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To Be Determined - 2011-07-05
Council/Agency Meeting Held:_ // Deferred/Continued to: *Appr ve ❑Conditionally Approved ❑ Denied it le Signat e Council Meeting Date: July 5, 2011 Department ID Number: PW 11-036 CITY OF HUNTINGTON BEACH REQUEST FOR CITY COUNCIL ACTION 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: Reject all bids for Water Main Extension Projects, CC-1371, CC-1378, and CC-1408 and authorize staff to re-advertise Statement of Issue: On June 13, 2011, bids were opened for Water Main Extension Projects, CC-1371, CC-1378, and CC-1408. Staff recommends all bids be rejected due to an inadvertent omission of a submitted bid for this project. Financial Impact: Funds for CC-1371 and CC-1378 are available in Water Fund, Water Main Replacement, Account No. 50691025.82100. Funds for CC-1408 are available Water Master Plan Fund, Water Main Replacement, Account No. 50791025. 82100. Recommended Action: Motion to: A) Reject all bids from June 13, 2011, for Water Main Extension Projects, CC-1371, CC- 1378, and CC-1408; and, B) Authorize staff to re-advertise the Water Main Extension Projects, CC-1371, CC-13781 and CC-1408. Alternative Action(s): Do not reject all bids at this time and direct staff on how to proceed. 1113 -165- Item 6. - I REQUEST FOR COUNCIL ACTION MEETING DATE: 7/5/2011 DEPARTMENT ID NUMBER: PW 11-036 Analysis: Bids were publicly opened on June 13, 2011 at 2:00 P.M. A sealed bid package from Guerrero Backhoe Services Inc. was received by City Staff at approximately 10:00 A.M. on June 13, 2011. ' The sealed bid from Guerrero Backhoe was inadvertently routed by City Staff to another department and was not available to the City Clerk°for the public bid opening. The misplaced sealed bid was later found. The City's bid procedures rely on the office of the City Clerk to receive, time stamp, and safe guard sealed bids prior to the public bid opening. These procedures ensure fair and competitive bidding. Since the City's bid procedures were compromised, City staff is recommending that City Council reject all bids and re-bid these projects. As background, Water Main Extension Projects CC-1371, CC-1378, and CC-1408 will increase redundancies in the water distribution system. These projects eliminate dead end water mains by providing looped water mains. These newly looped water mains will provide adjacent customers or subdivision tracts a redundant water supply, which increases the distribution system reliability. In addition, these looped water mains will improve water circulation and maintain high water quality to the adjacent customers or subdivision tracts. Project CC-1408 is consistent with the City's 2005 Water Master Plan's recommendation to connect dead end segments along Beach Boulevard. All three projects combined will install approximately 470 linear feet of 8-inch and 12-inch diameter pipelines. Staff is recommending to reject the bids which are provided in ascending order also noting this bid that was not opened: BIDDER'S NAME BID AMOUNT BID AMOUNT CORRECTED Vido Samarazich Inc. $154,356.00 Correct as bid Garcia Juarez Construction, Inc. $155,870.00 Correct as bid Stephen Doreck Equipment Rentals, Inc. $156,699.46 Correct as bid E & R Construction Inc $160,320.00 Correct as bid Atlas Allied, Inc. $187,400.00 Correct as bid Paulus Engineering, Inc. $197,930.00 Correct as bid J A Salzar Construction and Supply Corp. $216,760.00 Correct as bid TTS Engineering, Inc. i $226,481.00 , $226,402.00 Nikola Corporation. $250,728.00 $250,747.00 Charles King Company, Inc. $271,039.00 $271,057.00 Guerrero Backhoe Service Inc. 4 NOT OPENED NOT OPENED Environmental Status: The projects consist of rehabilitation of existing City-owned facilities, with little or no negligible expansion of an existing use. The projects are, therefore, categorically exempt from CEQA per Article 19, Section 15301. Public Works Commission Action: The Public Works Commission reviewed and approved CC-1371, CC-1378, and CC-1408 on April 13, 2011, with a vote of 6-0-1, (Spencer was absent). Item 6. - 2 JIB -166- REQUEST FOR COUNCIL ACTION MEETING DATE: 7/5/2011 DEPARTMENT ID NUMBER: PW 11-036 Strategic Plan Goal: Maintain, improve and obtain funding for infrastructure and equipment Attachment(s): D6scrfpti6n 1. Project Location Maps CC-1371, CC-1378, and CC-1408 11B -16-7- Item 6. - 3 ATTACHMENT # 1 BOLSA AVE. t; � EWNQM AYE / &Q A SHULL DR. \ y� wA iER aA AVWF- MR 8 A.E. 405 / PAOFIC AVE.TALWff HOLBURN AVE PROJEM AIM DISNEY CR. an ' s A ASCOT CR. x Y a o um YE � m A A AYE ADAMS AVE. 3 PROJECP AREA All i a N VICINITY MAP LOCATION MAP N.T.S. N.T.S. HOLBURN DR. WATERMAIN EXTENSION; CC-1371 PROJECT LOCATION MAP ®J CITY OF HUNTINGTON BEACH DEPARTMENT OF PUBLIC WORKS 1 OF 1 t 1 B -169- Item 6. - 5 eotsA AVE PROJECT AREA i kmkc 9 • Em In AVE. \ 8 s XNGINEER DR. \ °1HEILS AVE es w " AVE / SHELLY DR. g 9 SIA ER� � AVE ¢05 c TAL Etta AVE. PACWIC A "AVE. SIDNEY DR. AVE �ABBS AVE' \ MEDFORD DR. 1 m IND AVE_ z T[.ANI'A z AVE N MC FAD DEN N AVE. TON AVE S?yy BPN \ OCEAN VICINITY MAP LOCATION MAP N.T S N.T.S. SPRINGDALE ST. WATERMAIN EXTENSION; CC-1378 PROJECT LOCATION MAP CITY OF HUNTINGTON BEACH DEPARTMENT OF PUBLIC WORKS 1 OF 1 Item 6. - 6 11 B -170- 40,0�p BOISA AVE AVE / �tffn.8 c AVE CLAY AVE. o a w $ avE g /S m U °d AVE � OWEN DR. r �xr AVE PACIFlC EUS ,,,, PROJECT AREA qg WILLIAMS DR. ' » Gi ACE 5 AVE k M AVE 3 0 TIANfA z AVE [Ji m / YORKTOWN AVE AVE. . aCE AM � vE VICINITY MAP LOCATION MAP N.T.S. MT.& sa a BEACH BLVD. WATERMAIN EXTENSION; CC-1408 ®.l PROJECT LOCATION MAP � CITY OF HUNTINGTON BEACH DEPARTMENT OF PUBLIC WORKS 1 OF 1 1-1 B -171- Item 6. - 7 CC 1371,CC 1378,and CC1408 Water Main Extension Projects,Bid Opening June 13,2011, 2:OO13M City of Huntington Beach Council Chambers Bidder Bid Amount Bid Amount Corrected 1 ATLAS ALLIED,INC. 2 Charles King Company,Inc. / Q 3 E&R Construction Inc 4 Excel Paving Company 5 GCI Construction,Inc. 6 GUERRERO BACKHOE SERVICE INC. 7 JF BRUCE CONSTRUCTION 8 Nikola Corporation 9 Paulus Engineering, Inc. - 10 R.Y.Engineering Works 11 Tomovich&Associates 12 TTS Engineering Inc 13 Vido Samarazich Inc. 14 15 16 17 .STt� � Q �CvAJS T', J�lo 18 19 20 2011 JIUTI 13 F 1-1 2: 00 0/7/ -Z-L SECTION A NOTICE INVITING SEALED BIDS for the construction of 1. CC 1371 Water Main Extension, Holburn Drive from 91' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard, at Williams Street 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 P.M. on Monday June 13, 2011. Bids will be publicly open in the Council Chambers unless otherwise posted. Copies of the Plans, Specifications, and contract documents are available from the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648, upon payment of a $30.00 nonrefundable fee if picked up, or payment of a $45.00 nonrefundable fee if sent by UPS ground delivery(bidder shall pay additional costs for special delivery). 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 a 10% 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 California Government Code, Section 4590. 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 A-1 amount no less than 10% of the amount bid. 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. Project Description: The project consists of the construction of three potable water pipelines, one of which is located within Beach Boulevard which is a Caltrans right of way. This project also contains a fire hydrant relocation located on Springdale Street, and a water main extension located on Holburn Drive. The project contains approximately 470 lineal feet of 12-inch, 8-inch, and 6-inch buried pipe. The project allows 50 working days for the construction. The Engineers preliminary estimate for this project is $130,000. • The contract shall allow the Contractor 50 working days to complete the contract. • The engineer's estimate of probable construction cost for the work included in the basis of award is $130,000. 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 20th day of September 2010, by Resolution No. 2010-69. Attest: /s/ Joan L. Flynn CITY CLERK OF THE CITY OF HUNTINGTON BEACH A-2 7/5/2011 CITY COUNCIL REJECTED ALL BIDS AUTHORIZED STAFF TO RE-ADVERTISE - NEW BID TO BE HELD 7/18/2011 CC- 13719 1378 & 1408 Water Main Extension Projects City Of Huntington Beach 2000 Main Street ® Huntington Beach, CA 92648 5 � (714) 536-5227 ® www.huntingtonbeachca.gov v. f Office of the City Clerk Joan L. Flynn, City Clerk July 8, 2011 Guerrero Backhoe Service, Inc. P. O. Box 4147 Ontario, CA 91761 RE: CC-1371, 1378 & 1408—Water Main Extension Projects Enclosed please find your original bid bond for CC-1371, 1378 & 1408. On July 5, 2011, the City Council voted to reject all bids and authorize staff to re-advertise the project for a new bid opening on 2:OOPM, Monday July 18, 2011. Sincerely, .ej+4() Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure s Sa�einp( fis�ntgid �Io® Waitakere, New Zealand �AL�KHOC SERvtCE. tNC3. ,(�4"� ,r P Q SM 4147 /�✓�.� �l A 1lJf-i.tl�i-�iVita7LL liVLLVli Vl 1. CC 1371 Water Main Extension,Holburn Drive from 9l' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project,Springdale Street,Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard,at Williams Street in the CITY OF HUNTINGTON BEACH City of Huntington Beach 2000 Main Street ® Huntington Beach, CA 92648 (714) 536-5227 ® www.huntingtonbeachca.gov s I F office of the City Clerk ' Joann L. Flynn, City Cleric July 8, 2011 Atlas-Allied, Inc. 1210 N. Las Brisas Anaheim, CA 92806-1823 RE: CC-1371, 1378 & 1408 Water Main Extension Projects Enclosed please find your original bid bond for CC-1371, 1378 & 1408. On July 5, 2011, the City Council voted to reject all bids and authorize staff to re-advertise the project for a new bid opening on 2:OOPM, Monday July 18, 2011. Sincerely, Joan L. Flynn, CMC City Clerk J F:pe enclosure g666mgQdwntAMjmoJv@amo# Waitakere, New Zealand g 1 � # �. �,ty �}r ,sy��„� yy v s,�h,R�+l• � r �.+�9�� 2�,1.�Ai, �y�",kr) y${ ,�6 { �+h v' ��'}�x ��''�„f`�1 '""',� 1p�.��3:•it h"�,� �"�'j"Y'x�G ��T :f':+` Rs`a u' - >k Y tU � f k��� �� '4j,:p tc'�'�'{�(��i�fi',f' ,('+9k"'f��4"'h�� -0 '� YS ,,}'i'w��4,}�^ 'M'�,��' �� "i 1�3�� tM1 k t v""�t+u� 7,f.•,•: r$tl d�.u�t � ...,'?°3r C , '+'r�C,fmi,.-_a ` �,»t.. avw� .ap:, , wr ,3.,..k „� ��5t�t" ;P^ a' `n r ��.�,�7?� jfy�rG s wfYn�yhPi �r���� ��'s 4� a az r&` rtM rr Y;^.: � �� ��Sdn� �.�&'�ro e" � a�<Er„��� f>w v:r�' �, :,,, ,. �`�, ate � & r• H �E rk r fdrr. 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Y���.. ,.y•h,�' �" ,��,... ,�" � ,ar�' axa` 4, a�rl�'r.��` `!��#,k,'..:��� a,,.,+c wr:�7"%.. w„�{,�,� • I� ., � � �r o-e>4 s�rr�' � E�. . "�,r�. x� �� '°''r � �jk+ ,u�.. •�"�gg�„�. ;4 ?S. � �l�?"'��. �kr �>,a'„ !'.� �.w � SAv, �e .:'�v. .��YS: "•n. ,-4 nm;z 4�' ,x�'"�'n�'�t§. �,, , SECTION C PROPOSAL for the construction of 1. CC 1371'Water Main Extension,Holburn Drive from 91' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project, Springdale Street,Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard, at Williams Street 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 50 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. Accompanyingosal of bid find Bidders Bond in the amount of$0%Total Bid Amount this proposal p which said amount is not less than 10%of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here,if any: Addenda No. Date Received Bidder's Signature 4 A C-2 PROJECT BID SCHEDULE CC 1371 ....... ----11,........ T. -r—n' ....... ....... ..... ... ... . ..... .... ..... ....... uan i v ..... . - .wrt en in:wo.. 8"X 8"Hot Tap with Gate Valve EA @ Ten Thousand Dollars $10,000.00 $ 10,000.00 Zero Cents Per EA 2 1 Chlorination and testing of all new water mains LS @ Two Thousand Dollars $ 2000.00 $ 2,000.00 j_ Zero Cents Per LS 3 72 8"PVC DR14 Water Main LF ea One Hundred Ten Dollars $ 110.00 $ 7,920.00 Zero Cents Per LF 4 14 6"PVC DR14 Water Main LF Ca One Hundred Ten Dollars $ 110.00 $ 1,540.00 Zero Cents Per LF 5 2 Construct 1"water service&3/4"meter assembly EA @ Two Thousand Dollars $ 2,000.00 $ 4,000.00 Zero Cents Per EA 6 1 Construct 6"Gate Valve Assembly EA @ Two Thousand Dollars $ 2,000.00 $ 2,000.00 Zero Cents Per EA 7 1 Remove and dispose of existing AC Water Main LS @ Five Thousand Dollars $ 5,000.00 $ 5,000-00 Zero Cents Per LS 8 2 Provide temporary potable water highline EA @ Two Thousand Five Hundred Dollars $ 2,500.00 $5,000.00 Zero Cents Per EA 9 1 Mobilization LS @ Five Thousand Five Hundred Forty Dollars $ 5,540.00 $ 5,540.00 Zero Cents Per LS to I Demobilization and cleanup LS Oa Three Thousand Dollars $ 3,000.00 $ 3,000-00 Zero Cents Per LS C-3.1 PROJECT BID SCHEDULE CC 1371 ............ ........ Ai� unt:.*,.'- uandtv*,�, ..........w-1-ifte"n''Ain-wo. ........ 0" ... ....... ...... . ........... ......... . ..... 11 I Traffic Control LS @ One Thousand Dollars $ 1,000.00 $ 1,000.00 Zero Cents jPer LS f0ta I Amount Bid ink figures: 47,000.00 Total Amount Bid in Words: Forty Seven Thousand Dollars Zero Cents .................................................................................................................. .. C-3.2 PROJECT BID SCHEDULE CC 1378 .......... ..... ........ Ne r R N" ...... ........ .ti�*TE046:fWd: ...... . . .......... .. ..... .. A Nuj: uan ..Q ......... - Me:0 ....... ......--...... .... 1 Mobilization LS Three Thousand Dollars $ 3,000.00 $ 3,000.00 Zero Cents Per LS 2 1 Provide traffic control plan LS Ca) One Thousand Dollars $ 1,000.00 $ 1,000.00 Zero Cents Per LS 3 1 Provide traffic control LS @ One Thousand Dollars $ 1,000.00 $ 1,000.00 Zero Cents Per LS 4 1 Fire hydrant assembly EA Twelve Thousand Dollars s 12,000.00 $ 12,000.00 Zero Cents Per EA 5 1 Cut&plug and abandon existing 8-inch main LS @ One Thousand Dollars $ 1,000.00 $ 1,000.00 Zero Cents Per LS 6 1 Chlorination and testing of all new water mains LS @ One Thousand Dollars $ 1,000.00 $ 1,000.00 Zero Cents Per LS 7 1 Demobilization and cleanup LS @ Two Thousand Dollars $ 2,000.00 $ 2,000.00 , Zero Cents Per LS of Amount td in Figures: 21,000.00 Total Amount Bid in Words: Twenty One Thousand Dollars Zero Cents ......................................................................................................................... C-3.3 PROJECT BID SCHEDULE CC 1408 ........................ _4 0 'ntf:.0...... .. .............. ............*.....*.....I-.._. .'..'.. .......:......:.: :..%4. :.: �. F.... ... . . n w . .... . . Mobilization LS @ Eight Thousand Three Hundred Dollars $ 8,300.00 $ 8,300.00 Zero Cents Per LS 2 1 Traffic Control LS 0q) Five Thousand Dollars $ 5,000.00 $ 5,000.00 Zero Cents Per LS 3 1 Permitting,including Caltrans double permit LS @ Ten Thousand Dollars $ 10,000.00 $ 10,000.00 Zero Cents Per LS 4 1 6-inch cut in valve assembly EA (a Ten Thousand Dollars $ 10,000.00 $ 10,000.00 Zero Cents Per EA 5 2 8-inch cut in valve assembly EA Dollars Fourteen Thousand $ 14,000.00 $ 28,000.00 Zero Cents Per EA 6 380 12-inch PVC DRI 8 Water Pipe LF @ One Hundred Twenty Dollars $ 120.00 $ 45,600.00 Zero Cents Per LF 7 50 8-inch PVC DR18 Water Pipe LF @ One Hundred Ten Dollars $ 110.00 $ 5,500.00 Zero Cents Per LF 8 1 Chlorination and testing of all new water mains LS @ Two Thousand Dollars $ 2,000.00 $ 2,000.00 Zero Cents Per LS 9 1 Demobilization and cleanup LS @ Five Thousand Dollars $ 5,000.00 $ 5,000.00 Zero Cents Per LS I Amount Bid Figures: $ 119,400-00 _.To,t,a, in t Amount Bid in Words: One Hundred Nineteen Thousand Four Hundred Dollars and Zero "ents .............................................................................................. C-3.4 PROJECT DID SCHEDULE TOTALS CC 1371, CC 1378, CC 1408 WATERIVIAIN REPLACEMENT PROJECTS Sub-Total Bid Schedule CC 1371 47,000.00 Sub-Total Bid Schedule CC 1378 21 ,000.00 Sub-Total Bid Schedule CC 1408 119,400.00 TOTAL BID AMOUNT, BASIS OF AWARD (Sum of Schedules CC 1371, CC 1378, and CC 1408 187,400.00 TOTAL BID AMOUNT IN WORDS: One Hundred Eighty Seven Thousand Four Hundred Dollars and Zero Gents Notes: All extensions of unit prices will be subject to verification by Owner. In case of a verification between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-4 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. Portion Name and Address of Subcontractor State License Mass of Work Number Final S.D Mayo Paving 4519 Brookfield Street, 918062 C-12 Paving San Bernardino, CA 92407 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-5 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange Eva Siciliani , being first duly sworn, deposes and says that he or she is Vice President of Atlas Allied, Inc. the party making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation,partnership, company association, organization,bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Atlas Allied, Inc. Name of Bidder Signature of Bidder Eva Siciliani 1210 N. Las Brisas St. Anaheim, CA 92806 Address of Bidder Subscribed and sworn to before me this 10th day of June , 2011 NOTARY PUBLIC Please See Attached NOTARY SEAL C-6 J U RAT State of California County of Orange Subscribed and sworn to (or affirmed) before me on this 10 th day of June, 2011 by Eva Siciliani proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. NlLE SENSABAUGH Commission# 1800039 Notary Public-California = ' Orange County My Comm.Expires Jun 1,2012 Signature (Seal) Nile Sensabaugh, Notary Public 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 Water Main Extension Projects, Various Locations, Project Numbers CC 1371, CC1378, and CC1408, (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. Atlas Allied Inc. Contractor By Eva Siciliani Vice President Title Date: June 10th, 2011 C-7 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury,the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ® Yes W 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-8 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. Atlas Allied. Inc. Contractor By Eva Siciliani Vice President Title Date: June 10th, 2011 C-9 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Atlas Allied Inc. Bidder Name 1210 N. Las Brisas St. Business Address Anaheim CA 92806 City, State Zip ( 714 ) 630-3633 Telephone Number #437235 A,B,C34,C36,C42 State Contractor's License No. and Class 4/7/1982 Original Date Issued 4/30/2013 Expiration Date The work site was inspected by Nile Sensabaugh of our office on June 9th , 2011 . The following are persons,firms, and corporations having a principal interest in this proposal: George L. Siciliani-President Eva Siciliani-Vice President/Treasurer Catherin Sturgeon-Secertary C-10 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. Atlas Allied Inc. Company Name CJIf`� Signature of Bidder Eva Siciliani V.P. Printed or Typed Signature Subscribed and sworn to before me this1(�th day of June ,2011 NOTARY PUBLIC NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: I. Please See Attached Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed C-11 J U RAT State of California County of Orange Subscribed and sworn to (or affirmed) before me on this 10 th day of June, 2011 by Eva Siciliani proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. NILE SENSABAUGH Commission# 1800039 .-ee Notary Public-California z Z y' Orange County M Comm.Expires Jun 1,2012 of Signature 0 (Seal) Nile Sensabaugh, Notary Public ATLAS- ED, IINC. Pipeline General Pipit 47NCB t Enginwft Descriptive Job List 2009 Project: Stuart Mesa Ground Water Treatment System Owner: North County Transit District Address: 810 Mission Avenue Oceanside, CA 92054 Contact: Mindy Smith(760) 967-2834 Fax(760-722-8087 Description: Phase 1 Installation of a ground water pump system, 2-20,000 above ground tanks with associated underground piping to remove underground water from Rail Facility. Phase 11, Low Flow Storm Water Diversion, new storm drain structures, ground water pump system and associated underground piping. Start Date: 1/2008 Completed Date: 6/2009 Bid Amount: $433,686.00 Final Amount: $620,641.00 Project: Underground Utilities at North Corona Metrolink Parking Structure Owner: North Corona Metrolink Construction Manager: McCarthy Building Company Inc. Address: 20401 SW Birch St. Newport Beach, CA 92660 Contact: Mike Flick(949)355-7028 Cell (818)291-6603 Description: Reroute and Install New Utilities, Storm Drain, Sewer& Domestic/Fire Water outside of New 5 Story Parking Structure at the North Corona Metrolink Station Start Date: 1/28/2008 Completed Date: 6/30/2009 Bid Amount: $257,040.00 Final Amount: $387,532.00 Project: Service Line Replacements at Spring Valley Lake Owner: County of San Bernardino Special Districts Address: 157 West 5th Street, 2nd Floor San Bernardino, CA 92415 Contact: Gary Martin (909) 387-5964 Fax(909)387-5968 Description: Install 156 New 1" Water Service Lines with Poly Pipe and Fittings. Start Date: 3/12/2009 Completed Date: 6/2009 Bid Amount: $258,200.00 Final Amount: $258,200.00 Project: Water Improvements Cia Patton Hospital Owner: CA Department of Mental Health Address: 3102 Highland Avenue. Patton, CA 92369-0999 Contact: Jennifer Moon(909)425-7332 Description: Install 1500 LF 14" Underground Owner furnished PVC Waterline from Street Point of Connection to Onsite existing connection. Including 10"Backflow Valve Installation. Start Date: 1/1/009 Completed Date: 5/1/2009 Bid Amount: $49,000.00 Final Amount: $48,510.00 ATLAS-ALLIED, INC. Pipeline Genera! Piping Engineering `SWNCE 109 2009 Continued Project: Monrovia Public Library/Underground Utilities Owner: City of Monrovia Address: 132 W Palm Avenue Monrovia, CA 91016 Construction Manager: Bernard Bros Construction Management Contact: Carlos del Campo (661)510-8176 Description: Install underground utilities for new City of Monrovia Library facility Start Date: 11/14/2008 Completed Date: 3/31/2009 Bid Amount: $108,500.00 Final Amount: $112,904.79 Project: Emergency Repair Underground Storm Drain System @ Carr Intermediate School Owner: Santa Ana Unified School District Address: 1601 East Chestnut Avenue Santa Ana, CA 92701-6322 Construction Manager: PCM3 Construction Manager Contact: Garth Wright(Assistant Manager) (714)662-0227 Description: Install New Underground Storm Drain System and Catch Basin Start Date: 11/16/2008 Completed Date: 2/15/2009 Bid Amount: $208,600.00 Final Amount: $208,600.00 Project: Simons Middle School and Philadelphia Elementary School Owner: Pomona Unified School District Address: 800 South Garey Ave Pomona, CA 91766 Contact: Ava Hill (909) 397-4800 Description: Site Improvements, Concrete,Asphalt and Classroom Relocation Start Date: 112009 Completed Date: 5/2009 Bid Amount: $307,612.18 Final Amount: $307,612.18 ATLAS-AL JED, INC. P4xAi„a ci P n9 snvice 1969 Descriptive Job List 2008 Project: Lampton Elementary School-Site Utilities Owner: Norwalk La Mirada Unified School District Address: 12820 Pioneer Blvd Norwalk, CA 90650 Contact: Isela Vazquez 562-868-0431 x 2015 Fax 562-864-7541 Construction Manager: McCarthy Building Co. Contact: John Staff 949-851-8383 Description: Site Utilities including gas,water&sewer. Install pipe,test backfill, patch, replace all site water with new copper system including dielectric fittings, chlorinate entire site water system. Replace all site gas with complete new gas system Start Date: 7/7/2008 Completed Date: 11/21/2008 Bid Amount: $332,650.00 Final Amount: $325,150.00 Project: Fullerton College-Building 1400 Site Work/Utilities Owner: North Orange County Community College Address: 1830 W Romneya Drive Anaheim, CA 92801 Construction Manger: C W Driver Builders Contact: Susan Cannone 714-732-5770 Fax (714)446-0770 Description: Site utility improvements including storm drain, concrete and asphalt repairs Start Date: 3/26/2008 Completed Date: 4/30/2009 Bid Amount: $1,625,528.00 Final Amount: $1,921,825.00 Project: Modification to Existing Pressure Relief Facilities Owner: West Orange County Water Board Address: 2000 Main Street Huntington Beach, CA 92648 Contact: City of Huntington Beach Duane Wentworth (714)536-5517 Fax (714)374-1573 Description: Install new Pressure Relief System for 20"City Huntington Beach water supply line, including excavation, piping,welding and on site improvements. This water line is a critical supply line for the City Huntington Beach water system. Start Date: 11/9/2007 Completed Date: 5/12/2008 Bid Amount: $ 133,825.00 Final Amount: $246,150.00 Project: New Water Meter Installation&Meter Exchange Program Owner: City of Westminster Address: 8200 Westminster Boulevard Westminster, CA 92683 Contact: Paul Kalix (714)719-0461 Fax (714) 373-5328 Description: From Early 1990 Atlas-Allied has performed a city wide water meter replacement of approximately 14,000+water meters on 3 different contracts Start Date: 2007 Completed Date: 12/31/2007 Bid Amount: $196,100.00 Final Amount: $196,100.00 A L::AA r7 MLUED, INC. Pipeline General Piping Engineering SINCE ivy 2008 Continued Project: Lancaster Layover Service Utility Enhancement Owner: Southern CA Regional Rail Authority Address: 700 S Flower Street, Suite 2600 Los Angeles, CA 90017 Contact: LIM& Nascimento Engineering Corp Francisco Villasenor (714)998-3841 Fax(714)974-6193 Description: Metro Link Lancaster Station installed water(1,500 LF), sewer(1,500 LF), and communication utilities (1,200 LF)for the end of line train maintenance yard. All work done with no interruptions or down time to the metrolink. Start Date: 9/1/2007 Completed Date: 5/31/2008 Bid Amount: $1,065,392.00 Final Amount: $1,136,537.00 Project: Orange Coast College East/West Utility Upgrade Owner: Coast Community College District Address: 1370 Adams Avenue Costa Mesa, CA 92626 Construction Manager: C.W. Driver Contact: Randy Rankin (714)540-4974 Cell(714)540-5721 Description: East West Utility Upgrade / Phase II-Installed 1,000 LF of storm drain pipe, 20 catch basins, 1,000 LF of sewer for East Side Campus Wide Upgrade Start Date: 7/1/2007 Completed Date: 6/30/2008 Bid Amount: $685,720.00 Final Amount: $639,872.00 Project: Huntington/Bolsa Chica State Beach-Emergency Backflow Project Owner: CA Department of Parks&Recreation Address: 3030 Avenida del Presidente San Clemente, CA 92672 Contact: Julie Tobin (949)366-4888 Fax(949)492-9437 Description: Installed(4)6" RP emergency backflow devices at various locations in the city of Huntington Beach following Huntington Beach Water Department compliance on a critical path emergency basis Start Date: 2/25/2008 Completed Date: 5/1/2008 Bid Amount: $91,500.00 Final Amount: $91,500.00 Project: Manhattan Beach Pump Plant Station Owner: Los Angeles County of Public Works Address: 900 S. Fremont Ave. Alhambra, CA 91803 Contact: Jose Pou (626)458-2191 Description: Motor control removal and replacement, valves and pump station upgrades Start Date: 411512007 Completion Date: 1012008 Bid Amount: $437,400.00 Final Amount: $494,955.00 ATLAS-ALUED, tMG Pipeline General Piping Engineering SfNCE t9� Descriptive Job List 2007 Project: Wellhead Treatment at Well#13 Owner: City of Paramount Address: 16400 Colorado Avenue Paramount, CA 90723 Contact: Bill Pagett P.E. (562)220-2157 Fax(562)220-2105 Description: Manganese removal of Well#13 in the City of Paramount. Installation of new filtering system (3 each 10,000 gallon tanks, 2 each 8,000 gallon tanks, and 124,000 Ibs of media filtering material). Including 83,000 gallon bolted tank, 2 block buildings, new serge tank, new chemical feeder tanks (1,000 gal&230 gal tanks), new So Cal Edison service, new Murphy Panel, new Filter Control Panel (FCP), new metering and valve system. Start Date: 5/18/2006 Completed Date: 5/8/2007 Bid Amount: $1,275,480.00 Final Amount: $1,368,524.00 Project: Huntington Beach High School Utility Installation Owner: Huntington Beach Union High School Dist Address: 5832 Bolsa Avenue Huntington Beach, CA 92649 Construction Manager: McCarthy Building Co. Contact: John Staff (949)851-8383 Description: Combined utility upgrades including 1,000 LF of Domestic Water, Fire Water, Irrigation, Electrical Conduit and Gas, plus surface repairs as needed Start Date: 5/1/2007 Completed Date: 911/2007 Bid Amount: $995,280.00 Final Amount: $1,043,344.00 Project: Foothill High School Site Utility Infrastructure Owner: Tustin Unified School District Address: 300 South C Street Tustin, CA 92780 Construction Manager: Douglas E Barnhart,Inc Contact: John Squillace (714)731-4687 Description: Installed 1,000 LF of 6"- 10"Storm drain, 1,000 LF 8"Sewer, 800 LF of 8" Fire water line, 600 LF 6" Domestic Water, 500 LF 3"Gas line at Foothill High School for the Site Utility Infrastructure Quad Upgrade Start Date: 6/15/2007 Completed Date: 10/1/2007 Bid Amount: $886,992.00 Final Amount: $975,258.00 Project: Replace Pressure Regulating Station#36 Owner: City of Anaheim Address: 200 S Anaheim Blvd Anaheim, CA 92805-3820 Contact: Bob Palaeologus(714)765-5176 X 5711 Fax(714)765-5225 Pressure Regulating Station#36 Description: Replacement of Pressure Regulating Station#36 Start Date: 11/2006 Completed Date: 3/1/2007 Bid Amount: $364,950.00 Final Amount: $372,115.20 ATLAS-ALuE®, wa Pipeline General Piping Engineering srry�"- 2007 Continued Project: Water Meter Installations Owner: City of Alhambra Address: 111 S. First Street Alhambra, CA 91801-3704 Contact: Phil Nichols (626)570-5067 Fax (626)570-5067 Description: From 2003-2007 Atlas-Allied has performed a city wide water meter replacement of approximately 4,000+ water meters for the City of Alhambra. Start Date: 1/2003 Completed Date: 5/2007 Bid Amount: $194,325.00 Final Amount: $194,325.00 Project: Concordia University Sewer,Water,&Storm Drain Installation Owner/ Construction Manger C W Driver, Inc. Address: 15615 Alton Parkway, Suite 150 Irvine, CA 92618 Contact: Chris Graber (949)261-5100 Fax(949)261-5167 Description: Instafled Underground Site water, sewer&storm drain (8"Water line 800'/18"Storm Drain 1,000'/ 6"Sewer line 700')through out Concordia University. Start Date: 5/31/2006 Completed Date: 6/27/2007 Bid Amount: $814,634.00 Final Amount: $885,729.00 ATLAS-ALLJED, INC. Pipeline General Piping Engineering �NCE 19� Descriptive Job List 2006 Project: Water Improvements @ Ortega Hwy,San Juan Capistrano Owner: Walsh-Dillon Construction Address: 27761 Camino Santo Domingo San Juan Capistrano, CA 92675 Contact: Mike Dillon (949)661-0346 Description: 14"Water line. Relocate new fire lines, domestic water&sewer for new law and justice center. Start Date: 12/05 Completed Date: 11/06 Bid Amount: $73,000.00 Final Amount: $73,000.00 Project: Huntington Beach High School New Wet&Dry Utilities Installation Owner: Huntington Beach Union High School Dist. Address: 5832 Bolsa Avenue Huntington Beach, CA 92646 Construction Manager: McCarthy Building Co. Contact: John Staff(714)962-8173 Description: The installation of new wet and dry utilities through out Huntington Beach High School campus. Installation of the utilities for up coming major building projects. Start Date: 1/06 Completed Date: 4/06 Bid Amount: $195,800.00 Final Amount: $301,012.93 Project: Stadium Promenade Phase 11 Utility Installation @ Katella Ave. in Orange,CA Owner: S D Deacon Address: 20201 S W Birch Street, Suite 100 Newport Beach, CA 92660 Contact: Mark Runyan (949)222-9060 (949)222-0596 Fax Description: New underground water, sewer and storm drain improvements at Stadium Promenade shopping center in Orange, CA Start Date: 5/24/06 Completed Date: 11/28/06 Bid Amount: $221,385.00 Final Amount: $301,012.93 Project: Warner Basin Dam,Anaheim Owner: Orange County Water District Address: 18700 Ward Street Fountain Valley, CA 92708 Contact: Mark Butier, Jr / Butier C M (714)832-7222 Description: Purchase&install a complete factory and field assembled dam from Obermeyer Hydro Inc. Includes appurtenances, instrumentation, control system, electrical system, piping, valves, &wiring. Start Date: 8/06 Completed Date: 9/07 Bid Amount: $364,282.66 Final Amount: $364,282..00 ATLAS-ALLIED, INC. Pipeline General Piping EngWeering S11VCE i9(0 2006 Continued Project: Fire Water System and Storm Drain Improvements @ Fullerton College Owner: North Orange County Community College District Address: 1830 W. Romneya Drive Anaheim, CA 92801-1819 Construction Manager: C.W.Driver Contact: Tanya Sundries(323)864-3140 Description: Installed 15,000 LF of Fire Water line with hydrants&backflow. Installed 3,000 LF of 12"-48"Storm drain lines at the Fullerton Library and Parking Structure. Start Date: 5/2005 Completed Date: 4/06 Bid Amount: $1,989,000.00. Final Amount: $2,093,083.00 THE AMERICAN INSTITUTE OF ARCHITECTS AIA Document A310 Bid Bond KNOW ALL MEN BY THESE PRESENTS, THAT WE Atlas-Allied; Inc. 1210 N. Las Brisas Street Anaheim, CA 92806 as Principal, hereinafter called the Principal, and First National Insurance Company of America 333 City Boulevard West, Suite 300 Orange CA 92868 a corporation duly organized under the laws of the State of WA as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach City Clerk's Office, 2000 Main Street, 2nd Floor Huntington Beach,CA 92648 as Obligee, hereinafter called the Obligee, in the sum of Ten Percent of Amount Bid Dollars ($ 10% ), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators,successors and assigns,jointly and severally, firmly by these presents. WHEREAS,the Principal has submitted a bid for CC 1371 Water Main Extension, Holburn Drive from 91'to 185'South of Margate Drive; CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372'South of Machine Drive; CC 1408 Water Main Extension on Beach Boulevard, at Williams Street in the City of Huntington Beach NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and materials furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 9th day of June 2011 / - Atlas-Allied, Inc. (Principal (Seal) Melissa Sici rani (witness) ` By:.. W z1 Eva Siciliani rl Vice President/Treasurer (Title) First National I ur nce Co pang of America ( rety) (Seal) Susan Ponsell (witness) Attome in act Lourdes La a (tine) AIA DOCUMENT A310®BID BOND®AIA®FEBRUARY 1970 ED.®THE AMERICAN INSTITUTE OF ARCHITECTS,1735 N.Y.AVE.,N.W.,WASHINGTON,D.C.20006 ACKNOWLEDGMENT State of California County of Orange ) On June 9, 2011 before me, Susan Ponsell, Notary Public (insert name and title of the officer) personally appeared Lourdes Landa who proved to me on the basis of satisfactory evidence to be the persoWwhose name.,(4sjis/4r1d' subscribed to the within instrument and acknowledged to me that the/tgey executed the same in Wither/tomauthorized capacity i ,and that byW/her/t�signaturel4on the instrument the person , or the entity upon behalf of which the personrj'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. SUSAN POt I ELL Comm.#1927089 G) NOTARY PUBLIC-CAUPOW K 0*,MY ORANGE COUNTy � . Commission c'x P�'es 3/2'J/2015 Signature (Seal) THIS POWER©F ATTORNEY,IS NOT VALID.UNLESS IT ISPRINTED 04 RED BACKfaROUND. '29637 This,Power of Attorney.limits the acts:of those named herein,and they have.no authority to bind the Company except in the manner and to the extent hereinstafed .FIRST NATIONAL INSURANCE COMPANY,4AMERICA SEATTLE;WASHINGTON POWER OF ATTORNEY KNOW ALL PERSONS BY THESE PRESENTS:,That First Nationatlnsurance:Company of America(the"Compano,a Washington stock.insurance company; pursuant to and by authority of the Bylaw and Authorization hereinafter set;forth,does hereby riame,constitute:and appoint. LOURDES LANDA, ADRIANA VALENZUELA,.MARK W ROSSKOK ALL ORTHE CITY OF:_FULLE:RTON,SrTA7E::6F CA..L..1FOfiN1A..................... ..... ........ ......... ..,:.: ......................... .::. .,::. ...::. .....;::: ......:. :..:. each:individually if there be Imore than one named its true and lawful attorney fin factto make-:execute seat,acknowledge and deliver,#orand on its behalf as surety and as its act:and.deed, any:and all undertakings, bonds,:fecognfizances and:other surety obligat€ons::in the penal:sum not exceeding x.xt.,�..* .. :* TEN IUIILLIOId AND 00l100._ ******_DOLLARS t$ 10,000,000 OQ*k*t'******"***** *****.*} each, and the,execution of such undertakings,bonds,recognmances and other suretyobligatforis fin pursuance of these presents,shall be Asliindi upon the Company as.if they had been duly signed by the:president and attested bythe secretary of the Company in their own proper.persons:; That this power.is made and executed pursuant to and by authority ofthe following By-law and Authoriza#ion: ARTICLE IV Execution of Contracts:Seetfion'12 Surety Bonds and Undertakings. .` C Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such,limitations e: as the Chairman'or the President may prescribe;shall appoint such attorneysJn-fact,as may be:necessary to act in behalf of the Corporation to make; a : seal;acknowledge and deliver as surety any and ali undertakings,bonds,recognizances and other surety obligations. Such attorneys-in- execute, : . .vi fact,subject:to the limitations set forth in their respective powers:of attorney,shall have full power to bind,the Corporation by their.signature and -W executed43 4- ,such instruments shall be as binding as if.signed by the presidenf and attested by the secretary. i �. By the following instrument the chairman or the president has authorized the officer or other official named therein to appoint attorneys-in-fact; i t0 tiPursuant to`Article IV,Section 12 of the By-la Ws,Gamet W.'EHiott,Assistant Secretary,of First National Insurance Company of America,is authorized, v t v as to appoint such attorneys-in-fact as maybe necessary to act in.behalf of the.Corporation to make,execute,seal,acknowledge and deliver-as surety... p any and all undertakings;bonds,recognizances and other surety.obligations. , d That:the By-law and the Authorization set forth above are true copies thereof and are now in full force and effect. �d3 r IN WITNESS WHEREOF, this Power;of Attorney has been'subscribed by an authorized officer or:official of the Company,and the corporate seal of Q 0 N first National Insurance Company of America has been,affixed thereto in Plymouth Meeting,Pennsylvania this 21 st day.of June 0: o.L 2010 - y FIRST NATIONAL INSURANCE COMPANY OF AMERICAL. l SEAL fi By l9�t-r- fi✓_ �- T� c L rays Garnet W.'Elliott,AssistantSecretary O C ,COMMONWEALTH OF PENNSYLVANIA ss xaa '! E:'— COUNTY OF MONTGOMERY 'i i w df J O W On this 21 st day of June ; 2010 before me, a.Notary.Public, personally came,Garnet W Elliott; to me known, and acknowledged that he is an Assistant Secretary of First.National insurance Company of America;that he knows the seal of said corporation; and that he 'a c executed the above Power of Attorney and affixed the corporate seal of First National Insurance Company of America thereto with the authority and at the *'c > m direction of said corporation. E c O L IN TESTIMONY WHEREOF v to subscribed m name and affixed m notarial.seal, Plymouth Mee tin ,:Penns Ivania, on the day and year w c Y Y Y Y Y Y pc first above written. ''�� 0 rera r-aster a Notary P V6 By. :.� 1--• fi i mduih wp Monigom:,C'eur 1y here a Pastella,Notary Public - fik�f`r��ttr3..r,�rn r�€�Psl:tr"�2p 3- rY CERTIFICATE "'amwr,V Mt Ivan - 1,the undersigned,Ass > rst National Insurance Company of.America,do hereby certify that the original power of attorney of which the foregoing is a full,tru r y;is in fulfforce and effect on date of this certificate;and I do furtheccertifythatthe officer.or official who executed the said power of a IS`an Assistant.Secretary`specially authorized by the chairman or the president to appoint attorneys-in-fact as provided in Article IV,Section 12 of the By-laws of First'National Insurance Company of America. This certificate and the above power of attorney may be signed by facsimile or mechanically:reproduced signatures under and by authority of the following vote of the board of directors of First National Company of America at meeting duly-called and held on the 18th day.of..September; 2W9. VOTED that the facsimile or mechanically reproduced signature of any assistant secretary of the company,wherever appearing upon a certified copy of any power of attorney issued by the company in connection with surety bonds,:shall be valid and binding upon the company with the same force and effect as though manually affixed. JUN 012011 IN TESTIMONY WHEREOF, I have hereunto subscribed my na �aa -„ ed the corporate seal of the said company,this day of off'°d4r y - A 3 SEAL 192% £� BY David M.Carey,Aegstant Secretary ATLAS ALLIED,INC. GenenW saes 1*9 E�x�e®ring COMPLETED PROJECTS Descriptive Job List 2010 Project: Industrial Park Recycled Water Services Owner: Carlsbad Municipal Water District Address: 5950 El Camino Real Carlsbad,CA 92008 Contact: Grant Clavier(760)802-8783 Description: Installed 1"and 2 water services for Recycled water systems Start Date: 11/30/2009 Completed Date: 3/19/2010 Bid Amount: $159,500.00 Final Amount: $166,227.00 Project: Replace Fireline at Bren Events Center Owner: California University Irvine Address: 201 A Interm Housing Building Irvine,CA 92697 Contact: David Hooks(949)824-9328 Cell(949)422-0539 Description: Installed underground fireline with backflow devices and upgraded fire sprinkler system Start Date: 12/14/2009 Completed Date: 4/30/2010 Bid Amount: $137,300.00 Final Amount: $158,510.00 Project: Santa Rosalia Street Storm Drain Project Owner: City of Stanton Address: 7800 Katella Ave. Stanton,CA 90680 Contact: Nick Guilliams(714)379-9222 Description: Installed 48" RCP line into Orange County flood channel from public right away Start Date: May 2010 Completed Date: September 2010 Bid Amount: $177,920.00 Final Amount: $179,942.00 Project: Replacement of Watervalves&Fire Hydrant Installations Owner: City of Beverly Hills Address: 345 Foothill Road Beverly Hills,CA 90210 Contact: Vincent Chee(310)285-2507 Description: Cut in 4"-16"Valves through out city public water system utilizing"line stops"to control water. Start Date: Feburary 2010 Completed Date: August 2010 Bid Amount: $358,000.00 Final Amount: $373,000.00 Project: Water Main Crossing on Carmenita Road North of Mapledale Avenue Owner: City of Norwalk Address: 12700 Norwalk Blvd. Norwalk,CA 90650 Contact: Randy Hillman 562-929-5719 Description: install 12"street crossing to upgrade on site fire system Start Date: August 2010 Completed Date: September 2010 Bid Amount: $36,900.00 Final Amount: $34,900.00 ® City of Huntington Beach - �- 2000 Main Street ® Huntington Beach, CA 92648 (714) 536-5227 ® www.huntingtonbeachea.gov ®mice of the City Clerk Joan L. Flynn, City Clerk July 8, 2011 Charles King Company, Inc. 2841 Gardena Ave. Signal Hilt, CA 90755 RE: CC-1371, 1378 & 1408—Water Main Extension Projects Enclosed please find your original bid bond for CC-1371, 1378 & 1408. On July 5, 2011, the City Council voted to reject all bids and authorize staff to re-advertise the project for a new bid opening on 2:OOPM, Monday July 18, 2011. Sincerely, Joan L. Flynn, CMC City Clerk JF:pe Enclosure g9i o0 ibsontt*mPft o* Waitakere, New Zealand CHARLES KING COMPANY,INC. 2841 GARDE,NA A LENuE Sic,vAL HILL, CA 90755 2011 JT] 13 N'l 1 06 CITY Q F I+q v;T- jN(o,T-Q 4-"K f-i VM t-cm JA,,-Ir&iA , 'C A ql t&q t CC 13-1 I VVr��v, vv,A6h EX4osi o,-�, H [ h�,Vvt I�'� - rairv� t ' -fi o l$5l S VKAV VV C&&k i Vu S', !'/ l�#0 �•}-tiv I EX s1 0-M ockr l t la!V,4 . A� $jy-(C+, I SECTION C I PROPOSAL, for the construction of 1. CC 1371 Water Main Extension,Holburn Drive from 91' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project, Springdale Street,Machine Drive to 372' I South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard, at Williams Street in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: i 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 50 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. i 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. i i C-1 I s If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option,be considered null and void. Accompanying this proposal of bid, find BID BOND in the amount of$ 10% OF PRICE which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice . Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or"Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature i G2 PROJECT BID SCHEDULE CC 1371 i Item::Esti<rioted :.:::. .: fe :with: tnit: > : ...... ................................................ ?........................... ................. ................. .................... ...........;.......... ... Quanti ... .... .. virilten>in wards:»:»: >:>::> »:ITriit:Price::::... ......t3 ................................................................ 1 1 8"X 8"Hot Tap with Gate Valve EA @ five thousand five hundred Dollars $ 5,500 $ 5,500 no Cents Per EA i 2 1 Chlorination and testing of all new water mains LS @ four thousand ninehundred Dollars $ 4,900 $ 4,900 I no Cents Per LS 3 72 8"PVC DR14 Water Main LF @ three hundred sixty six Dollars $ 366 $ 26,352 no Cents Per LF 4 14 6"PVC DR14 Water Main seven hundred eighty seven 787 11,018 LF @ 9 Y Dollars $ $ no Cents Per LF 5 2 Construct 1"water service&3/4"meter assembly i EA @ six thousand one hundred eighty one Dollars $ 6,181 $ 12,362 j no Cents Per EA 6 1 Construct 6"Gate Valve Assembly EA @ one thousand six hundred sixty five Dollars $ 1,665 $ 1,665 no Cents Per EA 7 1 Remove and dispose of existing AC Water Main LS @ two thousand six hundred sixty Dollars $ 2,660 $ 2,660 no Cents Per LS 8 2 Provide temporary potable water highline EA @ two thousand five hundred eleven Dollars $ 2,511 $ 5,022 no Cents Per EA 9 1 Mobilization LS @ one thousand three hundred fifteen Dollars $ 1,315 $ 1,315 no Cents Per LS 10 1 Demobilization and cleanup LS @ six hundred fifty seven Dollars $ 657 $ 657 no Cents Per LS C-3.1 PROJECT BID SCHEDULE CC 1371 ::::::::::::::::Ifeid:wifl:unit:prig: :::>:»»>:::_::__»:: >;: >:»::>:::::::: X&tided::::: ................................................................... ................. ................. ': ::: written:inwnrii3: _:I7iiitPrce:_::::::AriioiiIli:::: Q...... ................................................................ ................. ................. 11 1 Traffic Control LS @ nine hundred Dollars $ 900 $ 900 no Cents Per LS otal Amount Bid mFigures: 5 72,351.00 Total Amount Bid in Words:seventy two thousand three hundred fifty one and no cents i j I i i i i C-3.2 i PROJECT BID SCHEDULE CC 1378 Rein::: Estimated::::::::::::::::::::::::::::::Item:with:unit:.ricf::.::::.:.:.:.:.:.:.:.::?::::::::::.:.:.:.: ::.:.:.:_: E:xterirled::::: ....................... .. . P........... .. No ::> iianti": _:;>;: ;>: wfilic inrdc:: ;»: ::»:>::::::::':>:: ITnitPrice: ..... ... ......t3 ................................................................ ................. ................. 1 1 Mobilization LS @ six hundred fifty seven Dollars $ 657 $ 657 no Cents Per LS 2 1 Provide traffic control plan i LS @ two thousand four hundred Dollars $ 2,400 $ 2,400 no Cents Per LS 3 1 Provide traffic control LS @ one thousand eight hundred Dollars $ 1,800 $ 1,800 no Cents Per LS 4 1 Fire hydrant assembly EA @ thirty five thousand two hundred seventy five Dollars $ 35,275 $ 35,275 i no Cents Per EA 5 1 Cut&plug and abandon existing 8-inch main I LS @ eleven thousand four hundred Dollars $ 11,400 $ 11,400 i no Cents Per LS 6 1 Chlorination and testing of all new water mains LS @ five thousand two hundred Dollars $ 5,200 $ 5,200 i no Cents Per, LS 7 1 Demobilization and cleanup LS @ six hundred seventy five Dollars $ 675 $ 675 no Cents Per LS Total Amount Bid m figures: 57,389.00 Total Amount Bid in Words:fifty seven thousand three hundred eighty nine and no cents C-3.3 PROJECT BID SCHEDULE CC 1408 Items::Esfiinaced..... ::: ........... .. ........ P....................... ... ................. ......... ....... >: ': >: written>iiirvnrdc>::>;::>::`:::: ;::::.....<:::::: »:Unit>Price:::::::Aiiioiiil;:>: Q......� ................................................................ ..'U. .1........ .................. 1 1 Mobilization LS @ six hundred fifty seven Dollars $ 657 $ 657 no Cents Per LS 2 1 Traffic Control LS @ two thousand seven hundred Dollars $ 2,700 $ 2,700 no Cents Per LS 3 1 Permitting,including Caltrans double permit LS @ two thousand one hundred eighty five Dollars $ 2,185 $ 2,185 no Cents Per LS 4 1 6-inch cut in valve assembly - EA @ seven thousand five hundred Dollars $ 7,500 $ 7,500 no Cents Per EA 5 2 8-inch cut in valve assembly EA @ nine thousand one hundred Dollars $ 9,100 $ 18,200 no Cents Per EA 6 380 12-inch PVC DR18 Water Pipe LF @ two hundred thirty five Dollars $ 235 $ 89,300 no Cents Per LF 7 50 8-inch PVC DR18 Water Pipe LF @ two hundred eighty two Dollars $ 282 $ 14,100 no Cents i Per LF 8 1 Chlorination and testing of all new water mains LS @ six thousand Dollars $ 6,000 $ 6,000 no Cents Per LS 9 1 Demobilization and cleanup LS @ six hundred fifty seven Dollars $ 657 $ 657 no Cents Per LS ota Amount i m figures: 141,2.29.00 Total Amount Bid in Words:one hundred forty one thousand two hundred twenty nine and no cents i C-3.4 PROJECT BID SCHEDULE TOTALS CC 1371, CC 1378, CC 1408 WATERMAIN REPLACEMENT PROJECTS Sub-Total Bid Schedule CC 1371 72,351.00 Sub-Total Bid Schedule CC 1378 57,389.00 Sub-Total Bid Schedule CC 1408 141,229.00 i I i TOTAL BID AMOUNT, BASIS OF AWARD (Sum of Schedules CC 1371, CC 1378, and CC 1408 271,039.00 TOTAL BID AMOUNT IN WORDS: TWO HUNDRED SEVENTY ONE THOUSAND THIRTY NINE DOLLARS AND NO CENTS Notes: All extensions of unit prices will be subject to verification by Owner. In case of a verification between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. i i �I I i I i C-4 I. 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. I �i Portion Name and Address.of Subcontractor State License Class of Work Number NONE i i i II i By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-5 i NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID i State of California i ss. l County of()range Los Angeles i Debra King , being first duly sworn, deposes and says that he or she is President of Charles King Co. , Inc. the parry making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding- that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder; or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation,partnership, company association, organization,bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. i Debra King Charles King Co. , Inca Name of Bidder I i f Si e of Bidder 2841 Gardena Avenue Signal Hill, CA 90755 Address of Bidder Subscribed and sworn to before me this day of , 201_ k (see attached jurat) I NOTARY PUBLIC NOTARY SEAL C-6 'II Jurat State of California County of Lp--g A-vqo k1 Subscribed and sworn to (or affirmed)before me on this 1 _day of 20 by b rYA K i n ' proved to me on the basis of satisfactory evidence to be the person who appeared before me. b111111i1iipi66l44tiey (Notary seal) `��0���, V,CR�d'Cj,���i,��� Signature `�@�Q�� 6/pr'0''', 00- A 4C G'p Angeles OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM The wording of all Jurats completed in California after January 1,2008 must be in the form as setforth within this Jurat.There are no exceptions.If a Jurat to be completed does not follow this form, the notary must correct the verbiage by using a jurat stamp containing the correct wording or attaching a separate jurat form such as this one which does contain proper wording. In DESCRIPTION OF THE ATTACHED DOCUMENT addition, the notary must require an oath or affirmation from the document signer regarding the truthfulness of the contents of the document. The U%I Ct l U.S t 0-�l f/t- document must be signed AFTER the oath or affirmation.If the document was (Title or description of attached ocument) previously signed,it must be re-signed in front of the notary public during the juratprocess. (Title or description of attached document continued) • State and County information must be the State and County where the document signer(s)personally appeared before the notary public. Number of Pages I Document Date • Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the jurat process is completed. • Print the name(s)of document signer(s)who personally appear at the time of notarization. (Additional information) • Signature of the notary public must match the signature.on file with the office of the county clerk. • 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 sufficient area permits,otherwise complete a different jurat form. Additional information is not required but could help to ensure this jurat is not misused or attached to a different document. Indicate title or type of attached document,number of pages and date. • Securely attach this document to the signed document 2008 Version CAPA v1.9.07 800-873-9865 www.NotaryClasses.com 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 Water Main Extension Projects,Various Locations,Project Numbers CC 1371, CC1378, and CC1408, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. 4 i 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. Charles King Company Inc. Contractor Debra King - President Title Date: C-7 i DISQUALIFICATION QUESTIONNAIRE � In accordance with Government Code Section 14310.5, the Bidder shall complete,under penalty of perjury,the following questionnaire. j i i 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 K] No i If the answer is yes, explain the circumstances in the space provided. n a Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-8 COMPENSATION INSURANCE CERTIFICATE i 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. Charles King Company Inc. Contractor By Debra King - President Title Date: 9 // 1 C-9 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Charles King Company Inc. Bidder Name 2841 Gardena Avenue Business Address Signal Hill CA 90755 City, State Zip (562 )426-2974 Telephone Number 738236 Class A State Contractor's License No. and Class 7/18/1997 Original Date Issued i 7/31/2011 Expiration Date The work site was inspected by Scott King of our office on June 8 , 2011 . The following are persons, firms, and corporations having a principal interest in this proposal: Debra King Charles King (President/ Sec./ Tres. ) (Vice -President/ GMT 2841 Gardena Ave. 2841 Gardena Ave. Signal Hill, CA 90755 Signal Hill, CA 90755 C-10 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. CHARLES KING COMPANY INC. Company Name i Signa idder DEBRA KING Printed or Typed Signature Subscribed and sworn to before me this_day of , 201_ (SEE ATTACHED JURAT) NOTARY PUBLIC NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: I. Long Beach Water Dept 1800 E. Wardlow Rd. , Long Beach, CA 90807 Name and Address of Public Agency Name and Telephone No. of Project Manager: Robert Verceles (562) 570-2337 I i T&M Basis on-call water & sewer repairs on-going Contract Amount Type of Work Date Completed 555 Ramirez St., Space 150-C 2. City of Los Angeles, Dept of General Services CFD Los Angeles. CA 90012 Name and Address of Public Agency Name and Telephone No. of Project Manager: Gia Pa (213) 473-7883 496,848 run new water & sewer lines anticipated 6/2011 Contract Amount Type of Work Date Completed f 3. City of National City 1243 National Cif Blvd. , National City, CA Name and Address of Public Agency Name and Telephone No. of Project Manager: Byron Wade (619) 244-3418 200,000 install 8" water main 3/2010 Contract Amount Type of Work Date Completed i C-11 Jurat State of California County of L(27� ,�,-f I�5 Subscribed and sworn to (or affirmed)before me on this J ^ day of WC., , 2011 by 1�q'qk proved to me on the basis of satisfactory evidence to be the person(s)who appeared before me. WUA,11A &I-Li, 0A'Lj"t1-- C- &0 �111111I l l i t l l ii#il;fir ✓ (Notary seal) ....r„•. © Signature ��.. gFr� tes ire5 OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM The wording of all Jurats completed in California after January 1,2008 must be in the form as set forth within this Jurat. There are no exceptions.If a Jurat to be completed does not follow this,form, the notary must correct the verbiage by using a jurat stamp containing the correct wording or attaching a separatejuratform such as this one which does contain proper wording. In DESCRIPTION OF THE ATTACHED DOCUMENT addition, the notary must require an oath or affirmation from the document signer regarding the truthfulness of the contents of the document. The BlA A t�/ n �n/�n �L document must be signed AFTER the oath or armation.If the document was (Title or description of attached document) previously signed,it must be re-signed in front of the notary public during the juratprocess. (Title or description of attached document continued) • State and County information must be the State and County where the document signer(s)personally appeared before the notary public. Number of Pages �— Document Date . Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the jurat process is completed. • Print the name(s)of document signer(s)who personally appear at the time of notarization. (Additional information) • Signature of the notary public must match the signature on file with the office of the county clerk. • 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 sufficient area permits,otherwise complete a different jurat form. Additional information is not required but could help to ensure this jurat is not misused or attached to a different document. Indicate title or type of attached document,number of pages and date. • Securely attach this document to the signed document 2008 Version CAPA 0.9.07 800-873-9865 www.NotaryClasses.com BID BOND BOND NO. 040 KNOW ALL MEN BY THESE PRESENTS, That we, CHARLES KING COMPANY,INC. as Principal, and FIRST NATIONAL INSURANCE COMPANY OF AMERICA a corporation authorized to transact a general surety business in the State of as Surety,are held and firmly bound unto CITY OF HUNTINGTON BEACH (hereinafter called the Obligee) in the full and just sum of TEN PERCENT OF-THE AMOUNT OF THE BID*************..*.... Dollars, ($ 10P*'** *`**'* )for the payment whereof in lawful money of the United States,we bind ourselves,our heirs,administrators, executors,successors and assigns;jointly and severally,firmly by these presents. WHEREAS,the said PRINCIPAL has submitted the accompanying bid for (1)CC1371 WATER MAIN EXTENSION,HOLBURN DR.FROM 91'TO 185'SOUTH OF MARGATE DR. (2)CC1378 WATER MAIN EXTENSION,SPRINGDALE ST.,MACHINE DR.TO 372'SOUTH OF MACHINE DR. (3)CCL408 WATER MAIN EXTENSION ON BEACH BLVD,AT WILLIAMS STREET NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid,or in the event of the failure of the Principal to enter such Contract, If the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect. Signed and Sealed this 9TH day of ,TUNE 2011 YEAR CHARLES KING COMPANY, INC. First National Insura a Company of America Sur B By. fl�L-1 Debr King — President Principal yan Mantle Attorney in-Fact t California All-Purpose Acknowledgement State of California} County of Los Angeles On f 3 / before me, Sarah Criscuolo ,a Notary Public personally appeared Debra King who proved to me on the basis of satisfactory evidence to be the person($(whose name(4 is/a* subscribed to the within instrument and acknowledged to me that Do/ �a+�,uu'u,a,,,, she/OWexecuted the same in l(s/her/tJ> authorized ,d`"C CRI$CO,."".� capacity(i&), and that by 1*/her/thAr signature(¢ on the instrument the person($(, or the entity upon behalf of which the person(o acted,executed the instrument: .._, = I certify under PENALTY OF PERJURY under the laws g ' _ of the State of California that the foregoing paragraph is true and correct. [+O Angeles ''''1�`�`i4,Ei�#i Say,,``` WITNESS my hand and official seal. AJ Notary Public Seal Notary Public Signature OPTIONAL Description of Attached Document Title or Type of Document: 10 ► G� Ut Document Date: Number of Pages: Signer(s)Other than Named Above: Capacity(ies) Claimed by Signer(s) op e e _ ❑Individual Thum'II(' �.rint ❑Individual ThumCorporate Officer: �I U- + ❑Corporate Officer: ❑Partner- ❑Limited❑General ❑Partner ❑Limited❑General ❑Attorney-in-Fact ❑Attorney-in-Fact ❑Trustee ❑Trustee ❑Guardian or Conservator ❑Guardian or Conservator Other: ❑Other: Signer is Representing: Signer is Representing: r r CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County Of Orange On ��`\ before me, Mary Martignoni - Notary Public Date Here insert Name and Title of the Officer personally appeared Ryan MantleName(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person whose name( is"subscribed to the within instrument and acknowledged to me that he/st executed the same in hi df authorized MARY MARTlGNpN! capacity pQ, and that by his7lj f signaturei j on the .� COMM. # 761259 instrument the person`() or the entity upon behalf of Q 'NOTARYPU13LIC-CALIFORNIA:l7 ORANGE COUNTY which the person acted, executed the instrument. MAMMA�Y Comm.Expires Sept.9,2011 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. Signal re Place Notary Seal Above Si lure of otary Public OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Ryan Mantle Signer's Name: ❑ Individual ❑Individual ❑ Corporate Officer—Title(s): ❑Corporate Officer Title(s): ❑ Partner—❑ Limited ❑General _ _ ❑Partner—❑Limited ❑General Attorney in Fact • 0 Attorney in Fact ° Top of thumb here Top of thumb here ElTrustee ❑Trustee ElGuardian or Conservator ElGuardian or Conservator ElOther: ❑Other: Signer Is Representing: Signer Is Representing: First National Insurance Company of America 02007 National Notary Association•9350 De Soto Ave.,P.O.Box 2402•Chatsworth,CA 91313-2402•www.Nationa]Notary.org ltem fl5907 Reorder call Toll-Free 1-t100-976-M7 , r . POWER First National Insurance Company of America 1001 4th Avenue t 11 1! OF ATTORNEY Suite 1700 Seattle,WA 98154 KNOW ALL BY THESE PRESENTS: No. 9018 That FIRST NATIONAL INSURANCE COMPANY OF AMERICA,a Washington corporation,does hereby appoint ********************** *****LES M.MANTLE-RYAN MANTLE;Fullerton, its true and lawful attorney(s)-in-fact, with full authority to execute on behalf of the company fidelity and surety bonds or undertakings and other documents of a similar character issued by the company in the course of its business,and to bind FIRST NATIONAL INSURANCE COMPANY OF AMERICA thereby as fully as if such instruments had been duly executed by its regularly elected officers at its home office. IN WITNESS WHEREOF,FIRST NATIONAL INSURANCE COMPANY OF AMERICA has executed and attested these presents this 21 st day of March 2009 Dexter R.Legg,Secretary Timothy A.Mikolajewski,Vice President CERTIFICATE Extract from the By-Laws of FIRST NATIONAL INSURANCE COMPANY OF AMERICA: "Article V, Section 13.-_FIDELITY AND SURETY BONDS ...the President,any Vice President,the Secretary,and any Assistant Vice President appointed for that purpose by the officer in charge of surety operations, shall each have authority to appoint individuals as attorneys-in-fact or under other appropriate titles with authority to execute on behalf of the company fidelity and surety bonds and other documents of similar character issued by the company in the course of its business...On any instrument making or evidencing such appointment,the signatures may be affixed by facsimile.On any instrument conferring such authority or on any bond or undertaking of the company, the seal, or a facsimile thereof, may be impressed or affixed or in any other manner reproduced: provided,however,that the seal shall not be necessary to the validity of any such instrument or undertaking." Extract from a Resolution of the Board of Directors of FIRST NATIONAL INSURANCE COMPANY OF AMERICA adopted July 28,1970. "On any certificate executed by the Secretary or an assistant secretary of the Company setting out, (i) The provisions of Article V,Section 13 of the By-Laws,and - (ii) A copy of the power-of-attomey appointment,executed pursuant thereto,and (iii) Certifying that said power-of-attomey appointment is in full force and effect, the signature of the certifying officer maybe by facsimile,and the seal of the Company maybe a facsimile thereof." 1, Dexter R.Legg Secretary of FIRST NATIONAL INSURANCE COMPANY OF AMERICA,do hereby certify that the foregoing extracts of the By-Laws and of a Resolution of the Board of Directors of this corporation, and of a Power of Attorney issued pursuant thereto,are true and correct,and that both the By-Laws,the Resolution and the Power of Attomey are still in full force and effect. IN WITNESS WHEREOF,I have hereunto set my hand and affixed the facsimile seal of said corporation this 9th day of June 2011 SpttAJlCf Co �aPop^yr��y� a SEAL J z i 1928 .� 3 �r 'ier �1� �� Dexter R.Legg,Secretary dye y�g .. S-1049/DF 3/09 • WEB PDF e� City ®f Huntington Beach 2000 Main Street ® Huntington Beach, CA 92648 (714) 536-5227 s www.huntingtonbeachca.gov Office of the City Clerk Joan L. Flynn, City Clerk July 8, 2011 E & R Construction, Inc. 5141 Calmview Ave. Baldwin Park, CA 91706 RE: CC-1371, 1378 & 1408—Water Main Extension Projects Enclosed please find your original bid bond for CC-1371, 1378 & 1408. On July 5, 2011, the City Council voted to reject all bids and authorize staff to re-advertise the project for a new bid opening on 2:OOPM, Monday July 18, 2011. Sincerely, Joan L. Flynn, CIVIC City Clerk J F:pe enclosure g;fl°696mP6i kPmnWmJmoid ao® Waitakere,New Zealand ------ 2011 J°UN 13 F 1 1: 55 E&R Construction Inc. General Engineering Contractor 5141 Calmview Ave, Baldwin Park, 91706 Lic. No. 449476 (626)-338-8405 Fax( 626)-960-7206 6NOT w SEALED BID CITY OF Huntington Beach CC1371 Water Main Extension, Holburn ®rive froslr>I 91' to 185' South of Margate Dr/ CC1378 Water Main extension Project, Springdale St, Machine Cr to 372' South of Machine Dr/ CC1408 Water Main extension on Beach B1, at Williams St r ID June 13, 11 , 2:90 pm 4 SECTION C PROPOSAL for the construction of 1. CC 1371 Water Main Extension,Holburn Drive from 91' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project,Springdale Street,Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard,at Williams Street in the CITY OF HUNI'INGTON 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 50 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. V R Ow 917oa 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 nuA and void. Accompanying this proposal of bid, find AD bftf).in the amount of$ 16 which said amount is not less than 10%of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or"Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Si tune gsm em enot Sze. ��99f/A�,9����gp..dlc��f^^�✓A���//f�l y+q ,{ C-2 vA 6i Oirb RA e4 ?!A0V PROJECT BID SCHEDULE CC 1371 tem sticrtate em w� :unit pricy atteade No uanti. written iri:vuQd�' tlmt''rie-e ::: ioun1 1 1 8"X 8"Hot Tap with Gate Valve EA @ AJov Dollars $ 7CO6 $ Cents Per EA 2 1 Chlorination and testing of all new water mains LS um Dollars $ 100y $ Ze�B O pCents Per LS 3 72 8"PVC DR14 Water Main LF Dollars $ 3S $ 9 7ZO Cents Per LF 4 14 6"PVC DR14 Water Main LF @ ONUe #,A-0A/14,-0 Dollars $ `06 $ NO 6 9 Cents Per LF 5 2 Construct V water service&3/4"meter assembly EA @ 1 lR�l�I'AcmSAAz rW d Ai o` Dollars $ 22,0P $ '4 q o o f r Cents Per EA 6 1 Construct 6"Gate Valve Assembly EA @ ?tCMa1A-A0 Dollars $ 5DOb $ 6000 Cents Per EA 7 1 Remove and dispose of existing AC Water Main LS A Dollars $ 100o ' Cents Per LS 8 2 Provide temporary potable water highline EA @ ONO- mm'S+4-" Dollars $ $ �Oa Cents Per EA 9 1 Mobilization ,� LS @yt � Dollars $ $ Cents Per LS 10 1 Demobilization and cleanup "� q LS @5� �! Dollars $ Cents Per LS v;e eows?i *6790'lZ. lWe. 5141 eAeMOXVAIS. C-3.1 VAeD%1.7&Pi4RX e,4 91706 PROJECT BID SCHEDULE CC 1371 unit: > :::::: ::::::::; :::::::::<::: :::::; > :X pde .........P.................... u�nti written«i:vuarii :. , n�t;t'riee' Al U ::. ........... 11 1 Traffic Control ,� LS (0 r� �""'� � Dollars $ � $ Cents Per LS Total Amount 1 in Figures: 0 0 _.____.Total Amount Bid in Words: �M,*S� _ ®dG(e s1� �� E&R en R*,&7*761X Me. 5141 a Sw C-3.2 TAeDWIMPARX eA 91706 ` PROJECT BID SCHEDULE CC 1378 Item. :: statna tem: unrt pact . .... APn kV. N0� QuaiaYit written i�i. brcL.. >L1nit:;Priee: kmoen1 1 1 Mobilization LS @ U��K+4 Dollars $ t7 $ 50 y Cents Per LS 2 1 Provide traffic control plan LS @ OPI� *&04 A,dJ Dollars $/b(9 U $ 100 O Cents Per LS 3 1 Provide traffic control n LS @ (�1G i Q SA-0 Dollars $ X)f� $ v®0 16 Cents Per LS 4 1 Fire hydrant assembly EA @ Q,Qt��AA Dollars $ $ 11000 Cents Per EA 5 1 Cut&plug and abandon existing 8-inch main LS Dollars $„30M $ S 0C)0 Cents Per LS 6 1 Chlorination and testing of all new water mains LS @ ®yT*M� kA*0 Dollars $ 100,6 $ 100 a �a Cents Per LS 7 1 Demobilization and cleanup LS @ tpo � � Dollars $ 06 $ Cents Per LS otal Amount Bid inFigures: .6 c)oo.d a ff .A otal Amount Bid in Words: �,r �'� rt. s , .. ) C-3.3 VAeDVM PARX e4 91706 PROJECT BID SCHEDULE CC 1408 item .....ated..:... tern w� u�t>t sect Nb (�uahti >. :written rc rd�' irit PrIee >Ait►oun 1 1 Mobilization ,, -�'�e /� LS @ t `w� (AA S k—,O Dollars $ 10906 $ 10066 Cents Per LS 2 1 Traffic Control m LS @ J+'�"�"IDy�SA Dollars $ $ Q0 y Cents Per LS 3 1 Permitting,including Caltrans double permit �, ,1 LS @ (.t(.l� ��'^� Dollars $ ✓�_'�`� $ �O D Cents Per LS 4 1 6-inch cut ti clin"valve assembly ' EA @ (; �+i- ��-°� Dollars $ K�/� rOU $ `�0b 6 Cents Per EA 5 2 8-inch cut in valve assembly l� EA @ r•0;;- TAOAW Q Dollars $ $ c' Cents Per EA 6 380 12-inch PVC DR18 Water PipeC LF @ 00"AI�' uo 1 h2 �t�? Dollars $ 13s, $ 51 300 Cents Per LF 7 50 8-inch PVC DR1pp8 Water Pipe LF @ Dollars $ $ Cents Per LF 8 1 Chlorination and testing of all new water mains LS @ Q 7A,0-"q*-D Dollars $ 8a $ 3®p (a. }1 Cents Per LS 9 1 Demobilization and cleanup r" LS @ pttt54-10 Dollars $ 410&) $ 4000 Cents Per LS otal Amount Bid toFigures: DO. f- T, otal Amount Bid in Words:�i 4d --------------------- --- -------------- �;�. -...... _...-----_------........=- ------=------..--_-- C-3.4 vwv Z pwM. eA 91706 PROJECT BID SCHEDULE TOTALS CC 1371, CC 1378, CC 1408 WATERMAIN REPLACEMENT PROJECTS 4( . Sub-Total Bid Schedule CC 1371 / o,o Sub-Total Bid Schedule CC 1378 5,OOo.y o Sub-Total Bid Schedule CC 1408 TOTAL BID AMOUNT, BASIS OF AWARD 2 (Sum of Schedules CC 1371, CC 1378, and CC 1408 TOTAL BID AMOUNT IN WORDS: Oat*ut" -S!4L*A0g4.t C) -�,l o�►J oC S d C -S Notes: All extensions of unit prices will be subject to verification by Owner. In case of a verification between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. 54R eDV I9d51� fi11e' C-4 5141 A11E V /`M Psi eX 91706 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. Portion Name and Address of Subcontractor State License Class of Work Number By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. EeR a *e7?tea. 'Me. C-5 ' VAtVWT&PARR eA 91706 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange (AW A. �a /ey , being first duly sworn, deposes and says that he &E=sW is ; �C S_ ✓ of n^c_ 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. 6i W-&Lf ayuh7 A by cAt t Name of Bidder Signature of Bidder s;/qt Wlmo'bM4t� Address of Bidder Subscribed and sworn to before me this day of: , 2011 . DONNA MICHELE SUSTAMANTE Comm.#1842576 rrn� e�d� S• NOTARY PUBLIC-CALIFORNIA V1 a COUNTY OF Los ANGELES MY Comm.Exp.MAR.29.2013 NOTARY PUBLIC vhaJ�.1v NOTARY SEAL E&R e7RWe7-7611� ale. C-6 514! OW4-/'9EV s$'!/,'. VAeOW PA;t . ew s i m 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 Water Main Extension Projects,Various Locations,Project Numbers CC 1371, CC1378, and CC1408, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Contractor 4A4 By �^ GGlt�t C��i�i Title Date: 13 V—rt"t 701/ C-7 514f O "€?v A11,. V P4RX eA 9/706 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury,the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes 4k<O If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. ^ire, C-8 5141 0Ae&-/'I5V,,M. VA4VV*7&;s4R'Ci ., 64 91706 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. Eze ewx - Contractor olxa5f By (W IlUAV. 6WAOI IL Title Date: 13Q1 e ZO h C-9 5141 e N"1 5V Ate. VA4VW-7&PARx. e.4 91706 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: e-&MUdm- Bidder Name ,5/,v( (-aK91I(1t A Business Address 4&r-0ajkA) &�-- 91761-- City, State Zip ( 1�4) 3s f—a V&S' Telephone Number State Contractor's License No. and Class Original Date Issued Expiration Date The work site was inspected by?— of our office on �� , 201( . The following are persons, firms, and corporations having a principal interest in this proposal: ASS APT,&--z C-la 5141 G,seA Ie*.-4VE b"A4. '7V'7I t'-rt%i'7. c'',4 91706 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. C� s� ac Compan a Signatu f Bid er Printed or Typed Signature Subscribed and sworn to before me this 6 day of J�ON ,2011 I . ROBERT DAVty LA Commission # 1919813 L Notary Public-California i Los Angeles County NOTARY PUBLIC My Comm. Expires Jan 1,2015 v NOTARY SE Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: Name and Address of Public Agency Name and Telephone No. of Project Manager: r/Owy Ito- CO G -. z '4,51W Contract Amount rL, Type of Work Date Completed 2. _( 6 a� &49Z&s, 1414 (Ni 5stcw ST 500 4?r 0 Name and Address of Public Agency Name and Telephone No. of Project Manager: "eit, &e 64 -q03 ''-1zf6 1 AS31 53 UJ /,#AAA)I�� 20 0) Contract Amount Type of Work Date Completed 3. & g —, 10 7 9A4 yAft AV 711 Name and Address of Public Agency Name and Telephone No. of Project Manager: OHM -3 99 Contract Amount Type of Work Date Completed C-11 VAeD2pM V,4 : e,4 V 706 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§1189 State of California (� County of bi-� R�C 6 On Dt� I13 11 t before me,'Ht)'�Y-fi V )Q-; C►Q/ Ph6 C Date 1 ` (� Here Insert \Name and Title of the Officer personally appeared �'1��AYYI 1 C11'Y?ri \ GN Y1 V\l �l'- Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the personas') whose name(S) is/are subscribed to the within instrument and acknowledged to me that he/she/tfney executed the same in his/her/t,Weir authorized capacity(io), and that by his/hdr/their signature(s) on the instrument the person( ), or the entity upon behalf of which the persono acted, executed the instrument. RORERT DAVILA I certify under PENALTY OF PERJURY under the Commission# 1919813 laws of the State of California that the foregoing Notary Public -California paragraph is true and correct. Z Los Angeles County D My Comm. Expires Jan 1,2o15+ WITNESS my hand and official seal. Signature: Place Notary Seal Above Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Numb e Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Sig s Name: ❑ Corporate Officer — Title(s): Corporate Officer — Title(s): [I Individual ❑ Individual ❑ Partner — ❑Limited ❑General Top of mb here ❑Partner — ❑Limited ❑General Top of thumb here ❑ Attorney in Fact ❑Attorney in Fact ❑ Trustee ❑Trustee ❑ Guardian or Conservat ❑Guardian or Conservator ❑ Other: ❑Other: Signer Is R resenting: Signer Is Representing: ©2010 National Notary Association•NationalNotary.org•1-800-US NOTARY(1-800-876-6827) Item#5907 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 E&R Construction,Inc. as Principal hereinafter called the Principal,and Ullico Casualty Company a corporation duly organized under the laws of the state of Delaware as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach as Obligee,hereinafter called the Obligee,in the sum of Ten percent of the total amount of the bid Dollars (S 1o% ), for the payment of which sum well and truly to be made,the said Principal and the said Surety, bind ourselves,our heirs, executors,administrators,successors and assigns,jointly and severally, firmly by these presents. WHEREAS,the Principal has submitted a bid for CC1371 Water Main Extension,Holbum Drive from 91'to 185'South of Margate Drive CC1378 Water Main extension Project,Springdale St,Machine Dr to 372 South of Machine Drive CC1408 Water Main extension on Beach BI,at Williams Street 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 fiunished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds,if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void,otherwise to remain in full force and effect. Signed and sealed this 9th day of June 2011 E&R Construction,Inc.. Witness Principal (Seal) By: 61•�tl(t>M NamelTitle Ullioo Casualty Company Y (Seal) Witness By' imothy D.Rapp tton1��y-in-Pact 5141 ems. .: VAeOVM e.4 91706 ACKNOWLEDGMENT State of California County of Orange ) On 06/09/2011 before me, Debra Swanson,'Notary Public (insert name and title of the officer) personally appeared Timothy D. Rapp who proved to me on the basis of satisfactory evidence to be the person(,)whose namew is/W subscribed to the within instrument and acknowledged to me.that he/sj a/icy executed the same in his/JdrftjI dir authorized capacity(, and that by his/per/t*r signatureW on the instrument the persono), or the entity upon behalf of which the persong)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. SSEALOF Th DEERA swANsoN WITNESS my hand and official seal. cupc� �r °� COMM.# 1822117 X NOTARY PUSUC-CALIFORNIA X r ORANGE COUNTYCn My Corrrn.Expires NOV 10,2012 Signature. � � � �� (Seal) 5141+L°s4MMEW AfI jA ;PAR . eA 917O6 S ULLICO Casualty Company 1625 Eye Street,N.W.Washington D.C.20006 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS: That ULLICO CASUALTY COMPANY(the Company),a corporation organized and existing under the laws ofthe State of Delaware,does hereby constitute and appoint:Linda D.Coats,Matthew J.Coats,Douglas A.Rapp,&Timothy D.Rapp of Coats Surety Insurance Services,Inc. Its true and lawful Attorney(s)in fact with full authority to execute on its behalf bonds,undertakings,recognizances and other contracts of indemnity and writings obligatory in the nature thereof,issued in the course of its business and to bind the Company thereby,in an amount not to exceed$5,000,000.00. This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of ULLICO Casualty Company at a meeting duly called the 15th day of July,2009. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company to: (1) Appoint Attomey(s)in Fact and authorize the Attomey(s)in Fact to execute on behalf of the Company bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto;and(2)to remove,at any time,any such Attomey-in-Fact and revoke the authority given. And,be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile,and any such Power of Attomev so executed and certified by facsimile signatures and facsimile seal shall be valid and biding upon the Company in the future with the respect to any bond or undertaking to which it is attached. IN TESTIMONY WHEREOF, ULLICO CASUALTY COMPANY has caused this instrument to be signed and its corporate seal to be affixed by its authorized office this 16th day of July,2009. LJ.._ Daniel Aronowitz f President ULLICO Casualty Company,a Delaware Corporation. On this 16th day of July 2009,before me came the individual who executed the preceding instrument,to me personally known,and being by me duly swom said that ne is'he therein described and authorized officer of the ULLICO CASUALTY COMPANY;that the seal affixed to said instrument is the Corporate seal of said Company;that the said Corporate Seal and his signature were duly affixed. .... CATNERINE M.OBRiEN NOTARY PUBLIC STATE OF MARYLAND MONTGOMERY COUNTY MY COMMISSION EXPIRES JANUARY 21,2012 CERTIFICATE I,Teresa E.Valentine,Senior Vice President,General Counsel and Secretary of ULLICO Casualty Company,do herby certify that the foregoing resolution of the Board of Directors and this Power of Attorney issued pursuant thereto on this 9th day of__:June , 20.11_are true and correct and are still in full force and effect.I do further certify that that Daniel Aronowitz,who executed the Power of attorney as President,was on the date of execution of the attached Power of Attorney the duly elected President of ULLICO Casualty Company, In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this 9th day of June 20 11 . Teresa E.Valentine Senior Vice President,General Counsel&Secretary ULLICO Casualty Company Ear eoyts��c��ox 51err eAeN"57VA11E. VAeM d P4R5z� eA 9l706 v. W E&R Construction Inc. General Engineering Contractor 945 Wellington Rd. San Dimas, CA. 91773 a Lic• No. 449476 an W @D (626)-338-8405 " Fax(626)-960-7206 Completed Contracts Owner. Kind of Work Location Contact Contract Value Completed Dispute Comstock Homes S/W/SD/U Pico Rivera Mike DeGiovoni 310-546-5781 ext 216 $ 651,700.00 2008 NO Comstock Homes S/W/SD/U Santa Fe Springs Mike DeGiovoni 310-546-5781 ext 216 $ 5,444,772.00 2008 NO Dre fuss Construction S/ W/SD San Gabriel John Klabau 310-902-6519 $ 344,000.00 2008 NO Sequel Contractors S/SD Burbank Tom Pack 562-802-7227 $ 347,000,00 2007 NO WF Construction S/W/SD Rancho Cucamonga Jim Mohehan 909-599-4262 $ 595,000.00 2008 NO WF Construction S/W/SD Chino Hills John Grad 909-599-4262 $ 1,039,900,00 2007 NO sub toSe uel Contractors S/W/SD San Clemente Tom Pack 562-802-7227 $ 1,750,000.00 2009 NO City of Claremont SD Claremont Maria Tipping 909-399-5465 $ 29,600.00 2009 NO sub toSe uel Contractors W/SD Anaheim Tom Pack 562-802-7227 $ 347,000.00 2009 NO Pan Construction W Monterey Park Paul Shih 626-285-0888 $ 250,000.00 2009 NO Ciene a Estates Dry Utilities San Dimas Allan Alt 310-281-3250 $ 850,000.00 2009 NO Pan Construction W Rollin Heights Paul Shih 626-285-0888 $ 450,000.00 2009 NO Fox Group SD La Verne Bill Fox 909-920-9962 $ 75,000.00 2009 NO City of Arcadia W Arcadia Tiffany Lee 626-256-6554 $ 13,812.16 2010 no City of Arcadia W Arcadia Tiffany Lee 626-256-6554 $ 1,600.00 2010 no City,of Arcadia W Arcadia Tiffany Lee 626-256-6555 $ 16,150.00 2010 no City of South Pasadena W South Pasadena Gabriel Nevarez 626-403-7248 $ 126,831.53 2010 no City of Arcadia W Arcadia Tiffany Lee 626-256-6555 $ 263,563.40 2010 no E&R Construction Inc. General Engineering Contractor 945 Wellington Rd. San Dimas,CA. 91773 Lic:No.449476 (626)-338-8405 Fax(626)-960-7206 CORPORATE RESOLUTION UPON A'MEETING OF THE BOARD OF DIRECTOR OF E &;R CONSTRUCTION INC IT IS HEREBY RESOLVED THAT THE FOLLOWING OFFICERS MAY SIGNED DOCUMENTS FOR THE CORPORATION FOR THE REASON OF COl1 MITING THE CORPORATION TO CONTRACTS AND BID DOCUfl ENTS FOR OBTAINING WORK FOR THE`CORPORATION. Russell Conroy, President Leah Diane Conroy,Vice President William Carney Jr, Secretary Signed this 6th day of J e, 2006. Russell Conroy, director Leah Pipne Conroy, ctor William rney Jr or evxs?R*e717671. 47w• 5141 e,4,eft-?i EW 041'15- vAeD 9,1;>Azt�, eA 91704 � City Of Huntington Beach - - 2000 Main Street ® Huntington Beach, CA 92648 (714) 536-5227 ® www.huntingtonbeachea.gov ` Office of the City Clerk ' Joan L. Flynn, City Clerk July 8, 2011 Garcia Juarez Construction, Inc. P. O. Box 309 Brea, CA 92822-0309 RE: CC-1371, 1378 & 1408—Water Main Extension Projects Enclosed please find your original bid bond for CC-1371, 1378 & 1408. On July 5, 2011, the City Council voted to reject all bids and authorize staff to re-advertise the project for a new bid opening on 2:OOPM, Monday July 18, 2011. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure 980§Wp t �bq do® Waitakere,New Zealand 21 City of Huntington Beach 2000 Main Street Huntington.Beach, CA 92648 Project: CC 1371 Water Main Extension CC 1378 Water Main Extension & CC1408 Water Main Extension Bids: June 13, 2011 @ 2:00 PM SECTION C PROPOSAL for the construction of 1. CC 1371 Water Main Extension,Holburn Drive from 91' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project,Springdale Street,Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard, at Williams Street 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 50 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 Bd,d in the amount of$ 16-F which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or"Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 PROJECT BID SCHEDULE CC 1371 stiitiat....... ...............v►`>�t...>ttn�t:pt ci. ... »:=>:: >: a�ten e:.::: .N......Quanh. . ............ . . ......::...written in we rd�.:::::::::....... ...... . .... ......... TT�iit 1 1 8"X 8"Hot Tap with Gate Valve EA @ T�IX ���a1JV Dollars $ ©04>. $ 6 d 60 — Cents Per EA 2 1 Chlorination and testing of all new water mains S LS @ IC Ale,Ile. �/VQ� Dollars $ ©.' $ o o Z&,4r© Cents Per LS 3 72 8"PVC DR]4 Water Main A ti,V4,t �c sever'*y five - LF z, 7 S. 9 P D. @/y W® Dollars $ $ / � Z��O Cents Per LF 4 14 6"PVC DR14 Water Main LF @T �Q Of� ��/V�IQ��I `/11�/V Dollars $ I �, $ 6j Z e'k(3 Cents Per LF 5 2 Construct l"water service&3/4"meter assembly/ EA @ �j� �<'�/V�/1 Dollars $ d 40, $ �4®. Cents Per EA 6 1 Construct 6"Gate Valve Assembly EA @ �,/�s / �Gl Q►�i/� Dollars $ Z_49::_;' Cents Per EA 7 1 Remove and dispose of existing AC Water Mai LS @ Q/VQi A ti �l Dollars $ 1 a $ B O Z e_&D Cents Per LS 8 2 Provide temporary potable water hig�rhline EA @ 7(I✓6 7110 Dollars $ ` 0 Ze Cc Cents Per EA 9 1 Mobilization -�j� LS @ rAA1 / !�t 0 K�QA// Dollars $ Z��0• $ z,d 13D. 0 Cents Per LS 10 1 Demobilization and cleanup LS @ O/V G- 7V-L®H fla 4. Dollars $ ��®®� �, Cents Per LS C-3.1 PROJECT BID SCHEDULE CC 1371 tetiT� st><i►�ate tet�iwviz 't�n�f: ::.:::::::::::......:::......::::: : .. ::::::: It e:.:::: ...........I.........................P ...... .................. ................. ................. ..................... ................. :Nb.:: :::. i i6dty::::-: rittena :wardz:: ::::::::.:TJ i :price:::::: :::Amaitrii:;:::: 11 1 Traffic Control / -l LS @ gAf& �l�/�ry/�f2 _Dollars $ I O o. $ Z ems'o Cents Per LS 'fotal Amountt inFigures: 2 0 -- Total Amount Bid in Words: e- o w -rive y C-3.2 PROJECT BID SCHEDULE CC 1378 tei»- state' tertc vtt ':un�f:p> ci:: >. t€eii .. .....................I—......... .... ............. ::::::::::�i�itte�i:i�iivt�rd......................... 1 1 Mobilization LS @ -1j_A®u,r A N!�( Dollars Z M10 Cents Per LS Z 1 Provide traffic control plan �/ .A LS @ d/V 0 �ho �/� S a&4 Dollars Z (a'' Cents Per LS 3 1 Provide traffic control LS @ 6&0_ A Dollars $ $ Z—e. Cents Per LS 4 1 Fire hydrant assembly EA @ If I- e, No U5 tiV Dollars $ ��t900 Z e_,eo Cents Per EA 5 1 Cut&plug and abandon existing 8-inch main LS @ 6�� .�/ ICP�/(��(�[Q�Dollars $ �® $ �•QBQ• Cents Per LS 6 1 Chlorination and testing of all new water mains LS @ a oe ! /(QUY:;QA Dollars $ $ Z 40 le t-Y Cents Per LS 7 1 Demobilization and cleanup J LS @ 01V& 7��DUS'q�yd► Dollars $ I,ov-o Z e,kA Cents Per LS Total Amount i inFigures: Total Amount Bid in Words: Zle C-3.3 PROJECT BID SCHEDULE CC 1408 :. ei►�::..stiitiate.:: :::::::::....... teni:Ott.: 44#-.-.V'0 i. ::: ::::::.................. f... .. .::: ._...................... _........ .......... ....... ..... :: Io.: a�pFity :::::::::::; ;::: v. �tten.i...wards::.:::: . .... i : .......::::............... 1 1 Mobilization lf LS @ ©0� ��\��If q W(� Dollars $ I,4DQ, $l aDO. 7�G Cents Per LS 2 1 Traffic Control `�'` LS @ / Dollars $ �i ©� $ Z'e't 'l Cents Per LS 3 1 Permitting,including Caltraan/ns double permit a LS @ ('� ��10N �p3�Q� Dollars $ $ Z ODC:1 Z �_D Cents Per LS 4 1 6-inch cut in valve assembly / EA @ S /}C 7 //Wt l s'0(.*VW Dollars $ (C+,®d D $ (p,000 ZCents Per EA 5 2 8-inch cut in valve assembly EA @ 4 A t/A0'(4.5&1P01 Dollars $ �f�006 $ ®®O Z.49—ea Cents Per EA 6 380 12-inch PVC DR18 Water Pipe LF @ owe- hk1VAte' �0 5AV,6/V Dollars $ $ _ ® Cents Per LF 7 50 8-inch PVC DRl/8 Water Pipe / /� �j-y LF @0I18. �I�IN��PD� S�'VP�/✓t� 'f'�Doolllars $ � 7 5,� $ O s/ c5. 7 O_p nJ Cents Q Per LF 8 1 Chlorinatti-o_n a-nd testing of all new water mai LS @ / �✓Q O 14,,0011(J Dollars $ ��060,$ Cents Per LS 9 1 Demobilization and cleanup LS @ �k/(% / /10 t f_5,jA1,4 Dollars $ Z,DD� $ G. pap ZCents Per LS Total mount Bid InFigures: ,$ Total Amount Bid in Words: eVI 4% p e� y do Ilaks C-3.4 PROJECT BID SCHEDULE TOTALS CC 1371, CC 1378, CC 1408 WATERMAIN REPLACEMENT PROJECTS Sub-Total Bid Schedule CC 1371 S S Z ©. — Sub-Total Bid Schedule CC 1378 q � Sub-Total Bid Schedule CC 1408 TOTAL BID AMOUNT, BASIS OF AWARD �i (Sum of Schedules CC 1371, CC 1378, and CC 1408 5 �� a 70' TOTAL BID AMOUNT IN WORDS: o -(t'41--v ftnep w04 Notes: All extensions of unit prices will be subject to verification by Owner. In case of a verification between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-4 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 $1.0,000, whichever is greater, and the portion of the work to be done by such subcontractor. Portion Name and Address of Subcontractor State License Class of Work Number --J 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-5 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange being first duly sworn, deposes and says that he or she is Proms a��� r- of Garcia Juarez Construction In e 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. Garci uar z Construction Inn 4idderSi Po, gm ( 30� �<-e Address of Bidder Subscribed and sworn to before me this /3 day of u ne , 201 1 LEON NOPIEGA 1.OPEZ a COMM.#1907501 9 ¢ NOTARY PUBLIC-CALIFORNIA RIVERSIDE COUNTY My Comm.Expires Oct.9,2014 NOTARY PUBLIC , NOTARY SEAL C-6 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 Water Main Extension Projects,Various Locations,Project Numbers CC 1371, CC1378, and CC1408, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Co ract r By Title Date: E f3 // C-7 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury,the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? � ❑ Yes Ur 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-s COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861'of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Gar ' Juare Cos One- Co or By Title Date: ! I C-9 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Garcia Juarez Bidder Name Construction Inc. P.O. Box 309 Brea, CA 92322-0309 Business Address City, State Zip (q,5i ) 6-57 - 35? 5 Telephone Number IRy9yo A State Contractor's License No. and Class C7-- ?-cam�f Original Date Issued OC-�- -o (2 Expiration Date The work site was inspected by � !J—a cA� of our office on 201 . The following are persons, firms, and corporations having a principal interest in this proposal: Garcia Juarez Construction Inc. C-10 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. Gars• jucire Construction inc. Co any a e Signature i der _ - fr' Printed or Typed Signature Subscribed and sworn to before me this /3 day of ���✓` , 2 LEON NORIE0A LOPEZ COMM.#1907501 NOTARY PUBLIC-CALIFORNIA RIVERSIDE COUNTY My Comm.Expires Oct.9,2014 NOTARY PUBLIC NOTARY SEAL' Listed below are the names, address and telephone numbers for three public agencies-for which the bidder has performed similar work within the past two years: l. 4#-G-C,4� Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed C-11 5/13/11 GARCIA,ICAREZ CONSTRUCTION,, INC. Contract References City of Inglewood, $245,500 "Sewer System Point Repairs" Contact: Mr. Brian Ball (310) 901-4631 Start: April 'I I - Complete: In Progress Project Summary: 52 Sewer point repairs with 8" & 10" VCP City of Huntington Beach, $392,420 "Gravity Sewer" Contact: Mr. Joe Dale (714) 536-5915 Start: February 'I I - Complete: In Progress Project Summary: 580' of 8" PVC, Siphons, Flat Work, Paving City of Rancho Cucamonga, $5,786,474 "Hellman Avenue Storm Drain" Contact: Mr. Romeo David (909) 477-2740#4070 Start: August'10 - Complete: In Progress Project Summary: 5186' of 114" to 90" RCP, Catch Basins, Paving City of Huntington Beach, $228,034 "Garfield Waterline" Contact: Mr. Eric Charlonne (714) 536-5430 Start: January '11 - Complete: February '11 (on time) Project Summary: Pipe Burst 12" Pipe City of Fullerton, $420,059 "Grandview Sewer" Contact: Mr. Eric Villagracia(714) 738-6853 Start: Oct'10 - Complete: Dee 'l0(on time) Project Summary: 1336' of 8" PVC, Street Reconstruction& Paving City of Fullerton, $253,270 "Commonwealth Storm Drain" Contact: Mr. Pete Acosta(714) 732-9060 Start: October '10 - Complete: December'10 (on time) Project Summary: 843' of 30" 18" RCP, Catch Basins City of Fullerton, $646,280 "Lois Lane Water/Sewer" Contact: Mr.Noah Hernandez (714) 606-4336 Start: July '10 - Complete: November'l0 (on time) Project Summary: 2800' of water/sewer, AC Paving City of Fullerton, $1,552,871 "Drake/Brea Creek Sewer Improvements" Contact: Mr. Pete Acosta(714) 732-9060 Start: April '10 -Complete: September'10 (on time) Project Summary: 5500' of 8" VCP, AC Paving City of San Clemente, $504,874 "Del Cabo Waterline Improvements" Contact: Mr. Greg Deist(949) 337-3139 Start: March '10 - Complete: June 'l0 (on time) Project Summary: 3500' of 10" & 8" PVC, Services City of Huntington Beach, $864,834 `Blufftop Beach Improvements" Contact: Mr. Eric Charlonne (714) 536-5430 Start: December '09 - Complete: July'10 (on time) Contact: Mr. Duane Wentworth(714) 536-5517 Project Summary: 9000' of 3" PVC, Retaining Walls, AC Bike Path 5/13/11 Helix Water District, $809,014 "Pipeline Project 1818" Contact: Mr. Jim Tomasulo (619) 596-1317 Start: December '09 - Complete: June '10 (on time) Contact: Mr. Greg Gibbs (619) 873-5670 Project Summary: 7200' of 8" PVC, Hi-line, AC Paving City of Lynwood, $289,983 "Waldorf Watermain" Contact: Mr. Mario Soto (310) 628-2695 Start: February '10 - Complete: March'10 (on time) Project Summary: 1080' of 8" DIP, Street Overlay City of Huntington Beach, $745,801 "Bayview Drive Watermain Replacement" Contact: Mr. Ruben Rosales (714) 318-4811 Start: October '09 - Complete: March '10 (on time) Project Summary: 1367' of 8" PVC, Services, Dewatering City of Fountain Valley, $1,029,629 "16 - Transmission Main" Contact: Mr. Mike.Green(714) 593- 4607 Start: August '09 - Complete: February 10 (on time) Contact: Bob Kellison(714) 593-4601 Project Summary: 3117' of 16" CML & C Steel Pipe, AC Paving City of Fullerton, $567,760 "Carhart Storm Drain" Contact: Mr. Eric Villagracia(714) 738-6853 Start: August '09 - Complete: October'09 (on time) Project Summary: 1924' of 24" & 18" RCP, Catch Basins, AC Paving Monte Vista Water District, $385,773 "Rose Avenue Pipeline" Contact: Mr. Gil Martinez (909) 210-5330 Start: July '09 - Complete: November '09 (on time) Project Summary: 1435' of 6" DI Pipe, AC Paving, Pressure Relief Station City of Highland, $755,246 "Warm Creek Storm Drain" Contact: Mr. George Herold(909) 234-1001 Start: June '09 - Complete: September'09 (on time) Project Summary: 301 F of 48" to 18" RCP, Manholes, Catch Basins, AC Paving City of Fullerton, $1,266,873 "Gregory/Chapman Area Sewer" Contact: Mr. Pete Acosta(714) 732-9060 Start: April '09 - Complete: September'09 (on time) Project Summary: 4176' of 8" VCP, 630' of Pipe Bursting, 2796' TNS of AC Paving Los Angeles County Dept. of Public Works, $136,475 "Los Cerritos Drainage System" Contact: Mr. Victor Bermudez(626) 688-8275 Start: May '09 - Complete: June '09 (on time) Project Summary: Restoration and Repair of Existing Concrete Channel RY Engineering, $207,466 "Will Rogers State Park" Contact: Mr. Raffie Yeremian (818) 480-8966 Start: February '09 - Complete: May '09 (on time) Project Summary: Exterior Fire System, 500' of 6" PVC RY Engineering, $298,000 "Arbor Terrace Apartments" Contact: Mr. Raffle Yeremian (818) 480-8966 Start: Dec. '09 - Complete: February '09 (on time) Project Summary: 818' of 12" PVC, Services, Reinforced Storm Drain Structure, Sewer Main w ' 5/13/11 Golden Rain Foundation, $257,495 "Trust Street Paving Program" Contact: Mr. Kevin Black(562) 431-6586 Start: October '08 - Complete: January '09 (on time) Project Summary: AC Paving, Flat Work City of Fullerton, $1,586,838 "Carhart Area Sewer" Contact: Mr. Noah Hernandez (714) 606-4336 Start: February '09 - Complete: June '09 (on time) Project Summary: 7767' of 8"VCP, 2600 TNS of AC Paving, 341' of Pipe Bursting Los Angeles County Dept. of Public Works, $339,180 "Mountain Avenue" Contact: Mr. Leo Lopez (626) 607-7579 Start: March '09—Complete: April '09 (on time) Project Summary: 1650 TNS of AC Paving, Flatwork City of Anaheim, $392,018 "La Palma Sewer Improvements" Contact: Mr. Greg Solberg (714) 231-4696 Start: November '08 - Complete: March '09 (on time) Project Summary: 972' of 12 VCP, OCSD Manhole, Paving Los Angeles County Dept. of Public Works, $1,773,356 "Puddingstone Dam Waterline" Contact: Mr. Jose Ontiveros (626) 476-4894 Start: October '08 - Complete: April '09(on time) Project Summary: 6000' of 10" and 6" Fusion Bonded Steel Pipe City of Anaheim, $572,821 "Citron Avenue Sewer" Contact: Mr. Sean Razmy (714) 765-5059 Start: December '08 —Complete: February '08 (on time) Contact: Mr. Dave Elseroad (714) 765-5293 Project Summary: 2100' of 12" and 10" VCP, 90, OOOSF of AC Paving Los Angeles County Dept. of Public Works, $229,914 "Choisser Street Drain" Contact: Mr. Victor Bermudez (626) 688-8275 Start: Sept. '08 - Complete: October '08 (on time) Project Summary: 405' of Pre-cast Box and Elliptical RCP, Transition Structures Los Angeles County Dept. of Public Works, $821,465 "Elford Drain and CDR 524" Contact: Mr. Jose Ontiveros (626) 476-4894 Start: August '08 - Complete: September '08 (on time) Project Summary2450' of 36" and 30"RCP, Manholes, Catch Basins, AC Paving Los Angeles County Dept. of Public Works, $563,616 "Colima Road Drain" Contact: Mr. John Lovrensky (626) 607-7582 Start: July '08—Complete: September '08 (on time) Project Summary: 1208' of 48"and 30"RCP, Manholes, Catch Basins, AC Paving Orange County Water District$68,000 "Burris Pipeline" Contact: Mr. Chris Olsen(714) 514-9028 Start: July '08 - Complete: August '08 (on time) Project Summary: 200' of 36" CML &C Steel Pipe City of Tustin$384,104 "Sycamore Avenue Storm Drain" Contact: Mr. Tom Murphy (714)573-3167 Start: June '08 - Complete: August '08 (on time) Contact: Mr. Terry Lutz (714) 573-3263 Project Summary: 628' of 30" and 24" RCP, 205' of 8" DIP, Street Replacement 5/13/11 Inland Empire Utilities Agency, 51,036,060 "Etiwanda Recycled Waterline" Contact: Mr. Mike Long (909) 773-2610 Start: April '08 - Complete: July '08 (on time) Project Summary: 1768' of 42" CML&C Steel Pipe, Paving, Testing City of Anaheim, $2,153,755 "Anaheim Hills Road Transmission Main" Contact: Mr. Manny Briones (949) 466-6701 Start: January '08 - Complete: May '08 (on time) Contact: Mr. John Lamar (714) 765-4591 Project Summary: 3509' of 30" CML&C Steel Pipe, Paving, Slurry Seal City of Ontario, $1,533,759 "Recycled Water Pipeline Project" Contact: Mr. Fernando Cobos (909) 395-2695 Start: February '08 - Complete: August '08 (on time) Project Summary: 8003' of 12" and 8" Steel and PVC Pipe, AC Paving City of Rancho Palos Verdes, $102,259 "Point Vincent Trail Repair Project" Contact: Ms. Bindu Vaish(310) 544-5254 Start: May '08 - Complete: July '08 (on time) Project Summary: Rehabilitate Trail and Handrail Along Slope City of Anaheim, $1,020,260 "Lincoln Avenue Sewer" Contact: Mr. Jay Kalan (714) 369-2081 Start: June '07 - Complete: September '07 (on time) Contact: Mr. Sean Razmy (714) 765-5059 Project Summary: 3255' of 15"and 10" VCP, Manholes, Paving Los Angeles County Dept. of Public Works, $174,074 "CMP Replacement Project" Contact: Mr. Jose Ontiveros (626) 476-4894 Start: Aug '07 - Complete: Sept '07 (on time) Project Summary: 595' of 24" and 18"RCP, Catch Basins, Paving City of Rosemead, $749,507 "Street, Storm Drain, and Street Lighting" Contact: Mr. Tom Harbour(417) 770-2898 Start: March '07 - Complete: June '07 (on time) Project Summary: 801' of 24" RCP, 876' of Street Lighting Conduit, Street Replacement City of Rancho Palos Verdes, $399,234 "Forrestal Swale Drainage Improvements" Contact: Ms. Bindu Vaish(310) 544-5254 Start: December '06 - Complete: February '07 (on time) Contact: Mr. Jim Pugh(805) 602-0891 Project Summary: 350' of 24" HDPE Pipe, Pipe Anchors, Slope Rehablilitation County of Orange, $6,168,750 "O'Neill Park Sewer Conversion" Contact: Mr. Rick Allen(714) 448-8552 Start: October '06 - December '07 (on time) Project Summary: 12,594' of 8"PVC and DIP, T-lock Manholes, Wet Well Lift Station($835K) City of Huntington Beach, $4,638,222 "OC-9 Water Transmission Main" Contact: Mr. Mike Hitt(714) 292-2140 Start: December '05 - Complete: March '07 (on time) Project Summary: 12,152' of 24" DIP, Siphons, Blow-offs, Air-Vacs Los Angeles County Dept. of Public Works, $455,581 "Ditman Avenue Storm Drain" Contact: Mr. Johnny Oghoorian(626) 607-7587 Start: Jan '07 - Complete: Feb '07 (on time) Project Summary: 926' of 48" and 24"RCP, Catch Basins, Manholes, Paving 5/13/11 City of Fullerton, $1,987,032 "Lemon-Rosslynn Sewer" Contacts: Mr. Eliseo Bravo (714) 932-7506 Start: July '06 - Complete: Oct'06 (on time) Contacts: Mr. Murdock Miralaie (714) 595-6720 Project Summary: 5537' of 21" and 8"VCP, Manholes, Jack 42" Casing, Paving Western Municipal Water District, $475,594 "Wood Road Irrigation Pipeline" Contact: Mr. Greg Alexander(951) 7.12-6566 Start: Dec '05 - Complete: Jan '06 (on time) Project Summary: 2888' of 12"-PVC, Blow-offs, Air-Vacs, Paving Golden Rain Foundation, $139,265 "Perimeter Wall Project, Section G&H" Contact: Mr. Carlos Martinez (562) 431-6586 (#371) Start: Dec '05 - Complete: Jan '06 (on time) Project Summary: 3127' of Perimeter Block Wall Los Angeles County Dept. of Public Works, $2,147,168 "Kenneth Hahn Storm Drain" Contact: Mr. Mark Bruschaber (818) 370-3881 Start: Nov '05 - Complete: July '06 (on time) Project Summary: 461' of Tunnel for 60"RGRCP, Jack 432' of 42"RGRCP, Soil Remediation City of Huntington Beach, $230,865 "Residential Storm Drain" Contact: Mr. Jeff Gibbons (714)401-5008 Start: Sept '06 - Complete: Oct '06 (on time) .Project Summary: Flat Work, Paving, Cross Gutters, Ped Ramps City of San Clemente, $1,066,744 "Calle Las Bolas Storm Drain" Contact: Mr. Gary Voborsky (949) 279-9730 Start: May '05 - Complete: Aug '05 (on time) Project Summary: 2148' of RCP, 1369' of 8" PVC (Water), Catch Basins, Manholes, Paving Los Angeles County Dept. of Public Works, $493,082 "112th Street Replacement" Contact: Mr. Joe Baker(562) 405-5715 Start: Aug '05 - Complete: Sept '05 (on time) Project Summary: Street Replacement, Flat Work, AC Paving City of Palos Verdes Estates, $77,500 "Beach Club Access Retaining Wall" Contact: Mr. Jim Pugh(805) 602-0891 Start: Sept '05 - Complete: Oct '05 (on time) Project Summary: Reinforced Concrete Piles for Retaining Wall County of Orange, $189,479 "Federal Storm Channel" Contact: Mr. Rick Allen(714) 448-8552 Start: Nov '05 - Complete: Nov '05 (on time) Project Summary: Reinforced PCC Channel Lining Los Angeles County Dept. of Public Works, $179,915 "Private Drain 996 (Victoria St.)" Contact: Mr. Rene Bracamontes (310)487-9254 Start: Jun '05 - Complete: Jul '05 (on time) Project Summary: 6'W X 24"H DBL RCB Channel, Transition Structure The Guarantee Company of North America USA 25800 Northwestern Highway, Suite 720, Southfield, MI 48075 BID BOND BOND NO. n/a KNOW ALL MEN BY THESE PRESENTS, That we, Garcia Juarez Construction, Inc. as Principal, and The Guarantee Company of North America USA, a corporation duly organized under the laws of the State of Michigan, as Surety, are held and firmly bound unto City of Huntington Beach as Obligee, in the sum of Ten percent of amount bid ($ 10%of Bid Amount ) Dollars for the payment of which Principal and Surety bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally. WHEREAS, Principal has submitted a bid for Water Main Extensions the Project. NOW, THEREFORE, if the Obligee accepts the bid of the Principal and the Principal enters into a Contract with the Obligee for the Project; or, if the Principal pays the Obligee the amount of this Bond or the difference between Principal's bid and the next lowest bid for the Project, whichever is less: this obligation is null and void, otherwise to remain in full force and effect. Signed and sealed this 8th day of June 2011 rcia u rez onstruction, Inc. _ BY: (Witness) Principal ITS: The Guarantee Company of North America USA BY: William Attorney-In-Fact CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Riverside I , Leon Lopez,Notary On,l u.�e 13, 2 O/ before me p ry Public paw Here insert Name and Title of the Officer personally appeared Jim Jackson Name(s)of Sigrter(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/sheAhey executed the same in his4wAh&authorized capacity(), and that by his/hefAheif signatures}on the instrument the person(*, or the entity upon behalf of which the person*acted, executed the instrument. LEON NORIEGA LOPEZ I certify under,PENALTY OF PERJURY under the laws d, comm.#1907501 of the State of California that the foregoing paragraph is NOTARY PUBLIC-CALIFORNIA true and correct. RIVERSIDE COUNTY My Comm.Expires Oct.9,2014 WITNESS my han official seal. Signature Place Notary Seal Above USignature of Notary Public OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description.of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s)Other Than Named Above: Capacity(ies)Claimed by Signer(s) Signer's Name: Jim Jackson Signer's Name: ❑ Individual ❑ Individual M Corporate Officer—Title(s): President&Secretary ❑Corporate Officer—Title(s): Partner—❑Limited ❑General , 101 Partner—❑Limited ❑General ❑ Attorney in Fact ❑Attorney in Fact • El Trustee Top of thumb here ❑Trustee Top of thumb here Guardian or Conservator ❑Guardian or Conservator Other: ❑Other: Signer Is Representing: Signer Is Representing: Garcia Juarez Construction,Inc. 02007 National Notary Association-9350 De Soto Ave..P.O.Box 24o2-Chatsworth,CA 91313-2402-www.NafonalNotary or9 item N5907 Reorder Call ToH-Free 1-800-876-6827 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Orange On 06/08/2011 before me, A.Wilkison,Notary Public , Date - Here Insert Name and Title of the Officer personally appeared William.Syrkin Names)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(&°) whose name(G) istam subscribed to the within instrument and acknowledged to me that A.wILIQSON�� hehaheftey executed the same in hisl4efift&authorized Commission# 1866283 capacity(i ), and that by hisAwm4hew signature(4 on the c Notary Public-California z instrument the person(, or the entity upon behalf of Orange Count D 9 y which the person(&'pacted, executed the instrument. My Comm.Expires Sep 26,2013 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. 1 Signature Place Notary Seal Above p/ Signature of Notary Public OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Bid Bond Document Date: 06/08/2011 Number of Pages: One(1) Signer(s)Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: William Syrkin Signer's Name: 11 Individual D Individual Corporate Officer—Title(s): l]Corporate Officer—Title(s): Partner—❑ Limited 0 General Ci Partner 0 Limitedi General p Attorney in Fact MGM =i Attorney in Fact Trustee Top of thumb here ❑Trustee Topbf thumb here Guardian or Conservator Guardian or Conservator Other: ❑Other: Signer Is Representing: Signer Is Representing: The Guarantee Company of North America USA 02007 National Notary Association-9350 De Soto Ave.,P.O_Box 2402•Chatsworth,CA 91313-2402-www.NationalNotaryorg Item#5907 Reorder:Call Toll-Free 1-800-876-6827 THE GUARANTEE COMPANY OF NORTH AMERICA USA Southfield,Michigan POWER OF ATTOI2T"ITEY KNOW ALL BY THESE PRESENTS:That THE GUARANTEE COMPANY OF NORTH AMERICA USA,a corporation organized and existing under the laws of the State of Michigan,having its principal office in Southfield,Michigan,does hereby constitute and appoint William Syrkin,Sergio D. Bechara,Rebecca Ann Haas-Bates,Patricia Ann Bauer,Richard Leroy Adair Millennium Corporate Solutions,Inc. its true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof,which are or may be allowed,required or permitted by law,statute,rule,regulation,contract or otherwise. The execution of such instrument(s)in pursuance of these presents,shall be as binding upon THE GUARANTEE COMPANY OF NORTH AMERICA USA as fully and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by its regularly elected officers at the principal office. The Power of Attorney is executed and may be certified so,and may be revoked,pursuant to and by authority of Article IX,Section 9.03 of the By-Laws adopted by the Board of Directors of THE GUARANTEE COMPANY OF NORTH AMERICA USA at a meeting held on the V'day of December,2003. The President,or any Vice President,acting with any Secretary or Assistant Secretary,shall have power and authority: 1. To appoint Attorney(s)-in-fact,and to authorize them to execute on behalf of the Company,and attach the Seal of the Company thereto,bonds and undertakings,contracts of indemnity and other writings obligatory in the nature thereof;and 2. To revoke,at any time,any such Attorney-in-fact and revoke the authority given,except as provided below 3. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner— Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. Further,this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directors of the Company adopted at a meeting duly called and held on the 315'day of December 2003,of which the following is a true excerpt: RESOLVED that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any Power of Attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, contracts of indemnity and other writings obligatory in the nature thereof, and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF, THE GUARANTEE COMPANY OF NORTH AMERICA USA has caused this instrument to be signed and its corporate seal to be affixed by its authorized officer,this 29th day TEf oo q of April,2010. AZ G '{ THE GUARANTEE COMPANY OF NORTH AMERICA USA pS JyQ STATE OF MICHIGAN Stephen C.Ruschak,Vice President Randal(Musselman,Secretary County of Oakland On this 29th day of April,2010 before me came the individuals who executed the preceding instrument,to me personally known,and being by me duly swom, said that each is the herein described and authorized officer of The Guarantee Company of North America USA; that the seal affixed to said instrument is the Corporate Seal of said Company; that the Corporate Seal and each signature were duly affixed by order of the Board of Directors of said Company. Cynthia A. Takai IN WITNESS WHEREOF,I have hereunto set my hand at The Guarantee Notary Public, State of Michigan Company of North America USA offices the day and year above written. vm�w_l County of Oakland My Commission Expires February 27, 2012 - Acting in Oakland County At t t J a. 1,Randall Musselman,Secretary of THE GUARANTEE COMPANY OF NORTH AMERICA USA,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney executed by THE GUARANTEE COMPANY OF NORTH AMERICA USA,which is still in full force and effect. IN WITNESS WHEREOF,I have thereunto set my hand and attached the seal of said Company this 8th day of June 2019 GJptyPHTQE C�4i o o"� Randall Musselman,Secretary y�RTN AMER��4 8 ,. City ®f Huntington Beach 2000 Main Street ® Huntington Beach, CA 92648 (714) 536-5227 ® www.huntingtonbeachca.gov a e Office ®f the City Clerk .roan L. Flynn, City Clerk July 8, 2011 J. A. Salazar Construction & Supply.Corp. 613 N. Harbor Blvd. La Habra, CA 90631 RE: CC-1371, 1378 & 1408—Water Main Extension Projects Enclosed please find your original bid bond for CC-1371, 1378 & 1408. On July 5, 20111 the City Council voted to reject all bids and authorize staff to re-advertise the project for a new bid opening on 2:OOPM, Monday July 18, 2011. Sincerely, Joan L. Flynn, CMC City Clerk JF:pe Enclosure gS[s ]0Lrki"wntA*mo "ido® Waitakere, New Zealand d A RPONBTRUCTION&SUPPLY.CORP, 613 N:HARBOR BLUD. 13 A'l 13: 25 a CITY OF HUNTINGTON BEACH CITY CLERK 2000 MAIN ST, 2ND FLR HUNTINGTON BEACH CA 92648 SECTION C JAMAZAR CONSTRUcnON 8,SUrKV 01i: 613 N.HARBOR BLVD. flYAHABRA,CA. 9=1 PROPOSAL for the construction of 1. CC 1371 Water Main Extension,Holburn Drive from 91' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project, Springdale Street,Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard, at Williams.Street 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 50 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded, the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find in the amount of$ Ic�o j3�� which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No F.�Date<Received, Bidder's Si nature 613 N.HARBOR BLVD. LA KASM CA. 90631 C-2 PROJECT BID SCHEDULE CC 1371 :: stxiar>kated................................ Zt tri:virii6:ii>iit: Pict: .. ,toil dod: .................. ........ ......... ...... .. .. . Nei:::: anf :::�ritten:in wdriL. TnPriee:::::::Amoiin .....t3 . 1 1 8"X 8"Hot Tap with Gate Valve EA Aed Dollars $ �jV $ 6� Zcvb Cents Per EA 2 1 Chlorination and es in of all new water,�mains LS @'�� ""' ! de �� Dollars $ L; /"� $ 2/ v Cents Per LS 3 72 8"PVC DR14 Water M,aiin��n� (� LF @ ��b �u(�(XV�I � \ Dollars $ $ Cents Per LF 4 14 6"PVC DR14 (W,at�e�r�,Main LF @ © _ h�,ava nll Dollars 2_Q0 Cents Per LF 5 2 Construct 1'""water service&3�41/4J"meter assembly 2 EA @-three �K",Y d Dollars $ ✓0_ $ &,W ZeArD Cents Per EA 6 1 Construct�6"Gate Valve Assembly f EA @ I h�. Dollars $ I�Jt/� $ zkl(b Cents Per EA 7 1 Remove and I dispose of�existin AC Water Main �"(,/ LS @ �'f en 1(�u� ed Dollars $ 15M r$ `i 6P6' 06 C) Cents Per LS 8 2 Provide temporary potable wateern fh�iighhline ,n EA @ f i y_ WNW Dollars 7e►b Cents Per EA 9 1 Mobilization LS @ To y�� -�^��i haOdrec� Dollars $ 0 $ 00�m Cents Per LS 10 1 Demobilization and cleanup yp Q(p�� �� LS @ F'(, ^' '" Dollars $ �""" $ /w ae4 Cents Per LS 613 N.HARBOR BLYD. LA MABM CA. 9M1 C-3.1 PROTECT BID SCHEDULE CC 1371 I#ettf: l�stXivated tetii:w1tk 0b1f 60 E # coded:: ..... ........... .................................1 ..... .......... ....... .. . .............. .. . ............ itlifi �Y IttCil:iii�vord�: : Uiiii Price:::::::::Am000l::: ...... .... .�................................................................ ................. ........... 11 1 Traffic C�ontr 1 In 'n LS @ 1 1 � L�"AVld Dollars $I, � $ �y Cents Per LS otal Amount Bid in Figures: [ Total Amount Bid in Words: Ft( SQJ tilSl@neQ ed J �UV�v A!W( eveo J A SALAZAR CONSTRUCT*N&SUPPLY 6@14p: 613 N.HARBOR BLVD. LAHASK CA. 9=1 . _:.Y�..Al. .. C-3.2 PROJECT BID SCHEDULE CC 1378 st ,iitetna:watia:u»t: rica: E #ei+ded:: ........................... ................. ................. No ::: iat Q .taut P rice::::..::::: Axaiou�1::; 1 1 Mobilization �y� LS @ wet*i ( e. WrPdyyd Dollars $ ��61c $ V V Cents Per LS 2 1 Provide tra control planI^ A,� 5 LS @ F1 l ` f`�i i�� Dollars $ it $ �ZAN/t Cents Per LS 3 1 Provide trtraffic �control LS @ 1 I hl e� 5 Dollars $ $ Cents Per LS 4 1 Fire hydrant as embly II EA @���6 -�1�SIY d1C( Dollars $ Z Z'M° $ Cents Per EA 5 1 Cut&plug and -abandon pexisting ,,8-inch main LS @ '�ye, '►'11��1S�X.,11V1 Dollars $ 5/xt $ CiC-1) Cents Per LS 6 1 Chlorination} l j nd�testing €all new water mainss� LS @ I y- i Vie ��(.� Dollars $ -/ 5-6 $ di% Z � Cents Per LS 7 1 Demobilization and clean,pupC` LS @ �Ve T Y �J Dollars $ 5 6X $ 55mb Cents Per LS 0 ount i m figures: ► Total Amount Bid in Words: Fb(-4-►,) "D� 4,4v koA Ow— h.tWv J A SALAZAR ON SUPPLY CORP- LA MOM CA. �063i C-3.3 PROJECT BID SCHEDULE CC 1408 ....... ..... .. .. .... ......... ............................. .......... .. .............. 0 n:in:W0jr&,q . ............... ..... Mobilization LS @ 3�(o Dollars $ Witt lea) Cents Per LS 2 1 Traffic Control LS @ Dollars $ $ Cents Per LS 3 1 Permitting,including Caltrans double permit LS $ Dollars Cents Per LS 4 1 6-inch cut in valve pss,embly, EA Dollars $ $ 2XV0 Cents Per EA 5 2 8-inch cut in valve as mbly - - !�4� ",(fd EA @ t�, Dollars $ $ ze4c Cents Per EA 6 380 12-inch PVC DRI 8,Water Pipe LF @ Tioll— Ktv�fud Dollars $ a $ zp_1v -Cents Per LF 7 50 8-inch PVC DR 18 Water Pipe LF @ Dollars $ $ Cents Per LF 8 1 Chlorination and testing of all new w ter mains LS Dollars @ $ —Cents Per LS 9 1 Demo2j'Nzation and cleanup LS -Dollars $ KW Cents Per LS Total Amount Bid in Figures: —A Total Amount Bid in Words:_t" Y\iv) �Ux*cf )ykt ai -------------------------------------------- Ll---------------0----I--------- ------%7�----- I----- c�a en J A SALAZAR CONSTRUCTION&SUPPLY CORP. 613 N.HARBOR BLVD. LA HABRA,CA. 9=1 C-3.4 PROTECT BID SCHEDULE TOTALS CC 1371, CC 1378, CC 1408 WATERMAIN REPLACEMENT PROTECTS Sub-Total Bid Schedule CC 1371 l t "�' ' Sub-Total Bid Schedule CC 1378 4 11 '05D Sub-Total Bid Schedule CC 1408 1 V'O"' �� TOTAL BID AMOUNT, BASIS OF AWARD (Sum of Schedules CC 1371, CC 1378, and CC 1408 lJ? f TOTAL BID AMOUNT IN WORDS: *Y1M0"f\A , �soven Notes: All extensions of unit prices will be subject to verification by Owner. In case of a verification between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. J A SALAZAR 00N8TRUCT1ON 6j)pqY gape. 613 N.HARBOR BLVD, LA KAM.CA. W631 C-4 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. Portion Name;and Address of Subcontractor State License Class O WOr_k x` ..- is n ::; Number ;1. '31s4 play Mon�n c�� a n� ���r3 C1 Z LA Jjjkwi� CA qu 31 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-5 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDEN AND SUBMITTED WITH DID State of California ss. County of Orange "6St 'S Jgz& , being first duly sworn, deposes and c says that he or she is y 'Ua� of _ 94�&'-/G�S'WWA� P` 34 Ve pIty 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. J A SALAZAR OIVBT RUC f16N SUPPLY CORP. 1 .HARBOR BIND. nMA Name of Br der y, Signature of Bidde(0131 k' Wcow Aw La h)A ()�y Address of Bidder p31 Subscribed and sworn to before me this day of , 201_ . -(60 NOTARY PUBLIC NOTARY SEAL C-6 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California ' County of �S ss. On �— before me. , Date and Trite o g.,"Jane otary Public's + personally appeared —WaKL me(s)of Sign s) J�fpersonally known to me l - - - ❑ proved to me on the basis of satisfactory ., evidence to be the personO whose nameW is/a 4 subscribed to the within instrument and _ acknowledged to me that he/shaAb y executed ' A MT the same in his/fir authorized + COMM. #1912838 a capacity(•ies'), and that by his/hedthak- c Notary Public California Los Angeles County signatureW on the instrument the person(s), or M Comm:EXDiresNov.tt 2014 the entity upon behalf of which the personal acted, executed the instrument. l WITNESS m and anc Jpfficia seal. Place Notary Seat Above Signature of Notary Public OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: t Signer(s)Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: ❑ individual NNIgelimp Will •Top of thumb here ❑ Corporate Officer—Title(s): l ❑ Partner—❑Limited ❑General ❑ Attorney in Fact ❑ Trustee ' ❑ Guardian or Conservator ❑ Other: l� Signer is Representing: 01999 National Notary Association•9350 De Solo Ave.,P.O.BOX 24M•ChatMonh.CA 91313.2402•ww fioneUorory org Prod.No.5907 Reorder.Call Toll-Free 14W-876-6827 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the Water Main Extension Projects, Various Locations, Project Numbers CC 1371, CC1378, and CC1408, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. J A SALAZAR CONSTRUCTION&SUPPLY CORK 643 N.HARBOR BLVD. Contractor, LAMBRA,CA. 9MI By Title Date: wh 3111 C-7 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury,the following questionnaire. QUESTI®NNAIRE 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 lid No If the answer is yes, explain the circumstances in the space provided. Dote: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-8 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. JASALVAR CONSTRUCTION&SUPPI-Y RP 13 N.HARBOR BLVD. Contractor By .1 Title Dater C-9 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: <j-A , 3ja zzhr Bidder Name IV (P13 h), 4MW " Business Address to *)m M City, State Zip Telephone Number nn 74 7 State Contractor's License No. and Class 1A, d q-� Original Date Issued ©5''VAItI Expiration Date The work site was inspected by�` S q�of our office on UP( fl� , 2010 The following are persons, firms, and corporations having a principal interest in this proposal: C-10 The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contractNfor the proposed work and improvements in accordance with the plans and specifications set forth. ryPn Company Name Signature of Bidder aV, 36 Printed or Typed Signature Subscribed and sworn to before me this day of , 201_ . ,Q NOTARY PUBLIC NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed C-11 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California ss. ' ' County of � ��LL� On� ��I� , before me, �® ., 1; Date arm and T Officer(e.g.. Jane Doe,Notap Public) personally appeared i Names of Signers) 9+ersonaily known to me ❑ proved to me on the basis of satisfactory evidence ' to be the person(a� whose name(•&] is/are— subscribed to the within instrument and acknowledged to me that he/shef#ey executed A.CAST the same in his/herhheir authorized ILLO,�.. COMM. # ILLO 8 Z capacity(iasj and that by his/� Notary Public California o signature(arron the instrument the person(o,or Los Angeles County the entity upon behalf of which the person(.%) Comm. es Nov.11,2014 acted, executed the instrument. WITNE my hand and official seal. ' Place Notary Seal Above Signature of Notary Public is t OPTIONAL , Though the information below is not required by law,it may prove valuable to persons relying on the document •, and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s)Other Than Named Above: I j Capacity(ies) Claimed by Signer Signer's Name: Top of numb here Individual ❑ Corporate Officer—jtle(s): ❑ Partner—❑Limited 0 General ❑ Attorney in Fact ❑ Trustee ` ❑ Guardian or Conservator ❑ Other: , Signer Is Representing: Lu - 01999 National Notary Anodation•9359 De Soto Ave.,P.O Sm 2402•Chamvmrgi.CA 91313.2402•w .nadonetnotaryom Prod.No.59W Reorder.Cali Toll-Free t-MB75-6827 J.A. SALAZAR CONSTRUCTION & SUPPLY CORP GENERAL ENGINEERING CONTRACTOR License No. A743587 613 N. Harbor Blvd ATTACHMENT "All La Habra CA 90631 Tel (562) 691-3647 - Fax(562) 691-1092 CURRENT & COMPLETED PROJECTS Da MO " , a M l %iwJdb,D &WAb -A Address Contract 2 NE City of Fullerton 303 W. Commonwealth Ave, Karen 8/20/2006 Wishire St Water Main Fullerton CA 928320 Kobayashi (714) 738-6867 $ 491,860.00 303 W. Commonwealth Ave, Karen 1/19/2007 Watermain Repl/Sewer Main #5361 City of Fullerton Fullerton CA 928320 Kobayashi (714) 738-6867 $1,078,528.00 20 Civic Center Plaza (M-43), Ed Torres 2/25/2008 Mid-City Neighborhood Water Main City of Santa Ana Santa Ana CA 92701 (71.4) 647-5018 $2,300,1318.00 150 S. Robles Ave; Ste 200, Michele Carina 5/5/2008 El Mlino Ave Water Main Inst City of Pasadena Pasadena CA 91101 (626) 744-7012 $ 874!'918.00 20 Civic Center Plaza (M-43), Ed Torres 1/9/2009 Central City 8" Water Main Inst City of Santa Ana Santa Ana CA 92701 (714) 647-5018 $ 777l329.00 Crescenta Valley 2700 Foothill Blvd, La Crescenta'.. Julian Lee - 11/30/2009 8" Watermain on Maryland Ave Water District CA 91214 (818) 248-3925 $ 325,424.00 Golden:State 12035 Burke St, Santa Fe Springs, Ruben 12/15/2009 Bloomfield/Civic Center Dr Water Company 'CA 90670 Trigueros (562) 907-9200 $1,758,034.00 Golden State 12035 Burke St, Santa Fe Springs Ruben 5/15/2010 Slauson Ave Watermain Water Company CA 90670 Trigueros (562) 907-9200 $ 346$935.00 Golden State 12035 Burke St, Santa Fe Springs Ruben: 10/30/2010 Centralia Plant Discharge Piping Water Company CA 90670 Trigueros (562) 907-9200 $ 21712.00 1 505 S. Garey Ave, Pomona CA Jason Brown, 11/23/2010 District 1 Water Main; Phase 1 City of Pomona 91769 (562) 908-6222 $1,440,619.00 Golden State 1920 W. Corporate Way, Anaheim Todd Waltz 12/29/2010 Mayflower Ave Water Main Re Water Company Ca 92801 (714) 535-7711 $ 105,115.00 Golden.State 1920 W. Corporate Way, AnaheiM Kerwin Fujikami 1/7/2011 Chapman Ave Watermain Re Water Company .�,Ca 92801 (714) 535-7711 $ 393,353.00 141 N. Glendale Ave, Glendale Ca. Rosanna Lau 1/24/2011 Foothill Well & Facilities Project City of Glendale 91206 (810) 548-3966 $1,2921100.00 Golden'State 1225 W 190th St., Suite 350, Joe Farrah 2/23/2011 WB-33 PRS/Vault Replacement 1 Water Company Gardena 90248 1 (310) 436-6950, $ 355,380.00 Project History J.A. SALAZAR CONSTRUCTION & SUPPLY CORP GENERAL ENGINEERING CONTRACTOR License No. A743587 613 N. Harbor Blvd ATTACHMENT 11A11 La Habra CA90631 Tel (562) 691-3647 - Fax(562) 691-1092 CURRENT & COMPLETED PROJECTS fly,% a S _� !H� III =d .ii�. IA �§lipi _Date prk . F ,; ... w . b?Descr=.i° tson _ �► ;enc _, Address, „ i4 Contact -hb. Phone#,t. =,,Cgntract$ i� Jo 9, Y �� i Com leted - - r "MY City of Inglewood One Manchester Blvd, Inglewood Jose Ramirez 3/4/2011 Inglewood Waterline Replacement CA 90301 (310) 412-5333 $ 589,310.00 City of San 117 Macneil St, San Fernando CA Manuel Fabian 3/31/2011 Sayre St Transmission Main Fernando 91340 (818) 898-1243 $ 255,740.00 Golden State 1920 W. Corporate Way, Anaheim Todd Waltz Pending Beach Blvd Water,Main Repl. Water Company Ca 92801 (714) 535-7711 $ 472,880.00 Start Golden State 1920 W. Corporate Way, Anaheim Todd Waltz 05/31/2011 Bonnie Cove Water Main Repl Water Company Ca 92801 (714) 535-7711 $ 396,420.00 11330 Bullis Rd, Lynwood CA Paul Nguyen Pending Josephine St Water Main City of Lynwood 90262 (310) 603-0220 $ 464,707.00 8" Watermain in Alley w/o Golden State 1225 W 190th St., Suite 350, Joe Farrah Underway Normandie Water Com an Gardena 90248 (310) 436-6950 $1 227,943.00 6" Watermain in Alley e/o Avalon Golden State 1225 W 190th St., Suite 350, Joe Farrah Underway Water Company Gardena 90248 (310) 436-6950 $ 56,846.00 2011 Hydrant Replacement Golden State 2143 Convention Center Way Danielle Jones Pending Prog ram Water Company #110, Ontario CA 91764 (909) 937-0111 $ 43,800.00 College Reservoir Golden State 2143 Convention Center Way Ed Khong Pending Water Company #110, Ontario CA 91764 (909) 937-0111 $ 25,800.00 Project History BID BOND KNOW ALL BY THESE PRESENTS,That we, J.A. SALAZAR CONSTRUCTION & SUPPLY CORP. of 613 N. HARBOR BLVD. LA HABRA, CA 90631 (hereinafter called the Principal), as Principal, and FIRST NATIONAL INSURANCE COMPANY OF AMERICA (hereinafter called the Surety),as Surety are held and firmly bound unto CITY OF HUNTINGTON BEACH (hereinafter called [he Obligee) in the penal sum of TEN PERCENT OF AMOUNT BID Dollars($ 10% ) for the payment of which the Principal and the Surety bind themselves, their hairs, executors, administrators, successors and assigns, jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION 1S SUCH,That WHEREAS, the Principal has submitted or is about to submit a proposal to the Obligee on a contract for WATER MAIN EXTENSIONS NOW, THEREFORE, If the said" Contract be timely awarded to the Principal and the Principal shall, within such :ime as may be specified, enter into the Contract in writing, and give bond, if bond is required, with surety acceptable to the Obligee for Iht faithful perfon-nance of the said Contract,then this obligation shall be void;otherwise to remain in full force and effect, Signed and sealed this 7TH day of JUNE :CO.A.SALAD R STRUCTION&SUPPLY CORP. (Seal) Principal Witness \ s�af _ Title FIRST NATIONAL INSURANCE COMPANY OF AMERICA Witness By KEVIIN E. VEGA Attorney-in-Fact 4429561 This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. FIRST NATIONAL INSURANCE COMPANY OF AMERICA SEATTLE,WASHINGTON POWER OF ATTORNEY KNOW ALL PERSONS BY THESE PRESENTS: That First National Insurance Company of America(the"Company"),a Washington stock insurance company, pursuant to and by authority of the By-law and Authorization hereinafter set forth,does hereby name,constitute and appoint. PHILIP E.VEGA, FRANK MORONES, KEVIN E.VEGA, BRITTON CHRISTIANSEN,JADON H.SMITH, MYRNA SMITH,ALL OF THE CITY OF COVINA, STATEOF CALIFORNIA ...: ............... ....................................................................................................................:........................ .................................................................................................................................................................................................................... each individually if there be more than one named,its true and lawful attorney-in-fact to make,execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations in the penal sum not exceeding ONE HUNDRED MILLION AND,00/100*****. ******DOLLARS.($ lOO,000,00O.00*******l******* ******) each,:and the. execution of ouch-. undertakings bonds;recognizances and othersureiy obligations m pursuance of these presents,shall be.as binding upon the;Compapy as if they had been duly signed by the president and attested;by the secretary of the Company in:their own properpersons - That this power is made-arid executeq Qursuant to and by authority of the following By lawand Authorization. ARTICLE:IV Execufion of Contracts Section 12 Surety Bonds and Undertakings Any offceror other offie�ai.of the Corporation authodzed.for that purpose m writing by theChairman or the President;and ubject to such limitations as the Chairman the President may prescribe,shall_appoint such attorneys in-fact,as may be necessary to„act m behalf of the:Corporation to make C_: execute,:seal acknowledge and;deliver as- surety any:and all undertakings,bonds recognizances and other surety obligations Such attomeys in _ fact subject to:the limitations set.forth inaheir respective powers of.attorney,sfiall have full power to bind:the Corporation.by their signature.and _executed,such instruments shall be as binning as'if signed bythe president and attested by the secretary. =>+ By the following instrument the chairman or the president has authorized the officer or other official named thereinto appoint attorneys in#act. __o Pursuant to Article IV,Section 12 of the By-laws Garnet W.Elliott Assistant Secretary of First National Insurance Company of America,is authorized .w l v U): 3. to appoint such_attorneys-in-fact as may be necessary to actin behalf of the Corporation=to make,execute,seal,,acknowledge and deliver as surety W any:and all undertakings,bonds,recognizances and other surety'obligations. m That the By law and the Authorization set forth above are true copies thereof and are now.1n full force and effect. :. a Cl) is IN WITNESS WHEREOF,.this Power:of Attorney has been subscribed by:an authorized officer or official of the Company and the corporate seal of 4--d First National Insurance Company of America has been affixed thereto in Plymouth Meeting,Pennsylvania.this 28th day of February L_ 2011 O FIRST NATIONAL INSURANCE COMPANY _OF AMERICA per, cEa. t`0 � rsoF�Nf� N C._ O.: N s S1 01 Garnet W Elliott Assistant Secretary d C COMMONWEALTH-OF PENNSYLVANIA ss COUNTY OF MONTGOMERY ai ro.wo On this 28th day of February 2011 before me6. , a Notary Public; personally canine-Garnet W. Elliott to me known, and c: acknowledged that he is an Assistant Secrets of FirsYNational Insurance Com an of America;that he:knows the seal of said corporation; and that he executed the above Power of Attorney and affixed the corporate seal -of First National Insurance Company.of.America thereto,with the authority and.at the y direction of said corporation. -. M- IN TESTIMONY WHEREOF � vip to subscribed my name and affixed_my notarial seal at Plymouth Meetin Pennsylvania; on the day and year 0 p first above written. oW _ Nctair<.i Seal _ - G Teresa Pastella,Notary Pubifr By H*' - - - _ PWmouih?wp;Monigan ry County - - Tere a Pastella Nota -Public OF My Cornrwss an Expires Mar.28,201, ry CERTIFICATE Momber;:Peansylvani Asses i6tson of Notaries. 1;.the undersigned,Ass to e _ qGf rr- National Insurance Company of America do hereby certify that the original power of attorney of which the foregoing 1§a full,true c deprre.- ;is imfull force.and effect on the date of:this certificate and.l do further Certify that the'officer or official_who executed the said power of a`ttl�ma is an.Assistant Secretary:_specially authorized.by the chairman or the ident'_to appoint attorneys in-fact as rovided in Article IV,Section 12:of the B laws of First National Insurance.Gom an of America p y P Y, This certificate and the above power of attorney may be signed by facsrmife or mechanically reproduced signatures under and by:authority of the following Vote of the board:of directors of First National ris,urance Company:of America ata-meeting duly called and held on the 1:8th dayof September, .2009. - VOTED that the facsimile ormechanically reproduced signature of any assistant secretary.of the company,wherever appearing upon a certified:. copy of any power of attorney issued by the company in connection with surety.bonds,shall be valid and binding upon the company with the same force and:effect as though manually affixed: :IN TESTIMONY WHEREOF, I have hereunto subscribed my na xed the corporate seal of the said company;this 7TH day of JUNE 2011 �°;;1 ,,� SI Aar k B , £28� David M.Carey, al A stant Secretary • Cd°8LIFOR&®BA ALL-PURPOSE ACKNOWLEDGMENT - t a '-ri"'S'q".c`ic 2V�.i�ZQsaf�A1C 'ac%a..w,�.ri-w>.wr_w,fE• f`oho: State of California County of Los Angeles Qn 6/7/11 before me, Philip Vega, Notary-public Ogle Here Inserl Name Bi)d Thla of t o Ofter - - personally appeared KEVIN E.VEGA smo s o gnor(c) 1 who proved to me on the basis of satisfactory evidence to be.the person(% whose nam*) is/gre subscribed to the within instrument and acknowle/d I /to me that =Ma he/�n6r/tt executed the same in Q /ifleir authorized =MY 9866 ca ac Us , and that by hid/f et/Meir si natures on the fornia Z N ( ) ( >ty instrument the person(ii), or the entity upon behalf of 31,2012 which the personO 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 off! eal. Place Notary Signature Seal Above &!gnat r t Nalary Public --------- - - OPTIONAL Though the information below is not required by law,It may prove valuable to persons relyin n 117e dOCUment and could prevent fraudulent removal and reattaet,ment of this form to another do mgnt, Description of Attached Document Title or Type of Document: Document bate: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑Corporate Officer--Title(s): ❑ Partner--L] Limited O General _ _ ❑ Partner—❑Limited ❑General _ ❑ Attorney in Fact ❑ Attorney in Fact - n Trustee Top of tnumu nere n Trustee Top of thumb here O Guardian or Conservator Q Guardian or Conservator O Other: ❑Other: Signer Is Representing: Signer Is Representing: 02007NallonalNotaryAwzodauor,-9350Dosofa=",, o*@ox2402-Chatawonll,CA91313.2402-www,NallonalNotary.org I1ema5907 Rooder.CahToll-Pree1-800.878-8927 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT , State of California ss. County of S , On bt��t0�1� , before me, s4 , Data Name 7dleor e.g.,'JalmDoe mry ? personally appeared ( �a Names)of Signers) ❑personally known to me ❑ proved to me on the basis of satisfactory evidence to be the person(s) whose name(6T is/are- ' subscribed to the within instrument and ` acknowledged to me that he/she/they executed A.CASTILLO the same in his/hef/their authorized COMM. #1912838 a capacity(iesj, and -.that by hisfhefheir Notary Public California o signatureW on the instrument the personal,or C�Angeles County -- , NoY.11,2014 the entity upon behalf of which the person(o acted, executed the instrument. WITNES my hann nd fffcial seal. Cirv� Place Notary Seal Above Signature of Notary Public I OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. , Description of Attached Document Title or Type of Document: Document Date: Number of Pages: ' Signer(s)Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: ❑ Individual Top of thumb here ❑ Corporate Officer—Title(s): ❑ Partner—❑limited ❑General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: , Signer Is Representing: , 019N National Notary Asmdanon•9=De SOW A"..P.O.Boa 240•C11alawtua4 CA 913132402•♦erwhenoWkWtMe*9 Plod.No.SW Rewder.Can To&Ftee 1.8W$76.6827 F City Of Huntington Beach .ro 2000 Main Street ♦ Huntington Beach,CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov s Office of the City Clerk t Joan L.Flynn, City Clerk July 8, 2011 Nikola Corp. Johnny Klichan 18012 Cowan, Suite 290 Irvine, CA 92614 RE: CC-1371, 1378 & 1408—Water Main Extension Projects Enclosed please find your original bid bond for CC-1371, 1378 & 1408. On July 5, 2011, the City Council voted to reject all bids and authorize staff to re-advertise the project for a new bid opening on 2:OOPM, Monday July 18, 2011. Sincerely, Joan L. Flynn, CIVIC City Clerk J F:pe Enclosure g8i9tm0gbvnt jo¢d Ao# Waitakere, New Zealand IV/j<rC7LA Qi 1 JUIN i 3 Ptll I� 52 SEALED BID DO NOT OPEN WITH REGULAR FAIL CITY OF HUNTINGTON BEACH For CC 1371 WATER MAIN EXTENSION (HOLBURN) CC1378 WATER MAIN EXTENSION (SPRING®ALE) CC1408 WATER MAIN EXTENSION (BEACH BLVD) Attn: City Clerk, Second Floor 2000 Main Street Huntington Beach, CA To be opened one June 13, 2011 s 2:00 pm Submitted by: NIKOLA CORPORATION Johnny Klichan 18012 Cowan, Suite 290 Irvine, California 92614 (949) 752-1900 — fax (949) 752-1910 SECTION C PROPOSAL for the construction of 1. CC 1371 Water Main Extension, Holburn Drive from 91' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard, at Williams Street 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 50 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 stun 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 e,xc-,,--uting 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. Accompanyingosal of bid find 6�1 d Cf� this proposal p in the amount of$ which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 PROJECT BID SCHEDULE CC 1371 Item Estimate.,.: Item:with unit pricy xten&d No: ttantity: written iri:words: UI ii Price: Amourif ... .. .. .. .. 1 1 8"X 8"Hot Tap with Gate Valve r EA @ Jry�� � t�fynit�,2YJ �cf2Tj Dollars $ C? Cents Per EA 2 1 Chlorination and testing of all new water mains J LS @ (1t�tA�11�1�x't�' V1kDQi P't��l T Dollars $ ©� Cents Per LS ` 3 72 8"PVC DR14 Water Main LF @ 1__�V0 4 �tOV�- � Dollars $ Z ! $ I �r � r -N C)/' C)0 Cents Per LF 4 14 6"PVC DR14 Water Main _ LF @ f70'JL(•- QN(JQ-6_9 /V.2),A E_TY 5" Dollars $ $ 1,09 o C o —cents 1 Per LF ` 5 2 Construct 1"water service&3/4"meter ass emb ly , EA @I( �7'`( y °V t �-1�/ Dollars $ 31 I)D Cents Per EA 6 1 Construct 6"Gate Valve Assembly EA T OUZ Z?Dollars Af � r Cents z— Per EA 7 1 Removeafnd dispose of existing AC W�-r�"atte�r M�ain C� LS @ TL` T-W0 14V JINQc�fl'- J'V_iWbollars $ . l� 1 $ 5ZV V\-f O / O C)CD _ Cents Per LS 8 2 Provide temporary potable water highline / EA @JL'Y�►�4Al,'1 19hf'u ", `7�kk>411'�D rs $ } ' $ Z �l /�► Q Cents Per EA 9 1 Mobilization LS @ - ' 2� Dollars $ J C'> a C) F `- Cents Per LS 10 1 Demobilization and cleanup LS @ ti Dollars $ (!6—e Cents Per LS C-3.1 PROJECT BID SCHEDULE CC 1371 $tem:::Estimate.. ::::::::::::::::Ttem:wat::unrt::riet::: E:z#end:ed::::: ... .... . .. ...................... P . ......... ... . . ...... .. No; Quantity: wr. en.n words::.. Linn Priee: Amount I 1 1 Traffic Control LS @ $ � $ O � /�/ C oC)C) Cents Per LS Tot mount Bid inFigures: (o , -L 10 Total Amount Bid in Words: �r-Y fi, --,f4c>, Q `-7e/d 17tV1V0 C-3.2 PROJECT BID SCHEDULE CC 1378 Mein::Estimated:: :::::: :::Ttetri:wih::ulii ::r><ci::::: :: ........ .......... P Q. w .><tten in word... > : . >Lin t Price: Amou 1 1 1 Mobilization (� LS @ IN 7�` N c t-j,v 044-1) �\)pp,,C-jY�0u/Dollars $ 17q j $ Cents Per LS 2 1 Provide traffic control plan ,_ yr,I LS @ •1 VL--W' 4-k\M -02 �ir'V�yTDollars $ d(Poo / Cents Per LS 3 1 Provides traffic control t LS @ T � J f /"�2�"/ ���r ll �Dollars $�I �� $ / P VV t) V Cents Per LS 4 1 Fire hydrant assembly , - r r EA @ �j(�/e��j-' ,�`rJ19 NBC Dollars $ 1 � $ ,kr0( c,--,>Q=)CJ Cents Per EA 5 1 Cut&plug and abandon existing 8-inch main t LS @ V E� 0�5+�1�J� i� (5��'� Dollars $ C R $ Cents Per LS 6 1 Chlorination and testing of all new water mains LS @ 14-r kH j-i&�T ,g Dollars $ iC, $ AJ 0(ow C3 Cents Per LS 7 1 Demobilization and cleanup LS @ 4 --,•I�� P �S Dollars $ I $ &V& ✓VJ j&cqo Cents Per LS ffotalmount t inigures: � y 3l Amount Bid in Words: V�T-1 ] � J54-�J✓O „► p N orc- C-3.3 PROJECT BID SCHEDULE CC 1408 tte:m estimated Item:yvithu.nit prig ]E:xtea�ded No: f�:uanfity: written in words:: Uftj p.6cc: Amoun .. .. .. ` 1 1 Mobilization LS @ ��vVURp Dollars $-�� ��� $ Cents Per LS 2 1 Traffic Control �� � / z f LS @ I. �v�N-NE}�`y/��aO Dollars $ b i 7 l $ lam%' T73- %V 0/000 Cents Per LS 3 1 Permitting,including Caltrans double permit LS @�rY"17� #V 30 5-�O Dollars $ t $ i 'V C r� Cents Per LS 4 l 6-inch cut in valve assembly � �,4) EA Dollars $ 971 $ Cents Per EA 5 2 8-inch cut in valve assembly EA @L� o ���[ L Dollars $ Cents Per EA 6 380 12-inch PVC DR18 Water Pipe LF @ ���`� y -JWC� Dollars $ $ I 1 f'l�C✓� i j Cents Per LF 7 50 8-inch PVC DR18 Water Pipe LF @ —W t> Val/ -C�i� '� hr,'L �"j F^Dollars $ Z2 01— $ Cents Per LF 8 1 Chlorination and testing of all new water mains LS @ ��} /( t.S�'JQ 1"Z� � Dollars $ � $ t �( L-�C;/ Cents Per LS 9 1 Demobilization and clean�ulp� LS @ P000 4-kj'A/P-CZ Dollars $ Z A!'U Ted Cents Per LS ffot.almount t m igures:l Amount Bid in Words: GN.-4 .vv C-3.4 PROJECT BID SCHEDULE TOTALS CC 1371, CC 1378, CC 1408 WATERMAIN REPLACEMENT PROJECTS Sub-Total Bid Schedule CC 1371 Sub-Total Bid Schedule CC 1378 Sub-Total Bid Schedule CC 1408 C /r �- TOTAL BID AMOUNT, BASIS OF AWARD _ (Sum of Schedules CC 1371, CC 1378, and CC 1408 j s TOTAL BID AMOUNT IN WORDS: -nJ*0 k-k (Votes: All extensions of unit prices will be subject to verification by Owner. In case of a verification between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-4 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. Portion Name and Address of Subcontractor State License Class of Works- Number By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-5 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH DID State of California ss. County of Orange � P �r7 �j /�+� e—'f C- '/ , being first duly sworn, deposes and says that lie r she is je!t. _..4 P- of !� 4,t{add ��,pu/'�h��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. Na adder Sig re of Bi fi dder r 17 Address of Bidder YVZr c Subscribed and sworn to before me this 13th day of June , 201 1. r MARY MARTiGNONI •` COMM. # 1761251 >< ' NOTARY PUBLIC•caLIFoaNi,4 Q ORANGE COUNTY "•My Comm.Expires Sept.9,2011 NOTARY PUBLIC NOTARY SEAL C-6 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 Water Main Extension Projects, Various Locations, Project Numbers CC 1371, CC1378, and CC1408, (1)(we)(1t) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The tenn "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 pei formed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Contractor By Title Date: C-7 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local govenlment project because of a violation of law or a safety regulation? ❑ Yes XNo 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-8 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. !�/��� Cam• �. !q-5)�n/ Cont o Y Title Date: C-9 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name Business Address V d /�� ev City, State Zip (g4l) ? 2--- ) 90 Telephone Number State Contractor's License No. and Class Original Date lssued Expiration Date The work site was inspected by i of our office on� /0 , 201�. z4MAJ.. The following are persons, firms, and corporations having a principal interest in this proposal: '1 5, C-10 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. � v L4 � a��/JA/ Company N e Signat -e of Bid Printed or Typed Signature Subscribed and sworn to before me this 13 day of June 1201 MARY MARTIGNONI COMM. # 1761251 p ' NOTARY PUBLIC-CALIFORWIA X ORANGE COUNTY My COmm.Expires Sept.9,2011 NOTARY PUBLI -- NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1. dqr�' Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed C-1 l Alh<CP Lmo4 ' G O G-? LE) O G3GJ L _gO_ J GePnera§Engineering coanttracftor CA Lic.#813357 REFERENCES - PROJECTS 2010 28.OWNER: City of Redondo Beach CONTACT: Mr. Mike Shay, Project Engineer (310) 318-0661 DATE: November 2009 — June 2010 PROJECT: Sapphire Storm Low Flow Diversion Pump Station, Forced Main, Electrical & Filtration System AMOUNT: $ 690,000 29.OWNER: City of Fullerton CONTACT: Mr. Eliseo Bravo, Construction Inspector (714) 738-5348 DATE: May 2010 — November 2010 PROJECT: Riverside Dr. and Raymond Ave. Sewer& Street Imp. 4,300 L.F. of 8" and 10"Verified Clay Pipe and Manholes AMOUNT: $1,100,000 30.OWNER: Costa Mesa Sanitary District CONTACT: Mr. Robin Hamers, District Engineer (949) 631-1731 DATE: October 2010 — November 2010 PROJECT: Sewer Replacement Project No. 183-2 Remove existing 8" VCP and install new 8" PVC sewer AMOUNT: $ 63,000 31.OWNER: North Orange Community College District CONTACT: Ms. Dorothy Whitehurst, District Director Purchasing (714) 808-4776 DATE: November 2010 — February 2011 PROJECT: Fullerton College Storm Drain Improvements CDS Units and StormGate Manhole —24" Pipe and appurtenances AMOUNT: $220,000 18012 COWAN, SUITE 290, IRVINE, CA 92614 TES: (949)752-1900 FAX: (949)752-1910 WWW.NIKOIACORP.COM Qoa � oaa � ooa Genera#Engineering? Congra cgor CA Lic.#813357 REFERENCES - PROJECTS 2011 32.OWNER: City of Redondo Beach CONTACT: Mr. Mazin Azzawi, Project Engineer (310) 318-0661 DATE: February 2011 — present PROJECT: Emergency Storm Drain Repair Remove 18" CMP and replace with 18" RCP AMOUNT: $ 110,000 33.OWNER: City of Santa Ana CONTACT: Mr. Terrence Dougherty (714) 647-5040 DATE: April 2011 — Present PROJECT: Lacy Neighborhood Sewer and Water Main Improvements 3,100 LF of 8" sewer main and manholes 850 LF of 12" water main and services 475 LF of 8" water main and services AMOUNT: $ 1,162,000 18012 COWAN, SUITE 290, IRVINE,CA 92614 TES: (949)752-1900 FAX: (949)752-1910 WWW.NIKOLACORP.COM t BID BOND BOND NO. 5542 KNOW ALL MEN BY THESE PRESENTS, That we, NIKOLA CORPORATION as Principal, and. MERCHANTS BONDING COMPANY(MUTUAL) a corporation authorized to transact a general surety business in the State of CA as Surety,are held and firmly bound unto CITY OF HUNTINGTON BEACH (hereinafter called the Obligee) in the full and just sum of TEN PERCENT OF THE AMOUNT OF THE BID*"`�" Dollars, ($10%" """" )for the payment whereof in lawful money of the United States,we bind ourselves,our heirs, administrators,executors, successors and assigns,jointly and severally,firmly by these presents. WHEREAS,the said PRINCIPAL has submitted the accompanying bid for (1)CC1371 WATER MAIN EXTENSION,HOLBURN DRIVE FROM 91'TO 185'SOUTH OF MARGATE DRIVE (2)CC1378 WATER MAIN EXTENSION,SPRINGDALE ST_,MACHINE DRIVE TO 372'SOUTH OF MACHINE DRIVE (3)CC 1408 WATER MAIN EXTENSION ON BEACH BLVD,AT WILLIAMS STREET NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, or in the event of the failure of the Principal to enter such Contract, If the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect. Signed and Sealed this 9TH day of JUNE 2011 YEAR OLA CO O MERCHANTS BONDIVP COMPANY(MUTUAL) Sur By: AN — PRESIDENT Principal RY N MANTLE Aftomey-in-Fact h b CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Orange On G �dl� before me, Mary Martignoni — Notary Public Date Here Insert Name and Title of the Officer personally appeared Ryan Mantle Name(s)of Signer(s) who proved to me on the basis of satisfactory.evidence to be the persorlK whose name is7W subscribed to the within instrument and acknowledged to me that s heNhpowrexecuted the same in hiss authorized MARY MARTIGNONI capacity�s4 and that by hisft)&CtW signature(K on the COMM. # 1761251 instrument the personK or the entity upon behalf of QNOTARY PUBLIC-CALIFORNIA X which the person*_acted, executed the instrument. ORANGE COUNTY My Comm.Expires Sept.9,2011 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signat r Place Notary Seal Above Signatu of N tary Public OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s)Other Than Named Above: Capacity(ies)Claimed by Signer(s) Signer's Name: Ryan Mantle Signer's Name: ❑ Individual El Individual ❑ Corporate Officer—Title(s): ❑Corporate Officer—Title(s): ❑ Partner—❑Limited ❑General _ _ ❑Partner—❑Limited ❑General Attorne in Fact ❑Attorney in Fact . y Tap of thumb here Top of thumb here El Trustee El Trustee ❑ Guardian or Conservator ❑Guardian or Conservator ❑ Other: ❑Other: Signer Is Representing: Signer Is Representing: Merchants Bonding Company (Mutual) 02007 National Notary Association-9350 De Soto Ave-PO.Box 2402-Chatsworth.CA 91313-2402-www.NationalNotaryorg Item#5907 Reorder:Call Toll-Free 1-800-876-6827 _ - Merchants Bonding Company (Mutual) POWER OF ATTORNEY Know All Persons By These Presents,that the MERCHANTS BONDING COMPANY(MUTUAL),a corporation duly organized under the laws of the State of Iowa,and having its principal office in the City of Des Moines,County of Polk,State of Iowa,hath made, constituted and appointed,and does by these presents make,constitute and appoint Les M.Mantle,Ryan Mantle Of Fullerton and State of California its true and lawful Attorney-in-Fact,with full power and authority hereby conferred in its name,place and stead.to sign,execute,acknowledge and deliver in its behalf as surety any and all bonds,undertakings,recognizances or other written obligations in the nature thereof,subject to the limitation that any such instrument shall not exceed the amount of: SIX MILLION($6,000,000.00)DOLLARS and to bind the MERCHANTS BONDING COMPANY(MUTUAL)thereby as fully and to the same extent as if such bond or undertaking was signed by the duly authorized officers of the MERCHANTS BONDING COMPANY(MUTUAL),and all the acts of said Attomey-in-Fact,pursuant to the authority herein given,are hereby ratified and confirmed. This Power-of-Attomey is made and executed pursuant to and by authority of the following Amended Substituted and Restated By- Laws adopted by the Board of Directors of the MERCHANTS BONDING COMPANY(MUTUAL)on November 16,2002. ARTICLE II,SECTION 8-The Chairman of the Board or President or any Vice President or Secretary shall have power and authority to appoint Attorneys-in-Fact,and to authorize them to execute on behalf of the Company,and attach the Seal of the Company thereto,bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof. ARTICLE II.SECTION 9-The signature of any authorized officer and the Seal of the Company may be affixed by facsimile to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shalt have the same force and effect as though manually fixed. In Witness Whereof,MERCHANTS BONDING COMPANY(MUTUAL)has caused these presents to be signed by its President and its corporate seal to be hereto affixed,this 20th day of January , 2009 " •D.p`RP�q'jjA9'• MERCHANTS BONDING COMPANY(MUTUAL) •r o �:y: 1933 :c; 6y STATE OF IOWA ••-- President COUNTY OF POLK ss_ On this 20th day of January ,2009,before me appeared Larry Taylor,to me personally known,who being by me duly swom did say that he is President of the MERCHANTS BONDING COMPANY(MUTUAL),the corporation described in the foregoing instrument,and that the Seal affixed to the said instrument is the Corporate Seal of the said Corporation and that the said instrument was signed and sealed in behalf of said Corporation by authority of its Board of Directors. In Testimony Whereof,I have hereunto set my hand and affixed my Official Seal at the City of Des Moines.Iowa.the day and year first above written. P MIN CINDY SMYTH Commission Number 1 re504 c.. My Commission Expires - March 16,2009 Notary Public.Polk County.Iowa - STATE OF IOWA COUNTY OF POLK ss. I, William Warner,Jr.,Secretary of the MERCHANTS BONDING COMPANY(MUTUAL),do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said MERCHANTS BONDING COMPANY(MUTUAL).which is still in full force and effect and has not been amended or revoked. In Witness Whereof,I have hereunto set my hand and affixed the seal of the Company on this 9th day of June, 2011 -- ••o�§\%ILPO�M9'. 3• Secretary 6'• 1933 =c: City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk ' Joan L. Flynn, City Clerk July 8, 2011 Paulus Engineering, Inc. 2871 E. Coronado St. Anaheim, CA 92806-2504 RE: CC-1371, 1378 & 1408—Water Main Extension Projects Enclosed please find your original bid bond for CC-1371, 1378 & 1408. On July 5, 2011, the City Council voted to reject all bids and authorize staff to re-advertise the project for a new bid opening on 2:OOPM, Monday July 18, 2011. Sincerely, Joan L. Flynn, CMC City Clerk JF:pe Enclosure s,ippp b5on jqabd"1go♦ Waitakere, New Zealand Paulus Engineering;lncS - 2871 E: Coro0.nado Street a Anaheim, CA 92806:-2504 6 t . `. 2011 JU 13 PM l: 5 r y c; " y ``4 �DDO l�a'c� Sf• N' y.Ttl� $ed e� Ord for ' f�ois v h�'' h�vlibdwot jOH, roan g/i -�-o /P .Sa. o F' MotvyQf e JOY', G� .ey r �ac�►�n° �r . f'o �T 2` Sv• a� y» rte Fo"r s h ri f6od�► 6'Yj Proj eo't 5'P l�,f e z/( / Wa�}�r: yYtatn " L✓�C f6hllCn' or+ eq ! SECTION C PROPOSAL, for the construction of 1. CC 1371 Water Main Extension,Holburn Drive from 91' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard,at Williams Street 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 50 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 I 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. ��NJ Accompanying this proposal of bid, find '°r in the amount of$ which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or"Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature C-2 PROJECT BID SCHEDULE CC 1371 soma aem;wit.:u»It:pr c�: .:..:. . ............. uanfit3 . .. written:iri:word,. ....................... ... rut.Price.......A.uounl:::: 1 1 8"X 8"Hot Tap with Gate Valve ,,,,,y� EA @ UNCK IWIO /(pMf �*V0tVJ11ars $ $ 3,r Cents Per EA 2 1 Chlorination and testing of all new water mains LS aa-a Dollars $ 1, Too $ 1 r 3 00 4 Cents Per LS 3 72 8"PVC DR14 Water Main LF @ Two/>/. -pe-'ro Fs sue-•, Dollars $Z $ Cents Per LF 4 14 6"PVC DR14 Water Main �+ LF @ Tj 6yott(fin F,. ( Dollars $ Z.0 W $ 3 Ybd-910 Cents Per LF Zerr d 5 2 Construct 1"water service&3/4"meter assembly ����dd � EA @ TWO T�yd�A1yY� 6f i(y+�" Yyaj01V"%ollars $�gV,20 $ ��7® 2,4'4.Ci Cents Per EA 6 1 Construct 6"Gate Valve Assembly ^ EA @ �. '1 1�G�,)f�1� Dollars $ a,� $ -rdE -0 Cents Per EA 7 1 Remove and dispose of existing AC Wat Main LS @ 1t Jo Im"WQ /111 ACA00 Dollars $ 00 $ Cy Cents Per LS 8 2 Provide temporary potable water highline EA @ .T"S4) Q��O ��� Dollars $ 7-0-Qd $ //fdo -Z Cents Per EA 9 1 Mobilization LS f . $Dol�zA-W Cents Per LS 10 1 Demobilization and cleanup /�`� LS @ d"if .�1ws1D AVO) LU1900 Dollars $ I ZOD'W $ z00'� Cents Per LS C-3.1 PROJECT BID SCHEDULE CC 1371 :::.soma.::. t mynt::un�t:pr c�: ': :::::;;:.:x.eT TWO: Quantity <wriften in word Llnit.Prace Amoun1.... 11 1 Traffic Control LS @ �ww !'rVE � Dollars $ ®®' Z CfZ4) Cents Per LS Total Amount Bid In F figures: efl Sw Total Amount Bid in Words: e;; C-3.2 PROJECT BID SCHEDULE CC 1378 .......... * — *......... ..... ............ ... ..fain:::.OhiixUd: ....... . .. ....... .. 000.00...: ...... .............. ..... .......................... .. ................. ...... ....... ......... ................. ................ ..........uafifiq.. Price.-::: ouxif::::: ................. tj.jijj:. , ................ 1 Mobilization LS @ 4-d&—mum,,,no SirtleAj 9"'.elars $ 4 70 07!4 $ 7-Q if cj Cents Per LS 2 1 Provide traffic control plan LS @ TW 0 Tfto whtiftav Dollars $e2aw-- $ 174WO-U , C, Cents Per LS 3 1 Provide traffic control LS @ arle ZftX-S&%jiQ Dollars $ $ h 000-ae ZAW-0 Cents Per LS 4 1 Fire hydrant assembly EA jilre/"e011ars $ $ty, Cents Per EA 5 1 Cut&plug and abandon existing 8-inch main LS @M1Wft0-%%m St(oi*r&64R9!C1?0llars $ ZU $z ft-10 1E.J&&.0 Cents Per LS 6 1 Chlorination and testing of all new water mains LS @ 04F Vf00.NA%,W Dollars $ $ z6go Cents Per LS 7 1 Demobilization and cleanup LS @&4jr j*VS*jV rW0AJ&4V&W Dollars $ $ Per LS —Z&W Cents I I otal Amount Bid m Figures: otal Amount Bid in Words:k5ko &YAIK fi*--e ...."--- ---(;JAajV SIX----- ---- AVAKAP-------- --------------------------------------------17)-- _ ,4..Jtq ze#w C-3.3 PROJECT BID SCHEDULE CC 1408 tam:: Wfit4 ... fem:wif.:unit:p 'icy: . .. ............. .. '�to. ::QnanYi : . . :. written in word. iirut Price.. Amounl.... .............. .... .... ...... ........... 1 1 Mobilization LS @ Tva0 -m*j,P.Jyj Dollars $Z,ow $ Z�In00 Z axC) Cents Per LS 2 1 Traffic Control LS @ 7fted' / wwM Dollars $ 3two $3. 600 Z eXc", Cents Per LS 3 1 Permitting,including Caltrans double permit 3�d��` 'F 00-9-=-- LS v ' 1�` �{��,J,/ fh Dollars Zr t Ky Cents Per LS 4 1 6-inch cut in valve assembly `EA @ uA ` ;6 10 Dollars $ $ Z� Cents Per EA 5 2 8-inch cut in valve assembbllyy EA @ ZWY 441 //7y(JA%M Dollars $ $ wo-ki T eko Cents Per EA 6 380 12-inch PVC DR18 Water Pipe LF Dollars $Z30-0-4 $27rY00¢ Z 6:2 cp Cents Per LF 7 50 8-inch PVC D�'RR/18 Water Pipe LF @ 0"ie Dollars $ /p'6r�® $ .Z�-2a Cents Per LF 8 1 Chlorination and testing of all new waterCams LS @Q�LC OpJ A7 �'1 Y�� gpj V Dollars $ "-V $�! �core Cents Per LS 9 1 Demobilization and cleanup LS @ Dollars $ /,3d $ Cents Per LS Total Amount Bid inFigures: /Z ._..._Total Amount Bid in Words:pf,, T...s...... ................... fo...s.—.�iR..+oa.6 D Fisory e'�`'Zc'� CE'•�T3 C-3.4 PROJECT BID SCHEDULE TOTALS CC 1371, CC 1378, CC 1408 WATERMAIN REPLACEMENT PROJECTS Sub-Total Bid Schedule CC 1371 Sub-Total Bid Schedule CC 1378 2�.rra!Q-= Sub-Total Bid Schedule CC 1408 ! Z e( o " TOTAL BID AMOUNT, BASIS OF AWARD (Sum of Schedules CC 1371, CC 1378, and CC 1408 TOTAL BID AMOUNT IN WORDS: g2mif #"agaD wli{+�r•� S�v2a T,+musn.�D tViw�E .�/u �DRF� Tft�tT`7 s �s�®O ��i'S Notes: All extensions of unit prices will be subject to verification by Owner. In case of a verification between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-4 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. Portion Name and Address of Subcontractor State License Class of Work Number By submission of this proposal, the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-5 NONCOLLUSION AFFIDAVIT TO DE EXECUTED BY BIDDEN AND SUBMITTED WITH DID State of California ss. County of Orange JA -S0,) A14UJ3 , being-first duly sworn, deposes and says that he or sl is 4asf ' Z�)6, /Vilie 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. Z131! Name of Bidder Signature of Ar r,�S70�rCv,2a�r or0 �Address of Bidder Subscribed and swo to before me this day of , 201 NOTARY PUBLIC NOTARY SEAL C-6 \ ( ( / � \ � " JURAT \ ) \ ) ) State o£Cali£ rnia ; ) � ) ! ) ) County of Orange § / Subscribed and swornt (!affirmed) before me ont 6 8 d\of June, 2010 , ) � ) by Jason Paulus ( ! > � ( proved tomeon the basis o satisfactory evidence mb the pnons) who appeared before me. i � } ) ., ) § ) Si (Notary Seal) ! ) � CAM*/vAJNOA : ( ( ^ & Commission ¥ 1773427 / Ndo> mac - Cram«o § \ Orange Court ( Com \ . yB@e e%Sn \ ) \ ( OPTIONAL INFORMATION ) � \ ) DESCRIPTION Or THE ATTACHED DOCUMENT ) ) j Non-Collusion Affidavit (T&adescription of attached keaq ! ; ( ( Number of pages: ! ) Document Dal : ) \ . . } (Additional Information) ( \ � � ) ( ) � ) \ � 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 Water Main Extension Projects,Various Locations, Project Numbers CC 1371, CC1378, and CC1408, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. S 606fl,) 6 loc) G Contractor 4111�� By pu l 001J Title Date: C-7 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ® Yes U/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-8 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Contractor By =4/ ' Title Date: 6A < qn 11 C-9 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: p4alaj z�;6 Bidder Name -�?S Zl L-, Business Address AR-4 ��- '/Z �o City, State Zip Telephone Number 7d41( //V State Contractor's License No. and Class 06 9 �. Original Date Issued Expiration Date The work site was inspected by '� /%�of our office on G , 201 . The folio ing are persons, firms, and corporations having a principal interest in this proposal: - co . C-10 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 d specifications set forth. 4 � 5 r Company Name Signature of Bidd r Printed or Typed Signature a Subscribed and sw `to before me this_day of , 201_ NOTARY PUBLIC NOTARY SEAL Listed below are the names, addres and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed C-u �i `l _URAT State of California Ii t County of Orange j i j Subscribed and sworn to (or affirmed) before me on this 8th day of June 2010 by Jason Paulus ' I.i proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. EI Ili jl it jl! Signature (Notary seal) HE i CYNTHIA J. VALENCIA Commission # 1773427 = F , -j Notary Public - California v. Oran ge County tit r Cc" r EPll"e�Oct 15,2011 is ii I! f l ili OPTIONAL INFORMATION lj {l i ll lr. DESCRIPTION OF THE ATTACHED DOCUMENT il, it j Bidder's Information LI (Title or description of attached document) !� in III ijj Number of pages: Document Date: III lij I (Additional Information) li pi ! III j lii it I Ili S North American Specialty Insurance Company Bond #7-B Pre mium Nil BID BOND 1 _ KNOW ALL MEN BY THESE PRESENTS,That We, Paulus Engineering, Inc. 2871 E. Coronado Street t of Anaheim,. CA 92606 as Principal, and North American Specialty Insurance Company, of Manchester, New Hampshire, as Surety, a New Hampshire corporation duly licensed to do business in the State of California are held and firmly bound unto City of Huntington Beach as Obligee, in the penal sum of ten percent of amount bid Dollars ($_._10 0 __ J. for the payment of which the Principal and the Surety bind themselves, their heirs, executors, administrators, successors.and assigns,jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, That, whereas the Principal has submitted,or is about to submit, a proposal or a bid to the Obligee on a contract for 1371 Water Main Extension - Holburn Drive NOW, THEREFORE, if the aforesaid principal shall be awarded the contract,the said principal will within the period specified therefore, or, if no period be specified, within ten (10) days after the notice of such award into a contract and give bond for the faithful performance of the contract, then this obligation shall be null and void, otherwise the principal and the surety will pay unto the obligee the difference in money ; between the amount of the bid of said principal and the amount for which the obligee may legally contract with another party to perform the work if the latter amount be in excess of the former, in no event shall the liability hereunder exceed the penal sum hereof. PROVIDED AND SUBJECT OF THE CONDITION PRECEDENT, that any suits at law or proceedings in equity brought or to brought against the Surety to recover any claim hereunder must be instituted and service had upon the Surety within ninety (90) days after the acceptance of said bid of the Principal by the Obligee. Any person who, with the intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application or files.a claim containing a false or deceptive statement is guilty of insurance fraud- SIGNED ,-SEALED AND DATED this 3 rd day of June Paulus Engineerin Inc. 2iSpeclalty By. Nor tnsuranompanyBChar . ey -Fa 8ND 140 S REV(05195) t CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT STATE OF CALIFORNIA County of Orange } On 6-03-11 before me, Lexie Sherwood, No Public Date Here Insert Name and Tille of the Officer personally appeared Charles L. Flake Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), LEXIE SHERWOOD and that by his/her/their signature(s)on the instrument the comm.#1856389 person(s): or the entity upon behalf of which the person(s) V NOTARY PUBLIC®CALIFORNIA n acted, executed the instrument. 2 ORANGE COUNTY Comm.Exp.JULY 27,2013 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. Witness my hand and officials Signature c t;b7 Place Notary Seal Above Signature of Wary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s)Other Than Named Above: Capacity(ies)Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer—Title(s): ❑ Partner—❑Limited❑General ❑ Partner—❑Limited❑General ❑ Attorney in Fact ❑ Attorney in Fact :y- El ° ❑ Trustee El Guardian or Conservator Top of thumb here El Guardian or Conservator 7Topoofumb here ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: 0 2007 National Notary Association•9350 De Solo Ave.,P.O.Box 2402•Chatsworth,CA 91313-2402•www.NationaiNotary.org Item#5907 Reorder:Call Toll-Free 1-800-876-6827 NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duty organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Manchester,New Hampshire,and Washington International Insurance Company,a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg,Illinois,each does hereby make,constitute and appoint: j DAVID L.CULBERTSON,CHARLES L.FLAKE,RICHARD A.COON, jand LEXIE SHERWOOD i JOINTLY OR SEVERALLY i Its true and lawful Attomey(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory,in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: TWENTY-FIVE MILLION($25,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 20 of March,2000: "RESOLVED,that any two of the Presidents,any Managing Director,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by.facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." UualutN/ ,``�Qy�tAttrY/ydGiiq�� 00,_�S1pN,1L� a3 yQ.GpRPtylpl',G RID _B44i" $ 3 [e Y t. Steven P.Anderson,President&CMdEsecatWe Meer ofWashington International yn�si 1879 ey.Fn` &Senior V'ra President ofNor9,American Specialty Insurance Company 3 O mI dry/uMmnuartO gya David M.Loymaa,Senior Vice Presldeoxforwsshhw Interostionn)Insurance Company &vita Prosident of North Americas Specially lasuraace Company IN WITNESS WHEREOF,North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this loth day of August. North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook ss: On this 16th day of August 20 10,before me,a Notary Public personally appeared_ Steven P.Anderson ,President and CEO of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and David M.Layman, Senior Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company, personally known to me,who being by me duly sworn,.ackmowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their resnective companies. "OlInCLAiL$8Ai" l r SYr�It o1/ 4�tee+ OIIIVAELSKI:MS Pabrrc,state of mints Donna D.Skiers,s,Notary Public Myrbminitttlon ttllt)bt101t I, Tames A.Carpenter the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company,which is still in full force and effect IN WITNESS WHEREOF,I have set my hand and affixed the seats of the Companies this3 rd day of June ,2�0�11'_`~ !sinus A.Cwpenia,Vke President&Anistam Secreary of Washington imemauanal Insuramee Company& North American Specialty Insurance Company CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGEMENT State of California County of Orange On 06/03/11 before me, Cynthia J. Valencia, Notary Public i personally appeared Jason Paulus who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized ,I capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or 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. L �I f; - Signature of Notary Public (Notary Seal) - W B ADDITIONAL OPTIONAL INFORMATION u.:I - ''' DESCRIPTION OF THE ATTACHED DOCUMENT CAPACITY CLAIMED BY THE SIGNER - h B� Bid Bond 1Ni Title or description of attached document Individual Corporate Officer x /Title President !I Number of pagcs Document Date Partner j Attorney-In-Fact Trustee ;i Other Additional Information G jj ,j r, it it ,y L .t.r City ®f Huntington Beach _ - 2O00 Main Street ® Huntington Beach, CA 92648 (714) 536-5227 ® www.huntingtonbeachea.gov i Office of the City Clerk ' Joan L. Flynn, City Cleric July 8, 2011 Stephen Doreck Equipment Rentals, Inc. 9095 Telegraph Rd. Pico Rivera, CA 90660 RE: CC-1371, 1378 & 1408 —Water Main Extension.Projects Enclosed please find your original bid bond for CC-1371, 1378 & 1408. On July 5, 2011, the City Council voted to reject all bids and authorize staff to re-advertise the project for a new bid opening on 2:OOPM, Monday July 18, 2011. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure A:9Iw10 ontAnjoipft o* Waitakere, New Zealand 2011SO 13 PH 1 e 31 �x i STEPHEN DORECK EQUIPMENT RENTALS,INC. 9095TELEGRAPH ROAD PICO RIVERA,CA 90660 City of Huntington Beach City Clerk 2000 Main Street Huntington Beach,CA 92648 "SEALED BID" CC 1371 Water Main Extension,Holburn Drive form 91"to 185"South of Margate Drive CC 1378 Water Main Extension Project,Springdale Street,Machine Drive to 372'South of Machine Drive. CC 1408 Water Main Extension on Beach Boulevard,at Williams Street DO NOT OPEN WITH REGULAR MAIL k a k. " If awarded the Contract, the undersigned agrees that in the evert of the BIDDERS 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,beconsidered null and void... Accompanying this proposal of bid, find Bidder's Bond in the amount of which said amount is not less than l O%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 Cheep",or"Bidder's Bond",as the case may be). Bidder shall signify receipt of all Addenda here,if any: Ad'detada No ` ,;13rate ltece#ved Bidder's St r ature C-2 PROJECT BID SCHEDULE CC 1371 N i ante.....::.::::::::..... . virritkeii:xn:wv+ rcis: :>` :': :'::::: :: `;:fit cit: 'ir7tce::.:::.:.:.... 1 1 8"X 8"Hot flap with Gate Valve EA @ Three Thousand Three Hundred Dollars 3,302.66 $ 3,302.66 Two Dollars and Sixty Six Cents Per EA 2 1 Chlorination and testing of all new watermains LS @ Eight Hundred Sixty Six Dollars S 866.33 $ 866.33 Thirty Three cents Per LS 3 72 8 PVC DR14 Water Main LF @ Two Hundred Ninty Two Dollars 292.92 21,090.24 Ninty two Cents Per LF 4 14 6"PVC DR14 Water Main LE @ One Hundred Fifty Eight Dollars 158.36 $ 2,217.04 Thirty Six cents Per LF S 2 Construct water service&3l4".meter assembly EA @ Two Thousand Sixty Three Dollars 2,063.67 4,127.34 Sixty Seven Cents Per EA 6 1 Construct 6"Gate Valve.Assembly EA @ One Thousand Three Hundred Fifty One Dollars $ 1,351.03 S 1,351.03 Three cents Per EA 7 1 Remove and dispose of existing AC Water Main LS @ One Thousand Eight Hundred Dollars $ 1,800.00 $ 1,800.00 No Cents Per LS 8 2 Provide temporary potable water highline EA @ Nine Hundred Dollars $ 900.00 $ 1,800.00 No/ Cents Per. BA 9 1 Mobilization LS Six Hundred Dollars $ 600.00 600.00 No Cents Per LS 10 1 Demobilization and cleanup LS @ Six Hundred Dollars $ 600.00 $ 600.00 No Cents Per LS C-3.1. PROJECT BILD SCHEDULE CC 1371 -.1 Ina ................ .... t. .... . ... ...... .......... W. n:11111wor& ...... Traffic Control LS Three Hundred Dollars $ 300-00 300.00 No Cents Per LS Yotal Amount Bid.in P*igures- $38,054.64 Total Amount Bid in Words: Thirty——Eight Thousand Fifty Four-D--ollars and Sixty.Four........ .........................................— ------------ ------------- ----------- C-3.2 PROJECT BID SCHEDULE CC 1378 .. . , Noy, uanfit written in yvord� wCTnut 'rice .: tAilEtijUW 1 1 Mobilization LS One Thousand Forty Five Dollars $ 1,045.44 S 1,045.44 Forty Four Cents Per LS 2 1 Provide tral-c control plan LS @ Four Hundred and Eighty Dollars $ 480.00 $ 480.00 No / Cents Per LS 3 1 Provide traffic control LS @ One Hundred and Eighty Dollars $ 180.00 $ 180.00 No / Cents Per LS 4 1 Fire hydrant assembly EA @a Sixteen Thousand Six Hundred Thirty Six Dollars. $ 16,636.87 $ 16,636.87. Eighty Seven Cents Per EA 5 1 Cut&plug and abandon existing 8-inch main LS le Four Thousand Eight Hundred Dollars $ 4,800,00 $ 4,800.00 No / Cents Per LS 6 1 Chlorination and testing of all new water mains I's @ Eight Hundred Seventy Dollars $ 870.19 S 870.19 Nineteen Cents Per L 7 1 Demobilization and cleanup LS @ Two Hundred Forty Dollars $ 240.00 S 240.00 No / Cents Per LS 5t3 mouet 13id Ill I,l es: Total Amount Bid in Words: Twenty Four Thousand Two Hundred Fifty Two Dollars and Fifty Cents C-3.3 PROJECT BID SCHEDULE CC 1408 all .. .. ................... ..... ........ ........ wri 0 ftili .. . ... ... "U, Mobilization LS @ One Thousand Three Hundred Eighty Seven Dollars $ 1,387.06 1,387.06 Six --Cents Per LS 2 1. Traffic Control LS One Thousand Two Hundred Dollars $ 1,200.00 1,200.00 No ____--Cents Per LS 3 1, Permittin ans double permit Permitting,including Cahr las @ One Thousand Eight Hundred Dollars S 1,800.00 $ 1,800.00 No Cents Per LS 4 1 6-inch cut in valve assembly One Thousand Nine Hundred Ninety Seven Dollars $ 1,997.74 S 1,997.74 EA @ Seventy Four Cents Per EA 5 2 8-inch cut in valve assembly EA @ Four Thousand Five Hundred Twenty One Dollars $ 4,521.21 .......4,521.21 Twenty One Cents Per EA 6 380 12-inch PVC DR18 Water Pipe LF @ One Hundred Eighty Five Dollars $ 185.73 $ 70,577.40 Seventy Three —Cents Per LF 7 50 8-inch PVC DRI 8 Water Pipe LF One Hundred Forty Two Dollars $ 142.17 $ 7,108.50 Seventeen Cents Per LF 8 1 Chlorination and testing of all new water mains LS @ Dollars One Thousand Thirty Nine 1,039.20 1,039.20 $ $ Twenty Cents Per LS 9 1 Demobilization and cleanup LS tt, Two Hundred Forty Dollars $ 240.00 $ 240.00 No Cents Per LS T'otal Amount 131d in Figurcs: $ 94,392.32 Total Amount Bid in Words: Ninety Four Thousand Three Hundred Ninety Two Dollars and Thirty Two Cents -------------------------------------------------------------------------------------------------------------- C-3.4 PROJECT BID SCHEDULE TOTALS CC 1371, CC 1378,CC 1408 WATERMAIN REPLACEMENT PROJECTS Sub-Total Bid Schedule CC 1371 38,054.64 Sub-Total Bid Schedule CC 1378 24,252.50 Sub-Total Bid Schedule CC 1408 -9-4,392.32 ..........-............... TOTAL BID AMOUNT, BASIS OF AWARD (Sum of Schedules CC 1371,CC 1378, and CC 1408 156,699.46 TOTAL BID AMOUNT IN WORDS: One Hundred Fifty Six Thousand Six Hundred Ninety Nine Dollars and Forty Six Cents Notes: All extensions of unit prices will be subject to verification by Owner. In case of a verification between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-4 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. Portion c , ass � Name and Address of Subcontractor State License class of Work Number z/ . ......... By submission of this proposal,the Bidder certifies: I- 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-5 NONCOLI.USION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTEDIT State of California ss. County of grange Stephen L. Doreck being first duly sworn:, deposes and says that he or she is Vice President of Stephen Doreck Equipment Rentals, 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, partnerships, 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 feeto any corporation,partnership, company association-, organization,bid depository, or to any member or agent thereof to effectuate a collusive or sham laid. Stephen Doreck Equipment Rentals, Inc. Name of Bidder 44sigte of Bidder 9095 Telegraph Road, Pico Rivera, CA 90660 Address of Bidder Subscribed and sworn to before me this 13 day of june ,201 1 NOTARY PUBLIC Sylvia Si e es /Notary, lic NOTARY SEAL c- JURAT r State of California r County of LOS ANGELES r { r - --- - - - --- - - - - - - - - - SYLVIA SIFUENYE6 Subscribed and sworn to(or affirmed)before me d Commission#t 1903492 this 13 day of Tune, 2011 by 0 Notary Public-California Stephen L.Doreck proved to me Los Angeles County proved to me on the basis of satisfactory evidence to be the r f4 Comm.Wires Oct S. 014 person(s)who appeared before me. I — I i 6 f (seal) igna e o I � I r____,_®_—_—___®_®_®_e_—_—_—_—_—_e___—_....____._—_—_—_®_®_®_—_—___ ®_®_r.._®_®_!._®_®_®_—_.a UTILITY AGPEEMENT 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 Water Main Extension Projects,Various Locations,Project Numbers CC 1371, CC1378, and CC1408, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved" The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements, The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Stephen Doreck Equipment Rentals, Inc. Contractor y Stephen L. Doreck Vice President Title June 13, 2011 Date: C-7 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5,the Bidder shall complete, under penalty of perjury,the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified,removed or otherwise prevented from bidding:on or completing a Federal; State or local government project because of a violation of law or a safety regulation? ®Yes No If the answer is yes,explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-8 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. Stephen Doreck Equipment Rentals, Inc. Contractor By Stephen L. Doreck Vice President Title Date: June 13, 2011 C-9 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Stephen Doreck Equipment Rentals, Inc. Bidder Name 9095 Telegraph Road Business Address Pico Rivera CA 90660 City; State Zip (562 ) 608-8532 Telephone Number 665471-A State C;ontractor's License No. and Class 3/2007 Original Date Issued 2/29/2012 Expiration Date The work site was inspected by Stephen Doreck of our office on June 9 2011. The following are persons,firms,and corporations having a principal interest in this proposal. Stephen L. Doreck C-10 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. Stephen Doreck Equipment Rentals Inc. Comp Nam Si tune 9X'13idder Stephen L. Doreck / Vice President Printed or Typed Signature Subscribed and sworn to before me this 13 day of June 201 NOTARY PUBLIC_ Sylv(2)fuentes Itary Public NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: 1. T4a>c L o Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: , Contract Amount Type of Work Date Completed Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type.of Work Date Completed C-11 �URAT --------------------------------------------------------------------------------- ° State of California f ° County of LOS ANGELES j 0 l 0 SYLVIA SI UENTES Subscribed and sworn to(or affirmed)before me Commission#t 1903492 this 13 day of June. 2011 by I Notary Public-California Los Angeles County L.Doreck proved to me I i' fiA Comm.EX if@8 Oct 8 �014 Proved to me on the basis of satisfactory evidence to be the person(s)who appeared before me. ° I ° (seal) igna yre I 6 � ° a I------------o---------r-----e----------------------------------------i----------------J STEPHEN DORECK EQUIPMENT RENTALS,INC. JOB REFERANCE SHEET JOB# CUSTOMER LOCATION START JEND CONTRACT PHONE FAX CONTACT NAME 2007-02 GRIFFITH COMPANY CAL POLY POMONA 6/25/07 8/3/07 209,772.00 562 929-1128 562 929-8040 RYAN AUKERMAN 2007-08 GRIFFITH COMPANY SEPULVEDA BLVD&e LINCOLN BLVD. 5/5/08 7/9/10 691,000.00 562 929-1128 562 929-8040 RYAN AUKERMAN 2007-10 KINNELOA IRRIGATION DISTRICT NEW YORK DRIVE 10/17/07 12/31/07 126,421.00 626 797-6295 626 794-5552 CHRIS BURT 2007-14 CITY OF PARAMOUNT ROSECRANS AVE.-GARFIELD 1/2/08 6/20/08 380,875.00 562 220-2220 562 408-1712 LANA CHIKAMI 2008-04 CITY OF NORWALK ALONDRA BLVD&t ALORA AVE.PHASE 1 9/2/08 12/17/08 597,356.00 562 929-5723 DELFINO R.CONSUN I 2008-07 CITY OF ANAHEIM KATELLA AVE.WATER MAIN REPLACEMENT 1/5/08 3/17/09 314,657.00 714 765-4206 714 765-5225 CASTER WILLIAMS 2008-08 LONG BEACH WATER DEPARTMENT J.WILL OHNSON RESERVOIR AND DEL AMO 4/24/09 2/19/10 551,021.00 562 570-2300 562 570-2306 WENDY CHEN 2008-11 KINNELOA IRRIGATION DISTRICT KENNELOA MESA PIPELINE 3/2/09 7/23/09 406,506.00 626 797-6295 626 794-5552 MELVIN L MATTHEWS 2009-01 EASTSIDE WATER ASSOCIATION NEWLAND ST&BOLSA AVE. 2/13/09 3/24/09 211,110.00 714 751-7373 TERRY LOOPS 2009-02 CITY OF BELL GARDENS LOVELAND&c GARFIELD AVE. 6/17/09 8/12/09 351,150.00 562 806-7774 562 806-7789 VANESSA LERMA 2010-01 CITY OF BELLFLOWER WATERMAIN MAYNE,OAK AND BELMONT 1/6/10 4/23/10 375,710.21 562 804-1424 562 925-8660 PAUL ZWIEP 2010-02 CITY OF GLENDORA SOUTH HILL EAST 16"WATER MAIN 6/1/10 8/16/10 389,890.36 626 914-8246 KELLY GARDNER 2010-03 CITY OF ALHAMBRA HELLMAN AVE.WATERLINE REPLACEMENT 3/19/10 7/12/10 936,107.14 626 570-3280 626 570-3280 MARTIN RAY 2010-04 CITY OF COVINA ROWLAND&L HOLLENBECK WATERMAIN REPL 4/26/10 8/24/10 323,255.00 626 384-5490 626 384-5479 RON HADLOC 2010-06 CITY OF INGLEWOOD WATER,ETER VAULTS REPL-VARIOUS LOC 8/2/10 10/19/10 216,000.00 310 412-5333 310 412-5552 BOYFRESE OSIAS MISC CITY OF PARAMOUNT VARIOUS MISC JOBS-ON CALL 562 220-2146 562 220-2144 ROLAND LEWIS MISC CITY OF TORRANCE VARIOUS MISC JOBS-ON CALL 310 780-8149 310 618-6256 ED MACIEL MISC CITY OF DOWNEY VARIOUS MISC JOBS-ON CALL 562 335-6770 .562 869-9832 DANNY SALAS MISC SHAWNAN VARIOUS MISC JOBS-ON CALL 562 803-9977 562 803-9955 SHAWN A.SMITH THE AMERICAN INSTITUTE OF ARCHITECTS Bond No. STEDO-52 AIA Document A310 Bid Bond KNOW ALL MIEN BY THESE PRESENTS,that we Stephen Doreck Equipment Rentals, Inc. 9095 Telegraph Road Pico Rivera, CA 90660 as Principal, hereinafter called the Principal, and International Fidelity Insurance Company 13400 Sabre Springs Parkway, Suite 270 San Diego, CA 92128 a corporation duly organized under the laws of the State of New Jersey as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntington Beach 200 Main Street Huntington Beach, CA 92648 as Obligee, hereinafter called the Obligee, in the sum of Ten Percent of Amount Bid Dollars($10% of Amount Bid for the payment of which sum well and truly to be.made, the said Principal and the said Surety, bind ourselves, our heirs,executors, administrators, successors and assigns,jointly and severally,firmly by these presents. WHEREAS,the Principal has submitted a bid for: 1. CC 1371 Water Main Extension, Holburn Drive From 91' to 185' South of Margate Drive 2. CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive 3. CC 1408 Water Main Extension on Beach Boulevard at Williams Street NOW; THEREFORE, if the Obligee shall accept the bid'of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void,otherwise to remain in full force and effect. 'Signed and sealed this 10 th day of June, 2011, Stephen Doreck Equipment Rentals, Inc. (P - cipal) (Seai) (Wifness) X3 (Tifte) O Ce Internat' lity Insurance Company (Sea/ (Witness) Arturo Ayala (T Attorney-In-Fact AIA DOCUMENT A310.BID BOND•AIA®.FEBRUARY 1970 ED.THE AMERICAN INSTITUTE OF ARCHITECTS,1735 N.Y.AVE.,N.W.,WASHINGTON,D-C.20006 1 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT re_______________e_e______________e_e_e___________e_e__e_e______ _—_- State of California County of Los Angeles j t 0 On 6/13/2011 before me, Sylvia Sifuentes, Notary Public, 0 0 Here Insert Name and Tide of the Officer Apersonally appeared Stephen L. Doreck Name(s)of Signer(s) # Iwho proved to me on the basis of satisfactory evidence to be.the person(s)whose f name(s) is/are subscribed to the within instrument and acknowledged to me that he/sheAhey fexecuted the same in his/her{theif authorized capacity(ies), and that by his/her/th& i 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 0 foregoing paragraph is true and correct. 1 SYLVIA SIFUENTES WITNESS my hand and official seal. Commission# 1903492 Notary Public•California , Los Aaglas County Mv Comm.Evires Oct S.2014 It Signatur (Seal) 4Signatuary Public ; e e j OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. S 6 Description of Attached Document e o Title or Type of Document: 0 . Document Drive: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: o e ❑ Individual • ❑ Corporate Officer--Title(s): Top of thumb here ❑ Partner--- ❑ Limited ❑ General 0 ❑ Attorney-in-Fact ❑ Trustee 8 ❑ Guardian or Conservator ❑ Other: e � Signer Is Representing: � r -e®e®e-------- —®—®—® ----®0®e®---- --------------------eat 1 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT STATE OF CALIFORNIA County of Orange } On 6/10/11 before me, Susan Pugh, Notary Public Date Here Insert Name and Title of the Officer personally appeared Arturo Ayala Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(o is/me subscribed to the within instrument and acknowledged to me that he/slay executed the same in his/herr authorized capacity(i±'), 5USAN PUGH and that by his/fr signature(s) on the instrument the ' Comm,01934229 person(&), or the entity upon behalf of which the person(s) g Notary PUbtlaCAllfernis acted, executed the instrument. ORANGE COUNTY My Comm.ExpiresApr29,2015 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. Witness my hand and official seal. Signature Place Notary Seal Above Signature of Notary Public susa& u OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Bid Bond Document Date: 6/10/11 Number of Pages: One Signer(s)Other Than Named Above: None Capacity(ies)Claimed by Signer(s) Signer's Name: Arturo Ayala Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer—Title(s): ❑ Partner—❑Limited❑General ❑ Partner—❑Limited❑General 9 Attorney in Fact ❑ Attorney in Fact M. ❑ Trustee ° ❑ Trustee 7Topof ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator 7here ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: ©2007 National Notary Association•9350 De Soto Ave.,P.O.Box 2402•Chatsworth,CA 91313-2402•www.NationaiNotary.org Item H5907 Reorder:Call Toll-Free 1-800-876-6827 4. Te1(973I 1624 72t10 � —1` ' � Bflnd No. ;ST30 5� I�TT'EIR I� T� DELIT'Y NS HOME OFFICE ON£NEWARK CENTER;20TH FLOOR ::; NEWARIC;NEW JERSEY '07102-5207 KNOVI ALL MEN.:BY THESE PRESENTS: That TNTERNA iTONAL FIDELITY INSURANCE COMPANY, a coipontton orgattized and existing laws of the State of Ncw Jersey:;and having its principal office in the City of Newark;New Jersey,does,heteby conshntte acid appoint DWIGHT_REILLY, RALPH EID.EM, JIt , ART'URO AYALA, DANIEL HUCKABAY Orange, CA. its true and lawful attoI mey(s)-in-fact to execute,seal and deliver for and on its behalf as surety,any and all:bands and undertakings contracts of indemnity and: other writings.obligatory in the nature thereof,which are or.may be allowed, require. or permitted by law,stature;rule, regulattott;.contract or otherwise,and the:execution:of such..instrumet)t(s) in pursuance''of these presents, shall :be as binding upon the said TNTERNATI()NAL FIDELITY INSURANCE COMPANY,as fully and amply;to all intents and purposes;as.if the same had been duly,executed and acknowledged by:its regularly elected officers at its principal office. This Power of Attorney is executed,and may be revoked,pursuant to and by authority of Article 3-Section 3,of the By Laws adopked by the Board of Directors of INTERNATIONAL:FIDELITY INSURANCE COMPANY at a meeting called.and-held on the 7th day of Fe6ntary, 1974. The President or.any Vice President,Executive Vice President,Secretary or Assistant:Secretary,shall have power and authority (1),.To appoint I.Attorneys in-fact,and to authorize them to execute on behalf of the Company,and attach the Seal of the Company thereto,bonds and undertakings,contracts of indemnity<,and:other writings obligatory,in the nature thereof and, (2):To remove,at any time,any such attorney-in-fact and revoke the authority given., Further,this Power of Attorney is signed and seated by facsimile pursuant to resolution of the Board of Directors of said Company adopted at a meeting duly called and held on the 29th day of.Apnl, 1982 of which the following is a true excerpt: Now therefore the signatures of such officers and the seal of the Company may be affixed.to any such power of attorney or any certificate relating thereto by facsimile;and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in e futurewith respect to any bond or undertaking to which it is attached. � -IV1IY��/�. IN TESTIMONY WHEREOF, INTERNATIONAL FIDELITY INSURANCE COMPANY has caused this instrument to be �` f✓ signed and its corporate seal to be affixed by its authorized officer,this 16th day of October.,A.D. 2007., Q QQl4IIR4� '�$ INTERNATIONAL FIDELITY INSURANCE COMPANY, SEl4L n 1904 of STATE f NEW JERSEY County Essen JEaS� ` Secretary On this 16th day of October 2007, before me came the individual who executed the preceding instrument,to me personallyy known, and,being by me duly sworn,said the he is the therein described and authorized officer of the INTERNATIONAL FIDELITY INSURANCE':COMPANY;thatxhe seal affixed to said.instrument is the Corporate Seal of said Company; that the said.Corporate'Seal and his signature were duty affixed by order of the Board of`:Directors of said Company. N 1lfAe. '`+ IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my Official Seal, �. ' (j��tc���..�.� at the City of Newark,New Jersey the day And year first above written. *U . OIA ' Y ` Ox A NOTARY PUBLIC OF NEW:JERSEY t�r'++t�rs,u�c�lsii My Commission Expires Match.27,2014 CERTIFICATION I,the undersigned officer of INTERNATIONAL FIDELITY INSURANCE COMPANY do hereby certify that I have compared the foregoing copy-of the Power of Attorney and affidavit,:and the copy of the Section of the By-Laws of said Company asset forth in said Power of Attorney,with the ORIGINALS ON IN THE HOME OFFICE OF SAID COMPANY,and that the same are:correct transcripts thereof,.and of the whole:of the said originals,and that the said Power of Attorney has not been revoked and is now in full force and effect IN TESTIMONY WHEREOF. I have hereunto set my hand this : 10th < day of .Tulle, 201I Assistant Secretary City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov • A � .v Office of the City Clerk 9 ' Joan L. Flynn, City Clerk July 8, 2011 TTS Engineering, Inc. 16835 Algonquin St., #453 Huntington Beach, CA 92649 RE: CC-1371, 1378 & 1408 —Water Main Extension Projects Enclosed please find your original bid bond for CC-1371, 1378 & 1408. On July 5, 2011, the City Council voted to reject all bids and authorize staff to re-advertise the project for a new bid opening on 2:OOPM, Monday July 18, 2011. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure gSWm0i4i13mn0ao mP&t o* Waitakere, New Zealand TTS Engineering, Inc 16835 Algonquin Street # 453 Huntington Beach, CA 92649 `! General Engineering Contractor UCENSE M.ew (714) 840-6346 2�d d ) 13 l 79 • CSC ! 37 A t� SECTION C PROPOSAL for the construction of 1. CC 1371 Water Main Extension,Holburn Drive from 91' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project,Springdale Street,Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard,at Williams Street 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 50 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. hi 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 10 yo in the amount of$ 01, which said amount is not less than 10%of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or"Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No Date Received Bidder's Signature C-2 PROJECT BID SCHEDULE CC 1371 tem ..stim.ate tern art unrt prrcf xten e Ntr Quahtil� ryritte i .words:: > L[rtrt>�'riee Aniolrlti .. ... .. ... .. ... ....... 1 1 8"X 8"Hot Tap ate Valve Gj EA @./ •�--- / � bi-t -e11'*4J Dollars Cents Per EA 2 1 Chlorination and nesting of all new water mains ' LS (a� l .- y/ ��,., /xIM'+J Dollars $ $ 3 77 8 Cents Per LS 3 72 8"PVC DR14 Water Main , LF @Au,',/ Dollars $ec 7(a $ Cents Per LF 4 14 6"PVC DR14 Water Main LF @ i Dollars $7V $�y�0 61_ I�.�� -dents' � Per LF ir 5 2 Construct V water service&3/4"meter assembly EA @ V � Dollars $ O V 0 000 O Cents Per EA 6 1 Construct 6"Gate Valve Assembly EA C ^� ,G - lj�a Dollars $ Aq(n FetrtS Per 7 1 Remove and dispose of existing AC Water Main LS @ ,� ii Dollars $ � $Z 10�0 Cents Per LS 8 2 Provide temporary potable water highline EA @�� Dollars $ ,2 Per EA 9 1 Mobilization / LS _Dollars $ 17 6 .$ Z,/7`j Q"Its Per LS 10 1 Demobilization and cleanup LS J111—t Dollars $3607 $ 3,4-2' Per LS C-3.1 PROJECT BID SCHEDULE CC 1371 I.tem stirnate tetn:�v► unit prtct xpn e N0.. Qu tttitY .. written �p words. �Init Pr�ee iou�tt . .......... . ....... ...... 11 1 Traffic Control p LS @ � / Dollars $9l.�? $ 1 G 7 -Gen Per LS Votal Amount Bid in F figures: r,a -Total Amount Bid to Words: �y ---------------------------------- --- --'--:-Z-t. �- -- �- - -- --- - - ---- C-3.2 PROJECT BID SCHEDULE CC 1378 rem :.st>tm�te term unrt prier xten e .:No :.Quantity written io.wnrds. tint Priee Aii�ou�19 .. ...... ... ........... .. .... 1 1 Mobilization LS Oaf Dollars $1200) $ M(7 Per LS 2 1 Provide traffic control plan LS @ .j,d .4e..,-� Dollars $ 7 017 Cents Per LS 3 1 Provide traffic control J LS @ .�n, I� ^'�t/" Dollars $ryl�i $ ys 1 Per 4 1 Fire hydrant assembly / 9 EA N•A• -!�� '� Dollars $a`'t�6 q 3 $.a Perr E/ A �d V E 5 1 Cut&plug and abandon existing 8-inch main LS @ Dollars $ y $ -sic lw.7�:�r -� .Cents Per LS 6 1 Chlorination and testing of all new water mains LS Dollars $S/9 $S�/9? Per LS 17 7 1 Demobilization andleleannuupB '-� L J LS @V'f�•C, �!�?^�'��"' �'7�"'I Dollars $AT/7 $/1 y Per LS otal Amount Bid in 1 ures: Total Amount Bid in Words- . ....... --------------------------• - ---- - - - - --- - C-3.3 PROJECT BID SCHEDULE CC 1408 I.t..o..m.. Wrnate tettY:wit :unit prier .: xten a :_ ..... .Nb Quantity w ifEeh m:wards:: Unit�1`ICC A[1fl00A <: . .. .. ..... .. ... .... .. .. 1 1 Mobilizatio LS @ - 4dollars $z y, $ -47 s Per S 2 1 Traffic Control LS @ Dollars $.g ydyl Per LS 3 1 Permitting includingg C_altran's double permit LS @ �� .e' tl%.t� Dollars $9,17e $ � Cents Per L✓� 4 1 6-inch cu in valxa aCC mbly Aj EA @ Dollars $Sj'03 $S8b 3 —pert[§ Per EA 5 2 8-inch cut in valve a mblyn EA Dollars $ $ ! — A4 Per EA 6 380 12-inch PVC DR18 Water Pipe � J LF @ 2ZZ;�jDollars $_�O L_r, _ _ _Gents r LF 7 50 8-inch PVC DR18 Wat r Pipe ,- LF @ � -� Dollars $ Z�05 _ 2� .�� .�etses Per LF 8 1 Chlorination and testing of all new water mains LS @ _-^�+�4 .(� Dollars $y, 13 C $� 3! �r r Cents Per LS 9 1 Demobilization and cleanup LS @ Dollars $ q1V y,� fiats Per LS Total mount Bid in Figures: / 0 7 Total Amount Bid in Words: .................................................... C-3.4 PROJECT BID SCHEDULE TOTALS CC 1371, CC 1378, CC 1408 WATERMAIN REPLACEMENT PROJECTS Sub-Total Bid Schedule CC 1371 6 31 5agg Sub-Total Bid Schedule CC 1378 4/2" a i 9 Sub-Total Bid Schedule CC 1408 73 1Y TOTAL BID AMOUNT, BASIS OF AWARD (Sum of Schedules CC 1371, CC 1378, and CC 1408 Y / TOTAL BID IN WORDS: �e�� a.-cL- Gs'��►'�ilit.72 Notes: All extensions of unit prices will be subject to verification by Owner. In case of a verification between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-4 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. Portion Name and Address of Subcontractor State License Class of Work Number r �4d14n C�I of- 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-5 NONCOI.LUSION AFFIDAVIT TO BE EXECUTED BY BIDDEN AND SUBMITTED WITH BID State of California ss. County of Orange being first duly duly swore, deposes and says that he or she is of &04s1•sCCr N G4 C the party making the foregoing bid that the bid is not made in the interest of, o n 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 nature of Bidder Address of Bid er a��C'✓� Subscribed and sworn to before me this ' day of Tu-o-�, , 201 1 Is NOTARY PUBLIC NOTARY SEAL C-6 UTILITY AGREEMENT HONORABLE MAYOR ANID,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 Water Main Extension Projects,Various Locations, Project Numbers CC 1371, CC1378, and CC1408, (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 B lc Title Date: C-7 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury,the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ® Yes No If the answer is yes,explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-s COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. C actor o 1-/�117 1�1/s By 41 Title-' Date: 6 1,31,,J C-9 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: c h nE�r' Bidder Name 1-7T35 14 /yyVu ,„ Business Address U It City, State Zip .(7'y ) Telephone Number State Contra tor's License No. and Class q Original Date Issued g 30 Expiration Date The work site was inspected b i�►'� Sa of our office on , , 201 I. The following are persons, firms, and corporations having a principal interest in this proposal: bl xS D , m C-10 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 Sipatee of Bidder USA- Printed or Typed Signature Subscribed and sworn to before me this is day of c' �-E� , 201 NOTARY PUBLIC NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the Tpast two years: I. :-n Gh �a%e/ �,4-— Name and Address of Public Agency Name and Telephone No. of Project Manager: Ae-n lo",Ot' �ad IC � 4u. roTeeTp n �� CAt4%j ntract Amount Type of Work Date Completed 2. �01 PSG Na and Address of Public Agency Name and Telephone No. of Project Manager: 7/ Y- 9 aso 7 y3 0 0 en Contract Amount Type of Work Date Completed 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed C-11 California Jurat State of California t S.S. County of RALD61F--.,Y Subscribed and sworn to (or affirmed) before me on this / `day of Jt,C."' , ,n,r, 20 i , by ` _ i t ;Sc?ti- and n ar„ ; proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. o KEtLY S.G 8 6 COMM. #187814143 z� GdLNotary Public California p �_sfzirwf;u�4a ;,tc Orange County Mv Comm.Expires Jan.25,2014 real OPTIONAL INFORMATION �Afr ,,tCJ;,?'t"?t.<tr z?i?�ixidv,:fP�z,tn, ,N,:.,ft��'i f4 f�t3t h-;.Jt<:;r;.?r,j i.:,t�'sr. Qt_P:�t-�r Ea d..z 1i r;P�,a. i�i...,F 364(70`.. ,''sod,e."trafJhY>.-71;Cfi aP Uzi i,p)y i;�?" ',�{,d�..,i.tf iil,k� ti 7,f I�":iX tir i,3G a, a"""'W Description of Attached Document The certificate is attached to a document titled/for the purpose of Method of Affiant Identification Proved to me on the basis of satisfactory evidence: _✓�/� ( c c form(s)of identification Q credible witness(es) +`fit�1� (` 1 ] � Notarial event is detailed n notary journal on: r'r 1.., +� �IL '�.} 1 Page# 1 Is Entry# +' Notary contact: containing 1 pages, and dated L��I �ti Other ® Affiant(s)Thumbprint(s) ® Describe: Olj Noc rr ,=- . -C"unir r-till BID BOND KNOW ALL BY THESE PRESENTS,That we; TTS Engineering; Inc. of Huntington Beach, CA (hereinafter called the Principal), . as Principal,and Internatioanl Fidelity Insurance Company, (hereinafter called the Surety),as Surety are field and firmly bound unto City of Huntington Beach 1 (hereinafter called the Obligee)in the penal sum of Ten Percent of Amount Bid Dollars($10%.of amount bid ) for the payment of which the Principal and the Surety bind themselves, their heirs, executors;administrators, successors and assigns, jointly and severally,firinly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH,That WHEREAS, the Principal has submitted-or is about to submit a proposal to-die Obligee on a contract for Water Main Extension NOW,THEREFORE,.If the said Contract be timely awarded to the.Principal and the Principal shall, within such time as may be specified, enter into the Contract in writing, and give bond, if bond is required,with isurcty acceptable to the Obligee for the faithful performance of the said Contract,then this obligation shall be void;otherwise to remain in full'.force and effect, Signed and sealed this 6th day of June 2011 TTS gineering, Inc. (Seal) Principal Witness Title . international Fidelitv Insurance Company Witness $y Frank Morones, Attorney-in-Fact S-00531GEEF 10199 Tel(973)624-7200 FO W :OF L. OV INTERNATION HOME•OFFICE:ONE NF,WA Cl NTEIt 2OTH FI OOR NEWARK NEW JERSEY 07102=520 KNOW ALL MEN BY THESE PRESENTS-. That INTERNATIONAL FIDELITY INSURANCE COMPANY, a corporation organized a4d,existing laws of tire State of.New Jersey;and having its principal office in the City of Newark,N w Jersey,does' constitute and appoint "° FRANK MORONES Anaheim Hills, CA. its true and lawful attorney(s)-in fact to execute,seal and deliver for and on its behalf as surety,any and all bonds and undertakings,contracts of indemnity and other writings obligatory inthe nature thereof,which are or may be allowed, required or permitted by law,stature,rule, regulation;contract or otherwise,and the,execution of such instruments) in pursuance of these presents, shall be as binding upon the said INTERNATIONAL FIDELIT INSURANCE COMPANY, as fully and amply, to all intents and purposes, as if the same,had been duly executed and acknowledged by its regularly elected officers a#its principal office. This Power of Attorney is executed,and maybe revoked;pursuant to and by authority of Article 3-Section 3,of the By-Laws adoppted by the hoard of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting called and held on the 7th day ofFebruary, 1974. The President<or any Vice President,Executive Vice President,Secretary or Assistant Secretary,shall have power and authority (1)To appoint Attorneys-in-fact,and to authorize them to execute on behalf of the Company,and attach the Seal of the Company thereto,bonds and._ undertakings,contracts of indemnity and:other writings obligatory in the nature thereof and, (2)To remove,at any time,any such attorney-in-fact and revoke the authority given. Further,this Power of Attorney is signed and sealed by facsimile pursuantt to resolution of the Board ofDirectors of saidCompany adopted at a meeting duly called and held on the 29th day of April, 1982 of which the following is a true excerpt: Now therefore the signatures of such officers and the seal of the Company may be affixed to any such power of attorney or any certificate relating thereto by facsimile,and any such power ofattorney or certificate bearing such facsimile signatures or facsimile seat shall be valid and binding upon the Company and any - such power-so executed and certified by facsimile signatures and facsimile seal:shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which:it is attached._ _ IY IN TESTIMONY WHEREOF, INTERNATIONAL FIDELITY INSURANCE.COMPANY has caused this instrument to be signed and its corporate seal to be affixed by its authorized officer,this 16th day of October,A.D.2007. INTERNATIONAL FIDELITY INSURANCE COMPANY SEAL 1904 STATE OF NEW JERSEY County of Essex Secretary On this 16th day of October 2007,before me came the individual who executed the precedin instrument to me personally known, and,being by me duly; sworn,said the he is the therein described and authorized officer of the INTERNATIONAL NDELITY INSURANCE COMPANY;that the seal affixed to 'said instrument is the Corporate Seal of said Company, that the said Corporate Seal and his signature were duly affixed:by Order of the Board of Directors of said Company. t34741 Q/ldrryYffR WY:VA 4r IN TESTIMONY WHEREOF, I have hereunto set my handaffixed my Official Scal, �. v ........`�t!j .� at the City of Newark,New Jersey the day and.year first above written. " 01 A `• 4 v:zif`� A NOTARY PUBLIC OF NEW JERSEY +errr;lr/la+lt My Commission Expires March.27,2014 CERTIFICATION 1;the undersigned officer of INTERNATIONAL FIDELITY INSURANCE COMPANY do hereby certify that I have compared the foiegoiCg copy of fhe Power of Attorney and,affidavit,and the copy of the Section of the'By-Laws of said Company as set forth in said Power of Attorney,with the ORIGINALS ON IN THE HOME OFFICE OF SAID COMPANY;and that the same are.correct transcripts thereof,and of the whole of the said originats,and.that(be said Powe of:Attorney has not been revoked and is now in'full force and effect'. IN TESTIMONY WHEREOF,I have hereunto set my hand this;6th day of June, 2011 Assistant Secretary.. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Orange On 6/6/2 01 1 before me, L. Clark, Notary Public , DATE NAME,TITLE OF OFFICER-E.G.,"JANE DOE,NOTARY PUBLIC" personally appeared Frank Morones , who proved to me on the basis of satisfactory evidence to be the person(s) whose names (s) is/aFe subscribed to the within instrument and acknowledged to me that he/she/ executed the same in his/he4th&authorized capacity(ies), and that by his/heF/th64 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. L.CLARK Commission#1825171 Z WITNESS my hand and official seal. & �m Notary Public-California z z Los Angeles County % My Comm.Expires Nov 28.2012 SIGNA OF NOTARY OPTIONAL Though the data below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑INDIVIDUAL ❑CORPORATE OFFICER TITLE OR TYPE OF DOCUMENT TITLE(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL NUMBER OF PAGES ® ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSON(S)OR ENTITY(IES) SIGNER(S)OTHER THAN NAMED ABOVE City of Huntington Beach -�, 2000 Main Street ® Huntington Beach, CA 92648 (714) 536-5227 s www.huntingtonbeachea.gov s , Office of the City Clerk P ` Joan L. Flynn, City Clerk July 81 2011 Vido Samarzich, Inc. 4972 Crestview PI. Alta Loma, CA 91701 RE: CC-1371, 1378 & 1408—Water Main Extension Projects Enclosed please find your original bid bond for CC-1371, 1378 & 1408. On July 5, 2011, the City Council voted to reject all bids and authorize staff to re-advertise the project for a new bid opening on 2:OOPM, Monday July 18, 2011. Sincerely, Joan L. Flynn, CIVIC City Clerk JF:pe Enclosure g9i9b u "iVwntA*mP*LV9jvo# Waitakere, New Zealand N .C=, Vido Samarzich Inc. �, w 402 Crestview Place Alta.'Loina Ca 91701 _ -�- c _. c . Bid- To The' City .Of Huntington Beach June,.13. 2011; City Clerk 200.0 Main -Street Hun'tingt6h. Beach Ca 92b48 WATERMATN REPLACEMENT SECTION C PROPOSAL for the construction of 1. CC 1371 Water Main Extension,Holburn Drive from 91' to 185' South of Margate Drive. 2. CC 1378 Water Main Extension Project, Springdale Street, Machine Drive to 372' South of Machine Drive. 3. CC 1408 Water Main Extension on Beach Boulevard,at Williams Street 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 50 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 131®W Go n the amount of$ [o lb which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond", as the case may be). Bidder shall signify receipt of all Addenda here, if any: Addenda No. K: Date Received _� Bidder's Signature C-2 PROJECT BID SCHEDULE CC 1371' ,�st. .... , fit. ended n. a tit3; .... ttten: �:W.4 M�;fl'r-ice:. ..:. aoal�1..................... . 8"X 8"Hot Tap with Gate Valve EA @ S rVf+y 7Hoyj,4,j,0 FIVC NWO.O. Dollars $ 7sy oo OU $ ?S-00,OU Cents, Per EA 2 1 Chlorination and testing.of all new water,mains .. LS @Tt✓o 'rHpvi,aNO FIVE HUNAnF-D Dollars $ 2lS1:;ro.170 $ 2,S0090 Cents Per LS 3 72 8"PVC DR14 Water Main LF @ ONE p-yPjMF D N/roErY F-/b H r Dollars $ /9 8. 0() $ �'1� 2S6,00 Cents Per LF 4 14 6"PVC DR14 Water Main LF @ TWO HorjDLF6 Dollars $ ZOO. 00 $ Z, FmOU Cents Per LF 5 2 Construct 1"water service&3/4"meter assembly EA @ Two TWO Ka,-lookE D Dollars $ Z Z 00.D0 $ Cents Per EA 6 1 Construct 6"Gate Valve Assembly EA @ dNE T rtOUSgaND SIX J4j9M0nQ0 Dollars $ ! DO 00 $h 600,00 Cents Per EA 7 1 Remove and dispose of existing AC Water Main LS @ 4a4',c THodsA,✓n F/✓,E HUr-0/--ED Dollars $ / S-00.00_ $ / S� oo.ov Cents Per LS 8 2 Provide temporary potable water highline EA @ 61VE THo✓ssQN0 Dollars $ D ov $ Z, 000.0(� Cents Per EA 9 1 Mobilization LS @ -rHrt ESE 7"H0V-5'4 -'l0 Dollars . $ 3000. 0 D $ 33 000.rev Cents Per LS 10 1 Demobilization and cleanup LS @ TWO T-rfOVS/9^j0 Dollars $ 2, 000,00 Dw.00 Cents Per LS C-3.1 PROJECT BID SCHEDULE CC 1371 �1ein:: st iia ed..... :::::::::::Ite......>�G unit pica . tei.ded ..... ............... I�.... ..................... .............................................................. .................................... No: Quanfit : ter...... ..ava ils:::: .............. 11 1 Traffic Control LS @ FI V,E 14 0 W D R'E D Dollars $ 5co•co $ 54C '®® Cents Per LS Total Amount Bid inFigures: S 4z 056•�O Total Amount Bid in Words_ FORTY-r&jo T OUSAN17 FI_FTr St$ DOCL,AR_,S_ _ _ C-3.2 PROJECT BID SCHEDULE CC 1378 ateia . .. . . ..t lG4 rt:F, 4 ated _ u .. . .. .: ... ............. ...... ..... ....................... . . ....... .. ................. .40 :...:::.....:......written:i..v aril : >: riit:Price:::::::Aii otin1>::: 1 1 Mobilization LS @ Otq: T 14OUSAI J 0 Dollars $6000.00 $/OOD•00 Cents Per LS 2 1 Provide traffic control plan LS @ONE 7440 USAND Dollars $/+QI0.00 $ 1,ODB• 00 Cents Per LS 3 1 Provide traffic control LS a H REE T WO USA N D Dollars $ 00.00 $3 0� A?•Oa Cents Per LS 4 1 Fire hydrant assembly EA @' E Wl'Y TI.10 VSA AID Dollars $N 000.0v $29600.00 Cents Per EA 5 1 Cut&plug and abandon existing 8-inch main LS @ Ft VE TNOo(AND1 UE NUND*FD Dollars $ S�SW 06 $ Cents Per LS 6 1 Chlorination and testing of all new water mains LS @ F/t-TEEN +4 0 N D RED Dollars $ 1-5w.00 $ i, 00.0 Cents Per LS 7 1 Demobilization and cleanup LS @rytJE "f+1®USANO Dollars $ 1j960.00 $ / 000. 0Z) Cents Per LS Total ount Bid in Figures: 33 .0 0 Total Amount Bid in Words_ J �R7Y_1->,/R EE_ TH o_uS414 .6OCtlaR„S_________________ C-3.3 PROJECT BID SCHEDULE CC 1408 ...... E ��ted ......wit...... ic. ': < ......d: . .. . N;o n .ty'.:ten:i vvnrtL: >Tnit:Peace:::::::Ainounl:::: Q......�3 ................................................................ 1 1 Mobilization LS @ONE TNo USAMD Dollars $1 4"Ix $ /,&V. Cents Per LS 2 1 Traffic Control Ls @ouRTHousAND Dollars $ 000.40 $ 006.00 Cents Per LS 3 1 Permitting,including Caltrans double permit LS @ Td 0 PVC fftfA4ttD Dollars $ $3500"00 Cents Per LS 4 1 6-inch cut in valve assembly EA @ FIVE T1.10 t1SA N D Dollars $3 ow.00 $S 066.dif' Cents Per EA 5 2 8-inch cut in valve assembly EA @ SX n4no SLAND Dollars $ Q '06_ $ Z;OCO•QS Cents Per EA 6 380 12-inch PVC DR18 Water Pipe LF @DNE HuNygep P=wTE✓N Dollars $ f/5. 0 O $ M-d 0 Cents Per LF 7 50 8-inch PVC DR18 Water Pipe LF @ ob1 E t-u glm8D TW E trU E Dollars $ 11 Z.O t9 $S 00.Oa Cents Per LF 8 1 Chlorination and testing of all new water mains LS @ THeEf TNOuSA RD Dollars $3 om3 o.ov $3 eoo.oa Cents Per LS 9 1 Demobilization and cleanup LS @ Fl FTE EN 1-1 u N.D RED Dollars $ 1.500.00 $ S00.0 Cents Per LS of Amount Bid ink 1 ures: W, WAR Total Amount Bid in Words: ---------------------------------------------------------------------------------------------------------- C-3.4 PROJECT BID SCHEDULE TOTALS CC 1371, CC 1378, CC 1408 WATERMAIl®T REPLACEMENT PROJECTS Sub-Total Bid Schedule CC 1371 q 1®56 • 00 Sub-Total Bid Schedule CC 1378 3 r ®o® " 0 0 Sub-Total Bid Schedule CC 1408 "'7 11 00, TOTAL BID AMOUNT, BASIS OF AWARD (Sum of Schedules CC 1371, CC 1378, and CC 1408 TOTAL BID AMOUNT IN WORDS: C-IrYY S /)( 1;!0L'L_42S Notes; All extensions of unit prices will be subject to verification by Owner. In case of a verification between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-4 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. Portion Name and Address of Subcontractor State;License Class o Worky -Number Ace C ELL— C-"TC c.oa P C A En,P, L i9 V /'1%ON/►OU A �o Lf 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-5 INONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ss. County of Orange VI DO L. S A m to n z1 CH , being first duly sworn, deposes and says that he or she is VJc F- P RES t p e NT of VI D O SA W A R Z1 W /A/C the parry making the foregoing bid that the bid is not made in the interest of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. VIDO SAMARZICH 4 MC Name of Bidder Signature of Bi V er q 9 7 , c RF,sy/ek) PL. ALTA LoJnA CA *701 Address of Bidder Subscribed and sworn to before me this day ofl--� , 201 j— . LUPE: SALGUERO z COMM.## 1850486 z p � ^ NOTARY PUBLIC-CALIFORNIA K LOS ANGELES COUNTY y4A My Comm.Expires June 19,2013 NOTARY PUBLIC NOTARY SEAL C-6 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 Water Main Extension Projects, Various Locations, Project Numbers CC 1371, CC1378, and CC1408, (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. Vt DO SA MAR ZICN INC Contractor d.4,�A , By Title Date:,, ONE 13, Z011 C-7 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 14310.5, the Bidder shall complete, under penalty of perjury,the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ® Yes a 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-s COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. y1 D0 SA MAPZ1CJ4 IN( Contractor By PRES/Df-AIT- Title Date: 3"U kl E 13, z©l I C-9 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Vfi)o SAyi ARZICH I/VC, Bidder Name t4 9 Z Z, CRESTvw Ek) PI-A CE Business Address AtTA L®h7,4 CA'. g/7,01 City, State Zip (9a9 ) g�76377 Telephone Number q-332/a A State Contractor's License No. and Class Original Date Issued /2:- 3/— /Z Expiration Date The work site was inspected by VIP SA&M2V6q of our office on 3-04t 9 , 2011 . The following are persons, firms, and corporations having a principal interest in this proposal: WDo SAAnA-itZICR PWESiDF-jC- Yi Do L. !9AmAAzjW V•A MOMY4d SAMAAUR SEC. C-io 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. V!00 3AMf4R zlCH l AIc. Compare ame Signature of BA der V!®o L .S of iA4 2e Printed or Typed Signature Subscribed and sworn to before me this IS day of 92011 LUPE SALGUERO r'omm.## 1850486 r Z s " NOTARY PUBLIC-CALIFORNIA LOS ANGELES COUNTY NOTARY PUBLIC .. My Comm.Expires June 19,2013 NOTARY SEAL Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past two years: I. cay yF cmmo ?60 Name and Address of Public Agency Name and Telephone No. of Project Manager: pAs zma H= 907 Y651RS(6 7 I OQo. 00 WATEI? Z007 Contract Amount Type of Work Date Completed 2. C-ITY OF 1>ASi4DV4F7 Name and Address of Public Agency Name and Telephone No. of Project Manager: DALE THorS£uB0 (o Z(o �/.56VIP 1/ 11 goo, 000. 00 MAI oVs zoo q Contract Amount Type of Work Date Completed 3. LAKE MyhsT tAu ucipAL Vy,4TER 1>/S7-R1C7' Name and Address of Public Agency Name and Telephone No. of Project Manager: MIKE Go 41 E 95/ f05?S L q/ 3►$ 000.06 WAIE2 Z 01/ Contract Amount Type of Work Date Completed C-11 S FIDELITY AND DEPOSIT COMPANY OF MARYLAND BOND NO: VIDSA-954 BID BOND KNOW ALL MEN BY THESE PRESENTS: That we, VIDO SAMARZICH, INC., (hereinafter called the Principal), and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corporation organized and doing business under and by virtue of the laws of the State of MARYLAND, and duly licensed for the purpose of making, guaranteeing, or becoming sole surety upon bonds or undertakings required or authorized by the laws of the State of CALIFORNIA, as Surety, are held and firmly bound unto CITY OF HUNTINGTON BEACH, (hereinafter called the obligee) in the sum equal to 10% of the accompanying bid of the Principal, not, however, in excess of TEN PERCENT OF THE TOTAL AMOUNT BID Dollars (10% OF BID AMOUNT), for the payment of which, well and truly to be made, we hereby bind ourselves and our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT WHEREAS, the above bounden Principal as aforesaid, is about to hand in and submit to the obligee a bid for WATER MAIN EXTENSION ON HOLBURN DRIVE SPRINGDALE STREET AND BEACH BLVD., in accordance with the plans and specifications filed in the office of the obligee and under the notice inviting proposals therefore. NOW, THEREFORE, if the bid or proposal of said principal shall be accepted, and the contract for such work be awarded to the principal thereupon by the said obligee, and said principal shall enter into a contract and bond for the completion of said work as required by law, then this obligation to be null and void, otherwise to be and remain in. full force and effect. IN WITNESS WHEREOF, said principal and said Surety have caused these presents to be duly signed and sealed this 10TH day of JUNE, 2011. VIDO SAMARZ CH INC. BY: ell FIDELITYA4 DEPOSIT CO NY OF MARYLAND BY: _ RANDY SSPO , Attorney-in-F ct Power of Attorney FIDELITY AND DEPOSIT COMPANY OF MARYLAND KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,a corporation of the State of Maryland,by THEODORE G.MARTINEZ,Vice President,and ERIC D.BARNES,Assistant Secretary,in pursuance of authority granted by Article VI,Section 2,of the By-Laws of said y,which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the d V=ereby nominate, constitute and appoint Randy SPOHN and Matthew R.DOBYNS,bot alif EACH its true and lawful agent and Attorney-in-Fact,to make,execute,seal and ts d as its act and deed: any and all bonds and undertakings,and the exec Q „ o suance of these presents,shall be as binding upon said Company,as full X arn`n� mten s e , if they had been duly executed and acknowledged by the regulars qe of edy S ice in Baltimore,Md.,in their own proper persons. This power of alto th e� POHN,dated April 6,2004. The said Assistant��oaS at the extract set forth on the reverse side hereof is a true copy of Article VI, Section 2,of the By-La o a` dflVany,and is now in force. IN WITNESS OF, the said Vice-President and Assistant Secretary have hereunto subscribed their names and affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 1 st day of May, A.D. 2009. ATTEST: FIDELITY AND DEPOSIT COMPANY OF MARYLAND *Pp DUO'SC. IN f fa o P A _ ((( By: Eric D. Barnes Assistant Secretary Theodore G.Martinez State of Maryland ss: City of Baltimore On this 1st day of May, A.D. 2009,before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified, came THEODORE G. MARTINEZ, Vice President, and ERIC D. BARNES, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and they each acknowledged the execution of the same., and being by me duly sworn,severally and each for himself deposeth and saith,that they are the said officers of the Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above. written. t Maria D.Adamski Notary Public My Commission Expires: July 8,2011 POA-F 012-3955 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of CALIFORNIA County of ORANGE On 0 before me, ERIKA GUIDO, NOTARY PUBLIC, personally appeared RANDY SPOHN ® 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 tome that he/she/they executed the same in his/hefffli& - authorized capacity.-(ies), and that by his/hefffiieif 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 EIKA OUTDO California that the foregoing paragraph is true and correct. NOTARY PUBUCCAUFORMA o WITNESS my han and official seal. 3 ORANGE COUNTY ^' expires May 5.2013 /�1 Si4nAure of Notary } ,%• " R"'-,y„�, yb s a; frrrz 3...,,;,� ' n .: „r �, _1i MEN AM- R"S Though the data below is not required bylaw,it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL ❑ CORPORATE OFFICER ❑ PARTNER(S) ❑ LIMITED ® ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES)