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HomeMy WebLinkAboutR.J. Noble Company - 2016-02-16 RECEIVED BY: //ff / CITY CLERK RECEIPT COPY Return DUPLICATE to i� City Clerk's Office (Name) after signing/dating (Date) CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: // " s� SUBJECT: Bond Acceptance I have received the bonds for X /�jo/,3 L- - (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. -7_ Warranty or Maintenance Bond No. 1-i� 33%00/y? TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved116 r- 1,42t114 _ _ (Council Approval Date) r CC No. * Agenda Item No. MSC No. City Clerk Vault No. r 7F�• Other No. SIRE System ID No. %71f1 g:/forms/bond transmittal to treasurer 0 J, CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION DATE: 10/4/2016 TO: THOSE LISTED HEREON (� FROM: Duane Wentworth, Contract Administratd� SUBJECT: Retention Release Payment- PO#21650 OJ Supplier#18195 Co.#207 Gothard Street and Center Avenue Arterial Rehab, Project#CC 1496 Contractor's Name: R.J. Noble Company, Orange Address: 15505 E. Lincoln Avenue City, State and Zip Code: Orange, Ca 92865 Phone Number: 714 637-1550 City Business License Number: A005420 Notice of Completion (Date by City Clerk): 9/28/2016 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. certify that no stop notices are on file. ok //,�, &, -I-- ' Date Tr vis K. Hopkins, Director of Public Works I certify that there are no outstanding invoices on file. �I q-1116 &L M Date Joyce Zacks eputy City Treasurer I certify that no stop notices are on file, and that a guaranty bond has been filed with the City Clerk's Office. Date Robin Estanislau, City Clerk Attachments 1- 1. Certificate of Compliance with Prevailing Wage Laws 2. Contractor's Certificate 3. Certificate of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 4. Consent for Release letter from the Surety Company 5. Maintenance Bond 6. Notice of Completion Certification of Compliance with Prevailing Wage Laws To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach, CA 92648 Re: Certification of Compliance with Prevailing Wage Laws Contract: CC 1496 Project: GOTHARD STREET&CENTER AVENUE REHABILITATION The undersigned contractor on the above-referenced project ("Project") hereby certifies that all laborers, mechanics, apprentices, trainees, watchmen and guards employed by him or by any subcontractor performing work under the contract for the Project have been paid pursuant to the minimum wage and bona fide fringe benefit requirements specified for each particular classification of work, as set forth in the wage-rate determinations of the State of California, Department of Industrial Relations, and/or the United States Department of Labor. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. 15505 E.LINCOLN AVE Executed this 26TH day of SEPTEMBER , 2016 , at ORANGE,CA 92865 California. X �� COYltYL2CI0Y NL2Yl2e"STEVE MENDOZA,SECRETARY R.J.NOBLE COMPANY 17 APPROVED AS TO FORM) B : Y Michael E. Gates Gity Attorney 1 CONTRACTOR'S CERTIFICATE I STEVE MENDOZA , state and certify that: (Name of Declarant) 1 R.J.NOBLE COMPANY is the general contractor to the City of Huntington Beach ("City") on Contract No. CC 1496 (the "Contract") for the construction of the public work of improvement entitled: GOTHARD STREET&CENTER AVENUE ARTERIAL REHABILIATION (the "Project"). 2. All work to be performed pursuant to the Contract has been completed in accordance with the Contract Documents (as such term is defined in the Contract). 3. Except for the claims listed below and the disputed claims listed in paragraph five (5), all persons supplying labor, services, materials and equipment to the Project, including all claims against the contractor arising from the performance of the Contract, have been paid and satisfied (list unpaid debts and claims; if none, write "NONE"): NONE 4. Attached hereto are the lien waivers required by the Contract Documents, which lien waivers have been executed by all persons who performed work on or supplied labor, services, materials, and/or equipment for use at the Project. 5. Set forth below is a list of disputed claims or claims that are the subject of a Notice to Withhold filed pursuant to the Civil Code of the State of California (list all disputed claims; if none, write "NONE"). NONE I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at 15505 E.LINCOLN AVENUE,ORANGE,CA on this 26TH day of SEPTEMBER 2016 (Signature of-Declarant) STEVE MENDOZA,SECRETARY APPROVED AS T,O%FORM Michael,E. Gates City,,Attorney 1 Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach, CA 92648 Re: Certification of Compliance with Title VII of the Civil Rights Act and Equal Employment Opportunity Act of 1972 Contract: CC 1496 Project: GOTHARD STREET&CENTERAVENUE ARTERIAL REHAB III The undersigned contractor on the above-referenced project ("Project") hereby certifies that it has complied with title VII of the Civil Rights Act, the Equal Opportunity Act of 1972 and Executive Order 11246, and has not discriminated against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age or disability. The undersigned contractor also certifies that it has not maintained any segregated facilities at its establishments on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age or disability (with the exception of access for the disabled). I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this zsTH day of SEPTEMBER 20 16 , at ORANGE,92865 ,15505 E.LINCOLN AVENI�.�Callforriia. (Contracto Nam . EVE MENDOZA,SECRETARY R.J.NOBLE COMPANY APPROVED AS TO FORA4 By: cr t i Michael E. Gates City Attorney 1 RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) 0 , CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: SUBJECT: Bond Acceptance I have received the bonds for X,e Aio 6 (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. �1 Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved �` (Coune I Approval Date) CC No. Agenda Item No. J6 MSC No. City Clerk Vault No. Other No. SIRE System ID No. g:/forms/bond transmittal to treasurer Bond No.58733100M MAINTENANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: That R.J.NOBLE COMPANY (contractor's name) 15505 E.LINCOLN AVENUE,ORANGE,CA 92865 (contractor's street address,city and state and zip code) as Principal (hereinafter called Contractor),and: Western Surety Company (surety's name) 915 Wilshire Blvd.,Suite 1650 Los Angeles CA 90017 (surety's street address,city and state and zip code) a corporation organized and existing under the laws of the State of South Dakota with its principal office in the City of Sioux Falls _ as Surety(hereinafter called Surety),are held firmly bound unto CITY OF HUNTINGTON BEACH as Obligee (hereinafter called Owner), in the amount of Dollars ($ 1,370,784.98 ), equivalent to the entire contract amount including all orders, for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators,successors,and assigns,jointly and severally,firmly by these presents, 'one million three hundred seventy thousand seven hundred eighty four&98/100 WHEREAS, Surety is a duly admitted surety insurer under the laws of the State of California;and Surety is certified and listed in the U.S. Department of the Treasury Circular 570,and able to provide proof of bonding limitation shown in said circular is sufficient to provide bonds in the amount required by said Contract; and Surety has provided financial strength ratings from reputable companies, such as from A.M. Best, Moody's, Standard & Poor's,to validate that Surety has positive ratings of being secure or stable;and Surety is registered and listed with the California Department of Insurance; and Contractor has by written agreement dated '.- " Ito ,20_Lpentered into a contract with Owner for the Gothard Street and Center Avenue Arterial Rehab Project#CC 1496 in accordance with drawings and specifications prepared byGi of 4k which contract is by reference made a part hereof(hereinafter referred to as the Contract);and The Contract provides that the principal will guarantee, for a period of one year, the work performed as part of the Contract from and against all defects in materials and workmanship;and The Contract also provides that the Contractor shall secure Contractor's obligations during the one-year period with a bond executed by a surety duly admitted in the state of California; and The Contract has been completed, and the Owner, Contractor and Surety agree that the commencement date for this Guarantee and Bond shall be September 21 2016, NOW, THEREFORE_, THE CONDITION OF THIS OBLIGATION is such that if Contractor shall, for a period of one year from and after the date of completion and acceptance of the Contract by Owner, repair andfor replace any and all defects arising in the Work, whether resulting from defective materials or defective workmanship, then this obligation shall be null and void; otherwise it will remain in full force and effect. The Surety hereby waives notice of any alteration or extension of time made by the Owner. Whenever Contractor shall be, and declared by Owner to be in default under the Contract, the Surety shall, within thirty (30) days following Owner's written notice of default, either: (a) remedy the default, or (b) shall promptly complete the Contract in accordance with its terms and conditions. Surety shall save the Owner harmless from any claims,judgments, liens or losses arising from the Surety's failure to either remedy the default or to complete the Contract in accordance with its terms and conditions in a timely manner. 15-4584II18138 1 Whenever the Principal shall be, and declared by the Owner to be in default under the Contract, which shall include without limitation, any breach or default of the Contract, then, after written notice from the Owner to the Surety, as provided for below,the Surety shall either: (a) remedy the default or breach by the Principal;or(b)shall promptly and faithfully take charge of the Work and complete the Work in accordance with the requirements of the Contract with a contractor other than the Principal,at its own expense, and make available as work progresses sufficient funds to pay the cost of completion less the unpaid balance of the Contract including other costs and damages for which the surety may be liable hereunder, provided, however, that the procedure by which the Surety undertakes to discharge its obligations under this Bond shall be subject to the advance written approval of the Owner. Within thirty (30) days after Surety's receipt of a written notice from Owner of the failure of performance of the Contract by the Principal, it shall be the duty of the Surety to give to the Owner a notice, in writing, of the Surety's election to (a) remedy the default(s)of the Principal promptly,or(b)arrange for performance of the Contract promptly by a contractor other than the Principal, time being of essence to this Bond. In said Notice of Election, the Surety shall state the date of commencement of its cure or remedy of the Principal's default(s) or its performance of the Contract. The Surety's obligations for cure or remedy, include but are not limited to: correction of defective work and completion of the Contract, additional legal, design professional and delay costs arising from Surety's actions or failure to act; and liquidated damages (or if no liquidated damages are specified in the Contract, actual damages caused by delayed performance or non-performance by the Principal). The Surety shall give prompt written notice to the Owner upon completion of the cure or remedy of the Principal's default(s)of its performance of the Contract. If the Surety does issue its Notice of Election and does not proceed to cure or remedy the Principal's default(s) of its performance of the Work within thirty (30) days after receipt of a written notice from Owner, Surety shall be deemed to be in default on this bond, and the Owner shall be entitled to enforce any remedy available to Owner. No right of action shall accrue on this bond to or for the use of any person or corporation other than the owner named herein or the successors of Owner. Signed and sealed this 27 day of September 2016 Principal Raised Corporate Seal R.J.NOBLE COMPANY [MUST BE AFFIXED] (Contractor Name) By: x (Seal) STEVE MEN7ZA,S(S51ETARY Principal Raised Corporate Seal [MUST BE AFFIXED] (Title) Western Surety Company, (Suft�(e) By: //i" (Seal) im-6s=S o Dalai mey-in-Fact APPROVED AS TCS RM:, NOTES: ,Michael E. Gates, City Attorney 1. Acknowledgments must be completed and returned as part of the bond. 2. Raised Corporate Seals are mandatory. 3. Please attach Power of Attorney. 15-4 84/118138 2 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of ORANGE ) On 09/28/2016 before me J. DE IONGH, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared STEVE MENDOZA Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s} whose names} 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/theif signature(4on the instrument the person(s); or the entity upon behalf of which the person(s)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that theforegoing paragraph J. DE IONGH is true and correct. Commission #2128504 Notary Public - California Z WITNESS my hand and official sea. Z Orange County My Comm. Expires Oct 28,2019 J Signature Signat o ryP061ic J. DE IONGH Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association -www.NationaiNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 I ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On September 27, 2016 before me, Lauren Emily Bierman, A Notary Public (insert name and title of the officer) personally appeared James Scott Salandi, Attorney-in-Fact who proved to me on the basis of satisfactory evidence to be the person(s) whose name($) is/are subscribed to the within instrument and acknowledged to me that he/s:he" executed the same in his/harA ak authorized capacity(ies), and that by his/harAhek signature(g) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. .s�L°°iHE,� LAUREN EMILY BIERMAN ;N r' COMM.#2097240 i0 W ® NOTARY PUBLIC-CALIFORNIA G! = ORANGE COUNTY N (' n MY COMM.EXP.JAN 15,2019 SignaturelUv (Seal) in v '� Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men By These Presents,That WESTERN SURETY COMPANY,a South Dakota corporation,is a duly organized and existing corporation having its principal office in the City of Sioux Falls,and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make,constitute and appoint James Scott Salandi, Leonard Ziminsky, David Jacobson, Individually of Irvine, CA,its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign,seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney,pursuant to the authority hereby given,are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By-Law printed on the reverse hereof,duly adopted,as indicated,by the shareholders of the corporation. In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 1st day of April,2016. r��suaEry+,� WESTERN SURETY COMPANY 9Nf40 T�iyii JrPaul T.Bruflat,Vice President State of South Dakota ss County of Minnehaha On this 1st day of April,2016,before me personally came Paul T.Bruflat,to me known,who,being by me duly swom,did depose and say: that he resides in the City of Sioux Falls,State of South Dakota;that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument;that he knows the seal of said corporation;that the seal affixed to the said instrument is such corporate seal;that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority,and acknowledges same to be the act and deed of said corporation. My commission expires J.MOHR NornRr auauc June 23,2021 Hof 3O UTH0AKOTA s J.Mohr,Notary Public CERTIFICATE I, L.Nelson,Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force,and further certify that the By-Law of the couponr6on printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said cor;omti n this,���_day of r r•' aery"'�.3 WESTERN SURETY COMPANY ?_...._........;coy, cy zdax� L.Nelson,Assistant Secretary Form F4280-7-2012 Document-1960368-Page-1 Page 1 of 1 Recorded in Official Records,Orange County j Hugh Nguyen,Clerk-Recorder 1 1] II II If II1 III I 11111 II NO FEE PLEASE COMPLETE THIS INFORMATION * `6 R 0 0 0 8 7 2 3 1 3 3 `6 RECORDING REQUESTED BY: 2016000469726 9:59 am 09/28/16 217 405 N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 WHEN RECORDED MAIL TO: i CITY OF HUNTINGTON BEACH PUBLIC WORKS DEPAR ME ATTN:Duane Wentworth P.O.Box 190—2000 Main Street Huntington Beach,CA 92648 THIS SPACE FOR RECORDER'S USE ONLY TITLE OF DOCUMENT j i 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,Orange,who was the company thereon for doing the following work to-wit: i i Gothard Street and Center Avenue Arterial Rehab,Project#CC 1496 That said work was completed 09/21/2016 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 09/21/2016,per City Council Resolution No.2003-70 adopted October 6,2003. That upon said contract Western Surety Company,was surety for the bond given by the said company as required by law. This document Is solely for the official business of the City of Huntington Beach,as contemplated under Government Code Section 6103 and should be recorded free of charge. nn Dirdttor of Mblf6 Works or City Engineer Date City of Huntington Beach,California STATE OF CALIFORNIA) County of Orange )ss: City of Huntington Beach ) i 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 i I declare under penalty of perjury that the foregoing is true and correct,and that said NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the County Recorder of Orange County. i This document is solely the official business of the City of Huntington Beach,as contemplated y '2 under Government code section.6103 and Dire r of Public Works or City Engineer Date ' should be recorded free of charge. City of Huntington Beach,California i i l THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) i about:blank 9/28/2016 ` "`"`4'iT'''*r's7 H'9'.v"°S:yuA?14,x""v."vrM,u'c'.7r4r-'-- °.n -.. ,.w ♦ _i . .,: Z, p . k .r c - - i t.. !.t RECEIVED BY CITY CLERK RECEIPT COPY r Return DUPLICATE to City Clerk's Office (Name) f /w after signing/dating (Date) > B CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO City Treasurer FROM City Clerk !!,, DATE SUBJECT Bond Acceptance I have received the bonds for Q..1 1-46:5f 6 J (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. Warranty or Maintenance Bond No. ,A i1 Ir'y7 fi't'A TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No Approved V—wo (Council Apprroval Date) CC No � Agenda Item No MSC No City Clerk Vault No � • �J U Other No SIRE System ID No g/forms/bond transmittal to treasurer ti CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND R J NOBLE COMPANY FOR GOTHARD STREET AND CENTER AVENUE REBILITATION THIS AGREEMENT ("Agreement") is made and entered into by and between the City of Huntington Beach, a municipal corporation of the State of California, hereinafter referred to as "CITY," and R J Noble Company, a California corporation, hereinafter referred to as "CONTRACTOR " WHEREAS, CITY has solicited bids for a public works project, hereinafter referred to as "PROJECT," more fully described as Gothard Street Rehabilitation and Center Avenue Rehabilitation 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 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 1 14-4390/121301 i discontinuance of work, except such as are herein expressly stipulated to be borne by CITY, and for well and faithfully completing the work within the stipulated time and in the manner shown and described in this Agreement, and in accordance with the requirements of CITY for the compensation set forth in the accepted bid proposal 2 ACCEPTANCE OF CONDITIONS OF WORK, PLANS AND SPECIFICATIONS CONTRACTOR acknowledges that it is fully familiar with all the terms, conditions and obligations of this Agreement and the Contract Documents (as defined below in this Section), has inspected the location of the job site, and the conditions under which the work is to be performed, and that it enters into this Agreement based upon its thorough investigation of all such matters and is relying in no way upon any opinions or representations of CITY It is agreed that the Contract Documents are incorporated into this Agreement by this reference, with the same force and effect as if the same were set forth at length herein, and that CONTRACTOR and its subcontractors, if any, shall be bound by the Contract Documents insofar as they relate in part or in any way, directly or indirectly, to the work covered by this Agreement "Contract Documents" as defined herein mean and include A. This Agreement, B Bonds covering the work herein agreed upon; C The CITY's standard Plans and Specifications and special contractual provisions, including those on file in the office of the Department of Public Works of CITY, and any revisions, amendments or addenda thereto, 2 14-4390/121301 D The edition of Standard Specifications for Public Works Construction, published by Builders' News, Inc , 10801 National Boulevard, Los Angeles, CA 90064, and all amendments thereto, written and promulgated by the Southern California chapter of the American Public Works Association and the Southern California District Associated General Contractors of the California Joint Cooperative Committee as specified in the particular Plans, Specifications, Special Provisions and Addendum applicable to the Project, 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 Director of Public Works of CITY or his or her written designee (hereinafter referred to as "DPW"), and CONTRACTOR shall not attempt to resolve or adjust the discrepancy without the decision of DPW, save only at its own risk and expense Should there be any conflict between the terms of this Agreement and the bid or proposal of CONTRACTOR, then this Agreement shall control and nothing herein shall be considered as an acceptance of the terms of the bid or proposal which is in conflict herewith 3 1 4-43 90/12 1 30 1 3 COMPENSATION CITY agrees to pay and CONTRACTOR agrees to accept as full compensation for the faithful performance of this Agreement, subject to any additions or deductions made under the provisions of this Agreement or the Contract Documents, a sum not to exceed one million three hundred thirty one thousand two hundred thirty one Dollars and 15 cents ($1,331,231 15), as set forth in the Contract Documents, to be paid as provided in this Agreement 4 COMMENCEMENT OF PROJECT CONTRACTOR agrees to commence the PROJECT within ten (10) working days after the Notice To Proceed is issued and diligently prosecute the PROJECT to completion within-sixty five (65) consecutive Working days from the day the Notice to Proceed is issued by DPW, excluding delays provided for in this Agreement 5 TIME OF THE ESSENCE The parties hereto recognize and agree that time is of the essence in the performance of this Agreement and each and every provision of the Contract Documents CONTRACTOR shall prepare and obtain approval as required by the Contract Documents for all shop drawings, details and samples, and do all other things necessary and incidental to the prosecution of its work in conformance with the progress schedule set forth in the Contract Documents CONTRACTOR shall coordinate its work with the work of all other contractors, subcontractors, and CITY forces working on the PROJECT in a manner that will facilitate the efficient completion of the PROJECT and in accordance with the terms and provisions of this Agreement CITY shall have complete control of the premises on which the work is to be performed and shall have the right to decide the time and order in which the various portions of the work shall be performed and the priority of the work of other contractors, 4 14-4390/121301 • ■ subcontractors and CITY forces and, in general, all matters concerning the timely and orderly conduct of the work of CONTRACTOR on the premises 6 CHANGES CONTRACTOR shall adhere strictly to the plans and specifications set forth in the Contract Documents unless a change therefrom is authorized in writing by DPW CONTRACTOR agrees to make any and all changes, furnish materials and perform all work necessary within the scope of the PROJECT as DPW may require in writing Under no condition shall CONTRACTOR make any changes without the prior written order or acceptance of DPW, and CITY shall not pay any extra charges made by CONTRACTOR that have not been agreed upon in writing by DPW When directed to change the work, CONTRACTOR shall submit immediately to DPW a written cost proposal reflecting the effect of the change Should DPW not agree to such cost proposal, the work shall be performed according to the changes ordered in writing by DPW and the proper cost thereof shall be negotiated by the parties upon cost and pricing data submitted by CONTRACTOR, thereupon, CITY will promptly issue an adjusted change order to CONTRACTOR and the contract price will be adjusted upward or downward accordingly 7 NOTICE TO PROCEED No work, services, material, or equipment shall be performed or furnished under this Agreement unless and until a Notice to Proceed has been given to CONTRACTOR by CITY CITY does not warrant that the work will be available on the date the Notice to Proceed is issued In the event of a delay in commencement of the work due to unavailability of the job site, for any reason, relief to CONTRACTOR shall be limited to a time extension equal to the delay due to such unavailability 5 14-4390/121301 • 8 BONDS Only bonds issued by California admitted sureties will be accepted CONTRACTOR shall, prior to its performance of this Agreement, furnish the following two (2) bonds approved by the City Attorney One in the amount of one hundred percent (100%) of the contract price to guarantee the CONTRACTOR's faithful performance of the work, and one in the amount of one hundred percent of the contract price to guarantee payment of all claims for labor and materials furnished In addition, CONTRACTOR shall submit to CITY a bond in the amount of one hundred percent (100%) of the final contract price, including all change orders, to warrant such performance for a period of one (1) year after CITY's acceptance thereof within ten (10) days of filing of the Notice of Completion 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 6 14-4390/121301 s 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 five hundred dollars ($500 00) per each calendar day's delay in completing the work in excess of the number of working/calendar days set forth herein, which represents a reasonable endeavor by the parties hereto to estimate a fair compensation for the foreseeable damages CITY would sustain in the event of and by reason of such delay, and CONTRACTOR agrees to pay these damages herein provided, and further agrees that CITY may deduct the amount thereof from any monies due or that may become due to CONTRACTOR hereunder CONTRACTOR will be granted an extension of time and will not be assessed damages for any portion of the delay in the completion of the work due to unforeseeable causes beyond the control and without the fault or negligence of CONTRACTOR, including, but not limited to, acts of God or of the public enemy, fire, floods, epidemics, quarantine restrictions, strikes, unsuitable weather, or delays of subcontractors due to such causes CONTRACTOR shall, within fifteen (15) days from the beginning of any such delay (unless DPW shall grant a further period of time), notify DPW in writing of the cause of the delay and CITY shall extend the time for completing the work if, in its judgment, the 7 14-4390/121301 s findings of fact thereon justify the delay, and the decision of DPW shall be conclusive on the parties hereto Should CONTRACTOR be delayed in the prosecution or completion of the work by the act, neglect or default of CITY, or should CONTRACTOR be delayed by waiting for materials required by this Agreement to be furnished by CITY, or by damage caused by fire or other casualty at the job site for which CONTRACTOR is not responsible, or by the combined action of the workers, in no way caused by or resulting from default or collusion on the part of CONTRACTOR, or in the event of a lockout by CITY, then the time herein fixed for the completion of the work shall be extended by the number of days CONTRACTOR has thus been delayed, but no allowance or extension shall be made unless a claim therefor is presented in writing to CITY within-fifteen(15) days of the commencement of such delay No claims for additional compensation or damages for delays, irrespective of the cause thereof, and including without limitation the furnishing of materials by CITY or delays by other contractors or subcontractors will be allowed and an extension of time for completion shall be the sole remedy of CONTRACTOR 12 CHANGES 1N WORK A Definitions (1) "Change Order" means a document signed by the CONTRACTOR and CITY which authorizes an addition, deletion or revision in the work, or an adjustment in the Compensation under Section 3, or the Completion Time specified at Section 4 (2) "Demand" means a written demand for a Change Order by the CONTRACTOR or CITY for changes in the work as stipulated in the contract documents B No Change Order may be granted except where the CONTRACTOR has submitted a Demand to the DPW (or his or her written designee) All Demands shall be 8 14-4390/121301 i submitted promptly, but in no event later than fifteen (15) days after the occurrence of the event giving rise to the Demand The Demand shall be in writing and include all documents necessary to substantiate the Demand The DPW shall act on the Demand within fifteen (15) days after receipt, including by requesting additional information from the CONTRACTOR to determine whether to approve the Change Order the Demand seeks The DPW shall act on the Demand within fifteen (15) days after receipt of the additional information or within a period of time no greater than the time the CONTRACTOR took to produce the additional information requested, whichever is greater C Notwithstanding the fifteen (15) days to submit a Demand under Subparagraph C, in the case of changed conditions or unknown site conditions, immediately upon encountering the conditions, CONTRACTOR shall notify the DPW in writing of the conditions immediately, so that the CITY may promptly investigate the conditions D If the CONTRACTOR disputes the DPW's written response on the Demand, or the CITY fails to respond within the time prescribed, the CONTRACTOR may so notify the DPW, in writing, either within fifteen (15) days of receipt of the DPW's response or within fifteen (15) days of the DPW's failure to respond within the time prescribed, respectively, and request an informal conference to meet and confer for settlement of the Demand Upon the CONTRACTOR's request, the DPW shall schedule a meet and confer conference within thirty (30) days to seek to resolve E CITY and CONTRACTOR shall execute appropriate Change Orders covering changes to the time or price by executing the Change Order by mutual agreement If the CITY and CONTRACTOR are unable to reach a mutual agreement, then the DPW shall issue a written decision on the claim within a reasonable time. 9 14-4390/121301 F Following the meet and confer conference, if the Demand remains in dispute, the CONTRACTOR may file a claim with the City as provided in Chapter 1 (commencing with Section 900) and Chapter 2 (commencing with Section 910) of Part 3 of Division 3 6 of Title 1 of the Government Code For purposes of those provisions, the running of the period of time within which a claim must be filed shall be tolled from the time the CONTRACTOR submits his or her Demand until the Demand is denied as a result of the meet and confer process, including any period of time utilized by the meet and confer process 13 VARIATIONS IN ESTIMATED QUANTITIES The quantities listed in the bid schedule will not govern final payment Payment to CONTRACTOR will be made only for the actual quantities of contract items used in construction of the PROJECT, in accordance with the plans and specifications Upon completion of the PROJECT, if the actual quantities used are either more than or less than the quantities listed in the bid schedule, the bid price shall prevail subject to the provisions of this Section DPW may, at its sole discretion, when warranted by the facts and circumstances, order an equitable adjustment, upwards or downwards, in payment to CONTRACTOR where the actual quantities used in construction of the PROJECT are in variation to the quantities listed in the bid schedule No claim by CONTRACTOR for an equitable adjustment in price or time for completion shall be allowed if asserted after final payment under this Agreement If the quantity variation is such as to cause an increase in the time necessary for completion, DPW shall ascertain the facts and circumstances and make such adjustment for extending the completion date as in its sole judgment the findings warrant 14 PROGRESS PAYMENTS Each month DPW will make an estimate in writing of the work performed by CONTRACTOR and the value thereof From each progress estimate, five percent (5%) will be 10 14-4390/121301 deducted and retained by CITY and the remainder of the progress estimate, less the amount of all previous payments since commencement of the work, will be paid to CONTRACTOR When CONTRACTOR has, in the judgment of DPW, faithfully executed fifty percent (50%) or more of the value of the work as determined from the bid schedule, and if DPW finds that satisfactory progress has been and is being made, CONTRACTOR may be paid such sum as will bring the payments of each month up to one hundred percent (100%) of the value of the work completed since the commencement of the PROJECT, as determined in its sole discretion by DPW, less all previous payments and less all previous retained amounts CITY's final payment to CONTRACTOR, if unencumbered, or any part thereof unencumbered, shall be made thirty-five (35) days after the acceptance of the work and the filing of a Notice of Completion by CITY Provided, however, that in the event of a dispute between CITY and CONTRACTOR, CITY may withhold from the final payment an amount not to exceed 150 percent of the value of any disputed amount of work Payments shall be made on demands drawn in the manner required by law, each payment to be accompanied by a certificate signed by DPW, affirming that the work for which payment is demanded has been performed in accordance with the terms of the Agreement and that the amount stated in the certificate is due under the terms of the Agreement Partial payments on the contract price shall not be considered as an acceptance of any part of the work 15 WITHHELD CONTRACT FUNDS, SUBSTITUTION OF SECURITIES At the request and at the sole cost and expense of CONTRACTOR, who shall retain beneficial ownership and receive interest, if any thereon, CITY shall permit the substitution and deposit therewith of securities equivalent to the amount of any monies withheld by CITY to ensure performance under the terms of this Agreement 11 14-4390/121301 16 AFFIDAVITS OF SATISFACTION OF CLAIMS After the completion of the work contemplated by this Agreement, CONTRACTOR shall file with DPW its affidavit stating that all workers and persons employed, all firms supplying materials and all subcontractors working upon the PROJECT have been paid in full and that there are no claims outstanding against the PROJECT for either labor or material, except certain items, if any, to be set forth in CONTRACTOR's affidavit covering disputed claims, or items in connection with Notices to Withhold, which have been filed under the provisions of the statutes of the State of California 17 WAIVER OF CLAIMS The acceptance by CONTRACTOR of the payment of the final certificate shall constitute a waiver of all claims against CITY under or arising out of this Agreement 18 INDEMNIFICATION, DEFENSE, HOLD HARMLESS CONTRACTOR hereby agrees to protect, defend, indemnify and hold harmless CITY, its officers, elected or appointed officials, employees, agents, and volunteers from and against any and all claims, damages, losses, expenses, judgments, demands, defense costs, and consequential damage or liability of any kind or nature, however caused, including those resulting from death or injury to CONTRACTOR's employees and damage to CONTRACTOR's property, arising directly or indirectly out of the obligations or operations herein undertaken by CONTRACTOR, caused in whole or in part by any negligent act or omission of the CONTRACTOR, any subcontractors, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, including but not limited to concurrent active or passive negligence, except where caused by the active negligence, sole negligence, or willful misconduct of the CITY, its officers, elected or appointed officials, employees, agents, and volunteers CONTRACTOR will conduct all defense at its sole cost and expense and CITY shall 12 14-4390/121301 approve selection of CONTRACTOR's counsel This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable The policy limits do not act as a limitation upon the amount of indemnification to be provided by CONTRACTOR 19 WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE Pursuant to California Labor Code Section 1861, CONTRACTOR acknowledges awareness of Section 3700 et seq of this Code, which requires every employer to be insured against liability for workers' compensation, CONTRACTOR covenants that it will comply with such provisions prior to commencing performance of the work hereunder CONTRACTOR shall obtain and furnish to City workers' compensation and employer's liability insurance in an amount of not less than the State statutory limits CONTRACTOR shall require all subcontractors to provide such workers' compensation and employer's liability insurance for all of the subcontractors' employees CONTRACTOR shall famish 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 defend, hold harmless and indemnify CITY, CONTRACTOR shall obtain and furnish to CITY, a policy of general public liability insurance, including motor vehicle coverage covering the PROJECT This policy shall indemnify CONTRACTOR, its officers, employees and agents while acting within the scope of their duties, against any and all claims arising out or in connection with the PROJECT, and shall provide coverage in not less than the following amount combined single limit bodily injury and property damage, including 13 14-4390/121301 products/completed operations liability and blanket contractual liability, of One Million Dollars ($1,000,000) per occurrence If coverage is provided under a form which includes a designated general aggregate limit, the aggregate limit must be no less than One Million Dollars ($1,000,000) for this PROJECT This policy shall name CITY, its officers, elected or appointed officials, employees, agents, and volunteers (the "Additionally Insured Parties") as Additional Insureds, and shall specifically provide that any other insurance coverage which may be applicable to the PROJECT shall be deemed excess coverage and that CONTRACTOR's insurance shall be primary and non-contributory with any other valid and collectible insurance or self-insurance available to the Additionally Insured Parties Any available insurance proceeds in excess of the minimum coverage amount specified herein shall be available to the Additionally Insured Parties All coverage available to CONTRACTOR shall also be available to the Additionally Insured Parties Under no circumstances shall said above-mentioned insurance contain a self-insured retention without the express written consent of CITY, however an insurance policy "deductible" of$5,000 00 is permitted CONTRACTOR shall be responsible for causing all Subcontractors to maintain the same types and limits of insurance coverage as that required of CONTRACTOR by this Agreement 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, 2 State that the policy is currently in force, and 14 14-4390/121301 3 Promise to provide that such policies will not be canceled or modified without thirty (30) days' prior written notice of CITY CONTRACTOR shall maintain the foregoing insurance coverages in force until the work under this Agreement is fully completed and accepted by CITY The requirement for carrying the foregoing insurance coverages shall not derogate from the CONTRACTOR's defense, hold harmless and indemnification obligations as set forth under this Agreement CITY or its representative shall at all times have the right to demand the original or a copy of all the policies of insurance CONTRACTOR shall pay, in a prompt and timely manner, the premiums on all insurance heremabove 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 15 14-4390/121301 after such Notice of Intention has been served on CONTRACTOR, CITY may, without prejudice to any other remedy it may have, terminate this Agreement upon the expiration of that time Upon such default by CONTRACTOR, CITY may elect not to terminate this Agreement, in such event CITY may make good the deficiency in which the default consists and deduct the resulting costs from the progress payments then or to become due to CONTRACTOR If it is subsequently determined by a court of competent jurisdiction that CITY's termination of this Agreement under this Section was wrongful, such termination shall be converted to a termination for convenience under Section 24 and any damages shall be assessed as set forth in Section 24 24 TERMINATION FOR CONVENIENCE CITY may terminate this Agreement for convenience at any time with or without cause, and whether or not PROJECT is fully complete upon seven (7) calendar days written notice to CONTRACTOR In the event of termination, under this Section CITY shall pay CONTRACTOR for value of work in place on the PROJECT through the termination period less all such payments already made In case of such termination for convenience, the CONTRACTOR shall be entitled to receive payment for work executed, and costs incurred by reason of such termination In no event shall CONTRACTOR be entitled to recover overhead, profit or CONTRACTOR's fee on work not performed Such payment by CITY shall be CONTRACTOR's sole and exclusive remedy for termination by CITY for its convenience and CITY shall have no further obligation to CONTRACTOR 25 DISPOSITION OF PLANS, ESTIMATES AND OTHER DOCUMENTS CONTRACTOR agrees that upon completion of the work to be performed hereunder, or upon expiration or earlier termination of this Agreement, all original plans, 16 14-4390/121301 specifications, drawings, reports, calculations, maps and other documents pertaining to this Agreement shall be delivered to CITY and become its sole property at no further cost 26 NONASSIGNABILITY CONTRACTOR shall not sell, assign, transfer, convey or encumber this Agreement, or any part hereof, or any right or duty created herein, without the prior written consent of CITY and the surety 27 CITY EMPLOYEES AND OFFICIALS CONTRACTOR shall employ no CITY official nor any regular CITY employee in the work performed pursuant to this Agreement No officer or employee of CITY shall have any financial interest in this Agreement in violation of the California Government Code 28 STOP NOTICES, RECOVERY OF ADMINISTRATIVE COSTS CITY shall be entitled to all reasonable administrative costs and necessary disbursements-ausmg 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 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 17 14-4390/121301 below, provided that CITY and CONTRACTOR may designate different addresses to which subsequent notices, certificates or other communications will be sent by notifying the other party via personal delivery, reputable overnight carrier or U S certified mail-return receipt requested TO CITY TO CONTRACTOR City of Huntington Beach R J Noble ATTN David Verone, Public Works ATTN 2000 Main Street Huntington Beach, CA 92648 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 18 14-4390/121301 CITY, and CITY shall not be liable for payment of any legal services expenses incurred by CONTRACTOR 33 ATTORNEY'S FEES In the event suit is brought by either party to construe, interpret and/or enforce the terms and/or provisions of this Agreement or to secure the performance hereof, each party shall bear its own attorney's fees, such that the prevailing party shall not be entitled to recover its attorney's fees from the non-prevailing party 34 INTERPRETATION OF THIS AGREEMENT The language of all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any of the parties If any provision of this Agreement is held by an arbitrator or court of competent 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 19 14-4390/121301 36 DUPLICATE ORIGINAL The original of this Agreement and one or more copies hereto have been prepared and signed in counterparts as duplicate originals, each of which so executed shall, irrespective of the date of its execution and delivery, be deemed an original Each duplicate original shall be deemed an original instrument as against any party who has signed it 37 CONSENT Where CITY's consent/approval is required under this Agreement, its consent/approval for one transaction or event shall not be deemed to be consent/approval to any subsequent occurrence of the same or any other transaction or event. 38 SURVIVAL Terms and conditions of this Agreement, which by their sense and context survive the expiration or termination of this Agreement shall so survive 39 MODIFICATION No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties 40. SIGNATORIES Each undersigned represents and warrants that its signature herembelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify CITY fully for any injuries or damages to CITY in the event that such authority or power is not, in fact, held by the signatory or is withdrawn 41 ENTIRETY The parties acknowledge and agree that they are entering into this Agreement freely and voluntarily following extensive arm's length negotiation, and that each has had the opportunity to consult with legal counsel prior to executing this Agreement. The parties also 20 14-4390/121301 acknowledge and agree that no representations, inducements, promises, agreements or warranties, oral or otherwise, have been made by that party or anyone acting on that party's behalf, which are not embodied in this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement, promise, agreement, warranty, fact or circumstance not expressly set forth in this Agreement This Agreement, and the attached Exhibit "A", contain the entire agreement between the parties respecting the subject matter of this Agreement, and supersede all prior understandings and agreements whether oral or in writing between the parties respecting the subject matter hereof 42 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 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 21 14-4390/121301 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 j ourneyman, 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 22 14-4390/121301 IN WITNESS WHEREOF,the parties hereto have caused this Agreement to be executed by and through their authorized officers onfO ��', 2016. CONTRACTOR: CITY OF HUNTINGTON BEACH, a municipal corporatio f the State of California By: x Ald CRAIG P RTE ,VICE PRESIDENT (print name) ' 4to� ITS: Chairman/President/Vice-President City Cler (circle one) 3 0(�9 INITIATED AND APP OVED: AND BY:X Director of Pu 'c Works STEVE MENDCr,SECRETARY (print name) ITS: Secretary/Chief Financial Officer REV APPROVED: Asst. Secretary/Treasurer (circle one) City Manager APPROVED AS ORM: City Attorney 23 144390/121301 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document State of California ) County of ORANGE ) On 03/01/2016 before me, J DE IONGH, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared CRAIG PORTER Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the persons} whose names}Ware- subscribed to the within instrument and acknowledged to me that he/she/they-executed the same in hisffter/therr authorized capacity(ies},and that by his/her/thew signature(s}on the instrument the person(s); or the entity upon behalf of which the person(s)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of Califomia that the foregoing paragraph J DE IONGH is true and correct. Commission �2128504 WITNESqJJy a d official seal WM Notary PublicCaliforniaOrange County y Comm ExmieS Oct 28.2019 Signatur S►gnature of Notary Public IONGH Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document Description of Attached Document Title or Type of Document Document Date: Number of Pages Signer(s) Other Than Named Above Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name ❑Corporate Officer — Title(s) ❑Corporate Officer — Title(s)- ❑ Partner — ❑ Limited ❑General ❑ Partner — ❑ Limited ❑General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑Other ❑ Other Signer Is Representing, Signer Is Representing 02014 National Notary Association -www NationalNotary org • 1-800-US NOTARY(1-800-876-6827) Item#5907 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document State of California ) County of ORANGE ) On 03/01/2016 before me, J DE IONGH, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared STEVE MENDOZA Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the persons} whose name(s)- Ware- subscribed to the within instrument and acknowledged to me that he/she/they-executed the same in hisAwlthetr authorized capaclty(ies} and that by his/her/thew signature(oon the instrument the person(s); or the entity upon behalf of which the person(s)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct i ut ,t,,,u n'. WITNESS y ha and official seal Commission n 212Z i =r Notary Public -California Orange County Signatur M Comm Expires Oct 28,2019 Signature of Notary Public . J DE NGH Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document Document Date. Number of Pages Signer(s) Other Than Named Above. Capacity(ies) Claimed by Signer(s) Signer's Name. Signer's Name ❑Corporate Officer — Title(s). ❑Corporate Officer — Title(s) ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑ Other ❑ Other. Signer Is Representing Signer Is Representing 02014 National Notary Association •www NationalNotary org • 1-800-US NOTARY(1-800-876-6827) Item#5907 SECTION C �x � TA PROPOSAL for the construction of GOTHARD STREET REHABILITATION from Edinger Avenue to McFadden Avenue AND CENTER AVENUE REHABILITATION from Gothard Street to Railroad Track CC No. 1496 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 65 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 / Y If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find 10%BIDDER'S BON® in the amount of---------------"""--which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature #1 01/14/2016 x STEVE NDO , ECRETARY C-2 SECTION C PROJECT BID SCHEDULE PROJECT BASE BID: Basis of Award GOTHARD STREET AND CENTER AVENUE REHABILITATION CC No. 14%... . . . . . . . . ......... . . . . .. . . .C-2.1 to C-2.7 . . .... . . . . . . ... ..... GOTHARD STREET AND CENTER AVENUE REHABILITATION Godwd Street from Edinger Avenue to McFadden Avenue and Center Avenue from Gothard Street to RR Track CC No. 14% BASE BID TOTAL AMOUNT LUMP SUM BID IN FIGURES: $ 1 , 33 1, 2.- 3 1 . 15 BASIS OF AWARD C-2.1 SECTION C PROJECT BID SCHEDULE GOTHARD STREET AND CENTER AVENUE REHABILITATION GOTHARD STREET FROM EDINGER AVENUE TO MCFADDEN AVENUE AND CENTER AVENUE FROM GOTHARD STREET TO RR TRACK CC NO. 1496 C-2.2 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 Bid Const. Contract Unit Extended No. Note Description Quantity Unit Price Amount SAWCUT ALONG FLOW LINE AT 1 1 CURB ACCESS RAMP PRIOR TO 1 EA $ 1,50000 s1,50000 CONSTRUCTION OF CROSS GUTTER CONSTRUCT 0 17' FIBER 2 3 REINFORCED ASPHALT 2,850 TN $ 7`l-oo $zzs,(So 00 RUBBER HOT MIX(ARHM)WET PROCESS OVERLAY 3 4 ADJUST SEWER MANHOLE TO 7 EA $385 00 $ 2,69500 GRADE FURNISH AND INSTALL ZEBRON, SANCON OR CITY 4 _ APPROVED EQUAL COATING 4 EA $832 00 $ 3,32800 ON NEW CONCRETE ON INSIDE OF AGENCY SEWER MANHOLE RING 5 5 ADJUST STORM DRAIN 6 EA $ 385 00 $ 2,31000 MANHOLE TO GRADE REPLACE WATER VALVE BOX 6 6 ASSEMBLY AND ADJUST TO 24 EA $ 43500 $10,440 00 GRADE PER HB STD PLAN 612 PULVERIZE AND MIX EXISTING A C PAVEMENT AND 7 7 SUBGRADE TO A DEPTH OF 165,115 SF $O.9,d $0.8,603 so 1 50', REMOVE AND DISPOSE OF 0 50'OF PULVERIZED MATERIAL ADD CEMENT(TN)TO PULVERIZED MATERIAL DEPTH 8 7 OF 1 0',ADD WATER,ALLOW 550 TN 2 1 3-y o C T B SECTION TO CURE AND $ $ �17, Aso 00 MICRO-CRACK AS SPECIFIED IN PROJECT SPECIFICATION CONSTRUCT 0 33' FIBER REINFORCED B-PG 70-10-RAP 9 7 A C BASE COURSE PRIOR TO 4,125 TN $ 63 o o $29-i.,p 7s o0 0 17'FIBER REINFORCED ARHM OVERLAY C-2.3 i PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 Const. i Bid Contract Unit Extended No. Note Des,cd tion Quantl Unit Price Amount REMOVE EXISTING VARIABLE 10 8 THICKNESS A C AND A B TO A 36,465 SF $ 0 81 $29,536 65 1 DEPTH OF 1 0'FROM NEW FINISHED SURFACE CONSTRUCT NEW 0 83' FIBER REINFORCED B-PG-70-10-RAP 11 8 A C BASE COURSE OVER 95% 2,300 TN $ 7425 $ 170,775 00 COMPACTED SUBGRADE PRIOR TO 0 17'ARHM OVERLAY, PER PLANS ti COLD MILL EXISTING A C PAVEMENT TO A DEPTH OF 12 9 0 IT FROM NEW FINISHED 19,170 SF $ 052 $ 9,96840 SURFACE PRIOR TO 0 17'ARHM OVERLAY, PER PLANS REMOVE AND RECONSTRUCT CURB AND GUTTER PER HB STD PLAN 202 (CF=8") 13 11 (INCLUDES SLOT PAVEMENT, 130 LF $47 00 $ 6,11000 AGGREGATE BASE, LOT 1 DRAINS,AND ALL ITEMS NECESSARY TO COMPLETE THE WORK IN PLACE) REMOVE AND RECONSTRUCT SIDEWALK PER HB STD PLAN 207 AND AS MODIFIED ON PLANS (INCLUDES OVER ` EXCAVATION OR FILL FOR CHANGES IN GRADE, RE- GRADE FROM WALK TO 14 12 EXISTING SLOPE, RELOCATING 5,300 SF $�0-7S $ S6,9 o0 IRRIGATION TO BACK OF NEW WALK, RETURNING j LANDSCAPING TO PRE- CONSTRUCTION CONDITION AND ALL ITEMS NECESSARY TO COMPLETE THE WORK IN PLACE) REMOVE AND RECONSTRUCT COMMERCIAL DRIVEWAY("W" 15 13 AND TYPE SHOWN ON PLAN) 1300 SF $ Zk oo $ 2-7 3oo o0 PER STD PLAN 211 MATCH EXISTING IMPROVEMENTS TO GRADE C-2.4 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 Bid Const. Contract Unit Extended No. Note Descri tion Quanti Unit Price Amount INSTALL NEW DETECTOR LOOPS PER CITY STANDARD SPECIAL PROVISIONS FOR THE CONSTRUCTION OF TRAFFIC 16 14 SIGNALS AND LIGHTING 88 $ 21000 $ 18,480 00 SYSTEMS, 2005 EDITION EA SPLICE LOOPS TO DLC IN PULLBOX BIKE LANE LOOPS AND ALL LOOPS AT LIMIT LINE SHALL BE TYPE"D" REMOVE EXISTING TREE AND ROOTS, GRIND TREE STUMP 17 15 AND ROOTS TO 24" BELOW TOP 7 EA 494 00 OF SIDEWALK/GRADE WITHIN $ $ 3,a58 00 PROPOSEDIMPROVEMENT � AREA i INSTALL 2" CONDUIT WITH PULL ROPE AND PER THE C17Y'S STANDARD SPECIAL 18 17 PROVISIONS FOR THE 1960 LF $ 13 26 $ 25,989 60 CONSTRUCTION OF TRAFFIC SIGNALS AND STREET LIGHTING SYSTEMS j INSTALL 3"CONDUIT WITH PULL ROPE AND PER THE CITY'S STANDARD SPECIAL 19 18 PROVISIONS FOR THE 340 LF $ 2496 $ 8,486 40 CONSTRUCTION OF TRAFFIC SIGNALS AND STREET LIGHTING SYSTEMS INSTALL#6 PULL BOX(CHRISTY FIBERLYTE OR CITY APPROVED EQUAL) PER CALTRANS STANDARD PLAN ES-8 AND THE 20 19 CITY'S STANDARD SPECIAL 16 EA $ 72800 $11,648 00 PROVISIONS FOR THE i CONSTRUCTION OF TRAFFIC SIGNALS AND STREET LIGHTING SYSTEMS REMOVE AND RECONSTRUCT 21 21 CONCRETE CURB AND CROSS 1300 SF $ 20 80 $ 27,040 00 GUTTER PER HB STD PLAN 205 C-2.5 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 Bid Const. Contract Unit Extended . Note Description Quantity Unit Price Amount SAWCUT AND REMOVE EXISTING SIDEWALK AND CONSTRUCT TREE WELL WITH 22 22 SIDEWALK PER DETAIL ON 5 EA $ 1,05000 $ 5,25000 SHEET 4 (ITEM INCLUDES 6-1-F OF NEW SIDEWALK AND NON- CHEMICAL WEED CONTROL BARRIER FURNISH AND PLANT NEW 24" BOX TREES PER DETAIL 22 ON SHEET 4, AND HB STD PLANS 714, 715, 716, 716A, 718, 719, AND MODIFIED AS SHOWN ON PLANS FINAL LOCATION AND SPECIES TO BE DETERMINED 23 23 BY STREET TREE SUPERVISOR 5 EA $ 1,51632 $ 7,581 60 (ITEM INCLUDES REPLACEMENT OF IRRIGATION IN KIND, BACKFILLING WITH CLASS A TOP SOIL AND INSTALLATION OF ARBOR- GUARD OR AGENCY APPROVED EQUAL AT BASE OF TREE) 24 24 ADJUST SURVEY MONUMENT 1 EA $ 35500 $ 35500 WELL TO FINISHED SURFACE REMOVE AND REPLACE 25 25 DEEPENED COMMERCIAL AND 500 SF $ 2100 $ 10,500 00 INDUSTRIAL DRIVE APPROACH DETAIL ON SHEET 3 FURNISH AND INSTALL RETRACTABLE CATCH BASIN SCREEN W/TOP SWING GATE 26 26 BY WATERWAY SOLUTIONS OR 2 EA $ 1,92400 $3,848 00 CITY APPROVED EQUAL(W=5'), AND STENCIL CATCH BASIN SIGNAGE PER SPEC REMOVE AND RECONSTRUCT DEEPENED CURB AND GUTTER PER HB STD PLAN 202(B) (CF=8") (ITEM INCLUDES 4700 20,680 00 27 27 REBAR, CLASS 560-C-3250 � LF $ $ CONCRETE, SLOT PAVEMENT, AGGREGATE BASE, AND LOT DRAIN IF PRESENT) C-2.6 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 Bid Const. Contract Unit Extended No. Note Descri on Quantity Unit Price Amount REMOVE AND RECONSTRUCT 28 28 LOCAL DEPRESSION PER HB 2 EA $ 3,125 00 $6,250 00 STD PLAN 302 29 -- MOBILIZATION 1 LS $51,Soo 00 $ S 1,500 00 30 -- TRAFFIC CONTROL PLAN 1 LS $ 3,65000 s3,65000 31 -- FURNISH PROJECT TRAFFIC 1 LS $z8,Zoo 00 $ 28}Zoo. CONTROL ot 32 -- FURNISH AND INSTALL SIGNING 1 LS $2o,s so oo $ I.o�3so oil AND STRIPING 33 -- PROJECT SPECIFIC SWPPP 1 LS $ 4,50000 $ 4,50000 INSTRUCTOR AND COURSE MATERIALS FOR JUST IN TIME TRAINING(JITT) PER PROJECT SPECIFICATIONS APPENDIX H (INSTRUCTOR SHALL BE 34 -- EXPERIENCED IN THE 1 LS $ 1,24800 $ 1,24800 CONSTRUCTION METHODS, MATERIALS AND TEST METHODS ASSOCIATED WITH FULL DEPTH RECLAMATION (FDR) PROJECTS) Total Amount Bid in F1 ures. $ 1, 3 3 2 3 I. IS Total Amount Bid in Words One- o"i I;oh +h r� � ��wd 4-h, e,+ O ��ovS�.,,,� Ttvd �uvt d �1 r♦ onL 1 oI I Crr a►�� '�;D�{ �h CCgs C-2.7 I I LIST OF SUBCONTRACTORS I In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor Bid Name and Address of State Class DIR DollarltorL Item(s) Subcontractor License Number Amount Number EBS GENERAL ENGINEERING 720016 A $146,350 00 13-15,21-22, 1320E SIXTH STREET STE 100 25,27,28 CORONA,CA 92879 1000005295 7&8 LINDY'S COLD PLANING $115,48935P O BOX 385 754500 A 1000008423LA HABRA,CA 90631 �a � 18-20 MSL ELECTRIC,INC 822450 C-10 4580 E EISENHOWER CIRCLE 1000000550 $44,350 00 0 ANAHEIM,CA 92807 3 . 4 SANCON ENGINEERING 5841 EDINGER DR 731797 C 10 C 3 $3,200 00 HUNTINGTON BEACH,CA 92649 , A B 1000003923 6.Y ���p v I 16 SMITHSON ELECTRIC 1938 E KATELLA AVE ORANGE,CA 92867 614518 C-10 1000001610 $17,600 00 1 E IWO r G� - i t 1 17&23 V&E TREE SERVICE j P O BOX 3280 654506 C- 1000001936 $10,615 00 C-61 i ORANGE,CA 92857 r^ D-49 v� i_AT QZkw(IV 6 Z N L ?'2 25so R�s.de Y Q d I( z A4 4l�7Sd 1., G �vQrf i d.V G� GiZ.Soc� By submission of this proposal,the Bidder certifies. 1 That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 01/26/2016 at ORANGE CA Date Cary State STEVE MENDOZA , being first duly sworn, deposes and says that he or she is SECRETARY 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 x zg&�� Slgnatur f BicWr STEVE MENDOZA,SECRETARY 15505 E LINCOLN AVENUE,ORANGE,CA 92865 Address of Bidder C-4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document State of California ) County of ORANGE On 01/26/2016 before me, J DE IONGH, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared STEVE MENDOZA Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(* whose names}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/thetr signature(s}on the Instrument the person(s); or the entity upon behalf of which the person(s)acted, executed the Instrument. I certify under PENALTY OF PERJURY under the laws of the State of Califomia that the foregoing paragraph is true and correct J DE IONGH WITNESS my hand official al Commission#2126504 Notary Public-California Orange County Signature M Comm Ex Tres Oct 28,2019 Signat o Notary Public J DE IONGH Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document Description of Attached Document Title or Type of Document Document Date: Number of Pages Signer(s) Other Than Named Above. Capacity(ies) Claimed by Signer(s) Signer's Name. Signer's Name ❑ Corporate Officer — Title(s): ❑ Corporate Officer — Title(s) ❑ Partner — ❑ Limited ❑General ❑ Partner — ❑ Limited ❑General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attomey in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑,Guardian or Conservator ❑Other ❑ Other: Signer Is Representing- Signer Is Representing 02014 National Notary Association -www.NationalNotary.org - 1-800-US NOTARY(1-800-876-6827) Item#5907 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 Gothard Street Rehabilitation from Edinger Avenue to McFadden Avenue and Center Avenue Rehabilitation from Gothard Street to Railroad Track, Project CC No. 1496, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved " The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. R J NOBLE COMPANY Contractor x By STEVE MENDOZA,SECRETARY Title Date: 01/26/2016 C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes ®No If the answer is yes, explain the circumstances in the space provided. 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. R J NOBLE COMPANY Contractor x By STEVE MENDOZA,SECRETARY Title Date: 01/26/2016 C-7 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 I City, State Zip 714 ) 637-1550 Telephone Number 782908 CLASS A&C-12 State Contractor's License No and Class 08/2000 Original Date Issued 08/31/2016 Expiration Date i The work site was inspected by STEVE MENDOZA of our office on 01/20/2016 , 201_. The following are persons, firms, and corporations having a principal interest in this proposal R J NOBLE COMPANY A CALIFORNIA CORPORATION 1 The undersigned is prepared to satisfy the Council of the Cityf o 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 Compan Nam x Signature Bidd STEVE MENDOZA,SECRETARY Printed or Typed Signature J DE iONGH Subscnbed and sworn to before me this 26THda of JANUARY 6 Q ._�W Commission#E 2128504 Y , 201_ z . Notary Public-California Orange County t My Comm Expires Oct 28,2019+ NOTARY PUBLIC J DE IONGH NOTARY SEAL C-a Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of{Describe specific work and experience necessary for project. For example, `Sanitary sewer line installation of at least of 1,000 of 8-inch and areater in Public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets, an area containing high ground water and pipeline construction in huh ground water regions with trench depths of 8-feet to the invert."}. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. COUNTY OF ORANGE, 1152 E FRUIT STREET,SANTA ANA,CA 92701 Name and Address of Public Agency Name and Telephone No of Project Manager. ROBERT VALLE 714-245-4525 $9 8 MILLION MIDWAY CITY STREET&STORM DRAIN IMPTS MAY 2012 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: ASPHALT PAVING,REMOVAL AND RECONSTRUCT OF CONCRETE,COLD MILLING, ELECTRICAL LANDSCAPING, UNDERGROUND WORK INCLUDING CATCH BASIN'S 2 CITY OF TUSTIN,300 CENTENIAL WAY,TUSTIN,CA 92780 Name and Address of Public Agency Name and Telephone No of Project Manager: BENNY TEN KEAN 714-573-3161 $22 6 MILLION ROAD RECONSTRUCTION WITH STORM DRAIN IMPTS APRIL 2014 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: TUSTIN RANCH ROAD RECONSTRUCTION WITH STORM DRAIN IMPTS 3. CITY OF TUSTIN,300 CENTENIAL WAY,TUSTIN,CA 92780 Name and Address of Public Agency Name and Telephone No. of Project Manager: BENNY TENKEAN 714-573-3161 $15 1 MILLION ROAD RECONSTRUCTION WITH STORM DRAIN IMPTS APRIL 2014 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: BARRANCA ROAD RECONSTRUCTION WITH STORM DRAIN IMPTS C-9 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions,please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1 KORI PORTER PROJECT MANAGER Name of proposed Project Manager Telephone No. of proposed Project Manager: 714-637-1550 EXT 359 JAMBOREE ROAD CONTRACT$2 1 MILLION REHABILITATION WORK MARCH 2O14 Project Name& Contract Amount Type of Work Date Completed JERONIMO ROAD CONTRACT$1 5 MILLION PAVEMENT REHABILIATION AUGUST 2013 Project Name& Contract Amount Type of Work Date Completed RESIDENTIAL ROADWAY CONTRACT$2 2 MILLION VARIOUS RESIDENITAL STREET WORK FEBRAURY 2015 Project Name&Contract Amount Type of Work Date Completed 2. CHUCK SPIERS,GENERAL SUPERINTENDENT Name of proposed Superintendent Telephone No. of proposed Superintendent: 714-743-1383 TUSTIN RANCH ROAD CONTRACT$26 MILLION ROADWAY RECONSTRUCTION DECEMBER 2013 Project Name &Contract Amount Type of Work Date Completed STREET REHAB&SLURRY SEAL CONTRACT$5 MILLION VARIOUS STREETS REHAB AND SLURRY SEAL FEB 2015 Project Name &Contract Amount Type of Work Date Completed RANCHO VISTA ROAD CONTRACT$1 4 MILLION ASPHALT PAVING MARCH 2O14 Project Name & Contract Amount Type of Work Date Completed C-10 i CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771 1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR) Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www dir ca.gov/DLSE/PublicWorks/SB854FactSheet-6 30.14 pdf DIR's Contractor Registration Link—Call(844) 522-6734 https:Hefiling.dir ca.gov/PWCR/ActionServiet?action=displayPWCRegistrationForm i t DIR's Contractor Registration searchable database. https'//efiling dir ca.gov/PWCR/Search action ; I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states' "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, t subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725 5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized { by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103 5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded " I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Ei 1 R J NOBLE COMPANY Contractor By / STEVE MENDOZA,SECRETARY Date 01/26/2016 Title DIR#' 1000004235 C-11 STATE OF CALIFORNIA DEPARTMENT OF RESOURCES RECYCLING AND RECOVERY(CalRecycle) CalRecycle 168(Revised 7/13) RELIABLE CONTRACTOR DECLARATION This form must be completed and submitted to the Department of Resources Recycling and Recovery(CalRecycle) prior to authorizing a contractor(s) to commence work Failure to provide this documentation in a timely manner may result in nonpayment of funds to the contractor(s) This form is intended to help the CalRecycle's Grantees comply with the Unreliable List requirement of their Terms and Conditions The Unreliable List provision requires the following Prior to authorizing a contractor(s) to commence work under the Grant, the Grantee shall submit to CalRecycle a declaration signed under penalty of perjury by the contractor(s) stating that within the preceding three (3) years, none of the events listed in Section 17050 of Title 14, California Code of Regulations, Natural Resources, Division 7, has occurred with respect to the contractor(s) Please see the reverse of this page, or refer to www calre s com If any of the events listed in Section 17050 have occurred, disclosure is required but will not necessarily result in CalRecycle refusing to approve the contractor A signed statement explaining the facts and circumstances of the events must be attached to and submitted with this form Contractor: Complete the form and send original to the Grantee. Grantee: Scan the form and upload it to the grant in CalRecycle's Grant Management System (GMS). For further instruction about logging into GUS and uploading this form, reference the Procedures and Requirements Retain the original form in your grant file. GRANTEE INFORMATION GRANTEE NAME: GRANT NUMBER: City of Huntington Beach TRP5,Grant ID 17197 PRIMARY CONTACT NAME: Thomas Herbel,City Engineer, 714-375-5077 CONTRACTOR INFORMATION CONTRACTOR NAME: R J NOBLE COMPANY AUTHORIZEO CONTRACTOR REPRESENTATIVE NAME: STEVE MENDOZA,SECRETARY MAILING ADDRESS: P O BOX 620,ORANGE,CA 92856 As the authorized representative of the above identified contractor, I declare under penalty of perjury under the laws of the State of California that within the preceding three (3)years, none of the events listed in Section 17050 of Title 14, California Code of Regulations, Natural Resources, Division 7, has occurred with respect to the above identified contractor Alternatively, as the authorized representative of the above identified contractor, I declare under penalty of perjury under the laws of the State of California that within the preceding three (3)years, if any of the events listed in Section 17050 of Title 14, California Code of Regulations, Natural Resources, Division 7, has occurred with respect to the above identified contractor, I have disclosed all such occurrences in an attached signed statement that explains the facts and circumstances of the listed events Signature X Date 01/26/2016 C-12 STATE OF CALIFORNIA DEPARTMENT OF RESOURCES RECYCLING AND RECOVERY(CalRecycle) CalRecycle 168(Revised 7/13) RELIABLE CONTRACTOR DECLARATION Title 14 CCR,Division 7,Chapter 1 Article 5.Unreliable Contractors,Subcontractors,Borrowers and Grantees Section 17050.Grounds for Placement on Unreliable List The following are grounds for a finding that a contractor, any subcontractor that provides services for a CalRecycle agreement, grantee or borrower is unreliable and should be placed on the CalRecycle Unreliable Contractor, Subcontractor, Grantee or Borrower List ("Unreliable List") The presence of one of these grounds shall not automatically result in placement on the Unreliable List A finding must be made by the Executive Director in accordance with section 17054, and there must be a final decision on any appeal that may be filed in accordance with section 17055 et seq (a) Disallowance of any and/or all claim(s)to CalRecycle due to fraudulent claims or reporting,or (b) The filing of a civil action by the Attorney General for a violation of the False Claims Act,Government Code section 12650 et seq,or (c) Default on a CalRecycle loan,as evidenced by written notice from CalRecycle staff provided to the borrower of the default,or (d) Foreclosure upon real property loan collateral or repossession of personal property loan collateral by CalRecycle,or (e) Filing voluntary or involuntary bankruptcy,where there is a finding based on substantial evidence,that the bankruptcy interfered with the CalRecycle contract,subcontract,grant or loan,or (f) Breach of the terms and conditions of a previous CalRecycle contract,any subcontract for a CalRecycle agreement, grant,or loan,resulting in termination of the CalRecycle contract,subcontract,grant or loan by the CalRecycle or prime contractor,or (g) Placement on the CalRecycle's chronic violator inventory established pursuant to Public Resources Code section 44104 for any owner or operator of a solid waste facility,or (h) The person,or any partner,member,officer,director,responsible managing officer,or responsible managing employee of an entity has been convicted by a court of competent jurisdiction of any charge of fraud, bribery,collusion, conspiracy,or any act in violation of any state or federal antitrust law in connection with the bidding upon,award of,or performance under any CalRecycle contract,subcontract,grant or loan,or (i) The person or entity is on the list of unreliable persons or entities,or similar list,of any other federal or California state agency,or 0) The person or entity has violated an Order issued in accordance with section 18304,or, (k) The person or entity has directed or transported to,has or accepted waste tires at,a site where the operator is required to have but does not have a waste tare facility permit,or, (1) The person or entity has transported waste tires without a waste tare hauler registration,or, (m) The person or entity has had a solid waste facility or waste tare permit or a waste tare hauler registration denied, suspended or revoked,or, (n) The person or entity has abandoned a site or taken a similar action which resulted in corrective action or the expenditure of funds by CalRecycle to remediate,clean,or abate a nuisance at the site,or (o) The following are additional grounds for a finding that,a person or entity described below should be placed on the Unreliable List (1) The person or entity owned 20%or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (2) The person held the position of officer director,manager,partner,trustee,or any other management position with significant control(Principal Manager)in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (3) The entity includes a Principal Manager who I Was a Principal Manager in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List,or, 2 Owned 20%or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (4) The entity has a person who owns 20%or more of the entity,if that person 1 Was a Principal Manager in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List,or, 2 Owned 20%or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (5) The entity has another entity which owns 20%or more of the entity,if that other entity Is on the Unreliable List,or, 2 Owned 20%or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (6) Subsection(o)is not intended to apply to a person or entity that purchases or otherwise obtains an entity on the Unreliable List subsequent to its placement on the Unreliable List C-13 } City of Huntington Beach Public Works Department 2000 Main Street Tel (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For GOTHARD STREET REHABILITATION AND CENTER AVENUE REHABILITATION, CC NO 1496 in the CITY OF HUNTINGTON BEACH January 14, 2016 Notice To All Bidders Please note the following clarification to the Project Plans, Specifications, and Special Provisions 1) ADDED SIGNING AND STRIPING PLANS TO PLAN SET —TOTAL 3 DRAWING SHEETS Plans are entitled a "Signing and Striping Plan, Gothard Street from Edinger Ave to McFadden Ave", Sheets 1 and 2 of 3, and b "Signing and Striping Plan, Center Avenue from Gothard St. to East of Railroad R/W", Sheet 3 of 3 4 NOTE THESE PLANS ARE FOR BID ITEM NUMBER 32 "FURNISH AND INSTALL SIGNING AND STRIPING" ON SHEETC-2 7 This is to acknowledge receipt and review of Addendum Number One, dated January 14, 2016 R J NOBLE COMPANY X Company Name BySTEVE NDO , CRETARY 01/14/2016 Date All bidders must acknowledge and include the receipt of this Addendum page with your bid proposal Should you have any questions regarding this Addendum, please call James Wagner at(714) 536-5431 within 24 hours of posting %My Western Surety BID BOND (Percentage) Bond Number N/A KNOW ALL PERSONS BY THESE PRESENTS, That we R J Noble Company Of Orange, California , hereinafter referred to as the Principal, and Western Surety Company as Surety, are held and firmly bound unto City of Huntington Beach hereinafter referred to as the Obligee, in the sum of bid Ott NA ( 10 %) percent of the greatest amount bid, for the payment of which we bind ourselves, our legal representatives, successors and assigns,jointly and severally,firmly by these presents WHEREAS, Principal has submitted or is about to submit a proposal to Obligee on a contract for Gothard Street Rehabilitation and Center Avenue Rehabilitation NOW, THEREFORE, if the said contract be awarded to Principal and Principal shall, within such time as may be specified, enter into the contract in writing and give such bond or bonds as may be specified in the bidding or contract documents with surety acceptable to Obligee, or if Principal shall fail to do so, pay to Obligee the damages which Obligee may suffer by reason of such failure not exceeding the penalty of this bond, then this obligation shall be void, otherwise to remain in full force and effect SIGNED, SEALED AND DATED this 13 day of January 2016 R J Noble Company _ (Principal) By Y T , SECRETARY — (Seal) Western Surety C (Surety) By (Seal) James ndi Attomey-in-Fact Forth F5876 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document State of California ) County of ORANGE ) On 01/14/2016 before me, J DE IONGH, NOTARY PUBLIC Date Hen;Insert Name and Title of the Officer personally appeared STEVE MENDOZA Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(* whose name*Ware- subscribed to the within instrument and acknowledged to me that he/shefthey-executed the same In hlsAw/their authorized capacity(ie*,,and that by hisAier/their signature(*on the instrument the person(s); or the entity upon behalf of which the person(s)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct J DE IONGH Commission�21"28504 WITNESS my hand and official s al Notary Public -California Z Orange County My Comm Expires Oct 28,2019 Signature Srgnatu f Notary Public J DE IONGH Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document Document Date Number of Pages Signer(s) Other Than Named Above. Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s)- ❑Partner — ❑ Limited ❑General ❑Partner — ❑Limited ❑General ❑ Individual ❑Attorney in Fact ❑Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other ❑ Other. Signer Is Representing Signer Is Representing 02014 National Notary Association•www NationalNotary org - 1-800-US NOTARY(1-800-876-6827) Item#5907 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document State of California County of Orange On January 13, 2016 before me, Lauren Emily Bierman, A Notary Public (insert name and title of the officer) personally appeared James Scott Salandi, Attorney-in-Fact who proved to me on the basis of satisfactory evidence to be the person(s) whose name($) is/aRX subscribed to the within instrument and acknowledged to me that he/sbt6" executed the same in his/kaYMax authorized capacity(m*, and that by his/lt> his)c signature(z) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS my hand and official seal N 4. � � LAUREN ENLY BIERMAN COMM.St 2097240%O ® s NOTARY PUBUC•CALIFORNA 0r ' ORANGE COUNTY N �.� MY COMM EXPJAN 1S,2019 Signatur (Seal) Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men By These Presents,That WESTERN SURETY COMPANY,a South Dakota corporation,is a duly organized and existing corporation having its pnncipal office in the City of Sioux Falls,and State of South Dakota,and that it does by virtue of the signature and seal herem affixed hereby make,constitute and appoint James Scott Salandi,Leonard Ziminsky,David Jacobson, Individually of Irvine,CA,its true and lawful Attomey(s)-m-Fact with full power and authonty hereby conferred to sign,seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney,pursuant to the authority hereby given,are hereby ratified and confirmed This Power of Attorney is made and executed pursuant to and by authonty of the By-Law printed on the reverse hereof,duly adopted,as indicated,by the shareholders of the corporation In Witness Whereof,WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 17th day of December,2015 /0"a WESTERN SURETY COMPANY s�N oiai�P ail T Brutlat,Vice President State of South Dakota 1 County of Mmnehaha I ss On this 17th day of December,2015,before me personally came Paul T Bruflat,to me known,who,being by me duly sworn,did depose and say that he resides in the City of Sioux Falls, State of South Dakota,that he is the Vice President of WESTERN SURETY COMPANY descnbed in and which executed the above instrument,that he knows the seal of said corporation,that the seal affixed to the said instrument is such corporate seal,that it was so affixed pursuant to authonty given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authonty, and acknowledges same to be the act and deed of said corporation. My commission expires J MOHR rwaRrrueuc(S June 23,2021 '_.. OTA V / J Mohr,Notary Public CERTIFICATE I,L.Nelson,Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney heremabove set forth is still in force,and further certify that the By-Law of the corporation printed on the reverse hereof is still in force In testimony whereof I have hereunto subscnbed my name and affixed the seal of the said corporation this 3 __day of n a as 1 LO ^ a¢ryeo WESTERN SURETY COMPANY ;i L.Nelson,Assistant Secretary Form F4280-7-2012 Authorizing By-Law ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY This Power of Attorney is made and executed pursuant to and by authority of the following By-Law duly adopted by the shareholders of the Company Section 7 All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize The President,any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds,policies, or undertakmgs in the name of the Company The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation The signature of any such officer and the corporate seal may be printed by facsimile 01I CIT ENGINEERING CONTRACTORS 15505 E LINCOLN AVENUE 6E-P0 B05 620,ORANGE,CA92856 14) TO: CITY OF HUNTINGTON BEACH 2000 MAIN STREET 21*11D FLOOR HUNTINGTON BEACH, CA 92648 ATTN: CITY CLERK b =a:, u,. GOTHARD STREET REHABILITATION AND CENTER AVE REHAB y' - CC NO 1496, HUNTINGTON BEACH BID DATE 1/26/16 BID TIME 2 00 PM CITY OF HUNTINGTON BEACH PROJECT NAME. Gothard Street and Center Avenue Arterial Rehab CC#- CC 1496 BID OPENING DATE: 1/26/2016 TIME& LOCATION 2 00 PM City Council Chambers ENGINEER'S ESTIMATE: $1,400,000 00 BIDS SUBMITTED (AS READ AT OPENING) BIDDER'S NAME FINAL APPARENT BID RANK AMOUNT All American Asphalt, Corona 3 /, 397 39,7 ` Excel Paving, Long Beach f l" Griffith Company, Santa Fe Springs Hardy& Harper, Inc, Santa Ana 2 /� 3�� Qpo Moalej Builders Inc, Sherman oaks R J Noble Company, Orange �� 3 3/ 2 3/ RSB Group, Lake Forest Sequel Contractors, Santa Fe Springs ��O Sialic Contractors Corporation dba Shawnan, Downey % g v Sully-Miller Contracting Company, Brea PTS_11122014_Version_15_CC1496 A 0REP CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 2/22/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT If the Certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,Certain policies may require an endorsement A statement on this Certificate does not confer rights to the certificate holder in lieu of such endorsement(s) PRODUCER Patriot Risk& Insurance Services CONTACT NAME 100 Spectrum Center Drive, Suite#400 PHONE Irvine, CA 92618 A/C No Ext 949 486-7900 A/C No 949 486-7950 E-MAIL ADDRESS INSURER(S)AFFORDING COVERAGE NAIC# INSURED patrisk COm OK07568 INSURER Zurich American Insurance Company 16535 NSU INSURER B American Guarantee and Liabilit Insurance Com an 26247 R J Noble Company, Inc 15505 Lincoln Avenue INSURER C P O Box 620 INSURER D Orange CA 92856-9020 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER 28656869 REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILIT A ✓ Y ✓ ✓ GLOO17436601 7/1/2015 7/1/2016 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �✓ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP(Any one person) $ 5,000 ✓ Contractual Liability PERSONAL&ADV INJURY $ 1,000,000 GEN L AGGREGATE LIMIT APPLIES PER POLICY ✓� GENERAL AGGREGATE $ 2,000,000 OTHER JEC LOC PRODUCTS-COMP/OP AGG $ 2,000,000 A AUTOMOBILE LIABILITY ✓ ✓ BAP017436701 7/1/2015 7/1/2016 COMBINED SINGLE LIMIT Ea accident $ 1 QQQ QQQ ✓ ANY AUTO ALL OWNED CHEDULED BODILY INJURY(Per person) $ AUTOS AUTOS BODILY INJURY(Per accident) $ ✓ HIRED AUTOS NON-OWNED PROPERTY DAMAGE ✓ SAUTOS Per accident) $ B UMBRELLA LIAB V OCCUR AUC017437201 7/1/2015 7/1/2016 EACH OCCURRENCE $ 10,000,000 ✓ EXCESS LIAB CLAIMS-MADE Policy Follows Form Over AGGREGATE $ 10,000,000 DED77 RETENTION$ Underlying General Liab A WORKERS COMPENSATION ✓ WC017436300 7/1/2015 7/1/2016 PER OTH- ANDEMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N NO Deductible for Workers ✓ STATUTE ER OFFICER/MEMBER EXCLUDED N/A Compensation EL EACH ACCIDENT $ 1,000,000 (Mandatory in NH) If yes describe under EL DISEASE-EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re RJN#91538 City of Huntington Beach, its officers,elected or appointed officials,employees,agents and volunteers are named as Additional Insured, includes Primary&Non-contributory as respects to General Liability&Auto Liability per endorsement attached where required by written contract Waiver of subrogation applies to GL,Auto and Work and in favor of the additional insureds per attached endorsement 30 days notice of cancellation, 10 days for non-payment of premium CERTIFICATE HOLDER CANCELLATION City of Huntington Beach SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2000 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Huntington Beach CA 92648 ACCORDANCE WITH THE POLICY PROVISIONS AUTHORIZED REPRESENTATIVE a^ f Leonard E Ziminsky ©1988-2014 ACORD CORPORATION All rights reserved ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 28656869 1 15/16 - GL/AU/EXC/WC I Annette Romero 1 2/22/2016 2 31 24 PM (PST) Page 1 of 6 Additional Insured — Owners, Lessees Or Contractors — ZURICH Scheduled Person Or Organization Policy No Eff Date of Pol Exp Date of Pol Eff Date of End Producer No Add'I Prom Return Prem GLO017436601 ]711/2015 7/1/2016 17/11/20115 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured R J Noble Company, Inc Address(including ZIP Code), 15505 Lincoln Avenue Orange CA 92856-9020 This endorsement modifies insurance provided under the* Commercial General Liability Coverage Part SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Covered Operations Or Organization(s) City of Huntington Beach,its officers,employees and agents and Volunteencze RJN#91538 A. Section II — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule above, whom you are required to add as an additional insured on this policy under a written contract or written agreement However, if you have entered into a construction contractor construction agreement with an additional insured person or organization shown in the Schedule of this endorsement, the insurance afforded to such additional insured only applies to the extent permitted by law B. The insurance provided to the additional insured person or organization applies only to "bodily injury", "property damage" or"personal and advertising injury" covered under Section I —Coverage A— Bodily Injury And Property Damage Liability and Section I—Coverage B—Personal And Advertising Injury Liability, but only with respect to liability for"bodily injury", "property damage"or"personal and advertising injury"caused, in whole or in part, by 1. Your acts or omissions, or 2. The acts or omissions of those acting on your behalf, and resulting directly from your ongoing operations or"your work" as included in the "products-completed operations hazard", which is the subject of the written contract or written agreement at the Location designated and described in the Schedule above. C. However, regardless of the provisions of Paragraphs A.and B. above 1. We will not extend any insurance coverage to any additional insured person or organization U-GL-1177-E CW(04/12) Page 1 of 2 28656869 1 15/16 - GL/AU/EXC/WC I Annettk es comdahted matenalFaf tosuranc®Servicas Office Inc with Its oermisslon a. That is not provided to you in this policy, or b. That is any broader coverage than you are regwred to provide to the additional insured person or organization in the written contract or written agreement; and 2. We will not provide Limits of Insurance to any additional Insured person or organization that exceed the lower of- a. The Limits of Insurance provided to you in this policy, or b. The Limits of Insurance you are required to provide in the written contract or written agreement D. The insurance provided to the additional insured person or organization does not apply to. "Bodily injury", "property damage" or"personal and advertising injury" ansing out of the rendering or failure to render any professional architectural, engineering or surveying services including 1. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications, and 2. Supervisory, inspection, architectural or engineering activities E. The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV— Commercial General Liability Conditions: The additional insured must see to it that: 1. We are notified as soon as practicable of an"occurrence"or offense that may result in a claim, 2. We receive written notice of a claim or"suit"as soon as practicable, and 3. A request for defense and indemnity of the claim or "suit' will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity This provision does not apply to insurance on which the additional insured is a Named Insured, if the written contract or written agreement requires that this coverage be primary and non-contributory F. For the coverage provided by this endorsement: 1. The following paragraph is added to Paragraph 4.a.of the Other Insurance Condition of Section IV—Commercial General Liability Conditions* This insurance is primary Insurance as respects our coverage to the additional insured person or organization, where the written contract or written agreement requires that this insurance be primary and non-contributory with respect to any other policy upon which the additional insured is a Named Insured In that event, we will not seek contribution from any other such insurance policy available to the additional insured on which the additional insured person or organization is a Named Insured, 2. The following paragraph is added to Paragraph 4.b.of the Other Insurance Condition of Section IV—Commercial General Liability Conditions* This insurance is excess over. Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same"occurrence", offense, claim or"suit' This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis All other terms and conditions of this policy remain unchanged. U-GL-1177-E CW(04/12) Includes copyrighted material of Insurance Services Office,Inc,with its permission. Page 2 of 2 28656869 1 15/16 - GL/AU/EXC/WC I Annette Romero 1 2/22/2016 2 31 24 PM (PST) I Paae 3 of 6 R' J Noble Company, Inc POLICY NUMBER GLO017436601 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: City of Huntington Beach, its officers,employees and agents and Volunteers Information required to complete this Schedule, if not shown above, will be shown in the Declarations The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV— Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard" This waiver applies only to the person or organization shown in the Schedule above CG 24 04 05 09 © Insurance Services Office, Inc , 2008 Page 1 of 1 ❑ 28656869 15/16 - GL/AU/EXC/WC I Annette Romero 1 2/22/2016 2 31 24 PM (PST) I Page 4 of 6 POLICY NUMBER.BAP017436701 COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement This endorsement identifies person(s) or organization(s) who are"insureds"for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form This endorsement does not alter coverage provided in the Coverage Form This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below Named Insured:R J Noble Company, Inc Endorsement Effective Date:7/1/2015 SCHEDULE Name Of Person(s)Or Organization(s): City of Huntington Beach,its officers,employees and agents and Volunteers Information required to complete this Schedule, if not shown above, will be shown in the Declarations Each person or organization shown in the Schedule is an"insured"for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.I. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 0 Insurance Services Office, Inc., 2011 Page 1 of 1 28656869 15/16 - GL/AU/EXC/WC I Annette Romero 1 2/22/2016 2 31 24 PM (PST) I Page 5 of 6 Millers Kluwer Financial Services I Uniform Forms'" WORKERS'COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06(Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following"attaching clause"need be completed only when this endorsement Is issued subsequent to preparation of the policy) This endorsement, effective on 7/1/2015 (DATE) at 12.01 A M. standard time,forms a part of Policy No. WC017436300 Endorsement No of the Zurich American Insurance Company (NAME OF INSURANCE COMPANY) Issued t0 R J Noble Company, Inc Premium (if any) $ 1' Authorized Represenlative 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 % of the California workers' compensation pre- mium otherwise due on such remuneration. Schedule Person or Organization Job Description City of Huntington Beach, its officers,employees and agents and Volunteers Re RJN#91538 WC 252(4-84) WC 04 03 06(Ed 4-84) Page 1 of 1 28656869 1 15/16 - GL/AU/EXC/WC I Annette Romero 1 2/22/2016 2 31 24 PM (PST) I Page 6 of 6 Company Profile Page 1 of 1 IM COMPANY PROFILE Company Profile Company Search Company Information Company Search Results WESTERN SURETY COMPANY Company 333 S WABASH AVEMIE Information CHICAGO, IL 60604 Old Company Names Agent for Service Old Company Names Effective Date Reference Information Agent For Service NAIC Group List Vivian Impenal Lines of Business 818 WEST SEVENTH STREET Workers' SUITE 930 Compensation LOS ANGELES CA 90017 Complaint and Request for Action/Appeals Reference Information Contact Information _ Financial Statements NAIC# �13188 PDF's Annual Statements California Company ID # 0761-7 Quarterly Date Authorized in California ] 07/29/1930 Statements Company Complaint License Status UNLIMITED-NORMAL Company Company Type Property&Casualty Performance& Comparison Data State of Domicile SOUTH DAKOTA Company Enforcement Action Composite back to top Complaints Studies Additional Info NAIC Group List Find A Company Representative In Your Area NAIC Group # 0218 CNA INS GRP View Financial Disclaimer Lines Of Business 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 LIABILITY SURETY back to top (cD 2008 California Department of Insurance https //Interactive web insurance ca gov/companyprofile/companyprofile?event=companyPr 3/7/2016 CONrRACfOR'S SWORN S['AT$9dM AND WARRANTY REGARDING CONTTN MG INSURANCE OBUGA770M R J NOBLE COMPANY FROMt PROMM. GOTHARD STREET 8 CENTER AVE (ewdracbrx"n) ARTERIAL REHAB CC 49 15505 E LINCOLN AVENUE (SbmtAddntes) ORANGE,CA 92865 (Chr s* setd ) ro: MY OF HUNTIMOM WAM DECLARA71ON Afated tuft It a true and WMINS Dopy of the uarent CtV=te of brawance and AddldwW fnstaod EndwswneM t2t?C]"XYWw"C&W1afte 00'Wes with the brrarM Mquhmerns of the Ow ad by ad t>ebveen the City of Htouington 1111111111dt CV"and the abowtwmed Connaw(10rrma=0 for the abixo4 fled pm)ert rftjea7, t dedara wdw pertft a/pudW larder Mte bra CfU NU of Mbrta#zt ft above f fffwrt b Mxard oortett 5lgrlyd0n March 2 16at Irvine,California (oft) "Zunch Additional Insd Form#UGL1177ECW LaundUdNQt� e S Ivester Patnot Rf &Ins ervices, LC WARRANTY Cant'dW hereby warants and agraes t0 rna nbdn hndxts ad CwWeW Operamm Itrwr nw in aorrrphnoe with ON Inwranee repuLerneM of are eontrad for the"ea Said btsurmw>t>ne be MZWned tfvough and we dre eroa 01 all Cbob shCmftctorag�Wuranaa Md tan>aht MddwW bnued Badwswa t OG 2010 u85,Wit Cty as an nPpty to Qh,at at lewt art Gmwl bask,a Certlllrete of lnfwatce and 0te afBremenywed Endorsement-Wwcnp mndmed coverage wlddl meets the Cbrfbgd regt/reatmt>L 0212912016 5lprttd on m�� ORANGE,CA (Oem) (Ctyr rwQ) COOIfRAL'1p{V s R J NOBLE COMPANY By Name: STE Tide._ u��a RECEIVED BY CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) B CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO City Treasurer FROM CityvLCl "k DATE SUBJECT Bond Acceptance I have received the bonds for (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No Approved c /�6 (Council Approval Date) CC No. Agenda Item No MSC No City Clerk Vault No � Other No SIRE System ID No g/forms/bond transmittal to treasurer Bond No 58733100 PAYMENT BOND (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESENTS WHEREAS,City of Huntington Beach(hereafter referred to as'City")has awarded to K J NOBLE COMPANY, 1 505 E LINCOLN AVENUE,ORANGE CA 92865 (name and address of Contractor) (hereinafter referred to as"Principal'),a contract('Contract")for the work described as follows GOTHARD STREET&CENTER AVENUE ARTERIAL REHAB PROJECT#CC1496 (Project Tittle) WHEREAS, Principal its required under the terms of the Contract and the California Civil Code to fumish a bond to secure the payment of claims of laborers,mechanics,matenalmen,and other persons as provided by law, by a duly admitted surety insurer under the laws of the Slate of California (hereinafter referred to as 'Surety"),and Surety its certified and listed in the U S Department of the Treasury Circular 570, and has provided proof of sufficient bonding limitation, as shown in said circular to provide bonds in the amount required by said Contract,and Surety has provided finanaal strength ratings from reputable companies,such as from A M Best,Moody's or Standard&Poor's,to validate that Surety has positive ratings of being secure or stable,and Surety its registered and listed with the California Department of Insurance NOW THEREFORE,we,the undersigned Principal.and Western Surety Company,915 Wilshire Blvd Suite 1650 Los Angeles CA 90017 (name and address of Surety) as Surety,are held and firmly bound unto City in the penal sum of one million three hundred thirty one thousand two hundred thrrrty one&15/100 dollars($ 1,331,231 15 ),this amount being not less than one hundred percent (100%)of the total price set forth in the Contract,in lawful money of the United States of America,for the payment of which sum,well and truly to be made,we bind ourselves,and each of our heirs, executors,administrators,successors,and assigns,jointly and severally,firmly by these presents THE CONDITION OF THIS OBLIGATION IS SUCH THAT,if the Principal,his,her,or its heirs,executors, administrators,successors or assigns,or subcontractors shall fail to pay any of the persons named in Section 3181 of the California Civil Code("Claimants)for all labor,materials or servroes used or reasonably required for use in performance of the work doscnbed in the Contract,or any amounts due under the Unemployment Insurance Code with respect to work or labor performed by any such Claimant,or prevailing wages due and penalties incurred pursuant to Sections 1774, 1775,1813 or 1815 of the Labor Code,or any amounts required to be deducted,withheld and paid over to the Employment Development Department from the wages of employees of the Principal and Subcontractors pursuant to Section 13020 of the Unemployment Insurance Code with respect to the work or labor performed under the Contract, Surely will pay for the same, in an amount not exceeding the penal sum specified in this bond,othermse,this obligation shall be null and void This bond shall inure to the benefit of any of the persons named in Section 3181 of the California Civil Code so as to give a right of action to such persons or their assigns In case any action its brought upon this bond, Surety further agrees to pay all court costs and a reasonable attorney's fee in an amount fixed by the court PAYMENT BOND Page 1 of 2 1 5-4584/1 1 73 5 7 Surety stipulates and agrees,for value received,that no change,extension of time,alteration, addition or modification to the terms of the Contract,or any contract document or any work to be performed thereunder,whether made after notice or not,shall in any way affect,impair or release the obligations of Surety under this bond Surety hereby waives notice of any such change, extension of time,alteration,addition,or modification to the terms of the Contract,the contract documents or the work thereunder Surety also waives the provisions of California Civil Code§§ 2845 and 2849 IN WITNESS WHEREOF,each party represents and warrants that this instrument has been duly executed by Principal and Surety,on the date set forth below,that the name of each corporate party being affixed hereto is such party's proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its governing body Surety,by execution of this bond,waives any defense which Surety has or may have by reason of any failure of the Principal to execute or property execute this bond Dated March 1,2016 ATTEST R J NOBLE COMPANY (Corporate Seal) (Pnneipal Name) By X Name STEVE NDO Title SECRETARY ATTEST Western Surety Company (Corporate Seal) (Surety Name) By _ N e Leonard Zimin (Signatire of Aft r ey-in-Fa for rety) (Alta-h Attorrty-,n-Fact Certiricate) 866-404-7926 (Area Code$Telephone Number for Surety) APPROVED AS T4YFORM �Mrchael E Gates,-City Attorney n / Note This bond must be executed in dupboste and dated,a#signatures must be notarized,and evidence of the authortty of any person signing as attorney-ur-fecf must be attached PAYMENT BOND Page 2 of 2 15-459411I7357 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document State of California ) County of ORANGE ) On 03/02/2016 before me, J DE IONGH, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared STEVE MENDOZA Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the persons} whose names} is/are- subscribed to the within instrument and acknowledged to me that heAshefthey-executed the same in his/her/their authorized capacity(ies} and that by hisAherAtheif signature(oon the instrument the person(s); or the entity upon behalf of which the person(s) acted, executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. J OE IONGH WITNESS ha and official seal Commission#i 2128504 Z Notary Public-California i Orange County Signatur my Comm Ex Tres Oct 28,2019 Signature of Notary Public J E IONGH Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document Document Date. Number of Pages Signer(s) Other Than Named Above. Capacity(ies) Claimed by Signer(s) Signer's Name. Signer's Name ❑Corporate Officer — Title(s) ❑Corporate Officer — Title(s)- El Partner — ❑ Limited ❑General ❑Partner — ❑ Limited ❑General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other ❑ Other Signer Is Representing Signer Is Representing 02014 National Notary Association -www NationalNotary org - 1-800-US NOTARY(1-800-876-6827) Item #5907 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document State of California County of Orange On March 1, 2016 before me, Lauren Emily Bierman, A Notary Public (insert name and title of the officer) personally appeared Leonard Ziminsky, Attorney-in-Fact who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/an subscribed to the within instrument and acknowledged to me that he/sta" executed the same in his/herAMK authorized capacity(m*, and that by his/hwAh&r signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS my hand and official seal ,4�: ► •, LAUREN EMILY BIER;N N •� COMM.#2097240 X ° d g NOTARY PUBLIGCAUFORNIA•X ORANGE COUNTY N Signature � � (Seal) '`•°"' MY COMM EXPJAN 15,2019 western surety �_,ompany POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men By These Presents,That WESTERN SURETY COMPANY,a South Dakota corporation,is a duly organized and existing corporation having its principal office in the City of Sioux Falls,and State of South Dakota,and that it does by virtue of the signature and seal herein affixed hereby make,constitute and appoint James Scott Salandi,Leonard Ziminsky,David Jacobson, Individually of Irvine,CA,its true and lawful Attomey(s)-m-Fact with full power and authority hereby conferred to sign,seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney,pursuant to the authority hereby given,are hereby ratified and confirmed This Power of Attorney is made and executed pursuant to and by authority of the By-Law printed on the reverse hereof,duly adopted,as indicated,by the shareholders of the corporation In Witness Whereof,WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 17th day of December,2015 WESTERN SURETY COMPANY .�^S aerYo CA APaul T Bruflat,Vice President State of South Dakota County of Mmnehaha I ss On this 17th day of December,2015,before me personally came Paul T Bruflat,to me known,who,being by me duly sworn,did depose and say that he resides in the City of Sioux Falls, State of South Dakota,that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument,that he knows the seal of said corporation,that the seal affixed to the said instniment is such corporate seal,that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires J MOHR� �o� 1" , June 23,2021 60N0^KOiA � J Mohr,Notary Public CERTIFICATE I,L Nelson,Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney heremabove set forth is still in force,and further certify that the By-Law of the corporation printed on the reverse hereof is still in force In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this__L___day of ftl i-C l 1(D aaf':� WESTERN SURETY COMPANY y� °~ o PP R9ri'�D 2 W = y�hl 04 rai�' kels4mi.Assistant Secretary Form F4280-7-2012 Bond No 58733100 PERFORMANCE BOND KNOW ALL PERSONS BY THESE PRESENTS ` WHEREAS,City of Huntington Beach(hereafter referred to as"City")has, by written agreement dated ,20_,entered into a contract with R J NOBLE COMPANY, 15505 LINCOLN AVENUE,ORANGE,CA 92865 (name and address of Contractor) (hereinafter referred to as'Principal"),for performance of the work described as follows GOTHARD STREET&CENTER AVENUE ARTERIAL REHAB PROJECT#CC1496 (Project Title) WHEREAS, said contract, and all documents referenced therein (hereinafter collectively 'Contract'), are incorporated herein by this reference made a part hereof as though set forth herein in full,and Said Principal is required under the terms of the Contract to furnish a bond guaranteeing the prompt,full and faithful performance of said Contract, by a duly admitted surety insurer under the laws of the State of Calrfomia(hereinafter referred to as"Surety"),and Surety is certified and listed in the U S Department of the Treasury Circular 570,and has provided proof of sufficient bonding limitations as shown in said circular to provide bonds in the amount required by said Contract,and Surety has provided financial strength ratings from reputable companies,such as from A M Best Moody's,or Standard&Pooes,to validate that Surety has positive ratings of being secure or Stable,and Surety is registered and listed with the California Department of Insurance, NOW,THEREFORE,we,the undersigned,as Principal,and Western Surety Company,915 Wilshire Blvd Suite 1650 Los Angeles, CA 90017 (name and address of Surety) as Surety,are held and firmly bound unto Crty in the penal sum of one million three hundred thirty one thousand two hundred thirty one&15/100------- Dollars($ 1,331,231 15 ),this amount being not less than one hundred percent of the price set forth in the Contract,In lawful money of the United States,for the payment of which sum,well and truly to be made, we bind ourselves,our heirs,executors,administrators and successors,jointly and severally,firmly by these presents THE CONDITION OF THIS OBLIGATION IS SUCH THAT R the Principal shall promptly,fully and faithfully perform each and all of the covenants,obligations and things to be done and performed by the Principal in strict accordance with the terms of the Contract as said contract may be altered,amended or modified from time to time,and rf the Principal shall indemnify and save harmless City and all of City's officers,agents and employees(hereinafter collectively referred to as"Obligees')fromany and all losses,liability and damages, claims,judgments,stop notices,fees and costs of every description,whether imposed by law or in equity, which may be incurred by the Obligees by reason of the failure or default on the part of the Principal in the performance of any or all of the terms or the obligations of the Contract,including all alterations,amendments and modifications thereto,and any warranties or guarantees required thereunder,then this obligation shall be void,otherwise,it shall be and shall remain in full force and effect Surety stipulates and agrees,for value received,that no adjustment of the time or price in the Contract or any alteration,change,deletion,addition or other modification to the Contract,or the work to be performed thereunder,shall in any way affect,limit,restrict,impair or release the obligations of the Surety under this Bond Surety waives notice of any adjustment of contract or contract price,and any other alteration,change, deletion,addition or other modification to the Contract,or the work to be performed thereunder,and agrees 1 5-45 84/1 1 7 1 74 Bond No 58733100 to automatically adjust the penal sum of this Bond to reflect such adjustments,alterations,changes, deletions,additions or other modifications Surety agrees to provide written confirmation of such adjustments in the penal sum to City on not less than a quarterly basis Surety also waives the provisions of Civil Code§§2845 and 2849 The obligations of this Bond shall survive the completion of the work described in the Contract as to all obligations and liabilities of the Principal which survive completion of the work IN WITNESS WHEREOF,each party represents and warrants that this instrument has been duly executed by Pnnupal and Surety,on the date set forth below,that the name of each corporate party being affixed hereto is such party's proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its governing body Surety,by execution of this bond,wares any defense which Surety has or may have by reason of any failure of the Principal to execute or properly execute this bond Dated March 1, 2016 ATTEST R J NOBLE COMPANY (Corporate Seal) (Principal Name) By X Name Title SECRETARY ATTEST Western Surety Company (Corporate Seal) (Surety Name) By m Leonard Zimin (Signature of Att ey-m-Fact r Sure ! (Att,ch Attorney-In-Fact Certlllcate) U 866-404-7926 (Area Code&Telephone Number for Surety) APPROVED AS TO F-Qf* ✓ 'Michael E Gales,City Attorney Z4 Note This bond must be executed in duplicate and dated,all signatures must be notanzed,and evidence of the authority of any person signing as affomeyan-fact must be attached PERFORMANCEBOND Page 2 of 2 15-4584/117174 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness, accuracy,or validity of that document State of Califomia ) County of ORANGE ) On 03/02/2016 before me, J DE IONGH, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared STEVE MENDOZA Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the persons} whose names}is/are- subscribed to the within instrument and acknowledged to me that hefshefthey-executed the same in hisfher/thetr authorized capacity(ie*, and that by hisfher/tfferr signature(*on the instrument the person(s); or the entity upon behalf of which the person(s)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph J DE IONGH Commission#21'28504 is true and correct. i ,-: Notary Public-California WITNES my and aA, official seal Z Orange County M Comm Expires 0 t 28,2019 Signature - Signature of Notary Pubbc J E IONGH Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document Document Date: Number of Pages Signer(s) Other Than Named Above. Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name ❑Corporate Officer — Title(s). ❑Corporate Officer — Title(s)• ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑General ❑ Individual ❑Attorney in Fact ❑Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other ❑ Other. Signer Is Representing- Signer Is Representing 02014 National Notary Association -www,NationalNotary org - 1-800-US NOTARY(1-800-876-6827) Item#5907 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the Identity of the Individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document State of California County of Orange On March 1, 2016 before me, Lauren Emily Bierman, A Notary Public (Insert name and title of the officer) personally appeared Leonard Ziminsky, Attorney-in-Fact who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/aFa subscribed to the within instrument and acknowledged to me that he/ska" executed the same in his/ha#lhax authorized capacity(m*, and that by his/NaMkax signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS my hand and official seal H °` ° ► ,�LAUREN EMILY BIERMAN ,W COMM.#2097240 s m NOTARY PUBLIC-CALIFORNIA ORANGE COUNTY Co SInature( c4 MY COMM.EXPJAN15,2019 g \ W (Seal) 'per City of Huntington Beach t J 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov I) 1909 Office of the City Clerk / Joan L. Flynn, City Clerk March 10, 2016 R J Noble Company 15505 E Lincoln Ave P O Box 620 Orange, CA 92856 Re Gothard Street & Center Ave Rehabilitation— CC-1496 The City Council awarded the bid to your company for the above referenced project Enclosed is a copy of the executed contract with the City of Huntington Beach A Certification of Compliance with Title VII of the Civil Rights Act, Certification of Compliance with Prevailing Wage Laws and Contractor's Certificate form must be returned to this office after the project is completed but prior to the release of retention funds In addition, the following item must also be on file, with this office before the City can release any retention funds A warranty bond guaranteeing the final amount of work and materials for one year If your performance bond does not include specific wording for a one-year warranty, then a rider or separate bond must be submitted Should you have any questions or concerns regarding the enclosures or items that must be on file in this office prior to release of retention funds, please call the Public Works Department at 536-5517 Sincerely, V/ Jo n L Flynn, CIVIC City Clerk JF pe Enclosures Copy of Contract including Proposal Copies of insurance/bonds Bid Bond (original) Sister Cities An3o,Japan ♦ Wartakere, New Zealand Dept ID PW16-006 Page 1 of 2 Meeting Date 2/16/2016 , _ CITY OF HUNTINGTON BEACH , REQUEST FOR CITY COUNCIL ACTION MEETING DATE: 2/16/2016 SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Fred A Wilson, City Manager PREPARED BY: Travis K Hopkins, PE, Director of Public Works SUBJECT: Accept the lowest responsive and responsible bid and authorize execution of a construction contract with The R J Noble Company in the amount of $1,331,23115 for the Gothard Street Rehabilitation and Center Avenue Rehabilitation Project, CC-1496 Statement of Issue On January 26, 2016, bids were publicly opened for the Gothard Street Rehabilitation and Center Avenue Rehabilitation Project, CC-1496 City Council action is requested to award the construction contract to the R J Noble Company, the lowest responsive and responsible bidder Financial Impact Funds in the amount of $1,550,000 are budgeted in the Gas Tax Funds Account No 20790036 82300 ($1,340,000) and Measure "M" Account No 21390025 82300 ($210,000) Recommended Action A) Accept the lowest responsive and responsible base bid submitted by The R J Noble Company in the amount of $1,331,231 15, and, B) Authorize the Mayor and City Clerk to execute a construction contract in a form approved by the City Attorney Alternative Action(s) Reject all bids, or provide staff with alternative action Analysis The project will rehabilitate Gothard Street (Edinger Avenue to McFadden Avenue) and Center Avenue (Gothard Street to Railroad Track) These projects are adjoining and have the same pavement design section Gothard Street and Center Avenue were last rehabilitated in 1963 and 1972 respectively Rehabilitation methods include full depth reclamation which pulverizes a portion of the existing asphalt concrete and aggregate rock base material and converts it to a cement treated base before overlaying the street with new asphalt Sewer and storm water manholes and water meter boxes and valves will be adjusted to grade Areas of settled or raised curb, gutter and sidewalk will be replaced as necessary HB -45- Item 6. - 1 Dept ID PW16-006 Page 2 of 2 Meeting Date 2/16/2016 The project will utilize rubberized asphalt concrete (RAC) which contains crumb rubber derived from 100% California waste tire rubber A two-Inch layer of RAC uses over 2,000 waste tires per lane mile The project will divert more than 6,000 waste tires that would otherwise end up in a landfill Including this project, the use of RAC in the rehabilitation of the City's arterial streets has resulted in the diversion of over 270,000 waste tires BIDDER'S NAME BID AMOUNT TOTAL CONTRACT AMOUNT (Amount Read at Bid Opening and Basis of Award) R J Noble Company $1,331,231 15 $1,331,231 15 Hardy & Harper, Inc $1,396,000 00 $1,396,000 00 All American Asphalt $1,397,397 00 $1,397,397 00 Shawnan $1,484,860 00 $1,484,860 00 Excel Paving $1,594,499 20 $1,594,499 20 Sequel Contractors $1,484,860 00 $1,484,860 00 The engineer's estimate for the project is $1,400,000 Staff recommends awarding a contract to the R J Noble Company in the amount of $1,331,231 15 R J Noble Company has provided acceptable street rehabilitation construction in the past Including the 2015 completion of Yorktown Avenue between Goldenwest Street and Main Street The total project cost is estimated to $1,550,000, which includes the construction contract, project management, construction contingency, and supplementals (soils and materials testing, construction support services by outside firms, in-house inspection services and additional engineering support) Developers (new residential buildings and new car wash) and OCTA (bus parking improvements) have contributed a pro-rata share contribution of almost $437,000 for the Gothard Street and Center Avenue street improvement These funds were deposited in the Gas Tax fund for use in this project In addition, reimbursement from the CalRecycle Rubberized Asphalt Concrete (RAC) grant in the amount of$17,000 is anticipated Public Works Commission Action: The Public Works Commission reviewed and approved CC-1496 on November 19, 2014, with a vote of 6-0-1 (Strook-absent) Environmental Status The project is categorically exempt pursuant to Class 1, section 15031 c of the California Environmental Quality Act Strategic Plan Goal Enhance and maintain infrastructure Attachment(s) 1 Project Location Map Item 6. - 2 xB -46- �°moo s9� G 0 (n BOLSA AVE rrrs U � = Mc FADDEN AVE. U J z (nn J EDIN ER AVElr Z o < z ~ (n 00 0HEILm = � AVE. z M o w a Q Q WARNER Q m AVE. w 0 0 0 � SLATERw 0AVE. 405 0 TALBERT AVE. PACIFIC ,o 9 ELL IS AVE. GAR FI ELD AVE. (n (n (n 0 0 c'� YORKTOWN AVE. 3 z PROJECT LOCATION o ., ADAMS AVE. o �� w z INDIANAPOLIS AVE. 1O Gothard (Edinger to McFadden) L� _ F- 2O Center (Gothard to RR Track) ro� ATLANTA AVE.= m Q -J m Y HAMILTONZ AVE. 0 Q m y�- BANNING OCEAN AVE. LEGEND ARTERIAL STREET LOCATIONS REV 08/03/15 FY 15/16 ARTERIAL REHABILITATION, CC-1496 PROJECT LOCATION MAP CITY OF HUNTINGTON BEACH le Es DEPARTMENT OF PUBLIC WORKS 1 OF 1 xB -47- Item 6. - 3 CITY OF HUNTINGTON BEACH PROJECT NAME. Gothard Street and Center Avenue Arterial Rehab CC#• CC 1496 BID OPENING DATE: 1/26/2016 TIME & LOCATION: 2 00 PM City Council Chambers ENGINEER'S ESTIMATE: $1,400,000 00 BIDS SUBMITTED (AS READ AT OPENING) BIDDER'S NAME FINAL APPARENT BID RANK AMOUNT ,/ All American Asphalt , Corona ° / Excel Paving, Long Beach Griffith Company, Santa Fe Springs r� Hardy& Harper, Inc, Santa Ana / 3 000 °a Moalej Builders Inc, Sherman oaks `R J Noble Company, Orange RSB Group, Lake Forest Sequel Contractors, Santa Fe Springs .� Sialic Contractors Corporation dba Shawnan, Downey Sully-Miller Contracting Company, Brea PTS_11122014_Version_15_CC1496 r CL ) 0 C%.j e� q V3IJ 30 Alto �!©1� �1hPl;i NNs373 A11: JO alto s : d 9znr A do s�oa 00 :Z wd go Hyr glut F • t City of Huntington Beach Public Works Department 2000 Main Street Tel (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For GOTHARD STREET REHABILITATION AND CENTER AVENUE REHABILITATION, CC NO 1496 in the CITY OF HUNTINGTON BEACH January 14, 2016 Notice To All Bidders Please note the following clarification to the Project Plans, Specifications, and Special Provisions 1) ADDED SIGNING AND STRIPING PLANS TO PLAN SET —TOTAL 3 DRAWING SHEETS Plans are entitled a "Signing and Striping Plan, Gothard Street from Edinger Ave to McFadden Ave", Sheets 1 and 2 of 3, and b "Signing and Striping Plan, Center Avenue from Gothard St. to East of Railroad R/W", Sheet 3 of 3 NOTE THESE PLANS ARE FOR BID ITEM NUMBER 32 "FURNISH AND INSTALL SIGNING AND STRIPING" ON SHEETC-2.7 This is to acknowledge receipt and review of Addendum Number One, dated January 14, 2016 Company Name By Date All bidders must acknowledge and include the receipt of this Addendum page with your bid proposal Should you have any questions regarding this Addendum, please call James Wagner at(714) 536-5431 within 24 hours of posting /n J NOTICE INVITING SEALED BIDS for the construction of GOTHARD STREET REHABILITATION from Edinger Avenue to McFadden Avenue AND CENTER AVENUE REHABILITATION from Gothard Street to Railroad Track CC No. 1496 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as AGENCY, invites sealed bids for the above stated projects and will receive such bids in the office of the City Clerk, Second Floor, 2000 Main Street, Huntington Beach, California 92648, up to the hour of 2:00 PM on January 26, 2016. Bids will be publicly opened in the Council Chambers unless otherwise posted On January 11, 2016, copies of the Plans, Specifications, and Contract Documents will be available from the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648, upon payment of a $40.00 nonrefundable fee if picked up, or payment of a $60.00 nonrefundable fee if sent by UPS ground delivery (bidder shall pay additional costs for special delivery) On January 11, 2416, Plans, Specifications, and Contract Documents for the current advertised project can be downloaded free on AGENCY website http //www huntinQtonbeachca gov/government/departments/public works/Bids/ Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code Pursuant to the provisions of the Labor Code of the State of California, the minimum prevailing rate of per diem wages for each craft, classification or type of workman needed to execute the contract shall be those determined by the Director of Industrial Relations of the State of California, which are on file at the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648 The AGENCY will deduct 5% retention from all progress payments The Contractor may substitute an escrow holder surety of equal value to the retention in accordance with the provisions of the Public Contract Code, Section 10263 The Contractor shall be beneficial owner of the surety and shall receive any interest thereon The AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race, color, national origin, ancestry, sex, or religion in any consideration leading to the award of contract No bid shall be considered unless it is prepared on the approved Proposal forms in conformance with the Instructions to Bidders as determined by the AGENCY The bid must be accompanied by a certified check, cashier's check, or bidder's bond made payable to the AGENCY for an amount no less than 10% of the amount bid The bidder may use any standard form for the Bid Bond The successful bidder shall be licensed in accordance with provisions of the Business and Professions Code and shall possess a State Contractor's License Class A at the time of the bid opening The successful Contractor and his subcontractors will be required to possess business licenses from the AGENCY All extension of unit prices will be subject to verification by the AGENCY In case of a variation between the unit price and the extension, the unit price will govern Project Description The project locations are Gothard Street (Edinger Avenue to McFadden Avenue) and Center Avenue (Gothard Street to the Railroad Track) These projects are adjoining and have the same pavement design section The reconstruction of the streets will be mostly full depth reclamation with some conventional deep lift rehabilitation and some cold milling Sewer and storm dram manholes and water meter boxes and valves will be adjusted to grade as necessary Areas of settled or raised curb and gutter and sidewalk will also be replaced The contract shall allow the Contractor 65 working days to complete the contract The AGENCY reserves the right to reject any or all bids, to waive any irregularity and to take all bids under advisement for a maximum period of 60 days BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH, CALIFORNIA, the 8th day of September 2015, by Resolution No 2015-47. Attest Joan L Flynn CITY CLERK OF THE CITY OF HUNTINGTON BEACH �. CITY OF HUNTINGTON BEACH PUBLIC WORKS DEPARTMENT 2000 Main Street P . O Box 190 Huntington Beach , CA 92648 LETTER OF TRANSMITTAL Fax (714) 374-1573 Attention. Joan L Flynn Date December 29, 2015 To: C►fy Clerk's Office Project/C.C. No.: CC No 1496 2000 Ma►n Street Regarding: GOTHARD STREET REHABILITATION HuntIngfon Beach CA 92648 AND CENTER AVENUE REHABILITATION ® We are sending you ❑ By Mad ❑ By Fax Mail(Number of pages including this sheet ) ❑ We are hand delivering ❑ Attached ❑ Under a separate cover via the following items ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑_Specifications ❑ Copy of letter ❑ Change Order ❑ Other Item# copies Pages I I IDescription 1 1 2 Not1ce Inv►tIng Sealed B►ds for CC-1496, GOTHARD STREET REHABILITATION AND CENTER AVENUE REHABILITATION These are transmitted as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ® For your action ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review/comment ❑ Other Remarks Per Resolution 2015-47 (adopted on 9l8/15), the City Council authorized the advertisement of the above listed arterial'rehabilitation project Please find the attached Notice Inviting Sealed Bids for advertisement on 1/7/16, 1/14/16, and 1/21/16 The bid opening is scheduled for 1/26/16 at 2 00 PM in the City Council Chambers If you have any questions regarding the enclosed attachment, feel free to contact me at wa ner sQ cit -hb or or(714) 536-5467 cc file �— James Wagner,PE,Senior Civil gineer G\Construction Contracts(CCs)\CC1496 Gothard Stand Center Ave\ENGINEERING\NISB ADVERTLSEMENTNISB Transmrtal To Clerk docx Esparza, Patty From: David Ward [DWard@ocregister com] Sent, Wednesday, December 30, 2015 10 15 AM To: Esparza, Patty Subject: RE Legal Ad for HB Wave-CC-1496 Good morning Here is your proof Happy New Yeari i i Ad#10124130 Run Dates 1/7, 1/14&1/21 Cost$666.00 PROOF 1 N4`i74`E IKVM NQ SEA F-n BIDS for uw=wfinacrton of Ge"1111JRM STWIET iiEtlitBlO,lPrATION from Ecanger Avenue to McFeman Aveme AND czmm AvElw a ffanAsttLitrNTI N fa m,Gtri and Street to RaHroa i Tm;ck In the C:M CIV WIC1706WTQi!BEACH i ii Wr-I CYnCZ IS! DX DIVER roil the CTv D'F 3fUNf9+3{>a'T K'@EACI3.as Al�ENCY,vnises;seated bids for the above a0ted moibcts and vvttl recerve such bads in the of6Ce of itie Ctty Clerk. Second Ftecic, 20M Main Street, Hu-Mngtton Beast. Calftfrxa 926",Up to the hour of tM PMI on Ar]f 2jq�301& Betas*111 tea mt9lccIV opened to the Council Chambers unlesis otherwise posted. On 49.2016.copies of tfte tSta ;Spes rrauarrs�and Contract t}aarfr7ems will be a�tn the Office cf the Director of Public Works.200D(Main Street,hurtttngtoh Beach,CA 92648,Upon payment of a S40 ao rwrtrefundabaa tee it picked up,or pa � of a;�-00 nonrofunc�le fee if sent,by UPS grid tteltl R(bldd8f s#'OIt Qay nat cmm5 for special daWeMy Otr 4 m xwy 11, 29fB Plans. Spe®recabons,, acid Contract Documents fm Lhe ctFrrem adiverbsed project can be a willioaced tree on AGENCY web- 5iEe._ trtt�:J -Ctrardfnpiorrtsaacttt;at.aavlsuav�mml�n�'departrnerris.+p�s+tc_t�adlxslBiest Any comsat entered into purviam to this nobw will Incowate The Wkrr slons of tine State Labor Code. Pursuant to tttit provisions of am iabr C ide of the State of Calitcmla.the mnlrrium prevaiiing rate of per diern wages for each craft,claeslfiration or type of workmen needed to execute the eot*,act sham be ftse domtrnined t iv the alrectar of M=traei Pe- latonii 4#_the Scams of Catdornla, which are on file at [tie Ofte of The Ehrec;W of Pubalc Works.20C4,Mari Streaf,Huntington Beeck CA 9264a, The AGENCY wrLI deduct 5%mierdicin irony all oriogres5 aatyrnents, The Codtractet r«tay 51abst uls an escrcw hd4jer 5urecy or equal value to the retention in a tclar=with the provisions of the Public 0r3r> f t Code,Section IM63. The Cantraactor shall be bbeneficat owner of the autatyl and shall receive any interest theraan. The dlG;ENCY hereby aEfirmadlvely en5>.rres that fe inofi:y=ness enterPftses 0511 be edrd- ed tuff oppgr%inity to sutmvt bids in response to this no5ce anti will nit be dtscnminamd agaurlst are the psis of race e4tor,national on%n,anzestry, sex,or relepton an any comcl- eraiiAn leading to Ole award of contract, No bid skald be considered unless 0 is prepared on the a;)Provod Pronosal forms In con- formanft wit i Uia instructcrie W Bidders as determined by the AGENCY.lbe t;i1d mvst be ac=mpalrMd by a aartified check,izitshliert check. or bidder's bond made payable to tt;e AGF-?,CY for an amount no lass C=1C% of the anTgkim but. The odder may use Vv standard form for the 6r:d Bond-_The tuacassful bidder shas be incised in a=cirdaince with rkr0v4trans or Me Business anti PrrofesslorA Code aind shall Gaxsess a$tags Contratc- toe's Lcanse Clem A at tale acme of tha=open. The su.oessiuf Contractor and Ns: subT,ontrsciars ws71 t e rectuired to Pizzsess business 1 13es from the AGENCY.Am mdere- s44n or alit lances"it he sutgaat to varificatiln by the AGENCY. to ewe of a variation ba- %reeai the total Pica and the ekelr`szon.the tint',price wdl govern, Prey d eac4ip0 -Me project. tocatlons are i mhwd street [Edinger Avenue to McFadden Avenual and Centar Avenue(CvWhdrd 9"at to the Railroad Track). Tnasa pr>a- acts are adoff mg emd hava-the same paaement design sectiam The reeorest%ction of tyre streets w it be mostly full depth reclarnaUcal with some conventional deep fift reh-abditatiOn and same cold mttGnp. Sawa( and storm drain nwholes and wr-ef Metfir DO-WS ant$ valves vWl be adjusted to grade as necesamcy. Areas of settled or raised curb and palter sn¢i skdewalf,,wilt also be rp#seed The ailnLaC shad allow the C4mra,;iox E.5 wor wig days to complete the ccmtract she AGENCY feserves the nghtt to reject any cr 0 t).ds, 10 waffe any irregLt_.rltya and 10 to a aka Cads under ad►isament for a rr=rrturrr tsedW cif$0 days. BY CRQF-ft of the Qrf COUNCIL of ihe GfTY QF I:UNTINGTON BEACH.CAUFORNtA :,ha $th eay of September 2M5,by Resotudon No '015-t7 A tlin-6 ,foam L.Fivnn - CITY CLERK OF TKE CITY OF HUNTINGTON BEACH Fubtishedl.The 3 turltktVtann Beach Wave January 7 14 2%201610124130 LEM ADUMISINS P. 714.796.9764 R 714LS4 ".2' 4 d 1 r From: Esparza, Patty [mailto PEsparzaCa surfcity-hb org] Sent: Wednesday, December 30, 2015 9 04 AM To: David Ward 2 Unsuccessful Bids CC- 1496 Gothard Street Rehab and Center Avenue Rehab City of Huntington Beach _F1 r 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov .fFe l7 1909 P� Office of the City Clerk ` Joan L. Flynn, City Clerk April 1, 2016 All American Asphalt P O Box 2229 Corona, CA 92878-2229 RE Gothard Street Rehab and Center Ave Rehab— CC-1496 Enclosed please find your original bid bond for CC-1496 Sincerely, 11 1 +A-0) v/ Joan L Flynn, CIVIC City Clerk JF pe enclosure Sister Cities Anjo,Japan ♦ Wartakere, New Zealand /I � �-ti r + , - / ✓' C�e c 2016 JA'i (26 rI If cr r r C_; ` lJ�Jli'r t r .x N�- c�'� � A +.�Y _• .ry � w� :- r�''"'.'-��,",f� _.y_,'-..j� ':��'": � T T /��� �T � �T ����",>, � ..z`'�"j�a��y='�Y = -_,•�'�r-';I''�.� AL.,L171Y ERIC1�L�1 -ASPHALT AN EQUAL OPPORTUNITI EMPLOYER - -, - _ u.."da .`�'#,< ,'`�_3•,., P O BOX 2229, CORONA, CA 92878-2229 `-ti„ _ - .. .. �� "' •�' ;i`,t TO O �U'n� h •J�V4�� .: i�L pr_'vs_,tti' .� < C_'k�-A CX'c' «'+aTµg"i .ln ',,� -�c•-n",. :e` �r 'x�F' -.<�`�,w�„.t;�r+ �y;�r=�"� �\y� A �/� (1^1 �( ` azy� '�'Y-'y�°,, _ n-5a �``��"i s- rf�; "Mxz_, RETURN REQUESTED NIQ + mr'� � `�w - e ` .,��r'=a^,:� }�•, � _ _ S Sri '� � d,'$:�,�q<,�� ,����'�' � j a .. � �� v _ ..__ � ,• j-��a'"��'`� F'>Yk � _ h ° _ _ s' ¢. _ r 5 .. t�`~ Y '"`�� �� {a""�^ � L«. t� b i - _ - ��+•_ � A� _e�� ` _ _ _ i-� �-��a��'�-�t ' . � . a_ ^ - " " _ '�_;?<-�._ - "`�-� +_art_ 4 . K ,. J��_�-..�a`_•- -- .,._ �-i:_�„ .,M-e�k a ,.t<& _-c,,.x.�_r�...,d.�'„1.:ter-.�..,�_;�.,�= ..:.,..�,sEs..-.., _t..""_ � .»__.....— �-_.,..��,,._.�........... . . .�,�.r_Y,.._-,..�,..�.:-�,�.a,-����n�,�..va+-..�,tr�r« a+�-,--_ 7 i City of Huntington Beach Public Works Department 2000 Main Street Tel (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For GOTHARD STREET REHABILITATION AND CENTER AVENUE REHABILITATION, CC NO 1496 in the CITY OF HUNTINGTON BEACH January 14, 2016 Notice To All Bidders. Please note the following clarification to the Project Plans, Specifications, and Special Provisions 1) ADDED SIGNING AND STRIPING PLANS TO PLAN SET —TOTAL 3 DRAWING SHEETS Plans are entitled a. "Signing and Striping Plan, Gothard Street from Edinger Ave. to McFadden Ave ", Sheets 1 and 2 of 3, and b. "Signing and Striping Plan, Center Avenue from Gothard St to East of Railroad R/W", Sheet 3 of 3 NOTE THESE PLANS ARE FOR BID ITEM NUMBER 32 "FURNISH AND INSTALL SIGNING AND STRIPING" ON SHEETC-2 7 This is to acknowledge receipt and review of Addendum Number One, dated January 14, 2016 Compan Name \ Date All bidders must acknowledge and include the receipt of this Addendum page with your bid proposal Should you have any questions regarding this Addendum, please call James Wagner at(714) 536-5431 within 24 hours of posting SECTION C PROPOSAL for the construction of GOTHARD STREET REHABILITATION from Edinger Avenue to McFadden Avenue AND CENTER AVENUE REHABILITATION from Gothard Street to Railroad Track CC No. 1496 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 65 working days, starting from the date of the Notice to Proceed BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc , and will be guaranteed for a period of sixty days from the bid opening date If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures C-1 , If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void Accompanying this proposal of bid, find Mc ,e r s in the amount of 10go 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 fort% ", as the case may be) Any standard Surety Bid Bond form is acceptable Bidder shall signify receipt of all Addenda here, if any Addenda No. Date Received Bidder's Signature � � 22 ly / ✓✓� C-2 SECTION C PROJECT BID SCHEDULE PROJECT BASE BID: Basis of Award GOTHARD STREET AND CENTER AVENUE REHABILITATION CC No. 1496 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2 1 to C-2 7 GOTHARD STREET AND CENTER AVENUE REHABILITATION Gothard Street from Edinger Avenue to McFadden Avenue and Center Avenue from Gothard Street to RR Track CC No. 1496 BASE BID TOTAL AMOUNT LUMP SUM BID IN FIGURES: $ 1 3ql , ?)q-1 0 CC BASIS OF AWARD C-2.1 SECTION C PROJECT BID SCHEDULE GOTHARD STREET AND CENTER AVENUE REHABILITATION GOTHARD STREET FROM EDINGER AVENUE TO MCFADDEN AVENUE AND CENTER AVENUE FROM GOTHARD STREET TO RR TRACK CC NO. 1496 C-2.2 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 q6nstBid G==_=- __=_ _-_- - = Contract _T-=Unit' =_ *Extended No. Note Descri tion=-v===- Quantity _ Unit_= Price - Amount=A SAWCUT ALONG FLOW LINE AT 1 1 CURB ACCESS RAMP PRIOR TO 1 EA $ CONSTRUCTION OF CROSS GUTTER CONSTRUCT 0 17' FIBER /l 2 3 REINFORCED ASPHALT 21850 TN $ $ 24 RUBBER HOT MIX (ARHM) WET PROCESS OVERLAY 3 4 ADJUST SEWER MANHOLE TO 7 EA $ VF $ w GRADE FURNISH AND INSTALL ZEBRON, SANCON OR CITY r1 4 -- APPROVED EQUAL COATING 4 EA $ $ I WOO- ON NEW CONCRETE ON INSIDE OF AGENCY SEWER MANHOLE RING 5 5 ADJUST STORM DRAIN 6 EA $ ���/ r $ S OD MANHOLE TO GRADE REPLACE WATER VALVE BOX 1 �,, 1 6 6 ASSEMBLY AND ADJUST TO 24 EA $4uls IU � ) GRADE PER HB STD PLAN 612 PULVERIZE AND MIX EXISTING A C PAVEMENT AND SUBGRADE TO A DEPTH OF 7 1 50', REMOVE AND DISPOSE 165,115 SF $ $ �S OF 0 50' OF PULVERIZED MATERIAL ADD CEMENT (TN) TO PULVERIZED MATERIAL DEPTH �7 8 7 OF 1 0', ADD WATER, ALLOW 550 TN $ 21J 1 — $ C T B SECTION TO CURE AND MICRO-CRACK AS SPECIFIED IN PROJECT SPECIFICATION CONSTRUCT 0 33' FIBER REINFORCED B-PG 70-10-RAP 9 7 A C BASE COURSE PRIOR TO 4,125 TN $ $ 0 17' FIBER REINFORCED ARHM OVERLAY C-2.3 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 Bid _ _- ____==-__ _== _== - _= Contract t. Unit== _Extended No. Note Descri tion'==_= T Quantity =Unit== =Price-- y ` 7 Amount REMOVE EXISTING VARIABLE 10 8 THICKNESS A C AND A B TO A 36,465 SF $ 2 $�2 DEPTH OF 1 0' FROM NEW FINISHED SURFACE CONSTRUCT NEW 0 83' FIBER REINFORCED B-PG-70-10-RAP 11 8 A C BASE COURSE OVER 95% 2,300 TN $ $ Wguac COMPACTED SUBGRADE PRIOR TO 0 17'ARHM OVERLAY, PER PLANS COLD MILL EXISTING A C PAVEMENT TO A DEPTH OF 12 9 0 17' FROM NEW FINISHED 19,170 SF $ 10 $ 1 q 1 SURFACE PRIOR TO 0 17'ARHM OVERLAY, PER PLANS REMOVE AND RECONSTRUCT CURB AND GUTTER PER HB STD PLAN 202 (CF=8") 13 11 (INCLUDES SLOT PAVEMENT, 130 LF $ 5-4 _ $—]02D _ AGGREGATE BASE, LOT DRAINS, AND ALL ITEMS NECESSARY TO COMPLETE THE WORK IN PLACE ) REMOVE AND RECONSTRUCT SIDEWALK PER HB STD PLAN 207 AND AS MODIFIED ON PLANS (INCLUDES OVER EXCAVATION OR FILL FOR CHANGES IN GRADE, RE- GRADE FROM WALK TO 14 12 EXISTING SLOPE, RELOCATING 5,300 SF $ $ Z�Ogo IRRIGATION TO BACK OF NEW WALK, RETURNING LANDSCAPING TO PRE- CONSTRUCTION CONDITION AND ALL ITEMS NECESSARY TO COMPLETE THE WORK IN PLACE ) REMOVE AND RECONSTRUCT COMMERCIAL DRIVEWAY("W" I n 15 13 PLAN)AND TYPE SHOWN ON 1300 SF PER STD PLAN 211 MATCH EXISTING IMPROVEMENTS TO GRADE C-2.4 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 nit Ektended Bid Contract U Unit Price--` Arnount No Note-- Description-- :-- Quantity INSTALL NEW DETECTOR LOOPS PER CITY STANDARD SPECIAL PROVISIONS FOR THE CONSTRUCTION OF TRAFFIC 16 14 SIGNALS AND LIGHTING 88 EA $ 210 $ pp - SYSTEMS, 2005 EDITION SPLICE LOOPS TO DLC IN PULLBOX BIKE LANE LOOPS AND ALL LOOPS AT LIMIT LINE SHALL BE TYPE "D" REMOVE EXISTING TREE AND ROOTS, GRIND TREE STUMP 17 15 AND ROOTS TO 24" BELOW TOP 7 EA $ OF SIDEWALK/GRADE WITHIN PROPOSEDIMPROVEMENT AREA INSTALL 2" CONDUIT WITH PULL ROPE AND PER THE CITY'S STANDARD SPECIAL 18 17 PROVISIONS FOR THE 1960 LF $ CONSTRUCTION OF TRAFFIC SIGNALS AND STREET LIGHTING SYSTEMS INSTALL 3" CONDUIT WITH PULL ROPE AND PER THE CITY'S STANDARD SPECIAL -29 19 18 PROVISIONS FOR THE 340 LF $ CONSTRUCTION OF TRAFFIC SIGNALS AND STREET LIGHTING SYSTEMS INSTALL*6 PULL BOX(CHRISTY FIBERLYTE OR CITY APPROVED EQUAL) PER CALTRANS STANDARD PLAN ES-8 AND THE 20 19 CITY'S STANDARD SPECIAL 16 EA $ PROVISIONS FOR THE CONSTRUCTION OF TRAFFIC SIGNALS AND STREET LIGHTING SYSTEMS REMOVE AND RECONSTRUCT CONCRETE CURB AND CROSS 21 21 GUTTER PER HB STD PLAN 1300 SF $ .205 C-2.5 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 ContractUnit =- _yExtended No. =Note - Descri tion- = Quantity Unit Price =—"Amount SAWCUT AND REMOVE EXISTING SIDEWALK AND CONSTRUCT TREE WELL WITH �J�/� SIDEWALK PER DETAIL ON y 22 22 5 EA $ J71 $� � SHEET 4 (ITEM INCLUDES 6-LF OF NEW SIDEWALK AND NON- CHEMICAL WEED CONTROL BARRIER FURNISH AND PLANT NEW 24" BOX TREES PER DETAIL 22 ON SHEET 4, AND HB STD PLANS 714, 715, 716, 716A, 718, 719, AND MODIFIED AS SHOWN ON PLANS FINAL LOCATION AND SPECIES TO BE DETERMINED 23 23 BY STREET TREE SUPERVISOR 5 EA $ �� $ (ITEM INCLUDES REPLACEMENT OF IRRIGATION IN KIND, BACKFILLING WITH CLASS A TOP SOIL AND INSTALLATION OF ARBOR- GUARD OR AGENCY APPROVED EQUAL AT BASE OF TREE ) 24 24 ADJUST SURVEY MONUMENT 1 EA $ WELL TO FINISHED SURFACE REMOVE AND REPLACE LPL_ 13225"' 25 25 DEEPENED COMMERCIAL AND 500 SF $Z�' `✓ INDUSTRIAL DRIVE APPROACH DETAIL ON SHEET 3 FURNISH AND INSTALL RETRACTABLE CATCH BASIN SCREEN W/TOP SWING GATE �, 26 26 BY WATERWAY SOLUTIONS OR 2 EA $29Q— $4 c,tiO— CITY APPROVED EQUAL(W=5'), AND STENCIL CATCH BASIN SIGNAGE PER SPEC REMOVE AND RECONSTRUCT DEEPENED CURB AND GUTTER PER HB STD PLAN 202(B) 27 27 (CF=8") (ITEM INCLUDES 440 LF $ �� , $Z� REBAR, CLASS 560-C-3250 ju CONCRETE, SLOT PAVEMENT, AGGREGATE BASE, AND LOT DRAIN IF PRESENT) C-2.6 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 Const= —= ==_=_= = - -= _-==mow=___ _ - -- " BidT_= _ - =_=__ -_—____ _=_-=_ _ _ Contract ___ ___= Unites---- ,Extended - No: =Note w =a- ' " Desc?i" tion- -T' T - Quantity T Unit"" Price-- ==Amount- REMOVE AND RECONSTRUCT 28 28 LOCAL DEPRESSION PER HB 2 EA $ $ RZO `- STD PLAN 302 29 -- MOBILIZATION 1 LS $ D31b- $3103I5- 30 -- TRAFFIC CONTROL PLAN 1 LS $15000- $ 31 __ FURNISH PROJECT TRAFFIC 1 LS $-7 6 0— $ 5000 CONTROL 32 __ FURNISH AND INSTALL SIGNING 1 LS $ ococ)— $ sb GGU AND STRIPING 33 -- PROJECT SPECIFIC SWPPP 1 LS $%o- $ INSTRUCTOR AND COURSE MATERIALS FOR JUST IN TIME TRAINING (JITT) PER PROJECT SPECIFICATIONS APPENDIX H (INSTRUCTOR SHALL BE 34 -- EXPERIENCED IN THE 1 LS $ 7 uQ $ � — CONSTRUCTION METHODS, MATERIALS AND TEST METHODS ASSOCIATED WITH FULL DEPTH RECLAMATION (FDR) PROJECTS) Total Amount Bid in Fi ures $ 000 Total Amount Bid in Words QYTQ K, '3 u2VI 6nLSO(nd i'M'p'p YA(Aariv'ed n�nt�=j '&00-0 Dohqvs C-2.7 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor Bid Name and Address of State Class DIR Dollar % of Item(s) Subcontractor License Number Amount Contract Number 2)? V-rA tD to CC/ 1� Pa��v� 1�' �ot0122 tcc=o ��� o2Z% Dill von a I�01 tlS Y`)SL _�_:'IeC-_c v 3� e p1aw ot0� G I0 ,000c�o �� /o C1,2 M�I'1�lYVl C °I2_1U0 �'� 055D I s)ev�),ce i 0ow o U54Weyc 417 c-u1/rzIm FFL C t 'i0(l r�'r &I� koobo� '� W�� VW cju�P '61 ` 2r6(X�- e20%, 200'RVvr l 31,G ov m o 'moo' to D p 2 � S CAV 2a 13 � OV61noy q I US11,55 04100(4 `IY ,p \V)C -r 5-q I000co 1pZS mVffi-h n VeW LCA hmoy�A gUtEl �'29f/6 By submission of this proposal, the Bidder certifies 1 That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing 2 That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the to of California that the foregoing is true and correct and that this declaration is executed on /( , at1414, Date City State being first duly sworn, deposes and says that he of she is of 1p\)'��r„�C C L.% Py:Q � the party making the foregoing bid that the bid is not made in the interest of, Won the behalf of, any undisclosed person, partnership, company, association, organization, or corporation, that the bid is genuine and not collusive or sham, that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding, that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract, that all statements contained in the bid are true, and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid Name of Bidder Signature of adder S Carlson��[�i 41 E IA ° M� .�&onrn �A, qlZ-°1 Address of Bidder C-4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached and not the truthfulness accuracv or validity of that document State of California County of Riverside On 01/25/2016 before me, Rebecca Angela Parra,Notary Public Date Here Insert name and Title of the Officer personally appeared Edward J Carlson Name(s)of Signer(s) f who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/afe subscribed to the within Instrument and acknowledged to me that he/she" executed the same in REBFCCA ANGELA PARR his/#er/the* authorized capacity(tes), and that by his/he4hetr Commission # 2024944 signature(s) on the instrument the person(s), or the entity upon behalf Notary Public- California Z of which the person(s)acted,executed the Instrument z Z t�' ® Riverside County My Comm Expires May 17,2017 1 certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct WITNESS myrha official se Signature �( lCi Place Notary Seal Above Srgriatu ifof Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document Title or Type of Document Non Collusion Affidavit Document Date 01/25/2016 Number of Pages One (1) Signer(s)Other Than Named Above None Capacity(tes)Claimed by Signer(s) Signer's Name Edward J Carlson Signer's Name ❑ Individual ❑ Individual X Corporate Officer—Title(s) Vice President ❑Corporate Officer—Title(s) ❑ Partner❑ ❑Limited❑General RIGHT THUMBPRINT ❑ Partner❑ ❑ Limited ❑General _ IGHTTHUMBPRINT ❑Attorney in Fact OF SIGNER ❑Attorney in Fact OF SIGNER ❑Trustee Top of thumb here ❑Trustee Top of thumb here ❑Other ❑Other Signer is Representing Signer is Representing All American Asphalt 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 Gothard Street Rehabilitation from Edinger Avenue to McFadden Avenue and Center Avenue Rehabilitation from Gothard Street to Railroad Track, Project CC No. 1496, (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 1&\ (re.rIMA Contractor By Title Date VMt((,e C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes 2 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 PV\ Contractor By Title Date I I C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct `Y\\\ L--ke�� Bidder Name Business Address City, State Zip MSA) —1'�l 0=112 C)0 Telephone Number -LU-AU-15 State Contractor's License No and Class IkokI \alk Original Date Issued \ 3k I Expiration Date The work site was inspected by e \- c� of our office on c , 201L The following are persons, firms, and corporations having a principal interest in this proposal MSC e\ �a�5 �ce.tc�cv.l The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth Company Na Signature of1Bidder`` OLD J a„rl�n�'�c Printed or Typed Signature Subscribed and sworn to before me this_day of , 201_ NOTARY PUBLIC ��eP NOTARY SEAL C-s CALIFORNIA JURAT GOV CODE § 8202 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document State of California County of Riverside Subscribed and sworn to (or affirmed) before me on this 25th day of January, 2016, Date Month By (1) Edward J Carlson Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me -- REBECCA ANGELA PARRA (an4 -/ Commission # 2024944 Z ,, Notary Public - California z Z Riverside County > (2) My Comm Expires May 17 2017 Name of Signer ZSignature i Place Notary Seal Above Signature of otary Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document Further Description of Any Attached Document RIGHT THUMBPRINT RIGHTTHUMBPRINT OF SIGNER OF SIGNER Title or Type of Document Bidder's Information Top of thumb here Top of thumb here Document Date None Number of Pages 1 Signer(s)Other Than Named Above None Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of {Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets, an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."} Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years \-Jem\ �N�&,�Y CAOyrt\D,�) Name and Address of Public Agency Name and Telephone No of Project Manager Contract Amount Type of Work Date Completed Provide additional project descrip o show si filar work. �oc\C�neo,� Mer�c\a.�v�Pc� �� Name and Address of Public Agency Name and Telephone No of Project Manager a\S1s QS� 2 201 Contract Amount Type of Work Date Completed Provide A4141tional project de ion to show similar work 3 C\o Jvr.,�o - \2�1n��r ..�e `P�,�e ,\��ets�e CP•�2s�—I Name and Address of Public Agency Name and Telephone No of Project Manager Contract Amount Type of Work Date Completed Provide addrtiona-� ect descn ion to show similar work \I1ecrect\- �rw\r�\\�G1lc►r� C-9 "2015" PAST WORK REFERENCES City of Hawthorne Hawthrone Blvd Reconstruction 4455 W 162"d Street Contract Amount $12,579,000 00 Hawthorne, CA 90250 Start 4/2014 Contact Heecheol Kwon, (310) 349-2980 Completed 5/2015 City of Inglewood Florence Ave One Manchester Blvd, 3`d Floor Contract Amount $2,639,000 00 Inglewood, CA 90301 Start 4/2015 Contact Hunter Nguyen, (310) 412-4252 Completed 10/2015 County of Ventura Pavement Resurfacing, Phase II 800 S Victoria Ave Contract Amount. $2,401,970 00 Ventura, CA 93009 Start 4/2015 Contact Jeewoong Kim, (805) 654-3987 Completed 10/2015 City of Montclair Northeast Montclair Street Rehabilitation 5111 Benito Street Contract Amount $514,150 00 Montclair, CA 91763 Start 4/2015 Contact Steve Stanton, (909) 625-9444 Completed 7/2015 Riverside County Transportation Commission Route 74 Widening 4080 Lemon Street, 3`d Floor Contract $1,970,004 00 Riverside, CA 92501 Start 4/2014 Contact Bill Seitz, (949) 300-9132 Completed 7/2015 City of Riverside 2014/15 Arterial Streets 3900 Main Street Contract Amount $1,683,076 00 Riverside, CA 92501 Start 4/2015 Contact Steve Howard, (951) 826-5708 Completed 9/2015 Long Beach Unified School District Garfield Elementary School Pavement 2201 E Market Street Contract Amount. $1,976,508 00 Long Beach, CA 92805 Start 6/2015 Contact Nancy Chinchilla, (562) 997-7513 Completed 11/2015 "2014" PAST WORK REFERENCES City of Fullerton Yorba Linda Blvd Reconstruction 303 W Commonwealth Ave Contract Amount- $1,346,000 00 Fullerton, CA 92832 Start. 7/2014 Contract. Kevin Kwak, (714) 738-6865 Completed. 11/2014 Port of Long Beach 2013 Roadway Maintenance and Slurry 4801 Airport Plaza Drive Contract Amount $992,000 00 Long Beach, CA 90815 Start 6/2014 Contact Lincoln Lo, (562) 283-7000 Completed 10/2014 City of Beverly Hills 2012-2013 Street Resurfacing 455 N Rexford Drive Contract Amount $2,970,000 Beverly Hills, CA 90210 Start 7/2013 Contact: Mark Cueno, (310) 285-2557 Completed 5/2014 City of Jurupa Valley 2012-13 Pavement Rehabilitation 12363 Limonite Ave Contract Amount $970,000 Riverside, CA 92507 Start 5/2013 Contact Michael Myers, (951) 332-6464 Completed. 12/2013 City of Santa Ana Bristol Street Rehabilitation 20 Civic Center Contract Amount- $6,951,475 Santa Ana, CA 92701 Start 3/2013 Contact. Kurt Weimann, (714) 647-5639 Completed: 12/2014 "2013" PAST WORK REFERENCES Department of Transportation Route 74, Contract No 12-OL6404 3521 '/4 University Dr Contract Amount: $1,134,057 Irvine CA 92612 Start- 7/2012 Contract. Dat Pham, (949) 279-8586 Completed 5/2013 City of Santa Clanta 2011/12 Overlay & Slurry Seal Program 23920 Valencia Blvd Contract Amount: $5,995,000 Santa Clarita CA 91355 Start. 8/2012 Contact Bill Whrtlatch, (661) 259-2489 Completed. 5/2013 LACDPW Seventh Avenue 900 S Fremont Ave Contract Amount $2,077,000 Alhambra, CA 91803 Start. 9/2012 Contact. Hector Hernandez, (626) 458-2191 Completed. 12/2013 Department of Transportation Route 74, Contract No 08-OP9504 2023 Chicago Ave , B-6 Contract Amount $3,450,622 Riverside, CA 92507 Start 6/2012 Contact Michael Chen, (951) 830-6017 Completed 9/2013 City of Laguna Hills Citywide Pavement Rehabilitation 24035 El Toro Rd Contract Amount $1,778,169 Laguna Hills, CA 92653 Start 8/2012 Contact Kenneth Rosenfield, (949) 707-2650 Completed 9/2013 County of Riverside Transportation Gilman Springs Road 3525 14t' St Contract Amount $1,695,108 Riverside, CA 92501 Start 7/2013 Contact Trai Nguyen, (951) 961-5363 Completed 9/2013 "2012„ PAST WORK REFERENCES City of Beverly Hills 2010-2011 Street Resurfacing Project 345 Foothill Road Contract Amount $2,800,000 00 Beverly Hills, CA 90210 Start 6/1/2011 Contact Juan Martinez, (310) 285-2521 Completed 4/30/2012 City of Costa Mesa 2010-2011 Citywide Street Rehabilitation 77 Fair Drive Contract Amount $2,778,000 00 Costa Mesa, CA 92628 Start 7/l/2011 Contact Thomas Banks, (714) 754-5222 Completed 2/29/2012 City of Perris Foss Field Parking Expansion 170 Wilkerson Avenue, Ste D Contract Amount $190,000 00 Perris, CA 92570 Start 1/1/2012 Contact Chris Sunde, (951) 943-5604 Completed 2/29/2012 City of Dana Point Pacific Coast Highway &Niguel Shores 33282 Golden Lantern Contract Amount $676,676 00 Dana Point, CA 92629 Start 12/1/2011 Contact Matt Sinacon, (949) 248-3574 Completed 5/30/2012 City of Long Beach Willow Street Improvements 333 W Ocean Blvd , 10"' Floor Contract Amount $661,661 00 Long Beach, CA 90802 Start 12/1/2011 Contact Chuck Ramey, (562) 570-6634 Completed 6/30/2012 City of Santa Ana Bristol Street Widening 20 Civic Center Plaza Contract Amount $8,315,754 00 Santa Ana, CA 92701 Start 5/l/2009 Contact Edward Torres, (714) 647-5018 Completed 3/16/2012 City of Fountain Valley Edinger Avenue Improvements 10200 Slater Avenue Contract Amount $422,422 00 Fountain Valley, CA 92708 Start 5/1/2012 Contact Alex Salazar, (714) 593-4516 Completed 8/1/2012 i "2011" PAST WORK REFERENCES City of Compton Northwood Avenue Reconstruction 205 South Willowbrook Avenue Contract Amount: $1,180,000 00 Compton, CA 90220 Start: 10/18/2010 Contact- Loujuana Mitchell, (310) 761-1437 Completed: 5/4/2011 County of San Bernardino Cajon Blvd. 825 E. Third Street Contract Amount: $565,000.00 San Bernardino, CA 92415 Start: 3/11/2011 Contact: Franklin Lund, (909) 387-7920 Completed: 4/8/2011 County of Riverside De Luz Road Rehabilitation - 2950 Washington Street Contract Amount: $740,000.00 Riverside, CA 92504 Start: 4/25/2011 Contact: David Hylkema, (951) 850-6075 Completed: 5/23/2011 City of Stanton 2010/2011 Citywide Reconstruction 7800 Katella Avenue Contract Amount- $322,322.00 Stanton, CA 90680-3162 Start- 3/l/2011 Contact. Quang Le, (714) 890-4234 Completed: 4/30/2011 City of Long Beach Annual Contract Street Reconstruction 333 West Ocean Blvd, 10`h Floor Contract Amount: $3,433,415.00 Long Beach, CA 90802 Start: 5/1/2010 Contact. Chuck Ramey, (562) 570-6634 Completed- Still On-Going City of Paramount Neighborhood Street Resurfacing 16400 Colorado Boulevard Contract Amount: $899,909 00 Paramount, CA 90723-5012 Start: 11/1/2010 Contact: Len Gorecki, (562)220-2111 Completed: 3/30/2011 City of Huntington Beach Slater Avenue Improvements 2000 Main Street Contract Amount: $1,926,341.00 Huntington Beach, CA 92648 Start: 8/2/2010 Contact Dave Vercme, (714) 375-8471 Completed 2/30/2011 Department of Transportation Route 91 Project 464 W. Fourth Street Contract Amount: $5,732,812 00 San Bernardino, CA 92410-1400 Start. 3/1/'-,010 Contact Imad Abugharbieh, (951) 277-8579 Completed 3/30/2011 t Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years These projects do not have to be under the employment of the bidder of this project Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein 1 \Ccc--4 Name of p or posed Project Manager Telephone No of proposed Project Manager h--Sn :) --SUM la-\,z 2tB Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Project ame & Contract Amount Type of Work Date Completed 2 � Name of proposed Superintendent Telephone No of proposed Superintendent qS\-L\S-5-L\lu�1S w a& Pr sect Name & Contract Amount Type of Work Date Completed c�n't?m Mrso, Im 2m wY�t e ��, " g umf Z o- Project Name & Contract Amount Type of Work Date Completed C1��,�wk paeaUn °g ymeU212LLIA Project Name & Contract Amount Type of Work Date Completed C-10 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771 1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR) Currently the annual non-refundable registration fee for Contractors is $300 Each contractor to whom a public works contract has been awarded shall sign the following certificate DIR FACT SHEET on SB 854 http //www dir ca gov/DLSE/PublicWorks/SB854FactSheet-6 30 14 pdf DIR's Contractor Registration Link—Call (844) 522-6734 https //efiling dir ca gov/PWCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database https //efiling dir ca gov/PWCR/Search action I am aware and will comply with the provisions of Labor Code Section 1771 1(a) which states "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725 5 It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029 1 of the Business and Professions Code or by Section 10164 or 20103 5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725 5 at the time the contract is awarded " I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid Lram',&_ Contractor By r � Title Date S DIR# \CX�ObO\O51 C-11 STATE OF CALIFORNIA DEPARTMENT OF RESOURCES RECYCLING AND RECOVERY(CalRecycle) CalRecycle 168(Revised 7/13) RELIABLE CONTRACTOR DECLARATION This form must be completed and submitted to the Department of Resources Recycling and Recovery(CalRecycle) prior to authorizing a contractor(s) to commence work Failure to provide this documentation in a timely manner may result in nonpayment of funds to the contractor(s) This form is intended to help the CalRecycle's Grantees comply with the Unreliable List requirement of their Terms and Conditions The Unreliable List provision requires the following Prior to authorizing a contractor(s) to commence work under the Grant, the Grantee shall submit to CalRecycle a declaration signed under penalty of perjury by the contractor(s) stating that within the preceding three (3) years, none of the events listed in Section 17050 of Title 14, California Code of Regulations,Natural Resources, Division 7,has occurred with respect to the contractor(s) Please seethe reverse of this page,or refer to www calregs com If any of the events listed in Section 17050 have occurred, disclosure is required but will not necessarily result in CalRecycle refusing to approve the contractor A signed statement explaining the facts and circumstances of the events must be attached to and submitted with this form Contractor: Complete the form and send original to the Grantee Grantee: Scan the form and upload it to the grant in CalRecycle's Grant Management System (GMS) For further instruction about logging into GMS and uploading this form, reference the Procedures and Requirements Retain the original form in your grant file �` i" a ���`n� 11MMO y °u.h'ysGH�x<` r40. / GRANTEE INFORMATION GRANTEE NAME: GRANT NUMBER: City of Huntington Beach TRP5,Grant ID 17197 PRIMARY CONTACT NAME: Thomas Herbel,City Engineer, 714-375-5077 CONTRACTOR INFORMATION 40 CONTRACTOR NAME: AUTHORIZED CONTRACTOR REPRESEN AME' Aw MAILING ADDRESS: 22 f o\ As the authorised representative of the above identified contractor, I declare under penalty of perjury under the laws of the State of California that within the preceding three (3)years, none of the events listed in Section 17050 of Title 14, California Code of Regulations, Natural Resources, Division 7, has occurred with respect to the above identfed contractor Alternatively, as the authoriLed representative of the above identfed contractor, 1 declare under penalty of perjury under the laws of the State of California that within the preceding three (3)years, if any of the events listed in Section 17050 of Title 14, California Code of Regulations, Natural Resources, Division 7, has occurred with respect to the above identified contractor, I have disclosed all such occurrences in an attached signed statement that explains the facts and circumstances of the listed events Signature Date Z� C-12 STATE OF CALIFORNIA DEPARTMENT OF RESOURCES RECYCLING AND RECOVERY(CalRecycle) CalRecycle 168(Revised 7/13) RELIABLE CONTRACTOR DECLARATION Title 14 CCR,Division 7,Chapter 1 Article 5.Unreliable Contractors,Subcontractors,Borrowers and Grantees Section 17050 Grounds for Placement on Unreliable List The following are grounds for a finding that a contractor, any subcontractor that provides services for a CalRecycle agreement, grantee or borrower is unreliable and should be placed on the CalRecycle Unreliable Contractor, Subcontractor, Grantee or Borrower List ("Unreliable List") The presence of one of these grounds shall not automatically result in placement on the Unreliable List A finding must be made by the Executive Director in accordance with section 17054, and there must be a final decision on any appeal that may be filed in accordance with section 17055 et seq (a) Disallowance of any and/or all claim(s)to CalRecycle due to fraudulent claims or reporting,or (b) The filing of a civil action by the Attorney General for a violation of the False Claims Act,Government Code section 12650 et seq,or (c) Default on a CalRecycle loan,as evidenced by written notice from CalRecycle staff provided to the borrower of the default,or (d) Foreclosure upon real property loan collateral or repossession of personal property loan collateral by CalRecycle,or (e) Filing voluntary or involuntary bankruptcy,where there is a finding based on substantial evidence,that the bankruptcy interfered with the CalRecycle contract subcontract,grant or loan or (f) Breach of the terms and conditions of a previous CalRecycle contract,any subcontract for a CalRecycle agreement, grant or loan,resulting in termination of the CalRecycle contract subcontract grant or loan by the CalRecycle or prime contractor,or (g) Placement on the CalRecycle's chronic violator inventory established pursuant to Public Resources Code section 44104 for any owner or operator of a solid waste facility,or (h) The person,or any partner member,officer director,responsible managing officer,or responsible managing employee of an entity has been convicted by a court of competent jurisdiction of any charge of fraud,bribery,collusion, conspiracy,or any act in violation of any state or federal antitrust law in connection with the bidding upon award of,or performance under any CalRecycle contract,subcontract grant or loan,or (i) The person or entity is on the list of unreliable persons or entities,or similar list of any other federal or California state agency or �) The person or entity has violated an Order issued in accordance with section 18304 or, (k) The person or entity has directed or transported to,has or accepted waste tires at,a site where the operator is required to have but does not have a waste tire facility permit,or, (1) The person or entity has transported waste tires without a waste tire hauler registration or (m) The person or entity has had a solid waste facility or waste tire permit or a waste tire hauler registration denied, suspended or revoked or, (n) The person or entity has abandoned a site or taken a similar action which resulted in corrective action or the expenditure of funds by CalRecycle to remediate clean,or abate a nuisance at the site,or (o) The following are additional grounds for a finding that,a person or entity described below should be placed on the Unreliable List (1) The person or entity owned 20%or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (2) The person held the position of officer director,manager,partner,trustee,or any other management position with significant control(Principal Manager)in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (3) The entity includes a Principal Manager who I Was a Principal Manager in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List,or, 2 Owned 20%or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (4) The entity has a person who owns 20%or more of the entity,if that person 1 Was a Principal Manager in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List,or, 2 Owned 20%or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (5) The entity has another entity which owns 20%or more of the entity,if that other entity 1 Is on the Unreliable List or, 2 Owned 20%or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (6) Subsection(o)is not intended to apply to a person or entity that purchases or otherwise obtains an entity on the Unreliable List subsequent to its placement on the Unreliable List C-13 U Fidelity and Deposit Company of Maryland SO4 Home Office P O,Box 1227 Baltimore MD 21203-1227 BID BOND KNOW ALL MEN BY THESE PRESENTS That we, ALL AMERICAN ASPHALT BOND NO 085 97 423 as Principal,(hereinafter called the"Principal"), and FIDELITY AND DEPOSIT COMPANY OF MARYLAND P O Box 1227, Baltimore, Maryland 21203, a corporation duly organized under the laws of the State of Maryland, as Surety,(hereinafter called the "Surety"),are held and firmly bound unto City of Huntington Beach as Obligee,(hereinafter called the"Obligee"),in the sum of TEN PERCENT OF THE TOTAL BiD PRICE IN-------- Dollars($ 10%OF TOTAL BID PRICE ),for the payment of which sum well and truly to be made,the said Pnncipal 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 Gothard Street Rehabilitation and Center Ave Rehabilitation, CC No 1496 Bid Date January 26,2016 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 le this 25th day of January A D, 2016 ALL AMERICAN ASPHALT (SEAL) /Prr r cr1 ecjf e / "'t�Na dl'Witness !✓�--- wa Tu1e V iu .rsi e FIDELITY AND DEPOSIT COMPANY OF MARYLAND Surety By 14bD C_C���� (SEAL) Rebecca Haas-Bates ,Attorney-w-Fact Printed in cooperation with the American institute of Architects(Al A)by Fidelity and Deposit Company of Maryland Fidelity and Depose Company of Maryland vouches that the language in the document conforms cractly to the language used in AIA Document A-310,February 1970 Edition B1D700007Z0701f CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate venfies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document State of California ) County of Orange ) On 01/25/2016 before me, R Parario,Notary Public Date Here Insert Name and Title of the Officer personally appeared Rebecca Haas-Bates Name(*of Signerj! who proved to me on the basis of satisfactory evidence to be the persons} whose name4 is/M subscribed to the within instrument and acknowledged to me that Wshe/they executed the same in hrslher/thetr authorized capacity ibs),and that by hwd'her/thetr signature4on the instrument the person(* or the entity upon behalf of which the person(4 acted, executed the instrument I certify under PENALTY OF PERJURY under the laws of the f—a4fo la that the foregoing paragraph /True a R PARAMO WITNESS m and o ici sea Commission#►2035890 Z .-� Notary Public-California i Z Orange County ' iI ture l 1( M Comm Expires Au 5,2017 Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document Bid Bond Document Date 01/25/2016 Number of Pages One 1 Signer(s) Other Than Named Above. All American Asphalt Capacity(ies) Claimed by Signer(s) Signer's Name Rebecca Haas-Bates Signer's Name: ❑Corporate Officer — Title(s) ❑Corporate Officer — Title(s) ❑ Partner — ❑Limited ❑General ❑ Partner — ❑Limited ❑General ❑Individual CR'Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other ❑ Other Signer Is Representing: Signer Is Representing- Fidelity and Deposit Company of Maryland ©2014 National Notary Association • www NationalNotary org- 1-800-US NOTARY(1-800-876-6827) Item#5907 i EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V,Section 8,Attorneys-m-Fact The Chief Executive Officer,the President,or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto,and may with or without cause modify of revoke any such appointment or authority at any time" CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate,and I do further certify that Article V,Section 8,of the By-Laws of the Companies is still in force This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998 RESOLVED "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company" This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the loth day of May, 1990 RESOLVED "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter,wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed IN TESTIMO (WHEREOF,I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this ��ay of r VA 201� i a tZ7i. 102 86AL ? h'ati:.w� A/M Michael Bond,Vice President CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached and not the truthfulness accuracv or validity of that document State of California County of Riverside On 01/25/2016 before me, Rebecca Angela Parra,Notary Public Dale Here Insert name and Title of the Officer personally appeared Edward J Carlson Name(s)of Signer(s) 7 who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/afe subscribed to the within instrument and acknowledged to me that he/sheAhey executed the same in his/4e4their authorized capacity(+es), and that by his/herAheif PA REBECCA ANGELA 777 signature(s) on the instrument the person(s), or the entity upon behalf ., Commission # 2024944 of which the person(s)acted, executed the instrument �� i,;rA 'Y s Notary Public California D I certify under PENALTY OF PERJURY under the laws of the State of Riverside County My Comm Expires May 17,2017 J California that the forgoing paragraph is true and correct WITNESS my ha an official sea Signature Place Notary Seal Above Signatu f Notary Public OPTIONAL Though the information below is not required by law, It may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document Title or Type of Document Bid Bond Document Date 01/25/2016 Number of Pages One 1) Signer(s)Other Than Named Above Fidelity and Deposit Company of Maryland Capacity(+.&)Claimed by Signer(&) Signer's Name Edward J Carlson Signer's Name ❑Individual ❑Individual X Corporate Officer—Title(s) Vice President ❑Corporate Officer—Title(s) ❑ Partner❑ ❑Limited❑General RIGHTI ❑Partner❑ ❑ Limited❑ General IGHTTHUMBPRINT ❑Attorney in Fact ❑Attorney in Fact . OF SIGNER ❑Trustee Top of thumb here ❑Trustee Top of thumb here ❑ Other ❑Other Signer is Representing Signer is Representing All American Asphalt City of Huntington Beach n�, .• y=yx fir' ; 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov �FfB 1999 P� Office of the City Clerk t Joan L. Flynn, City Clerk April 1, 2016 Excel Paving Company 2230 Lemon Avenue Long Beach, CA 90806 RE Gothard Street Rehab and Center Ave Rehab— CC-1496 Enclosed please find your original bid bond for CC-1496 Sincerely, Joan L Flynn, CMC City Clerk JF pe Enclosure Sister Cities Anjo, Japan ♦ Waitakere,New Zealand FALIR WC.WA ExctL PANG QjMffi ' 2?30 1E ON AVENGE LONG bEAcLq, CA MOO � 'Ty C�c- Epp 4v Oli Lt t IS mile W,&I'l ' N E N OIN lfislllx�j 00 CAT r City of Huntington Beach Public Works Department 2000 Main Street Tel (714) 536-5431, Fax (714) 374-1573 rqADDENDUM NUMBER ON_E-� For GOTHARD STREET REHABILITATION AND CENTER AVENUE REHABILITATION, CC NO. 1496 in the CITY OF HUNTINGTON BEACH January 14,2016 Notice To All Bidders: Please note the following clanfication to the Project Plans, Specifications, and Special Provisions: 1) ADDED SIGNING AND STRIPING PLANS TO PLAN SET—TOTAL 3 DRAWING SHEETS Plans are entitled a. "Signing and Striping Plan, Gothard Street from Edinger Ave. to McFadden Ave.", Sheets 1 and 2 of 3; and b. "Signing and Striping Plan, Center Avenue from Gothard St.to East of Railroad RIW", Sheet 3 of 3 NOTE: THESE PLANS ARE FOR BID ITEM NUMBER 32 "FURNISH AND INSTALL SIGNING AND STRIPING' ON SHEETC-2.7 This is to acknowledge receipt and review of Addendum Number One, dated January 14, 2016. PAR.INC-DU EMS.PAVING COWANY (.mil I.A o Company Name By C.P. 131`301efN, PRESIDENT DatAN A AI 9916 —�� All bidders must acknowledge and include the receipt of this Addendum page with your bid proposal. Should you have any questions regarding this Addendum, please call James Wagner at(714) 536-5431 within 24 hours of posting. L SECTION C PROPOSAL for the construction of GOTHARD STREET REHABILITATION from Edinger Avenue to McFadden Avenue AND CENTER AVENUE REHABILITATION from Gothard Street to Railroad Track CC No. 1496 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 65 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc , and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures t e C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void Accom anyymgg this�,r,o�osal of bid, find 1(zvurs �: in the amount °TEN Pg?CENT OF AMVUff said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for % ", as the case may be) Any standard Surety Bid Bond form is acceptable Bidder shall signify receipt of all Addenda here, if any Addenda,No.;� ;, 'Date Received - l " ` Bidder's Si nature, .P. spow�0 ' MESIDENT C-2 SECTION C PROJECT BID SCHEDULE PROJECT BASE BID: Basis of Award GOTHARD STREET AND CENTER AVENUE REHABILITATION CC No. 1496 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2 1 to C-2.7 GOTHARD STREET AND CENTER AVENUE REHABILITATION Gothard Street from Edinger Avenue to McFadden Avenue and Center Avenue from Gothard Street to RR Track CC No. 1496 BASE BID TOTAL AMOUNT LUMP SUM BID IN FIGURES: BASIS OF AWARD C-2.1 4 l SECTION C PROJECT BID SCHEDULE GOTHARD STREET AND CENTER AVENUE REHABILITATION GOTHARD STREET FROM EDINGER AVENUE TO MCFADDEN AVENUE AND CENTER AVENUE FROM GOTHARD STREET TO RR TRACK ,CC NO. 1496 C-2.2 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 I's't0;i"ti,iri,pr,r', .I iP yi✓API;'I ,u, i 11, ,�5,i ri�yr 1f lrir Ji .,� j,i lalr M;, ir! Corist: �!it"��'ll„ stN 'r,li,tr,l b.,,°I,'.r„ ia,1 4r si,r i u,riinl 'l i; I a,;' diir I ! yvrlt, 9 44tl' 4' �iP rrrtl`d)i ,li,) '� r „f ilfi,i;!�'' — ri�l Ii 19rs1 si'i i� r I�F�41�+ t ,I;;, I;!;i' aril,, ",'I,;,I55 r, �,;r;I;,,' „' Contract _ r,,',,I t I'r,,I ,Unita;,,' ,�I'�,�r Extended''' Ii„E7"I ii C, ih., _ �i ;j,il 1'�I�,ir; '' v"-"'a I ''�`4,, r i�.,,'s,✓ ,-t , b' l°r iil, t;4,{it,Y idl'I'lil' , fj di'i l..�:�.1,rytT�,l; ,, i,u,�r,IPi" �.,, !' fin; �,I�;,I!7 rein alb L y aiNo..lr,+' 'S:NoteM'E' ,+,�, _- ra Descri tion3 ���✓+� r,''� °Q'uanti fi_.Un�t" ,'rF,'Pnce ;' ,'�pls -Amount'u„y �7 ,�I'.5 M'�utin 9�Ilri A�7""_e d",I SAWCUT ALONG FLOW LINE AT CURB ACCESS RAMP PRIOR TO 1 1 CONSTRUCTION OF CROSS 1 EA $ ��. $ 1� GUTTER CONSTRUCT 0 17' FIBER 2 3 REINFORCED ASPHALT 21850 TN $ $ I'ss'Ato RUBBER HOT MIX(ARHM)WET PROCESS OVERLAY 3 4 ADJUST SEWER MANHOLE TO 7 EA $1 $ GRADE FURNISH AND INSTALL ZEBRON, SANCON OR CITY 4 -- APPROVED EQUAL COATING 4 EA $ $k7)T&! ON NEW CONCRETE ON INSIDE OF AGENCY SEWER MANHOLE RING 5 5 ADJUST STORM DRAIN 6 EA $ lbO- $ LA U — MANHOLE TO GRADE REPLACE WATER VALVE BOX ,1 6 6 ASSEMBLY AND ADJUST TO 24 EA $ GOP $ GRADE PER HB STD PLAN 612 PULVERIZE AND MIX EXISTING A C PAVEMENT AND 7 7 SUBGRADE TO DEPTH OF 165,115 SF $ 0•99 $1 2�� 1 50', REMOVE AND DISPOSE OF 0 50' OF PULVERIZED MATERIAL ADD CEMENT(TN)TO PULVERIZED MATERIAL DEPTH 8 7 OF 1 0',ADD WATER,ALLOW 550 TN C T B SECTION TO CURE AND MICRO-CRACK AS SPECIFIED IN PROJECT SPECIFICATION CONSTRUCT 0 33' FIBER REINFORCED B-PG 70-10-RAP a�1 1� 9 7 A C BASE COURSE PRIOR TO 4,125 TN $ $ 0 17' FIBER REINFORCED ARHM OVERLAY i C-2.3 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 J Na�rali-17�+y'it l 9fl+l+t�lif, ,I 11;.'I N", ,tt� ryf"ii t 1,'� " I?, If,+ 21a d ,� P lL, ,,IiPy4,�iIINJ' ilrl 'Ifi�l�nl�"I'l ilk 'I'� , 41 i�f I,�I�t��COn$t:''f'�,ktr�;,i �i J;"rl` ;3�t,'r,, n ,�i�� { I,IIi'�, r' 4' +iii � it t J I',nl I fi,f'° �� l 4, n f� fl f w l .1la�' { I�{ I f ��I6 f I k yr„ t f ,I_>I,� A I, , li9'_"f {1 a'BI(�,'I ..I. t it II f i tiP Contract' i"nG,'ftl"I' f h {f,,,N,,f Uf11t, N r1 EXtended + i Id�dl h�'�,I{I�i i '+I'� 9 ,z"',i k,v� _�Ai71�— 4,4�'�i+,'=�,�F,1�'I,a I 1 I) i'+"�l�l {it i'li„ �a t,i, _£w - I�' +'lu`'—Yed;�, f' it'1 +�i���dyf4 t)1��4n�ilr nh, 'Descri {ton' fi�� ��, !f,,(,luantity' ;rpUnit'; �;��,=!�I,�"Price'In�',i, 'd;',;'Amountm''��, REMOVE EXISTING VARIABLE 10 8 THICKNESS A C AND A B TO A 36,465 SF $ 2�� $� DEPTH OF 1 0' FROM NEW FINISHED SURFACE CONSTRUCT NEW 0 83' FIBER REINFORCED B-PG-70-10-RAP 11 8 A C BASE COURSE OVER 95% 2,300 TN $ $ ( — COMPACTED SUBGRADE PRIOR TO 0 17'ARHM OVERLAY, PER PLANS COLD MILL EXISTING A C PAVEMENT TO A DEPTH OF 12 9 0 IT FROM NEW FINISHED 19,170 SF $ �.�0 $� SURFACE PRIOR TO 0 17'ARHM OVERLAY, PER PLANS REMOVE AND RECONSTRUCT CURB AND GUTTER PER HB STD PLAN 202(CF=8") 13 11 (INCLUDES SLOT PAVEMENT, 130 LF $� $ q3� AGGREGATE BASE, LOT DRAINS, AND ALL ITEMS NECESSARY TO COMPLETE THE WORK IN PLACE ) REMOVE AND RECONSTRUCT SIDEWALK PER HB STD PLAN 207 AND AS MODIFIED ON PLANS (INCLUDES OVER EXCAVATION OR FILL FOR CHANGES IN GRADE, RE- GRADE FROM WALK TO ,,tt 14 12 EXISTING SLOPE, RELOCATING 5,300 SF $_jd .000 IRRIGATION TO BACK OF NEW WALK, RETURNING LANDSCAPING TO PRE- CONSTRUCTION CONDITION AND ALL ITEMS NECESSARY TO COMPLETE THE WORK IN PLACE ) REMOVE AND RECONSTRUCT COMMERCIAL DRIVEWAY("W" 15 13 AND TYPE SHOWN ON PLAN) 1300 SF $ 13 �� $ PER STD PLAN 211 MATCH EXISTING IMPROVEMENTS TO GRADE C-2.4 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 is i��;�, Il>riF, a'"_ ' �' 4{'K =1 �r fly F'K '-'F ,u_'� r a� ��,i i;6�rmnhi�ka 141:h,`'sr rr� 'd r„i Fir tl,"1 u, �?i',{� 4,7 vyl; r'nl'i�, 4�{ I.-la ��I hi LI�I'��f"i° ;'°A'ConSt:, 7 I' sal „��h,�l �r;, I:,rl�l'J i' f ti,, r�Ga q i" 1 1 LF,_' 3�= rd ail 1'�i'�nm'r Aa f,'',i rv_ rrya y"I r s r tr���l ��:"rL r� 151'{' i'4 4'rv9Q iiIP�N,'�I,�, a'u;III r-' '1 ��h5ai'��„� usl; air' ,ilhli IBid , r" rl;k'l ' ;Contract; - r, Extended;'Iti, �a ti'q�' �,,IHI "'iPr''; n' n'e d,�4 r, r uu F a -� `!'�3t'4`I '-' ar',1� 1' I,a„ ,'' yr,i'i Noteljlli�li`r,i'II;' °',' ' ! "Zescri 'tion,;,� ,'',� ;'Quantity,, 1,�lJn'it� �rI rll+4"�;IP,rice;;!'a"1'rl'I INSTALL NEW DETECTOR LOOPS PER CITY STANDARD SPECIAL PROVISIONS FOR THE CONSTRUCTION OF TRAFFIC 16 14 SIGNALS AND LIGHTING 88 EA $ Vk $ wiAQ' SYSTEMS, 2005 EDITION SPLICE LOOPS TO DLC IN PULLBOX BIKE LANE LOOPS AND ALL LOOPS AT LIMIT LINE SHALL BE TYPE"D" REMOVE EXISTING TREE AND ROOTS, GRIND TREE STUMP 17 15 AND ROOTS TO 24" BELOW TOP 7 EA $ QQ $ 0� OF SIDEWALK/GRADE WITHIN PROPOSEDIMPROVEMENT AREA INSTALL 2"CONDUIT WITH PULL ROPE AND PER THE CITY'S STANDARD SPECIAL 0 18 17 PROVISIONS FOR THE 1960 LF $ $ CONSTRUCTION OF TRAFFIC SIGNALS AND STREET LIGHTING SYSTEMS INSTALL 3"CONDUIT WITH PULL ROPE AND PER THE CITY'S STANDARD SPECIAL n _ 19 18 PROVISIONS FOR THE 340 LF $ u, $ 85� CONSTRUCTION OF TRAFFIC SIGNALS AND STREET LIGHTING SYSTEMS INSTALL#6 PULL BOX(CHRISTY FIBERLYTE OR CITY APPROVED EQUAL) PER CALTRANS STANDARD PLAN ES-8 AND THE 20 19 CITY'S STANDARD SPECIAL 16 EA $ �t30�' $ 1�- PROVISIONS FOR THE CONSTRUCTION OF TRAFFIC SIGNALS AND STREET LIGHTING SYSTEMS REMOVE AND RECONSTRUCT 21 21 CONCRETE CURB AND CROSS 1300 SF $ I� J $ -1 w GUTTER PER HB STD PLAN 205 C-2.5 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 �y'ril lll�`"1"1q1 irtiGl � ,'lP`;''e4r*��„r Sil;i�Illn llq'P n(li"Ir;�l,� I'a......, '� `'I I,'k'f'`"IP, 'III,ilSR�¢d' '�°ol INI,1 1,y"I' �ytp,.l'�Lt r, �yt-rah„`' tr',i r.'In;I o-,,n'y a l"I ,,I�I,I„�r51r"+i',1i191 ,I,„r, url 1� ll7,, '(.I',y I," 'ill I�r 1 �Iy 1 f �u41a,n F F, ai^s'rlFp!II�II,;'q, x;f6d1,6,11,,, f.l; IqIIp,�,11�1�a1,� hlr, I rrhl ,,,o;ly �'rl .nzni {Const. Ilrr,ll;',�'�d'iyA'(„ ;Iul�lll fl II' Ih' �L'11,6 'r� [ d,;v ir�4yl l�i!'G 'ill ,,6:r�ll�"II Ijif,�,l�r I,`I l�ni' �yP ii,,,il Illia ,��,`ly�'��n'I "I' I,Ilirpr 4i,'u4 flContract �r�l„P i�pl'I,u�iF'•'1.11'(�1'i�'tl`I('„Unit!l�l���iliil�i�S�r 'h�Extentletll9l'I ,Ihd�'1� d; �I9i�.�'# t �Ml I�4,'ll��li1,71;, �li'P'��i Ohl nl� ���r`�y' �rr 'x, r yv r. hr, 1'yp„ � �'n'. ,I, ',dlS�i Is ,;iVo ,aI_=,�yu'1 1'rDescri tion;'r (" uaritity i'',Unity I''r'„ ;'Price lh'I" `Amounta'!I'I _�, � '�� �,Nofe-I A'i,{wT ''tli Ii 4,rtt'I ��I'u ill",Ii"A 21iy ,Ili.i ^le"i„!'i vu9lth SAWCUT AND REMOVE EXISTING SIDEWALK AND CONSTRUCT TREE WELL WITH 22 22 SIDEWALK PER DETAIL ON 5 EA $�_ s SHEET 4 (ITEM INCLUDES 6-LF OF NEW SIDEWALK AND NON- CHEMICAL WEED CONTROL BARRIER FURNISH AND PLANT NEW 24" BOX TREES PER DETAIL 22 ON SHEET 4,AND HB STD PLANS 714, 715, 716, 716A, 718, 719, AND MODIFIED AS SHOWN ON PLANS FINAL LOCATION AND SPECIES TO BE DETERMINED 23 23 BY STREET TREE SUPERVISOR 5 EA $ '20- $ gmo-- (ITEM INCLUDES REPLACEMENT OF IRRIGATION IN KIND, BACKFILLING WITH CLASS A TOP SOIL AND INSTALLATION OF ARBOR- GUARD OR AGENCY APPROVED EQUAL AT BASE OF TREE) 24 24 ADJUST SURVEY MONUMENT 1 EA $ $ WELL TO FINISHED SURFACE REMOVE AND REPLACE n n 25 25 DEEPENED COMMERCIAL AND 500 SF $ (�U� $to (— INDUSTRIAL DRIVE APPROACH DETAIL ON SHEET 3 FURNISH AND INSTALL RETRACTABLE CATCH BASIN SCREEN W/TOP SWING GATE 26 26 BY WATERWAY SOLUTIONS OR 2 EA $ $ CITY APPROVED EQUAL (W=5'), AND STENCIL CATCH BASIN SIGNAGE PER SPEC REMOVE AND RECONSTRUCT DEEPENED CURB AND GUTTER PER HB STD PLAN 202(B) 27 27 (CF=8") (ITEM INCLUDES 440 LF $ �S•�J $ 33 � REBAR, CLASS 560-C-3250 CONCRETE, SLOT PAVEMENT, AGGREGATE BASE, AND LOT DRAIN IF PRESENT ) C-2.6 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 Ti ,1 .u; "it' ,1,ilf" �, Ltl �I I' ',Cons w '111' 1 "' s'rr, l H"ir M 1 p ,��i !,'l� "�'Jlr'H q,,q'„ .,1 1,3 '+I''21 r dtNi�H'FI r,S;'yn+„Int,„y,l;`-i.tiu, �'J,,,ri`'Al, ail `y a r,�l;l ��,I' 1,i1 p ' 1T� , ;p4 ' r ,. ;,� r' `+!�' ',! " !Contract ;;,v ' ! '+'Unit �.Extend'ed B�dir ,'u� ipd,7"�"� N i L1 ''.,, �P, _�Ir,'tr� �I,i ,;,� �i',I,lii',ri li ',rlr nl "'l I rr� i�li li,i'i i� l II y '_r,`1 ��I SI,t,, ''it "'t�r' +i I� r'�' r ,t rl' ,gyp 'yl!II I I .IIIs'uh'ti' .,{ 1 n,�d�u �4n �i"t•r:,r I" I�'+ r lint 4,'li '1r',OL�, �tl.i4 a' N ,, ! 'r�, i'�i '� 'ti it I I.I '4, 1 ,'�'S i r 'I�a' ;,�!;,", r�;rp� !,;7r.; �Quanti k,Unit°rli ; r „�,�,'Price �thr,liNOt@, h'1, r�s,,, Nd� r �escrj _t:16n,°'„,l, ilr,,,� j �� i'� ral' I t, REMOVE AND RECONSTRUCT 28 28 LOCAL DEPRESSION PER HB 2 EA $ $ STD PLAN 302 29 -- MOBILIZATION 1 LS $LCO( $ 106 00�_ 30 -- TRAFFIC CONTROL PLAN 1 LS $_` $ ' 31 __ FURNISH PROJECT TRAFFIC 1 LS $ $ 31 CONTROL 32 _ FURNISH AND INSTALL SIGNING 1 LS $ 3WW ' $ 3W)Q AND STRIPING 33 -- PROJECT SPECIFIC SWPPP 1 LS $ r5S $ 'Ulf INSTRUCTOR AND COURSE MATERIALS FOR JUST IN TIME TRAINING(JITT) PER PROJECT SPECIFICATIONS APPENDIX H (INSTRUCTOR SHALL BE 34 -- EXPERIENCED IN THE 1 LS $ 400— $ 3(OCO CONSTRUCTION METHODS, MATERIALS AND TEST METHODS ASSOCIATED WITH FULL DEPTH RECLAMATION (FDR) PROJECTS) 2b Total Amount Bid in Figures $ Total Amount Bid in Words 'b 1fV t C-2.7 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 j said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name andAddress of State Class DIR 'Dollar % of , Items) Sub"cont'ractor License Number Amount Contract Number' ugS6 i, CA P011M A 8JJAP ego , �l �I�� � tib01 ��� t-69 k3jo ,CaS, t¢tk A cA C(IWA trey wr_ C IA NM a �3o OW 0/ u1� i�sS Cat ffty PAW 63ugo ca t 2, ��ti aC Tva%(, *c"s, A1�b2� 30ox- 2 62A W gMA'1WV" Vie, 4 It�WpSSD,3 S�cv� (WAJ.0- (A 0(o tit V d t, Tire kVVa_*L �L1, t3 WO �. AtiT � • �0.���& �' loS�l SZYo C� I lm(u0tg3b 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 r I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on)AN 2 6 ZOE LOXG REACH ,--CALIPOMIA Date City State G.P. BROI N , bean orn, deposes and says that he or she is PRESIDENT of � the parry making the foregoing bid that the bid is not made in 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 t to any member or agent thereof to effectuate a collusive or sham bid M PAMNG MOM Name of Bidder ll, C,Po BROWN, PFESICEI Signature of Bidder -�-- 2230 LEMON AVENUE LCA4, REACH, CA S-0,E0F Address of Bidder C-4 C/WRORNIA ENT CML OOOE§1189 A notary public or other office cornplting this oeti verifies only the Identity of the hxgvldual who signed the document to which fhb certl8c de Is attached,and not the Wftb ess,accuracy,or validity of that document. State of California ) County of Los Angeles ) On JAN 2 6 2016 before me, C. Phillips, Notary Public Dace Hens Insert Name and Tide of the Officer personally appeared C. P. Brown Names)of Signer(s) who proved to me on the basis of satisfactory evidence,to be the person(s) whose names) subscribed to the within instrument and acknowledged to me that he/3belftay executed the same in hiss authorized capacity(M),and that by him signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s)acted,executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph C PHILt IPS is true and correct. COMM #199f 177 0 WITNESS my hand and official seal. °'Z Notary P011c-Calitornia � LL LOS ANGELES COUNTY My Comm Expires Oct 29,2016 Signature Sighaftim of Notary Public Place Notary Seal Above OP77ONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document _ Title or Type of Document: Document Date: Number of Pages: Signers) Other Than Named Above: Capacity(ies)Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer —Titie(s): ❑Corporate Officer— TkWs): ❑Partner— ❑Limited ❑General ❑Partner — ❑Limited ❑General ❑Individual ❑Attorney in Fact ❑Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator n Other: ❑ Other: Signer Is Representing: Signer is Representing: 02014 National Notary Association•www.NatkmWNotary.org•1.800-US NOTARY(I4)OD-876-W7) Item#5907 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL i 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 Gothard Street Rehabilitation from Edinger Avenue to McFadden Avenue and Center Avenue Rehabilitation from Gothard Street to Railroad Track,Project CC No. 1496, (l)(we)(it)will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved " The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein PWINOM ECEL PAVING COWNY Contractor By C.P. BROWN, PRESIDENT Title Date: JAN 2 6 2016 C-s DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation ❑ Yes 2(No If the answer is yes, explain the circumstances in the space provided. N� Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the 1 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 RW.WC-Du L FAVING COMPANY Contractor C J By 6.P. BROWN, PRESIDENT Title Date JAN 2 6 2016 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct FALLS INC.DUA EXCEL MANG COl' BON 2,h"i rwttl WPM IF so Bidder Name LONG WEAK CA 90806 Business Address City, State Zip ) 4582)599-5841 Telephone Number STATE LIC. 658659 W State Contractor's License No and Class ti IA„ 1 a%4 Original Date Iss e 5II k Expiration Date The work site was inspected by Im of our office on J �qll(# , 201_ t The following are persons, firms, and corporations having a principal interest in this proposal P01ova11—Pres r+Pnr and Chief @x®OufN&9ft@f Curtis P Brown III Vice President and Chiet Cp9WIn9 @f{1W _ F._" virP President and Chief Fifleae191 QfflW Marcia S Miller Secretary MichetcE Qmkultrh Assistant Secretary The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth Company Name _ o Signature of Bidder C.P. 13fVem. PF SIPFNT Printed or Typed Signature Subscribed and sworn to before me this_day of JAN 2 6 2016 , 201_ . . C PHILLIPS COMM #1996177 Notary Public-California NOTARY PUBLIC LOS ANGELES COUNTY k „., „,. ct 29,200 C-8 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of{Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets, an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert"I. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years- 0-6 C4 Name anY Address of Public Agency Name and Telephone No. of Project Manager: Dwi 0i I Contract Amount T Type of Work Date Completed ,Provide additional project description to show similar work. 2 Q 4"4WO ( tj . VY1 ftt,414 t4 &M 1 Name and Address of Public Agency l Name and Telephone No of Project Manager: �A*eK. 0,CIAr 310 `l(Z 333 2 2(e — v►� -� � Contract Amount Type of Work Datd Completed ,, ,Provide additional project description to show similar work: ,Iv► ti w&ut, 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: c�UOA PICA~ 311)) "0 �O Zl4 1-1 Ida of ill fna ��' 4+.b ���J Contract Amount Type of Work Date Completed r ide agoitional pr j ac t descripti n to show similar work: AA r - C-9 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent For each of these critical positions,please list at least three projects for which the critical staff has performed similar work within the last five years These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1 h C Name of prop ed Project Manager Telephone No of proposed Project Manager �ti�e Project Name& Contract Amount Type of Work Date Completed QOAO(. tc. Or 6c 6 �qq.- a IUIq Project Name& Contract Amount Type of Work Date Completed ux) r Project N me& Contract Amount Type of Work date ompleted c 2 Q. L �CLWaVMv Name of proposed Superintendent Telephone No of proposed Superintendent 1562)599-5841 °t ZOi ProjecUName&Contract Amount Type of Work Date Completed 0'1444 AA, "Sr- 3. I-11, 0 JeB b LIOI� Project Name& Contract Amount Type of Work Date Completed W ffimwA14 A 21 N K, 101 IS4,q Project Name&Contract Amount Type of Work Date Completed r C-10 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771 1(a)), passed by the California State Senate i on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate DIR FACT SHEET on SB 854 http.//www dir.ca.gov/DLSE/PubllcWorks/SB854FactSheet-6 30 14 pdf DIR's Contractor Registration Link—Call (844) 522-6734 https //efilmg dir ca gov/PWCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database https://efilmg dir ca gov/PWCR/Search action I am aware and will comply with the provisions of Labor Code Section 1771.1(a) which states "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725 5. It is not a i violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103 5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded" I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Contractor C__/?�4 411 By C.P. M'sfld, PRESIDENT Title Date- , 6 DIR#• 1 QQ( sj7j�l C-11 STATE OF CALIFORNIA DEPARTMENT OF RESOURCES RECYCLING AND RECOVERY(CalRecycle) CalRecycle 168(Revised 7/13) RELIABLE CONTRACTOR DECLARATION r This form must be completed and submitted to the Department of Resources Recycling and Recovery(CalRecycle) prior to authorizing a contractor(s) to commence work Failure to provide this documentation in a timely manner may result in nonpayment of funds to the contractor(s) This form is intended to help the CalRecycle's Grantees comply with the Unreliable List requirement of their Terms and Conditions. The Unreliable List provision requires the following Prior to authorizing a contractor(s) to commence work under the Grant, the Grantee shall submit to CalRecycle a declaration signed under penalty of perjury by the contractor(s) stating that within the preceding three (3) years, none of the events listed in Section 17050 of Title 14, California Code of Regulations,Natural Resources,Division 7,has occurred with respect to the contractor(s) Please see the reverse of this page,or refer to www calre sg_com If any of the events listed in Section 17050 have occurred, disclosure is required but will not necessarily result in CalRecycle refusing to approve the contractor A signed statement explaining the facts and circumstances of the events must be attached to and submitted with thus form Contractor: Complete the form and send origmal to the Grantee. Grantee: Scan the form and upload it to the grant m CalRecycle's Grant Management System (GMS) For further instruction about logging into GMS and uploading this form, reference the Procedures and Requirements Retain the original form m your grant file. RA TE I�NFORMATJONS 4 Igg �'r .zrct`_y+" X �`d GRANTEE NAME: GRANT NUMBER: City of Huntington Beach TRP5,Grant ID 17197 PRIMARY CONTACT NAME: Thomas Herbel,City Engineer,714-375-5077 CONTRACTOR NAME: mom EXCEL PAVING C AUTHORIZED CONTRACTOR REPRESENTATIVE NAME: C.P. BMW PRESIDENT MAILING ADDRESS: 2230 LEMON AVENUE LGjQ BEACH, CA V0806 As the authorized representative of the above identified contractor, I declare under penalty of perjury under the laws of the State of California that within the preceding three (3)years, none of the events listed in Section 17050 of Title 14, California Code of Regulations, Natural Resources, Division 7, has occurred with respect to the above identified contractor Alternatively, as the authorized representative of the above identified contractor, I declare under penalty of perjury under the laws of the State of California that within the preceding three(3)years, if any of the events listed in Section 17050 of Title 14, California Code of Regulations,Natural Resources,Division 7, has occurred with respect to the above identified contractor, I have disclosed all such occurrences in an attached signed statement that explains the facts and circumstances of the listed events Signature ; Date JAN 2 6 2016 C-12 STATE OF CALIFORNIA DEPARTMENT OF RESOURCES RECYCLING AND RECOVERY(CalRecycle) CalRecycle 168(Revised 7/13) RELIABLE CONTRACTOR DECLARATION Title 14 CCR,Division 7,Chapter 1 Article 5.Unreliable Contractors,Subcontractors,Borrowers and Grantees Section 17050.Grounds for Placement on Unrehable List The following are grounds for a finding that a contractor, any subcontractor that provides services for a CalRecycle agreement, grantee or borrower is unreliable and should be placed on the CalRecycle Unreliable Contractor, Subcontractor, Grantee or Borrower List ("Unreliable List") The presence of one of these grounds shall not automatically result in placement on the Unreliable List A finding must be made by the Executive Director in accordance with section 17054, and there must be a final decision on any appeal that may be filed in accordance with section 17055 et seq (a) Disallowance of any and/or all claun(s)to CalRecycle due to fraudulent claims or reporting,or (b) The filing of a civil action by the Attorney General for a violation of the False Claims Act,Government Code section 12650 et seq,or (c) Default on a CalRecycle loan,as evidenced by written notice from CalRecycle staff provided to the borrower of the default,or (d) Foreclosure upon real property loan collateral or repossession of personal property loan collateral by CalRecycle,or (e) Filing voluntary or involuntary bankruptcy,where there is a finding based on substantial evidence,that the bankruptcy interfered with the CalRecycle contract,subcontract,grant or loan,or (f) Breach of the terms and conditions of a previous CalRecycle contract,any subcontract for a CalRecycle agreement, grant,or loan,resulting in termination of the CalRecycle contract,subcontract,grant or loan by the CalRecycle or prime contractor,or (g) Placement on the CalRecycle's chromc violator inventory established pursuant to Public Resources Code section 44104 for any owner or operator of a solid waste facility,or (h) The person,or any partner,member,officer,director,responsible managing officer,or responsible managing employee of an entity has been convicted by a court of competent jurisdiction of any charge of fraud,bnbery,collusion, conspiracy,or any act in violation of any state or federal antitrust law in connection with the bidding upon,award of,or performance under any CalRecycle contract,subcontract,grant or loan,or (i) The person or entity is on the list of unreliable persons or entities,or similar list,of any other federal or California state agency,or �) The person or entity has violated an Order issued in accordance with section 18304,or, (k) The person or entity has directed or transported to,has or accepted waste tires at,a site where the operator is required to have but does not have a waste tire facility permit,or, (1) The person or entity has transported waste tires without a waste tire hauler registration,or, (m) The person or entity has had a solid waste facility or waste tire permit or a waste tire hauler registration denied, suspended or revoked,or, (n) The person or entity has abandoned a site or taken a similar action which resulted in corrective action or the expenditure of funds by CalRecycle to remediate,clean,or abate a nuisance at the site,or (o) The following are additional grounds for a finding that,a person or entity described below should be placed on the Unreliable List (1) The person or entity owned 20%or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (2) The person held the position of officer director,manager,partner,trustee,or any other management position with significant control(Principal Manager)in an entity on the Unreliable List at the tune of the activity that resulted in its placement on the Unreliable List, (3) The entity includes a Principal Manager who 1 Was a Pnnctpal Manager in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List,or, 2 Owned 20%or more of an entity on the Unreliable List at the tune of the activity that resulted in its placement on the Unreliable List, (4) The entity has a person who owns 20%or more of the entity,if that person 1 Was a Principal Manager in an entity on the Unreliable List at the tune of the activity that resulted in its placement on the Unreliable List,or, 2 Owned 20%or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (5) The entity has another entity which owns 20%or more of the entity,if that other entity 1 Is on the Unreliable List,or, 2 Owned 20%or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (6) Subsection(o)is not intended to apply to a person or entity that purchases or otherwise obtains an entity on the Unreliable List subsequent to its placement on the Unreliable List C-13 Bond No. Bid Bond BID BOND The American Institute of Architects, AIA Document No A3I0(Febnlary, 1970 Edition) KNOW ALL MEN BY THESE PRESENTS,that we PALP Inc dba Excel Paving Company as Principal hereinafter called the Principal,and Federal Insurance Company a corporation duly organized under the laws ofthe state of Indiana as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach as Obllgee,hereinafter called the Obligee,in the sum of Ten percent of the total amount of the bid Dollars (S t o% ) for the payment of which sum well and truly to be made,the said Principal and the said Surety,bind ourselves, our he' executors,administrators,successors and �' assigns,jointlyand se venally, firmly by these presents WHEREAS,the Principal has submitted a bid for Gothard Street Improvements 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 perf m mm of such Contract and for the prompt payment of labor and material fimrrshed In the pnnsecution thereof; or in the event of the failure of the Principal to enter such Cor&=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 contact with another party to perform the Work covered by said bid,then this obligation shall be null and void,otherwise to remain in hill force and effect. Signed and sealed this tsth day of January , 2016 PALP Inc dba Excel Paving Company Witness (Sol) (A", 1 C P. atx7'r`�` Br' a• / P,Q.P,j1)FNT Nameffide Fed Pftsomah—cu'Cornpany sty (Seal) Witness - Timothy D Rapp Attorney-in-Fact CAUFOR M ALL-PUII M ACIOIONII.iMMItiNT CIVIL CODE§1119 A notary public or other officer meting this certiracale verifies only the identify of the klividual who signed the doc unwat to which this certificate Is attached,and not the tMhful=%a=n y,or validity of VW document. State of California ) County of Los Angeles ) On JAN 2 6 2016 before me, C. Phillips, Notary Public Date Mere Insert Name and Me of the Olrrcer personally, appeared C. P. Brown NarrWs)of ftner(s) who proved to me on the basis of satisfactory evidence-to be the person(s) whose name(s) isiftiw subscribed to the within instrument and acknowledged to me that he/ *executed the same in hiss authorized capacity(les),and that by hisJl signature(s)on the instrument the person(s), or the entity upon behalf of which the persons)acted,executed the instrument. 1 certify under PENALTY OF PERJURY under the laws of the State of Califomia that the foregoing paragraph C PHIL.LIPS is true and correct. COMM #1996177 Notary Pubho-Calrfornia WITNESS my hand and official seal. I' ? � LOS ANGLES COUNTY LL My Ccmm Expires Oct 29,2016 Signature —o-,D& Slgna f Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document Description of Attached Document Tale or Type of Document: Document Date: Number of Pages: Signers) Other Than Named Above: Capacity(fes)Claimed by Sigrer(s) Signer's Name: Signer's Name: ❑Corporate Officer —Titles): ❑Corporate Officer— Titles): ❑Partner— ❑Limited ❑General ❑Partr>er — ❑Limited ❑General ❑Individual ❑Attomey in Fact ❑Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator n Other: ❑ Other. Signer is Representing: Signer Is Representing: 02014 National Notary Association•www.NafwdNotaiy.org•1-800-US NOTARY(1-800-876-W7) bm#5gp7 City of Huntington Beach . . .: 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ wNvw.huntingtonbeachca.gov B 17 1909 P Office of the City Clerk FF � \ / Joan L. Flynn, City Clerk April 1, 2016 Hardy & Harper, Inc 1312 E Warner Ave Santa Ana, CA 92648 RE Gothard Street Rehab and Center Ave Rehab— CC-1496 Enclosed please find your original bid bond for CC-1496 Sincerely, qftA`T1- Joan L Flynn, CIVIC City Clerk JF pe Enclosure Sister Cities Anjo,Japan ♦ Waitakere,New Zealand ardy & Harper, Inc. ad-Ala&,tzav uw r,74aon 1312 F Warne, Ave Santa Ana, CA 92705 Dn lt7000000076 License #215952 City Clerk, Second Floor City of Huntington Beach 2000 Main Street Huntington Beach, California 92648 L:ALE � .:�-'� .,_=�` -� = , .~, � x; �,,`�` • - 'f 4,r t, � �f� � F ru���T-�-- �,� i D BID for GOTHARD STREET '` _> s r, +` '' R ��_ ,HABILITATION & CENTER AVENUE + ON PROJECT .,�. • _�,�;' -}t;. JIABILITATI CT CC-1496 CITY OF � , ;� _: j'=� .�. nr ,v# � INTINGTON BEACH - DO NOT OPEN W/ ;GULAR MAIL , G 41496 io -".rb 1 f--f - n ► h i SECTION C PROPOSAL for the construction of GOTHARD STREET REHABILITATION from Edinger Avenue to McFadden Avenue AND CENTER AVENUE REHABILITATION from Gothard Street to Railroad Track CC No. 1496 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCII. 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 EnginePi of the City of Huntington Beach. and to enter into a contract at the following prices The under signed agrees to complete the work within 65 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 !n the following Bid Schedule BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc , and will be guaranteed for a period of sixty days from the bid opening date If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the procef,ds of the security accompanying this bid shall become the property of the AGENCY and this bud and the acceptance hereof may, at the AGENCY'S option, be considered null and void Accompanying this proposal of bid, find Bidder's Bond in the amount of10%of Amount which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY (Please insert the words "Cash", "Certified Check". or "Bidder's Bond for % ", as the case may be) Any standard Surety Bid Bond form is acceptable Bidder shall signify receipt of all Addenda here, ny I9cldeizda No. I� " Date Reenaved is S' afure'V, -�- 1 -- -- C-a SECTION C PROJECT BID SCHEDULE PROJECT BASE BID: Basis of Award GOTHARD STREET AND CENTER AVENUE REHABILITATION CC No. 1496 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2 1 to C-2 7 GOTHARD STREET AND CENTER AVENUE REHABILITATION Gothard Street from Edinger Avenue to McFadden Avenue and Center Avenue from Gothard Street to RR Track CC No. 1496 BASE BID TOTAL AMOUNT LUMP SUM BID IN FIGURES: $ 113gf , 66(). a () BASIS OF AWARD C-2.1 l SECTION C PROJECT BID SCHEDULE GOTHARD STREET AND CENTER AVENUE REHABILITATION GOTHARD STREET FROM EDINGER AVENUE TO MCFADDEN AVENUE AND CENTER AVENUE FROM GOTHARD STREET TO RR TRACK CC NO. 1496 C-2.2 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 j s " ., k:{*"'i I�!" i"a i,,w'." f,M „,e irk ��,F��qs +d"t'' y�Si i at i:,,,*•: `r'n ,Mn'"f r p ,'Iµ��' _{ _ ;y,�> 1' :," "_`� E ii{,«;,,, y" F"+ I' 4+n 1 II II it ,`�^ h ,,7 �I ,�' •,,, ,��' , yg, + ` � 1 �„Rr 3Ndr x ";,*„� f r ^r" ,? ° + + 1,,., rs l yi' to Btd#ui r r ', ,n { F„a � {, 'rir.# a ,, Cbntract w ,r I &i,i{Unit, +roa,' E�ctendetl. rr3l� siE.Grm � JS , -0 "��� z;— I��r r tdo r�;lNote� , t Descry tionK�' �1,M��Quan#ityUnif"�'' "�n Price ' ,�I.++;Amount• SAWCUT ALONG FLOW LINE AT 1 1 CURB ACCESS RAMP PRIOR TO 1 EA CONSTRUCTION OF CROSS GUTTER CONSTRUCT 0 17' FIBER ,,11 2 3 REINFORCED ASPHALT 2,850 TN $ l.�d $2 U RUBBER HOT MIX(ARHM) WET PROCESS OVERLAY ADJUST SEWER MANHOLE TO sic- 3 4 GRADE 7 EA $+ $ V, q 0 ��-- FURNISH AND INSTALL ZEBRON, SANCON OR CITY 4 APPROVED EQUAL COATING 4 EA ON NEW CONCRETE ON INSIDE OF AGENCY SEWER MANHOLE RING 5 5 ADJUST STORM DRAIN 6 EA $113.Qb $ WO MANHOLE TO GRADE REPLACE WATER VALVE BOX —1 6 6 ASSEMBLY AND ADJUST TO 24 EA $_1 .00 $� GRADE PER HB STD PLAN 612 PULVERIZE AND MIX EXISTING A C PAVEMENT AND 7 7 SUBGRADE TO A DEPTH OF 165,115 SF 1 50', REMOVE AND DISPOSE OF 0 50' OF PULVERIZED MATERIAL ADD CEMENT(TN)TO PULVERIZED MATERIAL DEPTH 2 8 7 OF 1 0', ADD WATER, ALLOW 550 TN $ 130•00 $ (� ,540.00 C T B SECTION TO CURE AND MICRO-CRACK AS SPECIFIED IN PROJECT SPECIFICATION CONSTRUCT 0 33' FIBER REINFORCED B-PG 70-10-RAP 9 7 A C BASE COURSE PRIOR TO 4,125 TN 0 17' FIBER REINFORCED ARHM OVERLAY C-2.3 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1 496 UffiF e n ir" lz-41- P-1 kian n c i :4 priee REMOVE EXISTING VARIABLE 10 8 THICKNESS A C AND A B TO A 36,465 SF $ DEPTH OF 1 0' FROM NEW FINISHED SURFACE CONSTRUCT NEW 0 83' FIBER REINFORCED B-PG-70-10-RAP 11 8 A C BASE COURSE OVER 95% 2,300 TN COMPACTED SUBGRADE PRIOR TO 0 17'ARHM OVERLAY, PER PLANS COLD MILL EXISTING A C PAVEMENT TO A DEPTH OF 12 9 0 17' FROM NEW FINISHED 19,170 SF jr. SURFACE PRIOR TO 0 17'ARHM OVERLAY, PER PLANS REMOVE AND RECONSTRUCT CURB AND GUTTER PER HB STD PLAN 202 (CF=8") 13 11 (INCLUDES SLOT PAVEMENT, 130 LF $ AGGREGATE BASE, LOT DRAINS, AND ALL ITEMS NECESSARY TO COMPLETE THE WORK IN PLACE ) REMOVE AND RECONSTRUCT SIDEWALK PER HB STD PLAN 207 AND AS MODIFIED ON PLANS (INCLUDES OVER EXCAVATION OR FILL FOR CHANGES IN GRADE, RE- GRADE FROM WALK TO 14 12 EXISTING SLOPE, RELOCATING 5,300 SF $ �;q,�bj oo IRRIGATION TO BACK OF NEW WALK, RETURNING LANDSCAPING TO PRE- CONSTRUCTION CONDITION AND ALL ITEMS NECESSARY TO COMPLETE THE WORK IN PLACE ) REMOVE AND RECONSTRUCT COMMERCIAL DRIVEWAY("W" 15 13 AND TYPE SHOWN ON PLAN) 1300 SF PER STD PLAN 211 MATCH EXISTING IMPROVEMENTS TO GRADE F C-2.4 PROJECT BID SCHEDULE 0 Gothard Street and Center Avenue Rehabilitation, CC-1496 g R 4 5J4[ 0' �gj "t t�yrl i � Q 6ZInt Bidl,�-� jklb-"' 6500' 1 C"i -duan'- �'U'n`�if' �j A, qn q u&,AT�0,gkce' -ruqu 14 ci INSTALL NEW DETECTOR LOOPS PER CITY STANDARD SPECIAL PROVISIONS FOR THE CONSTRUCTION OF TRAFFIC 16 14 SIGNALS AND LIGHTING 88 EA SYSTEMS, 2005 EDITION SPLICE LOOPS TO DLC IN PULLBOX BIKE LANE LOOPS AND ALL LOOPS AT LIMIT LINE SHALL BE TYPE "D" REMOVE EXISTING TREE AND ROOTS, GRIND TREE STUMP 17 15 AND ROOTS TO 24" BELOW TOP $ 00-00 $ OF SIDEWALK/GRADE WITHIN EA (0 --- PROPOSEDIMPROVEMENT AREA INSTALL 2"CONDUIT WITH PULL ROPE AND PER THE CITY'S STANDARD SPECIAL 18 17 PROVISIONS FOR THE 1960 LF $ 15-00 $25,180. CONSTRUCTION OF TRAFFIC SIGNALS AND STREET LIGHTING SYSTEMS INSTALL 3"CONDUIT WITH PULL ROPE AND PER THE CITY'S STANDARD SPECIAL 19 18 PROVISIONS FOR THE 340 LF CONSTRUCTION OF TRAFFIC SIGNALS AND STREET LIGHTING SYSTEMS INSTALL#6 PULL BOX (CHRISTY FIBERLYTE OR CITY APPROVED EQUAL) PER CALTRANS STANDARD PLAN ES-8 AND THE 20 19 CITY'S STANDARD SPECIAL 16 EA PROVISIONS FOR THE CONSTRUCTION OF TRAFFIC SIGNALS AND STREET LIGHTING SYSTEMS REMOVE AND RECONSTRUCT 21 21 CONCRETE CURB AND CROSS 1300 SF $1 .00 $19aldo GUTTER PER HB STD PLAN 205 C-2 5 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 - I r �'M' Z'� " p- 1 ' a,' i'� m A cl,1Z 1 u. 1 ,, 11 4 Exten e "I'Amo'QU tY "ONOt6l �J e 'U 1, 4R] SAWCUT AND REMOVE EXISTING SIDEWALK AND CONSTRUCT TREE WELL WITH 22 22 SIDEWALK PER DETAIL ON 5 EA SHEET 4 (ITEM INCLUDES 6-LF OF NEW SIDEWALK AND NON- CHEMICAL WEED CONTROL BARRIER) FURNISH AND PLANT NEW 24" BOX TREES PER DETAIL 22 ON SHEET 4, AND HB STD PLANS 714, 715, 716, 716A, 718, 719, AND MODIFIED AS SHOWN ON PLANS FINAL LOCATION AND SPECIES TO BE DETERMINED 23 23 BY STREET TREE SUPERVISOR 5 EA $goo. td $qloo'b-oo (ITEM INCLUDES REPLACEMENT OF IRRIGATION IN KIND, BACKFILLING WITH CLASS A TOP SOIL AND INSTALLATION OF ARBOR- GUARD OR AGENCY APPROVED EQUAL AT BASE OF TREE ) 24 24 ADJUST SURVEY MONUMENT 1 EA WELL TO FINISHED SURFACE -T- REMOVE AND REPLACE 25 25 DEEPENED COMMERCIAL AND 500 SF INDUSTRIAL DRIVE APPROACH DETAIL ON SHEET 3 FURNISH AND INSTALL RETRACTABLE CATCH BASIN SCREEN W/TOP SWING GATE 26 26 BY WATERWAY SOLUTIONS OR 2 EA CITY APPROVED EQUAL(W=5'), AND STENCIL CATCH BASIN SIGNAGE PER SPEC REMOVE AND RECONSTRUCT DEEPENED CURB AND GUTTER PER HB STD PLAN 202(B) 27 27 (CF=8") (ITEM INCLUDES 440 LF $ REBAR, CLASS 560-C-3250 CONCRETE, SLOT PAVEMENT, AGGREGATE BASE,AND LOT DRAIN IF PRESENT) C-2 6 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 .......... BidCons m t Al,f, t6 e T1 REMOVE AND RECONSTRUCT 19- 28 28 LOCAL DEPRESSION PER HB 2 EA $1060-60 l$uotp STD PLAN 302 4/000.00 29 -- MOBILIZATION I LS $ 30 -- TRAFFIC CONTROL PLAN I LS 31 FURNISH PROJECT TRAFFIC 1 LS CONTROL 32 FURNISH AND INSI ALL SIGNING 1 LS $ s4ltW.66 AND STRIPING '313 00 000' 38? z -,6w-oo 33 PROJECT SPECIFIC SWPPP 1 LS $� $�dbA/ INSTRUCTOR AND COURSE MATERIALS FOR JUST IN TIME TRAINING (JITT) PER PROJECT SPECIFICATIONS APPENDIX H (INSTRUCTOR SHALL BE 34 EXPERIENCED IN THE 1 LS $4,1SO.C.5 $ CONSTRUCTION METHODS, MATERIALS AND TEST METHODS ASSOCIATED WITH FULL DEPTH RECLAMATION (FDR) PROJECTS) Total Amount Bid in Figures $ Total Amount Bid in Words IL 4 C-2 7 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor Bid ti n Name and Address of "State Class DIR r,- Dollar ,n/ %"0 � Item(s),� `° � Subeontract6ef Licen � se ` ��� ;Numbers Amount Contra t Number_ gC TYa C A,B141 3Z (�3S INSuvt W'M t Vf J 21160B D- ©- IOouOosso3 2�,1 ti5oo -Z &O IG►I�-Zo �IS1. V I �qA E La [odlm4 922y� G�iO IOo0000sso f�31�1a ad �. Afttief rn t 2/881 �� p 1 vk 328 a�a r�t� 2, �y50� ��' O(�Ob0193b 3 7 8 CIV_1dg1rVMV � 15g5Z I 1 ylaq r..r)ld 0,041,09 (1 IOdobp jI biqr5)� - J,f�� F,aS UJ i l► tJ I32 ��7 At I Qy2 ti� a e . 13LO E, U"151 0fl 10 0 By submission of this proposal, the Bidder certifies 1 That he is able to and w►I1 perform the balance of all work which is not covered in the above subcontractors listing 2 That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 1/12/16 , at Santa Ana CA Date City State 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 of solicited any ,other bidder to put in a false or sham bid, and has not dnectly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, of that anyone shall tefram fiom 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, of 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 of 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 of agent thereof to effectuate a collusive or sham bid Hardy&Harper,Inc Name Bidder Signature of Bidder Steve Kirschner-Vice President 1312 E Warner Ave,Santa Ana,CA 92705 Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the Gothard Street Rehabilitation from Edinger Avenue to McFadden Avenue and Center Avenue Rehabilitation from Gothard Street to Railroad Track,Project CC No. 1496, (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 l eason ofexperience or Instruction, is fanuhar ivith the operation to be peiJorined 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 requnements, Public Utility Commission orders, and State of California Cal-OSHA requirements The undersigned further promises and agrees that the provisions herein shall be and ale 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 Contras r By Steve Kirschner Vice President Title Date 1/12/16 G_5 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 Laboi 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 Contra or By Steve Knschner Vice Pi esident Tale Date 1/12/16 C-7 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of {Describe specific work and experience Necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, protect work within public streets, an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."} Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five _years l City of Hesperia,9700 7th Ave,Hesperia,CA 92345 Name and Address of Public Agency Name and Telephone No of Project Manager Dwaine Latimer,760-947-1434 $1,184,570 00 Street Improvement 1/15 Contract Amount Type of Work Date Completed Provide additional project description to show similar work Street Impiovements&Main Street Bridge Rehabilitation 2 City of Norco,2870 Clark Ave,Norco,CA 92860 Name and Address of Public Agency Name and Telephone No of Project Manager Bill Thomas,951-735-3900 $777,000 00 Street Rehab 10/15 Contract Amount Type of Work Date Completed Provide additional project description to show similar work FY 2015-16 Annual Minor Street Rehabilitation Phase I 3 City of Simi Valley,2929 Tapo Canyon Road,Simi Valley,CA 93063 Name and Address of Public Agency Name and Telephone No of Project Manager- Fuad Shamout,805-583-6788 $1,213,9160 50 Street Rehabilitation 11/15 Contract Amount Type of Work Date Completed Provide additional project description to show similar work FY 2015-16 Annual Minor Street Rehabilitation C-9 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years These projects do not have to be under the employment of the bidder of this project Bidders are encouraged submit supplemental relevant project history to addition to the projects listed herein l Mike Amundson Name of proposed Project Manager Telephone No of proposed Project Manager _714-444-1851 Ext 113 Date Palm Dr Street Improvement $406,064 90 Street Improvement 8/15 Project Name & Contract Amount Type of Wotk Date Completed St Christopher Neighborhoods &Via Vctti Pavement Rehab $1,226,861 00 Pavement Rehabilitation 9/15 Project Name & Contract Amount Type of Work Date Completed Resurfacing of Streets at Hollenbeck Ave $624,297 95 Street Improvement 8/15 Project Name & Contract Amount Type of Work Date Completed 2 Denms_Beyle Name of proposed Superintendent Telephone No of proposed Superintendent 714-444-1851 Ext 135 Area 1 &2 Sti eet Resurfacing Project $1,077,000 00 Street Rehabilitation 11/15 Project Name &Contract Amount Type of Work Date Completed FY 2015-16 Annual Minor Street Rehab Phase II $547,000 00 Street Rehabilitation 11/15 Project Name & Contract Amount Type of Work Date Completed Foothill Blvd Pavement Rehabilitation $1 076 200 00 Pavement Rehabilitation 11/15 Ptoject Name & Contract Amount Type of Work Date Completed C-10 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771 l(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR) Currently the annual non-refundable registration fee for Contractors is $300 Each contractor to whom a public works contract has been awarded shall sign the following certificate DIR FACT SHEET on SB 854 http//www dir ca gov/DLSE/PublicWorks/SB854FactSheet_6 30 14 pdf DIR's Contractor Registration Link—Call (844) 522-6734 https //efiling dir ca gov/PWCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database https //efiling dir ca gov/PWCR/Search action I am aware and will comply with the provisions of Labor Code Section 1771 l(a)which states "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perfoml public work pursuant to Section 1725 5 It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029 1 of the Business and Professions Code or by Section 10164 or 20103 5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725 5 at the time the contract is awarded " I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid Hardy&Harper,Inc Comm By teve Kirschner Vice President Title Date 1/12/16 D1R# 1000000076 C-11 STATE OF CALIFORNIA DEPARTMENT OF RESOURCES RECYCLING AND RECOVERY(CalRecycle) CalRecycle 168(Revised 7/13) RELIABLE CONTRACTOR DECLARATION This form must be completed and submitted to the Department of Resources Recycling and Recovery(CalRecycle) prior to authorizing a contractor(s) to commence work Failure to provide this documentation in a timely manner may result to nonpayment of funds to the contractor(s) This form is intended to help the CalRecycle s Grantees comply with the Unreliable List requirement of their Terms and Conditions The Unreliable List provision requires the following Prior to authorizing a contractor(s) to commence work under the Grant, the Grantee shall submit to CalRecycle a declaration signed under penalty of perjury by the contractor(s) stating that within the preceding three (3) years, none of the events listed in Section 17050 of Title 14, California Code of Regulations,Natural Resources, Division 7,has occurred with respect to the contractor(s) Please see the reverse of this page,or refer to wsi-A'calregs com If any of the events listed in Section 17050 have occurred, disclosure is requued but will not necessarily result in CalRecycle refusing to approve the contractor A signed statement e\plaimng the facts and circumstances of the events must be attached to and submitted with this form Contractor: Complete the form and send original to the Grantee Grantee: Scan the totm and upload it to the grant inCalRecycle's Grant Management System (GMS) For further instruction about logging into GMS and uploading this form, reference the Procedures and Requirements Retain the original form in your grant file MW �GRANTEE�INFORMATiON ,, � t _ _ GRANTEE NAME v GRANT NUMBER ^�r City of Huntington Beach TRP5,Grant ID 17197 PRIMARY CONTACT NAME Thomas Herbel,City Engineer, 714-375-5077 CONTRACTOR~INFORMATION � CONTRACTOR NAME Hardy&Harper,Inc AUTHORIZED CONTRACTOR REPRESENTATIVE NAME Steve Kirschner-Vice President MAILING ADDRESS 1312 E Warner Ave,Santa Ana,CA 92705 As the authorized iepresentative of the above identified contractor, I declare under penalty ofperjury under the laivs of the State of California that 1 ithin the preceding three (3)years, none of the events listed in Section 17050 of Title 14, California Code of Regulatrons, Natznal Resources, Division 7, has occurred with iespect to the above identified contractor Alternatively, as the author ized representative of the above identified contractor, I declai e under penalty of penury under the laivs of the State of California that ii ithin the preceding thi ee (3)years, if any of the events listed in Section 17050 of Title 14, Califorma Code of Regulations, Natural Resources, Division 7, has occurred ivith respect to the above identified contractor, 1 have disclosed all such occurrences in an attached signed statement that explains the facts ana cii cumstanc ofthe listed events Signature 4 Date 1/12/16 Steve Kirschner-Vice President C-12 STATE OF CALIFORNIA DEPARTMENT OF RESOURCES RECYCLING AND RECOVERY(CalRecycle) CalRecycle 168(Revised 7l13) RELIABLE CONTRACTOR DECLARATION title 14 CCR,Division 7,Chapter 1 Article 5 Unreliable Contractors,Subcontractors,Borrowers and Grantees Section 17050 Grounds for Placement on Unreliable List fhe following are grounds for a finding that a contractor,any subcontractor that provides services for a CalRecycle agreement, grantee or borrower is unreliable and should be placed on the CalRecycle Unreliable Contractor, Subcontractor Grantee or Borrower List ("Unreliable List") The presence of one of these grounds shall not automatically result in placement on the Unreliable List A finding must be made by the Executive Director in accordance with section 17054 and there must be a final decision on any appeal that may be filed in accordance with section 17055 et seq (a) Disallowance of any and/or all claim(s)to CalRecycle due to fraudulent claims or reporting,or (b) The filing of a civil action by the Attorney General for a violation of the False Claims Act,Government Code section 12650 et seq or (c) Default on a CalRecycle loan as evidenced by wTitten notice from CalRecycle staff provided to the borrower of the default or (d) Foreclosure upon teal property loan collateral or repossession of personal property loan collateral by CalRecycle or (e) Filing volmitary or involuntary bankruptcy where there is a finding based on substantial evidence that the bankruptcy mterfered with the CalRecycle contract subcontract,grant or loan or (1) Breae.h of the terms and conditions of previous CalRecycle contract any subcontract for a CalRecycle agreement grant of loan resulting in termination of the CalReevele contract subcontract,grant or loan by the CalRecycle or pume contractor or (g) Placement on the CalRecycle s chronic violator inventory established pursuant to Public Resources Code section 44104 for any ow-ier of operator ofa solid waste facility or (h) The person or any partner,member,officer director,responsible managing officer or responsible managing employee of an entity has been convicted by a court of coiripetent jurisdiction of any charge of fraud bribery collusion conspiracy or any act in violation of any state or federal antitrust law in connection with the bidding upon,award of or performance under nny CalRecycle contract.subcontract grant or loan or (i) The person or entity is on the list of unreliable persons or entities or similar list,of any other federal or California state agency or �) The person or entity has violated an Order issued in accordance with section 18304,or, (k) The person or entity has directed or transported to,has or accepted waste tires at a site where the operator is required to have but does not have a waste tire facility permit or (1) The person or entity has transported waste tires without a waste tire hauler registration,or, (in) The person or entity has had a solid waste facility or waste tire permit or a waste tire hauler registration dented, suspended or revoked or (n) The person or entity has abandoned a site or taken a similar action which resulted in corrective action or the expenditure of funds by CalRecycle to remediate clean,or abate a nuisance at the site or (o) The following are additional grounds for a finding that,a person or entity described below should be placed on the Unreliable List (1) The person or entity owned 20%or more of an entity on the Unreliable List at the tune of the activity that resulted in its placement on the Unreliable List, (2) The person held the position of officer director manager partner,trustee or any other management position with significant control(Principal Manager)in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (3) The entity includes a Principal Manager who 1 Was a Principal Manager in an entity on the Unreliable List at the time ofthe activity that resulted in its placement on the Unreliable List or 2 Owned 20%or more of an entity on the Unreliable List at the time of the ac ivity that resulted in its placement on the Unreliable List (4) The entity has a person who owns 20%or more of the entity if that person 1 Was a Prmcipal Manager in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List or 2 Owned 20%or more of an entity on the Unreliable List at the time of the activity that resulted um its placement on the Unreliable List (5) The entity has another entity which owns 20%or more of the entity,if that other entity 1 is on the Unreliable List or, 2 Owned 20%or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (6) Subsection(o)is not intended to apply to a person or entity that purchases or otherwise obtains an entity on the Unreliable List subsequent to its placement on the Unreliable List C-1 3 Legal Name Registration Number County City Registration Date Expiration Date HARDY&HARPER INC 1000000076 ORANGE SANTA ANA 06/19/2015 06/30/2016 City of Huntington Beach Public Works Department 2000 Main Street Tel (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For GOTHARD STREET REHABILITATION AND CENTER AVENUE REHABILITATION, CC NO. 1496 in the CITY OF HUNTINGTON BEACH January 14, 2016 Notice To All Bidders- Please note the following clarification to the Project Plans, Specifications, and Special Provisions 1) ADDED SIGNING AND STRIPING PLANS TO PLAN SET —TOTAL 3 DRAWING SHEETS Plans are entitled a. "Signing and Striping Plan, Gothard Street from Edinger Ave. to McFadden Ave ", Sheets 1 and 2 of 3, and b. "Signing and Striping Plan, Center Avenue from Gothard St. to East of Railroad R/W", Sheet 3 of 3 NOTE THESE PLANS ARE FOR BID ITEM NUMBER 32 "FURNISH AND INSTALL SIGNING AND STRIPING" ON SHEETC-2.7 This is to acknowledge receipt and review of Addendum Number One, dated January 14, 2016 +iard 4 Mr Pam, Inc Company Name Byseve 0rS:Chner-VjCt �ie&idtim Illi5ll o Date All bidders must acknowledge and include the receipt of this Addendum page with your bid proposal. Should you have any questions regarding this Addendum, please call James Wagner at (714) 536-5431 within 24 hours of posting Legal Name Registration Number County City Registration Date Expiration Date BC RENTALS INC DBA BC 1000005503 ORANGE ORANGE 06/19/2015 06/30/2016 TRAFFIC SPECIALIST Legal,Name t,�*g' � Registration'Numb r ',' Count �' =f " "" �}� y City' Aq ";� _� Registration Date' Of Expiration Date CINDY TRUMP INC DBA LINDYS 1000008423 ORANGE LA HABRA 07102/2015 06/30/2016 COLD PLANING Legal Name Registration Number County City Registration Date Expiration Date MSL ELECTRIC,INC 1000000550 ORANGE ANAHEIM 07/06/2015 06/30/2016 EEI Legal Name Registration Number County City Registration Date Expiration Date EBS UTILITIES ADJUSTING INC 1000004286 RIVERSIDE CORONA 06/19/2015 06/30/2016 Legal Name Registration Number, County,° Registration Date"�_ygE„ Expirahon�Date, �' V&E TREE SERVICE,INC 1000001936 ORANGE ORANGE 06/18/2015 06/30/2016 Bid Bond Bid Bond Number CSBA-1054 CONTRACTOR SURETY (Name,legal status and address) (Name,legal status ant!pnnapal place of business) Hardy&Harper,Inc Fidelity and Deposit Company of Maryland 1312 E Warner Avenue 777 South Figueroa Street,Suite 3900 Santa Ana,CA 92705 Los Angeles,CA 90017 OWNER Tlus document has important legal (Name, legal status and address) consequences Consultation with City of Huntington Beach An attorney is encouraged with respect 2000 Main Street its completion or modification Huntington Beach,CA 92648 Any singular reference to Contractor,Surety,Owner or other party shall be considered Plural where applicable BOND AMOUNT Ten Percent(10%)of mount Bid PROJECT Gothard Street Rehabilitation and Center Avenue Rehabilitation Project No CC-1496 Project Number,if any The Contractor and Surety are bound to the Owner in the amount set forth above,for the payment of which the Contractor and Surety bind themselves,thew heirs,executors,administrators,successors and assigns,jointly and severally,as provided herein The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may,be specified in the bidding or Contract Documents,with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof,or(2)pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner 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 The Surety hereby waives any nonce of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid Waiver of nonce by the Surety shall not apply to any extension exceeding sixty(60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Surety's consent for an extension beyond snYty(60)days If this Bond is issued in connection with a subcontractors bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor When this Bond has been furnished to comply,with a statutory or other legal requirement in the location of the Project,any,provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted here from and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein When so furnished,the intent is that this Bond shall be construed as a statutory bond and not as a common law bond Signed and sealed this 12th day of January,2016 Hardy&Harper Inc (Pnnapal) (Seal) (6W:tneu) K IS(�.CI fUullYl D " t?/�i (Tr e) Fidelity and Deposit Company of Maryland (Surely) (Seal) (Witness) (Title)Dwight Reilly,Attorney-m-Fact By arrangement with the American Institute of Architects, the National Association of Surety Bond Producers (NASBP) (www nasbp orb) makes this form document available to its members, affiliates, and associates in Microsoft Word format for use in the regular course of surety business NASBP vouches that t the original text of this document conforms exactly to the text in AIA Document A310-2010, Bid Bond Subsequent modifications may be made to the original text of this document by users,so careful review of its wording and consultation with an attorney are encouraged before its completion, execution or acceptance CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness, accuracy,or validity of that document State of California ) County of ORANGE ) On January 22, 2016 before me, JO-ANN LYONS NOTARY PUBLIC , Date Here Insert Name and Title of the Officer personally appeared Steve Kirschner Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(g) whose name( 1,9/aye subscribed to the within instrument and acknowledged to me that he/sKe/they executed the same in his/her/their authorized capacity(iQG), and that by his/har/their signature(g)on the instrument the person(sr), or the entity upon behalf of which the person(g) acted, executed the instrument certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS and and offs seal JO-ANN LYONS • .µ Commission# 2023055 Signature a--+� Notary Public - California z Z `' Orange County r Signature of Notary Public My Comm Expires May 3,2017 Place Notary Seal Above OPTIONAL Though this section is optional, completing this Information can deter alteration of the document or fraudulent reattachment of this form to an unintended document Description of Attached Document Title or Type of Document Bid Bond Document Date January 12, 2016 Number of Pages 1 Signer(s) Other Than Named Above Dwight Reilly Capaaty(ies) Claimed by Signer(s) Signer's Name Steve Kirschner Signer's Name 0 Corporate Officer — Title(s) Virp Prpcirlpnt ❑ Corporate Officer — Title(s) ❑Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑General ❑Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑Other ❑ Other Signer Is Representing Signer Is Representing Hardy&Harper, Inc ©2014 National Notary Association •www NationalNotary org - 1-800-US NOTARY(1-800-876-6827) Item#5907 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validit of that document State of California County of Orange ) On January 12, 2016 before me, Susan Pugh, Notary Public (insert name and title of the officer) personally appeared Dwight Reilly who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/anx subscribed to the within instrument and acknowledged to me that he%koedbay executed the same in hiskPar bbewauthorized capacity4es), and that by his/becd-ecssignature(z) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS m hand and official seal SUSAN PUGH y o j COMM #2105405 N ` Jf Notary Public-California ORANGE COUNTY a My Comm Expires Apr 29,2019 Signature s (Seal) Susan Pugh Bond No. CSBA-1054 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New York,the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland,and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by THOMAS O. MCCLELLAN, Vice President, in pursuance of authority granted by Article V, Section 8, of the By-Laws of said Companies,which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof,do hereby nominate, constitute, and appoint Daniel HUCKABAY, Dwight REILLY, Andrew WATERBURY, Arturo AYALA and Shaunna BURCHFIEL, all of Orange, California, EACH its true and lawful agent and Attorney-m-Fact,to make, execute,seal and deliver, for, and on its behalf as surety,and as its act and deed any and all bonds and undertakings,and the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Companies,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York,New York,the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills,Maryland,and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland,in their own proper persons The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8,of the By-Laws of said Companies,and is now in force IN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 6th day of January,A D 2016 ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND Dog 'wQ��ONto��ps�� �Gn.,� o :z SEAL 'olow 1.,tz? x Iu..M By Secretary Vice President Eric D Barnes Thomas O McClellan State of Maryland County of Baltimore On this 6th day of January,A D 2016,before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified,THOMAS O MCCLELLAN,Vice President,and ERIC D.BARNES,Secretary,of the Companies,to me personally known to be the individuals and officers described in and who executed the preceding instrument,and acknowledged the execution of same,and being by me duly sworn,deposeth and saith,that he/she is the said officer of the Company aforesaid,and that the seals affixed to the preceding instnirnent are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year fast above written t i Constance A Dunn,Notary Public My Commission Expires July 9,2019 POA-F 012-0079B City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov fEB 17 1909 P� Office of the City Clerk / Joan L. Flynn, City Clerk April 1, 2016 Sequel Contractors, Inc 13546 Imperial Hwy Santa Fe Springs, CA 90670 RE Gothard Street Rehab and Center Ave Rehab— CC-1496 Enclosed please find your original bid bond for CC-1496 Sincerely, qftA`vI- +^--) Joan L Flynn, CIVIC City Clerk JF pe Enclosure Sister Cities Anjo, Japan ♦ Waitakere, New Zealand �067D 2016 ,.AN 6 Fi21 1. 54 CIiYC !"rif CIrY OF HUMiNGTON BEACH N-\6 c U076L ln��Ff\ �e 1 L► rprTIt)0 S � SECTION C WOLEL 00MMMPA PROPOSAL for the construction of GOTHARD STREET REHABILITATION from Edinger Avenue to McFadden Avenue AND CENTER AVENUE REHABILITATION from Gothard Street to Railroad Track CC No. 1496 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 65 working days, starting from the date of the Notice to Proceed BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc , and will be guaranteed for a period of sixty days from the bid opening date If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void Accompanying this proposal of bid, find f1 1 DD QZS Z010b in the amount Of 16 10 which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable Bidder shall signify receipt of all Addenda here, if any Addenda No. Date Received id ' t natures 01 19 /(� C-2 22"L CON - SECTION C PROJECT BID SCHEDULE PROJECT BASE BID: Basis of Award GOTHARD STREET AND CENTER AVENUE REHABILITATION CC No. 1496 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2 1 to C-2 7 GOTHARD STREET AND CENTER AVENUE REHABILITATION Gothard Street from Edinger Avenue to McFadden Avenue and Center Avenue from Gothard Street to RR Track CC No. 1496 BASE BID TOTAL AMOUNT LUMP SUM BID IN FIGURES: $ *V BASIS OF AWARD C-2.1 OM CON OW 04, SECTION C PROJECT BID SCHEDULE GOTHARD STREET AND CENTER AVENUE REHABILITATION GOTHARD STREET FROM EDINGER AVENUE TO MCFADDEN AVENUE AND CENTER AVENUE FROM GOTHARD STREET TO RR TRACK CC NO. 1496 C-2.2 Spa PROJECT BID SCHEDULE Eti COUTPAf'T , Gothard Street and Center Avenue Rehabilitation, CC-1496 --__-_--_ _ _ - -_----_--=__= =�=Tom_=-= C -n_ =_= _ - _=--_=—==— _- - - =— -- -=_- ___ _ - o st: -- - —- —-- - -_Bi- = _ - _ -- ` __==-_` = - = -- __=--__ —_=_ -- -_ - -- d�- _ _- _ Contact- - --- _-- Unit =Ex =- - _ __ _- _ __- tended 'No -Note y-�=? - Descri tion Y= Quantity - Unit" `===-P�ce -=s j -Amount_; SAWCUT ALONG FLOW LINE AT G� CURB ACCESS RAMP PRIOR TO 1 1 CONSTRUCTION OF CROSS 1 EA $ $ GUTTER CONSTRUCT 0 17' FIBER ©O 2 3 REINFORCED ASPHALT 21850 TN $ $� RUBBER HOT MIX (ARHM)WET PROCESS OVERLAY ADJUST SEWER MANHOLE TO ep 3 4 GRADE 7 EA $ l $ 71W FURNISH AND INSTALL ZEBRON, SANCON OR CITY or, 4 -- APPROVED EQUAL COATING 4 EA $ �� $ ON NEW CONCRETE ON INSIDE OF AGENCY SEWER MANHOLE RING ADJUST STORM DRAIN ffi 5 5 MANHOLE TO GRADE 6 EA $ /l>G2 $ 6 REPLACE WATER VALVE BOX to - 6 6 ASSEMBLY AND ADJUST TO 24 EA $ 900 $ i2�/4600 GRADE PER HB STD PLAN 612 PULVERIZE AND MIX EXISTING A C PAVEMENT AND 7 7 SUBGRADE TO A DEPTH OF 165,115 SF $�� 1 50', REMOVE AND DISPOSE OF 0 50' OF PULVERIZED MATERIAL ADD CEMENT (TN) TO PULVERIZED MATERIAL DEPTH 8 7 OF 1 0', ADD WATER, ALLOW 550 TN $ are $ fo�G C T B SECTION TO CURE AND MICRO-CRACK AS SPECIFIED IN PROJECT SPECIFICATION CONSTRUCT 0 33' FIBER REINFORCED B-PG 70-10-RAP /Q00 76 9 7 A C BASE COURSE PRIOR TO 4,125 TN $ ®V" $ 0 17' FIBER REINFORCED ARHM OVERLAY C-2.3 PROJECT BID SCHEDULE BOOM CON TRACT OM. WC- Gothard Street and Center Avenue Rehabilitation, CC-1496 Coftt; dont�act : Bid Unit'- - Extended-,- No. Note- Description-,- Quantity Unit-- Price, Amount REMOVE EXISTING VARIABLE 10 8 THICKNESS A C AND A B TO A 36,465 SF $ $ 22� DEPTH OF 1 0' FROM NEW FINISHED SURFACE CONSTRUCT NEW 0 83' FIBER REINFORCED B-PG-70-10-RAP 11 8 A C BASE COURSE OVER 95% 2,300 TN $ COMPACTED SUBGRADE PRIOR TO 0 17'ARHM OVERLAY, PER PLANS COLD MILL EXISTING A C PAVEMENT TO A DEPTH OF 12 9 0 17' FROM NEW FINISHED 19,170 SF $ 9Sr SURFACE PRIOR TO 0 17'ARHM OVERLAY, PER PLANS REMOVE AND RECONSTRUCT CURB AND GUTTER PER HB STD PLAN 202 (CF=8") 13 11 (INCLUDES SLOT PAVEMENT, 130 LF AGGREGATE BASE, LOT DRAINS, AND ALL ITEMS NECESSARY TO COMPLETE THE WORK IN PLACE ) REMOVE AND RECONSTRUCT SIDEWALK PER HB STD PLAN 207 AND AS MODIFIED ON PLANS (INCLUDES OVER EXCAVATION OR FILL FOR CHANGES IN GRADE, RE- GRADE FROM WALK TO 14 12 EXISTING SLOPE, RELOCATING 5,300 SF IRRIGATION TO BACK OF NEW WALK, RETURNING LANDSCAPING TO PRE- CONSTRUCTION CONDITION AND ALL ITEMS NECESSARY TO COMPLETE THE WORK IN PLACE ) REMOVE AND RECONSTRUCT COMMERCIAL DRIVEWAY("W" AND TYPE SHOWN ON PLAN) 15 13 PER STD PLAN 211 MATCH 1300 SF $ EXISTING IMPROVEMENTS TO GRADE C-2.4 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 ConsiC `_ _ Bid-"" =_ :��_,.-,, _ = �T,3 Contract - _ Unit==� Extended No " Note --- 4 Descn tion = _ ` Quantity Unit. Price_- -= Amount -- INSTALL NEW DETECTOR LOOPS PER CITY STANDARD SPECIAL PROVISIONS FOR THE CONSTRUCTION OF TRAFFIC SIGNALS AND LIGHTING 16 14 SYSTEMS, 2005 EDITION 88 EA $ �.�U $ SPLICE LOOPS TO DLC IN PULLBOX BIKE LANE LOOPS AND ALL LOOPS AT LIMIT LINE SHALL BE TYPE"D" REMOVE EXISTING TREE AND ROOTS, GRIND TREE STUMP 17 15 AND ROOTS TO 24" BELOW TOP 7 EA $ OF SIDEWALK/GRADE WITHIN PROPOSEDIMPROVEMENT AREA INSTALL 2" CONDUIT WITH PULL ROPE AND PER THE CITY'S STANDARD SPECIAL on aia 18 17 PROVISIONS FOR THE 1960 LF $ $ CONSTRUCTION OF TRAFFIC SIGNALS AND STREET LIGHTING SYSTEMS INSTALL 3" CONDUIT WITH PULL ROPE AND PER THE CITY'S STANDARD SPECIAL oo 19 18 PROVISIONS FOR THE 340 LF $� CONSTRUCTION OF TRAFFIC SIGNALS AND STREET LIGHTING SYSTEMS INSTALL#6 PULL BOX (CHRISTY FIBERLYTE OR CITY APPROVED EQUAL) PER CALTRANS STANDARD PLAN ES-8 AND THE 20 19 CITY'S STANDARD SPECIAL 16 EA $ PROVISIONS FOR THE CONSTRUCTION OF TRAFFIC SIGNALS AND STREET LIGHTING SYSTEMS REMOVE AND RECONSTRUCT 21 21 CONCRETE CURB AND CROSS 1300 SF $ GUTTER PER HB STD PLAN 205 C-2.5 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 Const-Bid m =- - _" =-_- Contract =____Unit__- -Extended-= NO. Note - Description " = Quantity Unit` Price- _T-Amount SAWCUT AND REMOVE EXISTING SIDEWALK AND CONSTRUCT TREE WELL WITH 22 22 SIDEWALK PER DETAIL ON 5 EA $ $ 01kJ SHEET 4 (ITEM INCLUDES 6-LF —� OF NEW SIDEWALK AND NON- CHEMICAL WEED CONTROL BARRIER FURNISH AND PLANT NEW 24" BOX TREES PER DETAIL 22 ON SHEET 4, AND HB STD PLANS 714, 715, 716, 716A, 718, 719, AND MODIFIED AS SHOWN ON PLANS FINAL LOCATION AND SPECIES TO BE DETERMINED a' 23 23 BY STREET TREE SUPERVISOR 5 EA $ (ITEM INCLUDES REPLACEMENT OF IRRIGATION IN KIND, BACKFILLING WITH CLASS A TOP SOIL AND INSTALLATION OF ARBOR- GUARD OR AGENCY APPROVED EQUAL AT BASE OF TREE ) n2424ADJUST SURVEY MONUMENT WELL TO FINISHED SURFACE 1 EA $ $ REMOVE AND REPLACE DEEPENED COMMERCIAL AND ° 25 25 WO INDUSTRIAL DRIVE APPROACH 500 SF $ _ $ DETAIL ON SHEET 3 FURNISH AND INSTALL RETRACTABLE CATCH BASIN SCREEN W/TOP SWING GATE 26 26 BY WATERWAY SOLUTIONS OR 2 EA $� $ CITY APPROVED EQUAL (W=5'), AND STENCIL CATCH BASIN SIGNAGE PER SPEC REMOVE AND RECONSTRUCT DEEPENED CURB AND GUTTER PER HB STD PLAN 202(B) (CF=8") (ITEM INCLUDES 27 27 440 LF $ REBAR, CLASS 560-C-3250 � $ CONCRETE, SLOT PAVEMENT, AGGREGATE BASE, AND LOT DRAIN IF PRESENT ) C-2.6 PROJECT BID SCHEDULE Gothavd Street and Center Avenue Rehabilitation, CC-1496 Const Bid REMOVE AND RECONSTRUCT 9p STD PLAN 302 eb AND STRIPING INSTRUCTOR AND COURSE MATERIALS FOR JUST IN TIME TRAINING (JITT) PER PROJECT SPECIFICATIONS APPENDIX H (INSTRUCTOR SHALL BE CONSTRUCTION METHODS, MATERIALS AND TEST METHODS ASSOCIATED WITH FULL DEPTH RECLAMATION Total Amount Bid in Figures $ JI Total Amount Bid in Words A) F1 Lvk Allivoriv or, � 'Z� ^C-%'7 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor Bid Name and Address of State Class DIR Dollar % of Item(s) Subcontractor License Number Amount Contract Number 3401azo l� 9zP74 � o /Ujl7i /&.J-1/V Sa G �ZZ,Z� �?i0 G✓•�DO/L.r��Q/� 31777� /7 U/vO '� �� �� Z?Z� (�to �/� `�/7c�2 �• 0 �fr 9 N � & - 0 100�0l�. Vll- P 1� P-b'&OK U) 9 �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 WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed ono Z(o qa at 2wk r�Sfiyi I , CA Date City State being first duly sworn, deposes and says that he or she is !✓S1 D N of ftkM CON'TRA, ) ',w Jie 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 29CM CWRACTM. PC. Name of B gnatur Bidder THOMf4S S 5 \� I► Nf W.7A FE SpW" C,+RIA.WAJ..Pj Address of Bidder C-4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the Identity of the Individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy, or validity of that document State of California ) County of LM LEF) ) On JAN 2 6 2016 before me, Daniel Bustamante,Notary Public Date Here Insert Name and Title of the Officer personally appeared J�ft, + t Name(s) of Signer(s) who proved to me on the basis of_satisfactory evidence to be the person(4 whose name(,} Is/ale subscribed to the within Instrument and acknowledged to me that he/306/tpdy executed the same in his/bK/tlji&authorized capaclty(Ie5), and that by his/her/tbelr slgnature*on the instrument the person(*, or the entity upon behalf of which the persor*acted, executed the instrument I certify under PENALTY OF PERJURY under the laws 404040 004 40 0 40 04 44 44♦♦000444444444440N4444 of the State of California that the foregoing paragraph e DANIEL BUSTAMANTE : is true and correct COMM #2005801 WITNESS my hand and official seal �Z NOTARY PUKIC CALIF OkNIA p ioa�LiLO5 ANGE COUNTY4...Ito ♦ ° My Commission Expiros JANUAIiY 31,�017 o Signature ♦444♦410444444♦♦444♦44♦0444440140444444444♦ Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document Description of Attached Document Title or Type of Document Document Date Number of Pages Signer(s) Other Than Named Above Capacity(ies) Claimed by Signer(s) Signer's Name Signer's Name ❑ Corporate Officer — Title(s) ❑Corporate Officer — Title(s) ❑ Partner — ❑ Limited D General ❑Partner — Cl Limited D General ❑ Individual ❑Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑Trustee ❑Gilandian or Conservator ❑Trustee ❑ Guardian or Conservator i 1 Other i Other Signer Is Representing Signer Is Representing 02014 National Notary Association • www NationalNotary org - 1-800-US NOTARY (1-800-876-6827) Item#5907 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the Gothard Street Rehabilitation from Edinger Avenue to McFadden Avenue and Center Avenue Rehabilitation from Gothard Street to Railroad Track, Project CC No. 1496, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved " The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein Contractor Y ThWQ6 S.Paac PFWkW% Title Date JAN 2 s 4016 C-5 MOM CWRACTOW5. OIL, DISQUALIFICATIONQUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes No If the answer is yes, explain the circumstances in the space provided NIP, 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 xx g Contractor By Thoma6 Pic Title Date JAN 2 s 1"S C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct SEQQEL CON-T FACM R , I Nc . Bidder Name 13&16 I..MV1 KA Y Business Address u City, State Zip (CUZ SM-7227 Telephone Number Co I (-)co Od State Contractor's License No and Class Original Date Issued � 31 Expiration % The work site was inspected by o Date our office on 0 �( , 201 Co TV6MM: 9- The following are persons, firms, and corporations having a principal interest in this proposal Thomas S.PaOs : ._..OUr—LCe'WWTO! C3�� Yyl i�G���—�tNtS , �I •� , - " The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform theepntract for the proposed work and improvements in accordance with the plans and specif do s set forth Com e ig a e T S. Printed or Typed Signature Subscribed and sworn to before me this—day of JAN 2 s 2010, 201_ NOTARY PUBLIC !as NOTARY SEAL C-8 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy, or validity of that document State of California ) County of LOS ANMLES ) Daniel Bustamante,Notary Public On JAN 2 s 2016 before me, Date Here Insert Name and Title of the Officer personally appeared Thal" S.P301K PMWOM Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(K whose name(s) is/ape subscribed to the within instrument and acknowledged to me that he/sw/ttaey executed the same in his/bo/tFyetr authorized capacity(ies),and that by his/her/ttwtr signature*on the instrument the person(*, or the entity upon behalf of which the person*acted, executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph �000e0000e00000000000e000000eoeeeooeooeoeee is true and correct ° DANIEL BUSTAMANTE WITNESS my hand and official seal COMM #2005801 NOTARY PUBLIC CALIFORNIA e LOS ANGELES COUNTY — Signature �oeeeeeeeooeoeieoioeieiiie iJAiiiRiiiie°iiei Signature of Notary Public Place Notary Seat Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document Description of Attached Document Title or Type of Document Document Date Number of Pages Signer(s) Other Than Named Above Capacity(ies) Claimed by Signer(s) Signer's Name Signer's Name ❑ Corporate Officer — Title(s) ❑Corporate Officer — Title(s) • Partner — 0 Limited ❑ General n Partner — D Limited ❑General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑ Guardian or Consenr�for 17 Other ❑ Other =r Signer Is Representing Signer Is Representing 02014 National Notary Association • www NationalNotary org - 1-800-US NOTARY (1-800-876-6B27) Item #5907 SEQUEL CONTRACTORS, INC. ST.LIC#610600A 13546 IMPERIAL HWY SANTA FE SPRINGS, CA 90670 Fax (562) 802-7499 (562) 802-7227 Office ACTION BY UNANIMOUS WRITTEN CONSENT OF THE BOARD OF DIRECTORS OF SEQUEL CONTRACTORS, INC The undersigned being all of the Directors of SEQUEL CONTRATORS, 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 4, 2015 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 Michael A Mahler, 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 Michael A. Mahler 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 Michael A Mahler 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 Michael A Mahler be, and they hereby are authorized by their sole signatures on any document to bind this corporation to contract,bids,bonds,etc., RESOLVED FURTHER, that Abel Magallanes, Thomas S Pack and Michael A. Mahler be, and they 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- pri 4, 2015 ho as ac Abel Magallanes Direct-o-M President Director,Vice President&Assistant Secretary M el ahler Director& Secretary Bidder's Project History Mom 00"TRAC ►M For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of{Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, proiect work within public streets, an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."I. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years A'RACHSD 1 Name and Address of Public Agency Name and Telephone No of Project Manager Contract Amount Type of Work Date Completed Provide additional project description to show similar work 2 Name and Address of Public Agency Name and Telephone No of Project Manager Contract Amount Type of Work Date Completed Provide additional project description to show similar work. 3 Name and Address of Public Agency Name and Telephone No of Project Manager Contract Amount Type of Work Date Completed Provide additional project description to show similar work C-9 SEQUEL CONTRACTORS, INC. ST LIC 4610600A 13546 IMPERIAL HWY SANTA FE SPRINGS, CA 90670 Fax (562) 802-7499 (562) 802-7227 Office STATEMENT OF EXPERIENCE 1 OWNER CITY OF INGLEWOOD ADDRESS ONE MANCHESTER BLVD INGLEWOOD, CA 90301 PHONE NO (310)412-5333 CONTACT HUNTER NGUYEN PROJECT STREET IMPROVEMENTS FY 2012-0 PROJECT AMOUNT $1,823,814 00 COMPLETION DATE SEPTEMBER 2014 2 OWNER CITY OF GARDENA ADDRESS 170OW 162°d STREET GARDENA CA 90247 PHONE NO (310)217-9500 CONTACT JOHN FELIX PROJECT VERMONT AVE REHAB PROJECT AMOUNT $1,548,818 00 COMPLETION DATE AUGUST 2014 6 OWNER CITY OF HIGHLAND ADDRESS 27215 BASE LINE HIGHLAND CA 92346 PHONE NO (909) 864-6861 CONTACT CARLOS ZAMANO PROJECT BASE LINE BEUTICICATION PROJECT AMOUNT $2 725,182 63 COMPLETION DATE JANUARY 2014 4 OWNER CITY OF NEWPORT BEACH ADDRESS 100 CIVIC CENTER DR NEWPORT BEACH, CA 92660 PHONE NO (949)644-3314 CONTACT ALFRED CASTANEN PROJECT RESIDENTIAL STREET EVERLAY PROGRAM PROJECT AMOUNT $1 280,124 99 COMPLETION DATE FEBRUARY 2015 5 OWNER CITY OF SANTA FE SPRINGS ADDRESS 11710 TELEGRAPH RD SANT FE SPRINGS, CA 90670 PHONE NO (562)868-0511 CONTACT NOE NEGRETE PROJECT GRIDLEY RD PAVEMENT REHAB PROJECT AMOUNT $236,904 78 COMPLETION DATE MAY 2014 SEQUEL CONTRACTORS, INC. ST LIC#610600A 13546 IMPERIAL HWY SANTA FE SPRINGS, CA 90670 Fax (562) 802-7499 (562) 802-7227 Office STATEMENT OF EXPERIENCE 6 OWNER CITY OF LA MIRADA ADDRESS 15515 PHOEBE AVE LA MIRADA, CA 90638 PHONE NO (562)943-0131 CONTACT TONY MORENO PROJECT FOSTER PARK STREET IMPROVEMENTS PHASE 3 PROJECT AMOUNT $650,121 97 COMPLETION DATE OCTOBER 2013 7 OWNER CITY OF TUSTIN ADDRESS 300 CENTENNIAL WAY TUSTIN,CA 92780 PHONE NO (714)573-3157 CONTACT EDDYJAN PROJECT ANNUAL ROADWAY AND SIDEWALK REHAB PROJECT AMOUNT $1,136,251 87 COMPLETION DATE NOVEMBER 2013 8 OWNER CITY OF INGLEWOOD ADDRESS ONE MANCHESTER BLVD INGLEWOOD, CA 90301 PHONE NO (310)412-5333 CONTACT HUNTER NGUYEN PROJECT STREET IMPROVEMENTS FY 2012-13 PROJECT AMOUNT $1,294,140 16 COMPLETION DATE JULY 2013 9 OWNER CITY OF LOS ALAMITOS ADDRESS 3191 KATELLA AVE LOS ALAMITOS, CA 90720 PHONE NO (562)431-3538 CONTACT DAVE HUNT PROJECT COMMERCIAL STREET IMPROVEMENT PROJECT AMOUNT $600,776 30 COMPLETION DATE SEPTEMBER 2013 10 OWNER CITY OF CERRITOS ADDRESS 18125 BLOOMFIELD AVE CERRITOS,CA 90703 PHONE NO (562)916-1229 CONTACT FREDY BONILLA PROJECT 18')RD STREET IMPROVEMENTS PROJECT AMOUNT $529 823 96 COMPLETION DATE APRIL 2013 SEQUEL CONTRACTORS, INC. • ST LIC 9610600A 13546 IMPERIAL HWY SANTA FE SPRINGS, CA 90670 Fax (562) 802-7499 (562) 802-7227 Office STATEMENT OF EXPERIENCE 11 OWNER CITY OF INGLEWOOD ADDRESS ONE MANCHESTER BLVD INGLEWOOD, CA 90301 PHONE NO (310)412-5333 CONTACT HUNTER NGUYEN PROJECT STREET IMPROVEMENTS FY 2011-12 PROJECT AMOUNT $1,252,355 09 COMPLETION DATE OCTOBER 2012 12 OWNER CITY OF UPLAND ADDRESS 1370 NORTH BENSON UPLAND, CA 91786 PHONE NO (909)291-2930 CONTACT EDDIE RHEE PROJECT PINE STREET IMPROVEMENTS PROJECT AMOUNT $887,749 58 COMPLETION DATE DECEMBER 2012 13 OWNER CITY OF ROLLING HILLS ESTATES ADDRESS 4045 PALOS VERDES DRIVE NORTH ROLLING HILLS ESTATES,CA 90274 PHONE NO (909)957-0188 CONTACT BARRY KNUTSON PROJECT HAWTHORNE BLVD IMPROVEMENTS PROJECT AMOUNT $707,105 69 COMPLETION DATE AUGUST 2012 14 OWNER CITY OF LYNWOOD ADDRESS 11330 BULLIS ROAD LYNWOOD.CA 90262 PHONE NO (310)800-6904 CONTACT JORGE ROQUE PROJECT JOSEPHINE STREET IMPROVEMENTS PROJECT AMOUNT $544,195 19 COMPLETION DATE AUGUST 2012 e 15 OWNER CITY OF MONTCLAIR ADDRESS 5111 BENITO STREET MONTCLAIR, CA 91763 PHONE NO (909)721-1760 CONTACT STEVESTANTON PROJECT VARIOUS INTERSECTION IMPROVEMENTS PROJECT AMOUNT $389,723 00 COMPLETION DATE JULY 2012 Bidder's Critical Staffer Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years These projects do not have to be under the employment of the bidder of this project Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein 1 NN� C V\-KE(- A,- fflh� �� SC QKETAE� Name of proposed Project Manager Telephone No of proposed Project Manager OSM-7227 Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed 2 A . NNw-cv A Name of proposed Superintendent Telephone No of proposed Superintendent 7 Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed C-10 SEQUEL CONTRACTORS, INC. ST LIC#610600A 13546 IMPERIAL HWY SANTA FE SPRINGS, CA 90670 Fax (562) 802-7499 (562) 802-7227 Office STATEMENT OF EXPERIENCE 1 OWNER CITY OF INGLEWOOD ADDRESS ONE MANCHESTER BLVD INGLEWOOD, CA 90301 PHONE NO (310)412-5333 CONTACT HUNTER NGUYEN PROJECT STREET IMPROVEMENTS FY 2012-13 PROJECT AMOUNT $1,823,814 00 COMPLETION DATE SEPTEMBER 2014 2 OWNER CITY OF GARDENA ADDRESS 170OW 162n,STREET GARDENA CA 90247 PHONE NO (310)217-9500 CONTACT JOHN FELIX PROJECT VERMONT AVE REHAB PROJECT AMOUNT $1,548 818 00 COMPLETION DATE AUGUST 2014 6 OWNER CITY OF HIGHLAND ADDRESS 27215 BASE LINE HIGHLAND CA 92346 PHONE NO (909)864-6861 CONTACT CARLOSZAMANO PROJECT BASE LINE BEUTICICATION PROJECT AMOUNT $2,725,182 63 COMPLETION DATE JANUARY 2014 4 OWNER CITY OF NEWPORT BEACH ADDRESS 100 CIVIC CENTER DR NEWPORT BEACH, CA 92660 PHONE NO (949)644-3314 CONTACT ALFRED CASTANEN PROJECT RESIDENTIAL STREET EVERLAY PROGRAM PROJECT AMOUNT $1 280,124 99 COMPLETION DATE FEBRUARY 2015 a 5 OWNER CITY OF SANTA FE SPRINGS ADDRESS 11710 TELEGRAPH RD SANT FE SPRINGS, CA 90670 PHONE NO (562)868-0511 CONTACT NOE NEGRETE PROJECT GRIDLEY RD PAVEMENT REHAB PROJECT AMOUNT $236,904 78 COMPLETION DATE MAY 2014 SEQUEL CONTRACTORS, INC. ST LIC#610600A 13546 IMPERIAL HWY SANTA FE SPRINGS, CA 90670 Fax (562) 802-7499 (562) 802-7227 Office STATEMENT OF EXPERIENCE 6 OWNER CITY OF LA MIRADA ADDRESS 15515 PHOEBE AVE LA MIRADA, CA 90638 PHONE NO (562)943-0131 CONTACT TONY MORENO PROJECT FOSTER PARK STREET IMPROVEMENTS PHASE 3 PROJECT AMOUNT $650,121 97 COMPLETION DATE OCTOBER 2013 7 OWNER CITY OF TUSTIN ADDRESS 300 CENTENNIAL WAY TUSTIN, CA 92780 PHONE NO (714)573-3157 CONTACT EDDY JAN PROJECT ANNUAL ROADWAY AND SIDEWALK REHAB PROJECT AMOUNT $1,136,251 87 COMPLETION DATE NOVEMBER 2013 8 OWNER CITY OF INGLEWOOD ADDRESS ONE MANCHESTER BLVD INGLEWOOD,CA 90301 PHONE NO (310)412-5333 CONTACT HUNTER NGUYEN PROJECT STREET IMPROVEMENTS FY 2012-13 PROJECT AMOUNT $1,294,140 16 COMPLETION DATE JULY 2013 9 OWNER CITY OF LOS ALAMITOS ADDRESS 3191 KATELLA AVE LOS ALAMITOS,CA 90720 PHONE NO (562)431-3538 CONTACT DAVE HUNT PROJECT COMMERCIAL STREET IMPROVEMENT PROJECT AMOUNT $600,776 30 COMPLETION DATE SEPTEMBER 2013 a 10 OWNER CITY OF CERRITOS ADDRESS 18125 BLOOMFIELD AVE CERRITOS, CA 90703 PHONENO (562)916-1229 CONTACT FREDY BONILLA PROJECT 183RD STREET IMPROVEMENTS PROJECT AMOUNT $529,823 96 COMPLETION DATE APRIL 2013 SEQUEL CONTRACTORS9 INC. ST LIC#610600A 13546 IMPERIAL HWY SANTA FE SPRINGS, CA 90670 Fax (562) 802-7499 (562) 802-7227 Office STATEMENT OF EXPERIENCE 11 OWNER CITY OF INGLEWOOD ADDRESS ONE MANCHESTER BLVD INGLEWOOD,CA 90301 PHONE NO (310)412-5333 CONTACT HUNTER NGUYEN PROJECT STREET IMPROVEMENTS FY 2011-12 PROJECT AMOUNT $1,252,355 09 COMPLETION DATE OCTOBER 2012 12 OWNER CITY OF UPLAND ADDRESS 1370 NORTH BENSON UPLAND, CA 91786 PHONE NO (909)291-2930 CONTACT EDDIE RHEE PROJECT PINE STREET IMPROVEMENTS PROJECT AMOUNT $887 749 58 COMPLETION DATE DECEMBER 2012 13 OWNER CITY OF ROLLING HILLS ESTATES ADDRESS 4045 PALOS VERDES DRIVE NORTH ROLLING HILLS ESTATES CA 90274 PHONE NO (909)957-0188 CONTACT BARRY KNUTSON PROJECT HAWTHORNE BLVD IMPROVEMENTS PROJECT AMOUNT $707,105 69 COMPLETION DATE AUGUST 2012 14 OWNER CITY OF LYNWOOD ADDRESS 11330 BULLIS ROAD LYNWOOD, CA 90262 PHONE NO (310)800-6904 CONTACT JORGE ROQUE PROJECT JOSEPHINE STREET IMPROVEMENTS PROJECT AMOUNT $544,195 19 COMPLETION DATE AUGUST 2012 15 OWNER CITY OF MONTCLAIR ADDRESS 5111 BENITO STREET MONTCLAIR, CA 91763 PHONE NO (909)721-1760 CONTACT STEVESTANTON PROJECT VARIOUS INTERSECTION IMPROVEMENTS PROJECT AMOUNT $389,723 00 COMPLETION DATE JULY 2012 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771 1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR) Currently the annual non-refundable registration fee for Contractors is $300 Each contractor to whom a public works contract has been awarded shall sign the following certificate DIR FACT SHEET on SB 854 http//www dir ca gov/DLSE/PublicWorks/SB854FactSheet_6 30 14 pdf DIR's Contractor Registration Link—Call (844) 522-6734 https //efiling dir ca gov/PWCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database https //efiling dir ca gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771 1(a) which states "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725 5 It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029 1 of the Business and Professions Code or by Section 10164 or 20103 5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725 5 at the time the contract is awarded " I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid ,�.f'xL Contractor B ThUMad S.PaQk P�'►c�r+rtt Date Title . TA 2 s 2Qf� DIR# I 00000352\ C-1 t STATE OF CALIFORNIA DEPARTMENT OF RESOURCES RECYCLING AND RECOVERY(CalRecycle) CalRecycle 168(Revised 7/13) RELIABLE CONTRACTOR DECLARATION This form must be completed and submitted to the Department of Resources Recycling and Recovery (CalRecycle) prior to authorizing a contractor(s) to commence work Failure to provide this documentation in a timely manner may result in nonpayment of funds to the contractor(s) This form is intended to help the CalRecycle's Grantees comply with the Unreliable List requirement of their Terms and Conditions The Unreliable List provision requires the following Prior to authorizing a contractor(s) to commence work under the Grant, the Grantee shall submit to CalRecycle a declaration signed under penalty of perjury by the contractor(s) stating that within the preceding three (3) years, none of the events listed in Section 17050 of Title 14, California Code of Regulations, Natural Resources, Division 7,has occurred with respect to the contractor(s) Please seethe reverse of this page,or refer to www calre-_s com If any of the events listed in Section 17050 have occurred, disclosure is required but will not necessarily result in CalRecycle refusing to approve the contractor A signed statement explaining the facts and circumstances of the events must be attached to and submitted with this form Contractor: Complete the form and send original to the Grantee Grantee: Scan the form and upload it to the grant in CalRecycle's Grant Management System (GMS) For further instruction about logging into GMS and uploading this form, reference the Procedures and Requirements Retain the original form in your grant file &mod .,., w GRANTEEINFORMATION \� �`� ��� GRANTEE NAME: I GRANT NUMBER' City of Huntington Beach TRP5,Grant ID 17197 PRIMARY CONTACT NAME Thomas Herbel,City Engineer, 714-375-5077 CONTRACTOR INFORMATION ova <. s.,. Ny CONTRACTOR NAME. AUTHORIZED CONTRACTOR REPRESENTATIVE NAME: 0w. S S. A I DS MAILING ADDRESS: 13546 917-C V- IANY SYi3 4 �2 As the authorized representative of the above identified contractor, I declare under penalty of perjury under the laws of the State of California that within the preceding three (3)years, none of the events listed in Section 17050 of Title 14, California Code of Regulations, Natural Resources, Division 7, has occurred with respect to the above identified contractor Alternatively, as the authorised representative of the above identified contractor, I declare under penalty of perjury under the laws of the State of California that within the preceding three (3)years, if any of the events listed in Section 17050 of Title 14, California Code of Regulations, Natural Resources, Division 7, has occurred with respect to the above identified contractor, 1 have disclosed all such occurrences in an attached signed statement that explains the facts and circumstances of the listed events Signature Date j Q s 2U18 �vK, IzC�Si�� C-12 STATE OF CALIFORNIA DEPARTMENT OF RESOURCES RECYCLING AND RECOVERY(CalRecycle) CalRecycle 168(Revised 7/13) RELIABLE CONTRACTOR DECLARATION Title 14 CCR,Division 7,Chapter 1 Article 5.Unreliable Contractors,Subcontractors,Borrowers and Grantees Section 17050 Grounds for Placement on Unreliable List The following are grounds for a finding that a contractor, any subcontractor that provides services for a CalRecycle agreement, grantee or borrower is unreliable and should be placed on the CalRecycle Unreliable Contractor, Subcontractor, Grantee or Borrower List ("Unreliable List") The presence of one of these grounds shall not automatically result in placement on the Unreliable List A finding must be made by the Executive Director in accordance with section 17054 and there must be a final decision on any appeal that may be filed in accordance with section 17055 et seq (a) Disallowance of any and/or all claim(s)to CalRecycle due to fraudulent claims or reporting,or (b) The filing of a civil action by the Attorney General for a violation of the False Claims Act,Government Code section 12650 et seq,or (c) Default on a CalRecycle loan,as evidenced by written notice from CalRecycle staff provided to the borrower of the default,or (d) Foreclosure upon real property loan collateral or repossession of personal property loan collateral by CalRecycle,or (e) Filing voluntary or involuntary bankruptcy,where there is a finding based on substantial evidence,that the bankruptcy interfered with the CalRecycle contract subcontract grant or loan or (f) Breach of the terms and conditions of a previous CalRecycle contract,any subcontract for a CalRecycle agreement, grant or loan resulting in termination of the CalRecycle contract subcontract,grant or loan by the CalRecycle or prime contractor,or (g) Placement on the CalRecycle's chronic violator inventory established pursuant to Public Resources Code section 44104 for any owner or operator of a solid waste facility,or (h) The person,or any partner member,officer,director,responsible managing officer,or responsible managing employee of an entity has been convicted by a court of competent jurisdiction of any charge of fraud,bribery,collusion, conspiracy,or any act in violation of any state or federal antitrust law in connection with the bidding upon award of,or performance under any CalRecycle contract subcontract grant or loan,or (i) The person or entity is on the list of unreliable persons or entities or similar list of any other federal or California state agency or �) The person or entity has violated an Order issued in accordance with section 18304 or (k) The person or entity has directed or transported to,has or accepted waste tires at,a site where the operator is required to have but does not have a waste tire facility permit,or, (1) The person or entity has transported waste tires without a waste tire hauler registration,or, (m) The person or entity has had a solid waste facility or waste tire permit or a waste tire hauler registration denied, suspended or revoked,or, (n) The person or entity has abandoned a site or taken a similar action which resulted in corrective action or the expenditure of funds by CalRecycle to remediate,clean or abate a nuisance at the site,or (o) The following are additional grounds for a finding that,a person or entity described below should be placed on the Unreliable List (1) The person or entity owned 20%or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (2) The person held the position of officer director manager,partner,trustee,or any other management position with significant control(Principal Manager)in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (3) The entity includes a Principal Manager who 1 Was a Principal Manager in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List,or, 2 Owned 20%or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List, (4) The entity has a person who owns 20%or more of the entity,if that person I Was a Principal Manager in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List or, 2 Owned 20%or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (5) The entity has another entity which owns 20%or more of the entity,if that other entity 1 Is on the Unreliable List,or, 2 Owned 20%or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (6) Subsection(o)is not intended to apply to a person or entity that purchases or otherwise obtains an entity on the Unreliable List subsequent to its placement on the Unreliable List C-13 { i i City of Huntington Beach Public Works Department 2000 Main Street Tel (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For GOTHARD STREET REHABILITATION AND CENTER AVENUE REHABILITATION, CC NO. 1496 in the CITY OF HUNTINGTON BEACH January 14, 2016 Notice To All Bidders Please note the following clarification to the Project Plans, Specifications, and Special Provisions 1) ADDED SIGNING AND STRIPING PLANS TO PLAN SET —TOTAL 3 DRAWING SHEETS Plans are entitled a. "Signing and Striping Plan, Gothard Street from Edinger Ave to McFadden Ave ", Sheets 1 and 2 of 3; and b "Signing and Striping Plan, Center Avenue from Gothard St to East of Railroad R/W", Sheet 3 of 3 NOTE. THESE PLANS ARE FOR BID ITEM NUMBER 32 "FURNISH AND INSTALL SIGNING AND STRIPING" ON SHEETC-2 7 This is to acknowledge receipt and review of Addendum Number One ted January 14, 2016 Company Name ?Vt B 'i JAI, >! s Date All bidders must acknowledge and include the receipt of this Addendum page with your bid proposal Should you have any questions regarding this Addendum, please call James Wagner at(714) 536-5431 within 24 hours of posting. Bond No. Bid Bond BID BOND The American Institute of Architects, AIA Document No A310(Febmary, 1970 Edition) KNOW ALL MEN BY THESE PRESENTS,that we Sequel Contractors,Inc as Principal hereinafter called the Principal,and Travelers Casualty and Surety Company of America a corporation duly organ&W under the laws ofthe state of Connecticut as Surety, hereinafter called the Surety, are held and fimily bound unto City of Huntington Beach as Obligee,hereinafter called the Obligee,in the sum of Ten percent of the total amount of the bid Dollars (S 1 g% ), for the payment of which sum well and truly to be made,the said Principal and the said Surety,bmd ourselves, our firs,executors,administrators,successors and assigns,jointly and severally, firmly by these presents. WHEREAS,the Principal has submitted a bid for Gothard Street&Center Street Improvements(CC1496) 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 Contrct Documents with good and sufficient surety fbr the faitifid 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 loth clay of January , 2016 Sequel Contr s, Inc Witness SCaI) P,r,tmldo! ' NameJTide Travelers Casualty and Surety Company of America n Surety (Seal) witcess �': `�.. Douglas Rapp Attorney-in-Fact ORSC 21328(5/97) ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the Identity of the Individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document State of California County of Orange On 01/20/2016 before me, Debra Swanson, Notary Public (Insert name and title of the officer) personally appeared Douglas A. Rapp who proved to me on the basis of satisfactory evidence to be the person(-t) whose name(* Is/afe subscribed to the within Instrument and acknowledged to me that he/94e 4ey executed the same in his/*e&Al;#-w authorized capacity(te&), and that by hlsNHeMhei signature( on the Instrument the person*, or the entity upon behalf of which the person(&) acted, executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct E�OF THE DEBRA SWAN$ON WITNESS my hand and official seal �" �� ` �: COMM #1997119 X w .® g NOTARYPUBLIC CALIFOPNIA ORANGE COUNTY N �A MY COMM.SXP,NOV 10,:016 Signature �, Sz>. R���,�^ (Seal) WARNING THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER Aft, POWER OF ATTORNEY TRAVELERSJ Farmungton Casualty Company St Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters,Inc Travelers Casualty and Surety Company of America St Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St Paul Guardian Insurance Company Attorney-In Fact No 224524 Certificate No 006408109 KNOW ALL MEN BY THESE PRESENTS That Farmington Casualty Company, St Paul Fire and Marine Insurance Company, St Paul Guardian Insurance Company,St Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut, 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 Timothy D Rapp and Douglas A Rapp of the City of Allso Viejo State of California their true and lawful Attomey(s)-in-Fact, each in their separate capacity if more than one is named above,to sign,execute,seal and acknowledge any and all bonds,recognizances,conditional undertakings and. other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law IN WITNESS WHEREOF,the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed,this 30th day of June 2015 - Farmington Casualty Company St Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters,Inc Travelers Casualty and Surety Company of America St Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St Paul Guardian Insurance Company v4p�yi tiC1)�9•�[c8,U"erY�,2(F'l_b�"a�~a an .W1/"97�a7b� C1OA9i'5CRA11 EpG �4,Y;J�®SV FIR-E 6y�o Z° TNE A1MSLG �P �tY 4N psG ro 0(e �ORPORA qji �RPORA1,f HAFORD 3' CCNNSEALGS State of Connecticut By City of Hartford ss Robert L Raney renior Vice President On this the 30th day of June 2015 before me personally appeared Robert L Raney,who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc,St Paul Fire and Maine Insurance Company,St Paul Guardian Insurance Company,St Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,and that he,as such,being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer ep�* In Witness Whereof,I hereunto set my hand and official seal My Commission expires the 30th day of June,2016Mane C Tetreault,Notary Public 58440-8-12 Printed in U S A WARNING THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER CALIFORNIA ALL.-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the Identity of the individual who signed the document to which this certlflcate is attached,and not the truthfulness,accuracy, or validity of that document State of California ) County of LOS ANGEL'ES ) On JAN s 0 2016 before me, Daniel Notary Putl;c Date Here Insert Name and Title of the Officer personally appeared } � �' PaQk FOSdenK Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(K whose name(a) is/ape subscribed to the within instrument and acknowledged to me that he/306/tt�ey executed the same in his/bK/tb&authorized capac►ty(iss),and that by his/her/tla&signaturef*on the instrument the person(*, or the entity upon behalf of which the person*acted, executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph �•+••,eeee+a•e,,,,e,e•e,e,,,o•+,e•e•ee•+e,o is true and correct • DANIEL BUSTAMANTE e WITNESS my hand and official seal I COMM #2005801 NOTARY PUKIC CAL "ORN A LOS ANGELES COUNTY Signature NNNN +•e•••••e,a♦iioeiiieSIOn•iXr1fiiJAiioiiee� •i•o Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document Description of Attached Document Title or Type of Document Document Date. Number of Pages Signer(s) Other Than Named Above Capacity(ies) Claimed by Signer(s) Signer's Name Signer's Name ❑Corporate Officer — Title(s) ❑Corporate Officer — Title(s) ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited 0l General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑ Gus',daan or Conservator I-1 Other Other Signer Is Representing Signer Is Representing 02014 National Notary Association -www NatlonalNotary org - 1-800-US NOTARY(1-800-876-6827) Item#5907 City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachea.gov - 4 - `FFB ;� 1909 F� Office of the City Clerk ` Joan L. Flynn, City Clerk April 1, 2016 Shaman 12240 Woodruff Ave Downey, CA 90241 RE Gothard Street Rehab and Center Ave Rehab— CC-1496 Enclosed please find your original bid bond for CC-1496 Sincerely, v/ Joan L Flynn, CIVIC City Clerk JF pe Enclosure Sister Cities Anjo,Japan ♦ Wartakere, New Zealand i 3 Siahc Contractors Corporation dba SHAWNAN 2016 Jk`i 26 PP; 1: :'2 12240 Woodruff Avenue; Downey, CA 90241 1Phone (562) 803-9977 Fax (562)803-9955 G 17 Y (,r Fi(Jial MG1 ON BEA CIA cv L - City of Huntington Beach City Hall � o ATTN: City Clerk's Office 2000 Main Street, Second Floor C.) N `= r ' ' Huntington Beach, CA 92648 CJ SEALED BID FOR: t City of Huntington Beach Public Works Department 2000 Main Street Tel (714) 536-5431, Fax (714) 374-1573 ADDENDUM NUMBER ONE For GOTHARD STREET REHABILITATION AND CENTER AVENUE REHABILITATION, CC NO 1496 in the CITY OF HUNTINGTON BEACH January 14, 2016 Notice To All Bidders Please note the following clarification to the Project Plans, Specifications, and Special Provisions 1) ADDED SIGNING AND STRIPING PLANS TO PLAN SET —TOTAL 3 DRAWING SHEETS Plans are entitled a "Signing and Striping Plan, Gothard Street from Edinger Ave to McFadden Ave", Sheets 1 and 2 of 3, and b "Signing and Striping Plan, Center Avenue from Gothard St to East of Railroad R/W", Sheet 3 of 3 NOTE THESE PLANS ARE FOR BID ITEM NUMBER 32 "FURNISH AND INSTALL SIGNING AND STRIPING" ON SHEETC-2 7 This is to acknowledge receipt and review of Addendum Number One, date nuary 14, 2016 SHANAN l' Company Name .JAN 1 4 2016 Date All bidders must acknowledge and include the receipt of this Addendum page with your bid proposal Should you have any questions regarding this Addendum, please call James Wagner at(714) 536-5431 within 24 hours of posting t SECTION C PROPOSAL for the construction of GOTHARD STREET REHABILITATION from Edinger Avenue to McFadden Avenue AND CENTER AVENUE REHABILITATION from Gothard Street to Railroad Track CC No. 1496 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 65 working days, starting from the date of the Notice to Proceed BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties. fees, etc and will be guaranteed for a period of sixty days from the bid opening date If at such time the contract is not awarded, the AGENCY will reject all bids and will readverhse the project In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts. and words shall govern over figures C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void Accompanying$japroposal of bid, find BIDDER'S BOND in the amount q10%of Amohich said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable Bidder shall signify receipt of all Addenda here, if any Addenda No. ' Ddte1Receivea`, a Bidder's Si v nature ' ,,_ 1 JAN 1 4 2016 - Shawn A Smith, I resident C-2 SECTION C PROJECT BID SCHEDULE PROJECT BASE BID: Basis of Award GOTHARD STREET AND CENTER AVENUE REHABILITATION CC No. 1496 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2 ] to C-2 7 GOTHARD STREET AND CENTER AVENUE REHABILITATION Gothard Street from Edinger Avenue to McFadden Avenue and Center Avenue from Gothard Street to RR Track CC No. 1496 BASE BID TOTAL AMOUNT LUMP SUM BID IN FIGURES: $ C* BASIS OF AWARD C-2.1 SECTION C PROJECT BID SCHEDULE GOTHARD STREET AND CENTER AVENUE REHABILITATION GOTHARD STREET FROM EDINGER AVENUE TO MCFADDEN AVENUE AND CENTER AVENUE FROM GOTHARD STREET TO RR TRACK CC NO. 1496 C-2.2 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 Bid Const Contract Unit Extended No Note Description Quantity Unit Price Amount SAWCUT ALONG FLOW LINE AT 1 1 CURB ACCESS RAMP PRIOR TO 1 EA $ 00 $ 'S� CONSTRUCTION OF CROSS GUTTER CONSTRUCT 0 17' FIBER �tD REINFORCED ASPHALT dO 2 3 RUBBER HOT MIX (ARHM) WET 2,850 TN $ 75 _ $Z13�7s PROCESS OVERLAY ADJUST SEWER MANHOLE TO "G °O 3 4 GRADE 7 EA $ _ $3 SOD FURNISH AND INSTALL ZEBRON, SANCON OR CITY av ap 4 - APPROVED EQUAL COATING 4 EA $ r1W $ ON NEW CONCRETE ON INSIDE - - �— OF AGENCY SEWER MANHOLE RING ADJUST STORM DRAIN 'CR 5 5 MANHOLE TO GRADE 6 $ �� $ REPLACE WATER VALVE BOX wo 00 6 6 ASSEMBLY AND ADJUST TO 24 EA $ 3�U i $ S,1 Lpo GRADE PER HB STD PLAN 612 PULVERIZE AND MIX EXISTING A C PAVEMENT AND SUBGRADE TO A DEPTH OF b 7 7 1 50', REMOVE AND DISPOSE 165,115 SF $ U �� $ 11 SiS� Sb OF 0 50' OF PULVERIZED MATERIAL ADD CEMENT (TN)TO PULVERIZED MATERIAL DEPTH ob OF 1 0', ADD WATER, ALLOW $ 7 C T B SECTION TO CURE AND 550 TN $ � $ 3� MICRO-CRACK AS SPECIFIED IN PROJECT SPECIFICATION CONSTRUCT 0 33' FIBER REINFORCED B-PG 70-10-RAP d 9 7 A C BASE COURSE PRIOR TO 4,125 TN $ Lo" $Zlo" 0 17' FIBER REINFORCED ARHM �— OVERLAY C-2.3 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 Bid Const Contract Unit Extended No Note Description Quantity Unit Price Amount REMOVE EXISTING VARIABLE 10 8 THICKNESS A C AND A B TO A 36,465 SF $ . ' $ 1 q`I0• DEPTH OF 1 0' FROM NEW FINISHED SURFACE CONSTRUCT NEW 0 83' FIBER REINFORCED B-PG-70-10-RAP 00 11 8 A C BASE COURSE OVER 95% 2,300 TN $ COMPACTED SUBGRADE PRIOR TO 0 17'ARHM OVERLAY, PER PLANS COLD MILL EXISTING A C PAVEMENT TO A DEPTH OF - 10 12 9 0 17' FROM NEW FINISHED 19,170 SF $ O , $�Sot SURFACE PRIOR TO 0 17'ARHM OVERLAY, PER PLANS REMOVE AND RECONSTRUCT CURB AND GUTTER PER HB STD PLAN 202 (CF=8") as �_ 13 11 (INCLUDES SLOT PAVEMENT, 130 LF $ s $�Q AGGREGATE BASE, LOT DRAINS, AND ALL ITEMS NECESSARY TO COMPLETE THE WORK IN PLACE ) REMOVE AND RECONSTRUCT SIDEWALK PER HB STD PLAN 207 AND AS MODIFIED ON PLANS (INCLUDES OVER EXCAVATION OR FILL FOR CHANGES IN GRADE, RE- GRADE FROM WALK TO at7 as 14 12 EXISTING SLOPE, RELOCATING 5,300 SF $ $ 58� D IRRIGATION TO BACK OF NEW WALK, RETURNING LANDSCAPING TO PRE- CONSTRUCTION CONDITION AND ALL ITEMS NECESSARY TO COMPLETE THE WORK IN PLACE ) REMOVE AND RECONSTRUCT COMMERCIAL DRIVEWAY("W" or) AND TYPE SHOWN ON PLAN) as 15 13 1300 SF $ PER STD PLAN 211 MATCH EXISTING IMPROVEMENTS TO GRADE C-2.4 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 Bid Const Contract Unit Extended No Note Description Quantity Unit Price Amount INSTALL NEW DETECTOR LOOPS PER CITY STANDARD SPECIAL PROVISIONS FOR THE CONSTRUCTION OF TRAFFIC 16 14 SIGNALS AND LIGHTING 88 EA $ f 4)0. 0 $ �t�p� -12/.), SYSTEMS, 2005 EDITION T SPLICE LOOPS TO DLC IN PULLBOX BIKE LANE LOOPS AND ALL LOOPS AT LIMIT LINE SHALL BE TYPE"D" REMOVE EXISTING TREE AND ROOTS, GRIND TREE STUMP ati 17 15 AND ROOTS TO 24" BELOW TOP 7 EA $ $ �I OF SIDEWALK/GRADE WITHIN PROPOSEDIMPROVEMENT AREA INSTALL 2"CONDUIT WITH PULL ROPE AND PER THE CITY'S STANDARD SPECIAL oa 18 17 PROVISIONS FOR THE 1960 LF $ CONSTRUCTION OF TRAFFIC SIGNALS AND STREET LIGHTING SYSTEMS INSTALL 3" CONDUIT WITH PULL ROPE AND PER THE CITY'S STANDARD SPECIAL 010 19 18 PROVISIONS FOR THE 340 LF $ s I CONSTRUCTION OF TRAFFIC SIGNALS AND STREET LIGHTING SYSTEMS INSTALL#6 PULL BOX (CHRISTY FIBERLYTE OR CITY APPROVED EQUAL) PER CALTRANS STANDARD PLAN ES-8 AND THE w 20 19 CITY'S STANDARD SPECIAL 16 EA $ '60 $ PROVISIONS FOR THE CONSTRUCTION OF TRAFFIC SIGNALS AND STREET LIGHTING SYSTEMS REMOVE AND RECONSTRUCT 21 21 CONCRETE CURB AND CROSS 1300 SF $ �5•� $ to GUTTER PER HB STD PLAN 205 C-2.5 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 Bid Const Contract Unit Extended No Note Description Quantity Unit Price Amount SAWCUT AND REMOVE EXISTING SIDEWALK AND CONSTRUCT TREE WELL WITH av eo 22 22 SIDEWALK PER DETAIL ON 5 EA $ 1 MO. $ ; SHEET 4 (ITEM INCLUDES 6-LF OF NEW SIDEWALK AND NON- CHEMICAL WEED CONTROL BARRIER FURNISH AND PLANT NEW 24" BOX TREES PER DETAIL 22 ON SHEET 4,AND HB STD PLANS 714, 715, 716, 716A, 718, 719, AND MODIFIED AS SHOWN ON PLANS FINAL LOCATION AND SPECIES TO BE DETERMINED 23 23 BY STREET TREE SUPERVISOR 5 EA $ D_ b� $ 5 ooc (ITEM INCLUDES REPLACEMENT OF IRRIGATION IN KIND, BACKFILLING WITH CLASS A TOP SOIL AND INSTALLATION OF ARBOR- GUARD OR AGENCY APPROVED EQUAL AT BASE OF TREE ) 24 24 ADJUST SURVEY MONUMENT 1 EA $ -100.co $ CO WELL TO FINISHED SURFACE REMOVE AND REPLACE w 25 25 DEEPENED COMMERCIAL AND 500 SF $ I'r-7 $�� INDUSTRIAL DRIVE APPROACH DETAIL ON SHEET 3 FURNISH AND INSTALL RETRACTABLE CATCH BASIN SCREEN W/TOP SWING GATE 26 26 BY WATERWAY SOLUTIONS OR 2 EA $ ZT�j9,,✓-_ - $LA If olzo._ CITY APPROVED EQUAL(W=5'), ` AND STENCIL CATCH BASIN SIGNAGE PER SPEC REMOVE AND RECONSTRUCT DEEPENED CURB AND GUTTER PER HB STD PLAN 202(B) vr� 27 27 (CF=8") (ITEM INCLUDES 440 LF $ $ ioI66V• REBAR, CLASS 560-C-3250 CONCRETE, SLOT PAVEMENT, AGGREGATE BASE, AND LOT DRAIN IF PRESENT) C-2.6 PROJECT BID SCHEDULE Gothard Street and Center Avenue Rehabilitation, CC-1496 Bid Const Contract Unit Extended No Note Description Quantity Unit Price Amount REMOVE AND RECONSTRUCT ov ao 28 28 LOCAL DEPRESSION PER HB 2 EA $�� STD PLAN 302 29 -- MOBILIZATION 1 LS $ RO�000 = $ 09n 30 -- TRAFFIC CONTROL PLAN 1 LS $S�• $ Z10M- 31 -- FURNISH PROJECT TRAFFIC 1 LS $2&s, vo `c' $_2-&S Cook CONTROL 32 FURNISH AND INSTALL SIGNING 1 LS $3o,two $3o,acy AND STRIPING 33 -- PROJECT SPECIFIC SWPPP 1 LS $L4 $ INSTRUCTOR AND COURSE MATERIALS FOR JUST IN TIME TRAINING (JITT) PER PROJECT SPECIFICATIONS APPENDIX H (INSTRUCTOR SHALL BE 34 -- EXPERIENCED IN THE 1 LS $ 0V $ CONSTRUCTION METHODS, MATERIALS AND TEST METHODS ASSOCIATED WITH FULL DEPTH RECLAMATION (FDR) PROJECTS) Total Amount Bid in Figures $ I W 8w fsbo o0 Total Amount Bid in Words �,,t fit,//,,,., F04, jqf,�,/,Y,P��� ��,, 17ro�so.�/ Cry AI !IN / DOIN)'5 Z'crj C-Js C-2.7 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 ;n an amount ;n excess of one-half of one percent of the total bid or $10,000, whichever Is greater, and the portion of the work to be done by such subcontractor Bid Name and Address of;,t� State Class z' DIR;�,_ " Dollar %of Items) ` Subcontractor License Number , Amount 'Contract, ir -y att Number � 37LI'f71 A IOooGololloo So�ocs0 Ll AK,a_nci CA ez? 45o C-lo 55,000 ao L4 96 7fY 5a0 A I000zsoyyz3 roo,000,o0 7/ Ga ffx�h► ��� ' CA 932798 A lovoo428b i7/000 37— �L r✓a�F.c Dram)pc 44 877Co6(o G-32 loome,5503 25/000 �0 Z� v.*E r,Wx s�►-�;mot VrjH$olo G-27 I00000193b 9��srsv `" � °,, 0rw-� 4,4 By submission of this proposal, the Bidder certifies l That he Is able to and will perform the balance of all work which Is not covered in the above subcontractors listing 2 That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on vi Is i%R , at Dowvvr-y , CA ate ty State SHAWN A. SMITH , being first duly sworn, deposes and says that he or she is President of SHAWNAN 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 Siahc Contractors Corporation DBA Shawnan Name of Bid - J Sib cat-u­re of Bidder Shawn A Smith, President 12240 Woodruff Ave. Downey, CA 90241 Address of Bidder C-4 I CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT l I � I A notary public or other officer completing this certificate verifies only the identity I ' of the Individual who signed the document to which this certificate is attached, i I and not the truthfulness, accuracy, or validity of that document ] State of California } 1 i County of Los Angeles } On JAN 1 3 2016 before me, N Duron , Notary Public l (Here insert name and title of the officer) i personally appeared Shawn A Smith and nobody else who proved to me on the basis of satisfactory evidence to be the person Kwhose j name is subscribed to the within instrument and acknowledged to me that he sheAhey executed the same i his authorized capacity(, and that by I his rff, wsignatureXon the instrument the personX, or the entity upon behalf of which the person acted, executed the instrument i 3 1 certify under PENALTY OF PERJURY under the laws of the State of California that l the foregoing paragraph is true and correct i N DURON NOTARY PUBLIC-CALIFORNIA WITNESS my hand and official seal COMMISSION#2045849 1'L1J LOS ANGELES COUNTY My Comm Exo October 17,2017 Notary Pu L re I (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM ! This fotm complies wnh cm i eni California statutes iegm ding notary wording and, I DESCRIPTION OF THE ATTACHED DOCUMENT fneeded should be completed and attached to the document Acknowledgmenis fi am other states may be completed for documents being sent io that state so long as the wording does not regmre the California notary to violate California notary I law (Title or description of attached document) • State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment • Date of notarization must be the date that the signer(s)personally appeared which (Title or description of attached document continued) must also be the same date the acknowledgment is completed • The notary public must pnnt his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title(notary public) • Print the name(s) of document signer(s) who personally appear at the time of notarization j CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i e Wshe/the;is/ere)or circling the correct forms Failure to correctly indicate this ❑ Individual(s) information may lead to rejection of document recording ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible Impression must not cover text or Imes If seal impression smudges,re-seal if a I (Title) sufficient area permits,otherwise complete a different acknowledgment form ❑ Partner(s) - Signature of the notary public must match the signature on file wth the office of the county clerk i ❑ Attorney-in-Fact Additional information is not required but could help to ensure this i ❑ Trustee(s) acknowledgment is not misused or attached to a different document Other Indicate title or type of attached document,number of pages and date ❑ Indicate the capacity claimed by the signer If the claimed capacity is a corporate officer,indicate the title(i e CEO,CFO,Secretary) 2015 Version AAw NctaryClasses coin 80e-8'3-9865 Securely attach this document to the signed document with a staple 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 Gothard Street Rehabilitation from Edinger Avenue to McFadden Avenue and Center Avenue Rehabilitation from Gothard Street to Railroad Track, Project CC No. 1496, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved " The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein SHAWNAN Contractor y S WfV A. SMITH President Title Date JAN 1 3 2016 C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes lJ No If the answer is yes, explain the circumstances in the space provided NIA 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 perfonnance of the work of this contract SHAW-NAN Contractor B SH N A. SMITH President Title Date JAN 1 3 2016 C-7 I 3 I CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT E i I , 1 it A notary public or other officer completing this certificate verifies only the Identity i of the Individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document State of California } I County of Los Angeles } i I i On _ JAN 1 3 2016 before me, N Duron , Notary Public (Here insert name and title of the o icer) I personally appeared Shawn A Smith and nobody else who proved to me on the basis of satisfactory evidence to be the personJWwhose i name is subscribed to the within instrument and acknowledged to me that i he sheAhey executed the same inS eaf authorized capacity(, and that by signatureXon the instrument the person' or the entity upon behalf of i which the personXacted, executed the instrument i 1 I I certify under PENALTY OF PERJURY under the laws of the State of California that i the foregoing paragraph is true and correct I i 1 WITNESS my hand and official seal �r. NOTARY PUBLIC-CALIFORNIA ffi I �n r_ rl_to COMMISSION#2045849 LOS ANGELES COUNTY I , My Comm ExD October 17 2017 I l , otary Pu Ic ign ture (Notary Public Seal) i I ' ADDITIONAL OPTIONAL INFORMATION rNSTxucTroNs FOR co�LETtNG THIS FORM $ I This form complies with curt eni California statutes regarding notary,wording and DESCRIPTION OF THE ATTACHED DOCUMENT f needed should be completed and attached to the document Ac,biowledgmenis l from other states may be completed for documents being sent to that state so long as the wording does not require the California notan,to violate California notary i law (Title or description of attached document) • State and County information must be the State and County where the document isigner(s)personally appeared before the notary public for acknowledgment (Title Or descnpbon of attached document continued) • Date of notarization must be the date that the signers)personally appeared which must also be the same date the acknowledgment is completed • The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and then title our no public) y (notary P ) i • Print the name(s) of document signer(s) who personally appear at the time of I � notarization CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i e [I Individual(s) li-Jshe/t4ey;-is Jere)or circling the correct forms Failure to correctly indicate this information may lead to rejection of document recording ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible Impression must not cover text or Imes If seal impression smudges,re-seal if a I (Title) sufficient area permits,otherwise complete a different acknowledgment form ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk ❑ Attomey-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not miscued or attached to a different document ❑ Other Indicate title or type of attached document,number of pages and date Indicate the capacity claimed by the signer If the claimed capacity is a corporate officer,indicate the title(i e CEO,CFO,Secretary) 2015 Version www NctarvClasses coin 800-873-9885 Securely attach this document to the signed document with a staple Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of {Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets, an area conta►n►n2 h►l!h ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."} Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein J Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years 1 SEE ATTACHED Name and Address of Public Agency Name and Telephone No of Project Manager Contract Amount Type of Work Date Completed Provide additional project description to show similar work 2 SEE ATTACHED Name and Address of Public Agency Name and Telephone No of Project Manager Contract Amount Type of Work Date Completed Provide additional project description to show similar work 3 SEE ATTACHED Name and Address of Public Agency Name and Telephone No of Project Manager Contract Amount Type of Work Date Completed Provide additional project description to show similar work C-9 SHAWNAN STATEMENT OF EXPERIENCE OD=Original Duration,7 E=Time Extensions,AC=Actual Completion(all are in calendar days) 1 Owner City of Torrance 2 Owner City of Montebello Address 20500 Madrona Avenue Address 1600 West Beverly Boulevard Torrance, CA 90503 Montebello, CA 90640 Phone# 310)618-6259 Phone# 323) 877-1460 Fax# Lsablan@torranceCA gov Fax# 323) 887-1464 Contact Lauren Sablan Contact Hormuz Vahid Project Residential Rehab,Area C Project Garfield Avenue Improvements Contract Amount $ 2546,231 00 k Contract Amount $ 972,461 00 Final Amount $ 2,647,829 00 Final Amount $ 940,376 00 Completion Date 11/16/2014 Completion Date 6/17/2014 PCC Improvements 65% PCC Improvements 20% Earth Work/Paving 35% Earth Work/Paving 80% OD= 120 TE=0 AC= 120 OD=40 TE=O AC=40 3 Owner City of Norwalk y; 4 Owner City of Redondo Beach Address 12700 Norwalk Boulevard Address 415 Diamond Street Norwalk, CA 90650 Redondo Beach, CA 90277 Phone# 562)929-5744 ;m Phone# 310)318-0661 Fax# 562)929-5773 Fax# 310)374-4828 Contact John Tran Contact Jeff Townsend Project Local Streets Rehabilitation Project Residential Rehab-Phase 10 Contract Amount $ 1,072,465 00 Contract Amount $ 864,917 00 Final Amount $ 949,331 00 ! Final Amount $ 875,621 00 Completion Date 4/10/2014 Completion Date 10/21/2013 PCC Improvements 30% PCC Improvements 0% Earth Work/Pavmg 70% Earth Work/Paving ]00% OD=30 TE=0 AC=30 `- OD=45 TE=0 AC=45 5 Owner City of El Segundo 6 Owner City of Industry/CNC Eng. Address 350 Main Street Address 255 N Hacienda Blvd, Suite 222 El Segundo, CA 90245 City of Industry, CA 91744 Phone# 310) 524-2364 ,` Phone# 626)333-0336 Fax 4 310)524-1791 Fax 4 626)369-4306 Contact Ananne Bola Contact Gerry Perez Project Aviation Blvd Improvements Project Nelson Ave Reconstruction Contract Amount $ 565,326 00 Contract Amount $ 1,574,170 00 Final Amount $ 895,892 00 Final Amount $ 1 618,931 00 Completion Date 2/22/2013 Completion Date 2/11/2013 PCC Improvements 10% PCC Improvements 17% Underground Underground 0% Earth Work/Paving 90% Electrical 0% OD=45 TE=0 AC=55 Earth Work/Pavmg 83% OD= 120 TE=25 AC= 139 7 Owner City of Bellflower 8 Owner City of Los Alamitos Address 16600 Civic Center Drive Address 3191 Katella Ave Bellflower,CA 90706 Los Alamitos, CA 90720 Phone# 562)804-1424 Phone# 714)431-3538 Fax# 562)902-1732 Fax# 714)431-7891 Contact Philip Wang Contact Dave Hunt Project- Woodruff Ave Rehabilitation Project Various Street Improvements Contract Amount $ 285,461 00 Contract Amount $ 531,648 00 Final Amount $ 270,359 00 Final Amount $ 644,189 00 Completion Date 1/16/2013 Completion Date 6/5/2012 PCC Improvements 19% PCC Improvements 35% Landscape&Irr Underground Electrical 7% Earth Work/Paving 65% Earth Work/Paving 74% OD=45 TE=0 AC=55 OD=25 TE=0 AC=25 45 9 Owner City of Bell 10 Owner City of Stanton Address 6330 Pme Ave Address 7800 Katella Ave Bell,CA 90201 Stanton, CA 90680 Phone# 323)588-621 1 Phone# 714) 8904204 Fax# 323)588-3789 Fax# 714)890-1443 Contact Young Park Contact Quang Le Project Filmore Street Improvements Project Bradford Tract Paving Project Contract Amount $ 285,216 00 Contract Amount $ 696,871 00 Final Amount $ 325,343 00 Final Amount $ 636,921 00 Completion Date 6/5/2012 _ Completion Date 4/26/2012 PCC Improvements 45% PCC Improvements 40% Underground Underground Earth Work/Paving 55% OD=30 TE=0 AC=35 Earth Work/Paving 60% OD=45 TE=0 AC=55 11 Owner City of Buena Park 12 Owner City of Orange Address 6650 Beach Blvd Address 300 E Chapman Ave Buena Park CA 90622 Orange, CA 92866 Phone# 714)562-3670 g,' Phone# 714)744-2225 Fax# 714) 902-4151 Fax# 714) 744-5515 Contact Wood Nousome Contact Alan Truong Project Knott Ave Rehabilitation Project Tustin&Chapman Ave Contract Amount $ 1,256 815 00 Contract Amount $ 1,456,789 00 Final Amount $ 1,222,654 00 Final Amount $ 1 926,974 00 Completion Date 1/17/2012 s Completion Date 11/14/201 1 PCC Improvements 25% f PCC Improvements 37% Underground 25% Landscape&Irr 5% Landscape 25% Electrical 25% Earth Work/Paving 25% Earth Work/Paving 33% OD= 60 TE=0 AC=60 OD=90 TE=25 AC= 100 13 Owner City of Downey 3 14 Owner City of Riverside Address 11111 Brookshire Ave Address 3900 Main Street if Downey,CA 90241 Riverside, CA 92522 Phone# 562)622-3468 Phone# 951)901-5440 Fax 4 562)258-8917 Fax 4 951)905-7831 Contact Desi Gutierrez Contact Mike Wolf Project Imperial Highway Phase 2 Project Columbia/Iowa Street Imp Contract Amount $ 2,156 492 00 '„ Contract Amount $ 4,258,512 00 Final Amount $ 2,278,145 00 Final Amount $ 3,987,682 00 Completion Date 4/25/2011 Completion Date 2/22/2011 PCC Improvements 14% PCC Improvements 19% Landscape&Irr 29% >; Landscape&Irr 21% Electrical 20% Electrical 27% Earth Work/Pavmg 37% I, Earth Work/Paving 33% OD= 120 TE=25 AC= 140q` OD= 120 TE=25 AC= 100 15 Owner City of Huntington Park ,A 16 Owner City of Fontana Address 6550 Miles Ave 1�1 Address 8353 Sierra Ave Huntmgton Park,CA 90255 Fontana, CA 92355 Phone# 626)4474260 v Phone# 909)350-7600 Fax# 626) 547-8912 Fax 4 909)350-1154 Contact Wes Lind Contact Al Giraot Project City Yard Resurfacing Project Jurupa Ave Improvements Contract Amount $ 512,347 00 Contract Amount $ 7,888,255 00 Final Amount $ 691,582 00 Final Amount $ 7,345,689 00 Completion Date 9/22/2010 :P Completion Date 10/22/2009 PCC Improvements 5% PCC improvements 19% Underground 22% r` Underground 22% Electrical Electrical 25% Earth Work/Paving 73% Earth Work/Paving 34% OD=120 TE=25 AC= 140 OD= 120 TE=25 AC= 140 17 Owner City of La Habra 18 Owner City of Brea Address 201 E La Habra Blvd Address 1 Civic Center Circle La Habra, CA 90631 Brea,CA 92821 Phone# 310) 525-0678 Phone# 714)990-7600 1, Fax 4 562) 717-4624 ;4 Fax# 714)990-2548 Contact Charles Stephan Contact Raul Using Project Various Locations Project impenal/Smart Street Imp K Contract Amount $ 5 887,651 00 Contract Amount $ 2,200,000 00 Final Amount $ 5,698,349 00 Final Amount $ 2,159 88800 Completion Date 10/19/2008 Completion Date 1/31/2009 'y PCC Improvements 20% PCC Improvements 36% aw Underground 15% Underground 7% Landscape 20% Earth Work/Pavmg 57% Electrical 15% OD=90 TE= 14 AC=98 Earth Work/Paving 30% OD= 120 TE=0 AC= 145 19 Owner City of Bell Gardens 20 Owner City of Tustin/Bayley Slater,P Address 8327 Garfield Ave Address 3730 S Susan Street-Suite 200 Bell Gardens,CA 90241 WSanta Ana, CA 92704 Phone 4 562) 806-7770 Phone#S 714)540-8863 Fax## 562) 806-7789 Fax## Contact Joe Dyer Contact Mark Florer Project Eastern Ave Improvements Project MCAS Backbone Infrastructure Contract Amount $ 2 085,000 00 Contract Amount $ 43,000 000 00 Final Amount $ 2,112,758 00 Final Amount $ 42,951,653 00 Completion Date 4/30/2008 Completion Date 11/27/2007 s� PCC Improvements 13% PCC&Elec 18% Underground 25% L S &Irrigation 25% Electrical 10% Earth Work/Paving 57% Earth Work/Pavmg 52% OD=730 TE=45 AC= 755 OD=90 TE= 10 AC=94 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent For each of these critical positions, please list at least three projects for which the critical staff has performed similar work within the last five years These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1 Nathan Duron Name of proposed Project Manager Telephone No of proposed Project Manager 562-803-9977 City of Torrance $2,546,231 Asphalt Paving/Earthwork Residential Rehabilitation, Area C PCC Improvements 11/16/2014 Project Name &Contract Amount Type of Work Date Completed City of Montebello $972,461 Asphalt Paving/Earthwork Garfield Avenue Improvements PCC Improvements 06/17/2014 Project Name& Contract Amount Type of Work Date Completed City of Norwalk $1,072,465 Asphalt Paving/ Earthwork Local Street Rehabilitation PCC Improvements 04/10/2014 Project Name &Contract Amount Type of Work Date Completed 2 Phil Pendergist Name of proposed Superintendent Telephone No of proposed Superintendent 562-803-9977 City of Torrance $2,546,231 Asphalt Paving/Earthwork Residential Rehabilitation, Area C PCC Improvements 11/16/2014 Project Name &Contract Amount Type of Work Date Completed City of Montebello $972,461 Asphalt Paving/Earthwork Garfield Avenue Improvements PCC Improvements 06/17/2014 Project Name &Contract Amount Type of Work Date Completed City of Norwalk $1,072,465 Asphalt Paving/ Earthwork Local Street Rehabilitation PCC Improvements 04/10/2014 Project Name &Contract Amount Type of Work Date Completed C-10 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771 1(a)),passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations (DIR) Currently the annual non-refundable registration fee for Contractors is $300 Each contractor to whom a public works contract has been awarded shall sign the following certificate DIR FACT SHEET on SB 854 http Hwww dir ca gov/DLSE/PubhcWorks/SB854FactSheet_6 30 14 pdf DIR's Contractor Registration Link—Call (844) 522-6734 https Hefilmg dir ca gov/PWCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database https //efiling dir ca gov/PWCR/Search action I am aware and will comply with the provisions of Labor Code Section 1771 I(a) which states "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725 5 It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029 1 of the Business and Professions Code or by Section 10164 or 20103 5 of the Public Contract Code,provided the contractor is registered to perform public work pursuant to Section 1725 5 at the time the contract is awarded " 1 furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid S HAW Contractor V S A. SMITH President Title Date JAN 1 3 2016 DIR# /000oo331-7 C-11 STATE OF CALIFORNIA DEPARTMENT OF RESOURCES RECYCLING AND RECOVERY(CalRecycle) CalRecycle 168(Revised 7/13) RELIABLE CONTRACTOR DECLARATION This form must be completed and submitted to the Department of Resources Recycling and Recovery(CalRecycle) prior to authorizing a contractor(s) to commence work Failure to provide this documentation in a timely manner may result in nonpayment of funds to the contractor(s) This form is intended to help the CalRecycle's Grantees comply with the Unreliable List requirement of their Terms and Conditions The Unreliable List provision requires the following Prior to authorizing a contractor(s) to commence work under the Grant, the Grantee shall submit to CalRecycle a declaration signed under penalty of perjury by the contractor(s) stating that within the preceding three (3) years, none of the events listed in Section 17050 of Title 14, California Code of Regulations,Natural Resources,Division 7,has occurred with respect to the contractor(s) Please see the reverse of this page,or refer to www calregs coin If any of the events listed in Section 17050 have occurred, disclosure is required but will not necessarily result in CalRecycle refusing to approve the contractor A signed statement explaining the facts and circumstances of the events must be attached to and submitted with this form Contractor: Complete the form and send original to the Grantee Grantee: Scan the form and upload it to the grant in CalRecycle's Grant Management System (GMS) For further instruction about logging into GMS and uploading this form, reference the Procedures and Requirements Retain the original form In your grant file GRANTEE INFORMATION GRANTEE NAME GRANT NUMBER City of Huntington Beach TRP5, Grant 1D 17197 PRIMARY CONTACT NAME Thomas Herbel,City Engineer,714-375-5077 CONTRACTOR INFORMATION»a ,--, ,, ;�z�, CONTRACTOR NAME SHAWNAN AUTHORIZED CONTRACTOR REPRESENTATIVE NAME Shmn A Smith, President MAILING ADDRESS 12240 Woodruff Ave Downey, CA 90241 As the authorized representative of the above identified contractor, 1 declare under penalty of perjury under the latins of the Slate of Cahfoima that within the preceding three (3)years, none of the events listed in Section 17050 of Title 14, Cal:foima Code of Regulations, Natural Resources, Division 7, has occurred with iespeet to the above identified conti actor Alternatively, as the authoi ized representative of the above identified contractor, 1 declare under penally of perjury under the laws of the State of California that within the preceding three (3)yeai s, i f any of the events listed in Section 17050 of Tale 14, California Code of Regulations, Natural Resources, Division 7, has occurred with respect to the above identified c ontractoi, I have disclosed all such occurrences in an attached signed statement that explains the facts and circumstances of the listed events Signature Date JAN 1 3 20,s Sh m1th, President C-12 I i ! CALIFORNIA ALL- PURPOSE ! CERTIFICATE OF ACKNOWLEDGMENT i i i i A notary public or other officer completing this certificate verifies only the Identity 1 of the Individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document i I State of California } i I i County of Los Angeles } i On JAN 1 3 2016 before me, N Duron , Notary Public (Here insert name and title of the officer personally appeared Shawn A Smith and nobody else j who proved to me on the basis of satisfactory evidence to be the person whose name Is subscribed to the within instrument and acknowledged to me that i he sheAhey executed the same i his authorized capacity(, and that by his'nerr if signature>'on the instrument the person' or the entity upon behalf of which the personXacted, executed the instrument i certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct yJ;^fir WITNESS my hand and official seal N DURON U" NOTARY PUBLIC-CALIFORNIA S£ ;o COMMISSION#2045849 LOS ANGELES COUNTY I My Comm Ern October 17 2017 o ary Public Signature (Notary Public Seal) i INSTRUCTIONS FOR COMPLETING THIS FORM I ADDITIONAL OPTIONAL INFORMATION Th,sfam complies with cwrenlCahfornm statutes i ego?ding noia,7y wording and, DESCRIPTION OF THE ATTACHED DOCUMENT tfneeded,should be completed and attached to the document Aclmtowledgmenis fr am other states may be completed for documents being sent io that state co long as the wording does not require the California notary to violate California notary law (Title or description of attached document) - State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment - Date of notanzation must be the date that the signer(s)personally appeared which (Title or description of attached document continued) must also be the same date the acknowledgment is completed - The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title(notary public) - Print the name(s) of document signer(s) who personally appear at the time of notarization i CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i e he/she/#hey;-is/ere)or circling the correct forms Failure to correctly indicate this ❑ Individual (s) information may lead to rejection of document recording J ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible Impression must not cover text or lines If seal impression smudges,re-scat if a I (Title) sufficient area permits,otherwise complete a different acknowledgment form j ❑ Partner(s) - Signature of the notary public must match the signature on file with the office of the county clerk ❑ Attomey-in-Fact Additional information is not required but could help to ensure this i ❑ Trustee(s) acknowledgment is not misused or attached to a different document ❑ Other Indicate title or type of attached document,number of pages and date Indicate the capacity claimed by the signer If the claimed capacity is a corporate officer,indicate the title(i e CEO,CFO,Secretary) ! 2015 Version xv✓w Nc`aryClasses co'1 800-873-9865 Securely attach this document to the signed document with a staple i STATE OF CALIFORNIA DEPARTMENT OF RESOURCES RECYCLING AND RECOVERY(CalRecycle) CalRecycle 168(Revised 7/13) RELIABLE CONTRACTOR DECLARATION Title 14 CCR,Division 7,Chapter 1 Article 5 Unreliable Contractor%,Subcontractors,Borrowers and Grantees Section 17050 Grounds for Placement on Unreliable List The following are grounds for a finding that a contractor, any subcontractor that provides services for a CalRecycle agreement, grantee or borrower is unreliable and should be placed on the CalRecycle Unreliable Contractor, Subcontractor Grantee or Borrower List ("Unreliable List") fhe presence of one of these grounds shall not automatically result in placement on the Unreliable List A finding must be made by the Executive Director in accordance with section 17054,and there must be a final decision on any appeal that may be filed in accordance with section 17055 et seq (a) Disallowance of any and/or all claim(s)to CalRecycle due to fraudulent claims or reporting or (b) The filing of a civil action by the Attorney General for a violation of the False Claims Act Government Code section 12650 et seq,or (c) Default on a CalRecycle loan,as evidenced by written notice from CalRecycle staff provided to the borrower of the default or (d) Foreclosure upon real property loan collateral or repossession of personal property loan collateral by CalRecycle or (e) Filing voluntary or involuntary bankruptcy,where there is a finding based on substantial evidence,that the bankruptcy interfered with the CalRecycle contract subcontract grant or loan,or (f) Breach of the terms and conditions of a previous CalRecycle contract any subcontract for a CalRecycle agreement grant or loan,resulting in termination of the CalRecycle contract subcontract grant or loan by the CalRecycle or prime contractor or (g) Placement on the CalRecycle s chronic violator inventory established pursuant to Public Resources Code section 44104 for any owner or operator of a solid waste facility or (h) The person or any partner member officer director,responsible managing officer or responsible managing employee of an entity has been convicted by a court of competent jurisdiction of any charge of fraud bribery collusion, conspiracy or any act in violation of any state or federal antitrust law in connection with the bidding upon,award of,or performance under any CalRecycle contract subcontract grant or loan,or (i) fhe person or entity is on the list of unreliable persons or entities or similar list of any other federal or California state agency or �) The person or entity has violated an Order issued in accordance with section 18304,or, (k) The person or entity has directed or transported to has or accepted waste tires at,a site where the operator is required to have but does not have a waste tare facility permit or, (1) The person or entity has transported waste tires without a waste tire hauler registration or (m) The person or entity has had a solid waste facility or waste tire permit or a waste tire hauler registration denied suspended or revoked or (n) The person or entity has abandoned a site or taken a similar action which resulted in corrective action or the expenditure of funds by CalRecycle to remediate,clean or abate a nuisance at the site or (o) The following are additional grounds for a finding that a person or entity described below should be placed on the Unreliable List (I) The person or entity owned 20%or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (2) fhe person held the position of officer director manager partner trustee or any other management position with significant control(Principal Manager)in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (3) The entity includes a Principal Manager who 1 Was a Principal Manager in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List or 2 Owned 20%or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (4) The entity has d person who owns 20%or more of the entity if that person 1 Was a Principal Manager in an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List or 2 Owned 20%or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (5) The entity has another entity which owns 20%or more of the entity if that other entity 1 Is on the Unreliable List or 2 Owned 20%or more of an entity on the Unreliable List at the time of the activity that resulted in its placement on the Unreliable List (6) Subsection(o)is not intended to apply to a person or entity that purchases or otherwise obtains an entity on the Unreliable List subsequent to its placement on the Unreliable List C-13 Bond No. Bid Bond BID BOND The American Institute of Architects, AIA Document No A310(February, 1970 Edition) KNOW ALL MEN BY THESE PRESENTS,that we Sialic Contractors Corporation dba Shawnan as Principal hereinafter Called the Principal,and Federal Insurance Company a corporation duly organized underthe laws ofthe state of Indiana as Surety, hereinafter called the Surety, are held and firmly bound unto as Obligee,hereinafter called the Obligee,in the sum of Ten percent of the total amount of the bid Dollars ($ 10% ), for the payment of which sum well and truly to be made,the said Pdwipal and the said Surety,bind ourselves, our beirs,executors,administrators,successors and assigns,jointly and severally, firmly by these presents. WHEREAS,the Principal has submitted a bid for Gothard Sttreet Rehabilitation NOW,THEREFORE,if the Obligee shall awept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terns 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 fiumshed 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 Si and sealed this 13tn day of January 2016 SEE ATTACHED Sialic Contractors Corpo ion dba Shawnan Witness (Sean j: By, i resCdent" ' Namdritle Federal Insurance Company 'SEE A7TACHEO Surety (Seal) Witness By: -in-Fact Timothy D Rapp Chubb POWER Federal Insurance Company Attn: Surety Department OF Vigilant insurance Company 15 Mountain View Road Surety ATTORNEY pacific Indemnity Company Warren, NJ 07059 moues Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Douglas A. Rapp and Timothy D Rapp of Aliso Viejo, California-------______�___�___�_______________w�____ each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise, bonds and undertakings and other writings obligatory in the nature thereof(other than bail bonds)given or executed in the course of business,and any instruments amending or altering the same,and consents to the modification or alteration of any instrument referred to in said bonds or obligations In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seals on this 16th day of December,2011. Kenneth C Wendel,Assistant Secretary Norris,Jr,Vice President STATE OF NEW JERSEY ss County of Somerset On th Is 16th day Of December, 2011 before me,a Notary Public of New Jersey,personally came Kenneth C Wendel,to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY,the companies which executed the foregoing Power of Attorney, and the said Kenneth C Wendel, being by me duly 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 David B Norris,Jr,and knows him to be Vice President of said Companies,and that the signature of David B Noms,Jr,subscribed to said Power of Attomey is in the genuine handwriting of David B Norris,Jr,and was thereto subscribed by authority of said By- Laws and in deponent's presence Notarial Seal SA KATHERINE J ADELAAR �f �, s r RY NOTARY PUBLIC 16 NEW JEkSF1 G�' �G�-�—� O�A Ne,2316685 �v 6V. COMMitaion EXPIres July 16,2014 PV 47- Notary Public A'AIV JE�`� CERTIFICATION Extract from the By-Laws of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY "All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company,either by the Chairman or the President or a Vice President or an Assistant Vice President,jointly with the Secretary or an Assistant Secretary, under their respective designations The signature of such officers may be engraved,printed or lithographed The signature of each of the following officers Chairman,President,any Vice President,any Assistant Vice President,any Secretary,any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached' 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, (n) the Companies are duly licensed and authorzed 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 13th day of January 2016 �NaiAN►' Ms Mr`� SEW YpP�" � � �.ei�G'rEL�.V Kenneth C We el,Assistant Secretary IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM,VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER,PLEASE CONTACT US AT ADDRESS LISTED ABOVE,OR BY Telephone(908)903-3493 Fax(908)903-3656 e-mail sure Chubb com Form 15-10-02256-U (Ed 5-03) CONSENT I � I CALIFORNIA ALL- PURPOSE I CERTIFICATE OF ACKNOWLEDGMENT I i I A notary public or other officer completing this certificate verifies only the Identity of the Individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document State of California } County of Los Angeles } I } On JAN 1 4 2016 before me, N Duron , Notary Public (Here insen name and tmle of the officer) I personally appeared Shawn A Smith and nobody else who proved to me on the basis of satisfactory evidence to be the personXwhose I name is subscribed to the within instrument and acknowledged to me that he she/4hey executed the same i his authorized capacity4ei6), and that by I hls*_ i� signatureXon the instrument the personf , or the entity upon behalf of which the personXacted, executed the instrument I I I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct I s i ✓, iF3�° N DURON e< NOTARY PUBLIC-CALIFORNIA WITNESS my hand and official seal ti=t 1; COMMISSION#2045849 P ~ s'�,i LOS ANGELES COUNTY My Comm Exp October 17 2017 1 j Notary Public Signature (Notary Public Seal) i ADDITIONAL OPTIONAL INFORMATION Th INSTRUCTIONS FOR COMPLETING THIS FORM is fa m complies with can ent Colrfornta statutes i egar ding notmy wording and, DESCRIPTION OF THE ATTACHED DOCUMENT f needed should be completed and atuched to the document Acknoialedgmems fi am other states may be completed for documents being sent to that state so long as the wordtng does not require the California notan'to violate California notary I laN' (Title or description of attached document) • State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment (Title or description of attached document continued) • Date of notanzation must be the date that the signer(s)personally appeared which must also be the same date the acknowledgment is completed • The notary public must print his or her name as it appears within lus or her Number of Pages Document Date commission followed by a comma and then your title(notary public) • Print the name(s) of document signer(s) who personally appear at the time of notarization j CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i e Wshek#tey,—is/are)or circling the correct forms Failure to correctly indicate this f ❑ Individual (s) information may lead to rejection of document recording i ❑ Corporate Officer - The notary seal impression must be clear and photographically reproducible Impression must not cover text or lines If seal impression smudges,re-seal if a (Title•) sufficient area permits,otherwise complete a different acknowledgment form ❑ Partner(s) - Signature of the notary public mist match the signature on file with the office of the county clerk ❑ Attomey-In-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document Other Indicate title or type of attached document,number of pages and date I ❑ Indicate the capacity claimed by the signer If the claimed capacity is a corporate officer,mdicate the title(i e CEO,CFO,Secretary) 2015 Version wvvw NctaryClasses coin 800-813-9565 Securely attach this document to the signed document with a staple i