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Home My WebLink AboutR J NOBLE COMPANY - 2003-10-20 (2) 04/06/2004 09:29 714?- 1573 CHB ENG PAGE 03/03 DECLARATION OF SATISFACTION,OF CLAIMS 1, R.J. NOBLE COMPANY ,State: (Name of c6of e" 1. 1 am the general contractor for the City of Huntington Beach, as to the project more fully described in the public works Contract entitled: WARNER, MC FADDEJ, SPRINGDALE: CC-1150, 1151, 1152 and dated MARCH 29, 2004 2 All workers and persons employed, all 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 vAth Notices to Withhold, which have been filed under the provisions of the statutes of the State of California: (If none,state NOW) NONE' I declare under penalty of perjury that the foregoing is true and correct. 15505 E. LINCOLN AVE. , Enc toed at ORANGE, CA 92865 on#his 29th day of MARCH '2004, a2� tun:of Contractor) CRAIG PO TER, GENERAL MANAGER OF FIELD SUPERVISION A PPROVW AS TQ F0Ii1M 7E NiPF.R McORAnL C*A%,.cy 9:toaoft0W@$h=tl=hconr2.doe .� r i f f o 3 procedure#15 4"Qdy 04/06/2004 09:29 7143" 1573 CHB ENG PAGE 02/03 City of Huntington Beach Department of Public Works 2000 Main StreetlP.O. Box 190 Huntington Beach, CA 92648 Subject: Certification of Compliance with rdle V11 of the Civil Rights - Act and Equal Employment Opportunity Act of 1972 k Gentlemen: The undersigned,contractor on: WARNER, MC FADDEN, SPRINGDALE: CC-1150, 1151, 1152. pmfect NO. rae hereby certifies that all laborers, mechanics, apprentices, trainees, watchmen and guards employed by him or by any subcontractor performing work under the contract on the project have been paid wages at rates not less than those required by the contract provisions, and that the work performed by each such laborer, mechanic, apprentice or trainee conformed to the classifications set forth in the contract or training program provisions applicable to the wage rate paid. Ica ,gnatum 8n e) CRAIG PO TER, GENERAL MANAGER OF FIELD SUPERVISION APPROVED AS TO FORM JE FE1t McGRAM CftA*n ow WA 07 0 Atiamry l Z-! 1 f 3 gloUawupkaashomfteshcontdoc procedure$% V V R.J. NOBLE COMPANY ASPHALT PAVING•ENGINEERING CONTRACTORS LIC.A•7829DB CITY OF HUNTINGTON BEACH DEPARTMENT OF PUBLIC WORKS 2000 MAIN STREET/P.O. BOX 190 HUNTINGTON BEACH, CA 92648 SUBECT: CERTIFICATION OF COMPLIANCE WITH TITLE VH OF THE CIVIL RIGHTS ACT AND EQUAL EMPLOYMENT OPPORTUNITY ACT OF 1972 GENTLEMAN: THE UNDERSIGNED,CONTRACTOR ON: WARNER,MCFADDEN,SPRINGDALE: CC-1150,1151,1152 HEREBY CERTIFIES THAT ALL LABORES,MECHANICS,TRAINEES, WATCHMEN AND GUARDS EMPLOYED BY HIM OR BY ANY SUBCONTRACTORS 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,,WE PAID. 1 i! CRAIG PORT , GENERAL KANAGER OF FIELD SUPERVISON ORANGE: 15505 E.LINCOLN AVE.•P.O.BOX 620.ORANGE,CALIFORNIA 92856-6620 9(714)637-1550 0 FAX(714)637-6321 V V R.J. NOBLE COMPANY ASPHALT PAVING• ENGINEERING CONTRACTORS LIC.A-782908 DECLARATION OF SATISFACTION OF CLAIMS I, R.J. COMPANY 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: WARNER, MCFADDEN, SPRINGDALE- CCA 150,1151,1152, AND DATED MARCH 29,2004. 2. ALL WORKERS AND PERSONS EMPLOYED,ALL FIRMS SUPPLYING MATERIALS, AND ALL SUBCONTRACTOS 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 CALIFORNA: NONE I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. EXECUTED AT 15505 E. LINCOLN AVENUE ORANGE CA ON THIS 29"'DAY OF MARCH, 2004 CRAIG P RTER, GENEPUAL MANAGER OF FIELD SUPERVISION ORANGE:1 S505 E.LINCOLN AVE.•P.O.BOX 620.ORANGE,CALIFORNIA 92856-6620-(714)637-1550•FAX(714)637-6321 � City of Huntington Beach INTER-DEPARTMENT COMMMUNICATION HUNTINGTON BEACH TO: THOSE LISTED HEREON /VTROM: Sudi Shoja, Construction Manager DATE: April 8, 2004 SUBJECT: Retention Release Payment Company Name: R.J. Noble Company. Address: 15505 E. Lincoln Ave. City, State and Zip Code: Orange, CA 92865 Phone Number: (714) 637-1550 Business License Number:A 005420 Local Address: N/A Notice of Completion Date:Pending Contract Purpose: Retention Release for Cash Contract 1150 Warner,1151 Springdale, 1152 Mcfadden The conformed copy of the Notice of Completion for the above contract has been filed. The thirty-five (35) day waiting period has elapsed or will elapse before payment is made. Processing of the retention payment is recommended so long as no stop notices or outstanding invoices are on file with the City. I certify that no stop notices are on file .t Ibject at this time. Date / (/ Robert F. Beardsley, Public Works Director I certify that there are no outstanding invoices on file. -01 Date i F e' enrich, City Treasurer I certify that no stop notices are on file on the subject contract, and that a guaranty bond has been filed with this office. D to onnie Br kakay, ity Clerk 1150-1152 retention release memo.doc 4/8/2004 3:20 PM RECEIVED BY: r v CITY CLERK RECEIPT COPY Return DUPLICATE to A. 7 _ City Clerk's Office (Name) after signingtdating G (Date) CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL. COMMUNICATION TO: Sh reidenrich, City Treasurer FROM: i l2/.T 1 �TJ CrC_c �i LATE: O "r— SUBJECT: Bond Acceptance have received the bonds for (Company Name) Faithful Performance Bond No. Labor and Material Bond No. Monument Bond No. may] Maintenance Bond No. 6dp dP/`716) I Re: Tract No. CC No. MSC No. Approved Agenda Item No. (Council Approval Date) / City Clerk Vault No. _ #27 glfollowuplbondleWAoc - 1 i City of Huntington Beach INTER-DEPARTMENT COMMMUNICATION HUNTINGTON BEACH TO: THOSE LISTED HEREON `,ROM: Sudi Shoja, Construction Manager DATE: April 8, 2004 SUBJECT: Retention Release Payment Company Name: R.J. Noble Company. Address: 15505 E.Lincoln Ave. City, State and Zip Code: Orange, CA 92865 Phone Number: (714) 637-1550 Business License Number:A 005420 Local Address: N/A Notice of Completion Date:Pending Contract Purpose: Retention Release for Cash Contract 1150 Warner,1151 Springdale, 1152 Mcfadden The conformed copy of the Notice of Completion for the above contract has been filed. The thirty-five (35) day waiting period has elapsed or will elapse before payment is made. Processing of the retention payment is recommended so long as no stop notices or outstanding invoices are on file with the City. I certify that no stop notices are on fil bject at this time. Date / Robert F. Beardsley, Public Works Director I certify that there are no outstanding invoices on file. Date i F e' enrich, City Treasurer I certify that no stop notices are on file on the subject contract, and that a guaranty bond has been filed with this office. Didie Xonnfe Br IQ&ay, ity Clerk 1150-1152 retention release memo.doc 4/8/2004 3:20 PM PLEASE COMPLETE THIS INFORMATION RECORDING REQUESTED BY: Recorded in Official Records, County of Orange Tom Daly, Clerk.-Recorder AND WHEN RECORDED MAIL To: !INIIlii1111111111!1111111111!l Hill 11111!I!I1:111111111111111111NO FEE 2004000329658 04,30pm 04/19/04 WHEN RECORDED MAIL TO: 105 21 N12 1 CITY OF HUNTINGTON BEACH 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Attn: Robert A.Martinez P.O.Box 190—2000 Main Street Huntington Beach,CA 92648 ?HIS SPACE FOR RECORDER'S USE ONLY A l� TITLE OF DOCUMENT: NOTICE OF COMPLETION Iv NOTICE IS HEREBY GIVEN by the City of Huntington Beach, owner in fee, 2000 Main Street, Huntington Beach, CA 92648, that the contract heretofore awarded to R.J.Noble Company who was the company thereon for doing the following work to-wit: IMPROVEMENTS FOR WARNER AVENUE, (BTWN. SIMS ST. TO BOLSA CHICA); CC- 1150 That said work was completed March 23,2004 by said company according to plans and specifications and to the satisfaction of the City Engineer of the City of Huntington Beach and that said work was accepted by the Director of Public Works on March 23,2004,per City Council Resolution No. 2003-70 adopted October 6, 2003. That upon said contract Travelers Casualty and Surety Company of America was surety for the bond given by the said company as required by law. This document is solely for the official business of the City of Huntington Beach, as contemplated under Government Code Section 6103 and should be recorded free of charge. / Dated at Huntington Beach,California,this April 6,2004. wv Director of Public Works or City En er City of Huntington Beach,California 499 STATE OF CALIFORNIA) County of Orange )ss: City of Huntington Beach ) 1, the undersigned, say: I am an Agent of the City of Huntington Beach, owner in fee, in the foregoing NOTICE OF COMPLETION. I have read said NOTICE OF COMPLETION and know the contents thereof; the same is true of my knowledge. I declare under penalty of perjury that the foregoing is true and correct, and that said NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the Cou of Orange nty. Dated at Huntington Beach,California,this April 6,2004. J �� / Director of Public Works or City Engineer City of Huntington Beach,California THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) -0�.059-TITLE PAGE(R7/95) PLEASE COMPLETE THIS INFORMATION RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO'. Recorded in Official Records, County of Orange Tom 1Daly,Clerk-Recorder !! I I II II WHEN RECORDED MAIL TO: ��I 1� �I�I� FEE CITY OF HUNTINGTON BEACH 2O04000329659 04:30pm 009104_ Attn: Robert A.Martinez 105 21 N 12 1 P.O.Box 190—2000 Main Street Huntington Beach,CA 92648 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 I THIS SPACE FOR RECORDER'S USE ONLY NF TITLE OF DOCUMENT: NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN by the City of Huntington Beach, owner in fee, 2000 Main Street, Huntington Beach, CA 92648,that the contract heretofore awarded to R.J.Noble Company who was the company thereon for doing the following work to-wit: IMPROVEMENTS FOR SPRINGDALE STREET, (BTWN. EDINDER AVE.TO MCFADDEN AVE.); CC-1151 That said work was completed March 23,2004 by said company according to plans and specifications and to the satisfaction of the City Engineer of the City of Huntington Beach and that said work was accepted by the Director of Public Works on March 23,2004,per City Council Resolution No.2003-70 adopted October 6,2003. That upon said contract Travelers Casualty and Surety Company of America 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. ems✓ Dated at Huntington Beach,California,this April 6,2004. � .�✓- Director of Public Works or City Engi eer City of Huntington Beach,CaliforniaSTATE OF CALIFORNIA) County of Orange )ss: City of Huntington Beach ) 1, the undersigned, say: I am an Agent of the City of Huntington Beach, owner in fee, in the foregoing NOTICE OF COMPLETION. I have read said NOTICE OF COMPLETION and know the contents thereof; the same is true of my knowledge. I declare under penalty of pedury that the foregoing is true and correct, and that said NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the Coun of Orange C .O Dated at Huntington Beach,California,this April 6,2004. 7f Director of Public Works or City Engineer City of Huntington Beach,California �f1 THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) 00.059•TITLE PAGE(R7/95) r PLEASE COMPLETE THIS INFORMATION RECORDING REQUESTED BY: Recorded in Official Records, County of Orange cor` AND WHEN RECORDED MAIL TO: Tom Daly, Clerk-Recorderder1illllillilNO FEE WHEN RECORDED MAIL TO: 200400032i6 0 04-30pm 04119V CITY OF HUNTINGTON BEACH 105 21 N12 i Attn: Robert A.Martinez 0.00 0 00 0.00 0.00 0.00 0 00 0.00 0.00 P.O. Box 190—2000 Main Street Huntington Beach,CA 92648 THIS SPACE FOR RECORDER'S USE ONLY Ivr TITLE OF DOCUMENT: NOTICE OF COMPLETION U NOTICE IS HEREBY GIVEN by the City of Huntington Beach, owner in fee, 2000 Main Street, Huntington Beach, CA 92648,that the contract heretofore awarded to R.J.Noble Company who was the company thereon for doing the following work to-wit: IMPROVEMENTS FOR MCFADDEN AVENUE, (BTWN.GOLDENWEST ST.TO 1-405 FREEWAY); CC-1152 That said work was completed March 23,2004 by said company according to plans and specifications and to the satisfaction of the City Engineer of the City of Huntington Beach and that said work was accepted by the Director of Public Works on March 23,2004,per City Council Resolution No.2003-70 adopted October 6, 2003. That upon said contract Travelers Casualty and Surety Company of America was surety for the bond given by the said company as required by law. This document is solely for the official business of the City of Huntington Beach, as contemplated under Government Code Section 6103 and should be recorded free of charge. Dated at Huntington Beach,California,this April 6, 2004. ✓ Director of Public Works or City Engin City of Huntington Beach,California STATE OF CALIFORNIA) County of Orange )ss: City of Huntington Beach ) I, the undersigned, say: I am an Agent of the City of Huntington Beach, owner in fee, in the foregoing NOTICE OF COMPLETION. I have read said NOTICE OF COMPLETION and know the contents thereof, the same is true of my knowledge. I declare under penalty of perjury that the foregoing is true and correct, and that said NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the Co eco of Orange unty. Dated at Huntington Beach,California,this April 6,2004. Director of Public Works or City Engineer City of Huntington Beach,California THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording tee applies) d*.059-TITLE PAGE(R7/95) RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) Mi CITY OFHUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: Sh ' Freid enrich, City Treasur /! FROM: m 1:9 z c DATE: Z2��,,�21 SUBJECT: Bond Acceptance I have received the bonds for (Company Name) Faithful Performance Bond No. Labor and Material Bond No. Monument Bond No. ff�� /40— f / p p � Maintenance Bond No. eF3 �U l00 a Z� �"/I i Re: Tract No. CC No. MSC No. Approved Agenda Item No. (Council Appiova/Date) City Clerk Vault No. Zf S #27 g:/followup/bondletter doc MAINTENANCE BOND TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA Hartford,Connecticut 06183 BOND NO. 83 SB 104168840 BCM KNOW ALL MEN BY THESE PRESENTS: That R.J. Noble Company as Principal, hereinafter called Contractor,and TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA,as Surety,hereinafter called Surety,are held and firmly bound unto CITY OF HUNTINGTON BEACH as Obligee, hereinafter called Owner, in the penal sum of$687,458.96 ,for the payment whereof Contractor and Surety bind themselves,their heirs, executors, administrators, successors, and assigns,jointly and severally,firmly by these presents. WHEREAS, Contractor has by written agreement, dated OCTOBER 20,2003 entered into a contract with Owner for WARNER AVE. REHABILITATION FROM SIMS ST.TO BOLSA CHICA ST., SPRINGDALE ST. REHABILITATION FROM EDINGER AVE.TO MC FADDEN ST. MC FADDEN AVE REHABILITATION FROM GOLDENWEST ST.TO 1-405 FREEWAY in accordance with the General Conditions,the Drawings and Specifications,which contract is by reference incorporated herein, and made a part hereof, and is referred to as the Contract. NOW,THEREFORE,the condition of this obligation is such that, if Contractor shall remedy any defects due to faulty materials or workmanship which shall appear within a period of ONE year(s) from the date of substantial completion of the work provided for in the Contract, then this obligation to be void;otherwise to remain in full force and effect. PROVIDED, HOWEVER,that Owner shall give Contractor and Surety notice of observed defects with reasonable promptness. SIGNED and sealed this 26' day of MARCH ,2004 IN THE PRESENCE OF : R.J. NOBLE COMPANY (Seal) Principal Title STA HILTON, XCRETARY TRAVELERS C UAL U TY CO ANY OF AMERICA By MIC L D. STONY Aft ay-in-Fact s-2326-1 (07-97) APR, VED A�TO FORM: -P JE IFER Mc RATH,City Attomev CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT h 5 State of California ss. j County of RIVERSIDE h On (P 04 before me, R. STANDLEY *5 Date Name and Title of Officer(e.g.'Jane Doe.Notary Public') personally appeared MICHAEL D. STONG S Name(s)of Signer(s) 21 ?4 N personally known to me ,5 proved to me on the basis of satisfactory evidence s to be the personX whose name is/§riir q `5 } � ° •, R. STAhtDLEY subscribed to the within instrument and y COMM.#1263272 acknowledged to me that he/she/they executed NOTARY PUBLIC•CALIFORNIA v► the same in his/he,4h& authorized } ¢\ RiVERSIDE COUNTY capacity(iee•), and that by his/hefNi& ,� `-•' My Comm.Explfns June 7,4004 5 signatureWon the instrument the personor,, or the entity upon behalf of which the personV acted, executed the instrument. th t� 5 WITNES y hart and official seal. r rPlace Notary Seal Above Signature of Notary Public - 5 OPTIONAL SThough the information below is not required by law, it may prove valuable to persons relying on the document �5 and could prevent fraudulent removal and reattachment of this form to another document. 5 <h Description of Attached Document Title or Type of Document: 6 Z; Document Date: Number of Pages: h h Signer(s) Other Than Named Above: z Capacity(ies) Claimed by Signer Signer's Name: RENN Individual •too of thumb Corporate Officer—Title(s): Partner Limited `General Attorney in Fact r _ Trustee Guardian or Conservator - Other: Signer Is Representing: ?� �y L 1999 National Notary Association•9350 De Soto Ave.PO Box 2402•Chatsworth.CA 91313.2402•www nationainotary org Prod No 5907 Reorder Call Toll-Free--(3-876.6827 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT No.5907 State of CALIFORNIA County of ORANGE On MARCH 26, 2004 before me, JENNIFER DE IONGH, NOTARY PUBLIC DATE NAME,TITLE OF OFFICER-E.G.,JANE DOE,NOTARY PUBLIC' personally appeared STAN HILTON, SECRETARY, R.J. NOBLE COMPANY NAME(S)OF SIGNER(S) ® personally known to me - is of satisfactory evidence to be the personal whose nameW ishwe- subscribed to the within instrument and ac- knowledged to me that he/shed h%c.executed the same in hisAterftheit authorized JENNIFER DE IONGH capacity(ies), and that by his/#e*4ha# NOTARY PUBLIC.CALIFORNIA w COMMISSION#140237 signatureJs'j on the instrument the persow", m ORANGE COUNTY My Comm.Exp•Octcbar 28,2W7 or the entity upon behalf of which the personts) acted, executed the instrument. WITNESS my hand and official seal. SIGNATURE OF NOTARY 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) ❑ GUARDIANICONSERVATOR ❑ OTHER: DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSON(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 TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA TRAVELERS CASUALTY AND SURETY COMPANY FARhiLtiGTON CASUALTY CONIMNY Hartford,Connecticut 06183-9062 POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORNEYS)-IN-FACT KNOW ALL PERSONS BY THESE PRESENTS, THAT TRAVELERS CASUALTY AND SURETY CO,-VIPANY OF AhIERICA,'TRAVELERS CASUALTY AND SURETY COMPANY 'and FARMINGTON CASUALTY COMPANY, corporations duly organized under the laws of the State of Connecticut, and haying their principal offices in the City of Hartford, County of Hartford, State of Connecticut, (hereinafter the "Companies") hath made, constituted and appointed, and do by these presents make, constitute and appoint: Michael D. Stong,Shawn Blume,Susan C. Monteon, Rosemary Standley, of Riverside, California, their true and lawful Attorney(s)-in Fact, with full power and authority hereby conferred to sign, execute and acknowledge, at any place within the United States, the following instrument(s): by hislher sole signature and act, any and all bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking and any and all consents incident thereto and to bind the Companies, thereby as fully and to the same extent as if the same were signed by the duly authorized officers of the Companies, and all the acts of said Attorneys)-in-Fact, pursuant to the authority herein given,are hereby ratified and confirmed. This appointment is made under and by authority of the following Standing Resolutions of said Companies,which Resolutions are now in full force and effect: VOTED: That the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President,any Vice President,any Second Vice President, the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's scat bonds,rccognizances,contracts of indemnity,and other writings obligatory in the nature of a bond,recognisance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her. VOTED: That the Chairman, the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is in writing and a copy thereof is tiled in the office of the Secretary. VOTED: That any bond, recognizance, contract of indemnity, or uTiting obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President,any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's scat by a Secretary or Assistant Secretary,or(b)duly executed(under scat,if required)by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority. This Power of Attorney and Certificate of Authority is signed and sealed by facsimile(mechanical or printed)under and by authority of the following Standing Resolution voted by the Boards of Directors of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARIMINGTON CASUALTY COMPANY,which Resolution is now in full force and effect: VOTED: That the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President,any Assistant Vice President,any Secretary,any Assistant Secretary,and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. (11-00 S[aruiad) IN WITNESS WHEREOF, TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY have caused this instrument to be signed by their Senior Vice President and their corporate seals to be hereto affixed this loth day of February 2003. STATE OF CONNECTICUT TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA }SS.Hartford TRAVELERS CASUALTY AND SURETY COMPANY FARMINGTON CASUALTY COMPANY COUNTY OF HARTFORD h g°r%TY Nos CI%su.� t a'EKIM � a'HARTFORD,G9< 0 19 g j� p RD, By 3 � - CONN. g CONN. n Z arc � George W. Thompson Senior Vice President On this loth day of February, 2003 before me personally came GEORGE W. THOMPSON to me known, who, being by me duly sworn,did depose and say: that he/she is Senior Vice President of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, the corporations described in and which executed the above instrument; that he/she knows the seals of said corporations; that the seals affixed to the said instrument are such corporate seals;and that he/she executed the said instrument on behalf of the corporations by authority of his/her office under the Standing Resolutions thereof. jib My commission expires June 30, 2006 Notary Public Marie C.Tetreault CERTIFICATE I, the undersigned, Assistant Secretary of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY,stock corporations of the State of Connecticut, DO HEREBY CERTIFY that the foregoing and attached Power of Attorney and Certificate of Authority remains in full force and has not been revoked; and furthermore, that the Standing Resolutions of the Boards of Directors, as set forth in the Certificate of Authority,are now in force. Signed and Sealed at the Home Office of the Company,in the City of Hartford,State of Connecticut. Dated this day of MQAJv , 2001f. Y AND pASU e�3}spa j'HART�FORD.G90 Zr ]9$j�; By a Kori M.Johanson t �o �`bf Aa+sa ��" • �`�+ Assistant Secretary, Bond Company Profile Page 1 of z AM i��nerrt" Company Profile Insumnce TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA ONE TOWER SQUARE, 4MN TRAVELERS / Mary T. Restelli HARTFORD, CT o6183 877-872-8737 Former Names for Company Old Name: AETNA CASUALTY & SURETY COMPANY OF Effective Date: 07-01-1997 AMERICA Agent for Service of Process JERE KEPRIOS, C/O CT CORPORATION SYSTEM 818 WEST SEVENTH STREET, zND FLOOR LOS ANGELES, CA 90017 Unable to Locate the Agent for Service of Process? Reference Information NAIC #: 31194 NAIC Group #: 3321 California Company ID #: z444-8 Date authorized in California: July 31, 1981 License Status: UNLIMITED-NORMAL Company Type: Property & Casualty State of Domicile: CONNECTICUT Lines of Insurance Authorized to Transact The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. AIRCRAFT AUTOMOBILE BOILER AND MACHINERY BURGLARY COMMON CARRIER LIABILITY CREDIT http://cdinswww.insurance.ca.gov/pls/wu_Co_prof/idb_Co_prof utl.get Co_proPp_EID=... 4/1/2004 Company Profile Page 2 of 2 DISABILITY FIRE LIABILITY MARINE MISCELLANEOUS PLATE GLASS SPRINKLER SURETY TEAM AND VEHICLE WORKERS' COMPENSATION Company Complaint Information 14 Company Enforcement Action Documents Company Performance & Comparison Data Composite Complaint Studies Want More? Help Me Find a Company Representative in My Area Financial Rating_Organizations Last Revised-February i8,2004 03:13 PM Copyright©California Department of Insurance Disclaimer http://Cdinswww.insurance.ca.gov/pls/wu_co_prof/iclb_Co_prof utl.get_co_profpp_EID=... 4/1/2004 CITY OF HUNTINGTON BEACH RLS No _ REQUEST FOR LEGAL SERVICES Assn To Jennifer McGrath, City Attorney Date Date: Request made by: elephone: Department: 4/01/04 David VeroneA�E 8471 PUBLIC WORKS INSTRUCTIONS: File request in the City Attorney's Office. Outline reasons for this request and state facts necessary for City Attorney to respond. Please attach all pertinent information and exhibits. TYPE OF LEGAL SERVICES REQUESTED: ❑ Ordinance/Resolution ❑ Opinion ❑ Contract/Agreement (Allow 5-20 working days)` (Allow 20 working days)` (Allow 15-20 working days)* ❑ General Legal ® Document Review Assistance (Ongoing) (Allow 2-10 working days)* *All deadlines are based on the date the City Attorne 's Office receives the RLS. This reque rev' wed and approved. RECEIVED APR 0 5 2004 Sature of a rtment Head City otHuntmguuntt�a;r, CityAttornev's Ctt,,,, COMMENTS Please identify all attachments to this RLS. Please review and approve"As to Form"the following contract documents furnished by R.J. Noble Company contractor for the road rehabilitation of Springdale St.,Warner Ave., and McFadden Ave. Project CC 1150, CC1151, CC1152 1. Maintenance Bond#83 SB 104168840 Shaded areas for City Attorneys Office use only. This request for Legal Services has been assigned to Attorney extension His/her secretary is , extension Notes: Date Completed: RLS MAIN BOND.doc 4/1/2004 11:38 AM R. J. NOBLE COMPANY 0N1UUC E ENGINEERING CONTRACTORS P.O. Box 620.Orange, Callfomla 92856•Phone(714)637-1550.1-SM339-0362 USTOMER JOB CUSTOMER ORDER NO. 90067RET 3/19/04 401 90938 City of Huntington Beach Springdale St. Rehab Public Works Department CC-1151 2000 Main St. , Second Floor Huntington Beach,CA 92648 tZESCRIPTION OUANTITY UNIT' ' PRICE ,EXnNS10 Final Retention / 1[ l $21,427. 17 Poo L AO"'C .a d4ft r+ Zlnear N MKWIIa•UM L&W{Caofa M Coen Of CH hOOftM SOGW 1181 r lath aM W*baOr.VAaW&KW-b w,awouar or ow pa wreh. to.�.�P��.ft�worhi..,wka�».h,04rQMWW* ..d, ym TOTAL $21,427-17 . - DO mwa ma our a tan r•r! >�pawn ORN a sow or a mun arks a.a so nronaat of IM aw a"10 aae*en Nwoaa�_ _ - -- -,-- --. ;---• .- . ... _.....- INVOICE DATE CU STOMER .: CUSTOMER .•. 90065RET 3/31/04 401 90939 DELIVERED . MC FADDEN AVE. REHAB Cc-ib1 W7. QUANTITY UNIT PRICE EXTENSION $27,002.12 ire,Section 1181 at.seq.),any contractor,subcontractor,laborer,supplier or TOTAL or his work or supplies,has the right to enforce a claim against your property. $2 7,00 2.12 oy a court officer and the proceeds of the sale used to satisfy the indebtedness. f the cnlu:om2ctor.laborer or suooller remains nnnaid" t RJN C R. J. NOBLE COMPANY �NVOM ENGINEERING CONTRACTORS P. O. Box 620.Orange,California 92856• Phone(714)637-1550. 1-800-339-0362 INVOICE DATE CUSTOMER JOB CUSTOMER ORDER NO. 90066RET 3/31/04 401 90937 SOLD . DELIVERED TO CITY OF HUNTINGTON BEACH WARNER AVE. REHAB PUBLIC WORKS AGENCY CC 1150 2000 MAIN ST. HUNTINGTON BEACH, CA 92648 DESCRIPTION QUANTITY UNIT PRICE EXTENSION FINAL RETENTION $20,950.86 -Under the Mechanics'Gen Law(California Cods Of Civil Procedure,Section 1181 at.$eq.),any contractor,subcontractor,laborer,suppliw or m�~pm who helps to Improve your property but Is not paid for Ms work or supplies,has the right to enforce a dakn against your Property. _. TOTAL' $2 9 50.8 6 This l�I"afurp court lwdn%your property mWd be sold by a oourt officer and the proceeds of the used to sMbgr the hrdebledneaL -,sd.;'a.::.:.,•„ems, . } City of Huntington Beach PROGRESS PAYMENT Date: March 18.2004 Huntington Beach,CA 92648 F�v Public Works DepartmentProflreaa Payment No: 1 FINAL 2000 Main Street.P.O:Box 194 R.J.Nabie Company Estlmats Perlod: March 2004 15505 E.Lincoln Avenue Job Locatlon: wamarAve Rehab Orange,CA 92865 (714)637.1« Cash Contract No.: 1150 Inspector: Vic Galich Cont Quantity titY : Quantity or Unit Amount . T t al Quant ity.:: Total Amount,::;Item nE ` %P evo X riu ate P this Bstimila thisEstm ::: r : o Date:: 1 Mobilization - 1 Ls, _ _ 1.00 _-$10.000.00 . - _ $10,000.00 1.00 $10,000.00 _2 TradicCarrtWPan - `_._. _ _ _.. -1 Ls 1.00 $1,200.00' $1,200.00 --- w-- 1.00 -'- $1,200.00 3 Fuml h Prolect TralAc Control __... ._..-- _-- ---�._._ LS _ - T.. _ •__-_ -- _ _ _ _ _ _ _ _ 1.00 _ $5,300,00 . $5,300.00 _ _ 1.00 -$5,3_00.00 - 4 cold Milling S.Header cutting --_--.- _ __ SY934 -� - - S.F. _._�.__._ ___ _ . 53668.00 _E0.18 _ - SB 586.58 ___- 53t366.00 - .-_ 58;586.58 i_._....__-_.2._ Undaasifled Ezcav_ation _ _ _ _ _ - 270 -'� c.Y. -- 276.00 -$40.00 $10,800.00 27_0.00 _ - 310.800.00 6 Consh:,c Asphalt Concrete{OveAay.FuR Depth,etc y 3863_ - Tory �-_ .T 3724.00 ��$39.75 -5148_o29.Qo __3724.00 $148,029.00 7 Paremenl ReintoTer»ent Fabric a Raule and Seal d Cracks 428 + s.Y. _ _- 197.00_ -_ _59.00 S1,773.00 197.00 - S1,T73.00 _ 8 Adjust Sewer/Storm Drain Manhole to Grade _12 - EA. _ ---- _- _-- 12.00 .._�$210.00_.. _ $2.520,00 -- T 12.00 $2.520.00 9_ AdjustWaler Valve toGrade - __.... _. 25�1_ EA 25.00 - 5235.00 °_-_.._.__$5.875.00 - _ _- 25.00 _ $5,875.00 _10 Adjust MonHoring wen to' Grade _ 4_ EA. _ --___ 4.00 __$235.0 0 $940.00 . 4.00 r _$940.00 11 Tralic Shipin� _._..----_ T-_ .^�. - 1 - Ls f.00 58,900.00 i _ $6,900.00 _ _-_-1.00 - 58,900.00 12-Tra(fal.o;ii - 13 i EA �13.00 $175.00 l T$2.275.00 13.00 ��$2,275.00 13 Removes Rftmstmd Curb a Gutter-- ---- -- 80 ; L.F. _ - -80.00 S42.00 --$3�360.00 _- - -- 80.00'-"- -'$3.360.00 14 __._. - -- _--- ..__ -_. Survey btanumentatlon_ , _-- _ -_8_ ---$J1, -_T 6.00 _ $325.00 . -__$1,950.00 - T6.00 $1.950.00 -t 7 -- L --- ---- -- --._ 20 APPROVAL FOR PROGRESS PAYMENT APPROVAL*9U �, Sub-Total: _$209,508_56 _ $209,508.`�6 Less Retention: $20,050.86 $20.950.86 C.C.Wo:41150 Pa :1 FINAL Less Previous Paid:^,. rins Date Total Arnount Due: 5188,557.70 5788,557.70 Apia ed By � SEE A 7To E R&harkkm Date Contractor Daro Page 11 of 1 e00 Public Works Department City of Huntington Beach PROGRESS PAYMENT Date: Febrv@ry 13,2004 2000 Main Street.P.D.Box 190 Progress Payment No.: 1 f.,..I + Huntington Seach,CA 92648 R.J.Noble Company Estimate Period: February2004 15505 E. Lincoln Avenue Job Location: Springdale btw Edinger a McFadden Orange.CA 92865 (714)637-1550 Cash Contract No.: 1151 Inspector. Vic Galich Cants Quantity ar.::::_::.:;: Quantsty or. ::. ;::.:, 1Jnit Amount > : : Total Quantity :-: Total Amount .::. PFT :,.�: °:?:;:`;°::.::?:,::o-nY•:j:::Y:^:o-i.e.:.,:::;.:?.:.::.?.:::.i::`.=`..._:::.::.-,.,..... ,:..�: .. � ..... ::...:.. ,.:.. : ...:..:..:: ::.. flescription ' Quant nit- %Previous` %thls�Estimate ;;'::.:i Prici :. :;altls Estimate:.::.. or y:to Data to Dats gatian __ ---.- _-- 1 4S" _.-_ _ _� �_— 1.00 _S10.000.00 _ 310.000.00 _ 1.00 _--$10,000.00 -�...�__ 1.00 $1,200.00 c Cantrd Plan 1 LS. �� _ _ — - _ - 51200.00 1.00 S 3 _ ____....-_. _.-. -_ 1 -_--�s. - - -- _ 1.00 --SB.t300.00T _ $8.800.00 -_- 1,00 ,— $6.800.00 _ Famish Protect Traffic Control 204406 S.-F. ' I -' 2052112.00 S0.1e '$32,833.9_2 205212.00 `532,833.92 4 Cold Mif N A Header -•--• - --- - - ---- 5 unclassified Excavation 704 C.r. _ _ _ .._. _ _ ± _.— 704.00 — $30.00 . S21,120.6 _ 704.00 S21.1200.00 -r 7o_N 2979.73-"$39.755 $118,444.27 2979.73 $118,444.27 6 •_Co_nstnxt Asphalt CaxYete(C+verta Full t)eyth,etc.) - 7 P_aveme_nt Rein o j;eM Fabric&Rouls and Seal ai Cracks _ -574 a7 0Q -t LS. ... � _ 1.00 511,700.00 .�_ S11�700_00 .- 1.00 _ $11,700.00 9 TraMleloop _-_--_ 38 EA: 38,00 $175.00. ,-_$6.650.00 38.00 $6,650_00 _ ' .___ 112_00 $42 00 10 Remove a Reconstruct 8 Gutter �,.—_ — 112 —_ �F. __- — -• _ -- 54,704.00 — 112.00 $4,704.00 11 --- 13 14 Is 21 22 _ 2S ..--- _ APPROVAL FOR PROGRESS PAYMENT--_ - _. .:APPROVAL FOR Ott ES Suta•Total: _-`5213,352�19 ti _,- $213,452.19 Less Retention: 521.345.22 $21,345.22 ;C.C�No.:Ml4I.- a"ntNOW-1 F�"� . /. Less Previous Paid: Total Amount Due: $192.106.97 $192.100.97 Ernne!Date- - - -- -.... Contractor Date Page 1 of 1 MP City Of Huntington Beach PROGRESS PAYMENT Date, March 18,20D4 Pubile Works Department Progress Payment No.: 2 Final z000 main street.P.O.Box 190 R.J.Noble Company Estimate Period: March 2004 HuntIngton.Beach.CA 92648 15505 E.Lincoln Avenue Job Location, ktirad&c mw oddemest a 1.5 Orange,CA 92865 (714)63T-1 550 Cash Contract No.: 1152 Inspector. Vk Gakh itttm :1 Quantity or Quantity or;,.� -..Unit :Total Quantity ...%.-jotal Armunt Contract.�,- , A. mount.... this Estima e 6r%to Date to Date %this Estimate r ce.:'� I a'' Unit %P ..:, No.' udnt�y revio6i P I..., col ibo`S LS _1.00, 510,000.00 1.00 $1.0.000.00 frwfk Contro(Plan I ,200.00 -- 1.00 LS 3 Traffic CanW 1 1.00 $6,800.00 , 1.00 $6.80000 4 Cckd MilrM 3 Header 63543 3 F 62467.00- 62467.00 59,994-72 5 6r;da'ssffW ExcavaWn 844 _ 833.00! $26.00j__ 833.00 $21,658.00 -6 -.4450 06".- .-$39.75 4450.00 $176.887.50 (Oveday,Full Dep"e j 4SO9 Pa;il;eri Reinfore-mvit Fabric&Route and Seal of Cracks 750 "75-000 $5167.-U-.75656 75000 .00 8 EA $2.520.00 L 20.00 �djust Sewer/Storm Drain Manhofe to Grade 12 12.00 $210.00 12.00 12 ---'-$235.00 $2.820.00 1 i,60 t2.820.00 yySie!yaw to.Gr. utcir"±Lall to Grade E_jk 1.00 $235DO] $235.00 1.00 $235.00 $1 1.00 1,J66,601 slyoo.00 1.00 $11.100.00 12 30 EA 3000 $175.00: S5.256.66 3665 r.-h,4_Cu1b jZ;.sR�. 3- E�k Y.66 -$-I"s-5-OX $4.650.00 3.00 $4,650.00 14 Consviuct Asphalt Concrete Walk oncludes:Clearing Grubbing,Soll 1666 SF I1666.00 $6.00. $9.99000 IN6.00 $9,996.00 ,Header&Stakes) r!!!y_ILAju!�� _YoriurnenitWell to Grade 6A $235.00: -$235,00... 1.00 $235.00 is Survey monu;"66W E 900 __$32 $2.925.00 9.00 $2.925.00 77- 2f_ 25 f Sub-Total- S43.481.00 270.021.22 AP13ROVAL FO 4NTrTIES ROVAL FOR PROGRES3 PAYMENT Less Retention: $4,348.10 S27.002.12 APP C.C.Nm:1152 Payffe o.:2 Final t3y 1 Less Previous Paid $203,886.20 Inspector /Date Total Amount Due- $391312.90 $39.132 on II Approved 01 s"dr A1T.44twal EdcP-Charionne Date Contractor Aate Page 1 of 1 04/06/2004 09 29 7143741573 CHB ENG PAGE 03/03 DECLARATION OF SATISFACTION OF CLAIMS l R.J. NOBLE COMPANY . state. (Name of Coribse or) 1. 1 am the general contractor for the City of Huntington Beach, as to the project more fully described in the public works contract entitled. WARNER, MC FADDEN, SPRINGDALE: CC-1150, 1151, 1152 and dated MARCH 29, 2004 2. All workers and persons employed, all 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 fled under the provisions of the statutes of the State of Callfomia' (If none,state'NONE") y s NONE i declare under penalty of perjury that the foregoing is true and correct. 15505 E. LINCOLN AVE. , EXOCUted at ORANGE, CA 92865 __on this 29th day of MARCH , 2004. Xwedow ') ( torte of Conliettor) CRAIG PO TER, GENERAL MANAGER OF FIELD SUPERVISION APPROVED&q TO FORM 7E NIPER MaaRATH,C*A%mnw GfoV0WVpkaihooetl =hcm2.d= .�4 i j r ffo my wnn..�A.—411 c 04/06/2004 09:29 7143741573 CHB ENG PAGE 02/03 City of Huntington Beach Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach, CA 92648 Subject: Certification of Compliance with Title Vll of the Civil Rights Act and Equal Employment Opportunity Act of 1972 I Gentlemen: The undersigned,contractor on: _ WARNER, MC FADDEN, SPRINGDALE: CC-1150, 1151, 1152. ' Project No Me 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. ,gnotom and e) / CRAIG P TER, GENERAL MANAGER OF FIELD SUPERVISION APPROVED AToFORM JE FER McGRAXK C*Atc, wy SanA p:fb9cwwpkvsh*mh=shcon1.doc rAvvm Aurs*4A CITY OF HUNTINGTON BEACH 1 RLS No REQUEST FOR LEGAL SERVICES Assn To Jennifer McGrath, City Attorney Data Date: Request made by: ,Telephone: Department: 4f01104 David Verone 84T1 PUBLIC WORKS INSTRUCTIONS: File request in the City Attorney's Office. Outline reasons for this request and state facts necessary for City Attomey to respond. Please attach all pertinent information and exhibits. TYPE OF LEGAL SERVICES REQUESTED: ❑ . Ordinance/Resolution ❑ Opinion ❑ Contract/Agreement (Allow 5-20 working days)' (Allow 20 working days)' (Allow 15-20 working days)` ❑ General Legal ® Document Review Assistance (Ongoing) (Allow 2-10 working days)* All deadlines are based on the date the City Attome s Office receives the RLS. This request wat reviewed and approved. R E C E I lr.C- L' APR 05 20 L Sig a"ture of De artment Head Q,*,oiHur.t;�,y.�:,� COMMENTS Please Identify all attachments to this RLS. Please review and approve'As to Form"the following contract documents furnished by R.J. Noble Company contractor for the road rehabilitation of Springdale St.,Warner Ave.,and McFadden Ave. Project CC 1150,CC1151, CC1152 1. Maintenance Bond#83 SS 104168840 Shaded areas for City Attomey's Office use only. This request for Legal Services has been assigned to Attorney extension His/her secretary is , extension Notes: Date Completed: R1 R MAIN RONI).rfor. 4/1/2004 11:38 AM CITY OF HUNTINGTON BEACH REQUEST FOR LEGAL SERVICES .Jennifer McGrath, City Attorney COMMENTS (Continued): RLS MAIN BQND.doc -2- 411/200411:38 AM • MAINTENANCE BOND TRAVELERS CASUALTYAND SURETY COMPANY OFAMERICA Hartford,Connecticut 06183 BOND NO. 83 SB 104168a40 BChI KNOW ALL MEN BY THESE PRESENTS: That R.J.Noble Company as Principal,hereinafter called Contractor, and TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA,as Surety,hereinafter called Surety, are held and firmly bound unto CITY OF HUNTINGTON BEACH as Obligee, hereinafter called Owner, in the penal sum of$687,458.96 .for the payment whereof Contractor and Surety bind themselves, their heirs, executors,administrators,successors,and assigns.jointly and severally,firmly by these presents. WHEREAS,Contractor has by written agreement,dated OCTOBER 20,2003 entered into a contract with Owner for WARNER AVE. REHABILITATION FROM SIMS ST.TO BOLSA CHICA ST., SPRINGDALE ST.REHABILITATION FROM EDINGER AVE.TO MC FADDEN ST.MC FADDEN AVE REHABILITATION FROM GOLDENWEST ST.TO 1-405 FREEWAY In accordance with the General Conditions, the Drawings and Specifications,which contract Is by reference Incorporated herein,and made a part hereof.and is referred to as the Contract. NOW,THEREFORE,the condition of this obligation is such that,if Contractor shall remedy any defects due to faulty materials or workmanship which shall appear within a period of ONE year(s) from the date of substantial completion of the work provided for in the Contract, then this obligation to be void;otherwise to remain in full force and effect. PROVIDED,HOWEVER,that Owner shall give Contractor and Surety notice of observed defects with reasonable promptness. SIGNED and seated this 26T" day of MARCH ,2004 IN THE PRESENCE OF: R.J. NOBLE COMPANY (Seal) Principal Title STXN HILTON, StCRETARY TRAVELERS C U U CO ANY OF AMERICA By MICHA L D. STONY Ar y-in-Fact Y i� h s-2326-1 (07-97) APPEE RD A SA ]?AO FO L � _ Z _ -: - o`i1 k�H.0 Amev CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT �r`!M_�1`N`!_('�(`N' N• i�f` .f''+^ ,t!' a�l <•K`N.`Cd` .l<' .�l'!Y' !y`.M State of California County of RIVERSIDE ss. On , before me, R. STAA'DLEY .S Dale Narfe @no Taw of officer to a.'Jana Doe.haary Pud.c I personally appeared MICHAEL D. STONG r r �S Na+*•aral d S.gneRar Q personally known to me h 0 proved to me on the basis of satisfactory evidence ti S .5 to be the personjewhose name/-isles c � R.aSTI'.WCt_EY subscribed to the within instrument and F a5" CaPIl::9.#'t2o�272 acknowledged to me that helshelthey executed }+` NOTAr.'YFUSUC-CAUVORNIA a� the same in hislhe;N4eir authorized VITEM IE COUNTY ca acit and that b hislheF4,4w � My Gznna.Eipllar Juna .. capacity(",� Y signatureVon the instrument the persons or ?� the entity upon behalf of which the person( acted, executed the instrument. r WITNES y Pan and official seal. ?� e. Plan Notary seal ADo.ra Sqnalure at hoary Putll.c OPTIONAL h Though the information below is not required by taw.it may prove valuable to persons relying on the document �S and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: h Signer(s)Other Than Named Above: Capacity(ies) Claimed by Signer Signer's!Name: r c C individual Too of arumc Here Corporate Officer—Ttle(s): 0 Partner--C Limited C General 0 Attorney in Fact 0 Trustee .� r Guardian or Conservator C Other: Signer Is Representing: a T99q Nahwo Nora?AawCaaw-9=a Sow are-.PO.Eoa 24W•C.}latlw".CA 9M}2a02•wwn nnorwraury aq Pwo No.M1 Ammw Car To&Free 14004 Ear CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT NO.5W State of CALIFOILNIA County of ORANGE On MARCH 26, 2004 before me, _ JENNIFER DE IONGH, NOTARY PUBLIC DATE NAME.TITLE OF OFFICER-E.G..'JANE DOE.NOTARY PUBLIC personally appeared STA.'S HILTON, SECRETARY, R.J. NOBLE COMPANY . NAME(S)OF SIGNER(s) ® personally known to me - sis of satisfactory evidence to be the person(4 whose nameLo iskife- subscribed to the within instrument and ac- knowledged to me that he/shoftay-executed the same in hisAterAtre r authorized JcNNIFERDEIONGH capacity(les), and that by his/49;44a4; NOTARY PUBLIC-CAUFORNIA r„ h _- COo16,Rn s cot1N�7 t= signaturep5j on the instrument the persory(s� My Comm -Exo.Oet _28.M7 or the entity upon behalf of which the person(s) acted, executed the Instrument. WITNESS my hand and official seal. SIGNATURE OF NOTARY 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 ❑ PARTNER(S) ❑ UMITED ❑ GENERAL ❑ ATTORNEY-IN-FACT NUMBER OF PAGES ❑ TRUSTEE(S) ❑ GUARDIAWCONSERVATOR ❑ OTHER: DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSON(S)OR ENTI YPES) SIGNER(S)OTHER THAN NAMED ABOVE 01 M NATIONAL NOTARY ASSOCIATION-8236 Remmet Ave.,P.O.Box 7184-Canoga Pads,CA 913D9-7i84 TRAVELERS CASUALTY AND SURETY COMPANY OF A51ERICA TRAVELERS CASUALTY AND SURETY CONIPANY FARNILVGTOy CASUALTY COMPANY Hartford,Connecticut 06183-9062 POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTOR-tiEY(S)-IN-FACT KNOW ALL PERSONS BY THESE PRESENTS, THAT TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FAKMINGTON CASUALTY COMPANY, corporations duly organized under the laws of the State of Connecticut, and having their principal offices in the City of Hartford, County of Hartford, State of Connecticut, (hereinafter the "Companies") hath made, constituted and appointed, and do by these presents make, constitute and appoint: Michael D. Stong,Shawn Blume, Susan C. Monteon, Rosemary Standley, of Riverside, California, their true and lawful Attorncy(s)-in-Fact, with full power and authority hereby conferred to sign, execute and acknowledge, at any place within the United. States, the following instrument(s): by hisfher sole signature and act, any and all bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking and any and all consents incident thereto and to bind the Companies, thereby as fully and to the same extent as if the same were signed by the duly authorized officers of the Companies, and all the acts of said Attomey(s)-in-Fact, pursuant to the authority herein given,are hereby ratified and confirmed. This appointment is made under and by authority of the folloning Standing Resolutions of said Companies, which Resolutions are now in full force and effect: VOTED: That the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President,any Vice President,any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds.recognizances,contracts of indemnity,and other writings obligatory in the nature of a bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her. VOTED. That the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is in writing and a copy thereof is E•led in the office of the Secretary. VOTED: That any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President, any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary,or(b)duly executed(under seal,if required)by one or more Attcmeys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority. This Power of Attorney and Certificate of Authority is signed and scaled by facsimile (mechanical or printed)under and by authority of the following Standing Resolution voted by the Boards of Directors of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARAIINGTON CASUALTY COMPANY,which Resolution is now in full force and effect: VOTED: That the signature of each of the follo%ing officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary,and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. (1 t-00 Standard) Company Profile Page t of z ' California Company Profile Insffrance TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA ONE TOWER SQUARE, 4MN TRAVELERS / Mary T. Restelli HARTFORD, CT o6183 877-877.-8737 Former Names for Company Old Name: AETNA CASUALTY& SURETY COMPANY OF Effective Date: 07-01-1997 AMERICA Agent for Service of Process JERE KEPRIOS, C/O CT CORPORATION SYSTEM 818 WEST SEVENTH STREET, 2ND FLOOR LOS ANGELES,CA 90017 Unable to Locate the Agent for Service of Process? Reference Information NAIC 31194 NAIC Group : 3321 California Company ID ;;: 2444-8 Date authorized in California: July 31, ig81 License Status: UNLIMITED-NORMAL Company Type: Property & Casualty State of Domicile: CONNECTICUT Lines of Insurance Authorized to Transact The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. AIRCRAFT AUTOMOBILE BOILER AND MACHINERY BURGLARY COMMON CARRIER LIABILITY CREDIT T,tt.,.//rrl;na'1vcvcv ;"imror%ro rs onv/nla/wi+ rn nrnF/;A rn nrnf t,tl oot rn nrnOn FT17-... AlTllnn.t Company Profile Page 2 of 2 DISABILITY FIRE LIABILITY MARINE MISCELLANEOUS PLATE GLASS SPRINKLER SURETY TEAM AND VEHICLE WORKERS' COMPENSATION Company Complaint Information r ►4 Company Enforcement Action Documents Company Performance & Comparison Data Composite Complaint Studies Want More? Help Me Find a Company Representative ink Area Financial Rating Organizations Last Revised-February 18,2004 03:13 PM Copyright®California Department of Insurance Disclaimer 1,e�. . /.�r�:.+e.ara.rnr :r.ea..awro n� nnar/n�e/afraa rn ra e%CI;AI, ee% nrnr a.rl rsop r'n i+rnt+h FTr)— .4 Ar/,nnA a ?Fe"en}°'.,tit t .a fir• ter' T�>�", L__-_. -r , . »� .� • i , 'i-5 a -• - - . a�4, ..f a 4 P uRECE}YEOBY: CITY CLERK RECEIPT COPY 6 -�-� Return DUPLICATE to \� �10�C� A"^ �Mll�o(ext.6260) r (J71 eme �- after sigmngldatmg ^� — G4 { (fete) A, CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO Shan Frerdennch, Crty Treasurer ATTN• Jim Slobojan, Deputy City Treasurer FROM / DATE SUBJECT Bond Acceptance I have received the bonds for / V p (Company Name) p o ,/ ,�y► Faithful Performance Bond No. Labor and Material Bond No. I n�ZjIvifTV0 Monument Bond No. Maintenance Bond No. (7,4L/,C- 4,tiw ,� /.ate �+'?/ -4? Re: Tract No CC No atm .v 1115,� MSC No Approved •3 �Agenda Item No 7 (Councd ApprovalDate) City Clerk Vault No ZM, g yah/bondietter doc ,I w PERFORMANCE BOND TRAVELERS CASUALTY AND SURETY COMPANY OF AMEI Hartford,Connecticut 06183 Bond No.83 SS 104168840 BCM KNOW ALL MEN BY THESE PRESENTS: R.J.NOBLE COMPANY, 15505 E. LINCOLN AVE.,ORANGE,CA 92 that (Here Insert full name and address or legal title of Contractor) as Principal,hereinafter called Contractor,and,TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA.of Hartford.Connecticu corporation duly organized under Me laws of the State of Connecticut,as Surety,hereinafter called Surety,are held firmly bound unto CITY OF HUNTINGTON BEACH,P.O.BOX 190.HUNTINGTON BEACH,CA 92648 (Here Insert full name and address or legal title of Owner) as Obligee.hereafter called Owner.In the amount of SIX HUNDRED NINETY SIX THOUSAND ONE HUNDRED THREE 781100 Dollars(s 696,103.7a),for the payment whereof Contractor and Surety bind themselves,their heirs,executors,administrators,successors and assigns,jointly and severally,firmly by these presents. WHEREAS,Contractor has by written agreement dated October 20,2003. entered Into a contract with Owner for WARNER AVE. REHABILITATION FROM SIMS ST.TO BOLSA CHICA ST.,SPRINGDALE ST.REHABILITATION FROM EDINGER AVE.TO MC FADDEN ST.MC FADDEN AVE.REHABILITATION FROM GOLDENWEST ST.TO 1-405 FREEWAY In accordance with Drawings and Specifications prepared by WA (Here insert full name and address or legal title of Architect) which contract Is by reference made a part hereof,and Is hereinafter referred to as the Contract NOW,THEREFORE.THE CONDITION OF THIS OBLIGATION Is such a contract between such bidder and Owner. and make available as that, if Contractor shall promptly and faithfully perform said Contract, Work progresses (even though there should be a default or a then this obligation shall be null and void;otherwise It shall remain In succession of defaults under the contract or contracts of completion full force and effect arranged under this paragraph) sufficient funds to pay the cost of completion less the balance of the contract price. but not exceeding, The Surety hereby waives notice of any alteration or extension of time Including other costs and damages for which the Surety may be liable made by the Owner. hereunder,the amount set forth In the first paragraph hereof. The term ."balance of the contract Whenever Contractor shall be,and declared by Owner to be In default price', as used In this paragraph.shall mean the total amount payable under the Contract, the Owner having performed Owners obligations by Owner to Contractor under the Contract and any amendments thereunder, the Surety may promptly remedy the default, or shall thereto,less the amount property paid by Owner to Contractor. promptly Any suit under this bond must be Instituted before the expiration of t~ 1) Complete the Contract in accordance with its terms and conditions, (2)years from the date on which final payment under the Contract f or due. 2) Obtain a bid or bids for completing the Contract In accordance with No right of action shall accrue on this bond to or for the use of; Its terms and conditions. and upon determination by Surety of the person or corporation other than the Owner named herein or the he lowest responsible bidder, or,it the Owner elect,upon determination executors.administrators or successors of the Owner. by the Owner and the Surety Jointly of the lowest responsible bidder, arrange for Signed and sealed this 27TH day of OCTOBER 2003 R.J.NOBLE COMPANY (Principal) (S (witness) KAEL CARVER, PRESIDENT (Title) TRAVELERS CASU TY SUR COMPANY OF AMERICA (Witness) 8 A t 1 00 MIC D. TO ey-in-Fact Printed In cooperation with the American Institute of Architects(ALA)by Travelers Casualty and Surety Company of Lca. The language in this document conforms exactly to the language used In AIA Document A311,February 1970 edition. Page 1 of 2 AP OVED AS PO FOR]tii: .. �� S-1870-E (07-97) E FIFER M&H,CityAttorn STATE OF CALIFORNIA SS. COUNTY OF RIVERSIDE On 101 a 1/n ,before me, R. 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/ their signature(s) on the instrument the person(s), or the R. STANDLEY entity upon behalf of which the person(s) acted, executed r "''� COMM.#1263272 the instrument. ¢ = ` NOTARY PUBLIC•CALIFORNIA N RIVERSIDE COUNTY WITNESS my hand and official seal. My Comm.Ezpirss June 7,4oW Signature &6 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 TITLES) TITLE OR TYPE OF DOCUMENT ❑ 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 1D-081 Rev.6/94 ALL-PURPOSE ACKNOWLEDGEMENT CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT No.5907 State of C'AT,TFnRNTA County of ORANGE On OCTOBER 27, 2003 before me, Carol Pettit, Notary Public DATE NAME,TITLE OF OFFICER-E.G.,VANE DOE,NOTARY PUBLIC- personally appeared Michael J. Carver, President, R. J. Noble Co. NAMES)OF SIGNER(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 ac- knowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the CARO LPETT R person(s) acted, executed the instrument. NOTARY PUBLIC-CAUFORNIA I COMMISSION#1439769 a WITNESS my hand and official seal. ORANGE COUNTY Comm. .Se mber 23,2007 SIGNATURE OF NOTARY 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) ❑ GUARDIANICONSERVATOR ❑ OTHER: DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSON(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 Company Profile Page 1 of 2 AM Company Profile In sWr'"a'n6"'W0Zc`e4 TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA C/O TRAVELERS/AETNA PROP & CAS CO ONE TOWS SQUARE HARTFORD, CT 06183 877-872-8737 Former Names for Company Old Name:AETNA CASUALTY& SURETY COMPANY OF Effective Date: 07-01-1997 AMERICA Agent for Service of Process JAMI BURKS,21688 GATEWAY CENTER DRIVE 3RD FLOOR DIAMOND BAR, CA 91765 Unable to Locate the Agent for Service of Process? Reference Information NAIC#: 31194 NAIC Group#: 3321 California Company ID#: 2444-8 Date authorized in California: July 31, 1981 License Status: UNLIMITED-NORMAL Company Type: Property& Casualty State of Domicile: CONNECTICUT Lines of Insurance Authorized to Transact The company is authorized to transact business within these lines of insurance.For an explanation of any of these terms,please refer to the gloss arX. AIRCRAFT AUTOMOBILE BOILER AND MACHINERY BURGLARY COMMON CARRIER LIABILITY httn-//rdincwww incnrnnre rn 4nV/nj4Z/WnI r!A nrnP/irjh nn "v^P „+I nnf LABOR AND MATERIAL TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA PAYMENT BOND BOND 1,'t1MBER 83 SB 104168840 BCM Hartford, Connecticut 06183 THIS BOND IS ISSUED SIMULTANEOUSLY WITH PERFORMANCE BOND IN FAVOR OF THE OWNER CONDITIONED ON THE FULL AND FAITHFULL PERFORMANCE OF THE CONTRACT KNOW ALL MEN BY THESE PRESENTS: R. J.NOBLE COMPANY,15505 E.LINCOLN AVE.,ORANGE,CA 92865 that (Here Insert full name and address or legal title of Contractor) as Principal,hereinafter called Principal.and.TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA,of Hartford.Connecticut,a - corporation duly organized under the laws of the State of Connecticut,as Surety,hereinafter called Surety.are held firmly bound unto CITY OF HUNTINGTON BEACH,P.O.BOX 190.HUNTINGTON BEACH,CA 92648 (Here Insert full name and address or legal title of Owner) as Obligee,hereinafter called Owner for the use and benefit of Claimants as herelnbetow defined.In the amount of SIX HUNDRED NINETY-SiX THOUSAND ONE HUNDRED THREE AND 781100 Dollars(3 696.103.78 ),for the payment whereof Principal and Surety bind themselves•their heirs•executors,administrators,successors and assigns,jointly and severally,firmly by these presents. WHEREAS.Principal has by written agreement dated OCTOBER 20. .2003 .entered into a contract with Owner for WARNER AVE REHABILITATION FROM SIMS ST.TO BOLSA CHICA ST..SPRINGDALE ST.REHABILITATION FROM EDINGER AVE.TO MC FADDEN ST.MC FADDEN AVE REHABILITATION FROM GOLDENWEST ST.THE 1-405 FREEWAY in accordance with Drawings and Specifications prepared by WA (Here insert full name and address or legal titre of Architect) which contract Is by reference made a part hereof,and Is hereinafter referred to as the Contract. NOW,THEREFORE,THE CONDITION OF THIS OBLIGATION Is such materials were furnished,or for whom the work that, If Principal shaft promptly make payment to all claimants as done or performed. Such notice shall be serve, hereinafter defined, for all labor and material used of reasonably the required for use In the performance of the Contract,then this obligation same by registered mail or certified mail,postal ` shall be void.otherwise it shall remain In full force and effect,subject. an �C however,to the following conditions: envelope addressed to the Principal,Owner or place where an office is regularly maintained foi 1) A dalmant is defined as one having a direct contract with the transaction e Principal or with a Subcontractor of the Principal for labor,material,or of business,or served In any manner In which M both, used or reasonably required for use in the performance of the may be served In the state In which the aforesa . Contract, labor and material being construed to include that part of located,save that such service need not be ma water,gas,power•right,heat,oil•gasoline,telephone seMce or rental officer. of equipment directly applicable to the Contract (b) •After the expiration of one(1)year following the date on which 2)The above-named Principal and Surety hereby jointly and severally Principal ceased Work on said Contract;It being understood• agree with the Owner that every dalmant as herein defined,who has however.that If any limitation embodied In this bond is not been paid In full before the expiration of a period of ninety(90)days prohibited by any law controlling the construction hereof such after the date on which the last of such claimant's work or labor was limitation shall be deemed to be amended so as to be equal done or performed,or materials were famished by such dalmant,may to sue on this bond for the use of such claimant,prosecute the suit to final the minimum period of limitation permitted by such law, judgment for such sum or sums as may be justly due claimant, and have execution thereon. The Owner shall not be liable for the payment (c) Other than In a state court of competent jurisdiction in and for of any costs or expenses of any such suit. the county or other political subdivision of the state In which the 3) No suit or action shall be Commenced hereunder by any claimant: Project.or any part thereof.Is situated.or In the United (a) Unless claimant,other than one having a direct contract with States the District Court for the district In which the Project,or any part Principal,shall have given written notice to any two of the thereof.Is situated.and not elsewhere. following: the Principal,the Owner,or the Surety above- named. 4) The amount of this bond shall be reduced by and to the extent of within ninety(90)days after such claimant did or performed any payment or payments made In good faith hereunder.Inclusive of the the payment by Surety of mechanics'liens which may be filed of record Cast of the work or labor,or furnished the last of the materials against said Improvement,whether or not claim for the amount of such for pen be presented under and against this bond. which said claim Is made•stating with substantial accuracy the amount claimed and the name of the party to whom the R.J.NOBLE COMPANY (Principal) (Seal) (Witness) MICHAKL J. CAKVER, PRESIDENT (Title) TRA ERS SURETY COMPANY OF AMERICA (r (Witness) B M::F+ .STON � ( �eyln-Facl) il APPROVED AS TO FORM: s-ta�I-F�o�-9�y d1di� JrRNIFE4 ty AHomey STATE OF CALIFORNIA SS. COUNTY OF RIVERSIDE On Io�--n 103 ,before me, R. 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 names) 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/ their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed , R.STANDLEY the instrument. _ '' COMM.#9 263272 � ' = NOTARYPUL�-IC-CALIFORNIA WITNESS my hand and official seal. RIVER:S10F COUNTY «r' My Comm.Expires JUM 7,2004 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(S) TITLE OR TYPE OF DOCUMENT ❑ 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 ENTITYQES) SIGNER(S)OTHER THAN NAMED ABOVE ID-081 Rev.6/94 ALL-PURPOSE ACKNOWLEDGEMENT CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT No.5907 State of CAT.IFORNIA County of ORANGE On OCTOBER 27, 2003 before me, Carol Pettit, Notary Public DATE NAME,TITLE OF OFFICER-E.G.,'JANE DOE,NOTARY PUBLIC personally appeared Michael J. Carver, President, R. J. Noble Co. NAME(S)OF SIGNER(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 ac- knowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. CAROLPE MI:OftN1A w WITNESS my hand and official seal. N OOMMISS ON#143876E OHANO8 CO tuber 23.2007 Comm,� ,Se SIGNATURE OF NOTARY 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 Tm.E(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 ENTm(IES) SIGNER(S)OTHER THAN NAMED ABOVE 01993 NATIONAL NOTARY ASSOCIATION-8236 Remmet Ave.,P.O.Box 7184-Canoga Park,CA 91309-7184 one Tower Square Ha�ord,CT 06183 Travelers IMPORTANT DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE On November 26, 2002,.President Bush signed into law the Terrorism Risk Insurance Act of 2002 (the "Act'). The Act establishes a short-term program under which the Federal Government will share in the payment of covered losses caused by certain acts of international terrorism. We are providing you with this notice to inform you of the key features of the Act, and to let you know what effect, if any, the Act will have on your premium. Under the Act, insurers are required to provide coverage for certain losses caused by international acts of terrorism as defined in the Act. The Act further provides that the Federal Government will pay a share of such losses. Specifically,:the Federal Government.'will pay 90% of the '._ amount of covered losses caused by certain acts of terrorism which is in excess of Travelers' statutorily established deductible for that year. The Act also caps the amount of terrorism-related losses for which the Federal Government or an insurer can be responsible at $t 00,000,000,000.00, provided that the insurer has met its deductible. Please note that passage of the Act does not result in any change in coverage under the attached policy or bond (or the policy or bond being quoted). Please also note that no separate additional premium charge has been made for the terrorism coverage required by the Act. The premium charge-that is allocable to such coverage is inseparable from and imbedded in your overall premium, and is no more than one percent of your premium. TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA TRAVELERS CASUALTY AND SURETY COMPANY FARML'NGTON CASUALTY COMPANY Hartford,Connecticut 06183-9062 POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORNEYS)-IN-FACT KNOW ALL PERSONS BY THESE PRESENTS, THAT TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FAMILNGTON CASUALTY COMPANY, corporations duly organized under the laws of the State of Connecticut, and haying their principal offices in the City of Hartford,' County of Hartford,.State of Connecticut. (hereinafter the "Companies") hath made, constituted and appointed, and do by these presents make, constitute and appoint: Michael D. Stong,Shawn Blume, Susan C. Monteon, Rosemary Standley,of Riverside, California, their true and lawful Attorney(s)-in-Fact, With full power and authority hereby conferred to sign, execute and acknowledge, at any place within the United States, the following instrument(s): by hislher sole signature and act, any and all bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking and any and all consents incident thereto and to bind the Companies, thereby as fully and to the same extent as if the same were signed by the duly authorized officers of the Companies, and all the acts of said Attorneys)-in-Fact, pursuant to the authority herein given,are hereby ratified and confirmed. This appointment is made under and by authority of the following Standing Resolutions of said Companies,which Resolutions are now in full force and effect: VOTED: That the Chairman,the President,any Vice Chairman,any Executive Vice President.any Senior Vice President,any Vice President,any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the company and may give such appointee such authority as his er her certificate of authority may prescribe to sign with the Company's none and seal with the Company's seal bonds,recognizances,contracts of indemnity,and other writings obligatory in the nature of a bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her. VOTED. That the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company.provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary. VOTED: That ariy bond, recognizance. contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President,any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary,or(b)duly executed(under seal,if required)by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority. This Power of Attorney and Certificate of Authority-is signed and seated by facsimile(mechanical or printed)under and by authority of the following Standing Resolution voted by the Boards of Directors of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY,which Resolution Is now In full force and effect: VOTED. That the signature of each of the following officers: President,any Executive Vice President,any Senior Vice President,any Vice President,any Assistant Vice President,any Secretary,any Assistant Secretary,and the seal of the Company may be affixed by facsimile to any poser of attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company-in the future with respect to any bond or undertaking to which it is attached. (11-00 Sundvd) IN WITNESS WHEREOF, TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY have caused this instrument to be signed by their Senior Vice President and their corporate seals to be hereto affixed this 10th day of February 2003. STATE OF CONNECTICUT TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA TRAVELERS CASUALTY AND SURETY COMPANY }SS.Hartford FARMINGTON CASUALTY COMPANY COUNTY OF HARTFORD mKkRTFOFA kR a HARTFORD�G9< itq,1 9�8 2� O BY CON" George W.Thompson 1 �� y • " Senior Vice President On this 10th day of February, 2003 before me personally came GEORGE W. THOMPSON to me known, who, being by me duly sworn,did depose and say: that he/she is Senior Vice President of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, the corporations described in and which executed the above instrument;that he/she knows the seals of said corporations; that the seals affixed to the said instrument are such corporate seals; and that he/she executed the said instrument on behalf of the corporations by authority of his/her office under the Standing Resolutions thereof. My commission expires June 30, 2006 Notary Public Marie C.Tetreault CERTIFICATE I, the undersigned, Assistant Secretary of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY,stock corporations of the State of Connecticut, DO HEREBY CERTIFY that the foregoing and attached Power of Attorney and Certificate of Authority remains in full force and has not been revoked; and furthermore, that the Standing Resolutions of the Boards of Directors, as set forth in the Certificate of Authority,are now in force. Signed and Sealed at the Home Office of the Company,in the City of Hartford, State of Connecticut. Dated this 0q-1 day of CC,W0Z r ,2003. rFm ' c HARTFORD, �t v' 1982�' C By '"•J C0N" o %�a Kori M. Johanson 6`y • "`'a Assistant Secretary, Bond CITY OF HUNTINGTON BEACH RLS No. REQUEST FOR LEGAL SERVICES Assn To Jennifer McGrath, City Attorney Date Date: Request made by: Telephone: Department: 1116/03 David Verone 8471 PUBLIC WORKS INSTRUCTIONS: File request in the City Attorney's Office. Outline reasons for this request and state facts necessary for City Attorney to respond. Please attach all pertinent information and exhibits. TYPE OF LEGAL SERVICES REQUESTED: ❑ Ordinance/Resolution ❑ Opinion ❑ Contract/Agreement (Allow 5-20 working days)* (Allow 20 working days)* (Allow 15-20 working days)* ❑ General Legal ® Document Review Assistance (Ongoing) (Allow 2-10 working days)* *All deadlines are based on the date the City Attorne s Office receives the RLS. RECEIVED This req t was r viewed and approved. NOV 12 2003 Signature of artment Head �+Y--1 Huntingt;r a MkI =korr nes r ar h COMMENTS Please identify all attachments to this RLS. Please review and approve"As to Form"the following contract documents furnished by R.-J-Noble Company, contractor for Warner Avenue Rehabilitation,Springdale Street Rehabilitation,and McFadden Avenue Rehabilitation. Project CC-11501 CC-1151, CC-1l52� -.1. Payment Bond#83 SB 104168840 BCM 2. Performance Bond#6227432(2 copies) 3. Agreement-for signature only(with attachment A) 4. Liability Insurance Shaded areas for City Attomey's Office use only. This request for Legal Services has been assigned to Attorney extension His/her secretary is , extension Notes: Date Completed: w RI S CONTRACT ring 1, CITY OF HUIMTIN13TOlM BEACH 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY CLERK CONNIE BROCKWAY CRY CLERK November 18, 2003 R. J. Noble Company 15505 E. Lincoln Ave. P. 0. Box 620 Orange, CA 92856 Re: Warner Ave Rehabilitation (CC1150), Springdale St. Rehabilitation (CC1151), McFadden Ave. Rehabilitation (CC1152) The City Council awarded the bid to your company for the above reference projects. Enclosed is a copy of the executed contract with the City of Huntington Beach. A Declaration of Satisfaction of Claims and a Certificate of Compliance form must be returned to this office after the proiect is completed but prior to the release of retention funds. In addition, the following item must also be on file, with this office before the City can release any retention funds: A warranty bond guaranteeing the final amount of work and materials for one year. If your performance bond does not include specific wording for a one year warranty, then a rider or separate bond must be submitted. Should you have any questions or concerns regarding the enclosures or items that must be on file in this office prior to release of retention funds, please call the Public Works Department at 536-5432. Sincerely, Connie Brockway, CIVIC City Clerk CB:pe Enclosures: Copy of Contract including Proposal Copies of insurance/bonds Declaration of Satisfaction Certificate of Compliance Bid Bond (original) g:lollowuplcashconllcashcon4etter.doG (Telephone:714-536.52V) ACORDw CERTIFICATE OF LIABILITY INSURANCE 10/2;/22 03 PRODUCER (949)8S7-4S00 FAX (949)8S7-48DO THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Millennium Risk Management & Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND-EXTEND OR SS30 Trabuco Road n _ n ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Irvine. CA 92620 INSURERS AFFORDING COVERAGE WsuREJ) R. J. Noble Co. n„ INSURER A: Liberty Surplus Insurance Corp./CRC 1SSOS Lincoln Avenue (Y'//s� INSURER8: American States Insurance Co. P. 0. Box 620 INSURERC: Eagle Pacific Insurance Co. Orange, CA 9296S ed 11-5� INSURER D: WSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN R TYPE OF INSURANCE POLICY NUMBER L F NE POLICY EXPIRATION TR AT MIiA+D AT MM rff LIRTS GENERAL LIABILITY EACH OCCURRENCE f 1 000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(AM ww(Ire) S S O ,000 CLAIMS MADE ❑X OCCUR GLB0200109-013 07/01/2003 07/01/2004 MED EXP(Any&w Pena+) s Excluded A PERSONAL d AM INJURY $ 1,000,000 GENERAL AGGREGATE S 2 00O GEN'L AGGREGATE.LIMIT APPLIES PER. PRODUCTS•COMPIUP AGO S 2 000 PRO- POLICY JJECTT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT X ANY AUTO (En acodW) s 11000,000 ALL OWNED AUTOS BODILY INJURY : B SCHEDULEDAUTOS 010E919671 07/01/2003 07/01/2004 (Perpown) X HIRED AUTOS BODILY INJURY : X NON-OWNED AUTOS (Per aeoGent) PROPERTY DAMAGE _ (Per awdew) GARAGE LL481LITY APPROVED AUTO ONLY-EA ACCIDENT S ANY AUTO A PROVED AS TO 10 OTHER THAN EA ACC S AUTO ONLY: AGG S EXCESS LIABILITY JE NIFER McGRA S , EACH OCCURRENCE S OCCUR CLAIMS MADE .City Affnmey AGGREGATE S S DEDUCTIBLE i RETENTION S $ WORKERS COMPENSATION AND X TORY LIMITS ER EMPLOYERS LIA9ILIIY C E.L.EACH ACCIDENT f 1,000, 50302476 07/01/2003 07/01/2004 E.L.DISEASE-EA EMPLOYEE S 1 OWN E.L.DISEASE-POLICY LIMIT $ 1 000 OTHER OESCRIP ION OF OPERA? NSILOCATIONSIyEHICLE x L IONS AD ED BY ENDO EMENTISPECUU.PROVISIONS erti icate Holder et al na Ationa Insure /Primary as respects General Liability per endorsement 20 10 11/8S; WC waiver of Subrogation per endorsement WC 04 03 06 E: R]N Job O's 90937, 90939, 90939--warner Avenue, Springdale St., McFadden Ave. 10 day notice of CANCELLATION in the event of non-payment of premium. CERTIFICATE HOLDER ADDRIONAL INSURED:INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Huntington Beach EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL 00000M MAIL Department of Public Works 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. 2000 Main Street PO Box 190 Huntington Beach, CA 92648 AUTHORIZED REPRESENTATIVE Leonard Ziminsk ACORD 25-S(7197) ®ACORD CORPORATION 1988 City of Huntington Beach Certificate issued to City of Huntington Beach 10/29/2003 Millennium Risk Management & Insurance Services 10/29/2003 Additional Insured(s): The City, its officers, elected or appointed officials, employees, agents and volunteers IMPORTANT If the certificate holder Is an ADDITIONAL INSURED.the policy(ies)must be endorsed.A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing Insurer(s),authorized representative or producer,and the certificate holder,nor does It affirmatively or negatively amend,extend or alter the coverage afforded by the policies listed thereon. ACORa 25-S(7197) Policy Number : EGLB0200108-013 Commercial General Liability THIS ENDORSEMENT CHANGES THE POLICY - PLEASE READ IT CAREFULLY ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART: SCHEDULE Name of Person or Organizations: Any person or organization that the insured Is required by written contract to name as an additional insured. City of Huntington Beach, its officers, elected or appointed officials, employees, agents and ,volunteers Department of Public Works 200 Main Street PO Box 190 Huntington Beach, CA 92648 RE: RJN Job#'s 90937, 90938,90939-Warner Avenue, Springdale St., McFadden Avenue It is further agreed that such insurance as is afforded by this policy for the benefit of the above Additional Insured(s)shall be primary insurance as respects any claim, loss or liability arising out the Named Insured (s) operations, and any other insurance maintained by the Additional Insured(s) shall be excess and non- contributory with the insurance provided hereunder. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section la)is amended to include as an Insured the person or organization shown in the Schedule, but only with respects to liability arising out of"your work" for that insured by or for you. CG 20 10 11 85 Copyright Insurance Services Office, Inc. 1984 APPROVED AS TO FORM: JE9. ?FE-R—McGRATH,C,tyAttomey WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed.4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy.We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from US.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 5%of the California workers'compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description WHERE REQUIRED BY WRITTEN CONTRACT, PROVIDED THE CONTRACT IS SIGNED AND DATED PRIOR TO THE DATE OF LOSS TO WHICH THIS WAIVER APPLIES. IN NO INSTANCE SHALL THE PROVISIONS AFFORDED BY THIS ENDORSEMENT BENEFIT ANY COMPANY OPERATING AIRCRAFT FOR HIRE. City of Huntington Beach, Its officers, elected or appointed officials, employees, agents and volunteers Department of Public Works 200 Main Street PO Box 190 Huntington Beach, CA 92648 RE: RJN Job#'s 90937, 90938, 90939-Warner Avenue, Springdale St., McFadden Avenue This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The Information below Is required only when this endorsement Is issued subsequent to preparation of the policy.) Endorsement Effective 711103 Policy No. 1 S0302476 Endorsement No. 8 Insured R. J. Noble Company Policy Effective Date 711103 Insurance Company Eagle Pacific Insurance Company Countersigned By WC 04 03 06 (Ed.4-84) 01999 by the workers'Compensation Insurance Rating Bureau of California.Ail rights reserved. (CK�npter. IMPORTANT NOTICE CONCERNING YOUR RIGHTS UNDER A CUT-THROUGH AGREEMENT NATIONAL INDEMNITY COMPANY Insurance Policy(the"Policy')to which this notice applies: 1SO302476 Insurer(the'Company"): Eagle Pacific Insurance Company Policy Inception Date. 0710112003 Policy No.: IS0302476 Named insured(the'Insurefl: R.J. Noble Comrpany The Notioe inception Data Is 0710112003 For value received,National Indemnity Company(hereinafter referred to as"National indemnity)agrees that In the event the Company does not pay amounts otherwise payable under the Policy as a result of a court of oompetent Jurisdiction or the state insurance regulatory auth6rfty In the Company's domiciliary state('insurance regulatory authority')Issuing an order finding such Company to be Insolvent or"Ong an order to the Company which legally prohltts the Company from paying policy amounts otherwise payable because of the Companyrs financial condition,than National Indemnity will pay on behalf of the Company 100%of any amount payable by the Company under the Policy that has not been previously paid by the Company,subject Always to the other terms, conddons,exclusions and rrmttadons of the Porky,Natior:al indemnity wEp male arch payment directly to the insured(or to its mortgagees,assignees or loss payees,as their Interests may appear)In the event of first-party coverages,or directly-to the claimant or claimants to whom the Insured Is legally liabk In the event of third-party coverages.As a condition of National IndemniVs,payment obligntion,the insured,after reoelving actual notice of the recelversNp or insolvency of the Company,shay provide prompt written notice to National Indemnity,attention: Kemper Cut-Through,at Its statutory Home Otfice as on record with the National Assodation of insurance Commissioners,of any claim or suit for which National Indemnity may be liable by reason of this agreement herein. As a condition precedent to payment hereunder,National Indemnity shall be deemed to have all the rights of the Company and be subrogatod to aR the rights of the Insured to the extent of such payment In the case of thlrd-party liability coverages,payment shall be due hereunder only after any one of the foRowing i three eoncrAlons Is met:(1)the claimant obtains a judgment against the Insured or the Company after actual trial by a court of competent jurisdiction;or(2)the claimant enters Into a settlement with the Insured or the Company approved by National Indemnity;or(3)the claimant enters Into a settlement with the Insured or the Company approved by the Company prior to R being declared insolvent or prohiblted from paying amounts due under the Policy.None of these conditions shall apply to first-party coverages,Including but not rffnbd to any state workers' compensation or similar federal compensation coverages that may be provided by the Policy. ' I IL So 39(Ed.12 M) Page 1 of 2 Printed In U.S.A, Upon the Company being declared Insolvent or being legally prohibited from paying Policy amounts otherwise pays,ib;e because of the Company's financial condition by a court of competent Jurisdictions or insurance regulatory authority or upon any insurance regulator assuming any control over the Company's claims handling process, National Indemnity has the right,but not the duty,to assume any obligation the Company may have to provide a defense to the Insured,If such an obligation Is created by the Policy.If National indemnity does not assume such obligation,It will reimburse the Inured for the reason"cost of such defense to the extent that the Company would have been obliged to pay such cost under Its obligation to defend.National Indemnity and the insured will cooperate in the selection of defense counsel at the commencement of Iltigation.Nothing herein shalt make National Indemnity the insurer tinder the Policy.National indemnity's obligation hereunder Is limited to the Company's obligations under the Policy and shall not Include any payment arising under claims of bad faith,extra contractual obligations or payments in excess of policy limits. In the event tha Notice inception Date Is later than the Policy inception Date,then this Notice does not apply to any damages,offense or loss of any nature for which coverage is otherwise provided under the Policy if such damages, offense or loss"commences'In whole or In part-prior to the Notice inception Date,even 9 such damages,offense or loss continues.Is alleged to continue,or Is deemed to continue on or after the Notice Inception Date.For the purposes of this Notice only,'commences'shall mean,n first occurs,Is alleged to first occur or Is deemed to first occur;or n)incepts,is alleged to incept or is deemed to Incept;or(50)first manifests.Is alleged to have first manifested,or is deemed to have first manifested.*Commence"is the earliest point In time of n,(Ii)or(in ,National Indemnity has no IWlity to make payments or reimburse any person for payments If the payments were incurred in correction with or were in any way related to such excluded damages,offense or loss. NA7tONAL INDEMNITY COMPANY EAGLE PACIFIC INSURANCE COMPANY president Chief Executive Officer I I IL SO 30(Ed.12 02) Page 2 of 2 Printed in U.S.A. i DECLARATION OF SATISFACTION OF CLAIMS I, R. J. Noble Company, state: 1. 1 am the general contractor for the City of Huntington Beach, as to the project more fully described in the public works contract entitled: Warner Ave. Rehabilitation, Springdale St. Rehabilitation, McFadden Ave. Rehabilitation and dated caa .Q603 2. All workers and persons employed, all 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") I declare under penalty of perjury that the foregoing is true and correct. Executed at on this day of , 20_ (Location) (Signature of Contractor) g:fol lowup\cashcont\cashcon2.doc procedure#15 City of Huntington Beach Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach, CA 92648 Subject: Certification of Compliance with Title VI1 of the Civil Rights Act and Equal Employment Opportunity Act of 1972 Gentlemen: The undersigned, contractor on: CC1150 Warner Ave. Rehabilitation, CC1151 Springdale St. Rehabilitation, CC1152 McFadden Ave. Rehabilitation 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. (Signature and Title) g:follawuplcashcon V cashconl.doc procedure 914 -4 � 7RAVELERS CASUALTY AND SURETY COMPANY OF AMERICA$ID BOND I•tartford,Connecticut-06183 Bond No. N/A KNOW ALL MEN BY THESE PRESENTS, That we, R. J. NOBLE COMPANY as Principal, hereinafter called the Principal;and TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA,of Hartford.Connecticut, a corporation duly organized under the laws of the State of Connecticut,as Surety, hereinafter tailed the Surety,are held and firmly bound unto CITY OF HUNTINGTON BEACH as Obligee, hereinafter called the Obligee,in the sum of TEN PERCENT. OF THE AMOUNT OF THE BID Dollars($ 10% OF BID AMT), 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 STREET REHAB — WARNER AVE/SPRINGDALE ST/MCFADDEN AVE 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 fumished in the prosecution thereof,or in the event of the failure of the Principal to enter. such Contract and give such bond or bonds,if the Principal shall pay to the Obligee the difference not to exc6ad the penalty hereof between the amount specified In said bid and such larger amount for which the Obligee may in good faith contract uAth another party to perform the Wfori;covered by said btri,-then this obligation shall be null and void,otherMse to remain in full force and effect. Signed and sealed this 12th day of SEPT-EMBER 2003 . R. J. NOBLE COMPANY (Witness) (Prinapaq(seas M L J. � R, PRESIDENT (TEC). TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA Ovitness) SHAWN BLUME (�uvrney''trFa:'.) Printed in cooperation with the American Institute of Architects(AIA)by Travelers Casualty and Surety Company of America. The language in this document conforms exactly to the language used in AIA Document A310,February 1970 edition. S-1869LO(71--97) r r STATE OF CALIFORNIA SS. COUNTX OF RIVERSIDE On Q4. / ,before me, R. STANDLEY PERSONALLY APPEARED SHAWN BLUME Y personally known to me ( ' to be the persona},.%hose name(+ is/asa•subscribed to'the within instrument and acknowl- edged to me that he/executed the same in his/ authorized capacit)*ea}; and that by his/4tex7" the!&signature(c)-on the instrument the person(s};or the entity upon behalf of which the person(s)-acted, executed R. STAI+lDLEY the instrument. "� COMM 01263272 WITNESS my hand and official seal. NOTARY PUdUC•GIIFORMARIVERSIDE COUNTY '•�' My Comm.Expires JW*7,=4 Signature This area for Official 1Votarial 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 TITLES) TITLE OR TYPE OF DOCUMENT ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNEY-IN-FACT NUMBER OF PAGES ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: DATE OF DOCUMENT SIGNER IS REPRESENTING: N1SIE OF FERSOn(S)OR E"TY(IES) SIGNER(S)OTHER THAN NAMED ABOVE 160s1 Rev.6/94 ALL-PURPOSE ACKNOWLEDGEMENT One Tov*r Square Hartford,CT 06183 Travelers ' IMPORTANT DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE On November 26, 2002, President Bush signed into law the Terrorism Risk Insurance Act of 2002 (the "Act"). The Act establishes a short-term program under which the Federal Government will share in the payment of covered losses caused by certain acts of international terrorism. We are providing you with this notice to inform you of the key features of the Act, and to let you know what effect, if any, the Act will have on your premium. Under the Act, insurers are required to provide coverage for certain losses caused by international acts of terrorism as defined in the Act. The Act further provides that the Federal Government will pay a share of such losses. Specifically, the Federal Government will pay 90% of the amount of covered losses caused by certain acts of terrorism which is in excess of Travelers' statutorily established deductible for that year. The Act also caps the amount of terrorism-related losses for which the Federal Government or an insurer can be responsible at $100,000,000,000.00, provided that the insurer has met its deductible. Please note that passage of the Act does not result in any change in coverage under the attached policy or bond (or the policy or bond being quoted). Please also note that no separate additional premium charge has been made for the terrorism coverage required by the Act. The premium charge that is allocable to such coverage is inseparable from and imbedded in your overall premium, and is no more than one percent of your premium. TRAVELERS CASUALTY AND SURETY COMPANY OF ANIERICA TRAVELERS CASUALTY AND SURETY COMPANY r FAR3MGTON CASUALTY CONIPANY Hartford,Connecticut 06183-9062 POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORNEYS)-IN FACT KNOW ALL PERSONS BY THESE PRESENTS, THAT TRAVELERS CASUALTY AND SURETY CONZIPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY. COMPANY, corporations duly organized under the laws of the State of Connecticut, and having their principal offices in the City of Hartford, County of Hartford, State of Connecticut, (hereinafter the "Companies") hath made, constituted and appointed, and do by these presents make, constitute and appoint: hlichael D. Stong,Shawn BIume,Susan C. Monteen,Rosemary Standfey,of Riverside, California, their true and lawful Attorney(s)4n-Fact, with full power and authority hereby conferred to sign, execute and acknowledge, at any place iiithin the United States, the follo%ving instrument(s): by his/her sole signature and act, any and all bonds, reeogniz.anc es, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking and any and all consents incident thereto and to bind the Companies, thereby as fully and to the same extent as if the same were signed by the duly authorized officers of the' Companies, and all the acts of said Attorneys)-iri Fact, pursuant to the authority herein given,are hereby ratified and confirmed. This appointment is made under and by authority of the following Standing Resolutions of said Companies,which Resolutions are now in full force and effect: VOTED. That the Chairman.the President,any Vice chairman,any Executive Vice President,any Senior Vice President,any Vice President,any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds,recognizances,contracts of indemnity,and other writings obligatory in the nature of a bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her. VOTED: That the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is . in writing and a copy thereof is filed in the office of the Secretary. VOTED: That any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President.any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary,or(b)duly executed(under seal,if required)by one or more Attorne)s-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their cer0cans of authority or by one or more Company officers pursuant to a written delegation of authority. This Power of Attorney and Certificate of Authority is signed and sealed by facsimile (mechanical or printed)tinder and by authority of the following Standing Resolution toted by the Boards of Directors of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY.COMPANY and FARINUNGTON CASUALTY COMPANY,which Resolution Is now in full force and effect: VOTED: That the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President.any Vice President,any Assistant Vice President,any Secretary,any Assistant Secretary,and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attorneys-in Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsirni'le seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is atta:.hed (11-00 Standard) IN WITNESS WHEREOF, TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY have caused this instrument to be signed by their Senior Vice President and their corporate seals to be hereto affixed this 28th day of August 2001. STATE OF CONNECTICUT TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA }SS.Hartford TRAVELERS CASUALTY AND SURETY COMPANY FARMNGTON CASUALTY COMPANY COUNTY OF HARTFORD Y ANOe GASII,� HIIRiFOAQ a HARTWF�,9< D 1' 9 3 2b" p By d CONK c = � £ i s George W. Thompson � �N 6`y * " Senior Vice President On this 28th day of August, 2001 before me personally came GEORGE W. THOMPSON to and known, who, being by me duly sworn,did depose and say: that he/she is Senior Vice President of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, the corporations described in and which executed the above instrument;that he/she knows the seals of said corporations; that the seals affixed to the said instrument are such corporate seals;and that heJshe executed the said instrument on behalf of the corporations by authority of his/her office under the Standing Resolutions thereof. My commission expires June 30, 2006 Notary Public Marie C.Tetreault CERTIFICATE I, the undersigned, Assistant Secretary of TRAVELERS CASUALTY AND SURETY COMPANY.OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY,stock corporations of the State of Connecticut,DO HEREBY CERTIFY that the foregoing and attached Power of Attorney and Certificate of Authority remains in full force and has not been revoked; and furthermore, that the Standing Resolutions of the Boards of Directors, as set forth in the Certificate of Authority,are now in force. Signed and Sealed at the Home Office of the Company,in the City of Hartford, State of Connecticut. Dated this �d day of ,20(-3 IT A O Ice NARTFOf�, < 0 1982 O By Mau Kod M.Johanson '�� A '�o `y • *� Assistant Secretary, Bond • CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT No.5907 State of CAT.TFORNTA County of ORANGE On SEPTEnER 12, 2003 before me, Carol Pettit, Notary Public , DATE NAME,TITLE OF OFFICER-E.G.,VANE DOE,NOTARY PUBLIC personally appeared Michael J. Carver, President; R. J. Noble Co. NAME(S)OF SIGNERS) ® 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 ac- knowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their r. '-a, CAROL PETTIT signature(s) on the instrument the person(s), COMM. #1235395 or the entity upon behalf of which the NOTARY PUBLIC-CALIFORNIA g ORANGE COUNTY person(s) acted, executed the instrument. My Comm.Exp,Sep.23,2003 WITNESS my hand and official seal. SIGNATURE OF NOTARY 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 Tm.Ets) TITLE OR TYPE OF DOCUMENT ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNEY-IN-FACT NUMBER OF PAGES ❑ TRUSTEE(S) ❑. GUARDIAWCONSERVATOR ❑ OTHER: DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSON(S7 OR IDOM(IES) SIGNERS)OTHER THAN NAMED ABOVE 01993 NATIONAL NOTARY ASSOCIATION•8236 Remmet Ave.,P.O.Box 7184 9 Canoga Park CA 91309-7184 FEDERALLY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND FOR feyar'A1I4. SOtn�dl(�APT�. QEe6,�,'`.}►o i-Nc raa a&A /yfQ (ZEhwb.ti ^ TABLE OF CONTENTS Paige No. 1. STATE OF WORK;ACCEPTANCE OF RISK 1 2. ACCEPTANCE OF CONDITIONS OF WORK;PLANS AND SPECIFICATIONS 2 3. COMPENSATION 3 4. COMMENCEMENT OF PROJECT 4 5. TIME OF THE ESSENCE 4 6. CHANGES 4 7. NOTICE TO PROCEED 5 8. BONDS 5 9. WARRANTIES 6 10. INDEPENDENT CONTRACTOR 6 11. LIQUIDATED DAMAGES/DELAYS 6 12. DIFFERING SITE CONDITIONS 8 13. VARIATIONS IN ESTIMATED QUANTITIES 9 14. PROGRESS PAYMENTS 9 15. WITHHELD CONTRACT FUNDS,SUBSTITUTION OF SECURITIES 10 16. AFFIDAVITS OF SATISFACTION OF CLAIMS 10 17. WAIVER OF CLAIMS 11 18. INDEMNIFICATION,DEFENSE,HOLD HARMLESS 11 19. WORKERS' COMPENSATION INSURANCE AND EMPLOYER'S LIABILITY INSURANCE 12 20. INSURANCE 12. 21. CERTIFICATES OF INSURANCE;ADDITIONAL INSURED ENDORSEMENTS 13 22. NOTICE OF THIRD PARTY CLAIM 14 23. DEFAULT&TERMINATION 14 24. TERMINATION FOR CONVENIENCE 14 25. DISPOSITION OF PLANS,ESTIMATES AND OTHER DOCUMENTS 15 26. NON-ASSIGNABILITY 15 27. CITY EMPLOYEES AND OFFICIALS 15 28. STOP NOTICES;RECOVERY OF ADMINISTRATIVE COSTS 15 29. NOTICES 16 30. SECTION HEADINGS 16 31. IMMIGRATION 16 32. LEGAL SERVICES SUBCONTRACTING PROHIBITED 17 FEDERALLY FUNDED CONSTRUCTION CONTRACT 1 TABLE OF CONTENTS,continued Page No. 33. ATTORN'EY'S FEES 17 34. INTERPRETATION OF THIS AGREEMENT 17 35. GOVERNING LAW 18 36. DUPLICATE ORIGINAL 18 37. CONSENT 18 38. CALIFORNIA FAIR EMPLOYMENT AND ROUSING ACT 18 39. CALIFORNIA PREVAILING WAGE LAW 18 40. CALIFORNIA EIGHT-HOUR LAW 19 41. PAYMENT OF TRAVEL AND SUBSISTENCE ALLOWANCE 20 42. EMPLOYMENT OF APPRENTICES 20 43. PAYROLL RECORDS 20 44. FEDERAL PARTICIPATION 21 45. DAVIS-BACON ACT 21 46. DISCRIMINATION,MINORITIES,ALIENS 21 47. EQUAL EMPLOYMENT OPPORTUNITY 21 48. COPELAND "ANTI-KICKBACK"ACT 22 49. CONTRACT WORK HOURS AND SAFETY STANDARDS ACT 23 50. IMPLEMENTATION OF CLEAN AIR ACT AND FEDERAL WATER POLLUTION CONTROL ACT 23 51. ENERGY CONSERVATION 24 52. HOUSING AND URBAN DEVELOPMENT 24 53. ENTIRETY 24 2 FEDERALLY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND R. T: Noble C ovK pAr- � FOR Wa+erter AVernwe QEhabjttatlo^ �roa. S�w.g 'st-cee� tb 8olsa Gk�cg Streef� SPkzV%5daAe Strew' RE V-A1Z,Gt'at%% -% innn. L4k.w9er' 0,4CV.%.c +6 ACFMAACA $trcci§ Wl—faddaV-- ucm-.t RFhgb'�li'kr►i-.e•�. 'Crew-, G.1.kL..A¢i4- 4- S-'ldS Vreaa. . THIS AGREEMENT ("Agreement") made and entered into this ay of 20 0-3, , by and between the City of Huntington Beach, a municipal corporation of the State of California, hereinafter referred to as "CITY," and kT. N&W e- 60.,04.,4 a California Cer Po/'at't e hereinafter referred to as "CONTRACTOR." WHEREAS, CITY has solicited bids for a public works project, hereinafter referred to as "PROJECT," more fully described as Uhrnar AJ&4%uE QE�wb,��{'4�t�o.► . SPr�,.�da\< Sit-a+ QE�•Ab�l;��f,a,,� M�Fad1.�. p,ran►.E &6h ;t.+,.4n the City of Huntington Beach; and CONTRACTOR has been selected to perform said services, NOW, THEREFORE, in consideration of the promises and agreements hereinafter made and exchanged, the parties covenant and agree as follows: 1. STATEMENT OF WORK: ACCEPTANCE OF RISK CONTRACTOR shall complete and construct the PROJECT pursuant to this Agreement and the Contract Documents (as hereinafter defined) and furnish, at its own cost and expense, all labor, plans, tools, equipment, supplies, transportation, utilities and all other items, services and facilities necessary to complete and construct the PROJECT in a good and workmanlike manner. CONTRACTOR agrees to fully assume the risk of all loss or damage arising out of the nature of the PROJECT, during its progress or prior to acceptance by CITY, from the action of the elements, from any unforeseen difficulties which may arise or be encountered in the prosecution of agree/forms/federal 4-20 1 work, and for all other risks of any description in connection with the work, including, but not limited to, all expenses incurred by or in consequence of the suspension or discontinuance of work, except such as are herein expressly stipulated to be borne by CITY, and for well and faithfully completing the work within the stipulated time and in the manner shown and described in this Agreement, and in accordance with the requirements of CITY for the compensation set forth in the accepted bid proposal. 2. ACCEPTANCE OF CONDITIONS OF WORK, PLANS AND SPECIFICATIONS CONTRACTOR acknowledges that it is fully familiar with all the terms, conditions and obligations of this Agreement and the Contract Documents (as defined below in this Section), the location of the job site, and the conditions under which the work is to be performed, and that it enters into this Agreement based upon its thorough investigation of all such matters and is relying in no way upon any opinions or representations of CITY. It is agreed that the Contract Documents are incorporated into this Agreement by this reference, with the same force and effect as if the same were set forth at length herein, and that CONTRACTOR and its subcontractors, if any, shall be bound by the Contract Documents insofar as they relate in part or in any way, directly or indirectly,to the work covered by this Agreement. "Contract Documents" as defined herein mean and include: A. This Agreement; B. Bonds covering the work herein agreed upon; C. The CITY's standard Plans and Specifications and special contractual provisions, including those on file in the office of the Director of Public Works of CITY and adopted by the City Council, and any revisions, amendments or addenda thereto; D. The current edition of Standard Specifications for Public Works Construction, published by Builders'News, Inc., 10801 National Boulevard, Los Angeles, CA agree/forms/federal 4-20 2 90064, and all amendments thereto, written and promulgated by the Southern California chapter of the American Public Works Association and the Southern California District Associated General Contractors of the California Joint Cooperative Committee; E. Bid documents including the Notice Inviting Bids, the Special Instructions to Bidders and the CONTRACTOR's proposal, (which is attached hereto as Exhibit "A" and incorporated herein by this reference); F. The particular Plans, Specifications, Special Provisions and Addenda applicable to the PROJECT. Anything mentioned in the Specifications and not indicated in the Plans or indicated in the Plans and not mentioned in the Specifications, shall be of like effect as if indicated and mentioned in both. In case of a discrepancy between any Plans, Specifications, Special provisions, or Addenda, the matter shall be immediately submitted by CONTRACTOR to the Department of Public Works of CITY (hereinafter referred to as "DPW"), and CONTRACTOR shall not attempt to resolve or adjust the discrepancy without the decision of DPW, save only at its own risk and expense. Should there be any conflict between the terms of this Agreement and the bid or proposal of CONTRACTOR,then this Agreement shall control and nothing herein shall be considered as an acceptance of the terms of the bid or proposal which is in conflict herewith. 3. COMPENSATION CITY agrees to pay and CONTRACTOR agrees to accept as full compensation for the faithful performance of this Agreement, subject to any additions or deductions made under the provisions of this Agreement or the Contract Documents, a sum not to exceed agreerfonn0edcral 4-20 3 s,V 14"Ire a &;.,%iy s 6F T".A3&..l Cane K..h4•te T%%r ,w%i d.tl.rt ..^,a c _ 1�3. 78 ), as set forth in the s (� �`1G Contract Documents,to be paid as provided in this Agreement. 4. COMMENCEMENT OF PROJECT CONTRACTOR agrees to commence the PROJECT within ten(I0) working days after the Notice To Proceed is issued and diligently prosecute the PROJECT to completion within £ (eS ) consecutive wo2(��sfrom the day the Notice to Proceed is issued by DPW,excluding delays provided for in this Agreement. 5. TIME OF THE ESSENCE The parties hereto recognize and agree that time is of the essence in the performance of this Agreement and each and every provision of the Contract Documents. CONTRACTOR shall prepare and obtain approval as required by the Contract Documents for all shop drawings, details and samples,and do all other things necessary and incidental to the prosecution of its work in conformance with the progress schedule set forth in the Contract Documents. CONTRACTOR shall coordinate its work with the work of all other contractors, subcontractors,and CITY forces working on the PROJECT in a manner that will facilitate the efficient completion of the PROJECT and in accordance with the terms and provisions of this Agreement. CITY shall have complete control of the premises on which the work is to be performed and shall have the right to decide the time and order in which the various portions of the work shall be performed and the priority of the work of other contractors, subcontractors and CITY forces and, in general, all matters concerning the timely and orderly conduct of the work of CONTRACTOR on the premises. 6. CHANGES CONTRACTOR shall adhere strictly.to the plans and specifications set forth in the Contract Documents unless a change therefrom is authorized in writing by DPW. CONTRACTOR agrees to make any and all changes, furnish materials and perform all work necessary within the scope egreelfamWfedmi 4-20 4 of the PROJECT as DPW may require in writing. Under no condition shall CONTRACTOR make any changes without the prior written order or acceptance of DPW, and CITY shall not pay any extra charges made by CONTRACTOR that have not been agreed upon in writing by DPW. When directed to change the work, CONTRACTOR shall submit immediately to DPW a written cost proposal reflecting the effect of the change. Should DPW not agree to such cost proposal, the work shall be performed according to the changes ordered in writing by DPW and the proper cost thereof shall be negotiated by the parties upon cost and pricing data submitted by CONTRACTOR; thereupon, CITY will promptly issue an adjusted change order to CONTRACTOR and the Agreement price will be adjusted upward or downward accordingly. 7. NOTICE TO PROCEED No work, services, material, or equipment shall be performed or furnished under this Agreement unless and until a Notice to Proceed has been given to CONTRACTOR by CITY. CITY does not warrant that the work will be available on the date the Notice to Proceed is issued. In the event of a delay in commencement of the work due to unavailability of the job site, for any reason, relief to CONTRACTOR shall be limited to a time extension equal to the delay due to such unavailability. 8. BONDS Only bonds issued by California admitted sureties will be accepted. CONTRACTOR shall, prior to its performance of this Agreement, furnish the following two (2)bonds approved by the City Attorney: One in the amount of one hundred percent(100%) of the Agreement price to guarantee the CONTRACTOWs faithful performance of the work,and one in the amount of one hundred percent of the Agreement price to guarantee payment of all claims for labor and materials furnished. In addition,CONTRACTOR shall submit to CITY a bond in the amount of one hundred percent(100%) of the final Agreement price, including all change orders, to warrant such performance egreelfomWfedmi 4-20 . 5 for a period of one (1)year after CITY's acceptance thereof within ten (10) days of filing of the Notice of Completion. 9. WARRANTIES CONTRACTOR unconditionally guarantees all work done under this Agreement including, but not limited to,any workmanship, installation, fabrication, material or structural facilities constructed. CONTRACTOR, within ten (10) days after notice by CITY of any defect in the work, shall have the option to make appropriate repairs or replace the defective item or items. Upon expiration of such ten (10) day period, CITY may then make appropriate repair or replacement at CONTRACTOR's risk and own cost and expense. 10. INDEPENDENT CONTRACTOR It is understood and agreed that CONTRACTOR is, and shall be, acting at all times hereunder as an independent contractor and not an employee of CITY. CONTRACTOR shall secure at its own cost and expense,and be responsible for any and all payment of all taxes, social security, state disability insurance compensation, unemployment compensation and other payroll deductions for CONTRACTOR and its officers, agents and employees and all business licenses, if any, in connection with the PROJECT and/or the services performed hereunder. 11. LIQUIDATED DAMAGES/DELAYS It is agreed by the parties hereto that in case the total work called for hereunder is not in all parts and requirements finished or completed within the number of calendar days as set forth herein, damage will be sustained by CITY; and that it is, and would be, impractical and extremely difficult to ascertain and determine the actual damage which CITY would sustain in the event of and by reason of such delay. It is, therefore, agreed that CONTRACTOR will pay to CITY, as liquidated damages and not as a penalty, the sum of �+e Dollars ($ 500.1 ) per day for each and every working day's delay in completing the work in excess of the number of aprec/fonrWrcdcra1420 6 working/calendar days set forth herein,which represents a reasonable endeavor by the parties hereto to estimate a fair compensation for the foreseeable damages CITY would sustain in the event of and by reason of such delay; and CONTRACTOR agrees to pay these damages herein provided, and further agrees that CITY may deduct the amount thereof from any monies due or that may become due to CONTRACTOR hereunder. CONTRACTOR will be granted an extension of time and will not be assessed damages for any portion of the delay in the completion of the work due to unforeseeable causes beyond the control and without the fault or negligence of CONTRACTOR, including, but not limited to, acts of God or of the public enemy, fire, floods,epidemics,quarantine restrictions, strikes,unsuitable weather, or delays of subcontractors due to such causes. CONTRACTOR shall, within fifteen (15) days from the beginning of any such delay (unless DPW shall grant a further period of time), notify DPW in writing of the cause of the delay and CITY shall extend the time for completing the work if, in its judgment, the findings of fact thereon justify the delay;and the decision of DPW shall be conclusive on the parties hereto. Should CONTRACTOR be delayed in the prosecution or completion of the work by the act, neglect or default of CITY, or should CONTRACTOR be delayed by waiting for materials required by this Agreement to be furnished by CITY, or by damage caused by fire or other casualty at the job site for which CONTRACTOR is not responsible, or by the combined action of the workers, in no way caused by or resulting from default or collusion on the part of CONTRACTOR,or in the event of a lockout by CITY, then the time herein fixed for the completion of the work shall be extended by the number of days CONTRACTOR has thus been delayed, but no allowance or extension shall be made unless a claim therefor is presented in writing to CITY within fifteen (15) days of the commencement of such delay. agrcdfomWrcdem14-20 7 No claims for additional compensation or damages for delays, irrespective of the cause thereof, and including without limitation the furnishing of materials by CITY or delays by other contractors or subcontractors,will be allowed and an extension of time for completion shall be the sole remedy of CONTRACTOR. 12. DIFFERING SITE CONDITIONS A. Notice: CONTRACTOR shall promptly, and before such conditions are disturbed, notify DPW in writing of: (1) Subsurface or latent physical conditions at the job site differing materially from those indicated in this Agreement or the Contract Documents; or (2) Unknown physical conditions at the job site, of an unusual nature, differing materially from those ordinarily encountered and generally recognized as inherent to work of the character to be performed under this Agreement. DPW shall promptly investigate the conditions and if it finds that such conditions do materially so differ and cause an increase or decrease in the time required for performance of any part of the work under this Agreement, whether or not changed as a result of such conditions, an equitable adjustment shall be made and the agreement modified in writing accordingly. B. Time Extension: No claim of CONTRACTOR under this Section shall be allowed unless CONTRACTOR has given the notice required hereunder provided,however,the time prescribed therefor may be extended by CITY. agree/forms/federal 4-20 8 13. VARIATIONS IN ESTIMATED QUANTITIES The quantities listed in the bid schedule will not govern final payment. Payment to CONTRACTOR will be made only for the actual quantities of Agreement items used in construction of the PROJECT, in accordance with the plans and specifications. Upon completion of the PROJECT, if the actual quantities used are either more than or less than the quantities listed in the bid schedule, the bid price shall prevail subject to the provisions of this Section. DPW may, at its sole discretion, when warranted by the facts and circumstances,order an equitable adjustment,upwards or downwards, in payment to CONTRACTOR where the actual quantities used in construction of the PROJECT arc in variation to the quantities listed in the bid schedule. No claim by CONTRACTOR for an equitable adjustment in price or time for completion shall be allowed if asserted after final payment under this Agreement. If the quantity variation is such as to cause an increase in the time necessary for completion, DPW shall ascertain the facts and circumstances and make such adjustment for extending the completion date as in its sole judgment the findings warrant. 14. PROGRESS PAYMENTS Each month DPW will make an estimate in writing of the work performed by CONTRACTOR and the value thereof. From each progress estimate, ten percent (10%) will be deducted and retained by CITY and the remainder of the progress estimate, less the amount of all previous payments since commencement of the work,will be paid to CONTRACTOR. When CONTRACTOR has, in the judgment of DPW, faithfully executed fifty percent (50%) or more of the value of the work as determined from the bid schedule, and if DPW finds that satisfactory progress has been and is being made,CONTRACTOR may be paid such sum as will bring the payments of each month up to one hundred percent (100%) of the value of the work completed since the commencement of the PROJECT, as determined in its sole discretion by DPW, less all previous payments and less all previous retained amounts. CITY's final payment to CONTRACTOR, agree'fomns(federal 4-20 9 if unencumbered, or any part thereof unencumbered, shall be made thirty-five (35) days after the acceptance of the work and the filing of a Notice of Completion by CITY. Payments shall be made on demands drawn in the manner required by law, each payment to be accompanied by a certificate signed by DPW, affirming that the work for which payment is demanded has been performed in accordance with the terms of the Agreement and that the amount stated in the certificate is due under the terms of the Agreement. Partial payments on the Agreement price shall not be considered as a acceptance of any part of the work. 15. WITHHELD CONTRACT FUNDS, SUBSTITUTION OF SECURITIES At the request and at the sole cost and expense of CONTRACTOR, who shall retain beneficial ownership and receive interest, if any thereon, CITY shall permit the substitution and deposit therewith of securities equivalent to the amount of any monies withheld by CITY to ensure performance under the terms of this Agreement. 16. AFFIDAVITS OF SATISFACTION OF CLAIMS After the completion of the work contemplated by this Agreement, CONTRACTOR shall file with DPW its affidavit stating that all workers and persons employed, all firms supplying materials and all subcontractors working upon the PROJECT have been paid in full and that there are no claims outstanding against the PROJECT for either labor or material, except certain items, if any,to be set forth in CONTRACTOR's affidavit covering disputed claims, or items in connection with Notices to Withhold, which have been filed under the provisions of the statutes of the State of California. 17. WAIVER OF CLAIMS The acceptance by CONTRACTOR of the payment of the final certificate shall constitute a waiver of all claims against CITY under or arising out of this Agreement. agnee/ComWfedcral 4-20 10 18. INDEMNIFICATION, DEFENSE, HOLD HARMLESS CONTRACTOR hereby agrees to protect, defend, indemnify and hold harmless CITY, its officers, elected or appointed officials,employees, agents, and volunteers from and against any and all, claims, damages, losses, expenses,judgments, demands defense costs, and consequential damage or liability of any kind or nature, however caused, including those resulting from death or injury to CONTRACTOR's employees and damage to CONTRACTOR's property, arising directly or indirectly out of the obligations or operations herein undertaken by CONTRACTOR, caused in whole or in part by any negligent act or omission of the CONTRACTOR, any subcontractors, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, including but not limited to concurrent active or passive negligence, except where caused by the active negligence, sole negligence, or willful misconduct of the CITY. CONTRACTOR will conduct all defense at its sole cost and expense and CITY shall approve selection of CONTRACTOR's counsel. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indemnification to be provided by CONTRACTOR. 19. WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE Pursuant to California Labor Code Section 1861, CONTRACTOR acknowledges awareness of Section 3700 el seq. of this Code, which requires every employer to be insured against liability for workers' compensation; CONTRACTOR covenants that it will comply with such provisions prior to commencing performance of the work hereunder. CONTRACTOR shall maintain workers' compensation and employer's liability insurance in an amount of not less than the State statutory limits. CONTRACTOR shall require all subcontractors to provide such workers'compensation and employer's liability insurance for all of the subcontractors' employees. CONTRACTOR shall egredronns/fcdcn14-20 11 furnish to CITY a certificate of waiver of subrogation under the terms of the workers' compensation and employer's liability insurance and CONTRACTOR shall similarly require all subcontractors to waive subrogation. 20. INSURANCE In addition to the workers' compensation and employer's liability insurance and CONTRACTOR's covenant to indemnify CITY, CONTRACTOR shall obtain and furnish to CITY, a policy of general public liability insurance, including motor vehicle coverage covering the PROJECT. This policy shall indemnify CONTRACTOR, its officers, employees and agents while acting within the scope of their duties, against any and all claims arising out or in connection with the PROJECT, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including products/completed operations liability and blanket contractual liability, of One Million Dollars ($1,000,000) per occurrence. If coverage is provided under a form which includes a designated general aggregate limit, the aggregate limit must be no less than One Million Dollars ($1,000,000) for this PROJECT. This policy shall name CITY, its officers, elected or appointed officials, employees, agents, and volunteers as Additional Insureds, and shall specifically provide that any other insurance coverage which may be applicable to the PROJECT shall be deemed excess coverage and that CONTRACTOR's insurance shall be primary. Under no circumstances shall said above-mentioned insurance contain a self-insured retention, or a"deductible"or any other similar form of limitation on the required coverage. 21. CERTIFICATES OF INSURANCE: ADDITIONAL INSURED ENDORSEMENTS Prior to commencing performance of the work hereunder,CONTRACTOR shall furnish to CITY certificates of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverages as required by this Agreement;the certificates shall: 1. provide the name and policy number of each carrier and policy; rgnec/formslfcdm14-20 12 2. state that the policy is currently in force;and 3. promise to provide that such politics will not be canceled or modified without thirty (30)days' prior written notice of CITY. CONTRACTOR shall maintain the foregoing insurance coverages in force until the work under this Agreement is fully completed and accepted by CITY. The requirement for carrying the foregoing insurance coverages shall not derogate from the provisions for indemnification of CITY by CONTRACTOR under the Agreement. CITY or its representative shall at all times have the right to demand the original or a copy of all the policies of insurance. CONTRACTOR shall pay, in a prompt and timely manner, the premiums on all insurance hereinabovc required. CONTRACTOR shall provide a separate copy of the additional insured endorsement to each of CONTRACTOR's insurance policies, naming CITY, its officers, elected and appointed officials, employees, agents and volunteers as Additional Insureds, to the City Attorney for approval prior to any payment hereunder. 22. NOTICE OF THIRD PARTY CLAIM Pursuant to Public Contracts Code §9202,CITY shall provide notice to CONTRACTOR of receipt of any claim filed with CITY or a court of competent jurisdiction which arises out of performance of this agreement within ten(10)days of receipt of such claim or claims. 23. DEFAULT AND TERMINATION If CONTRACTOR fails or refuses to prosecute the work hereunder with diligence, or fails to complete the work within the time specified, or is adjudged bankrupt or makes an assignment for the benefit of creditors or becomes insolvent, or violates any provision of this Agreement or the Contract Documents, CITY may give CONTRACTOR notice in writing of its intention to terminate this Agreement. Unless the violation is cured within ten (10) days after such Notice of Intention has sgrce1fomWfedcm14-20 13 been served on CONTRACTOR, CITY may, without prejudice to any other remedy it may have, terminate this Agreement upon the expiration of that time. Upon such default by CONTRACTOR, CITY may elect not to terminate this Agreement; in such event CITY may make good the deficiency in which the default consists and deduct the resulting costs from the progress payments then or to become due to CONTRACTOR. If it is subsequently determined by a court of competent jurisdiction that CITY's termination of this Agreement under this Section was wrongful, such termination shall be converted to a termination for convenience under Section 23 and any damages shall be assessed as set forth in Section 23. 24. TERMINATION FOR CONVENIENCE CITY may terminate this Agreement for convenience at any time with or without cause, and whether or not PROJECT is fully complete upon seven (7) calendar days written notice to CONTRACTOR. In the event of termination, under this Section CITY shall pay CONTRACTOR for value of work in place on the PROJECT through the termination period plus seven and one-half percent(7 '/2%) for overhead and profit less all such payments already made. Such payment by CITY shall be CONTRACTOR'S sole and exclusive remedy for termination by CITY for its convenience and CITY shall have no further obligation to CONTRACTOR. 25. DiSPOSiTION OF PLANS ESTIMATES AND OT IER DOCUMENTS CONTRACTOR agrees that upon completion of the work to be performed hereunder, or upon expiration or earlier termination of this Agreement,all original plans, specifications,drawings, reports, calculations, maps and other documents pertaining to this Agreement shall be delivered to CITY and become its sole property at no further cost. agredrormVfcdcn14-20 14 26. NONASSIGNABiLITY CONTRACTOR shall not sell, assign, transfer,convey or encumber this Agreement, or any part hereof, or any right or duty created herein, without the prior written consent of CITY and the surety. 27. CITY EMPLOYEES AND OFFICIALS CONTRACTOR shall employ no CITY official nor any regular CITY employee in the work performed pursuant to this Agreement. No officer or employee of CITY shall have any financial interest in this Agreement in violation of the California Government Code. 28. STOP NOTICES,RECOVERY OF ADMINISTRATIVE COSTS CITY shall be entitled to all reasonable administrative costs and necessary disbursements arising out of the processing of Stop Notices,Notices to Withhold, or any similar legal document. This obligation shall be provided for in the labor and materials payment bond required of CONTRACTOR. CITY may charge an administrative fee of One Hundred Dollars ($100) for every Stop Notice filed in excess of two (2), regardless of whether or not CITY is named in an action to enforce such stop notices. CITY may set off any unreimbursed cost or expense so incurred against any sum or sums owed by CITY to CONTRACTOR under this Agreement. 29. NOTICES Any notices, certificates, or other communications hereunder shall be given either by personal delivery to CONTRACTOWs agent (as designated in Section 1 hercinabovc) or to CITY as the situation shall warrant, or by enclosing the same in a sealed envelope, postage prepaid, and depositing the same in the United States Postal Service,to the addresses specified below;provided that CITY and CONTRACTOR, by notice given hereunder, may designate different addresses to which subsequent notices,certificates or other communications will be sent: agttdfommTcdcmF 4-20 15 TO CITY: TO CONTRACTOR: City ofHuntin&ton Beach R•, . mAle Con�,p�nq ATTN: T)av 18 V e ro n 2 ?46 ILL IJer'lcz 15 g 05 �. L�hce l� I�den we 2000 Main Street Huntington Beach, CA 92648 OQtn e- C A Q 2$ bS F1Tfen�-�o✓�: ��c�ny�e1 J C�rJQr �resdw��' 30. SECTION HEADINGS The titles, captions, section, paragraph, and subject headings, and descriptive phrases at the beginning of the various sections in this Agreement are merely descriptive and are included solely for convenience of reference only and are not representative of maters included or excluded from such provisions, and do not interpret, define, limit or describe, or construe the intent of the parties or affect the construction or interpretation of any provision of this Agreement. 31. IMMIGRATION CONTRACTOR shall be responsible for full compliance with the immigration and naturalization laws of the United States and shall, in particular, comply with the provisions of United States Code Section 1324a regarding employment verification. 32. LEGAL SERVICES SUBCONTRACTING PROHIBITED CONTRACTOR and CITY agree that CITY is not liable for payment of any subcontractor work involving legal services, and that such legal services are expressly outside the scope of services contemplated hereunder. CONTRACTOR understands that pursuant to Huntington Beach City Charter Section 309, the City Attorney is the exclusive legal counsel for CITY; and CITY shall not be liable for payment of any legal services expenses incurred by CONTRACTOR. agree/forms/federal 4-20 16 33. ATTORNEY'S FEES In the event suit is brought by either party to construe, interpret and/or enforce the terms and/or provisions of this Agreement or to secure the performance hereof, each party shall bear its own attorney's fees and the prevailing party shall not be entitled to recover its attorney's fees from the non- prevailing party. 34. INTERPRETATION OF THIS AGREEMENT The language of all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any of the parties. If any provision of this Agreement is held by an arbitrator or court of competent jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other whenever the context so indicates or requires. Nothing contained herein shall be construed so as to require the commission of any act contrary to law, and wherever there is any conflict between any provision contained herein and any present or future statute, law, ordinance or regulation contrary to which the parties have no right to contract, then the latter shall prevail, and the provision of this Agreement which is hereby affected shall be curtailed and limited only to the extent necessary to bring it within the requirements of the law. 35. GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State of California. 36. DUPLICATE ORIGINAL The original of this Agreement and one or more copies hereto have been prepared and signed in counterparts as duplicate originals, each of which so executed shall, irrespective of the date agme1fonWfcdcm1 4.20 17 of its execution and delivery, be deemed an original. Each duplicate original shall be deemed an original instrument as against any parry who has signed it. 37. CONSENT NVhere CITY's consent/approval is required under this Agreement, its consentlapproval for one transaction or event shall not be deemed to be consent/approval to any subsequent occurrence of the same or any other transaction or event. 38. CALIFORNIA FAIR EMPLOYMENT AND HOUSING ACT CONTRACTOR agrees to comply with all requirements and utilize fair employment practices in accordance with California Government Code Sections 12900 et seq. 39. CALIFORNIA PREVAILING WAGE LAW. A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement,and the same has been set forth by resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement,as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code,CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code,CONTRACTOR shall,as penalty to CITY, forfeit twenty-five dollars($25) for each calendar day or portion thereof for each agrcdformVfedeml 4-20 19 worker paid(either by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 40. CALIFORNIA EIGHT-HOUR LAW A. 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. B. Pursuant to this Agreement and in accordance with California Labor Code Section 1813, CONTRACTOR shall, as a penalty to CITY, forfeit twenty-five dollars ($25) for each worker employed hereunder by CONTRACTOR or any subcontractor for each calendar day during which such worker is required or permitted to work more than eight(8)hours in any one(1)calendar day or forty (40)hours in any one(1) calendar week in violation of California Labor Code Section 1815. 41. PAYMENT OF TRAVEL AND SUBSISTENCE ALLOWANCE Section 1773.8 of the California Labor Code, regarding the payment of travel and subsistence allowance is applicable to this PROJECT. agree/forms/federal 4-20 19 42. EMPLOYMENT OF APPRENTICES Section 1777.5 of the California Labor Code,regarding the employment of apprentices is applicable to this PROJECT. 43. 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. 44. 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 Agreement 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. 45. 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 agree/forms/federal 4-20 20 with all applicable federal labor standards provisions; said provisions are incorporated herein by this reference. 46. 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. 47. 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). 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. agree/fonnsMcden!4-20 21 To ensure compliance with these requirements, the CONTRACTOR shall provide the CITY 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. 48. 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. 49. 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 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. agree/forms/federal 4-20 22 50. 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 Agreement 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 EPA List of Violating Facilities. 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. 51. ENERGY CONSERVATION Agreements with federal participation shall recognize mandatory standards and policies relating to energy efficiency which arc contained in the state energy conservation plan issued in compliance with the Energy Policy and Conservation Act(42 USC Section 6201,et seq.). agree/fbmWfedcral 4-20 23 52. 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. 53. ENTIRETY The foregoing, and Exhibit "A" attached hereto, set forth the entire Agreement between the parties. No waiver or modification of this Agreement shall be valid unless in writing duly executed by both parties. The parties acknowledge and agree that they are entering into this Agreement freely and voluntarily following extensive arm's length negotiations, and that each has had the opportunity to consult with legal counsel prior to executing this Agreement. The parties also acknowledge and agree that no representations, inducements, promises,agreements or warranties,oral or otherwise,have been made by that party or anyone acting on that parry's behalf,which are not embodied in this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement, promise,agreement,warranty, fact or circumstance not expressly set forth in this Agreement. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized offices the day,month and year first above written. agredromWfedeml 4-20 24 CONTRACTOR CITY OF HUNTINGTON BEACH, a municipal corporation of the State of California R.J. NOBLE COMPANY ii Mayor By: ATTEST: OW-44V MICHAEL J. CA VER, PRESIDENTprint name ITS: (circle one)Chairrnangreside ice President City Clerk D APPROVED AS TO FORM: By: G-��,� STAN HILTON, SECRETARY // /,ety Attorney ��/�/0 print name �J3 ITS: (circle on Secret ief Financial Officer/Asst. Secretary-Treasurer INI IIATE AND APPROYM REVIEWED AND AP OVED: / ) Director of Public Works City Administrator agree/forms/federal 4-20 25 SECTION C PROPOSAL for the construction of I. WARNER AVENUE REHABILITATION- CC 1150 FROM SIMS STREET TO BOLSA CHICA STREET II. SPRINGDALE STREET REHABILITATION-CC 1151 FROM EDINGER AVENUE TO MCFADDEN AVENUE 1II. MCFADDEN AVENUE REHABILITATION-CC 1152 FROM COLDENWEST STREET TO 1405 FREEWAY 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 85 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 sure prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and C-1 � 1 t 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 BiDDSUS 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. TEN PERCENT Accompanying this proposal of bid, findBIDDER'S BOND in the amount of S:----------- which said amount is not less than 10% of the aggregate of the total bid price,as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond",as the case may be). Bidder shall signify receipt of all Addenda here,if any: Addenda No. 'Date Received Bidder's SI nature C-2 1 = SECTION C PROJECT BID SCHEDULE Warner Avenue, CC-1150, STPL-5181 (148) Springdale Street,CC l 151, STPL-5181 (I46) McFadden Avenue,CC-1152, STPL-5181 (145) PROJECT BID: TOTAL AMOUNT LUMP SUM BID IN FIGURES: 105. 1$ S �3 TOTAL AMOUNT LUMP SUM BID IN WORDS: SI X a6 or.1F—Tc� S>>c qt)-t3*D(LSj> pAialal Tjkf.'g46 CA- R5 A-t4T> Y ENT e l N H r P—Z r4m C-2.1 WARNER AVENUE REHABILITATION IMPROVEMENTS CC NO. 1154 STPL - 5181 (148) C-2.2 it WARNER AVENUE(CC-1150) PROJECT BID SCHEDULE ITEM- .:ESTIMATED . ;;'ITEM WITH-UNIT PRICE.WRITTEN IN' ; �, :UNIT PRICE. EXTENDED -NO: -iQUANTtTY y•. _ :WORDS ` =e1 : :• ^:.� -AMOUNT.- 1 1 Mobilization $ 07MUM saU00.00, • L.S. @ TEN THOUSAND Dofiars NU Cents 2 1 Traffic Control Plan $ zoo ao $ I42-00."" L.S. @ d3rs -rAmLsArJr,) -rWO WAritAep Dollars Pi 0 Cents 3 1 Fumi h Project Traffic Control S -Q�oe:°D $ 0s L.S. @-[ SOo,,L%0&* .g� Fk%WrJXC3 Dollars 5r�•� 5�� 't1+K9X n10 Cents 4 52,934 Cold Milling& Header Cutting $ $8!469.44 S.F. @ ZERO Dollars Cents 5 270 UnYMified Excavation s4V.UU $ + C.Y. @ Dollars NO Cents 6 3,863 Construct Asphalt Concrete (Overlay, Full Depth, $ .WJ-b $ 5� � . 2S Ton etc.) * m ns @_r141Rr4 NINE Dollars kgu E Cents 7 426 Pavement Reinforcement Fabric& Route and $ q.5o $ $3 S.Y. Seal of Cracks @ "1 r1 E Dollars O Cents 8 12 Adjust Sewer/Storm Drain Manhole to Grade $ 21 .00 $2,52Q.Q4 Each @ TWO HUNDRED TEN Dollars NO Cents 9 25 Adjust Water Valve to Grade $ 235.00 $5,875.00 Each @ TWO HUNDRED THIRTY FIVE Dollars no Cents 10 4 Adjust Monitoring Well to Grade S_L35.0U $940.00 Each @ TWO HUNDRED THIRTY FIVE Dollars no Cents 11 1 Traffic Striping L.S. @ Scy, -}tn..ot�tSa.xpA mzra 7ollars rl O Cents 12 13 Traffic Loop $ 175.00 $2,275.00 Each @ ONE HUNDRED SEVENTY FIVE Dollars no Cents 13 80 Remove & Reconstruct Curb&Gutter $ IXT_� $3,360.00 L.F. @ FORTY TWO Dollars no Cents 14 6 Survey Monumentation Each @ THREE HUNDRED TWENTY FIVE Dollars no Cents Sub Total Bid Amount, Bid in Figures:$ 20 tv "1 Mf Sub Total Bid Amount, Bid in Words:-rYyp liu�,►��R�O �,J -rfty-SA#'rj VtvA: DCD lbsftN 4rr.M W-L qN .5 Sum rJ trJc br C-2.3 SPRINGDALE STREET REHABILITATION IMPROVEMENTS CC NO. 1151 STPL 51 S 1 (146) c-a.4 SPRINGDALE STREET(CC-1151) PROJECT BID SCHEDULE ITEM :ESTIMATED: :n_:` �;JT�M WITH IJNJT:.PRIC> _WRJTTEN JN..=,__ UNIT PRICE.. EXTENDED N0= 'QUANTITY_ Y ---WORDS ,AMOUNT 1 1 Mobilization $In•non-QO $1Q 00.00 L.S. @ TEN THOUSAND Dollars No Cents 2 1 Traffic Control Plan $ I V- $ J�.°D L.S. @ OtJC -,1%yMrt1D 1-WO #%WDC0 Dollars rJ o Cents 3 1 Furnish Project Traffic Control $-i a—Z 0 $ (,per L.S. @ I N E Gw,fkwvmollars o Cents 4 204,406 Cold Milling& Header Cutting $&—Lfi-- $32.7L4.9 S.F. @ - NO Dollars S Cents 5 704 Unclassified Excavation $ 03 •co $Z I2.0� C.Y. @ 2 Dollars n10 Cents 6 2,702 Construct Asphalt Concrete(Overlay, Full Depth, $ $ Ton etc.) QLIVIE74 N l n9c Dollars SAY r-ivCCents 7 574 Pavement Reinforcement Fabric& Route and $I_nn $4.01 LIO S.Y. Seal of Cracks @ SEVEN Dollars NU Cents 8 1 Traffic Striping $11,700.0 $1,700.0 L.S. @ ELEVEN THOUSAND SEVEN HUNDRErDollars NO Cents 9 38 Traffic Loop $ $ Each @ ONE HUNDRED SEVENTY FIVE Dollars NO Cents 10 112 Remove& Reconstruct Curb&Gutter $4Z_OD $ 4.704.00 L.F. @ FORTY TWO Dollars No I Cents Sub Total Bid Amount. Bid in Figures: $ CI . Sub Total Bid Amount, Bid in Words: -fW o t§%x4v deV s1v.. 3"D 0t4C b u—AiZs P tNz " 1 C-2.5 MCFADDEN AVENUE REHABILITATION IMPROVEMENTS CC NO. 1152 STPL - 5181 (145) C-2.6 . 3 { s MCFADDEN AVENUE(CC-1152) PROJECT BID SCHEDULE ITEM ESTIMATED ITEM WITH.UNIT PRICE WRITTEN IN�,�:; UNIT._PRICE.' `.EXMNDED NCT a :QUANTITY -n` -_. . -WORDS - _ .,y AMOUNT. 1 1 Mobilization $10,000.4 $ 10,000.-U L.S. @TEI�i THOUSAND Dollars-" no Cents 2 1 Traffic Control Plan $_!_ — $ 2C0.°p LS. @ 04c T o Dollars ND Cents 3 1 Famish Project Traffic Pontrol �� ""�'' $LPG $�_ RR Y ice:__ ollars I+tO Cents 4 63,543 Cold Milling& Header Cutting $,L $ '8 S.F. @ no Dollars sixteen Cents 5 844 Unclassified Excavation $20-CO $ 21 C.Y. @ 'rwE" S Ix Dollars NU Cents 6 4,509 Construct Asphalt Concrete(Overlay, Full Depth, $ . 5 $ M. Ton etc.) @ -T#�1R"c n]1 .1E Dollars rE F 14c Cents 7 750 Pavement Reinforcement Fabric& Route and $ 5_pn $3 75004 S.Y. Seal of Cracks @ five Dollars no Cents 8 12 Adj st Sewer/Storm Drain Manhole to Grade $210.00 $2.520.00 Each @ two hundred ten Dollars no Cents 9 12 Adjust Water Valve to Grade PT. 0 $2,820.00 Each @ two hundred thirty five Dollars no Cents 10 1 Adjust Monitoring Well to Grade Each @ two hundred thirty five Dollars no Cents 11 1 Traffic Striping $11 1 0 $•11.100.0 L.S. @plpypn rhnncnnri nnp hnndrpd Dollars Cents 12 30 Traffic Loop $175.00 $5,250.00 Each @' one hundred seventy five Dollars no _ Cents 13 3 Remove& Reconstruct Access Ramp $A� sn nn Each @one thousand five hundred fifMIlars no Cents 14 1666 Construct Asphalt Concrete Walk(Includes: $6.00 $9.996.00 S.F. Clearing&Grubbing, Soil, Header& Stakes) @- x _ Dollars no Cents 15 1 Adjust Survey Monument Well to Grade $ $ Each @two hundred thirty five Dollars no Cents C 2.7 ITEM_ ESTIMATED- :_Y 1=,ITEM•WITH.UNIT PRICE-WRITTEN IN UNIT PRICE• -.EXTENDED: N0. QUANTtTY `- ' ORDS` •.r ,. �' ,` -•F �. 'AMOUNT, 16 9 Survey Monumentation $325.00 $2,925.00 Each @ three hundred twenty five Dollars no Cents Sub Total Bid Amount, Bid in Figures: $ 2-12-, R24 , tpS, Sub Total Bid Amount, Bid in Words: -rW o lf•L+Zllh A-F-ry *,G1/E C-2.8 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shaU 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 doge by such subcontractor. Portion Aanle and Address ojSubcontractor State License Class of Work _ Number Ranco Corp. 638000 A 1.7% P.O. Box 9007, Brea, CA 92822 Smithson Electric 614518 2.OZ 1938 E. Katella Ave. , Orange, CA 92867 �' �!0 Ramirez Construction 683241 2.1� 656 E. San Bernardino Rd., Covina, CA d � s ems Q-9• �.5fa�}35 A-� 2 Orange County Striping 4.17% 183 N. Pixley,•Orange CA 92868 346095 C-32 .64% Case Land Surveying 1010 N. Batavia ID, Orange, CA 92867 5411 j Au41r 4iLLl.AW A,%rFes[T / CPR-O r4pt CA 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&ND SUBMITTED WITH BID State of California ss. County of Orange MICHAEL J. CARVER , being first duly sworn, deposes and says that he or she is PRESIDENT - _ _ - of R.J. NOBLE COMPANY the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation,partnership, company association, organization,bid depository,or to any member or agent thereof to effectuate a collusive or sham bid. R.J. NOBLE COMPANY Name of Bidder ature PeVidder MICHAEL J. CARVER PRESIDENT 15505_ . LINCOLN-AV E, !2EANGE. _CA 2865 Address of Bidder Subscribed and sworn to before me this 23rd day ofSEPTEMBER zpp 3 ��•!-':.,ate--'.�-� CAAOL PETTIT rQ� 35395 NOTARY PUBLIC Cam"` zr r COMM.# AUFO MA e oRANGE L{y Comm.EXP•$ep- Y SEAL C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the IMPROVEMENTS, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700,as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. R.J. NOBLE COMPANY Contractor By MICHAEL J. CARVER, PRESIDENT Title Date: SEPTEt-BER 23, 2003 C-5 1 1• DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? 0 Yes M 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. G6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract R.J. NOBLE COMPANY Contractor B MICHAEL J—CARVER, PRF,SrDENT _ Title Date: SEPTF-MBER 23, 2003 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 1-8004224133 a minimum of two working days before scheduled excavation. Dig Alert Identification Number: R.J. NOBLE COMPM Contractor By MICHAEL J. CARVER Title Date: SEPTEMBER 23, 2003 Dote: This form is required for every Dig Alert Identification Number issued by USA. during the course of the Work Additional forms may be obtained from the AGENCY upon request. C-8 ♦ e BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: R.J. NOBLE COMPANY Bidder Name 15505 E. LINCOLN AVENUE , Business Address ORANGE, CA 92865 City, State Zip (714 )637-1550 Telephone Number A-782908 CLASS A State Contractor's License No. and Class AUGUST 14, 2000 Original Date Issued AUGUST 31, 2003 Expiration Date The work site was inspected by STEVE MENDOZA of our office onSEPTEMBER 10 .200 3 The following are persons, firms, and corporations having a principal interest in this proposal: R-I_ NORLE COMPANY MICHAEL J. CARVER, PRESIDENT STAN HILTON, SECRETARY CRAIG ROTH, ASSISTANT SECRETARY C-9 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. R.J. NOBLE COMPANY Company Name Signs of Bid MICHAEL J. CABER, PRESIDENT Printed or Typed Signature Subscribed and sworn to before me this23 day ofSEPTEMBER _r .,o..r,� Cgpp�, PFTTIT - COMM. #1235395 �p.�4 j NOTARY PUBLIC-CALIFORNIA,gyp `'A ORANGE COUNTY ~' NOTARY PUBLIC l' MYCorr-mExc.sep.23,2t)o3� NOTA EAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1. Name and Address of Public Agency Name and Telephone No. of Project Manager: STAN DERY 909::255-6785 $825,885.00 _ PAVEMENT REHABILITATION] _ JUNE 2002 - Contract Amount Type of Work Date Completed 2. CITY OF ANAHEIM, 200 S. ANAHEIM BLVD. , ANAHEIM, CA Name and Address of Public Agency Name and Telephone No. of Project Manager: RALPH HARP 714-254-5126 $437,191.47 TUSTIN AVENUE IMPROVEMENTS DECEMBER 2002 Contract Amount Type of Work Date Completed 3. CITY CF FIT1.T.FRTn?+1, in ti.*_ f flmMf1�*LdF AT TR TF '1TR,-F11T_T_FRTCI�T- f A Name and Address of Public Agency Name and Telephone No. of Project Manager: _ RON BQWERS. 714-738-6322 $811.899.00 HARBOR BLVD. , REHABILITATION FEBRUARY 2003 Contract Amount Type of Work Date Completed C-10 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non- DBE contractors,who provide a proposal, bid,quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor,and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a"Bidder's"list to assist in the annual DBE goal setting process. Firm Name: Phone: 714-637-1550 Address: 15505 E. LINCOLN AVENUE Fax: 714-637-6321 ORANGE, CA 92865 .Contact Person: MICHAEL J. CARVER No. of years in business52 YEARS Is the firm currently certified as DBE under 49 CFR Part 26? YES NO xxx Type of work/services/materials provided by firm? ASPHALT PAVING What was your fum's Gross Annual recei is for lastyear? u Less than$1 Million v Less than $5 Million o Less than S i 0 Million o Less than M 5 Million in More than S15 Million This form can be duplicated if necessary to report all bidders{DBEs and non DBEs} information. C-1 i ' a t ' CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the.following information for all DBE and non- DBE contractors,who provide a proposal, bid,quote,or were contracted by the proposed prime. This information is also required from the proposed prime contractor,and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a`Bidder's"list to assist in the annual DBE goal setting process. Firm Name: 'G Cmn�U C�i w1 Phone: d Address:46(P. E • 'C'2L4 h �Mi2divWA). Fax:[, p C-1 V'7 5 av, K4 Gi n 7 .Contact Person: No. of years,in b mess Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of work/services/materials provided by firm? What was your firm's Gross Annual receipt's for lastyear? o Less than$1 Million Ne—Less than$5 Million a Less than$1 D Million a Less than$15 Million a More than$I S Million This form can be duplicated if necessary to report all bidders(DBEs and non DBEs)information. C-11 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the.following information for all DBE and non- DBE contractors,who provide a proposal, bid, quote,or were contracted by the proposed prime. This information is also required from the proposed prime contractor,and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a`Bidder's"list to assist in the annual DBE goal setting process. Firm NameMa_a r1D1 Phone: Address: QS DD qC;r Fax:3zc ) ' 55I " '�_oD 1 �{ iC D �D LOa .Contact Person )U�n_ No. of years.in business 2q Is the firm currently certified as DBE under 49 CFR Part 26? YES O . L Type of work/sen ices/materials provided by firm? U ST What was your firm's Gross Annual receipt's for lastyear? o Less than$1 Million o Less than$5 Million o Less than$10 Million a Less than$15 Million More than$15 Million This form can be duplicated if necessary to report all bidders(DBEs and non DBEs) information. C-1 I CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non- DBE contractors,who provide a proposal,bid, quote,or were contracted by the proposed prime. This information is also required from the proposed prime contractor,and must be submitted with theirbid/proposaL The City of Huntington Beach will use this information to maintain and update a`Bidder's"list to assist in the annual DBE goal setting process. Firm Nam • L• l II Vl CITIA y Phone:LD7- Q 3 41 �3 J- Address:10 J • QII C I SJO� ST • Fax: 17tp 33+ -3 1 .Contact Person:l.• D No. of years_in businessJ� Is the firm currently certified as DBE under 49 CFR Part 26? _ YES NO Type of work/services/materials provided by firm?C 4t, What was your firm's Gross Annual receipt's for lastmar? a Less than$1 Million 14—Less than$5 Million a Less than$14 Million' a Less than$15 Million a More than$15 Million This form can be duplicated if necessary to report all bidders(DBEs and non DBEs) information. C-11 i 1 • CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the.following information for all DBE and non- DBE contractors,who provide a proposal,bid,quote,or were contracted by the proposed prime. This information is also required from the proposed prime contractor,and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a`Bidder's"list to assist in the annual DBE goal setting process. Firm Nami Phone:° Oel- - CP&Z" 109 , Sit Address:_L 2�4 .n s (YY.+i n S+-: Fax:qD ' L62-- 1007 .Contact Perso • v1/1 No. of years.in business 3 Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of work/services/materials provided by firm? ct d h� What was your firm's Gross Annual receipt's for lastyear? ❑ Less than$1 Million Less than$5 Million ❑ Less than$10 Million a Less than$15 Million a More than$15 Million This form can be duplicated if necessary to report all bidders(DBEs and non DBEs) information. C-I1 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the.following information for all DBE and non- DBE contractors,who provide a proposal,bid,quote,or were contracted by the proposed prime. This information is also required from the proposed prime contractor,and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a`Bidder's"list to assist in the annual DBE goal setting process. Firm Name: .C• Phone:_599�_2lS- 05dL - Address: 1 G • tt`� �l_ St• Fax: q 1- 94 1�- C)U 3+ umck Cu .Contact Person: J -CAS No.of years.in business Is the fum currently certified as DBE under 49 CFR Part 26? YES NO Type of work/services/materials provided by firm? �i ' - �h'1cvoc- What was your firm's Gross Annual receipt's for lastyear? ❑ Less than$1 Million �ss than$5 Million ❑ Less than$lO Million o Less than$15 Million o More than S15 Million This form can be duplicated if necessary to report all bidders(DBEs and non DBEs) information. C-11 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information.for all DBE and non- DBE contractors, who provide a proposal,bid, quote, or were contracted by the proposed prime. Ibis information is also required from the proposed prime contractor,and must be submitted with their bid/proposal.The City of Huntington Beach will use this information to maintain and update a"Bidder's"list to assist in the annual DBE goal setting process. Firm NameYYAV"* CC) Phone: ' _2,9 Address: � t G{� �1 �Faz• .Contact Person:_ �l�V�l �� _ No. of years.in business Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of worklsenices/materials provided by firm? t 0 What was your firm's Gross Annual receipt's for last ar? o Less than$1 Million a Less than$5 Million a Less than$10 Million �{ Less than$15 Million a More than$15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non- DBE contractors,who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a"Bidder's"list to assist in the annual DBE goal setting process. Firm Name: Phone: Address: 16100 E• n '- irjcn Fax: U2AP ~9 VR- 572,0 NA qi-745- Contact Person: —15 H b(al ie,5 No. of years in business Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of work/services/materials provided by firm? What was your frm's Gross Annual receipt's for last ear? ❑ Less than$1 Million ❑ Less than$5 Million ❑ Less than $10 Million Less than$15 Million o More than$15 Million This form can be duplicated if necessary to report all bidders(DBEs and non DBEs) information. C-11 e CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposcrs are required to provided the following information for all DBE and non- DBE contractors,who provide a proposal,bid, quote,or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a"Bidder's"list to assist in the annual DBE goal setting process. Firm Name:V ra j Pi 11 Phone:_ Address: In Fax:'I 4 Contact Person: f-1-60 No. of years in business Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of worVservices/materials provided by firm? fkg,(1 What was your f rm's Gross Annual receipt's for last ear? Less than$1 Million o Less than$5 Million o Less than$10 Million a Less than$15 Million v More than$15 Million This form can be duplicated if necessary to report all bidders(DBEs and non DBEs) information. C-11 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non- DBE contractors,who provide a proposal,bid,quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a"Bidder's"list to assist in the annual DBE goal setting process. Firm Name: Phone:-?! - (0 ZfDfB 4 Address:�� d n • I v�vY1—a � Fax•—I1 q naV, �� CA- Contact Person:_ t, No. of years in business Is the firm currently certified as DBE under 49 CFR Part 25? YES NO Type of work/services/materials provided by firm?s What was your frm's Gross Annual receipt's for last ear? ❑ Less than $1 Million Less than $5 Million d _Less than$14 Million o Less than$15 Million o More than$15 Million This form can be duplicated if necessary to report all bidders(DBEs and non DBEs) information. C-1 I CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non- DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a"Bidder's"list to assist in the annual DBE goal setting process. Firm Name: CfMkD 1 1�V 9 . Phone-7 I4- L4-1- Ce o-7, Address: 1i7i:� Ol Fax:-11`A -Du 3 I')LA-1- �A lk.�r n . �r�. � Contact Person: �l �- No. of years in business 13 Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of work/services/materials provided by firm??�'Gt �f/V\ ' t iw\ What was your firm's Gross Annual receipt's for last ear? Less than $1 Million Less than $5 Million ❑ Less than $10 Million ❑ Less than$15 Million ❑ More than $15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non- DBE contractors,who provide a proposal,bid,quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a"Bidder's"list to assist in the annual DBE goal setting process. Firm Name. 5 n NmryiwA Phone 1+ Address: R 22 W . l I GI Fax: —)I q- Contact Person:U t V+ Cie,�_ No. of years in business t Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of work/services/materials provided by firm?TrCA Jrl f i�1 What was your firm's Gross Annual recei is for last ear? o Less than$1 Million Less than$5 Million ❑ Less than$10 Million o Less than$15 Million o More than$15 Million This form can be duplicated if necessary to report all bidders(DBEs and non DBEs) information. C-11 at CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non- DBE contractors,who provide a proposal, bid, quote,or were contracted by the proposed prime. This information is also required from the proposed prime contractor,and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a"Bidder's"list to assist in the annual DBE goal setting process. Firm Name: Nil AXAIA ?M-6551NI Phone:CQzty`452'g(Q Address:q,au N (4&j- �l Fax: Lf7AP- 45-)-- O LF70 CGS. t-] ►Awyb . Contact Person: No.Y 1 a U�{ ] _ No. of years in business Is the firm currently certified as DBE under 49 CFR Part 25? YE NO Type of work/services/materials provided by firm? UbCQ;�! `}" 4�iLG4i S C&J- WW What was your firm's Gross Annual receipt's for last year? L ss than$1 Million ss than$5 Million a Less than$10 MiIlion o Less than$15 Million o More than$15 Million This form can be duplicated if necessary to report all bidders(DBEs and non DBEs) information. C-11 f f •f •f CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non- DBE contractors,who provide a proposal,bid,quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a"Bidder's"list to assist in the annual DBE goal setting process. Firm Name:C 10 LX11 PW4 � Phone: 1 " 0'r J Address: �341 �Ick 1G(hn �t� • Fax: 14- M13 6�4S— yk�w n 5l2fi& �2&3 Contact Person: Tt� No. of years in business Is the firm currently certified as DBE under 49 CFR Part 26? YE NO Type of work/services/materials provided by firm? Cmu'-pill-lo What was your firm's Gross Annual receipt's for last ear? o Less than$1 Million �ess than$5 Million o Less than$10 Million o Less than$15 Million v More than $15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 t CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposcrs are required to provided the following information for all DBE and non- DBE contractors,who provide a proposal,bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a"Bidder's"list to assist in the annual DBE goal setting process. Firm NameTGl -(-T(G [,onm Phone:-71+ 5-110-- 40-2-So Address:f r'� S. Fax: 5D— L Z� Contact Person: �� No. of years in business Is the firm currently certified as DBE under 49 CFR Part 25? YES NO Type of work/services/materials provided by firm? What was your frm's Gross Annual receipt's for Iasiyear? o Less than$I Million 1 ess than$5 Million o Less than $10 Million o Less than$15 Million u More than$15 Million This form can be duplicated if necessary to report all bidders(DBEs and non DBEs) information. C-11 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non- DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a"Bidder's" list to assist in the annual DBE goal setting process. Firm Name: 9cm 46(., �,A-�— Phone:b i t- O ; q— �-l G( I Address:_ 11 0P 1 6 (-A0 � S�• Fax: 9(9A JVA (� Contact PersonItnin I No. of years in business 20 Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of work/services/materials provided by firm? i n ::4- ► VA 16�VI What was your firm's Gross Annual receipt's for last ear? ❑ Less than$1 Million ❑ Less than$5 Million ❑ Less than $10 Million 01CLess than$15 Million ❑ More than $15 Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs) information. C-11 i • CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non- DBE contractors,who provide a proposal, bid,quote,or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a"Bidder's"list to assist in the annual DBE goal setting process. Firm Nam,-\"M' Phone]I'-� " 17 ZZZ-2, Ito Address: n '-'t'WarS� ,T Fax: �!t-�" 1��' [ 3 � Contact Person: No. of years in business Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type of work/services/materials provided by firm?eftcj f IN . What was your firm's Gross Annual receipt's for lastyear? o Less than $1 Million u Less than$5 Million o Less than$10 Million a Less than$15 Million More than$15 Million This form can be duplicated if necessary to report all bidders{DBEs and non DBEs} information. C-1 I CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non- DBE contractors,who provide.a proposal,bid,quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor,and must be submitted with their bid/proposaL The City of Huntington Beach will use this information to maintain and update a`Bidder's"list to assist in the annual DBE goal setting process. Firm Name'tar,- Nn� hA Phone•3t'32�+*']141 Address: ` 5 CA{`S M �l l(�2ti 1JlL• Fax:_ .Contact Person: dig zay"� OAVI 4 No. of years,in business Is the firm currently certified as DBE under 49 CFR Part 26? YES N4 Type of work/services/materials provided by firm?W v 1Ci C�TC_1 What was your firm's Gross Annual receipt's for lastyear? o Less than$1 Million a Less than$5 Million o Less than$14 Million Less than$15 Million o More than$15 Million This form can be duplicated if necessary to report all bidders(DBEs and non DBEs) information. C-11 Local Aubtsnce Yreceawn manual r ^1nita li-L PS&E Ch"khst Iastrucdons Attachment C , {TtE2MDER'S=C&77ONO2V27ESIG2V47UREPOMO,V OF=PROPOUL ' • SMLLALSO CON==ANENDORMUUTANDMCUTIONOFTHOSE CER=CATMAIS WMCHARE.4 PART OF TEES PROPaW) EQUAL-EMPL0YTMT T OPPORTWiTY CERTIFICATION ' The bidder R.J. NOBTY CMANY _•_ proposed subcontractor hereby certifies that he has has not -participated in a previous contract or subcontract subject to the equal opportunity clauses,as required by Executive Orders 10925, 11114,or 11246,and that where required„he has filed with the Joint Reporting Committee,the Director of the Office of federal Contract Compliance,a Federal Gavernment contracting or administering agency,or the former President's Committee on Equal Employment Opportunity,all reports due under the applicable filling requirements. Note: -ne above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor(41 CFR 60-1.7(b)(1)),and must be submitted by bidders and proposed subcontractors 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 S10,000 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 subcontactors who have participated in a previous contract or subcontract subject to the Executivc Orders and have not filed the required reparts should note that 41 CFR 60.1.7(b)(1)prevents the award of contracts and subcontracts unless such coaftctQr 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,U.S.Department of Labs. 1x-"9 C-12 page 1245 • P F, • +• Local Assistance Procedures Manes! E,YMBrr12.E' < ME Checklist Lrstructiaos Attachment G DISCLOSURE OF L086YING ACTMTIES Complete this form to disclose lobbying actfNM es pursuant b 31 U.S.C. ...�.. t. Type of Federal Mon: 2 Status at Federal Action: 3. 'Repart Type: &wneact NONE a. Wofte►lappi=1m NONE ❑ a. lW NONE a put ti miss!award b.maerial change C.OpCDaR'A 80TW701 C pmt award d.ban . For Material Change Only: e,bangwrmu t to kmonq dare of LW few 4. Name and Adrese of Reporting Entity: S. W Reporting Entity In No.4ls Subawardee.Enter prime ❑ Subawardee Name and Address of prime: NONE Tier, NONE CongresslonalMstrlct, aknowrr CongresalonalDlWcf,ffkrrawrc e. Federal OepartmenttAgency: T. Federal program NarnaMescrlptlan: NONE NONE CFDA Number, ffappflcable 8. Federal Action!lumber, ltknowrr 9. Award Amount Yknown: NONE S NONE 10. z Nurse and Address of Lobbying Entiy b. Individuals Performing Services anek,•dlrg address I (f thdWita(last name,first name,MO: 0%rerd ftom Na 10a) pastname,Qrstnarna,7Wt): NONE NONE (attadr Canal mft Meeks)lfnecessary) t1. Amount of Payment(check all that apply): 13. Type of Payment(check sit that apply) NONE . ❑ dal ❑ planned a. retainer b. one-time fee tY. Form of Payment(checks!!thatapptyl: a carnmtsslon NONE ea. cash NONE d. madgent fee b h4&4spedfr mature e.deferred is other,specify: 14. Brief Descrlption of Services Performed or to be performed and Dste(s)of Suvlcs,Induding offlcsr(s} ermployee(s),or member(:)contacted,for Payment tedieated In Item 11: NONE (atmdr Corttlnuatlarr SheetN ftrreremol 15. Condnuatfon Sheets)attached: Yes Q No E3 1 Q. talonaadan rageaaMd aragh etas Itrra es audia�ed Er Tiro 31 U S G.9asean stnahrre: 1332 TIC dhC�aa ar 1oLerh+q a�eritaa d a aytargr rapnataWon d txt apon a naaara+set daoad br n.Nr aeow.twn art tarriaceon aM Prht Narne: S I emA rT .3. CARYFR asses a entxad rnr�'IKa dddcatce i.Erna purntaatta 31�r.S.C.13S1. ThWk*maeonvdba+epandraft wN-awAandribe TlkPRESIDENT &aloe forpAk tam Arty parrs rea taaa b as fir nq*W VMbes,e;.ctb add wiftror not ruamSID=a+dnctmnam Tde0oneNo_ 714-637 lSc; atwna-21-na tsaacaa br.acs svb awn, Federal Use Only: AUMQrMMfttUx9a'P°f"= Sbr4W F"u..a.*.0s" C—L3 Fate 12-55 Febraary 1,1998 I'_,,HZBA',1�E Local Assistance Procedures Manual A.6c ml6t G PS&P Checklist Instructions INSTRUCTIONS FOR CO1MTLETION OF SF LLL., DISCLOSURE OF LOBBYING ACTTV=S This disclosure form shalt 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 135'Z The filing of a form is required for such payment or agreement to make payment to Lobbying entity for influencing cr attempting to influence an officer or employee of any agency,a Member of. Congim an offnecr or employee of Congress or an "=ployee of a Member of Congress in-connection with a cohered 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. I. Identify the type of covered Federal action for which Iobbying activity is and/or has been secured to influence,the outcome of a coveted Federal actioa. 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 repordug 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 fast tier. Subawards include but arc not limited to subcontracts,subgraats and contract awards under grants. S. 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. d. Enter the name of the Federal agency making the award or loan commitment Include at least one organizadon level below agency name, iflmown. For example,Department of Transportation,United States Coast Guard. 7. Eater 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.,Reques:for Proposal(RFP)number,Invitation for Bid(IFB)number,grant announcement number,the contract grant or loan award number,the applicationfproposal control number assigned by the Federal agency). Include prefixes,e.g.,TP DE-90-4Q1" 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, eater the Federal amount of the awardlloan dents for the prime entity identified in itern 4 or S. 14. (a)Enter the full name,address,city,State and zip code of the Iobbying 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 I 0(a). Enter Last Name,First Name and Middle Initial(?Q). 11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity(dem 4) to the lobbying entity(item 10). Indic=e whether the payment has been made(actual)or will be made (planned). Check aIi 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. Ifpayment is made through an in-kiad contribution,specify the nature and value of.fie in-find payment, 13. Check the appropriate box(es). Check all boxes that apply. If other,specify nature. Page U-54 C-14 Local Assbtance Fmcedura Manual EX rT 12;£,, PS&E Checklist Instructions Attachmegf'G �1 t 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 sheets)is attached. 16. The certifying official shall sign and daft 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 forreducing this burden;to the Office of Management and Budget,Paperwork Reduction Project(0345-0046),Washington,D.C.20503. C-15 Page 12,45 CITY OF HUNTINGTON BEACH MEETING DATE: October 20, 2003 DEPARTMENT ID NUMBER:PW 03-069 Council/Agency Meeting Held: Deferred/Continued to: l Approved ❑ Conditionally Approved ❑ Denied ,Auyl�7y City CI 's Si ature Council Meeting Date: October 20, 2003 Department ID Number: PW 03-069 CITY OF HUNTINGTON BEACH REQUEST FOR COUNCIL ACTION w � _ SUBMITTED TO: HONORABLE MAYOR AND CITY COUNCIL MEMBERS C... . CD- SUBMITTED BY: RAY SILVER, City Administrator GZs0 co Cl) PREPARED BY: ROBERT F. BEARDSLEY, Director of Public Works r� SUBJECT: Award Construction Contract for the Warner Avenue CC-1150, Springdale Street CCA 151 & McFadden Avenue CC-1152 Rehabilitation lmprovements. Statement of Issue,funding Source,Recommended Action,Alternative Action(s).Analysis,Environmental Status,Attachments) Statement of issue: On September 23, 2003 bids were received for the Warner Avenue, Springdale Street and McFadden Avenue Rehabilitation Improvements, CC-1150, CC-1151 & CC-1152, respectively. Staff recommends award to_R.J..Noble Company, as the lowest responsive and responsible bidder. Funding Source: Sufficient project funds have been budgeted in the Gas Tax, Arterial Rehabilitation, Street Improvements Account No. 20790008.82300. Grant funds in the amount of$331,721 are included in the budgeted funds. The engineer's preliminary estimate was $793,682. Recommended Action: 1. Accept the lowest responsive and responsible bid submitted by R.J. Noble Company, in the amount of$696,103.78 for Warner Avenue, Springdale Street and McFadden Avenue Rehabilitation Improvements, CC-1150, CC-1151 & CC-1152 respectively; 2. Authorize the Mayor and City Clerk to execute a construction contract in substantially the same form as the attached sample contract. Alternative Action[s): Reject all bids and direct staff to readvertise or abandon the project. Abandonment of the project would result in the loss of$331,721 in grants funds. GAR C A12003103-069 October 20 Taite(Award Wamer.Springdale&McFadden).doc ,,;2r 10161200311:27 AM REQUEST FOR COUNCIL ACTION MEETING DATE: October 20, 2003 DEPARTMENT ID NUMBER:PW 03-069 Analysis: In 2000, the Public Works Department applied for funding under the Orange County Transportation Authority (OCTA) Arterial Highway Rehabilitation Program for various street rehabilitation projects. The City was awarded funds for a total of fourteen street rehabilitation projects over three fiscal years, including Warner Avenue, CC-1150 (Sims Street to Bolsa Chica Street), Springdale Street, CC-1151 (Edinger Avenue to McFadden Avenue) and McFadden Avenue, CC-1152 (Goldenwest Street to 1-405 Freeway). The following table reflects the funding breakdown of awarded federal dollars and City matching funds required for the construction contract. Contingency costs and supplemental expenses are additional to the city matching funds. Street Proiect# Limits Award City_Match(Gas Tax1 Warner CC1150 Sims to Bolsa Chica S 82,973 $134,004.69 Springdale CC1151 Edinger to McFadden $149,801 $ 56,500.46 McFadden CC-1151 Goldenwest to 1-405 98,947 �173,877.63 Total Project Cost: $331,721 $364,382.78 Rehabilitation of the roadways generally includes pavement crack sealing, grinding, selective pavement reconstruction and asphalt overlay. This project also includes placing new signing/striping, new traffic detection loops and adjustments of existing water valves, manholes and similar appurtenances to the new wearing surface. Pavement rehabilitation work of this nature will increase the life of the arterial streets by approximately 10 years. Bidding Contractor Bid Amount 1. RJ Noble Company $696,103.78 2. All American Asphalt $711,108.72 3. Ben's Asphalt Inc. $753,597.47 4. Orion Contracting Inc. $769,387.45 5. Sequel Contractors $769,699.45 6. Shawnan $771,676.00 (Corrected to: $773,386.00) 7. Palp, Inc., (Excel Paving Co.) $783,362.56 8. Hardy & Harper, Inc. $787,893.79 (Corrected to: $785,434.99) The reference check for R.J. Noble Company provided acceptable responses from past clients. Therefore, staff recommends that the City Council accept the bid from R.J. Noble Company, the lowest responsive and responsible bidder. Public Works Commission Approval: The Public Works Commission recommended that City Council authorize the Director of Public Works to advertise the project for bids on May 21, 2003, by a vote of 5-0-2 (Absent Commissioners: Gartland and Johnson). Environmental Status: G:1R C A12003103-069 October 20 Taite(Award Warner,Springdale&McFadden).doc 9016=0312.26 PM REQUEST FOR COUNCIL ACTION MEETING DATE: October 20, 2003 DEPARTMENT ID NUMBER:PW 03-069 These projects are categorically exempt pursuant to the California Environmental Quality Act, Section 15301 (C). Attachments}: City Clerk's Page Numb•r No. Description 1 Location Maps (Warner, Springdale & McFadden) 2 Sample FederallyFunded Construction Contract RCA Author:LT:cf G:tR C A12003t03-069 October 20 Taite(Award Warner,Springdafe&McFadden).doc 101112003 4:19 PM 3 ATTACHMENT # 1 ']1 AHRP PROJECT LOCATIONS �• s O� AVE �Go W. P A V*CM AVE I JL rl AW- g WARNJ AVE. MAC AVE. ' 405 TAIIIERT AVE_ n AVE. ymm*w 11 T-]ANT17 PROJECT Hovcm AVE WARNER AVENUE, CC-1150 SIMS ST. TO SOLSA CHICA ST. 'iA""A "E STPL-5181 (148) tWIR70"1 A _ O SPRINGDALE STREET, CC-1151 '°- EDINGER AVE. TO McFADDEN AVE. c STPL--5181 (146) ,yam ■ McFADDEN AVENUE, CC-1152 GOLDENWEST TO 1-405 FREEWAY STPL-5181 (145) MY VICINITY MAP CITY OF' HUNTiNGTON BEACH DEPARTMENT OF PUBLIC WORKS ac��P�++es\wnli�Kr-w1►RnT-rye ATTACHMENT #2 FEDERALLY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND FOR ABLE OF CON1 =5 Paze No. 1. STATE OF WORK; ACCEPTANCE OF RISK 1 2. ACCEPTANCE OF CONDITIONS OF WORK;PLANS AND SPECIFICATIONS 2 3. COMPENSATION 3 4. COMMENCEMENT OF PROJECT 4 5. TIME OF THE ESSENCE 4 6. CHANGES 4 7. NOTICE TO PROCEED 5 8. BONDS 5 9. WARRANTIES 6 10. INDEPENDENT CONTRACTOR 6 11. LIQUIDATED DAMAGES/DELAYS 6 12. DIFFERING SITE CONDITIONS 8 13. VARIATIONS IN ESTPAATED QUANTITIES 9 14. PROGRESS PAYMENTS 9 15. LLD CONTRACT FUNDS, SUBSTITUTION OF SECURITIES 10 16. AFFIDAVITS OF SATISFACTION OF CLAIMS 10 17. WAIVER OF CLAIMS I 1 18. INDEMNIFICATION,DEFENSE,HOLD HARMESS 11 19. WORKERS'COMPENSATION INSURANCE AND EMPLOYER'S LIABILITY INSURANCE 12 20. INSURANCE 12. 21. CERTIFICATES OF INSURANCE;ADDTITONAL INSURED ENDORSEMENTS 13 22. DEFAULT&TERMINATION 14 23. TERMINATION FOR CONVENIENCE 15 24. DISPOSITION OF PLANS,ESTIMATES AND OTHER DOCUMENTS 15 25. NON ASSIGNABILITY 15 26. CITY EMPLOYEES AND OFFICIALS IS 27. STOP NOTICES;RECOVERY OF ADMINISTRATIVE COSTS 15 28. NOTICES 16 29. SECTION HEADINGS 16 30. EVMUGRATION 16 31. LEGAL SERVICES SUBCONTRACTING PROHIBITED 17 32. ATTORNEYS FEES 17 FEDERALLY FUNDED CONSTRUCTION CONTRACT TABLE OF CONTENTS, continued Page No. 33. INTERPRETATION OF THIS AGREEMENT . 17 ,. 34. GOVERNING LAW 18 35. DUPLICATE ORIGINAL 18 S 36. CONSENT 1s 37. CALIFORNIA FAIR EMPLOYMENT AND HOUSING ACT 1$ 38. CALIFORNIA PREVAILING WAGE LAW 18 39. CALIFORNIA EIGHT HOUR LAW 19 40. PAYMENT OF TRAVEL AND SUBSISTENCE ALLOWANCE 20 F 41. EMPLOYMENT OF APPRENTICES 20 42. PAYROLL RECORDS 20 43. FEDERAL PARTICIPATION 21 44. DAVIS-BACON ACT 21 45. DISMvIINATTON,MINORITIES,ALIENS 21 46. EQUAL EMPLOYMENT OPPORTUNITY 21 47. COPELAND "ANTI KICKBACK"ACT 22 .48. CONTRACT WORK HOURS AND SAFETY STANDARDS ACT 23 49. IlVIPLEMENTATION OF CLEAN AIR ACT.AND FEDERAL WATER • POLLUTION CONTROL ACT 23 50. ENERGY CONSERVATION 24 51. HOUSING AND URBAN DEVELOPMENT 24 52. ENTIRETY 24 2 FEDERALLY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND FOR THIS AGREEMENT ("Agreement") made and entered into this day of 20 , by and between the City of Huntington Beach, a municipal corporation of the State of California, hereinafter referred to as "CITY," and a California hereinafter referred to as "CONTRACTOR" WHEREAS, CITY has solicited bids for a public works project, hereinafter referred to as "PROJECT," more fully described as in the City of Huntington Beach;and CONTRACTOR has been selected to perform said services, NOW, 'THEREFORE, in consideration of the promises and agreements hereinafter made and exchanged,the parties covenant and agree as follows: 1. STATEMENT OF WORK;ACCEPTANCE OF RISK CONTRACTOR shall complete and construct the PROJECT pursuant to this Agreement and the Contract Documents (as hereinafter defined) and furnish, at its own cost and expense, all labor, plans, tools,'equipment, supplies, transportation, utilities and all other items, services and facilities necessary to complete and construct the PROJECT in a good and workmanlike manner. CONTRACTOR agrees to fully assume the risk of all loss or damage arising out of the nature of the PROJECT, during its progress or prior to acceptance by CITY, from the action of the elements, from any unforeseen difficulties which may arise or be encountered in the prosecution of asm-JfbmWfcd=1 1 1-144 1191VICYI 1 work, and for all other risks of any description in connection with the work, including, but not limited to, all expenses incurred by or in consequence of the suspension or discontinuance of work, except such as are herein expressly stipulated to be bome 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 r accordance with the requirements of CITY for the compensation set forth in the accepted bid proposal. 2. ACCEPTANCE OF CONDMQNS OF WORK, LANS AND SPECIFICATIONS CONTRACTOR acknowledges that it is fully familiar with all the terms, conditions and obligations of this Agreement and the Contract Documents (as defined below in this Section), the location of the job site, and the conditions under which the work is to be performed, and that it enters into this Agreement based upon its thorough investigation of all such matters and is relying in no way upon any opinions or representations of CITY. It is agreed that the Contract Document$ are.incorporated into this Agreement by this reference, with the same force and effect as if the same were set forth at length herein, and that CONTRACTOR and its subcontractors, if any, shall be bound by the Contract Documents insofar as they relate in part or in any way,directly or indirectly,to the work covered by this Agreement. "Contract Documents"as defined herein mean and include: A. This Agreement; B. Bonds covering the work herein agreed upon; C. The CTTY's standard Plans and Specifications and special contractual provisions, including those on file in the office of the Director of Public Works of CITY and adopted by the City Council, and any revisions, amendments or addenda thereto; D. The current edition of Standard Specifications for Public Works Construction, published by Builders'News,Inc., 10801 National Boulevard, Los Angeles, CA &greelfacmVfedaal 11-1441I9127/M 2 90064, and all amendments thereto, written and promulgated by the Southern California chapter of the American Public Works Association and the Southern • California District Associated General Contractors of the California Joint Cooperative Committee; E. Bid docurnents including the Notice Inviting Bids, the Special Instructions to Bidders and the CONTRACTOR'S proposal, (which is attached hereto as Exhibit"A" and incorporated herein by this reference); F. The particular Plans, Specifications, Special Provisions and Addenda applicable to the PROJECT. Anything mentioned in the Specifications and not indicated in the Plans or indicated in the Plans and not mentioned in the Specifications,shall be of like effect as if indicated and mentioned in both. In case of a discrepancy between any Plans, Specifications, Special provisions, or Addenda, the matter shall be immediately submitted by CONTRACTOR to the Department of Public Works of CITY (hereinafter referred to as "DPW'), and CONTRACTOR shall not attempt to resolve or adjust the discrepancy without the decision of DPW, save only at its own risk and expense. ShoLld there be any conflict between the terms of this Agreement and the bid or proposal of CONTRACTOR, then this Agreement shall control and nothing herein shall be considered as an acceptance of the terms of the bid or proposal which is in conflict herewith. 3. CONiPENSA ON 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 :Sredf=91fedenI 11-144IM77M 3 Dollars (S }, as set forth in the Contract Documents,to be paid as provided in this Agreement. 4. COWMENCEMENT OF PROJECT CONTRACTOR agrees to commence the PROJECT within ten (10)working days after the Notice To Proceed is issued and diligently prosecute the PROJECT to completion within r+ ( } consecutive from the day the Notice to Proceed is issued by DPW,excluding delays provided for in this Agreement. S. TIME OF THE ESSENCE The parties hereto recognize and agree that time is of the essence in the performance of this Agreement and each and every provision of the Contract Documents. CONTRACTOR shall prepare and obtain approval as required by the Contract Documents for all shop drawings, details and samples,and do,all other things-necessary and incidental to the prosecution of its work in conformance with the progress schedule set forth in the Contract Documents. CONTRACTOR shall coordinate its work with the work of all other contractors, subcontractors,and CITY forces working on the PROJECT in a manner that will facilitate the efficient completion of the PROJECT and in accordance with the terms and provisions of this Agreement. CITY shall have complete control of the premises on which the work is to be performed and shall have the right to decide the time and order in which the various portions of the work shall be performed and the priority of the work of other contractors, subcontractors and CITY forces and, in general, all matters concerning the timely and orderly conduct of the work of CONTRACTOR on the premises. 6. CHANGES CONTRACTOR shall adhere strictly to the plans and specifications set forth in the Contract Documents unless a change therefrom is authorized in writing by DPW. CONTRACTOR agrees to make any and all changes, furnish materials and perform all work necessary within the scope Agrerlfans/fedeal 11-1"119/27l02 4 of the PROJECT as DPW may require in writing. Under no condition shall CONTRACTOR make any changes without the prior written order or acceptance of DPW, and CITY shall not pay any extra charges made by CONTRACTOR that have not been agreed upon in writing by DPW. When directed to change the work, CONTRACTOR shall submit immediately to DPW a written cost proposal reflecting the effect of the change. Should DPW not agree to such cost proposal, the work shall be performed according to the changes ordered in writing by DPW and the proper cost thereof shall be negotiated by the parties upon cost and pricing data submitted by CONTRACTOR; thereupon, CITY will promptly issue an adjusted change order to CONTRACTOR and the Agreement price will be adjusted upward or downward accordingly. 7. NOTICE TO PROCEED No work, services, material, or equipment shall be performed or furnished under this Agreement unless and until a Notice to Proceed has been given to CONTRACTOR by CITY. CITY does not warrant that the work will be available on the date the Notice to Proceed is issued. In the event of a delay in commencement of the work due to unavailability of the job site, for any reason, relief to CONTRACTOR shall be limited to a time extension equal to the delay due to such unavailability. 8. BONDS Only bonds issued by California admitted sureties will be accepted. CONTRACTOR shall, prior to its performance of this Agreement, famish the following two (2) bonds approved by the City Attorney: One in the amount of one hundred percent(100%) of the Agreement price to guarantee the CONTRACTOM faithful performance of the work, and one in the amount of one hundred percent of the Agreement price to guarantee payment of all claims for labor and materials furnished. In addition, CONTRACTOR shall submit to CITY a bond in the amount of one hundred percent(100%) of the final Agreement price, including all change orders,to warrant such performance agme/forms/fede2i 11-ta-o1/9127ro2 5 for a period of one (1)year after CITY's acceptance thereof within ten(10)days of filing of the Notice of Completion. 9. WARRANTIES d CONTRACTOR unconditionally guarant'.s all work done under this Agreement including,but not limited to,any workmanship, installation, fabrication, material or structural facilities constructed. CONTRACTOR, within ten (10) days after notice by CITY of any defect in the work, shall have the option to snake appropriate repairs or replace the defective item or items. Upon expiration of such ten (10) day period, CITY may then make appropriate repair or replacement at CONTRACTOR'S risk and own cost and expense. 10. INDEPENDENT CONTRACTOR It is understood and agreed that CONTRACTOR is, and shall be, acting at all times hereunder as an independent contractor and not an employee of CITY. CONTRACTOR shall secure at its own cost and expense, and be responsible for any and all payment of all taxes,social security, state disability insurance compensation, unemployment compensation and other payroll deductions for CONTRACTOR and its officers,agents and employees and all business licenses,if any,in connection with the PROJECT and/or the services performed hereunder, 11. LLQUMATED DAMAGESMELAYS It is agreed by the parties hereto that in case the total work called for hereunder is not in all parts and requirements finished or completed within the number of calendar days as set forth herein, damage will be sustained by CITY; and that it is, and would be, impractical and extremely difficult to ascertain and determine the actual damage which CITY would sustain in the event of and by reason of such delay. It is, therefore, agreed that CONTRACTOR will pay to CITY, as liquidated damages and . not as a penalty, the sum of Dollars ( _ l per day for each and every working day's delay in completing the work in excess of the number of sgmeMma/Pedeml 11.1441/9127/02 6 working/calendar days set forth herein, which represents a reasonable endeavor by the parties hereto to estimate a fair compensation for the foreseeable damages CITY would sustain in the event of and by reason of such delay; and CONTRACTOR agrees to pay these damages herein provided, and farther agrees that CITY may deduct the amount thereof from any monies due or that may become due to CONTRACTOR hereunder. CONTRACTOR will be granted an extension of time and will not be assessed damages for any portion of the delay in the completion of the work due to unforeseeable causes beyond the control and without the fault or negligence of CONTRACTOR, including, but not limited to, acts of God or of the public enemy, fire, floods,epidemics, quarantine restrictions, strikes, unsuitable weather, or delays of subcontractors due to such causes. CONTRACTOR shall, within fifteen (15) days from the beginning of any such delay (unless DPW shall grant a further period of time), notify DPW in writing of the cause of the delay and CITY shall extend the time for completing the work if, in its judgment, the findings of fact thereon justify the delay;and the decision of DPW shall be conclusive on the parties hereto. Should CONTRACTOR be delayed in the prosecution or completion of the work by the act, neglect or default of CITY, or should CONTRACTOR be delayed by waiting for materials required by this Agreement to be furnished by CITY, or by damage caused by fire or other casualty at the job site for which CONTRACTOR is not responsible, or by the combined action of the workers,in no way caused by or resulting from default or collusion on the part of CONTRACTOR,or in the event of a lockout by CITY, then the time herein fixed for the completion of the work shall be extended by the number of days CONTRACTOR has thus been delayed, but no allowance or extension shall be made unless a claim therefor is presented in writing to CITY within fifteen (15) days of the commencement of such delay. Rlformalfedera!1 F-14-0I19127Jo2 7 No claims for additional compensation or damages for delays, irrespective of the cause thereof, and including without limitation the furnishing of materials by CITY or delays by other contractors or subcontractors, will be allowed and an extension of time for completion shall be the sole remedy of CONTRACTOR 12. DIFFERING SITE CONDITIONS A. Notice: CONTRACTOR shall promptly, and before such conditions are disturbed, notify DPW in writing of: (1) Subsurface or latent physical conditions at the job site differing materially from those indicated in this Agreement or the Contract Documents;or (2) Unknown physical conditions at the job site, of an unusual nature, differing materially from those ordinarily encountered and generally recognized as inherent to work of the character to be performed under this Agreement DPW shall promptly investigate the conditions and if it finds that such conditions do materially so differ and cause an increase or decrease in the time required for performance of any part of the work under this Agreement, whether or not changed as a result of such conditions, an equitable adjustment shall be made and the agreement modified in writing accordingly. B. Time Extension: No claim of CONTRACTOR under this Section shall be allowed unless CONTRACTOR has given the notice required hereunder provided,however,the time prescribed therefor may be extended by MY.. agmdforaWfedemI 11-14.0119m102 8 13. VARIATIONS 1N ESTIMATED QUANTITIES The quantities listed in the bid schedule will not govern fugal payment. Payment to CONTRACTOR will be made only for the actual quantities of Agreement items used in construction of the PROJECT, in accordance with the plans and specifications. Upon completion of the PROJECT, if the actual quantities used are either more than or less than the quantities listed in the bid schedule, the bid price shall prevail subject to the provisions of this Section. DPW may, at its sole discretion, when warranted by the facts and circumstances,order an equitable adjustment, upwards or downwards, in payment to CONTRACTOR where the actual quantities used in construction of the PROJECT are in variation to the quantities listed in the bid schedule. No claim by CONTRACTOR for an equitable adjustment in price or time for completion shall be allowed if asserted after final payment under this Agreement. If the quantity variation is such as to cause an increase in the time necessary for completion,DPW shall ascertain the facts and circumstances and make such adjustment for extending the completion date as in its sole judgment the findings warrant. 14. PROGRESS PAYMENTS Each month DPW will make an estimate in writing of the work performed by CONTRACTOR and the value thereof. From each progress estimate, ten percent (10%) will be deducted and retained by CITY and the remainder of the progress estimate, less the amount of all previous payments since commencement of the work,will be paid to CONTRACTOR. When CONTRACTOR has, in the judgment of DPW, faithfully executed fifty percent (50%)or more'of the value of the work as determined from the bid schedule, and if DPW finds that i satisfactory progress has been and is being made,CONTRACTOR may be paid such sum as will bring the payments of each month up to one hundred percent (100%) of the value of the work completed since the commencement of the PROJECT, as determined in its sole discretion by DPW, less all previous payments and less all previous retained amounts. CTTY's final payment to CONTRACTOR, .Sr"Jrrfeaemn i 1-144tr9rrrroz 9 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 4 signed by DPW, affirming that the work for which payment is demanded has been performed in accordance with the temps of the Agreement and that the amount stated in the certificate is due under the terms of the Agreement. Partial payments on the Agreement price shall not be considered as a acceptance of any part of the work- 15. W171 MELD CONTRACT RUNDS, SUBSTTTUTTON OF SECURMS At the request and at the sole cost and expense of CONTRACTOR, who shall retain beneficial ownership and receive interest, if any thereon, CITY shall permit the substitution and deposit therewith of securities equivalent to the amount of any monies withheld by CITY to ensure performance under the terms of this Agreement. 16. AFFIDAVITS OF SATISFACTION OF CLAIMS After the completion of the work contemplated by this Agreement, CONTRACTOR shall file with DPW its affidavit stating that all workers and persons employed, all firms supplying materials and all subcontractors working upon the PROJECT have been paid in full and that there are no claims outstanding against the PROJECT for either labor or material,except certain items, if any,to be set forth in CONTR.ACTOM affidavit covering disputed claims, or items in connection with Notices to Withhold, which have been filed under the provisions of the statutes of the State of California. 17. WAIVER OF CLAIMS The acceptance by CONTRACTOR of the payment of the final certificate shall constitute a waiver of all claims against CITY under or arising out of this Agreement. *greefmmVfedenI 1144-0119/27102 10 IS. METFiCATIdN�DEFENSE. HOLD HARMLESS CONTRACTOR hereby agrees to protect, defend, indemnify and hold harmless CITY, its officers, elected or appointed officials,employees, agents, and volunteers from and against any and all, claims, damages, losses, expenses,Judgments, demands defense costs, and consequential damage or liability of any kind or nature, however caused, including those resulting from death or injury to CONTRACTOR's employees and damage to CONTRACTOR'S property, arising directly or indirectly out of the obligations or operations herein undertaken by CONTRACTOR, caused in whole or in part by any negligent act or omission of the CONTRACTOR, any subcontractors, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable,including but not limited to concurrent active or passive negligence, except where caused by the active negligence, sole negligence, or willful misconduct of the CITY. CONTRACTOR will conduct all defense at its sole cost and expense and CITY shall approve selection of CONTR.ACTOR's counsel. Thus indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indemnification to be provided by CONTRACTOR. 19. WORKER$' COWPENSA ON AND EMPLOYER'S LIABILITY INSURANCE Pursuant to California Labor Code Section 1861, CONTRACTOR acknowledges awareness of Section 3700 et seq. of this Code, which requires every employer to'be insured against liability for workers' compensation; CONTRACTOR covenants that it will comply with such provisions prior to commencing performance of the work hereunder. CONTRACTOR shall maintain workers' compensation and employer's liability insurance in an amount of not less than the State statutory limits. CONTRACTOR skull require all subcontractors to provide such workers'compensation and employer's liability insurance for all of the subcontractors' employees. CONTRACTOR shall area►fa,as�federa111-laall'91tT1o2 11 •• . furnish to CITY a certificate of waiver of subrogation under the terms of the workers' compensation and employer's liability insurance and CONTRACTOR shall similarly require all subcontractors to waive subrogation. 20. INSURANCE In addition to the workers' compensation and employer's liability insurance and . i CONTRACTOR's covenant to indemnify CITY, CONTRACTOR shall obtain and furnish to CITY, a policy of general public liability insurance, including motor vehicle coverage covering the PROJECT. This policy shall indemnify CONTRACTOR, its officers, employees and agents while acting within the scope of their duties, against any and all claims arising out or in connection with the PROJECT, and shall provide coverage in not less than the following amount: combined single Iimit bodily injury and property damage, including products/completed operations liability and blanket contractual liability, of One Million Dollars ($1,000,000) per occurrence. If coverage is provided under a form which includes a designated general aggregate limit; the aggregate limit must be no less than One Million Dollars ($1,000,000) for this PROJECT. This policy shall name CITY, its officers, elected or appointed officials, employees, agents, and volunteers as Additional Insureds, and shall specifically provide that any other insurance coverage which may be applicable to the PROJECT shall be deemed excess coverage and that CONTRACTOR's insurance shall be primary. Under no circumstances shall said above-mentioned insurance contain a self-insured retention, or a"deductible"or any other similar form of limitation on the required coverage. 21. CERTIFICATES OF INSURANCE: ADDITIONAL INSURED ENDORSEMENTS Prior to commencing performance of the work hereunder, CONTRACTOR shall furnish to CITY certificates of insurance subject•to approval of the City Attorney evidencing the foregoing insurance coverages as required by this Agreement;the certificates shall: 1, provide the name and policy number of each carrier and policy; ,greedmWeedeml B-14-01rom102 12 2. state that the policy is currently in force; and 3. promise to provide that such policies will not be canceled or modified without thirty (30)days' prior written notice of CITY. CONTRACTOR shall maintain the foregoing insurance coverages in force until the work under this Agreement is fully completed and accepted by CITY. The requirement for carrying the foregoing insurance coverages shall not derogate from the provisions for indemnification of CITY by CONTRACTOR under the Agreement. CITY or its representative shall at all times have the right to demand the original or a copy of all the policies of insurance. CONTRACTOR shall pay, in a prompt and timely manner, the premiums on all insurance hereinabove required. CONTRACTOR shall provide a separate copy of the additional insured endorsement to each of CONTRACTOR's insurance policies, .naming CITY; its officers, elected and appointed officials, employees, agents and volunteers as Additional Insureds, to the City Attorney for approval prior to any payment hereunder. 22. DEFAULT AND TERMINATION If CONTRACTOR fails or refuses to prosecute the work hereunder with diligence, or fails to complete the work within the time specified, or is adjudged bankrupt or makes an assignment for the benefit of creditors or becomes insolvent, or violates any provision of this Agreement or the Contract Documents, CITY may give CONTRACTOR notice in writing of its intention to terminate this Agreement. Unless the violation is cured within ten (10) days after such Notice of Intention has been served on CONTRACTOR, CITY may, without prejudice to any other remedy it may have, terminate this Agreement upon the expiration of that time. Upon such default by CONTRACTOR, CITY may elect not to terminate this Agreement; in such event CITY may make good the deficiency in agreelfbmjIfe&xd 11.144119 IM 13 which the default consists and deduct the resulting costs from the progress payments then or to become due to CONTRACTOR. If it is subsequently determined by a court of competent jurisdiction that CITY's termination of this Agreement under this Section was wrongful, such termination shall be converted to a termination for convenience under Section 23 and any damages shall be assessed as set forth in Section 23. 23. TERM NA ITON FOR CONVENIENCE CITY may terminate this Agreement for convenience at any time with or without cause, and whether or not PROJECT is fully complete upon seven (7) calendar days written notice to CONTRACTOR. In the event of termination, under this Section CITY shall pay CONTRACTOR for value of work in place on the PROJECT through the termination period plus seven and one-half percent(7 %s%) for overhead and profit less all such paymentA.already made. Such payment by CITY shall be CONTRACTOR'S sole and exclusive"remedy for termination by CITY for its convenience and CITY shall have no further obligation to CONTRACTOR. 24. DISPOSITION OF PLANS,ESTIMATES AND OTHER DOCUMENTS CONTRACTOR agrees that upon completion of the work to be performed hereunder, or upon expiration or earlier termination of this Agreement, all original plans,specifications,drawings, reports, calculations, maps and other documents pertaining to this Agreement shall be delivered to CITY and become its sole property at no further cost. 25. NONASSIGNABILITY CONTRACTOR shall not sell, assign, transfer, convey or encumber this Agreement,or any part hereof, or any right or duty created herein, without the prior written consent of CITY and the surety. aSmdf=Wf9era!11.1"119127= 14 26. CITY EMPLOYEES AND OFFICIALS CONTRACTOR shall employ no CITY official nor any regular CITY employee in the work performed pursuant to this Agreement. No officer or employee of CITY shall have any financial interest in this Agreement in violation of the California Government Code. 27. STOP NOTICES: RECOVERY OF ADMINISTRATIVE COSTS CITY shall be entitled to all reasonable administrative costs and necessary disbursements arising out of the processing of Stop Notices,Notices to Withhold, or any similar legal document. This obligation shall be provided for in the labor and materials payment bond required of CONTRACTOR CITY may charge an administrative fee of One Hundred Dollars ($100) for every Stop Notice filed in excess of two (2), regardless of whether or not CITY is named in an action to enforce such stop notices. CITY may set off any unreimbursed cost or expense so incurred against any sum or sums owed by CITY to CONTRACTOR under this-.Agreement. 28. NOTICES Any notices, certificates, or other communications hereunder shall be given either by personal delivery to CONTRACTOR's agent (as designated in Section 1 hereinabove) or to CITY as the situation shall warrant, or by enclosing the same in a sealed envelope, postage prepaid, and depositing the same in the United States Postal Service,to the addresses specified below;provided that CITY and CONTRACTOR, by notice given hereunder, may designate different addresses to which subsequent notices, certificates or other communications will be sent: TO CITY: TO CONTRACTOR City of Huntington Beach ATTN: 2000 Main Street Huntington Beach,CA 92648 agredforms/federal 11-14-01/9/27/02 15 29. SECTION HEADINGS The titles, captions, section, paragraph, and subject headings, and descriptive phrases at the beginning of the various sections in this Agreement are merely descriptive and are included solely for convenience of reference only and are not representative of maters included or excluded from such provisions, and do not interpret, define, Iimit or describe, or construe the intent of the parties or affect the construction or interpretation of any provision of this Agreement. 30. T1MGRATI CONTRACTOR shall be responsible for full compliance with the immigration and naturalization laws of the United States and shall, in particular, comply with the provisions of United States Code Section 1324a regarding employment verification. 31. LEGAL SERVICES SUBCONTRACTING PROHIBITED CONTRACTOR and CITY agree- that CITY is not liable for payment of any subcontractor work involving legal services, and that such legal services are expressly outside the scope of services contemplated hereunder. CONTRACTOR understands that pursuant to Huntington Beach City Charter Section 309,the City Attorney is the exclusive legal counsel for CITY; and CITY shall not be liable for payment of any legal services expenses incurred by CONTRACTOR 32. &TTORNEY'S FEES In the event suit is brought by either party to construe, interpret and/or enforce the terms and/or provisions of this Agreement or to secure the performance hereof, each-party shall bear its own attorney's fees and the prevailing parry shall not be entitled to recover its attorney's fees from the non- prevailing party. ��edfoRnsJfedaal l l•:+-0ir�mroz 16 33. INTERPRETATION OF THIS AGREEMENT The language of all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning,and not strictly for or against any of the parties. If any provision of this Agreement is held by an arbitrator or court of competent jurisdiction to be unenforceable,void, illegal or invalid, such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other whenever the context so indicates or requires. Nothing contained herein shall be construed so as to require the commission of any act contrary to law, and wherever there is any conflict between any provision contained herein and any present or future statute, law, ordinance or regulation contrary to which the parties have no right to contract, then the latter shall prevail,and the provision of this Agreement which is hereby affected shall be curtailed and • limited only to the extent necessary to bring it within the requirements of the law. 34. GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State of California. 35. DUPLICATE ORIGINAL The original of this Agreement and one or more copies hereto have been prepared and signed in counterparts as duplicate originals,each of which so executed shall, irrespective of the date of its execution and delivery, be deemed an original. :Each duplicate original shall be deemed an original instrument as against any party who has signed it. •�edfcrinslfederal ts-iao�romroz 17 36. CONSENT Where C1Ws consent/approval is required under this Agreement, its consentlapproval for one transaction or event shall not be deemed to be corsentlapproval to any subsequent occurrence of the same or any other transaction or event. 37. CALIFORNIA FAIR EMPLOYMENT AND HOUSING ACT CONTRACTOR agrees to comply with all requirements and utilize fair employment practices in accordance with California Gm,ernment Code Sections 12900 et seq. 38. CALIFORNIA PREVAILNG WAGE LAW. A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement,and the same has been set forth by resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement,as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code,CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code,CONTRACTOR shall, as penalty to CITY,forfeit twenty-five dollars($25)for each calendar day or portion thereof for each worker paid (either by CONTRACTOR or any of its subcontractors)less than the prevailing wage rate established for that particular craft or type of work. &Feel&mVfeden1 Z t-t44119117/M 18 3 9. CALIFORNIA EIGHT-HOUR LAW A. 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. B. Pursuant to this Agreement and in accordance with California Labor Code Section 1813, CONTRACTOR shall,as a penalty to CITY,forfeit twenty-five dollars($25) for each worker employed hereunder by CONTRACTOR or any subcontractor for each calendar day during which such worker is required or permitted to work more than eight(8)hours in any one (1)calendar day or forty (40)hours in any one(1)calendar week in violation of California Labor Code Section 1815. 40. PAYMENT OF TRAVEL AND SUBSISTENCE ALLOWANCE Section 1773.8 of the California Labor Code,regarding the payment of travel and subsistence allowance is applicable to this PROJECT. agredfomts/fadml ii.ta- 1/9127/oz 19 41. EMPLOYMENT OF APPRENTICES Section 1777.5 of the California Labor Code, regarding the employment of apprentices is applicable to this PROJECT. 42. 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. 43. 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 Agreement provisions embodied herein are included in this Agreement in accordance with the provisions applicable to such federal assistance. As federal funds are fuiancing 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. 44. 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 &Sm-Jfmmslf&1mI 1I-144119 M 20 with all applicable federal labor standards provisions;said provisions are incorporated herein by this reference. 45. DISCR - NATION, 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. 46. E09AL EMPLOYMENT OPPOR 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(4l CFR part 60). . ' 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. Section402 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 thmughout their working life if they have a thirty percent (30%)or more disability. .vvJ-sxmd&d=r 21 To ensure compliance with these requirements, the CONTRACTOR shall provide the CITY 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. 47. 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. 48. 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 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. �g edfamslfederal 11-14 Qtl9mtoz 22 49. RAPLENI ENTATION OF CLEAN AIR ACT AND FEDERAL WATER P LLVn0N CONTROL ACT. A. CONTRACTOR stipulates that all facilities to be utilised in the performance of this Agreement were not listed,on the date ofAgreement 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 0. be listed on the EPA List of Violating Facilities. 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. 50. PTERGY 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.). agmdfwmVfcdmI 11-1"11=71M 23 51. HOUSTNO 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 fonns that may be required in accordance therewith. 52. ENTIRETY The foregoing, and Exhibit "A" attached hereto, set forth the entire Agreement between the parties. No waiver or modification of this Agreement shall be valid unless in writing duly executed by both parties. The parties acknowledge and agree that they are entering into this Agreement freely and voluntarily following extensive arm's length negotiations, and that each.has had the opportunity to consult with legal counsel prior to executing this Agreement. The parties also acknowledge and agree that no representations, inducements,promises, agreements or warranties, oral or-otherwise,have been made by that party or anyone acting on that party's behalf, which are not embodied in this Agreement, and that that party,has not executed this Agreement in reliance on any representation, inducement, promise,agreement,warranty,fact or circumstance not expressly set forth in this Agreement. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized offices the day,month and year first above written. agredfaastfederai l i-1"1191VIM 24 CONTRACTOR CITY OF HUNTINGTON BEACH, a municipal corporation of the State of California Mayor By: ATTEST: print name ITS:(circle one) Chairm /PresidenvVice President City Clerk AND APPROVED AS TO FORM: By: City Attorney print name ITS:(circle are) Secretary/Chief Financial Officer/Asst. Secretary-Treasurer INITIATED AND APPROVED: REVIEWED AND APPROVED: Director of Public Works City Administrator � rtorr�at it-ta-otr�mroz 25 RCA ROUTING SHEET INITIATING DEPARTMENT: PUBLIC WORKS SUBJECT: AWARD CONSTRUCTION CONTRAT FOR ARTERIAL STREET IMPROVEMENTS COUNCIL MEETING DATE: I October 20, 2003 RCA ATTACHMENTS STATUS 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 Attached Contract/Agreement (wlexhibits if applicable) Si ned in full bX the gLty Attome Attached Subleases, Third Party Agreements, etc. (Approved as to form 4y City Attomey Not Applicable Certificates of Insurance (Approved by the City Attome Not Applicable Financial Impact Statement Unbud et, 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 FORWARDED Administrative Staff Assistant City Administrator Initial L&AIministrator Initial Clerk EXPLANATION FOR RETURN OF ITEM: Only)(Below Space Fbr Cify Clerk's Use RCA Author.L.Taite REQUEST FOR COUNCIL ACTION MEETING DATE: October 20, 2003 DEPARTMENT ID NUMBER:PW 03-069 Analysis: In 2006, the Public Works Department applied for funding under the Orange County Transportation Authority (OCTA) Arterial Highway Rehabilitation Program for various street rehabilitation projects. The City was awarded funds for a total of fourteen street rehabilitation projects over three fiscal years, including Warner Avenue, CC-1150 (Sims Street to Bolsa Chica Street), Springdale Street, CC-1151 (Edinger Avenue to McFadden Avenue) and McFadden Avenue, CC-1152 (Goldenwest Street to 1-405 Freeway). The following table reflects the funding breakdown of awarded federal dollars and City matching funds required for the construction contract. Contingency costs and supplemental expenses are additional to the city matching funds. Street Project# Limits Award City Match (Gas Tax) Warner CC1150 Sims to Bolsa Chica $ 82,973 $134,004.69 Springdale CC1151 Edinger to McFadden $149,801 $ 56,500.46 McFadden CC-1151 Goldenwest to 1-405 9$ 8,947 $173,877.63 Total Project Cost: $331,721 $364,382.78 Rehabilitation of the roadways generally includes pavement crack sealing, grinding, selective pavement reconstruction and asphalt overlay. This project also includes placing new signing/striping, new traffic detection loops and adjustments of existing water valves, manholes and similar appurtenances to the new wearing surface. Pavement rehabilitation work of this nature will increase the life of the arterial streets by approximately 10 years. Bidding Contractor Bid Amount 1. RJ Noble Company $696,103.78 2. All American Asphalt $711,108.72 3. Ben's Asphalt Inc. $753,597.47 4. Orion Contracting Inc. . $769,387.45 5. Sequel Contractors $769.699.45 6. Shawnan $771,676.00 (Corrected to: $773,386.00) 7. Palp, Inc., (Excel Paving Co.) $783,362.56 8. Hardy& Harper, Inc. $787,893.79 (Corrected to: $785,434.99) The reference check for R.J. Noble Company provided acceptable responses from past clients. Therefore, staff recommends that the City Council accept the bid from R.J. Noble Company, the lowest responsive and responsible bidder. Public Works Commission Approval: The Public Works Commission recommended that City Council authorize the Director of Public Works to advertise the project for bids on May 21, 2003, by a vote of 5-0-2 (Absent Commissioners: Gartland and Johnson). Environmental Status: WR C A12003103-069 October 20 Taite(Award Warner.Springdale&McFadden).doc 10161200312:26 PM Lam. � C- — 6 EXIIIBIT 15-G Local Assistance Procedures Manual Local Agency Bidder DBE Information LOCAL AGENCY BIDDER-DBE -INFORMATION This information may be submitted with your bid proposal. If it is not, and you are the apparent low bidder or the second or third low bidder, it must be submitted and received by the administering a, gency no later than the timespecified in the special provisions. COJRTEJP.M.: 12--ORA—O-IINTH BIDDER'S NAME:R.J.N013LE COMPANY CONTRACT NO.:STPL--5181 —(la8) ADDRESS; incoln Avenue BID AMOUNT:S216.977.69 Orangg.CA_92865 BID OPENING DATE:September 23,200-1 DBE GOAL FROM CONTRACT:1M ITEM 01;WORK AND DESCRIP'rio.N NAME OF DBE:'• DOLLAR PERCENT CONTRACT Of WORK OR SERVICES TO BE (Name of DBEs,Certification Number, AMOUNT •" ITEM NO. SUBCONTRACTED OR MATERIALS and Telephone Number) ••e DBE TO BF PROVIDED r)BF 1-8, 9,10 ADJUST MANHOLES & RAMIREZ CONSTRUCTION $8,925.00 100% WATERVALVES CT 024273 626-967-5790 1-6 PORTION OF ASPHALT OIL W.C. GOOLSBY 60% OF CT 002822 858=509-2900 $10,458.3 -$6,275.0 60% Total Claimed S15,2 D0. S15,2 00 Participation 7 % 100% * If 100%of item is not to be perforn>cd or furnished by DBE,describe exact portion,including planned location of work to be rformed,of item to be rformcd or furnished by DRE '• DBEs must be certified by Caltrans on the date bids are opened. Subcontractors and suppliers certified Statc-funded only cannot be used to meet goals on federally funded contracts. ••• Credit for a DBE supplier.who is not a manufacturer is limited to 60%of the amount paid to the supplier. (Sec Section "Disadvantaged Business"(DBE)of the special provisions) 1*1PORTANT: Namcs of DBE subcontractors and their respective Items)of m-ork listed above should be consistent Hith the name and Items of work in the "List of Subcontractor.-." submated with your bid pursuant to he Subcontractors Listing l.a%%. r 09-23-03 714-637-1550 OC gigoturc of Bidder Date (Area Code)tel.No. MICHAEL J. CARVER, PRESIDENT Person to Contact (Please type or print) Distribution for all Projects: (1)Original-Caluans DLAE for NI IS Projects,(2)Copy-Local Agency project file DEPT.OF TRANSPORTATIONS (FED DBE)XIOWNED DGOE-19(REV 09-IR-95) i . EXELBTf 15-K Lot...Assistance Procedures Manual Report of DBE Awards REPORT OF DBE AWARDS COMPLETE THIS FORM FOR EACH CONTRACT Locode: 12—ORA.—O-HNTB Agency: City of Huntington Beach Project No. STPL—5181 (148) DBE Goal: 7.0% Total Contract Bid: $216,977.69 Reimbursement Ratio: 40% Federal Share: $82,973 Award Date: October 20,2003 Combined DBE Percent of Federal Share for this Project: 7.0% DBE Subcontractors(excluding women Awarded by Ethnic qLoiR and other Disadvanta d Black Hispanic Native Asian- Asian- Other Total A Indian Pacific No. Total$ 8 925.0 ' 8 2 .0 Fed$ DBE Subcontractors excludin men Grand Total MWBE WWBE I Total B Total A+B No. 1 No. Total$ 6,275. Total$ Fed$ Fed$ Number of subcontracts awarded by type of work Professional and Consultant Services DBE MWBE WWBE (excluding women) 1. Engineering 2. Architectural 3. Right of Way 4: Other Constriction 1. GruffiWDminage 2. Paving 3. Structures/Buildings 4. Materials 1 5. Equipment 6. Trucking 7. Traffic Control 8. Landscaping 9. Other 1 , TOTALS: 1 1 Note: For the purpose of this report,use the following definitions. • DBE=disadvantaged business enterprise • MWBE=minority women business enterprise 9 WWBE=white women business enterprise �3 HL/Nb vR c EXHIBIT 15-G Local Assistance Procedures Manual Local Agency Bidder DBE Information LOCAL AGENCY BIDDER-DBE -INFORMATION This information may be submitted with your bid proposal. If it is not, and you are the apparent low bidder or the second or third low bidder, it must be submitted and received by the administering agency no later than the timespecified in the special provisions. CO./RTE./P.M.: 12-ORA-O-HNTB BIDDER'S NAME:R.J.Noble Comnany CONTRACT NO.:STPL-5181 (146) ADDRESS: 15505 E.Lincoln Avenue BID AMOUNT:$206,301.46 Orange,CA 92865 BID OPENING DATE:September 23,2003 DBE GOAL FROM CONTRACT:7% ITEM OF WORK AND DESCRIPTION NAME OF DBE** DOLLAR PERCENT CONTRACT OF WORK OR SERVICES TO BE (Name of DBEs,Certification Number, AMOUNT *** ITEM NO. SUBCONTRACTED OR MATERIALS and Telephone Number) *** DBE TO BE PROVIDED DBE__ 2-6 PORTION OF OIL W.C. GOOLSBY, INC 60% of CT 002822 858-509-290 24,068.33 14,441.00 Total Claimed $ 14,441 1$ 4,441 Participation 7 % 100 * If 100%of item is not to be performed or famished by DBE,describe exact portion,including planned location of work to be performed,of item to be performed or furnished by DBE ** DBEs must be certified by Caltrans on the date bids arc opened. Subcontractors and suppliers certified State-funded only cannot be used to meet goals on federally funded contracts. *** Credit for a DBE supplier,who is not a manufacturer is limited to 60%of the amount paid to the supplier. (Sec Section "Disadvantaged Business"(DBE)of the special provisions) IMPORTANT: Names of DBE subcontractors and their respective item(s) of work listed above should be consistent with the name and items of work in the "List of Subcontractors" submitted wAh your bid pursuant to the Subcontractors Listing Law. 09-23-03 714-637-1550 S atur Bidder Date (Area Code)tel. No. MICHAEL J. CARVER, PRESIDENT Person to Contact (Please type or print) Distribution for all Projects: (1)Original-Caltrans DLAE for NHS Projects,(2)Copy-Local Agency project file DEPT.OF TRANSPORTATION (FED DBE)MODIFIED DC-OE-19(REV 09-18-95) EXEID31T 15-K Loy—Assistaace Procedures Manual •' Repoit of I)BE Awards REPORT OF DBE AWARDS COMPLETE THIS FORM FOR EACH CONTRACT Locode: 12-ORA—O-HNTB Agency: City of Huntington Beach_ Project No. STPL—5181 (146) DBE Goal: 7.0% Total Contract Bid $206,301.46 Reimbursement Ratio: 4M Federal Share: 1149,801 Award Date: October 20.2003 Combined DBE Percent of Federal Share for this Project:MQf DBE Subcontractors excludin women Awarded by Ethnic oup and other Disadvantaged _ Black Hispanic Native Asian- Asian- Other Total A Indian Pacific No. Total S Fed S DBE Subcontractors excludin men Grand Total MWBE WWBE Total B Total A+B No. No. Total$ $14,441. 0 14,44.1.0 Total$ $1 - Fed S Fed S Number of subcontracts awarded by type of work Professional and Consultant Services DBE, MWBE WWBE (excluding women) 1. Engineering 2. Architectural 3. Right of Way 4. Other Constriction 1. GradingMrainage 2. Paving 3. Structures/Buildings 4. Materials 5. Equipment 6. Trucking 7. Traffic Control 8. Landscaping 9. Other TOTALS: 1 Note: For the purpose of this report,use the following definitions. • DBE=disadvantaged business enterprise • MWBE=minority women business enterprise • WWBE=white women business enterprise EXIIIBIT 15-G e Local Assistance Procedures hlanuat Local Agenev Bidder DBE Information LOCAL AGENCY BIDDER-DBE -INFORMATION This information may be submitted with your bid proposal. if it is not,and you are the apparent low bidder or the second or third low bidder, it must be submitted and received by the administering agency no later than the timespecified in the special provisions. COJRTEJPA1.: 12—OR.A—O—I INTR BIDDER'S NAME:R.J.N013LE IQOMPANY CONTRACT NO.:STPL-5181 (145) ADDRESS: 15505 E.LincolnAyenue BID AMOUNT:S272.824.63 Oranize.CA 9286 BID OPENING DATE:September 23 2003 DBE GOAL FROM CONTRACT 70' ITEM OF WORK AND DESCRII'rION NAME OF DBL•' DOLLAR PERCEN"r CONTRACT Or WORK OR SERVICES TO BE (Name of DBEs,Certification Number, AMOUNT *•• ITEM NO. SUBCONTRACTED OR MATERIALS and Telephone Number) *" DBE TO BE PROVIDED DBE 3-8, 9,10 ADJUST MANHOLES & RAMIREZ CONSTRUCTION 5,550.00 100% 15 WATERVALVES CT 024273 626-967-5790 3-6 PORTION OF ASPHALT OIL W.C. GOOLSBY 60Z of 60% CT 002822 858-509-2900 22,600.00 -13,560.0 Total Claimed �= Participation * If 100%of item is not to be performed or furnished by DBE,describe exact portion,including planned location of work to be performed,of item to be performed or furnished by DBE •• DBEs must be certified by Caltrans on the date bids arc opened. Subcontractors and suppliers certified State-funded only cannot be used to meet goals on federally funded contracts. '•* Credit for a DBE supplier,µfro is not a manufacturer is limited to 60%of the amount paid to the supplier. (Sce Section "Disadvantaged Business"(DBF:)of the special provisions) IMPORTANT: Names of DBE subcontractors and their respective Item(s)of work listed above should be consistent wish the name and items of work In the "List of Subcontractors" submitted with your bid pursuant to the Subcontractors Listing Law. 09-23-03 714-637-1550 Si ture o idder Date (Area Code)tel. No. MICHAEL J. CARVER, PRESIDENT Person to Contact (Please type or print) Distribution for all Projects: (I)Original-Caltrans DL AE for NI IS Projects,(2)Copy-Local Agency project fife DEPT.OF TRANSPORTATION (FED DBE)MODIFIED DC-OE-19(REV 09-18.95) w EX7MBIT 15-K Lo.._.Assistance Procedures Manual Report of DBE Awards REPORT OF DBE AWARDS COMPLETE THIS FORM FOR EACH CONTRACT Locode: 12—ORA—O-HNTB Agency: City of Huntington Beach Project No. STPL—5181 (145) DBE Goal: 7.0% Total Contract Bid: $272,824.63 Reimbursement Ratio: 30% Federal Share: 9$ 8,947 Award Date: October 20,2003 Combined DBE Percent of Federal Share for this Project: 7.0% DBE Subcontractors(excluding women Awarded by Ethnic Group and other Disadvanta ed Black Hispanic Native Asian- Asian- Other Total A Indian Pacific No. 1 Total$ 5,550.00 5,550.0 Fed$ DBE Subcontractors excludin men Grand Total MWBE WWBE Total B Total A+B No. 1 1 1 No. 2 Total$ 13,5 6 0. 0 13, Total$ Fed$ Fed$ Number of subcontracts awarded by type of work: Professional and Consultant Services DBE MWBE WWBE (excluding women) 1. Engineering 2. Architectural 3. Right of Way 4. Other Construction 1. Grading/Drainage 2. Paving 3. Structures/Buildings 4. Materials 1 5. Equipment 6. Trucking 7. Traffic Control 8. Landscaping 9. Other 1 TOTALS: 1 1 Note: For the purpose of this report,use the following definitions. • DBE=disadvantaged business enterprise • MWBE=minority women business enterprise • W WBE=white women business enterprise It I ! Local Assistance Procedures Manual EXHIBIT 12-E PS&E Checklist Instructions Attachment L LOCAL AGENCY BIDDER-DBE INFORMATION This information may be submitted with your bid proposal. If it is not, and you are the apparent low bidder or the second or third low bidder, it must be submitted and received by the administering agency no later than the timespecified in the special provisions. CO./RTE./P.M.: 12—ORA—O—HNTB BIDDER'S NAME: R.J. NOBLE COMPANY CONTRACT NO.: STPL—5181 (145, 146& ADDRESS: 15505 E. Lincoln Avenue 148) Orange,CA 92865 BID AMOUNT: $696,103.78 DBE GOAL FROM CONTRACT: 7% BID OPENING DATE: September 23, 2003 ITEM OF WORK AND DESCRIPTION NAME OF DBE** DOLLAR PERCENT CONTRACT OF WORK OR SERVICES TO BE (Name of DBEs,Certification Number, AMOUNT *** ITEM NO. SUBCONTRACTED OR MATERIALS and"rclephone Ntunbcr) *** DBE TO BE PROVIDED DBE 1-8,9,10 ADJUST MANHOLES & RAMIREZ CONSTRUCTION $14,475.00 100% 3-8,9,10 WATERVALVES CT 024273 626-967-5790 15 1-6 PORTION OF ASPHALT OIL W.C. GOOLSBY, INC. 60% of 07 2-6 CT 002822 858-509-2900 57,126.66 3-6 34,276.00 Total Claimed $48,751. 4$ 8,751. 0 Participation 7 % 100 * If 100%of item is not to be performed or furnished by DBE,describe exact portion,including planned location of work to be performed,of item to be performed or furnished by DBE ** DBEs must be certified by Caltrans on the date bids are opened. Subcontractors and suppliers certified state-funded only cannot be used to meet goals on federally funded contracts. *** Credit for a DBE supplier,who is not a manufacturer is limited to 60%of the amount paid to the supplier. (See Section "Disadvantaged Business"(DBE)of the special provisions) IMPORTANT: Names of DBE subcontractors and their respective item(s)of work listed above should be consistent with the name and items of work in the "List of Subcontractors" submitted with your bid pursuant to the Subcontractors Listing Law. 09-23-03 714-637-1550 gnats idder Date (Area Code)tel. No. MICHAEL J. CARVER, PRESIDENT Person to Contact (Please type or print) Distribution for NHS Projects: (1)Original-Caltrans DLAE for NHS Projects,(2)Copy-Local Agency project file Distribution for non-NHS Projects: (1)Original Local Agency project file DEPT.OF TRANSPORTATION (FED DBE)MODIFIED DC-OE-19(REV 09-18-95) Page12-65 February 1,1998 Local Assistance Procedures Manual EXMMIT 124 PS&E Checklist Instructions Attachment L LOCAL AGENCY BIDDER-DBE INFORMATION This information may be submitted with your bid proposal. If it is not,and you are the apparent low bidder or the second or third low bidder,it must be submitted and received by the administering agency no later than the time specified in the special provisions. COJRTEJP.M.' _ BIDDE VSNAME: R.J., NOBLE COMPANY CONTRACTNO.: CC 1150 ADDRESS: 15505 E. T.TNrnT.N AVF.NTTF. BID AMOUNT' S 216,977.69' ORANGE, CA 92865 BID'OMING DATE:SEPT. 23, 2003 DBE GOAL FROM CONTRACT 7 % ITEM OF wORK AND DESCRIPTION NAME OF DBE'* DOLLAR PERCENT CONTRACT OF WORK OR SERVICES TO BE (Name of DBEs,Certification Number, AMOUNT *** r rEM NO. SUBCONTRACTED OR MATERIALS sad Telephone Number) *** DBE TO BE PROVIDED DBE 1-8, 9,10 ADJUST MANHOLES- & RAMIREZ CONSTRUCTION 8,925.00 100% WATERVALVES CT 024273 626-967-5790 60% of 1-6 PORTION OF ASPHALT OIL W.C. GOOLSBY, INC. 10,458.33 = 6,275.00 60% Total Claimed $ 15,200. S15,200. Participation 7 % 100 a/o * If 100%of item is not to be performed or furnished by DBE,describe exact portion,including planned location of work to he per6omrof item to be or Banished DBE *• DBEs must be certified by Calttaas on the date bids are opened. Subcontractors and suppliers cw ifad stato-firaded only cannot be used to mat goals on federally Amded contradL +++ Credit for a DBE supplier,who is not a menuhmu er is limited to 60%of the amount paid to the supplier. (See Section 'Disadvantaged BusiaeW(DBE)of the special pmvislow) WORTANT: Names of DBE subcontractors and t8eir respective items)of work listed above should be consistent with the name and items of work in the"List of Subcontractors" submitted with your bid cant to the Subcontractors Listing Law. PTEMBER 23, 2003 714-637-1550 Xpore o Bidder Date (Area Code)tel.No. MICHAEL J. CARVER, PRESIDENT Person to Contact (Please type or per) Dia4abudoa tar IVHS Prajwts: (I)Origwed-Caftwas DLAE mr rills Prgiec%CZ)Cq ff-Tarot Agency tuft DtaOdbetlaa�noo-Nxs Pnoj�: (1)ori�nai t��poJact Ste . DRFr.of TBANSPoeTAIMN (FED DBE)MODEW DC-OE-19(REV 09-18 95) C-16 Pap 12-67 Local Assistance Procedures Manual EX Brr 12-E I'S&E Chaklist Instracdons Attachment L LOCAL AGENCY BIDDER DBE INFORMATION This information may be submitted with your bid pmposaL If it is not,and you are the apparent low bidder or the second or third low bidder,it must be submitted and received by the administering agency no later than the time specified in the ecial provisions. COMB JP.IVL: _ BMDER'SNAME: R.J.. NOBLE COMPANY CONTRACTNO.: CC 1151 ADDRESS: 15505 E. T.TxrnT.N Aym. TF. BMAMOLTNT: $ 206,301.46 ORANGE, CA 92865 BM-OPENINO DATE:SEPT. 23, 2003 DBE GOAL,FROM CONTRACT T % ITEM OF WORK AND DESCRIPTION NAME OF DBE w" DOLLAR PERCENT CONTRACT OF WORK OR SERVICES TO BE (Name of DBEs,Capon Number, AMOUNT **+ rM4NO. SUBCONTRACTED OR MATERIALS and Telephone Number) ''+* DBE TO BE PROVIDED DBE 2-6 PORTION OF OIL W.C.- GOOLSBY, INC'. . 60% of CT 002822 858-509-2900 24,068.33 14,441.00 Total Claimed 14,441.' 1$ 4,441 Participation 7 % 100 a/o ' X 100%of item is not to be performed or finnished by DBE,descnba exact portion,including plamud location of work to be of item to be yeftnied or fin fished by DBE �• DBEs must be catified by Caltraas on the date bids are op=c& Sobconttactum and suppliers certified stamo-5mded only caaa� be used to meet pals an*&m ly funded watracM Cm&for a DBE supplier,who is not a manvZwt as is limited to 60%of the amount paid to the supplier. (See Section j&a&u tagW Bu hiss!()BE)of the special provisions) IWORTANT: Names of DBE subcontractors and their respective item(s)of work listed above should be consistent with the name and items of work in the"List of Subcontractors" submitted with your bid ursaant to the Subcontractors L6dft JAW. PTEMBER 23, 2003 714-637-1550 o Bidden Date (Area Code)teL No. MICHAEL J. CARVER, PRESIDENT Pawn to Cmtwt (Pl m we or print) Di ftff d1M fwbffM Projats (1) DLAE 2wNS3 Paoje, (2)Ca ff4AW AgwW p*aAh >br aod�IIiS Pt�jaeta: (1)�Lost�Y P�� DEFT.OF TEAN5KWA=N qW VM MDD1Fl1rD DC-OE-19(1tEV 09-18-95) C—Ifi Pap 12-C .]Local Asshtance Procedures Manual EXfDBrr ix--E &E Checidlst Instructions Attachment L LOCAL AGENCY BIDDER-DBE INFORMATION This information maybe submitted with your bid proposal. If it is not,and you are the apparent low bidder or the second or third low bidder,it must be submitted and received by the administering ageacy no later than the time specified in the special Provisions. COJRTEJP.M.: BIDDER'SNAME: R.J.. NOBLE COMPANY CONTRACT NO7C-77152 ADDRESS: mm E. LTwroT.N AVRNuy BIDAMO[1NT:S 272.824.63 ORANGE, CA 92865 BID-OPENING DATE:SEPT. 23, 2003 DBE GOAL FROM CONTRACT 7 % ITEM OF WORK AND DESCRIPTION NAME OF DBE'* DOLLAR PERCENT CONTRACT OF WORK OR SERVICES TO BE (Nome of DBEs,Corti adon Number, AMOUNT *** M MNO. SUBCONTRACTED OR MATERIALS and Telephone Number) 'a* DBE TO BE PROVIDED DBE 3-8, 9,10 ADJUST MANHOLES & RAMIREZ CONSTRUCTION 5,550.00 100% 15 WATERVALVES CT 024273 626-967-5790 60% of 60% 3-6 PORTION OF ASPHALT OIL W.C. GOOLSBY 22,600.00 CT 002822 858-509-2900 =13,560.0 Total Claimed ,S= . . Participation L °10 % * If 100%of item is not to be perForaned or Az nid wd by DBE,des cttbe exact podium,imaluding planned loon of work to be paftni4aflumtobepwbrmdorftnMWbyDBE ** DBEs must be certi$ed by Caltraas on the date bids are opened. SWx=t<actm and suppliers certified stawfuaded only cannot be used to mod goals on Ad=Hy iimded conuacm *'* Credit far a DBE supplier,who is not a manuBcturer is limited to 60%of the amowmt paid to the supplier. (See Section MiasdvwmWd Bus we(DBE)afthe special provisions) DwORTANT: Names of DBE anbcontrzctors and f the w respective items)of work Iti W aWw should be consistent with the name and items of work in the"Lift of Subcontractors" submitted with your bid punlawat to the Subcontractors LAW. PTEMBER 23, 2003 714-637-1550 o Bidder Date (Area Cade)tel.No. ' MICHAEL J. CARVER, PRESIDENT Person to Contact C 1 Yw or Pam) DisdnIP"Lor NES Projeces (I)Odd= D[,AE tr NiM Pwj=%CZ)Caff-L xd Ag= W pgcagk tar nowmU Project:: (1)0d&dL=dApnqpwjwfflv Darr.Off TRAN&X rrAIMON OW DBE)bg==DC-CE-19 WV 09-IW C-16 Page 1247 �l WARNER AVENUE,CC-1750,SPRINGDALE STREET,CC-1151&McFADDEN AVENUE,CC-1152 REHABILITATION BID SUMMARY TOTALS BID OPENING:SEPTEMBER 23,2003 @ 2:00 PM Date,September 25,2003 CONTRACTOR PROJECT No.1 N0.1 No.3 No.4 No.5 No.6 No. 7 No.a RJ Noble Al American $en's Aspha!! Orion Contracting Sequel Sit2xn Palp,Inc.(Excel Hardy&Harper, Company As halt Inc. Contractors Paving Company) Inc. W arner Avenue,CG-11 bO $216.911.69 5219.852.013 $230.709.46 $2/1.289.50 $238.368.10 $155.031.10 $244,928.30 $24 7.219.34 5 aie Street CC-1151 $206.301.46 $192.660.48 $217.704.84 $205.659.20 $222.424.90 $234.328.90 $234.534.46 $229.608.19 P.McFadden Avenge CC-1152 $272 824.63 $298.596.16 $305.183.17 $292,438,75 $308.906.45 $284.026,00 $303.899.80 5308.607.46 TQTAL: $696,101781 $111.108.721 $753.597.471 $769.387,451 $769.699.45 $773.386-001 $783.362,561 $785.434.99 Bid Summary CC-1150-1151&1152 Supplemental CCm l fS- /is- d� //S t BID DATE: 3 T NIE 1 a /,�Xl Engineer`s Estimate: $ -7 9 3., d s z BID L�TS'T DMDM-S v po i Bm". OUNT 1. Au 7// t « 7 'L 2' 3 $ s'q 3. 7 . V-3O.97 ✓ 9�-+. kAdz 4. �. , l Nl C. $ p,u iAtC 7 -763, 3 6 z , S 4' 7. '10 9 . $ "173. ?86.00 ht 8. JM A hw NAov —7 9. $ - 10. $ 11 12. $ 13. $ .14. $ 15. $ BID DATE: c7, TIM Z.oo�� Engineer's Estimate: $_ 1"7 6f'Z BLD LIST BMDER'SNAME RANK TOTAL BM AMOUNT 1. A-11 ArYlfhcom Aspul-l- 2 -�7 1.,1j Q s_ -7 2 2. [3_e 11'S his m i t3. Rr ' ' $ 7�� 5�� •�� trAe� f HAOL InC- 16 -76j , �q3.-iq 5. p4- lp I ne. ` 7 0:3 3(n 3_ 5 tv 6. PA Now, COMPMV 103,3� T $, a w n OL Yl 9. $ 10. 11, $ 12. $ 13. $ 14. $ 15. S �t J F CITY OF HUNTINGTON BEACH 2000 Main Street P . O . Box 190 Huntington Beach , CA 92648 LETTER OF TRANSMITTAL Fax (714) 374-1573 Attention: Connie BrockwaV Date: August 20,2003 To: City Clerk's 0-Bice Project/C.C.No.: Q.C.No._f f50. 115191152 2000 Main Street Regarding:WamerAve.-Snrinadale St& McFadden Ave. Huntington Beach, CA 92648 Rehabilr'tation Improvements lrespectr'v W ❑ We are sending you: ❑ By Mail ❑ By Fax Mail(Number or pages including this sheet:) ® We are hand delivering: ❑ Attached ❑ Under a separate cover via the following Items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ specifications ❑ Copy of latter ❑ Change Order ® Other. Notice 1nv7tinq Sealed Bids Item# copies Pages Description 1 1 1 Nonce Wfig Sealed Bids 2 RamerAve.CC-1150,S tin dale St. CC-1151&McFadden Ave.CC-1152 3 4 5 These are transmitted as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies forapproval ® For your use ❑ Approved as noted ❑ Submit copies for distribution ® Foryour action ❑ Returned for corrections ❑ Return corrected prints ❑ For reviewlcomment ❑ Other. Remarks: On June 16, 2003, the City Council authorized the advertisement of the Warner Ave., Springdale St. & McFadden Ave. Rehabilitation Improvements projects. Please find attached the Notice inviting Sealed Bids for advertisement on 914, 9111 and 9/18/03. The bid opening is scheduled for 9/23/03 @ 2:00 PM. Please contact me at extension 5590 with any questions you may have. a c: file By: Lhffij*ai(e,Civil Engineering Assistant G:\CONSIYwwN do-m%4cia(CCs)\Ccl 180\COitY m\NLSB TMN,-.mNALTO CumK.Doc NOTICE INVITING SEALED BIDS for CC-1 ISO, CC-1151 & CC-1152 Notice is hereby given that sealed bids will be received by the City of Huntington Beach at the office of the City Clerk at City Hall, 2000 Main Street, Huntington Beach, CA 92648, until the hour of 2:00 PINI on September 23, 2003, at which time bids will be opened publicly and read aloud in the Council Chambers for the WARNER AVE. CC-1150, SPRINGDALE ST. CC- 1151 & 11IcFADDEN AVE. CC-1152 REHABILITATION IhIPROVEMENTS in the City of Huntington Beach. A set of plans, specifications, and contract documents may be obtained starting September 4, 2003 at City Hall, Department of Public Works upon receipt of a non-refundable fee of$45.00, sales tax included, if picked up or S65.00 if mailed. Each bid shall be made on the Proposal Form provided in the contract documents, and shall be accompanied by a certified or cashier's check or a bid bond for not less than 10% of the amount of the bid, made payable to the City of Huntington Beach. The Contractor shall, in the performance of the work and improvements, conform to the Labor Code of the State of California and other Laws of the State of California applicable thereto,with the exception only of such variations that may be required under the special statutes pursuant to which proceedings hereunder are taken and which have not been superseded by the provisions of the Labor Code. Preference to labor shall be given only in the manner provided by law. No bid shall be considered unless it is made on a form furnished by the City of Huntington Beach, Department of Public Works, and is made in accordance with the provisions of the proposal requirements. Each bidder must be licensed and also prequalified as required by law. The City Council of the City of Huntington Beach reserves the right to reject any or all bids. By order of the City Council of the City of Huntington Beach, California the 16th of June 2003. Connie Brockway City Clerk of the City of Huntington Beach 2000 Main Street Huntington Beach,CA 92648 (714) 536-5431 NISB-CC-1150-1151-1152 .A.Wwi ail ble- x 4 2M P CC- 1150 1151 & 1152 • Warner Ave. Rehabilitation, CC- 1150 (Limits: Sims. St. to Bolsa Chica St.) (Engineer's Estimate: $215,822) • Springdale St. Rehabilitation, CC- 1151 (Limits: Edinger Ave. to McFadden Ave.) (Engineer's Estimate: $296,051) • McFadden Ave. Rehabilitation, CC- 1152 (Limits: Goldenwest St. to 1-405 Freeway) (Engineer's Estimate: $281 ,809) BIDS DUE: September 23, 2003 @ 2:00 PM COST. $45.00 $65.00 Mailed w ®o ACCT. No. : 207-00-207.48270 ENGINEER'S ESTIMATE: $793,682 ENGINEER: Larry Taite, X-5590 „ `` NO-PRE-BID MEETING Ci i*Y OF HUNTINGTON BEACH MEETING DATE: June 16, 2003 DEPARTMENT ID NUMBER:PW 03-034 l Council/Agency Meeting Held: L G 1A 3 Deferred/Continued to: pproved ❑ Conditionally Approved O Denied City Clerk's Signat re Council Meeting Date: June 16, 2003 Department ID Number: PW 03-034 A' CITY OF HUNTINGTON BEACH REQUEST FOR ACTION SUBMITTED TO: HONORABLE MAYOR AND CITY COUNCIL MEMBERS l� 1` SUBMITTED BY: RAY SILVER, City Administrator v REPARED BY: ROBERT F. BEARDSLEY, Director of Public Works ! SUBJECT: AUTHORIZE ADVERTISEMENT OF ARTERIAL HIGHWAY REHABILITATION PROJECTS; CC-1150 TO CC-1156, CC-1158 & CC-1159 Statement of Issue,Funding Source,Recommended Action,Alternative Action(*),Analysis,Environmental Status,Attachment(s) Statement of Issue: Plans and specifications are complete for the following nine (9) Arterial Highway Rehabilitation Projects, and permission to advertise the projects is requested: a Warner Avenue CC-1150 a Hamilton Avenue CC-1155 QT AWeLe a Springdale Street CC-1151 a Yorktown Avenue CC-1156 eK e McFadden Avenue CC-1152 a Graham Street CC-1158 e Magnolia Street CC-1153 a Warner Avenue CC-1159 ok e Gothard Street CC-1154 Funding Source: A combination of Federal Arterial Highway Rehabilitation Program (AHRP) Grant and Gas Tax Funds will be used. The following breakdown identifies the allocation of funding: Gas Tax $1,448,976 Federal AHRP Grant $1,333,211 Total Project Construction Funding $2,782,187 Project funds in the full amount are budgeted in the Gas Tax, Arterial Rehabilitation, Street Improvements Account No. 20790008.82300. Recommended Action: Motion to: Approve the project plans and specifications and authorize the Director of Public Works to request bids for the Arterial Highway Rehabilitation Projects, CC-1150 to CC-1156, CC-1158 &CC-1159. G:%R C A\2003W3-034 June 16 Lee(OCTA-AHRP).doc -2- 5/29/2003 8:11 AM �/ f REQUEST FOR ACTION MEETING DATE: June 16, 2003 DEPARTMENT ID NUMBER:PW 03-034 Alternative Action(sl: Deny approval of the arterial highway rehabilitation projects and forego the rehabilitation projects and their respective awarded federal funds. Analysis: In 2000, the Public Works Department applied for funding under the Orange County Transportation Authority's (OCTA) Arterial Highway Rehabilitation Program for ` various street rehabilitation projects. As a result of the applications, the City was awarded funding for.fourteen street rehabilitation projects over three fiscal years. The remaining nine streets were awarded funding for Fiscal Year 2002-2003, which are as follows: Street Project# Limits Award Cityatch 1. Warner CC-1150 Bolsa Chica to Sims $ 82,973 $ 132,849 2. Springdale CC-1151 McFadden to Edinger 230,781 65,270 3. McFadden CC-1152 Goldenwest to 1-405/City Limit 98,947 182,862 4. Magnolia CC-1153 Atlanta to Indianapolis 117,107 183,651 5. Gothard CC-1154 Ellis to Heil 190,923 461,419 6. Hamilton CC-1155 Bushard to Santa Ana River 89,227 119,699 7. Yorktown CC-1156 Bushard to Brookhurst 66,199 128,525 8. Graham CC-1158 Warner to Heil 57,054 95,911 9. Warner CC-1159 Graham to Springdale 400 000 78,790 Total ' $1,333,211 $1,448,976 Rehabilitation of the roadways generally includes pavement crack sealing, grinding, selective pavement reconstruction and asphalt overlay. The project also includes new curb access ramps, curb, gutter, sidewalk, signs and striping and traffic detection loops, as well as the adjustment of valves and manholes to the new surface. Pavement rehabilitation work of this nature will increase the life of the arterial streets by approximately ten years. The awarded amount is reimbursable to the City for construction and engineering costs. The estimated cost for all nine projects is $2,782,187. The project will be advertised after Caltrans approves the plans, specifications and estimate. Approval is anticipated within the next 60 days. Public Works Commission: The Public Works Commission reviewed and approved this project on May 21, 2003, by a vote of 5-0-2 (Commissioners Gartland & Johnson absent). Environmental Status: These projects are Categorically Exempt pursuant to the California Environmental Quality Act, Section 15301 (C). AttachmentfsJ: i t City Clerk's' Page IS16rnbir No. Description 1. Location Map RCA Author: DSL:jm G:1R C A12003103-034 June 16 Lee(OCTA-AHRP).doc -3. $12912003 8:11 AM ATTACHMENT # 1 SOLSA AVE. �00 3 a Mc FADDEN JAVE. U_ w Y J z EDINGER z cn 9 o zHEILm Q N a AVE. m o w +� o c 4 WARNER 3 0 AVE. w a /SLATER 0 AVE. 5 405 8 TAW ERT AVE. PAgF]C ,o 9 Ews AVE. GARFI ELlD AVE. In In . YORKTOWN AVE. 3 C'O z z 4 PROJECT LOCATIONS o�� ADAMS g � 7 AVE. O a D 1O Warner Avenue CC-1150 �; 4 JNDIANAPOLJS AVE. Y 20 Springdale Street CC-1151 F s a McFadden Avenue CC-1152 ATLANTA AVE. m m 4O Magnolia Street CC-1153 HAMILTON AVE. O Gothard Street - CC-1154 6 0 Hamilton Avenue CC-1155 OCEAN Hamilton BANNING 0 OYorktown Avenue CC-1156 AVE. ® Graham Street CC-1158 Warner Avenue CC-1159 AHRP FY 2002/2003 LOCATION MAP CITY OF HUNTINGTON BEACH DEPARTMENT OF PUBLIC WORKS - r 104 CITY OF HUNTINGTON BEACH 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY CLERK CON IIE BROCKWAY CRY CLERK November 17, 2003 All American Asphalt P. O. Box 2229 Corona, CA 92878 Re: CC-1150 Warner Ave, CC-1151 Springdale St., and CC-1152 McFadden—Return of Bid Bond. Enclosed please find your original bid bond issued by Fidelity and Deposit Company of Maryland for CC1150 (Warner Ave), CC1151 (Springdale St), and—CC-1152 (McFadden St). Connie Brockway, CMC City Clerk Enclosure rx A-% gAokmp✓cashoonNrobmnbidbond.doc ITdophom:714 7I Fidelity and Deposit Company of Maryland Home Office:P.O.Box 1227.Baltimore.MD 21203-1227 BID BOND KNOW ALL MEN BY THESE PRESENTS: That we, ALL AMERICAN ASPHALT BOND NO.085 97 423 as Principal,(hereinafter called the"Principal"), and FIDELITY AND DEPOSIT COMPANY OF MARYLAND P.O. Box 1227, Baltimore, Maryland 21203, a corporation duly organized under the laws of the State of Maryland, as Surety,(hereinafter called the"Surety"),are held and firmly bound unto CITY OF IUNTINGTON BEACH as Obligee,(hereinafter called the"Obligee"),in the sum of TEN PERCENT OF THE TOTAL BID PRICE 1N Dollars($ 101%OF TOTAL BID PRICE ),for the payment of which sum well and truly to be made,the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents. WHEREAS,the Principal has submitted a bid for WARNER AVENUE REHAB-CC 1150 FROM SIMS TO BOLSA CH1CA,SPRINGDALE STREET REHAB- CC-1151 FROM EDINGER TO McFADDEN,McFADDEN REHAB-CC1152 FROM GOLDENWEST TO 1405 FREEWAY .BfD DATE: SEPTEMBER 23,2003 NOW,THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a contract with the Obligee in accordance with the terms of such bid and give such bond or bonds as may be specified in the bidding or contract documents with good and sufficient surety for the faithful performance of such contract and for the prompt payment of labor and material furnished in the prosecution thereof,or in the event of the failure of the Principal to enter into such contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect Signed and sealed this 18TH day of SEPTEMBER A.D.. 2003 ALL AMERICAN ASPHALT (SEAL) /6r uC. 7 Principal Witness toCelr't'BraAley T' e Vice President FIDELITY AND DEPOSIT COMPANY OF MARYLAND Sure BY (SEAL) Q41Vifness •BRO ,Attorney-in-Fact Printed in cooperation with the American Ins isute of Architects(AiA)by Fidelity and Deposit Company of Maryland. Fidctity vW Deposit Company of Maryland vouches that the language in the document conforms exactly ba the language used in AIA Domment A-310.febnwy 1970 Edition. BID70000ZZ0701f CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of ORANGE ss. On 9-18-03 , before me, BARBARA J. BENDER , Dale Name and Me of OBlar(e.g..*Jar*Dos.Notary Public) personally appeared OWEN M. BROWN Names)of Signer(s) XX)G personally known to me to be the person(io whose name(A) ism `"JARA I, IINDIIR subscribed to the within instrument and Co nffftion 01267491 acknowledged to me that heAcOMMOM executed NotQy pLtft.Capftmia the same in his/)oD0t@9K authorized Orange County capacity , and that by his/I} MyCamw6#=.M1&2004 signature(Q on the instrument the person(, or the e ' upon behalf of which the personal act d, a ecuted the instrument. IT S han and I seal. Plan Notary Seal Above Signs of Notary Public OPTIONAL Though the Information below Is not required by low,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: BID BOND Document Date: 9-18-03 Number of Pages: Signer(s) Other Than Named Above: ALL AMERICAN ASPHALT Capacity(ies) Claimed by Signer Signer's Name: OWEN M. BROWN ❑ Individual e Top of thumb here ❑ Corporate Officer—T(tle(s): ❑ Partner—❑Limited ❑General XIKX Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: FIDELITY AND DEPOSIT COMPANY OF MARYIIAND a 19"NatjwW NwM AaaoataWn•SM Oa Sob Ave..P.O.Boa 2402•Cnalawann.CA$1313-2402.www.naeaneabury.arq Prod.Na.5007 PAwder.Cal Taa•Ft"14IM47e-6027 S Ir .5ZURICH THIS IMPORTANT DISCLOSURE NOTICE IS PART OF YOUR BOND Fidelity and Deposit Company of Maryland,Colonial American Casualty and Surety Company,Zurich American Insurance Company,and American Guarantee and Liability Insurance Company are making the following informational disclosures in compliance with The Terrorism Risk insurance Act of 2002. No action is required on your part. Disclosure of Terrorism Premium The premium charge for risk of loss resulting from acts of terrorism(as defined in the Act)under this bond is $ waived_,,. This amount is reflected in the total premium for this bond. Disclosure of Availability of Coverage for Terrorism Losses As required by the Terrorism Risk Insurance Act of 2002,we have made available to you coverage for losses resulting from acts of terrorism(as defined in the Act)with terms,amounts,and limitations that do not differ materially as those for losses arising from events other than acts of terrorism. Disclosure of Federal Share of Insurance Comnany's Terrorism bosses The Terrorism Risk Insurance Act of 2002 establishes a mechanism by which the United States government will share in insurance company losses resulting from acts of terrorism(as defined in the Act)after a insurance company has paid losses in excess of an annual aggregate deductible. For 2002,the insurancecompany deductible is l%of direct earned' premium in the prior year,for 2003,7%of direct earned premium in the prior year,for 2004, 10%of direct eamed premium in the prior year;and for 200S, 15%of direct earned premium in the prior year. The federal share of an insurance company's losses above its deductible is 90%. In the event the United States government participates in losses,the United States government may direct insurance companies to collect a terrorism surcharge from policyholders. The Act does not currently provide for insurance industry or United States government participation in terrorism losses that exceed$100 billion in any one calendar year. Definition of Act of Terrorism The Terrorism Risk Insurance Act defines"act of terrorism"as any act that is certified by the Secretary of the Treasury, in concurrence with the Secretary of State and the Attorney General of the United States: 1. to be an act of terrorism; 2, to be a violent act or an act that is dangerous to human life,property or infrastructure; 3. to have resulted in damage within the United States,or outside of the United States in the case of an air carrier (as defined in section 40102 of title 49,United 17 States Code)or a United States flag vessel (or a vessel based principally in the United States,on which United States income tax is paid and whose insurance coverage is subject to regulation in the United States),or the premises of a United States mission;and 4. to have been committed by an individual or individuals acting on behalf of any foreign person or foreign interest as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. But,no act shall be certified by the Secretary as an act of terrorism if the act is committed as part of the course of a war declared by Congress(except for workers'compensation)or property and casualty insurance losses resulting from the act,in the aggregate,do not exceed$5,000,000. These disclosures are Informational only and do not modify your bond or affect your rights under the bond. Copyright Zurich American Insurance Company 2003 Power of Attorney FIDELITY AND DEPOSIT COMPANY OF MARYLAND KNOW ALL MEN BY THESE PRESENTS:That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,a corporation of the State of Maryland,by M.P.HAMMOND,Vice President,and L.L.GOUCHER,Assistant Secretary,in pursuance of authority granted by Article VI,Section 2,of the By-Laws of said Company,w ' set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof d s 1ST te,constitute and appoint Owen M.BROWN,of Anaheim,California, its true and law - to make,execute,seal and deliver,for,and on its behalf as surety,and as its act and o ngs and the execution of such bonds or undertakings in pursuance of these o as ompany,as folly and amply,to all intents and purposes,as if they had bcMy a regularly elected officers of the office Company at its in Baltim power of attorney revokes that issued on behalf of Owen M.BROWN 2� The said Assistant t the extract set forth on the reverse side hereof is a true copy of Article VI, Section 2,of the By- y,and is now in force. IN WITNESS OF, the said Vice-President and Assistant Secretary have hereunto subscribed their names and affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 1 lth day of February, A.D.2003. ATTEST: FIDELITY AND DEPOSIT COMPANY OF MARYLAND ocroa�. . P � •� 's 4 nL By: QR�01—�tl'j L.L. Goucher Assistant Secretary . M.P.Hammond Vice President State of Maryland 1 ss: City of Baltimore f On this 11 th day of February, A.D. 2003, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, came M. P. HAMMOND, Vice President, and L. L. GOUCHER, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to be the individuals and officers described in and who executed the preceding instrument,and they each acknowledged the execution of the same, and being by me duly sworn,severally and each for himself deposeth and saith,that they are the said officers of the Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company,and that the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. Sandra Lynn Mooney Notary Public My Commission Expires: January 1,2004 POA-F 012-4160 CALIFORMIA ALL•PURPos/AMWWLSMUR T StdodC 11101a aa. cowry d R�yP,r.��c�� on dM bdmmo,le ikk�, Wr►S. Not2i�i.�Wolic, a. ,0'*aon*sawn tom. 0 ptnvod to m. an thn baata of addactoty . WN= -tltn-p.+wonWwhose- mefid - TENNILLE MORRIS OLhea bid to SW *ftb inNN nt and Commission# 1374628 9 ac(alowvw%%I d W ma that haNhsAhsy`SWAM Notary Public- California I the salm In hk&og Ab- m4mmtrad Riverside County sed that by h eMvCwm EptesSep 13,2006 an the Ula hmwd the ,or do upon bel alf d which the acted,.oaea,ad on kWk mww WITNES8 ny hand and aftW out .p�wdwirir opwmat, mKo w k*m m*fi bobw a ndapul+MTEy An x awpow mik ibp�saM r.yrb an a,.dxv,�«,tanaaar�pr.r nt aaurrVlw�f,rmor�ird�Cn�ntdtlibapleanotlwrdoeynMr�t D6WpdW of AtMdod DOVj=t Ills or IVM d oomm.nt: La &MA Doamant oatK 6fp janhm IS" S" "3 Nwnbar d ftam— SlWO10OlharThan NamadAbouu�; XIIi j anA Pik CnrnDaviu Ma)aj talnr4 C»Ilpaclt Mmod by Spicy Signeft Nina: Pgl)OP k ImAln; D OAkar-11��1iri r�irin� �pd srnib hrM 0 Patalar—O Umrdd O O Abotnay4W-W 0 Tmdn 0 Guodan or Canna vdw 0 Odw. his Y1 Cap% •tIN1Wn11lMIrrAMeeiM�tM00�M�Ars.R4Mil01�G�w11GN�1lNOl�r�Wr N Ilnillill� IYMMd1AWftWo filr/ 6EALED BID" for , I. WARNER AVENUE REHABILITATION- CC 1150 lit FROM SIMS STREET TO BOLSA CHICA STREET %I T Y CLL RK HU CITY OF II. SPRINGDALE STREET REHABILITATION- CC 1151 NTINGTO►y BEACH CA FROM EDINGER AVENUE TO MCFADDEN AVENUE Zoo' SEP 23 P ►: 5 III. MCFADDEN AVENUE REHABILITATION- CC 1152 U FROM GOLDENWEST STREET TO I-405 FREEWAY in the CITY OF HUNTINGTON BEACH - DO NOT OPEN WITH REGULAR MAIL i 1 llierlcu,,,`r+ t .z �'Cr•, sphalt PO BOX 2229 N CD-- CORONA, CA 92878-2229 w Mc 'D i h ♦� ^T V i •' TO: Off ce of the City Clerk, Second Floor 2000 Main Street Huntington Beach, Ca 92648 RETURN REQUESTED Y i V SECTION C PROPOSAL for the construction of I. WARNER AVENUE REHABILITATION- CC 1150 FROM SIMS STREET TO BOLSA CHICA STREET 11. SPRINGDALE STREET REHABILITATION- CC 1151 FROM EDINGER AVENUE TO INICFADDEN AVENUE III. MCFADDEN AVENUE REHABILITATION-CC 1152 FROM GOLDENWEST STREET TO 1405 FREEWAY in the CITY OF HUtiTINGTON BEACH TO THE HONORABLE MAYOR AND `IEMBERS OF THE COUNCIL OF HUNTINGTO' 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 85 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc.,and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and G1 • i 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_9)1 A Md in-the amount ofS._ hich said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or"Bidder's Bond",as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. :-'Date Received Bidder's Si nature G2 r; 10 SECTION C PROJECT BID SCHEDULE Warner Avenue, CC-1150, STPL- 5181 (148) Springdale Street, CCA I51, STPL-5181 (146) McFadden Avenue, CC-1152,STPL-5181 (145) PROJECT BID: TOTAL AMOUNT LUMP SUM BID IN FIGURES: s_ u TOTAL AMOUNT LUMP SUM BID IN WORDS: h 0.11 eL -&-ve,41 -,uo c,,t ., C-2.1 Y, R WARNER AVENUE REHABILITATION IMPROVEMENTS CC NO. 1150 STPL - 5181 (148) C-2.2 WARNER AVENUE(CC-1150) PROJECT BID SCHEDULE ITEM` -psTimATEDr, new wff wflt~Vi' PRice WFttTTI It IidNrrPA 14� D Q�10+ 'QUANTITY IMAM - 1 1 Mobilization $q� $atuD L S Dollars Cents 2 1 Traffic Control Plan $ t GS b $1,cam= L S @ G,,� nJ INA L+�.incl�.rl �-► 1,, Dollars Cents 3 1 Furnish Project Traffic Control $_ 3T $ % L S @t�t�re� thw�srLnc� Dollars -Cents 4 52,934 Cold Milling& Header Cutting S F @ Dollars Cents 5 270 Unclassified Excavation $-14 IS C Y @ Dollars Cents 6 3,863 Construct Asphalt Concrete (Overlay, Full Depth, $ Qa°= Ton etc)nn 11 Dollars Cents 7 426 Pavement Reinforcement Fabric& Route and $ cam_ $_1�3 y S Y Seal of Cracks Dollars Cents 8 12 Adjust Sew r/Storm Drain Manhole to Grade $ (000 c'_ Each @ .0 a r Cw Dollars Cents 9 25 Adjust Water Valve to Grade $ wS ``-' $ ''�5 Each @ Me u.ncku Y1 Dollars Cents 10 4 Adjust M nitonng Well t Grade $=- $ SuO - Each a@ nA 0( : re Dollars Cents 11 1 Traffic Striping $ D` $ OS L S @ Y o n oik'so-no Dollars Cents 12 13 Traffic Loop Each @n u thlnckAz ,.,_u Dollars Cents 13 80 Remove& Reconstruct Curb&Gutter $ 55°s` $ y L F @� Dollars Cents 14 6 Survey Monumentation $ �10 $_Jk('0 — Each @ tiAt U, Jb&AdAa-d Irn Dollars Cents Sub Total Bid Amount, Bid in Figures $ ) 07 Sub Total Bid Amount, Bid in Words *4,*/{u,n dud Ili a a.«n(C,, &SA*t4uA -fin N/ e f� -� d - C-2 3 ti i SPRINGDALE STREET REHABILITATION IMPROVEMENTS CC NO. 1151 STPL - 5181 (146) C-2.4 v � 1 • SPRINGDALE STREET(CC-1151) PROJECT BID SCHEDULE ITEM- ESTIMATED ITEM WITH-UNIT PRICEWIRTrTEN IN UNIT PRICE. EXTENDED NO - QUANTITY ' . - WORDS 'AMUNT 1 1 Mobilization $ $3°�— L S @ ! ousan . 'hxx is Dollars Cents 2 1 Traffic Control Plan $ loggo, L S @ nt oy-so-r tJU 1 Dollars Cents 3 1 Furnish Project Traffic Control $ a l L S @ yc u.nol.&,nn Lvilit tY Dollars OC ents 4 204,406 Cold Milling & Header Cutting $ S F @ Dollars �-ji—LE Cents 5 704 Unclassified Excavation $ = C Y @ Dollars Cents 6 2,702 Construct Asphalt Concrete (Overlay, Full Depth, $ Lu W Ton etc) 11 - @ �co Dollars Cents 7 574 Pavement Reinforcement Fabric& Route and $mac' OC $ `0- S Y Seal of Cracks @ C1 t t'-L Dollars Cents 8 1 Traffic Striping L S @-11"'Ave. +-1rmLQXrA Dollars Cents 9 38 Traffic Lo�p Each @ nK1 MAoL.t ck S.yygx1rr /- Dollars Cents 10 112 Remove&n Reconstruct Curb &Gutter L F @ �i+�+1 -�-i1r-� Dollars Cents Sub Total Bid Amount, Bid in Figures $ Sub Total Bid Amount, Bid in Words 0r.c *ku-&dreLk- f1--nt�Au�tKav-sa' r y MA Lk �,x � r\ C-2 5 t MCFADDEN AVENUE REHABILITATION IMPROVEMENTS CC NO. 1152 STPL - 5151 (145) C-2.6 ry 1 r MCFADDEN AVENUE(CC-1152) PROJECT BID SCHEDULE ITEM_ .ESTIMATED :.ITEM WITH UNIT PRICE_ :WRITTEN IN UNIT_PRICE.`: -,EXTENDED NQ.. :QUANTITY= - `':, WORDS = _ -AMOUNT. 1 1 Mobilization $ °" u4mf'' L.S. @ ecck tIhN n(-E, f)m n&ked Dollars Cents 2 1 Traffic Control Plan $ 14cisv, $ lau L.S. @ N Hhok&ctnd I 6L&I #L i flf KIel R&Dollars Cents 3 1 Furnish Project Traf7 Control $ IZ2M. $J5,Mm"_' L.S. @M-rp thntnn Dollars Cents 4 63,543 Cold Milling& Header Cutting $ ,L14 S.F. @ Dollars ,,,c L Cents 5 844 Unclassifi d Excavation C.Y. @ Dollars Cents 6 4,509 Construct Asphalt Conefete(Overlay, Full Depth, Ton etc.) @ & t, Dollars Cents 7 750 Pavement Reinforcement Fabric& Route and $Ci S.Y. Seal of Cracks. @ -nLK-x. _Dollars Cents 8 12 Adjust Sewer/Storm Drain Manhole to Grade $ .— $ _ Each @ rf I�Ltt&%JC Dollars Cents 9 12 Adjust Water Valve to Grade $ 1 4S,.61-� $ t Each @ ore 4 JL nr-tiL 1rt Dollars Cents 10 1 Adjust Monitoring Weq o Grad Each @NL4 Ldu L f_ Dollars Cents 11 1 Traffic Striping $ 4 0sm` $ � L.S. @ kgQ_tk ( ructtnc «t 46pdwd Dollars Cents 12 30 Traffic LO p $ l �D•— $ Each @�n� t n Z 2.C,��n Dollars Cents 13 3 Remove& Reconstruct Access Ramp Each Dollars Cents 14 1666 Construct Asphalt Concrete Walk(Includes: $ '� $ID,gcl!;,s' S.F. Clearin &Grubbing, Soil, Header&Stakes) @ V r Dollars M Cents 15 1 Adjust Survey M6nument Well to Grade $ $ 1'AS. Each @ON lVhdict "Arc _Dollars Cents C-2.7 •. . Ob 1T -r �{n�#y.. a E�u UW *y��r T ` R •�d}D� ED� .tiG+N y�F F� 9 - _- -_- _• e f i�.I eF4eV.._ -_ - - , • ^ ..-- . - � �!'MI� 16 9 Survey Monumentation $ 1D $ y = Each @.ohms. 9tk x A 4c^ Dollars Cents Sub Total Bid Amount, Bid in Fi ures: $ _qQ%7i, I Sub Total Bid Amount, Bid in Words:4-,-� ",-,nclx.za n wt -ooluas C-2.8 40 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion Name and Address ojSubcontractor State License Class of Work- Number c Try c an C-t Yn S�nce.ri r�E `r►f� 7l'i4 Ora(-Fc kxFs C'�l��aat Pond S¢c�n� �S'1 Sg y c�- C 3Z Co. 3qc,or, C 3Z Lilt, C'4- 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 NONCOLLUSZON AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange U b y being first duly sworn, deposes and says that he or she is le of AID �1mPY L fAYI }}Sn}��i] - 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. At[ -AmPx- iwhZfRV'n(4 Name of Bidder Signature of Bidder "aFe-TvM rfea-v* vOM0 CH qZ 8-222�j Address of Bidder Subscribed and sworn to before me this 1%. day of 2 Q TENNILLE MORRIS Commission of 137428 .� Notary Public —CWOMiC t Ricerside County NOTARY PUBLIC '� ,��_ _ ' MyCarrn E�Fessap1a200d NOTARY SEAL C-4 r. UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the IMPROVEMENTS, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. A l l Aw_,r is ci.o (4 Contractor By 1CQ ae/f f'q 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. QUESTIOLMNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? 0 Yes �No If the answer is yes,explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE ' Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. tAII AWrViC60 As00 �-t - Contractor By aer+ Tact I�� _y i to p psi�eY� Title Date: GI_f I g U3 C-7 f • UNDERGROUND SERVICE ALERT IDENTIFICATION NUMBER (To be completed only by the awarded Contractor prior to excavation) No excavati will be permitted until this form is completed and returned to the AGENCY. Section 4216/42 of the Government Code requires a Dig Alert Identification Number be issued before a Permit to cavate will be valid. To obtain a Dig Alert Id tification Number, call Underground Service Alert at 1-8004224133 a minimum of two working ays before scheduled excavation. Dig Alert Identification Number: Co ctor r By Title t Da e: Note: This form is required for every Dig Alert Identification Number issu by U.S.A. during the course of the Work Additional forms may be obtained from th GENCY upon request. G8 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: -All AYAPYicavl _ svW Bidder Name od 1,11 Business Address CO��n� Cry o�2�7S6- 222� City, State Zip { Clod ) `73U- -7f006 Telephone Number _ 2 073 A State Contractor's License No. and Class Original Date Isslied o Expiration Date The work site was inspected by� V 5 M, of our office on 200� The following are persons, firms, and corporations having a principal interest in this proposal: • 1�(i &MU I (al lan I+ _ gym.-nS. _tN(/,IS (11Y10r - 6 nl ra O- -CA l \I 1 ce Roc i denl- C-9 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. - III {im ic" Company Name Signature of Bidder -t R rad fLLI v i c2 Printed or Typed Signature Subscribed and sworn to before me this M day of TENNILLE A�•+ COMM;!S'on A 1374628 -�.� � � l� `tfi�Nota•y Public — CoNerniaf NOTARY PUBLIC_ Ylj�?/rru.�d ,j '':�:' ?ice:sidc County Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: I. S� : A TT ACAA C-e lJ Name and Address of Public Agency Name and Telephone No.of Project Manager: Contract Amount Type of Work Date Completed 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 3. Name and Address of Public Agency Name and Telephone No. of Project Manager. Contract Amount Type of Work Date Completed C-10 ' t ALL AMERICAN ASPHALT PAST WORK REFERENCES City of Beverly Hills Wilshire Blvd. Overlay 455 N. Rexford Dr. Contract: $3,042,428.50 Beverly Hills,CA 90210 . Completed: 5/02 Contact: Mr. Chris Theisen(310)285-2511 City of Costa Mesa Baker Street Rehabilitation 77 Fair Dr. Contract: $2,048,499.00 Costa Mesa, CA 92626 Completed: 8/02 Contact: Mr. Tom Banks (714) 754-5029 City of Norco Parkridge Ave., Second St., 2870 Clark Ave. First St., and Third St.Rehab. Norco,CA 91760 Contract: $388,195.00 Contact: Mr. Gene Klatt, (909) 735-3900 Completed: 9/02 City of Riverside Minor Street Rehabilitation Ph. 1 3900 Main St. Contract: $1,024,652.00 Riverside, CA 92502 Completed: 9/02 Contact: Dick Clelland(909) 826-5889 City of Huntington Beach MSC-414 Overlay of Residential St 2000 Main St. Contract: $525,958.39 Huntington Beach, CA 92648 Completed: 10/02 Contact: Chris Gray(714) 375-5024 City of Baldwin Park 01-02 Prop C St. Improvement 14403 E. Pacific Ave. Contract: $614,074.00 Baldwin Park, CA 91706 Completed: 2/02 Contact: Man Idani CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non- DBE contractors,who provide a proposal,bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor,and must be submitted with their bid/proposal.The City of Huntington Beach will use this information to maintain and update a"Bidder's"list to assist in the annual DBE goal setting process. Firm Name: Phone: m) 7-3&-71P4�d Address; • U• _V�bx 1/7-M Fax: (qbq) ,;75Q -�qOl (', yjjt1 C Q28 g:2ZZ°� .Contact Person: Sohn pQ-�fj► .o n No, of years in business _ 34_ - Is the firm currently certified as DBE under 49 CFR Part 26? YES Type of work/services/materials provided by firm? Q What was your firm's Gross Annual recei is for lastyear? o Less than$I Million a Less than$5 Million a Less than$10 Million a Less than$15 Million More than $15 Million This form can be duplicated if necessary to report all bidders{DBEs and non DBEs} information. C-11 Local Assistance procedures manual AA IA-A 83&E Checklist Instructions Attachment C (THE BIDDER'S EMCUZ70NONTM SIGNATURE PORTION OF THIS PROPOSAL SHALL.ILSO CONSTITUTE AN ENDORSE &NT AND EXECUTION OF THOSE CER?7FIC.4TIONS WMCHAREA PART OF THIS PROPOSAL) EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder Pr 1 l ft em m k u hu t ,proposed subcontractor -- .hereby certifies that he has g, has not .participated in a previous contract or subcontract subject to the equal opportunity clauses,as required by Executive Orders 10925, 11114,or 11246,and that,where required,he has filed with the Joint Reporting Committee,the Director of the Office of Federal Contract Compliance,a Federal Government contracting or administering agency,or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor(41 CPR 60-1.7(b)(1)),and must be submitted by bidders and proposed subconractors 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 CPR 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 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 subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Eg&way Administration or by the Director,Office of Federal Contract Compliance,U.S.Department of Labor. IZ4-" C-12 Page 1243 Local Assistance Procedum ManaaI EXHZBTT i2-� ME Checklist Instructions Attachment G • DISCLOSURE OF LOBBYING ACTIVITIES Cam fete this form to disclose lobbying activities pursuant to 31 U.S.C. �nrn 1. Type of FederalAction: Z Status of Federal Action: 3. 'Report Type: a ❑ L bwaf lappl ea fm ❑ a. Inim b. L Intlal award b. matadel dwga a pub For Material Change Only: c ben 90antie date of rast rep loan hara+tceort 4. Name nd Adress of Reporting fhttlly: S. If Reporting Entity in No.4 is Subawardee.Errfar ❑ P e Subawardee Name and Address of Prime: Tier,,,__.1known Conprsssionsl cG lfknawrr Congressional Dis C%lrkrrowrr 8. Federal Departmintf ncy: 7. Federal Program NamelDescription: , CFDA Number, Yappomble 8. Federal Action Number, 11 rr 9. Award Amount.,Yknowrr S 10. a. Name and Address of Labbying V b. Individuals Performing Services (lrrriuding eoess F (dlrr"uaUestnernk Arrstname,AM dMemrd1mmNa 109) past name.first name,Ado. (a . n w lfrrecessary) 11. Amount of Payment(check all that apply): ! ype of Payment(check sH that appiy) s ❑ gal ❑ P a retaeler It Form of Payment{chock ail that applyx b. a fee a pate � commission e b. hridr4 specify: nabn e.deferWntred tee value a deterred [ other,specify: 14. Brief Description of Services Performed or to be performed and Date(s)o ce,Including ofOcar(s), employee(s),or member(s)contacmd,for"ant Indicated In item 11: (attach CorlthuWbr►Sheets) lrnecesseryj . 15. Continuation Sheets)attachad: Yes ❑ No ❑ IL it a.ud n m pww ho*tttk Arm is at ttsed by Tao 3t u.S.C.Ssdm Sigramm. t3SL Ttfts dhdoa�e of tomrrng ataywrta k a taa- I norwrattasm attax aeon oft mearce.ee 08=d bj fate urettrm when fit twwmM n wee Print Name: aWe aranwed iob.71f1a dbeloatae is ntatiwd pursuant b 3t f1S.C.f 3eZ Yhk WwmatlotfA he mpmbd b be Ccv w eem4&nWVr atd wl be Title: ' e e&*tar PA t boacon Ana Ptttsoa who rats b fie ON twquYea dedoam daa be sueiect b a d e pmAy a rat ku titan St0=and sot a xn flat Telephone No_ Date: Itt10.000 ereadr woo WWL Federal Use Only: AWta�edbrtpr� SW4W rota u.t Rnr. C-13 Pale 12-55 Fehrnary 1,199t3 XHIBTr-124 Loom Asshunce Procedures Manual Attachmedi G PS&E Checklist Lostrructioas INSTRUCTIONS FOR COWLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIY171US This disclosure form shall be completed by the reporting entity,whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal actiozz 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 i 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. I. 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 rip 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 time tier of the subawardee,e.g.,the first subawardee of the prime is the first tier. Subawards include but are not limited 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 Congressioaal 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. Eater the most appropriate Federal identifying number available far the Federal action identificatica 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-90ML" 9. For a covered Federal action where there has been as award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or S. 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(a). Enter Last Name,First Name and Nfiddle Initial OQ. I I. Enter the amount of compensation paid or reasonably expected to be paid by the repotting entity('ztem 4) to the lobbying entity(item 10). Indicate whether the payment has been made(acdzal)or will be made (planned). Check all bones that apply. If this is a material change report,enter the cumulative amount of payment made or phoned to be made. 12. Check the appropriate box(es). Check all box=that apply. If payment is made through an in-ldnd contribution,specify the nature and value of the in4dnd payment 13. Check the appropriate box(es). Check all boxes that apply. If other,specify nature. Page 12-54 C-14 Local Assistance Procedures Manual KKMIT 12=E' PS&E ChwArat Instmeflow Attachm t�G' 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 employees) 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. IG The cerdiyingoffcial shall sign and date the form,priathislhernsme title and-telephone iumber. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, starching 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. C-15 Page 124.5 r. MY OF HLWTMTON BEACH BIDDERS LIST .' • _ A11 Diddetdpropow m ae required to prcvlded me tbUawing ialbetaabion lbr a>1 Daft and noa• DBE oonmactca,wtio ptavlde s grvpoaml,bad,gaote,or wane c�ac*ac�ed by the ps+op ' prima. This infix mao=it also raquhtd Boca me Fmpaod prima cawrwar,mad must be submlmad with tar bidlps+ oul.7b#City of Huai Bea eh will i mr tbit iaf,rmifica 10 mswtin aad updm a"sma ,r ILA to assist in&e aaaual DDE ' - pm Name: * And m4 3�Lnn 0�; / _ Addmss: f� � ~ r { � Coady Peraao: _ �(17 ��bC l No.atyeers.ia butfaett / b tbo flm c= *owdW*s DBE ux&r 4Q CFR pat:6?. NO �4- Type of work/savWeLftsiceAls provided by What wu Y=Areg OroM AainW Cs t I<Lm t m$I w3 ift II , a lays mm 33 Mon 1 • a Lest than S 10 MrUUon a Less than S 13 moron n Moe.t=$I3 miluou I' 7U lbrm m ba duplicated if aoceawy la wpm sII bidders(DEU and am DBEs)WormadeL 1 C-11 �d LldCL:�Z Ceo! Z� 'dam t829'_�t'�tL: 'ON Xe� 'l 13 �cbar �[j Ji: trl2lj • e9122E2m 15:48 6264430470 CP ENGIWERIM2 M-' FAGE K �1 h �I MY OF HUNMGTON BEACH DIDOMS UST All B wn era fired b ded t o faIIawia aU D 3dderslpropo � p� g iatun�aapoA f9r > E imd non- DBE contractor,who provide a propo"L bid quote,or were conroctM by tha pramised prime. This Worma ion is elso required fmm she pmpoW priou cmeactor,ad van be subini*d wits .their bWpropout The City of Huatngtoa Beach will user this iafarmadon so maintb sad update ` a"Biddcr'a"IW to assist iz3 the amwW DBE _ Fi:m Name: t'h t6'I• Phone: ..� a� Aaar Fax. Co=ct Pcraon: VAtJ No.of year In busfaeaa dY Is the firm currea certified as DBE under 0 CFR Part 267 YE5 No t. Type of w•oWseM=Iwaterials pmvided by 1=9 . `` . . Wbat was XOUr SMI GM83 Annual rwei 's fa Lst YW s ls=than$I MM= a Lcm t=Ss Morton a Liss thou Slo lMon o Lees dwa SIS MMan ' o More thou S IS M'inioa 1 This farm t=be duplicated if neeeasaty to rcpost ail bidders(DBEs and pen DBEs)Mmmatior. G11 Sep 23 03 10:22a CRSE LRND SURVEYING 714-620-USU5 P•? k'' ' G?TY OF HUNTINGTON BEACH i. r r BIDDERS UST All Siddempropotert are requbvd to IS a mvided the fobow•ia k&rrnadoa for an DBE and aon- DBE Coutrt:tors,who provide P pmP�L bid.4".or were contracted by the proposed prime. 'ibis intormaaon is slao required from the proposed ptme cou wor,and awn be 3%kmiasd with theirbidrpraposal.The City of Huabagton Besch will use this iafarmaboa b rapmtoin azd update a"Bidda't"list to assist in the annLW DBE ni setting s_ F{r-c Firm Nara LA N D yc a phoac-,(7'4b Addms- 0>io 4). r r � Fax: f 71 ti'1 k,.AJ 9 Coo qi-lf :.j t:outactpersm* LAeA-. CA Sr-- Na.ofycars labusinctt 7T 5 Is the first eurready certified as DBE smiler 49 CFR put 26?. YESc �Ir�OD Type of werkrtcrviceshnatarials provided by firm? What wss your ffm's Grvu Aamzal is for hat than S I Million ' tl�aa s�Million o Less thaw f 10 MiZlicn - a Gees than S1S Million . a More than S]S Million 'die form can ba duplicated if necessary to mpm all bidders(DB Ee and ton DBEs)kfwmsstiom C-11 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are re uired to provided the following information for all DBE and non- DBE Q P g DBE contractors,who provide a proposal,bid,quote,or were contracted by the proposed prime. This information is also required from the proposed prime contractor,and must be submitted with their bidlproposai.The City of Huntington Beach will use this information to maintain and update a'Bidder's"list to assist in the annual DBE goal setting process. Firm Name^-,1 L �e 0a d &a n s, Phone:-' Address: Fax: .Contact Person: No. of years in business ` Is the firm currently certified as DBE under 49 CFR Part 26? YES NO i Type of worVserviceslmaterials provided by firm? 'c_I c►a s ! What was your fum's Gross Annual receipt's for lastyear? l o Less than$1 Million l v Less than $5 Million o Less than$14 Million o Less than$15 Million o More than$15 Million This form can be duplicated if necessary to report all bidders(DBEs and non DBEs) information. J } C-11 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non- DBE contractors,who provide a proposal,bid, quote,or were contracted by the proposed prime. This information is also required from the proposed prime contractor,and must be submitted with their bid/proposal The City of Huntington Beach will use this information to maintain and update a`Bidder's"list to assist in the annual DBE goal setting process. t . Firm Name: r_ Phone: Address: Fax: E � _ .Contact Person: No. of years.in business Is the firm currently certified as DBE under 49 CFR Part 26? YES NO IlType of work/services/materials provided by firm?C r Ln tnc - `� What was ILur fires Gross Annual receipt's for lastyear? Ii o Less than$1 Million a Less than$5 Million a Less than$10 Million a Less than$15 Million 1 l a More than S15 Million This form can be duplicated if necessary to report all bidders(DBEs and non DBEs) information. !1 C-11 •,, CITY OF HUNTINGTON BEACH 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY CLERK CONNIE BROCKWAY CITY CLERK November 18, 2003 S"XIA vr/N�iV/tQ2.il0 ?1JOo�i2t��' xyz- Re: CC-1150 Warner Ave, CC-1151 Springdale St., and CC-1152 McFadden—Return of Bid Bond. Enclosed please find your original bid bond issued by �"DEieAL 2i IS 'a1z'/Ice for CC1150 (Warner Ave), CC1151 (Springdale St), and CC-1152 (McFadden St). �4�yIrGG (saaik:rak/ Connie Brockway, CJGIC City Clerk Enclosure g:/followup/cashcont/retumbldbond.doc (Tekphana:714-636.6227) Bond No. BID BOND The American Institute of Architects, AIA Document No. A310 (February, 1970 Edition) KNOW ALL MEN BY THESE PRESENTS, that we Sialic Contractors Coiporation dba Sbawnan as Principal hereinafter called the Principal, and Federal Insurance Company 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 ofTen percent of the total amount of the bid Dollars ($10% ), for the payment of which sum well and truly to be made,the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators,successors and assigns,jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for Warner Avenue, Springdale Street, McFadden Avenue Street Rehabilitation (CC1150, CC1151, & CC1152) 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 19th day of September 2003 Sialic Contra rs Coipo hawnan Prin ' (seal) Witness By:.. �4 wn 8rWV,,PrWdent Namelritle Federal Insurance Company ASurety (Seat) AWitness By: Q- �ouglas A.Rapp Attorney-in-Fact ORSC 21328(5/97) I CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California l County of ORANGE ss. On 9/19/2003 , before me, CHRISTOPHER J. COATS, NOTARY PUBLIC Date Name and Title of Officer(e.g.,"Jane Doe,Notary Publics personally appeared DOUGLAS A. RAPP Name(s)of Signers) ' f IN personally known to me ❑ proved to me on the basis of satisfactory evidence OFFICIAL SEAL ••. CHRISTOPHER J.COArs 0 - - NOTARY PUBLIC-CALIFORNIA — to be the person(s) whose name(s) is/are l COMMISSION#1267699 j ORANGE COUNTY subscribed to the within instrument and N My Commission Exp.July 15,2004 acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS m W and official seal. Place Notary Seal Above Notary Public OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s)Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: ❑ Individual • ❑ Corporate Officer—Title(s): Top of thumb here ❑ Partner—❑Limited ❑General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: l 0 1999 National Notary Association•9350 De Sob Ave.,P.O.Box 2402•ChatswoM,CA 91313.2402•www.natioWnotery org` Prod.No.SW7 Reorder.call Tall-Free 1.800.878.8827 Chubb POWER Federal Insurance Company Attn.:Surety Department SuretyOF Vigilant Insurance Company 15 Mountain View Road ATTORNEY Pacific Indemnity Company Warren, NJ 07059 . Know Afi by These Presents,That FEDERAL INSURANCE COMPANY,an kxftm corporation,VIGILANT INSURANCE COMPANY. a New York corporation,and PACIFIC NDEMNRY COMPANY,a Wisconsin corporation,do each hereby constitute and appoint Douglas A. Rapp and Linda D. Coats of Laguna Hills, California-------- ______ each as their true and lawful Attorney-in,-Fad to execute under such desgnation in than names and to afro their corporate seats to and derrva for and on their behalf as surety thereon or otherwise,bonds(other than bell bonds)and undertaldnps given or executed in the course of ib business(but not to include arty Instruments;amen ift or alterkq the same,nor consents to the modification or afiendion of any kmst ument referred to in said bonds or obligations). In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY.and PACIFIC INDEMNITY COMPANY have each e xecuted and attested obese presents and affbad their corporate seals on this 24th day of Februerv, 1999 -4, B.Robdft,Assistant Secretary ,�F Robertson. STATE OF NEW JERSEY 1 Cowry of Somerset J On this 24 th day or February, 1999 Bela 9 me,a Notary Public or New Jersey,personally came Sheryl 8.Roberts. to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY.VIGAANT IN 0uncE.COMPANY.end PACIFIC INDEMNITY COMPANY.the companies which executed the foregoing Power c(Altomey.and the said Sheryl B.Roberts being by me duly sworn.del depose and say that aM is Assistant Secretary of FEDERAL INSURANCE COMPANY.VIGILANT INSURANCE COMPANY.and PACIFIC INDEMNITY COMPANY and knows On corporate seals thereof. that the seals alraed'to the foregoing Power of Att mey an such corporate creak and were thenb atroad by authority of the Dy4aws of said CompanIM and that she signed said Paver of Attorney as Assistant Secretary of said Companies by gee authority;and that she Is acquainted with Frank E.Robertson.and knows him to be Vita President of said Companies;and that the signah n of Frank E Robertson,subscribed to said Power or Attorney Is in the genulns handwriting of Frank E. Robertson,and was thereto subscribed by authority of said Bylaws and in deponenra presence. 3�'�'uowtr P.tf1A18M - i _e_ r 9AIpdWff4ffl NobryPublic • virtue N 005014 tf. .''sMiiEas O0"t"'iasea CERTIFICATION Extra from the By-laws of FEDERAL INSURANCE COMPANY.VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY: AA powers of attorney for and on behalf of the Company may and ftfl be owcuted in the name and on behalf of the Company,either by the Chairman or the President or a Via President or an Assistant Puce 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 signahm of each of the following officers, Chairman.President.any Vices President,any Assistant Vice President,any Secretary.any Assistant Secretary and'the seal of the Company may be affixed by facsimile to any power of a t niey or to any cerfiftcate relating thereto appointing Assistant Secretaries or Attorneys-In-Fact for purposes only of emcutinhg and attesting bonds and undertaidngs and otter wnik gs obrVatory h the nature thereof,and any such power of attorney or adiffcate bearing such facsimile signature or facsimile seal shall be valid and birt ft upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shag be valid and binding upon fhe Company with raped to any bond or undertaking to which it is attached' I,Sheryl B.Roberts,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY.and PACIFIC INDEMNITY COMPANY(tAe'Companies')do hereby certify That •(Q the foregoing a act of ffe Bylaws of the Companies b true and correct, (i) the Companies are duly icensW and atuehataed b"warn surely business in all 50 of the United States of America and the District of Comft and are authorized by tfe U.S.Treesury Department;h1dw,Federal and VII;bt are 1,, 4 a In Puerto Rico and the U.S.Virgin . b ands,and Federal's k-sec in American Sark CAMM and each dthe Pm*m cf Canada oc*Pre Edward Island;and to the foregoing Power of Attorney Is true,correct and In hull force and effect. Given under my hand and seals of said Companles d Wanes,NJ this 19 th-- glya of September, 2003. a Sheryl S.Roberts,Assistant Secretary IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER, PLEASE CONTACT US AT ADDRESS LISTED ABOVE; OR BY Telephone (908)903-3485 Fax (908)903-3656 e-mail: surety@chubb.cofrl• Form 16-l" a A(Ed 14?9) NON.CONSENr ALL-PURPOSE ACKNOWLEDGMENT State of California County of Los An geles On SEP 19 me, Janice Howard, Notary Public • Date Name;Title of Officer-e.g."Jane Doe. Notary Pubile personally appeared SMwn A. .Presidefit Names(s)of Signer(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, JgCEHOWNtD N CQMhL1Fc420600 D NMMIY rJBUCZAUK*XK Q Los ANGEM COUNTY "I Come.Eq.My 27.2007 N Signature of.Notary 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 Number of Pages Date of Document OPTIONAL SECTION/ CAPACITY CLAIMED BY SIGNER _Individual(s) —Partner(s) —Attorney-in-Fact _Corporate _Other Officer(s) Tide(s) SIGNER IS REPRESENTING: Name of persons or entity(ies) 'i 1 . ` Siga contractors Corporation It! ;tea DBA Sha1NritonCITY 1.a ti f 12240 Woodruff Ave. HUNTINGTON BEACH, CA Downey,CA 90241 1003 SEP 2 3 P 1: 5 g I I { i 12240 Woodruff Ave. Downey,CA 90241 IT'1 Cc�r2K Sic o..o FAR • Z000 MA r+vCA S-r, ..N rr INGI o� RcR F�� SEALED BID praniF�T• .. AZ�1E2 AEG t PRin��Ac Sr M`F,4DVEAJ _A%lc SECTION C PROPOSAL for the construction of I. WARNER AVENUE REHABILITATION - CC 1150 FROM SIMS STREET TO BOLSA CHICA STREET II. SPRINGDALE STREET REHABILITATION- CC 1151 FROM EDINGER AVENUE TO MCFADDEN AVENUE I11. MCFADDEN AVENUE REHABILITATION- CC 1152 FROM GOLDENWEST STREET TO I-405 FREEWAY 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 85 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and C-1 L t 1 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 VD�cR'S BGinDthe amount of$ '�° of amatlwh Bid said amount is not less than 10% of the aggregate of the total bid price,as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check",or"Bidder's Bond",as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Si nature C-2 SECTION C PROJECT BID SCHEDULE Warner Avenue, CC-1150,STPL-5181 (148) Springdale Street,CC-1151, STPL-5181 (146) McFadden Avenue, CC-1152, STPL-5181 (145) PROJECT BID: TOTAL AMOUNT LUMP SUM BID IN FIGURES: TO AL AMO T LUMP SUM BID IN WORDS: C-2.1 WARNER AVENUE REHABILITATION IMPROVEMENTS CC NO. 1150 STPL - 5181 (148) C-z.2 WARNER AVENUE(CC-1150) PROJECT BID SCHEDULE -ITEM ESTIMATED " _.-ITEM WITH UNIT PRICE__WRITTEN IN�'•,, _i -UNIT-PRICE,: EXTENDED -ND' QUANTITY'.: -.WORDS - - ```� AMOUNT 1 1 Mobilization $lo,eaa.� $ ro,eoo. L.S. @Tey�.+ :.4..,o Dollars ..,o Cents 2 1 Traffic Control Plan L.S. @ Fwa -r#4*4A .o Dollars NO Cents 3 1 Furnish Project Traffic Control $ aae. - $1aov' L.S. @ JGdLr Tr;eu Dollars Cents 4 52.934 Cold Milling& Header Cutting $Q, - $ A±E_ S.F. @ NC Dollars f7ftAr Cents 5 270 Unclassified Excavation C.Y. @ ?Karr-t A.P. Dollars No Cents 6 3,863 Construct Asphalt Concrete(Overlay, Full Depth, $ —sa $ Ton etc.) *4- So.os 193,156 of @ - Fij4 Dollars +Oa Cents 7 426 Pavement Reinforcement Fabric& Route and $ 2,S'S'ro-'� S.Y. Seat of Cracks @ SIX Dollars Cents 8 12 Adjust Sewer/Storm Drain Manhole to Grade $ z't-o. $2'ct4a!' Each @-Iwe_►A...*n T. "'r 7 Dollars W4% Cents 9 25 Adjust Water Valve to Grade $ 2�5•� $,m,izs Each @_-..n N..noao Fovvi F...t, Dollars Cents 10 4 Adjust Monitoring Well to Grade $ $ 190,•� Each @ T.,. A..+o2e"O Fear, F..09 Dollars Cents 11 1 Traffic Striping 1 $ 7300.�'- $ -7.U6. L.S. @ 5xJZ-+ Mj&. SAAQ -ri4e*- N..�o"o Dollars Cents 12 13 Traffic Loop $ 18O.'e $ 2,340." Each @ 0K15 ►1.,...,-,MO trGA4r-f Dollars .ue Cents 13 80 Remove& Reconstruct Curb& Gutter $33.E' $Z,toBo..a L.F. @,T►+,ar-J_T#fAeZ_ Dollars Flcrl Cents 14 6 Survey Monumentation $ 19o,•' $ytlo.• Each @ a,_ F1."oa-to �N -r--t Dollars N6 Cents Sub Total Bid Amount, Bid in Figures: $ p r Sub Total Bid Amount, Bid in Words: C-2.3 SPRINGDALE STREET REHABILITATION IMPROVEMENTS CC NO. 1151 STPL - 5181 (146) C-2.4 SPRINGDALE STREET(CC-1151) PROJECT BID SCHEDULE ITEM: -ESTIMATED ITEM WITH UNIT PRICE WRITTEN IN UNIT.PRICE-. ,EXTENDED 'WQ.: 'QUANTJTY= ':':: '.WORDS- > _F. =AMOUNTS° 1 1 Mobilization $tDlpOO.�_ $ yD,p4p L.S. a� TH To.s�No dollars Cents 2 1 Traffic Control Plan $ycoo. $team L.S. @ Eva Dollars s Cents 3 1 Furnish Project Traffic Control $ OZO.`— $ 4sx77�= L.S. @ F"IT. -r""US4 ty7 Dollars Cents 4 204,406 Cold Milling& Header Cutting S.F. @ Na Dollars F7EGnJ Cents 5 704 Unclassified Excavation $ 33 $z3,232 C.Y. @7*icr-r 7A;Lec Dollars Cents 6 2,702 Construct Asphalt Concrete (Overlay, Full Depth, s+a� $ Ton etc.) aa— Sv �� cs �iFTy Dollars �3S►tea. r e Cents 7 574 Pavement Reinforcement Fabric& Route and $ v,_= _ $-3,g4-4 � S.Y. Seat of Cracks @ s i x Dollars %J O Cents 8 1 Traffic Striping $ tit,�oc,'= $at,3oo,t, L.S. @7w� _`�+o�s•+�+o '_roazz u._ o"Q _Dollars Cents 9 38 Traffic Loop $fit $6,9�Jo,•- Each @ o..A- 9~P2zO Eurµri Dollars Cents 10 112 Remove& Reconstruct Curb&Gutter $3 _ $ 3.15t.~ L.F. @T141cr-i T#+cEc Dollars lFr4 Cents Sub Total Bid Amount, Bid in Fi ures:$ r1 3 ZL . 2O ✓ Sub Total Bid Amount, Bid in Words: C-2.5 MCFADDEN AVENUE REHABILITATION IMPROVEMENTS CC NO. 1152 STPL - 5181 (145) C-2.6 MCFADDEN AVENUE(CC-1152) PROJECT BID SCHEDULE ITEM= -ESTIMATED: _ •OTEM WITH UNIT:PRICE-WRITTEN IN ;=:,'. UNIT PRICE- :EXTENDED NO.=n `QUANTITY-- ' - `WORDS- `AMOUNT ' 1 1 Mobilization $ to,000," $ to,000,=' L.S. @ -re" 74C•SA do Dollars No Cents 2 1 Traffic Control Plan $ 5 $ L.S. @ Fwa Dollars - -� ftA o Cents 3 1 Furnish Project Traffic Control a� $'tom $ e `r' L.S. @ CLL& k -Sev,. 4 0 LeAS Cents 4 63,543 Cold Milling& Header Cutting $o.= $a,uao. S.F. @ we Dollars 04.0 Mr..J Cents 5 844 Unclassified Excavation $ 3a'-' $2n,erz•~- C.Y. @ 'rw,cri -rXeaC- _ _ Dollars POO Cents 6 4,509 Construct Asphalt Concrete (Overlay, Full Depth, $. Ton etc.) @ /� male -• i,.1c Dollars '' /97,379, Cents 7 750 Pavement Reinforcement Fabric& Route and $ y,sQa S.Y. Seal of Cracks @ S x Dollars N o Cents 8 12 Adjust Sewer/Storm Drain Manhole to Grade $ 220, $ 2,byo.'= Each @ -,. N-••ocep Y-r Dollars Cents 9 12 Adjust Water Valve to Grade Each @ * ,b 0„40LZP Fee-T., rwtz Dollars _No Cents 10 1 Adjust Monitoring Well to Grade $ Each @ Oaz0 Fc.&" 'Caa Dollars pis Cents 11 1 Traffic Striping $i_ .~' $ t 000-N L.S. cn, H..Nowlo Dollars Na Cents 12 30 Traffic Loop $ 180:e $ s,roo. Each @ e-C- Af.-oA41> 9F Gum_ _ _Dollars No Cents 13 3 Remove& Reconstruct Access Ramp $,,�oa. $ 3 t.ao. Each @ ar4& 14—i—y -r_e N oc8 o Dollars ..a Cents 14 1666 Construct Asphalt Concrete Walk(Includes: $3.'-r $ S.F. Clearing&Grubbing. Soil, Header& Stakes) @ gwuz Dollars c./6r4'r1 ffwa Cents 15 1 Adjust Survey Monument Well to Grade $ 7-gS: ' $ Z fr. Each @ T'wb µ-doReo F.v-rl AX Dollars Cents C-2.7 ITEM, ESTIMATED ;ITEM WITH UNIT PRICE WRITTEN IN. :=._ :UNIT.PRICE- EXTENDED No. QUANTITY :7 "� 'WORDS' �_ `AMOUNT- 4 16 9 Survey Monumentation $ 1�to.= $�,-too.•� Each @ aNe R_.Gzao Nwer-1 Dollars N o Cents Sub Total Bid Amount. Bid in Figures: $ A OA 6. yr ✓ Sub Total Bid Amount. Bid in Words: �ub C-2.8 LIST Or SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion Name and Address of Subcontractor State License Class O worll Number ofC&'r•V- a2 x..a�•►4� C 1 eba,Q �o� ��i Lomas , C�9 S B G 3.2. QD)•+sT.�s �a M f t�2- � t7 ru C/f 1vT� Govtw c� 4T3 a-ItI R m2-F1+�z �h�ef e ro,cx f a.�#- a 7 rA+A7�, So 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. c3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange Shawn A. Smith, President , being first duly sworn, deposes and says that he or she is Shawn A. Srnithh.President of Sok`'nrA r.„E°"P°""°" 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. Siaiic Contactors Corporation DBA Shawnan NViof ier Shawn A. Smith.President 12240 Woodruff Ave. Downe;., CA 902�41 Address of Bidder SEP 18 2003 Subscribed and sworn to before me this day of ,200 NOTARY PUBLIC SEE ATTACHED NOTARY SEAL C-4 ALL-PURPOSE ACKNOWLEDGMENT State of California County of Los Angeles on SEP 18 Wre me, Janice Howard, Notary Public Dale Name,'ndc of Mer-e.S."Jane Doe, Notary rublic" r..� personally appeared Shrum A. Smith.Prnkient Names(s)ofsi`ner(s) personally known to me or proved to me on the basis of satisfactory evidence to be the persons)whose name(s) istare 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 signatures)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, WUa HOWARD C:OMK*N20600 NOTARY RIBLIGCALfFORAIIA 9 Q cos ANGELES COUNTY iAo M/Comm&p.toy 27,7007 5i�nalure o[.ioary ATTENTION NOTARY: Although the Information requested below is OPTIONAL,It could prevent fraudulent attachment of this certificate to unauthorized documents. THIS CERTIFICATE 4rUST BE ATTACHED TO THE DOCUMENT DESCRIBED AT RIGHT: Title or Type of Document Number of Pages Date of Document OPTIONAL SECTION/ CAPACITY CLAIMED BY SIGNER —Individual(s) —Partner(s) —Attorney-in-Fact Corporate Other Officer(s) Title(s) SIGNER IS REPRESENTING: Name of persons or entity(ics) UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUN"TINGTON BEACH,CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the IINI PROVE 141EN"TS, (n(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 h,=ards 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. Stage Contractors Corporation DBA Shawnan Contractor er Y Shawn A.Smith,Prnklent Title Date: SEP 18 2003 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 IdNo If the answer is yes,explain the circumstances in the space provided. Note: This Questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract Slak Co;tractors Corporation DBA Shawnan Contractor By Shawn A. Smith, President Title Date: SPP 18 2003 C-7 UNDERGROUND SERVICE ALERT IDE\"TIFICATION 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 42I6/4217 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 1-800-4224133 a minimum of two working days before scheduled excavation. Dig Alert Identification Number. Valle Conlractors Corporation DBA Shawnen Contractor Shawn A.Sff th.Pmsldent Title Date: SEP 18 2003 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: Sialic contractors Corporation DBA Shawnan Bidder Name 12240 Woodruff Ave. Downey, CA 90241 Business Address City, State Zip ( (562)803-9977 z Telephone Number 679962 A& B State Contractor's License No. and Class Novc=rber 4. Igo Original Date Issued November 30,2003 Expiration Date SMOThe work site was inspected by Shawn A. ,Prof our office on SEP 18 2003 , 200_. The following are persons, firms, and corporations having a principal interest in this proposal: SiaNc Contractors Corporation DBA Shawnan Shawn A.Smith, President 12240 Wmdruff Ava_ Downey, CA 90241 John A Smith. Secretary 12240 Wmdru f Ava_ Downey, CA 90241 Jarrroa moluBp rendergist,Vice Pres. 12240 Woodruff Ave. Downey, CA 902+41 C-9 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. &ak Contractors Corporetton DSA Shawnan Company N Signature of Bidder Shawn A. Smith, President Printed or Typed Signature Subscribed and sworn to before me this_day of SEP 18 209 200_ . NOTARY PUBLIC SEE ATTACHED NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1. 9EE ATTACHED Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed C-10 _J � ALL-PURPOSE ACKNOWLEDGMENT State of California County of Los Angeles On SAP 18 t00 ore me, Janice Howard, Notary Public___ Date Namt Tide of OMcer.e g."Unt Doe. Notary Public" personally appeared Shawn A.Smith,Pmsldeftt Namegs)of SigaWs) personally known to me or proved to we on the basis of satisfactory evidence to be the person(s)whose name(s) islare subscribed to the within instrument and acknowledged to me that 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 band and official seal, yAnucEMowARD cotiK N 1420E00 NOTARY i SUCCJLLVORNIA Q LOS ANGELScoUNTY My Come►Ev Mq 27.20071 Signature cf.Notarr ATTENTION NOTARY: Although the Information requested below h OPTIONAL.it could prevent fraudulent 2tt2ehment of this certiflcate to unauthorized documents. THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED AT RIGHT. Title or Type of Document Number of Pages Date of Document OPTIONAL.SECTION/ CAPACITY CLAIMED BY SIGNER �Individual(s) _Partner(s) „_,Attorneyin-Fart Corporate _Other Officer(s) Titlels► SIGNER IS REPRESENTING: Name or persons or entily(ies) i Shawnan ST.LIC.#679962 12240 Woodruff Ave Downey, Ca. 90241 OFFICE 562) 803-9977 562) 803-9955 FAX STATEMENT OF EXPERIENCE 1. OWNER-' GO MANHATTAN BEACH ADDRESS: 1400 HIGHLAND AVE MANHATTAN BCI4, CA,90266 PHONE#: 310)802-5358 CONTACT: ED KOA PROJECT: 1999-201 STREET RAP.PROJECT CONTRACT AMOUNT: S905,000.00 2. OWNER: GO CHINO ADDRESS: 13220 CENTRAL AVE. CHINO,CA PHONE#: 909)464-8367 CONTACT: NAGHNIEH IMANI PROJECT: STREET REHABILITATION PROJECTS 2001-2002 CONTRACT AMOUNT: S 1,850,214.82 3. OWNER: CIO CHINO HILLS ADDRESS: 2001 GRAND AVE, CHINO HILLS,CA 91709 PHONE#: 909)364-2804 CONTACT: ND[E KAPANPOUR PROJECT: POMONA RINCON ROAD CONST. CONTRACT AMOUNT: S2,385,000.00 4. OWNER: LA COUNTY DEPT OF PUBLIC WORKS ADDRESS: CONST DMSION,PO BOX 1460 ALHAMBRA,CA.91802 PfIONE if. 626)458-3I44 CONTACT: HECTOR HERNANDEZ PROJECT: MARINE AVE.RECONSTRUCTION CONTRACT AMOUNT: $360,000.00 r cr. r , r , 5. OWNER GO ANAHEIM ADDRESS: 200 S.ANAHEIM BLVD. ANAHED4,CA. PHONE#: 714)765-5285 CONTACT: RALPH HARP PROJECT: BAIL ROAD/EUCLID RMMECTION CONTRACT AMOUNT: S3,926,427.00 6.OWNER: CTTY OF LA PUENTE ADDRESS: GO RKA CIVIL ENGINEERS 398 S.LEMON CREEL DR #E WALNUT,CA 91789 PHONE#I 909)594-9702 CONTACT: DOMINIC MILANO PROJECT. NELSON AVENUE CONTRACT AMOUNT: $309,700.00 7. OWNER: PORT OF LOS ANGELES ADDRESS: 425 S.PALOS VERDES ST. SAN PEDRO CA 90733 PHONE*: 310)732-3524 CONTACT: KURT AREND PROJECT: BERTHS 302-305 CONTRACT AMOUNT. S64,075,300.00 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non- DBE contractors,who provide a proposal,bid,quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor,and must be submitted with their bid/proposal.The City of Huntington Beach will use this information to maintain and update a"Bidder's"list to assist in the annual DBE goal setting process. S133c Contradorn Corporation Firm Name: DBA Shawnen Phone: (562)803-9977 Address: _ r2240 Woodn,ff Ave Fax: (5�)603.9955 Downey, CA 90241 .Contact Person: Sawn A-8mkh,PmWant No. of years in business I A Is the firm currently certified as DBE under 49 CFR Part 26? YES Type of work/services/materials provided by firm? GZPJeAAL C.-rI i.ACT09. PAVING. M,o (si2Aa1Ndr What was your firm's Gross Annual receipt's for lastyear? o Less than S i Million a Less than $5 Million a Less than$10 Million o Less than S 15 Million a� More than$15 Million 3 This form can be duplicated if necessary to report all bidders(DBEs and non DBEs) information. C-11 Local Assistance Yroceaares inanum • DS&E Checklist Instructions Attachment C (THEBMDE.RSEWCUTIONONTHE SIGNATVRE PORTION OF THISPROPOSAL SHALLALSO CONSTITUT'E.9NENDORSEIMTANDEXECUTTONOFTHOSE CERMICATZO.NS WIECHAREA PART OF THIS PROPOSAL) EQUAL.-EMPLOYMENT OPPORTUNITY CERTIFICATION Siaft Contractors C gxwet;on The bidder b®A Shawnan .proposed subcontractor .hereby certifies that he has ✓ has not .participated in a previous contract or subcontract subject to the equal opportunity clauses,as required by Executive Orders 10925, 11114,or 11246,and that;where required,he has filed with the Joint Reporrdag Committee,the Director of the Office o€Federal Contract Compliance,a Federal Government contracting or administering agency,or the former President's Committee on Equal Employment Opportunity,all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor(41 CFR 60-1.7(b)(1)),and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which an exempt from 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(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 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 subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administtation or by the Director,Office of Federal Contract Compliance,U.S.Deparbneat of Labor. 12-4-W C-12 Page 12-45 Local Assistance Procedures Manual FJCH1 T ME PS&E Checklist Instructions Attachment G DISCLOSURE OF LOBBYING ACTMTIES Complete this form to disclose lobbying activitiespursuant to 31 U.S.C. 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: ® a contract a bidloffeN UCadon a WIN hr.grant b. irrdial award ® b. mateN change C.cooperative agreement c. past-award d. roan . For Material Change Only: a loan guaarrtee year of last quarter t.loan Insurance Mport 4. Name and Adress of Reporting Entity: S. If Reporting Entity in No.4 Is Subawardse.Enter dPrime c3 Subawardee Name and Address of Prime: Ter—,if known Congressional District, 1known: Congressional Dietrlct, Wknawrr. 8. Federal DepartrnentlAgency: T. Federal Program Name/Descriptlon: CFDA Number, Yapplicable 8. Federal Action Number, fTkrwvm: 9. Award Amount,tknown: 10. a. Name and Address of Lobbying Entity b. Individuals Performing Services (including address ff (if individual,last name,firstname,Ml): diflerentfrom No. 109) (AWrtenre,flat name,laq: NIA (attach Con&ua&n Sheets)1necessary) 11. Amount of Payment(check all that apply): 13. Type of Payment(check all that apply) $ ❑ actual ❑ planned a. retainer 12. Form of Payment(check all that apply): b. one-time fee a. cash a commission d. contingent fee b. in-IdrW;specify: nature e. deferred value t otter,specify: 14. Brief Description of Services Performed or to be performed and Date(s)of Service,Including ofllcer(s), employee(s�or members)contacted,for Payment Indicated In Item 11: (adech Wthuallon Slheel(s) if necessary) I& continuation Sheets)attached: Yee No Q' / 1 L brformdtioo mpodd MnMh sus form is audwrW by Tie 31 U.S.C.sedeoc Signature: 1362 rrdadbdmmdrtobbftam+alabaaaaertatrapraaadanarba un which rebm ws paed by Vw dWabs who u troofta wa Print Na $ A. mt + Pede made or aftW 1nlL line dbd==b re;uM purauentto 31 U.S.C.138Z. Shawn A.Smitri, President b raMa wa be mporrad into Cdrss aan4amrwep and wl l be TMe: waktis far p M I"ecka Atgr peown who lilt to ft ew regried dtaebaum -l��"�77Date:od be su*dto ache penally of rot foes man SIWW and rnlmare awn Telephorm No. SE P 1 g 2003 Jim=for each such iliac. FBdAral Use Oft) A"mdrind for`wdRepmducdon glandwdrarmAtL Ste Mwd Fone U.L Rw.At-ti3-W C-13 Pap12,55 February 1, 1998 EXIIID*�.32-E Local Assistance procedure Manual Attachment G ME CheekUstl'astruettoas INSTRUCTIONS FOR COWLETTON OF SF LLL, DISCLOSURE OF LOBBYING ACTTVTTIES 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 pursoaat 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. I. 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 foil name,address,city,State and zip code of the reporting salty. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or e:cpects 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 limited to subcontracts,subp-mts and contract awards under grants. 5. If the organization filing the report in Item 4 checks"Subawardee"then eater 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 malting 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, Ioans and Ioaa commitments. 8. Enter the most appropriate Federal identifying number available for the Federal action identification in item l(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 preftes,e.g: MR-DE-90-00I" 9. For a covered Federal action where there has been as award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitments for the prime entity identified is item 4 or 5. 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)Eater the full names of the individual(s)performing services and include full address if different from 10(a). Eater Last Name,First Name and Middle Initial(MI). 11.Eater 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(actz4 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 ofthe in4dad payment. 13. Check the appropriate box(es). Check all boxes that apply. If other,specify nature. Page M54 C-14 Local Assistance Procedures Manual FXE03rr 12-E . PS&E Checklist Instructions Atbchmen G 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 Members)of Congress that were contacted. 15. Check whether or not a continuation sheet(s)is attached. 16. The ccr ifying 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 ofiaformation. Send comments regarding the burden estimate or any other aspect of this collectioa of information, including suggestions for reducing this burden;to the Office of Management and Budget,Paperwork Reduction Project(0348-0046),Washington,D.C.20503. C 15 Page 12'95 1 0 CITY OF HUNTINGTON BEACH COIJ 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY CLERK CONNIE BROCKWAY CITY CLERK November 18, 2003 S'G-Qz[�l C'LqiVr"e-4cTa/rS -2�/G. s��A i� ClnPl/ f-Vl &4 yWX29 Re: CC-1150 Warner Ave, CC-1151 Springdale St., and CC-1152 McFadden-Return of Bid Bond. Enclosed please find your original bid bond issued by y'E�OG`R'4L I,t,cSzrieptic� CO��sirt/; for CC1150 (Warner Ave), CC1151 (Springdale St), and CC-1152 (McFadden St). Gfx I Connie Brockway, Cdc City Clerk Enclosure gJfollowupfcashcont/retumbidbond.doc (Telephone:714-636.5227) Bond No. DID BOND The American Institute of Architects, AIA Document No. A310(February, 1970 Edition) KNOW ALL MEN DY THESE PRESENTS, that we Sequct Cor1ractors.Inc. as Principal hereinafter called the Principal, and Fcdcral lnsumnX Corolany as Surety, hereinafter called the Surety, arc held and firmly hound unto City of Huntington Beach as Obligee, hereinafter called the Obligee, in the sum ofTen percent of the total amount of the bid Dollars(S 10010 ), for the paymcm of which sum well and truly to be twdc,the said Principal and the said Surety,bind ourselves,our heirs,executors,administrators,successors and assigns,jointly and severally, firmly by these presents. WHLIWAS, the Principal has submitted a bid for Street Rehabilitation for Warner A_ venue,Springdale Street,and McFadden Avenue NOW,THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligcc in accordance with the toms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and-for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. = , Signed and sealed this 16th day of— - p tember 2003 el Confi-Mors. ' P Witness / By. - ck,'V.P.8 Secretary Namelritie Federal Insurance Company _ Surety (seat) Witness By Douglas A.Rapp Attorney-in-Fact ORSC 21328(5197) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California ss. County of ORANGE On SEP 16 1003 , before me, CHRISTOPHER J. COATS, NOTARY PUBLIC Dew Name and T1De of Officer(e.g..'Jane Doe,Notary Publicj personally appeared DOUGLAS A. RAPP Name(s)of Signer(s) IS personally known to me ❑ 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 OFFICIAL SEAL acknowledged to me that he/she/they executed r CHRISTOPHER J. COArs NOTARY PUBLIC-CALIFORNIA N the same in his/her/their authorized COMMISSION#1267699 C capacity(ies), and that by his/her/their to ORANGE COUNTY My Commission Exp.July 16,2004 signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand nd official seal. Place Notary Seal Above of Notary Public OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s)Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: _ ❑ Individual e Top of thumb here ❑ Corporate Officer—Title(s): ❑ Partner—❑Limited ❑General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: O 1999 P I Notary Association•9350 De Solo Ave.,P.O.Boz 2402•Chafseorlh,CA 91313-2402•www.retlaneYahry arg Prod.No.5W Reader:Cd W-Frse 1.500476 W Chubb POWER Federal Insurance Company Attn: Surety Department OF, Vigilant Insurance Company 15 Mountain View Road c1HueB Surety ATTORNEY Pacific Indemnity Company Warren,NJ 07059 Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation,and PACIFIC INDEMNITY COMPANY,a Wisconsin corporation,do each hereby constitute and appoint Douglas A. Rapp or Linda D. Coats of Laguna Hills, California------------------------------------------------ each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals b and deliver for and on their behalf as surety thereon or otherwise, bonds and undertakings and other writings obligatory in the nature thereof(other than bail bonds) given or executed in the course of business,and any Instruments amending or altering the same,and consents to the modification or alteration of any instrument referred to in said bonds or obligations. In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seals on this 14 th day of May, 2003 - 'Kenneth C.Wendel,Assistant Secretary T.W. vanaugh,Vice President STATE OF NEW JERSEY County of Somerset as. On this 14th day of May, 2003 ,before me,a Notary Pubk of New Jersey,personally came Kenneth C.Wendel,to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY,the companies which executed the foregoing Power of Attorney,and the said Kenneth C.Wendel,being by me duly sworn,did depose and say that he is Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of the By-Laws of said Companies;and that he signed said Power of Attorney as Assistant Secretary of said Companies by fike authority;and that he is acquainted with T. W.Cavanaugh, and knows him to be Vice President of said Companies;and that the signature of T.W.Cavanaugh,subscribed to said Power of Attorney is in the genuine handwriting of T.W.Cavanaugh,and was thereto subscribed by authority of said By-Laws and in deponents presence. Notari RICE Karen A.Price LU , W Notary Public State of New Jersey , 9IS No. 2231647 Commission EV „A0;04 Notary Public Extract from the By-Laws of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY: "All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company,either by the Chairman or the President or a Vice President or an Assistant Vice President,jointly with the Secretary or an Assistant Secretary,under their respective designations. The signature of such officers may be engraved, printed or lithographed. The signature of each of the following officers: Chairman, President,any Vice President, any Assistant Vice President,any Secretary,any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." I, Kenneth C. Wendel, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY(the"Companissl do hereby certify that (1) the foregoing extract of the By-Laws of the Companies is true and correct, (ii) the Companies are duty licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are authorized by the U.S.Treasury Department;further,Federal and Vigilant are licensed in Puerto Rico and the U.S. Virgin Islands,and Federal is licensed in American Samoa,Guam,and each of the Provinces of Canada except Prince Edward Island;and (iii) the foregoing Power of Attorney is true,correct and in full force and effect Given under my hand and seals of said Companies at Warren,NJ this 1 6 t h day of September, 2003. + * r �'�ntAt�f'Y u r� S+BEN►YOa'f`* Kenneth C.Wende,Assistant Secretary IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER,PLEASE CONTACT US AT ADDRESS LISTED ABOVE,OR BY Telephone(908)903-3497 Fax(908)903-3656 e-fnail: surety Ochubb.com Form 15-10-0225B (Ed.10-02) CONSENT CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of LOS ANGELES ss. i On SEP ? 6 200 , before me, MivHAEL A. MAHLER. WrrA cFv tee eta.a` Date Name and Title of Olrrcer(e.g.,'Jane Doe,Notary Public") personally appeared Thomas S. Pack, V.P. &Secretary �Name(s)of Signer(s) ' ersonally known to me ❑ proved to me on the basis of satisfactory evidence I' to be the person(s) whose name(s) is/are I subscribed to the within instrument andHUR ' acknowledged to me that he/she/they executed cJN,y4 t13C4!87 the same in his/her/their authorized V, f FM.- N0TARY P:r:.:.IGCA:!FORNIA>Lcs n1�:a.es COUNTY4, capacity(ies), and that by his/her/their r;r Cc.,yT..r to r:4r 13.205 ^' signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) v�r�r�v-��-cr•�v-v�� acted, executed the instrument. han a d official seal. Place Notary Seal Above Signature of Notary Public OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s)Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: ❑ Individual ' ;. Top of thumb here ; ❑ Corporate Officer—Title(s): i ❑ Partner—❑ Limited ❑General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: i Signer Is Representing: 0 1997 Natxxral Notary Assocabon•9350 De Soto Ave.,P.O.Box 2402-Chatsworth,CA 91313-2402 Prod No 5907 Reorder,Call Toll-Free 1-800-876-M7 ' 'y s�"`= :�`,r(, �':�+"Fs•`w�r � •v fi';f'tt��,�.f r'•�w'':.i�, s'J �:r++'' - + • �. + 7 �. �^��r+1�. ' HUNTINGTON BEACHItA s I r• 1003 SEP 23 54 (� �� ; ;ice,• Cl-,Q06.171 ,: F : : : - '�K::. -, . •:,;;. •. r"f,�'�Y�.v�.•'-ice�ar'."'�.�.w.* '> . _ _ ••� � ' . . .� -., .�':•1t s»Ir_i ;r~'' i•• t Jy '.e~A`1Fy yf' —7 :.'k :1 �, sr J••vi.} .Ms,7).• .s'1�� •..• - A f •'' _ v 41 kR • .: J w�•: 4+sa6';ter,•'.�' .si� a,r y�.si t J - _ �' gy�pp,, r �".0:� n•:.+, :. J _ �r _'s�_,�i�%p�� 4(��fj1'4�,:r,Acc,`�7_�"�a.+ - •., ;• ,v=� .. �S7 E .. � ._ - - wr. � f sw ral wet -_ ,. . SEQUELC0I'TRACTORS, INC. SECTION C PROPOSAL for the construction of I. WARNER AVENUE REHABILITATION-CC 1150 FROM SIMS STREET TO BOLSA CIIICA STREET 11. SPRINGDALE STREET REHABILITATION- CC 1151 FROM EDINGER AVENUE TO MCFADDEN AVENUE Ill. 141CFADDEN AVENUE REHABILITATION-CC 1152 FROM GOLDENWEST STREET TO I405 FREEWAY in the CITY OF HUtiTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF TIIE 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 tabor, 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 85 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. if this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal, BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and C-1 SE-QUEL CONTRACTORS, INC. 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 Accompanying this proposal of bid, find in the amount of$ '/0 which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or"Bidder's Bond",as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. -,--.,:'Date Received Bidder's Si nature C-2 =, •-r ,'` SEQUEL CONTRACTORS, INC. SECTION C PROJECT BID SCHEDULE Warner Avenue,CC-1150, STPL-5181 (148) Springdale Street,CC-1151, STPL-5181 (146) McFadden Avenue, CC-1152, STPL-5181 (145) PROJECT BID: TOTAL AMOUNT LUMP SUM BID IN FIGURES: $ "769, b99.Lis TOTAL AMOUNT LUMP SUM BID IN WORDS: P.i ` C-2.1 SEQUEL CONTRACTORS, INC. WARNER AVENUE REHABILITATION IMPROVEMENTS CC NO. 1150 STPL - 5181 (148) C-2.2 `32'QUEL CONTRACTORS, IN( WARNER AVENUE(CC-1150) . PROJECT BID SCHEDULE :ITEM.' ESTIMATED ITEM WITH UNIT.PRICE WRITTEN IN UNIT-PRICE EXTENDED . -NQ. WOR --AMOUNT'I OUANT TY DS L.S. @ Dollars Cents 2 1 Traffic trot P1 $ L.S. @ a Dollars Cents 3 1 Funnis Project Traffic Control L.S. 0- EtWe^ 41,owA-A Dollars I Cents 4 52,934 Cold Milling& Header Cutting S.F. @ *6L Dollars -F,*Pce-n Cents OEM 014 5 270 Unclassified Excq ,on C.Y. @ Dollars Cents 6 3,863 Construct Asphalt Concrete(Overlay, Full Depth, $ W'Loo Ton etc.) Dollars Cents 7 426 Pavement Reinforcement Fabric& Route and $ $ S.Y. Seal of Cracks Dollars Cents 8 12 Adjust Sewer/ rrn Drai Manhole to Grade $ Each @twr o6m:Q_ Dollars Cents 0 25 Adjust Water e to'Grakle $ Each @ 1114991W Dollars Cents 10 4 Adjust Monitedin i Welll o Grad $ $ZW;� Each @ Dollars Cents CC 11 1 Traffic St w* ing 5�_/< I L.S. Dollars -C7- Cents 12 13 Tra $Each @ Dollars Cents 13 80 Remove§B str4b Curb&Gutter $ L.F. Q Dollars Cents 14 6 1 Survey��UonEach @ &Z6V1,4*o0 Dollars Cents Sub Total Bid Amount, Bid in Figures: $ 2113W- 13 Sub Total Bid Amount, Bid in Words: 4wo Wrtl 4 rr� eea�Aa%_%,,ena Ann- U vz� '14KACJrCrJ CS%JZr -(?i<,L4- dzllws 4J le, Ce-yE_s C-2.3 SEQUEL CONTRACTORS, INC. SPRINGDALE STREET REHABILITATION IMPROVEMENTS CC NO. 1151 STPL - 5181 (146) C-2.4 • - - SEQUEL CONTRACTORS, INC. SPRINGDAL,E STREET(CC-1151) PROJECT BID SCHEDULE ITEM. ESTIMATED_ :'=,1TI=M WITH UNIT_PRICE,WRITCEN IN_:':rt UNIT_PRICE EXTENDED NO:` :DUANTITY =' h 'WOI� -AMOUt�lT`` 1 1 Mobilizaypc?r' �,,�n $ $ L.S. @ F/v 44n��/�7CJ Dollars Cents 2 1 Traffic Con lan $ Dollars $ L.S. @ / �vS� Cents 3 1 Fumish Project Traffic Control $_mow-w $ L.S. @_ l ry6Pen 1: Nsr,-J Dollars )SLI Cents 4 204,406 Cold Milling& Header Cutting $ •IS $ 3D p S.F. @ Dollars + Cents 0 5 704 Unclass' xc lion $ $ C.Y. @ Dollars Cents 6 2,702 Construct Asphalt Concrete (Overlay, Full Depth, $_41-QD $ 1 .11s 'ft Ton etc.) @ poe6 4-tvec Dollars '0. Cents 7 574 Pavement Reinforcement Fabric& Route and $ $ S.Y. Seal of Cracks�� @ Dollars Cents 60 8 1 Traffic Stri ing $ � $ L.S. @ ZIN6- Dollars Cents 9 38 Traffic Ltop, Each @ A= Dollars Cents 10 112 Remove�91e ons t Curb &Gutter $ $ L.F. @ Dollars Cents Sub Total Bid Amount. Bid in Figures: $ cia Sub Total Bid Amount, Bid in Words, OhN��re� C-2.5 1 ti rr.t...�....!. .✓'v':a ! r .i'1�.,/i rar.�i i\iy ty�U.r r � MCFADDEN AVENUE REHABILITATION IMPROVEMENTS CC NO. 1152 STPL - 5181 (145) C-2.6 StQUcL CONTRACTORS. INC. s MCFADDEN AVENUE(CC-1152) PROJECT BID SCHEDULE ITEM ESTIMATED :-. -. :,----ITEM WITH UNIT PRICE-WRITTEN IN ::;:f.' :UNIT PRICE; ':EXTENDED r NO.Y QUANTITY- WORD -.• - AMOUNT 1 1 MobilizW $ f L.S. @ f Dollars Cents 2 1 Traffic ContrpMan ,,.-/�1 $ $ L.S. @ ✓ Mriv Dollars Cents 3 1 Furnish Project Traffic Control $ l L.S. @/1in��p+P.-.ti,�,.�c_�i Ave -A,✓ 4,fA Dollars Cents 4 63,543 Cold Milling & Header Cutting $ $ 4 S.F. Dollars Cents D 5 844 Unclassified Excavation $ 161 $ C.Y. @. - h�r.;�,., �wD Dollars Cents 6 4,509 Construct Asphalt Concrete (Overlay, Full Depth, $ .w $—low sn Ton etc.) rr Dollars Cents 7 750 Pavement Reinforcement Fabric& Route and $ $ S.Y. Seal of Cracks @ c:11 9 U:/V Dollars Cents 8 12 Adjust SowerlStorm rain Manhole to Grade $ $ Each @ l` Dollars �2E— Cents 9 12 Adjust WaIg'halve to grade ,. $ $ Each @ /A1 5! 1V,0 .6Dollars Cents 10 1 Adjust Mooioning We)I to Grade $-95e $ Each @ I f1J11W _-Q _Dollars Cents 11 1 Traffic St 'Pin $ $ L.S. @ o5�p Dollars Cents 12 1 30 Traffic L40 $ $ Each @ Dollars T it Cents 13 3 Remove onstruct ces R�!�► $ $ Each @ IVVMOrCb Dollars Cents 14 1665 Construct Asphalt Concrete Walk(Includes: $ $ S.F. Clearing&G9VE. n , Soil, Header& Stakes) @- Dollars Cents 15 1 Adjust S Monument Well to Grade $ $ Each @ 0S� Dollars Cents C-2.7 ... ,3. `. •FRS, INC. 1 ITEM: -ESTIMATED -ITEM WITH UNIT PRICE WRITTEN IN UNIT PRIDE -,EXTENDED ' NO. WANTITY -WORDS A UNT 16 9 Survey I� entation/ �. $ Each @ // /�' ,,/,01PNO Dollars Cents Sub Total Bid Amount, Bid in Fi ures: $ %jM. q06. %i5 ✓ Sub Total Bid Amount, Bid in Words: . -IAreC 1,,,�%area 4V%v „a ntnC, 4wj Ct S1 w C-2.8 SEQUEL CONTRACTORS, INC. LIST Or SUBCOINTRACTORS 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 Nan:e and Address of Subcontractor State License Class of livork Number (5to&Z' 9J 5 Awlw�ire u��F CAS Goa �v��F aI' 6 N C�idp� -tp ��,r,.►r-��- �Cf',,,� �i�s�dt 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 • 1 NON COLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER A`M 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 PRESIDENT & SECRETARY of SEQUEL CONTRACTORS, INC. the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. SEQUEL CONTRACTORS, INC. Name ofBi r Th as S. Pack, .�r& Secretary i 3546 IMPERIAL HWY. SANTA FE SPRINGS, CALIF 90670 Address of Bidder Subscribed and sworn to before me this day of , .23 2M,200_ NOTARY PUBLIC SEE ATTACHED NOTARY SEAL C-4 5 ' CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT r•- - - _ ;•:cs-•:e�c�-c>,�S..�c--.�Y>'�.acc�='.,cr "�-�•�"-•.c�.c�.cY`".c�`.c--r•-•"�=.c--�,.,cr•.cr•.c-r•.�c._.cc'_.�.�fvxcS•cS'�.-.-.- -- -o, I 'I ( State of California ) f' County of LO a ANULES SS. r On SEP 2 3 2M before me, WCHAEL A. MAHLER, NOTARY PtiMic ) , Date Name and Title of Officer(e.g.,"Jane Doe,Notary Public") ( personally appeared Thomas S. Pack, V.P.&Se"etaly I; Name(s)of Signer(s) personally known to me I; ❑ proved to me on the basis of satisfactory ;) I. evidence (' to be the person(s) whose name(s) is/are 1 subscribed to the within instrument and I' •� MICHAEL A.MAHLER acknowledged to me that he/she/they executed N COMM.#1304387 the same in his/her/their authorized I NOTARY PUBLIC tliUFORNIA 1' ZSJ LOS ANGELES COUNTY EA capacity(ies), and that by his/her/their (, Q My Comm.E1cp.May 13.200S " ) signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. ;) V)LL TNESS myhand and official seal. Place Notary Seal Above Signature of Notary Public I' OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document h and could prevent fraudulent removal and reattachment of this form to another document. N Description of Attached Document Title or Type of Document: � Document Date: Number of Pages: Signer(s) Other Than Named Above: I Capacity(ies) Claimed by Signer I' Signer's Name: ❑ Individual 1 Top of thumb here I; ❑ Corporate Officer—Title(s): f. ❑ Partner—❑ Limited ❑General ) I ❑ Attorney in Fact I I' ❑ Trustee 1 ❑ Guardian or Conservator 1 ❑ Other: Signer Is Representing: .I 0 1997 National Notary Association-9350 De Soto Ave.,P.O Box 2402•Chatsworth,CA 91313-2402 Prod No 5907 Reorder Call Toll-Free 1-800-876-6827 : r UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the IMPROVEINIENTS, (0(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. SEQUEL CONTRACTORS, INC. Contractor y Thomas S. Pack,V.P. &Secretary Title Date: 0 2 3 C-5 • SEQUEL CONTRACTORS, INC. DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of pedury, 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 1140 If the answer is }yes,explain the circumstances in the space provided. —0�_Ie Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-b : s COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. SEQUEL CONTflACTORS, INC. Contractor o By Thomas S. Pack,V.P.&Secretary Title Date: SEP 2 3 2M G7 i 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 4216/42I 7 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 1-8004224133 a minimum of two working days before scheduled excavation. Dig Alert Identification Nu ber: SEOUEL CONT ACTORS, INC. Contractor r Thomas S. Pack, V.P. &Secretary Title Date: SEP 2 3 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 r BIDDER'S INFORNIATION BIDDER certifies that the following information is true and correct: Bidder Name SEQUEL CONTRACTORS, INC 135461mperlal Hwy, Santa Fe Springs, CA 90670 Business Address City, State Zip { ) (562) 802-7227 Telephone Number 610600A State Contractor's License No. and Class January 31, 1091 Original Date Issued .January 31,2005 Expiration Date The work site was inspected by Thomas S. PaCk of our office on SEP 1 9 2n ,200_. The following are persons, firms, and corporations having a principal interest in this proposal: &Vcbell W.Ward, President Thomas S.Pack,V.P. &Secretary ABEL MAGALLANES, VICE PRESIDENT C9 4 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. SEQUEL CO RACTORS, INC. Company N Si r o idder Thomas S. Pack, Y.P.&Secretary Printed or Typed Signature Subscribed and sworn to before me this_day of &P 2 3 U6 ,200 . NOTARY PUBLIC SEE ATTACHED NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1. SEE ATTACHED Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed C10 Sequel Contractors, Inc ST.LIC.#610600A 13546 Imperial Highway Santa Fe Springs, CA. 90670 Telephone (562) 802-7227 Fax (562) 802-7499 ACTION BY UNANIMOUS WRITTEN CONSENT OF THE BOARD OF DIRECTORS OF SEQUEL CONTRACTORS,INC. The undersigned being all of the Directors of SEQUEL CONTRACTORS, INC., a California Corporation, do hereby take the following action by this written consent at a meeting of the Board of Directors held on April 28, 2003 in accordance with the Bylaws of the Corporation and the California Corporation Code. WHEREAS,the Board of Directors deems it advisable to authorize the officers of the Corporation,Abel Magallanes, Thomas S. Pack, and Mitchell W. Ward respectively, to execute bid bonds on behalf of the Corporation with any agency,person,company or municipality; RESOLVED FURTHER, that Abel Magallanes, Thomas S. Pack, and Mitchell W. Ward are authorized to execute labor, material, and faithful performance bonds in connection with contracts to be entered into with any agency, person,company or municipality; RESOLVED FURTHER,that Abel Magallanes,Thomas S.Pack,and Mitchell W.Ward are authorized and directed to execute and deliver street improvement contracts and related agreements with any agency, person, company, or municipality on such terms conditions as they deem advisable in their sole discretion, RESOLVED FURTHER, that Abel Magallanes, Thomas S. Pack, and Mitchell W. Ward be, and they hereby are authorized by their sole signatures on any document to bind this corporation to contracts,bids,bonds,etc.; RESOLVED FURTHER,that Abel Magallanes,Thomas S. Pack,and Mitchell W. Ward be,and they are hereby are authorized and directed to take any and all such other actions and execute such other documents as may be necessary or appropriate to carry out the purposes of the foregoing authorizations. In witness thereof, the undersigned Directors have executed this unanimous written consent to indicate this adoption of the consent of the foregoing resolution and the action set forth therein. Dated: April 28 h,2003 Mitchell W.Ward mas ac c Director&President Director,Vice President&Secretary ffxd FA W,d LOW Abel agalla es Director&Vic resident CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of LOS ANGELES ss. On IEP 2 3 M , before me, ti{.-0HAEL A. hIAHLER,NOTARY P JBUC Date Hama Mnd Type of Often(e-g-.'Jane Doe.Mowry PW c') personally appeared ThOmaS S. Pack, V.P.& Secretary Name(&)of Sgneq�) Prersonally known to me ❑ 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 helshellhey executed _ the same in his/her/their authorized MICHAfLAMAY.LEA capacity(ies), and that by his/her/their ..� cor"1.p11043.37 NOTARY.1..'2:1GCaur)FW-,7 signature(s)on the instrument the person(s), or L0SANCr1 COL* Y fJA v the entity upon behalf of which the person(s) , rr corms W.r.Y 13.2xs acted, executed the instrument. N>= y ha,n a n4 official seal. Puce Notary seal Above s"ture of NOL+rY Pubac nn � oPrronrat 1 Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s)Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: ❑ Individual Tap of thtxnb here ❑ Corporate Officer—Tftle(s): ❑ Partner—❑Limited ❑General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other. Signer Is Representing: n c)�i.`Z•L�CL`�L`CL�.esZ.'i;�-�1=Z: LC�'��'�L�L�2)�.��`� _ '�'CL'�,�L�'� 0 1997 Natono NofxyAuaaatan•9350 De Soto Ave,PO boa 2402•Chafswom CA 91313-2402 Prod No 5907 Reorder.Cal Tol•Free 1-600.815-6827 r • 1 SEQUEL CONTRACTORS, INC. ST.LIC 4 610600A 13546 IMPERIAL HIGHWAY SANTA FE SPRINGS, CA 90670 FAX (562) 802-7499 OFFICE (562) 802-7227 STATEMENT OF EXPERIENCE 1. OWNER: CITY OF ANAHEIM ADDRESS: 200 S.ANAHEIM BLVD. ANAHEIM,CA 92805 PHONE NO: (714)765-5776 CONTACT: CHUCK SMITH PROJECT: KATELLA AVE BEAUTIFICATION PHASE 11 PROJECT AMOUNT: $ 17,500,000.00 COMPLETION DATE: MARCH 2O01 2. OWNER: CITY OF ANAHEIM ADDRESS: 200 S. ANAHEIM BLVD. ANAHEIM,CA 92805 PHONE NO: (714)765-5776 CONTACT: CHUCK SMITH PROJECT: KATELLA AVE BEAUTIFICATION PHASE I PROJECT AMOUNT: $19,941,735.00 COMPLETION DATE: JUKE 24,1999 3. OWNER: JOHN WAYNE AIRPORT ADDRESS: 3151 AIRWAY DRIVE COSTA MESA CA 92643 PHONE NO: (714)252-2570 CONTACT: DAVE McMILLER PROJECT: ANNUAL MAINTENANCE PROJECT AMOUNT: $ 1,000,000.00 ANNUALLY COMPLETION DATE: JULY OF 1996, 1997, 1998, 1999,2001 i SEQUEL CONTRACTORS, INC. 4. OWNER: CITY OF BEVERLY HILLS#206 ADDRESS: 455 P=ORD DRIVE BEVERLY HILLS,CA 90210 PHONE NO: (310)285-2511 CONTACT: CHRIS THEISEN/ROB BESTE PROJECT: BURTON WAY PROJECT AMOUNT: $ 3,585,560.00 COMPLETION DATE: SEPTEMBER 1999 5. OWNER: PORT OF LOS ANGELES ADDRESS: 425 S. PALOS VERDES ST SAN PEDRO CA 90733 PHONE NO: (3I0)732-3654 CONTACT: SAL ZAMBRANO PROJECT: ANNUAL PAVING CONTRCT PROJECT AMOUNT: $ 5,550,000.00+ COMPLETION DATE: ONGOING 6. OWNER: CITY OF LAGUNA HILLS ADDRESS: 25201 PASEO DE ALICIA LAGUNA HILLS,CA 92653 PHONE NO: (949) 707-2655 CONTACT: KEN ROSENFIELD PROJECT: OSO PARKWAY RESURFACING &MEDIAN IMPROVEMENTS PROJECT AMOUNT: $ 1,714,973.00 COMPLETION DATE: MAY 5,2000 7. OWNER: CITY OF CULVER CITY ADDRESS: P.O BOX 507 CULVER CITY,CA 90232 PHONE NO: (310)253-5760 CONTACT: MARGARET LIU PROJECT: WASHINGTON BLVD. PROJECT AMOUNT: $4,342,937.00 COMPLETION DATE: SEPTEMBER 1998 SEQUEL CONTRACTORS, INC. 8. OWNER: CTTYOF SANTA ANA ADDRESS: 20 CIVIC CENTER PLAZA SANTA ANA,CA 92701 PHONE NO: (7I4) 647-5045 CONTACT: TYRONE CHESANEK PROJECT: SANDPOINTE NEIGHBORHOOD PROJECT AMOUNT: $ 1,249,807.00 COMPLETION DATE: OCTOBER 2001 9. OWNER: LACDPW ADDRESS: 900 S.FREMONT AVE. ALHAMBRA,CA 91803 PHONE NO: (626)458-3197 CONTACT: SAM ASSOUM PROJECT: OLYMPIC BLVD. PROJECT AMOUNT: $2,242,000.00 COMPLETION DATE: APRIL 2002 10. OWNER: CITY OF BEVERLY HILLS ADDRESS: 455 N. REXFORD DRIVE BEVERLY HILLS,CA 90210 PHONE NO: (310)285-2511 CONTACT: CHRIS TYSON PROJECT: VARIOUS LOCATIONS PROJECT AMOUNT: $ 1, 150,000.00 CO,%IPLETION DATE: JUNE 2002 11. OWNER: CITY OF SAN GABRIEL ADDRESS: 425 SOUTH MISSION DRIVE SAN GABRIEL,CA 91776 PHONE NO: (626)308-2800 EXT. 715 CONTACT: BRUCE MATTERN PROJECT:- ROSES RD. PROJECT AMOUNT: $970,000.00 COMPLETION DATE: MAY 24,2002 12. OWNER: CITY OF HAWTHORNE ADDRESS: 4455 W 126u; STREET HAWTHORNE,CA 90250 PHONE NO: (310)970-7959 CONTACT: AKBAR FAROKHI PROJECT: WASHINGTON AVE. PROJECT AMOUNT: $ 535,000.00 COMPLLTION DATE: SEPTEMBER 2001 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non- DBE contractors, who provide a proposal,bid,quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor,and must be submitted with their bid/proposal.The City of Huntington Beach will use this information to maintain and update a`Bidder's"list to assist in the annual DBE goal setting process. Firm Name:SEQUEL CONTRACTORS. INC. Phone: (562) 802 7227 13546 IMPERIAL HWY. (562) 502-7499 Address: SANTA FF SPRINGS, CALIF. 9M70 Fax: .Contact Person: Thomas S. Pack No. of years in business iZ Is the firm currently certified as DBE under 49 CFR Part 26? YES NO Type ofwork/services/materials provided by firm?670600A / /l ram, Q o• What was your firm's Gross Annual receipt's for lastyear! o Less than $1 Million o Less than $5 Million o Less than $10 Million v mess than$15 Million ae More than S IS Million This form can be duplicated if necessary to report all bidders (DBEs and non DBEs)information. C-1 I * focal Assistance Yroctanres n2aauas ES&E Checklist Instrnedons Attachment C (7IC'BIDDER'SF=CM70NON=SIGNATUREPORTION OFTHISPROPOSAL MULL,=COiVSTlTU "JEVDORMiIF ,IAV=CUHONOFTHOSE CERTIFICATIONS WCHARE.4 PART OF=PROPOSAL) EQUAL.TM LOYINMNT OPPORIV=CERTMCATTON . The bidder SEQUEL CONTRACTORS, INC. ,paged suhconEractor _ .hereby certifies that he has^, has not .participated in a previous contract or subcontract subject to the equal opportunity clauses,as required by Executive Orders 10925, 11114,or 11246,and that,where required,he has filed with the Joint Reporting Committee,the Director of the Off ce of Federal Contract Compliance,a Federal Government contracting or administering agency,or the former President's Committee on Equal Employment Opporutdq,all reports due under the applicable fining requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor(41 CFR 60-1.7(b)(1)),and must be submitted by bidders and proposed subcontractors only in connection wiEh contracts and subcontracts which are subject to the equal opportunity clause. Coaft=ts 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$10,000 or under are exempt.) Currently,Standard Form 100(EEO-1)is the only report required by the Executive Orders or their implementing regulations. Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract'sabject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b)(1)prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal$'Wrway Administration or by the Director,Office of Federal Contract CompMmce,V.S.Department of Labor. sz-�as C-12 Page 12-45 •• i X Local Assistance Procedures Mant al EIT 12-E ' PSM Checklist Instructions Attachment G DISCLOSURE OF LOBBYING ACTIVITIES Complete#lie form to disclose lobbyfng a pursuant b 31 U.S.C. 1. Type of Federal Action: Z Status of Federal Action: 3. 'Report Type: a conaact ❑ e bldlo:terlappU a m ❑ L In PRt !L Initial aaram b.mawW d ►ga c Mofw e J "`s r;i� For Chan •Only: a bin date ar last rap od • t hoar 4. Nam nd Adress of Reporting entity: S, if Reporting Entity In No.4 is Subawardee.Enter [rLt perne ❑ Subawardae Name and Accrues of Prima: �3 Tier_,1knom Congressional Distrfc41knowrr Congressional Districk tfknohem: a. Federal DepartmentlAgency: T. Federal Program NamoMescrlgtlon: , CFDA Number, Yapp&sable 8. Federal Action Number, 1knowrr 9. Award Amount;fkncwrr s 10. L Haute and Address of Lobbying Entity b. individuals Performing Services grzk ding ed&vss d (r71nd muet test name,lfrst name.MT dIffeie(lastnntfmm n 109) AW (afte-M cbnftetbi;Shee*)l'aecessary) It. Amount of Payment(check all that apply): 11 Type of Payment(check all that apply) $ acwal planned a. retainer b. one-dine fee I L Farm of Payment(check all that appt): c trot s on J{/ a cash d. cont%ent fee b ink sFeafy: natum e. deferred value t other,specify: 14. 13dd Description of Services Performed or to be performed and Date(s)of Servica,Including otflcer(s} amployee(s),or membe(s)contacted,for Payment Indicated In Rom 11: AI (afta�'t t,artttrwa&on if rrecesser� . 15. Continutdon 5hws)attached: Yes Na 1 fi. tetamae n wAdW bo*a►h bm Is a9ha tad by 711a 31 U&C Secom Slgna / 1=TAU&dov a ar bti N whilea Is a aster towmalae chat vas .&Secrelary Wt whim Mb==prated by raa earabow aMn M tra:ft.aaa P' Name: T�,�n, „Rb.�„UCmq °" vdw3b@ 1UNICE PRESIDENT&] SECRETARY era�+.rary�echeep.csoa Arrryers�►.t�at�dabs.J�.a��.a�eaosws -�`G2�te:S� 2 3 '2� "be stgsdb add peeaWa(W11M 1 e tta 000 end eotwi tan Telephone .. tloQooa treacA�arh layers. AUVWMMd brLoa RepowcaM Federal Use Only: SUMad Fame tLL Raw.014M C-13 Page 12 SS Febraary 1,1998 S"-QUEL CONTRACTORS, IN( ' i�i'17rE IaC21 Asshtince Procedures AUnuai Attachment G PS&E Checklbt Instructions • TlISTRUC'ITONS FOR COYBLMON OF SF I .L., DISCLOSURE OF LOBBYING ACTIVIIIES This disclosure form shall be completed by the reporting enft 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-coamection 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. I. Identify the type of covered Federal action for which lobbying activity is and/or has beea 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 inforsation 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 er 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 limited to subcontracts,subgrants and contract awards under grants. S. If the organization filing the report in Item 4 checks"Subawardee"then enter the full name,address, city,State and rip code of the prime Federal recipient Include Congressioaal 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,eater 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.,WP DE-90-001" 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award4oan commitments for the prime entity identified in item 4 or 5. 10. (a)Enter the full name,address,city.State and zip code'of the lobbying entity eapged by the reporting entity identified in item 4 to influenced the covered Federal fiction. (b)Enter the full names of the individual(s)performing services and include full address if differtmt from 10(a). Ewer 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 I0). 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. Page 12-54 C-14 LoeaI Assistance Procedures Manual SEQUEL C0NTIo�9 LNG: e PS&E Checklist Instruction! Attachwentr.- • • 14. Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the datc(s)of any services rendered Iaclude all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(3)or empioyee(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. 15. ne certifying official shall sign and date the form,print hislher name fide 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 maintafi ag 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 bwden;to the Office of Management and Budget,Paperwork Reduction Project(034 O46),Washington,D.C.20503. C-15 Page 12-;5 c_s -Local Assistance Procedures Manual EXODTT 12-E ITS&E Checklist Instructions Attachment L LOCAL AGENCY BIDDER-DBE INFORMATION This information may be submitted with your bid proposal. If it is not,and you are the apparent tow bidder or the second or third low bidder,it must be submitted and received by the administering agency no later than the time mecified in the ecial provisions. SEQUEL CONTRACTORS, FNC CO./RTE./P.IVL: BIDDER'SNAME: . CONTRACTNO-, ADDRESS: " BID AMOUNT':S 70 BID'OPENING DATE: ` ""'' DBE GOAL FROM CONTRACT % MNI OF WORK AND DESCRIEWN NAIME OF DBE" DOLLAR PERCENT CONTRACT OF WORK OR SERVICES TO BE (Name of DBEs,Certification Number, AMOUNT 0" =NO. SUBCONTRACTED ORMAIERLALS and Telephone Number) +•• DBE TO BE PROVIDED DBE 5 pwrn Xr-AVgTian/ a 5 rvc, r -Cd W6 8-10 1�'OJV ST.rr��N�S �i�Z G J� 3� 1�1N�so M16L 60. E /J�g Total Claimed Participation °/a y ' if 104•h of item is not to be pe:'.ormed or&raished by DBE,describe exact portion,including plaaaed location of work to be peTformed.of Item to be performed or fen ished by DBE •• DBEs must be certified by Calu=on the dam bids are opened. Subconaaczars and suppliers certified state-funded only cannot be used to meet goals on federally ftmded contracts. ••• Credit for a DBE supplier,who Is not a manufacu=is limited to 6091•of the amount paid to the supplier. (See Section 0DWyantaged Business"(DBE)of the special provisions) BIPOyA,,,; Names of DBE subcontractors and their respective items)of work listed above should be tonsriot the a e and items of work In the"List of Subcontractors"anbmitted with your bid nnaa100' e 5u rs I.Istia Law. 'sue 2 s (5f2�802�-7227 o i r Date (Area Code)tel.No. Thomas S. Pack,V.P.8 Secretary ' Person to Contact (Please type or print) Dbufl i don for NIM Pr*= (1)original-U=DUCE i r Nxs P r%ccm Gn CaY44W icy pmi«x sae Dust bitiorr for 0W41W P'm"M (1)OdgbW Wes!AC=wy;mj=dk urr.of TL4NwrcrAmON (FED DBE)MODIFIED D"E-19(REV 09-IM C-16 Page 12-67 p IT 1S-K Local Assistance ProcmurOa��ll.�ea si TARS, li1[( M RepofroCDBE Awards REPORT OF DBE AWARDS COMPLETE THIS FOlLM FOR EACH CONTRACT Locode: Agency: Project No. DBE Goal: :Total.Contract Bid: Reimbursement Ratio: Federal Share: Award Date: Combined DBE Percent of Federal Share for this Protect: DBE Subcontractors e:reluding women)Awardedby Ethinic Grow and other D' Black Hispanic Native Asian- 1 Asian- Other Tots!A Indian Pacific No. Total S Fed S DBE Subcontractors exclu&z men) Grand Total MWBE WWBE Total B -Total A+B Na. No. Total S Total S Fed S Fed S Number of subcontracts awarded by type of work: r fessionaI and QonML1qq Services DM M $W E WWBE (excluding women) I. Engineering 2.. Architectural 3. Riga of Way 4. Other CM=Ction 1. GradinglDtair�age 2. Paving ' 3. StmmueslBuildings 4. Materials 5. Equipment . 6. Trucking 7. Traffic Control S. Landscaping 9. Other . TOTALS: Note: For the purpose of this report;use the following de5ai&w- • DBE-disadvantaged business enterprise • MWBE-minority women business enterprise • WWBE-white women business enterprise r-17 •,, CITY OF HUNTINGTON BEACH 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY CLERK CONNIE BROCKWAY CITY CLERK November 18, 2003 �.6rL/�'� ,ri5/C. c17e9i4 6;XC6L '6AV1,A195 COi4PAN y d1a,�p .L.amOri ,i�7/i2/7Gl� 1ory /✓ec�cl, (?A r1o8o4!� Re: CC-1150 Warner Ave, CC-1151 Springdale St., and CC-1152 McFadden—Return of Bid Bond. Enclosed please find your original bid bond Issued by iC-0eleA-1- iA'u'/ZA.,vc45;2' for CC1150 (Warner Ave), CC1151 (Springdale St), and CG1152 (McFadden St). dom Connie Brockway, CAC City Clerk Enclosure g:/followuptcashconUretumbidbond.dx (Tekphones 714.6364M) r Bond No. BID BOND The American Institute of Architects, AIA Document No. A310 (February, 1970 Edition) KNOW ALL NIE'N BY THESE PRESENTS,that we PALP Inc.dba Excel Paving Company as Principal hereinafter called the Principal, and Federal Insurance Company 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 ofTen percent of the total amount of the bid Dollars(S 1a1O ), 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 Warner Avenue/Springdale Avenue/McFadden Avenue 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 IIth day of September 2003 . J4 PALP Inc.dba Excel Paving Company . Pnanilal (seat) Witness . C.P. BROWN MICI ELE E.DRAKULICH, ASST. SECRETARYBY: NaPRMIA m 1 e NT Federal Insurance Company Surety (seat) Witness By: A,-V, a &' Douglas A.Rapp Attorney-in-Fact ORSC 21328(5/97) i' CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California ss. County of ORANGE On ap 1 1 2003 , before me, CMSTOPHER J. COATS, NOTARY PMLIC Date Name and Title of Officer(e.g.,'Jane Doe,Notary Public') personally appeared DOUGLAS A. RAPP Neme(s)of Signer(s) (Z personally known to me ❑ 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 OFFICIAL SEAL the same in his/her/their authorized r CHRISTOPHER J. COArs capacity(ies), and that by his/her/their NOTARY PUBLIC-CALIFORNIA (asignature(s)on the instrument the person(s), or COMMISSION ORANGE COUNTY 99 i the entity upon behalf of which the person(s) My Commission Exp.July 15,2004 acted, executed the instrument. WITNESS my hand gnofficial seal. Place Notary Seal Above Sig ry Public OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s)Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: ❑ Individual Top of thumb here ❑ Corporate Officer—Title(s): ❑ Partner—❑Limited ❑General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other. Signer Is Representing: 0 1999 Natlonal Notary Association•9350 De Soto Ave.,P.O.Sox 2402•Chatsworth.CA 91913-2402•www.radwWnotsry ag Prod.No.5907 Reorder.Call Toll-Ras 1-800 r/64M27 I Chubb POWER Federal Insurance Company Attn: Surety Department OF Vigilant Insurance Company 15 Mountain View Road Surety ATTORNEY Pacific Indemnity Company Warren,NJ 07059 CHUBS Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation,and PACIFIC INDEMNITY COMPANY,a Wisconsin corporation,do each hereby constitute and appoint Douglas A. Rapp or Linda D. Coats of Laguna Hills, California------------------------------------------------ each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals to and deriver for and on their behalf as surety thereon or otherwise, bonds and undertakings and other writings obligatory in the nature thereof (other than bail bonds) given or executed in the course of business, and any instruments amending or altering the same, and consents to the modification or alteration of any instrument referred to in said bonds or obligations. In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seals on this 14 th day of May, 2003 Kenn�endel,Assistant Secretary T.W.Cavanaugh,Vice President STATE OF NEW JERSEY ss. County of Somerset On this 14th day of May, 2003 before me,a Notary Public of New Jersey, personally came Kenneth C.Wendel, to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY,the companies which executed the foregoing Power of Attorney,and the said Kenneth C.Wendel,being by me duly sworn,did depose and say that he is Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of the By-Laws of said Companies;and that he signed said Power of Attorney as Assistant Secretary of said Companies by like authority; and that he is acquainted with T. W. Cavanaugh, and knows him to be Vice President of said Companies;and that the signature of T.W. Cavanaugh, subscribed to said Power of Attorney is in the genuine handwriting of T.W.Cavanaugh,and was thereto subscribed by authority of said By-Laws and in deponents presence. Noted p RICF Karen A, Price ,t Uj W Notary Public State of New Jersey No, 2231647 �� (x ,PA,A Q. N w �LrRLO Commission Ex ro �AJ04 Notary Public Extract from the By-Laws of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY: "All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company,either by the Chairman or the President or a Vice President or an Assistant Vice President,Jointly with the Secretary or an Assistant Secretary,under their respective designations. The signature of such officers may be engraved, printed or lithographed. The signature of each of the following officers: Chairman, President, any Vice President, any Assistant Vice President, any Secretary,any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.' I, Kenneth C. Wendel, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY(the"Companies")do hereby certify that (i) the foregoing extract of the By-Laws of the Companies is true and correct, (ii) the Companies are duly licensed and authorized to transact surety business In all 50 of the United States of America and the District of Columbia and are authorized by the U.S.Treasury Department; further, Federal and Vigilant are licensed in Puerto Rico and the U.S. Virgin Islands,and Federal is licensed in American Samoa,Guam,and each of the Provinces of Canada except Prince Edward Island;and (iii) the foregoing Power of Attorney is true,correct and in full force and effect Given under my hand and seals of said Companies at Warren,NJ this 1 1 th day of September, 2003 no �`' ` ` cos �DIAH�' ifs xrM SEW YOA� Kenneth C.Wende,Assistant Secretary IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER, PLEASE CONTACT US AT ADDRESS LISTED ABOVE,OR BY Telephone(908) 903-3497 Fax(908) 903-3656 e-mail: surety 0chubb.com Form 15-10-02258 (Ed.10-02) CONSENT CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT I State of California County of LOS ANGELES ss. SEP 2 3 2003 On , before me, CELESTE A. GRAHAM NOTARY PUBLIC � Dale Name and Title of Officer(e.g..'Jane Doe.Notary Public') 1 personally appeared PALP INC. DBA EXCEL PAVING COMPANY BY C.P. BROWN PRESIDE , f• Name(s)of S' ner(sL AND MICHELE E. DRAKULICH ASSr. SECRETARY f7 personally known to me ' ❑ proved to me on the basis of satisfactory evidence I CELESTE A.GRAHAM to be the person(s) whose name(s) is/are ,r ('OMM. #131211 S O subscribed to the within instrument and v NOTAAYPUBLlC•CALIFORNIA o acknowledged to me that he/she/they executed O LOSANGELESCOUNTY the same in his/her/their authorized My Commission Expires July 30, 2C05 capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Place Notary Seal Above Spnature of Notary Public OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s)Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: _ ❑ Individual Top of thumb here ❑ Corporate Officer—Title(s): ❑ Partner—❑ Limited ❑General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 0 1999 Natlortal Notary Association-9350 De Soto Ave.,P.O.Box 2402-Chatsworth,CA 91313.2402-www.nasonalnalaryorg Prod.No.5907 Reorder:Cell Toil-Free 1.900.9764M7 PALP, INC. DBA EXCEL PAVING COMPANY 2230 LEMON AVENUE LONG OFACW, CA 9080E CARey- 2,00 Sr CA & 0 GindowSEf) - 14)o or OPW RehjwL AAA; u.' • OoY-Nf 'Av+j Cc IISa � eFadc� CCU S2 �i D 57mTS : A 1231 D3 @ 2;&AA SECTION C PROPOSAL for the construction of I. WARNER AVENUE REHABILITATION- CC 1150 FROM SI: S STREET TO BDLSA CIIICA STREET 11. SPRINGDALE STREET REIABILITATION- CC 1151 FROM EDINGER AVENUE TO 11ICFADDEN AVENUE III. IMCFADDEN AVENUE REHABILITATION-CC 1152 FROM GOLDENAVEST STREET TO 1405 FREEWAY 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 85 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc.,and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and G1 i .11 will readvertise the project. In the case of discrepancies in the amounts bid, ►—iit 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 co so ��e��KANT BID" �+ OT Accompanying this proposal of bid, find in the amoun which OK said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check",or"Bidder's Bond",as the case may be). Bidder shall signify receipt of all Addenda here, if any: �]}� Addenda No. Date Received Bidder's Si nature E= C-2 � S i SECTION C PROJECT BID SCHEDULE 'Varner Avenue,CC-I 150, STPL-5181 (148) Springdale Street, CC-1151, STPL-5181 (146) McFadden Avenue, CC-1152, STPL-5181 (145) PROJECT BID: TOTAL AMOUNT LUMP SUM BID IN FIGURES: TOTAL AMOUNT LUMP SUM BID IN WORDS: %&rev% h�—A� du kjK �ffinu 44ALU4 qhLig S ' C-2.1 i i f WARNER AVENUE REHABILITATION IMPROVEMENTS CC NO. 1150 STPL - 5181 (148) c-2.2 r WARNER AVENUE(CC-1150) PROJECT BID SCHEDULE ITEM . "ESTIMATED .J-` `JTEM WITH UNIT PRICE.WRITTEN.IN >: .UNIT:PRICE: `EXTENDED-. NO. OUANTITY WORDS 1 1 Mobilization !! $ $ L.S. @ 4 4hQOA J 1 uc, &"JDollars CO Cents 2 1 Traffic Cont Dl Plan [[ __ L.S. @Avu S��l.�. k�4—tkollars (310 Cents 3 1 Furnish Project Traff+�C-Control 1� �tnts $ r $ L.S. -fit w'�'rrollars 4 52,934 Cold Milling& Header Cutting $ OAQ $ S.F. @ CO Dollars Cents 5 270 Unclassified Excav tion $ $ $2SS- C.Y. @ Dollars Cents 6 3,863 Construct Asphalt Con etY(Olerlay. Full Depth, $ W1.4m $ M LoZ Ton etc.) @ Z Dollars Cents 7 426 Pavement Reinforce e t Pabric&Route and S.Y. Seal of Cracks @ 4a4t Dollars Cents 8 12 Adjust Sewer/St rm Drain IM7nhole to Grade Each @ Dollars w J Cents 9 25 Adjust Water Va a to Grade Each @ !�JD l H"�C. Dollars C' Cents 10 4 Adjust Monitoring Well to Grade S_M2Lf- Each @ -Tim Or m(LA FtO— Dollars CD Cents 11 1 Traffic Striping 1 L.S. @��kC :Yqt S" k3.r 6 t 011ars OD Cents 12 13 Traffic Loop Each @ pJ SC&jJ , Dollars Cents 13 80 Remove& Reconstruct Curb&Gutter $�,! $ L.F. @ 55 M Dollars Cents 14 6 1 Survey Monument tion $ ti $ Each @- _MA�f'l+�i h ►f-Dollars Cents Sub Total Bic!Amocrnt, Bid in F• ores_$ 7 Sub Total Bid Amount, Bid in Words: 4- �S C-2.3 SPRINGDALE STREET REHABILITATION IMPROVEMENTS CC NO. 1151 STPL - 5181 (146) C-2.4 SPRINGDALE STREET(CC-1151) PROJECT BID SCHEDULE ITEM ESTIMATED ` 'ITEM WITH UNIT PRICE WRITTEN IN UNIT.PRICE EXTENDED NO = `:QUANTITY y 'WORDS-` =- AMOUNT 1 1 Mobilization 11 $ $ L.S. @ �dZj&� 6 'UC,,►l1J ollars VD Cents 2 1 Traffic Control Plan � $ $ L.S. @ k CAk liars Cents 3 1 Fumish Project Traffic Control I_ $ �1 k.& ollars Cents 4 204,406 Cold Milling& Header Cutting $ Owl teto $ vrl4 S.F. @ Dollars Cents 5 704 Unclassified cavation C.Y. @ :h, enA Dollars Cents 6 2,702 Construct Asphalt Concrete(Overlay, Full Depth, Ton etc.) @ -1 4V'- Dollars Cents 7 574 Pavement Reinforcement F bric& Route and S.Y. Seal of Cracks @_ _ '�Q,n Dollars Cents 8 1 Traffic Striping a $ L.S. _ Dollars Cents 9 38 Traffic Loo"ALA $_ � $ Each @, �1 W eA Dollars Cents 10 112 Remove& Rec nst ct C rb&Gutter $ $ CingQ L.F. @ 1t<. Dollars D Cents Sub Total Bid Amount, Bid in F ures:$ Sub Total Bid Amount. Bid iRWord : fy • Jyl.V14 fl)LOVAA.0 4- sly C-2.5 MCFADDEN AVENUE REHABILITATION IMPROVEMENTS CC NO. 1152 STPL - 5181 (145) C-2.6 MCFADDEN AVENUE(CC-1152) PROJECT BID SCHEDULE ATEM. -ESTIMATED :'4.ft:,ITEM WITH UNIT PRICE WRITTEN IN UNIT-PRICE 'EXTENDED.i _� i--: t -_AMOONT No. QUANTITY -,"WORDS 1 1 Mobilization L.S. @ nw- Dollars Cents 2 1 Traffic Control Plan $ L.S. @:%*qh&wJ per. Dollars OD Cents 3 1 Furnish Project Traffic Control $ L.S. trc VU— � U►�t dDollars Ob Cents 4 1 63,543 Cold Milling& Header Cutting $ D.2 sAiLM520 S.F. @ -Dollars 19M*4 Cents 5 844 Unclassified Excavation $_30_-5D $ 2 6 C.Y. Dollars V1 Pt%A Cents 6 4,509 Construct Asphalt C"'ncre d(Overlay, Full Depth, Ton etc.) 171.1e, CR6 Dollars Cents 7 750 Pavement Reinforcemenl Fabric U oute and S.Y. Seal of Cracks K #6 Dollars r1J Cents 8 12 Adjust Sewer/Storm Drai Manhole to Grade Each @ +UZ hJ4NLrtA (q'VL Dollars co Cents 9 12 Adjust Water Va a to Grade $ 20, $ 1 00O3 Each @ 6:ft4 —Dollars 00, Cents 10 1 Adjust Mon! Grade Each @ fnD = FJ JE!nj Dollars Cents 11 1 Traffic Striping $ 11 $ L.S. -nh r4w, A"fA4J�6�1 W dLars 00 Cents 12 30 Traffic Loop $ $_52M.— Each @ OV kM 4 r UL Dollars Cents , $ $ 13 3 Remove& Reconstruct Access p Each @_Mw INI�LJ4 RVL,Lam dollars LM Cents 14 1666 Construct Asphalt Concrete Walk(includes: $_2--_LL1V $__qML7 S.F. Clearing & Grubbing, Soil, Header& Stakes) o Dollars Cents Adjust Su ey Mqnument Well to Grade $ Each @ Dollars Cents C-2.7 JTEM -ESTIMATED �ATEM WITH UNIT PRICE WRITTEN UNIT PRICE. -EXTENDED- "-'O'M -WORDS 0 1 �7� U QUANTITY T" '.'� i., . DS AMOUNT 4 1 : 16 9 Survey Monumeptation tAd $ 1 ''- $ Each @- jr Dollars I Cents Sub Total Bid Amount. Bid in Figures- $ �255 Sub Total Bid Amount, Bid in Words: h M fY Y-M- MI AArrdI4 &d At" Atilt + C-2.8 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion Name and Address of Subcontractor State License_ . Class of Work !Number C.t,' L1 e)A (n l osva Stall �25y rw� rL,•wrc: Sto Z c LS t I 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 C.P. BROWN , being firsWduly.sfom, deposes and says that he or she is PRODENT of EXCEL PAVING COMPANY the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation, that the bid is genuine and not collusive or sham, that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding, that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract, that all statements contained in the bid are true, and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid ?ALP?ob4C.om EXCEL PAVING COMPAKiv Name of Bidder C� . G P. BROWN PRESIDENT Signature of Bidder 2230 LEMON AVENUE LONG BEACH, CA 90806 , Address of Bidder . ` Subscribed and sworn to before me this day o fSEP 2 3 2003200_ .. NOTARY PUBLIC EEAWTAOHG0 NOTARY SEAL C-4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of LOS ANGELES ss. Sip 2 3 2003 On , before me, CELESTE A. GRAHAM, NOTARY PUBLIC r Ae1e Name SW I-"OF ohcer to 0.Jarre Doe.Notary Puu c-) personally appeared PALP INC. DBA EXCEL PAVING COMPANY BY C.P. BROWN PRESIDENT Neme(s)a sqn0s) Cff personally known to me ❑ proved to me on the basis of satisfactory evidence CELESTE A.GRAHAk1 to be the person(s) whose name(s) Islare }�� rpfylt.l. #1312118 O subscribed to the within instrument and o ._rig ,r o acknowledged to me that helshe/they executed hOTARYFUSM-C.AUFORrIA LOSANCELESMUZM the same in his/her/their authorized LIy Commission Expires July 30.205 capacity(ies), and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WIT SS y hand and official se Plam Wary seal Ab" �,,..d Nouvy Pwic OPTIONAL Though the Information below Is not required by law,R may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Humber of Pages: Signer(s)Other Than Named Above: 1 Capacity(ies) Claimed by Signer Signer's Name: ❑ Individual Top of thumb We ' ❑ Corporate Officer—Ttle(s): ❑ Partner—❑Limited ❑General ❑ Attorney In Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: oiMwsorW roe.ryaxpmakk4-Owasaoare.,na.aw2AC2•Ch* war;CAD1313-24M-aw*ra&w*6w"&V Prod No.EW Rft~W TO&F..1aoaameeszr UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the IMPROVEMENTS, (1)(we)(it) will employ'and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved" The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. PALP.INC.DBA EXCEL PAVING COMPANY Contractor 0- - By C.P. BROWN,PRESIDENT Title Date: 1-11-7 C-5 DISQUALIFICATION ` AIR 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 la 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 a A • COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Gabor 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. PALP. INC. DBA EXCEL PAVING COMPANY Contractor Q .By C.P.BROWN,PRESIDENT Title Date: SEP 2 3 2003 C-7 . a UNTERGROUND 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: PALP.INC.DBA FX(:FL PAVING COMPANY Contractor By C.P.BROWN,PRESIDENT Title Date: SEP 2 3 2GO3 Note: This form is required for every Dig Alen Identification Number issued by U.S.A. during the course of the Mork Additional forms may be obtained from the AGENCY upon request. C8 • 4 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: - C. CR I Bidder Name rALF, I h C. ID BA EXCEL PAVING COMpANY 2230 LEMON AVENUE LONG BEACH. CA 90806 Business Address City, State Zip ) (562)599.5841 Telephone Number STATE LIC. 688659'A' State Contractor's License No. and Class 15-kw- Original Date Issued 3N-0V\ Expiration Date The work site was inspected by �O.S M N t1 of our office on 3 200_. The following are persons, firms, and corporations having a principal interest in this proposal: PALP.INC.DBA ryPF1 PAVINI;C0U1PAHY CAFIOLYN J.BAOWK SMETAU I(HtIF AHANUAR Dnca Sa101 Via PlMD M CUFITIS P BROINN 01,via PR¢ twT E FI ATI•,VICE Mow 114CHELE E DFLO[ICEL►wygr unary C-9 The undersigned is prepared to satisfy the Council of the-City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. pp//��aa gg ppra 0h, Company Name C-72' 25,�� C.P. BROWN,PRESIDENT Signature of Bidder Printed or Typed Signature Subscribed and sworn to before me this_day 0 f5 L 3 200 200_ . NOTARY PUBLIC SEE ATTAGHED NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed C-10 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of LOS ANGELES ss. on SEP 2 3 2003 , before me, CELESTE A. GRAHAM, NOTARY PUBLIC Dote Nam*and Tio*of OffKw t*B,'Jens Doe.Hoary PvM c) personally appeared PALP INC. DBA EXCEL PAVING COMPANY BY C.P. BROWN PRESIDENT Nan*&)01 Sgnotls) Iffpersonally known to me ❑ proved to me on the basis of satisfactory evidence G�iAHANI to be the person(s) whose name(s) islare CELESTE A. o subscribed to the within instrument and Cp��*.1. #13 t 2118 n acknowledged to me that helshelthey executed vtrOTARYPu?'JC•C.jrCAN the same in his/her/their authorized t; LCS ANG�S rAdit'tY C7 �ry Comn'ission Expires,]u+y 30.2Ct;5 capac[ty(ies), and that by his/her/their signature(s)on the instrument the person(s),or the entity upon behalf of which the person(s) acted, executed the instrument. WIT /SS y hand and offi ial se 1. J Place Notary SealAb" "uae of Noury PUNIC i OPTIONAL Though the Information below Is not required by law,if may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s)Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: ❑ Individual Top Ot thumb It8t8 ❑ Corporate Officer—Title(s): ❑ Partner--❑Limited ❑General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other. Signer is Representing: 019"NataW Notary 11.socYtlon•fRM D*Solo AN.,P.O"Bo.24M•CMWworft CA 91313-24M•ww .noaWm�ry.ary Prod.No.SW Rader.Cal Tp6Pt*a l4W4764827 CITY OF HUNTINGTON BEACH BIDDERS LIST 3EE ATTACHED All Bidders/proposers are required to provided the following information for all DBE and non- DBE contractors, who provide.a proposal,bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor,and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a"Bidder's"list to assist in the annual DBE goal setting process. FirxnName: PALL, INC. DBAEXCELPAUtwc Phone: (562)599-5541 N AVENUE t�9PANY Address: LONG BEACH, CA 9060C Fax: FAX(562)591•7485 .Contact Person:_Au b-(\ t�Q A No. of years in business 'r Is the firm currently certified as DBE under 49 CFR Part 26? YES NO n� . Type of worklservices/materials provided by firm?�IS� YA1�1LG! What was your firm's Gross Annual recei is for lastyear?_ n Less than$1 Million o Less than$5 Million a Less than$1 G Million ❑ jLess than$15 Million o�More than$15 Million This form can be duplicated if necessary to report all bidders(DBEs and non DBEs) information. C-11 Local AsAstance rrocroares maouai • PUE Checklist Ynstru¢dions Attachment C MLEBIDDERSEXE=ONONTIE S7GiVATURE PORTIOiV OF=PROPOSAL SMUALSO C0N=r1-EANEND0P-M=AND EUMHON OF THOSE CERTIFICATIONSWMCHAREAPART OF=RROPOS L) EQUAL.UMMOYIYEENT OPPORTUNITY CERTM. CATION PALP.INC.DBh The bidder EXCEL PAVING COMPANY propose3 subcontractor _ _ .hereby certifies that be has,l/, has not___,participated in a previous contract or subcontract subject to the equal opportunity clauses,as required by Executive Orders 10925, 11114,or 11246,and that;where required,he has filed with the Joint Reporting Committee,the Director of the ice of Federal Contract Compliance,a Federal Government contracting or adrnkistcr g agency,or the former President's Committee on Equal Employment Opportunity,all reports due under the applicable filling requirements Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor(41 CFR60-1.7(b)(1)),and must be submitted by bidders and proposed subcontractors 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 S 10,000 or under are exempt) Currently,Standard Form 100(EE0-1)is the only report required by the Execudve 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 bane not filed the required reports should note that 41 CFR 60.1.7(b)(1)prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Saghway Administration or by the Director,Office of Federal Coat =CompUmm,U.S.Department of Labor. 1zr-V C-12 Page 1245 Loral Assistance Procedures Manual EXHIBIT 12-E" ME checicw Instructions Attachment G DISCLOSURE OF LOBBYING ACTWITIES Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1. 4 e of Federal Action: Status of Federal Action: 3. Report Type: a aonsxt a b6dlafredapp&c doff L khW L event b. Ir"award b,mawWdwnge C.`90 °apsTa a For Chan a On d. ban . g ar ar�er_ L h+an f date d last raw 4. Name 4nd Adress of Reporting Entity: S. N Reporting Entity in No.4 is Subawardea.Enter • P to ❑ Sutawatdee Name and Address of Prime: Tier—,Ykn ALP, INC. DBA EXCEL PAVING COMPANVow 230 LEMON AVENUE -ONG BEACH, CA 90806 Congressional District, 1knowrr Congressional District, lfk x wRr 0. Federal Department/Agency: T. Federal Program Nam&Msumiption: CFDA Number, YappRcable e. Federal Action Number, Ifknorm 9. Award Amount,lfkncwrr S 10. t Name and Address of Lobbying Entity b. Indtvlduals Perfcrmlag Services (fndudurg 80ass y (d IndW ua(last name,Qrst frame,If!): different tram No. 10a) gad name,Srst name,l40: (attach owunuaHon sheef(s)llnecessarh 11. Amount of Payment(check all that apply): 11 Type of Payment(check all that apply) • ❑ actual ❑ pied a retainer IL Form of Payment(checkail that apply): bone-lime fee a cash c, commission d. b. In4ft spedfy: mature e. deferred fee value L COW spectl)r: 14. Brid Description of Serfica Performed or to be performed and Dates)of Smrics,Including ofticer(s), employee(s),or mernba(s)contacted,for Payment tr sated In Item 11: (SW Oar0rravon s) lrnecessam 13. Continuation She0s)attached: Ya No I L W=g111eq, W ga*v*brm h amatsd er nae 31 rt S C.9edm signature: mm kh ,w� mo+. eftt ww PrfrtNan:e: G.P. BROWN.PRESIDEf1T @wa ar ww*d kr&tr,w db d= re mQ*W pu uv to 3t U_1%. t 3S L Ttrs hbrmadan.r be mpMW Iota CvvM temFa m*mnd re be TxW . era"enr PW*hvecaaa AM o• n WN faac b ene M a4ukW ftdm n dWbeau*dInadzePW,anrra not rua,anslo,00at,dnameeoM Telephone No{562)50Q_;Ad Date: p ;f Oo,GoO tr each�talnrs. Federal Use Only: swraard Fam us nN tn-a�s C-13 Page 12-55 February 1,1998 Y.XFIIB1T I2-E I,oeal Assistance Procedures Manual Attachment G PS&E Checktlst Instructions 1 STRUCTIONS FOR COMPLETION OF SF LLI,, DISCLOSURE OF LOBBYLNG ACTIVTITES 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 V.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 offic r 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 an 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 occm=L Enter the date of the tuT,previously submitted report by this reporting eatky 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 limited to subcontracts,subgrantr and contract awards under grants. S. if the organization filing the report in Item 4 checks"S uhawardee"then enter the full name,addres4 city,State and rip code of the prime Federal recipient. Include Congressional District,if/mown. 6. Enter the name of the Federal agency making the award or loan commitment Include at feast 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(IFB)number,grant announcement number,the contract grant.or loan award number,the applicationfproposal 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 loan commitment by the Federal agency, enter the Federal amount of the award/loan,commitments for the prime entity identif ed in item 4 or S. 10. (a)Enter the full name,address,city,State and rip code of the lobbying entity eagaged 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(a). Eater Last Name,First Name and Nfiddle 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,eater 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 trade through,an in.Idad contribution,specify the nature and value of the is-kind payment. 13. Check the appropriate box(es). Check all boxes that apply. If other,specify nature. Page M54 C-14 Local Assistance Procedures Manual EXMrr 12.E PS&E Checklist Instructions Attachment G`= 14. Provide a specific and detailed description ofthe services that the lobbyist has performed or will be expected to perform and the date(s)of any services rendered. Iaciude 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 minus 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. C-15 Page 12-55 K rds Local Assistance Frvicedum Manual REPORT OF DBE AWARDS (l COMPLETE THIS FOILM FOR EACH CONTRACT Locode: Agency: Pr icct No. DBE Goal:- ,Total Contract Bid: Reimbursement Ratio: Federal Share: Award Date: Combined DBE Percent of Federal Share for this Project: DBE Subcontractors exeludina women)Awardedby Ethinic Groun and other Disadvan Black Hispanic Native I Asian- Asian. tamer Total A Indian Pacific No. Total S Fed S DBE Subcontractors excluding men) Grand Total MWBE WWBE I Total B Total A+B No. No. Total S Total S Fed S Fed S Number of subcontracts awarded by type of work: • -- ProfessioiW and Consultant Services D13E MWBE WWBE fe3cluding women) 1. Engineering 2, Architectm$l 3. Right of Way 4. Other Construction 1. GrradinglD . 2. Paving 3. StructureslBuildings 4. Materials 5. Equipment b. Trucking 7. Traffic Control S. Landscaping 9. Other TOTALS: Note: For the purpose of this report,use the following definitions. • DBE-disadvantaged business enterprise • MWBE a minority women business enterprise • WWBE=white women business enterprise r-17 ,E*CEL PAVING COMPANY P.O.BOX l"a ti A GENERAL ENGINEERING CONTRACTOR LONG BEACH, CA 90806.619 STATE LICENSE NO. 688659A (562)599.684 FAX (562)591.7491 C. P. Brown, President: 33 years experience working for other general contractors with the past 22 years being self- employed in own general engineering contracting business. INCUMBENCY AND SIONATURE CERTIFICATE OF PALP, INC. The undersigned, Carolyn J. Brown, being the duly elected and Incumbent Secretary of PALP, Inc. dba Excel Paving Company, s CalYorn:a corporation (the eCorporatlon'), hereby certifies that the persons named below are, on and as of the date hereof, the duly qualified, elected and acting Officers of the Corporation holding the office set forth opposite their names below, such officers being authorized to sign, in the name of and on behalf of the Corporation. Curtis P. Brown President and Chief Operating Officer Carolyn J. Brown Secretary and Chief Financial Officer George R. McRae Senior Vice President Curtis P. Brown III Vice President Bryce E. Flatt Vice President &Assistant Secretary Michele E. Drakullch Assistant Secretary IN WITNESS WHEREOF, the undersigned has executed this Certificate as of the date set forth below. Dates November 512001 l AROLYN . B , cretary EXCEL PAVING COMPANY P.O. BOX 1! A GENERAL ENGINEERING CONTRACTOR LONG BEACH, CA 90806.g STATE LICENSE NO. 688659A (562) 599.8 FAX (562) 591-7 CREDIT APPLICATION Excel Paving Company 2230 Lemon Avenue P.O. Box 16405 Long Beach, CA 90606 , . d Telephone: 662-59 SUI Fax: 562-699-3679 Type of Business: General Engineering Contractors Contractors License# 688659A Fed I.D.#95-3672914 Excel Paving Company is a Corporation Owner. Palp, Inc. 2230 Lemon Avenue Long Beach, CA 90806 In business since October 1981 Same location since October 1981 Property owned by Brown & Mills Financial rating with Dun & Bradstreet: Rating 3A2, SIC# 1611 US Bank,2633 Cherry Ave., Signal Hill, CA 908M Account Representative: Liz Acres or Celine Gonzalez Telephone: 582-490-2068 or UM-490-2079 Checking Account#1634-9196 8689 TRADE REFERENCES: Company Phone Fax Contact Vulcan Materials 323-258-2777 323-254-6102 Sllvia Arredondo R.E.H.Trucking 909-591-0871 909-691-0506 Gina Mendiola Blue Diamond Materials 714-578-9507 714-449-2831 Jerry Easterwood Savala Equipment 800-223-2473 949-552-8597 Mona Covington SPECIAL BILLING REQUIREMENTS: Show job number on invoices to expedite payment. I certify that the above information Is true and correct, and that we can and will comply with your terms. C.P. Brown Daie President i EXCEL PAVING COMPANY P.O. BOX 164 A GENERAL ENGINEERING CONTRACTOR LONG BEACH, CA 90806.51 STATE LICENSE NO. 688659A (562) 699-58 FAX (562) 591-74 Reference List As of May.2000 1. City of Long Beach 333 West Ocean Boulevard Long Beach CA 90802 Gillis Munroe, Chief Construction Inspector (562) 570-5161 2. Burbank-Glendale-Pasadena Airport Authority 2627 Hollywood Way Burbank CA 91505 Dan Feger, P.E. (818) 840-9416 Or (818) 840-8840 3. Los Angeles County Public Works 900 South Fremont Avenue Alhambra CA 91803 Gary Hartley,Construction Division (626) 458-3100 I.EXCEL PAVING COMPANY P.O. BOX 164 A GENERAL ENGINEERING CONTRACTOR LONG BEACH, CA 90806.51' STATE LICENSE NO. 688659A (562) 5994& FAX(562) 591-744 Bonding Agent: Rapp Surety Services 23461 South Pointe Drive Suite 345 Laguna Hills CA 92653 Contact: Douglas A. Rapp Office: (714)457-1060 Fax: (949)457-1070 Surety: Federal Insurance Company CtO Surety Department 801 South Figueroa Street 23'd Floor Los Angeles CA 90017 OR P.O. Box 30127 Los Angeles CA 90030-0127 Insurance Carrier: The Wooditch Company One Park Plaza Suite 400 Irvine CA 92614 Contact: William Wooditch Office: (714) 553-9800 Fax: (714) 553-0670 . .•rti RCEL PAVING COMPANY 1 •. OPEN JOBS AS OF FEBRUARY 2002 CANT JOB OWNEWCONTRACTOR LOCATION CRY . DATE NO. AMOUNT ComplL Apr-00 3589 G.H. PALMER MEDICI LOS ANGELES 763,675 85.4% Jun-00 3607 CRY OF SANTA ANA BRISTOL ST. SANTA ANA 8.2U.383 85.7% JUI-00 3637 NIELSEN DIWNGHAM BUILDERS 12015 HARBOR BLVD. GARQEN GROVE 137.300 79.4% Jul-00 3638 HA7AMA CORPORATION 29901 LADYFACE CIRCLE AGOURA 56,357 98A% Aug-00 3639 CEDAR SINAI MEDICAL CENTER 8700 BEVERLY BLVD. LOS ANGELES 495,394 89.0% Aug-00 3648 KAISER FOUNDATION 5981 VENICE BLVD. WEST LA 4,775 100.0% Amg-00 3650 LA COUNTY PUBLIC WORKS FIGUEROA ST. LOS ANGELES 2.127.356 99.7% Aug4D 3652 LAUSOT BYTHE ST.SCHOOL LOS ANGELES 511.446 100.0% Sep-00 3658 ANDREWS RANCHO DEL SUR FIRESTONE&RYERSON DOWNEY 398,647 99.9% Sep-00 36S9 LA COUNT!PUBLIC WORKS .HACIENDA BLVD. LA COUNTY 1,731.429 98.8% Sep-00 3660 LAUSDT CHASE ST.SCH. LOS ANGELES 506,750 100.0% Sep-00 3662 _HATHAWAY DINWIDDIE 777 PAUUNG DR. THOOSAND OAKS 199,284 93.0% Oct-00 3666 MORLVCONSTRUCTORS 555 W.TEMPLE ST. LOS ANGELES 690,000 63.8% Oct-00 3669 MOTION PICTURE HOSPITAL 23388 MULHOLLAND DR. HOLLYWOOD 1,855,3W 78.9% Oct-00 3672 IRVINE COMMUNITY DEVELOPMENT SHADY CYNISAND CYN 1RVINE 7.978,863 85.9% Nov-00 3680 BENCHMARK CONSTRUCTORS 4TH ST.PKG SANfA MONICA 76.5W 100.0% Nov-00 . 3686 CITY OF LONG BEACH LOYNES DR LONG BEACH 393,445 100.0% Dec-00 3693 PCL CONSTRUCTION 11$47 W.GORHAM AVE LOS ANGELES 144.368 4.4% Dec-00 3704 CRY OF LONG BEACH TAXIWAY D L.B.AIRPORT 2,842.083 72.3% Jan-01 3705 INTERSCAPE CONSTRUCTION 340 N.MADISON AVE., LOS ANGELES 29,998 49.6% Jan-01 3709 LA COUNTY PUBLIC WORKS EASTERN AVE. CITY TERRACE 241.279 99.0% Jan-01 3712 LAKE FOREST HOA ST.REHAB VARIOUS LOC. LAKE FOREST 1,409,039 99.8% Jan-01 3714 PORT OF LONG BEACH PIER T, PORj OF LB 10,293,022 74A% Feb-01 3716 CALTRANS 710 FWY PCH TO 405 16.743,677 18.7% Feb-01 3720 W.R C14AVEZ CONSTRUCTION 2699 PALOMA ST., PASADENA 78.050 0.0% Feb-01 3721 CITY OF LOS ANGELES IMPERIAL HWY., LOS ANGELES 8W,448 98.5% Feb-01 3722 LA COUNTY PUBLIC WORKS FIJI WAY, MARINA DEL REY 357.856 99.9% Feb-01 3723 BURLINGTON NORTHERN RAILROA INDIANA 8 WASHINGTON, VERNON 40,050 99.9% Mar-01 3724 CITY OF LOS ANGELES 212TH ST., LOS ANGELES 239ZM 98.5% Mai-Of 3727 MOOTS GROUP PROJECT 03 LOS ANCELES 68.306 11.6% Mar-01 3732 CITY OF MONTEREY PARK GARVEY&CORP CTR. MONtM PARK 1,934,685 972% Apr-01 3736 CARLSON.IMPLEMENTATION BANK OF AMERICA. BREA 6IZ312 99.1% Apr-09 . 3737 UNION PACIFIC RAILROAD 4341E WASHINGTON COMMERCE 4,169.503 74.6% Apr-01• 3739 CENTEX RODGERS JANSS$LYNN, TH06SAND OAKS 70.9W 34.2% Apr-01 3741 CALTRANS - ' 73l55 SEP TO MACARTHUR BLVD., COSTA MESA 196,224 ".1% Apr-01 3742 PORT OF LOS ANGELES HENRY FORD. LOS ANGELFS 2,5i8,w 20.0% Apr-01 3743 CITY OF LONG BEACH SEL1FLOWER BLVD.. LONG REACH S64.6 1 99.9% "---• -2"dr- C'rry 01-SA*rrA ANA WARNER AlIF RANA APIA 2._R77.7Rn VA EXCEL PAVING COMPANY 2 OPEN JOBS AS OF FEBRUARY 2002 CONT JOB OWNEWCONTRACTOR LOCATION CITY COmTR = %*m DATE NO. MNT Co�- A � Apr-01. 3747 TUTOR SALIBA WEST$EAST ALAMEDA 6,498,000 32+2% May-01 3748 TUTOR SAL113A 23001 ROSCOE, WEST HILLS 81.291 100.0% May-0i 3751 SWINERTON &WALBERG 1126 WILSHIRE BLVD., LA 10,804 1.0% May-01 3752 MARTA METROPLEX PIER 400 ICTF, LA ' 7.369.400 22.6% May-01 3758 CITY OF WESTMINSTER WESTMINSTER BLVD,. WESTMINSTER 146.762 791% May-01 3759 CITY OF CARSON CITYWIDE OVERLAY, CAR$ON 2,004,235 912% Jun-01 3764 PORT OF LOS ANGELES BERTH 230-232 POLA 1.n.9w 29•3% Jun-01 3768 CITY OF SIMI VALLEY ERRINGER AVE SIMI VALLEY 470,470 $7.7% Jun-01 3769 CITY OF ANAHEIM WEIR CYN RD ANAHE 11 249236 $9.0% .Jun-01 3772 LAUSDT GRANADA HILLS LOS 1WGELES 531.000 98.8% Jun-01 3T73 LAUSDT TULSA ELEM SCH GRANADA HILLS 469.030 99.7% Jun-01 3774 MPTV 23388 MULHOLLAND DR. WEST HILLS 193.984 562% Jun-01 3778 H.F.BOECKNIANN II 15505 ROSCOE NORTH HILLS 51,840 81.4% Jun-01 3780 CITY OF'GLENDALE ANNUAL ST.RESURFACE GLENDALE f.596,935 99.4% Jul-01 3781 CITY OF LONG BEACH SOUTH ST LONG BEACH 251,250 25.4% Jut-01 3782 -CITY OF CULVER CITY--- OVERLAND AVENUE CULVER CIiY 714.WS 93.9% Jut-01 3783 CITY OF LA PALMA VARIOUS LOCATIONS LA PALMA 254.ZW 93.6% Jut-01 3784 BOVIS LEND LEASE 1OT27 WILSHIRE LOS MGELES 85,000 91.4% Jul-01 3785 CITY OF TUSTIN EDINGER AVE TUSTtN 2,597,340 9.3% Jut-01 3788 PCL CONSTRUCTION 8570 SUNSET W.HOLLYWOOD 349.495 97.2% Jut-01 3787 CITY OF SANTA MONICA VARIOUS LOC SANTA MONICA 3,367.450 0.$% Jul-01 3788 CITYOF LONG BEACH PALO VERDE AVE LONG$EACH 403.508 19.0% Jul-01 3789 CITY OF LONG BEACH PARAMOUNTAVE LONG BEACH 475,801 21.6% Jut-01 3790 CITY OF LONG BEACH WILLOW ST LONG BEACH 434,275 0.6% JuI-01 3791 WALT DISNEY MAGIC WAY AWJf E'lM 59.720 99.0% Jut-01 3792 ANDREWS RANCHO DEL SUR FIRESTONE&RYERSON DOWNEY 89.150 99.9% Jul-01 3794 NORD RHEIN CORP FIRE STATIONS POLE 212,8W 0.2% Jul-01 3795 CRESCENTA VALLEY W7R DIST VARIOUS ST.. LA CRESCENTA 38,426 100.0% Jul-01 3796 CITY OF SIMI VALLEY VARIOUS LOCATIONS SIMI YALLEY 1.981,898 64.2% Jut-01 3797 LBUSD GOMPERS ELEM SCH LONG BEACH S48.552 98.6% Jut-01 3798 CITY OF LAGUNA HILLS PASEO DE VALEMCA LAGUNA HILLS 1,199,616 97.5% Jul-01 3799 HEWSON ALAMEDA LLC SEPULVEDA W/O ALAMEDA CAR16 84,165 75.0% Aug-01 3801 VALLEY CRESTLANDSCAPE SHADY CYN MINE 110.095 49.3% Aug-01 3803 BANK OF CANTON GARVEY&MOORE MONTEREY PK 44,335 65,1% Aug-01 3804 MCCARTHY UCI PARI4NG STRUCTURE IRVINE 13ZOM 97.4% Aug-01 3805 LAUSDT SUPERIOR SCHOOL LOS ANGE M 601,800 97.5% Aug-01 3806 MOOG AIRCRAFT GROUP 20=WESTERN AVE. TORP.1mcE 27,500 925% �Atn4 lAnm PITY OF I[1.Q ANOM RIP nil Amn Aw I AQ Iunb re 4 aq�AAA - •-• EXCEL PAVING COMPANY 3- - OPEN JOBS AS OF FEBRUARY 2002 CONT JOB CONTRACT %IN4itK OWNERICONTRACTOR LOCATION ' CRY• DATE NO. AMOUNT COYPL Aug-01 3809 CHARLES PANKOW BUILDERS MONTEBELLO TOWN CTR MONTEBELLO 119,272 100.0% Sep-01 3810 JA JONES 11110 W.PICO BLVD., LOS ANGELES 195.056 0.4% Sep-01 3812 BURBANK AIRPORT AUTHORITY 2627 HOLLYWOOD WY, BUR$ANK 3,466.875 9.0% Sep-01 3813 CITY OF LAKE FOREST LAKE FOREST DR.. LAKE FOREST 87.623 99.5% Oct-01 3814 PORT OF LOS ANGELES PIER 400 LEAD TRK, POLE , 2,568,444 0.5% Oct-01 3815 CRY OF PARAMOUNT ORANGE AVE, PARAMOUNT 999,490 0.5% Oct-01 3816 BURLINGTON NORTHERN RAILROA WASH&INDIANA, VERNON 82,749 720% Oct-01 3817 NELSON &BELDING PORTSHEAD RD., MALIBU 128,5W 0.0% Oct-01 3818 PORT OF LOS ANGELES BERTH 115 SAN PEDRO 1,584,710 0.4% Oct-0i 3819 LAUSDT HARTE MIDDLE SCH., LAU�DT 269,269 1.9% Oct-01 3820 BULLDOG CONSTRUCTION 4400 CARTWRIGHT, STU410 CITY 59,665 53.0% Oct-01 3821 CITY OF IRVINE MACARTHUR BLVD. IRVINE 388,8W 1.6% Oct-01 3822 CALEX ENGINEERING CORRAL CYN, MAL16U 127.000 76.4% Nov-01 3824 - . DAMON CONSTRUCTION MANHATTAN AVE., MANHATTAN BCH 120.000 0.0% Decr01 3825 - CITY OF BELL ANITA DR&WEIK AVE BELL 144.960 0.0% Deo-01 3826 CITY OF INDUSTRY CAPITOL AVE INDUSTRY 530,273 0.0% Deo-01 3827 W.E.O'NEIL WASHINGTON&BROADWAY LOS ANGELES 46,300 0.0% Dec-01 3828 CITY OF REDONDO EL NINO STM DRAIN DAMAGE REDGNDO SCH 427.195 0.06A Jan-02 3829 LA COUNTY PUBLIC WORKS COMPTON AVENUE LA COUNTY 1.253,944 0.0% Jan-02 3830 SO.CALIF. DEVELOPMENT 1215 SAN ANTONIO DR LONG BEACH 44.126 0.0% Jan-02 3831 ARCH TECH CORP LONG BEACH AIRPORT LONG$EACH 51.000 0.0% Jan-02 3832 DAMON CONSTRUCTION LA CIENEGA BLVD. BURLY HILLS 11.600 0.0% Jan-02 3833 CITY OF LOS ANGELES GRAND CANAL COURT LOS�WGFIES 690,381 0.0% Jan-02 - 3834 LONG BEACH AIRPORT GATES 3&4 LONG BEACH 4T7,324 0.0% Jan-02 3835 LONG BEACH AIRPORT SECURITY GATES LON4 BEACH 373.434 0.0% Jan-02 3836 CITY OF LONG BEACH BELLFLOWER BLVD., LONG BEACH 522,675 0.0% J2n-02 3837 CITY OF LONG BEACH PARKCREST STREET LONG BEACH 487.365 0.0% J2n-02 3838 CITY OF LONG BEACH COLLEGE PARK DRIVE LONG BEACH 107.910 0.0% Jan-02 3839 CITY OF LONG BEACH VARIOUS STREETS LONG BEACH 1,157.011 0.0% Jan-0Z 3840 CITY OF GLENDALE CALIFORNIA STREET REHM GLENDALE 265,8W 0.0% Jars-02 3841 PORT OF LOS ANGELES MANUEL INTERMODAL TERMINAL PORT OF LA 10.946,975 0.0% Feb-02 3842 CITY OF ALHAMBRA STREET&RD REHABILITATION ALHAMBRA 598,500 0.0% Feb-02. 3843 CITY OF LOS ANGELES LAUREL CYN BLVD. LOS ANGELES 643,495 0.0% Feb-02 3844 VALLEY CREST LANDSCAPE SHADY CANYON PHASE 18 IRVINE • 95.168 0.0% Feb;02 3845 STEVE RADOS,INC. INTERSECTION 15116TH LOS MPELES Z137 100.0% Feb-02 3546 LAUSDT 42NO AND ANGELES MESA ELEM.SCH LOS ANGELES 5SZ700 0.0% Feb�02 3847 CITY OF GLENDALE STREET REHABILITATION GLEgDALE 1,777.041 0.0% r.-k M VAn nQtg1,"A14 ct VA 14%.. 1r%12 F IM CT I MI.P;:Aru 44w. A ft a 4 EXCEL PAVING COMPANY WORK COMPLETE AND BACKLOG AS OF MARCH 14, 2003 ORIGINAL : % BACKLOG/ JOB OPEN JOBS : CONTRACT : WORK WORK NO. PROJECT/OWNER/AGENCY : AMOUNT : COMPL. REMAINING =a��aaaaa t�aaase�asz=�aa� �a�tas:aa�=s:= :=�=====a==a :�a�zaaasa=aazaaa�aa 2002 OPEN JOBS 3716 710 FWY PCH TO 405 16,743,677 : •63.0% 6,195.160 3880. BERTH 212- 226 POLA 4,292,540 : 76.0% 1,030,209 3895 PIER S PORT OF LONG : 10,425,708 : 31.4% 7.464,412 3867 SAN FERNAND LA 229.889 : 98.1% 9,286 3870 CRENSHAW BL LA 938,921 : 99.6% 5,341 3900 CENTURY PK LOS ANGELES 345,159 38.6% 283,610 3910 AMGEN CTR THOUSAND OAK 190,000 97.2% 5,154 3919 AVENIDA MAZA SANTA MONICA 8,800 0.0% 8,800 3929 OLYMPIC BLVD LOS ANGELES 370,608 : 95.0% 18,530 3607 BRISTOL ST., SANTA ANA 8,254.383 : 99.7% 22,736 3888 2001-2002 ANN BEVERLY HILL 1.134,623 : 54.1% 413,310 3922 BELLAGIO & NE LA 1,284,421 : 0,9% 1,273,366 3714 PIER T, PORT OF LB 10.293,022 : 100.0% 3,721 3843 LAUREL CYN B LOS ANGELES 643,495 90,0% 64,349 3876 PARTHENIA, LA 996,626 : 10.0% 12,176 3881 BROADWAY LA 2,514,839 : 89.0% 120,001 3829 COMPTON AVE LA COUNTY 1,253,944 99.9% 798 3884 DANA MIDDLE LOS ANGELES 613,813 : 08.0% 12,499 3915 OVERLAND ES LOS ANGELES 367,800 : 21.2% 289,851 '3923 OLYMPIC BLVD BEVERLY HILL 1.088,090 : 62.0% 413,905 3836 BELLFLOWER LONG BEACH 522,675 50.0% 250,251 3927 BUS CENTER, INGLEWOOD 1,196,393 : 85.0% 179,459 3941 SOUTH STREE LONG BEACH 261,465 : 1.2% 258,275 3943 SOMERSET BL BELLFLOWER 296,300 : 0.5% ' 294,764 3947 TUSTIN AVE., ANAHEIM : 3,842,051 : 0.6% 3,823,173 3954 605 N. FIGUER LOS ANGELES 173661 0% 173,661 3955 WASHINGTON VERNON 150698 0% 150,698 3959 SANTA MONICA LOS ANGELES 34455162 0% 34,455,152 •3962 S. MACLAY AVE SAN FERNANDO 428965 0% 428,965 3963 EL DORADO PK LONG BEACH 143245 0% 143.245 3969 BERTH 2O6-209,PORT OF LA 4772691 0% 4,772,691 3970 CABRILLO ES SAN PEDRO 369998 0% 369,998 3971 VARIOUS &WA CULVER CITY ' 1123542 0% 213,110 3972 633 W. 6TH ST., LOS ANGELES 10000 0% 10,000 3973 LOS ROBLES M THOUS OAKS 301907 0% 301,907 3974 DISCOVERY W SIGNAL HILL 86000 0% 66,000 3975 2401 E. PCH, WILMINGTON 10000 0% 10,000 3976 EXCELSIOR DR NORWALK 404000 0% 404,000 3977 ROSECRANS, NORWALK 208949 0% 208,949 3978 WARDLOWIBEL LONG BEACH 672979 0% 672,979 3979 . WARDLOWISTU LONG BEACH 777510 0% 7771610 TOTAL BACKLOG $65,631,992 : � field �►�1 List BidderN lit'Fointaflots rtir each Subcontractor 1hat hid eir iltmic subcomravis im DOT-as.-Wed Nam of 5ubcontro is Firm: Phone: Address: k Fax:in 'L Type of work/services/materfab provided: Number of years In business: Contact Person: T Is the firm currently certified s a DBE under 49 CFR Check the box below for the firm's Part 267 0 Yes t o annual rose receipts last year. ❑ Lea than S1 million Uc. 1�: JNA.552, C Less than S5 million ❑JASS than S10 million Less than S15 million 0 More than$15 million List Bidder's 1 , for cach Subcontractor bid ---or quote , , 1 i 1 : non-DBEs. 1 obtain 1 Name of Subcontractor's Firm: Phone.. Address: LeA41 St Fax: (M�31 414 �!{K1A• a 1�{ItType of work/services/materfals provided: Number of years to business: J46 r SVPPI�Lr' Contact Person: Is the firm currently certified}}�s a DBE under 49 CFR Check the box below for the firm's Prot 26? 0 Yes 0'Na annual gross receipts last year. ❑ Less than$1 million tL # V010-13-A. ❑ Less than SS million ❑ Less than S10 million O Less than S15 million More than SIS million Subcontractor hid or quote subcontracts an DOT-assisted pr 1 1 s Sftempts to Wain contract Name of Subcontract r'a irm: ,_ Phone: W"Al Address: 'B(F51 OVX+Adt Dri Fax: Type of work/senices/materiah provided: Number of years in business: L NAM Contact Person: .C-0[ \ L! f1 Is the flma currently earthed as a DBE under 49 CFR Check the box below for the firm Is Part 26? 0 Yes VNo annual gross receipts last year. ❑ than S1 million �1� Less than S5 mllllon ❑Less than$10 million ❑Less than S15 million 0 More than$15 million Cold M;0 List Bidder's Information for cach Slibcollil-actol. that hid or 4111ole subcolltrads fill DOT-a"Skled obtain colltracts. Name of ubc ntract is i Phone: .4 Address: LA). abv V*Ouln V� Fax: (boa, (p�'1 203a1 AM ON CA &1 Type of work/services/materials provided: Number of years in business: Contact Person: Is the firm currently ce ed�as a DBE under 49 CFR Check the box below for the firm's Part 26? 0 Yes Co annual gross receipts last year. O Less than $1 million DIASS than $5 million 0 Less than $10 million O Less than $15 million 0 More than$15 miWon List Bidder's Information for each Subcontractor projects. including both DBEs and non-DBEs, ti hether successful or unsuccessful in their attempts to obtain contracts. Name of Subcontractor's Firm: Phone: ( ) Address: Fax: ( ) Type of work/services/materials provided: Number of years in business: Contact Person: Is the firm currently certified as a DBE under 49 CFR Check the box below for the firm's Part 26? ❑ Yes 0 No annual gross receipts last year. 0 Less than $1 million 0 Less than $5 million 0 Less than $10 million 0 Less than $15 million ❑ More than$15 million List Bidder's Inrormation ror each Subcontractor that bid or quote subcontracts on DM-assisted projects. including both DBEs anti non-DBEs. %i hether successful or unsuccessful in Ocir attempts to obtain contracts. Name of Subcontractor's Firm: Phone: ( ) Address: Fax: ( ) Type of work/services/materials provided: Number of years in business: Contact Person: Is the firm currently cerdfled as a DBE under 49 CFR Check the box below for the firm's Part 26? ❑ Yes 0 No annual gross receipts last year. 0 Less than $1 million 0 Less than $5 million O Less than $10 million ❑ Less than $15 million 0 More than$15 million List Ilitider's Information for each slibcolill-aclor that hid or quole stll)collll,.Ic(s on obtain coliftacts. Name of m bcontractor's Firm: Phone: (It%# 5216 -JCM Address: ��L4hlQ2 (1,ts(�G�U�((� ICY' Fax: f1�� } Z1 wS M Type of work/services/materials provided: Number of years in business: Contact Person: Is the firm currently certified a DBE under 49 CFR Check the box below for the firm's Part 26? O Yes J'IVo aannuw ^r^ss rvo^e=^ts last year.0 Less than $1 million (, 5so n3 0 Less than $5 million ❑ Ws than S10 million than S15 million ❑ More than$15 million List Bidder;-S—Info—rniation for each Subcontractor projects. including both DBEs and non-DBEs. lictiter successful or unsuccessful in their attempts to obtain contracts. Name of Subcontractor's Firm: Phone: ®tO Si 4- stir Address: `L01 O (L„„A ippA''� � Fax: big '►ia 1 a AS gaJA I\U S CA a 1q0 Type of work/services/materials provided: Number of years in business: 10 k- Cale ; Contact Person: Is the firm curyently certified as a DBE under 49 CFR Check the box below for the firm's Part 26? V Yes O No annual gross receipts last year. ❑ Less than $1 million L 5 M 15gj 0 Less than $5 million O Less than $10 million Less than $15 million 0 More than$15 million List Bidder's information for each Subcontractor that bid or quote subcontracts oil DOT-assisted projects. including both DBEs anti non-DBEs, ii-liether successful or unsuccessful in.their attempts to obtain contracts. Name of Subcontractor's Firm: Phone: (211) 3t2 3 l Address: 22 k N , P+,(Lp MD rG AvV Fax: (21�13�► ��8 i L,b$ PM WL r CA 010006 Type of work/services/materials provided: Number of years in b siness: Z� e t &'C121L Contact Person: Is the firm currently cerdfiedA�s a DBE under 49 CFR Check the box below for the firm's Part 26? ❑ Yes ®'No annual gross receipts last year. ❑ Less than$1 million 0 Less than$5 million 0 Less than$10 million 0 Less than$15 million More than$15 million V tr2.GZV'i'C.At__ Bidder's Information for cach SlIbcolltraclor (11111 bill or quote Subcontracts on D01-as%kied Name of Subcontractor':Firm: Phone: Afl 371 4to2. � Address: , S K%TIA PriV Fax: (O 'LIa 3 CA Ot T 4590 Type of work/services/materials provided: Number of years in business: t LA f_ tTn CA,L Contact Person: US ni Is the firm currently certified as a DBE under 49 CFR Check the box below for the firm's Part 26? 0 Yes 2'140 annual^r,.-s receipts la,t year. 0 Less than $1 million U O Less than $5 million 0 Less than$10 million 0 Less than$15 million More than$15 million List Bidders Information for each Subcontractor that bid or quote subcontracts on DOT-assisted projects. including both DBEs and non-DBEs. %%hether successful or unsuccessful in their attempts to obtain contracts. Name of Subcontractor's Firm: Phone: (1►)GlOn �SSZG Address: 1013Qj t . 6�� Pr,,?(J Fax: Ot9 001 015sOI OYa,YV-4t, CA Type of work/services/materials provided: Number of years in business: \d k Contact Person:I-on Sm tm Sar% Is the firm currently certified as a DBE under 49 CFR Check the box below for the firm's Part 26? 0 Yes d o annual gross receipts last year. ❑ Less than $1 million �L - CjkQ) ❑ Less than $5 million ess than $10 million ❑ Less than $15 million ❑ More than$15 million List Bidder's Information for each Subcontractor that bid or quote subcontracts oil DOT-assisted projects. including both DBEs and non-DBEs, ii hether successful or unsuccessful in.flicir attempts to obtain contracts. Name of Subcont etor's Firm: Phone: ( iq 520 2(P �Ywiu WS A- C4 4A C� Address: a V j. S . e1 t,rAJ Cf 5 r Fax: h'�) 5 Z0 �COti 2160 Type of work/services/materials provided: Number of years in business: 110 )C- CAI Contact Person: LcL O�V gm Is the firm cu ntly certified as a DBE under 49 CFR Check the box below for the firm's Part 26? GYYes ❑ No annual gross receipts last year. ❑ Less than $1 million ❑ Jess than $5 million ZarLess than $10 million ❑ Less than$15 million 0 More than$15 million List Biddcl-'s Information for each Sobcontractor tliat bid or quote subcontract., 4111 obtain couti-110%. Name of ubcontractor' Firm: Phone: Cya 6(VI 12ae� Address: Sed*i' l v Fax: (5, a 21 3 \ AS �!D?.O Type of work/services/materials provided: Number of years in business: �,� (t CMI CAL- Contact Person: Two S i u►pA S Is the firm currently certified as a DBE under 49 CFR Check the box below for the firm's 'Part 26? ❑ I' o annual gross receipts last year. 0 Less than $1 million O Less than $5 million 0 Less than$10 million Pless than S15 million 0 More than$15 million --- List-67id—der's Information for each Subcontractor that bid or quote subcontracts on DOT-assisted projects. including both DBEs i obtain contracts. Name of Subcontractor'R Form: Cw�,(1< STCi I'1 Phone: (1ty (032 i 41S Address:3opp E. CpYGY�a�O S i Fax: (1'') (032 QjS(pol 1IC,�LL'►M CA a 'ea'O Type of work/services/materials provided: Number of years in business: Contact Person: -GL�tt Is the firm currently certided 2S a DBE under 49 CFR Check the box below for the firm's Part 26? O Yes Ga'No annual gross receipts last year. ❑ Less than $1 million Z'1 - C l0 ❑ Less than $5 million Lk-L -'kV614 O Less than $10 million ❑ ess than $15 million More than$15 million List Bidder's Information for each Subcontractor that hid or quote subcontracts (in DOT-assisted projects. including both DBEs and non-DBEs, ii hether successful or unsuccessful in.their attempts to obtain contracts. Name of Subcontractors Firm: Phone. ( ) Address: Fax: ( ) Type of work/services/materials provided: Number of years in business: Contact Person: Is the firm currently certified as a DBE under 49 CFR Check the box below for the firm's Part 26? 0 Yes 0 No annual gross receipts last year. ❑ Less than$1 million ❑ Less than $5 million ❑ Less than$10 million ❑ Less than S15 million 0 More than$15 million SrA P 6 Name of Subcontractor's Firm: Phone: (1t4) ell (bt.13 Address: (ALk\ Viko_m ajl k Fag: (-1 013 CAL 5 S1`Iri►�1S (A Type of work/services/materials provided: Number of years in business: ,.1 k Contact Person: Is the firm curr/*ntly certified as a DBE under 49 CFR Check the box below for the firm's Part 26? VYes 0 No annual gross receipts last year. 0 Less than$1 million L\ 5 aL� ❑ JAss than $5 million 42rLess than $10 million ❑ Less than $15 million 0 More than$15 million DOT-assistedLisIlBidder's Inforniation for each Subcontractor that bid or quote subcontracts oil _ projects. including both DBEs i i obtain contracts. Name of Subcontractor's Firm: Phone: (14 50 51612- i Address: � �ALA J f kvU Fax: (�►� �c.��j 5tq fUk\IY o \ CA RV65\ Type of work/services/materials provided: Number of years in business: Contact Person: Am Is the firm currently certified as a DBE under 49 CFR Check the box below for the firm's Part 26? ❑Yes 0 No annual gross receipts last year. 0 Less than $1 million O Less than $5 million ess than $10 million ❑ Less than $15 million 0 More than$15 million List Bidder's Information for each Subcontractor that bid or quote subcontracts oil DOT-assisted projects. including both DBEs anti non-DBEs, i%hether successful or unsuccessful ill their atteillpts to Obtain contracts. Name of Subcontractor's Firm: Phone: ( LkW ('0910 Address: `52p1 l� ST�T� r Fag: (qdj 4(90 02 O pn �0 C* q1-1(ol Type of v�ork/sernc materials provided: Number of years in business: 10t , n sw CafrL� ST iU 2 Contact Person: &,a) fi l�m Is the firm currently certified��ss a DBE under 49 CFR Check the box below for the firm's Part 26? ❑ Yes ' No annual gross receipts last year. ❑ Less than $1 million Less than$5 million 0 Less than$10 million ❑ Less than$15 million 0 More than$15 million Hst lliddet's Information for each SlIbcolltraclor that hill or 41111)IC slillcollfracts (III 11101-assisled obtain contracts. Name of Subcont ctar's Firm: �i n Phone:(too (DJA LkSSO Gt Address: \SIS Q. Fax: hit1103q (03 OfW(n.Ci Ch C(V6A Type of work/services/materials provided: Number of years in business: Contact Person: Is the firm currently certified as a DBE under 49 CFR Check the box below for the firm's P»rt 26? 0 Yes RNO annual gross receipts last year. . 0 Less than$1 million Ulm than $5 million 0 Less than S10 million + ❑ Less than$15 million 0 More than$15 million List Bidder's Information for each Subcontractor projects. including both DBEs i obtain contracts. Name of Subcontractor's Firm; Phone: 00 61102 50-1 UN)rvs ;Q,n Address: \122 N. 161't,U S A C,.Wy On Fax: (bw O t Lf tJ bo5 • UV► a a►I a O Type of work/services/materials provided: Number of years in business: tY i P I A Contact Person: Is the firm currently certified a DBE under 49 CFR Check the box below for the firm's Part 26? 0 Yes E�YNo annual gross receipts last year. ❑ Less than $1 million ❑ Jess than $5 million ess than $10 million ❑ Less than $15 million ❑ More than$15 million List Bidder's Inrormation for each Subcontractor that bid or quote subcontracts oil DOT-assisted projects. including both DBEs anti non-DBEs, lieffier successful or unsuccessful ill their attempts to obtain contracts. Name of Subc ntmctor's Firm: Phone: �0� $!05 ?Ll� Address: Fax: v 21e TOAq WA� �l�? 8co5 QM&Vh 1-1 Y1 Type of work/services/materials provided: Number of years in business: 2` Contact Person: Is the firm currently certified a BE under 49 CFR Check the box below for the firm's Part 26? ❑ Yes No annual gross receipts last year. ❑ Less than$1 million OlLess than $5 million �J 0 Less than$10 million + ❑ Less than$15 million 0 More than$15 million List 13itldel-*s Information for each StIbcolltractol, that bid or quOIC SU1)C0ll1l--.lC(% 011 obtaill contracts. Name of Sontractor's Firm: Phone: r Address: ��J �1T'1,(�C D Fax: AM (Yn WWI 'kun Gc Type of work/services/materiah provided: Number of years in business: Contact Person: S n�E Is the firm currently certified as a DBE under 49 CFR Check the box below for the firm's Part 26? 93/Yes ❑ Nr annual gross recelpts last yean 0 Less than$1 million 0 Less than $5 million gUis—than $10 million 0 Less than $15 million ❑ More than$15 million List Bidder's inforniation for each Subcontractor projects. including both D: non-DBEs. ,%%hether successful or unsuccessful in their attempts to obtain contracts. Name of Subcontractor's Firm: Phone: � ( ) � Zt0 050� Address: QO 160� \UA Fax: (%OL V CXo3t� 6Y)(v,, UAZA,\. Ck (-IOS0(4 Type ofwork/services/materials provided: Number of years in business: k G A- Sit n V(( Contact Person: Is the firm currently certified as a DIVE under 49 CFR Check the bog below for the firm's Part 26? 0 Yes W`No annual gross receipts last year. O Less than $1 million 10.1 q) 1.L O Less than $5 million`C O bess than $10 million ess than $15 million 0 More than$15 million List Bidder's Information for each Subcontractor that bid or (Itiole subcotitracts on DOT-assisted projects, including both DBEs anti non-DBEs, i%liether successful or unsuccessful in.their attellipts to obtain contracts. Name of Subcontractors Firm: Phone. ( ) Address: Fax: ( ) Type of work/services/materials provided: Number of years in business: Contact Person: Is the firm currently certified as a DBE under 49 CFR Check the box below for the firm's Part 26? 0 Yes 0 No annual gross receipts last year. 0 Less than $1 million ❑ Less than $5 million ❑ Less than$10 million O Less than$15 million 0 More than$15 million ►1UJUSI UAI0 Tits obtain contracts. Name of Subcontractor's Firm: Phone: ( 5 S 'h Address: a 1500 ��jrky aad Fax: (�y23,1 55�'j ► 9M 04 yum- CA C(OWLID Type of work/services/materials provided: Number of years in business: Z Contact Person: mA� Is the firm currently certified s a DBE.under 49 CFR Check the box below for the firm's Part 26? 0 Yes 410 annual gross receipts last year. 0 Less than $1 million ❑ Less than $5 million 0 Less than S10 million ❑ Less than S15 million ore than$15 million List Bidder's Information for each Subcontractor projects. including both DBEs and non-DBEs, %%hether successful or unsuccessful in their attempts to obtain contracts. Name of Subcontractors Firm: Phone:.� (42Q aarl 5-1go lamayn_ CO-%ST Cn Address: pA. G. s� ` , � Fax: (f�Q 01141 �a � t N1— (F Type of work/services/materials provided: Number of years in business: �O Contact Person: ll� Is the firm currently certified as a DBE under 49 CFR Check the box below for the firm's Part 26? 9"Yes 0 No annual gross receipts last year. 0 Less than $1 million {�-- (4032,qk IdLess than $5 million ❑ Less than $10 million ❑ Less than $15 million ❑ More than $15 million projects.List Bidder's Information for each Subcontractor that bid or quote subcontracts oil DOT-assisted Obtain contracts. Name of Subcontractors Firm: Phone. ( ) Address: Fax: ( ) Type of work/services/materials provided: Number of years in business: Contact Person: Is the firm currently certified as a DBE under 49 CFR Check the box below for the firm's Part 26? 0 Yes 0 No annual gross receipts last year. ❑ Less than$1 million ❑ Less than$5 million 0 Less than$10 million ❑ Less than$15 million 0 More than $15 million obtaill contracts. Name of Subcontractor's Firm: Phone: (A 33 2�5"1 tynarck-g Address: 1 0% W• (q siwe ST- Fax: fed 33 51 A'LUS,k C4k a 1-1 OZ Type of work/services/materiais provided: Number of years in business: to n Contact Person:clfw L lt1T t uis Is the firm currently certified as a DBE under 49 CFR Check the box below for the firm Is Part 26? W�es 0 No annual gross receipts last year. 0 Less than$1 million b'«i2, 0 Less than$5 million than$10 million 0 Less than S15 million 0 More than$15 million List Bidder's Information for each Subcontractor projects. including both DBEs obtain contracts. Name of Subcontractor's Firm: Phone: #jV)3Z 4 1 tt4l Address: Lns'SX C yS y\ q� f°' Fax: 4 52 ;5401 vn 40f1 CA a01 L lP Type of work/services/materials provided: Number of years in business: Contact Person: \_C _ Is the firm currently ccertifieldt,��s ss a DBE under 49 CFR Check the box below for the firm's Part 26? 0 Yes 6'No annual gross receipts last year. 0 Less than $1 million Ltj01A 0 Less than $5 million 0 Less than $10 million ess than $15 million 0 More than$15 million List Bidder's Information for each Subcontractor that bid or quote subcontracts on DOT-assisted projects. including both DBEs and non-DBEs, %%liether successful or unsuccc%sful in Acir attenipts to obtain contracts. Name of Subc ntractor's Firm: Phone: Address: PO 0� 61q Fax: J(ae -72,115 So IN Vallf, C4 of 13,s Type of work/services/materials provided: Number of years in business: Contact Person:Is W�1 Is the firm currently certified a DBE under 49 CFR Check the box below for the firm's Part 26? 0 Yes 0'No annual gross receipts last year. 0 Less than $1 million c- ��g� 0 Less than$5 million l•1 0 Less than$10 million OlAss than$15 million 0 More than$15 million Bidder's Information for cach SlIbcolillactol. that hid or (Illote SlIbcollh;I(Is (III D(Yl -.1"Sisted Name of Su ontractor's Fire:m Phone:(11 61-7a Z1,2Z Address: 1,48 0. Pop Vv" $r Fax: tiN i8 oq3 I QYLtrl - a Type of work/services/materials provided: Number of years in business: 40 t Contact Person: Is the firm curryjntly certified as a DBE under 49 CFR Check the box below for the firm's Part 26? D Yes 0 No annual gross receljRts last year. ❑ Less than$1 million than$S million V1 `i 0 Less than S10 million O Less than S15 million ❑ More than$15 million --- List Bidder's Information for each Subcontractor that bid or quote subcontracts oil DOT-assisted projects. including both DBEs and non-DBEs. ii hether successful or unsuccessful in their allcillpts to obtain contracts. Name of Subcontractor's Firm: Phone: � h� aa2 25�I1 Address: PO mi '100.1 Fax: (Ij� OA2 ZS� bt%W Ct Type of work/services/materials provided: Number of years in business: Contact Person: ait, J 0ot S Is the firm currently certified as a DBE under 49 CFR Check the box below for the firm's Part 26? 0 Yes 0 No annual gross receipts last year. ❑ Less than $1 million ❑ Less than $5 million G 'tt-- (0�30av OUD Less than $10 million ❑ Less than$15 million ❑ More than$15 million List Bidder's Information foi- each Subcontractor that bid or quote subcontracts oil DOT-assisted projects. including both DBEs and non-DBEs, %%hether successful or unsuccessful in their attempts to obtain contracts. Name of Su ontmetor's irm: Phone: (pZZ 2 IN Address: LNS I EaSf C*iA An; Fax: LZ300 0O(Y1M#,. 6t 01 n w, Type of work/services/materials provided: Number of years in business: 'n r Contact Person: 30e, GS Is the firm curpntly certified as a DBE under 49 CFR Check the box below for the firm's Part 26? tes 0 No annual gross receipts last year. 0 Less than$1 million �..7�� 0 Less than$5 million 1.1 s than$10 million ❑ Less than$15 million 0 More than$15 million 5urvu� �J Naive of Su ontrsctU F1 Phone:(lei SZB _Oq q Address: 1010 0. �h,' 1i Fax: C1ifuze AO 0165 CX� Type of work1services/materfsls proAded: Number of years In business: tS IV Sury Contact Person: �W (A S Is the firm currently ce e �s a DBE under 49 CFR Check the box below for the firm's IrArrt 26? 0 Yes 0'No annual Igross receipts last year. ❑ Less than S1 million r • G � �LS S f `, D Less than SS million Er s than$10 mlilton 0 Less than S15 million ❑ More than$15 million List Bidder's Inforiniation for c-ich Subcontractor OW bid or quote subcontracts oil fioT-a-s-s-limed— projects. DBEs and non-DREs.,nhether Name of Subcontractor's Flrm: Phone: ( j Address: Fax.- Type of worktserviceshmaterials prodded: Number of years In business: Contact Person: Is the firm currently certified as a DBE under 49 CFR Check the box below for the firm's Part 26? 0 Yes 0 No annual gross.receipts last year. O Less than S1 mlllion O Less than $5 million 0 Less than S10 million 0 Less than S15 million 0 More than$15 million List fliddcr"s lif6rmation for each Stibcontractor that hid or t1tiote subcontracts on VOT-assisted Name of Subcontractor's Firm: Phone:{ } Address: Fax: ( j Type of RorWsenices/materialls provided: Number of years in business: Contact Person: Is the firm currently certified as a DBE under 49 CFR Check the box below for the firm's Part 26? 0 Yes ❑No annual gross receipts last year. 0 Less than Sl million ❑Less than S5 mWion 0 Less than S10 million 0 Less than S15 million 0 More than$15 million C• s cAK Name of Subcontractor's : Phone: ((� -'�q (A �(Lili f Address: Z�0 F, • WaJ AU S(' Fax: qq V? Type of work/services/materials provided: Number of years in business: l '1 VAIR "- IL fi TYI(.WtXk. mn ✓vn r7 Contact Person: SIV03 1SCWUT11 Is the firm currently certified as a DBE under 49 CFR Check the box below for the firm's Part 26? 0 Yes Y"No annual gross receipts last year. 0 Less than$1 million Leas than$5 million 0 Less than$10 million O Less than$15 million ❑ More than$15 million obtainList ;i�d�dcr'�;s�lnforniation for each Subcontractor that bid or t1tiote subcontracts oil DOT-assisted jects. including both DBEs and non-DBEs, ii huther successful or unsuccessful in their .11telllpt% to � Name of SubcontractUNPmai—i rm: Phone: (� Q. 21 Address: PO ODA 5W32 Fax: (94, L.- 1 W CA Type of work/services/materials provided: Number of years in business: ,r Contact Person: ?)f U Is the firm currently certified a DBE under 49 CFR Check the box below for the firm's Part 26? 0 Yes No annual gross receipts last year. O Less than $1 million U Lrj1 ess than $5 million O Less than $10 million O Less than $15 million ❑ More than$15 million Lis, Molder's Information- �o r -each Subcon,rac,or that hid or quo"' So'hCou ac's on ssi s"'d projects. including both DBEs and noll-DBES. I%11C111cr successful or unsuccessful ill their attempts to obtain contracts. Name of Subcontractor's Fi Phone:Jq)ploll O�o3 Address: 00 W 3Wo Fax: hi� g010 prm t CA Type of work/services/materials provided: Number of years in business: 'O _ . Contact Person: Is the firm currently c rtifie�,as a DBE under 49 CFR Check the box below for the firm's Part 26? 0 Yes 1 No annual gross receipts last year. ❑SAw than$1 million Ef Less than$5 million Vci (,Q %Awcp 0 Less than$10 million 0 Less than$15 million n Mare than S15 million j 1 Name of Sabo tractor's Firm; PboRe:(19 .512. 1q11D Address: IQ�LI MAV I aj Fax: (�►� �1�, l�lZ Type of work/services/materials provided: Number of years In business: Contact Person: Is the fink cu entfy certified as a DBE under 49 CFR Check the box below for the firm's Part 26? 9 Yes 0 No annual gross receipts last Xear. 0 Less than$1 snWion 0 Less than S5 mWion [mil Less than $10 million 0 Less than S15 million 0 More than$15 million List Biddcr's Inforination for each Subcontractor that bid or- FDOT-assisted projects.Including both rB t or umuccc%%fal In their attemph to Name of Subcontractor' Firm: Phone: Qq) W NA LJWDSCA Pc Address: It 6 wdt&. /��c- Fix: �P q3 r 11 qq A /)At(- l (A QW:5 Type of work/services/materials provided: Number of years is bBiness: toj- Coutact Person: ,.3 Is the firm currently certified as a DBE under 49 CFR Check the box below for the firm's Part 26? 0 Yes 0 No annual gross receipts last year. ❑ Less than S1 mWIon C]Less than $5 million U 0- ❑ Uss than S10 million 91,ess than SIS million ❑ More than$15 million Name of M ontmctor's Firm: Phone: 3 007,3 Address: I(CO ls 5kkne4A OaAj Fax: Yaa'1 Type of work/services/materiais provided: Number.of years In b sin ess: d S Contact Person: b&tb ram, i2- 1 1 ;a Is the firm currently certified as a DBE under 49 CFR Check the box below for the fuvs's Part 267 0 Yes ia'No annual gross receipts last year. 0 Less than S1 miWon 0 than S5 million Leas than$10 million 0 Less than S15 million n Mare than SI5 million •,, CITY OF HUNTINGTON BEACH 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY CLERK CONNIE BROCKWAY CITY CLERK November 18, 2003 z��zio.v c vvT�.4 cr��►i4, rv�. Re: CC-1150 Warner Ave, CC-1151 Springdale St., and CC-1152 McFadden—Return of Bid Bond. "Zoe-L l Ty h-V,O Ge-iA"P.4NTy Enclosed please find your original bid bond issued by cew oo,4.,Vy for CC1150 (Warner Ave), CC1151 (Springdale St), and CC-1152 (McFadden St). Connie Brockway, CJGIC City Clerk Enclosure g:/followup/cashconUretumbidbond.doc (Telephone:7146364M) p I piTY X: FIDELITY AND GUAR SURANCE COMPANY -Ar BID BOND BOND NUMBER. — — — KNOW ALL MEN BY THESE PRESENTS: THAT................O.RI.ON.CONTRACTING.,..INC............................................................... . .. ... ...... .......... . .... ...........................................................of... CALIFORNIA.................:.. ....................:.........................................................as Principal,and FIDELITY AND GUARANTY INSURANCE COMPANY,an Iowa corporation,as Surety,are held and firmly bound unto........................................ CITY OF HUNTINGTON PARK ........................................................................................................................ r. TEN PERCENT OF GREATER AMOUNT BID ----------- as Obligee,in the full and just sum of...................................................................................... 77777- 10% ------------------- ..........777...........7 7.......................................................................................Dollars, lawful money of the United States,for the payment of which sum,well and truly to be made,we bind ourselves,our heirs,executors, administrators,successors and assigns,jointly and severally,firmly by these presents. WHEREAS,the said Principal is herewith submitting its proposal STREET REHABILITATION WARNER AVENUE SPRINGDALE STREET MCFADDEN AVENUE THE CONDITION OF THIS OBLIGATION is such that if the aforesaid Principal shall be awarded the contract the said Principal will, within the time required,enter into a formal contract and give a good and sufficient bond to secure the performance of the terms and conditions of the contract,then this obligation to be 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 legally contracts with another party to perform the work if the latter amount be in excess of the former,but in no event shall liability hereunder exceed the penal sum hereof. Signed,sealed. and delivered.SEPTEMPE.R..22,..2003. .. .... .. . .... . .... (Date) ORION CONTRACTING r INC.:.............(SEAL) ......................................................... BY: ............... .......................(SEAL) iw A. I?, PRESIDENT *ELITY AND GUARANTY INSURANCE COMPANY ......................................................... BY: aN"JLAX Attorney-in-fad Contract 600(1-88) T 4 InBpdu' POWER OF ATTORNEY Seaboard Surety Company United States Fidelity and Guaranty Company St Paul Fire and Marine Insurance Company Fidelity and Guaranty Insurance Company St.Paul Guardian Insurance Company Fidelity and Guaranty Insurance Underwriters,Inc. St.Paul Mercury Insurance Company 22563 1883057 Power of Attorney No. Certificate No. KNOW ALL MEN BY THESE PRESENTS:That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York,and that St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company and St.Paul Mercury Insurance Company are corporations duly organized under the laws of the State of Minnesota,and that United States Fidelity and Guaranty Company is a corporation duly organized under the laws of the State of Maryland,and that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters,Inc.is a corporation duly organized under the laws of the State of Wisconsin(herein collectively called the "Companies"),and that the Companies do hereby make,constitute and appoint John G.Maloney,Helen Maloney,Mark D.Iatarola and Karen Jean Hall of the City of Escondido State Cahfornla their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above,to sign its name as surety to,and to execute,seal and acknowledge any and all bonds,undertakings, contracts and other written instruments in the nature thereof on behalf of the Co 3Spanies in their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and underl k lred IS.-nitted hid fry actions or proceedings allowed by law. IN WITNESS WHEREOF,the Companies have caused this instnu q.A 0V�fid-seeddk,,d,-sl 24 day of February 2003 Nt I -R0 �11P .1 Seaboard Surety Company �..1 �� United States Fidelity and Guaranty Company St.Paul Fire and Marine Ins fan e tpgar rN. j Fidelity and Guaranty Insurance Company St.Paul Guardian Insurance Cott p' ny \ Fidelity and Guaranty Insurance Underwriters,Inc. St.Paul Mercury Insurance�orAtpanyi OL y O (P (D O\"syy+ Y..kJ�a.Lpn'.ton��38EL'� �' t� � 19]] _'-1"g^SMt1tl1 PETER W.CARMAN,Vice President AtN 1 / —/� State of Maryland City of Baltimore THOMAS E.HUIBREGTSE,Assistant Secretary On this 24th day of February 2003 before me,the undersigned officer,personally appeared Peter W.Carman and Thomas E.Huibregtse,who acknowledged themselves to be the Vice President and Assistant Secretary,respectively,of Seaboard Surety Company,St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,United States Fidelity and Guaranty Company,Fidelity and Guaranty Insurance Company,and Fidelity and Guaranty Insurance Underwriters,Inc.,and that the seals affixed to the foregoing instrument are the corporate seals of said Companies;and that they,as such,being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing the names of the corporations by themselves as duly authorized officers. In Witness Whereof,I hereunto set my hand and official seal. � NpTNARY My Commission expires the 1st day of July,2006. l�4p c114 }o REBECCA EASLEY-ONOKALA,Notary Public 86203 Rev.7-2002 Printed in U.S.A. , This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Seaboard Surety Company,St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,United States Fidelity and Guaranty Company, Fidelity and Guaranty Insurance Company,and Fidelity and Guaranty Insurance Underwriters,Inc.on September 2,1998,which resolutions are now in frill force a, effect,reading as follows: RESOLVED,that in connection with the fidelity and surety insurance business of the Company,all bonds,undertakings,contracts and other instruments relating to said business may be signed,executed,and acknowledged by persons or entities appointed as Attorneys)-in-Fact pursuant to a Power of Attorney issued in accordance with these resolutions. Said Power(s)of Attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company,either by the Chairman,or the President,or any 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 foregoing officers and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Attomey(s)-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and subject to any limitations set forth therein,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 validly attached;and RESOLVED FURTHER,that Attorney(s)-in-Fact shall have the power and authority,and,in any case,subject to the terms and limitations of the Power of \Attorney issued them,to execute and deliver on behalf of the Company and to attach the seal of the Company to any and all bonds and undertakings,and other writings obligatory in the nature thereof,and any such instrument executed by such Attorneys}in-Fact shall be as binding upon the Company as if signed by an Executive Officer and sealed and attested to by the Secretary of the Company. I,Thomas E.Huibregtse,Assistant Secretary of Seaboard Surety Company,St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company, St.Paul Mercury Insurance Company,United States Fidelity and Guaranty Company,Fidelity and Guaranty Insurance Company,and Fidelity and Guaranty Insurance Underwriters,Inc.do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I hereunto set my hand this 22ND day of SEPTEMBER � 2003 Thomas E.Huibregtse,Assistant$GC[Ctary To ven fy the authenticity of this Power of Attoraex call 1-8 aNd— ty e'Swer ey clerk. Please refer to the Rower of Aamwey number, the above-named individuals and the details of the bond to which �aw� hsd. +j ��e&pau' POWER OF ATTORNEY Seaboard SuretyCompany United States Fidelity and Guaranty Company St.Paul Fire and Marine Insurance Company Fidelity and Guaranty Insurance Company St.Paul Guardian Insurance Company Fidelity and Guaranty Insurance Underwriters,Inc. St.Paul Mercury Insurance Company 22563 Power of Attorney No. Certificate No. 1883057 1QO3007 KNOW ALL MEN BY THESE PRESENTS:That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York,and that St.Paul Fire and Marine Insurance Company.St.Paul Guardian Insurance Company and St.Paul Mercury Insurance Company are corporations duly organized under the laws of the State of Minnesota,and that United States Fidelity and Guaranty Company is a corporation duly organized under the laws of the State of Maryland,and that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters,Inc.is a corporation duly organized under the laws of the State of Wisconsin(herein collectively called the "Companies"),and that the Companies do hereby make,constitute and appoint John G.Maloney,Helen Maloney,Mark D.Iatarola and Karen Jean Hall of the City of Escondido State California their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above,to sign its name as surety to,and to execute,seal and acknowledge any and all bonds,undertakings, contracts and other written instruments in the nature thereof on behalf of the Companies in theirbusiness of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertaking red op�tmittetl,iui ny actions or proceedings allowed by law. IN WITNESS WHEREOF,the Companies have caused this instrunVVlo"be.Wes#andseled. is 24� day of February 2003 Seaboard Surety Company �� ; y j>, United States Fidelity and Guaranty Company St.Paul Fire and Marine nsurance Company y'�y Fidelity and Guaranty Insurance Company St.Paul Guardian Insurance Company �Yl•�� Fidelity and Guaranty Insurance Underwriters,Inc. St.Paul Mercury Insurance Compan NVq��+ Al 0 97HEry y„AE'` e0:'Y•^�rG9 opY M w M1�, 8�1( 0on ffr PETER W.CARMAN,Vice President 1�71 State of Maryland City of Baltimore THOMAS E.HUIBREGTSE,Assistant Secretary On this 24th day of February 2003 ,before me,the undersigned officer,personally appeared Peter W.Carman and Thomas E.Huibregtse,who acknowledged themselves to be the Vice President and Assistant Secretary,respectively,of Seaboard Surety Company,St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,United States Fidelity and Guaranty Company,Fidelity and Guaranty Insurance Company,and Fidelity and Guaranty Insurance Underwriters,Inc.;and that the seals affixed to the foregoing instrument are the corporate seals of said Companies;and that they,as such,being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing the names of the corporations by themselves as duly authorized officers. In Witness Whereof,I hereunto set my hand and official seal. m NO T'IRh My Commission expires the 1st day of July,2006. j'fib C114 REBECCA EASLEY-ONOKALA,Notary Public 86203 Rev.7-2002 Printed in U.S.A. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT No 5193 State of CALIFORNIA OPTIONAL SECTION CAPACITY CLAIMED BY SIGNER County of SAN DIEGO Though statute does not require the Notary to fill In the data below doing so may prove Invaluable to persons relying on the document 9/22/2003 before me, DEBORAH D. DAVIS, NOTARY PUBLIC INDIVIDUAL On DATE NAME TITLE OF OFFICER E G "JANE DOE NOTARY PUBLIC ®CORPORATE OFFICER(S) personally appeared KENNETH A. WEIR, KAREN JEAN HALL PRESIDENT NAME(S)OF SIGNER(S) TITLE(S) ®personally known to me-OR-❑ proved to me on the basis of satisfactory evidence ❑PARTNER(S) 0 LIMITED to be the person(s) whose name(s) is/are GENERAL subscribed to the within instrument and ac- ®ATTORNEY-IN-FACT DEBORAH D DAVIS knowledged to me that he/she/they executed ❑TRUSTEE(S) N COMM #1412744 the same in his/her/their authorized GUARDIAN/CONSERVATOR = s NOTARY PUBLIC-CALIFORNIA N capac(ty(ies), and that by his/her/their OTHER ' SAN DIEGO COUNTY signature(s)on the instrument the person(s), „ pN My Comm Exp APRIL 21 2007 or the entity upon behalf of which the person(s) acted, executed the instrument SIGNER IS REPRESENTING WITNESS my hand and official seal NAME OF PERSON(S)OR ENTITY(IES) to SIGNATURE OF NOTARY OPTIONAL SECTION THIS CERTIFICATE MUST BE ATTACHED TO TITLE OR TYPE OF DOCUMENT THE DOCUMENT DESCRIBED AT RIGHT 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 'rr St.Paul Fire and Marine Insurance Itompany United States Fidelity and Guaranty Company S PdUl Surety St.Paul Guardian Insurance Company Fidelity and Guaranty insurance Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Underwriters,Inc. Seaboard Surety Company St.Paul Medical Liability Insurance Company Bond No. -------- RIDER CONTAINING DISCLOSURE NOTICE OF TERRORISM COVERAGE This disclosure notice is required by the Terrorism Risk Insurance Act of 2002 (the "Act"). No action is required on your part. This Disclosure Notice is incorporated in and a part of the attached bond, and is effective the date of the bond. You should know that, effective November 26, 2002, any losses covered by the attached bond that are caused by certified acts of terrorism would be partially reimbursed by the United States under a formula established by the Act. Under this formula, the United States reimburses 90% of covered terrorism losses exceeding the statutorily established deductible paid by the insurance company providing the coverage. Under the Act, there is a cap on our liability to pay for covered terrorism losses if the aggregate amount of insured losses under the Act exceeds $100,000,000,000 during the applicable period for all insureds and all insurers combined. In that case, we will not be liable for the payment of any amount which exceeds that aggregate amount of $100,000,000,000. The portion of your premium that is attributable to coverage for acts of terrorism is 0.00. IMPORTANT NOTE: THE COST OF TERRORISM COVERAGE IS SUBJECT TO CHANGE ON ANY BONDS THAT PREMIUM IS CHARGED ANNUALLY. LAY CLI.t,,S CITY OF TING TON OE A CtL CA SEP 23 P fly� AA� -� o vo-rb '. of Tv A (-J Ez Va 40 d�S E001 �rl•(1�jON1-�t�l7N SECTION C PROPOSAL for the construction of I. WARNER AVENUE REHABILITATION-CC 1150 FROM SINS STREET TO BOLSA CHICA STREET IL SPRINGDALE STREET REHABILITATION-CC 1151 FROM EDINGER AVENUE TO MCFADDEN AVENUE III. AICFADDEN AVENUE REHABILITATION- CC 1152 FROM GOLDEN"WEST STREET TO I405 FREEWAY in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND hIEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Scaled 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 85 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders -and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and C-1 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 _M.44r 5,5nJ, in the amount of$ to�IQ which said amount is not less than 10% of the aggregate of the total bid price,as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check",or"Bidder's Bond",as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No.' Date Received Bidder's Signature C-2 4 - r . x's M SECTION C PROJECT BID SCHEDULE Warner Avenue,CC-115O, STPL-5181 (148) Springdale Street, CC-1151, STPL-5181 (146) McFadden Avenue, CC-1152, STPL-5181 (145) PROJECT BID: TOTAL AMOUNT LUMP SUM BID IN FIGURES: TOTAL AN T LU?NIP SUN PID ITJ WO C-2.1 WARNER AVENUE REHABILITATION IMPROVEMENTS CC NO. 1I50 STPL - 5181 (148) c-2.a S �• M WARNER AVENUE{CC-1150) PROJECT BID SCHEDULE ITEM 'ESTIMATED :w:"__ ITEM WITH UNIT PRICE-WRITTEN-IN' .-. 'UNIT PRICE -EXTENDED NO.:`: ,'QUANTITY ;p:.; `: a.-' WORDS`''• , ' -; : AMOUNT:.:. 1 1 Mobilization $104 ew $ CVIV. L.S. @ Dollars Cents 2 1 Traffic Co trol Plan $ .7 $—"2 02 L.S. @ Dollars Cents 3 i Furnish Project Traffic Control $ ,G�. $ 0"` L.S. @ -off Dollars 9 -P4 Cents 4 52.934 Cold Milling& Header Cutting $ $ S.F. Dollars Cents 5 270 Unclas m d.E xCava6bqP C.Y. @ Dollars ?�� Cents 6 3,863 Construct Asphalt Concrete (Overlay, Full Depth. $ Ton etc.) @ Ah4g Dollars Cents 7 426 Pavement Reinforcement Fabric& Route and $S.Y. Seal of Cracks @ Dollars Cents 8 12 Adjust ewerlS rrn Drain Manhole to Grade $ $ Each @ Dollars Cents 9 25 Adjust W ter Valve Jo Grade Each @ Dollars ?�Cents 10 4 Adjust M onijpring Well t Grade $ wR-w Each Dollars Cents 11 1 Traffi Striping L.S. @ �.tnP��_ _ ,,,��C_� Dollars -N-) Cents 12 13 Traffic Lo $ Each @ T/YJ Dollars Cents 13 80 Remove Re onstruct Curb&Gutter $ $ L.F. @ Dollars Cents 14 6 Survey Monument ati Each @ Dollars Cents Sub Total Bid Amount. Bid in Figures: $ Y`1 Sub Tota Bid Amount, Bid in Words: Z-t4 ,e/ C-2.3 SPRINGDALE STREET REHABILITATION IMPROVEMENTS CC NO. 1151 STPL - 5181 (146) C-z.4 , SPRINGDALE STREET(CC-1151) PROJECT BID SCHEDULE ITEM 'ESTIMATED ITEM WITH UNIT PRICE WRITTEN.IN,„ UNIT PRICE EXTENDED, N0:' :QUANTITY WORDS' ';!AMOUNT-- 1 1 Mobiliza 'on L.S. @� _Dollars v-.45 Cents 2 1 Traffic aniro]P!a L.S. Dollars Cents 3 1 Fumish Project Traffic ontrol $ $ L.S. @ Dollars Cents 4 204,406 Cold Milling& Header Cutting $ s 0 $ d S.F. @ ia� Dollars Cents 5 704 Unclassified Excavate n $ b• — $ 0 0•`� C.Y. @ Dollars Cents 6 2,702 Construct Asphalt Concrete (Overlay, Full Depth, $_ .^' $ Ton etc.) A, @ Dollars Cents 7 574 Pavement Reinforcement Fabric 8 Route and S.Y. Seal of Cracks @ Dollars Cents 8 1 Traffi S ping $ "' $ 0 L.S. @ Dollars Cents 9 38 Traffic oop Each @„ Dollars rtb Cents 10 112 Remove=Rectract Curb S Gutter $ L.F. @ Dollars h.Z Cents Sub Total Bid Amount, Bid in Figures: $ Su Total B0 Amount, Bid In orris: C-2.5 MCFADDEN AVENUE REHABILITATION IMPROVEMENTS CC NO. 1152 STPL - 5181 (145) C-2.6 • T • 7• MCFADDEN AVENUE(CC-1152) PROJECT BID SCHEDULE ITEM, ESTIMATED_ ----;,;ITEM.WITH UNIT PRICE WRITTEN IN .:-.., = UNIT-PRICE- EMENDED NO. ' °QUANTITY-. t '' '.. WORDS" A/MOfJN7 1 1 Mobili Oon $ G�"" $'T/ eOa- D•"'' L.S. @ Dollars -1-4 Cents 2 1 Traffic Control Plan $ C $ L.S. @ Dollars 1L.) Cents 3 1 Fumish ojecLTra , Control $ $ •` L.S. @ Dollars -Y,,,) Cents 4 63,543 Cold Milling& Header Cutting $ $ /S S S.F. Dollars W4A A, Cents 5 844 Unclassi 1 Exca4atidh saalFALO C.Y. @ Dollars Cents 6 4,509 Construct Asphalt Concrete (Overlay, Full Depth, $ •'' $ °" Ton etc.) @ Dollars Cents 7 750 Pavement Reinforcement Fabric&Route and $ $ _ S.Y. Seal of Crac s @ _Dollars 'w� Cents 8 12 Adjus Sewerlj3torm rain arade $ $ O1L1L nh I to G Each @ Dollars IJ Cents 9 12 Adjust W t r_Valve to ade $�Q3; $ Each @ Dollars Cents 10 1 Adjust M nitoring W 11 to Grade $ $ b D• Each @� .C� Dollars w� Cents 11 1 Traff Stripin r $ L.S. ollars Cents 12 30 Traffic Loop ` $ ` $ d" Each @ Dollars Cents 13 3 Remqve& R nstruct Access Ramp $ "' $ 0`"• Each Dollars Cents 14 1666 Construct Asphalt Concrete Walk(Includes: $�_ $ O-" S.F. Clearing kG rubbing, Soil, Header& Stakes) G3a Dollars --ro Cents 15 1 Adjust ey Monum t Well to rade $ $ O'U Each JI ollars � Cents C-2.7 ITEM ESTIMATED ITEM WITH UNIT PRICE WRITTEN IN 'UNIT PRICE. --EXTENDED-. 04' OUANTrrY `AMOUNT S -WOR:- .- D 16 9 jM Survqy ... 3s-D. Each onumeetation $ $ f ollars I'Y-V cents Sub Total Sid Amount. Bid in Figures: Sqb Total id Amoyn4 Bid in Words.. C-2.8 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion Name and Address of Subcontractor State License_ Class of Work Number R[ t &��, L L 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 1`• NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange KENNETH A. WEIR being first duly sworn, deposes and says that he or she is PRESIDENT _ of _ ORION CONTRACTING. INC. the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization,bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. WON CONTRACTING,INC. Name of Bidder 4Z�-� CY"---,, Signature of Bidder 806 E. AVE. PICO, SUITE I #h: . SAN CLEMENTE, CA 92G72 Address of Bidder Subscribed and sworn to before me this, day of=�[Q-VMr200,-�_. MICHELLE FERREIRA Commission A 1406361 Notary Pubic—California Cnty If NOTARY PUBLICN zQ0MyCornmE)goPkasM-ouar26.20()7y A G4 M e. i• UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the IMPROVEMENTS, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700,as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. ORION CONTRACTIN(;. 1Nf. Contractor By PRESIDENT Title C 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 \ fi 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 a r COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against Liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. ORION CONTRACTING,INC. Contractor By �?R�sid�Nr" Title Date: �03 F C-7 UNDERGROUIV'D SERVICE ALERT IDENTIFICATION NUMBER (To be completed only by the a%varded Contractor prior to excavation) No excavation-Ail]be permitted until this form is completed and returned to the AGENCY. Section 4216/4217 of the Government Cate 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 1-8004224133 a minimum of two working days before scheduled excavation. Dig Alert Identifreation Number: ORION CONTRACTING, INC. Contractor A;::Z0 A,, By �R�S1D�r.r Title Date: D� Note: This form is required for every Dig Alert Identification Number issued by U.S.A. during the course of the Mork- Additional forms may be obtained from the AGENCY upon request. C-8 a• , BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: QRION CONTRACTING, INC. Bidder Name 806 E. AVE. PICO, SUITE If 337 Business Address enn� r*t-��at=rtTt-_ f'.A g2672 City, State Zip ((949) Telephone Number a777839 State Contractor's License No. and Class V � v Ori'inal Date Issued 412004 Expiration Date: The work site was inspected by I M. YACKCEY of our office on � 200 The following are persons, firms, and corporations having a principal interest in this proposal: KENNETH A.WEIR �. M. YACKCEY C-9 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. ORLON CONTRACTING. INC. Company Name Signature of Bidder KENNETH A.WEIR Printed or Typed Signature Subscribed and sworn to before me thisday of ,2003. MICNELLE FERREIRA Commission 1 1406361 �,��' . N 0 1 ary Public —Cailtornia c Orango County NOTARY P[JBI IC tity Comm.F.Oes M r 2l�2o0� NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1. Name and Address of Public Agency , C Name and Telephone No,-:p ept Manager: N 45"v Contract Amount Type of Work Date Completed 2. .• Name and Address of Public Agency G� P Name and Telephone No. �jt Manager: .�CJ� Contract Amount Type of Work Date Completed 3. Name and Address of Public Agency �. Name and Telephone No. of Proj rrag er: A Contract Amount •` Type of Work Date Completed C-10 ORION CONTRACTING, INC F REFERENCES 2zoa3 PROJECT NAME OWNER CONTACT NAME TELEPHONE CONTRACT DATES AMOUNT La Paz Rd Stabilization City of Laguna Niguel Nick Renn 949-362--0437 $170,000 Diay-01 Various Streets Reconstruction City of Laguna Niguel Nick Renn 949-362-4437 $166,000 Jul-01 1o5th Street Reconstruction L.A.County Dept,of Public Works Public I'Vorks Dept, 626-458-5100 $328,000 Sep-01 Street Realignment Hu1►t Club Homeowners Assoc. DMA Contracting 714-665.1995 $200,000 Mar-ot Concrete Work Disneyland Hotel DMA Contracting 714-665-1995 $58,000 Mar-o1 Animal Shelter Demolition City of Long Beach Gillis Monroe 562-57o-5167 $228,440 Aug-ot Lambert Road Improvements L.A.County Dept.of Public Works Jamie Engler 626-458-S1oo $449AS3 Apr-02 Encinal Canyon Road L.A.County Dept,of Public Works Tony Assume 626-651-2782 $1,107,728 Flay-02 Avenidas Montalvo&Lobiero City of San Clemente Gary Vvborsky 949-36t-6t32 $84,359 Apr-o2 Ci"ide AC Chvrlay City of Westminster Ke,%in Sinn 714-898-3311 S736,000 May-02 Bastanchury Road Improvement City of Yorba Linda Pat Guzik 714-961.7170 S399,381 Jul-02 Del Obispo Afedian Project City of Dana Point Bob Schoettle 949-248-3554 S729,574 Dec-02 Ocean Ave.&Main Sewer Rehab City of Santa Monica Mick Fuller 714-428-4515 $619,118 Apr'o3 Vista Pacifica City of San Clemente -Fat Sullivan 619 682 3899 $1,250,000 MaY'03 El Morro School Improvement Laguna Beach Unified School District Carl Neuhausen 949 4977700 $284,500 Jun'03 Northwood NS Aquatic Facility Inane Unifed School District Dmid Fames 909 9079944 $642,428 Jul'03 1' CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non- DBE contractors, who provide a proposal,bid,quote,or were contracted by the proposed prime. This information is also required from the proposed prime contractor, and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a"Bidder's"list to assist in the annual DBE goal setting process. Firm Name: OR1ON CONTRACTING, INC. phone: (949) 361-9493 Address: Fax: ! (949) 545 2493 806 E. AVE. PICO, SUITE 1 #337 SAN CLEMENTE, CA 92672-- .Contact Person: KENNETH A.WEIR No. of years in business Is the firm currently certified as DBE under 49 CFR Part 26? YES (NO Type of work/services/materials provided by firm? What was your firm's Gross Annual receipt's for lastyear? o Less than M Million a Less than$5 Million X Less than$10Million o Less than $15 Million o More than$15 Million This form can be duplicated if necessary to report all bidders(DBEs and non DBEs) information. C-1 I Local elsalstance!'racmures mama N"LKXLDJLi is-L • , PUR Checklist Instructions Attachment C {TILE BIDDERS=CU770NONTIE SIGNATURE PORTION OF?TLtS PROPOSAL SHdLLALSO CONSTT!'UTEANE2VDORSLUENTANDEXECM70,NrOFMO,SE CE9TIFIC42ZOAT Tir=AYARE'A PART OF=PRQPCrLSA:L) EQUAL.IIULOYMMM OPPORT'UTNITY CERTIFICATION The bidder DRION CONTRACTING. TNC. _ _ ,proposed subcoacracror .hereby certifies that he has >%, has not, participated in a previous contact or subcontract subject to the equal opportunity clauses,as required by Executive Orders 10925, 11114,or 11246,and that;where required,he has filed with the Joint Reperbg Committee,the Director of the Office.of Federal Contract Compliance,a Federal Government contracting or administering agency,or the former President's Committee on Equal Employment Opportunity,all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor(41 CFR 60-1.7(b)(1)),and must be submitted by bidders and proposed subcontracwrs only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Conhaxts sad subcoatr m which are exempt from the equal opportunity clause are set forth is 41 CFR 6U-1 S. (Generally only contrails or subcontracts of S 10,000 or under are exempt.) Currently,Standard Form 100(EEO-1)is the only report required by the Executive Orders cr their ' implementing regulatiflns. ' . Proposed prime contractors and subcontractors who Dave participated is 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 subcontracts unless such contractor submits a report covering the deiingwat period or such other period specified by the Federal Highway Administration or by the Director.Office of Federal Contract Compliance,U.S.Department of labor. tz� C-1 1/J�2 Page 1245 ' Local Assistance Procedures Manual - EDIT i2-�' ' •. PS&E CheckUst Instructions Attachment C DISCLOSURE OF LOBBYING ACTIVITIES Complete this form to disclose lobbying activities ursu nt to 3l U.S.C. �nrn 1. Type of Federal Action: 2. Status of Federal Action: VFor art Type: ❑ e omtract ❑ a blQlot&rlapp4ML-e kilu b eat b. lniCar award mat&W charge C.=perxrve egeemem G pCst-aurar�t d.ban . MaUdat Change Only: ban 7XV'm dated last rem t ben aews+w 4. Name and Adress of Reporting Entity: S. If Reportinn 4:ntity in No.4Is Subawardoe.£tfter Prone Ei Subawanlee Name Address of Prime: T+er—,1knom Congressional District. Nknow r ngressional DG:trict, Wknowrr: 8. Federal pepartruntlAgency: Federal Program Narn&Meseription: CFDA Number, Yappndble 8. Federal Action Number, 1known: / S. Award Amount,tfknowrr S 10. a. None and Address of Lobbying b. Individuals Performing Services (Incalrg addes.s F (Itndhdduat;test name,Arstrrame, diflemrtf cm Na. 1Oa) Pastrr8rme,arstaame,MO. {attar Corr6'r.trat -7 Sheet(s)Inecessarh 11. Amount of Payment( eck all that apply): 11 Type of Payment(check all that apply) $ 0 C�ual planned i a :per 1me fee 12. Form of Payment(check all that apply): b. one-cornmis isia on a cash c d ocrryrtgent tee b. hWA spadfr. nature e. defend vilud E tamer,spew i • 14. Brief iDeserlpttan of Serrfcas Perbnned or to be performed and Dabe(s)of Ser+rlce,Including odic er(s), emplcyee(s�or members}contacted,far Payment India id In Item 11: (attach twattan sheet(s) necessam 13. Contlnuadon Sheos)attached: Yea No ❑ I L kftm eo„n "h eye rom,r a earhsd by Tare 3t u s C.S@dm S Wad: tunTrAareR, vor'°WftXtAHrsae Pil (sprewueaearrad KENNETH A. WEIR up wtdch his r m pbod bf U 1w Vx s when IN ranadw wee Print Narna tt�sr+emr red brr:porrabtlte eemFawrr10 ertdwibs M I PRESIDENT eae IN pubic lmWft&Mr pe=of tine in sk I*paw aedwn g) 3 61-54�3 Date: 3 d+e�t be subsea to:are p wty of not feu fm 31 M=and wt mm s enan Telephone - 00.t10G br eedt euobb hlnn. Federal Ilse Out : AUMw�ed1D`L" Sbnmd SYM Ul Re..01-MRS C-13 Page 12-55 February 1,1998 EXEMI;1Z-E Local Assistance Procedures Manual AtmdmeQt G PS&E CbecldlstInstructlons INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVrMS 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 135.2. .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 guidaace 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 beta 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,cater 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 aame,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 limited to subcontracts,subgrants and contract awards under grants. S. If the organization fling 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. d. 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). Iflmown,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)ntnnber,grant announcement number,the contract grant.or loan award number,the applic adon/proposal control number assigned by the Federal agency). Include prefixes,e.g.,7M DE-90-001" 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/Ioaa commitments for the prime entity identified is item 4 cr S. l0. (a)Enter the full name,address,city,State and rip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Fede ution. (b)Enter the full names of the individual(s)performing services and include full address if different firm 10(a). Enter bast Name,First Name and Middle Initial OQ. 11. Enter the amount of compensation-'aid or reasonably expected to be paid by the n7orting entity(item 4) to the lobbying entitle(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 is 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. Page 12-54 C-14 Local A.ss&nce Procedures Manual EX MIT 1.0-E . PS&E Checklist lwbmctions Attachmelt iq 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(i)or employees) contacted or the officer(s)employees)or Member(s)of Congress that were contacted.. 15. Check whether or not a continuation sheets)is attached. 16. The certifying official shall sign and date the form,print hislher name title and telephone cumber. 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 ofbianagement and Budged Paperwork Reduction Project(0348-0046),Washington,D.C.20503. C 15 Page I2,95 •�, CITY OF HUNTINGTON BEACH 2000 MAIN STREET CALIFORNIA 92648 OFFICE bF THE CITY CLERK CONNIE BROCKWAY CITY CLERK November 18, 2003 ;ee,,u S laxGU d" Yale (P&.ee-f "Pcrnler. !4,07a OA ipI Re: CC-1150 Warner Ave, CC-1151 Springdale St., and CC-1152 McFadden—Return of Bid Bond. , TWA V64e.ts cA,?7ZA c i y 4-V O Enclosed please find your original bid bond issued by sum�' co"�•�vv y o a."ale c for CC1150 (Warner Ave), CC1151 (Springdale St), and CC-1152 (McFadden St). GO�r�G t�usk:�d , Connie Brockway, CIVIC City Clerk Enclosure g:ft1omp/cwhconUretumb1dbond.doc (TNophone:7146384M) BID BOND TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA Hartford, Connecticut 06183 Bond No. N/A KNOW ALL MEN BY THESE PRESENTS, That we, Ben's Asphalt, Inc. as Principal, hereinafter called the Principal, and TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, of Hartford, Connecticut, a corporation duly organized under the laws of the State of Connecticut, as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach as Obligee, hereinafter called the Obligee, in the sum of Ten Percent of the total amount of bid Dollars ($-----), 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 Warner Avenue Rehabilitation—CC 1150 from Sims Street to Bolsa Chica Street—Federal Project No. STPL—5181 (148); Springdale Street Rehabilitation-CC 1151 from Edinger Avenue To McFadden Avenue—Federal Project No. STPL—5181 (146); McFadden Avenue Rehabilitation—CC 1152 from Goldenwest Street to 1405 Freeway—Federal Project No. STPL-5181 (145) 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 19th day of September 2003 Ben's Asphalt,Inc. (Witness) (Principal)(Seal) (Title) \N f f ington/CFO (Witness) By Kevin S. art,(Attorney-in-Fact) Printed in cooperation with the American Institute of Architects(AIA) by Travelers Casualty and Surety Company of America. The language in this document conforms exactly to the language used in AIA Document A310,February 1970 edition. S-1869-G(07-97) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California ss. County of Orange On September 19, 200-3before me, Nicole D Marsicano Date Name and Title of OKicer(e g.'Jane Doe.Notary PubW) personally appeared John W Ske f f ington Names)of Sgmgs) X personally known to me ❑ 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 Nit 1!E �' M 7Sir 4NO acknowledged to me that he/she/they executed -•,nt�;t. sZl25 the same n his/her/their authorized •• F Ia NOT u. h,uttt - California k] capacity(ies), and that by his/her/their County signature(s)on the instrument the person(s), or Orange Coumy MY Ctxm�E>�Irea.! � the entity upon behalf of which the person(s) acted,executed the instrument. W Mmnd i"ic i na of otary OPTIONAL Though the informabon below 1s not required by law,ft may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Bid Bond — City of Huntington Beach Document Date 9/19/0 3 Number of Pages 1 Signer(s)Other Than Named Above: Attorney in Fact 1 Capacity(ies)Claimed by Signer Signer's Name: John W Skeffington t • ❑ Individual Top of thumb here N Corporate Officer—Title(s): CFO i s ❑ Partner—❑Limited ❑General ❑ Attomey-in-Fact i ❑ Trustee i u� ❑ Guardian or Conservator ❑ Other: ) I t� Signer Is Representing. Ben' s Asphalt Inc. ®1999 National Notary Association•9350 De Soto Ave,PO Box 2402•Chatsworth,CA 91313-2402•www natanaM+aary org Prod No 5907 Reorder Call Toll-Free 1.800-876-6927 f 1� CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Orange ss' On 9/19/03 before me, Blanca Roque , Date Name and Title of Officer(e.g..'Jam Doe,Notary Pudic') personally appeared Kevin S. Bogart Nana(s)of Signer(s) ❑personally known to me L- proved to me on the basis of satisfactory evidence to be the person((whose name(pris/arfr subscribed to the within instrument and ROQUE acknowledged to me that he/sF+ hey executed Nofaa Commission#1423341 the same in his/benVvir authorized -Callomb _ p ty(4esj, and that by hisfher/t#►eir Orange C ONY caaci Wcomm PkeaJun It.2007 signature*on the instrument the persons) or the entity upon behalf of which the person(e) acted, executed the instrument. nN,j SS my hand a official seal. C , Sgredure of is OPTIONAL Though the inlonnation below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document Title or Type of Document: Bid Bond - City of Huntington Beach Document Date: 9/19/03 Number of Pages: 1 Signer(s)Other Than Named Above. Principal Capacity(ies)Claimed by Signer Signer's Name: Kevin S. Bogart Individual Top of thumb here ❑ Corporate Officer—Title(s): Partner—❑ Limited ❑General Attorney-in-Fact E. Trustee Guardian or Conservator E Other: Signer Is Representing: Travelers Casualty and Surety Company of America 0 1999 National Notary Association•9350 De Soto Ave,P 0 Box 2402•Chatsworth.CA 91313-2402•www.nabonainotary.org Prod.No.5907 Reorder.Call Toll-Free 1.800.876-6827 TRAVELERS CASUALTY AND SURETY C011pA.ti'Y OF A.1fER1CA TRAVELERS CASUALTY AIND SURETY COMPANY FAR.NtLNGTON CASUALTY COMPANY Hartford,Connecticut 0,6183-9062 POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATiORN. EY(S)-LEI-FACT 10;OW ALL PERSONS BY THESE PRESENTS, THAT TRAVELERS CASUALTY AND SURETY CO3 PA.NY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMA.N'Y and FARtiiLYGTON CASUALTY COMTANT. corporations duly organized under the laws of the State of Connecticut,and having their principal offices in the City of Hartford,' County of Hartford, State of Connecticut, (hereinafter the "Companies") hath made, constituted and appointed, and do by these presents make,constitute and appoint: Donald L. Wood,James E. Gutmann,Kevin S. Bogart,of Tustin,California, their true and lawful Attorneys)-in-Fact,with full power and authority hereby conferred to sign,execute and acknowledge,at any place within the United States, the following instrunsent(s): by his/her sole signature and act. any and all bonds, recognizances, contracts of indemnity.and other writings obligatory in the nature of a bond,recognizance,or conditional undertaking and any and all consents incident thereto and to bind the Companies,thereby as fully and to the same extent as if the same were signed by the duly authorized officers of the Companies,and all the acts of said Attorneys)-in-Fact.pursuant to the authority herein given,are hereby ratified and eorfirmed. This appointment is made under and by authority of the folIo«ing Standing Resolutions of said Companies,which Resolutions are now in full force and effect: VOTED: That the Chairman,the President,any Vice Chai=an.any Executive Vita President,any Senior Vice president,any Vice President,any Second Vice President,the Treasurer,any Assistant Treasurer.the Corporate Secretary or any Assistant Setre--ay may appoint Attorneys-in-Fact and Agents to act for and on behalf of the company and may give such appointee such authority as his or ber certificate of authority tnay prescribe to sign with the Company's name and seal with the Company's seal bonds,recognizances,contracts of iadca.:uty.and other writings obligatory in the uiture of a bond,recognizance,or conditional undertaking,and any of said offcers or the Beard of Directors at a.•tv time may remove any such appointee and revoke the power given him or ber. - VOTED: That the Chairman.the President,any Vice Chairman,any Executive Vice President.any Senior Vice president or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary. VOTED: That any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond,retogtnizance,'or conditional undetaking shall be valid arA binding upon the Company when(a)signed by the President.any Vice Chairman,any Executive Vice President.any Senior Vice President or any Vice President,any Second Vice President,the Treas•.aer.any Assistant Treast,.-e:.the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretay.or(b)duly executed(under seal,if required)by one or more Attorreys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by are or more Company ofl:cen pursuant to a written delegation of audunity. This Power of Attorney and Certificate of Authority is signed and sealed by facsimile under and by authority of the following Standing Resolution voted by the Boards of Directors of TRAVELERS CASUALTY AND SURETY CONKPANY OF AMERICA,TRAVELERS CASUALTY AND SURETY COMPANY and FAMILNGTON CASUALTY COMPANY,wbicb Resolution Is now In full forte tad effect: VOTE. That the sipanrre of each of the following officers: President. any Executive Vice President,any Senior Vice President. any Vice President,any Assistant Vice President,any Secretary.any Assistant Secretary,and the seal of the Company may be a xed by facsimile to any power of attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attorneys-ia-Fact far purposes only of executing wad attesting bonds and undertakings and other writings obligatory in the nature t=eof,and any such power of attorney or cetifrcate bearing such facsimile signature or facsimile seal shall be valid and binding upon tie Company and any such power so executed and certified by such facsimile signature and facsimile seal sWl be valid and binding upon the Company in the future with respect to any bond or mdaukiag to which it is attached. (MO 5undud . IN WITNESS WHEREOF, TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY have caused this instrument to be signed by their Senior Vice President and their corporate seals to be hereto affixed this 5th day of July,2000. STATE OF CONNECTICUT TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA TRAVELERS CASUALTY AND SURETY COMPANY )SS.Hartford FARMINGTON CASUALTY COMPANY COUNTY OF HARTFORD �r Hod` �G►.sU��r u c 14 f 2f' o By . l /e �W C0H" 0 ii �s; George W.Thompson M� �� v'•'e ry • }� Senior Vice President On this 5th day of July,2000 before me personally came GEORGE W. THOMPSON to me known,who,being by me duly sworn, did depose and say: that he/she is Senior Vice President of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY, the corporations described in and which executed the above instrument;that he/she knows the seals of said corporations;that the seals affixed to the said instrument are such corporate seals; and that he/she executed the said instrument on behalf of the corporations by authority of his/her office under the Standing Resolutions thereof. w► VY�c�r�.� My commission expires June 30, 2001 Notary Public Marie C.Tetreault CERTIFICATE I, the undersigned, Assistant Secretary of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, TRAVELERS CASUALTY AND SURETY COMPANY and FARMINGTON CASUALTY COMPANY,stock corporations of the State of Connecticut, DO HEREBY CERTIFY that the foregoing and attached Power of Attorney and Certificate of Authority remains in f W force and has not been revoked; and furthermore, that the Standing Resolutions of the Boards of Directors, as set forth in the Certificate of Authority,are now in force. Signed and Sealed at the Home Office of the Company,in the City of Hartford, State of Connecticut. Dated this 19th day of September ,20 03.- � !!� bJr 4NO dL �GA2U& 0 1ltt2�' o Y corer. e y o ,ts,t Kori M.Johanson '`�. ,++'r 6`y • ►`', Assistant Secretary, Bond I*L '► CITY OF HUNTINGTON EACH, CA 1003 SEP 23 P I-- ASPHALT, INC. 2200 S. Yale Street Tel: 714-540-1700 Santa Aria, CA 92704 Fax: 714-540-1709 "rb: City of Huntington Beach attn: City Clerks 2000 main Street Huntington Beach, CA 92648 x 'r c W z --t n� C;Co {._ T �T n Z L 1 C") . v� A Project: Warner Ave Rehablilitation - CC1150 from Sims Street to Bolsa Chica • Street Springdale Street Rehabilitation - CC1151 from Edinger Ave to McFadden Ave McFadden Ave Rehabilitation - CC1152 from Goldenwest Street to I-405 Freeway Bid Date: Tuesday, September 22, 2003 at 2:00pm r � s SECTION C PROPOSAL . for the construction of 1. WARNER AVENUE REHABILITATION- CC 1150 FROM SIMS STREET TO BOLSA CHICA STREET II. SPRINGDALE STREET REHABILITATION- CC 1151 FROM EDINGER AVENUE TO MCFADDEN AVENUE IIl. MCFADDEN AVENUE REHABILITATION- CC 1152 FROM GOLDENMEST STREET TO I-405 FREEWAY in the CITY OF 11UNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance uith the Notice Inviting Scaled 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,-arid to enter into a contract at the following prices. The undersigned agrees to complete the work within 85 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses,taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and C-1 n -s • r 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_,sic1_Bond in the amount of$ 1 n g which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check",or"Bidder's Bond",as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature E=: C-2 r • f s T ' t SECTION C PROJECT BID SCHEDULE Warner Avenue,CC-1150, STPL- 5I81 (148) Springdale Street, CC-1151, STPL-5181 (146) McFadden Avenue,CC-1152, STPL-5181 (145) PROJECT BID: TOTAL AMOUNT LUMP SUM BID IN FIGURES: TOTAL AMOUNT LUMPS B IN WORDS: n, �► \.�v� o�r�c3'ti/S � ASV a C-2.1 F i 1 WARNER AVENUE REHABILITATION IMPROVEMENTS CC NO. 1150 STPL - 5181 (148) C-2.2 ti WARNER AVENUE(CC-1 ISO) PROJECT BID SCHEDULE ITEM- ESTIMATED -_ITEM WITH UNIT PRICE-WRITTEN tN.,`f�._> `UNI R EXTENDED- NO: ` -QUANTITY: �•- WORDS' pAMOL1NT�:- 1 1 Mobi'.ation U`-�,�.t�- $ $ L.S. @ X Dollars Cents 2 1 Traffic Con r I Plan $ `p $4 ow L.S. Dollars Cents 3 1 Furnish Project Traffic Control $ $ L.S. @ Dollars Cents lv-- 4 52,934 Cold Milling& Header Cutting $ $ D S (0 S.F. @ Dollars Cents 5 270 Unc!qssifiy Excavat'on $ $ C.Y. @ 1"d"� _f�[# i11� Dollars Cents 6 3,863 Construct Asphalt Concrete(Overlay, Full Depth, $ qZ $_r(a,?Y Ton etc.) @ Dollars Cents 7 426 Pavement Rd nforcement Fabric& Route and $ $ i S.Y. Seal of Cracks @ om A Dollars Cents 8 12 Adj st S 1st rrn cirain anhole to Grade Each @ Dollars Cents 9 25 Ad' st W ter Valy Cyr de Each Dollars Cents 10 4 Adi st Mo oring Well t G d $ $ Each @ Dollars Cents 11 1 Traffic Striping $ - $ L.S. b6n i"J Dollars Cents 12 13 Traffic Lo $ $ Z4 3ya Each @ Dollars Cents 13 80 Remove & Fleconstruct Curb&Gutter $ $ L.F. @ Dollars Cents 14 6 S Mon entatio $ $ Each @ Dollars Cents Sub Total Bid Amount. Bid in Figures,$ 3b Sub Total Bid Amount, Bid in Words: C-2.3 SPRINGDALE STREET REHABILITATION IMPROVEMENTS CC NO. 1151 STPL - 5181 (146) C-2.4 SPRINGDALE STREET(CC-1151) PROJECT BID SCHEDULE ITEM- :_ESTIMATED; -:.,: ITEM WITH UNIT.PRICE WRITTEN IN,, ._; ; UNIT PRICE' :,EXTENDED, NO. :QUANTITY :.�;` 4•y.}-'WORDS-• 1 1 MobiligAtion L.S. @_ "1 n� VV& Dollars Cents 2 1 TraZ Co al Plan $2.opo L.S. @J ;-J Dollars Cents 3 1 Furnish Project Traffic ontrol $ L.S. Dollars � A Cents 4 204,406 Cold Milling & Header Cutting 'T S.F. @ Dollars �X Cents 5 704 Uncla ified Ex a iQn C.Y. @_ �L�gs^'T Dollars Cents 6 2,702 Construct Asphalt Concrete(Overlay, Full Depth, $ $LC41t216 ,..� Ton etc.) @ Dollars Cents 7 574 Pavement Reinforcement Fabric& Route and $ $ S.Y. Seal of G cks @ Dollars Cents 8 1 Traffi Stripi L.S. @J UM& ++ets, �n�l U6llars .o Cents 9 38 Traffic Lop f $ $ a Each @ r Dollars Cents 10 112 Re ve& Re c struct Curb&Gutter $ $ L.F. @ Dollars Cents Sub Total Bid Amount, Bid in Figures: $ ZJ ` Sub Total Bid Amoun Bid in Words: C-2.5 MCFADDEN AVENUE REHABILITATION IMPROVEMENTS CC NO. 1152 STPL - 5181 (145) C-2.6 , MCFADDEN AVENUE(CC-1152) PROJECT BID SCHEDULE ITEM: ESTIMATED ITEM WITH UNIT PRICE WRITTEN IN UNIT PRICE; ,EXTENDED N0:_ 'QUANTITY: ;�"� -'WORDS =AMOLINT-f- 1 1 Mobilgation $ o $_02 L.S. @ Dollars Cents 2 1 Tra i Control PI $ZLO_19 $ '° L.S. @ �.,.� Dollars Cents 3 1 Fum" h Proje t Traffic Control kto00(A $ 4 0 L.S. @ _ Dollars Cents 4 63,543 Cold Milling & Header Cutting $ �' S.F. @ Dollars C ents 5 844 Uncla sifve Ex! vation $ C.Y. �a . Dollars Cents 6 4,509 Construct Asphalt Concrete (Overlay, Full Depth, $ $ Ton etc.) @ Dollars Cents 7 750 Pavement Reinforcement Fabric& Route and $1_1_ $ S.Y. Seal of Cracks @ A Dollars Cents 8 12 Ad' st S wer/Storm rain Manhole to Grade $ $_ Each @ Dollars Cents 9 12 Ad' st W er Va a to ale $ 3S — $ � Each @ Dollars Cents 10 1 Adj st Mo Morin W 11 t Gr de $ $ _ Each @ Dollars Cents 11 1 Traffi Stripin II.� $ �= $ L.S. @ ht..,��"kJ Dollars Cents 12 30 Traffic Loop $ I $ Each @ ? Dollars Cents 13 3 RerfVve & Reconstruct AQcess ="ollars $ $ Each 1= i ''LQ,%.o Cents 14 1666 Construct Asphalt Concrete Walk(Includes: $ $ S.F. Clearing A Grubbing, Soil, Header& Stakes) (&- Vk A&J l Dollars Cents 15 1 Adj st Sury Mo omen IIYe t:PrAde $ � $ S Each @ Dollars Cents C-2.7 -ITEM: ESTIMATED --;--:.---;ITEM WITH UNIT PRICE WRITTEN IN UNIT PRICE- ,-EXTENDED <ND: `QUANTJTY =WORDS': .. '` fit - NT "AMOU 16 9 Su Mon enta on $ $ Each @ Dollars Cents Sub Total Bid Amount. Bid in Figures: $ /f3 eg j Sub Total Bid Amount, Sid in Words: C-2.8 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion Name and Address of Subcontractor State License Class of Work Number t�o s CAL r a 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 '11ITH BID State of California ss. County of Orange _John W Skeffzngton , being first duly sworn, deposes and says that he or she is CFO of Ben's Asphalt Inc- the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall • refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Ben' s Asphalt Inc. Name of Bidder Signa\SY i e /John W Skeffington .22441 'Street, Santa Ana, CA Address of Bidder Subscribed and sworn to before me this 22nd day of September,2 MCOLE D.MAR9CMq Comrnlsslon 4 1432125 Nntory Public - Cditornb ck� 0fonge County My Con'm Eg*es Jul 25,2t107 NOTARY PUBLIC NOTARY SEAL C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the IMPROVEMENTS, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700,as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Ben's Asphalt Contractor By/J hn fington CFO Title Date: September 22-, 2003 C-5 y 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 COMPE`SATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Ben's Asphalt Inc. Contractor By / Q k ffington F Title Date: September 22, 2003 C-7 � r UNDERGROUND SERVICE ALERT IDENTIFICATION NUINIBER (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 AIert 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: _Ben' s Asphalt- Inc. Contractor By/3 h )'Iffington CFO Title Date: September 22 2003 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 r � BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Ben' s Asr)halt Inc. Bidder Name 2200 S Yale Street Business Address Santa Ana, CA 92704 State Zip 1 � i 540-1700 fax 714-540-170 w4Aphone Number 668417 C12 , A State Contractor's License No. and Class March 31 , 1993 Original Date Issued March 31, 2005 Expiration Date The work site was inspected by Mike Brown of our office on . 2003 . The following are persons, firms, and corporations having a principal interest in this proposal: William J Skeffington - President .Tnhn W SkPffincItnn - �Fn C-9 ' x i The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Ben' Company Name Signatur o i r /John W Skeffington John Sk ffincfton Printed or T Signature Subscribed and sworn to before me this 22 day of September,200 Ni. MARSICANO < < F 1432125 'J,T ul .Wifomk) k, , -ys County NOTARY PUBLIC My Comm.Exphmik l25,�! NOTARY STEA17 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 of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 3. Name and Address of Public Agency Name and Telephone No: of Project Manager: Contract Amount Type of Work Date Completed C-10 •� ASPHALT, INC. REFERENCE LIST City of Santa Ana City of Anaheim 1"&5"St. Rehab./Shelton St. Broadway Street Improvements 20 Civic Center Plaza 200 S. Anaheim Blvd. Santa Ana, CA 92702 Anaheim,CA 92805 Edward Torres(714)647-5018 Mike Woods (714)765-5176 City of La Puente City of Santa Ana Temple Ave Reconstruction Shelton Street 15900 E Main Street 200 Civic Center Plaza,Santa Ana La Puente,CA 91744 Santa Ana,CA 92702 Joe Boada (626)855-1500 Edward Torres(714)647-5018 City Huntington Beach City of Santa Ana Warner/Newland Improvements Fairview/Edinger Ave Intersection Widing 2000 Main Street 20 Civic Center PIaza Huntington Beach,CA 92648 Santa Ana,CA 92702 Eric Charlonne (714)536-5430 Ed Torres (714)647-5018 City of Anaheim City of Placentia Anaheim Blvd Placentia-Ave Rehabilitation 200 S Anaheim Blvd. 401 E Chapman Ave Anaheim, CA 92805 Placentia,CA 92870 Mike Woods (714)765-5176 Art Burgner (714)993-8245 City of Santa Ana City of Tustin Warner Ave Improvements Tustin Ranch Rd 200 Civic Center Drive 300 Centennial Way Santa Ana,CA 92702 Tustin,CA 92780 Ed Torres(714) 647-5018 Benny Tenkean (714)573-3161 City of Westminister City of Anaheim Bushard Street Improvements La Palma Ave Street Improvements 8200 Westminister Blvd. 200 S Anaheim BIvd. NVestminister,CA 92683 Anaheim,CA 92805 Kevin Sin (714) 898-3311 Daryl Lopez (714)765-5126 City of Santa Ana City of Lynwood Fairview Street Rehabilitation San Jose,Platt&Carlin 20 Civic Center Plaza 11330 Bullis Rd Santa Ana,CA 92702 Lynwood,CA 90262 Ed Torres (714)647-5018 Elias Saikaly (310)603-0220 2200 S. Yale St., Santa Ana, CA 92704-4427/ Phone (714) 540.1700--Fax(714) 540-1709 sa CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non- DBE contractors,who provide a proposal,bid,quote,or were contracted by the proposed prime. This information is also required from the proposed prime contractor,and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a"Bidder's"list to assist in the annual DBE goal setting process. Firm Name: Ben l s Asphalt 7nr Phone; 714-540-1700, Address: 2200 S Yale Street Fax: -714-44D-1709 Santa Ana,_ CA 92704 .Contact Person: Mike_Brown No. of years in business Is the firm currently certified as DBE under 49 CFR Part 26? YES N Type ofwork/services/materials provided by firm?Grading, paving, Concrete. Seal Coating, & Striping What was Your Em's Gross Annual receipt's for lastyear? o Less than$I Million o Less than$5 Million o Less than$10 Million ❑ Less than $15 Million ck More than$15 Million This form can be duplicated if necessary to report all bidders(DBEs and non DBEs) information. C-11 Local Assistance Procedures Manual r...aa,ais iA,e, ' 10S&E Checklist Instructions Attachment C (TH'E BIDDER'SEIECMYONONTHE SIGNATURE POR?TON OF THI.SPROPOSAL SHALLALSO CONSTITU3' ANENDORS P.ATANDLUCUTI'ONOFTHOSE CERTIFICATIONS WHICHAREA PART OF THIS PROPOSAL) EQUAL EMPLOYMENT OPPORTUNTrY CERTIFICATION The bidder Ben' s Asphalt Inc ,proposed subcontractor Ben' s Asphalt Tne_ ,hereby certifies that he has_2 , has not .participated in a previous contract or subcontract subject to the equal opportunity clauses,as required by Executive Orders 10925, 11114,or 11246,and that,where required,he has filed with the Joint Reporting Committee,the Director of the Office of Federal Contract Compliance,a Federal Governmeat contracting or administering agency,or the former President's Committee on Equal Employment Opportunity,all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor(41 CFR 60-1.7(b)(1)),and must be submitted by bidders and proposed subcontractors 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 60A S. (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 prune 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 subcontracts 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,U.S.Department of Labor. 12-449 C-12 Page 1245 focal Assistance Procedures 1VUxtual _ EJMMxr 12.E ME Checklist Instructions Attachment 4 . DISCLOSURE of LOBBYING ACTNMES Complete this form to disclose lobbying acctivitres pursuant to 32 U.S.C. 1. Type of Federal Acddon: I Status of Fed"Acticn: 3. Repart TV*0 MW pi,�„tld d mater e a,00va aasnt d.ban . For kiaterL ban Wamme d w R tbatt 1ra;ri�tia 4. Name and Adres,of RaportlnQ Entity: S R Reporti/"Ad bawarttee.Enter Prtme Sutawardea Name anMer ,RknownCongressionalDistrld, 1knowrr Cong to S. Federal DepartmentlAgency: 7/FDANumbw, ram NamaMosception: YaM&able B. Federal Action Number, Yknam Award AmcuM Yknowrr S 10. L Nude and Address of Lobbying Entity b. lndMduals Performing 3"ces an*ding address F (I kW vldua4 last name,ilrst name,0) dlftemnt ftm Ift 10a) {last name,Qrstname,NO. attach conftatbn MKS)lrnecessary) 11. Amount of Paymen { ck:ii at a ly): I I Type of Payment(check all that apply) S al Planned a retainer b. IL Farm of Payment(c kall th pply): a ane4l ss fee a cash oammikrr 8 b. in-idrrt:spc�fy: e. dete redlhak d. t fee 'e E cow,specify: 14. Brief Description of rrkas Performed or to be performed and Dates)of Service,including offlcar(sh employee(s),or m ber(a)cornacted,floc Payment Indicated in item 11: (attach Cordirwa[fon 5heet(s) Enecessary� 13. Co ustlon sheet(s)attached: Yes 13 No IL k ,rya ft0*mts k"r&0atmd byj&31 a s.e.3aceoa sEgratura: t fats dbamm of b"cram is a aetMat noMW-Mtlaa at tact oft lasses M Omod by"Iwo"WtM ft V00C.1c W" Print Nam J Akeffington aada a vmvW lab.1rA dbdcx9a b m0W pu=x t 14 31 U.9 C. = T1ra Wbnaaeoa w1 b8 f5F N 1 d 10 eN t sanMaaaua4 and vR b@ Tdle: O avabde for p`Mc MwSm Any pwm Ww bft a tk ew mpW ftbm. 14 5 4 0—17 0��; 9/2 2 2 2 0 dA be aAoln add Pm&rj aFwt bn mesa aoa sto and wtaxn sun Telephone No_ ,. tloa,000 Ihr aadt�tS1wa. Federal Use Onl AWMrzeararUMR&n*xboa -J sundw Fes Ul Rev.of-03-0 C-13 ftge 124' Fehr,sary 1,1998 .LXEIT iT ME Local Assistance Procedures Mamual Attachumot C PS&E Checklist Instructions 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 Iobbying entity for influencing or attempting to influence an officer or employe 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 spare 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. Cheek 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 limited to subcontracts,subgrants and contract awards under grants. 5. If the organization filing the report in Item 4 checks"Subawardce"then enter the full name,address, city,State and zip code of the prime Federal recipient Include Congressional District,if known. d. Enter the name of the Federal agency making the award or loan commitment. Include at least oae 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(IFB)number,grant announcement number,the contract grant or loan award number,the applicadonlpmposal control number assigned by the Federal agency). Include prefixes,c.g.,"RFP-DE-90-001" 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 Cr S. 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(a). Enter Last Name,First Name and Middle Initial(1dIJ. 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-Wnd paymeat 13. Check the appropriate box(es). Check all boxes that apply. If other,specify nature. Page 12.54 C-14 Local Assistance Procedures Manual E?Cl;IlBIT L'-$ PS&E Checklist Instructions Attachment G 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 gnat in actual contact with Federal officials. Identify the Federal officers)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 aad.telephone dmnber. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction,searching existing data sourom 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. C 15 Page 12.5 •,, CITY OF HUNTINGTON BEACH 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY CLERK CONNIE BROCKWAY CITY CLERK November 18, 2003 f/ Dy 0� fif4�Z�C � ZVC Re: CC-1150 Warner Ave, CC-1151 Springdale St., and CC-1152 McFadden—Return of Bid Bond. O ,a,�cr,� Uu•4ieoi.4�v Enclosed please find your original bid bond issued by for CC1150 (Warner Ave), CC1151 (Springdale St), and CC-1152 (McFadden St). fo lrG�i Connie Brockway, CP C City Clerk Enclosure g:/follomp/mshconUretumbidbond.doo (Telephone:714 36.5227) 7ttesUbul St.Paul Fire and Marine Insurance Company Surety St.Paul Guardian Insurance Company y St.Paul Mercury Insurance Company United States Fidelity and Guaranty Company Fidelity and Guaranty Insurance Underwrites,Inc. Fidelity and Guaranty Insurance Company Principal Office: 395 Washington Street St.Paul,Minnesota 55102 Seaboard Surety Company Principal Office: 5801 Smith Avenue BID BOND Baltimore,Maryland 21209 KNOW ALL MEN BY THESE PRESENTS,that Hardy&Harper, Inc. 1312 East Wamer Avenue,_Santa Ana, CA 92 f as Principal, and St Paul Guardian Insurance Company a Minnesota corporation,as Surety,are held and firmly bound unto City of Huntington Beach as Obligee,in the full and just sum of 10%of the total amount bid 10%of the total amount bid Dollars,lawful money of the United States,for the payment of which sum, well and truly to be made,we bind ourselves,our heirs,executors,administrators,successors and assigns,jointly and severally,firmly by these presents. WHEREAS,the said Principal is herewith submitting its proposal Wamer Ave.rehabilitation-CC 1150 from Simms to Bolsa Chica STPL 5181 (148),Springdale Street rehabilitation-CC 151 from Edinger Ave.to McFadden Ave. STPL 5181 (146) . McFadden Ave.rehabilitation-CC 152 from Goldenwest Street to 1405 Fwy STPL 5181 (145) THE CONDITION OF THIS OBLIGATION is such that if the aforesaid Principal shall be awarded the contract the said Principal will,within the time required,enter into a formal contract and give a good and sufficient bond to secure the performance of the terms and conditions of the contract,then this obligation to be 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 legally contracts with another party to perform the work if the latter amount be in excess of the former,but in no event shall liability hereunder exceed the penal sum hereof. Signed,sealed and delivered 22nd day of September 2003 HardP & Har .r I c. (Seal) (Seal) STEVE KIRSCHNER — VICE PRESIDENT Surety Company: St. Paul Guardian Insurance Co. Attomcy-in-Fact Kathleen Maas 85V4 Rev.9-2000 Printed in U.S.A. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of e ss. September 22, 1003 Christina J- Coleman' MtaL'y Public On ,before me, , Dab Nam.and Tdo of Oaow(04.'Jww Doa.Noury Pubic personally appeared Rat Ueen Maas Namely at swnw(y ' IN personally known to me to be the person j* whose name(A) lsh= subscribed to the within Instrument and acknowledged to me that ffshaM%executed the same in kbs1her1tlnskx authorized CHRISTINA J. COLEMAN capacity#W. and that by sbbdher&miz Commission#12505,1'4 signatures)on the Instrument the person(g,or 4 9MVComm.B0wJon1&2X)4 NotQY PublIC-C09farda the entity upon behalf of which the persona)�County acted,executed the Instrument. WI S m and an c se Plow Nobw seal Above OPTIONAL Though the information below is not required by law,At may prove vahmue to persons relying on the document end could prevent thludulent removel and reattachment of this lam to another dowmenL Description of Attached Document Title or Type of Document Document Date: Number of Pages: Signer(s)Other Than Named Above: Capacity(IntClalmed by Signer Signer's Name: Kathieen Maas I ❑1"Individual Too a ftma has ❑'Corporate Officer—71de(s): ❑ Partner—❑Limited ❑General XI Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other. Signer Is Representing. St. Paul Guardian Insurance Company 01M11 I ""Aeewleaee-MOOSS MAve.P.O.BUM-Ou1waRGSll1"401- Pled Ne.UW IW-dw.WTa$44 l�0of7tYr7 f • POWER OF ATTORNEY Seaboard Surety Company United States Fidelity and Guaranty Company St.Paul Flee and Marine Insurasee Company Fhldlty and oaaraaty Insurance Company St.Part Guardian Insurance Company Fidelity and Guaranty Insurance Underwriters,Ina St.Paul Mercury Insurance Company Power of Attorney No. 20675 No.13 5 5 3 0 8 SNOW ALL MEN BY THESE PRESENTS:That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York,and that St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company and St.Paul Mercury Insurance Company are corporations duly organized under the laws of the State of Minnesota,and that United States Fidelity and Guaranty Company is a corporation duly organized Wader the laws of the State of Maryland,and that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the Stele of Iowa, and that Fidelity and Guaranty Insurance Underwriters,Inc.is a corparaton duly organized under the laws of the State of Wisconsin(twrrin colkcdvely caUed the"Companies"A and that the Companies do hereby make,constitute and appoint H.J.Dusk,Dwight Reilly,Christopher S.Hopper,Clandme,N,Martin and Kathleen E.Maas of the City of Upland .State California ,their true and lawful Attorney(s)•in-Fact, each in their separate capacity if more than one a named above,to alga its name as surety to,and to execute,seal and acknowledge any and all bonds,undertakings, contracts and other written instruments m the nature dwo f on behalf of the Companies in their busing of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertai ngs a or' t y actions or proceedings allowed by law. ter, IN VVTTNESS WHEREOF,the Companies have caused this iwm�* wa�lst day of Deember 1999 SwboaW Sardy Company los" States Fidelity and Guaranty Company ompaq fMe*y and Guaranty Insurance Company St Paul Guardian Ittapn C T Fldelity and Guaranty Insurance Underwriter%Ina St.Pad Mercury Imarmaee • 1BZ3• antes 3ca4 tssa 1V7 JOHN A P»THY,Vice Pteseteat State of Maryland City of Baltimore THO"E.HUIBREGTSE,Anutaat Secretary On this 1st ay of December 1999 ,before me,the undersigned officer,personally appeared John F.Phinney and Thomas E.Huibregtse,who ai9cnowledged themselves to be the Vice President and Assistant Secretary.respectively,,of Seaboard Surety Company,St.Paul Fire and Marine insurance Company,St.Part Guardian Insurance Company,St.Paul Mercury Insurance Company,United States Fidelity and Guaranty Company,Fidelity and Guaranty Insurance Company,and Fidelity and Guaranty Insurance Underwriters.Inc.;and that the seals affixed to the foregoing instrument are the corporate seals of said Companies;and that they,as such,being ait prized ao to dot executed the foregoing instrument for the purposes therein contained by signing the names of the corporations by themselves as duly audw ized officers. In Witness Whereof,I hereunto set my hand and official seal. My Commission expires the 13th day of July,2002. , REBECCA EASLEY-ON((OKALA,Notiffy Public E86203 Rem 7-2000 Printed In U.S.A. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California ss. County of r" On 091 1_3 LO 3 before me, a Ain � '�I` 1 1 1•� Date (/� Y(� and Title of Officer(e.g.,'Jane ,� personally appeared L r Names)of Signer(s) personally known to me ❑ proved to me on the basis of satisfactory evidence to be the perso" whose name subscribed to the within instrument and KRISTEN S. PAULINO acknowledged to me th,10sk/t W_executed COMM. #1413262 the same in hi k: Tjt*&y authorized NOTARY PUBLIC-CALIFORNIA v ca acit and that b hi / /t 3 ORANGE COUNTY ro p Y�r Y ®�.JET My Comm.Exp.May 20,2007 signature(toon the instrument the person(9,or the entity upon behalf of which the person, acted, executed the instrument. WI SS my hand and offici se . J . SignaturrbTNotary Public OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: RD4 Document Date: ," 3 Number of Pages: Signer(s)Other Than Named Above: �atgh 04Z Capacity(ies) Claimed by Si ner Signer's Name: o— Q� ❑ Individual J Top of thumb here A Corporate Officer—Title(s): ❑ Partner—❑Limited ❑General ❑ Attomey-in-Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: ar �►� 0 1999 National Notary Association•9350 De Soto Ave.,P.O.Box 2402•Chatsworth,CA 91313-2402•www.nationalnotary.org Prod.No.5907 Reorder.Call Toff-Free 1-800-876-927 FROM: HARDY & HARPER, INC. � 1312 E. WARNER AVENUE SANTA ANA, CA 92705 TO: Office of The City Clerk City of Huntington Beach W z- -1 Second Floor rn z c 200 Main Street Huntington Beach, CA 92648 Sealed bid for Warner Ave Rehabilitation OC1150 w wo�� Sprincjfield Street Rehabilitation CC 1151 D�-C McFadden Aveenue Rehabilitation CC 1152 C' x Bids to opened: Tuesday September 23,2003 cn D SECTION C PROJECT BID SCHEDULE Warner Avenue, CC-1 ISO, STPL-5181 (148) Springdale Street, CC-1151, STPL-5181 (146) McFadden Avenue, CC4152, STPL-5181 (145) PROJECT BID: TOTAL AMOUNT LUMP SUM BID IN FIGURES: S 787, 3.79 TOTAL AMOUNT LUMP SUM BID IN WORDS: Seven Humdred Eighly Seven-miousand Eight Hundred nine Z'h C-2.1 WARNER AVENUE REHABILITATION IMPROVEMENTS CC NO. 1150 STPL - 5181 (148) C-2.2 WARNER AVENUE(CC-1150) PROJECT BID SCHEDULE -ITEM ESTIMATED ITEM WITH UNIT PRICE-WRITTEN tN._;;= - `UNIT PRICE: EKfENDED Nb":. "QUANTITY- :. :` r`- WOR©S _. ... ' _.AMOUNT•:. 1 1 Mobilization $ pp+pD $ 7p L.S. @ Seven Thousand Five Hundred Dollars -Cents 2 1 Traffic Control Plan $2,,500.00 $ 2.SOl?.40 L.S. Q- Thousand Five Hundred----Dollars and-------------- -00 100Cents 3 1 Furnish Project Traffic Control $ 7,500.00 $ 7,500.00 L.S. @ Seven Thousand Five Hundred Dollars and --- -00 100'Cents 4 52.934 Cold Milling& Header Cutting $ _ $ 4 S.F. 00'------- "`— Dollars Ixteal— _— —dents 5 270 Unclassified Excavation C.Y. @'Thirty-One- ----Dollars and FiftyFive Cents--- Cents 6 1 3,863 Construct Asphalt Concrete(Overlay, Full Depth, 1 $ 46.80 1 $, 186,778WE .4o Ton etc.) @ Forty- Six---- ____..__._Dollars a1 ---- ---'Cents 7 426 Pavement Reinforcement Fabric& Route and S.Y. Seat of Cracks @ Fifteen— --Dollars Cents 8 12 Adjust SewedStorm Drain Manhole to Grade $ 270.n0 Each @ Hundred Seventy _ _Sollars and -------- --------00 100 Cents 9 25 Adjust Water Valve to Grade $ 297.00 $ 7,425.0 Each @ Two Hundred Nine Severk----•Bvllars and--------- -- 00 100 Cents 10 4 Adjust Monitoring Well to Gracie $ D $ a-)O-O Each @ Two 11=41=41. _ —_ Dollars — _dents 11 1 Traffic Striping $7,260.00 $_722E,0.00 L.S. @SIMEN_ 'hound Tom?Hundred _60 Dollars acid— -- —04 100 Cents 12 13 Traffic Loop $ 186.00 $2,418.00 Each (CD- One Hundred Eighty Si.x----Bollars ----------00/10�0----Cents 13 80 Remove& Reconstruct Curb&Gutter $ $2,800.00 L.F. @ ThirtY FiVO-- ---- Dollars eats 14 6 Survey Monumentation $�GO $ • Each @ T, 111mr1rnd Si xf:w ----Dailars -Lents Sub Total Bid Amount. Bid in Figures: $ 247 21 .34 Sub Total Bid Amount, Bid in Words: T 6 Hundred Forty Seven ThousanD Two Hundred Ninteen--- —34/100 C-2.3 r SPRINGDALE STREET REHABILITATION IMPROVEMENTS CC NO. 1151 STPL - 5181 (146) C-2.4 SPRINGDALE STREET(CC-1151) PROJECT BID SCHEDULE .ITEM. ESTIMATED_ ITEM WITH UNIT.PRICE WRITTEN IN...', - .UNIT_PRICE; -MENDED . NO _ .;'QUANTITY ` .WORDS" ;, - ".p,MQUNT' 1 1 Mobilization $ 7'inn_n0 $ 2,5nn_n L.S. @ Sew�u_SnaEive Hjmama Dollars --Gents 2 1 Tragic Control Plan $ 2,500.00 $ 2,500•U L.S. @ Twc) Thousand Five Hundred----Dollars ----------- 00/100----eents 3 1 Fumish Project Traffic Control $ $ 00.0 L.S. @ Seven Thousand Five Hundred—Dollars ---- r Cents 4 204,406 Cold Milling& Header Cutting S.F. @_ no---- _ Dollars Sixteen k cents— --Cents 5 704 Unclassified Excavation $311-55 $ 22,211.2 C.Y. @ Thirty One--- -- Dollars and Fifty Five---------Cents 6 2,702 Construct Asphalt Concrete (Overlay, Full Depth, $ $ 6 Ton. etc.)FOrty Six------ ---Dollars JV �6,° 1? Y z 9 7 Cents 7 574 Pavement Reinforcement Fabric& Route and $ 1 C;_nn $ st,G n_n0 S.Y. Seal of Cracks @. Fi ftnm — —4Dollars and — 100ents 8 1 Traffic Strioina $12,280.0& 12,280..0 L.S. [a 12 Thou0and 2Hundred 80----Sollars and---- -- —00/100 Cents 9 38 Traffic L000 $4M-00 �7 -068.00 Each @ 0ne Hundred Eighty Six—-—Dollars 10 112 Remove& Reconstruct Curb&Gutter S 3,-pp- L.F. @ Thirty Five------ -Tollars --------- ents Stab Total Bid Amount. Bid in Figures:$ Sub Total Bid Amount, Bid in Words: An.Hundred 7'hi - One Thousand Seven Hundred Sixty Nine and-------79/100 C-2.5 MCFADDEN AVENUE REHABILITATION IMPROVEMENTS CC NO. 1152 STPL - 5181 (145) C-2.6 MCFADDEN AVENUE (CC-1152) PROJECT BID SCHEDULE ITEM -ESTIMATED; ITEM_ WITH UNIT PRICE WRITTEN IN >_,. UNIT_PRICE, -EXTENDED N0.- QUANTITY- '`-WORDS` r. :y= " AM0UNT�= 1 1 Mobilization L.S. @Seven Thousand Five Hundred---gollars 2 1 Traffic Control Plan $2.5dIG-00 $2,500-00 L.S. @ Two Thousand Five H'rndxed---Dollars Cents 3 1 Furnish Project Traffic Control $9,500.00 $ 9,500.00 L.S. @ Nine Thousand Five Hundred---Dollars /� ents 4 63,543 Cold ill ft& Header Cutting $ .16 $ 1�6_8 S.F. @ 00---- ------ -Dollars Cents 5 8" Unclassified Excavati6 $ $ C.Y. @ Tay Ono--"—' --'- -'Dollars i y ive----- — '�Ce n s 6 4,509 Construct Asphalt Concrete (Overlay, Full Depth, $ 45.69 $ 905.,700. 8 Ton etc.) Forty Five— ----Dollars — -Dollars and 62----- -Gents 7 750 Pavement Reinforcement Fabric& Route and $ 13.00" $ 9 t 750.00 S.Y. Seat of Cracks @Thirteen-— -------Dollars wid, 00--- — --ants 8 12 Adjust Sewer/Storm Drain Manhole to Grade $ 7,7n_nn $_1123i'i.00 Each @ T o HUndred Seventy-------r0-1lars --------- Cents 9 12 Adjust Water Valve to Grade $ 297.00 $ 3,564.00 Each (a)Two HUndred Ninety Seven---.Dollars and—----------00/100 Cents 10 1 Adjust Monitoring Well to Grade $ $ • Each @ Two Hundred Five —.---.---attars Cents 11 1 Traffic Striping $_L1,620.0 $ 11,620.0) L.S. @ 11 Thousand Six Hundred Twentnollars — — ents 12 30 Traffic Loop $ I86.00 $_IL�80.U Each @=_ice Eight Six--- ---Sollars and ------ -----00 its 13 3 Remove& Reconstruct Access Ramp $ 1,500.00 $ 4,500.0 Each @ One Thousand Five Hundred---Sellars and-- --0071_0_(Y7-_--Mnts 14 1666 Construct Asphalt Concrete Walk(Includes: $ 0 $ S.F. Clearing &Grubbing, Soil, Header& Stakes) @ Three—--`+"-'----Uoltars Y 3,30 7.8- Cents 15 1 Adjust Survey Monument Well to Grade $ 270.0 $ 270.0 st Each @ ent i5oJlars and-- — Dents C-2.7 ITEM. _ESTIMATED- ITEM WITH UNIT PRICE WRITTEN IN :UNiT..PRICE- EXTENDED- `NO: : QUANTITY `_WORDS - AMOUNT= 96 9 Survey Monumentation $ 265.00 $ 2,385.0 Each @ Teo HundrLad Sixty Fib---'----501fars __7 is Sub Total Bid Amount, Bid in Fi ures: $ Sub Total Bid Amount, Bid in Words: Theme Hundred EiSLit Thousand Nine Hundred Four and—------ C-2.8 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid and the portion of the work to be done by such subcontractor. Portion -Name and Address ojSubcontracfor State License_ Class of Work Number Orange County Striping 183 N. Pixley Orange, CA 346095 C-32 ianhole Adjusting Inc 9500 Beverly Mod Pico Rivera 398443 A LA Signa.1 Inc 15100 E. Nelson Industry , CA 91745 725670 C-10 Pavement Recycling'Systems Inc 569352 A 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. G3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange Steve Kirschner , being first duly sworn, deposes and says that he or she is Vice President of Hardy & Harper, Inc the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation,partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Hardy F. Ha3=r, Tnc Name of Bidder Signature of Oidder Steve Kirschner Vice President 1312 E. Warner Ave Santa Ana, CA 92705 Address of Bidder Subscribed and sworn to before me this 22 day of September 200 3 KRISTEN S. PAULIINO Il COMM. #1413262 / c NOTARY PUBLIC-CALIFORNIA+T NOTARY PUBLIC Qt ORANGE COUNTY N . ay 20,2007 x - C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the IMPROVEMENTS, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Hardy & Harper, Inc Contractor By Steve Kirschner Vice President Title DAFPt- 22,2003 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-b COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Hardy & Harper, Inc Contractor BY Steve Ki schner Vice President Title Date: September 22,2003 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 AIert Identification Number, call Underground Service Alert at I-800-4224133 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 Bork 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: Hardy & Harper, Inc Bidder Name 1312 E. Warner Ave Business Address Santa Ana, CA 92705 City, State Zip ( 714 444-1851 Telephone Number License # 215952 Class A State Contractor's License No. and Class March 13,1963 Original Date Issued December 31,2003 Expiration Date The work site was inspected by Corey Kirschner of our office on Sept. 17 ) 200 3. The following are persons, firms, and corporations having a principal interest in this proposal: Fred T. Maas = President, Treasurer and General Manager C-9 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Hardy & Harper, Inc Company Name ignature of Bidder Steve Kirschner - Vice President Printed or Typed Signature Subscribed and sworn to before me this 22 day of September , 200 .. .._r KRISTEN S. PAULINO I[ / COMM. #1413262 2 NOTARY PUBLIC-CALIFORNIA NOTARY PUBLIC 3 ORANGE COUNTY4. N My Comm Exp May 20,2007 T 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• C=i sfrano TTni fi Prd Sr-hnnl r)i Gtri r-t '47972 l l E' Pnrfinr-tn -qnn jiian ApJ�rano, CA Name and Address of Public Agency �L'� Name and Telephone No. of Project Manager: Mark Bauer (949) 489 -7295 maintenace & repair on going for 12 yrs Avg per_yr 400,000-00 Annual asphalt and mnnnn-ta Contract Amount Type of Work Date Completed 2• City of Yorba Linda 4845 Casa Loma Ave Yorba Linda, CA Name and Address of Public Agency Name and Telephone No. of Project Manager: Jack Baecker (714) 322-0338 Annual asphalt and concrete Avg per yr 200,000.00 maintenance and repair on aoina for 10 years Contract Amount Type of Work Date Completed 3. City of Mission Viejo 200 Civic Center Mission Viejo, CA Name and Address of Public Agency Name and Telephone No. of Project Manager: Kim Lemelin (949) 470-3000 Annual maintenance and repair Average per year 200,000.00 asphalt and concrete on going for 10 yrs Contract Amount Type of Work Date Completed C-10 CITY OF HUNTINGTON BEACH BIDDERS LIST All Bidders/proposers are required to provided the following information for all DBE and non- DBE contractors, who provide a proposal, bid, quote, or were contracted by the proposed prime. This information is also required from the proposed prime contractor,and must be submitted with their bid/proposal. The City of Huntington Beach will use this information to maintain and update a"Bidder's"list to assist in the annual DBE goal setting process. Firm Name:, H22 'Y & Harper Inc Phone:-.(714) 444-1851_ _ Address: 1312 E._Warner Ave _ Fax: (7141 444-28Q1 Santa Ara,_ rA 927nc; .Contact Person: Steve Kixschner No. of years in business 57 Is the fum currently certified as DBE under 49 CFR Part 26? YES NO Type of work/services/materials provided by firm? Asphalt pang, ccncrete & slurry What was your frm's Gross Annual receipt's for lastyear? o Less than SI Million o Less than$S Million v Less than$I 0 Million a Less than $15 Million o More than SIS Million This form can be duplicated if necessary to report all bidders(DBEs and non DBEs) information. C-11 Local Assistance Yroceaures manusi &„uLMA j u-JL ?S&E Checklist Instructions Attachment C (THE BIDDER'S EXECUTION ON THE'SIGNATURE PORTION OF THIS PROPOSAL SHALL ALSO CONSTI=AMENDORSEMENTANDMCUTTONOFTHOSE CART L FICA TTONS MUCHAREA PART OF nW PROPOSAL) EQUAL."M PLOYA11M OPPORTUNITY CERTIFICATION The bidder Hardy & Harper, Inc ,proposed subcontractor .hereby certifies that he has has not___,participated in a previous contract or subcontract subject to the equal opportunity clauses,as required by Executive Orders 10925, 11114,or 11246,and that;where required,he has filed with the Joint Reporting Committee,the Director of the Office of Federal Contract Compliance,a Federal Government contracting or administering agency,or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Nate: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor(41 CFR 60-1.7(b) (1)),and must be submitted by bidders and proposed subcontractors 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 S. (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 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 subcontracts 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,U.S.Department of Labor. 12"9 C-12 Page 1245 Local Assistance Procedures Manual EXHIBIT 12.E PS&E Checklist Instructions Attachment G DISCLOSURE OF LOBBYING ACTIVITIES Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1. Type of Federal Action: I Status of Federal Action: 3. Report Type: A a contract A a bidlotiedapplicadon A a initial b.pab. initial award b. material change m`c0perawe agreement C. pos"Warrs For Material Change Only: d. ban g a. loan guarantee year a quarter t.man insurance date of last report 4. Name and Adress of Reporting Entity: S. If Reporting Entity In No.4 is Subawardee.Enter Prime Subawardee Name and Address of Prime: Tier_,1 known Congressional District, ifknown: Congressional District, Wknown: 8. Federal DepartmentlAgency: T. Federal Program Name/Description: CFDA Number, if applkab/e 8. Federal Action Number, ifknown: 9. Award Amount,if known: 10. a. Name and Address of Lobbying Entity b. Individuals Performing Services (including address I ff indiv/dua4 last name,first name,MI): differentfiam No. 10a) (last name,#at name,MO. (attach Continuation Sheets)if necessary) 11. Amount of Payment(check all that apply): 13. Type of Payment(check all that apply) $ 13actual o planned a retainer 12. Form of Payment(check all that apply): b. one-time fee a cash a commission b. in-Idnd;specify: d. contingent feeiy: nature e. defend value t other,Vecify, 14, Brief Description of Services Perbrtned or to be performed and Dews)of Service,including oflicer(a), employee(s),or member(s)contacted,for Payment Indicated in Item It Hardy & Harper has not lobbied to any arse for this project (attach Condbueft Sheets) if necessary) 1S. Continuation Shoot(s)attached: Yea ❑ No 18. Mf111don requeeW through this ram k adhortrad by Me 31 U.s.C.sewn Signature: 135L This dacimm of labbYlrg adhdtla h a nmlenlal nepreeentatmat at fact upon which relsrnee wa placed by the tier above when this trareurd(on was Print Name: Steve Kirschner made ar entered ka Th1a dlsdoaas is r**W purwant 10 31 U.S.C.13 L This mtormaft wN be rwpood 10 the Congress sent-aaauNy and we be Trdo-Vice President avaaable for pubic mspecdoa itry person who tabs toile the required dkndosnae Ad be su*d to a dd POW of not lea man$10Ade and notMrs than Telephone No.:444— 1851 Date:Sept 22,2003 $100,wa ibrr each alai floe. Federal Use Onl AuftrizWT0f LocalRapnftdon Standard ram t u.rbw.0140-96 C-13 Page 12 5S February 1,199E .EXHIBIT 1Z-E• Local AssbtaaceFmcdares Manual Attachment G PS&E Checicllst Instructions RiSTRUCTIONS FOR COMPLETION OF SF LLL, DISCLOSURE OF LOBBYING ACi`IVTPIES 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 err 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. I. Identify the type of covered Federal action for which Iobbying 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 approprige 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 occiured. 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 repotting 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 limited to subcontracts,subgrants and contract awards under grants. S. If the organization fling 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 narne 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 game 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,Imitation 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.,WP-DE-90-001" 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 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(a). Eater Last Name,First Name sad Middle Initial 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 triad contribution,specify the nature and value of the in4dnd payment. 13. Check the appropriate box(es). Check all boxes that apply. If other,specify nature Page M54 C-14 Local Assistance Procedures Manual EXHMIT 12_E . PS&E Checklist Instructions Attachment G 14. Provide a specific and detailed description of the services that the Iobbyist has performed or will be e..pected to perform and the date(s)of any services rendered_ Include all preparatory and related activity not j ust 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 sheets)is attached. 16. The certifying official shall sign and date the form,print his/her name title and telephone riumbcr. Public reporting burden for this eoUection 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. C-15 Page 12-55 4 ,Local Assistance Proeedures Manual EXEMW 12--E •PS&E Checklist Instractions Attachment L LOCAL AGENCY BIDDER DBE INFORMATION This information may be submitted with your bid proposal If it is not,and you are the apparent low bidder or the second or third low bidder,it must be submitted and received by the administering agency no later than the time specified in the special provisions. COJRTEJP.M.: BIDDER'SNAME: Hardy & Harper, Inc CONTRACT NO.: ADDRESS: 1312 E. Warner Ave BID AMOUNT: S Santa Ana, CA 92705 BID-OPENING DATE: 09/23/2003 DBE GOAL FROM CONTRACT 7 % ITEM OF WORK AND DESCRIPTION NAME OF DBE** DOLLAR PERCENT CONTRACT OF WORK OR SERVICES TO BE (Name of DBEs,Certification Number, AMOUNT *** ITEM NO. SUBCONTRACTED OR MATERIALS and Telephone Number) *** DBE TO BE PROVIDED DBE Total Claimed $ �� Participation % % * If 1000/6 of item is not to be performed or furnished by DBE,describe and portion,including planned location of work to be performed,of item to be performed or famished by DBE ** DBEs must be certified by Caltraw on the date bids are opened. Sabcontra ms and suppliers certified state-funded only cannot be used to meet goals on federally funded contracts. *** Credit for a DBE supplier,who is not a manufacturer is limited to 60%of the amount paid to the supplier. (See Section 'Disadvantaged Business"(DBE)of the special provisions) DIPORTANT: Names of DBE subcontractors and their respective item(s)of work listed above should be consistent with the name and items of work in the"List of Subcontractors" submitted with your bid vursumAt to the Subcontractors Listing Law. (714) 444-1851 ignature of B rider Date (Area Code)tel.No. Steve Kirschner — Vice President Corey Kirschner Estimator Person to Contact (Please type or print) Distdbodon for NHS Projectx (1)Original-Ca[ttaos DIAE for NHS Pwjecm,(2)Capy61.aC1 Agency project file Distribudon far non-NM Proicc s: (1)Oci&d Local Agwq project f h DEPT:OF TRANSPORTATION (FED DBE)MODIFIED DC-OE-19(REV 09-1"5) C-16 Page 12-67 EXEOMIT 15-K Local Assistance Procedures 141anual Report otDBE Awards REPORT OF DBE AWARDS COI PLETE THIS FOW FOR EACH CONTRACT Locode: Agency: Project No, DBE Goal: :Total Contract Bid: Reimbursement Ratio: Federal Share: Award Date: Combined DBE Percent of Federal Share for this Project DBE Subcontractors excludinsr women Awarded by Ethirtic Grotto and other Disadvantaged Black Hispanic Native Asian- Asian- Other ToW A Indian Pacific No. Total S Fed S DBE Subcontractors cxeludin men) Grand Total MWBE WWBE I Total B -Total A+B No. No. Total S Total S Fed$ Fed S Number of subcontracts awarded by type of work: fessiottal and Consultant Le c JIBE ME MME feYclyd"rng womeg 1. Engineering 2. Architectrual 3. Right of Way 4. Other Construction . 1. Cnading/Drairisge � - . 2. Paving . 3. Strucanvs/Buildings 4, Materials 5. Equipment 6. Trucking 7. Traffic Control S. Landscaping 9. Other TOTALS: Note: For the purpose of this report,use the foilawing defznitian& • DBE=disadvantaged busiam enterprise • MWBE=mincrity women business enterprise • WWBE=white women business enterprise SEP 19 2003 9: 44RM HP LRSERJET 3200 P-2 AMW41 W11"215 PM �- Trade and Foos E-Jouma!s COMPLIANCE NEWS PUBLISHING COMPANY httpY/vt-A,w.cornpliancenews.com email:adm'in@complia� .cam Tel:562439-2788 Fax:562439-1398 11 S.Tetmino,Suite 214,Long Beach,CA 90803 September 18,2003 at 2:25 PM RECEIPT Ttansaction41503 TO:Hardy and Ha.Ter,Inc. A=..Accouns Payable 1312 E.Wamcr Avc.,Santa Ana CA ..92705 Telephone:..(714)444-1851 Fax:(714)444-2801 FOR:City of Hun&gton Beach:Warner Ave.Rehab-CC 1150,Springdale Sttoet Rehab-CC 1151,Macfadden Ave.Rehab-CC1152 Good-faith effort advertisements published on Thu Sep 1814.25:24 PDT 2003. Total amount:$80.00 ��"* 1crd�lS6llueo0:aid-}c�flMcle�c�naalsirClA�-vmYi►�C]�bpcoa la4rcl7cl7b1+d1st�:661c7a7�lak:Idd.Qaf_ Py;r]of 1 SEP 19 2003 9:44AM HP ZRSERJET 3200 P, 1 Attidwtr WNW Step 4 of 9: off 1.PR Wr THIS DOCUMENT . FILF.COPY FOR B:D PACKAGE ca s LkNcE Ives MONTHLY TRADE JOURNAL 1.PUBUCATION AFFIDAIM-DECLARATION OF PUBUCATION-STATE OF ' CALIFOMNIA hardy and harper,Inc Coetact.Corey Kirschner at is seeking qualified Divadvanted I3I2 E.Wamcr Ave., i Business Enterprise Santa Ana, primes I subs andlor suppliers to CA 91705 provide Telephone. (714)444-1851 Traffic Control.Striping,Adjust In (714)444-2301 Sewer I Storm Drain Manhole to F-ataO: h_hincl@mindspring.com Grade,Traffic Loops and Survey Bid Due.September 23,2003 at20 PNI Monuments for(project title) Solicluttion Number: n/a City ofRantington Fkaeh:Wamer Ave.Rehab-CC1150,Springdale Sweet Rehab-CC1151,Maefodden Ave.Rehab-CC1152 in Huntington Beach,CA Hardy&Harper,Inc.,is an Equal opporturity Employer. The Hardy and Harper.Inc.good-faith effort ad has been published in boL' the Compliance Trews Internet and Hard-Copy publications. The undersigned declares: 1 am cover the age of la yt3 imd a eni=of nt<United State I srn not a puts b mad have no iomreit in This MZW_ 1 ate principal puMaher of the COAtPLIAN'CE NEWS MONTHLY TRADE JOURNAL In the Chy of Lana Bach,Cooney erLos Argeka•sad the State of Wfomia The wt= a true copy of which is owtted ww"ishc d on Tha Sep 19 14.25:24 PDT 2003 1 declare urderpmWty of perjury that&e burping is true end ewmt.Fxtwed at Loma Beath,Csltfbmia Ifenry SpragueM Copyrip:1997 COMMLANCE NEWSTMDYBE 10019455—AA fly'o mxr+od /Mwao�ii�esmxrw, d,tart)stC:setc■dt+es�Raprateiier#�attrtaaaY.r-asa�trdyds.�,ecttSdshs49.1c2fdd _ Page I ofs SEP 19 2003 9:44AM HP LRSERJET 3200 p.4 AfEdmit WIM 2:25 PM ME COPY FOR BID PACKAGE cOsuuA.Nc h'EwsDAILY FOCUS JOURNAL 1 PLMUCAMON AFFIDAVIT-ilM AR MOM OF PI UCAMON STATE OF CAUFORNIA FBusiness nd Halper,ine. Contact:.Corey Kirschner at I g qualified Disadvarr:ed 1312 E.Warner Ave., Enxrprise Santa Ana.subs and/or suppliers to CA-92705 Telephone:.(714)444-185l ontrol.Striping,Adjust Fac (714)444-2SOl Storim Drain Mwtbole to E-mail:.hhincl^a"mindspring.con raffic Loops and Survey Did Due:5ept=ber 23,2d03 at I PM Monuments for(project title) Solicitation Number...a/a City of Huntington Beach:Warner i Are.Rehab CC1354,Springdale Street Rehab-CCI151,Maebndrlen Ave.Rebab-CC1152 in{job location) Huntington Beach,CA Hardy&Harper,be.,is an Equal Opportunity Emplayer. The Hardy and Harper,Inc.good-faith e°for,ad is located on-line r.: http�'M)&v.complixrtr) ,&corn/cla$sified daily The undersigned declares: 1 am eva the ege*rig ream and a em=of the U6W States,/w ant a part'to and have ao interest Ln this mazer. t am prin*W publisher of f.e CONTLIANM 14L'V15 DA1Y FOCUS]OUP_XAL in the City afLong BwA4 County of t.os Angeret,end me Stm of Cnliforaia The nonce,a one copy of whieb is aaeehed was published an Thu Sep t8 14:25:24 PDT 2D43 t d:dua ender pc Aty orperjury that the begoiag is we and=mL Eaeamat et Lang Both,d:ifornis Henry Sprague Ill CM-rght IM CUKMUANCE XEwS-q)%ML•1 Dot845S All ngbts reserved Ityilw�aae�rswe.nssTe! Ibta�ltr]LlianaOd rD^lad7aeba`ia�saballo��ltegraionYw�2003tipwde+atrlretlkh7lMdYecllE6l ya79hd lldd aof_ Papal d) SEP 19 2003 9: 448M HP LASERJET 3200 P-5 RMdy WANdper,lawsCANOPUS Lob 9V1LW 2:29 Ptr Sur 9 of 9: Print This Page WlReturn to Virrrnl Oflice important:Record Solicitation Phone Calls Below DVBE Good-Faith M. rt require;a m inimum oft solicitation plant calls be made by Hardy and Hamer,Inc..The bruits of the prone calls must be recorded below.AU other Good Feh Efforts for DBF,%%'BEMBE,etc.require rating all firms Iiste4 below. Affidavit of Fat Solicitation The undersigned employee of Compliar=News Publishing,located in the City of long Beach,County o f Los Angeles, and the State of California,declares that bid solicitation letters bave been faxed to the following 16 firms listed below on Thu Sep 18 14.30:14 PDT 20031 am over the age of It years and a citi=of the United States.I am ant a party to and have no interest in this manta.I declare under penalty of petjuy that the foregoing is eve and correct.Executed at Long B=h.California flth-7 SPIV"W Hardy and Harper,Inc, LOG C,00d-Faith Effort for Bid Solicitaon:Na City of Hauttingtoa Beach Warner Ave.Rehab.CC1150,Springdale Street Rehab-CCi 151,Nlacfaddcn Ave.Rehab-CCl 152 The Following Firms were located using the Caltrans database AGENCY CONTA CT:Marry Calzforuta Good-Faith Etfots may rwwm the biddng conusctor to CALL the agency or caner and talk with their Gcod-Fa&representadve.SEE YOUR CONTRACT DOCUNfErM FOR TWS TELEPHONE O.Call it and record ttre result below. }lardy and Harper,Inc.eonuKftd the agency iwkig this contr=at tel number at(time) an(date) d discussed Good-Faith Effort with(Agency Contact) emarks:(kR message,etc.) . hone call was made by(Prime R 's Si ummm) THER COA- ACTS 0911&2003,Handy and Harper.Inc,contaeted: 1.Federal Agency ProNct au http//p►o-ret.sha_gov/091197003 at 2:25:14 PM PDT. 2.State Agency OSBCR at www.osmb.dgscLgovlbis_querkvbis queries_yn"u.asp at 0911&2003 at 2:20.14 PM PDT. 3.Local referral organiwion:Advanced Online DVBE Resource Ccrw(www.dvbc.net)at 09/18;2003 at 2:15:14 PM T. FUDIS CONTACTED: The foUowin 16 DBE subooctrwtors were recommended. pad P1amc:COAST SURVEYING,INC 1 3131 PARKWAY LOOP,SUITE B STIN.CA 92780 Telephone i:(714)918-6266 Fax 4:(714)918-6277 a:c Selialation Letter Faxeez 09/1&2003 at 2.13:14 PMPDT ark Categories. UCTION STA8IN6,CONlSULTANL MOM Of WAY 1n1GRaMk SURVEYM DRAP MG.LAD SURVEYNG Phase Solicitation Information; •Datels-Times Solirtrd by Phone Yes I trill subcontract with COAST SURVEYING,INC to provide the following: - peci6c Coods and.'or Servim: imated S andlor%participation:S I % ier Levi Participation: (example:sub-1 suh;sub-2 suls'sublsub+3) 'o,I am arable to akori act for Me[allowing treasons Person Contacted and C•ommments for Solicitation:a!a City of Huntington$cacti:'ftner Ave.Rehab-CCI 150,Springdale taxi Rehab-CCI1S1,Macfadden Ave.Rchab-CC1152. Pat, any Pierre:ROBERT WADA&ASSOMTES,INC W.AMERIGE A%T-1 ERTON,CA 92832 Telephone 4:(714)992.5461 Fax 0:(714)525-9761 olicitation Letter Faxed:09!18I2003 at 7:15:14 PM PDT bnp 11w+w aomplycare�xe oom�5r .orern�d do?wbminCliclfEkrc+a�B�IlMyau+l�+Tad•Seed+faxrsAeok�ree2�38eaa9cQbd631612Sfd13079ud tea 1 e7 s Hardy and Harper, Inc. BID 1312 E. Warner Ave. QUEST Santa Ana, CA 92705 Phone: (714)444-1851 ` Fax: (714)444-2801 InITATION TO BID 09118/2003 at 2:25:24 PM PDT Attn:COAST SURVEYING,I\'C 15031 PARKWAY LOOP,SUM B TUSTIN,CA 92780 We are seeking bids from qualified Disadvanted Business Enterprise. Project : City of Huntington Beach: Warner Avc. Rehab— CM 150, Springdale Street Rehab— CC1151, Macfadden Ave. Rehab— CC1152 Location : Huntington Beach, CA Bid Date : September 23, 2003 at 2:00 PM Contact : Corey Kirschner Solicitation Number : n/a Quotes are needed for: Traffic Control,Striping.Adjust Sewer/Storm Drain Manhole to Grade, Traffic Loops and Survey Monuments Please indicate if you will be bidding on this project and fax your response to: (714)441-280L Yes,we will bid. No.not interested. We are an Equal Opportunity Employer and intend to seriously negotiate with qualified DBE subcontractors and suppliers for project participation. Contractors will be required to enter into our standard contract.No modifications to the contract are permitted.All sub-contractors/vendors awarded work on this project must be prepared to furnish sub-contract perfoLmance and payment bonds,for the amount of the subcontract bid,issued by an admitted corporate surety acceptable to our company. We will pay premium up to 1.5%of bid amount and at our sole discretion,reserve the right to waive the requirement of such bonds,to permit substitute security or to accept alternate guarantee in lieu of such bonds. Plans and specifications are available by appoingnent for review/takeoff at above address.If you have any questions please do not hesitate to contact us. Sincerely, Corey Kirschner {w ` Hardy and Harper, iL.. BID 1312 E. Warner Ave. :.REQUEST Santa Ana, CA 92705 Phone: (714)444-1851 ` Fax: (714)444-2801 :..:.:. ....... .....: ::::...... n ....v..n. ....Kx.....�.hnK.... INYTIATrM 10 BHA 09/18/2003 at 2:25:24 Mid PDT Attn:ROBERT WADA ASSOCIATES,rX 410 W.AMERIGE AVENM FULLERTON',CA 92332 We are seeking bids from qualified Disadvanted Business Enterprise Project : City of Huntington Beach: Warner Ave. Rehab— CC1150, Springdale Street Rehab— CC1151,Macfadden Ave. Rehab— CC1152 Location : Huntington Beach, CA Bid Date : September 23, 2003 at 2:00 PM Contact : Corey Kirschner Solicitation Number : n/a Quotes are needed for: Traffic Control Striping.Adjust Sewer/Storm Drain Manhole to Grade,'Trafc Loops and Survey Monuments PIease indicate if you will be bidding on this project and fax your response to: (714)444-2801 Yes,we will bid. _No.not interested. We are an Equal Opportunity Employer and intend to seriously negotiate with qualified DBE subcontractors and suppliers for project participation. Contractors will be requited to enter into our standard contract.No modifications to the contract are permitted.All sub-conttactors/vendors awarded work on this project must be prepared to furnish sub-contract performance and payment bonds,for the amount of the subcontract bid,issued by an admitted corporate surety acceptable to our company. We will pay premium up to 1.5%of bid amount and at our sole discretion,reserve the right to waive the requirement of such bonds,to permit substitute security or to accept alternate guarantee in lieu of such bonds. Plans and specifications are available by appointment for review/takeoff at above address.If you have any questions please do not hesitate to contact us. Sincerely, Corey Kirschner SEP 19 2003 9: 44AH HP 1_RSERJET 3200 P.6 }lady W RaW,bnc's OwOmam Lo` W18,100 2:29 PM Work Categories: L'I2MGR.GEOPHYSICS Phone Solicitation Information: Dates-Tfinels Solicited by Phone Yes I will subcontract with ROBERT WADA dr ASSOCIATES.INC to provide the following: pccific Goods arWor Servicca: imated S and4x%participation:S ie:Level Participation: (example:sub I sub.'sub-2suWsub1sub-3) No,I am unable to subcontno for the foAouiug masons Person Contacted and Commrments for Solicitation:ara City of Huntington Death:Warner Ave.Rehab CC1150,Springdale vat Rehab CC 1151.Madadden Ave,RehaS-CC]152. mpany Name:AMERICAUN BARRICADL,iNC 141 SOUTH DUPONT DRIVE 1NAHEIl41,CA 92806 Telephone#:(714)634-2663 Fax 8:(714)634-2666 Soliciwion Letter Faxed 0911&2093 at 2:15.14 PM PDT Vl'ork CWjories: ARM.PAWr,FEMCI?70.GUARD RAr-NGS&BARRIERS,PAVET04T MARKf:RS•CaKSMUCTION AREA SIGNS.TRAFFIC DDKMOL SYSTEM FEt:CL'.0DXC`r MXRY.ER MFIAL BE MI GUARD RAWG,CONCR.=T@ BARRIER,PAVEMIN-r MESSAGE SIGNS,UGHTD40 d:SIGN ILLUMMATION,CONSTRUCTION EQUIP.MD4T RE AL Phone Solkitotion Iaronnation: Dwc1s-MrW5 Solicited by Phone Yes I will saboor bv4 with AMERICAN BARRICADE,INC to provide the rollowing: pecific Goods and/or Servixs: d f atrd'or%partlepatiow S / % ter Level Participation: (example:sub w 1 sublsub 2 suh�sublsub#3) ONo,I am amble to subcontract for the following reasons " Person Coned and Commmertts for Solicitation:aia City of 1Iundngttrrt peach:Wanner Ave.Rehab-CCI130,Springdale area Rehab.CC1151,T`achdden Ave.Rchsb-CCI152. mpany None:T S C M CORPORATION 18281 GOTIL4RD ST,STE- 109 TUNT11r GTON BEACH,CA 92648 Telephony#:(714)841-1988 Fax 4:(714)841.3222 atc Solicitation Letter Faxed:09/1812003 at 2.15:I4 PM PDT otk Cmegor:es: AWED TRAFFIC STRIPE d.YARMG.SERVICES TO BUILDNOS`OMMING MANTENANCE SERVICES Phone Solicitation Itlformation: Deters-Tunds Solicited by phone y�?_2163 _t_A M Sj*3 V*f%CLQl`A)SM` M$8 :3 Yes[,hill subwrnract with T S C M COMIZATIOt►sb provide the follon ing: LINIC�ih tic Goofs mld'ar 5erviasazed S andlar%participalion:S / % xvc:Participation: (example:sub 1 avbsub 2 su�suhlsvbm3) l ern unable to wbco=S for a follo�g teasais �• �^fit �f Person -4f up Contacted and Commments for Solicitation:n1a City of Huntington Beata:warner Ave.Rchat-CC1150,Springdale tm:Rehab.CC11S 1,Macfaddm Ave.Rehab CCI 152. VDI Name:ASSET ENMONNIENTAL CONSULTANTS AVE,95 GTOri REACT.CA 92649 Telephone 4:(714)379-9D99 Fax tt:(714)379-90% tu�rltww•oomPti�neeaew..aunt'SvperCommbQdarwbm,�Clid•FSae*to+li,�t4ryorr�Loe+aad+5s�d«Fnw#�at�.-,e2d�e9�b6a7t6tZSiddiSl'9�cd 1`�Ee 1 oC7 Hardy and Harper, Inc. BID 1312 E. Warner Ave. EQUEST Santa Ana, CA 92705 Phone: (714) 444-1851 .::xn.....- .r .. :... ..: v. Fax: (714) 444-2801 INVITATION TO BID 09/18/2003 at 2.25:24 PM PDT Attn: AMERICAN BARRICADE,LAC 2141 SOUTH DUPOIN T DRIVE ANAI ELM,CA 92806 We are seeking bids from qualified Disadvanted Business Enterprise. Project : City of Huntington Beach: Warner Ave. Rehab— CC1150, Springdale Street Rehab— CC1 15 1,Macfadden Ave. Rehab— CC1152 Location : Huntington Beach, CA Bid Date : September 23, 2003 at 2:00 PM Contact : Corey Kirschner Solicitation Number : n/a Quotes are needed for: Traffic Conlro4 Striping,Adjust Sewer/Storm Drain Manhole to Grade,-Trafc Loops and Survey Atonements Please indicate if you will be bidding on this project and fax your response to: (714)444-2801 —Yes.we will bid. _No,not interested. We are an Equal Opportunity Employer and intend to seriously negotiate with qualified DBE subcontractors and suppliers for project participation. Contractors will be required to enter into our standard contract.No modifications to the contract are permitted. All sub—contractors/vendors awarded work on this project must be prepared to furnish sub—contract performance and payment bonds,for the amount of the subcontract bid,issued by an admitted corporate surety acceptable to our company. We will pay premium up to 1.5%of bid amount and at our sole discretion,reserve the right to waive the requirement of such bonds,to permit substitute security or to accept alternate guarantee in lieu of such bonds. i Plans and specifications are available by appointment for review/takeoff at above address.If you have any questions please do not hesitate to contact us. Sincerely, Corey Kirschner ± µ Hardy and Harper, Inc ~ BID 1312 E. Warner Ave. ..,.REQUEST Santa Ana, CA 92705 Phone: (714) 444-1851 Fax: (714)444-2801 INN ITATION_TO BID 09/18/2003 at 2:25:24 PM PDT Attn:T S C M CORPORATION 19291 GOT'HARD ST.,STE. 109 HUNTINGTON BEACH,CA 92648 We are seeking bids from qualified Disadvanted Business Enterprise . Project : City of Huntington Beach: Warner Ave. Rehab— CC1150, Springdale Street Rehab— CC1151,Macfadden Ave. Rehab—CC1152 Location : Huntington Beach, CA Bid Date : September 23, 2003 at 2:00 PM Contact : Corey Kirschner Solicitation Number : nla Quotes are needed for: Traffic ConrroZ Sniping,Adjust Se►rer1 Storm Drain]Manhole to Grade,,Traffic Loops and Survey Monuments Please indicate if you will be bidding on this project and fax your response to: (714)444-2801 Yes,we will bid. _1`o,not interested. We are an Equal Opportunity Employer and intend to seriously negotiate with qualified DBE subcontractors and suppliers for project participation. Contractors will be requited to enter into our standard contract.No modifications to the contract are permitted. All sub—contractors/vendors awarded work on this project must be prepared to furnish sub—conu-act performance and payment bonds,for the amount of the subconhact bid,issued by an admitted corporate surety acceptable to our company. We will pay premium up to 1.5%of bid amount and at our sole discretion,reserve the right to waive the requirement of such bonds,to permit substitute security or to accept alternate guarantee in lieu of such bonds. Plans and specifications are available by appointment for re:viewhakeoff at above address.If you have any questions please do not hesitate to contact us. Sincerely, Corey Kirschner m Hardy and Harper, Inc. BID 1312 E. 'Warner Ave. REQUEST Santa Ana, CA 92705 Phone: (714) 444-1851 ... .. . ¢. v Fax: (714)444-2801 INVITATL TO RID 09/18/2003 at 2:25:24 PM PDT Ann: ASSET E,\'V]ROXMEN7AL CONSULTANTS 5011 ARGOSY AVE.115 IIU.ti'MGTOIN'BEACH,CA 92649 We arc seeking bids from qualified Disadvanted Business Enterprise. Project : City of Huntington Beach: Warner Ave. Rehab—CC1150, Springdale Street Rehab— CC 1151, Macfadden Ave. Rehab— CC1152 Location : Huntington Beach, CA Bid Date : September 23, 2003 at 2:00 PM Contact : Corey Kirschner Solicitation Number : nla Quotes are needed for: Traffic ConlroL Striping,Adjust SeKerl Slorm Drain blanhale Yo Grade,'Traffic loops and Survey Monuments Please indicate if you will be bidding on this project and fax your response to:(714)444-2801 —Yes,we will bid. _No,not interested. We are an Equal Opportunity Employer and intend to seriously negotiate with qualified DBE subcontractors and suppliers for project participation. Contractors will be required to enter into our standard contract..No modifications to the contract are permitted.All sub-contractoWvendors awarded work on this project must be preparrd to furnish sub-contract perfminance and payment bonds,for the amount of the subcontract bid,issued by an admitted corporate surety acceptable to our company. We will pay premium up to 1.5%of bid arnount and at our sole discretion,reserve the right to waive the requirement of such bonds,to perurit substitute security or to accept alternate guarantee in lieu of such bonds. Plans and specifications are available by appointment for review/takeoff at above address.If you have any questions please do not hesitate to contact us. Sincerely, Corey Kirschner SEP. 19 2003 9: 45AM HP LRSERJET 3200 p.7 Hudy and Huw.loc.%Cmphaawe Loa 9r M103 2:29 Pot Date Solicitation Letter Raced:0911&2003 at 2:15:14 Pyl PDT Work Categories: 9ESTOSCEA0,iT PIM ASBESTDS.CT7sfFNT SE0WEZ PIPE,CONSUL NT.InIVIROJIhMaAL ENCfi'E L WRCNMENfAL QUALITY Phone Solicitation Information: DateJs-Timels Solicited b)Phone Yes 1 will subcontract with ASSET ENVIRONMENTAL CONSULTANTS to provide the following- pacific Goods andror Services: imated S and'or%participatiorc S / % ier Level Participa-on: (example,sub-I subrsub-2 sub/subhub-3) No,I am unable to subcontre.-t for the following seasons Person Contacted and Commments for Solicitation ak City of Huntington Beach:Warner Ave-Rehah-CCI ISO,Springdale tree:Rehab.CC1151,Macfadden Ave.Rehab-CC1152. [�ork ny Name:COMPLIANCE NEWS M11NO STE 214 BEACH,CA 90803 Telephone#:(SW)399-6996 Fox#:(562)439-1398 licitation Letter Faxed:09/10003 at 2:15:14 Pw1 PDT ategories:kziom serviers,a-aa,Advertlbng sYarcies,Advenising,ae.o.,Carnpuer pcogncnmtn;Services,Computer procmiea R daia on a p ac=irg service$,Lc6W wmcet Phone Solicitation Information:-Timels Solicited by Phone [will subcantra.-t with CO«LIAN(t~TIERWS to provide t1 a following: pecific Goods and/or Services. 'stimared S andlor%participation:S J 4. ierLevel Participation: (example:sub-1 suhssb-2 sub'subtsub-3) a,1 am unable to subcontract for the following reasons arson Contacted and Commm-ants for SolicitMion:We City of Huntington Beach:%Vuw Ave.Rchab-CC1150,Springdale trey Rehab-CC1151.Macfadden Avo.Rehab-CCI152. rnperry Dame:RWA SURVEYING 1784 ORIOLE DRIVE STA MrSA,CA 92625 Telephone A{714)434-4930 Fax P:(73A)434-4930 Solicitation Letter Faxed:09/1M03 at 2:15:14 PM PDT JYarlc Categories: URVEYOR Phone Solicitation Information- 'Dam/s•Timcls Solicited by Phone ❑ Yes 1 will subcontract with RWA SURVEYING to provide the following: Specific Goods andlor Scn ices: Cstimatod S end/or%7-1izipation:S / % per Lt ve!PartEeipsn-son: (example:sub-1 sub'sub-2 sublsubtsub-3) `o,I am tumble to subcontract for the following reasons Person Contacted and Canmmems for Solicitation:nla City of Huntington Beach:VI'arna Ave.Rehab-CCI150,Springdale Sum Rehab-CC1151,Mach dden Ave.Rehab-CC1152, ompam Name:GOLDEN SUN CONSTRUCTION,INC 19 KING EIDER LAME anp lfrW++r.00mptinoeaewteasBcFerCoaamn3do?suletirCtieir•}Ian*ro�tiaEt4+yoar*Lee+wdr5aid�Fa cKltol ta-a2ad8aaa9tObdL716@Srdi!�79�od PW 3 of 7 J Hardy and Harper, Inc. BID 1312 E. Warner Ave. s "` Santa Ana, CA 92705 Phone: (714)444--1851 i :. .: :..... .. Fax: (714)444-2801 IN371TATIQN TQ BID 09118/2003 at 2:25:24 P.M PDT Attn: COMPLIANCE NEWS L 1 S TERMNO STE 214 L OING BEACH,CA 90803 We are seeking bids from qualified Disadvanted Business Enterprise. Project : City of Huntington Beach: Warner Ave. Rehab— CC1150, Springdale Street Rehab— CC1151,Macfadden Ave. Rehab—CC1152 Location : Huntington Beach, CA Bid Date : September 23, 2003 at 2:00 PM Contact : Corey Kirschner Solicitation Number : n/a Quotes are needed for: Traffic Control Striping,Adjust Se►serl Storm Drain Manhole to Grade,'Traf c Loops and Survey Monuments Please indicate if you will be bidding on this project and fax your response to: (714)444-2801 ___—Yes,we will bid. ___—No,not interested. We are an Equal Opportunity Employer and intend to seriously negotiate with qualified DBE subcontractors and suppliers for project participation. Contractors will be required to enter into our standard contract.No modifications to the contract are permitted.All sub—contractotVvendors awarded worts on this project trust be prepared to furnish sub-contract performance and payment bonds,for the amount of the subcontract bid,issued by an admitted corporate surety acceptable to ourcompany. We will pay premium up to 1.5%v of bid arnount and at our sole discretion,reserve the right to waive the requirement of such bonds,to permit substitute security or to accept alternate guarantee in lieu of such bonds. Plans and specifications are available by appointment for review/takeoff at above address.If you have any questions please do not hesitate to contact us. Sincerely, Corey Kirschner Hardy and Harper, Inc. BID 1312 E. Warner Ave. -REQUEST Santa Ana, CA 92705 Phone: (714) 444-1851 {y: Fax: (714)444-2801 ::.:: :....: ........... .. INVITATION 10 IBM 0911SM03 at 2:25:24 PUI PDT Ann:RWA SURVEYLNG 1784 ORIOLE DRIVE- COSTA MESA,CA 92626 We are seeking bids from qualified Disadvanted Business Enterprise. Project : City of Huntington Beach: Warner Ave. Rehab— CC1150, Springdale Street Rehab— CC1151, Macfadden Ave. Rehab— CC1152 Location : Huntington Beach, CA Bid Date : September 23, 2003 at 2:00 PM Contact : Corey Kirschner Solicitation Number : n/a Quotes are needed for: Traffic Control, Striping,Adjust Sewer/Storm Drain Manhole to Grade,'Trafc Loops and Survey Monuments Please indicate if you will be bidding on this project and fax your response to:(714)444-2801 _Yes, we will bid. —No,not interested. We are an Equal Opportunity Employer and intend to seriously negotiate with qualified DBE subcontractors and suppliers for project participate on. Contractors will be required to enter into our standard contract_No modifications to the contract are permitted-All sub-contractors/vendors awarded work on this project must be prepared to furnish sub-contract performance and payment bonds,for the amount of the subcontract bid,issued by an admitted corporate surety acceptable to our company. We will pay pretnium up to 1.5 0 of bid amount and at our sole discretion,reserve the tight to waive the requirement of such bonds,to permit substitute security or to accept alternate guarantee in lieu of such bonds. Plans and specifications are available by appointment for review/takeoff at above address.If you have any questions please do not hesitate to contact us. Sincerely, Corey Kirschner SEP 19 2003 9:4GRM HP LRSERJET 3200 P.© Ft-dy rd Rupu,lac' CempLana Loa 9'18.C3 2:29►M SO ViF.JO,CA 92656 Telephone#:(949)380-9797 Fax g:(949)930-4390 Date Solicitation Letter Faxtd:0911812M3 at 2.15:14 PM PDT Work Categories: UARD RAWNGS&BARRU S,CAST-IN-DRILLED-HOLE CONCRETE PA.INM PRESTREM-G CONatEM CASTW-PL.ACI� ONCRETB STRUCTURE.MINOR COKCR=STRUCTURt_,CONCRETE SURFACE FINISH.CONCRETE OVERLAY-DRILL& ram,ERECT FRECAST CONCRETE.CONCRETE BLOCK&MASONRY RETADWO WALL.RFI TORC2:D CONCRETE CRIB .PALL.SOMD WALL{MASONRY BLOCK-CONCRETE).IOnTr SEAL-1YATER STOP,ALTERNATIVE Pn CLILVERT.CAST N-PL.i10E CONCRETE P'B'E..RECUORCIa CONCRETE SEWER PIP"..,CLAY SEWER PIPE,CAST IRON SEWER PIM SEINER fANHOLE.]UNCTION CIIAMBE.R Phone Solicitation Information: DzWs-Times 5olicite3 by Phone Yes I will subcontract with GOLDEN SUN CONSTRUMON,INC to provide the fallowing pecific Goods and/or Services: Estimated S and/or%paniC:paticm:S / % rer Level Participation (exarap!e:sub I sub/sub-2 sub;sublsub-3) o,I am unable to subcontract for the following reasons erson Coruactcd mad Cemmments for Solicitation:n►a City of Huraingwo Beach:Warm Ave.Rehab-CC 1150,Springdale trect Rehab-CCI151,Macfaddcn Ave.Rehab-t_CI 152. Company Name:SUDHAKAR COMPANY INIERNATIONAL 1450 N.FITZGERALD AVENUE RIALTa CA 92376 Telephone 11:(909)M2933 Fax#;(909)879.2939 Date Soluitation Learn Fax:d.09/1&2003 at 2:15:14 PM PDT Work Caegories: OPLASTIC TRAFFIC STREPE&1UMNG,PAINTED TRAFFIC STRIPE&MARKING.L4C-INMRDIG.CML L\'IDtL`aG p r Phone folic a ion Information: Datds-Tinoels Solicited by Phorx;112.1 o- m W Lek viq� Qr\C r Yes I will subcontract with SUDI AKAR COMPANY IN'TEMATIONAL to provide the folowzng: pecMc Goods and/or Services: ated S and/or%participation:S / % ier Level participation: (example.rub-I tub'sub-2 sublsub/sub-3) . o,I am unable to subcenri-act for the falowing reasons erson Cormcted and Commments for Solicitation:Na City of lluatington Beach:Wainct Ave.Rehab-CC1150.Springdale trees Rehab CC 1151,61acbdden Ave.Rehab-CC l 152. r Name:ENVIRONhiENTAL COST MANAGEM N-IER S'YREET.SU:]E 261 MESA.CA 92626 Telephone 4:(714)662-27s7 Fax R:(7I4)662.2758 citation Letter Favd:09/1&2003 at2.15:14 PM PDT egories: NSULTANT.EWIRO?LU.E7.TAL ENGNEER StMVEYOR,GEOPHYSICS.COTSTRUCM MANAGI]4LNT Phone Solicitation Information: !3's-h-7jMa/2 Solicited by nonce Yes I will subcontract with ENVIRONWL TAL COST NLWAGE11 E T to provide the fallou-iag-. pecific Goods and/or Senices: stimated 1 and/or%participation:S / % Kr Level Participation: (exa.•nple:cub-1 suNsub-2 subrsubtsub-3) DNo,I am unable to subeorta t for the fbllowing reasons erson Contacted and Commments for Solicitation:ola City of Huartinl . Beach:Warm Ave Rehab-CC1150,Springdale treet Rehab-CC]131.Macfajden Are.Rehab-CCI 152. bnpJrw..ecmpfiancwwrr.COm'SupMCORa�oA.dOTiuLnu{luck-Hoe+1o•9ai16-your+tAa•�'+Send'Fna OolsyaIJde oc06�]1642330079sd Pace 4or1 Hardy and Harper, Inc, BID 1312 E. Warner Ave. ::REQUEST Santa Ana, CA 92705 ' Phone: (714)444-1851 fi.. Fax: (714)444-2801 INTIMIATION TO BID 09/18/2003 at 2:25:24 PMl PDT Ann: GOLDEN SUN'CONSTRUCI'lON,INC 9 KPM EIDER LANE ALISO VIEJO,CA 92656 We aim seeking bids from qualified Disadvanted Business Enterprise. Project : City of Huntington Beach: Warner Ave. Rehab— CCI 150, Springdale Street Rehab— CC 1151,Macfadden Ave. Rehab— CC1152 Location : Huntington Beach, CA Bid Date : September 23, 2003 at 2:00 PM Contact : Corey Kirschner Solicitation Number : nIa Quotes are needed for: Traffic Control,Striping,Adjust Sewer/SIorm Drain Manhole to Grade, Traffic Loops and Survey Monuments Please indicate if you will be bidding on this project and fax your response to:(714)444-2801 —Yes,we will bid. _No,not interested. We arm an Equal Opportunity Employer and intend to seriously negotiate with qualified DBE subcontractors and suppliers for project participation. Contractors will be requited to enter into our standard contract.No modifications to the contract are pervnitted. All sub-contraetors/vendors awarded work on this project must be prepared to furnish sub-contract perfotinance and payment bonds,for the amount of the subcontract bid,issued by an admitted corporate surety acceptable to our company. We will pay premium up to 1.5%of bid amount and at our sole discretion,reserve the right to waive the requirement of such bonds,to permit substitute security or to accept alternate guarantee in lieu of such bonds. Plans and specifications are available by appointment for review/takeoff at above address.If you have any questions please do not hesitate to contact us. Sincerely, Corey Kirschner ` Hardy and Harper, Inc. BID 1312 E. Warner Ave. -BEQUEST Santa Ana, CA 92705 Phone: (714) 444-1851 Fax: (714) 444-2801 MUTATION TO BID 0911842003 at 2.25:24 MM PDT Attn: SUDHAKAR COMPANY INTERNATIONAL 1450 N.=GERALD AVENUE RIALTO,CA 92376 We are seeking bids frorn qualified Disadvanted Business Enterprise. Project : City of Huntington Beach: Warner Ave. Rehab— CC1150, Springdale Street Rehab— CC1151, Macfadden Ave. Rehab—CC1152 Location : Huntington Beach, CA Bid Date : September 23, 2003 at 2:00 PM Contact : Corey Kirschner Solicitation Number : nla Quotes arc needed for: Tragic Control:Striping,Adjust Sewer/Slorm Drain Manhole to Grade,-Traffic Loops and Survey Monuments Please indicate if you will be bidding on this project and fax your response to: (7 L4)444-2801 Yes,we will bid. _No,not interested. We are an Equal Opportunity Employer and intend to seriously negotiate with qualified DBE subcontractors and suppliers for project participation. Contractors will be required to enter into our standard contract.No modifications to the contract are permitted.All sub-contractors.Nendors awarded work on this project must be prepared to furnish sub—contract performance and payment bonds,for the amount of the subcontract bid,issued by an admitted corporate surety acceptable to our company. We will pay premium up to L.5%of bid amount and at our sole discretion,reserve the right to waive the requirement of such bonds,to permit substitute security or to accept alternate guarantee in lieu of such bonds. Plans and specifications are available by appointment for review/takeoff at above address.If you have any questions please do not hesitate to contact us. Sincerely, Corey Kirschner- Hardy and Harper, Inc. BID 1312 E. Warner Ave. REQ EST Santa Ana, CA 92705 i Phone: (714)444-1851 Fax: (714) 444-2801 ,INTN'YTAIlON TO BID 09/18/2003 at 2:25:24 Phi PDT Attn: ENVII2ON EN M COST MANAGES,= 660 BAKER STREET,SUM 261 COSTA MESA,CA 92626 We are seeking bids from qualified Disadvanted Business Enterprise . Project : City of Huntington Beach: Warner Ave. Rehab—CC1150, Springdale Street Rehab— CC11S1, Macfadden Ave. Rehab— CC1152 Location : Huntington Beach, CA Bid Date : September 23, 2003 at 2:00 PM Contact : Corey Kirschner Solicitation Number : n/a Quotes are needed for: Tragic Control, Striping,Adjust Sewer/Storm Drain Manhole to Grade, Traffic Loops and Survey Monuments Please indicate if you will be bidding on this project and fax your response to:(714)444 2801 —___Yes,we will bid. —1\o,not interested. We are an Equal Opportunity Employer and intend to seriously negotiate with qualified DBE subcontractors and suppliers for project participation. Contractors will be required to enter into our standard contract.No modifications to the contract are permitted.All sub-contractors/vendors awarded work on this project trust be prepared to furnish sub-contract performance and payment bonds,for the amount of the subcontract bid,issued by an admitted corporate surety acceptable to our company. We will pay premium up to 1.5%of bid amount and at our sole discretion,reserve the right to waive the requirement of such bonds,to permit substitute security or to accept alternate guarantee in lieu of such bonds. PIans and specifications are available by appointment for review/takeoff at above address.If you have any questions please do not hesitate to contact us. Sincerely, Corey Kirschner SEP 1S 2003 9:461111 HP LHSERJET 3200 p.9 HE*ow tuw.br-%C—ok—'At 9f 1 pros 2:29 PN pany Name:STANDARD ENGINEERING 73 BREA f1II.LS AVENUE REA,CA 92823 Telephone 4:(714)579-0127 Fax M:(714)578-0123 au Solicitation Letter Faxt:d:0911&'2003 at 2:15.14 PM PAT Work Categories: PFALT.CONCRETE&CEMENT.RENcORCINO BAR SECTION,DOCn- &FRAKTS.M4MNG.ELECTRICAL&SIGNA:.S. 4NSTRUCITON AREA SIGNS.TRAFFIC CONTROL SYSTEK RESET.ADJUST ROADWAY HEMS,PLANE ASPHALT 4NCREIE.ROADWAY EXCAVATION.GRADING,STRUCTLR`EXCAVATION,STRUCTURE BACKMI.L.EMANXWM,-T ON MLV770R IMPORTED BOe2ROW.AGGREGATE SUBBASE.AGGREGATE BASIN ASPHALT CONCLF-r-,PAVING? SPHALT(ASPHALT CONCRETE).PLACE ASPHALT CONCRETE DIKE&bESC.PORTLAND CEMIENI&CONCRETE /IVE MENT.GROOVE&GRAD PAVEMENT.CONCRETE STRLXn'RL F-MVOR CONCRETE STRUCTUP11,CONCRETE URFACE F12M SH,CONSULTAN7.B JS[N_SS A m-4STRATION.DEMON.DESIGN BRIDGPS,ENOrMERNG.COHNUIER, CWTECTLTAL FNCIPME&Cn7L MrN'F2r IN0.SURVEYOR,DRAFFING.CON'SnUCIION WJ1AGE).M%7 Phone Solicitulon Information: DaWs-Times Solicited by Phone Yes I will ssbcort-act wiL'i STANDARD£NGIIVEEMG to provide the following: pecific Goods andior Services: S an&or%participation:S / 90 ier Level Participation: (e carttpk:sub 1 sub/sub-2 subtsubrsub-3) No-,I am unable to subcontract for the following reasons Person Contacted end Commxurrns for SOUC1..Wion:nla City of Huntington Beach:Warmer Ave.Rehab.CC 1150,Sprir i;dalc erect Rehab.CC1151,Macfaddcn Avc.Rehab-CC1152. Fmp,n�Name:JESNIAR CONSTRUCTION TH OAKMOUNT AVENUE NA,CA 92706 Telephone 0.1714)972-2668 Fax 0-(714)972-9331 tation Letter Faxed:C9118/2003 at 2:15:14 PM PDT gories: ING&NURSERY,SAND&GRAVEL.,CONCRETE&CI ME*rr CLEARING&GRUBBING,IITGHV4AY PI-ANtT M ONTROL,IRRIGATION SYSTEK SIGNAL&LIGHTTKO.RAMP 1.1ETERING SYSTEK CONSTRUCTION CLEAN TIP. INQ DEMOLITION.PMELIIZE S.EXCEPT KATLT-kL GAS,TELEFHM-COhMJNICAT10ti'S.TEL,EORAPH&OTHER tiAIUNICATIONIS.CCMBNAMOy UTILITY SERVICES.WATER S'LA-.L.Y.SEWERAGE SYSMASi IRRIGATION SYSTEMS Pbnnr Solicitation InlornatlOA: lattis-Timels Solicited by Phone Yes I will subcontract with JESMAR CONSTRUCTION to provide the following. pecific Coo s andlor Servker. �stirnamd S and'or%participation:5_�—/ % ier Level Participation (example:sub-1 suh'sub-2 svhrsubtsub-3) o,I mn unable W subcontract for the following reasons erson CorLM-. d and Commments for Solicitation:u7a City of Huntington Beach:Warner Ave.Rehab CCI 150,Springdale erect Rehab.CC1151,Macfadden Ave.Rehah-CC1152. mpar:y Name:SUN MAYS [URVEYOR 5 AIRWAY AVE,STUTM D-1 STA MESA,CA 9'_626 Telephone R:(714)$40-7669 Fax 0:(714)540-7672 e Sollci•,ufon Lour Faxed:0911&'2003 at 2:15:14 P&f PDT ak Categories: Pboar Solicitation beformation: Dates-Times Solicited by Phone 11 Yes 1 will subeonnct with SUN MAPS to provide the following: Specific Goods an&or Scrn ions: Estimated S uWor%pa.icipation:S I % Tier Level Participation: (example:sub-1=Wxub-2 sublsuhfsut 3) hrpalrwvr,soapl�aaeer�sodS��aComs�ed.do7ubmirClick•lice+b*B�IIQ•yartlas+�d+SMd*Faxc�Rmhes-+e2�dEw�9cObd!<31W2StdA50T9eed }ago3 of7 ....... ,; `: :: Harder and Harper, Inc. BID 1312 E. Warner Ave. ` Santa Ana, CA 92705 f, Phone: (714) 444-1851 �. Fax: (714) 444-2801 INVITATIQN'QRID 09/18/2003 at 225:24 PM PDT Attn:7ESMAR CONSTRUCTION 2528 NORTH OAKMOLTNT AVENUE SAN'TA ANA,CA 92706 NVe air seeking bids from qualified Disadvanted Business Enterprise. Project : City of Huntington Beach: Warner Ave. Rehab— CC1150, Springdale Street Rehab— CC 1151,Macfadden Ave. Rehab—CC1152 Location : Huntington Beach, CA Bid Date : September 23, 2003 at 2:00 PM Contact : Corey Kirschner Solicitation Number : n/a Quotes are needed for: Traffic Control, Striping,Adjust SewerlStorm Drain Manhole to Grade.'Trafc Loops and Survey Monuments Please indicate if you will be bidding on this project and fax your response to: (714)4442801 —Yes,we will bid. _No,not interested. We are an Equal Opportunity Employer and intend to seriously negotiate with qualified DBE subcontractors and suppliers for project participation. Contractors will be required to enter into our standard contract.No modifications to the contract are permitted. All sub—contractors/vendors awarded work on this project trust be prepared to furnish sub—contract performance and payment bonds,for the amount of the subcontract bid.,issued by an admitted corporate surety acceptable to our company. We will pay premium up to 1.5%of bid amount and at our sole discretion,reserve the right to waive the requirement of such bonds,to permit substitute security or to accept alternate guarantee in lieu of such bonds. Plans and specifications are available by appointment for review/takeoff at above address.If you have any questions please do not hesitate to contact us. Sincerely, Corey Kirschner Hardy and Harper, Inc. . . ' BID 1312 E. Warner Ave. REQUEST Santa Ana, CA 92705 Phone: (714) 444-1851 { - Fax: (714)444-2801 INVITATION 10 BID 09A812003 at 2:25:24 PM PDT Attn:SUN MAPS 3185 AIRWAY AVE,SUnE D-1 COSTA MESA,CA 92626 We are seeking bids fi-om qualified Disadvanted Business Enterprise. Project : City of Huntington Beach: Wamer Ave. Rehab— CC1150, Springdale Street Rehab— CC1151,Macfadden Ave. Rehab— CC1152 Location : Huntington Beach, CA Bid Date : September 23, 2003 at 2:00 PM Contact : Corey Kirschner Solicitation Number : n/a Quotes are needed for: Tray rc Contro4 Striping,Adjust Sever/Storm Drain Manhole to Grade,-Trafc Loops and Survey]Monuments Please indicate if you will be bidding on this project and fax your response to:(714)444-2801 _Yes,we will bid. —No,not interested. We are an Equal Opportunity Employer and intend to seriously negotiate with qualified DBE subcontractors and suppliers for project participation. Contractors will be required to enter into our standard contract.No modifications to the contract are permitted.All sub-conuactorslvendors awarded wotk on this project trust be prepared to furnish sub-contract performance and payment bonds,for the amount of the subcontract bid,issued by an admitted corporate surety acceptable to our company. We will pay premium up to 1.5%of bid amount and at our sole discretion,reserve the right to waive the requirement of such bonds,to permit substitute security or to accept alternate guarantee in lieu of such bonds. Plans and specifications are available by appointment for review/takeoff at above address.If you have any questions please do not hesitate to contact us. Sincerely, Corey Kirschner SEP 19 2003 9:47SM HP LASERJET 3200 p. 10 llendy e.d Hepat tnc'a t�oarplexe�a a'1d�OCt 2:29 t'M No,I am triable to subcon=t for the following reasons erson Contacted and Commmutts far Saliatatian da Clry of Huntington Beach Warner Ave.Rehab-CC1150,Springdale nee Rehab-CM 131,N(sclUckri Ave.Rehab-CCI152. mpany Name:ROSSI CONSTRUCi70A COMPANY.M (5061 SPRINGDALE STitF.Ft',1109 "11NGTOTI BEACIL CA 92649 Telephone#.(714)903-0401 Fax#:(714)903-4t 11 ate Solicitation Letter Fazed:09118,1003 at 2:15:14 PM POT ork Categories: r4FORCq OONCR>iE SEWER PIPE Phone Solirltation Informatlon: Datels•Timels Solicited by Phone Yes I will subcontract with ROSSI CONSTRUCTION COMPANY,D;C to prmide the following pecific Goods and/or Services: •stimated S witler%participation:S / % Tier Level Participation: (eaamplc:sub-I sub/sub-2 7Wsub/suhr 3) .ao,I dot uaabk to subconuaet for the following reasons erson Contacted and Comtnments for Solicitation:n/a City of litmsington Beach:Vl'artter Ave.kebab-CC1150,Springdale sect kebob-CC1151,MacfaMen Ave.Rehab-CCI 152. Company Name:P.A.F.NUNT JUNO 10112 EDGEWOOD LANE aARDEN GROVE,CA 92&i0 Tekphonc tr:(714)537-0618 Fax#:(714)537.2169 Date Solicitation Lester Faxed:09/1&12DO3 at 2:15:14 PM PDT Work Categories: RVCf10N AREA SIGNS,TRAFFIC CONI ROL SYSMt CLEARING 3 GRUB]I NG,MM=P WATER SJPPLY,MIDWAY nANIING.SOIL AN04DWENTS.HYDROSEMING.SEAL COAT.ASPHALT CONCRETE,PAVM ASPHALT(ASPHALT 3tCRO LL PAVEI M147 REP+FORCM FABRIC.PLACE ASPHALT CONCRETE D1KI R LflSC,RECYCLE,RECLIII.1 ASPHALT t NCRETE,PORTLAND CLIENT dt CONCRETE PAVE,M11T Phone Solicitation lororro stion: Dws-Times solicited by Phone Yet I will rabcontract with P.A.ENGMERING to provide the following: recifc Goods and/or Services: timared S and/or%parti:ipwion:S J % ier Level Participation: (example:sub-1 sublaub-2 sub/:ub►sub-3) No,l am unable to subcxttrect for dtc Fallowing teatotts Nxm Unwed and Cotr.mnents for Solicitation:da City of Huntington Reach Warner Ave.P--hab•CC1150,Springdale treet Rehab-CC1151.Nlatfaddm Ave.Rehab-CC]152. mpany Name:AJK COMMUMCATIONS 11692 wWASCO ROAD GARDEN GIi0Y1:,CA 92341 Telephone N(714)7414942 Fax 0:(714)741.4 W Da---Solicitation Letter Fazed:09.'1 MOW at 2:15:14 Phi PDT Work Categories: TRASTIC CONTROL SYSTE7.t,SIGNAL d:LIGH Ma,MANAGL%ENT DC-ORMATION SYST[US,TRArrIC D�G1NrM OARS.TF.MHONE C(MOCMCATIONS Phone Solicitation Information: EYes s-Ttmcla Solicited by Phone I win subcontract with AJK COMMLNICATIONS to provide the following: htp;m&ww meepnaaca&*L=mSwrCaneuod t64.s0d!07he4 Pale 6 or? Hardy and Harper, Inc. BID 1312 E. Warner Ave. ...REQUEST Santa Ana, CA 92705 r Phone: (714) 444-1851 Fax: (714)444-2801 INVITATION TO ]RID 09/1=003 at 2:25:24 PM PDT Attn:ROSSI CONSTRUCT]ON COMPANY,IItiC 15061 SPRINTGDALE STREET,#109 HUh"MGTON'BEACH,CA 92649 We are seeking bids from qualified Disadvanted Business Enterprise. Project : City of Huntington Beach: Warner Ave. Rehab--CC1150, Springdale Street Rehab— CC 1151, Macfadden Ave. Rehab— CC1152 Location : Huntington Beach, CA Bid Date : September 23, 2003 at 2:00 PM Contact : Corey Kirschner Solicitation Number : n/a Quotes are needed for: Traffic Control: Striping.Adjust Sewer/Storm Drain Manhole to Grade,,Traffic Loops and Survey Monuments Please indicate if you will be bidding on this project and fax your response to:(714)444-2801 —Yes, we will bid. _No,not interested. We art an Equal Opportunity Employer and intend to seriously negotiate with qualified DBE subcontractors and suppliers for project participation. Contractors will be required to enter into our standard contract.No modifications to the conu-act are permitted. All sub-contractotslvendors awarded work on this project must be prepared to furnish sub-contract performance and payment bonds,for the amount of the subcontract bid,issued by an admitted corporate surety acceptable to our company. We will pay premium up to 1.5%of bid amount and at our sole discretion,reserve the tight to waive the requirement of such bonds,to permit substitute security or to accept alternate guarantee in lieu of such bonds. Plans and specifications are available by appointment for review/takeoff at above address.If you have any questions please do not hesitate to contact us. Sincerely, Corey Kirschner Hardy and Harper, Inc. 131D 1312 E. Warner Ave. J?EQUES T Santa Ana, CA 92705 Phone: (714)444--1851 'K....... .. Fax: (714)444-2801 � T 09/18/2003 at 2:25.24 PVL PDT Attn:P.A.ENGINrEERDZG , 10112 EDGEWOOD LANE GARDEN GROVE,CA 92S40 We are seeking bids from qualified Disadvanted Business Enterprise. Project : City of Huntington Beach: Warner Ave. Rehab— CC1150, Springdale Street Rehab— CC1151, Macfadden Ave. Rehab-- CC1152 Location : Huntington Beach, CA Bid Date : September 23, 2003 at 2:00 PM Contact : Corey Kirschner Solicitation Number : n/a Quotes are needed for: Traffic Contro4 Striping,Adjust SewerlSiorm Drain Manhole to Grade,'Traffic Loops and Survey Monuments Please indicate if you will be bidding on this project and fax your response to, (7 1.4)444-2801 Yes,we will bid_ ,--_No,not interested. We are an Equal Opportunity Employer and intend to seriously negotiate with qualified DBE subcontractors and suppliers for project participation. Contractors will be required to enter into our standard contract.No modifications to the contract are permitted.All sub—contractois/vendors awarded wotic on this project must be prepared to furnish sub—contract performance and payment bonds,for the amount of the subcontract bid,issued by an admitted corporate surety acceptable to our Company. We will pay premium up to L.5 ro of bid amount and at our sole discretion,reserve the right to waive the requirement of such bonds,to permit substitute security or to accept alternate guarantee in lieu of such bonds. Plans and specifications are available by appointment for review/takeoff at above address.If you have any questions please do not hesitate to contact us. Sincerely, Corey Kirschner Hardy and Harper, Inc. BID 1312 E. Warner Ave. Santa Ana, CA 92705 Phone: (714) 444--1 SS I v Fax: (714) 444-2801 INIVITAnDhaO 09/18/2003 at 2:25:24 Plvi PDT Attn: AM CO.V1MLMCATIONS 1168'_'WASCO ROAD GARDEN GROVE,CA 92841 We are seeking bids from qualified Disadvantcd Business Enterprise. Project : City of Huntington Beach: Warner Ave. Rehab— CC1150, Springdale Street Rehab-- CC1151, Macfadden Ave. Rehab— CC1152 Location : Huntington Beach, CA Bid Date : September 23, 2003 at 2:00 PM Contact : Corey Kirschner Solicitation Number : n/a Quotes are needed for: Truk Control, Striping,Adjust Sewer/Storm Drain Manhole to Grade,'Traffic Loops and Survey Monuments Please indicate if you will be bidding on this project and fax your response to:(714)444-2801 Yes, we will bid. 4 To,not interested. We are an Equal Opportunity Employer and intend to seriously negotiate with qualified DBE subcontractors and suppliers for project participation. Contractors will be required to enter into our standard contract.No modifications to the contract are permitted.All sub—contractors/vendors awarded work on this project trust be prepared to furnish sub—contract performance and payment bonds,for the amount of the subcontract bid,issued by an admitted corporate surety acceptable to our company. We will pay premium up to 1.5%of bid amount and at our sole discretion,reserve the right to waive the requirement of such bonds,to permit substitute security or to accept alternate guarantee in lieu of such bonds_ Plans and specifications are available by appointment for review/takeoff at above address.If you have any questions please do not hesitate to contact us. Sincerely, Corey Kirschner SEP 19 2003 9: 47RM HP LASERJET 3200 P. 11 tlu*"A Narper.lac.'a CaaP wrm Log V IV03 2:29 PW recifie Goods and/or Services: limated S and/or%panicipation:S 1 % ricr Lever Participation (example:sub=1 suWsub-2 sublsuWsab-3) Vo,I arm unahk to subcontract for the following rcawas Person Corumcd and Comments for Solic imtion:Pla City of Huntington Bach:Warner Are.Rehab-CC 1150,Springdale street Rehab-CCIIS 1,Macfaddcn Ave.Rehm CCl 152. hrrp.Mwww.ocngliancec n oon5ppaiConnrmd do?aul+r�CLck*Hm•sosBa[ta-year+Lot+md�S�A•Ps■aArot M+a2ad1ou4o06dh11N2SfddSG79«d' Pap f or7