress,an officer or employee of Congress, or an employee of a Member of Congress In connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the _last, previously submitted report by this reporting entity for this covered Federal action. 4. Enter the full name, address, city, state, and zip code of the reporting entity. Include Congressional District, ff known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include but are-Wt Rtnl ed to subcontracts, subgrants, and contract awards under grants.._ 5. ff the organization filing the report in Item 4 check9-'Subawardee,8 then enter the full name, address, city, state and zip code of the prime Federal recipient. Include Congressional District, If known. 6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (Item 1). If known,enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. S. Enter the most appropriate Federal identifying number available for the Federal action identification in Item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RF13-DE-90-0o1." 9. for a covered Federal action where there has been an award or loam commitment by the Federal agency, enter the Federal amount of the award/loan commitments for the prime entity identified in Item 4 or S. (3) C-18 c 10. (a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in Item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10. (c) Enter Last Name, First Name, and Middle Initial (MI). 11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (Item 4) to the lobbying entity (Item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. ff this is a material change report, enter the cumulative amount of payment made or planned to be made. 12. Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature. 14. Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity, not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15. Check whether or not a continuation sheet(s) is attached. 16. The certifying official shall sign and date the form, print his/her name, title, and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503. (4) c-19 TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 DEBARMENT AND SUSPENSION CERTIFICATION The bidder, under penalty of perjury, certifies that except as noted below, he/she or any person associated therewith in the capacity of owner, partner, director, officer, manager: is not currently under suspension, debarment; voluntary exclusion, or determination of ineligibility by any federal agency; has not been suspended, debarred, voluntarily excluded, or determined ineligible by any federal agency within past three years; does not have a proposed debarment pending; and has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidders responsibility. For any exception noted above, indicate below to whom it applies, initialing agency, and dated of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. C-20 .SUN 1 � I, SULLY-MILLER CONTRACTING CO. 9a�o� i 1100 E.ORANGET RPE AVE,.STE,200 p ANAHEIM;CA 9/2�801 , rl F I k � I I FROM:PUBLIC WORKS TO: 310 803 6025 N ?7, 1994 2:05PM #e48 P.02 CITY OF HUNTINGTON BEACH 2000 MAIN STREET P. 0. BOX 190 CALIFORNIA 92648 Louis F. Sandoval Public Works Department Director (714) 636-6431 CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH from 0.1 MILE SOUTH OF ELLIS AVENUE TO 1.0 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT No. 784 FEDERAL ID No. STPLN-5181 (020) in the CITY OF HUNTINGTON BEACH ADDENDUM NUMBER 2 May 27, 1994 Notice to AJI Bidders: The following revisions/corrections shall be included in the bid documents: 1. Bid Item No. 56 - "Lighting"; as called for in the project specification shall be changed from a Iump sum bid item to a combination of the following unit price bids. Item Unit Quantity Unit Total Price 56a Install 2.5"-sch 40 PVC conduit and pull rope for LF 1100 L, SCE street li htin s stem 5, 06) -500 56b I Install new street light pullbox Ea 12 5 56c Relocate City owned street light, including all Ea 1 required conduit, conductors, new base and removal f000' oo of existing base on Main Street w/o Beach 56 1 Total of items 56a-56c entere this amount for item 56 on project bid schedule q �jOD Southern California Edison (SCE)will furnish a"Conduit and full box" location plan to the successful bidding contractor. The successfi,l bidding contractor shall be responsible for installing all conduit, pull ropes and pullboxes along with removal and reconstruction or surface improvements(sidewalk, pavement, landscaping , etc.) for street light relocation's on the SCE system. SCE's contractor will pour new bases, relocate their street lights, provide conductors, make all electric connections and remove the existing; street light bases. MAY-27-1994 14:04 PUBLIC WORKS P.002 ` FROM:PUBLIC WORKS TO: 310 903 6025 r 7, 1994 2:05PM ##848 P.01 Addendum No.2-cc784 Page 2 5/27/94 The successful bidding contractor shall be responsible for all work required to relocate City owned street lights. 2. The following street light poles as shown on sheet 96(E-18) of the plans will not be relocated as called out for on the plans. West side of Beach Blvd., north of Warner Ave. Pole referenced"NO#MARKED ON POLE." West side of Beach 131vd., south of Warner Ave. #2295492E 42295493E #4076393E The street light pole as shown on sheet 18 (L-10) of the plans, east side of the street, at approximate station 256+20, will require relocation. All bidders shall acknowledge the receipt of this Addendum with their proposal. These revisions do not change the Engineer's Estimate or the Bid Opening Date/Time for tlus project. Should you have any questions regarding this Addendum, please call David Webb at(714)375-5077.' City of Huntington Beach r David A. Webb, RE. Resident Engineer 1 have reviewed Addendum No. 2 dated May 27, 1994. 1 understand that a sign copy of Addendum No shall be included in the bid documents. Shaman Corporation Company Name y Thomas rP Ck, Vice Pres. & See. MAY 2 71994' Date �- CC784/RCA/784aden2.doc MAY-27-1994 14:04 PUBLIC WORKS P.001 FROM:PUBLIC WORKS TO: 310 803 6025 M' ?7. 1994 2:05PM #848 P.03 ENGINEER ACCT # ., ,YLIST OF OF BIDDERS THAT HAVE TAKEN PLANS AND SPECIFICATIONS FO OB CC. N0. CQSd ��� PS -r DESCRIPTION o ENG./ ST. A d a o ()g OPEN BIDS - a/ 19Y� AM r 0 PM NAME AND ' ADDRESS TEL.E. NO. FAX NO. RECEIPT NC �7 17- . d- 3 50 15 te 7- 7 .0 �� 3 Sao ab� � b9� I 3 �� 5►�.-aqo i MAY-27-1994 14:05 PUBLIC WORKS P.003 FROM:PUBLIC WORKS TO: 310 803 6025 M' 7, 1994 2:06PM #848 P.04 ENGINEER �I��( l- w �� - I�' ., ACCT # LIST OF BIDDERS THAT HAVE TAKEN PLANS AND SPECIFICATIONS FOR I B C COST DESCRIPTION ENG-/ T. 4 �' OPEN BIDS 19 AM -1- M NAME AND ADDRESS TUE. NO, FAX NO, RECEIPT NC _ boo Hemo �807 7 6 ki�m eml 91 Z:4� -116 8 0 pl-7 ?78 113 e �' 7 *57- 8 s aac 031- +a 0 57- 7, oj 7 7 r 5u F fit. sJ 797 0 86540.Z5 a l7 l-� 7 4 3 '� gel a' 7 a« lo91 ��� �o9Y 7a'�c� 3� 9oY v Eo 36—'7(p06 13(p-"Mh -1a 6 moo- 37o0 0- jo-9 l 466 c REA) MAY-27-1994 14:05 PUBLIC WORKS P.004 FROM:PUBLIC WORKS TO: 310 803 6025 Mr 17, 1994 2:07PM 4848 P.05 %..Ity ar muntington tseacn Department of Public Works "%% 2000 Main Street, P.O. Box 190 ant Huntington Beach, CA 92648 (714) 535-5431 Fax: (714) 374.1573 ���%% ///%��%%%/%%%%////� ,%//r%%//y//,if Fax Cover Sheet To: From: bA✓tc Od,L S Company: '5 h c w Q K Coy- p Date: 5 " 2 -7 — I Fax #: ( O 3 0 % Pages including Cover Sheet: Please notify operator @ (714) __ if all pages are not received. Comments: CC 'A- 7 MAY-27-1994 14:06 PUBLIC WORKS P.005 CITY OF HUNTINGTON BEACH 2000 MAIN STREET P. 0. BOX 190 CALIFORNIA 92648 Louis F. Sandoval Public Works Department Director (714) 536-5431 CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH from 0.1 MILE SOUTH OF ELLIS AVENUE TO 1.0 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT No. 784 FEDERAL ID No. STPLN-5181 (020) in the CITY OF HUNTINGTON BEACH ADDENDUM NUMBER 1 May 17, 1994 Notice to All Bidders: The following revisions/corrections shall be included in the bid documents: 1. Project Specifications, Sample Contract, Page D-7, Item No. 8 shall be deleted in its entirety and replaced with the following: 8. BONDS CONTRACTOR shall, prior to entering upon the performance of this agreement, furnish the following Two 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 naming both the City of Huntington Beach and State of California as the obligees; and one in the amount of one hundred percent (100%) of the contract price to guarantee payment of all claims for labor and materials furnished, naming both the City of Huntington Beach and State of California as the obligees. 2. Project Specifications, Sample Contract, Page D-11, Item No. 19 - LIQUIDATED DAMAGES/DELAYS: The amount of the liquidated damages shall be changed from"two thousand one hundred dollars ($2,100)" to, "one thousand five hundred fifty dollars ($1,550)". Addendum No.1 -cc784 Page 2 5/17/94 3. Project Specification, Section E - Special Provisions, Page E-2, 2-4 - Contract Bonds; Add the following: The contractor shall, prior to entering upon the performance of this agreement, furnish the following Two 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 naming both the City of Huntington Beach and State of California as the obligees. • one in the amount of one hundred percent (100%) of the contract price to.guarantee payment of all claims for labor and materials furnished, naming both the City of . Huntington Beach and State of California as the obligees. 4. Project Specifications, Section E - Special Provisions, Page E-24, 3-7 - "Traffic Control System for Lane Closure": Delete the phrase"(except for flagging costs)" in the first sentence and the entire last sentence of the sixth paragraph. The cost,for any required flagging to complete the required work will be included in the cost for providing traffic control system. 5. Project Specifications, Section E - Special Provisions, Page E-36, 3-12.12 - Reconstruct Water Valve and meter; Reconstruction of water service is defined as follows: Case 1 - Relocation of meters further awav from water main. Abandon and remove existing water service back to water main. Install new 2" service line, new"Sensus SR Touch-Read " meter (match existing meter size), new"J&R Polymer Concrete Meter'.' valve box. Construct new service tap and abandon/plug existing hole if necessary. Return existing water meter to Agency. Case 2 - Relocation of meters closer to water main. Cut existing service line to proper length. Install new"Sensus SR Touch-Read" meter (match existing meter size) and new"J&R Polymer Concrete Meter" valve box. Return existing water meter to Agency. Addendum No.1 -cc784 Page 3 5/17/94 All bidders shall acknowledge the receipt of this Addendum with their proposal. These revisions do not change the Engineer's Estimate or the Bid Opening Date/Time for this project. Should you have any questions regarding this Addendum, please call David Webb at (714) 375-5077. City of Huntington Beach. 1 David A. Webb, P.E. Resident Engineer I have reviewed Addendum No. 1 dated May 17, 1994. I understand that a signed copy of Addendum No. 1 shall be included in the bid documents. Shaman Corporation Company Name By Yhoen�s S. Pack, Vice Pr6. �a MAY 2 71994 Date C C784/RCA/784aden 1.doc SECTION C PROPOSAL for CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH from 0.1 MILE SOUTH OF ELLIS AVENUE TO 0.1 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT No. 784 FEDERAL ID NO. STPLN-5181(020) 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 120 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 C-1 I days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. BIDDER'S BOND i �Ao'�,'�y�+l T � h� f.V'OU���T Accompanying this proposal of bid, find in amount oaf 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: A n a No.':''?' ::;:.:"Date RcciN d;; :;..... :: : ......:.:., ..>BiddWs Si iure: 1 C-2 BEACH BOULEVARD CONTRACTOR'S ESTIMATE FED ID NO. STPLN-5181(020) FEDERAL PARTICIPATING ITEMS ITEM ITEM DESCRIPTION UNIT OF ESTIMATED ITEM PRICE TOTAL NO CODE MEASURE QUANTITY (IN FIGURES) (IN FIGURES) 1 190101 ROADWAY EXCAVATION CY 6,888 -? /. o d 2 153112 COLDPLANE ASPHALT CONCRETE SQYD 165,980 PAVEMENT(0.15' MAXIMUM) /. 00 Sq 3 390103 ASPHALT CONCRETE(TYPE B) TON 13,878 OD 333 072 do 4 390101 ASPHALT CONCRETE RUBBERIZED TON 17,880 HOT MIX(GAP GRADE) L L 5 152438 ADJUST FRAME AND COVER TO GRADE EA 229 �! .sow s� FEDERAL PARTICIPATING ITEMS SUBTOTAL: $ 0 L NON-FEDERAL PARTICIPATING ITEMS 6 120103 TRAFFIC CONTROL SYSTEM LS I a�s000, abs000.� 7 150717 REMOVE TRAFFIC STRIPE LF 19,380 &PAVEMENT MARKING , �/T /O y 7S 2 ad 8 150722 PAVEMENT MARKERS EA 1,132 /, o o 9 150742 REMOVE ROADSIDE SIGN EA 17 10 150806 REMOVE PIPE LF 518 0o tN 40 — -�Q , 11 150820 REMOVE INLET EA 11 (�� �u OJO _ 3s`0u= 12 151581 RECONSTRUCT PRIVATE SIGN STRUCTURES LS 1 N 006 13 152390 RELOCATE ROADSIDE SIGN EA 14 14 152410A RECONSTRUCT WATER VALVE AND METER EA 10 15 153215 REMOVE CONCRETE(CURB&GUTTER) CY 1,514 ` q2 s-° �_TVs 16 153211 REMOVE CONCRETE SIDEWALK&DRIVEWAY CY 762 GU y/o — 3s os2do 17 160101 CLEARING AND GRUBBING LS 1 �I'7,Zlvo y° 3 r?,2Go y° 18 200001 A PLANTING LS I Is 19 206555 MODIFY IRRIGATION SYSTEM LS 1 � do C-2a BEACH BOULEVARD CONTRACTOR'S ESTIMATE FED ID NO. STPLN-5181(020) 20 510502 MINOR CONCRETE(MINOR STRUCTURE) CY 22 ?3 I tw 39 vSZ°= 21 513553 RETAINING WALL(MASONARY WALL) LF 90 .5-6 Vol SLR °+' 22 562007 ROADSIDE SIGN(METAL POST) EA 4 Qcz w goo 23 566011 ROADSIDE SIGN(ONE POST) EA 62 aUU w f n� 24 566012 ROADSIDE SIGN (TWO POST) EA 15 25 568001 INSTALL SIGN (STRAP AND SADDLE) EA 93 7 b .3 2 7�b 26 568004 INSTALL SIGN ON EXISTING POST EA 9 27 650014 18" REINFORCED CONCRETE PIPE LF 6 28 650019 27" REINFORCED CONCRETE PIPE LF 2 _ J _ 7s ISa ' 29 650022 30" REINFORCED CONCRETE PIPE LF 258 15U ,�O �0 0 30 650026 36"REINFORCED CONCRETE PIPE LF 10 of=b ZS-D�i 31 658305 30"z 19" OVAL SHAPED RCP(CLASS III) LF 72 13 00-1 32 665017 18" CORRUGATED STEEL PIPE(0.79"THICK) LF 84 33 665023 24"CORRUGATED STEEL PIPE(0.79"THICK) LF 76 t1b 4 00 W go G 34 731502 MINOR CONCRETE SQFT 184 a (MISCELLANEOUS CONSTRUCTION) 35 731504 MINOR CONCRETE(CURB&GUTTER) CY 664 is w �,9bvoT 36 731516 MINOR CONCRETE(DRIVEWAY) CY 240 2� 37 731521 MINOR CONCRETE(SIDEWALK) CY 345 38 731523 MINOR CONCRETE(CURB RAMP) CY 19 300�' S od�' 39 731530 MINOR CONCRETE(TEXTURED PAVING) SQFT 29,054 S 72,,(v 55 40 731535 MINOR CONCRETE(BUS PAD) CY 41 Nos 0 41 750001 MISCELLANEOUS IRON AND STEEL LB 4,150 / I 42 820131 OBJECT MARKER(TYPE K) EA 40 2 VTRL kJL b1b 41.00 43 840504 4" THERMOPLASTIC STRIPE LF 16,501 36 3S 3S, 44 840506 8"THERMOPLASTIC STRIPE LF 9,515 1,11) .'O 5p D,y(& 45 840515 THERMOPLASTIC PAVEMENT MARKING SF 9,286 3 ,0p $8OU C-2b BEACH BOULEVARD CONTRACTOR'S ESTIMATE FED ID NO. STPLN-5181(020) 46 840656 PAINT TRAFFIC STRIPE(2-COAT) LF 1,235 , 2S 3oY �y 47 840666 PAINT PAVEMENT MARKING(2-COAT) SF 440 Woo r,^ 48 850102 PAVEMENT-MARKERS(REFLECTIVE) EA 1,989 3 .00 S- 91v7"� 49 860251 SIGNAL AND LIGHTING(LOCATION 1) LS 1 oe 50 860252 SIGNAL AND LIGHTING(LOCATION 2) LS 1 3 oao`� 3 000� 51 860253 SIGNAL AND LIGHTING(LOCATION 3) LS 1 O,uoo D oao"= 52 860254 SIGNAL AND LIGHTING(LOCATION 4) LS 1 `—o 49 O7/v 53 860255 SIGNAL AND LIGHTING(LOCATION 5) LS 1 1 0 000, 04vc)'�� 54 860256 SIGNAL AND LIGHTING(LOCATION 6) LS 1 55 860257 SIGNAL AND LIGHTING(LOCATION 7) LS 1 l ove) G = 56 860401 LIGHTING LS 1 57 860703 INTERCONNECTION CONDUIT AND CABLE LS I 58 860810 INDUCTIVE LOOP DETECTOR EA 93 59 993002 FIRE HYDRANT EA 9 3 uo� � vow 60 999990 MOBILIZATION Ls ;t00,000� ,ZOCJ�oa� TOTAL BID AMOUNT IN FIGURES: S 3 3�i 2 ODD, TOTAL AM�OUNT BID IN WORDS: /n/ ram'"��'/�1,rkIeQ/lv�^e.Y� lu�a C-2c 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. ..:.:...::. ......:: `<> tate'L ease :` . . ''Class Pomon;: Name:o.:Subcontractor and Address::: 5:. .>: c .. . '.. er Cc.�e�ltic a wore EI mac. . ^^�.'��o•�o� P Cc MAe t— r 4 O powot". ®.n de,v s )CO 7jP. (�12N6 tv r o -o-Ar . 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. 1 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 Thomas S. Pack , being first duly sworn, deposes and says that he or she is VICE PRFSIDFNT & SFC:RFTARY of 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. Sbawnan Corporation Name of Bidder A W �2 p" d Signature of Bidder Thomas S. Pack, Vice Pres. & Sec. 12240 S. WOODRUFF AVE. DOV1 NEY, CALIF. 90241 Address of Bidder Su cri ed and sw rn to before me this I day of Ma V , 199 . ARY PUBLIC , , ,, NOTARY SEAL !tea d` ;. DAWN STAREK Comm.#952419 N N"+ I NOTARYp g Cou�FORNIA i C-4 w Comm,Expires Jan.14,1996 e: CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT No.5193 E State of California ® OPTIONAL SECTION CAPACITY CLAIMED BY SIGNER County of Los Angeles Though statute does not require the Notary to fill in the data below, doing so may prove MAY1 199 invaluable to persons relying on the document. On before me, Dawn Starek, Notary Public ❑ INDIVIDUAL DATE NAME,TITLE OF OFFICER-E.G.,'JANE DOE,NOTARY PUBLIC- - �] personally appeared Thomas S Pack, Vice Pres. & Sec CORPORATE OFFICER(S) NAME(S)OF SIGNER(S) TITLE(S) personally known to me -OR - El proved to me on the basis of satisfactory evidence ❑ ❑PARTNER(S) LIMITED to be the person(s) whose name(s) is/are GENERAL I, subscribed to the within instrument and ac- ❑ATTORNEY-IN-FACT knowledged to me that he/she/they executed ❑TRUSTEE(S) j the same in his/her/their authorized ❑GUARDIAN/CONSERVATOR capacity(ies), and that by his/her/their I OTHER: DAWN STAREK signature(s) on the instrument the person(s), ""° NOTARY P B C952419RNIA < or the entity upon behalf of which the Orange County person(s) acted, executed the instrument. Ay Comm.a0res Jan.14,1996 SIGNER IS REPRESENTING: W E my hand and official seal. NAME OF PERSON(S)OR ENTITY(IES) Shawnan Corporation SIGNATURE OF NOTARY OPTIONAL SECTION THIS CERTIFICATE MUST BE ATTACHED TO TITLE OR TYPE OF DOCUMENT Noncollusion Affidavit THE DOCUMENT DESCRIBED AT RIGHT: 1 &p 1 I,. NUMBER OF PAGES DATE OF DOCUMENT MIH,1 Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form. SIGNER(S)OTHER THAN NAMED ABOVE ©1992 NATIONAL NOTARY ASSOCIATION•8236 Remmet Ave.,P.O.Box 7184•Canoga Park,CA 91309-7184 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 CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH FROM 0.1 MILE SOUTH OF ELLIS AVENUE TO 0.1 MILE NORTH OF STATE ROUTE 39/405 SEPARATION, CASH CONTRACT NO. 784, FEDERAL ID NO. STPLN-5181(020), (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. Shawnan Corporation Con for v By Thomas S: Pack, Vice Pr®s. & Sac. Title MAY 161994 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 No_e If the answer is yes, explain the circumstances in the space provided. N/A NOTE: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate and shall submit same to the AGENCY prior to performing any work on this contract: 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. Shawnan Gorporation Contractor By S rack. dice Pros. & Sec. Title MAY 1 10% 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. Shawnan Corporation Con ctor By Ttbmes S. Pack, Vice Pros. & Sec. Title MAY 161994 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 1 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: ,5hawnan Gorporation Bidder Name 12240 S. WOODRUFF AVE. DOWNEY, CALIF. 90241 Business Address (310) 803-1481 Telephone Number 408809 A State Contractor's.License No. and Class 4uly 10, 1981 Original Date Issued 7-31-95 Expiration Date The work site was inspected by M B;L,, - _ of our office on S ,7- The following are persons, firms, and corporations having a principal interest in this proposal: Sbawnan Corporation JOHN A SMITH, PRESIDENT Thomas S. Pack, Vice Pros. & See. C-9 The undersigned are prepared to satisfy the Council of the City of Huntington Beach of their ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. 5hawnan Gorporation Company am a,;" , A;� Signature of Bi der Thomas S. Pack, Vice Pres. & Sec. Printed or Typed Signature 12240 S. WOODRUFF AVE. DOWNEY, CALIF. 90241 Address of Bidder ((310))803-1481 Telephone Number _ • DAWN SIAREK Subscribed and sworp,,to efore me this IP+h day of Ma , 19 NOTARY P BUC-CAUFORNIA N Orange County .� Ay Comm.Expires Ja&,1996 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. SEE ATTACHED Name and Address Name and Telephone No. of Project Manager Contract Amount Type of Work Date Completed 2. Name and Address Name and Telephone No. of Project Manager Contract Amount Type of Work Date Completed C-10 3. Name and Address Name and Telephone No. of Project Manager Contract Amount Type of Work Date Completed C-11 SHAWNAN CORPORATION Engineering Contractors + 12240 Woodruff Avenue, Downey, CA 90241 Fax (310) 803-6025 Office (310) 803-1481 State License #408809A j i STAT194MIT OF EXPERIENCE 1) OWNER/AGENCY: CITY OF BREA ADDRESS: ONE CIVIC CENTER CIRCLE CITY & STATE: BREA, CA 92621 PIIONE NUMBER: (714) 990-7681 CONTACT NAME: SAM PETERSON PROJECT LOCATION: IMPERIAL HIGHWAY TYPE OF PROJECT: STREET RECONSTRUCTION PROJECT AMOUNT: $6,817,767.00 2) OWNER/AGENCY: CITY OF IRVINE ADDRESS: ONE CIVIC CENTER PLAZA CITY & STATE: IRVINE, CA 92713 PHONE NUMBER: (714) 724-7553 CONTACT NAME: DAVE MORI PROJECT LOCATION: MAIN STREET - 55 FWY TO SAN DIEGO CREEK TYPE OF PROJECT: STREET WIDENING & RECONSTRUCTION PROJECT AMOUNT- $5,320,330.00 3) OWNER/AGENCY: CITY OF PARAMOUNT ADDRESS: 16400 COLORADO AVENUE CITY & STATE: PARAMOUNT, CA 90723 PIIONE NUMBER: (310) 220-2020 CONTACT NAME: BILL PADGETT PROJECT LOCATION: ROSECRANS AVENUE - DOWNEY TO GARFIELD TYPE OF PROJECT: STREET RECONSTRUCTION PROJECT AMOUNT: $900,000.00 4) OWNER/AGENCY: CITY OF LA VERNE/RKA ENGINEERS ADDRESS: 3660 "D" STREET CITY & STATE: LA VERNE, CA 91750-3599 PIIONE NUMBER: (818) 331-8323 CONTACT NAME: DOMINIC MILANO PROJECT LOCATION: ARROW HIGIIWAY CITY LIMITS TYPE OF PROJECT: STREET RECONSTRUCTION PROJECT AMOUNT: $1, 102,590.00 5) OWNER/AGENCY: PORT OF LOS ANGELES ADDRESS: 425 S. PALOS VERDES STREET CITY & STATE: SAN PEDRO, CA 90733-0151 PHONE NUMBER: (310) 732-3598 CONTACT NAME: JOHN WALKER PROJECT LOCATION: REAR BERTH 127-131 TYPE OF PROJECT: BACKLAND CONSTRUCTION PROJECT AMOUNT: $2,938,000.00 6) OWNER/AGENCY: CITY OF INGLEWOOD ADDRESS: ONE MANCHESTER BLVD. CITY & STATE: INGLEWOOD, CA 90301 PHONE NUMBER: (310) 412-5333 CONTACT NAME: SAL MAGBAGO PROJECT LOCATION: 16 VARIOUS LOCATIONS TYPE .OF PROJECT: HEATER REMIX/OVERLAY PROJECT AMOUNT: $294,538.00 3-31-69 CERTIFICATION WITH REGARD TO THE PERFORMANCE Of PMIO':S CONTRACTS OR SUBCONTRACTS SUBJECT TO THE EOGAL OPPORTUNITY CLAUSE AND THE FILING OF REOUIRSO REPORTS The bidder joe , proposed subcontractor ., hereby certifies that he has has not , participated in a previous Contract or subcontract subject to the equal opportunity Clause, as required by =secutive Orders 10925, 11114, or 11266, and that he has A"", has not !, filed with the Joint Reporting Cosmtittee, the Director of the Office of Federal Contract Compliance, a federal Government Contracting 'or idministering agency, or the farmer President's Comittee on Equal Employment Opportunity, all reports due under the applicable filing requirements. Shawrnan Corporation (Company) .i;:Th6Ma9 S,. Pack,`Vice Pros. & Sec. MAY Wig; it e Date. MA i � � M`9�9`P' Note: The above Certification is required by the Equal Employ- ment Opportunity Regulations of the Secretary of Labor (61 CFR 60-1.7(b) (1)) , and must be subn.itted by bidders and proposed sub- contractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CfR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (=ZO-1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcon- tracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal dighway Administration or by the Director. Office of federal Contract Compliance, O.S. Department of Labor. :cry C-12 BIDDER DBE INFORMATION To Be Completed by Agency Bidder: Shawnan Corporation Address: 12249 S..PG� e vrr AVE. Agency: - City of Huntington Beach DOWNEY, CALIF. 00241 Federal Project #: STPLN-5181 (020) Project Description: Construction on State Highway 39 Person Completing this Form (Beach. Blvd.) Name: Thomas S. Pack, Vice Pros. &t Sec. Assigned DBE Goal: 15% Phone #: (_J - 14 803-1481 Dollar Value of Name of Caltrans Certified DBE . Description of Work Contract Item # Subcontract a v 35-3$ qO /�52 64[�, oc le .� s s s qq s 5, lea v►e ��� lc ,� Aa�l A 39 224. E T&Ic-/ ,'/n r7 DBE Amount $ s33-, L/qS, THIS FORM MUST BE USED TO PROVIDE s 15-`7 % REQUIRED DBE INFORMATION Bid Amount $ 3, 39 7-1000._a C-13 EXEIBIT 4-3a 1986-4 GOOD FAITH EFFORT STATEMENT OF DB/WBE PARTICIPATION �Sh Cd'ri'raGi- n1o.781 Federal-Aid Project No. QPL_N-�5181 (ozo) Bid Opening Date 7un� 1, 199g Type of work S hree+ vrm � n ��P rovnen� 5 The Ci+y 61� Non�nqfon Bich established a Disadvantaged Local AY3ency Business Enterprise (DB) goal of I57o % and a Women' s Business Enterprise (WBE) goal of 8 for this project. The Con- tractor has committed to a goal of % DB and a goal of $ WBE, necessitating a good faith effort statement in accordance with 49 CPR 23.45. Our project files show that such a good faith effort was made. The following is a summary of that documentation: (1) Attendance at - or request for any pre-solicitation or pre-bid meetings: (2) Advertising in appropriate publications subcontracting opportunities: (Name and date of publications) 4 (3) Providing written notice to a reasonable number of D8E(s) and WBE(s) seeking their interest in subcontracting opportunities being made available by the-Contractor: (Sample letter attached) (4) Following up of initial solicitations of interest: (Names, type, result. ) C-14 EXHIBIT 4-3b 1986-4 (5) Selecting portions of the work to be performed by DB(s) and WBB(s) : (Include $ value) (6) ..Providing interested ;DB(s.) and WBE(s) with adequate information: (7) Negotiating good faith with interested DB(s) and WBE(s) s t$ value of DB/WBE Bids and one taken) -(8) Making efforts to assist interested OBE s) and WBE(s) in obtaining bonding, lines of credit, or insurance: and (9) Effectively using the services of available minority community organisationst minority contractors' groups, local, State and Federal Minority Business Assistance in the recruitment and placement of DB(s) and WW s) : (Name, date of contact, information provided) r Signature, DB/WBE Liaison Officer. Thomas S. Pack, Vice Pres. & Sec. C-15 CERTIFICATION FOR FEDERAL AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract,grant,loan, or cooperative agreement, the undersigned shall complete and submit Standard.Form4.LL,"Disclosure of Lobbying Activities," in accordance with its instructions. This certification is a material representation of fact upon-i i ch reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352,Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly. (1) C-16 DISCLOSURE OF LOBBYING ACTIVITIES Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 1. Type of federal Action: 2. Statusrof federal Action: 3. Report Type: a. ,contract a. bid/offer/application a• initial b. grant b. initial award b. material changa c. eooparative agreement c. post-award d. loan guarantee for Iaterial Chsage Only: a. loan insurance r Quarter date of lot report a. bass and Address of Reporting Eatity: b. If Reporting Entity in So. d is Subewasdee, Emtar Saes and Add"" of Tries awr)a �Prroqrat� Tiaif known 12240 S. WOOD DFfF�����A,,��VT�E. �Ctio`Qs�sFd al`Dili �et, 9133 ssilVn: Congressional District, if known: 6. fedaral Departsent/Ageary: 7. federal Program Same/Descripticn: N OY1c C1DA Somber. if applicable s. fedaral Action Somber, if known: 9. award Amount, if known: 10. a. Same and Address of Lobbying Entity b. Individuals Performing Services (including address if (if individual, last name, first name, MI) different from No. 104) (last seem, first asms, MI): Ore— (attach Continuation sheat(s) if necessary) 11. amount of Payment (check all that apply): 13. two of Palowt (aback all test apply) actual planned a. retainer fee ` a. COMIMIoa NOnc 12. fan of Payment (check all that apply)@ 0. Contingent tee a. Cash b. in-kind; specify: mature e. deferred `t. otDar, apseify: value 14. Srief Description of services Parformed or to be performed and Dats(s) of Servics, including officer(@), meployee(s), or member(@) contacted, for Payment indicated in Item 11: (y one (attach Continuation Sbeet(a) if necessary). 1S. Continuation Sheets) attached: Tom So 16. Informstion requested through this form is authorised by Title 31 U.S.C. Section 1352. This disclosure of lobbying signature: A-� activities is a material representation of fact upon which ThQ1�1.5 S. I7 Vice Pry. 81 SAC. reliance was placed by the tier above when this Print Seems , transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will Title: VICE PRESIDENT & SECRETARY be reported to the Congress semi-annually and will be (310) 803-1481 available for public inspection. Any parson who fails to TelephoneMAY file the required disclosure shall be subject to a Civil penalty of not less than i10,000 and not more than Dates $100,000 for each such failure. Federal Use Only: Authorized for Local Reproduction Standard form-LLL (2) C-17 INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE'OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to Title 31 U.S.C. Section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress,an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information If the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. H this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4. Enter the full name, address, city, state, and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards Include but are-wt l rnW to subcontracts, subgrants, and contract awards under grants._ ;.;;: . 5. If the organization filing the report in Item 4 checks-"Subawardee,"then enter the full name, address, city, state and zip code of the prime Federal recipient. Include Congressional District if known. = 6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, 0 known. For example, Department of Transportation, United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (Item 1). If known,enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. S. Enter the most appropriate Federal identifying number available for the Federal action Identification in Item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001." 9. for a covered Federal action where there has been an award or loam commitment by the Federal agency, enter the Federal amount of the awardAoan commitments for the prime entity identified in Item 4 or 5. (3) C-18 10. (a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in Item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10. (c) Enter Last Name, First Name, and Middle Initial (MI). 11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (Item 4) to the lobbying entity (Item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. ff this is a material change report, enter the cumulative amount of payment made or planned to be made. 12. Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature. 14. Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity, not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15. Check whether or not a continuation sheet(s) is attached. 16. The certifying official shall sign and date the form, print his/her name, title, and telephone number. Public reporting burden for this collection of information Is estimated to average 30 minutes per response, including time,for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503. (4) C-19 TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 DEBARMENT AND SUSPENSION CERTIFICATION The bidder, under penalty of perjury, certifies that except as noted below, he/she or any person associated therewith in the capacity of owner, partner, director, officer, manager: is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any federal agency; has not been suspended, debarred, voluntarily excluded, or determined ineligible by any federal agency within past three years; does not have a proposed debarment pending; and has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years If there are any exceptions to this certification, insert the exceptions in the following space. Nonce Exceptions will not necessarily result in denial of award, but will be considered in determining bidders responsibility. For any exception noted above, indicate below to whom it applies, initialing agency. and dated of action. N � Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute,signature of this Certification. C-20 !Jai I s4 P *94 i I i — d ��iL°,»71�L°�1 C��L3pQ�3p�II0I� ^, 12240 Woodruff Avenue, Downey, CA 90241 0 , CITY OF HUNTINGTON BEACH CITY CLERK, SECOND FLOOR 4 , 2000 MAIN STREET HUNTINGTON BEACH, CA 92648 r fi ti :( i, i s 3li-EALE �ar.stvuchor, ter. S+�+c N't y in Ovar+ Cou,^r�r in 14urrli rn $���C>G:-4•..!-...fdl .ie_Ssw�h of ®!ic ►--fr b' a F `�ovle-E. ';9/406 N o. 7g'4e�ea�n a E: i SECTION C PROPOSAL for CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH from 0.1 MILE SOUTH OF ELLIS AVENUE TO 0.1 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT No. 784 FEDERAL ID NO. STPLN-5181(020) 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 120 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 C-1 days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. 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: dend'Ad a.No: ;::: Date:Received::_::,, »> >< ?:` 'Bidders. ature;:: C-2 BEACH BOULEVARD CONTRACTOR'S ESTIMATE FED ID NO. STPLN-5181(020) FEDERAL PARTICIPATING ITEMS ITEM ITEM DESCRIPTION UNIT OF ESTIMATED ITEM PRICE TOTAL NO CODE MEASURE QUANTITY (IN FIGURES) (IN FIGURES) l 190101 ROADWAY EXCAVATION CY 6,888 2 153112 COLDPLANE ASPHALT CONCRETE SQYD 165,980 PAVEMENT(0.15' MAXIMUM) 3 390103 ASPHALT CONCRETE(TYPE B) TON 13,878. ' 4 390101 ASPHALT CONCRETE RUBBERIZED TON 17,880 0 7 HOT MIX (GAP GRADE) 5 152438 AD]UST FRAME AND COVER TO GRADE EA 229 FEDERAL PARTICIPATING ITEMS SUBTOTAL: $ 'f' r NON-FEDERAL PARTICIPATING ITEMS 6 120103 TRAFFIC CONTROL SYSTEM LS 1 1,5Z �E l 7 150717 REMOVE TRAFFIC STRIPE LF 19,380 &PAVEMENT MARKING 8 150722 PAVEMENT MARKERS EA 1,132 /, f /222 . AK 9 150742 REMOVE ROADSIDE SIGN EA 17 _ 10 150806 REMOVE PIPE LF 518 y3 3or el I 150120 REMOVE INLET EA 11 ` > .0, Jo 73 12 151581 RECONSTRUCT PRIVATE SIGN STRUCTURES LS 1 13 152390 RELOCATE ROADSIDE SIGN EA 14 �� 7 14 152410A RECONSTRUCT WATER VALVE AND METER EA 10 07 15 153215 REMOVE CONCRETE(CURB&GUTTER) CY 1,514 16 153211 REMOVE CONCRETE SIDEWALK&DRIVEWAY CY 762 7/ 17 160101 CLEARING AND GRUBBING LS l 18 200001A PLANTING LS 1 19 206555 MODIFY IRRIGATION SYSTEM LS 1 C-2a i / I BEACH BOULEVARD CONTRACTOR'S ESTIMATE FED ID NO. STPLN-5181(020) 20 510502 MINOR CONCRETE(MINOR STRUCTURE) CY 22 21 513553 RETAINING WALL(MASONARY WALL) LF 90 22 562007 ROADSIDE SIGN(METAL POST) EA 4 23 566011 ROADSIDE SIGN(ONE POST) EA 62 24 566012 ROADSIDE SIGN(TWO POST) EA 15 7 25 568001 INSTALL SIGN (STRAP AND SADDLE) EA 93 26 568004 INSTALL SIGN ON EXISTING POST EA 9 9 7 ✓ 27 650014 18" REINFORCED CONCRETE PIPE LF 6 28 650019 27" REINFORCED CONCRETE PIPE. LF 2 29 650022 30" REINFORCED CONCRETE PIPE LF 258 700?lam. � 30 650026 36"REINFORCED CONCRETE PIPE LF 10 31 658305 30"z 19"OVAL SHAPED RCP(CLASS III) LF 72 32 665017 18" CORRUGATED STEEL PIPE(0.79"THICK) LF 84 33 665023 24"CORRUGATED STEEL PIPE(0.79" THICK) LF 76 34 731502 MINOR CONCRETE SQFT 184 (MISCELLANEOUS CONSTRUCTION) 35 731504 MINOR CONCRETE(CURB&GUTTER) CY 664 (O Y - 36 731516 MINOR CONCRETE(DRIVEWAY) CY 240 37 731521 MINOR CONCRETE(SIDEWALK) CY 345 lAll" - 38 731523 MINOR CONCRETE(CURB RAMP) CY 19 —F l 39 731530 MINOR CONCRETE(TEXTURED PAVING) SQFT 29,054 40 731535 MINOR CONCRETE(BUS PAD) CY 41 41 750001 MISCELLANEOUS IRON AND STEEL LB 4.150 42 820131 OBJECT MARKER(TYPE K) EA 40 37� 70 18. 43 840504 4" THERMOPLASTIC STRIPE LF 16,501 44 840506 8"THERMOPLASTIC STRIPE LF 9,515 45 840515 THERMOPLASTIC PAVEMENT MARKING SF 9,286 C-2b 1' BEACH BOULEVARD CONTRACTOR'S ESTIMATE FED ID NO. STPLN-5181(020) 46 840656 PAINT TRAFFIC STRIPE(2-COAT) LF 1,235 47 940666 PAINT PAVEMENT MARKING(2-COAT) SF 440 48 850102 PAVEMENT MARKERS(REFLECTIVE) EA 1,989 49 1 860251 SIGNAL AND LIGHTING(LOCATION 1) LS 1 7� , ._ 50 860252 SIGNAL AND LIGHTING(LOCATION 2) LS 1 51 860253 SIGNAL AND LIGHTING(LOCATION 3) LS 1 52 860254 SIGNAL AND LIGHTING(LOCATION 4) LS I 7�jcrx> 53 860255 SIGNAL AND LIGHTING(LOCATION 5) LS 1 / �� � !� 54 860256 SIGNAL AND LIGHTING(LOCATION 6) LS 1 .�; 55 860257 SIGNAL AND LIGHTING(LOCATION 7) LS 1 56 860401 LIGHTING LS 1 57 860703 INTERCONNECTION CONDUIT AND CABLE LS 1 58 860810 INDUCTIVE LOOP DETECTOR EA 93 59 1 993002 FIRE HYDRANT EA 9 60 999990 1 MOBILIZATION LS 1 TOTAL BID AMOUNT IN FIGURES: p$ / p TOTAL AMOUNT BID IN WORDS: es- C-2c 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: :Nmne:�;:;Subcontractor and.Address::.. .::;; ;> > State:License Class'::;::: ; :o.:Work:;:;: ".'< `' > >' ::.:» � g �o 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 Joseph Wl." Silvia , being first duly sworn, deposes and says that he or she is President of 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. Joseph W. Silvia, Silvia Construction- Tnc. Name of Bidder S' nature o f Bidder 2209 Arrow Rte. Upland, CA 91786 Address of Bidder Subscribed and sworn to before me this 31 day of May 19 94 NOTARY PUBLIC NOTARY SEAL ,h OFFICIAL SEAL CLAIRE R. MANCHESTER Notary Public-California SAN BERNARDINO COUNTY C-4 My Commission Expires ...o.•• January 10. 1995 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 CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH FROM 0.1 MILE SOUTH OF ELLIS AVENUE TO 0.1 MILE NORTH OF STATE ROUTE 391405 SEPARATION, CASH CONTRACT NO. 784, FEDERAL ID NO. STPLN-5181(020), (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. Silvia Construction, Inc. Contractor y President Title May 31, 1994 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 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 and shall submit same to the AGENCY prior to performing any work on this contract: 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. Silvia Construction, Inca Contractor 2209 Arrow Rte. Upland, CA 91786 Title May 31, 1994 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 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: Silvia Constsruction, Inc. Bidder Name 2209 Arrow Rte. Upland.,.,CA 91786 Business Address ( 909 949-1127 Telephone Number 568194 C12 A State Contractor's License No. and Class 5/89 Original Date Issued 5-31-95 Expiration Date The work site was inspected by Frank Dudley of our office on 5-20 19 94 The following are persons, firms, and corporations having a principal interest in this proposal: C-9 The undersigned are prepared to satisfy the Council of the City of Huntington Beach of their ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Silvia Construction, Inc. Company Name 4ae;ft dder Joseph W. Silvia Printed or Typed Signature 2209 Arrow Rte. Upland, CA 91786 Address of Bidder ( ) 909 949-1127 Telephone Number Subscribed and sworn to before me this 31 day of May 19 94 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. City of La Verne 3660 "D" St. LaVerne, CA 91750 Name and Address L.D. Johnson ( ) 909 596-8706 Name and Telephone No. of Project Manager $375,000,00 Heater Scarifation;. 4/93 - Contract Amount Type of Work Date Completed 2. City of San Bernardino 300 N. D St San Bernardino, CA 92418-0001 Name and Address Steve Enna ( ) 909 384-5111 Name and Telephone No. of Project Manager $200,00.00 Street Improvements 11/92 Contract Amount Type of Work Date Completed C-10 3. City of Monrovia 415 S. Ivy Ave. Monrovia, CA 91016-2888 Name and Address Jed Rizk 818 359-3231 Name and Telephone No. of Project Manager $476,000.00 Street Repair 8/93 Contract Amount Type of Work Date Completed C-11 3-31-69 CERTIFICATION WITH REGARD TO THE PERFORJ4hNCE OF PRrVIO�S CONTRACTS OR SUBCONTRACTS SUBJECT TO THE ZOUAL OPPORTUNITY CLAUSE AND THE FILING OF REOUIRED REPORTS The bidder _, proposed subcontractor �. hereby certifies that he has has not _, participated in a previous Contract or subcontract subject to the equal opportunity Clause, as required by LYecutive Orders 10923, 11114, or 11246, and that he has _, has not _., filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government Contracting or idmialstering agency, or the tacmar President's Committee on Equal Employment Opportunity, all reports due under the applicable filing requirements. Silvia Construction, Inc. os+pany President it e Date: 5-31-94 Note: The above certification is required by the Equal Employ- ment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)) , and must be submitted by bidders and proposed sub- contractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt frog the equal opportunity clause are set forth in 41 CPR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (CM-1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Execrative Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcon- tracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, O.S. Department of Labor. BIDDER DBE INFORMATION To Be Completed by Agency Bidder: ARRMI _ Address: _ ������ ' Agency: City of Huntington Beach ��— Federal Project #t: STPLN-5181 (020) Project Description: Construction on State Highway 39 Person Com let* th's Form (Beach, Blvd.) Name: Assigned DBE Goal: is% Phone j - ZZ Z 2 Dollar Value of Name of Caltrans Certified DBE . Description of Work Contract Item ff Subcontract �� ra Gbh DBE Amounts 7,,F J9 THIS FORM MUST BE USED TO PROVIDE a % REQUIRED DBE INFORMATION Bid Amount $ C-13 EXHIBIT 4-3a 1986-4 GOOD FAITH EFFORT STATEMENT OF DB/WBE PARTICIPATION Federal-Aid Project No. Bid Opening Date Type of Work The established a Disadvantaged Local Agency Business Enterprise (DB) goal of I and a Women' s Business Enterprise (WBE) goal of 8 for this project. The Con- tractor has committed to a goal of % DB and a goal of 8 WBE, necessitating a good faith effort statement in accordance with 49 CPR 23.45. Our project files show that such a good faith effort was made. The following is a summary of that documentation: (1) Attendance at - or request for any pre-solicitation' or pre-bid meetings: (2) Advertising in appropriate publications subcontracting opportunities: (Name and date of publications) (3) Providing written notice to a reasonable number of DBE(s) and WBE(s) seeking their interest in subcontracting opportunities being made available by the-Contractor: (Sample letter attached) (4) Following up of initial solicitations of interest: (Names, type, result. ) C-14 EXHIBIT 4-3b 1986-4 (5) Selecting portions of the work to be performed by DB W and WBE(s) : (Include $ value) (6) ,-Providing interested DB(s) and WBE(s) with adequate information: (7) Negotiating good faith with interested DB(s) and WBE(s) : ($ value of DB/WBE Bids and one taken) (8) Making efforts to assist interested D88(s) and WBE(s) in obtaining bonding, lines of credit, or insurance; and (9) Effectively using the services of available minority community organizations; minority contractors' groups, local, State and Federal Minority Business Assistance in the recruitment and placement of DB(s) and WBE(s) : (Name, date of contact, information provided) Signature, DB/WBE Liaison Officer. C-15 i CERTIFICATION FOR FEDERAL AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract,grant,loan, or cooperative agreement, the undersigned shall complete and submit Standard Form—LLL,"Disclosure of Lobbying Activities," in accordance with its Instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352,Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly. (1) C-16 • DISCLOSURE OF LOBBYING ACTIVITIES Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 1. Type of Federal Action: 2. status'of Federal Action: 3. Report Type: a. .contract a. bid/offer/application a. initial b. grant b. initial award b. watarlal Changa C. cooperative agreement c, post-sward d. loan guarantss For Material Change Only: a. loan insurance war Quarter date of last report A. Sawa and Address of Reporting Entity: S. if Reporting Entity in No. 6 is Subawardee, Enter Ease and Address of Prim: Prim subawardee Tier if known Congressional District, if known: Congressional District, if known: 6. Federal Deparbent/Agency: 7. Federal Program Nam/Description: CFDA Number, if applicable I. Federal Action Number, if known: 2. Award Amount, if known: i 10. a. Sass and Address of Lobbying Entity b. Individuals Pesformiag Services (including address if (if individual, last news, first uses, MI) different from no. 10s) (last sass, first Baca, 111)1 (attach Continuation shest(s) if necessary) 11. aeoont of Payment (check all that apply): 13. In* of Palmebt (obaok all that apply) actual Planned a. retainer ..:.b. sae-time foo 12. Form of Payment (check all that apply): a. commission d. contingent.fee a. cash b. in-kind; specify: nature e. deferred specify: !. otaer, ecift: 14. Brief Description of services Performed or to be performed and Date(s) of service, including officer(e), awployse(s), or member(s) contacted, for Payment indicated in Item 11: (attach Continuation sbeet(s) if necessary). 13. Continuation sbeet(s) attached: !aw No i 16. Information requested through this form is authorised by Tins 31 N.S.C. section 1352. This disclosure of lobbying Signature: activities is a material representation of fact upon which reliance was placed by the tier above when this Print Sam: transaction was &ads or entered into. This disclosure is required pursuant to 31 N.S.C. 1352. This information will Title: be reported to the Congress semi-annually and will be available for public inspection. Airy parson who fails to Telephone no.: file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than Data: $200,000 for each such failure. Federal use only: Authorised for Local Reproduction Standard Form-= (2) C-17 INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to Title 31 U.S.C. Section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress,an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter In which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4. Enter the full name, address, city, state, and zip code of the reporting entity. Include Congressional District, If known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the first tier. Subawards include but are-tt KNOW to.subcontracts, subgrants, and contract awards under grants._ ; ; 5. If the organization filing the report in Item 4 checks-"Subawardee,'then enter the full name, address, city, state and zip code of the prime Federal recipient. Include Congressional District, If known. 6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (Item 1). H known,enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. S. Enter the most appropriate Federal identifying number available for the Federal action identification in Item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001." 9. for a covered Federal action where there has been an award or loam commitment by the Federal agency, enter the Federal amount of the award/loan commitments for the prime entity identified in Item 4 or 5. (3) C-18 10. (a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in Item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10. (c) Enter Last Name, First Name, and Middle Initial (MI). 11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (Item 4) to the lobbying entity (Item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. H this is a material change report, enter the cumulative amount of payment made or planned to be made. 12. Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature. 14. Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity, not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employees) or Member(s) of Congress that were contacted. 15. Check whether or not a continuation sheet(s) is.attached. 16. The certifying official shall sign and date the form, print his/her name, title, and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503. (4) C-19 TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 DEBARMENT AND SUSPENSION CERTIFICATION The bidder, under penalty of perjury, certifies that except as noted below, he/she or any person associated therewith in the capacity of owner, partner, director, officer, manager: is not currently under suspension, . debarment, voluntary exclusion, or determination of ineligibility by any federal agency; has not been suspended, debarred, voluntarily excluded, or determined ineligible by any federal agency within past three years; does not have a proposed debarment pending; and has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidders responsibility. For any exception noted above, indicate below to whom it applies, initialing agency, and dated of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. C-20 • • ;, CITY OF HUNTINGTON BEACH Lj2000 MAIN STREET P. 0. BOX 190 CALIFORNIA 92648 Louis F. Sandoval Public Works Department Director (714) 536-5431 CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH from 0.1 MILE SOUTH OF ELLIS AVENUE TO 1.0 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT No. 784 FEDERAL ID No. STPLN-5181 (020) in the CITY OF HUNTINGTON BEACH ADDENDUM NUMBER 1 May 17, 1994 Notice to All Bidders: The following revisions/corrections shall be included in the bid documents: 1. Project Specifications, Sample Contract, Page D-7, Item No. 8 shall be deleted in its entirety and replaced with the following: 8. BONDS CONTRACTOR shall, prior to entering upon the performance of this agreement, furnish the following Two 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 naming both the City of Huntington Beach and State of California as the obligees; and one in the amount of one hundred percent (100%) of the contract price to guarantee payment of all claims for labor and materials furnished, naming both the City of Huntington Beach and State of California as the obligees. 2. Project Specifications, Sample Contract, Page D-11, Item No. 19 -LIQUIDATED DAMAGES/DELAYS: The amount of the liquidated damages shall be changed from"two thousand one hundred dollars ($2,100)" to, "one thousand five hundred fifty dollars ($1,550)". Addendum No.1 -cc784 Page 2 5/17/94 3. Project Specification, Section E - Special Provisions, Page E-2, 2-4 - Contract Bonds; Add the following: The contractor shall, prior to entering upon the performance of this agreement, furnish the following Two 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 naming both the City of Huntington Beach and State of California as the obligees. • one in the amount of one hundred percent (100%) of the contract price to guarantee payment of all claims for labor and materials furnished, naming both the City of Huntington Beach and State of California as the obligees. 4. Project Specifications, Section E - Special Provisions, Page E-24, 3-7 - "Traffic Control System for Lane Closure": Delete the phrase"(except for flagging costs)" in the first sentence and the entire last sentence of the sixth paragraph. The cost for any required flagging to complete the required work will be included in the cost for providing traffic control system. 5. Project Specifications, Section E - Special Provisions, Page E-36, 3-12.12 -Reconstruct Water Valve and meter; Reconstruction of water service is defined as follows: Case 1 - Relocation of meters further away from water main. Abandon and remove existing water service back to water main. Install new 2" service line, new"Sensus SR Touch-Read " meter(match existing meter size), new"J&R Polymer Concrete Meter" valve box. Construct new service tap and abandon/plug existing hole if necessary. Return existing water meter to Agency. Case 2 -Relocation of meters closer to water main. Cut existing service line to proper length. Install new"Sensus SR Touch-Read" meter (match existing meter size) and new"J&R Polymer Concrete Meter" valve box. Return existing water meter to Agency. a ' Addendum No.1 -cc784 Page 3 5/17/94 All bidders shall acknowledge the receipt of this Addendum with their proposal. These revisions do not change the Engineer's Estimate or the Bid Opening Date/Time for this project. Should you have any questions regarding.this Addendum, please call David Webb at (714) 375-5077. City of Huntington Beach David A. Webb, P.E. Resident Engineer I have reviewed Addendum No. 1 dated May 17, 1994. I understand that a signed copy of Addendum No. 1 shall be included in the bid documents. °"I� RUCT , tom. 7209 ARROW RTE. Company Name CA 9 1 786 r y v Date CC784/RCA/784aden l.doc 4 ;, je CITY OF HUNTINGTON BEACH 2000 MAIN STREET P. O. BOX 190 CALIFORNIA 92648 Louis F. Sandoval Public Works Department Director (714) 536-5431 CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH from 0.1 MILE SOUTH OF ELLIS AVENUE TO 1.0 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT No. 784 FEDERAL ID No. STPLN-5181 (020) in the CITY OF HUNTINGTON BEACH ADDENDUM NUMBER 2 May 27, 1994 Notice to All Bidders: The following revisions/corrections shall be included in the bid documents: 1. Bid Item No. 56 -"Lighting"; as called for in the project specification shall be changed from a lump sum bid item to a combination of the following unit price bids. Item Unit Quantity Unit Total Price 56a Install 2.5"-sch 40 PVC conduit and pull rope for LF 1100 SCE street lighting system -c>-3 56b Install new street light pullbox Ea 12 Zd 56c Relocate City owned street light, including all Ea 1 required conduit, conductors, new base and removal of existing base on Main Street w/o Beach 56 1 Total of items 56a-56c (entere this amount for item 56 on project bid schedule) 1 .44 Southern California Edison(SCE)will furnish a"Conduit and Pull box" location plan to the successful bidding contractor. The successful bidding contractor shall be responsible for installing all conduit, pull ropes and pullboxes along with removal and reconstruction or surface improvements (sidewalk, pavement, landscaping, etc.)for street light relocation's on the SCE system. SCE's contractor will pour new bases, relocate their street lights, provide conductors, make all electric connections and remove the existing street light bases. Addendum No.2 -cc784 Page 2 5/27/94 The successful bidding contractor shall be responsible for all work required to relocate City owned street lights. 2. The following street light poles as shown on sheet 96 (E-18) of the plans will not be relocated as called out for on the plans. West side of Beach Blvd., north of Warner Ave. Pole referenced "NO #MARKED ON POLE." West side of Beach Blvd., south of Warner Ave. #2295492E #2295493E #4076393E The street light pole as shown on sheet 18 (L-10) of the plans, east side of the street, at approximate station 256+20, will require relocation. All bidders shall acknowledge the receipt of this Addendum with their proposal. These revisions do not change the Engineer's Estimate or the Bid Opening Date/Time for this project. Should you have any questions regarding this Addendum, please call David Webb at (714) 375-5077." City of Huntington Beach David A. ebb, P.E. Resident Engineer I have reviewed Addendum No. 2 dated May 27, 1994. I understand that a signed copy of Addendum No.-�?shall be included in the bid documents. eomnqua ft, Ste. / 3 ? ARROWRTC. �f/ , Company Name - By v Date CC784/RCA/784aden2.doc BID BOND Recitals: 1. "Contractor" , has submitted his Contractor's Proposal to County of Riverside, "County" , for the construction of public work for in accordance with a Notice Inviting Bids of County dated 2. a corporation, hereafter called "Surety" , is the surety of this Bond. Agreement: We, Contractor as principal and Surety as surety, jointly and severally agree and state as follows: 1. The amount of the obligation of this bond is 10% of the amount of the 'Contractor' s Proposal and. inures to the benefit of County. 2. This Bond is exonerated by (1) County rejecting said Proposal or, in the alternate, (2) if said Proposal is accepted, Contractor executes . the Agreement and furnishes the Bonds as agreed to in its Proposal, otherwise it remains in full force and effect for the recovery of loss, damage and expense of County resulting from failure of Contractor to act as agreed to in its Proposal. Some types of possible loss, damage and expense- are specified in the Contractor's Proposal. 3. Surety, for value received, stipulates and agrees that its obligations hereunder shall in no way be impaired or affected by any extension. of time within which County may accept the Proposal and waives. notice of any such extension. 4. This Bond, is binding on our heirs, executors, administrators, successors and assigns. Dated: By By Title: Attorney in Fact Title: "Surety" "Contractors" STATE OF CALIFORNIA ) SS. COUNTY OF ) On before me personally appeared known to me to be the person whose name is subscribed to the within instrument as Attorney in Fact. Notary Public (Seal) (NOTE: Affix corporate seals . ) 50 IFSilvia Consstrucn, Inc. 2209 Arrow Rte. O Upland, CA 91786 ALh i INGTCtk 3EACN,CALIF.? JUN 1 i s Fit 'J�1 F y of Hunington Beach 0 Main St.ington Beach, CA 92648 Construction on State Highway in Orange county in Hunington Beach form 0.1 Mile soutl of Ellis Ave to 0.1 mile north of State Rte 39/405 separation cash-contract no. 784 Federal ID no. STPLN-5181(020)in the City of Hunington Beach .r � .r^ SECTION C PROPOSAL ' for CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH from 0.1 MILE SOUTH OF ELLIS AVENUE TO 0.1 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT No. 784 FEDERAL ID NO. STPLN-5181(020) 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 120 working days, starting from the date of the Notice to Proceed. BIDDER declares that this is based upon careful examination of the work site plans, proposal Po � ' 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 C-1 ` days from the bid opening date. If at such time the contract is not awarded, the AGENCY Pe g will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in ' executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, ' the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. "TER PE�,�'FNT OF AMOUNT-Bl Accompanying this proposal of bid, fin ' inqb—e 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: 'innA derida No.:<.: Date.Received :.. - Bidders St nature "' . o resident.. Cl Lo 1' P easdent ' C-2 Y BEACH BG__EVARD CONTRACTOR'S ESTIMATE ' FED ID NO. STPLN-5181(020) FEDERAL PARTICIPATING ITEMS TEM ITEM DESCRIPTION UNIT OF ESTIMATED ITEM PRICE TOTAL NO CODE MEASURE QUANTITY (IN FIGURES) (IN FIGURES) 1 190101 ROADWAY EXCAVATION CY 6,888 ' 2 153112 COLDPLANE ASPHALT CONCRETE SQYD 165,980 PAVEMENT (0.15' MAXIMUM) 3 390103 ASPHALT CONCRETE(TYPE B) TON 13,878 �a 4 390101 ASPHALT CONCRETE RUBBERIZED TON 17,880 cQa. HOT MIX(GAP GRADE) 5 152438 ADJUST FRAME AND COVER TO GRADE EA 229 ' FEDERAL PARTICIPATING ITEMS SUBTOTAL: $ ' NON-FEDERAL PARTICIPATING ITEMS 6 120103 TRAFFIC CONTROL SYSTEM LS 1 ' 1. �. 7 150717 REMOVE TRAFFIC STRIPE LF 19,380 &PAVEMENT MARKING 8 150722 PAVEMENT MARKERS EA 1,132 ` O . 9 150742 REMOVE ROADSIDE SIGN EA 17 10 150806 REMOVE PIPE LF 518 9011 t ' 11 150820 REMOVE INLET EA 11 12 151581 RECONSTRUCT PRIVATE SIGN STRUCTURES LS 1 ow), O U Ob ,Ov 13 152390 RELOCATE ROADSIDE SIGN EA 14 7 c7 C7 6 14 152410A RECONSTRUCT WATER VALVE AND METER EA 10 � o a 15 153215 REMOVE CONCRETE(CURB&GUTTER) CY 1,514 Da 16 153211 REMOVE CONCRETE SIDEWALK&DRIVEWAY CY 762 17 160101 CLEARING AND GRUBBING LS 1 ' 39 18 200001 A PLANTING LS I 19 1206555 MODIFY IRRIGATION SYSTEM C-2a ' BEACH BG-L EVARD r ' CONTRACTOR'S ESTIMATE FED ID NO. STPLN-5181(020) 20 510502 MINOR CONCRETE(MINOR STRUCTURE) CY 22 21 513553 RETAINING WALL(MASONARY WALL) LF 90 nl(7, c7 6 loD-6b 22 562007 ROADSIDE SIGN(METAL POST) EA 4 L0. -o 6 Io qo C-�)b 23 566011 ROADSIDE SIGN (ONE POST) EA 62 l on.0 24 566012 ROADSIDE SIGN (TWO POST) EA 15 25 568001 INSTALL SIGN (STRAP AND SADDLE) EA 93 26 568004 INSTALL SIGN ON EXISTING POST EA 9 q D, oo . a 27 650014 18" REINFORCED CONCRETE PIPE LF 6 3. � a 28 650019 27" REINFORCED CONCRETE PIPE LF 2 ,O(-, 5)3 c7a 29 650022 30" REINFORCED CONCRETE PIPE LF 258 30 650026 36"REINFORCED CONCRETE PIPE LF 10 6,8 b 31. 658305 30"z 19"OVAL SHAPED RCP(CLASS III) LF 72 [7. 32 665017 18" CORRUGATED STEEL PIPE(0.79"THICK) LF 84 (-p O.O-6 ob 33 665023 24"CORRUGATED STEED PIPE(0.79"THICK) LF 76 oD 34 731502 MINOR CONCRETE SQFT 184 (MISCELLANEOUS CONSTRUCTION) 3 yob 35 731504 MINOR CONCRETE(CURB&GUTTER) CY 664 36 731516 MINOR CONCRETE(DRIVEWAY) CY 240 37 731521 MINOR CONCRETE(SIDEWALK) CY 345 is 38 731523 MINOR CONCRETE(CURB RAMP) CY 19 o d 39 731530 MINOR CONCRETE(TEXTURED PAVING) SQFT 29,054 40 731535 MINOR CONCRETE(BUS PAD) CY 41 41 750001 MISCELLANEOUS IRON AND STEEL LB 4,150 42 820131 OBJECT MARKER(TYPE K) EA 40 c� n 43 840504 4"THERMOPLASTIC STRIPE LF 16,501 44 840506 8"THERMOPLASTIC STRIPE 'LF 9,515 ' 45 840515 THERMOPLASTIC PAVEMENT MARKING SF 9,286 qo ' C-2b ' BEACH BOULEVARD CONTRACTOR'S ESTIMATE FED ID NO. STPLN-5181(020) 46 840656 PAINT TRAFFIC STRIPE(2-COAT) LF 1,235 ' 47 840666 PAINT PAVEMENT MARKING(2-COAT) SF 440 48 850102 PAVEMENT MARKERS(REFLECTIVE) EA 1,989 49 860251 SIGNAL AND LIGHTING(LOCATION 1) LS 1 50 860252 SIGNAL AND LIGHTING(LOCATION 2) LS 1 o oeo l b 51 860253 SIGNAL AND LIGHTING(LOCATION 3) LS 1 ' 52 860254 SIGNAL AND LIGHTING(LOCATION 4) LS 1 6S p 53 860255 SIGNAL AND LIGHTING(LOCATION 5) LS 1 54 860256 SIGNAL AND LIGHTING(LOCATION 6) LS 1 noo-nvim. 1 55 860257 SIGNAL AND LIGHTING(LOCATION 7) LS 1 ' Min n p, 3D ' 57 860703 INTERCONNECTION CONDUIT AND CABLE LS 1 58 160810 INDUCTIVE LOOP DETECTOR EA 93 59 993002 FIRE HYDRANT EA 9 b6 , 00 60 999990 MOBILIZATION LS I �000-w Q �ocb,Oct ' Cc, p acp� TOTAL BID AMOUNT IN FIGURES: S 3 b(� TOTAL AMOUNT BID IN WORDS: b o� C- C-2c FROM:PUBLIC WORKS TO: 1 310 599 2614 MAC 27, 1994 2 40PM tt856 P.02 CITY OF HUNTINGTON TON BEACH 2000 MAIN STREET P. 0. BOX 190 CALIFORNIA 92648 Louis F. Sandoval Public Works Department Director (714) 536-5431 CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH from 0.1 MILE SOUTH OF ELLIS AVENUE TO 1.0 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT No. 784 FEDERAL ID No. STPLN-5181 (020) in the CITY OF HUNTINGTON BEACH ADDENDUM NUMBER 2 May 27, 1994 Notice to All Bidders: The following revisions/corrections shall be included in the bid documents: 1. Bid Item No. 56-"Lighting"; as called for in the project.specification shall be changed from a lump sum bid item to a combination of the following unit price bids. Item Unit Quantity Unit Total Price 56a Install 2.5"-sch 40 PVC conduit and pull rope for LF 1100 SCE street lighting system ��S`D 9 3� o 56b Install new street light pullbox Ea 12 0 p v 56c Relocate City owned street light,including all Ea 1 required conduit, conductors,new base and removal ofexistin base on Main Street w/o Beach �) c)off• Z 56 Total of items 56a-56c entere this amount for item 56 on pro ect bid schedule ( o Southern California Edison (SCE)will furnish a"Conduit and Pull box" location plan to the successful bidding contractor. The successful bidding contractor shall be responsible for installing all conduit, pull ropes and pullboxes along with removal and reconstruction or surface improvements (sidewalk, pavement, landscaping , etc.) for street light relocation's on the SCE system. SCE's contractor will pour new bases, relocate their street lights, provide conductors, make all electric connections and remove the existing street light bases. 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 f o Subcontraetor;andAddress >_:;<;: State:'License:: ;Class';;:;;;>: . . o Work:» =.X::><::>< ".:. : _......... Y.G... _..... ... e a rn V- o U &i c ZiI or, P Qlzz _ �- 1` c Le ee6, Lorc, C' l c , c eC. ' e Cc 1 S Ne . e are. Cv2 �. � C• B submission of this proposal, the Bidder certifies: Y P Po 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 RIGHT THUMBPRINT OPTIONAL C1UFORNIW W m STATE OF LOS ANELES ss. CD COUNTY OF o a 0 Y / � On ( before me, Celeste A. Graham, Notary Public (Name,title of officer-i.e.,"Jane Doe,Notary Public').? CR- e CELESTE A. GRAHAM by Palp 0'personally appearedEli0. COMM. #992999 DQ ,':, Natory 'Public - California m personally known to me( ce)to be the person(s)whose LOS ANGELES COUNTY name(s) ls/m subscribed to the within instrument and acknowledged to me that he/shir/they executed MY COMMISSION EXPIRES JULY 30, le®7 the same in his/hertttreir authorized capacity(ies),and that by his/heOtheir signature(s)on the instrument the person(s),or the entity upon behalf Ich the person(s)acte ,executed the instrument. (Seal) 1 WITNESS my hand and official seal. (,-Z"atxt l j ACKNOWLEDGMENT—All Purpose with Fingerprint—Wolcotts Form 63238—Rev.12-92 Signature ©1992 WOLCOTTS FORMS,INC. (price class 8-2) ' NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID ' State of California ss. County of Orange FSIi01 ' , being first duly sworn, deposes and says that he or speris of 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 1 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. 1 Excel Paving Company Name of Bidder ?C C.P. Brown President\. 1 Signature of Bidder 2230 Lemon Avenue, Long Beach, California 90806 Address of Bidder Subscribed and sworn to before me this day of , 19_ . NOTARY PUBLIC NOTARY SEAL C-4 RIGHT THUMBPRINT(OPTIONAL) W Q 4STATE OF CALIFORNIA ss. U. COUNTY OF !OSMG GB 0 On before me, felesie A. Graham, Notary Fublic �^ (Name,title of officer-i.e.,Jane Doe,Notary Public') i CELESTE A. GRAHAM tr w A comm. #992999 D personally appeared ? Notary Public - California m personally known to me(o }to be the person(s)whose _ LOS ANGELES COUNTY name(s) is/aye subscribed to the within instrument and acknowledged to me that he/shem1by executed b3Y QOMW N.EXPIRES JULY 30, 1997 the same In his/hw4ieir authorized capaci es),and that by his/heFAl;eir sign ture(s)on the instrument the person(s),or the entity upon behalf o hi h t persons acted,execute the instr ment. WITNESS my hand and official seal. (Seal) ACKNOWLEDGMENT—All Purpose with Fingerprint—WDIcoIts Form 63238—Rev.12.92 Signature ©1992 WOLCOTTS FORMS.INC. (price class 8.2) 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 CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH FROM 0.1 MILE SOUTH OF ELLIS AVENUE TO 0.1 MILE NORTH OF STATE ROUTE 39/405 SEPARATION, CASH CONTRACT NO. 784, FEDERAL ID NO. STPLN-5181(020), (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 b reason o ex erience or instruction is familiar with Q P � Y .f P � 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. Excel Paving Company Contractor Cn, I By ' r. P Erwin Prasident 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 1 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 .2�' ' 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 IN E CERTIFICATE C 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 and shall submit same to the ' AGENCY prior to performing any work on this contract: 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. ' Excel Paving Company ' Contractor 1 By ' C.P. drown President Title Date C-7 1 i BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: r Bidder Name Excel Paving Company ' P. O. Box 16405 ?230 Lemon Avenue. rBusiness Addrestong Beach, Calffornia 90806 ' Telephone Number ' SI'A 'E LICENSE # 454186 A ' State Contractor's License No. and Class ' Original Date Issued Expiration Date r The work site was inspected by Nei l� cal 'OTT f our office on �- , 19 . 1 The following are Persons, firms, and corporations having a principal interest in thisproposal: r PA,P I K, & Y.AARa 09PORAT'101 i 1 r ' C-9 r c RIGHT THUMBPRINT(OPTIONAL) FE STATE OF CAUFORNSA m LO'AMEIES ss. COUNTY OF 6 O r On before me, Ceiest8 A. Graham, Notary Puihlic (Name,title of officer-i.e.,"Jane Doe,Notary Public') CELESTE A. GRAHAM COMM. #992999 > personally appeared Notary Public - California By C �. Rr> sr� ,"%"'� Y m LOS ANGELES COUNTY personally known t e( to be the person(s)whose M l' &OM/MtSSriON 61GPIRES.IUGY.30;.1997 name(s) isjAwerfibscribed to the within instrument and acknowle ged to me that he%hetthey-executed the same in hisy+ler/theirauthorizedncapaciw ,and that by his/�tertttteirsignature(s)on the instrument the person(s),or the entity upon bethe person(s)acted,executed th instrum t. WITNESS my hand and official seal (Seal) a R �w ACKNOWLEDGMENT—All Purpose with Fingerprint—Wolcotts Form 63238—Rev.12.92 Signature ©1992 WOLCOTTS FORMS,INC. ,(price class 8.2) ' The undersigned are prepared to satisfy the Council of the City of Huntington Beach of their ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. ' Excel Paving Company 1 Company Name Signature of Bidder CA Brown Nsidenf ' Printed or Typed Signature 2230 Lemon Avenue- ' Address r t ►'1'iia 90306 (310) 599-5841 ' Telephone Number ' Subscribed and sworn to before me this day of , 19_ . 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. SEE. ATTACHED Name and Address ' Name and Telephone No. of Project Manager ' Contract Amount Type of Work Date Completed Name and Address Name and Telephone No. of Project Manager ' Contract Amount Type of Work Date Completed C-10 ' 3. ' Name and Address Name and Telephone No. of Project Manager Contract Amount Type of Work Date Completed t , C-11 r 3-31-69 CERTIFICATION W7TH REGARD TO THE PERFORWWCE OF PRE'VIOLS CONTRACTS OR SUBCONTRACTS SUBJECT TO THE EQUAL OPPORTUNITY CLAUSE AND THE FILING OF REQUIRED REPORTS The bidder proposed subcontractor _, hereby certifies that he has (L, has not participated in a previous i contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10923, 11114. or 11246, and that he has IL, has not _, filed with the Joint Reporting Cammsittes, the Director of the Office of Federal Contract Compliance. a Federal Government contracting or idm�stering agency, er the tamer President's Cosmittee on Equal Employment Opportunity, all reports due under the applicable filing requirements. Excel Paving Company omp"y P..Brow'-President �s1 (Title) Date: 1 ' Note: The above certification is required by Whe Equal Employ- cant Opportunity Regulations of the Secretary of Labor 141 CYR 60-1.7(b) (1)) , and must be submitted by bidders and proposed sub- contractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (EZO-1) is the only report required by the Executive orders or their Implementing regulations. Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of oontracts and subcon- tracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal dighway Admin.isttation or by the Director. Office of Federal Contract Compliance, U.S. Department of Labor. ���„ C-12 ' CERTIFICATION FOR FEDERAL AID CONTRACTS ' The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds,have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the ' making of any Federal grant, the making of any Federal loan, the entering. into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant,loan,or cooperative agreement, the undersigned shall complete and submit Standard.Form-LLL,"Disclosure of Lobbying Activities," In accordance with its instructions. This certification is a material representation of fact upon wNch reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352,Title 31, U.S. Code. Any person who fails to file,the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly. C-16 DISCLOSURE OF LOBBYING ACTIVITIES Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 1. Type of Federal action: 2. Status of Federal Action: 3. Report ��Type: Ocontract � bid/offer/application (a.J initial b. grant b. initial award (P uatarial ebanga ' C. cooparative agreement c. post-award d. loan guarantee For Material Change Onlys e. loan insurance year gssartar data of last report ' 1. Sam and Addressrrocf, n9 Tat y: S. If Reporting lntity in So. 1 is Subarardee, 6;1 Cxce av)ng Company later Name and Address of Friars P. 0, Bow 2230 Lemon �6 it known ' Cangresei®al°Di r� act},, �fornia 90806 Congressional District, if knowns 6. Federal Department/Agency: 7. Federal Program Same/Descriptions CM Number, If applicable 6. Fedaral Action Number, if known: 9. Award Amount, if knowas f ' 10. a. Sams and Address of Lobbying lntity b. Individuals Performing Services (including address if (if individual, last name, first name, KI) different from No. 10a) (last name, first news, MI)i (attach Continuation oboe (a) if necessary) ' 11. A■oamt of Payment (chock all that apply): 17.. Ttpe of P"M" (Qawok all tarot apply) • actual planed a. retaiaes k. Qam-tlne fee 12. Fora of Payment (check all that apply): d. Contingent feea. cash b. in-kind; specify: nature •. e. deterred value f. other, specifys la. lrief Description of Services Parforasd or to be performed and Date(s) of Service, including officer(@), employee(s), or somber(s) contacted, for Payment indicated In Itm 11: (attach Continuation Sheat(s) if necessary). ' 11. Continuation Shoat(m) attached: Tom to 16. Information requested through this fors is authorized by Title 31 U.S.C. Section 1352. This disclosure of lobbying Signsture: activities is a w@tarial representation of fact upon which OW( reliance was placed by the tier above when this Print Same: transaction was wade or entered into. This disclosure is (� required pursuant to 31 U.S.C. 2352. This information will Titles be reported to the Congress semi-annually and will be (J10) 599'S841' available for public inspection. Any parson who fails to Telephone No.: file the required disclosure @hall be subject to a civil \n LI penalty of not I"@ than $10,000 and not more than Date: ' $200,000 for each ouch failure. Federal U@e Only: Authorised for Local Reproduction Standard Form-= (2). C-17 INSTRUCTIONS FOR COMPLETION OF SF-LLL, ' DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to Title 31 U.S.C. Section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or ' attempting to influence an officer or employee of any agency, a Member of Congress,an officer or employee of Congress, or an employee of a Member of Congress In connection with a covered Federal action. Attach a continuation sheet for additional information 0 the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal ' action. 4. Enter the full name, address, city, state, and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime Is the first tier. Subawards Include but are-wt iin to subcontracts, isubgrants, and contract awards under grants.._ 5. If the organization filing the report in Rom 4 checks-0%1:4wardee,'than enter the full name, address, city, state and zip code of the prime Federal recipient. Include Congressional District, if known. 6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (Item 1). If known,enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. S. Enter the most appropriate Federal identifying number available for the Federal action identification in hem 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant or loan award number, the applicationtproposal control number assigned by the Federal agency). Include prefixes, e.g., 'RFP-DE-90-001.' 9. for a covered Federal action where there has been an award or loam commitment by the Federal agency, enter the Federal amount of the award/loan icommitments for the prime entity identified in Item 4 or S. r (3) C-18 10. (a) Enter the full name, address, city, state and zip code of the lobbying entity ' engaged by the reporting entity identified in Item 4 to influenced the covered Federal action. (b) Enter the full names of the individuals) performing services and include full ' address if different from 10. (c) Enter Last Name, First Name, and Middle Initial (MI). 11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (Item 4) to the lobbying entity (Item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. ff this is a material change report, enter the cumulative amount of payment made or planned to be made. 12. Check the appropriate box(es). Check all boxes that apply. H payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13. Check the appropriate box(es). Check all boxes that apply. If other, specify ' nature. 14. Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity, not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15. Check whether or not a continuation sheet(s) is attached. 16. The certifying official shall sign and date the form, print his/her name, title, and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, -gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503. (4) ' C-18 TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 DEBARMENT AND SUSPENSION CERTIFICATION The bidder, under penalty of perjury, certifies that except as noted below, he/she ' or any person associated therewith in the capacity of owner, partner, director, officer, manager: is not currently under suspension, debarment, voluntary exclusion, or r determination of ineligibility by any federal agency; has not been suspended, debarred voluntarily excluded or P � � Y determined ineligible by any federal agency within past three years; ' does not have a proposed debarment pending; and has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years N there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidders responsibility. For any exception noted above, indicate below to whom it applies, initialing agency, and dated of action. i Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. ' c-Zo CITY OF HUNTINGTON BEACH 2000 MAIN STREET P. 0. BOX 190 CALIFORNIA 92648 Louis F. Sandoval Public Works Department Director (714) 536-5431 CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY INT HUNTNGTON BEACH '� ��� from '1y 2 0 19` __ 0.1 MILE SOUTH OF ELLIS AVENUE TO 1.0 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT No. 784 FEDERAL ID No. STPLN-5181 (020) in the CITY OF HUNTNGTON BEACH ADDENDUM NUMBER 1 May 17, 1994 Notice to All Bidders: The following revisions/corrections shall be included in the.bid documents: 1. Project Specifications, Sample Contract, Page D-7, Item No. 8 shall be deleted in its entirety and replaced with the following: 8. BONDS CONTRACTOR shall, prior to entering upon the performance of this agreement, furnish the following Two 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 naming both the City of Huntington Beach and State of California as the obligees; and one in the amount of one hundred percent (100%) of the contract price to guarantee payment of all claims for labor and materials furnished, naming both the City of Huntington Beach and State of California as the obligees. 2. Project Specifications, Sample Contract, Page D-11, Item No. 19 - LIQUIDATED DAMAGES/DELAYS: The amount of the liquidated damages_shall be changed from"two thousand one hundred dollars ($2,100)" to, "one thousand five hundred*fifty dollars ($1,550)". ' Addendum No.1 -cc784 Page 2 5/17/94 3. Project Specification, Section E - Special Provisions, Page E-2, 2-4 - Contract Bonds; Add the following: The contractor shall, prior to entering upon the performance of this agreement, furnish the following Two 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 naming both the City of Huntington Beach and State of California as the obligees. • one in the amount of one hundred percent (100%) of the contract price to guarantee payment of all claims for labor and materials furnished, naming both the City of Huntington Beach and State of California as the obligees. 4. Project Specifications, Section E - Special Provisions, Page E-24, 3-7 - "Traffic Control System for Lane Closure": Delete the phrase"(except for flagging costs)" in the first sentence and the entire last sentence of the sixth paragraph. The cost for any required flagging to complete the required work will be included in the cost for providing traffic control system. 5. Project Specifications, Section E - Special Provisions, Page E-36, 3-12.12 -Reconstruct Water Valve and meter; Reconstruction of water service is defined as follows: Case 1 -Relocation of meters further away from water main. Abandon and remove existing water service back to water main. Install new 2" service line, new"Sensus SR Touch-Read" meter (match existing meter size), new"J&R Polymer Concrete Meter" valve box. Construct new service tap and abandon/plug existing hole if necessary. Return existing water meter to Agency. Case 2 - Relocation of meters closer to water main. Cut existing service line to proper length. Install new"Sensus SR Touch-Read" meter (match existing meter size) and new"J&R Polymer Concrete Meter"valve box. Return existing water meter to Agency. • Addendum No.1 -cc784 Page 3 5/17/94 All bidders shall acknowledge the receipt of this Addendum with their proposal. These revisions do not change the Engineer's Estimate or the Bid Opening Date/Time for this project. Should you have any questions regarding this Addendum, please call David Webb at (714) 375-5077. City of Huntington Beach r David A. Webb, P.E. Resident Engineer I have reviewed Addendum No. 1 dated May 17, 1994. I understand that a signed copy of Addendum No. 1 shall be included in the bid documents. excel Paving Qom®any Company Name By C.P. BroWh President Date CC784/RCA/784aden 1.doe FROM:PUBLIC WORKS TO: 1 310 599 2614 MAY 27, 1994 2:42PM 0856 P.05 City of Huntington Beach Department of Public Works � V 2000 Main Street, P.O. Box 190 — Huntington Beach, CA 92648 / //(714) 53&5431 fax (714) 374-1573 U1 .11T1111111111111111, % � %r/A/ // wl Fax Cover Sheet To: From: P CA VR- we,b Company: �-- X cc'Q Pa y i n L date: 5 f 7 q� Fax #: 3 10 -7 4-$ 5 Pages including Cover Sheet: Please notify operator @ (714) if all pages are not received. Comments: C 704-- pLA tJ X o 1-0 E tz- L.( ST A ap�N uVM 2. FROM:PUBLIC WORKS TO: 1 310 599 2614 M^1 27, 1994 2:40PM #856 P.02 CITY OF HUNTINGTON BEACH ' 2000 MAIN STREET P. O, BOX 190 CALIFORNIA 92648 Louis F. Sandoval Public Works Department Director (714) 538-5431 CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH from 0.1 WLE SOUTH OF ELLIS AVENUE TO 1.0 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT No. 784 FEDERAL ID No. STPLN-5181 (020) in the CITY OF HUNTINGTON BEACH ADDENDUM NUMBER 2 May 27, 1994 Notice to All Bidders: The following revisions/corrections shall be included in the bid documents: 1. Bid Item No. 56 -"Lighting"; as called for in the project specification shall be changed from a lump sum bid item to a combination of the following unit price bids. Item Unit Quantity Unit Total Price 56a Install 2.5"-sch 40 PVC conduit and pull rope for LF 1100 SCE street lighting system 56b Install new street light 2ullbox Ea 12 56c Relocate City owned street light, including all Ea 1 required conduit., conductors, new base and removal of existing base on Main Street w/o Beach 56 1 Total of items 56a-56c entere this amount for item 56 on pr9ject bid schedule Southern California Edison (SCE)will furnish a"Conduit and Pull box" location plan to the successful bidding contractor. The successful bidding contractor shall be responsible for installing all conduit, pull ropes and pullboxes along with removal and reconstruction or surface improvements (sidewalk, pavement, landscaping , etc.) for street light relocation's on the SCE system. SCE's contractor will pour new bases, relocate their street lights, provide conductors, make all electric connections and remove the existing street light bases. FROM:PUBLIC WORKS TO.' 1 310 599 2614 r— 27, 1994 2:39PM #B56 P.01 Addcndum No.2-cc784 Page 2 5/27/94 The successful bidding contractor shall be responsible for all work required to relocate City owned street lights. 2. The following street light poles as shown on sheet 96(E-18) of the plans will not be relocated as called out for on the plans. West side of Beach Blvd., north of Warner Ave. Pole referenced"NO #MARKED ON POLE." West side of Beach Blvd., south of Warner Ave. #2295492E #2295493E #4076393E The street light pole as shown on sheet 18 (L-10) of the plans, east side of the street, at approximate station 256+20, will require relocation, All bidders shall acknowledge the receipt of this Addendum with their proposal. These revisions do not change the Engineer's Estimate or the Bid Opening Date/Time for this project. Should you have any questions regarding this Addendum, please call David Webb at (714)375-5077.' City of Huntington Beach David A tVebb,P.E. Resident Engineer I have reviewed Addendum No. 2 dated May 27, 1994. I understand that a signed copy of Addendum No yshali be included in the bid documents. 8xcel Laving Company C �.P. ' n-President Company Name By Date CC784/RCA/784aden2.doc • FROM:PUBLIC WORKS TO: 1 310 599 2614 MAY 27, 1994 2:41PM ##856 P.03 'ENGAEER ,L—L . i ACC'T # �°2 r i� ��`�-c)(A-U" n_um LIST OF BIDDERS THAT HAVE TAKEN PLANS AND SPECIFICATIONS F �, D �S �j0B Cc. No, COS 20- . , DESCRIPTION �� cl ) l� ST, d d Q ENG. OPEN BIDS....! I9 AM NAME AND '. ADDRESS TELE. N0, FAX NO. RECEIPT N{ o �- 17( d ' I Sa .� Pff- Le n c,- o cv 9 (o3 /' g17-090 1 ITIAKIMIVA op NAME AND - ADDRESS 0 (/f ` � C,►� - f � r mow•.. � 'i •� � 1 ' t� ►Ji►'� ice . • , • .,�� t EXCEL PAVING OOMPANY P.O.BOX 16405 A GENERAL ENGINEERING CONTRACTOR LONG BEACH,CA 90806-5195 STATE LICENSE NO.454186 A (319 599-5841 C. P. BROWN - 33 YEARS EXPERIENCE WORKING FOR OTHER GENERAL CONTRACTORS WITH THE PAST 16 YEARS BEING SELF-EMPLOYED AS AN ACTIVE PARTNER IN OWN GENERAL ENGINEERING CONTRACTING BUSINESS. K. G. MILLS - 35 YEARS EXPERIENCE WORKING FOR OTHER GENERAL CONTRACTORS WITH THE PAST 16 YEARS BEING SELF-EMPLOYED AS AN ACTIVE PARTNER IN OWN GENERAL ENGINEERING CONTRACTING BUSINESS. EXCEL PAVING 4ODMPANY P.O.BOX 16405 A GENERAL ENGINEERING CONTRACTOR LONG BEACH,CA 90806.5195 STATE LICENSE NO.409208 A (213)599-5841 To Whom It May Concern: Excel Paving Company, a General Partnership consisting of the following general partners: 1. Y.A.K. Corporation 2. Palp Incorporated Both California Corporations, hereby authorize anyone of the following persons to sign, on behalf of, and to bind Excel Paving Company to contracts, bid proposals, addendums, permits and bonds. --- G Y.A.K. Corporation by K. G. Mills, President 4). Palp Inc. by C. P. Brown, President Lawrence D. Bonnell, General Manager A EXCEL PAVING COMPANY f TEMENT OF EXPERIENCE AGENCY OR OWNER PROJECT LOCATION TYPE OF WORK 5 AMOUNT COMPLETE - ------------------------- LEVER BROTHERS 6300 E. SHEILA ST., COMMERCE OIL TREATMENT b OUST CONTROL 6,970 12/90 HOME BANK. 1217 N. CATALINA, RED. BEACH SEAL & STRIPE 2,810 01/91 BOWERS TRACTOR SERVICE, INC. 1300 S. BEACH, LA HABRA AC TRENCH PATCH 2,470 11/90 L.B. COMM. COLLEGE DIST. ALAMEDA & MAY.AVE., LB PARKING LOT CONSTRUCTION 74,400 01/91 CBE DISTRIBUTION 2225 MINER ST.. SAN PEDRO AC RAMPS TO SCALE 1,800 12/90 HUNTER CORP. TRABUCO CANYON SEWER TRTMENT AC PATCHING 600 01/91 JOHN MALLOY CRISWALO ST., SAN FERNANDO AC PATCHING 3,900 12/90 POMONA VALLEY EQUIP. 2010 W. 7TH ST., LONG BEACH AC TRENCH PATCHING 13,824 12/90 RICHARD LANE 11101 HENDRY, G IIITH, LA TRENCH PATCH 1,585) 02/91 C/O HIDDEN HILLS 5151 ROUND MEADOW, CALABASAS STIRPING 2,520 03/91 SIL!.'r.A PACIFIC EUGRAIJI< A!PPOrT TRE'IC!1 PATCH 1,4(;7 01/91 CfTY OF LOS ANGELLS VAN NOYS b1Yfj. SIRF.L'. 1f1P1:UVL'4LN1S 54,201 U5p.Il OINWIDDIE CONTT. CO. 1200 GETTY CENTER Ok., LA CLEANING, GRADING, STRUCTUkL 113,769 01/91 ELMORE PIPE JACKING LAX-BEHIND TAXI PKG., LA AC PATCH 1,800 01/91 J.W. STEPHENS ELEC. 6100 WOOOLEY AVE., VAN NUYS STREET IMPROVEMENTS 1.650 02/91 KAJIMA INTERNATIONAL, INC. 201 CENTRE PLAZA DR., MON1. PARK. 1EMPORARY ACCESS ROAD 11.774 01/91 CALIF. STATE UNIV. DOM HILLS 1000 E. VICTORIA ST.. CARSON CONCRETE BUS PAO 27,453 05/91 RAWLINGS MECHANICAL CORP. LAPHAM ST., EL SEGUNDO TRENCH PATCH 2,000 03/91 DINWI0OIE CONS1. CO. 1200 GETTY CENTER DR., L.A. ROAD CONSTRUCTION 68,872 05/91 ADVANCED MECHANICAL CHLVRUN REF., EL SEGUNDO TRENCH PA1CH 1.751 03/91 CARNEY BRFOTHERS. INC. 1200 VISTA DEL MAR, L.A. PAVE TRENCH 12,804 03/91 RAYMOND DOLLAR 1919 SANTA MONICA BLVD. A.C. PATCH 7.240 05/91 SINCLAIR CORP. PRINCESS S 14 FWY, NEWHALL A.C. PATCH 2.275 05/91 SINCLAIR CORP. 7TH ST. G BELLFLOWER, L.B. A.C. PATCH 2,375 05/91 BURB/GLEN/PASA AIRPORT AUTH. 2627 HOLLYWOOD WAY, BURBANK A.C. PAVING 26,942 05/91 AMERICAN LANDSCAPE CULVER @ MADISON, CULVER CITY PARKING LOT 107,750 10/91 CITY OF REDONDO BEACH AVE. G G PCH. RED. BEACH STREET CONSTRUCTION 99,969 08/91 ADVANCED MECHANICAL 3855 LAKEWOOD BLVD., L.B. TRENCH PATCH 850 05/91 SHEA TAYLOR LAX - BRADLEY TERMINAL MISC. A.C. PATCH 2,000 07/91 JOHN MALLOY EUCLID G VARIOUS, FULLERTON TRENCH PAVE 31.400 06/91 CITY OF SIMI VALLEY SYCAMORE & ROYAL STREET REHABILITATION 96.974 07/91 SCHULTZ MECHANICAL 223RD 6 WILMINGTON, CARSON TRENCH PAVE 1.982 07/91 MCC CONSTRUCTION 2531 E. 67TH ST., N.L.B. A.C. PATCH 1,700 05/91 ADVANCED MECHANICAL 324 W. EL SEGUNDO BLVD.. E.S. A.C. PATCH 2,600 05/91 JPL ROAD "A" RESURFACE & SEAL 13.218 10/91 THUMS LONG BEACH PIER "f." A.C. PATCH 3,900 07/91 RAWLINGS MECHANICAL #1 NORTHROP AVE.. HAWTHORNE TRENCH PATCH 3.003 07/91 BILL ROGERS ORANGE AVE.. SIGNAL HILL FINE GRADE AND A.C. PAVE 2,315 07/91 L.A. CO. PUB. WORKS PCH, HARBOR CITY RETAINING WALL 68,869 08/91 ELKS LODGE 4101 E. WILLOW ST., LONG BEACH INSTALL RIGHT TURN LANE 40,128 08/91 CITY OF LOS ANGELES SOTO ST. S 6TH ST., L.A. TUNNEL CLOSURE 18,369 08/91 MINES INTEREST 601 S0. FIGUEROA ST., L.A. STREET RESURFACE 17,950 06/91 CALTRANS FAIRFAX AVE. & 10 FWY., L.A. PARKING LOT 60,713 11/91 CALIF. FAIRS FINANC. AUTH. 88 FAIR DRIVE, COSTA MESA A.C. PATCHING L RESURFACING 96.669 07/91 CONVERSE ENVIRONMENTAL 1780 CLARK ST., LONG BEACH TRENCH PATCHING 920 07/91 L.A. CO. SANT. DIST. VARIOUS LOCATIONS, TORRANCE STREET PATCHING 4,500 07/91 SCHULTZ MECHANICAL CHEVRON, EL SEGUNDO FINE GRADE 6 A.C. PAVE 27.187 07/91 PECK/JONES NORTHPOINT, HOWARD HUGHES CNTR STREET IMPROVEMENTS 32.400 12/91 -SILVER-SPUR DISSOCIATES 700.SILVER SPUR,_PALOS-VERGES-- --A.C.-PATCH_ ----- - ---- --1,400-D7/91 -. LEVER BROS. 6399 E. SHEILA ST., L.A. - A.C. REMOVALS S REPLACE 64,471 09/91 BURBANK AIRPORT 2627 HOLLYWOOD WAY, BURBANK A.C. PATCH 3.000 08/91 PECK/JONES WILSHIRE & RODEO, B.H. A.C. PATCHING 10,000 08/91 CHEMICAL WASTE MANAGEMENT 11559 NORMANDIE, L.A. A.C. SPEED BUMP 1,500 08/91 STATEMENT OF EXPERIENCE - J ;•AGENCY OR'OWNER PROJEC' ATION TYPE OF WORK AMOUNT COMPLETE C.D.I. ELECTRIC, INC. #1 NORTHRUP AVE, HAWTHORNE A/C PATCHING 1,390 08/91 4GCI CONSTRUCTION FIRESTONE CENTER, NORWALK A/C PATCHING 1,650 08/91 FLUOR DANIEL, .INC. UNOCAL. WILMINGTON A/C TRENCH PATCHING 16,000 10/91 JPL 4800 OAKGROVE, PASADENA A/C RESURFACE 5,984 08/91 BELLAMARINE-JEFFERSON H.S. A/C PATCHING PARKING LOT IMPROVEMENTS 7.800 08/91 ARB, INC. 1022 E. SEPULVEDA, CARSON BASE & PAVE 52.020 11/91 CITY OF OCEANSIDE STATE TREE DR.. OCEANSIDE STREET WIDENING 157,634 11/91 CITY OF L.A./DWP ARTESIAN ST. A AVE. 26, L.A. A/C PAVE 7,007 10/91 LBUSO BARTON ELEMENTARY PLYGItND RESURF. & CONC. FENCE 284,568 11/91 E G R ELECTRICAL 9TH & HARBOR FWY, L.A. TRENCH PATCH 7.000 09/91 MOBIL OIL CO. 3700 W. 190TH, TORRANCE A.C. PAVE 5,145 O9/91 JENKIN CONSTRUCTION CO. LAMBERT & PUENTE, BREA TRENCH PATCH 7,000 09/91 S!;1.11!OMO CONS'.I'fICT:()fi S/li CORNED ATIll C101! `.. P.V 1Rff'Cfi PA"( ,,76,, Oq/q1 CITY 01: CORONA CUTA S1 . C AO;RATH IIRIVf. sllL (1LV!lOPME111 PR0JLC1 19o,64- 12/yl BCI PROSPECT & BERYL, RED. BEACH TRENCH PATCH 2,000 09/9I G.L. WILKINS, INC. 19234 SATICOY ST., RESEDA TRENCH PAVE 1,590 09/91 ARMSTRONG REFINERY 5017 PATATA ST., SOUTH GATE PARKING lOT PAVE 7,406 O9/91. UNOCAL Ib60 W. ANAHEIM GRADE & AC PAVE 13,488 09/91 L.A. CO. SANT. DIST. 412S W. VALLEY BLVD., WALNUT GRADE & PAVE 224,647 11/91 RAWLINGS MECHANICAL 1 NORTHRUP AVE., HAWTHORNE TRENCH PATCH 2,000 10/91 CONKEY COMPANILS 2677 HOLLYWOOD WAY, 81111*111ANY. TAXIWAY DRIVE_ 16,104 II/91 ADVANCED MECHANICAL BUSCH, VAN NUYS IRLNCH PAVE 1,200 11/91 ADVANCED 1ECHANICAL CHEVRON USA, EL SEGUNDO TRENCH PAVE 800 10/91 L.A. CO. SANT. DIST. WORKMAN MILL ROAD, WHITTIER CONCRETE STORAGE PAD 16,169 01/92 SHEA TAYLOR IMPERIAL L VISTA DEL MAR, L.A. ROADWAY PAVE 3,500 10/91 L.A. DEPT. OF AIRPORTS TAXIWAY "F", LAX PETROMAT 14.832 11/91 808 HILL CRANE 201 SO. LAKE ST., PASADENA TRENCH PATCH 500 11/91 ADVANCO CONST. DIVISION/BENNETT. L.B. ALLEY RECONSTRUCTION 17.516 12/91 JENKIN CONST. 2650 LIME AVE.. L.B. PARKING LOT PAVE 2,166 11/91 CITY Of CYPRESS CEDAR GLEN PARK PARKING LOT REPAVE 21.905 03/92 JENKIN CONST. CHEVRON REFINERY. EL SEGUNDO TRENCH PATCH 5,640 11/91 CMR CONST., INC. MIRA14AR SHERATON HOTEL, S.M. STORM DRAIN SYSTEM 14,280 11/91 RANCHO PALOS VERDES NARCISSA G SWEET BAY OR. ROAD REPAIR 2,760 11191 BRIAN DONALDSON 2201 WILLOW ST.. LONG BEACH PARKING LOT PAVE 3.600 11/91 THUMS LONG BEACH PIER J DRILL SITE TRENCH PAVE 2,628 11/91 THUMS LONG BEACH ISLAND CHAFFEE TRENCH PAVE 20,000 01/92 THE P.Q. CORPORA71014 8401 QUARTZ AVE., SO. GATE RECONSTRUCT POAD14AY 23.278 12/91 WEST CENTURY 102 1710-12-34 W. CENTURY, INC.LE11000 STOPM DRAIN 2,100 12/91 MIRON ELECTRIC 4800 OAK GROVE OR., PASADENA TRENCH PAVE 1.956 01/92 CITY OF INDUSTRY PHOENIX OR. G ROBIN WAY A.C. OVERLAY ST. 24,544 01/92 JKB CONST. CO. 3272-3280 MOTOR AVE., L.A. STREET IMPROVEMENT 38.028 12/91 PREFERRED PUBLIC STORAGE 5351 JURUPA ST., ONTARIO SITE DAMAGE REPAIR 27.255 12/91 LONG BEACH COMM. COLLEGE CLARK G CARSON, LONG BEACH SEAL G STRIPE 12,500 01/92 LAKEWOOD BATTING CAGES 3901 PARAMOUNT BLVD., LAKEWOOD SEAL G STRIPE 2.310 01/92 RANDLE ENTERPRISES 1512 W. 7TH ST., LONG BEACH TRENCH PATCH 7,500 01/92 JOHN HOPPS 1878 TORRANCE BLVD. SEAL G STRIPE 3,200 01/92 THUMS LONG BEACH PIER J TRENCH PAVE 4,000 01/92 EMPIRE PROPERTIES VARIOUS - PATCH PARKING LOT REPAIR 8,029 02/92 GORE DEVELOPMENT ORANGEWOOD CHILDREN'S HOME AC PATCH 1,485 01/92 SCHULTZ MECHANICAL WOOLSEY CANYON RD. - CHATSWORTH POTHOLE PATCHING 3.480 01/92 RAWLINGS MECHANICAL #1 NORTHRUP AVE.-, HAWTHORNE -.TRENCH PAVE-.__-.. _-._ ._..-_ ._____2,000,02/92-- HOFFMAN ELECTRIC 12723 E. 166TH, CERRITOS TRENCH PATCH 5,950 02/92 GENERAL CONSTRUCTION BERTH 91, SAN PEDRO TRENCH PATCH 800 02/92 CALEX ENGINEERING 3700 E. SOUTH ST., LAKEWOOD MISCELLANEOUS PAVING 1.993 0,/92 FLOUR DANIEL UNOCAL REFINERY, WILMINGTON A.C. PATCH 4,500 04/92 HOFF14AN ELECTRIC PCH G MAIN ST.. HUNT. BEACH TRENCH PATCH 1,700 02/92 GETTY TRUST 138 PALISADES, SANTA MONICA TRENCH PAVE 825 04/92 SO. PACIFIC TRANSP. CO. 2850 KERR ST., L.A. ROAD REPAIR 4,138 03/92 EXCEL PAVING COMPANY STATEN - OF EXPERIENCE GENC;y OR OWNER PROJECT LOCk .N TYPE OF WORK S ' AMOUNT . COMPLETE OFF?4AN ELECTRIC L.B. NAVAL SHIYPYARD TRENCH PATCH 893 02/92 )RILEY CONST. CO. CANOGA @ OXNARD, L.A. TRENCH PATCH 1,125 03/92 4ERICAN AIRLINES 7000 WORLD WAY WEST, L.A. PCC PAVE 15.155 04/92 :T PROPULSION LABORATORY 4800 OAK GROVE, PASADENA TRENCH PATCH 1,260 03/92 LUMBING SYSTEMS INC. 21ST ST. @ CHERRY AVE., S.H. TRENCH PATCH 800 03/92 .W. STEPHENSON PIER F/BERTH 2O6, LONG BEACH SITE PAVE 5.122 03/92 JMITOMO BANK. Of CALIF. 11345 OLYMPIC BLVD., L.A. PATCH, SEAL 6 STRIPE 5.429 04/92 'LLIAM ROGERS 1250 E. SECOND ST., L.B. PARKING LOT 5,20` 04/92 fD CORPORATION NEECE G 42NO ST.. TORRANCE RECONSTRUCT ROAD 14,713 04/92 EXCEL PAVING 'OMPANY P.O.BOX 16405 A GENERAL ENGINEERING CONTRACTOR LONG BEACH,CA 90806-5195 STATE LICENSE NO.454186 A (31 q 599-5841 LIST OF REFERENCES 1. CITY OF LONG BEACH, 333 WEST OCEAN BOULEVARD, LONG BEACH, CA. 90802 CONTACT: BOB HOWARD, 310-590-6441 CONTRACT AMOUNT: $2,988,948.00 TYPE OF WORK: STREET RECONSTRUCTION, CURB, DATE COMPLETED: JULY, 1991 GUTTER, SIDEWALK, SEWER, STORM DRAIN 6 WATER LINES 2. CAL TRANS, 3195 AIRPORT LOOP DRIVE #B, COSTA MESA, CA. 92686 CONTACT: LARRY KELLERMAN, .714-556-9334 CONTRACT AMOUNT: $1,878,871.00 TYPE OF WORK: LAGUNA CANYON ROAD, ASPHALT DATE COMPLETE: OCTOBER, 1991 RESURFACING, STORM DRAIN, CURB, GUTTER 3. LOS ANGELES COUNTY PUBLIC WORKS, 900 SOUTH FREMONT AVENUE, ALHAMBRA, CA CONTACT: BILL DALY, 818-458-3118 CONTRACT AMOUNT: $655,149.00 TYPE OF WORK: SIERRA HIGHWAY, STORM DRAIN, DATE COMPLETED: APRIL, 1991 WATER, SEWER, EXCAVATION AND A.C. PAVING 4. PORT OF LONG BEACH, 925 HARBOR PLAZA, LONG BEACH, CA. 90802 CONTACT: RON BUSH, 310-590-4129 VARIOUS PROJECTS PERFORMED 5. L. A. HARBOR DEPARTMENT, 425 SOUTH PALO VERDE STREET, SAN PEDRO, CA. 90731 CONTACT: GIL ALBERTO, 310-519-3522 VARIOUS PROJECTS PERFORMED 6. JET PROPULSION LABORATORY, 4800 OAK GROVE DRIVE, PASADENA, CA. 91109 CONTACT: BERNIE BARREN, 818/354-4654 VARIOUS PROJECTS PERFORMED EXCEL PAVING ODMPANY P.O.BOX 16405 A GENERAL ENG24EERING CONTRACTOR LONG BEACH,CA 90806-5195 STATE LICENSE NO.454186 A (213) 599-5841 CREDIT APPLICATION EXCEL PAVING COMPANY 95-3644982 P.O. BOX 16405" 2230 LEMON AVE. LONG BEACH, CA. 90806-5195 TELEPHONE NO. : ( 310 ) 599-5841 FAX NO. : ( 310 ) 591-7485 or ( 310 ) 599-3679 TYPE OF BUSINESS: PAVING AND GRADING CONTRACTOR CONTRACTORS LICENSE NO. 454186A EXCEL PAVING COMPANY IS A PARTNERSHIP. OWNER: PALP INC. 2230 LEMON AVE. LONG BEACH, CA. ( 310 ) 599-5841 C.P. BROWN, PRESIDENT Y.A. K. CORP. 2230 LEMON AVE. LONG BEACH, CA. ( 310 ) 599-5841 K.G. MILLS , PRESIDENT IN BUSINESS SINCE: 10-81 IN LOCATION SINCE: 10-81 LEASED: BROWN & MILLS PROPERTY BANK: HOME BANK BRANCH: SIGNAL HILL PHONE: ( 310 ) 426-8166 ADDRESS: 2633 CHERRY AVE. , SIGNAL HILL, CA. 90806 ACCOUNT REPRESENTIVE: TERESA TREADWELL CHECKING ACCOUNT NO. : 05-02-108160 FINANCIAL POSITION IS ON FILE WITH DUN & BRADSTREET, RATING 2A1, SIC NO. 1611 REFERENCES: NAME ADDRESS PHONE NUMBER 1 . INDUSTRIAL ASPHALT 16005 FOOTHILL, LA ( 310) 834-2655 2 . R. E.H. TRUCKING P.O. BOX 217 , CHINO ( 714 ) 591-0871 3 . BLUE DIAMOND MATERIALS DEPT 0007 , LA ( 310 ) 531-3550 4 . M & W EQUIPMENT RENTAL 1436 W. 134th ST, GARDENA ( 310 ) 327-8323 5. LIVINGSTON-GRAHAM 16080 E. ARROW IRWINDALE ( 818 ) 960-5471 "SPECIAL BILLING REQUIREMENTS" MUST SHOW EXCEL' S JOB NUMBER AND ITEM NUMBER ON INVOICES TO INSURE SPEEDY PAYMENT. I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT, AND THAT WE CAN AND WILL COMPLY WITH YOUR TERMS. c ---------------- - -i DATE SIGNED txtAAkkxAxtkxt.xxkkAikkxAkxkxxtkxkxkAtkkAixt.xx kkkkkir.t:tikkkkkAkk�kk;kki:ki�ikkkkikkkkkt�kic' ;tiitkkkk:kitkktkl:k:tikl:ikkkif;kkkkkk AGES► JOB NUHBER LIST 22-Apr-94 ttA°yAktkkAitAxtkktAAAAxtxk*.xkkx.*.t.xkAk At*ti.ixx.+.kAtkkkAkikAAAkiAkAAAkkktkkkAAAkkAAiikikkkikki:tAl;:tk;tEiilt;tkf:**A* AiiiiiiAii DNTRACT CONTRACT PERCENT DATE JOB# OWNER LOCATION CITY AMOUNT COMPLETED -------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------- kkkktA 2/28/94 1115194 2397 DEEP, INC. 2050 JON F. GIBSON SAN PEDRO 4,576 0€ 1/14/94 2396 CHRISTIANSON IRRIGATION 4800 E. WARDLOW LB 2,400 0€ 1/14/94 2395 BURB/GLEN/PASAD ARPRT AUTH 2627 HOLLYWOOD WAY BURBANK 24,827 0€ 4ii3/94 2354 Lb Kf, IAL MEiriCAL 28Gi ATLANTIC AVE Lb 149,769 6i 1/13/94 2393 PECKJJONES 4000 WARNER BURBANK 88,344 0€ 1/12/94 2392 CHRIST 2ND BAPTIST CHURCH 1471 MARTIN LUTHER KING LB 2,650 0€ 1/11/94 2391 AMERICAN INVESTMENT 20111 ROSCOE CANOGA PARK 3,921 0€ 1/11/94 2390 BALDWIN PARK, 1/0 ROMONA BLVD, BALDWIN PARK 244,235 0€ 1/08/94 2389 PIPE-CON 3305 E. BANDINI LA 3,606 0€ 1/08/94 2388 CALTRANS 405 FWY LA 1,746,51i 0€ 1/07/94 2387 LA, CIO IVAN HILL TERRACE LA 109,572 0€ 1/07/94 2386 SO PACIFIC RATLROAD 750 LAMAR LA 20,000 0€ 1/07/94 2385 CALTRANS DEVONSHIRE UNDERCROSSING LA 1,725,383 0€ 1/050 4 2384 SCHULT2 MECHANICAL 570 W. AVE. 26 LA 33'00O 0€ 1J01/94 2383 PCI VARIOUS-ANAHEIM CITY SAN DIMAS 8,160 of {/31/94 2382 PALMDALE, C1r' 10TH ST/PALMDALE BLVD PALMDALE 225,448 u€ 1/31/94 2381 SO PACIFIC i:AiLROAD 19700 SLOVER BLOOMINGTON 10,984 0€ 1/29194 2380 UNITED AIRLINES 6018 AVION DRIVE LA 1,089 0€ i128/94 2379 FLOUR DANK:•_, INC. UNOCAL WILMINGTON 20,000 0€ 1/28/94 2378 KAISER FOUNDATION 6041 CADILLAC AVE. LA 25,130 0€ 1/28/94 2377 MILLIE & SEVERSON 455 COLUMBIA. ST. LB 457,852 0€ 1/27/94 2376 JPL 4800 OAK GROVE DR. PASADENA 347,000 0€ '125/94 2315 UNIVERSAL STUDIOS VENTURA/LANKERSHIM LA 5,500 0€ 1J24/94 2374 JPL 4800 OAK GROVE DR. PASADENA 486,000 0€ 423194 2373 SO PACIFIC RAILROAD BOLSA AVE. WESTMINSTER i,940 0€ 1/23/94 2312 MIRON ELECTFIC 4800 OAK GROVE PASADENA 2,064 0€ i123J44 2371 GOODYEAR AIRSHIP OPEd. 19200 S. MAIN GARDEN GROVE 20,086 0€ I/2l/94 2370 L.A.W. & P. GREEN VERDUGO PUMP. STAT. LA 66,000 0€ i/is/94 2369 SO PACIFIC LINES ALAMEDA S/O FLORENCE HUNTINGTON PARK 3,O00 0€ il'18194 2368 SO PACIFIC iAiLROAD NORDOFF & CANOGA BURBANK 4,757 0€ /17/94 2367 LB, CiO WEST SPRING STREET LB 11,469 0€ i/15/94 2366 LB MEMORIAL MEDICAL CENTER 2801 ATLANTIC AVE LB 3,800 0€ /11/94 2365 DPR CONSTRUCTION, INC. 4401 JAMBOREE RD. NEWPORT BEACH 62,726 0€ �/10/94 2364 MURRAY CO. 502 COVINA BLVD. SAN DIMAS 28,752 0€ I10/94 2363 HOLLIS & ASSC. CULVEF. & IRVINE CNTR IRVINE 86,083 0€ /i0/94 2362 DPR CONST., INC. 4401 JAMBOREE RD NEWPORT BEACH 4,0G0 0% /08I94 2361 MURRAY CO 502 COVINA BLVD SAN DIMAS 28,752 0€ /07/94 2360 JOHN T. FRI...i GARDEN GROVE BLVD GARDEN GROVE i9,368 0€ /07/94 2359 UNDERGROUND CONST 7155 WORLDWAY WEST LAX LA ?,19C 0€ /04/94 2358 UNITED AIRLINES 6018 AVION DRIVE LA i3.659 0€ /03/94 2357 LACSD IiTH & ORANGE AVE LB 20,165 0€ 102/94 2356 BURBANK, CiO 1500 WALNUT AVE BURBANK .,5;6 u€ /02/94 2355 BURB/GLENi.ASA.D AdPRT A'TH 2627 HOLLYWOOD WAY BURBAN1, 1 00 0€ 101/94 2354 LONG BEACH, ,'u BELI.:LOWER & ATHERTON LB 89, Bi 0$ /28/94 2353 LACPWD VIA ANACAPA/VIA. ALVARADO PALOS VERDES 31,73? C€ /22/94 2352 CALIF SULP'r.;Js 2509 N. GRANT WILMINGTON 21€ 118/94 2351 LACPWD TELEGRAPH RD COMMERCE 1,334,3," i€ /17/94 2350 PTFECON 3305 E. BANDINI BLVD VERNONi,15G 17€ /17194 2349 ORANGE, C/O MAPLE AVE ORANGE 1264.10 1€ /16/94 2348 R.J.&J. CONST INC FREEDMAN WAY ANAHEIM 3.210 50€ /16/94 2347 BURBANK, CIO DEBELL GOLF CORSE BURBANK 1 455 13€ xkkkkkx>.xkkt.kkkkkkkt.kxkkkkkkxkxkkxkxkkkkkkxkk kkakkkkkkkkkkkxkkkkkkkkkkkkkkxf.ixkkkkkxkkkk `t.kkkkkkkkkkkxkkkkkkkkkxkkkkkkkk AGE JOB NUMBER LIST 22-Aor-94 xxx,�tf.xxr.kxXkk#kki:kz3kkkkkkxkkxkk7kkkkkkkkkkkkkkxkkkkkkkAkkkkY.ki:kkkkkkkkxkXxkkkXxxt.Xlr.ir.Xkkkkkkkkkkkk>,kkkkkkkkxkkkkkkkkkkkkkkkkk ONTRACT CONTRACT PERCENT DATE JOBn OWNER LOCATION CITY AMOUNT COMPLETED -------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------- xkkxkx 2/28/94 1i110/94 2346 SO PACIFIC RAILROAD ALAMEDA. & SEPULVEDA CARSON 5,000 581 i/31/94 '343 LOS ANGELES, C/0 112T'H ST LA 32,504 1% 1/28/94 2342 GOODYEAR TIRE & RUBBER CO. 19200 S. MAIN ST GARDENA 17,675 0% i/2E;94 23ii LONG BEACH, C/O CHEAnY .'iE L3 289,450 1$ 1126/94 2340 CONSOLIDATED FREIGHTWAY 21300 S. WILMINGTON CAR SON 2,036 0% 1/21194 2336 LA. CO METRO TRANSP AUTH VARIOUS LOCATION LA 35,942 2% 1/20/94 2334 MISSION VIEJO, C/0 SADDLEBACKJCOLLEGE CENTER MISSION VIEJO 21.4,522 1% 1/18/94 2333 LACFWD 120TH ST LAN CA,STER 49,512 95% 1113194 2330 FULLERTON, C/O BASENCHURY ROAD FULLEFTON 55,216 51% U 10194 2327 SO PACIFIC RAILROAD VAN NUYS BLVD VAN NUYS 48,4i8 0% 1/05/94 2325 CALTRANS PEARBLOSSOM HWY =SCONDTDO 2,078,969 1$ 1/30/93 2324 RUST REMEDIAL SERVICES EMPIRE @ VICTORY BURBANK 2,904 66$ 1/27/93 2320 CHARLES PANKOW BUILDERS GATEWAY ENTER 153,100 13% 1/24/93 2319 LACDPW GLADSTONE ST SAN DTMAS 45,859 59% ?/23/93 2317 CALTRANS 118/405 FWY MISSION :ILLS 15,640 75% 1108/93 2307 CALTRANS 11780 W MISSION ESCCNDTDO 203,971 48% .,+24/93 2303 LA WATER & POWER 14640 NORDOFF PANORF.MA CITY 5,324 0$ l/23/93 41301 CAL-PAC CONST., INC. 2923 & 2947 BRADLEY ST PASADENA 30,095 98$ .j22193 2301 SWINERTON & WALBERG 100202 W. WASHINGTON BLVD CULVER CITY 16,000 96% '6/i6/93 2296 BELL, C/O ATLANTIC AVE BRIDGE BELL 147,348 23% .J04193 2292 SANTA CLARITA, C/O SOLEDAD CYN RD @ SIERRA HWY. SANTA CLARITA 66,598 68% ,/03/94 2291 PECKIJONES BUILDERS WARNER BROTHERS BURBANK 96,582 97% 1/27/93 2287 STATE OF CALIF HEALTH & WELF.METRO STATE HOSPITAL NORWAL' 86,994 96% i/27/93 2286 FLUOR DANIEL, INC 1600 W. ANAHEIM ST. WILMINGTGN 89,i35 97$ 46/93 2284 LOS ANGELES, C/O BURTON WAY L 1,357,164 2% /18/93 2280 THE PRIC_ R.E.I.T., INC. COLLEGE SQUARE CERRiTOS 217,026 99% /24J93 2267 SUMITOMO CONSTRUCTION RENAISSANCE TOWER LA. , 244,563 981 i/22J93 2266 S.F.S. A.SSIO. 11 10737 SHOEMAKER AVE SANTA FL SPRINGS 435,841 50% 131/93 2251 C T & F. INC. SANTA ANITA AVE @ LIVE OAK _A. 4.992 99% i30j93 2256 SO PACIFIC RAILROAD MACARTHUR ST CROSSING SA.NTA, All'! 10,527 0$ /23/93 2254 P&K GROUP III PROPERTIES CHERRY & WILLOW SIGNAL HILL 163,869 99% /17/93 2252 SANTA MONICA U.S.D. SANTA MONICA HIGH SCHOOL SANTA MONICA 462,850 98% j17J93 2249 SO PACIFIC RAILROAD DYER RD SANTA ANA 5,189 0% i05i93 2240 FLUOR DANIEL, INC UNOCAL WILMINGTON 329,192 99% 1230 3 2234 ANAHEIM, C/O CONVENTION WAY ANAHEIM 1,112,309 98% /21/93 2219 SUMMA CORP CENTINELA CULVER CITY 615,966 94% 121/93 2214 PASADENA, C/O VARIOUS ST RECONSTRUCTION PASADENA 936,261 99% /11/93 2210 CULVER CI'-tY, C/0 SEPULVEDA BLVD CULVER CITY i,571,041 64$ iO3/93 2204 CALTRANS ROUTE 5 LA. 321,436 6$ /i9/93 2197 C T & F, INC. HUNTINGTON DRIVE PASADENA. TO ARCADIA 71,025 2% 111193 2192 SIGNAL HILL, C/O TEMPLE AVE SIGNAL HILL 277,057 96% 126j93 2155 LACFWD SPRING STREET, PHASE I LB 2,071,430 851 /23/9: 21-53 LA DEPT OF AIRPORTS SERVICE RD. F. -In 1,261,950 991 /11/93 2135 11UHAHN, INC. SANTA ANITA FASHION PARK ARCADIA 3,419,900 98% /14/92 2122 HUNTINGTON BEACH, C/O VARIOUS STREETS HUNTINGTON BEACH 2,692,432 80% 112192 2Li1 CALTRANS RTE 10 LA 418,337 96$ 110/92 2046 LB MEMORIAL MED CENTER 2801 ATLANTIC BLVD LB 448,157 941 i12192 2033 LACDPW RAMBOIZ-BONNIE BEACH LA 883,321 94% /27/92 1971 SANTA CLARITA, C/O SOLEDAD CYN RD/SAND CYN RD SANTA CLARITA 2,791,881 981 /26/9i 1937 DINWIDDIE CONST CO 1200 GETTY CENTER DR LA 192,375 99% /04/90 1643 KOLL CONS:. CO. 11239 VENTURA STUDIO CITY I51,026 49$ EXCEL PAYING COMPANY l 2230 Lemon Avenue LONG BEACH. CALIFORNIA 90806 TO. RECEIVED CITY OF HUNTINGTON BEACH CITY CLERK CITY CLERK CITY 1F 2nd Floor HUNTINGTON BEACff,CALIF. 2000 Main St Huntington Beach, CA UN 55 -AL i%I D i'US CC n C ,. o Ljo B' DS a , FROM:PUBLIC WORKS TO: 714 549 4033 "nY 27, 1994 2:22PM _ #852 P.02 'j,jnI& CITY OF HUNTINGTON BEACH j 2000 MAIN STREET P. O. BOX 190 CALIFORNIA 92648 Louis F. Sandoval Public Works Department Director (714) 536-5431 CONSTRUCTION ON STATE IUG14WAY IN ORANGE COUNTY IN HUNTINGTON BEACH from 0,1 MILE SOUTH OF ELLIS AVENUE TO 1.0 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASK CONTRACT No. 784 FEDERAL ID No. STPLN-5181 (020) in the CITY OF HUNTINGTON BEACH ADDENDUM NUMBER 2 May 27, 1994 Notice to All Bidders: The following revisior..is/corrections shall be included in the bid documents: 1. Bid Item No. 56 - "Lighting"; as called for in the project specification shall be changed from a lump sum bid item to a combination of the following unit price bids. Item Unit Quantity Unit Total Price 56a Install 2.5"-sch 40 PVC conduit and pull rope for LF 1100 �o SCE street li htin g system q-� S"3Sa 56b Install new street li ht ullbox Ea 12 /0.- /3a0 56c Relocate City owned street light, including all Ea 1 required conduit, conductors, new base and removal �S`oo aSOo. of existing base on Main Street w/o Beach 56 J 'Total of items 56a-56c entere this amount for item 56 on project bid schedule) 170 Southern California Edison (SCE) will furnish a "Conduit and Pull box" location plan to the successful bidding contractor. The successful bidding contractor shall be responsible for installing all conduit, pull ropes and pullboxes along with removal and reconstruction or surface improvements (sidewalk, pavement, landscaping , etc.) for street light relocation's on the SCE system. SCE's contractor will pour new bases, relocate their street lights, provide conductors, make all electric connections and remove the existing street light bases. FROM:PUBLIC WORKS TO: 714 549 4033 Y 27, 1994 2:22PM 9952 P.01 t Page 2 5/27/94 The successful bidding contractor shall be responsible for all work required to relocate City owned street lights. 2. The following street ligbt poles as shown on sheet 96 (E-18) of the plans will not be relocated as called out for on the plans. West side of Beach Blvd., north of Warner Ave. Pole referenced " NO # MARKED ON POLE." West side of Beach Blvd., south of Warner Ave. #2295492L #2295493E #4076393E The street light pole as shown on sheet 18 (L-10) of the plans, east side of the street, at approximate station 256+20, will require relocation. All bidders shall acknowledge the receipt of this Addendum with their proposal. These revisions do not change the Engineer's Estimate or the Bid Opening Date/Time for this project. Should you have any questions regarding this Addendum, please call David Webb at (714) 375-5077.' City of Huntington Beach David A. tVebb, P.E. Resident Engineer I have reviewed Addendum No, 2 dated May 27, 1994. I understand that a signed copy of Addendum No yshall be included in the bid documents. .f,RIEE TH COMPANY __ _____ <✓� S- Company Name:-_ gy THOMAS L. FOSS Vice President/District Manager 1 June 1994 Date CC784/RCA/784adcn2.doc • • GRIFFITH COMPANY LA-10 CITY OF HUNTINGTON BEACH Lo" 2000 MAIN STREET P. O. BOX 190 CALIFORNIA 92648 Louis F. Sandoval Public Works Department Director (714) 536-5431 CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH from 0.1 MILE SOUTH OF ELLIS AVENUE TO 1.0 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT No. 784 R E C E I V E D FEDERAL ID No. STPLN-5181 (020) MAY 1 9 1994 in the CITY OF HUNTINGTON BEACH GRIFFITH CO. ADDENDUM NUMBER 1 May 17, 1994 Notice to All Bidders: The following revisions/corrections shall be included in the bid documents: 1. Project Specifications, Sample Contract, Page D-7, Item No. 8 shall be deleted in its entirety and replaced with the following: 8. BONDS CONTRACTOR shall, prior to entering upon the performance of this agreement, furnish the following Two 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 naming both the City of Huntington Beach and State of California as the obligees; and one in the amount of one hundred percent(100%) of the contract price to guarantee payment of all claims for labor and materials furnished, naming both the City of Huntington Beach and State of California as the obligees. 2. Project Specifications, Sample Contract, Page D-11, Item No. 19 -LIQUIDATED DAMAGES/DELAYS: The amount of the liquidated damages shall be changed from"two thousand one hundred dollars ($2,100)" to, "one thousand five hundred fifty dollars ($1,550)". GRIPFi T"H COMPANY .A`ddendum No.l -cc784 Page 2 5/17/94 3. Project Specification, Section E - Special Provisions, Page E-2, 2-4 - Contract Bonds; Add the following: The contractor shall, prior to entering upon the performance of this agreement, furnish the following Two 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 naming both the City of Huntington Beach and State of California as the obligees. • one in the amount of one hundred percent (100%) of the contract price to guarantee payment of all claims for labor and materials furnished, naming both the City of Huntington Beach and State of California as the obligees. 4. Project Specifications, Section E - Special Provisions, Page E-24, 3-7 - "Traffic Control System for Lane Closure": Delete the phrase"(except for flagging costs)" in the first sentence and the entire last sentence of the sixth paragraph. The cost for any required flagging to complete the required work will be included in the cost for providing traffic control system. 5. Project Specifications, Section E - Special Provisions, Page E-36, 3-12.12 - Reconstruct Water Valve and meter; Reconstruction of water service is defined as follows: Case 1 -Relocation of meters further away from water main. Abandon and remove existing water service back to water main. Install new 2" service line, new"Sensus SR Touch-Read" meter (match existing meter size), new"J&R Polymer Concrete Meter" valve box. Construct new service tap and abandon/plug existing hole if necessary. Return existing water meter to Agency. Case 2 - Relocation of meters closer to water main. Cut existing service line to proper length. Install new"Sensus SR Touch-Read" meter (match existing meter size) and new"J&R Polymer Concrete Meter" valve box. Return existing water meter to Agency. GRIFFITH COMPANY Addendum No.I -cc784 Page 3 • 5/17/94 All bidders shall acknowledge the receipt of this Addendum with their proposal. These revisions do not change the Engineer's Estimate or the Bid Opening Date/Time for this project. Should you have any questions regarding this Addendum, please call David Webb at (714) 375-5077. City of Huntington Beach I David A. Webb, P.E. Resident Engineer I have reviewed Addendum No. 1 dated May 17, 1994. I understand that a signed copy of Addendum No. 1 shall be included in the bid documents. GRIFFITH COMPANY lfD Company Name By THOMAS L. FOSS Vice President/District Manager 1 June:: 1994 Date CC784/RCA/784aden l.doc GRIFFITH COMPANY SECTION C PROPOSAL for CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH from 0.1 MALE SOUTH OF ELLIS AVENUE TO 0.1 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT No. 784 FEDERAL ID NO. STPLN-5181(020) 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 120 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 C-1 GRIFF►Tu (-nnMPANY days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. a bidder's Accompanying this proposal of bid, find 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: _ . Addendawo:':: _: ..::::: :Date Received;?;::: :'>':: ;: :Bidder' SI re: 51994 f 2 5 27/94 C-2 BEACH BOULEVARD GRIFFITH COMPANY CONTRACTOR'S ESTIMATE FED ID NO. STPLN-5181(020) FEDERAL PARTICIPATING ITEMS ITEM ITEM DESCRIPTION UNIT OF ESTIMATED ITEM PRICE TOTAL NO CODE MEASURE QUANTITY (IN FIGURES) (IN FIGURES) 1 190101 ROADWAY EXCAVATION CY 6,888 2 153112 COLDPLANE ASPHALT CONCRETE SQYD 165,980 PAVEMENT(0.15' MAXIMUM) 3 390103 ASPHALT CONCRETE(TYPE B) TON 13,878 4 390101 ASPHALT CONCRETE RUBBERIZED TON 17,880 HOT MIX(GAP GRADE) 5 152438 ADJUST FRAME AND COVER TO GRADE EA 229 _ d FEDERAL PARTICIPATING ITEMS SUBTOTAL: $ f7YaB69. NON-FEDERAL PARTICIPATING ITEMS 6 120103 TRAFFIC CONTROL SYSTEM LS 1 7 150717 REMOVE TRAFFIC STRIPE LF 19,380 0 &PAVEMENT MARKING 8 150722 PAVEMENT MARKERS EA 1,132 9 150742 REMOVE ROADSIDE SIGN EA 17 17 ' 10 150806 REMOVE PIPE LF 518 11 150820 REMOVE INLET EA 11 80x?, 12 151581 RECONSTRUCT PRIVATE SIGN STRUCTURES LS 1 13 152390 RELOCATE ROADSIDE SIGN EA 14 14 152410A RECONSTRUCT WATER VALVE AND METER EA 10 15 153215 REMOVE CONCRETE(CURB&GUTTER) CY 1,514 37 o 16 153211 REMOVE CONCRETE SIDEWALK&DRIVEWAY CY 762 17 160101 CLEARING AND GRUBBING LS 1, - 18 200001A PLANTING LS I �0, r /d poo, 19 206555 MODIFY IRRIGATION SYSTEM LS 1 ?f70p0� ?O ofv, C-2a GRIFFITH COMPANY BEACH BOULEVARD CONTRACTOR'S ESTIMATE FED ID NO. STPLN-5181(020) 20 510502 MINOR CONCRETE(MINOR STRUCTURE) CY 22 21 1511551 RETAINING WALL(MASONARY WALL) LF 90 22 1 562007 ROADSIDE SIGN(METAL POST) EA 4 23 1566011 ROADSIDE SIGN(ONE POST) EA 62 -' 24 566012 ROADSIDE SIGN (TWO POST) EA 15 25 568001 INSTALL SIGN (STRAP AND SADDLE) EA 93 _ 26 568004 INSTALL SIGN ON EXISTING POST EA 9 _ 27 650014 18" REINFORCED CONCRETE PIPE LF 6 28 650019 27" REINFORCED CONCRETE PIPE LF 2 _ 29 650022 30" REINFORCED CONCRETE PIPE LF 258 - 3v 7;7y62 30 650026 36"REINFORCED CONCRETE PIPE LF 10 31 658305 30"z 19" OVAL SHAPED RCP(CLASS III) LF 72 32 665017 18" CORRUGATED STEEL PIPE(0.79"THICK) LF 84 33 665023 24" CORRUGATED STEEL PIPE(0.79"THICK) LF 76 34 731502 MINOR CONCRETE SQFT 184 (MISCELLANEOUS CONSTRUCTION) i 35 731504 MINOR CONCRETE(CURB&GUTTER) CY 664 36 731516 MINOR CONCRETE(DRIVEWAY) CY 240 37 731521 MINOR CONCRETE(SIDEWALK) CY 345 38 731523 MINOR CONCRETE(CURB RAMP) CY 19 39 731530 MINOR CONCRETE(TEXTURED PAVING) SQFT 29,054 40 731535 MINOR CONCRETE(BUS PAD) CY 41 41 750001 MISCELLANEOUS IRON AND STEEL LB 4,150 �/sue 42 820131 OBJECT MARKER(TYPE K) EA 40 43 840504 4'THERMOPLASTIC STRIPE LF 16,501 44 840506 8"THERMOPLASTIC STRIPE LF 9,515 p j g07- 45 840515 THERMOPLASTIC PAVEMENT MARKING SF 9,286 1 t C-2b . r GRIFFITH COMPANY BEACH BOULEVARD CONTRACTOR'S ESTIMATE FED ID NO. STPLN-5181(020) 46 840656 PAINT TRAFFIC STRIPE(2-COAT) LF 1,235 47 840666 PAINT PAVEMENT MARKING(2-COAT) SF 440 48 850102 PAVEMENT MARKERS(REFLECTIVE) EA 1,989 49 860251 SIGNAL AND LIGHTING(LOCATION 1) LS 1 /��p� 50 860252 SIGNAL AND LIGHTING(LOCATION 2) LS I r O 51 860253 SIGNAL AND LIGHTING(LOCATION 3) LS 1 �00�- pOoo, 52 860254 SIGNAL AND LIGHTING(LOCATION 4) LS 1 _ 53 860255 SIGNAL AND LIGHTING(LOCATION 5) LS 1 54 860256 SIGNAL AND LIGHTING(LOCATION 6) LS I 55 860257 SIGNAL AND LIGHTING(LOCATION 7) LS I 56 860401 LIGHTING LS 1 13/70, r .S/70 57 860703 INTERCONNECTION CONDUIT AND CABLE LS 1 58 860810 INDUCTIVE LOOP DETECTOR EA 93 59 993002 FIRE HYDRANT EA 9 i 60 999990 MOBILIZATION LS I TOTAL BID AMOUNT IN FIGURES: $ TOTAL AMOUNT BID IN WORDS: 1 of cvt)ate C-2c GRIFFITH COMPAN? 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. Pomon.. Nmne of Subcontractor.and Address >;;;> State License o Work Number �49-68 57 8 u 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 GRIFFITH COMPANY NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WrM BID State of California ss. County of Orange THOMAS L. FOSS , being first duly sworn, deposes and says that he or She is Vice President/District Manager of 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. GRIFFITH COMPANY Name of Bidder Signature of gidder THOMAS L. FOSS, Vice President/District Manager 2020 South Yale Street, Santa Ana, CA 92704-3974 Address of Bidder Subscribed and sworn to before me this 1st day of June . 19 94 NOTARY PUBLIC NOTARY SEAL C-4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California ® OPTIONAL SECTION CAPACITY CLAIMED BY SIGNER County of Orange Though statute does not require the Notary to fill in the data below, doing so may prove On 6/1 L94 before me, Kathleen me Y Kathl L. Flachier, Notary Public invaluable to persons relying on the document.DATE NAME,TITLE OF OFFICER-E.G,"JANE DOE.NOTARY PUBLIC" ❑ INDIVIDUAL CORPORATE OFFICERS) personally appeared Thomas L. Foss Vice Pres./Dist. Mgr. NAME(S)OF SIGNERS) TITLES) I impersonally known to me-OR - El proved to me on the basis of satisfactory evidence PARTNER(S) ❑ LIMITED to be the person(s) whose name(s) is/are ❑ GENERAL subscribed to the within instrument and ac- ❑ATTORNEY-IN-FACT knowledged to me that he/she/they executed ❑TRUSTEE(S) the same in his/her/their authorized ❑GUARDIAN/CONSERVATOR capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), ❑OTHER: or the entity upon behalf of which the OFFICIAL SEAL person(s) acted, executed the instrument. KATHLEEN L. FLACHMEIER SIGNER IS REPRESENTING: Notary Pubillc-Callfornfa RIVERSIDE COUNTY WITNES my hand and OffICIaI Seal. NAME OF PERSON(S)OR ENTITY(IES) My Commtswon EvIkes GRIFFITH COMPANY May 30. 1995 i , �6 SIGNATURE TA OPTIONAL SECTION THIS CERTIFICATE MUST BE ATTACHED TO TITLE OR TYPE OF DOCUMENT Non Collusion Affidavit THE DOCUMENT DESCRIBED AT RIGHT: NUMBER OF PAGES 1 DATE OF DOCUMENT 6/1/94 Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form SIGNER(S)OTHER THAN NAMED ABOVE GRIFFITH COMPANY 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 CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH FROM 0.1 MILE SOUTH OF ELLIS AVENUE TO 0.1 MILE NORTH OF STATE ROUTE 39/405 SEPARATION, CASH CONTRACT NO. 784, FEDERAL ID NO. STPLN-5181(020), (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. GRIFFITH COMP Contractor By THOMAS L. FOSS Vice President/District Manager Title 1 June 1994 Date C-5 GRIFFITH COMPANY 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 x 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 GRIFFITH COMPAN4 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 and shall submit same to the AGENCY prior to performing any work on this contract: 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. GRIFFITH COMPANY Contractor By THOMAS L. FOSS Vice President/District Manager Title 1 June 1994 Date C-7 GRIFFITH COMPANY 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 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 GRIFFITH COMPAN7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: GRIFFITH COMPANY Bidder Name 2020 South Yale Street, Santa Ana, CA 92704-3974 Business Address ( ) (714) 549-2291 (714) 549-4033 Telephone Number Fax Number 032168 A,B,C-12, C-8 Haz State Contractor's License No. and Class 9/29/29 Original Date Issued 8/31/94 Expiration Date The work site was inspected b ��� �R hove/ f our office on P� Y , The following are persons, firms, and corporations having a principal interest in this proposal: GRIFFITH COMPANY C-9 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California fff—OPTIONAL SECTION CAPACITY CLAIMED BY SIGNER County of Orange Though statute does not require the Notary to till in the data below, doing so may prove t d on th in rel persons relying e document. r On 6/1/94 before me, Kathleen L. Flachmeier, Notary Public invaluable to p , DATE NAME.TITLE OF OFFICER-E G..'JANE DOE.NOTARY PUBLIC' ❑ INDIVIDUAL Thomas L. Foss MCORPORATE OFFICER(S) personally appeared Vice Pres. /Dist, Mgr. NAME(S)OF SIGNER(S) TITLE(S) (personally known to me-OR - proved to me on the basis of satisfactory evidence ❑ PARTNER(S) LIMITED to be the person(s) whose name(s) is/are GENERAL subscribed to the within instrument and ac- ❑ATTORNEY-IN-FACT knowledged to me that he/she/they executed ❑TRUSTEE(S) the same in his/her/their authorized GUARDIAN/CONSERVATOR capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), OTHER: or the entity upon behalf of which the — OFFICIAL SEAL person(s) acted, executed the instrument. IUIFILEEN L. FLACHMEIER SIGNER IS REPRESENTING: /=^ Notary Public-Callfornia NAME OF PERSON(S)OR ENTITV(IES) RIVERSIDE COUNTY WITNESS my hand and official seal. My Commission Exp�es GRIFFITH COMPANY May 30, 1995 SIGNATUR N TARY OPTIONAL SECTION THIS CERTIFICATE MUST BE ATTACHED TO TITLE OR TYPE OF DOCUMENT Bid,;Proposal THE DOCUMENT DESCRIBED AT RIGHT: NUMBER OF PAGES 10 DATE OF DOCUMENT 6.11 /94 Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form. SIGNER(S)OTHER THAN NAMED ABOVE __ GRIFFITH COMPANY The undersigned are prepared to satisfy the Council of the City of Huntington Beach of their ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. GRIFFITH CO ANY Company N �S Sign ture of Bidder THOMAS L. FOSS Vira Pracid nt/nictr-irt Manager Printed or Typed Signature 2020 South Yale Street, Santa Ana, CA 92704-3974 Address of Bidder ( ) (714) 549-2291 Telephone Number Subscribed and sworn to before me this 1st day of June , 19 94 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. Reference List Attached Name and Address Name and Telephone No. of Project Manager s - Contract Amount Type of Work Date Completed 2. Name and Address Name and Telephone No. of Project Manager Contract Amount Type of Work Date Completed C-10 GUFF TH COMPANY CONSTRUCTION EXPERIENCE REFERENCES YEAR OWNER Contact Telephone 1991 The Irvine Company' Jim Lorman (714) 720-2447 OC Borrow Site $1,558,750.00 VP Construction 1992 O.C.E.M.A. Dave Marshall (714) 567-7838 Pelican Hill Road $21,332,710.75 Chief of Constr. 1992 City of Irvine Russ Thiele (714) 724-7545 Yale Avenue $1,500,000.00 Project Engr. 1992 Mission Viejo Company Bob Sciotto (714) 837-6050 Aliso Creek Road $388,188.22 Sr. Project Mgr. 1992 City of Fullerton George Lin (714) 738-6845 Bastanchury Road $1,434,102.70 Civil Engr. 1993 0.C.E.M.A. Dave Marshall (714) 567-7838 Sand Canyon Ave. $2,800,000.00 Chief of Const. 1994 0.C.E.M.A. Mits Okayama (714) 567-7814 Alicia Parkway $2,800,000.00 Chief of Subdivision 1994 State of California Bill Decker (714) 724-2277 Department of Transporation Resident Engr. PCH - Beach Blvd. $3,290,000.00 1994 The Irvine Company Jim Lorman (714) 720-2447 Pelican Hills, I & Il $1,500,000.00 VP Construction Contractors Corporate Office Bakersfield District Los Angeles District Orange County District License No. P.O. Box 2150 P.O. Box 70157 P.O. Box 2150 2020 Yale Street 032168 12200 Bloomfield Ave. 1898 So. Union Ave. 12200 Bloomfield Ave. Santa Ana, CA 92704-3974 Santa Fe Springs, CA 90670-0150 Bakersfield, CA 93387-0157 Santa Fe Springs, CA 90670-0150 (714) 549-2291 .� (310) 929-1128 (805) 831-7331 (310) 929-1128 Fax (714) 549-4033 Fax (310) 929-7116 Fax (805) 831-0113 Fax (310) 864-8970 GRIFFITH COMPANY 3. Name and Address Name and Telephone No. of Project Manager Contract Amount Type of Work Date Completed C-11 GRIFFITH COMPANY 3-31-69 CERTIFICATION WITH REWARD TO THE PZRFORAANCE OF PMIO'�S CONTRACTS OR SUBCONTRACTS SUBJECT TO THE EQUAL OPPORTUNITY CLAUSE AND THE FILING OF REQUIRED REPORTS The bidder X , proposed subcontractor �, hereby Certifies that he has X, b" act ^, participated in a previous Contract or subcontract subject to the equal opportunity clause, as required by Executive orders 10925, 11116, or 11266, and that he has._L, has not _, filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or idministering agency, or the tosser President's Committee on Equal Employment opportunity, all reports due under the applicable filing requirements. GRIFFITH COMPANY any 'Sri +.d QMAS .L. FOSS . Vice President/District Manager Tit e Date: 6/1 /94 Note: The above Certification is required by the Equal noploy- nent opportunity Regulations of the Secretary of Labor 141 CFR 60-1.7(b) (11) , and must be submitted by bidders and proposed sub- contractors only in connection with Contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 61 CFR 60-1.5. (Generally only Contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (SiO-1) is the only report required by the Executive Orders or their isApleasating regulations. Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CTR 60-1.7(b) (1) prevents the award of contracts and subcon- tracts -unless such contractor submits a report covering Ne delinquent period or such other period specified by the Federal Mighway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. :Ca„ C-12 BIDDER DBE INFORMATION To Be Completed by Agency Bidder: GRIFFITH COMPANY Address: 9090 Srn, h YnIe Street Agency: . City of Huntington Beach Santa Ana, CA 92704-3974 Federal Project #: STPLN-5181 (020) Project Description: Construction on State Highway 39 Person Completing this Form (Beach, Blvd.) Name: Alan Perkovich Assigned DBE Goal: 15% Phone #: 714 — 549-2291 Dollar Value of Name of Caltrans Certified DBE . Description of Work Contract Item # Subcontract 145 xia'ef o ' .? 70 c7Dd a u � DBE Amount $ �4�T 066 THIS FORM MUST BE USED TO PROVIDE o % REQUIRED DBE INFORMATION Bid Amount $ z C-13 GRIFFITH COMPANY CERTIFICATION FOR FEDERAL AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress,or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with thhis Federal contract, grant,loan, or cooperative agreement, the undersigned shall complete and submit Standard.Form—LLL,"Disclosure of Lobbying Activities," In accordance with its instructions. This certification is a material representation of fact uponwwttich reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352,Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly. (1) C-16 ZRIFFITH COMPANY DISCLOSURE OF LOBBYING ACTIVITIES Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 1. Typo of Federal Action: 2. statue of Federal Action: 3. Report Type: a* contract a. Did/offer/appliestion a. initial b. grant b. initial award b. matarial change C. Cooperative agrs nt C. post-award d. loan guarantee Pow Material Change Only: e. loan insurance rear Quarter date of last report a. aces and Address of Reporting lntity: S. If Reporting Bntity in No. d is Subaw&rdme, Mortar Macs and Address of Prion: Pries Subewardes Tier . if known Congressional District, if known: Congressional District, if known: 6. Federal DepartW4Wt/A9eney: 7. federal Program Sam/Description: CFDA Number, if applicable s. federal Action Number, 1f known: 9. Award Amount, if known: 10. a. Saes and Address of Lobbying Entity b. Individuals Performing Services (including address if (if individual, last name, first name, MI) different from No. l0a) (last nar, first acme, MI): (attach Continuation shoot(*) if necessary) 11. Amount of Payment (check all that apply): 13. Typo of Para mot (abmsk all that apply) actual planned o. retainer :>b.,ono-tun foe 12. farm of Payment (check all that apply): a. commisslon a. Cash d. contingent fee . b. in-kind: specify: nature t - e. deferred -. -. f. otber, specify: valve 16. Brief Description of Services Perforwd or to be perforeed and Date(s) of service, including officer(m), employes(:), or eesbez(s) contacted, for Payment iodicated in Its: 11: (attach Continuation Sbeet(s) if necessary). 15. Continuation Sbmot(s) attached: !es so 16. Information requested through this form is authorised by Title 31 U.S.C. section 1352. This disclosure of lobbying signature: activities is a material representation of fact upon which reliance was placed by the tier &have when this Print Names transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will Title: be reported to the Congress esml-annually and will be available for public inspection. Any person who fails to Telephone No.: file tbs required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than Data: $100,000 for each such failure. federal Ues Only: AuthorisedLfarLocal Reproductionstandard F (2) C-17 GRIFFITH COMPANY INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to Title 31 U.S.C. Section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress,an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4. Enter the full name, address, city, state, and zip code of the reporting entity. Include Congressional District, If known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime Is the first tier. Subawards include but are not NmW to subcontracts, subgrants, and contract awards under.grants._ 5. If the organization filing the report in Item 4 checks-"Sobawardee,'then enter the full name, address, city, state and zip code of the prime Federal recipient. Include Congressional District, if known. = 6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (Item 1). If known,enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. S. Enter the most appropriate Federal identifying number available for the Federal action identification in Item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001." 9. for a covered Federal action where there has been an award or loam commitment by the Federal agency, enter the Federal amount of the award/loan commitments for the prime entity identified in Item 4 or S. (3) C-18 GRIFFITH COMPANY 10. (a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in Item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10. (c) Enter Last Name, First Name, and Middle Initial (MI). 11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (Item 4) to the lobbying entity (Item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. ff this is a material change report, enter the cumulative amount of payment made or planned to be made. 12. Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature. 14. Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity, not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15. Check whether or not a continuation sheet(s) is attached. 16. The certifying official shall sign and date the form, print his/her name, title, and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503. (4) c-is f I ? r GRIFFITH COMPANY TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 DEBARMENT AND SUSPENSION CERTIFICATION The bidder, under penalty of perjury, certifies that except as noted below, he/she or any person associated therewith in the capacity of owner, partner, director, officer, manager: is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any federal agency; has not been suspended, debarred, voluntarily excluded, or determined ineligible by any federal agency within past three years; does not have a proposed debarment pending; and has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will• not necessarily result in denial of award, but will be considered in determining bidders responsibility. For any exception noted above, indicate below to whom it applies, initialing agency, and dated of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. C-20 k-TH COMPANY ?CV'&,��-',YYALF STREET 9TA::,ANA, CA 92704-3974 HUNT1hGTGh City Clerk CITY OF HU kTINGTON BEACH 2000 Main 4Street Second Floor Huntington Beach, CA 92648 'ALED BID roject: CONSTRUCTION ON STATE HIGHWAY IN CRANGE COUNTY IN HUNTINGTON BEACH from 0.1 mile South of Ellis Avenue to 0.1 Mile North of State Route 39/405 Separation Cash Cont #784, Fed ID No. STPLN-5 d Date: I june 1994 @ 2:00 p.m. NOT OPEN WITH REGULAR MAIL SECTION C PROPOSAL for CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH from 0.1 MILE SOUTH OF ELLIS AVENUE TO 0.1 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT No. 784 FEDERAL ID NO. STPLN-5181(020) j 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-in urance 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 120 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 C_1 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT No.5193 State of California Emm OPTIONAL SECTION CAPACITY CLAIMED BY SIGNER County of Ri uersi de Though statute does not require the Notary to fill in the data below, doing so may prove invaluable to persons relying on the document. 6-1 �-g4 Donna Thorne, Notary Public INDIVIDUAL .t On before me, , DATE NAME.TITLE OF OFFICER-E.G.,-JANE DOE,NOTARY PUBLIC' Rosario L 10, Jr. �CORPORATE OFFICER(S) osaro personally appeared egg Vice—President of Sales NAME(S)OF SIGNER(S) TITLE(S) )M PARTNER(S) LIMITED personally known to me -OR - proved to me on the basis of satisfactory evidence ❑ to be the person(s) whose name(s) is/are ❑ GENERAL subscribed to the within instrument and ac- ❑ATTORNEY IN FACT knowledged to me that he/she/they executed ❑TRUSTEE(S) the same in his/her/their authorized ❑GUARDIAN/CONSERVATOR capacity(ies), and that by his/her/their OTHER: o, signature(s) on the instrument the person(s), DONNATHORNE a or the entity upon behalf of which the COMM.#IM9103 ' m` Notary Public—California person(s) acted, executed the instrument. RIVERSIDE COUNTY SIGNER IS REPRESENTING: My Comm.Expires NOV",1997 NAME OF PERSON(S)OR ENTITY(IES) WITNESS my hand and official seal. All American_ Asphalt ; SIGNATURE OF NOTARY OPTIONAL SECTI N THIS CERTIFICATE MUST BE ATTACHED TO TITLE OR TYPE OF DOCUMENTE� THE DOCUMENT DESCRIBED AT RIGHT: NUMBER OF PAGES _ DATE OF DOCUMENT Though the data requested here is not required bylaw, yy�� it could prevent fraudulent reattachment of this form. SIGNER(S)OTHER THAN NAMED ABOVE_nh7bcl ©1992 NATIONAL NOTARY ASSOCIATION•8236 Remmet Ave.,P.O.Box 7184•Canoga Park,CA 91309-7184 h days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. 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: Bidder!i Si nature :::.. :...;. { e C-2 BEACH BOULEVARD CONTRACTOR'S ESTIMATE FED ID NO. STPLN-5181(020) FEDERAL PARTICIPATING ITEMS ITEM ITEM DESCRIPTION UNIT OF ESTIMATED ITEM PRICE TOTAL NO CODE MEASURE QUANTITY (IN FIGURES) (IN FIGURES) 1 190101 ROADWAY EXCAVATION CY 6,888 � Vv ��'JA�.Uo 2 153112 COLDPLANE ASPHALT CONCRETE SQYD 165,990 PAVEMENT(0.15' MAXIMUM) •�1� '2�.�A 12 3 390103 ASPHALT CONCRETE(TYPE B) TON 13,878 ��Ji�s •� 4 390101 ASPHALT CONCRETE RUBBERIZED TON 17,880 HOT MIX(GAP GRADE) K 6jW.60 5 1 152438 ADJUST FRAME AND COVER TO GRADE EA 229 31S.tr� 7z;1j,�.w FEDERAL PARTICIPATING ITEMS SUBTOTAL: $ NON-FEDERAL PARTICIPATING ITEMS 6 120103 TRAFFIC CONTROL SYSTEM LS 1 nn 7 150717 REMOVE TRAFFIC STRIPE LF 19,380 &PAVEMENT MARKING 8 150722 PAVEMENT MARKERS EA 1,132 9 150742 REMOVE ROADSIDE SIGN EA 17 Z�• f'� ���✓ 10 150806 REMOVE PIPE LF 518 11 11150820 REMOVE INLET EA I I 12 1 151581 RECONSTRUCT PRIVATE SIGN STRUCTURES LS 1 S•^�j�U.Uv 53� U, 13 152390 RELOCATE ROADSIDE SIGN EA 14 J 14 152410A RECONSTRUCT WATER VALVE AND METER `.EA 10 I��•w �C�,l1ub . 15 153215 REMOVE CONCRETE(CURB&GUTTER) CY 1,514 So • �" -715,74,rv. 16 153211 REMOVE CONCRETE SIDEWALK&DRIVEWAY CY 762 17 160101 CLEARING AND GRUBBING LS 1 18 200001 A PLANTING LS I ���1'b to � 19 206555 MODIFY IRRIGATION SYSTEM LS 1 �� `�• C-2a 'Y BEACH BOULEVARD CONTRACTOR'S ESTIMATE FED ID NO. STPLN-5181(020) 20 510502 MINOR CONCRETE(MINOR STRUCTURE) CY 22 21 513553 RETAINING WALL(MASONARY WALL) LF 90 22 562007 ROADSIDE SIGN(METAL POST) EA 4 1-LS,try �'crb. w 23 1166011 ROADSIDE SIGN (ONE POST) EA 62 �s•w $fib .�,' 24 566012 ROADSIDE SIGN(TWO POST) EA 15 2Zc✓. 7 25 568001 INSTALL SIGN (STRAP AND SADDLE) EA 93 D 26 568004 INSTALL SIGN ON EXISTING POST EA 9 27 650014 18" REINFORCED CONCRETE PIPE LF 6 '/ O' - 16D - 28 650019 27" REINFORCED CONCRETE PIPE. LF 2 A, 29 650022 30" REINFORCED CONCRETE PIPE LF 258 30 650026 36"REINFORCED CONCRETE PIPE LF 10 31 658305 30"z 19" OVAL SHAPED RCP(CLASS III) LF 72 t W a 32 665017 18" CORRUGATED STEEL PIPE(0.79"THICK) LF 84 33 665023 24" CORRUGATED STEEL PIPE(0.79"THICK) LF 76 ��j��• b'�b. 34 731502 MINOR CONCRETE SQFT 184 7 (MISCELLANEOUS CONSTRUCTION) 26 r 4i3b. &,b 35 731504 MINOR CONCRETE(CURB&GUTTER) CY 664 n r0 • w `bLU•�' 36 731516 MINOR CONCRETE(DRIVEWAY) CY 240 qlD• W • 37 731521 MINOR CONCRETE(SIDEWALK) CY 345 11 r 38 731523 MINOR CONCRETE(CURB RAMP) CY 19 39 731530 MINOR CONCRETE(TEXTURED PAVING) SQFT 29,054 ^` 40 731535 MINOR CONCRETE(BUS PAD) CY 41 _G / 41 750001 MISCELLANEOUS IRON AND STEEL LB 4,150 'L•10 w 42 1120131 OBJECT MARKER(TYPE K) EA 40 43 840504 4" THERMOPLASTIC STRIPE LF 16,501 ,4s' 74z5.4 44 840506 8"THERMOPLASTIC STRIPE LF 9,515 . 7 v 45 840515 1 THERMOPLASTIC PAVEMENT MARKING SF 9,286 Z • Frio` C-2b BEACH BOULEVARD CONTRACTOR'S ESTIMATE FED ID NO. STPLN-5181(020) 46 840656 PAINT TRAFFIC STRIPE(2-COAT) LF 1,235 . 0 47 840666 PAINT PAVEMENT MARKING(2-COAT) SF 440 VT l,w 'gyp 48 850102 PAVEMENT MARKERS(REFLECTIVE) EA 1,989 49 860251 SIGNAL AND LIGHTING(LOCATION 1) LS 1 93, Vo, 43sao, 50 860252 SIGNAL AND LIGHTING(LOCATION 2) LS 1 )d o o 10 ?e ono 51 860253 SIGNAL AND LIGHTING(LOCATION 3) LS I coo, t CQ a 52 860254 SIGNAL AND LIGHTING(LOCATION 4) LS 1 53 860255 SIGNAL AND LIGHTING(LOCATION 5) LS 1 Lo av 54 860256 SIGNAL AND LIGHTING(LOCATION 6) LS 1 Q 55 860257 SIGNAL AND LIGHTING(LOCATION 7) LS 1 V ® 56 860401 LIGHTING LS 1 o d� 57 860703 INTERCONNECTION CONDUIT AND CABLE LS 1 Q� 58 860810 INDUCTIVE LOOP DETECTOR EA 93 1 ` pp OQ o o 59 993002 FIRE HYDRANT EA 9 60 999990 MOBILIZATION LS 1 TOTAL BID AMOUNT IN FIGURES: S 03 TOTAL AMOUNT BID IN WO S: ^17t—olv Itlime, Ar C-2c 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. Pomon:` I ... .:::...: Name,4 :S. , contr..aetor and Address ::: :State License;.;: >:::Class;"':` o Work . ... er. 1� w. `] 5 c- 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 SUBM TTED WrM BID State of California ss. County of Orange Y,16 ! - , being first duly sworn, deposes and says that he or she is of the party making the foregoing bid that the bid is not made in the inte st 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 idder All aV �✓rc w� wad e.a�A (.,Z 01 1 161 Address of Bidder Subscribed and sworn to before me this day of , 19'Ut . NOTARY PUBLIC — ONO- NOTARY SEAL DONNA THORNE a COMM.#1009103 z Notary Public—California y RIVERSIDE COUNTY My Comm.Expires Nt;V 11.1997 C-4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT No.5193 State of California OPTIONAL SECTION iiiiiiixIiiiiiIIIII CAPACITY CLAIMED BY SIGNER County of R i uprs i de Though statute does not require the Notary to fill in the data below, doing so may prove invaluable to persons relying on the document. On 6 before me, Donna Thorne, Notary Public ❑INDIVIDUAL DATE NAME,TITLE OF OFFICER-E.G.,-JANE DOE,NOTARY PUBLIC" Rosario L 1.0, Jr. �CORPORATE OFFICER(S) osaro personally appeared e99 Vice-President of Sales NAME(S)OF SIGNER(S) TITLE(S) )0 PARTNER(S) LIMITED personally known to me- OR -(] proved to me on the basis of satisfactory evidence ❑ ❑ to be the person(s) whose name(s) is/are ❑ GENERAL subscribed to the within instrument and ac- ❑ATTORNEY-IN-FACT j knowledged to me that he/she/they executed ❑TRUSTEE(S) the same in his/her/their authorized ❑GUARDIAN/CONSERVATOR r capacity(ies), and that by his/her/their ❑OTHER: ' = DONNA THORNS signature(s) on the instrument the person(s), �-" COMM.#1004)03 zZ i z or the entity upon behalf of which the Nota ry ary Public—California D RIVERSIDE COUNTY person(s) acted, executed the instrument. ••" My Comm.Expires NOV 1). 1997 SIGNER IS REPRESENTING: WITNESS my hand and official seal. NAME OF PERSON(S)OR ENTITY(IES) I All American Asphalt e I SIGNATURE OF NOTARY OPTIONAL SECTION ; THIS CERTIFICATE MUST BE ATTACHED TO TITLE OR TYPE OF DOCUMENT /.a� �lC2K THE DOCUMENT DESCRIBED AT RIGHT: NUMBER OF PAGES I DATE OF DOCUMENT —�— Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form. SIGNER(S)OTHER THAN NAMED ABOVE / ©1992 NATIONAL NOTARY ASSOCIATION•8236 Remmet Ave.,P.O.Box 7184•Canoga Park,CA 91309-7184 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 CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH FROM 0.1 MILE SOUTH OF ELLIS AVENUE TO 0.1 MILE NORTH OF STATE ROUTE 39/405 SEPARATION, CASH CONTRACT NO. 784, FEDERAL ID NO. STPLN-5181(020), (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. Al 6yne,04�xn Contractor By Title 6 . I I l�tq 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 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 " CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT No.5193 State of California OPTIONAL SECTION CAPACITY CLAIMED BY SIGNER County of R i yers i tip Though statute does not require the Notary to fill in the data below, doing so may prove invaluable to persons relying on the document. On before me, Donna Thorne, Notary Public ❑ INDIVIDUAL DATE NAME,TITLE OF OFFICER-E.G.,"JANE DOE,NOTARY PUBLIC' CORPORATE OFFICER(S) personally appeared Rosario Leggio, Jr. Vice—President of Sales NAME(S)OF SIGNER(S) TITLE(S) )0 personally known to me -OR-El proved to me on the basis of satisfactory evidence ❑ PARTNER(S) ❑ LIMITED to be the person(s) whose name(s) is/are ❑ GENERAL subscribed to the within instrument and ac- knowledged to me that he/she/they executed ❑TRUSTEE(S) the same in his/her/their authorized ❑GUARDIAN/CONSERVATOR 1 capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), ❑OTHER: ; DONNA THORNE or the entity upon behalf of which the Q QMy Comm.�_1009103 z person(s) acted, executed the instrument. zNotary Pubfic;—Californian Z SIGNER IS REPRESENTING: RIVERSIDE COUNTYWITNESS m hand and official Seal. NAME OF PERSON(S)OR ENTITY(IES) Comm.Expires NOV 11,1997 y All American Asphalt l F 1 SIGNATURE OF NOTARY OPTIONAL SECTION t THIS CERTIFICATE MUST BE ATTACHED TO TITLE OR TYPE OF DOCUMENT /y19o_ THE DOCUMENT DESCRIBED AT RIGHT: �1 NUMBER OF PAGES DATE OF DOCUMENT Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form. SIGNER(S)OTHER THAN NAMED ABOVE ©1992 NATIONAL NOTARY ASSOCIATION•8236 Remmet Ave.,P.O.Box 7184•Canoga Park,CA 91309-7184 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 and shall submit same to the AGENCY prior to performing any work on this contract: 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. 1 &,&I Contractor Y �uy Title Date 1 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 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: A) ( Ameylay) &' "' V4- Bidder Name 177 0 A)I 9WAI w Business Address Telephone Number State Contractor's License No. and Class Original Date Issued Expiration Date The work site was inspected b � 'Li( of our office on � , 19� The following are persons, firms, and corporations having a principal interest in this proposal: cry, C-9 The undersigned are prepared to satisfy the Council of the City of Huntington Beach of their ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. 1 �Mmo 6*1 ompany Name Signature of Bidder Printed or Typed ature DONNA THORNE Address of Bidder "' - COMM.#�1009103 z C R . Notary Public—California /� ►/2 RIVERSIDE COUNTY "� ) My Comm.Expires K, 1),1997 Telephone Number Subscribed and sworn to before me this day of iiC'ii , 19M . NOTARY PUBLIC 1 NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has perform similar work within the ast y s: Io/ 1. 6k-��pkl',�Vk! — Name an Address Name and Telephone No. of Project 'fanag Contra t Amount Type of ork ate Completed 2. /)i (-", '��6 Name and dd ss Name and Telephone No. of Project M M �)q4)Nf-b '�O �2 1"o Contract mount Type of Work Date rompleted C-10 3. Name an A dr Name and Telephone No. of oof Proj ana er Con t m nt ype of Work D4e C mpleted C-11 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT No.5193 State of California ®OPTIONAL SECTION CAPACITY CLAIMED BY SIGNER County of R i«ens i de Though statute does not require the Notary to fill in the data below, doing so may prove invaluable to persons relying on the document. �fln before me, Donna Thorne, Notary Public ❑ INDIVIDUAL DATE NAME,TITLE OF OFFICER-E.G.,'JANE DOE,NOTARY PUBLIC' Rosario L lOr Jr. CORPORATE OFFICER(S) osaro personally appeared e99 Vice—President of Sales NAME(S)OF SIGNER(S) TITLE(S) )Q PARTNER(S) LIMITED personalty known to me-OR -❑ proved to me on the basis of satisfactory evidence ❑ ❑ to be the person e GENERAL whose name(s) s) is/are ; subscribed to the within instrument and ac- ❑ATTORNEY-IN-FACT knowledged to me that he/she/they executed ❑TRUSTEE(S) the same in his/her/their authorized ❑GUARDIAN/CONSERVATOR capacity(ies), and that by his/her/their ❑OTHER: signature(s) on the instrument the person(s), DONNA THORNE or the entityupon behalf of which the ; COMM,#1009103 z P Notary Public— '- ' ' •, !v California person(s) acted, executed the instrument. RIVERSIDE COUNTY SIGNER IS REPRESENTING: My Comm,Expires NOV 11,1997 WITNESS my hand and official seal. NAME OF PERSON(S)OR ENTITY(IES) i t All American Asphalt I SIGNATURE OF NOTARY OPTIONAL SECTION ; THIS CERTIFICATE MUST BE ATTACHED TO TITLE OR TYPE OF DOCUMENT THE DOCUMENT DESCRIBED AT RIGHT: NUMBER OF PAGES I DATE OF DOCUMENT i Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form. SIGNER(S)OTHER THAN NAMED ABOVE _&nag= I ©1992 NATIONAL NOTARY ASSOCIATION-8236 Rammet Ave.,P.O.Box 7184-Canoga Park,CA 91309-7184 , 3-31-69 CERTIFICATION WITH REGARD TO THE PERJORl1ANCE OF Pmxot5 CONTRACTS OR SUBCONTRACTS SUBJECT TO THE EQUAL OPPORTUNITY CLAUSE AND T8E FILING Or REQUIRED REPORTS The bidder , proposed subcontractor �, hereby Certifies that he has , has not _, participated in a previous Contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925, 11114, or 11246, and that he has x, has act �* filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Camplisaes, a Federal Government contracting or idministering agency, or the Joemer President's Committee on Equal Eaployment Opportunity, all reports due under the applicable filing requirements. ompany (Title) Date: Note: The above Certification is required by the Equal Employ- ment Opportunity Regulations of the Secretary of Labor (I1 CPR 60-1.7(b) (1)) , and must be subaitted by bidders and proposed sub- contractors only in connection with contracts and subcontracts which are subject to the equal opportunity Clause. Contracts and subcontracts which are exempt from the equal opportunity ,Clause are not forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 Or under are exempt.) Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime contractors and subcontractors who have participated in a previous contract of subcontract subject to the Executive Orders and have not filed the required reports should note that 61 CFR 60-1.7(b) (1) prevents the award of contracts and subcon- tracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliancs, O.S. Department of Labor. :�R., C-12 BIDDER DBE INFORMATION k'zE To Be Completed by Agency Bidder: All anpweayl ., Address: L'] .61L Q Agency: City of Huntington Beach Federal Project #: STPLN-5181 (020) Project Description:' Construction on State Highway 39 Person C mpl t n�� (Beach• Blvd.) Name: Assigned DBE Goal: 15% Phone #: - 7 Dollar Value of Name of Caltrans CeoflRd QBE . Description of Work Contract Item # Subcontract Aha en J o DBE Amount $ 7/6. 3,V� 00 THIS FORM MUST BE USED TO PROVIDE Bid Amount $ 3 7� ©96, ��� REQUIRED DBE INFORMATION C-13 EXHIBIT 4-3a 1986-4 GOOD FAITH EFFORT STATEMENT OF DS/WBE PARTICIPATION Federal-Aid Project No. Bid Opening Date Type of Work The established a Disadvantaged Local Agency Business Enterprise (DB) .goal of t and a Women's Business Enterprise (WBE) goal of 8 for this project. The Con- tractor has committed to a goal of % DS and a goal of 8 WBE, necessitating a good faith effort statement in accordance with 49 CPR 23.45. Our project files show that such a good faith effort was made. The following is a summary of that documentation: (1) Attendance at - or request for any pre-solicitation or pre-bid meetings: (2) Advertising in appropriate publications subcontracting opportunities: (Name and date of publications) (3) Providing written notice to a reasonable number of DBE(s) and WBE(s) seeking their interest in subcontracting opportunities being made available by the-Contractor: (Sample letter attached) (4) Following up of initial solicitations of interest: (Names, type, result. ) C-14 EXHIBIT 4-3b 1986-4 (S) Selecting portions of the work to be performed by DB(s) and WBE(s) s (include $ value) (6) ,. Providing interested DB(s) and WBE(s) with adequate information: ' (7) Negotiating good faith with interested DB(s) and WBB(s) : t$ value of DB/WBE Bids and one taken) (8) Making efforts to assist interested DBE(s) and WBE(s) in obtaining bonding, lines of credit, or insurance; and ( 9) Effectively using the services of available minority community organisations; minority contractors' groups, local, State and Federal Minority Business Assistance in the recruitment and placement of DB(s) and WBE(s) s (Name, date of contact, information provided) Signature, DB/WBE Liaison Officer. C-15 CERTIFICATION FOR FEDERAL AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: , (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with V is Federal contract,grant,loan, or cooperative agreement, the undersigned shall complete and submit Standard Form—LLL,"Disclosure of Lobbying Activities," in accordance with its Instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352,Tito 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly. (1) C-16 DISCLOSURE OF LOBBYING ACTIVITIES Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 1. 21pe of Federal Action: 2. Ststusrof Federal Action: 3. Report Type: a, contract a. bid/offer/application A. initial b. grant b. initial award b. moterial changa C. cooperative agreement c. post-award d. loan guarantee For Material Chews Only: a. loan insurance year quarter date of last report 1. Noe and Address of Reporting Entity: S. If Reporting Entity in No. 4 is iubewardse, Rater Base and Addreaa of Pries Pries subawardee Tier if known Congressional District, if known: Congressional District, If knowns 6. Federal Departaeat/Agency: 7. Federal Progress Same/Descriptions CFDA Nsmsbar, if applicable s. Federal Action R:mber, if known: 2. Award Amount, if known: f 10. a. Base and Address of Lobbying Entity b. Individuals Parfoaing Services (including address if (if individual, last name, first name, MI) different from No. 10s) (last sass, first news, MI): (attach Continuation sbeat(s) if nes:essary) 12. Ameunt of Payment (afteck all that apply): 13. Type of Payment (cb * all test apply) actual planned a. Eetainer ..:.b. amm issiob .one nn-Li gas rL .. 12. fors Of Payment (cheek all that apply): Q.." - d. contingent fee a. Cash b. in-kind; specify: nature c• ,:. : • -a. deferred valve f. other, specify, Sa. Rrief Description of Services Performed or to be perforgoid and Date(s) of aarvice, including officer(@), asployse(a), or asmber(e) contacted, for Payment indicated in Itea.11: (attach Continuation Sheet(s) if namin"ry). 13. Continuation Sheet(s) attached: Tes so 16. Information requested through this fors is authorised by Title 31 U.S.C. Section 1352. This disclosure of lobbying signature: activities is a notarial representation of fact upon which reliance was placed by the tier above when this Print Names transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will Titles be reported to the Congress semi-annually and will be available for public inspection. Any person who fails to Telephone Bo.: file the required disclosure @ball be subject to a civil penalty of not less than $10,000 and not nor@-than Dates $100,000 for each such failure. Federal use Only: Authorised for Local Reproduction Massless standard Form-LLL man (2) C-17 4 INSTRUCTIONS FOR COMPLETION OF SF—LLL, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to Title 31 U.S.C. Section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress,an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the Implementing guidance published by the Office of Management and Budget for additional information. 1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence, the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. H this is a follow—up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4. Enter the full name, address, city, state, and zip code of the reporting entity. Include Congressional District, If known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime Is the first tier. Subawards include but are-Wt NnVW to subcontracts, subgrants, and contract awards under grants.._ 5. ff the organization filing the report in hem 4 c hecks-"Sobawardee,'then enter the full name, address, city, state and zip code of the prime Federal recipient. Include Congressional District, h known. = 6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action (Item 1). K known,enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8. Enter the most appropriate Federal identifying number available for the Federal action identification in Item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP—DE-90-001." 9. for a covered Federal action where there has been an award or loam commitment by the Federal agency, enter the Federal amount of the award/loan commitments for the prime entity identified in Item 4 or 5. (3) C-18 10. (a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in Item 4 to influenced the covered Federal action. (b) Enter the full names of the individuals) performing services and include full address if different from 10. (c) Enter Last Name, First Name, and Middle Initial (MI). 11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (Item 4) to the lobbying entity (Item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of Payment made or planned to be made. 12. Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature. 14. Provide a specific and detailed description of the services that the lobbyist has performed or will be- expected to perform and the date(s) of any services rendered. Include all preparatory and related activity, not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15. Check whether or not a continuation sheet(s) is attached. 16. The certifying official shall sign and date the form, print his/her name, title, and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503. (4) c-is TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 DEBARMENT AND SUSPENSION CERTIFICATION The bidder, under penalty of perjury, certifies that except as noted below, he/she or any person associated therewith in the capacity of owner, partner, .director, officer, manager: is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any federal agency; has not been suspended, debarred, voluntarily excluded, or determined ineligible by any federal agency within past three years; does not have a proposed debarment pending; and has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidders responsibility. For any exception noted above, indicate below to whom it applies, initialing agency, and dated of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. C-20 CITY OF HUNTINGTON BEACH 2000 MAIN STREET 0. BOX 190 CALIFORNIA 92648 R F CF- rW . Louis F. Sandoval D Public Works Department Director MAY 2 U 1994 (714) 536-5431 C�[S,W&t ►11(1� 6W1STATE HIGHWAY E, IN ORANGRO IN HUNTINGTON BEACH from �YY 0.1 MILE SOUTH OF ELLIS AVENUE TO 1.0 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT No. 784 FEDERAL ID No. STPLN-5181 (020) in the CITY OF HUNTINGTON BEACH ADDENDUM NUMBER 1 May 17, 1994 Notice to All Bidders: The following revisions/corrections shall be included in the bid documents: 1. Project Specifications, Sample Contract,Page D-7, Item No. 8 shall be deleted in its entirety and replaced with the following: 8. BONDS CONTRACTOR shall, prior to entering upon the performance of this agreement, furnish the following Two 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 naming both the City of Huntington Beach and State of California as the obligees; and one in the amount of one hundred percent (100%) of the contract price to guarantee payment of all claims for labor and materials furnished, naming both the City of Huntington Beach and State of California as the obligees. 2. Project Specifications, Sample Contract, Page D-11, Item No. 19-LIQUIDATED DAMAGES/DELAYS: -� The amount of the liquidated damages shall be changed from"two thousand one hundred dollars ($2,100)" to, "one thousand five hundred fifty dollars($1,550)". Addendum No.1 -cc784 Page 2 '5/17/94 3. Project Specification, Section E - Special Provisions, Page E-2, 2-4 - Contract Bonds; Add the following: The contractor shall, prior to entering upon the performance of this agreement, furnish the following Two 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 naming both the City of Huntington Beach and State of California as the obligees. • one in the amount of one hundred percent (100%) of the contract price to guarantee payment of all claims for labor and materials furnished, naming both the City of Huntington Beach and State of California as the obligees. 4. Project Specifications, Section E - Special Provisions, Page E-24, 3-7 - "Traffic Control System for Lane Closure": Delete the phrase "(except for flagging costs)" in the first sentence and the entire last sentence of the sixth paragraph. The cost for any required flagging to complete the required work will be included in the cost for providing traffic.control system. 5. Project Specifications, Section E - Special Provisions, Page E-36, 3-12.12 - Reconstruct Water Valve and meter; Reconstruction of water service is defined as follows: Case 1 -Relocation of meters further away from water main. Abandon and remove existing water service back to water main. Install new 2" service line, new"Sensus SR Touch-Read " meter (match existing meter size), new"J&R Polymer Concrete Meter" valve box. Construct new service tap and abandon/plug existing hole if necessary. Return existing water meter to Agency. Case 2 -Relocation of meters closer to water main. Cut existing service line to proper length. Install new"Sensus SR Touch-Read" meter (match existing meter size) and new"J&R Polymer Concrete Meter" valve box. Return existing water meter to Agency. - r ' Addendum No.1 -cc784 Page 3 •5/17/94 All bidders shall acknowledge the receipt of this Addendum with their proposal. These revisions do not change the Engineer's Estimate or the Bid Opening Date/Time for this project. Should you have any questions regarding this Addendum, please call David Webb at (714) 375-5077. City of Huntington Beach r David A. Webb, P.E. Resident Engineer I have reviewed Addendum No. 1 dated May 17, 1994. I understand that a signed copy of Addendum No. 1 shall be included in the bid documents. Company Name P Y �/ Vr y Date CC784/RCA/784adenl.doc FOB, CITY OF HUNTINGTON BEACH 2000 MAIN STREET P. 0. BOX 190 CALIFORNIA 92648 Louis F. Sandoval Public Works Department Director (714) 536-5431 CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN HUNTINGTON BEACH from 0.1 MILE SOUTH OF ELLIS AVENUE TO 1.0 MILE NORTH OF STATE ROUTE 39/405 SEPARATION CASH CONTRACT No. 784 FEDERAL ID No. STPLN-5181 (020) in the CITY OF HUNTINGTON BEACH ADDENDUM NUMBER 2 May 27, 1994 Notice to All Bidders: The following revisions/corrections shall be included in the bid documents: 1. Bid Item No. 56 - "Lighting"; as called for in the project specification shall be changed from a lump sum bid item to a combination of the following unit price bids. Item Unit Quantity Unit Total Price 56a Install 2.5"-sch 40 PVC conduit and pull rope for LF 1100 SCE street lighting system 56b Install new street light pullbox Ea 12 56c Relocate City owned street light, including all Ea 1 required conduit, conductors, new base and removal of existing base (on Main Street w/o Beach 56 Total of items 56a-56c (entere this amount for item 56 on project bid schedule) Southern California Edison (SCE)will furnish a"Conduit and Pull box" location plan to the successful bidding contractor. The successful bidding contractor shall be responsible for installing all conduit, pull ropes and pullboxes along with removal and reconstruction or surface improvements (sidewalk, pavement, landscaping , etc.)for street light relocation's on the SCE system. SCE's contractor will pour new bases, relocate their street lights, provide conductors, make all electric connections and remove the existing street light bases. .A Addendum No.2 -cc784 Page 2 5/27194 The successful bidding contractor shall be responsible for all work required to relocate City owned street lights. 2. The following street light poles as shown on sheet 96 (E-18) of the plans will not be relocated as called out for on the plans. West side of Beach Blvd., north of Warner Ave. Pole referenced " NO #MARKED ON POLE." West side of Beach Blvd., south of Warner Ave. #2295492E #2295493E #4076393E The street light pole as shown on sheet 18 (L-10) of the plans, east side of the street, at approximate station 256+20, will require relocation. All bidders shall acknowledge the receipt of this Addendum with their proposal. These revisions do not change the Engineer's Estimate or the Bid Opening Date/Time for this project. Should you have any questions regarding this Addendum, please call David Webb at (714) 375-5077." City of Huntington Beach / David A ebb, P.E. Resident Engineer I have reviewed Addendum No. 2 dated May 27, 1994. 1 understand that a signed copy of Addendum No./shall be included in the bid documents. Company Namer.Vt Date CC784/RCA/784aden2.doc ALL AMERICAN A;'— IALT O O P.O. BOX 2229 U O CORONA, CA 91718-2229 I i F" r y: 1,CITY OF HUNTINGTON BEACH ' CITY ENGINEER d` RECEIVED CITY CLERK PROJECT DESC: 0.1 MILE SOUTH OF ELLIS AVE. TO CITY OF 0.1 MILE NORTH OF STATE ROUTE 39/405 HUNTINGTOS BEACH,CALIF. SEPARATION FED. ID NO. STPLN-5181(020) J N 53 D �J